Literature Collection

5261

Integrated Care: A Disruptive Innovation for Extending Psychiatric Expertise to Primary Care Practices

Type: Journal Article

Authors: A. Adaji

Year: 2018

Publication Place: Netherlands

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5262

Integrated CARE: Adaptation of Child-Adult Relationship Enhancement (CARE) Model for Use in Integrated Behavioral Pediatric Care

Type: Journal Article

Authors: B. Scott, R. H. Gurwitch, E. P. Messer, L. P. Kelley, D. R. Myers, J. K. Young

Year: 2021

Publication Place: United States

Abstract:

The authors adapted the established Child-Adult Relationship Enhancement (CARE) interaction model for use in integrated behavioral health clinics. CARE was modified for delivery in the examination room, during routine primary care visits. Adopting a real-world implementation approach, clinical social workers were trained in the new model-IntegratedCARE-and provided the brief, 3-session treatment to 30 different parent-child dyads. Measurements included the Parental Stress Index-4 Short Form (PSI 4-SF), the Eyberg Childhood Behavior Inventory (ECBI), and the Therapy Attitude Inventory (TAI). There was a statistically significant mean score decrease on the both subscales of the ECBI at pre- and posttreatment. Scores on the TAI indicated that participants were satisfied with the treatment. Attrition rates were somewhat lower than similar studies. Findings indicate the IntegratedCARE model is feasible for sustainable delivery by trained behavioral health professionals in primary care.

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5263

Integrated care: Applying theory to practice

Type: Book

Authors: Russell Curtis, Eric Christian

Year: 2012

Publication Place: New York

Abstract: "This book provides pertinent and practical information about how to create, work, and thrive in an Integrated Care (IC) setting. Unlike other books on the subject, it focuses on the "nuts and bolts" of establishing an IC practice; it also covers material that is often missing from or insufficiently covered in the existing literature. Specific topics discussed include the basics of IC, such as different models and levels of IC and examples of IC initiatives; how to build an IC program, with guidelines for entering and working effectively in a practice, as well as managing the associated economic aspects; ethical issues involved in IC, given the discrepancies between medical and mental health ethical standards; assessment and intervention in IC; cross-cultural and diversity issues in IC; and leadership, consultation, and supervision"--Provided by publisher.

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Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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5264

Integrated care: Creating effective mental and primary health care teams

Type: Book

Authors: Anna Ratzliff, Jurgen Unutzer, Wayne Katon, Kari Astley Stephens

Year: 2016

Publication Place: Hoboken, NJ

Topic(s):

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Disclaimer:

This grey literature reference is included in the Academy’s Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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5265

Integrated care: High-impact mental health-primary care research for patients with multiple comorbidities

Type: Journal Article

Authors: S. T. Azrin

Year: 2014

Publication Place: United States

Abstract: Patients with multiple psychiatric and medical comorbidities are common in primary care practices (PCPs), and recent health care reforms will likely lead to an increase in their numbers. PCPs need flexible, integrated mental health-primary care interventions that are applicable to these complex patients and compatible with the PCP setting. Generating practice-ready solutions for rapid uptake in typical PCPs requires a new direction for mental health-primary care research. This column describes an approach that embraces both real-world relevance and methodological rigor to stimulate such research. The approach emphasizes generating knowledge that decision makers need, using practice-based evidence and efficient methods, and planning for sustainability and broad uptake from the outset.

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5266

Integrated care: integrating general medical and behavioral health care: the New York State perspective

Type: Journal Article

Authors: T. E. Smith, M. D. Erlich, L. I. Sederer

Year: 2013

Publication Place: United States

Abstract: This column describes recent policy and program initiatives implemented by the New York State Office of Mental Health to enhance integration of general medical and behavioral health services throughout the state public mental health system. Recent initiatives were implemented to improve access to health and wellness-oriented services, redesign managed care programs to improve engagement and retention of high-need individuals, and raise the bar on quality while lowering costs. Taken as a whole, these initiatives represent a 21st-century transformation of a state mental health authority into an accountable and more fully integrated public health delivery system.

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5267

Integrated care: Maturing the relationship between psychology and primary care.

Type: Journal Article

Authors: Mark E. Vogel, Heather A. Kirkpatrick, Amy S. Collings, Crystal L. Cederna-Meko, Melissa J. Grey

Year: 2012

Publication Place: US

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5268

Integrated care: meeting mental health needs after the Gulf oil spill

Type: Journal Article

Authors: H. J. Osofsky, J. D. Osofsky, J. H. Wells, C. Weems

Year: 2014

Publication Place: United States

Abstract: This column describes an integrated behavioral health initiative in primary care clinics in Louisiana parishes affected by the Deepwater Horizon oil spill. The Louisiana Mental and Behavioral Health Capacity Project is an integral part of the Gulf Region Health Outreach Program and is funded from the Deepwater Horizon Medical Benefits Class Action Settlement. Using a public health approach, the Department of Psychiatry of the Louisiana State University Health Sciences Center developed an interprofessional collaboration model of care to provide culturally tailored and time-sensitive on-site and telemedicine services to adults and children affected by the disaster. Results indicate a high level of acceptance of the services and reductions in both mental health symptoms and general medical symptoms. Primary care clinic staff also report increased confidence and resilience to meet future disasters. The approach could be used by communities at risk of disasters and by rural communities with limited mental health resources.

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5269

Integrated care: Potential disaster or golden opportunity?

Type: Book Chapter

Authors: Jeanne Wendel

Year: 2001

Publication Place: San Diego, CA, US

Topic(s):

,

Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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5270

Integrated Care: Should It Count as Community Psychiatry Training for Psychiatry Residents?

Type: Journal Article

Authors: C. L. Reardon, K. A. Buhr, R. M. Factor, A. Walaszek, Zeidler Schreiter

Year: 2019

Publication Place: United States

Abstract:

Psychiatry residents are required to be exposed to community psychiatry. Historically, this occurred in public hospitals or assertive community treatment (ACT) teams. A new model of psychiatric care delivery, integrated care, has become prevalent. While integrated care shares some features with traditional community psychiatry rotations, no research exists to demonstrate if integrated care rotations can accomplish the aims of traditional rotations. This pilot study compared learning outcomes in ACT team rotations versus integrated care rotations. Pre- and post-rotation surveys were disseminated to third-year psychiatry residents (N = 8) who were randomized to complete a rotation with an ACT team or an integrated care team. By rotation end, many in both settings changed how conservative they were in treatment philosophies, but this did not result in a difference between groups. Residents in both groups were satisfied with their rotations. Training in integrated care may be a reasonable alternative to traditional community psychiatry rotations.

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5271

Integrated care: the evolving role of psychiatry in the era of health care reform

Type: Journal Article

Authors: L. Raney

Year: 2013

Publication Place: United States

Abstract: Health care reform offers psychiatrists, who are trained in both general medical and behavioral health care, many opportunities to assume leadership roles on collaborative care teams and improve patient outcomes. This column describes such opportunities in primary care and public mental health settings and outlines new competencies, such as enhanced primary care skills, that will allow psychiatrists to expand their scope of practice in new models of care in the era of reform. These changes will require training, and the author calls on leaders of the American Psychiatric Association to help psychiatrists obtain new skills and undertake new roles.

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5272

Integrated care: treatment initiation following positive depression screens

Type: Journal Article

Authors: B. R. Szymanski, K. M. Bohnert, K. Zivin, J. F. McCarthy

Year: 2013

Publication Place: United States

Abstract: BACKGROUND: Primary Care-Mental Health Integration (PC-MHI) may improve mental health services access and continuity of care. OBJECTIVE: To assess whether receipt of integrated PC-MHI services on the date of an initial positive depression screen influences receipt of depression treatment among primary care (PC) patients in the Veterans Health Administration. DESIGN: Retrospective cohort study. SUBJECTS: Thirty-six thousand, two hundred and sixty-three PC patients with positive depression screens between October 1, 2009 and September 30, 2010. MAIN MEASURES: Subjects were assessed for depression diagnosis and initiation of antidepressants or psychotherapy on the screening day, within 12 weeks, and within 6 months. Among individuals with PC encounters on the screening day, setting of services received that day was categorized as PC only, PC-MHI, or Specialty Mental Health (SMH). Using multivariable generalized estimating equations (GEE) logistic regression, we assessed likelihood of treatment initiation, adjusting for demographic and clinical measures, including depression screening score. KEY RESULTS: Patients who received same-day PC-MHI services were more likely to initiate psychotherapy (OR: 8.16; 95 % CI: 6.54-10.17) and antidepressant medications (OR: 2.33, 95 % CI: 2.10-2.58) within 12 weeks than were those who received only PC services on the screening day. CONCLUSIONS: Receipt of same-day PC-MHI may facilitate timely receipt of depression treatment.

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5273

Integrated care: wellness-oriented peer approaches: a key ingredient for integrated care

Type: Journal Article

Authors: M. A. Swarbrick

Year: 2013

Publication Place: United States

Abstract: People with lived experience of mental illness have become leaders of an influential movement to help the mental health system embrace the notion of whole health and wellness in the areas of advocacy, policy, and care delivery. Wellness-oriented peer approaches delivered by peer-support whole-health specialists and wellness coaches can play an important role in integrated care models. This column examines the wellness definitions and peer models and some specific benefits and tensions between the peer-oriented wellness approach and the medical model. These models can work in unison to improve health and wellness among people with mental and substance use disorders.

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5274

Integrated care: Whom to hire and how to train

Type: Book Chapter

Authors: William T. O'Donohue

Year: 2009

Publication Place: New York, NY, US

Topic(s):

,

Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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5275

Integrated Care: Working at the Interface of Primary Care and Behavioral Health

Type: Journal Article

Authors: Anita S. Everett

Year: 2016

Publication Place: Baltimore, Maryland

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5276

Integrated care: Working at the interface of primary care and behavioral health

Type: Book

Authors: Lori E. Raney

Year: 2015

Publication Place: Washington, DC

Abstract: Evidence base and core principles / Jürgen Unützer, Anna Ratzliff -- Collaborative care team in action / Lori Raney, Gina Lasky, Clare Scott -- Role of the consulting psychiatrist / Lori Raney -- Child and adolescent psychiatry in integrated settings / Barry Sarvet, Robert Hilt -- Risk management liability issues in integrated care / Kristin Lambert, Anton Bland -- Training psychiatrists for integrated care / Anna Ratzliff, Jürgen Unützer, Marcella Pascually -- The case for primary care in public mental health settings / Martha Ward, Benjamin Druss -- Providing primary care in behavioral health settings / John Kern -- Behavioral health homes / Joe Parks -- Management of leading risk factors for cardiovascular disease / Erik Vanderlip, Lydia Chwastiak.

Topic(s):

,

Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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5277

Integrated care: working at the interface of primary care and behavioural health

Type: Journal Article

Authors: Sean Owens

Year: 2020

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5278

Integrated Case Management Model Shows Which Resources Are Needed: Process includes mental health

Type: Journal Article

Year: 2018

Publication Place: Morrisville, North Carolina

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5279

Integrated collaborative care intervention for depression and obesity in primary care: Translation from research to practice

Type: Journal Article

Authors: Corina R. Ronneberg, Nan Lv, Olusola A. Ajilore, Ben S. Gerber, Elizabeth M. Venditti, Mark B. Snowden, Lesley E. Steinman, Nancy E. Wittels, Amruta Barve, Sushanth Dosala, Lisa G. Rosas, Emily A. Kringle, Jun Ma

Year: 2022

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5280

Integrated collaborative care teams to enhance service delivery to youth with mental health and substance use challenges: protocol for a pragmatic randomised controlled trial

Type: Journal Article

Authors: J. L. Henderson, A. Cheung, K. Cleverley, G. Chaim, M. E. Moretti, C. de Oliveira, L. D. Hawke, A. R. Willan, D. O'Brien, O. Heffernan, T. Herzog, L. Courey, H. McDonald, E. Grant, P. Szatmari

Year: 2017

Publication Place: England

Abstract: INTRODUCTION: Among youth, the prevalence of mental health and addiction (MHA) disorders is roughly 20%, yet youth are challenged to access evidence-based services in a timely fashion. To address MHA system gaps, this study tests the benefits of an Integrated Collaborative Care Team (ICCT) model for youth with MHA challenges. A rapid, stepped-care approach geared to need in a youth-friendly environment is expected to result in better youth MHA outcomes. Moreover, the ICCT approach is expected to decrease service wait-times, be more youth-friendly and family-friendly, and be more cost-effective, providing substantial public health benefits. METHODS AND ANALYSIS: In partnership with four community agencies, four adolescent psychiatry hospital departments, youth and family members with lived experience of MHA service use, and other stakeholders, we have developed an innovative model of collaborative, community-based service provision involving rapid access to needs-based MHA services. A total of 500 youth presenting for hospital-based, outpatient psychiatric service will be randomised to ICCT services or hospital-based treatment as usual, following a pragmatic randomised controlled trial design. The primary outcome variable will be the youth's functioning, assessed at intake, 6 months and 12 months. Secondary outcomes will include clinical change, youth/family satisfaction and perception of care, empowerment, engagement and the incremental cost-effectiveness ratio (ICER). Intent-to-treat analyses will be used on repeated-measures data, along with cost-effectiveness and cost-utility analyses, to determine intervention effectiveness. ETHICS AND DISSEMINATION: Research Ethics Board approval has been received from the Centre for Addiction and Mental Health, as well as institutional ethical approval from participating community sites. This study will be conducted according to Good Clinical Practice guidelines. Participants will provide informed consent prior to study participation and data confidentiality will be ensured. A data safety monitoring panel will monitor the study. Results will be disseminated through community and peer-reviewed academic channels. TRIAL REGISTRATION NUMBER: Clinicaltrials.gov NCT02836080.

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