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The Literature Collection contains over 11,000 references for published and grey literature on the integration of behavioral health and primary care. Learn More

Use the Search feature below to find references for your terms across the entire Literature Collection, or limit your searches by Authors, Keywords, or Titles and by Year, Type, or Topic. View your search results as displayed, or use the options to: Show more references per page; Sort references by Title or Date; and Refine your search criteria. Expand an individual reference to View Details. Full-text access to the literature may be available through a link to PubMed, a DOI, or a URL. References may also be exported for use in bibliographic software (e.g., EndNote, RefWorks, Zotero).

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11269 Results
5421
Integrating Behavioral Health Services Within Specialty Practices Serving Adults
Type: Web Resource
Authors: Substance Abuse and Mental Health Services Administration
Year: 2025
Publication Place: Rockville, MD
Topic(s):
Education & Workforce See topic collection
,
Financing & Sustainability See topic collection
,
Grey Literature See topic collection
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 Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

5422
Integrating Behavioral Health Services Within Specialty Practices Serving Pediatric Populations
Type: Web Resource
Authors: Substance Abuse and Mental Health Services Administration
Year: 2025
Publication Place: Rockville, MD
Topic(s):
Education & Workforce See topic collection
,
Financing & Sustainability See topic collection
,
Grey Literature See topic collection
,
Healthcare Disparities See topic collection
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 Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

5423
Integrating Behavioral Healthcare and Primary Care, Appropriate Balance on What Model is Driving Care, and, the Whole Spectrum of Individuals are Coming Through the Door…
Type: Journal Article
Authors: M. R. Bütz, W. D. Tynan
Year: 2020
Publication Place: United States
Abstract:

With the integration of behavioral health services into primary care and other medical specialties, the community of providers and the public must address a number of questions, including: What models of care are there for these services? What kinds of providers supply these services? Are these providers trained behavioral health providers or extenders in some form? And, as these systems of care are constructed, who makes use of them? The purpose of this study is to address these questions as well as to consider some of the challenges of attending to the spectrum of needs that will arise as integrated healthcare services expand. Consideration of these questions may serve to clarify the impact that these models of healthcare will have in ways that may be readily apparent and, at the same time, in ways that may be subtler and less comprehensible. Addressing these questions is also intended to facilitate discussions within healthcare systems and among providers concerning which models of care best respond to specific populations. In turn, proactively answering these questions will, for the foreseeable future, shape not only behavioral healthcare, in perhaps small or large ways, but also healthcare in general.

Topic(s):
Education & Workforce See topic collection
5424
Integrating Behavioral Healthcare and Primary Care, Appropriate Balance on What Model is Driving Care, and, the Whole Spectrum of Individuals are Coming Through the Door...
Type: Journal Article
Authors: M. R. Bütz, W. D. Tynan
Year: 2019
Publication Place: United States
Abstract:

With the integration of behavioral health services into primary care and other medical specialties, the community of providers and the public must address a number of questions, including: What models of care are there for these services? What kinds of providers supply these services? Are these providers trained behavioral health providers or extenders in some form? And, as these systems of care are constructed, who makes use of them? The purpose of this study is to address these questions as well as to consider some of the challenges of attending to the spectrum of needs that will arise as integrated healthcare services expand. Consideration of these questions may serve to clarify the impact that these models of healthcare will have in ways that may be readily apparent and, at the same time, in ways that may be subtler and less comprehensible. Addressing these questions is also intended to facilitate discussions within healthcare systems and among providers concerning which models of care best respond to specific populations. In turn, proactively answering these questions will, for the foreseeable future, shape not only behavioral healthcare, in perhaps small or large ways, but also healthcare in general.

Topic(s):
Education & Workforce See topic collection
5426
Integrating behavioral healthcare into managed care settings
Type: Journal Article
Authors: Stephen P. Melek
Year: 2000
Topic(s):
Financing & Sustainability See topic collection
5428
Integrating behavioural health and primary care: qualitative findings on contextual factors that influence integration
Type: Journal Article
Authors: Jennifer Jewiss, Lisa W. Natkin, Kelly Clark/Keefe, Abigail Crocker, Julie A. Welkowitz
Year: 2023
Topic(s):
Education & Workforce See topic collection
,
Financing & Sustainability See topic collection
5429
Integrating Biopsychosocial Intervention Research in a Changing Health Care Landscape
Type: Journal Article
Authors: Kathleen Ell, Hyunsung Oh, Shinyi Wu
Year: 2016
Publication Place: Thousand Oaks, California
Topic(s):
HIT & Telehealth See topic collection
,
Medical Home See topic collection
5430
Integrating Board-Certified Psychiatric Pharmacists in a Certified Community Behavioral Health Clinic
Type: Journal Article
Authors: L. Li, H. R. Cooper, B. L. Parmentier, M. Williamson, M. Crouch, S. Muzquiz-Drummond, A. Babin
Year: 2024
Abstract:

Demand for mental health services has dramatically increased in recent years, raising concerns about the availability of service providers to meet these increased needs. One approach to expanding access to care is the use of highly qualified board-certified psychiatric pharmacists (BCPPs). However, the implementation of programs for integrating BCPPs has not been well characterized in community mental health settings. This column describes the development and implementation of a comprehensive practice model to incorporate BCPPs in a certified community behavioral health clinic. The authors report the results from the first 14 months of BCPP integration (based on 3,221 direct patient care interventions), offer recommendations, and highlight lessons learned.

Topic(s):
Education & Workforce See topic collection
5434
Integrating buprenorphine treatment into a public healthcare system: the San Francisco Department of Public Health's office-based Buprenorphine Pilot Program
Type: Journal Article
Authors: D. Hersh, S. L. Little, A. Gleghorn
Year: 2011
Publication Place: United States
Abstract: Despite well-documented efficacy, US physicians have been relatively slow to embrace the use of buprenorphine for the treatment of opioid dependence. In order to introduce and support the use of buprenorphine across the San Francisco Department of Public Health system of care, the Buprenorphine Pilot Program was initiated in 2003. Program treatment sites included a centralized buprenorphine induction clinic and program pharmacy, and three community-based treatment sites; two primary care clinics and a private dual diagnosis group practice. The target patient population consisted of opioid-dependent patients typically seen in an urban, public health setting, including individuals experiencing extreme poverty, homelessness/unstable housing, unemployment, polysubstance abuse/dependence, coexisting mental health disorders, and/or little psychosocial support. This program evaluation reviews patient characteristics, treatment retention, substance use over time, patient impressions, and provider practices for the 57 patients admitted between 9/1/03 and 8/31/05. At baseline, over 80% of patients were injecting heroin, over 40% were homeless, and over one-third were using cocaine. Outcomes included an overall one-year retention rate of 61%, a rapid and dramatic decline in opioid use, very positive patient impressions of the program and of buprenorphine, and significant shifts in provider practices over time.
Topic(s):
Opioids & Substance Use See topic collection
,
Education & Workforce See topic collection
,
Healthcare Disparities See topic collection
5435
Integrating Buprenorphine Treatment Into Family Medicine Resident Clinic
Type: Journal Article
Authors: J. D. Tiemstra, L. H. Walsh
Year: 2020
Publication Place: United States
Abstract:

BACKGROUND AND OBJECTIVES: Medication-assisted treatment (MAT) for opioid use disorder with buprenorphine in primary care is effective and patient-accessible yet remains underutilized, including among residency training programs. One concern in residency programs is that MAT patients must be seen at least monthly and will overwhelm residents' clinic schedules and dilute their clinical experience. Our family medicine residency initiated an MAT program integrated into residents' continuity clinic schedules. After 2 years we assessed the chronic medical comorbidities we were managing in our MAT population. METHODS: We performed a retrospective review of all active patients receiving MAT. We collected basic demographic data and whether we were the patient's primary care provider (PCP) or were only providing MAT. For the patients for whom we were the PCP we recorded the chronic comorbidities that required medical management. RESULTS: One hundred fifty-seven active patients were 52% male and 48% female. The mean age was 38 years (SD=10) with a range of 22 to 77 years, with nine patients over age 60 years (6%). One hundred three patients used us as their PCP (66%). For these patients the mean number of chronic comorbidities was 2.3; only 10 patients reported no comorbidities. Psychiatric comorbidities were the most common with 69% of patients with a mood disorder, although nonpsychiatric comorbidities still averaged 1.5 per patient. CONCLUSIONS: MAT integrated into family medicine resident continuity clinics provides a broad and substantial primary care clinical experience for residents.

Topic(s):
Education & Workforce See topic collection
,
Healthcare Disparities See topic collection
,
Opioids & Substance Use See topic collection
5436
Integrating buprenorphine treatment into office-based practice: A qualitative study
Type: Journal Article
Authors: D. T. Barry, K. S. Irwin, E. S. Jones, W. C. Becker, J. M. Tetrault, L. E. Sullivan, H. Hansen, P. G. O'Connor, R. S. Schottenfeld, D. A. Fiellin
Year: 2009
Publication Place: United States
Abstract: BACKGROUND: Despite the availability and demonstrated effectiveness of office-based buprenorphine maintenance treatment (BMT), the systematic examination of physicians' attitudes towards this new medical practice has been largely neglected. OBJECTIVE: To identify facilitators and barriers to the potential or actual implementation of BMT by office-based medical providers. DESIGN: Qualitative study using individual and group semi-structured interviews. PARTICIPANTS: Twenty-three practicing office-based physicians in New England. APPROACH: Interviews were audiotaped, transcribed, and entered into a qualitative software program. The transcripts were thematically coded using the constant comparative method by a multidisciplinary team. RESULTS: Eighty percent of the physicians were white; 55% were women. The mean number of years since graduating medical school was 14 (SD = 10). The primary areas of clinical specialization were internal medicine (50%), infectious disease (20%), and addiction medicine (15%). Physicians identified physician, patient, and logistical factors that would either facilitate or serve as a barrier to their integration of BMT into clinical practice. Physician facilitators included promoting continuity of patient care, positive perceptions of BMT, and viewing BMT as a positive alternative to methadone maintenance. Physician barriers included competing activities, lack of interest, and lack of expertise in addiction treatment. Physicians' perceptions of patient-related barriers included concerns about confidentiality and cost, and low motivation for treatment. Perceived logistical barriers included lack of remuneration for BMT, limited ancillary support for physicians, not enough time, and a perceived low prevalence of opioid dependence in physicians' practices. CONCLUSIONS: Addressing physicians' perceptions of facilitators and barriers to BMT is crucial to supporting the further expansion of BMT into primary care and office-based practices.
Topic(s):
Opioids & Substance Use See topic collection
,
Education & Workforce See topic collection
5437
Integrating Cancer Screening and Mental Health Services in Primary Care: Protocol and Baseline Results of a Patient-Centered Outcomes Intervention Study
Type: Journal Article
Authors: Jonathan N. Tobin
Year: 2021
Topic(s):
Healthcare Disparities See topic collection
,
Measures See topic collection
5438
Integrating care for persons, not only diseases
Type: Journal Article
Authors: C. J. Peek
Year: 2009
Publication Place: United States
Abstract: Integrated care is geared toward enhancing usual care and decision-making for common combinations of medical and mental health conditions, including the behavioral health and behavioral change aspects. Yet even with comprehensive and well-integrated care for health conditions and well-coordinated teamwork in place, some patients do not engage or respond to care in the way clinicians would like or predict. This troubles patients and clinicians alike and may be chalked up informally to things like medical complexity (multiple co-existing conditions), mental health conditions (that complicate care), or simply the case being considered complex or difficult. It also raises the question of how to address person-specific factors that interfere with care of whatever conditions the patient may have, and invites behavioral health clinicians in medical settings to look beyond care of conditions to the care of persons, and to look beyond disease-specific care management protocols to master generic practices of care management across whatever conditions the person may have. This person-centered emphasis is intrinsic to the concept of the "patient-centered medical home" which has burst into animated discussion and demonstration among providers, health plans, government plans, employer purchasers, and professional associations across public and private entities. This represents an opportunity for collaborative care clinicians to help shape the national state of the art in medical home and includes a range of person-oriented (rather than disease-oriented) practices for care management, including working systematically with complex patients and difficult patient-clinician relationships.
Topic(s):
Medical Home See topic collection
5439
Integrating care helps reduce stigma
Type: Journal Article
Authors: Jessica Brunelle, Retha Porter
Year: 2013
Topic(s):
General Literature See topic collection
5440
Integrating Children's Mental Health into Primary Care
Type: Journal Article
Authors: L. S. Wissow, N. van Ginneken, J. Chandna, A. Rahman
Year: 2016
Publication Place: United States
Topic(s):
Healthcare Disparities See topic collection