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Opioids & SU
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).
11196 Results
5501
Integrating screening, brief intervention, and referral to treatment (SBIRT) into clinical practice settings: a brief review
Type: Journal Article
Year: 2012
Publication Place: United States
Abstract: Screening, brief intervention, and referral to treatment (SBIRT) is a public health approach to the delivery of early intervention and treatment services for individuals at risk of developing substance use disorders (SUDs) and those who have already developed these disorders. SBIRT can be flexibly applied; therefore, it can be delivered in many clinical care settings. SBIRT has been adapted for use in hospital emergency settings, primary care centers, office- and clinic-based practices, and other community settings, providing opportunities for early intervention with at-risk substance users before more severe consequences occur. In addition, SBIRT interventions can include the provision of brief treatment for those with less severe SUDs and referrals to specialized substance abuse treatment programs for those with more severe SUDs. Screening large numbers of individuals presents an opportunity to engage those who are in need of treatment. However, additional research is needed to determine how best to implement SBIRT.
Topic(s):
General Literature
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5504
Integrating social & behavioral determinants of health into patient care & population health at VHA: a conceptual framework & an assessment of available individual & population level data sources & evidence-based measurements
Type: Journal Article
Year: 2019
Publication Place: United States
Topic(s):
Healthcare Disparities
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, Medical Home
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5505
Integrating substance abuse care with community diabetes care: implications for research and clinical practice
Type: Web Resource
Year: 2013
Abstract: Cigarette smoking and alcohol use are prevalent among individuals with diabetes in the US, but little is known about screening and treatment for substance use disorders in the diabetic population. This commentary discusses the scope and clinical implications of the public health problem of coexisting substance use and diabetes, including suggestions for future research. Diabetes is the seventh leading cause of death in the US, and is associated with many severe health complications like cardiovascular disease, stroke, kidney damage, and limb amputations. There are an estimated 24 million adults in the US with type 2 diabetes. Approximately 20% of adults aged 18 years or older with diabetes report current cigarette smoking. The prevalence of current alcohol use in the diabetic population is estimated to be around 50%-60% in epidemiological surveys and treatment-seeking populations. Cigarette smoking is associated with an increased risk of type 2 diabetes in a dose-dependent manner and is an independent modifiable risk factor for development of type 2 diabetes. Diabetic patients with an alcohol or other drug use disorder show a higher rate of adverse health outcomes. For example, these patients experience more frequent and severe health complications as well as an increased risk of hospitalization, and require longer hospital stays. They are also less likely to seek routine care for diabetes or adhere to diabetes treatment than those without an alcohol or other drug use disorder. The Affordable Care Act of 2010 and the Mental Health Parity Act and Addiction Equity Act of 2008 provide opportunities for facilitating integration of preventive services and evidence-based treatments for substance use disorders with diabetes care in community-based medical settings. These laws also offer emerging areas for research.
Topic(s):
Grey Literature
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Reference Links: 
View the DOI record for Integrating substance abuse care with community diabetes care: implications for research and clinical practice
View DOI Record
View the PubMed citation for Integrating substance abuse care with community diabetes care: implications for research and clinical practice5506
Integrating substance abuse treatment into the medical home
Type: Journal Article
Year: 2011
Publication Place: United States
Topic(s):
Medical Home
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Reference Links: View the PubMed citation for Integrating substance abuse treatment into the medical home
5508
Integrating substance use disorder services with primary care: the experience in California
Type: Journal Article
Year: 2012
Publication Place: United States
Abstract: Integrating substance use disorder (SUD) services with primary care (PC) can improve access to SUD services for the 20.9 million Americans who need SUD treatment but do not receive it, and help prevent the onset of SUDs among the 68 million Americans who use psychoactive substances in a risky manner. We lay out the reasons for integrating SUD and PC services and then explore the models used and the experiences of providers as they have begun SUD/PC integration in California.
Topic(s):
Education & Workforce
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Reference Links: View the PubMed citation for Integrating substance use disorder services with primary care: the experience in California
5512
Integrating Telemedicine for Medication Treatment for Opioid Use Disorder in Rural Primary Care: Beyond the COVID Pandemic
Type: Journal Article
Year: 2021
Topic(s):
Healthcare Disparities
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, HIT & Telehealth
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, Opioids & Substance Use
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5514
Integrating Telemental Healthcare with the Patient-Centered Medical Home Model
Type: Journal Article
Year: 2016
Publication Place: United States
Abstract: OBJECTIVE: The purpose of this article is to discuss how telemental healthcare and the patient-centered medical home (PCMH) can be integrated to improve the quality of mental healthcare available. METHODS: This article outlines the components of a PCMH, and how the needs of this type of system of care can benefit from telemental healthcare. RESULTS: The princples of PCMHs are being increasingly promoted in a variety of settings. In order to fulfill these principles, mental heathcare must be a integral part of the care provided to patients within the PCMH. The mental healthcare workforce is inadequate to provide care for patients, particularly in rural and high-poverty areas. Telemental healthcare provides a means to extend mental health services to the PCMHs using a variety of models. CONCLUSIONS: Telemental healthcare offers unique opportunities to bridge the need for mental healthcare integration in the PCMH for all patients.
Topic(s):
HIT & Telehealth
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, Medical Home
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Reference Links:
View the DOI record for Integrating Telemental Healthcare with the Patient-Centered Medical Home Model
View DOI Record
View the PubMed citation for Integrating Telemental Healthcare with the Patient-Centered Medical Home Model5517
Integrating traditional practices and social network visualization to prevent substance use: study protocol for a randomized controlled trial among urban Native American emerging adults
Type: Journal Article
Year: 2021
Topic(s):
Education & Workforce
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, Healthcare Disparities
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, Opioids & Substance Use
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5519
Integrating treatment for mental and physical disorders and substance misuse in Indigenous primary care settings
Type: Journal Article
Year: 2011
Publication Place: England
Abstract: OBJECTIVE: Australian Indigenous peoples in remote and rural settings continue to have limited access to treatment for mental illness. Comorbid disorders complicate presentations in primary care where Indigenous youths and perinatal women are at particular risk. Despite this high comorbidity there are few examples of successful models of integrated treatment. This paper outlines these challenges and provides recommendations for practice that derive from recent developments in the Northern Territory. CONCLUSIONS: There is a strong need to develop evidence for the effectiveness of integrated and culturally informed individual and service level interventions. We describe the Best practice in Early intervention Assessment and Treatment of depression and substance misuse study which seeks to address this need.
Topic(s):
Healthcare Disparities
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, Key & Foundational
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Reference Links:
View the DOI record for Integrating treatment for mental and physical disorders and substance misuse in Indigenous primary care settings
View DOI Record
View the PubMed citation for Integrating treatment for mental and physical disorders and substance misuse in Indigenous primary care settings5520
Integrating type 2 diabetes mellitus and depression treatment among African Americans: a randomized controlled pilot trial
Type: Journal Article
Year: 2010
Publication Place: United States
Abstract: PURPOSE: The purpose of this study was to examine whether integrating depression treatment into care for type 2 diabetes mellitus among older African Americans improved medication adherence, glycemic control, and depression outcomes. METHODS: Older African Americans prescribed pharmacotherapy for type 2 diabetes mellitus and depression from physicians at a large primary care practice in west Philadelphia were randomly assigned to an integrated care intervention or usual care. Adherence was assessed at baseline, 2, 4, and 6 weeks using the Medication Event Monitoring System to assess adherence. Outcomes assessed at baseline and 12 weeks included standard laboratory tests to measure glycemic control and the Center for Epidemiologic Studies Depression Scale (CES-D) to assess depression. RESULTS: In all, 58 participants aged 50 to 80 years participated. The proportion of participants who had 80% or greater adherence to an oral hypoglycemic (intervention 62.1% vs usual care 24.1%) and an antidepressant (intervention 62.1% vs usual care 10.3%) was greater in the intervention group in comparison with the usual care group at 6 weeks. Participants in the integrated care intervention had lower levels of glycosylated hemoglobin (intervention 6.7% vs usual care 7.9%) and fewer depressive symptoms (CES-D mean scores: intervention 9.6 vs usual care 16.6) compared with participants in the usual care group at 12 weeks. CONCLUSION: A pilot randomized controlled trial integrating type 2 diabetes mellitus treatment and depression was successful in improving outcomes among older African Americans. Integrated interventions may be more feasible and effective in real-world practices with competing demands for limited resources.
Topic(s):
General Literature
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