Literature Collection

5561

Integrating Telemedicine for Medication Treatment for Opioid Use Disorder in Rural Primary Care: Beyond the COVID Pandemic: Official Journal of the American Rural Health Association and the National Rural Health Care Association

Type: Journal Article

Authors: Yih‐Ing Hser, Larissa J. Mooney

Year: 2021

Publication Place: Washington

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5562

Integrating Telemental Healthcare with the Patient-Centered Medical Home Model

Type: Journal Article

Authors: J. K. McWilliams

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.

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5563

Integrating Text Messaging in a Low Threshold Telebuprenorphine Program for New York City Residents with Opioid Use Disorder during COVID-19: A Pilot Randomized Controlled Trial

Type: Journal Article

Authors: Babak Tofighi, Beita Badiei, Ryan Badolato, Crystal Fuller Lewis, Edward Nunes, Anil Thomas, Joshua D. Lee

Year: 2023

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5564

Integrating the twelve steps with medication-assisted treatment for opioid use disorder

Type: Book

Authors: Marvin D. Seppala, Bruce Larson

Year: 2015

Publication Place: Center City, MN

Abstract: The use of medications has been integrated with the evidence-based, world-class Twelve Step facilitation model to form the foundation of a unique approach that provides long-term, wraparound services individualized to the needs of patients with opioid use disorders. Integrating the Twelve Steps with Medication-Assisted Treatment for Opioid Use Disorder: Best Practices for Professionals guides administrators, clinicians, doctors, and nurses in implementing this groundbreaking program at residential and outpatient facilities. Following the Hazelden Betty Ford Foundation experience from admission through treatment and recovery services, it shares best practices for helping patients achieve a stable recovery lifestyle with the ultimate goal of abstinence.

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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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5565

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

Authors: E. J. D'Amico, D. L. Dickerson, A. Rodriguez, R. A. Brown, D. P. Kennedy, A. I. Palimaru, C. Johnson, R. Smart, D. J. Klein, J. Parker, K. McDonald, M. J. Woodward, N. Gudgell

Year: 2021

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5566

Integrating trauma and violence informed care in primary health care settings for First Nations women experiencing violence: A systematic review

Type: Journal Article

Authors: Patricia Cullen, Tamara Mackean, Natasha Walker, Julieann Coombes, Keziah Bennett-Brook, Kathleen Clapham, Rebecca Ivers, Maree Hackett, Faye Worner, Marlene Longbottom

Year: 2022

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5567

Integrating treatment for mental and physical disorders and substance misuse in Indigenous primary care settings

Type: Journal Article

Authors: T. Nagel, D. Kavanagh, L. Barclay, T. Trauer, R. Chenhall, J. Frendin, C. Griffin

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.

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5568

Integrating type 2 diabetes mellitus and depression treatment among African Americans: a randomized controlled pilot trial

Type: Journal Article

Authors: H. R. Bogner, H. F. de Vries

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.

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5569

Integrating Your Practice: Key Building Blocks - Dr. Parinda Khatri [Video]

Type: Web Resource

Authors: University of Colorado School of Medicine Department of Family Medicine

Year: 2013

Topic(s):

,

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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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5570

Integration and sustainability of alcohol screening, brief intervention, and pharmacotherapy in primary care settings

Type: Journal Article

Authors: S. M. Ornstein, P. M. Miller, A. M. Wessell, R. G. Jenkins, L. S. Nemeth, P. J. Nietert

Year: 2013

Publication Place: United States

Abstract: OBJECTIVE: At-risk drinking and alcohol use disorders are common in primary care and may adversely affect the treatment of patients with diabetes and/or hypertension. The purpose of this article is to report the impact of dissemination of a practice-based quality improvement approach (Practice Partner Research Network-Translating Research into Practice [PPRNet-TRIP]) on alcohol screening, brief intervention for at-risk drinking and alcohol use disorders, and medications for alcohol use disorders in primary care practices. METHOD: Nineteen primary care practices from 15 states representing 26,005 patients with diabetes and/or hypertension participated in a group-randomized trial (early intervention vs. delayed intervention). The 12-month intervention consisted of practice site visits for academic detailing and participatory planning and network meetings for "best practice" dissemination. RESULTS: At the end of Phase 1, eligible patients in early-intervention practices were significantly more likely than patients in delayed-intervention practices to have been screened (odds ratio [OR] = 3.30, 95% CI [1.15, 9.50]) and more likely to have been provided a brief intervention (OR = 6.58, 95% CI [1.69, 25.7]. At the end of Phase 2, patients in delayed-intervention practices were more likely than at the end of Phase 1 to have been screened (OR = 5.18, 95% CI [4.65, 5.76]) and provided a brief intervention (OR = 1.80, 95% CI [1.31, 2.47]). Early-intervention practices maintained their screening and brief intervention performance during Phase 2. Medication for alcohol use disorders was prescribed infrequently. CONCLUSIONS: PPRNet-TRIP is effective in improving and maintaining improvement in alcohol screening and brief intervention for patients with diabetes and/or hypertension in primary care settings.

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5571

Integration between Primary Care and Mental Health Services in Italy: Determinants of Referral and Stepped Care

Type: Journal Article

Authors: P. Rucci, A. Piazza, M. Menchetti, D. Berardi, A. Fioritti, S. Mimmi, M. P. Fantini

Year: 2012

Publication Place: Egypt

Abstract: This study, carried out in the context of a collaborative care program for common mental disorders, is aimed at identifying the predictors of Primary Care Physician (PCP) referral to Community Mental Health Center (CMHC) and patterns of care. Patients with depression or anxiety disorders who had a first contact with CMHCs between January 1, 2007-December 31, 2009 were extracted from Bologna Local Health Authority database. A classification and regression tree procedure was used to determine which combination of demographic and diagnostic variables best distinguished patients referred by PCPs and to identify predictors of patterns of care (consultation, shared care, and treatment at the CMHC) for patients referred by PCPs. Of the 8570 patients, 57.4% were referred by PCPs. Those less likely to be referred by PCPs were living in the urban area, suffered from depressive disorder, and were young. As to the pattern of care, patients living in the urban area were more likely to receive shared care compared with those living in the nonurban area, while the reverse was true for consultation. Predictors of CMHC treatment were depression and young age. Prospective studies are needed to assess length, quantity, and quality of collaborative treatment for common mental disorder delivered at any step of care.

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5572

Integration Innovations: A Discussion with Federal Agencies (Webinar Part I of II) [Video]

Type: Web Resource

Authors: SAMHSA-HRSA Center for Integrated Health Solutions

Year: 2013

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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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5573

Integration Is Correlated With Mental Health Help-Seeking From the General Practitioner: Syrian Refugees' Preferences and Perceived Barriers

Type: Journal Article

Authors: S. M. Harris, G. M. Sandal, H. H. Bye, L. A. Palinkas, P. E. Binder

Year: 2021

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5574

Integration of behavioral and physical health care for a medicaid population through a public-public partnership

Type: Journal Article

Authors: K. L. Grazier, A. M. Hegedus, T. Carli, D. Neal, K. Reynolds

Year: 2003

Publication Place: United States

Abstract: This article documents a unique organizational, legal, and financial partnership between a state, a university, a Medicaid managed health care plan, and a county to provide integrated mental health, substance abuse, and primary and specialty health care services to Medicaid, low-income, and indigent consumers in Washtenaw county, Michigan. Major regulatory, financial, and clinical changes were required within and among the various partners in the Washtenaw County Integrated Health Care Project. A new entity--the Washtenaw Community Health Organization--was created to implement the project. By sharing resources as well as financial risks, the state, the county, and the university have been able to provide ongoing integrated care to a vulnerable population of patients. Although resource intensive in conceptualization and implementation, the project can be viewed as a model for other states that face growing needy populations and decreasing Medicaid budgets.

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5575

Integration of Behavioral Health and Primary Care

Type: Web Resource

Authors: C. L. Hunter

Year: 2010

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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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5576

Integration of behavioral health and primary care: current knowledge and future directions

Type: Journal Article

Authors: M. E. Vogel, K. E. Kanzler, J. E. Aikens, J. L. Goodie

Year: 2017

Publication Place: United States

Abstract: Integrated behavioral health in primary care has spread rapidly over the past three decades, although significant questions remain unanswered regarding best practices in clinical, financial and operational worlds. Two key models have emerged over time: care management and Primary Care Behavioral Health. Research to date has been promising; however, there is a significant need for more sophisticated multi-level scientific methodologies to fill in the gaps in current knowledge of integrated primary care. In this paper, we summarize current scientific knowledge about integrated primary care and critically evaluate the strengths and weaknesses of this knowledge base, focusing on clinical, financial and operational factors. Finally, we recommended priorities for future research, dissemination, real-world implementation, and health policy implications.

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5577

Integration of Behavioral Health into Primary Care at the University of Pittsburgh Medical Center [Video]

Type: Web Resource

Authors: K. Nash

Year: 2013

Abstract: Children's Community Pediatrics, Children's Hospital of Pittsburgh, and Western Psychiatric Institute and Clinic have created a primary care-based behavioral health system that encourages early identification and treatment of behavioral health concerns. This presentation will focus on the clinical, administrative and financial components of integrating a large pediatric and adolescent primary care network with behavioral health services

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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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5578

Integration of behavioral health methods in primary care: The experiences of primary care providers

Type: Web Resource

Authors: Bryna C. Grant Forson

Year: 2018

Topic(s):

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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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5579

Integration of behavioral health services and adolescent depression screening in primary care

Type: Journal Article

Authors: Gretchen J. R. Buchanan, Jeyn Monkman, Timothy F. Piehler, Gerald J. August

Year: 2021

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5580

Integration of behavioral health services and adolescent depression screening in primary care

Type: Journal Article

Authors: Gretchen J. R. Buchanan, Jeyn Monkman, Timothy F. Piehler, Gerald J. August

Year: 2020

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