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Opioids & SU
The Literature Collection contains over 10,000 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).
10858 Results
5761
Managing child and adolescent mental health problems in primary care: taking the leap from knowledge to practice
Type: Journal Article
Year: 2011
Publication Place: England
Abstract: In 2009, a conference at Imperial College London brought together experts on the primary care provision of child and adolescent mental health. The following paper highlights various themes from the conference, and particularly focuses on general practice. Despite international and national guidance, child and adolescent mental health provision in primary care is limited in the UK and globally. We argue that primary care services are in fact well placed to assess, diagnose, and manage child and adolescent mental health problems. The barriers to such provision are considered from the perspective of both service users and providers, and the possible ways to overcome such challenges are discussed. The paper is informed by various epidemiological and intervention studies and comparisons between different countries and health systems are explored.
Topic(s):
General Literature
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View the DOI record for Managing child and adolescent mental health problems in primary care: taking the leap from knowledge to practice
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View the PubMed citation for Managing child and adolescent mental health problems in primary care: taking the leap from knowledge to practice5764
Managing co-occurring substance use and pain disorders
Type: Journal Article
Year: 2012
Publication Place: United States
Abstract: The safest pain treatment strategy for an individual at risk or recovering from addiction is a nonopioid and benzodiazepine-free approach. If an opioid treatment is necessary, the extent of the risk can be stratified by the use of a biopsychosocial assessment and opioid screening tools. Individuals at high risk should have the greatest amount of structure and monitoring. A written informed consent and treatment agreement can provide a framework for the patient and the patient's family, as well as the clinician. The structure of treatment should specify only that one prescribing physician will write a limited supply of opioids, without refills, until the analgesic efficacy, adverse events, and goals for functional restoration can be assessed. An additional recommendation is that prescriptions should be filled at the same pharmacy with no refill by phone or opportunity for replacement because of loss, damage, or stolen medications. Additionally, random urine drug screens and PDMP reports obtained will help determine if the patient is taking other substances, as well as monitor the patient's medication use patterns. It is important to assess for risk factors in treating chronic pain with opioids; clinicians need to have a realistic appreciation of the resources available to them and the types of patients that can be managed in their practice. Chronic pain treatment with opioids should not be undertaken in patients who are currently addicted to illicit substances or alcohol. With the support of family and friends, ideally the patient can be motivated to participate in an intensive substance abuse treatment. In patients without an immediate risk, precautionary steps should be taken when prescribing opioids. Clinicians and patients need to review the risk factors for opioid-related problems including younger age, benzodiazepine use, and comorbid conditions such as depression, anxiety, and heavy smoking. Both the provider and the patient need a personal investment in the treatment plan and protocol to increase the safety of opioid treatment. New medications and treatment monitoring are being developed to provide maximal relief for the patient while protecting the public health. The optimal ingredients for safe opioid treatment include a strong provider-patient relationship and clinician training in the assessment and treatment of addiction and pain.
Topic(s):
Opioids & Substance Use
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Reference Links: View the PubMed citation for Managing co-occurring substance use and pain disorders
5765
Managing common mental health disorders in primary care: conceptual models and evidence base
Type: Journal Article
Year: 2005
Publication Place: England
Topic(s):
Healthcare Policy
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Reference Links:
View the DOI record for Managing common mental health disorders in primary care: conceptual models and evidence base
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View the PubMed citation for Managing common mental health disorders in primary care: conceptual models and evidence base5767
Managing Depression among Diverse Older Adults in Primary Care: The BRIGHTEN Program
Type: Journal Article
Year: 2017
Publication Place: United States
Abstract: OBJECTIVES: A variety of specific cultural adaptations have been proposed for older adult and minority mental health interventions. The objective of this study was to determine whether the BRIGHTEN Program, an individually tailored, interdisciplinary "virtual" team intervention, would equally meet the needs of a highly diverse sample of older adults with depression. METHODS: Older adults who screened positive for depression were recruited from primary and specialty care settings to participate in the BRIGHTEN program. A secondary data analysis of 131 older adults (37.4% African-American, 29.0% Hispanic, 29.8% Non-Hispanic White) was conducted to explore the effects of demographic variables (race/ethnicity, income and education) on treatment outcome. RESULTS: Compared to baseline, participants demonstrated significant improvements on the SF-12 Mental Health Composite and depression (GDS-15) scores at 6-month follow-up. There were no differences on outcome measures based on race/ethnicity, income or education with one exception-a difference between 12th grade and graduate degree education on SF-12 Mental Health Composite scores. CONCLUSIONS: While not explicitly tailored for specific ethnic groups, the BRIGHTEN program may be equally effective in reducing depression symptoms and improving mental health functioning in a highly socioeconomically and ethnically diverse, community-dwelling older adult population. CLINICAL IMPLICATIONS: Implications for behavioral health integration in primary care are discussed.
Topic(s):
Healthcare Disparities
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View the DOI record for Managing Depression among Diverse Older Adults in Primary Care: The BRIGHTEN Program
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View the PubMed citation for Managing Depression among Diverse Older Adults in Primary Care: The BRIGHTEN Program5768
Managing depression among ethnic communities: A qualitative study
Type: Journal Article
Year: 2010
Publication Place: United States
Abstract: PURPOSE: Clinical care for depression in primary care negotiates a path between contrasting views of depression as a universal natural phenomenon and as a socially constructed category. This study explores the complexities of this work through a study of how family physicians experience working with different ethnic minority communities in recognizing, understanding, and caring for patients with depression. METHODS: We undertook an analysis of in-depth interviews with 8 family physicians who had extensive experience in depression care in 3 refugee patient groups in metropolitan Victoria and Tasmania, Australia. RESULTS: Although different cultural beliefs about depression were acknowledged, the physicians saw these beliefs as deeply rooted in the recent historical and social context of patients from these communities. Traumatic refugee experiences, dislocation, and isolation affected the whole of communities, as well as individuals. Physicians nevertheless often offered medication simply because of the impossibility of addressing structural issues. Interpreters were critical to the work of depression care, but their involvement highlighted that much of this clinical work lies beyond words. CONCLUSIONS: The family physicians perceived working across cultural differences, working with biomedical and social models of depression, and working at both community and individual levels, not as a barrier to providing high-quality depression care, but rather as a central element of that care. Negotiating the phenomenon rather than diagnosing depression may be an important way that family physicians continue to work with multiple, contested views of emotional distress. Future observational research could more clearly characterize and measure the process of negotiation and explore its effect on outcomes.
Topic(s):
Healthcare Disparities
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Reference Links:
View the DOI record for Managing depression among ethnic communities: A qualitative study
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View the PubMed citation for Managing depression among ethnic communities: A qualitative study5773
Managing opioid addiction with buprenorphine
Type: Journal Article
Year: 2006
Publication Place: United States
Abstract: Legislation has enabled physicians to treat opioid-dependent patients with an office-based maintenance program using buprenorphine, a partial mu-opioid receptor agonist. Clinical studies indicate buprenorphine effectively manages opioid addiction. Buprenorphine is more effective than placebo for managing opioid addiction but may not be superior to methadone if high doses are needed. It is comparable to lower doses of methadone, however. Treatment phases include induction, stabilization, and maintenance. Buprenorphine therapy should be initiated at the onset of withdrawal symptoms and adjusted to address withdrawal symptoms and cravings. Advantages of buprenorphine include low abuse potential and high availability for office use. Disadvantages include high cost and possible lack of effectiveness in patients who require high methadone doses. Most family physicians are required to complete eight hours of training before they can prescribe buprenorphine for opioid addiction.
Topic(s):
Opioids & Substance Use
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, Healthcare Policy
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5774
Managing opioid dependence in pregnancy -- a general practice perspective
Type: Journal Article
Year: 2013
Publication Place: Australia
Abstract: BACKGROUND: Managing opioid dependence in pregnant women is a complex and potentially challenging task. Drug-dependent women may be difficult to engage in antenatal care and opioid substitution requires careful dose titration. Pregnancy, however, can be an opportune time to effect behaviour change, and supporting an opioid-dependent woman through pregnancy can be a rewarding clinical experience. OBJECTIVE: This article provides an overview of treatment principles for managing opioid dependence in pregnancy, and reviews current treatment guidelines for use of opioid-substitution therapy in pregnant women. DISCUSSION: The management of opioid dependence during pregnancy requires holistic and comprehensive assessment and referral to specialist services is often appropriate. Specific issues that may need to be addressed include decision-making regarding the choice of opioid-substitution therapy and the potential for neonatal abstinence syndrome in the newborn. General practitioners are often well placed to support and coordinate care of their opioid-dependent pregnant patients.
Topic(s):
Opioids & Substance Use
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Reference Links: View the PubMed citation for Managing opioid dependence in pregnancy -- a general practice perspective
5775
Managing Opioid Use Disorder and Co-Occurring Posttraumatic Stress Disorder Among Veterans
Type: Journal Article
Year: 2018
Publication Place: United States
Topic(s):
Healthcare Disparities
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, Opioids & Substance Use
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Reference Links:
View the DOI record for Managing Opioid Use Disorder and Co-Occurring Posttraumatic Stress Disorder Among Veterans
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View the PubMed citation for Managing Opioid Use Disorder and Co-Occurring Posttraumatic Stress Disorder Among Veterans5776
Managing Opioid Withdrawal for Hospital Patients in Custody
Type: Journal Article
Year: 2017
Publication Place: United States
Topic(s):
Opioids & Substance Use
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Reference Links: View the PubMed citation for Managing Opioid Withdrawal for Hospital Patients in Custody
5777
Managing Opioid-Tolerant Patients in the Perioperative Surgical Home
Type: Journal Article
Year: 2016
Publication Place: United States
Topic(s):
Opioids & Substance Use
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, Education & Workforce
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Reference Links:
View the DOI record for Managing Opioid-Tolerant Patients in the Perioperative Surgical Home
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View the PubMed citation for Managing Opioid-Tolerant Patients in the Perioperative Surgical Home5779
Managing Postoperative Pain
Type: Journal Article
Year: 2018
Publication Place: United States
Abstract: : Acute postoperative pain remains undertreated despite the dramatic increase in opioid prescribing in the United States over the past 20 years. Inadequately relieved postoperative pain may be a risk factor for persistent postoperative pain, chronic pain, and disability. In an effort to promote evidence-based strategies for optimal postoperative pain management, the American Pain Society published a new postoperative pain management guideline in 2016. Its 32 recommendations for interdisciplinary and multimodal postoperative pain management are stratified according to risks and benefits, based on varying levels of evidence. This article aims to help nurses translate the recommendations into clinical practice, while providing the historical context in which the guidelines emerged and describing current events that may affect guideline implementation.
Topic(s):
Education & Workforce
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, Opioids & Substance Use
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Reference Links:
View the DOI record for Managing Postoperative Pain
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View the PubMed citation for Managing Postoperative PainExport Citation: Download the RIS reference file for Managing Postoperative Pain
5780
Managing to get by?
Type: Journal Article
Year: 2002
Publication Place: United States
Topic(s):
HIT & Telehealth
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Reference Links: View the PubMed citation for Managing to get by?
Export Citation: Download the RIS reference file for Managing to get by?