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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).

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11271 Results
5842
Lessening the Impact of Opioid Misuse at a Federally Qualified Health Center in New York: Outcomes of an Integrated Workforce Training Program
Type: Journal Article
Authors: G. S. Leibowitz, W. Turner, P. Bruckenthal, M. Mezzatesta, K. S. Ramsey, M. E. Dyer
Year: 2023
Abstract:

The COVID-19 pandemic has placed an unprecedented burden on patients, health care providers, and communities and has been particularly challenging for medically underserved populations impacted by the social determinants of health, as well as people with co-occurring mental health and substance use risks. This case study examines outcomes and lessons learned from a multisite low-threshold medication-assisted treatment (MAT) program at a federally qualified health center in partnership with a large suburban public university in New York to integrate and train Health Resources & Services Administration Behavioral Health Workforce Education and Training-funded graduate student trainees in social work and nursing in screening, brief intervention, and referral to treatment and patient care coordination, including social determinants of health and medical and behavioral comorbidities. The MAT program for the treatment of opioid use disorder has a low threshold for entry that is accessible and affordable, reduces barriers to care, and uses a harm reduction approach. Outcome data showed an average 70% retention rate in the MAT program and reductions in substance use. And, while more than 73% of patients reported being somewhat or definitely impacted by the pandemic, most patients endorsed the effectiveness of telemedicine and telebehavioral health, such that 86% indicated the pandemic did not affect the quality of their health care. The main implementation lessons learned were the importance of increasing the capacity of primary care and health care centers to deliver integrated care, using cross-disciplinary practicum experiences to enhance trainee competencies, and addressing the social determinants of health among populations with social vulnerabilities and chronic medical conditions.

Topic(s):
Education & Workforce See topic collection
,
Opioids & Substance Use See topic collection
,
Healthcare Disparities See topic collection
,
Financing & Sustainability See topic collection
5843
Lessons from case studies of integrating mental health into primary health care in South Africa and Uganda
Type: Journal Article
Authors: I. Petersen, J. Ssebunnya, A. Bhana, K. Baillie, MHAPP Research Programme Consortium
Year: 2011
Publication Place: England
Abstract: BACKGROUND: While decentralized and integrated primary mental healthcare forms the core of mental health policies in many low- and middle-income countries (LMICs), implementation remains a challenge. The aim of this study was to understand how the use of a common implementation framework could assist in the integration of mental health into primary healthcare in Ugandan and South African district demonstration sites. The foci and form of the services developed differed across the country sites depending on the service gaps and resources available. South Africa focused on reducing the service gap for common mental disorders and Uganda, for severe mental disorders. METHOD: A qualitative post-intervention process evaluation using focus group and individual interviews with key stakeholders was undertaken in both sites. The emergent data was analyzed using framework analysis. RESULTS: Sensitization of district management authorities and the establishment of community collaborative multi-sectoral forums assisted in improving political will to strengthen mental health services in both countries. Task shifting using community health workers emerged as a promising strategy for improving access to services and help seeking behaviour in both countries. However, in Uganda, limited application of task shifting to identification and referral, as well as limited availability of psychotropic medication and specialist mental health personnel, resulted in a referral bottleneck. To varying degrees, community-based self-help groups showed potential for empowering service users and carers to become more self sufficient and less dependent on overstretched healthcare systems. They also showed potential for promoting social inclusion and addressing stigma, discrimination and human rights abuses of people with mental disorders in both country sites. CONCLUSIONS: A common implementation framework incorporating a community collaborative multi-sectoral, task shifting and self-help approach to integrating mental health into primary healthcare holds promise for closing the treatment gap for mental disorders in LMICs at district level. However, a minimum number of mental health specialists are still required to provide supervision of non-specialists as well as specialized referral treatment services.
Topic(s):
Key & Foundational See topic collection
5844
Lessons from the First Wave of COVID-19 for Improved Medications for Opioid Use Disorder (MOUD) Treatment: Benefits of Easier Access, Extended Take Homes, and New Delivery Modalities
Type: Journal Article
Authors: Suzan M. Walters, David C. Perlman, Honoria Guarino, Pedro Mateu-Gelabert, David Frank
Year: 2022
Topic(s):
Opioids & Substance Use See topic collection
,
Healthcare Disparities See topic collection
,
HIT & Telehealth See topic collection
5845
Lessons from the First Wave of COVID-19 for Improved Medications for Opioid Use Disorder (MOUD) Treatment: Benefits of Easier Access, Extended Take Homes, and New Delivery Modalities
Type: Journal Article
Authors: S. M. Walters, D. C. Perlman, H. Guarino, P. Mateu-Gelabert, D. Frank
Year: 2022
Publication Place: England
Abstract:

Background Medications for Opioid Use Disorder (MOUD) are associated with important public health benefits. Program changes implemented in response to COVID-19 hold promise as ongoing strategies to improve MOUD treatment. Methods: MOUD patients on buprenorphine or methadone, providers, government regulators, and persons who use drugs not in MOUD were recruited in the Northeast region of the United States between June and October of 2020 via advertisements, fliers, and word of mouth. Semi-structured qualitative interviews were conducted. Interviews were professionally transcribed and thematically coded by two independent coders. Results: We conducted interviews with 13 people currently on buprenorphine, 11 currently on methadone, 3 previously on buprenorphine, 4 previously on methadone, and 6 who used drugs but had never been on MOUD. In addition, we interviewed MOUD providers, clinic staff, and government officials at agencies that regulate MOUD. Most participants found increased take-home doses, home medication delivery, and telehealth implemented during COVID-19 to be favorable, reporting that these program changes reduced travel time to clinics, facilitated retention in care, and reduced stigma associated with clinic attendance. However, some participants reported negative consequences of COVID-19, most notably, decreased access to basic resources, such as food, clothing, and harm reduction materials that had previously been distributed at some MOUD clinics. Conclusion: Access to and retention in MOUD can be lifesaving for persons using drugs. COVID-19-impelled program changes, including increased take-home doses, home medication delivery, and telehealth generally improved participants' experiences with MOUD. Making these permanent could improve retention in care.

Topic(s):
Education & Workforce See topic collection
,
HIT & Telehealth See topic collection
,
Opioids & Substance Use See topic collection
5846
Lessons in translation: insights from a collaboration integrating community health workers into diabetes care
Type: Journal Article
Authors: T. Salant, S. Slavin, E. Baumrin, M. Bordeu, M. Rowley, E. Brackett, P. Severin, H. Behforouz
Year: 2013
Publication Place: United States
Abstract: Beginning in 2007, a community health center and a community health worker organization collaborated on a community health worker initiative to improve diabetes outcomes among underserved communities. Despite a shared vision, the initiative ended prematurely because of a number of unexpected collaborative challenges. This article describes the results of a qualitative investigation into these challenges. Through examples, we show how our collaborative difficulties were due to 3 interacting influences: logistics, participation, and institutional culture. We argue for the importance of institutional cultural competency in health care collaborations and provide recommendations for future collaborations that takes into account these 3 overarching influences.
Topic(s):
General Literature See topic collection
5847
Lessons learned and future directions: A scoping review of American Indian and Alaska Native participants in the National Drug Abuse Treatment Clinical Trials Network
Type: Journal Article
Authors: M. C. Crouch, K. L. Venner, D. C. Wendt, A. K. Burlew, P. Baukol, M. C. Funaro, T. Sorrell, A. M. Haeny
Year: 2023
Topic(s):
Opioids & Substance Use See topic collection
,
Healthcare Disparities See topic collection
5848
Lessons learned from a colocation model using psychiatrists in urban primary care settings
Type: Journal Article
Authors: M. Weiss, B. J. Schwartz
Year: 2013
Publication Place: United States
Abstract: OBJECTIVES: Comorbid psychiatric illness has been identified as a major driver of health care costs. The colocation of psychiatrists in primary care practices has been proposed as a model to improve mental health and medical care as well as a model to reduce health care costs. METHODS: Financial models were developed to determine the sustainability of colocation. RESULTS: We found that the population studied had substantial psychiatric and medical burdens, and multiple practice logistical issues were identified. CONCLUSION: The providers found the experience highly rewarding and colocation was financially sustainable under certain conditions. The colocation model was effective in identifying and treating psychiatric comorbidities.
Topic(s):
Education & Workforce See topic collection
,
Financing & Sustainability See topic collection
5849
Lessons learned from a new reverse-integration model to improve primary care screening in community mental health settings
Type: Journal Article
Authors: Christina Mangurian, Marilyn D. Thomas, Fumi Mitsuishi, Elizabeth Goldman, Grace Niu, Margaret A. Handley, Nicholas S. Riano, Alison Hwong, Susan Essock, James Dilley, John W. Newcomer, Dean Schillinger
Year: 2022
Topic(s):
Healthcare Disparities See topic collection
5850
Lessons Learned From a Quad-State Postdisaster Project: Developing Accessible and Sustainable Integrated Mental and Physical Health Care Services
Type: Journal Article
Authors: T. Hansel, H. Osofsky, J. Langhinrichsen-Rohling, J. Osofsky, T. Rehner, C. Wornell, A. Speier, M. Brazeal, E. Arthur, G. Rohrer
Year: 2018
Publication Place: United States
Abstract: The Mental and Behavioral Health (MBH) Capacity Project had a mission shared among 4 states to support MBH sustainability along the Gulf Coast. Integration of mental health into undersourced primary health clinics was an important goal of the project. The findings from the collaborative evaluation demonstrate long-term outcomes including the following: community has greater capacity and sustainability for quality health care; better informed and connected communities; and individuals are more informed, connected, and resilient. Lessons learned indicate that improved population health outcomes are possible even in low-income, high-stress regions through intentional and collaborative efforts integrating MBH into primary cares settings.
Topic(s):
General Literature See topic collection
5851
Lessons Learned from Implementation of a Post-opioid Overdose Outreach Program in a Rural Massachusetts Community
Type: Journal Article
Authors: R. Senthilkumar, A. Bailey, E. Moner, T. Parduhn, E. A. Evans
Year: 2024
Topic(s):
Opioids & Substance Use See topic collection
,
Healthcare Disparities See topic collection
5853
Lessons learned from statewide contingency management rollouts addressing stimulant use in the Northwestern United States
Type: Journal Article
Authors: S. C. Parent, K. M. Peavy, D. Tyutyunnyk, K. A. Hirchak, T. Nauts, A. Dura, L. Weed, L. Barker, M. G. McDonell
Year: 2023
Abstract:

Increases in stimulant drug use (such as methamphetamine) and related deaths creates an imperative for community settings to adopt evidence-based practices to help people who use stimulants. Contingency management (CM) is a behavioral intervention with decades of research demonstrating efficacy for the treatment of stimulant use disorder, but real-world adoption has been slow, due to well-known implementation barriers, including difficulty funding reinforcers, and stigma. This paper describes the training and technical assistance (TTA) efforts and lessons learned for two state-wide stimulant-focused CM implementation projects in the Northwestern United States (Montana and Washington). A total of 154 providers from 35 community-based service sites received didactic training in CM beginning in 2021. Seventeen of these sites, ten of eleven in Montana (90.9%) and seven of 24 in Washington (29.2%), went on to implement contingency management programs adherent to their state's established CM protocol and received ongoing TTA in the form of implementation coaching calls. These findings illustrate that site-specific barriers such as logistical fit precluded implementation in more than 50% of the trained sites; however, strategies for site-specific tailoring within the required protocol aided implementation, resulting in successful CM program launch in a diverse cross-section of service sites across the states. The lessons learned add to the body of literature describing CM implementation barriers and solutions.

Topic(s):
Opioids & Substance Use See topic collection
,
Education & Workforce See topic collection
5854
Lessons Learned Serving Pregnant, Postpartum, and Parenting People with Substance Use Disorders in Massachusetts: The Moms Do Care Program
Type: Journal Article
Authors: L. Sternberger, A. Sorensen-Alawad, T. Prescott, H. Sakai, K. Brown, N. Finkelstein, A. Salomon, D. M. Schiff
Year: 2023
Topic(s):
Opioids & Substance Use See topic collection
,
Healthcare Disparities See topic collection
5855
Letter to the Editor: "The Integration of Behavioral Health and Primary Care for Hispanic/Latino Patients with Depression and Comorbid PTSD"
Type: Journal Article
Authors: M. M. Aliasin, E. Naghavi
Year: 2023
Topic(s):
Healthcare Disparities See topic collection
5856
Level and correlates of social support in a community‐based sample of australians who primarily smoke methamphetamine
Type: Journal Article
Authors: Michael J. Leach, Bernadette Ward, Rebecca Kippen, Brendan Quinn, Paul A. Agius, Keith Sutton, Joshua Peterson, Paul M. Dietze
Year: 2022
Topic(s):
Opioids & Substance Use See topic collection
,
Measures See topic collection
,
Healthcare Disparities See topic collection
5857
Level of behavioral health integration and suicide risk screening results in pediatric ambulatory subspecialty care
Type: Journal Article
Authors: Tamaki H. Urban, Cheryl R. Stein, Annabelle M. Mournet, Kelsey Largen, Michael Wuckovich, Becky H. Lois
Year: 2022
Topic(s):
Healthcare Disparities See topic collection
,
Measures See topic collection
5858
Level of Integration Measure
Type: Report
Authors: Antioch University
Year: 2010
Topic(s):
Grey Literature See topic collection
,
Measures 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.

5859
Levels of symptom severity and functioning in four different definitions of subthreshold posttraumatic stress disorder in primary care veterans
Type: Journal Article
Authors: John W. Kasckow, Derik E. Yeager, Kathryn M. Magruder
Year: 2015
Topic(s):
Healthcare Disparities See topic collection
5860
Leveraging a Standardized State Methodology that Measures Behavioral Health Clinical Spending to Improve Care
Type: Government Report
Authors: Vinayak Sinha, Emma Rourke, Mary Jo Condon
Year: 2024
Publication Place: New York, NY
Topic(s):
Financing & Sustainability See topic collection
,
Healthcare Policy See topic collection
,
Education & Workforce 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.