Literature Collection | Integration Academy

5901

Improving prevention in primary care: Evaluating the effectiveness of outreach facilitation

Type: Journal Article

Authors: W. Hogg, J. Lemelin, I. D. Graham, J. Grimshaw, C. Martin, L. Moore, E. Soto, K. O'Rourke

Year: 2008

Publication Place: United Kingdom: Oxford Univ Press

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5902

Improving Primary Care Behavioral Health Integration in an Academic Internal Medicine Practice: 2-Year Follow-Up

Type: Journal Article

Authors: I. Yin, E. M. Staab, N. Beckman, L. M. Vinci, M. Ari, F. S. Araújo, D. Yohanna, N. Laiteerapong

Year: 2021

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5903

Improving primary care for depression in late life: the design of a multicenter randomized trial

Type: Journal Article

Authors: J. Unutzer, W. Katon, J. Williams, C. M. Callahan, L. Harpole, E. M. Hunkeler, M. Hoffing, P. Arean, M. T. Hegel, M. Schoenbaum, S. M. Oishi, C. A. Langston

Year: 2001

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5904

Improving primary care for older adults with cancer and depression

Type: Journal Article

Authors: J. R. Fann, M. Fan, J. Unutzer

Year: 2009

Abstract: Abstract.Background: Depression is common among older cancer patients, but little is known about the optimal approach to caring for this population. This analysis evaluates the effectiveness of the Improving Mood-Promoting Access to Collaborative Treatment (IMPACT) program, a stepped care management program for depression in primary care patients who had an ICD-9 cancer diagnosis. Methods: Two hundred fifteen cancer patients were identified from the 1,801 participants in the parent study. Subjects were 60 years or older with major depression (18%), dysthymic disorder (33%), or both (49%), recruited from 18 primary care clinics belonging to 8 health-care organizations in 5 states. Patients were randomly assigned to the IMPACT intervention (n=112) or usual care (n=103). Intervention patients had access for up to 12 months to a depression care manager who was supervised by a psychiatrist and a primary care provider and who offered education, care management, support of antidepressant management, and brief, structured psychosocial interventions including behavioral activation and problem-solving treatment. Results: At 6 and 12 months, 55% and 39% of intervention patients had a 50% or greater reduction in depressive symptoms (SCL-20) from baseline compared to 34% and 20% of usual care participants (P=0.003 and P=0.029). Intervention patients also experienced greater remission rates (P=0.031), more depression-free days (P<0.001), less functional impairment (P=0.011), and greater quality of life (P=0.039) at 12 months than usual care participants. Conclusions: The IMPACT collaborative care program appears to be feasible and effective for depression among older cancer patients in diverse primary care settings.

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5905

Improving primary care mental health: Survey evaluation of an innovative workforce development in England

Type: Journal Article

Authors: E. F. Harkness, P. Bower, L. Gask, B. Sibbald

Year: 2005

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5906

Improving primary care treatment of depression among patients with diabetes mellitus: the design of the pathways study

Type: Journal Article

Authors: W. Katon, M. Von Korff, E. Lin, G. Simon, E. Ludman, T. Bush, E. Walker, P. Ciechanowski, C. Rutter

Year: 2003

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5907

Improving Primary Care Valuation Processes to Inform the Physician Fee Schedule

Type: Government Report

Authors: National Academies for Sciences Engineering and Medicine

Year: 2025

Publication Place: Washington, D.C.

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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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5908

Improving primary health care services for young people experiencing psychological distress and mental health problems: a personal reflection on lessons learnt from Australia and England

Type: Journal Article

Authors: J. H. Roberts

Year: 2012

Publication Place: England

Abstract: BACKGROUND: Australia and England show high rates of psychological distress and mental health problems in young people. Both are high-income countries and have stated their intention to improve the delivery of health care to young people in primary care settings. Australia has an international reputation for improving care through innovative services and educational initiatives. England has taken a different direction and has concentrated more on developing policy and making recommendations to improve access for young people. AIM: To describe a Churchill Fellowship visit to Australia to observe initiatives in primary care based youth-friendly mental health care and to reflect upon the observations, comparing and contrasting with the English model. METHODS: The observations and reflections presented draw on field notes from site visits and meeting with key players, accessing web resources and referring to the literature, both grey and published. FINDINGS: Australia offers plurality in health care delivery and innovative responses to addressing youth mental health. There are two key approaches. The first is the development of services specializing in youth mental health. The second approach is to build capacity of existing primary care services to recognize the particular bio-psychosocial needs of adolescents (and their families). In contrast, England has tended to focus primarily on policy development and improving youth access. CONCLUSIONS: The paper draws attention to a number of political, clinical and educational developments in both Australia and England. Both countries demonstrate different strategies in response to the high levels of psychological distress in young people. Learning from colleagues in other settings can inform our own practice. Ultimately responding to young people's mental health needs is best served by youth-friendly policy which prepares clinicians for effective practice, informed by applied research and supported by adequate resources. Investment in young people's health must be a priority for us all.

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5909

Improving Provider Communication to Improve Transitions in Patient Care [Video]

Type: Web Resource

Authors: Elizabeth Ciemins

Year: 2014

Abstract:

The Depart Process system, which included an electronic discharge checklist, standardized the hospital discharge process to improve care management of patients as they transition from a hospital to a primary care setting.

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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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5910

Improving public health through access to and utilization of medication assisted treatment

Type: Journal Article

Authors: T. F. Kresina, R. Lubran

Year: 2011

Publication Place: Switzerland

Abstract: Providing access to and utilization of medication assisted treatment (MAT) for the treatment of opioid abuse and dependence provides an important opportunity to improve public health. Access to health services comprising MAT in the community is fundamental to achieve broad service coverage. The type and placement of the health services comprising MAT and integration with primary medical care including human immunodeficiency virus (HIV) prevention, care and treatment services are optimal for addressing both substance abuse and co-occurring infectious diseases. As an HIV prevention intervention, integrated (same medical record for HIV services and MAT services) MAT with HIV prevention, care and treatment programs provides the best "one stop shopping" approach for health service utilization. Alternatively, MAT, medical and HIV services can be separately managed but co-located to allow convenient utilization of primary care, MAT and HIV services. A third approach is coordinated care and treatment, where primary care, MAT and HIV services are provided at distinct locations and case managers, peer facilitators, or others promote direct service utilization at the various locations. Developing a continuum of care for patients with opioid dependence throughout the stages MAT enhances the public health and Recovery from opioid dependence. As a stigmatized and medical disenfranchised population with multiple medical, psychological and social needs, people who inject drugs and are opioid dependent have difficulty accessing services and navigating medical systems of coordinated care. MAT programs that offer comprehensive services and medical care options can best contribute to improving the health of these individuals thereby enhancing the health of the community.

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5911

Improving quality of care for mental illness in an uninsured, low-income primary care population

Type: Journal Article

Authors: Larry B. Mauksch, Randall Reitz, Suzanne Tucker, Steve Hurd, Joan Russo, Wayne J. Katon

Year: 2007

Publication Place: Netherlands: Elsevier Science

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5912

Improving Quality of Emergency Care Through Integration of Mental Health

Type: Journal Article

Authors: M. Okafor, G. Wrenn, V. Ede, N. Wilson, W. Custer, E. Risby, M. Claeys, F. E. Shelp, H. Atallah, G. Mattox, D. Satcher

Year: 2016

Publication Place: United States

Abstract: The goal of this study was to better integrate emergency medical and psychiatric care at a large urban public hospital, identify impact on quality improvement metrics, and reduce healthcare cost. A psychiatric fast track service was implemented as a quality improvement initiative. Data on disposition from the emergency department from January 2011 to May 2012 for patients impacted by the pilot were analyzed. 4329 patients from January 2011 to August 2011 (pre-intervention) were compared with 4867 patients from September 2011 to May 2012 (intervention). There was a trend of decline on overall quality metrics of time to triage and time from disposition to discharge. The trend analysis of the psychiatric length of stay and use of restraints showed significant reductions. Integrated emergency care models are evidence-based approach to ensuring that patients with mental health needs receive proper and efficient treatment. Results suggest that this may also improve overall emergency department's throughput.

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5913

Improving Research on Racial Disparities in Access to Medications to Treat Opioid Use Disorders

Type: Journal Article

Authors: T. L. Mark, S. A. Goode, G. McMurtrie, L. Weinstein, R. J. Perry

Year: 2023

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5914

Improving Response to Developmental Screening Through Integrated Behavioral Health in Pediatric Primary Care

Type: Journal Article

Authors: S. D. Harris, T. P. Bruni, D. Dwyer, E. T. Koval, L. Mohammed, J. Radesky, T. G. Munzer

Year: 2026

Abstract:

Follow up care after an abnormal developmental screening may be challenging for families, particularly those from under resourced communities. In this study, we examined how an existing integrated primary care (IPC) co-located model could address the needs of families whose children faced developmental concerns by conducting qualitative interviews to inform the adaptation to include developmental services. Data from 51 caregivers of pediatric patients (4 months to 6 years old) were analyzed qualitatively and coded using the Consolidated Framework for Implementation Research (CFIR) in combination with grounded theory to identify themes. Following coding with the CFIR framework, a thematic analysis was conducted for overarching themes in the data with the gradual development of codes and categories in an inductive manner. The thematic analyses identified three major themes: components of effective referrals, barriers, and caregiver preferences. The current study provides in-depth, contextualized information about how current IPC models can be expanded to address developmental concerns.

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5915

Improving retention across the OUD service cascade upon reentry from jail using Recovery Management Checkups-Adaptive (RMC-A) experiment

Type: Journal Article

Authors: C. K. Scott, M. L. Dennis, C. E. Grella, D. P. Watson

Year: 2021

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5916

Improving serious mental illness through interprofessional education

Type: Journal Article

Authors: L. Rolls, E. Davis, K. Coupland

Year: 2002

Publication Place: England

Abstract: Current health policies emphasize partnership between professional groups, between agencies and with users, to ensure more integrated health and social care services. However, a number of reasons have been consistently identified as inhibiting interprofessional working. Among the many factors identified are poor communication, conflicting power relations and role confusion, and these present immense challenges to those who wish to offer interprofessional education and training opportunities. East Gloucestershire NHS Trust worked in partnership with the University of Gloucestershire (formerly the Cheltenham and Gloucester College of Higher Education) to overcome these problems and deliver an important postqualifying interprofessional training for those working with people with serious mental illness - the Thorn-based 'Diploma in Integrated Approaches to Serious Mental Illness'. This collaborative initiative represents a good model by which practitioners of all disciplines can be trained to a high standard and meet the requirements of the National Service Framework for Mental Health. This paper describes the initiative and identifies the extent to which the course has, by mirroring the practice it is seeking to generate, 'pulled together' to ensure interprofessional, intersectoral and professional/user collaboration. The key challenges associated with interprofessional working (with people with serious mental illness and with others) and with course implementation and how these were met are discussed and further opportunities are identified.

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5917

Improving Service Coordination and Reducing Mental Health Disparities Through Adoption of Electronic Health Records

Type: Journal Article

Authors: B. McGregor, D. Mack, G. Wrenn, R. S. Shim, K. Holden, D. Satcher

Year: 2015

Abstract: Despite widespread support for removing barriers to the use of electronic health records (EHRs) in behavioral health care, adoption of EHRs in behavioral health settings lags behind adoption in other areas of health care. The authors discuss barriers to use of EHRs among behavioral health care practitioners, suggest solutions to overcome these barriers, and describe the potential benefits of EHRs to reduce behavioral health care disparities. Thoughtful and comprehensive strategies will be needed to design EHR systems that address concerns about policy, practice, costs, and stigma and that protect patients' privacy and confidentiality. However, these goals must not detract from continuing to challenge the notion that behavioral health and general medical health should be treated as separate and distinct. Ultimately, utilization of EHRs among behavioral health care providers will improve the coordination of services and overall patient care, which is essential to reducing mental health disparities.

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5918

Improving Sexual Health Across the Life Span Through Integrated Care in Obstetrics and Gynecology

Type: Journal Article

Authors: W. Hunter, J. Pettigrew, K. M. Carpenter, B. Worly, H. L. Coons

Year: 2024

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5919

Improving substance abuse treatment for women: A golden opportunity

Type: Journal Article

Authors: Patrick G. O'Connor

Year: 2007

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5920

Improving Substance Use Services for Youth

Type: Report

Authors: Christal Ramos, Eva H. Allen, Alexa Eggleston, Sarah Coquillat, Lisa Clemans-Cope, Kimá Joy Taylor

Year: 2022

Publication Place: Washington, D.C.

Topic(s):

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Grey literature is comprised of materials that are not made available through traditional publishing avenues. Examples of grey literature in the Repository of the Academy for the Integration of Mental Health and Primary Care include: reports, dissertations, presentations, newsletters, and websites. This grey literature reference is included in the Repository in keeping with our mission to gather all sources of information on integration. Often the information from unpublished resources is limited and the risk of bias cannot be determined.

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