Literature Collection

6481

Integrative medicine models in contemporary primary health care

Type: Journal Article

Authors: K. Templeman, A. Robinson

Year: 2011

Publication Place: Scotland

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6482

Integrative Nursing: A Framework for Whole-Person Mental Health Care

Type: Journal Article

Authors: M. E. Voss, L. Sandquist, K. Otremba, M. J. Kreitzer

Year: 2023

Abstract:

The incidence of mental illness continues to increase since the start of the COVID-19 pandemic (Mental Health America, 2022). Demand for mental health services has grown, and providers report being "unable to meet the demand" or having an increase in wait times for access to care (American Psychological Association, 2022, para. 1). Due to this increase in demand, more patients are seeking mental health care from their primary care providers. Over the past decade, integrative models of care have been expanding into mental health care (Lake, 2017). Integrative Nursing is a strategy for improving the quality of care provided to patients seeking care for mental health diagnoses, as well as those with a goal of increasing mental health and wellbeing. This article proposes that Integrative Nursing can serve as a framework for providing whole-person mental health care.

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6483

Intensive Care Coordination Using the Wraparound Approach for Children with Complex Behavioral Health Needs

Type: Report

Authors: Kelsey Brykman

Year: 2025

Publication Place: Hamilton, NJ

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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 Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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6484

Intent to Adopt Video-Based Integrated Mental Health Care and the Characteristics of its Supporters: Mixed Methods Study Among General Practitioners Applying Diffusion of Innovations Theory

Type: Journal Article

Authors: M. W. Haun, I. Stephan, M. Wensing, M. Hartmann, M. Hoffmann, H. C. Friederich

Year: 2020

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6485

Intent to refer: Exploring bias toward specific medication-assisted treatments by community corrections employees

Type: Journal Article

Authors: S. E. Streisel

Year: 2018

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6486

Inter-organizational alignment and implementation outcomes in integrated mental healthcare for children and adolescents: a cross-sectional observational study

Type: Journal Article

Authors: Y. Zhang, M. Larson, M. G. Ehrhart, K. King, J. Locke, C. R. Cook, A. R. Lyon

Year: 2024

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6487

Inter-rater reliability and concurrent validity of DSM-IV opioid dependence in a Hmong isolate using the Thai version of the Semi-Structured Assessment for Drug Dependence and Alcoholism (SSADDA)

Type: Journal Article

Authors: R. T. Malison, R. Kalayasiri, K. Sanichwankul, A. Sughondhabirom, A. Mutirangura, B. Pittman, R. Gueorguieva, H. R. Kranzler, J. Gelernter

Year: 2011

Publication Place: England

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6488

Interaction between pre-treatment drug use and heterogeneity of psychiatric diagnosis predicts outcomes in outpatients with co-occurring disorders

Type: Journal Article

Authors: O. Oluwoye, K. Hirchak, E. Leickly, J. Skalisky, S. McPherson, D. Srebnik, J. M. Roll, R. K. Ries, M. G. McDonell

Year: 2018

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6489

Interaction of back pain and common mental disorders on health care expenditures

Type: Web Resource

Authors: T. Hoeft

Year: 2008

Publication Place: United States -- Wisconsin

Abstract: Back pain and mental health issues are common in primary care, and health care expenditures associated with either are among the most costly in the U.S. The treatment of these sometimes comorbid health concerns is of particular importance given the risk of disability associated with fear-avoidance behaviors and the difficulty in treating patients with multiple conditions. This dissertation addresses the interaction of back pain with common mental disorders (mood and anxiety disorders) on their subsequent predicted level of health care expenditures. Predicted expenditures are based on a generalized gamma model of total health care expenditures within the Medical Expenditure Panel Survey (MEPS) data. The level of expenditures within subgroups defined by back pain and mood and anxiety disorders are compared to disentangle the presence of a positive additive interaction between these conditions amidst model findings of a possible negative multiplicative interaction. These findings are not in agreement, but both address important policy questions in the study of health care expenditures for these individuals. If health plans and physicians are to be fairly paid to cover and care for individuals with these conditions, the model should accurately predict their expenditures. This dissertation assesses the levels of health expenditures among these groups and finds higher use in the group with both conditions than would be expected from an additive evaluation of expenditures associated with either condition alone. Further research into the reasons for this higher level of health care expenditures is recommended.

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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.

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6490

Interactive voice response technology can deliver alcohol screening and brief intervention in primary care

Type: Journal Article

Authors: G. L. Rose, C. D. MacLean, J. Skelly, G. J. Badger, T. A. Ferraro, J. E. Helzer

Year: 2010

Publication Place: United States

Abstract: BACKGROUND: Alcohol screening and brief intervention (BI) is an effective primary care preventive service, but implementation rates are low. Automating BI using interactive voice response (IVR) may be an efficient way to expand patient access to needed information and advice. OBJECTIVE: To develop IVR-based BI and pilot test it for feasibility and acceptability. DESIGN: Single-group pre-post feasibility study. PARTICIPANTS: Primary care patients presenting for an office visit. INTERVENTIONS: IVR-BI structured to correspond to the provider BI method recommended by NIAAA: (1) Ask about use; (2) Assess problems; (3) Advise and Assist for change, and (4) Follow up for continued support. Advice was tailored to patient readiness and preferences. MEASUREMENTS: Utilization rate, call duration, and patients' subjective reports of usefulness, comfort and honesty with the IVR-BI. Pre-post evaluation of motivation to change and change in alcohol consumption as measured by Timeline Follow Back. RESULTS: Call duration ranged from 3-7 minutes. Subjective reactions were generally positive or neutral. About 40% of subjects indicated IVR-BI had motivated them to change. About half of the patients had discussed drinking with their provider at the visit. These tended to be heavier drinkers with greater concerns about drinking. Patients who reported a provider-delivered BI and called the IVR-BI endorsed greater comfort and honesty with the IVR-BI. On average, a 25% reduction in alcohol use was reported two weeks after the clinic visit. CONCLUSIONS: Using IVR technology to deliver BI in a primary care setting is feasible and data suggest potential for efficacy in a larger trial.

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6491

Interdisciplinary collaboration: The need to revisit

Type: Journal Article

Authors: E. K. Rossen, R. Bartlett, C. A. Herrick

Year: 2008

Publication Place: United States

Abstract: Given the complexity of the health care system and the prevalence of acute and chronic mental illnesses, multi-system interventions from an interdisciplinary team of health care providers are necessary to address the needs of individuals in psychiatric and mental health treatment venues. Despite claims that interdisciplinary practice is the norm, in reality it is difficult to accomplish (Martin-Rodriguez, Beaulieu, D'Amour, & Ferrada-Videla, 2005). Students must be taught the principles and elements of this way of providing care in order to succeed. This paper describes strategies for educating undergraduate nursing students to engage in interdisciplinary collaborative practice. Two case studies are used to illustrate how teaching collaborative skills can be integrated into a psychiatric undergraduate nursing course.

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6492

Interdisciplinary Management of Opioid Use Disorder in Primary Care

Type: Journal Article

Authors: R. E. Cantone, J. Fleishman, B. Garvey, N. Gideonse

Year: 2018

Abstract: THE INNOVATION: Primary care clinics are developing treatment models for opioid use disorder, but few are integrating comprehensive behavioral health strategies to improve outcomes. Although Medication Assisted Treatment (MAT) models that emphasize medications may be effective,1 failure to offer robust psychosocial services can yield suboptimal outcomes, especially in complex patients. We implemented a behavioral health-focused model for MAT to expand access, better engage patients in treatment, and improve health outcomes. This was built on concepts of harm reduction and improvement in functioning, emphasizing behavioral health counseling in addition to medications. WHO & WHERE: We created a multidisciplinary team at a rural health clinic and a federally qualified health center in the Pacific Northwest to address the biopsychosocial needs of patients, with the goal of expanding access, improving retention, reducing relapse, and supporting primary care providers in treating addictions. Masters- and doctoral-level mental health clinicians are integrated into the primary care team to address psychosocial needs, teach coping skills and relapse prevention, and build resilience. This is a valuable benefit to improve abstinence over existing models focused on physician-only care. HOW: Implementing this model required notification to all patients of the additional behavioral health visits, hiring of additional staff, and consideration that increased cost may be offset by decreased use-related emergency room visits, hospitalizations, and overdose-related morbidity and mortality. The program uses a risk-stratified registry to determine level of support and visit frequency. Patients complete assessments with behavioral health clinicians to assess readiness for treatment. This replaces the traditional model in which primary care providers initiated or denied buprenorphine treatment without a thorough psychosocial evaluation. Patients sign an agreement which includes education about the medication and requirements of the program, compliance with call-ins, and behavior. The team monitors stability and intensifies support when needed, which is distinct from punitive approaches. Patients initially have semiweekly contact with behavioral health clincicians and alternate between weekly visits with the nurse and clinician. As patients stabilize, the frequency of visits decreases, alternating among the 3 care team members, at least monthly. Behavioral health clinicians address underlying mental health conditions, coping skills, and relapse prevention using person-centered and cognitive-behavioral techniques. This emphasizes that factors contributing to substance abuse have psychosocial underpinnings and that as mental health improves substance use decreases and medications alone may not be adequate in long term relapse prevention. The nurse performs care management visits with prescription management and drug screening measures. The primary care provider monitors medication side effects, doses, and mental and physical health to prevent segregation of care.LEARNING: Integration of behavioral health in primary care has increased access to addiction treatment, particularly in communities where services are sparse. Emphasizing behavioral health services in MAT increases clinician confidence to provide primary care based MAT and can help expand care to more patients. Thus far, the addition of behavioral health to our MAT program has streamlined the process and improved access for this care, reduced barriers for primary care clinicians, and increased patients’ feelings of support. We recommend implementing this model to address underlying psychosocial needs of patients and take pressure off of primary care clinicians to manage addictions treatment on their own.

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6493

Interdisciplinary Perspectives on an Integrated Behavioral Health Model of Psychiatry in Pediatric Primary Care: A Community-Based Participatory Research Study

Type: Journal Article

Authors: E. M. Rodriguez, L. E. Gulbas, J. George-Jones, A. Leija, D. Burrows, C. Neavel

Year: 2019

Publication Place: United States

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6494

Interdisciplinary perspectives on an integrated behavioral health model of psychiatry in pediatric primary care: A community-based participatory research study

Type: Journal Article

Authors: Erin M. Rodríguez, Lauren E. Gulbas, Julia George-Jones, Annette Leija, David Burrows, Celia Neavel

Year: 2018

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6495

Interdisciplinary provider visits attenuate relationship between patient concerns and distress in older adults with cancer

Type: Journal Article

Authors: Kelly M. McConnell, Alexandra K. Zaleta, Rebecca Saracino, Melissa Miller

Year: 2024

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6496

Interdisciplinary Team Perspectives on Mental Health Care in VA Home-Based Primary Care: A Qualitative Study

Type: Journal Article

Authors: S. M. Gillespie, C. Manheim, C. Gilman, J. Karuza, T. H. Olsan, S. T. Edwards, C. R. Levy, L. Haverhals

Year: 2019

Publication Place: England

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6497

Interdisciplinary Team Roles and Challenges in Integrated Health Care Settings: Social Workers' Perspectives

Type: Journal Article

Authors: B. A. Martin-Giacalone, S. Weng

Year: 2025

Abstract:

To improve patient health, health care systems are increasingly integrating services that address social needs into medical care. Social workers often catalyze this process, yet the roles and challenges of social workers in integrated health care settings are poorly understood. Using a qualitative phenomenological approach, we employed purposive sampling and conducted semi-structured interviews with twenty social workers who were employed on interdisciplinary teams within integrated health care settings. Three themes emerged: 1) the role of social workers and their unique presence in health care settings; 2) collaboration and the importance of communication for effective collaboration; and 3) the ethical differences among health professionals on integrated health care teams. With greater calls for integrated health care, especially to address patients' unmet social and behavioral needs, the challenges and strategies identified in this paper can assist interdisciplinary teams with improving interprofessional teamwork, interdisciplinary training, and social, behavioral, and holistic care integration in medical settings.

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6498

Interdisciplinary team-based care for patients with chronic pain on long-term opioid treatment in primary care (PPACT) - Protocol for a pragmatic cluster randomized trial

Type: Journal Article

Authors: Lynn DeBar, Lindsay Benes, Allison Bonifay, Richard A. Deyo, Charles R. Elder, Francis J. Keefe, Michael C. Leo, Carmit McMullen, Meghan Mayhew, Ashli Owen-Smith, David H. Smith, Connie M. Trinacty, William M. Vollmer

Year: 2018

Publication Place: United States

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6499

Interdisciplinary training academy for integrated substance/opioid use disorder prevention and health care: A workforce catalyst report

Type: Journal Article

Authors: Natasha S. Mendoza, Nidia Hernandez, Colleen Clemency Cordes, Cady Berkel

Year: 2022

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6500

Interest and use of mental health and specialty behavioral medicine counseling in US primary care patients

Type: Journal Article

Authors: K. G. Baron, E. Lattie, J. Ho, D. C. Mohr

Year: 2013

Publication Place: England

Abstract: BACKGROUND: Counseling interventions have the potential to improve health and quality of life for primary care patients, but there are few studies describing the interest in and utilization of counseling among this patient population in the USA. PURPOSE: The purpose of the study was to evaluate interest in mental health and specialty behavioral medicine counseling and predictors of utilization over 1 year among US primary care patients. METHOD: Participants in this two-survey longitudinal study included 658 primary care patients in an urban US academic medical center (461 females, age M = 51.05, SD = 15.46 years). Retention rate was 61.2% at survey 2. Patient demographics, depression, anxiety, and interest in counseling services were assessed through a survey mailed 1 week following an outpatient appointment. Respondents to survey 1 were re-contacted 1 year later to assess. Interest and use of the following counseling services were evaluated in the relevant subgroups: mental health (the entire sample and patients with elevated anxiety and/or depression), health/lifestyle (overweight and obese participants), smoking cessation (current and occasional smokers), and pain management (participants with elevated daily pain ratings). RESULTS: At survey 1, 45.7% of the sample reported interest in mental health counseling, and 58.9% of the sample reported interest in behavioral medicine counseling. Among overweight or obese participants, 59.9% were interested in health/lifestyle counseling. Among smokers, 55.3% were interested in smoking cessation, and among participants with chronic pain, 33.8% were interest in pain management. Rates of utilization of services at survey 2 were 21.3% for mental health, 7.7% for health/lifestyle, 6.7% for smoking cessation, and 6.6% for pain management. Interest in receiving services at survey 1 was the strongest predictor of utilization. CONCLUSION: Results demonstrate high interest but low utilization over 1 year among US primary care patients. Identifying patients interested in counseling services and reducing barriers may help facilitate receipt of services for those with interest and need for behavioral treatments.

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