Literature Collection

6581

Navigating the mental health and addictions maze: A community-based pilot project of a new role in primary mental health care

Type: Journal Article

Authors: J. E. Anderson, S. C. Larke

Year: 2009

Publication Place: URL

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6582

Navigating the Path to Effective, Equitable, and Evidence-Based Telehealth for Opioid Use Disorder Treatment

Type: Journal Article

Authors: L. D. Allen

Year: 2023

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6583

NC Center for Excellence for Integrated Care

Type: Web Resource

Authors: North Carolina Foundation for Advanced Health Programs

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 Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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6584

Near-Term Policy Solutions to Bolster Youth Mental Health Workforce through Digital Technology

Type: Government Report

Authors: Meadows Mental Health Policy Institute

Year: 2023

Publication Place: Dallas, TX

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 Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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6585

Nebraska Pediatric Integrated Care Training (NE-PICT) model

Type: Journal Article

Authors: Rachel J. Valleley, Brandy Clarke, Holly Roberts, Jennifer Burt, Allison Grennan, Joseph H. Evans

Year: 2020

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6586

Need and Unmet Need for Care Coordination Among Children With Mental Health Conditions

Type: Journal Article

Year: 2014

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6587

Need for Integrated Behavior Health Model in Primary Care

Type: Journal Article

Authors: K. Cates, N. Soares

Year: 2021

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6588

Need for integration of hepatitis C (HCV) services in community-based settings for people who inject drugs: Results from a global values and preferences survey

Type: Journal Article

Authors: M. Di Ciaccio, V. Villes, C. Perfect, J. L. El Kaim, M. Donatelli, C. James, P. Easterbrook, R. M. Delabre

Year: 2023

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6589

Needs assessment for training in interprofessional skills in Swiss primary care: a Delphi study

Type: Journal Article

Authors: Noelle Junod Perron

Year: 2014

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6590

Negative Impact of Amphetamine-Type Stimulant Use on Opioid Agonist Treatment Retention in Ontario, Canada

Type: Journal Article

Authors: K. A. Morin, F. Vojtesek, S. Acharya, D. C. Marsh

Year: 2021

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6591

Neighborhood and Individual Disparities in Community-Based Naloxone Access for Opioid Overdose Prevention

Type: Journal Article

Authors: E. D. Nesoff, Z. F. Meisel, H. Saeed, S. S. Martins

Year: 2024

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6592

Neighborhood-Level and Spatial Characteristics Associated with Lay Naloxone Reversal Events and Opioid Overdose Deaths

Type: Journal Article

Authors: C. Rowe, G. M. Santos, E. Vittinghoff, E. Wheeler, P. Davidson, P. O. Coffin

Year: 2016

Publication Place: United States

Abstract: There were over 23,000 opioid overdose deaths in the USA in 2013, and opioid-related mortality is increasing. Increased access to naloxone, particularly through community-based lay naloxone distribution, is a widely supported strategy to reduce opioid overdose mortality; however, little is known about the ecological and spatial patterns of the distribution and utilization of lay naloxone. This study aims to investigate the neighborhood-level correlates and spatial relationships of lay naloxone distribution and utilization and opioid overdose deaths. We determined the locations of lay naloxone distribution sites and the number of unintentional opioid overdose deaths and reported reversal events in San Francisco census tracts (n = 195) from 2010 to 2012. We used Wilcoxon rank-sum tests to compare census tract characteristics across tracts adjacent and not adjacent to distribution sites and multivariable negative binomial regression models to assess the association between census tract characteristics, including distance to the nearest site, and counts of opioid overdose deaths and naloxone reversal events. Three hundred forty-two opioid overdose deaths and 316 overdose reversals with valid location data were included in our analysis. Census tracts including or adjacent to a distribution site had higher income inequality, lower percentage black or African American residents, more drug arrests, higher population density, more overdose deaths, and more reversal events (all p < 0.05). In multivariable analysis, greater distance to the nearest distribution site (up to a distance of 4000 m) was associated with a lower count of Naloxone reversals [incidence rate ratio (IRR) = 0.51 per 500 m increase, 95% CI 0.39-0.67, p < 0.001] but was not significantly associated with opioid overdose deaths. These findings affirm that locating lay naloxone distribution sites in areas with high levels of substance use and overdose risk facilitates reversals of opioid overdoses in those immediate areas but suggests that alternative delivery methods may be necessary to reach individuals in other areas with less concentrated risk.

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6593

Neighborhood-level association between release from incarceration and fatal overdose, Rhode Island, 2016-2020

Type: Journal Article

Authors: A. R. Cartus, W. C. Goedel, V. A. Jent, A. Macmadu, C. Pratty, B. D. Hallowell, B. Allen, Y. Li, M. Cerda, B. D. L. Marshall

Year: 2023

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6594

Neonatal Abstinence Syndrome: Advances in Diagnosis and Treatment

Type: Journal Article

Authors: E. M. Wachman, D. M. Schiff, M. Silverstein

Year: 2018

Abstract: IMPORTANCE: Neonatal abstinence syndrome, which occurs as a result of in utero opioid exposure, affects between 6.0 and 20 newborns per 1000 live US births. There is substantial variability in how neonatal abstinence syndrome is diagnosed and managed. OBJECTIVE: To summarize key studies examining the diagnosis and management (both pharmacologic and nonpharmacologic) of neonatal abstinence syndrome published during the past 10 years. EVIDENCE REVIEW: PubMed, Web of Science, and CINAHL were searched for articles published between July 1, 2007, and December 31, 2017. Abstracts were screened and included in the review if they pertained to neonatal abstinence syndrome diagnosis or management and were judged by the authors to be clinical trials, cohort studies, or case series. FINDINGS: A total of 53 articles were included in the review, including 9 randomized clinical trials, 35 cohort studies, 1 cross-sectional study, and 8 case series-representing a total of 11?905 unique opioid-exposed mother-infant dyads. Thirteen studies were identified that evaluated established or novel neonatal abstinence syndrome assessment methods, such as brief neonatal abstinence syndrome assessment scales or novel objective physiologic measures to predict withdrawal. None of the new techniques that measure infant physiologic parameters are routinely used in clinical practice. The most substantial number of studies of neonatal abstinence syndrome management pertain to nonpharmacologic care-specifically, interventions that promote breastfeeding or encourage parents to room-in with their newborns. Although these nonpharmacologic interventions appear to decrease the need for pharmacologic treatment and result in shorter hospitalizations, the interventions are heterogeneous and there are no high-quality clinical trials to support them. Regarding pharmacologic interventions, only 5 randomized clinical trials with prespecified sample size calculations (4 infant, 1 maternal treatment) have been published. Each of these trials was small (from?26 to 131 participants) and tested different therapies, limiting the extent to which results can be aggregated. There is insufficient evidence to support an association between any diagnostic or treatment approach and differential neurodevelopmental outcomes among infants with neonatal abstinence syndrome. CONCLUSIONS AND RELEVANCE: Evidence pertaining to the optimal diagnosis and treatment strategies for neonatal abstinence syndrome is based on small or low-quality studies that focus on intermediate outcomes, such as need for pharmacologic treatment or length of hospital stay. Clinical trials are needed to evaluate health and neurodevelopmental outcomes associated with objective diagnostic approaches as well as pharmacologic and nonpharmacologic treatment modalities.

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6595

Neonatal Abstinence Syndrome: Indian Health Service (IHS) Best Practices Guidelines

Type: Government Report

Authors: Indian Health Service

Year: 2014

Publication Place: Rockville, MD

Topic(s):

, ,

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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6596

Neonatal abstinence syndrome: Neurobehavior at 6 weeks of age in infants with or without pharmacological treatment for withdrawal

Type: Journal Article

Authors: N. A. Heller, B. A. Logan, D. G. Morrison, J. A. Paul, M. S. Brown, M. J. Hayes

Year: 2017

Publication Place: United States

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6597

Neonatal Abstinence Syndrome: Presentation and Treatment Considerations

Type: Journal Article

Authors: H. E. Jones, K. Kaltenbach, E. Johnson, C. Seashore, E. Freeman, E. Malloy

Year: 2016

Abstract: This clinical case conference discusses the treatment of a pregnant woman with opioid use disorder in a comprehensive care program that includes buprenorphine pharmacotherapy. The presentation summarizes common experiences that pregnant women who receive buprenorphine pharmacotherapy face, and also what their prenatally opioid-exposed children confront in the immediate postpartum period. It describes the elements of a successful comprehensive care model and corollary neonatal abstinence syndrome treatment regimen. Expert commentary is included on issues that arise in the buprenorphine induction and maintenance throughout the prenatal and postpartum periods and in the treatment of co-occurring mental health problems during both the prenatal and postpartum periods, particularly the treatment of depression. There is also expert commentary on the care of opioid-exposed neonates, with attention to the treatment for neonatal abstinence syndrome.

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6598

Neonatal Abstinence Syndrome: Prevention, Recognition, Treatment, and Follow-up

Type: Journal Article

Authors: M. Schroeder, J. White

Year: 2021

Publication Place: United States

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6599

Neonatal Abstinence Syndrome: Twelve Years of Experience at a Regional Referral Center

Type: Journal Article

Authors: S. Mucke, M. Nagel, J. Siedentopf, C. Buhrer, D. Huseman

Year: 2017

Publication Place: Germany

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6600

Neonatal and maternal outcomes following maternal use of buprenorphine or methadone during pregnancy: findings of a retrospective audit

Type: Journal Article

Authors: Julie Blandthorn, Della A. Forster, Veronica Love

Year: 2011

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