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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).
11193 Results
6741
One-Year Follow-Up of Heroin-Dependent Adolescents Treated with Buprenorfine/Naloxone for the First Time in a Substance Treatment Unit
Type: Journal Article
Year: 2016
Publication Place: United States
Topic(s):
Opioids & Substance Use
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, Healthcare Disparities
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6742
One-year follow-up results of unsupported online computerized cognitive behavioural therapy for depression in primary care: A randomized trial
Type: Journal Article
Year: 2011
Publication Place: Netherlands
Topic(s):
HIT & Telehealth
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6743
One-year postcollaborative depression care trial outcomes among predominantly Hispanic diabetes safety net patients
Type: Journal Article
Year: 2011
Abstract: Abstract. OBJECTIVE: The aim of this study was to determine sustained effectiveness in reducing depression symptoms and improving depression care 1 year following intervention completion. METHOD: Of 387 low-income, predominantly Hispanic diabetes patients with major depression symptoms randomized to 12-month socioculturally adapted collaborative care (psychotherapy and/or antidepressants, telephone symptom monitoring/relapse prevention) or enhanced usual care, 264 patients completed 2-year follow-up. Depression symptoms (Symptom Checklist-20 [SCL-20], Patient Health Questionnaire-9 [PHQ-9]), treatment receipt, diabetes symptoms and quality of life were assessed 24 months postenrollment using intent-to-treat analyses. RESULTS: At 24 months, more intervention patients received ongoing antidepressant treatment (38% vs. 25%, ?(2)=5.11, df=1, P=.02); sustained depression symptom improvement [SCL-20 <0.5 (adjusted odds ratio=2.06, 95% confidence interval=1.09-3.90, P=.03), SCL-20 score (adjusted mean difference -0.22, P=.001) and PHQ-9 ?50% reduction (adjusted odds ratio=1.87, 95% confidence interval =1.05-3.32, P=.03)]. Over 2 years, improved effects were found in significant study group by time interaction for Short Form-12 mental health, Sheehan Disability Scale (SDS) functional impairment, diabetes symptoms, anxiety and socioeconomic stressors (P=.02 for SDS; P<.0001 for all others); however, group differences narrowed over time and were no longer significant at 24 months. CONCLUSIONS: Socioculturally tailored collaborative care that included maintenance antidepressant medication, ongoing symptom monitoring and behavioral activation relapse prevention was associated with depression improvement over 24 months for predominantly Hispanic patients in primary safety net care.
Topic(s):
Healthcare Disparities
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Reference Links: 
View the DOI record for One-year postcollaborative depression care trial outcomes among predominantly Hispanic diabetes safety net patients
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View the PubMed citation for One-year postcollaborative depression care trial outcomes among predominantly Hispanic diabetes safety net patients6746
Online cognitive behavioral therapy for depressed primary care patients: a pilot feasibility project
Type: Journal Article
Year: 2014
Publication Place: United States
Abstract: CONTEXT: Cognitive behavioral therapy (CBT) is a goal-oriented treatment that guides patients to healthy thoughts and behaviors. Internet-delivered CBT with supportive coaching can be as effective as in-person psychotherapy treatment of depression. OBJECTIVE: To test the feasibility of engaging depressed primary care patients not currently receiving psychotherapy and to measure the outcomes of Internet-delivered CBT with supportive coaching. DESIGN: Pilot feasibility project. MAIN OUTCOME MEASURES: 1) Uptake rate. 2) Reduction in depressive symptoms (average score on 20-item Hopkins Symptom Checklist) from baseline to 4-month follow-up. METHODS: Medical records data were queried to identify patients experiencing a new episode of depression. Eligible patients were invited via secure messaging (patient and clinician communication using a secure Web site linked to the medical record) to participate in the Internet-delivered CBT program (also known as Thrive), which was algorithm-driven and delivered through didactic segments, interactive tools, and assessments. Patients completed a self-administered online follow-up survey four months after enrollment. RESULTS: Of 196 eligible patients who were sent an invitation, 39 (20%) enrolled in the Internet-delivered CBT program. At follow-up, enrolled patients experienced a clinically significant decrease (average = 46%) in depressive symptoms. Suicidal thoughts also decreased both overall and by severity. CONCLUSIONS: Seamless, scalable integration of Internet-delivered CBT into health care systems is feasible. The 20% uptake rate suggests that future work should focus on strategies to increase the initial response rate. One promising direction is the addition of "human touch" to the secure message invitation. Depression outcomes suggest promise for systemwide implementation of Internet-delivered CBT programs.
Topic(s):
HIT & Telehealth
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Reference Links:
View the DOI record for Online cognitive behavioral therapy for depressed primary care patients: a pilot feasibility project
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View the PubMed citation for Online cognitive behavioral therapy for depressed primary care patients: a pilot feasibility project6747
Online communities of practice to support collaborative mental health practice in rural areas
Type: Journal Article
Year: 2011
Publication Place: England
Abstract: The provision of quality mental health services in rural areas continues to be an ongoing challenge for nurses and the patients they serve. The use of computer mediated communication to construct collaborative learning environments similar to those suggested in Wenger's community of practice framework has the potential to mitigate a number of the difficulties faced by rural health care providers. The author presents a brief discussion of social learning theories, the communities of practice framework, and related concepts. Examples of current online communities of practice used as a means for knowledge construction in various professional disciplines are presented in building the case for the fit between online communities of practice and the needs of nurses in rural mental health. Nurses providing mental health care in rural areas have documented needs for interdisciplinary teamwork, access to a collaborative learning environment, and ongoing contact with expert resources. The construction of online communities of practice could potentially address a multitude of concerns identified by nurses practicing mental health care in rural areas.
Topic(s):
Education & Workforce
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, HIT & Telehealth
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Reference Links:
View the DOI record for Online communities of practice to support collaborative mental health practice in rural areas
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View the PubMed citation for Online communities of practice to support collaborative mental health practice in rural areas6749
Online training of behavioral health providers for primary care practice
Type: Journal Article
Year: 2021
Topic(s):
Education & Workforce
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Reference Links:
View the DOI record for Online training of behavioral health providers for primary care practice
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View the PubMed citation for Online training of behavioral health providers for primary care practice6750
Only One In Twenty Justice-Referred Adults In Specialty Treatment For Opioid Use Receive Methadone Or Buprenorphine
Type: Journal Article
Year: 2017
Publication Place: United States
Topic(s):
Opioids & Substance Use
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, Healthcare Disparities
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Reference Links:
View the DOI record for Only One In Twenty Justice-Referred Adults In Specialty Treatment For Opioid Use Receive Methadone Or Buprenorphine
View DOI Record
View the PubMed citation for Only One In Twenty Justice-Referred Adults In Specialty Treatment For Opioid Use Receive Methadone Or Buprenorphine6751
Onsite treatment of HCV infection with direct acting antivirals within an opioid treatment program
Type: Journal Article
Year: 2017
Publication Place: United States
Topic(s):
Opioids & Substance Use
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Reference Links:
View the DOI record for Onsite treatment of HCV infection with direct acting antivirals within an opioid treatment program
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View the PubMed citation for Onsite treatment of HCV infection with direct acting antivirals within an opioid treatment program6753
Open Access as a Revolution: Knowledge Alters Power
Type: Journal Article
Year: 2019
Publication Place: Canada
Topic(s):
HIT & Telehealth
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6754
Open access in the patient-centered medical home: lessons from the Veterans Health Administration
Type: Journal Article
Year: 2013
Publication Place: United States
Abstract: BACKGROUND: The Veterans Health Administration (VHA) has undertaken a 5-year initiative to transform to a patient-centered medical home model. An early focus of implementation was on creating open access, defined as continuity and capacity in primary care. OBJECTIVE: We describe the impact of readiness for implementation on efforts of pilot teams to make changes to improve access and identify successful strategies used by early adopters to overcome barriers to change. DESIGN: A qualitative, formative evaluation of the first 18 months of implementation in one Veterans Integrated Service Network (VISN) spread across six states. PARTICIPANTS: Members of local implementation teams including administrators, primary care providers, and staff from primary care clinics located at 10 medical centers and 45 outpatient clinics. APPROACH: We conducted site visits during the first 6 months of implementation, observations at Learning Collaboratives, semi-structured interviews, and review of internal organizational documents. All data collection took place between April 2010 and December 2011. KEY RESULTS: Early adopters employed various strategies to enhance access, with a focus on decreasing demand for face-to-face care, increasing supply of different types of primary care encounters, and improving clinic efficiencies. Our interviews with key contacts revealed three important areas where readiness for implementation (or lack thereof) had an impact on interventions to improve access: leadership engagement, staffing resources, and access to information and knowledge. CONCLUSIONS: Key factors related to readiness for implementation had an impact on which interventions pilot teams could put into place, as well as the viability and sustainability of access gains. Wide variations in interventions to improve access occurring across sites situated within one organization have important implications for efforts to measure the impact of enhanced access on patient outcomes, costs, and other systems-level indicators of the Medical Home.
Topic(s):
Education & Workforce
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, Medical Home
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Reference Links:
View the DOI record for Open access in the patient-centered medical home: lessons from the Veterans Health Administration
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View the PubMed citation for Open access in the patient-centered medical home: lessons from the Veterans Health Administration6755
Open communication: Recommendations for enhancing communication among primary care and mental health providers, services, and systems
Type: Journal Article
Year: 2015
Publication Place: United States
Topic(s):
Education & Workforce
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6759
Open trial of brief behavioral activation psychotherapy for depression in an integrated veterans affairs primary care setting
Type: Journal Article
Year: 2011
Publication Place: United States
Abstract: OBJECTIVE: Major depressive disorder (MDD) is highly prevalent and impairing and highly likely to present in primary care settings. Recent efforts by the Department of Veterans Affairs (VA) have sought to integrate mental health services into primary care settings, leading to new specialty pharmacotherapy and psychotherapy treatment options for primary care patients. However, little is known about the effectiveness of these new services in primary care patients with MDD. The present study investigated the effectiveness of a brief, easy-to-administer, evidence-based psychotherapy behavioral activation in an integrated mental health/primary care setting in a southeastern VA medical center during the first year of the program. METHOD: Thirty-five veterans with MDD (DSM-IV criteria) completed an initial clinical intake, were given the Mini International Neuropsychiatric Interview, and began a 4-week behavioral activation program. Patients also completed the Hospital Anxiety and Depression Scale (HADS) at intake, posttreatment, and at 1-month follow-up. The study was conducted from November 2009 to November 2010. RESULTS: Sixty percent (n = 21) of patients completed the brief behavioral activation. Treatment completers demonstrated significant reductions in symptoms of both anxiety and depression on the HADS at posttreatment (t values > 5.2, P values 1.16, g values > 1.02) and follow-up (t values > 4.0, P values 1.74, g values > 1.67) when compared to pretreatment levels. CONCLUSIONS: The present findings support the use of behavioral activation as an effective treatment for patients with MDD in a primary care setting. These findings suggest that new integrated primary care settings should incorporate behavioral activation to offer brief, evidence-based treatments that provide reliable symptom reductions in addition to possible reductions in treatment needs and better management of related physical health conditions.
Topic(s):
General Literature
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6760
Open Trial of Integrated Primary Care Consultation for Medically Unexplained Symptoms
Type: Journal Article
Year: 2016
Publication Place: United States
Abstract: Within primary care settings, patients with medically unexplained symptoms (MUS) are common, often present with comorbid psychopathology, and have high rates of healthcare utilization. Despite increased healthcare utilization, these patients often have poor outcomes that frustrate patients and providers alike. A behavioral consultation intervention for primary care patients with MUS (n = 10) was developed and assessed. All participants completed all intervention and assessment sessions and rated the intervention favorably. Participants self-report scores revealed statistically significant improvements from baseline to 3-month follow-up on physical functioning, mental functioning, and physical symptoms. Notwithstanding the limitations of open trial designs, these findings demonstrate high feasibility for a behavioral health consultation treatment model for patients with MUS and highlight the need for further research.
Topic(s):
Medically Unexplained Symptoms
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Reference Links:
View the DOI record for Open Trial of Integrated Primary Care Consultation for Medically Unexplained Symptoms
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View the PubMed citation for Open Trial of Integrated Primary Care Consultation for Medically Unexplained Symptoms