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Opioids & SU
The Literature Collection contains over 10,000 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).
10858 Results
6841
Part 1: The Theoretical Basis for Recovery-Oriented Management of Substance Use Disorders in Primary Care
Type: Journal Article
Year: 2016
Publication Place: United States
Abstract: There is strong evidence in the literature that screening and brief counseling interventions are effective in detecting alcohol problems and decreasing alcohol consumption among patients in primary care settings but somewhat weaker evidence regarding screening and brief intervention for drug problems. In 2014, two published studies made news and caused concern among proponents of substance Screening, Brief Intervention and Referral to Treatment (SBIRT) programs, when their authors concluded that brief interventions were not effective for decreasing drug use among primary care patients identified through screening, and advised that widespread adoption of screening and brief intervention for drug use was not warranted.An evaluation of the theoretical foundations for evidence-based SBIRT services was conducted to produce possible explanations for why traditional SBIRT works well for individuals with unhealthy alcohol use but not as well for those with more serious substance use disorders, including drug use and alcohol/drug dependence. Smith and Liehr's evaluation framework for middle-range theory was utilized to analyze the Chronic Care Model, which was featured prominently in early SBIRT literature, and the newer Recovery Management model, which provides a philosophical framework for organizing modern addictions services and quality-of-life enhancements (Part 1 of this two-part series).Programs are more likely to succeed if guided by theory, and examination of relevant components of theory-based interventions can be useful in developing practical strategies for meeting program objectives. A new, theory-based, recovery-oriented framework for primary care SBIRT is introduced in Part 2 ("SBIRT+RM(C): A Proposed Model for Recovery-Oriented Primary Care").
Topic(s):
Opioids & Substance Use
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Reference Links: 
View the DOI record for Part 1: The Theoretical Basis for Recovery-Oriented Management of Substance Use Disorders in Primary Care
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View the PubMed citation for Part 1: The Theoretical Basis for Recovery-Oriented Management of Substance Use Disorders in Primary Care6842
Part 2: Screening, Brief Intervention and Referral to Treatment Plus Recovery Management: A Proposed Model for Recovery-Oriented Primary Care
Type: Journal Article
Year: 2016
Publication Place: United States
Abstract: Part 1 of this two-part series (The Theoretical Basis for Recovery-Oriented Management of Substance Use Disorders in the Primary Care) explored the theoretical foundations for evidence-based substance Screening, Brief Intervention and Referral to Treatment (SBIRT) services. The aim was to produce possible explanations for why traditional SBIRT works well for individuals with unhealthy alcohol use but not as well for individuals who have more serious substance use disorders, including drug use and alcohol/drug dependence. Building on that analysis, through meaningful application of recovery management (RM) concepts within an integrated primary care/behavioral health context, a new, theory-based, recovery-oriented framework for primary care SBIRT is now introduced in Part 2. The proposed SBIRT Plus Recovery Management (SBIRT + RM) model moves traditional SBIRT from its original, limited, and narrow focus only on substance detection, brief intervention, and referral to its rightful, structured placement within a comprehensive, multidimensional, recovery-oriented system of care clinical practice environment. SBIRT+RM describes relevant strategies for improving recovery outcomes for individuals identified through primary care substance screening and defines primary care provider roles and responsibilities for sustained recovery support and long-term recovery maintenance.
Topic(s):
Opioids & Substance Use
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6843
Part II: using an integrated case model for delivering mental health services in general practice for Pacific people
Type: Journal Article
Year: 2020
Publication Place: England
Abstract: OBJECTIVE: To discuss an alternative model for delivering mental health services to Pacific people in general practice. METHODS: Review of primary healthcare models which attempt to integrate behavioural healthcare with general practice. RESULTS: There is some evidence that relationship-based collaborative models may improve both mental and physical health. Such a model has been implemented successfully by Alaskan Native Americans. CONCLUSION: An integrated model of healthcare incorporating Pacific cultural values may reduce stigma and improve engagement and efficacy in delivering mental health treatment to Pacific people, their families and communities.
Topic(s):
Healthcare Disparities
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Reference Links:
View the DOI record for Part II: using an integrated case model for delivering mental health services in general practice for Pacific people
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View the PubMed citation for Part II: using an integrated case model for delivering mental health services in general practice for Pacific people6844
Part II: using an integrated case model for delivering mental health services in general practice for Pacific people
Type: Journal Article
Year: 2020
Publication Place: England
Abstract: OBJECTIVE: To discuss an alternative model for delivering mental health services to Pacific people in general practice. METHODS: Review of primary healthcare models which attempt to integrate behavioural healthcare with general practice. RESULTS: There is some evidence that relationship-based collaborative models may improve both mental and physical health. Such a model has been implemented successfully by Alaskan Native Americans. CONCLUSION: An integrated model of healthcare incorporating Pacific cultural values may reduce stigma and improve engagement and efficacy in delivering mental health treatment to Pacific people, their families and communities.
Topic(s):
Healthcare Disparities
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Reference Links:
View the DOI record for Part II: using an integrated case model for delivering mental health services in general practice for Pacific people
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View the PubMed citation for Part II: using an integrated case model for delivering mental health services in general practice for Pacific people6847
Participant perception of an integrated program for substance abuse in pregnancy
Type: Journal Article
Year: 2010
Publication Place: United States
Abstract: OBJECTIVE: To assess participant perception of an integrated model of care for substance abuse in pregnancy. DESIGN: Focus groups were employed for this qualitative study. SETTING: Two Family Medicine Units, 1 in Toronto and 1 in Montreal, where integrated care for licit and illicit substance abuse in pregnancy is provided by a team of doctors, nurses, nurse practitioners, and social workers. PARTICIPANTS: Women who had received addiction and prenatal care at 1 of the 2 sites. METHODS: Women were asked to discuss their experiences of care in focus groups. RESULTS: Five central themes emerged: judgment, physician-patient communication, team communication, support groups, and self-responsibility. CONCLUSION: Women felt more comfortable with provider teams that shared a consistent nonjudgmental attitude.
Topic(s):
General Literature
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Reference Links:
View the DOI record for Participant perception of an integrated program for substance abuse in pregnancy
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View the PubMed citation for Participant perception of an integrated program for substance abuse in pregnancy6850
Participatory (re)design of a sociotechnical healthcare delivery system: The Group Health Patient-Centered Medical Home
Type: Journal Article
Year: 2010
Publication Place: Netherlands
Abstract: This paper describes one organization's interpretation of the Patient-Centered Medical Home concept and the healthcare delivery system that has emerged from their participatory redesign initiative. Group Health, a large integrated healthcare system based in Seattle, Washington, USA initiated a Patient-Centered Medical Home care delivery system transformation in January 2007. Current theories and evidence about the Patient-Centered Medical Home (PCMH), the Chronic Care Model, and effective primary care were interpreted via a facilitated group process and translated into a core set of 5 system design principles. These design principles guided all subsequent system transformation activities. The central organizing principle is supporting and sustaining the patient-primary care physician relationship. The emergent PCMH healthcare delivery system comprises both opportunistic point-of-care and outreach components, many of which leverage and enhance the organization's health information and communication technologies.
Topic(s):
Medical Home
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6854
Partnering with a payer to develop a value-based medical home pilot: a West Coast practice's experience
Type: Journal Article
Year: 2012
Publication Place: United States
Topic(s):
Financing & Sustainability
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, Medical Home
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Reference Links: View the PubMed citation for Partnering with a payer to develop a value-based medical home pilot: a West Coast practice's experience