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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).
12769 Results
6981
Matrix support in Mental Health: narrative revision of the concepts horizontality and supervision and their practical implications
Type:
Journal Article
Year:
2020
Publication Place:
Brazil
Abstract:
The Matrix Support (MS) is one of the cornerstones of the integration between Primary Health Care (PHC) professionals and Mental Health professionals (MH). A narrative review was conducted on the articles on MS in MH published in national databases from 1998 to 2017, considering a brief history of the PHC reorganization processes that led to the creation of the MS proposal. The aim was to understand the meanings attributed to the terms "horizontality" and "supervision" as well as the descriptions of the "matrix support" itself. We sought to identify factors contributing to the difficulties that have been described in the practices and literature, based on the assumption that these concepts are polysemous and it is possible to generate ambiguities that operate to the detriment of interprofessional practices. Based on the analysis of the selected articles, we were able to conclude that, in addition to polysemy, the obstacles' force lies in the hegemonic model of professional Health training, as it is traditional, hierarchical and uni-professional, and hinders the development of dialogic relations that favor the integration of the matrix support teams and PHC and consequent resolubility and quality of care.
Topic(s):
Education & Workforce
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6983
Meaningful use of electronic behavioral health data in primary health care
Type:
Journal Article
Year:
2012
Publication Place:
United States
Abstract:
In August 2011, scientists and policy-makers held a conference entitled "Using IT to Improve Community Health: How Health Care Reform Supports Innovation." One of the conference sessions was entitled "Electronic health records: Meaningful use implementation challenges, innovation, and regulations." This Meeting Report discusses the meaningful use of behavioral health data for the treatment of mental health and substance abuse conditions and optimization of behavioral wellness by primary care physicians.
Topic(s):
HIT & Telehealth
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Reference Links:
View the DOI record for Meaningful use of electronic behavioral health data in primary health care
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View the PubMed citation for Meaningful use of electronic behavioral health data in primary health care
6986
Measurement of Common Mental Health Conditions in VHA Co-located, Collaborative Care
Type:
Journal Article
Year:
2016
Publication Place:
United States
Abstract:
The VA has integrated psychologists and other licensed mental health providers, known collectively as co-located collaborative care (CCC) providers, into patients' primary care medical homes to improve mental health services for veterans. However, it is unclear if CCC providers are routinely using mental health measures as part of evidence-based, coordinated care. This study aimed to determine the prevalence and predictors of CCC provider utilization of brief, validated measures. A retrospective review of VA electronic medical records from 8403 veterans diagnosed with depression, posttraumatic stress disorder, or anxiety disorder was conducted. Results indicated that 23 % of the sample had a screening or brief symptom measure documented by a CCC provider. Likelihood of measurement was predicted by primary diagnosis, length of care episode, CCC provider credential, and clinic setting. Future research should address factors impacting measurement practices of CCC providers in order to develop implementation strategies for advancing measurement-based mental health care.
Topic(s):
Education & Workforce
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, Measures
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, Medical Home
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Reference Links:
View the DOI record for Measurement of Common Mental Health Conditions in VHA Co-located, Collaborative Care
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View the PubMed citation for Measurement of Common Mental Health Conditions in VHA Co-located, Collaborative Care
6987
Measurement of opioid problems among chronic pain patients in a general medical population
Type:
Journal Article
Year:
2009
Publication Place:
Ireland
Abstract:
INTRODUCTION: Chronic opioid therapy for non-malignant pain has greatly expanded, increasing the urgency of identifying those experiencing problems related to prescribed opioids. The Prescription Drug Use Questionnaire (PDUQ), which shares substantial content with subsequently developed instruments, was developed within a pain clinic setting designed to identify problematic opioid use. The utility of the PDUQ and its relationship with the DSM-IV approach needs to be established for patients being treated in general medical settings. METHODS: Patients (n=704) from a large HMO prescribed opioids chronically were interviewed using the PDUQ and the Composite International Diagnostic Interview (CIDI) DSM-IV opioid abuse and dependence instrument. The internal reliability of the PDUQ was assessed. Factor analytic procedures were utilized to determine the factor structure of the PDUQ alone and in combination with CIDI DSM-IV. RESULTS: The internal reliability of the PDUQ in this population was poor (Cronbach's coefficient alpha=0.56) compared to the original development study (alpha=0.81). Factor analysis of a reduced set of PDUQ items yielded three factors: addictive behaviors, addictive concerns, and pain treatment problems. Factor analysis combining DSM-IV and PDUQ items indicated abuse and dependence were a single, distinct factor. CONCLUSIONS: In this study of chronic pain patients on opioids in a general medical population, the PDUQ performed differently than in previously described pain clinic populations. CIDI DSM-IV items were distinct from a reduced set of PDUQ items, suggesting the need to reconsider approaches to the measurement of opioid problems for these patients. The four factors identified deserve further study, as they may signal the need for distinct interventions to improve the care of patients prescribed chronic opioid therapy for pain.
Topic(s):
Opioids & Substance Use
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, Measures
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Reference Links:
View the DOI record for Measurement of opioid problems among chronic pain patients in a general medical population
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View the PubMed citation for Measurement of opioid problems among chronic pain patients in a general medical population
6988
Measurement-based care implementation in a Veterans Affairs primary care-mental health integration program
Type:
Journal Article
Year:
2020
Publication Place:
United States
Topic(s):
Education & Workforce
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, Measures
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Reference Links:
View the DOI record for Measurement-based care implementation in a Veterans Affairs primary care-mental health integration program
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View the PubMed citation for Measurement-based care implementation in a Veterans Affairs primary care-mental health integration program
6989
Measurement-based care implementation in a Veterans Affairs primary care-mental health integration program
Type:
Journal Article
Year:
2019
Publication Place:
United States
Topic(s):
Education & Workforce
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Reference Links:
View the DOI record for Measurement-based care implementation in a Veterans Affairs primary care-mental health integration program
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View the PubMed citation for Measurement-based care implementation in a Veterans Affairs primary care-mental health integration program
6991
Measurement-Based Care in the Pediatric Primary Care Setting
Type:
Journal Article
Year:
2020
Publication Place:
United States
Topic(s):
Education & Workforce
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, Healthcare Disparities
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Reference Links:
View the DOI record for Measurement-Based Care in the Pediatric Primary Care Setting
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View the PubMed citation for Measurement-Based Care in the Pediatric Primary Care Setting
6992
Measurement-based care using DSM-5 for opioid use disorder: can we make opioid medication treatment more effective?
Type:
Journal Article
Year:
2019
Topic(s):
Education & Workforce
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, Measures
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, Opioids & Substance Use
See topic collection
Reference Links:
View the DOI record for Measurement-based care using DSM-5 for opioid use disorder: can we make opioid medication treatment more effective?
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View the PubMed citation for Measurement-based care using DSM-5 for opioid use disorder: can we make opioid medication treatment more effective?
6994
Measures Evaluating Patient Satisfaction in Integrated Health Care Settings: A Systematic Review
Type:
Journal Article
Year:
2021
Publication Place:
United States
Abstract:
Integrated health care includes joint, outpatient delivery of medical and behavioral health services. Traditional patient satisfaction measures might fail to capture the discrete delivery approaches in this model. To identify patient satisfaction measures used in integrated health care settings, a systematic review was conducted of US-based studies conducted in adult outpatient integrated care settings from 1999 through 2020. Study quality was assessed using standards recommended by the COSMIN guidelines. The review yielded a sample of 23 studies, consisting of 10 standardized measures and 6 self-developed tools. All studies/measures met at least one of the identified COSMIN guidelines, demonstrating quality of the measures. While most measures evaluated key elements of integration, including access, communication, and relationships, only one standardized measure evaluated elements of care specific to practice in integrated care. Findings suggest a need for a comprehensive patient satisfaction measure that captures important aspects of the integrated health care experience.
Topic(s):
Measures
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Reference Links:
View the DOI record for Measures Evaluating Patient Satisfaction in Integrated Health Care Settings: A Systematic Review
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View the PubMed citation for Measures Evaluating Patient Satisfaction in Integrated Health Care Settings: A Systematic Review
6995
Measures of Effectiveness, Efficiency, and Quality of Telemedicine in the Management of Alcohol Abuse, Addiction, and Rehabilitation: Systematic Review
Type:
Journal Article
Year:
2020
Topic(s):
Education & Workforce
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, HIT & Telehealth
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, Opioids & Substance Use
See topic collection
6999
Measuring integrated care
Type:
Journal Article
Year:
2011
Publication Place:
Denmark
Abstract:
The positive outcomes of coordination of healthcare services are to an increasing extent becoming clear. However the complexity of the field is an inhibiting factor for vigorously designed trial studies. Conceptual clarity and a consistent theoretical frame-work are thus needed. While researchers respond to these needs, patients and providers face the multiple challenges of today's healthcare environment. Decision makers, planners and managers need evidence based policy options and information on the scope of the integrated care challenges they are facing. The US managed care organization Kaiser Permanente has been put forward as an example for European healthcare systems to follow, although the evidence base is far from conclusive. The thesis has five objectives: 1) To contribute to the understanding of the concept of integration in healthcare systems and to identify measurement methods to capture the multi-dimensional aspects of integrated healthcare delivery. 2) To assess the level of integration of the Danish healthcare system. 3) To assess the use of joint health plans as a tool for coordination between the regional and local level in the Danish healthcare system. 4) To compare the inputs and performance of the Danish healthcare system and the managed care organization Kaiser Permanente, California, US. 5) To compare primary care clinicians' perception of clinical integration in two healthcare systems: Kaiser Permanente, Northern California and the Danish healthcare system. Further to examine the associations between specific organizational factors and clinical integration within each system. The literature was systematically searched to identify methods for measurement of integrated healthcare delivery. A national cross-sectional survey was conducted among major professional stake-holders at five different levels of the Danish healthcare system. The survey data were used to allow for analysis of the level of integration achieved. Data from the survey were additionally used to investigate the use of joint health planning as a tool for coordination of regional-local healthcare delivery. Analysis of secondary data from the Danish healthcare system and Kaiser Permanente, California were used to compare population characteristics, professional staff, delivery structure, utilisation, quality measures and direct costs. A cross-sectional survey among primary care clinicians in Denmark and in Kaiser Permanente, Northern California was completed to allow for comparison of clinical integration in the two systems and system specific associated factors. In this thesis a conceptual framework and a model for assessment of the conditions for integrations as an intermediate healthcare system outcome are presented. Furthermore, the results show that integrated healthcare delivery can be measured: 24 methods are available and some are highly developed. However, the field is still in its early phase and guidelines for how to proceed are devised. It was confirmed on a national level that integration of care is a widespread challenge, and that only half or less than half of patients in need of integrated services receive such care. Options for decision makers and managers are discussed. From a theoretical perspective joint health plans as applied in Denmark do not match the degree of complexity in the healthcare system. It was therefore in agreement with the theoretical findings when major stakeholders agreed that the joint health plans had not been effective as a tool for coordination. Joint health planning processes should actively engage all stakeholders and a high degree of recurrent feedback are warranted. When comparing Kaiser Permanente, California with the Danish healthcare system, our study suggest that Kaiser Permanente has a population with more documented disease and higher operating costs, and performs better than the Danish healthcare system on the observed quality measures. Substantial differences were found in the perception of clinical integration in the two settings. More primary care clinicians in the Northern California region of Kaiser Permanente reported being part of a clinical integrated environment than did Danish general practitioners. By measuring the level of clinical integration in Kaiser Permanente using the Danish healthcare system as a point of reference our findings support the literature that points to the importance of integrated healthcare delivery as a driver for the performance results of Kaiser Permanente. However caution must be advised before making concrete conclusions due to the complexity of the matter and until more studies have been conducted. With this thesis an initial step has been taken into a new research field. Ongoing research will make it possible to deliver the evidence needed by decision makers, planners and managers - ultimately to benefit the patients.
Topic(s):
HIT & Telehealth
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, Key & Foundational
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Reference Links:
View the PubMed citation for Measuring integrated care
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Download the RIS reference file for Measuring integrated care
7000
Measuring Perceived Level of Integration During the Process of Primary Care Behavioral Health Implementation
Type:
Journal Article
Year:
2018
Publication Place:
United States
Abstract:
Provider- and staff-perceived levels of integration were measured during implementation of a primary care behavioral health clinic; these data were used to tailor and evaluate quality improvement strategies. Providers and staff at an urban, academic, adult primary care clinic completed the 32-item Level of Integration Measure (LIM) at baseline and 7 months. The LIM assesses 6 domains of integrated care. Overall and domain scores were calibrated from 0 to 100, with >/=80 representing a highly integrated clinic. Response rate was 79% (N = 46/58) at baseline and 83% (N = 52/63) at follow-up. Overall, LIM score increased from 64.5 to 70.1, P = .001. The lowest scoring domains at baseline were targeted for quality improvement and increased significantly: integrated clinical practice, 60.0 versus 68.4, P < .001; systems integration, 57.0 versus 63.8, P = .001; and training, 56.7 versus 65.3, P = .001. Ongoing quality improvement, including organizational and financial strategies, is needed to achieve higher levels of integration.
Topic(s):
Financing & Sustainability
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Reference Links:
View the DOI record for Measuring Perceived Level of Integration During the Process of Primary Care Behavioral Health Implementation
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View the PubMed citation for Measuring Perceived Level of Integration During the Process of Primary Care Behavioral Health Implementation