Literature Collection

Magnifying Glass
Collection Insights

11K+

References

9K+

Articles

1500+

Grey Literature

4600+

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).

Enter Search Term(s)
Year
Sort by
Order
Show
12263 Results
7421
Offering nurse care management for opioid use disorder in primary care: Impact on emergency and hospital utilization in a cluster-randomized implementation trial
Type: Journal Article
Authors: Jennifer F. Bobb, Abisola E. Idu, Hongxiang Qiu, Onchee Yu, Denise M. Boudreau, Paige D. Wartko, Abigail G. Matthews, Jennifer McCormack, Amy K. Lee, Cynthia I. Campbell, Andrew J. Saxon, David S. Liu, Andrea Altschuler, Jeffrey H. Samet, Thomas F. Northrup, Jordan M. Braciszewski, Mark T. Murphy, Julia H. Arnsten, Chinazo O. Cunningham, Viviana E. Horigian, José Szapocznik, Joseph E. Glass, Ryan M. Caldeiro, Judith I. Tsui, Rachael P. Burganowski, Zoe M. Weinstein, Sean M. Murphy, Noorie Hyun, Katharine A. Bradley
Year: 2024
Topic(s):
Opioids & Substance Use See topic collection
,
Education & Workforce See topic collection
7422
Offering Patients a Medical Home – Not a Hallway – and a Stronger Health System
Type: Journal Article
Authors: Leanne Clarke, Kavita Mehta
Year: 2019
Publication Place: Toronto
Topic(s):
Education & Workforce See topic collection
,
Medical Home See topic collection
7423
Office-Based Addiction Treatment Clinical Guidelines
Type: Report
Authors: Boston Medical Center
Year: 2018
Topic(s):
Grey Literature See topic collection
,
Education & Workforce See topic collection
,
Opioids & Substance Use See topic collection
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.

7424
Office-Based Addiction Treatment in Primary Care: Approaches That Work
Type: Journal Article
Authors: E. J. Edelman, B. J. Oldfield, J. M. Tetrault
Year: 2018
Publication Place: United States
Topic(s):
Opioids & Substance Use See topic collection
7425
Office-Based Addiction Treatment Retention and Mortality Among People Experiencing Homelessness
Type: Journal Article
Authors: D. R. Fine, E. Lewis, K. Weinstock, J. Wright, J. M. Gaeta, T. P. Baggett
Year: 2021
Abstract:

IMPORTANCE: People experiencing homelessness have been disproportionately affected by the opioid overdose crisis. To mitigate morbidity and mortality, several office-based addiction treatment (OBAT) programs designed for this population have been established across the US, but studies have not yet evaluated their outcomes. OBJECTIVE: To evaluate treatment retention and mortality in an OBAT program designed specifically for individuals experiencing homelessness with opioid use disorder (OUD). DESIGN, SETTING, AND PARTICIPANTS: A retrospective cohort study was conducted in the Boston Health Care for the Homeless Program (BHCHP). Participants included all adult patients (N = 1467) who had 1 or more OBAT program encounter at BHCHP from January 1 through December 31, 2018. Data analysis was conducted from January 13 to December 14, 2020. EXPOSURES: Sociodemographic, clinical, and addiction treatment-related characteristics were abstracted from the BHCHP electronic health record. MAIN OUTCOMES AND MEASURES: The primary outcome was all-cause mortality, identified by linkage to the Massachusetts Department of Public Health vital records. Multivariable Cox proportional hazards regression analyses were performed to evaluate baseline and time-varying variables associated with all-cause mortality. Secondary addiction treatment-related outcomes were abstracted from the electronic health record and included (1) BHCHP OBAT program retention, (2) buprenorphine continuation and adherence verified by toxicology testing, and (3) opioid abstinence verified by toxicology testing. RESULTS: Of 1467 patients in the cohort, 1046 were men (71.3%) and 731 (49.8%) were non-Hispanic White; mean (SD) age was 42.2 (10.6) years. Continuous retention in the OBAT program was 45.2% at 1 month, 21.7% at 6 months, and 11.3% at 12 months. Continuous buprenorphine adherence was 41.5% at 1 month, 17.6% at 6 months, and 10.2% at 12 months, and continuous opioid abstinence was 28.3% at 1 month, 6.1% at 6 months, and 2.9% at 12 months. The all-cause mortality rate was 29.0 deaths per 1000 person-years, with 51.8% dying from drug overdose. Past-month OBAT program attendance was associated with lower mortality risk (adjusted hazard ratio, 0.34; 95% CI, 0.21-0.55). CONCLUSIONS AND RELEVANCE: Mortality rates were high in this cohort of addiction treatment-seeking homeless and unstably housed individuals with OUD. Although continuous OBAT program retention was low, past-month attendance in care was associated with reduced mortality risk. Future work should examine interventions to promote increased OBAT attendance to mitigate morbidity and mortality in this vulnerable population.

Topic(s):
Education & Workforce See topic collection
,
Healthcare Disparities See topic collection
,
Opioids & Substance Use See topic collection
7426
Office-Based Buprenorphine Treatment: Identifying Factors That Promote Retention in Opioid-Dependent Patients
Type: Journal Article
Authors: S. R. Noe, T. Keller
Year: 2020
Publication Place: United States
Abstract:

Opiate addiction is a serious global health issue that profoundly impacts the welfare of populations around the world. Opioid addiction affects an estimated 1.9 million individuals in the United States alone, stimulating a rise in treatment options such as medication-assisted treatment with buprenorphine. When combined with counseling and relapse prevention groups, medication-assisted treatment has proven to be an effective office-based opioid treatment for opiate dependence. Office-based opioid treatment has broadened access to treatment of opioid dependence, has decreased the risk for overdose, and is effective for reducing cravings and opioid use at proper dosing levels. However, treatment retention and relapse remain significant challenges. The purpose of this study was to identify characteristics predictive of retention in treatment time of opioid-dependent individuals receiving office-based buprenorphine treatment. The records of individuals enrolled in a public health office buprenorphine clinic (n = 350) were analyzed to determine retention time in treatment and whether retention time varied by selected individual variables. Participants in the study had a cumulative predicted retention time on buprenorphine of 65% at 30 days, 35% at 6 months, 25% at 12 months, and 18% at 18 months.

Topic(s):
Education & Workforce See topic collection
,
Opioids & Substance Use See topic collection
7427
Office-Based Buprenorphine Versus Clinic-Based Methadone: A Cost-Effectiveness Analysis
Type: Journal Article
Authors: J. B. King, A. M. Sainski-Nguyen, B. K. Bellows
Year: 2016
Publication Place: England
Abstract: The objective of this analysis was to compare the cost-effectiveness of clinic-based methadone maintenance therapy (MMT) and office-based buprenorphine maintenance therapy (BMT) from the perspective of third-party payers in the United States. The authors used a Markov cost-effectiveness model. A hypothetical cohort of 1000 adult, opioid-dependent patients was modeled over a 1-year time horizon. Patients were allowed to transition between the health states of in opioid dependence treatment and either abusing or not abusing opioids, or to have dropped out of treatment. Probabilities were derived from randomized clinical trials comparing methadone and buprenorphine. Costs included drug and administration, clinic visits, and therapy sessions. Effectiveness outcomes examined were (1) retention in the treatment program and (2) opioid abuse-free weeks. For retention in treatment at 1 year, MMT was more costly ($4,613 vs. $4,155) and more effective (20.3% vs. 15.9%) than BMT, resulting in an incremental cost-effectiveness ratio (ICER) of $10,437 per additional patient retained in treatment. MMT was also more effective than BMT in terms of opioid abuse-free weeks (9.2 vs. 9.1 weeks), resulting in an ICER of $8,515 per opioid abuse-free week gained. One-way sensitivity analyses found costs per week of MMT to have the largest impact on the retention-in-treatment outcome, whereas the probability of dropping out with MMT had the greatest impact on opioid abuse-free weeks. The authors conclude that MMT is cost-effective compared with BMT for the treatment of patients with opioid dependence. However, the treatment of substance abuse is complex, and decision makers should also consider individual patient characteristics when making coverage decisions.
Topic(s):
Opioids & Substance Use See topic collection
,
Financing & Sustainability See topic collection
7428
Office-based management of opioid dependence with buprenorphine: Clinical practices and barriers
Type: Journal Article
Authors: A . Y. Walley, J. K. Alperen, D. M. Cheng, M. Botticelli, C. Castro-Donlan, J. H. Samet, D. P. Alford
Year: 2008
Publication Place: United States
Abstract: BACKGROUND: Buprenorphine is a safe, effective and underutilized treatment for opioid dependence that requires special credentialing, known as a waiver, to prescribe in the United States. OBJECTIVE: To describe buprenorphine clinical practices and barriers among office-based physicians. DESIGN: Cross-sectional survey. PARTICIPANTS: Two hundred thirty-five office-based physicians waivered to prescribe buprenorphine in Massachusetts. MEASUREMENTS: Questionnaires mailed to all waivered physicians in Massachusetts in October and November 2005 included questions on medical specialty, practice setting, clinical practices, and barriers to prescribing. Logistic regression analyses were used to identify factors associated with prescribing. RESULTS: Prescribers were 66% of respondents and prescribed to a median of ten patients. Clinical practices included mandatory counseling (79%), drug screening (82%), observed induction (57%), linkage to methadone maintenance (40%), and storing buprenorphine notes separate from other medical records (33%). Most non-prescribers (54%) reported they would prescribe if barriers were reduced. Being a primary care physician compared to a psychiatrist (AOR: 3.02; 95% CI: 1.48-6.18) and solo practice only compared to group practice (AOR: 3.01; 95% CI: 1.23-7.35) were associated with prescribing, while reporting low patient demand (AOR: 0.043, 95% CI: 0.009-0.21) and insufficient institutional support (AOR: 0.37; 95% CI: 0.15-0.89) were associated with not prescribing. CONCLUSIONS: Capacity for increased buprenorphine prescribing exists among physicians who have already obtained a waiver to prescribe. Increased efforts to link waivered physicians with opioid-dependent patients and initiatives to improve institutional support may mitigate barriers to buprenorphine treatment. Several guideline-driven practices have been widely adopted, such as adjunctive counseling and monitoring patients with drug screening.
Topic(s):
Opioids & Substance Use See topic collection
7429
Office-Based Management of Perinatal Substance Use and Substance Use Disorder for the General Obstetrician-Gynecologist
Type: Journal Article
Authors: T. Kurtz, M. C. Smid
Year: 2023
Topic(s):
Opioids & Substance Use See topic collection
,
Healthcare Disparities See topic collection
,
Education & Workforce See topic collection
7430
Office-Based Methadone Treatment for Opioid Use Disorder and Pharmacy Dispensing: A Scoping Review
Type: Journal Article
Authors: D. McCarty, C. Bougatsos, B. Chan, K. A. Hoffman, K. C. Priest, S. Grusing, R. Chou
Year: 2021
Abstract:

OBJECTIVE: The authors conducted a scoping review to survey the evidence landscape for studies that assessed outcomes of treating patients with opioid use disorder with methadone in office-based settings. METHODS: Ovid MEDLINE and the Cochrane Database of Systematic Reviews were searched, and reference lists were reviewed to identify additional studies. Studies were eligible if they focused on methadone treatment in office-based settings conducted in the United States or other highly developed countries and reported outcomes (e.g., retention in care). Randomized trials and controlled observational studies were prioritized; uncontrolled and descriptive studies were included when stronger evidence was unavailable. One investigator abstracted key information, and a second verified data. A scoping review approach broadly surveyed the evidence, and therefore study quality was not rated formally. RESULTS: Eighteen studies of patients treated with office-based methadone were identified, including six trials, eight observational studies, and four additional articles discussing use of pharmacies to dispense methadone. Studies on office-based methadone treatment, including primary care-based dispensing, were limited but consistently found that stable methadone patients valued office-based care and remained in care with low rates of drug use; outcomes were similar compared with stable patients in regular care. Office-based methadone treatment was associated with higher treatment satisfaction and quality of life. Limitations included underpowered comparisons and small samples. CONCLUSIONS: Limited research suggests that office-based methadone treatment and pharmacy dispensing could enhance access to methadone treatment for patients with opioid use disorder without adversely affecting patient outcomes and, potentially, inform modifications to federal regulations. Research should assess the feasibility of office-based care for less stable patients.

Topic(s):
Education & Workforce See topic collection
,
Opioids & Substance Use See topic collection
7432
Ohio's PCPCC
Type: Web Resource
Authors: Ohio Department of Health
Year: 2013
Topic(s):
Education & Workforce See topic collection
,
Grey Literature See topic collection
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.

7433
Oklahoma's web portal: Fostering care coordination between primary care and community service providers
Type: Web Resource
Authors: L. Hinkle, C. Hanlon
Year: 2012
Topic(s):
HIT & Telehealth See topic collection
,
Grey Literature See topic collection
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.

7434
Old tech but not low tech: telephone-based treatment provision for substance use
Type: Journal Article
Authors: M. R. Walton, A. W. Kang, C. DelaCuesta, A. Hoadley, R. Martin
Year: 2024
Topic(s):
Opioids & Substance Use See topic collection
,
HIT & Telehealth See topic collection
,
Healthcare Disparities See topic collection
,
Financing & Sustainability See topic collection
7435
Old-age mental telehealth services at primary healthcare centers in low- resource areas in Greece: design, iterative development and single-site pilot study findings
Type: Journal Article
Authors: A. Politis, T. Vorvolakos, E. Kontogianni, M. Alexaki, E. E. Georgiou, E. Aggeletaki, M. Gkampra, M. Delatola, A. Delatolas, A. Efkarpidis, E. Thanopoulou, K. Kostoulas, V. Naziri, A. Petrou, K. Savvopoulou, K. Siarkos, R. F. Soldatos, V. Stamos, K. H. Nguyen, I. Leroi, D. Kiosses, K. Tsimpanis, P. Alexopoulos
Year: 2023
7436
Older adult drug overdose: an application of latent class analysis to identify prevention opportunities
Type: Journal Article
Authors: M. Mason, K. Pandya, A. Lundberg
Year: 2024
Topic(s):
Opioids & Substance Use See topic collection
,
Healthcare Disparities See topic collection
,
Education & Workforce See topic collection
7437
Older adults' attitudes toward depression screening in primary care settings and exploring a brief educational pamphlet
Type: Journal Article
Authors: Avani Shah, Forrest Scogin, Christina M. Pierpaoli, Amit Shah
Year: 2018
Topic(s):
Healthcare Disparities See topic collection
,
Measures See topic collection
7439
Older age bipolar disorder and substance use
Type: Book Chapter
Authors: Chaya Bhuvaneswaran, Rita Hargrave, E. S. Brown
Year: 2017
Publication Place: Cham
Topic(s):
Grey Literature See topic collection
,
Healthcare Disparities See topic collection
,
Opioids & Substance Use See topic collection
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.

Reference Links:       
7440
Older Asian Americans' primary care use: Examining the effect of perceived mental health need
Type: Journal Article
Authors: Duy D. Nguyen
Year: 2012
Publication Place: United Kingdom: Taylor & Francis
Topic(s):
Healthcare Disparities See topic collection
,
Healthcare Policy See topic collection