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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).

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11193 Results
7561
Practice Environments and Job Satisfaction in Patient-Centered Medical Homes
Type: Journal Article
Authors: S. Alidina, M. B. Rosenthal, E. C. Schneider, S. J. Singer, M. W. Friedberg
Year: 2014
Topic(s):
Education & Workforce See topic collection
,
Medical Home See topic collection
7562
Practice Facilitation in Integrated Behavioral Health and Primary Care Settings: a Scoping Review
Type: Journal Article
Authors: Elizabeth Siantz, Brian Redline, Benjamin Henwood
Year: 2021
Publication Place: New York
Topic(s):
Education & Workforce See topic collection
7563
Practice Facilitation in Integrated Behavioral Health and Primary Care Settings: a Scoping Review
Type: Journal Article
Authors: E. Siantz, B. Redline, B. Henwood
Year: 2020
Publication Place: United States
Abstract:

Little is known about the contributions of practice facilitators in settings aiming to deliver integrated behavioral health and primary care. This scoping review identifies peer-reviewed articles that describe efforts to deliver integrated behavioral health care with the support of practice facilitators. Five databases were systematically searched to identify empirical and conceptual papers. Fourteen articles met the following inclusion criteria: (1) empirical studies evaluating the effectiveness of practice facilitation (n = 4), (2) study protocols that will test the effectiveness of practice facilitation (n = 2), (3) studies that included practice facilitators as part of a larger intervention without evaluating their effectiveness (n = 5), and (4) conceptual manuscripts endorsing practice facilitation for integrated care (n = 3). Practice facilitators can potentially support health systems in delivering integrated behavioral health care, but future research is needed to understand their necessary qualifications, the effectiveness of practice facilitation these efforts, and what study outcomes are appropriate for evaluating whether practice facilitation has been effective.

Topic(s):
Education & Workforce See topic collection
7564
Practice Facilitation in Integrated Behavioral Health and Primary Care Settings: A Scoping Review
Type: Journal Article
Authors: E. Siantz, B. Redline, B. Henwood
Year: 2021
Abstract:

Little is known about the contributions of practice facilitators in settings aiming to deliver integrated behavioral health and primary care. This scoping review identifies peer-reviewed articles that describe efforts to deliver integrated behavioral health care with the support of practice facilitators. Five databases were systematically searched to identify empirical and conceptual papers. Fourteen articles met the following inclusion criteria: (1) empirical studies evaluating the effectiveness of practice facilitation (n = 4), (2) study protocols that will test the effectiveness of practice facilitation (n = 2), (3) studies that included practice facilitators as part of a larger intervention without evaluating their effectiveness (n = 5), and (4) conceptual manuscripts endorsing practice facilitation for integrated care (n = 3). Practice facilitators can potentially support health systems in delivering integrated behavioral health care, but future research is needed to understand their necessary qualifications, the effectiveness of practice facilitation these efforts, and what study outcomes are appropriate for evaluating whether practice facilitation has been effective.

Topic(s):
Education & Workforce See topic collection
7565
Practice Facilitation to Improve Diabetes Care in Primary Care: A Report From the EPIC Randomized Clinical Trial
Type: Journal Article
Authors: W. P. Dickinson, L. M. Dickinson, P. A. Nutting, C. B. Emsermann, B. Tutt, B. F. Crabtree, L. Fisher, M. Harbrecht, A. Gottsman, D. R. West
Year: 2014
Topic(s):
General Literature See topic collection
7566
Practice facilitation to promote evidence-based screening and management of unhealthy alcohol use in primary care: a practice-level randomized controlled trial
Type: Journal Article
Authors: Alison N. Huffstetler, Anton J. Kuzel, Roy T. Sabo, Alicia Richards, E. M. Brooks, Paulette Lail Kashiri, Gabriela Villalobos, Albert J. Arias, Dace Svikis, Beth A. Bortz, Ashley Edwards, John Epling, Deborah J. Cohen, Michael L. Parchman, Jonathan Winter, Patricia Wessler, Timothy J. Yu, Alex H. Krist
Year: 2020
Topic(s):
Education & Workforce See topic collection
,
Opioids & Substance Use See topic collection
7567
Practice Guidance for Buprenorphine for the Treatment of Opioid Use Disorders: Results of an Expert Panel Process
Type: Journal Article
Authors: C. M. Farmer, D. Lindsay, J. Williams, A. Ayers, J. Schuster, A. Cilia, M. T. Flaherty, T. Mandell, A. J. Gordon, B. D. Stein
Year: 2015
Publication Place: United States
Abstract: BACKGROUND: Although the number of physicians credentialed to prescribe buprenorphine has increased over time, many credentialed physicians may be reluctant to treat individuals with opioid use disorders due to discomfort with prescribing buprenorphine. Although prescribing physicians are required to complete a training course, many have questions about buprenorphine and treatment guidelines have not been updated to reflect clinical experience in recent years. We report on an expert panel process to update and expand buprenorphine guidelines. METHODS: We identified candidate guidelines through expert opinion and a review of the literature and used a modified RAND/UCLA Appropriateness Method to assess the validity of the candidate guidelines. An expert panel completed 2 rounds of rating, with a meeting to discuss the guidelines between the first and second ratings. RESULTS: Through the rating process, expert panel members rated 90 candidate guideline statements across 8 domains, including candidacy for buprenorphine treatment, dosing of buprenorphine, psychosocial counseling, and treatment of co-occurring depression and anxiety. A total of 65 guideline statements (72%) were rated as valid. Expert panel members had agreement in some areas, such as the treatment of co-occurring mental health problems, but disagreement in others, including the appropriate dosing of buprenorphine given patient complexities. CONCLUSIONS: Through an expert panel process, we developed an updated and expanded set of buprenorphine treatment guidelines; this additional guidance may increase credentialed physicians' comfort with prescribing buprenorphine to patients with opioid use disorders. Future efforts should focus on appropriate dosing guidance and ensuring that guidelines can be adapted to a variety of practice settings.
Topic(s):
Opioids & Substance Use See topic collection
,
Education & Workforce See topic collection
7568
Practice Guidance: Drug Screening as a Treatment Tool
Type: Report
Authors: Massachusetts Bureau of Substance Addiction Services
Year: 2013
Topic(s):
Grey Literature 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.

7569
Practice Guidelines for Telemental Health with Children and Adolescents
Type: Report
Authors: American Telemedicine Association
Year: 2017
Publication Place: Washington, DC
Topic(s):
Grey Literature See topic collection
,
HIT & Telehealth 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.

7570
Practice Guidelines for the Administration of Buprenorphine for Treating Opioid Use Disorder
Type: Government Report
Authors: Department of Health and Human Services Office of the Secretary
Year: 2021
Publication Place: Washington, DC
Topic(s):
Grey Literature 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.

7571
Practice Guidelines for the Administration of Buprenorphine for Treating Opioid Use Disorder (86 Fed. Reg. 22439)
Type: Web Resource
Authors: Department of Health and Human Services Office of the Secretary
Year: 2021
Publication Place: Washington, DC
Abstract:

The Practice Guidelines for the Administration of Buprenorphine for Treating Opioid Use Disorder provides eligible physicians, physician assistants, nurse practitioners, clinical nurse specialists, certified registered nurse anesthetists, and certified nurse midwives, who are state licensed and registered by the DEA to prescribe controlled substances, an exemption from certain statutory certification requirements related to training, counseling and other ancillary services (i.e., psychosocial services).

Topic(s):
Grey Literature 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.; 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.

7572
Practice implications and recommendations for managing codeine misuse and dependence
Type: Journal Article
Authors: M. Bergin, I. Norman, M. Foley, R. Harris, A. Rapca, E. Rich, M. C. Van Hout
Year: 2015
Publication Place: Croatia
Abstract: Codeine, a weak opiate, requires increased pharmacovigilance relating to availability, heterogeneous nature of misuse, dependence and associated harm. A scoping review of literature on codeine was conducted using Arksey & O'Malley's framework (1). Databases searched included PubMed, EBSCO Host, Science Direct, EMBASE, PsycINFO, Cochrane library and Medline from 1994 to 2014. Follow-up search strategies involved hand searching and searching of pharmaceutical, health, medical and drug related websites. Initial zscreening identified 3,105 articles with 475 meeting the inclusion criteria. Eight broad categories organised the literature, data charting and qualitative synthesis. This paper presents implications for practice and makes recommendations to address these issues. Themes identified relate to raising public and practitioner awareness, risk management, dispensing practices and monitoring and surveillance of codeine. Evidence to inform law enforcement, drug surveillance, public health initiatives, harm reduction approaches, pharmacy, clinical and treatment practices is warranted.
Topic(s):
Opioids & Substance Use See topic collection
,
Education & Workforce See topic collection
7573
Practice nurse involvement in primary care depression management: an observational cost-effectiveness analysis
Type: Journal Article
Authors: J. Gray, Haji Ali Afzali, J. Beilby, C. Holton, D. Banham, J. Karnon
Year: 2014
Publication Place: England
Abstract: BACKGROUND: Most evidence on the effect of collaborative care for depression is derived in the selective environment of randomised controlled trials. In collaborative care, practice nurses may act as case managers. The Primary Care Services Improvement Project (PCSIP) aimed to assess the cost-effectiveness of alternative models of practice nurse involvement in a real world Australian setting. Previous analyses have demonstrated the value of high level practice nurse involvement in the management of diabetes and obesity. This paper reports on their value in the management of depression. METHODS: General practices were assigned to a low or high model of care based on observed levels of practice nurse involvement in clinical-based activities for the management of depression (i.e. percentage of depression patients seen, percentage of consultation time spent on clinical-based activities). Linked, routinely collected data was used to determine patient level depression outcomes (proportion of depression-free days) and health service usage costs. Standardised depression assessment tools were not routinely used, therefore a classification framework to determine the patient's depressive state was developed using proxy measures (e.g. symptoms, medications, referrals, hospitalisations and suicide attempts). Regression analyses of costs and depression outcomes were conducted, using propensity weighting to control for potential confounders. RESULTS: Capacity to determine depressive state using the classification framework was dependent upon the level of detail provided in medical records. While antidepressant medication prescriptions were a strong indicator of depressive state, they could not be relied upon as the sole measure. Propensity score weighted analyses of total depression-related costs and depression outcomes, found that the high level model of care cost more (95% CI: -$314.76 to $584) and resulted in 5% less depression-free days (95% CI: -0.15 to 0.05), compared to the low level model. However, this result was highly uncertain, as shown by the confidence intervals. CONCLUSIONS: Classification of patients' depressive state was feasible, but time consuming, using the classification framework proposed. Further validation of the framework is required. Unlike the analyses of diabetes and obesity management, no significant differences in the proportion of depression-free days or health service costs were found between the alternative levels of practice nurse involvement.
Topic(s):
Education & Workforce See topic collection
,
Financing & Sustainability See topic collection
7575
Practice Predictors of Buprenorphine Prescribing by Family Physicians
Type: Journal Article
Authors: L. E. Peterson, Z. J. Morgan, T. F. Borders
Year: 2020
Publication Place: United States
Topic(s):
Education & Workforce See topic collection
,
Healthcare Disparities See topic collection
,
Opioids & Substance Use See topic collection
7576
Practice strategies to improve compliance and patient self-management
Type: Journal Article
Authors: C. Ruetsch
Year: 2010
Publication Place: United States
Abstract: BACKGROUND: Failure in treating opioid dependence is costly to the patient, the employer, managed care organizations, and the overall health care system. Opioid dependent patients tend to be less productive at work and in society and utilize a great many health care resources. Optimizing outcomes is essential. OBJECTIVE: To introduce the benefit of integrated strategies and patient support in the treatment of opioid dependence. SUMMARY: Health Analytics is currently studying the benefit of HereToHelp, a behavioral support program in which registered nurses or addiction treatment counselors with specialized training in addiction education provide information and encouragement to patients receiving pharmacologic treatment for opioid dependence. A total of 470 physicians in 41 states have been enlisted to participate in this patient support study. The study hypothesis is that patients who receive behavioral support and encouragement will be more compliant with their opioid replacement therapy, leading to better outcomes. Additional treatment strategies are also being developed to minimize the risk of abuse and diversion. Prodrugs and vaccines are also being investigated. CONCLUSION: A coordinated team approach is essential in treating pain patients and opioid-dependent patients. Offering behavior modification in addition to pharmacotherapy and utilizing strategies such as prescription monitoring programs, pain contracts, and screening are all vital components necessary for positive outcomes.
Topic(s):
Opioids & Substance Use See topic collection
,
Education & Workforce See topic collection
7577
Practice Transformation? Opportunities and Costs for Primary Care Practices
Type: Journal Article
Authors: J. M. Gill, B. Bagley
Year: 2013
Topic(s):
Medical Home See topic collection
7578
Practice variation and length of stay in alcohol and drug detoxification centers
Type: Journal Article
Authors: J. N. Jonkman, D. McCarty, H. J. Harwood, S. L. Normand, Y. Caspi
Year: 2005
Publication Place: United States
Abstract: Admissions to 20 publicly funded alcohol and drug detoxification centers in Massachusetts were examined to identify program and patient variables that influenced length of stay. The last admission during fiscal year 1996 was abstracted for patients 18 years of age and older seeking alcohol, cocaine, or heroin detoxification (n=21,311; 29% women). A hierarchical generalized linear model examined the effects of patient and program characteristics on variation in length of stay and tested case-mix adjustments. Program size had the most influence on mean adjusted length of stay; stays were more than 40% longer in detoxification centers with 35 or more beds (7.69 days) than in centers with less than 35 beds (5.42 days). The study highlights the contribution of program size to treatment processes and suggests the need for more attention to program attributes in studies of patient outcomes and treatment processes.
Topic(s):
Opioids & Substance Use See topic collection
7579
Practice-based care coordination: A medical home essential
Type: Journal Article
Authors: J. W. McAllister, E. Presler, W. C. Cooley
Year: 2007
Publication Place: United States
Abstract: Families who raise children and youth with special health care needs deserve a medical home. They expect a team approach to health care, with coordination across multiple services and settings. Children, youth, and families benefit from the organization of critical information into written care summaries and action plans. If primary care pediatricians, family physicians, and internists are to achieve optimal health care quality and improvement of existing health care delivery, care coordination will be an essential contributing process to their team approach. Several national health policy recommendations identify care coordination as a cross-cutting intervention to fill the gap between what exists and what is needed in health care today. A practice-based care-coordination model, including a definition and vision for care, a framework of structures and processes, and a position description with specific competencies, is needed. Improvement methodology provides an effective means for health care teams to implement and evaluate practice-based care coordination within their medical home. The improvement approach and model must be flexibly applied to have utility across diverse health care organizations. A medical home team approach, with fully developed practice-based care-coordination services, will enhance health and cost outcomes for children, youth, and families and heighten the professional satisfaction of those delivering health care.
Topic(s):
Medical Home See topic collection
,
Healthcare Policy See topic collection
7580
Practice-Based Guidelines: Buprenorphine in the Age of Fentanyl
Type: Government Report
Authors: Provider Clinical Support System
Year: 2023
Publication Place: East Providence, RI
Topic(s):
Grey Literature 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.