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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
7601
Primary care informatics and integrated care
Type: Journal Article
Year: 2010
Publication Place: Netherlands
Abstract: This chapter gives an educational overview of: * The biopsychosocial model of primary health care and longitudinal relationships; * Management of undifferentiated problems and chronic illness within the clinical relationship; * Patient-centred care in the context of health promotion, early detection and effective care of patients with chronic illness; * Inter-professional networks, connectedness, connectivity and interoperability; * Record linkage and health information sharing/exchange for clinical, audit, quality assurance, professional development and research purposes.
Topic(s):
HIT & Telehealth
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7602
Primary care intervention to reduce alcohol misuse ranking its health impact and cost effectiveness
Type: Journal Article
Year: 2008
Publication Place: Netherlands
Abstract: BACKGROUND: The U.S. Preventive Services Task Force (USPSTF) has recommended screening and behavioral counseling interventions in primary care to reduce alcohol misuse. This study was designed to develop a standardized rating for the clinically preventable burden and cost effectiveness of complying with that recommendation that would allow comparisons across many recommended services. METHODS: A systematic review of the literature from 1992 through 2004 to identify relevant randomized controlled trials and cost-effectiveness studies was completed in 2005. Clinically preventable burden (CPB) was calculated as the product of effectiveness times the alcohol-attributable fraction of both mortality and morbidity (measured in quality-adjusted life years or QALYs), for all relevant conditions. Cost effectiveness from both the societal perspective and the health-system perspective was estimated. These analyses were completed in 2006. RESULTS: The calculated CPB was 176,000 QALYs saved over the lifetime of a birth cohort of 4,000,000, with a range in sensitivity analysis from -43% to +94% (primarily due to variation in estimates of effectiveness). Screening and brief counseling was cost-saving from the societal perspective and had a cost-effectiveness ratio of $1755/QALY saved from the health-system perspective. Sensitivity analysis indicates that from both perspectives the service is very cost effective and may be cost saving. CONCLUSIONS: These results make alcohol screening and counseling one of the highest-ranking preventive services among the 25 effective services evaluated using standardized methods. Since current levels of delivery are the lowest of comparably ranked services, this service deserves special attention by clinicians and care delivery systems.
Topic(s):
Financing & Sustainability
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Reference Links: 
View the DOI record for Primary care intervention to reduce alcohol misuse ranking its health impact and cost effectiveness
View DOI Record
View the PubMed citation for Primary care intervention to reduce alcohol misuse ranking its health impact and cost effectiveness7603
Primary care interventions for pediatric obesity: Need for an integrated approach
Type: Journal Article
Year: 2015
Publication Place: United States
Topic(s):
General Literature
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Reference Links:
View the DOI record for Primary care interventions for pediatric obesity: Need for an integrated approach
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View the PubMed citation for Primary care interventions for pediatric obesity: Need for an integrated approach7608
Primary care management of depression in children and adolescents
Type: Journal Article
Year: 2016
Publication Place: United States
Abstract: Depression is the most common mental health disorder in children and adolescents, and primary care is often the first point of contact for children and adolescents with depression. Depression impacts all areas of life, impairing academics and interactions with family and friends. The purpose of this article is to help NPs identify and treat children and adolescents presenting with depression in the primary care setting.
Topic(s):
Healthcare Disparities
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Reference Links:
View the DOI record for Primary care management of depression in children and adolescents
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View the PubMed citation for Primary care management of depression in children and adolescents7610
Primary care management of opioid dependence: The addition of CBT gives no extra benefit compared to standard physician management alone
Type: Journal Article
Year: 2013
Publication Place: England
Topic(s):
Opioids & Substance Use
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7611
Primary care management of opioid use disorders: Abstinence, methadone, or buprenorphine-naloxone?
Type: Journal Article
Year: 2017
Publication Place: Canada
Topic(s):
Opioids & Substance Use
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, Education & Workforce
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Reference Links: View the PubMed citation for Primary care management of opioid use disorders: Abstinence, methadone, or buprenorphine-naloxone?
7612
Primary Care Medical Provider Attitudes Regarding Mental Health and Behavioral Medicine in Integrated and Non-integrated Primary Care Practice Settings
Type: Journal Article
Year: 2012
Abstract: Primary care medical providers (PCPs) have become de facto providers of services for the management of both mental and chronic illnesses. Although some reports suggest that PCPs favor having Behavioral Health colleagues provide behavioral health services in primary care, others demonstrate this view is necessarily not universal. We examined attitudes regarding behavioral health services among PCPs in practices that offer such services via onsite behavioral health providers (n = 31) and those that do not (n = 62). We compared referral rates and perceived need for and helpfulness of behavioral health colleagues in treating mental health/behavioral medicine issues. In both samples, perceived need was variable (5-100%), as were PCPs' views of their own competence in mental health/behavioral medicine diagnosis and treatment. Interestingly, neither sample rated perceived access to behavioral health providers exceptionally high. Referral rates and views about the helpfulness of behavioral health services, except in relation to depression and anxiety, were lower than expected. These results suggest a need for increased collaboration with and education of PCPs about the roles and skills of behavioral health professionals.
Topic(s):
Education & Workforce
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7615
Primary care mental health services in Qatar
Type: Journal Article
Year: 2021
Topic(s):
General Literature
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7616
Primary care mental health workers: Models of working and evidence of effectiveness
Type: Journal Article
Year: 2002
Publication Place: England
Abstract: The NHS Plan proposed the creation of a new role in primary care to assist with the management of common mental health problems: the primary care mental health worker (PCMHW). However, it is not clear how PCMHWs should be employed to be most effective. Current literature concerning different models of mental health care is reviewed. This suggests that four key dimensions are of relevance: the types of patients that PCMHWs will manage; the degree to which PCMHWs will work autonomously, or as part of a system of care; at what stage in patients' illness trajectory they will intervene; and whether the role of PCMHWs will be related to clinical interventions, or whether they will have a wider, non-clinical role in the organisation and monitoring of care. Finally, published data concerning relevant interventions are presented. Experimental studies reporting the empirical outcomes associated with these models are reviewed in relation to four different outcomes: clinical effectiveness, cost effectiveness, patient satisfaction, and access to care. The data suggest that problem-solving therapy, group psycho-education, self-help, and some models of 'collaborative care' may be highly relevant to PCMHWs. Each model provides different advantages and disadvantages in terms of the four dimensions of outcome.
Topic(s):
Education & Workforce
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Reference Links: View the PubMed citation for Primary care mental health workers: Models of working and evidence of effectiveness
7617
Primary care mental health workers: Role expectations, conflict and ambiguity
Type: Journal Article
Year: 2004
Publication Place: England
Abstract: A number of professionals are involved in mental health in primary care. The NHS Plan proposed the introduction of a new professional, the primary care mental health worker (PCMHW), to improve care in this setting. The present study was conducted to examine pilot PCMHW-type roles currently in existence, to explore staff expectations concerning the new PCMHW role and to consider the issues relating to roles in primary care mental health that are raised by this new worker. The study used a case study design, and involved qualitative interviews with 46 managers and clinicians from primary care and specialist mental health services, including pilot PCMHW-type roles. The key findings were as follows: The pilot PCMHW-type roles were almost exclusively related to client work, whereas respondents had far wider role expectations of the new PCMHWs, relating to perceived gaps in current service provision. This highlights the potential for role conflict. Secondly, there was disagreement and ambiguity among some respondents as to the nature of the new PCMHW's role in client work, and its relationship with the work undertaken by other mental health professionals such as counsellors, psychologists and nurses. Given that multiple professionals are involved in mental health care in primary care, issues relating to roles are likely to be crucial in the effective implementation of the new PCMHWs.
Topic(s):
Education & Workforce
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Reference Links:
View the DOI record for Primary care mental health workers: Role expectations, conflict and ambiguity
View DOI Record
View the PubMed citation for Primary care mental health workers: Role expectations, conflict and ambiguity7618
Primary care models for treating opioid use disorders: What actually works? A systematic review
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 Primary care models for treating opioid use disorders: What actually works? A systematic review
View DOI Record
View the PubMed citation for Primary care models for treating opioid use disorders: What actually works? A systematic review7619
Primary care monitoring of depressive symptoms in young people
Type: Journal Article
Year: 2014
Publication Place: Australia
Abstract: BACKGROUND: Monitoring depressive symptoms and suicidality is essential in the management of depression in young people, yet routine monitoring is rare. This qualitative study sought to explore the experiences and beliefs of general practitioners about factors associated with monitoring youth depression in primary care settings. METHODS: Two focus groups with general practitioners (n = 12) were audio-recorded, transcribed verbatim and analysed using thematic analysis. A semi-structured interview schedule was used. RESULTS: In the primary care setting, monitoring was perceived as part of a continuum of care that begins with screening and diagnosis and as beneficial mostly in regards to informing treatment planning. Benefits and risks were reported, along with challenges and facilitators. DISCUSSION: Monitoring youth depression in primary care settings is perceived as both beneficial and potentially risky. Monitoring tools need to inform treatment planning, be brief and fit within existing electronic software used by general practitioners.
Topic(s):
Healthcare Disparities
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Reference Links: View the PubMed citation for Primary care monitoring of depressive symptoms in young people