Literature Collection

7801

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

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7802

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

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7803

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

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7804

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

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7805

Older adults' attitudes toward depression screening in primary care settings and exploring a brief educational pamphlet

Type: Journal Article

Authors: A. Shah, F. Scogin, C. M. Pierpaoli, A. Shah

Year: 2017

Publication Place: England

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7806

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):

, ,

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 Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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7807

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

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7808

Older depressed Latinos' experiences with primary care visits for personal, emotional and/or mental health problems: a qualitative analysis

Type: Journal Article

Authors: A. Izquierdo, C. Sarkisian, G. Ryan, K. B. Wells, J. Miranda

Year: 2014

Publication Place: United States

Abstract: OBJECTIVE: To describe salient experiences with a primary care visit (eg, the context leading up to the visit, the experience and/or outcomes of that visit) for emotional, personal and/or mental health problems older Latinos with a history of depression and recent depressive symptoms and/or antidepressant medication use reported 10 years after enrollment into a randomized controlled trial of quality-improvement for depression in primary care. DESIGN: Secondary analysis of existing qualitative data from the second stage of the continuation study of Partners in Care (PIC). PARTICIPANTS: Latino ethnicity, aged > or =50 years, recent depressive symptoms and/or antidepressant medication use, and a recent primary care visit for mental health problems. Of 280 second-stage participants, 47 were eligible. Both stages of the continuation study included participants from the PIC parent study control and 2 intervention groups, and all had a history of depression. METHODS: Data analyzed by a multidisciplinary team using grounded theory methodology. RESULTS: Five themes were identified: beliefs about the nature of depression; prior experiences with mental health disorders/treatments; sociocultural context (eg, social relationships, caregiving, the media); clinic-related features (eg, accessibility of providers, staff continuity, amount of visit time); and provider attributes (eg, interpersonal skills, holistic care approach). CONCLUSIONS: Findings emphasize the importance of key features for shaping the context leading up to primary care visits for help-seeking for mental health problems, and the experience and/or outcomes of those visits, among older depressed Latinos at long-term follow-up, and may help tailor chronic depression care for the clinical management of this vulnerable population.

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7809

Older people's mental health in rural areas: Converting policy into service development, service access and a sustainable workforce

Type: Journal Article

Year: 2019

Publication Place: Australia

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7810

Omnis Salutis: Participatory development of a VA Whole Health patient education and activation intervention

Type: Journal Article

Authors: S. M. Hack, A. Lucksted, C. H. Brown, S. Havrilla, J. Castillo, M. Bennett

Year: 2026

Abstract:

OBJECTIVES: This study aimed to develop a brief, Veteran-targeted intervention to educate and activate Veteran engagement in patient-centered mental health care and test its feasibility, acceptability, and preliminary efficacy. METHODS: Participatory action research methods were used with Veterans, VA clinicians, and VA researchers to develop a Veteran engagement intervention. Once developed, qualitative interviews were conducted with participants in a ten-person acceptability trial. This was followed by a pilot randomized controlled trial (n = 48) to test feasibility and explore preliminary efficacy. RESULTS: Omnis Salutis is a three session, individual intervention grounded in Motivational Interviewing, which aims to help Veterans identify their well-being goals and be an active leader in their mental health care. Acceptability was confirmed in qualitative interviews, with participants noting that Veterans are socialized to hierarchical provider relationships and Omnis Salutis was an effective method of activating Veterans. Feasibility of interventionist training and intervention delivery was demonstrated both in-person and on the telehealth platform with 41 Veterans completing three sessions of the experimental and control conditions and interventionists demonstrating over 90 % fidelity to the intervention. Though not statistically powered, at three months post-exposure, there were small effect size indicating that Omnis Salutis participants may have greater self-reported involvement in care and lower perceptions of their providers' patient-centeredness than the control. CONCLUSIONS: Omnis Salutis was developed to support recent Veterans preference for multi-faceted mental health care which supports their functional recovery, and VA's efforts to create a patient-centered, Whole Health system of care. PRACTICE IMPLICATIONS: Providers should be aware that Veterans have been socialized in a hierarchical health care system. Veterans may need additional time and education to understand the patient-centered approach and learn new ways of engaging in health care. Further research is needed to determine if Omnis Salutis increases patients' ability to effectively participate in health care encounters and self-care behaviors by increasing their ability to identify and communicate their health care goals and motivations.

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7811

On the Occasion of the World Mental Health Day Minding the Gap in Mental Health: The Health Promotion-Primary Care-based Solution

Type: Journal Article

Authors: M. M. Demarzo

Year: 2012

Publication Place: Iran

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7812

On the Relationship Between Online Heterosexist Discrimination and Mental Health and Substance Use Among LGBTQ+ Young Adults

Type: Journal Article

Authors: I. Carson, W. Wu, A. Knopf, C. A. Crawford, T. C. B. Zapolski

Year: 2024

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7813

On-site mental health workers delivering psychological therapy and psychosocial interventions to patients in primary care: Effects on the professional practice of primary care providers

Type: Journal Article

Authors: E. F. Harkness, P. J. Bower

Year: 2009

Publication Place: England

Abstract: BACKGROUND: Mental health problems are common in primary care and mental health workers (MHWs) are increasingly working in this setting delivering psychological therapy and psychosocial interventions to patients. In addition to treating patients directly, the introduction of on-site MHWs represents an organisational change that may lead to changes in the clinical behaviour of primary care providers (PCPs). OBJECTIVES: To assess the effects of on-site MHWs delivering psychological therapy and psychosocial interventions in primary care on the clinical behaviour of primary care providers (PCPs). SEARCH STRATEGY: The following sources were searched in 1998: the Cochrane Effective Practice and Organisation of Care Group Specialised Register, the Cochrane Controlled Trials Register, MEDLINE, EMBASE, PsycINFO, CounselLit, NPCRDC skill-mix in primary care bibliography, and reference lists of articles. Additional searches were conducted in February 2007 using the following sources: MEDLINE, EMBASE, PsycINFO, CINAHL, and Cochrane Central Register of Clinical Trials (CENTRAL) (The Cochrane Library). SELECTION CRITERIA: Randomised trials, controlled before and after studies, and interrupted time series analyses of MHWs working alongside PCPs in primary care settings. The outcomes included objective measures of PCP behaviours such as consultation rates, prescribing, and referral. DATA COLLECTION AND ANALYSIS: Two review authors independently extracted data and assessed study quality. MAIN RESULTS: Forty-two studies were included in the review. There was evidence that MHWs caused significant reductions in PCP consultations (standardised mean difference -0.17, 95% CI -0.30 to -0.05), psychotropic prescribing (relative risk 0.67, 95% CI 0.56 to 0.79), prescribing costs (standardised mean difference -0.22, 95% CI -0.38 to -0.07), and rates of mental health referral (relative risk 0.13, 95% CI 0.09 to 0.20) for the patients they were seeing. In controlled before and after studies, the addition of MHWs to a practice did not affect prescribing behaviour towards the wider practice population and there was no consistent pattern to the impact on referrals in the wider patient population. AUTHORS' CONCLUSIONS: This review provides some evidence that MHWs working in primary care to deliver psychological therapy and psychosocial interventions cause a significant reduction in PCP behaviours such as consultations, prescribing, and referrals to specialist care. However, the changes are modest in magnitude, inconsistent, do not generalise to the wider patient population, and their clinical or economic significance is unclear.

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7814

On-site mental health workers in primary care: effects on professional practice

Type: Journal Article

Authors: P. Bower, B. Sibbald

Year: 2000

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7815

Once-monthly subcutaneous buprenorphine (Sublocade) for opioid use disorder

Type: Journal Article

Year: 2018

Publication Place: United States

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7816

One size does not fit all: parents' evaluations of a support program in a newborn intensive care nursery

Type: Journal Article

Authors: I. Hurst

Year: 2006

Publication Place: United States

Abstract: As intensive care nursery personnel increasingly seek to provide comprehensive care to families, there is a renewed emphasis on offering family support programs. PURPOSE: The purpose of this study was to identify parents' utilization and evaluation of a support program based in a newborn intensive care unit (NICU) that offered a combination of formats for support services: group support, one-to-one support, and telephone support. METHODS: Program records and a survey developed by the author documented parental use and evaluation of services. Data analysis consisted of descriptive statistics and qualitative content analysis of demographic data, survey results, and parental comments. RESULTS: Of the total 477 participants, 78% utilized 1 support service format exclusively. Eighteen percent utilized 2 support formats concurrently. A subsample of 48 parents completed an evaluation survey. Continuity of care was a critical component of the program overall. Group support offered more opportunities for families to problem-solve communication issues with nursery personnel and provide information that assisted parents' involvement in their babies' care. CONCLUSIONS: Parent support programs that utilize only one type of format may not be optimal for providing the range of support needed by many NICU families. Parent support programs offer an important mechanism to assess provider approaches to facilitate family-centered care.

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7817

One size fits some: The impact of patient treatment attitudes on the cost-effectiveness of a depression primary-care intervention

Type: Journal Article

Authors: J. M. Pyne, K. M. Rost, F. Farahati, S. P. Tripathi, J. Smith, D. K. Williams, J. Fortney, J. C. Coyne

Year: 2005

Publication Place: England

Abstract: BACKGROUND: Despite their impact on outcomes, the effect of patient treatment attitudes on the cost-effectiveness of health-care interventions is not widely studied. This study estimated the impact of patient receptivity to antidepressant medication on the cost-effectiveness of an evidence-based primary-care depression intervention. METHOD: Twelve community primary-care practices were stratified and then randomized to enhanced (intervention) or usual care. Subjects included 211 patients beginning a new treatment episode for major depression. At baseline, 111 (52.6%) and 145 (68.7%) reported receptivity to antidepressant medication and counseling respectively. The intervention trained the primary-care teams to assess, educate, and monitor depressed patients. Twelve-month incremental (enhanced minus usual care) total costs and quality-adjusted life years (QALYs) were calculated. RESULTS: Among patients receptive to antidepressants, the mean incremental cost-effectiveness ratio was dollar 5,864 per QALY (sensitivity analyses up to dollar 14,689 per QALY). For patients not receptive to antidepressants, the mean incremental QALY score was negative (for both main and sensitivity analyses), or the intervention was at least no more effective than usual care. CONCLUSIONS: These findings suggest a re-thinking of the 'one size fits all' depression intervention, given that half of depressed primary-care patients may be non-receptive to antidepressant medication treatment. A brief assessment of treatment receptivity should occur early in the treatment process to identify patients most likely to benefit from primary-care quality improvement efforts for depression treatment. Patient treatment preferences are also important for the development, design, and analysis of depression interventions.

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7818

One-Visit Behavioral Intervention for Older Primary Care Patients with Mild to Moderate Depressive Symptoms

Type: Journal Article

Authors: A. M. Gum, L. Schonfeld, S. Tyler, S. Fishleder, L. Guerra

Year: 2016

Publication Place: United States

Abstract: OBJECTIVES: We pilot tested a one-visit behavioral intervention with telephone follow-up for older primary care patients with mild to moderate depressive symptoms. METHODS: A total of 16 English-speaking primary care patients aged 60 years and older who scored 5 to 14 on the Patient Health Questionnaire-9 (PHQ-9) engaged in the intervention visit. Outcomes were assessed at baseline and 4 weeks: activity goals, readiness to change (University of Rhode Island Change Assessment), PHQ-9, Generalized Anxiety Disorder-7, World Health Organization Disability Assessment Schedule 2.0, and satisfaction. RESULTS: The 14 participants who completed the study met or exceeded 73% of activity goals on average. They also improved on all outcomes (P < 0.05) with medium (University of Rhode Island Change Assessment, GAD-7) to large effect sizes (PHQ-9, World Health Organization Disability Assessment Schedule 2.0), and they were satisfied. CONCLUSIONS: This pilot study provided preliminary evidence that a one-visit behavioral activation intervention is acceptable and feasible and improves outcomes. If findings are confirmed, then this intervention could be integrated into existing collaborative care programs.

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7819

One-year follow-up of collaborative depression care for low-income, predominantly Hispanic patients with cancer

Type: Journal Article

Authors: K. Ell, B. Xie, S. Kapetanovic, D. I. Quinn, P. J. Lee, A. Wells, C. P. Chou

Year: 2011

Publication Place: United States

Abstract: OBJECTIVE: This study assessed longer-term outcomes of low-income patients with cancer (predominantly female and Hispanic) after treatment in a collaborative model of depression care or in enhanced usual care. METHODS: The randomized controlled trial, conducted in safety-net oncology clinics, recruited 472 patients with major depression symptoms. Patients randomly assigned to a 12-month intervention (a depression care manager and psychiatrist provided problem-solving therapy, antidepressants, and symptom monitoring and relapse prevention) or enhanced usual care (control group) were interviewed at 18 and 24 months after enrollment. RESULTS: At 24 months, 46% of patients in the intervention group and 32% in the control group had a >/=50% decrease in depression score over baseline (odds ratio=2.09, 95% confidence interval=1.13-3.86; p=.02); intervention patients had significantly better social (p=.03) and functional (p=.01) well-being. Treatment receipt among intervention patients declined (72%, 21%, and 18% at 12, 18, and 24 months, respectively); few control group patients reported treatment receipt (10%, 6%, and 13%, respectively). Significant differences in receipt of counseling or antidepressants disappeared at 24 months. Depression recurrence was similar between groups (intervention, 36%; control, 39%). Among patients with depression recurrence, intervention patients were more likely to receive treatment after 12 months (34% versus 10%; p=.03). At 24 months, attrition (262 patients, 56%) did not vary by group; 22% were deceased, 20% declined further participation, and 14% could not be located. CONCLUSIONS: Collaborative care reduced depression symptoms and enhanced quality of life; however, results call for ongoing depression symptom monitoring and treatment for low-income cancer survivors.

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7820

One-Year Follow-Up of Heroin-Dependent Adolescents Treated with Buprenorfine/Naloxone for the First Time in a Substance Treatment Unit

Type: Journal Article

Authors: C. Mutlu, A. C. Demirci, O. Yalcin, A. G. Kilicoglu, M. Topal, G. Karacetin

Year: 2016

Publication Place: United States

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