Email UpdatesLiterature Collection
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).
11272 Results
7901
Primary care for deaf people with mental health problems
Type: Journal Article
Year: 2014
Publication Place: England
Abstract: There are approximately 10 million people in the UK who have some form of hearing loss, and the prevalence of mental health problems among deaf people appears to be significantly higher compared with the wider population. Deaf people find it harder to establish good relationships with health professionals and, sadly, many of the issues arise from discrimination and practical obstacles faced within the healthcare system. Some of these issues include a lack of awareness, funding, and prioritisation within the wider political and healthcare agenda. This article provides an overview of the background of hearing loss and mental ill health, policy and current access to mental health services for deaf people, what has changed and recommendations for the future.
Topic(s):
Healthcare Disparities
See topic collection
Reference Links: View the PubMed citation for Primary care for deaf people with mental health problems
7902
Primary care for patient complexity, not only disease
Type: Journal Article
Year: 2009
Abstract: Primary care is increasingly geared toward standardized care and decision-making for common chronic conditions, combinations of medical and mental health conditions, and the behavioral aspects of care for those conditions. Yet even with well-integrated team-based care for health conditions in place, some patients do not engage or respond as well as clinicians would wish or predict. This troubles patients and clinicians alike and is often chalked up informally to "patient complexity." Indeed, every clinician has encountered complex patients and reacted with "Oh my gosh"-but not necessarily with a patterned vocabulary for exactly how the patient is complex and what to do about it. Based on work in the Netherlands, patient complexity is defined here as interference with standard care and decision-making by symptom severity or impairments, diagnostic uncertainty, difficulty engaging care, lack of social safety or participation, disorganization of care, and difficult patient-clinician relationships. A blueprint for patient-centered medical home must address patient complexity by promoting the interplay of usual care for conditions and individualized attention to patient-specific sources of complexity-across whatever diseases and conditions the patient may have.
Topic(s):
Medical Home
See topic collection
7903
Primary Care for Persons Who Inject Drugs
Type: Journal Article
Year: 2019
Publication Place: United States
Abstract: More than 750,000 persons in the United States inject opioids, methamphetamine, cocaine, or ketamine, and that number is increasing because of the current opioid epidemic. Persons who inject drugs (PWID) are at higher risk of infectious and noninfectious skin, pulmonary, cardiac, neurologic, and other causes of morbidity and mortality. Nonjudgmental inquiries about current drug use can uncover information about readiness for addiction treatment and identify modifiable risk factors for complications of injection drug use. All PWID should be screened for human immunodeficiency virus infection, latent tuberculosis, and hepatitis B and C, and receive vaccinations for hepatitis A and B, tetanus, and pneumonia if indicated. Pre-exposure prophylaxis for human immunodeficiency virus infection should also be offered. Naloxone should be prescribed to those at risk of opioid overdose. Skin and soft tissue infections are the most common medical complication in PWID and the top reason for hospitalization in these patients. Signs of systemic infection require hospitalization, blood cultures, and a comprehensive history and physical examination to determine the source of infection. PWID have a higher incidence of community-acquired pneumonia and are at risk of other pulmonary complications, including opioid-associated pulmonary edema, asthma, and foreign body granulomatosis. Infectious endocarditis is the most common cardiac complication associated with injection drug use and more often involves the right-sided heart valves, which may not present with heart murmurs or peripheral signs and symptoms, in PWID. Injections increase the risk of osteomyelitis, as well as subdural and epidural abscesses.
Topic(s):
Opioids & Substance Use
See topic collection
7906
Primary Care Implementation of a Mandatory Prescription Drug Monitoring Program in New York City
Type: Journal Article
Year: 2022
Publication Place: United States
Topic(s):
Education & Workforce
See topic collection
, Opioids & Substance Use
See topic collection
Reference Links:
View the DOI record for Primary Care Implementation of a Mandatory Prescription Drug Monitoring Program in New York City
View DOI Record
View the PubMed citation for Primary Care Implementation of a Mandatory Prescription Drug Monitoring Program in New York City7907
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
See topic collection
7908
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
See topic collection
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 effectiveness7909
Primary care interventions for pediatric obesity: Need for an integrated approach
Type: Journal Article
Year: 2015
Publication Place: United States
Topic(s):
General Literature
See topic collection
Reference Links:
View the DOI record for Primary care interventions for pediatric obesity: Need for an integrated approach
View DOI Record
View the PubMed citation for Primary care interventions for pediatric obesity: Need for an integrated approach7914
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
See topic collection
Reference Links:
View the DOI record for Primary care management of depression in children and adolescents
View DOI Record
View the PubMed citation for Primary care management of depression in children and adolescents7916
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
See topic collection
7917
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
See topic collection
, Education & Workforce
See topic collection
Reference Links: View the PubMed citation for Primary care management of opioid use disorders: Abstinence, methadone, or buprenorphine-naloxone?
7918
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
See topic collection