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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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11248 Results
8221
Psychological comorbidities predicting prescription opioid abuse among patients in chronic pain presenting to the emergency department
Type: Journal Article
Authors: Barth L. Wilsey, Scott M. Fishman, Alexander Tsodikov, Christine Ogden, Ingela Symreng, Amy Ernst
Year: 2008
Topic(s):
Opioids & Substance Use See topic collection
8222
Psychological distress in frequent users of primary health care and emergency departments: a scoping review
Type: Journal Article
Authors: E. Margo-Dermer, A. Dépelteau, A. Girard, C. Hudon
Year: 2019
Publication Place: Houndsmill
Topic(s):
Education & Workforce See topic collection
,
Financing & Sustainability See topic collection
,
Healthcare Disparities See topic collection
8223
Psychological factors related to resilience and vulnerability among youth with HIV in an integrated care setting
Type: Journal Article
Authors: T. Chenneville, K. Gabbidon, C. Lynn, C. Rodriguez
Year: 2018
Publication Place: England
Abstract: Approximately 22% of HIV diagnoses in 2015 occurred among youth aged 13-24. Much is known about the risk factors and psychopathology present in youth living with HIV (YLWH), however, relatively little is known about resiliency in this population. The current study sought to assess factors related to resilience and vulnerability among YLWH as well as the impact of psychosocial factors on these constructs using existing clinical data from an integrated care clinic serving YLWH in the southeastern United States. Data included findings from mental health screeners administered as part of the standard protocol of care for youth aged 13-24 including information about anxiety (GAD-7), post-traumatic stress disorder (PC-PTSD), depression (PHQ-A or PHQ-9), substance use (CRAFFT), and medication adherence (BEHKA-HIV Action subscale) as well as viral load and demographic variables. Hierarchical linear regression was used to determine factors related to biological (viral load) and behavioral indicators of resilience and vulnerability (BEHKA-HIV Action subscale and CRAFFT). Results showed that anxiety was a significant covariate of both biological and behavioral indicators of resilience while gender was a significant factor associated with behavioral indicators of vulnerability. None of the psychological or demographic factors examined in this study were associated with substance use, a behavioral indicator of vulnerability and resilience. Our results support the need for clinicians to screen for and monitor anxiety symptoms among YLWH in integrated care settings in an effort to promote resilience and minimize vulnerability. Practical, evidence-based strategies should be applied in clinical settings to address medication adherence and anxiety among YLWH.
Topic(s):
Healthcare Disparities See topic collection
8224
Psychological First Aid for Schools (PFA-S) Field Operations Guide
Type: Report
Authors: The National Child Traumatic Stress Network
Year: 2017
Publication Place: Rockville, MD
Topic(s):
Education & Workforce See topic collection
,
Healthcare Disparities 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.

8225
Psychological impact of family history risk assessment in primary care: a mixed methods study
Type: Journal Article
Authors: L. Birt, J. D. Emery, A. T. Prevost, S. Sutton, F. M. Walter
Year: 2014
Abstract: BACKGROUND: Routine family history risk assessment for chronic diseases could enable primary care practitioners to efficiently identify at-risk patients and promote preventive management strategies. OBJECTIVES: To investigate patients' understanding and responses to family history risk assessment in primary care. METHOD: A mixed methods study set in 10 Eastern England general practices. Participants in a family history questionnaire validation study were triaged into population or increased risk for four chronic diseases (type 2 diabetes, cardiovascular disease, breast cancer, colorectal cancer). Questionnaires completed immediately prior to the family history consultation (baseline) and 4 weeks later (follow-up) assessed the psychological impact, including State-Trait Anxiety Inventory scores. Semi-structured interviews explored the meaning participants gave to their personal familial disease risk. RESULTS: Four hundred and fifty-three participants completed both baseline and follow-up questionnaires and 30 were interviewed. At follow-up, there was no increase in anxiety among either group, or differences between the groups [difference in mean change 0.02, 95% confidence interval -2.04, 2.08, P = 0.98]. There were no significant changes over time in self-rated health in either group. At follow-up, participants at increased risk (n = 153) were more likely to have recent changes to behaviour and they had stronger intentions to make changes to diet (P = 0.001), physical activity (P = 0.006) and to seek further information in the future than those at population risk (n = 300; P < 0.001). Using qualitative analysis, five themes were developed representing ways in which participants gave meaning to familial disease risk ('Being reassured', 'Controlling risk', 'Dealing with it later', 'Beyond my control', 'Disbelieving the risk'). The meanings they attributed to increased risk appeared to shape their intention to undertake behaviour change. CONCLUSION: Routine assessment for familial risk of chronic diseases may be undertaken in primary care without causing anxiety or reducing self-rated health. Patient responses to family history risk assessment may inform promotion of preventive management strategies.
Topic(s):
General Literature See topic collection
8226
Psychological interventions for anxiety in adult primary care patients: A review and recommendations for future research
Type: Journal Article
Authors: R. L. Shepardson, L. J. Buchholz, R. B. Weisberg, J. S. Funderburk
Year: 2018
Publication Place: Netherlands
Abstract: Anxiety symptoms are prevalent in primary care, yet treatment rates are low. The integration of behavioral health providers into primary care via the Primary Care Behavioral Health (PCBH) model offers a promising way to improve treatment options by adding a team member with the necessary skillset to deliver evidence-based psychological interventions for anxiety. We conducted a narrative review of psychological interventions for anxiety applied within adult primary care settings (k=44) to update the literature and evaluate the fit of existing interventions with the PCBH model. The majority of studies were randomized controlled trials (RCTs; 70.5%). Most interventions utilized cognitive-behavioral therapy (68.2%) and were delivered individually, face-to-face (52.3%). Overall, 65.9% of interventions (58.6% of RCTs, 91.7% of pre-post) were effective in reducing anxiety symptoms, and 83.3% maintained the gains at follow-up. Although it is encouraging that most interventions significantly reduced anxiety, their longer formats (i.e., number and duration of sessions) and narrow symptom targets make translation into practice difficult. Methodological limitations of the research included homogenous samples, failure to report key procedural details, pre-post designs, and restrictive eligibility criteria. We offer recommendations to guide future research to improve the likelihood of successful translation of anxiety interventions into clinical practice.
Topic(s):
General Literature See topic collection
8227
Psychological interventions for major depression in primary care: a meta-analytic review of randomized controlled trials
Type: Journal Article
Authors: B. Bortolotti, M. Menchetti, F. Bellini, M. B. Montaguti, D. Berardi
Year: 2008
Publication Place: United States
Abstract: OBJECTIVE: Various studies have tested psychological therapies in the treatment of depression in primary care. Yet, concerns over their clinical effectiveness, as compared to usual general practitioner (GP) care or treatment with antidepressants, have been raised. The present meta-analysis was aimed at assessing currently available evidence on the topic. METHOD: A systematic search of electronic databases identified 10 randomized controlled trials comparing psychological forms of intervention with either usual GP care or antidepressant medication for major depression. Meta-analytical procedures were used to examine the impact of psychological intervention in primary care on depression, as compared to usual GP care and antidepressant treatment. RESULTS: The main analyses showed greater effectiveness of psychological intervention over usual GP care in both the short term [standardized mean difference (SMD)=-0.42, 95% confidence interval (CI)=-0.59 to -0.26, n=408] and long term (SMD=-0.30, 95% CI=-0.45 to -0.14, n=433). The heterogeneity test was not significant in the short term at the P<.05 level (df=5, P=.57, I(2)=0%), but it was significant in the long term (df=5, P=.004, I(2)=70.9%). The comparison between psychological forms of intervention and antidepressant medication yielded no effectiveness differences, for either the short term or the long term. CONCLUSIONS: Psychological forms of intervention are significantly linked to clinical improvement in depressive symptomatology and may be useful for supplementing usual GP care.
Topic(s):
HIT & Telehealth See topic collection
8228
Psychological practice in rural settings: At the cutting edge
Type: Journal Article
Authors: Ruth Riding-Malon, James L. Werth Jr
Year: 2014
Topic(s):
Healthcare Disparities See topic collection
,
Education & Workforce See topic collection
8229
Psychological screening and consultation in a pediatric diabetes clinic: Medical providers’ perspectives
Type: Journal Article
Authors: Kaitlyn E. Brodar, Rafael O. Leite, Daniella Marchetti, Manuela Jaramillo, Eileen Davis, Janine Sanchez, Alan M. Delamater, Patrice G. Saab, Annette M. La Greca
Year: 2021
Topic(s):
Education & Workforce See topic collection
,
Healthcare Disparities See topic collection
8230
Psychological therapies in primary care: a progress report
Type: Journal Article
Authors: D. N. Blane, C. Williams, J. Morrison, A. Wilson, S. Mercer
Year: 2014
Publication Place: England
Topic(s):
General Literature See topic collection
8231
Psychological Therapy for Postnatal Depression in UK Primary Care Mental Health Services: A Qualitative Investigation Using Framework Analysis
Type: Journal Article
Authors: Holly Hadfield, Suzanne Glendenning, Penny Bee, Anja Wittkowski
Year: 2019
Publication Place: New York
Topic(s):
Healthcare Disparities See topic collection
8232
Psychological treatment of adult depression in primary care compared with outpatient mental health care: A meta-analysis
Type: Journal Article
Authors: P. Cuijpers, C. Miguel, M. Ciharova, M. Harrer, F. Moir, R. Roskvist, A. van Straten, E. Karyotaki, B. Arroll
Year: 2023
Topic(s):
General Literature See topic collection
8233
Psychological treatment of anxiety in primary care: a meta-analysis
Type: Journal Article
Authors: W. Seekles, P. Cuijpers, R. Kok, A. Beekman, H. van Marwijk, A. van Straten
Year: 2013
Publication Place: England
Abstract: BACKGROUND: Guidelines and mental healthcare models suggest the use of psychological treatment for anxiety disorders in primary care but systematic estimates of the effect sizes in primary care settings are lacking. The aim of this study was to examine the effectiveness of psychological therapies in primary care for anxiety disorders. METHOD: The Cochrane Central Register of Controlled Trials (CENTRAL), EMBASE, Medline, PsycINFO and Pubmed databases were searched in July 2010. Manuscripts describing psychological treatment for anxiety disorders/increased level of anxiety symptoms in primary care were included if the research design was a randomized controlled trial (RCT) and if the psychological treatment was compared with a control group. RESULTS: In total, 1343 abstracts were identified. Of these, 12 manuscripts described an RCT comparing psychological treatment for anxiety with a control group in primary care. The pooled standardized effect size (12 comparisons) for reduced symptoms of anxiety at post-intervention was d = 0.57 [95% confidence interval (CI) 0.29-0.84, p = 0.00, the number needed to treat (NNT) = 3.18]. Heterogeneity was significant among the studies (I 2 = 58.55, Q = 26.54, p < 0.01). The quality of studies was not optimal and missing aspects are summarized. CONCLUSIONS: We found a moderate effect size for the psychological treatment of anxiety disorders in primary care. Several aspects of the treatment are related to effect size. More studies are needed to evaluate the long-term effects given the chronicity and recurrent nature of anxiety.
Topic(s):
General Literature See topic collection
8234
Psychological Treatment Of Medical Patients In Integrated Primary Care
Type: Book
Authors: Anne C. Dobmeyer
Year: 2017
Publication Place: Washington, DC
Topic(s):
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.

8235
Psychological treatment of medical patients in integrated primary care
Type: Book
Authors: Anne C. Dobmeyer
Year: 2018
Publication Place: Washington, DC
Topic(s):
Grey Literature See topic collection
,
Education & Workforce See topic collection
,
Healthcare Disparities 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.

8236
Psychological treatment outcomes in routine NHS services: What do we mean by treatment effectiveness?
Type: Journal Article
Authors: Michael Barkham, William B. Stiles, Janice Connell, John Mellor-Clark
Year: 2012
Publication Place: United Kingdom
Topic(s):
General Literature See topic collection
8238
Psychologist and Physician Inter-Professional Collaborative Experiences in Primary Care Integration
Type: Journal Article
Authors: J. E. Kaitz, S. Ray
Year: 2020
Publication Place: United States
Abstract:

In recent years, the subject of integrated healthcare, including the integration of behavioral health services into primary care, within the healthcare field has been increasingly of interest to researchers, providers, and policy makers. However, little is known about the experiences of providers within integrated care and the impact of these experiences on inter-professional relationships and collaboration. The researchers aimed to explore differences in providers' perspectives, including inter-professional collaboration and overall job satisfaction, by provider type and level of integration. The current study uses a mixed method exploratory approach, gathering both qualitative and quantitative data to investigate the perspectives of providers (both psychologists and physicians) on their work together. This study included 30 psychologists and 30 primary care physicians from three levels of healthcare integration (traditional/coordinated, co-located, and integrated). As hypothesized, results indicated that providers in integrated settings were the most satisfied with their collaboration with other providers. Furthermore, the providers' narratives revealed promising insights which contribute to a broader understanding of how to improve the relationships between psychologists and primary care physicians in integrated healthcare and other settings.

Topic(s):
Education & Workforce See topic collection
8240
Psychologists and Integrated Behavioral Health Simulation Training: A Survey of Medical Educators and Perspectives of Directors of Clinical Training
Type: Journal Article
Authors: L. M. Pereira, J. L. Mallela, A. J. Carroll, J. J. Washburn, W. N. Robiner
Year: 2024
Topic(s):
Medical Home See topic collection
,
Education & Workforce See topic collection