Email UpdatesLiterature Collection
Collection Insights
10K+
References
9K+
Articles
1400+
Grey Literature
4500+
Opioids & SU
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
8521
Screening and Follow-Up Monitoring for Substance Use in Primary Care: An Exploration of Rural-Urban Variations
Type: Journal Article
Year: 2016
Publication Place: United States
Abstract: BACKGROUND: Rates of substance use in rural areas are close to those of urban areas. While recent efforts have emphasized integrated care as a promising model for addressing workforce shortages in providing behavioral health services to those living in medically underserved regions, little is known on how substance use problems are addressed in rural primary care settings. OBJECTIVE: To examine rural-urban variations in screening and monitoring primary care- based patients for substance use problems in a state-wide mental health integration program. DESIGN: This was an observational study using patient registry. SUBJECTS: The study included adult enrollees (n = 15,843) with a mental disorder from 133 participating community health clinics. MAIN OUTCOMES: We measured whether a standardized substance use instrument was used to screen patients at treatment entry and to monitor symptoms at follow-up visits. KEY RESULTS: While on average 73.6 % of patients were screened for substance use, follow-up on substance use problems after initial screening was low (41.4 %); clinics in small/isolated rural settings appeared to be the lowest (13.6 %). Patients who were treated for a mental disorder or substance abuse in the past and who showed greater psychiatric complexities were more likely to receive a screening, whereas patients of small, isolated rural clinics and those traveling longer distances to the care facility were least likely to receive follow-up monitoring for their substance use problems. CONCLUSIONS: Despite the prevalent substance misuse among patients with mental disorders, opportunities to screen this high-risk population for substance use and provide a timely follow-up for those identified as at risk remained overlooked in both rural and urban areas. Rural residents continue to bear a disproportionate burden of substance use problems, with rural-urban disparities found to be most salient in providing the continuum of services for patients with substance use problems in primary care.
Topic(s):
Opioids & Substance Use
See topic collection
, Healthcare Disparities
See topic collection
Reference Links: 
View the DOI record for Screening and Follow-Up Monitoring for Substance Use in Primary Care: An Exploration of Rural-Urban Variations
View DOI Record
View the PubMed citation for Screening and Follow-Up Monitoring for Substance Use in Primary Care: An Exploration of Rural-Urban Variations8525
Screening emergency department patients for opioid drug use: A qualitative systematic review
Type: Journal Article
Year: 2018
Publication Place: England
Topic(s):
Measures
See topic collection
, Opioids & Substance Use
See topic collection
Reference Links: View the PubMed citation for Screening emergency department patients for opioid drug use: A qualitative systematic review
8527
Screening for anxiety, depression, and anxious depression in primary care: A field study for ICD-11 PHC
Type: Journal Article
Year: 2017
Publication Place: Netherlands
Topic(s):
Measures
See topic collection
Reference Links:
View the DOI record for Screening for anxiety, depression, and anxious depression in primary care: A field study for ICD-11 PHC
View DOI Record
View the PubMed citation for Screening for anxiety, depression, and anxious depression in primary care: A field study for ICD-11 PHC8528
Screening for Behavioral Health Conditions in Primary Care Settings: A Systematic Review of the Literature
Type: Journal Article
Year: 2018
Abstract: Background: Mounting evidence indicates that early recognition and treatment of behavioral health disorders can prevent complications, improve quality of life, and help reduce health care costs. The aim of this systematic literature review was to identify and evaluate publicly available, psychometrically tested tools that primary care physicians (PCPs) can use to screen adult patients for common mental and substance use disorders such as depression, anxiety, and alcohol use disorders. Methods: We followed the Institute of Medicine (IOM) systematic review guidelines and searched PubMed, PsycINFO, Applied Social Sciences Index and Abstracts, Cumulative Index to Nursing and Allied Health Literature, and Health and Psychosocial Instruments databases to identify literature addressing tools for screening of behavioral health conditions. We gathered information on each tool�s psychometrics, applicability in primary care, and characteristics such as number of items and mode of administration. We included tools focused on adults and the most common behavioral health conditions; we excluded tools designed for children, youth, or older adults; holistic health scales; and tools screening for serious but less frequently encountered disorders, such as bipolar disorder. Results: We identified 24 screening tools that met the inclusion criteria. Fifteen tools were subscales stemming from multiple-disorder assessments or tools that assessed more than one mental disorder or more than one substance use disorder in a single instrument. Nine were ultra-short, single-disorder tools. The tools varied in psychometrics and the extent to which they had been administered and studied in primary care settings. Discussion: Tools stemming from the Patient Health Questionnaire had the most testing and application in primary care settings. However, numerous other tools could meet the needs of primary care practices. This review provides information that PCPs can use to select appropriate tools to incorporate into a screening protocol.
Topic(s):
Measures
See topic collection
Reference Links:
View the DOI record for Screening for Behavioral Health Conditions in Primary Care Settings: A Systematic Review of the Literature
View DOI Record
View the PubMed citation for Screening for Behavioral Health Conditions in Primary Care Settings: A Systematic Review of the Literature8530
Screening for depression and high utilization of health care resources among patients in primary care
Type: Journal Article
Year: 2014
Publication Place: United States
Abstract: The study aims to evaluate the prevalence of depression and the severity of depressive symptoms among primary care patients, who are high utilizers (HU) of health care resources. A cross-sectional, two-stage design was applied to screen for depression using the Brief Psychiatric Health Questionnaire and the Diagnostic Expert System for Psychiatric Disorders. A total of 38 primary care physicians accredited to practice in Berlin and Potsdam in Germany participated in the study. A total of 1,775 patients participated, 507 were identified as HU, 182 (36%) of these were depressed compared to 81 (11%) of the typical utilizers (p < 0.001). The depression score was higher and acute suicidality was more prevalent in HU than in typical utilizers (p < 0.001). Our results suggest that HU represent a population with a high prevalence of depression in primary care and should be considered for routine depression screening.
Topic(s):
Financing & Sustainability
See topic collection
Reference Links:
View the DOI record for Screening for depression and high utilization of health care resources among patients in primary care
View DOI Record
View the PubMed citation for Screening for depression and high utilization of health care resources among patients in primary care8531
Screening for depression in low-income elderly patients at the primary care level: use of the Patient Health Questionnaire-2
Type: Journal Article
Year: 2014
Publication Place: United States
Abstract: INTRODUCTION: Depression is one of the most common mental disorders and a leading cause of disability worldwide. It constitutes a serious public health problem, particularly among elderly individuals. Most depressed elderly patients are treated by primary care (PC) physicians. The "Patient Health Questionnaire" (PHQ-2) is an instrument used for the detection of depression in PC settings. OBJECTIVE: Evaluate the performance of the PHQ-2 in a low-income and uneducated elderly PC population. METHODS: A non-probabilistic population sample of 142 individuals was selected from the healthcare unit's users >== 60 years. Criterion validity was assessed by estimating the sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of the PHQ-2 in comparison with the structured interview using the DSM-IV. The estimates of sensitivity and specificity were obtained from varying cut-offs of the PHQ-2 score. A Receiver Operator Characteristic (ROC) curve was constructed and the area under the curve (AUC) was calculated. RESULTS: The group was predominantly female (73.9%), with low education level (mean 3 years of schooling). The mean age was 72.5 years old. The prevalence of depression was 26.1%. The best values of sensitivity (0.74), specificity (0.77), PPV (0.50) e NPV (0.90) were obtained with score equal to 1. The AUC was 0.77, indicating a modest performance of the test accuracy. CONCLUSION: The simplicity of the PHQ-2 is an advantage for its use in PC. The high NPV indicated that 90% of those who tested negative would not need additional tests. However, the low PPV indicated that the PHQ-2 is not sufficient to screen for depression. The application of the instrument could be the first step of the screening, that would include a second step to all those with positive tests formerly.
Topic(s):
Healthcare Disparities
See topic collection
, Measures
See topic collection
8533
Screening for depression in primary care: a Rasch analysis of the PHQ-9
Type: Journal Article
Year: 2016
Publication Place: England
Abstract: Aims and method To explore the modern psychometric properties of the Patient Health Questionnaire (PHQ-9), we used the Rasch analysis in a sample of 767 primary care patients with depression. Results The analysis highlighted dependency issues between items 1 and 2 ('Little interest or pleasure in doing things' and 'Feeling down, depressed, or hopeless'), and items 3 and 4 ('Trouble falling or staying asleep, or sleeping too much' and 'Feeling tired or having little energy'). Items 1 and 2 displayed an over-discrimination, suggesting their potential redundancy within the complete item set. Clinical implications In its current format the PHQ-9 displays some problems with regard to its measurement structure among a sample of primary care patients. These problems can be addressed by removing potentially redundant items to deliver a stable screening tool. The results also lend support for the PHQ-2 to be used as a screening tool in a primary care setting.
Topic(s):
Measures
See topic collection
View the PubMed citation for Screening for depression in primary care: a Rasch analysis of the PHQ-9
Reference Links:
View the DOI record for Screening for depression in primary care: a Rasch analysis of the PHQ-9
View DOI Record
View the PubMed citation for Screening for depression in primary care: a Rasch analysis of the PHQ-98534
Screening for depression in the primary care population
Type: Journal Article
Year: 2014
Publication Place: United States
Topic(s):
General Literature
See topic collection
Reference Links: View the PubMed citation for Screening for depression in the primary care population
8536
Screening for illicit drug use
Type: Journal Article
Year: 2009
Publication Place: United States
Topic(s):
Opioids & Substance Use
See topic collection
Reference Links: View the PubMed citation for Screening for illicit drug use
Export Citation: Download the RIS reference file for Screening for illicit drug use
8537
Screening for Mental Health Problems: Addressing the Base Rate Fallacy for a Sustainable Screening Program in Integrated Primary Care
Type: Journal Article
Year: 2016
Publication Place: United States
Topic(s):
Healthcare Disparities
See topic collection