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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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11269 Results
8561
Reducing Opioid Mortality in Illinois (ROMI): A case management/peer recovery coaching critical time intervention clinical trial protocol
Type: Journal Article
Authors: M. Pho, F. Erzouki, B. Boodram, A. D. Jimenez, J. Pineros, V. Shuman, E. J. Claypool, A. M. Bouris, N. Gastala, J. Reichert, M. Kelly, E. Salisbury-Afshar, M. W. Epperson, R. D. Gibbons, J. A. Schneider, H. A. Pollack
Year: 2021
Publication Place: United States
Topic(s):
Education & Workforce See topic collection
,
Healthcare Disparities See topic collection
,
HIT & Telehealth See topic collection
,
Opioids & Substance Use See topic collection
8562
Reducing psychosocial and behavioral pregnancy risk factors: Results of a randomized clinical trial among high-risk pregnant african american women
Type: Journal Article
Authors: J. G. Joseph, A. A. El-Mohandes, M. Kiely, M. N. El-Khorazaty, M. G. Gantz, A. A. Johnson, K. S. Katz, S. M. Blake, M. W. Rossi, S. Subramanian
Year: 2009
Publication Place: United States
Abstract: OBJECTIVES: We evaluated the efficacy of a primary care intervention targeting pregnant African American women and focusing on psychosocial and behavioral risk factors for poor reproductive outcomes (cigarette smoking, secondhand smoke exposure, depression, and intimate partner violence). METHODS: Pregnant African American women (N = 1044) were randomized to an intervention or usual care group. Clinic-based, individually tailored counseling sessions were adapted from evidence-based interventions. Follow-up data were obtained for 850 women. Multiple imputation methodology was used to estimate missing data. Outcome measures were number of risks at baseline, first follow-up, and second follow-up and within-person changes in risk from baseline to the second follow-up. RESULTS: Number of risks did not differ between the intervention and usual care groups at baseline, the second trimester, or the third trimester. Women in the intervention group more frequently resolved some or all of their risks than did women in the usual care group (odds ratio = 1.61; 95% confidence interval = 1.08, 2.39; P = .021). CONCLUSIONS: In comparison with usual care, a clinic-based behavioral intervention significantly reduced psychosocial and behavioral pregnancy risk factors among high-risk African American women receiving prenatal care.
Topic(s):
Healthcare Disparities See topic collection
8563
Reducing Risk of Misuse and Diversion
Type: Report
Authors: Addiction Technology Transfer Center Network
Year: 2018
Topic(s):
Grey Literature See topic collection
,
Opioids & Substance Use 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.

8564
Reducing stigma through education to enhance Medication-Assisted Recovery
Type: Journal Article
Authors: J. S. Woods, H. Joseph
Year: 2012
Publication Place: England
Abstract: The National Alliance for Medication Assisted Recovery has started projects to address the stigma that impacts medication-assisted treatment. The Certified Medication Assisted Treatment Advocate Program trains patients and professionals for advocacy in seminars and conferences. The MARS Project educates (Einstein, Bronx, New York) buprenorphine and methadone patients to dispel stigma and achieve better treatment outcomes. Beyond MARS trains patients nationwide to replicate the MARS Project. Stop Stigma Now will create a national public relations campaign to overcome ignorance and stigma. These projects have the potential to end stigma and elevate medication-assisted treatment to its rightful place as the gold standard of treatment.
Topic(s):
Opioids & Substance Use See topic collection
8565
Reducing suicidal ideation and depressive symptoms in depressed older primary care patients: a randomized controlled trial
Type: Journal Article
Authors: M. L. Bruce, TR Ten Have, CF Reynolds III, II Katz, H. C. Schulberg, B. H. Mulsant, G. K. Brown, G. J. McAvay, J. L. Pearson, G. S. Alexopoulos
Year: 2004
Topic(s):
Healthcare Disparities See topic collection
8566
Reducing suicidal ideation in depressed older primary care patients
Type: Journal Article
Authors: J. Unutzer, L. Tang, S. Oishi, W. Katon, J. Williams, E. Hunkeler, H. Hendrie, E. H. Lin, S. Levine, L. Grypma, D. C. Steffens, J. Fields, C. Langston, IMPACT Investigators
Year: 2006
Topic(s):
Healthcare Disparities See topic collection
8567
Reducing the Burden of Suicide in the U.S.
Type: Journal Article
Authors: Cynthia A. Claassen, Jane L. Pearson, Dmitry Khodyakov, Phillip M. Satow, Robert Gebbia, Alan L. Berman, Daniel J. Reidenberg, Saul Feldman, Sherry Molock, Michelle C. Carras, Rene M. Lento, Joel Sherrill, Beverly Pringle, Siddhartha Dalal, Thomas R. Insel
Year: 2014
Topic(s):
General Literature See topic collection
Reference Links:       
8569
Reducing the Impacts of Mental Health Stigma Through Integrated Primary Care: An Examination of the Evidence
Type: Journal Article
Authors: A. B. Rowan, J. Grove, L. Solfelt, A. Magnante
Year: 2020
Publication Place: United States
Abstract:

The reduction of mental health stigma (MHS) was an expected benefit of integrating behavioral health in primary care (IPC). However, unlike other barriers discussed in agency reports on IPC, discussions of MHS lack research support. To fill this gap, the authors conducted a literature review identifying seven studies. Given the dearth of research, we also examine general IPC research on probable indicators of MHS reduction in IPC, as well as, facets of IPC potentially influencing MHS related factors negatively associated with help-seeking. Using the data from these three types of research, the evidence suggests the potential of IPC to reduce MHS impact on care utilization, but indicates it is premature to draw firm conclusions. Given the possible benefits of primary care and the known benefits of decreased MHS, this review highlights the importance of further research examining this question and provides specific research and program development recommendations.

Topic(s):
Healthcare Disparities See topic collection
8570
Reducing the pain in pain management
Type: Journal Article
Authors: Richard G. Stefanacci, Albert Riddle
Year: 2017
Publication Place: New York
Topic(s):
Education & Workforce See topic collection
,
Healthcare Disparities See topic collection
,
Opioids & Substance Use See topic collection
Reference Links:       
8571
Reduction of Patient-Reported Antidepressant Side Effects, by Type of Collaborative Care
Type: Journal Article
Authors: Teresa J. Hudson, John C. Fortney, Jeffrey M. Pyne, Liya Lu, Dinesh Mittal
Year: 2015
Topic(s):
General Literature See topic collection
8573
Referral of patients from rural primary care clinics to telemedicine vendors for opioid use disorder treatment: A mixed-methods study
Type: Journal Article
Authors: C. Lin, Y. Zhu, L. J. Mooney, A. Ober, S. E. Clingan, L. M. Baldwin, S. Calhoun, Y. I. Hser
Year: 2024
Abstract:

INTRODUCTION: Rural primary care clinics can expand their medication treatment for opioid use disorder (MOUD) capacity by coordinating care with external telemedicine (TM) vendors specializing in addiction medicine. This study used mixed methods to identify factors that influence patient referrals from rural primary care clinics to TM vendors for MOUD. METHODS: Between July/August 2020 and January/February 2021, 582 patients with OUD were identified across six primary care sites; that included 68 referred to an external TM vendor to receive MOUD. Mixed effects logistic regression identified individual and site-level factors associated with being referred to the TM vendor. Clinic providers and staff participated in in-depth interviews and focus groups to discuss their considerations for referring patients to the TM vendor. RESULTS: Patient referrals were positively associated with local household broadband coverage (OR = 2.55, p < 0.001) and negatively associated with local population density (OR = 0.01, p  =  0.003) and the number of buprenorphine prescribers in the county (OR = 0.85, p < 0.001). Clinic personnel expressed appreciation for psychiatric expertise and the flexibility to access MOUD brought by the TM vendor. Perceived concerns about TM referral included a lack of trust with external providers, uncertainty about TM service quality, workflow delays, and patients' technological and insurance challenges. CONCLUSION: This study revealed several clinic-level factors that may potentially influence patient referral to TM vendor services for MOUD. To facilitate the referral process and utilization of TM vendors, efforts should be made to foster open communication and trust between clinic providers and TM vendors, streamline workflows, and improve Internet access for patients.

Topic(s):
Opioids & Substance Use See topic collection
,
Healthcare Disparities See topic collection
,
HIT & Telehealth See topic collection
,
Education & Workforce See topic collection
8574
Referral of patients from rural primary care clinics to telemedicine vendors for opioid use disorder treatment: A mixed-methods study
Type: Journal Article
Authors: C. Lin, Y. Zhu, L. J. Mooney, A. Ober, S. E. Clingan, L. M. Baldwin, S. Calhoun, Y. I. Hser
Year: 2024
Abstract:

INTRODUCTION: Rural primary care clinics can expand their medication treatment for opioid use disorder (MOUD) capacity by coordinating care with external telemedicine (TM) vendors specializing in addiction medicine. This study used mixed methods to identify factors that influence patient referrals from rural primary care clinics to TM vendors for MOUD. METHODS: Between July/August 2020 and January/February 2021, 582 patients with OUD were identified across six primary care sites; that included 68 referred to an external TM vendor to receive MOUD. Mixed effects logistic regression identified individual and site-level factors associated with being referred to the TM vendor. Clinic providers and staff participated in in-depth interviews and focus groups to discuss their considerations for referring patients to the TM vendor. RESULTS: Patient referrals were positively associated with local household broadband coverage (OR = 2.55, p < 0.001) and negatively associated with local population density (OR = 0.01, p  =  0.003) and the number of buprenorphine prescribers in the county (OR = 0.85, p < 0.001). Clinic personnel expressed appreciation for psychiatric expertise and the flexibility to access MOUD brought by the TM vendor. Perceived concerns about TM referral included a lack of trust with external providers, uncertainty about TM service quality, workflow delays, and patients' technological and insurance challenges. CONCLUSION: This study revealed several clinic-level factors that may potentially influence patient referral to TM vendor services for MOUD. To facilitate the referral process and utilization of TM vendors, efforts should be made to foster open communication and trust between clinic providers and TM vendors, streamline workflows, and improve Internet access for patients.

Topic(s):
Opioids & Substance Use See topic collection
,
Education & Workforce See topic collection
,
HIT & Telehealth See topic collection
8575
Referral Patterns and Sociodemographic Predictors of Adult and Pediatric Behavioral Health Referrals in a Federally Qualified Health Center
Type: Journal Article
Authors: C. Vechiu, M. Zimmermann, M. Zepeda, W. T. O'Donohue, L. Broten
Year: 2024
Topic(s):
Healthcare Disparities See topic collection
,
Education & Workforce See topic collection
8576
Referral Patterns and Training Needs in Psychiatry among Primary Care Physicians in Canadian Rural/Remote Areas
Type: Journal Article
Authors: M. Steele, R. Zayed, B. Davidson, N. Stretch, L. Nadeau, W. Fleisher, T. Doey, H. R. Spenser, S. Abidi, G. Auclair, T. S. Callanan, D. Duncan, G. Ferguson, R. Flynn, L. Hope-Ross, S. Khalid-Khan, L. Lazier, V. Liashko, H. Lipton, L. Postl, K. St John
Year: 2012
Publication Place: Canada
Abstract: OBJECTIVES: This study examined the referral patterns of rural/remote primary care physicians (PCPs) as well as their needs and interests for further training in child/adolescent mental health. METHODS: Surveys were mailed to Canadian rural/remote PCPs requesting participants' demographic information, training and qualifications, referral patterns, and identification of needs and interests for continuing medical education (CME). RESULTS: PCPs were most likely to refer to mental health programs, and excessive wait times are the most common deterrent. Major reasons for referral were to obtain recommendations regarding medications and assessing non-responsive patients. While PCPs expressed higher levels of confidence in making appropriate referrals, they were much less confident in their knowledge and skills in managing mental health problems. Professional development in child/adolescent psychiatry is a moderate or highly perceived CME need. Overall, attention deficit/hyperactivity disorder (ADHD) was the most commonly chosen topic of interest and CME in the community was preferred, but some regional differences emerged. CONCLUSIONS: PCPs viewed limited community resources and self-identified gaps in skills as barriers to service provision. Professional development in child and adolescent mental health for PCPs by preferred modes appears desired.
Topic(s):
Education & Workforce See topic collection
8577
Referral without access: For psychiatric services, wait for the beep
Type: Journal Article
Authors: K. V. Rhodes, T. L. Vieth, H. Kushner, H. Levy, B. R. Asplin
Year: 2009
Publication Place: United States
Abstract: STUDY OBJECTIVE: We examine access to care for acute depression by insurance status compared to access for acute medical conditions in 9 metropolitan areas in the United States. METHODS: Using an audit study design, trained research assistants posing as patients referred from a local emergency department (ED) for treatment of depression called each clinic twice, with differing insurance status. The main outcome measure was the ability to schedule a mental health appointment within 2 weeks of the ED visit. RESULTS: In 45% of 322 calls to mental health clinics, the research assistant reached an answering machine compared with 8% of calls to medical clinics. As a result, only 31% of callers with depression vignettes were able to determine whether they could get an appointment versus 78% of callers with medical complaints. When they reached appointment personnel by telephone, 57% of depression callers successfully arranged an appointment (39% within 14 days). Among depression callers who reached appointment personnel, 67% of privately insured and 33% of Medicaid callers were able to make an appointment, for overall appointment rates of 22% and 12%, respectively. Appointment success for the uninsured was comparable to that of Medicaid patients. The high percentage of callers who encountered answering machines prevented us from completing the designed analysis of paired calls to individual clinics. CONCLUSION: Our findings indicate that the process for obtaining urgent follow-up appointments is systematically different for patients seeking behavioral health care than for those with physical complaints. The use of voicemail, in lieu of having a person answer the telephone, is much more prevalent in behavioral than physical health settings. More work is needed to determine the effect of this practice on depressed individuals and vulnerable populations.
Topic(s):
Financing & Sustainability See topic collection
8578
Reflections and Challenges of Pregnant and Postpartum Participant Recruitment in the Context of the Opioid Epidemic
Type: Journal Article
Authors: C. D. Placek, J. M. Place, J. Wies
Year: 2021
Publication Place: United States
Abstract:

PURPOSE: Opioid use disorder among women of childbearing age has reached epidemic proportions. In rural regions of the United States, recruiting perinatal women who use nonmedical opioids to participate in research is wrought with challenges, including barriers such as community stigma, lack of transportation, and time constraints. The current study describes our process and challenges of recruiting pregnant and postpartum women in rural Indiana consisting of women who misuse opioids and those who do not. DESCRIPTION: We employed multiple strategies to recruit participants. Methods included (1) sampling from healthcare facilities based on referrals from front-desk staff and frontline healthcare workers; (2) dissemination of flyers and brochures within healthcare facilities and the community, supported with onsite research assistant presence; (3) digital methods coupled with snowball sampling; and (4) local community talks that provided information about the study. ASSESSMENT: Our multiple recruitment efforts revealed that building relationships with community stakeholders was key in recruiting women who use nonmedical opioids, but that digital methods were more effective in recruiting a larger sample of pregnant and postpartum women in a short amount of time. CONCLUSION: We conclude by making several recommendations to enhance academic-community partnerships in order to bolster sample sizes for prolonged research studies. Furthermore, we highlight the need to destigmatize addiction in order to better serve hard-to-reach populations through research and practice.

Topic(s):
Education & Workforce See topic collection
,
Healthcare Disparities See topic collection
,
Opioids & Substance Use See topic collection
8579
Reflections and unprompted observations by healthcare students of an interprofessional shadowing visit
Type: Journal Article
Authors: Anna Wright
Year: 2012
Topic(s):
Education & Workforce See topic collection
8580
Reflections on 10 years of counseling in primay care and IAP
Type: Journal Article
Authors: Vicki Palmer
Year: 2018
Topic(s):
General Literature See topic collection