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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).
11271 Results
8604
Relational discord in urban primary care: prevalence rates and psychiatric comorbidities
Type: Journal Article
Year: 2014
Publication Place: United States
Abstract: The current study primarily assesses uninsured, low-income patients (n = 125) in a primary care practice. Despite the knowledge that family relationships affect the management and outcomes of chronic illness, the rates of relational discord among primary care patients are unknown. Findings reveal that 54% of patients met criteria for problematic family functioning, while 40% of those in a romantic relationship reported relationship distress. In addition, 67% reported depression, 32% reported clinical levels of anxiety, and 33% at-risk alcohol use. Researchers used latent class analysis to explore characteristics of the sample, which revealed four classes. Comparisons with prior research with similar populations are made and implications for behavioral health providers working within primary care are discussed.
Topic(s):
Healthcare Disparities
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Reference Links: 
View the DOI record for Relational discord in urban primary care: prevalence rates and psychiatric comorbidities
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View the PubMed citation for Relational discord in urban primary care: prevalence rates and psychiatric comorbidities8606
Relationships between stigma, depression, and treatment in white and African American primary care patients
Type: Journal Article
Year: 2009
Publication Place: United States
Abstract: Although many depressed patients are treated in primary care, depression in these settings has been underdetected and undertreated, which may be influenced by mental health beliefs such as stigma. This study examined the relationships among depression, mental health stigma, and treatment in African American and white primary care patients. Data were collected at 3 primary care settings from 1103 patients who completed surveys measuring depression, stigma, and treatment use. Overall, African American patients reported greater mental health stigma than whites. African American women reported greater stigma than white women. White patients were found to be more likely to use depression treatment than African American patients. Multivariate analyses showed that greater depression severity fully mediated the relationship between stigma and treatment use, and that patients with the highest depression scores had significantly higher stigma scores as well. These results suggest that greater severity of depressive symptoms may override stigma and other beliefs about mental health in determining treatment use, but may be important to address for patients with more moderate levels of symptomatology.
Topic(s):
Healthcare Disparities
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Reference Links:
View the DOI record for Relationships between stigma, depression, and treatment in white and African American primary care patients
View DOI Record
View the PubMed citation for Relationships between stigma, depression, and treatment in white and African American primary care patients8608
Reliability and normative data for the Behavioral Health Measure (BHM) in primary care behavioral health settings
Type: Journal Article
Year: 2014
Publication Place: United States
Abstract: The Behavioral Health Measure (BHM) is a brief self-report measure of general psychological distress and functioning developed for the tracking of mental health outcomes in outpatient psychotherapy settings (Kopta & Lowry, 2002). Although the BHM is used in integrated primary care behavioral health clinics, the scale's psychometric properties have not been evaluated in these settings. The current study investigated the BHM's psychometric properties, including its factor structure and reliability, and presents normative data from 3 large integrated primary care clinics. Mean scores for each of the BHM's 4 scales were significantly lower (i.e., more distress) for women than men, with scores being stable across the 3 primary care samples. Confirmatory factor analysis demonstrated adequate fit for the 3-factor and 1-factor models, with fit improving when 3 items were omitted. Internal consistency estimates for the BHM's 4 scales ranged from adequate to very good (alpha range: .72-.93). The 4 scales were highly intercorrelated, suggesting they measure similar constructs. Results suggest a revised, 17-item version of the BHM has adequate structure and reliability estimates, and is appropriate for use in primary care settings.
Topic(s):
General Literature
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Reference Links:
View the DOI record for Reliability and normative data for the Behavioral Health Measure (BHM) in primary care behavioral health settings
View DOI Record
View the PubMed citation for Reliability and normative data for the Behavioral Health Measure (BHM) in primary care behavioral health settings8610
Reliability and validity of the Treatment Outcome Profile among patients attending methadone maintenance treatment programs in Kunming, China
Type: Journal Article
Year: 2017
Publication Place: United States
Topic(s):
Measures
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, Opioids & Substance Use
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8613
Reliable integrative assessment of health care needs in elderly persons: the INTERMED for the Elderly (IM-E)
Type: Journal Article
Year: 2011
Publication Place: England
Topic(s):
General Literature
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Reference Links:
View the DOI record for Reliable integrative assessment of health care needs in elderly persons: the INTERMED for the Elderly (IM-E)
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View the PubMed citation for Reliable integrative assessment of health care needs in elderly persons: the INTERMED for the Elderly (IM-E)8614
Religion and beliefs about treating medically unexplained symptoms: a survey of primary care physicians and psychiatrists
Type: Journal Article
Year: 2013
Publication Place: United States
Abstract: OBJECTIVE: Historical evidence and prior research suggest that psychiatry is biased against religion, and religious physicians are biased against the mental health professions. Here we examine whether religious and non-religious physicians differ in their treatment recommendations for a patient with medically unexplained symptoms. METHOD: We conducted a national survey of primary care physicians and psychiatrists. We presented a vignette of a patient with medically unexplained symptoms, and experimentally varied whether the patient was religiously observant. We asked whether physicians would recommend six interventions: antidepressant medication, in-office counseling, referral to a psychiatrist, referral to a psychologist or licensed counselor, participation in meaningful relationships and activities, and involvement in religious community. Predictors included the physician's specialty and the physician's attendance at religious services. RESULTS: The response rate was 63% (896 of 1427) primary care physicians and 64% (312 of 487) psychiatrists. We did not find evidence that religious physicians were less likely to recommend mental health resources, nor did we find evidence that psychiatrists were less likely to recommend religious involvement. Primary care physicians (but not psychiatrists) were more likely to recommend that the patient get more involved in their religious community when the patient was more religiously observant, and when the physician more frequently attended services. CONCLUSIONS: We did not find evidence that mental health professionals are biased against religion, nor that religious physicians are biased against mental health professionals. Historical tensions are potentially being replaced by collaboration.
Topic(s):
Medically Unexplained Symptoms
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8616
Remission in depressed geriatric primary care patients: a report from the PROSPECT study
Type: Journal Article
Year: 2005
Topic(s):
Healthcare Disparities
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Reference Links:
View the DOI record for Remission in depressed geriatric primary care patients: a report from the PROSPECT study
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View the PubMed citation for Remission in depressed geriatric primary care patients: a report from the PROSPECT study8617
Remission of Severe Opioid Use Disorder with Ibogaine: A Case Report
Type: Journal Article
Year: 2016
Publication Place: United States
Abstract: BACKGROUND: Opioid use disorders (OUD) translate into major health, social, and economic consequences. Opioid agonist medications, which generally require long-term administration, are the mainstay pharmacological treatment of OUD. However, a large proportion of individuals with OUD either refuse or fail to respond to these therapies. Ibogaine, a naturally occurring substance found in the Tabernanthe iboga plant, has shown potential to bring about transformative or spiritual experiences that have reportedly been associated with long-term abstinece. Although research on ibogaine is limited, an ibogaine subculture persists, offering unregulated ibogaine preparations for the treatment of addiction. CASE PRESENTATION: We describe the case of a 37-year-old female with a 19-year history of severe OUD achieving an ongoing 18-month period of abstinence following a four-day ibogaine treatment. Her previous longest period of continuous abstinence from opioids was two months while on methadone. No safety issues associated with ibogaine were observed. CONCLUSIONS: A four-day treatment with ibogaine was succesful in achieving long-term remission of a previously treatment-refractory patient with severe OUD. While rigorous trials are required to establish safety and efficacy, future studies should seek to delineate the potential role of ibogaine or other molecules that may produce transformative experiences for individuals with substance use disorder.
Topic(s):
Opioids & Substance Use
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Reference Links:
View the DOI record for Remission of Severe Opioid Use Disorder with Ibogaine: A Case Report
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View the PubMed citation for Remission of Severe Opioid Use Disorder with Ibogaine: A Case Report8619
Remote Collaborative Care With Off-Site Behavioral Health Care Managers: A Systematic Review of Clinical Trials
Type: Journal Article
Year: 2022
Topic(s):
HIT & Telehealth
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Reference Links:
View the DOI record for Remote Collaborative Care With Off-Site Behavioral Health Care Managers: A Systematic Review of Clinical Trials
View DOI Record
View the PubMed citation for Remote Collaborative Care With Off-Site Behavioral Health Care Managers: A Systematic Review of Clinical Trials8620
Remotely delivered incentives to promote buprenorphine treatment engagement in out-of-treatment adults with opioid use disorder
Type: Journal Article
Year: 2021
Topic(s):
Education & Workforce
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, HIT & Telehealth
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, Opioids & Substance Use
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