Literature Collection

901

Adolescents and Opioid Substance Use Case Studies

Type: Journal Article

Authors: Albert Anthony Rundio Jr

Year: 2018

Publication Place: United States

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902

Adoption and reach of behavioral health services for behavior problems in pediatric primary care

Type: Journal Article

Authors: J. Polaha, K. E. Schetzina, K. Baker, D. Morelen

Year: 2018

Publication Place: United States

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903

Adoption of care management activities by primary care nurses for people with common mental disorders and physical conditions: A multiple case study

Type: Journal Article

Authors: Ariane Girard, Édith Ellefsen, Pasquale Roberge, Joëlle Bernard‐Hamel, Catherine Hudon

Year: 2021

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904

Adoption of Electronic Health Record Among Substance Use Disorder Treatment Programs: Nationwide Cross-Sectional Survey Study

Type: Journal Article

Authors: J. A. Frimpong, X. Liu, L. Liu, R. Zhang

Year: 2023

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905

Adoption of injectable naltrexone in U.S. substance use disorder treatment programs

Type: Journal Article

Authors: L. Aletraris, Bond Edmond, P. M. Roman

Year: 2015

Publication Place: United States

Abstract: OBJECTIVE: Medication-assisted treatment for substance use disorders (SUDs) is not widely used in treatment programs. The aims of the current study were to document the prevalence of adoption and implementation of extended-release injectable naltrexone, the newest U.S. Food and Drug Administration-approved medication for alcohol use disorder (AUD), in U.S. treatment programs and to examine associations between organizational and patient characteristics and adoption. METHOD: The study used interview data from a nationally representative sample of 307 U.S. SUD treatment programs to examine adoption and implementation of injectable naltrexone. RESULTS: Thirteen percent of programs used injectable naltrexone for AUD, and 3% of programs used it for opioid use disorder. Every treatment program that offered injectable naltrexone to its patients used it in conjunction with psychosocial treatment, particularly cognitive behavioral therapy. Multivariate logistic regression results indicated that adoption was positively associated with the provision of wraparound services, the percentage of privately insured patients, and the presence of inpatient detoxification services. For-profit status and offering inpatient services were negatively associated with adoption. Within adopting programs, an average of 4.1% of AUD patients and 7.1% of patients with opioid use disorder were currently receiving the medication, despite clinical directors' reports of positive patient outcomes, particularly for relapsers and for those who had been noncompliant with other medications. Cost was a significant issue for the majority of adopting organizations. CONCLUSIONS: The rate of adoption of injectable naltrexone in U.S. treatment programs remains limited. Researchers should continue to examine patient, organizational, and external characteristics associated with the adoption and implementation of injectable naltrexone over time.

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906

Adoption of telemedicine services by substance abuse treatment facilities in the U.S

Type: Journal Article

Year: 2020

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907

Adoption, penetration, and effectiveness of a secondary risk screener for intimate partner violence: Evidence to inform screening practices in integrated care settings

Type: Journal Article

Authors: K. M. Iverson, A. E. Sorrentino, S. L. Bellamy, A. R. Grillo, T. N. Haywood, E. Medvedeva, C. B. Roberts, M. E. Dichter

Year: 2018

Publication Place: United States

Abstract: OBJECTIVE: Veterans Health Administration (VHA) has implemented screening for past-year intimate partner violence (IPV) in some healthcare facilities along with secondary screening of risk for severe violence among those screening positive in order to facilitate follow-up care for high-risk patients. We evaluated the adoption, penetration, and effectiveness of secondary screening as a tool to facilitate timely follow-up services. METHODS: Retrospective review of medical records (screening and healthcare use) of 774 women screening positive for past-year IPV (IPV+) at 11 facilities nationwide from April 2014-April 2016. Chi-square and t-tests examined factors related to secondary screening. RESULTS: Three of eleven (27.3%) facilities that implemented primary IPV screening adopted secondary screening. At adopting sites, 56.4% eligible (i.e., IPV+) women received secondary screening. Among 185 IPV+ women who completed secondary screening, 33.0% screened positive for severe IPV. Screening positive during secondary screening was associated with higher rate of psychosocial care within 60days (73.8% vs. 54.0% of IPV+ patients screening negative; p50% vs. <15%; p<.001). CONCLUSIONS: Secondary risk assessment following IPV screening may expedite access to psychosocial follow-up care in integrated healthcare settings. However, program uptake needs to be enhanced.

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908

Adoption, reach and effectiveness of computer-based, practitioner delivered and combined smoking interventions in general medical practices: a three-arm cluster randomized trial

Type: Journal Article

Authors: C. Meyer, S. Ulbricht, B. Gross, L. Kastel, S. Wittrien, G. Klein, B. A. Skoeries, H. J. Rumpf, U. John

Year: 2012

Publication Place: Ireland

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909

Adult ADHD Self-Report Scale (ASRS-v1.1) Symptom Checklist

Type: Web Resource

Authors: L. Adler, R. C. Kessler, T. Spencer

Year: 2015

Topic(s):

,

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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.

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910

Adult Drug Courts and Medication-Assisted Treatment for Opioid Dependence

Type: Government Report

Authors: Substance Abuse and Mental Health Services Administration

Year: 2014

Publication Place: Rockville, MD

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,

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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.

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911

Adult health care services and psychiatric disorders: The use and costs of health care services in a low income, minority population coming to an urban primary care clinic

Type: Web Resource

Authors: Sarah Elizabeth Bledsoe

Year: 2007

Publication Place: US

Abstract: Background. Psychiatric disorders are associated with increased rates of medical problems and reduced life expectancies. Undiagnosed psychiatric disorders are associated with "overuse" or "misuse" of general medical health care services placing a burden on the general medical health care services delivery system. This problem is particularly relevant in low income, minority patients because the burden of psychiatric disorders is disproportionate. This group of patients has higher prevalence of psychiatric disorders. Furthermore, low-income, minority patients are less likely to seek mental health services, less likely to receive quality, specialty mental health services, and rely heavily on general medical health care services providers for mental health treatment. This study aims to determine the role of psychiatric disorders in the cost and utilization of general medical health care services (excluding mental health care services) for a low-income, minority patient population coming to a primary health care clinic. This research is guided by prior research in two distinct areas: the cost-offset effect and the behavioral health care model. Method. Secondary data analysis of a cross-sectional survey was used to test the relationship between psychiatric disorders and the types, rates, level of utilization, and cost of general medical health care services in a sample consisting of 1,063 primary care patients at an urban primary care clinic that serves a predominantly immigrant and low-income community. Separate multiple linear regression analyses were conducted both with and without the dichotomous variable indicating presence of a current psychiatric disorder to examine whether there was a significant positive relationship between the presence of a current psychiatric disorder and the level of general medical health care services utilization and the cost of general medical health care services. Separate analyses were run to determine the effects of hypothesized moderating variables: enabling resources and past use of mental health services. Multiple logistic regression analysis was used to examine the hypothesized differences between low and high utilizers of general medical health care services. Results. In a sample of primarily low-income, minority, and immigrant primary care patients participants with current psychiatric disorders had greater levels of utilization (M = 11.85, SD = 8.15) and cost (M= $4,901.94, SD = 11, 226.29) related to general medical health care services when compared to the sample of participants without current psychiatric disorders (utilization M = 10.86, SD = 8.15; cost M = $3,606.03, SD = 5,673.47) after controlling for predisposing characteristics, need, and enabling factors. Having comorbid psychiatric disorders was not significantly associated with either the level of utilization or the cost of general medical health care services. Furthermore, the category of psychiatric disorder (mood, anxiety, or substance related) was not associated with utilization or cost of general medical health care services. The hypothesized moderating relationship of enabling resources and past use of mental health services on the association between having a current psychiatric disorder and both cost and utilization of general medical health care services was not supported. Significant differences were detected in the psychiatric sample between the subset of participants who utilized low levels of general medical health care services and the subset of those who utilized high levels of general medical health care services. The low level utilizers were more likely to be Spanish speaking, have alcohol use disorder, and be exposed to more categories of traumatic events. Participants with psychiatric disorders who had Medicaid and those who were disabled were more likely to be high level utilizers of general medical health care service. (PsycINFO Database Record (c) 2010 APA, all rights reserved)

Topic(s):

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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.

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912

Adult Measures of Quality of Life: AIMS/AIMS2, DRP, EuroQoL, NHP, PGI, QWB, RAQoL, SF-36, SIP, SIP-RA, WHOQoL, WHOQoL-100, and WHOQoL-Bref

Type: Journal Article

Authors: Alison Carr

Year: 2003

Abstract: This article offers psychometric validation for a clinical outcomes measure featured on AHRQ's Academy for the Integration of Behavioral Health and Primary Care portal.

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913

Adult Mental Health Case Management

Type: Government Report

Authors: Tennessee Department of Mental Health, Bureau of TennCare

Year: 2012

Publication Place: Nashville, TN

Topic(s):

,

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.

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914

Adult post-traumatic stress disorder: screening and treating in primary care

Type: Journal Article

Authors: Linda Nakell

Year: 2007

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915

Adult Primary Care Physician Visits Increasingly Address Mental Health Concerns

Type: Journal Article

Authors: L. S. Rotenstein, S. T. Edwards, B. E. Landon

Year: 2023

Abstract:

A high prevalence of mental health diagnoses in adults alongside ongoing shortages of mental health specialists and expansion of the patient-centered medical home have increased the involvement of primary care clinicians in treating mental health concerns. Using nationally representative serial cross-sectional data from the 2006-18 National Ambulatory Medical Care Surveys regarding visits to outpatient primary care physicians by patients ages eighteen and older, we sought to characterize temporal trends in primary care visits addressing a mental health concern. Based on a sample of 109,898 visits representing 3,891,233,060 weighted visits, we found that the proportion of visits that addressed mental health concerns increased from 10.7 percent of visits in 2006-07 to 15.9 percent by 2016 and 2018. Black patients were 40 percent less likely than White patients to have a mental health concern addressed during a primary care visit, and Hispanic patients were 40 percent less likely than non-Hispanic patients to have a mental health concern addressed during a primary care visit. These findings emphasize the need for payment and billing approaches (that is, value-based care models and billing codes for integrated behavioral health) as well as organizational designs and supports (that is, colocated therapy or psychiatry providers, availability of e-consultation, and longer visits) that enable primary care physicians to adequately address mental health needs.

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916

Advanced data capture in the assisted medical home: A model for distributed and multimedia technologies

Type: Journal Article

Authors: R. Churchill, D. Lorence, M. Richards

Year: 2010

Publication Place: United States

Abstract: Expanding the role of distributed health care, recent ONCHIT initiatives highlight the utilization of remote and home-based monitoring as a model for health care that is accessible, comprehensive and coordinated, delivered in the context of family and community. Extensible information technology in this context can be used to collect and store expanded data about patients and their environment, especially in assisted living and group home environments. Proposed here is a distributed model for meeting related ONC mandates, which include emerging patient data collection opportunities, especially within nursing homes, assisted living, and other group home arrangements. The conceptual applications employed in this technology set are provided by way of illustration, and may also serve as a transformative model for emerging EMR/EHR requirements.

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917

Advanced Leadership for Advanced Primary Care: A Case Study

Type: Web Resource

Authors: M. A. Baird, R. Jacobson, C. J. Peek

Year: 2012

Topic(s):

,

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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.

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918

Advanced Practice Nurses: Increasing Access to Opioid Treatment by Expanding the Pool of Qualified Buprenorphine Prescribers

Type: Journal Article

Authors: Matthew Tierney, Deborah S. Finnell, Madeline A. Naegle, Colleen LaBelle, Adam J. Gordon

Year: 2015

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919

Advanced Practice Nursing Students in the Patient-Centered Medical Home: Preparing for a New Reality

Type: Journal Article

Authors: Kathryn Swartwout, Marcia Pencak Murphy, Melanie C. Dreher, Raj Behal, Alison Haines, Mary Ryan, Norman Ryan, Mary Saba

Year: 2014

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920

Advanced practice providers and buprenorphine access in the United States after the Comprehensive Addiction and Recovery Act

Type: Journal Article

Authors: Dennis Lee, Brendan Saloner, Michael Barnett

Year: 2021

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