Literature Collection

9101

Stakeholder impact on the implementation of integrated care: Opportunities to consider for patient-centered outcomes research

Type: Journal Article

Authors: S. M. Kearney, K. Williams, C. Nikolajski, M. Park, K. L. Kraemer, D. Landsittel, C. Kang, A. Malito, J. Schuster

Year: 2020

Publication Place: United States

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9102

Stakeholder Perceptions of Internet-Delivered Cognitive Behavior Therapy as a Treatment Option for Alcohol Misuse: Qualitative Analysis

Type: Journal Article

Authors: H. D. Hadjistavropoulos, K. M. Gullickson, S. Adrian-Taylor, A. Wilhelms, C. Sundström, M. Nugent

Year: 2020

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9103

Stakeholder perspectives on a telemedicine referral and coordination model to expand medication treatment for opioid use disorder in rural primary care clinics

Type: Journal Article

Authors: A. J. Ober, A. R. Dopp, S. E. Clingan, M. E. Curtis, C. Lin, S. Calhoun, S. Larkins, M. Black, M. Hanano, K. P. Osterhage, L. M. Baldwin, A. J. Saxon, E. G. Hichborn, L. A. Marsch, L. J. Mooney, Y. I. Hser

Year: 2024

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9104

Stakeholder perspectives on a telemedicine referral and coordination model to expand medication treatment for opioid use disorder in rural primary care clinics

Type: Journal Article

Authors: A. J. Ober, A. R. Dopp, S. E. Clingan, M. E. Curtis, C. Lin, S. Calhoun, S. Larkins, M. Black, M. Hanano, K. P. Osterhage, L. M. Baldwin, A. J. Saxon, E. G. Hichborn, L. A. Marsch, L. J. Mooney, Y. I. Hser

Year: 2024

Abstract:

INTRODUCTION: Opioid overdose deaths are increasing rapidly in the United States. Medications for opioid use disorder (MOUD) are effective and can be delivered in primary care, but uptake has been limited in rural communities. Referral to and coordination with an external telemedicine (TM) vendor by rural primary care clinics for MOUD (TM-MOUD) may increase MOUD access for rural patients, but we know little about perspectives on this model among key stakeholders. As part of a TM-MOUD feasibility study, we explored TM-MOUD acceptability and feasibility among personnel and patients from seven rural primary care clinics and a TM-MOUD vendor. METHODS: We conducted virtual interviews or focus groups with clinic administrators (n = 7 interviews), clinic primary care and behavioral health providers (8 groups, n = 30), other clinic staff (9 groups, n = 37), patients receiving MOUD (n = 16 interviews), TM-MOUD vendor staff (n = 4 interviews), and vendor-affiliated behavioral health and prescribing providers (n = 17 interviews). We asked about experiences with and acceptability of MOUD (primarily buprenorphine) and telemedicine (TM) and a TM-MOUD referral and coordination model. We conducted content analysis to identify themes and participants quantitatively rated acceptability of TM-MOUD elements on a 4-item scale. RESULTS: Perceived benefits of vendor-based TM-MOUD included reduced logistical barriers, more privacy and less stigma, and access to services not available locally (e.g., counseling, pain management). Barriers included lack of internet or poor connectivity in patients' homes, limited communication and trust between TM-MOUD and clinic providers, and questions about the value to the clinic of TM-MOUD referral to external vendor. Acceptability ratings for TM-MOUD were generally high; they were lowest among frontline staff. CONCLUSIONS: Rural primary care clinic personnel, TM-MOUD vendor personnel, and patients generally perceived referral from primary care to a TM-MOUD vendor to hold potential for increasing access to MOUD in rural communities. Increasing TM-MOUD uptake requires buy-in and understanding among staff of the TM-MOUD workflow, TM services offered, requirements for patients, advantages over clinic-based or TM services from clinic providers, and identification of appropriate patients. Poverty, along with patient hesitation to initiate treatment, creates substantial barriers to MOUD treatment generally; insufficient internet availability creates a substantial barrier to TM-MOUD.

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9105

Stakeholder views on behavioral health care in the pediatric primary care setting: A qualitative approach towards integration of care

Type: Web Resource

Authors: Alexis Michelle Quinoy

Year: 2016

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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9106

Stakeholder views on behavioral health care in the pediatric primary care setting: A qualitative approach towards integration of care

Type: Web Resource

Authors: Alexis Michelle Quinoy

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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9107

Standalone Smartphone Cognitive Behavioral Therapy-Based Ecological Momentary Interventions to Increase Mental Health: Narrative Review

Type: Journal Article

Authors: M. A. Marciniak, L. Shanahan, J. Rohde, A. Schulz, C. Wackerhagen, D. Kobylińska, O. Tuescher, H. Binder, H. Walter, R. Kalisch, B. Kleim

Year: 2020

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9108

Standard Framework for Levels of Integrated Healthcare [Video]

Type: Web Resource

Authors: SAMHSA-HRSA Center for Integrated Health Solutions

Year: 2013

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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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9109

Standardised assessment of personality - a study of validity and reliability in substance abusers

Type: Journal Article

Authors: M. Hesse, J. Rasmussen, M. K. Pedersen

Year: 2008

Publication Place: England

Abstract: BACKGROUND: Brief screening instruments for co-morbid personality disorders could potentially have great value in substance abuse treatment settings. METHODS: We assessed the psychometric properties of the 8-item Standardised Assessment of Personality - Abbreviated Scale (SAPAS) in a sample of 58 methadone maintenance patients. RESULTS: Internal consistency was modest, but similar to the original value (alpha = 0.62), and test-retest correlation at four months follow-up was moderately encouraging for a short instrument such as this (n = 31, test retest intraclass correlation = 0.58), and change at the mean level was minimal, but marginally significant (from an average of 3.3 to 3.8, p = 0.06). Analyses of nurse ratings of patients' behaviour at the clinic showed that SAPAS was significantly correlated with nurse ratings of externalizing behaviour (r = 0.42, p = 0.001), and Global Assessment of Functioning (r = -0.36, p = 0.006), but unrelated to intoxication (r = 0.02, NS), or withdrawal (r = 0.20, NS). CONCLUSION: There is evidence that the SAPAS is a modestly valid and relatively reliable brief screening measure of personality disorders in patients with ongoing substance abuse undergoing methadone maintenance. It can be used in situations where limited resources are available, and researchers or others wish to get an impression of the degree of personality pathology in a clinical population, as well as for screening purposes.

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9110

Staring down the opioid epidemic

Type: Journal Article

Authors: J. R. Unger

Year: 2017

Publication Place: United States

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9111

Starving in the midst of plenty? A study of training needs for child and adolescent mental health service delivery in primary care

Type: Journal Article

Authors: N. Madge, D. Foreman, F. Baksh

Year: 2008

Publication Place: England

Abstract: Current UK child mental health policy seeks to engage primary care personnel in improving service delivery under the heading of 'Comprehensive CAMHS' but little is known about the size of this resource, the sufficiency of its training or its commitment to children's mental health. We surveyed local health, education and social services agencies within a UK Unitary Authority just outside London, using both questionnaire and focus group methodologies: 150 primary care personnel were identified in 14 teams. Of these 122 participated in the questionnaire survey, and 60 took part in focus groups. There was, approximately, one such team member for every 30 children with a mental health problem. Respondents reported deficiencies in skills and knowledge, but wanted training and support to increase their involvement provided it related to their daily practice, professional roles, and was developed in accordance with local needs and resources. Lack of training and organization impedes the effective deployment of a potentially huge resource for children with mental health problems. This could be addressed by appropriately tailored training courses, combined with managerial work on systems and remits. Such a programme would be needed to realize the National Service Framework's concept of a 'comprehensive CAMHS'.

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9112

State Adoption of Incentives to Promote Evidence-Based Practices in Behavioral Health Systems

Type: Journal Article

Authors: R. E. Stewart, S. C. Marcus, T. R. Hadley, B. M. Hepburn, D. S. Mandell

Year: 2018

Abstract: OBJECTIVE: Despite the critical role behavioral health care payers can play in creating an incentive to use evidence-based practices (EBPs), little research has examined which incentives are used in public mental health systems, the largest providers of mental health care in the United States. METHODS: The authors surveyed state mental health directors from 44 states about whether they used any of seven strategies to increase the use of EBPs. Participants also ranked attributes of each incentive on the basis of key characteristics of diffusion of innovation theory (perceived advantage, simplicity, compatibility, observability, and gradually implementable) and perceived effectiveness. RESULTS: Almost three-quarters of state directors endorsed using at least one financial incentive; most paid for training and technical assistance. Few used other incentives. Strategies perceived as simple and compatible were more readily adopted. Enhanced rates and paying for better outcomes were perceived as the most effective but were the least deployed, suggesting that simplicity and organizational compatibility may be the most decisive factors when choosing incentives. CONCLUSIONS: Payers are not using the incentives they perceive as most effective, and they are mostly using only one strategy for reasons of simplicity and compatibility. Future work should focus on barriers to measurement that likely hinder the adoption and implementation of paying for better outcomes and enhanced reimbursement rates, with the ultimate goal of measuring the effectiveness of incentives on EBP implementation efforts.

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9113

State and Local Policy Levers for Increasing Treatment and Recovery Capacity to Address the Opioid Epidemic: Final Report

Type: Government Report

Authors: Jesse Hinde, Jennifer Hayes, Tami Mark, Shampa Bernstein, Sarita Karon

Year: 2017

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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9114

State and Substate Estimates of Nonmedical Use of Prescription Pain Relievers

Type: Government Report

Authors: R. N. Lipari, S. L. Van Horn, A. Hughes, M. Williams

Year: 2017

Publication Place: Rockville, MD

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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9115

State Approaches to Opioid Use Disorder Treatment across the Correctional Continuum

Type: Report

Authors: Jodi Manz, Mia Antezzo, Eliza Mette, Kitty Purington

Year: 2021

Publication Place: Washington, D.C.

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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9116

State Emergency Department Opioid Guidelines: Current Status

Type: Journal Article

Authors: R. I. Broida, T. Gronowski, A. F. Kalnow, A. G. Little, C. M. Lloyd

Year: 2017

Publication Place: United States

Abstract: INTRODUCTION: The purpose of this study was to evaluate and categorize current state-sponsored opioid guidelines for the practice of emergency medicine (EM). METHODS: We conducted a comprehensive search of EM-specific opioid prescribing guidelines and/or policies in each state to determine current state involvement in EM opioid prescribing, as well as to evaluate some of the specifics of each guideline or policy. The search was conducted using an online query and a follow-up email request to each state chapter of ACEP. RESULTS: We found that 17 states had emergency department-specific guidelines. We further organized the guidelines into four categories: limiting prescriptions for opioids with 67 total recommendations; preventing/diverting abuse with 56 total recommendations; addiction-related guidelines with 29 total recommendations; and a community resources section with 24 total recommendations. Our results showed that current state guidelines focus on providers limiting opioid pain prescriptions and vetting patients for possible abuse/diversion. CONCLUSION: This study highlights the 17 states that have addressed opioid prescribing guidelines and categorizes their efforts to date. It is hoped that this study will provide the basis for similar efforts in other states.

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9117

State Emergency Department Opioid Guidelines: Current Status

Type: Journal Article

Authors: R. I. Broida, T. Gronowski, A. F. Kalnow, A. G. Little, C. M. Lloyd

Year: 2017

Publication Place: United States

Abstract: INTRODUCTION: The purpose of this study was to evaluate and categorize current state-sponsored opioid guidelines for the practice of emergency medicine (EM). METHODS: We conducted a comprehensive search of EM-specific opioid prescribing guidelines and/or policies in each state to determine current state involvement in EM opioid prescribing, as well as to evaluate some of the specifics of each guideline or policy. The search was conducted using an online query and a follow-up email request to each state chapter of ACEP. RESULTS: We found that 17 states had emergency department-specific guidelines. We further organized the guidelines into four categories: limiting prescriptions for opioids with 67 total recommendations; preventing/diverting abuse with 56 total recommendations; addiction-related guidelines with 29 total recommendations; and a community resources section with 24 total recommendations. Our results showed that current state guidelines focus on providers limiting opioid pain prescriptions and vetting patients for possible abuse/diversion. CONCLUSION: This study highlights the 17 states that have addressed opioid prescribing guidelines and categorizes their efforts to date. It is hoped that this study will provide the basis for similar efforts in other states.

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9118

State guidance and system changes related to COVID-19: Impact on opioid treatment programs

Type: Journal Article

Authors: D. B. Fuller, J. Gryczynski, R. P. Schwartz, C. Halsted, S. G. Mitchell, M. Whitter

Year: 2024

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9119

State Innovation Model Overview

Type: Web Resource

Authors: Commonwealth of Massachusetts Executive Office of Health and Human Services

Year: 2014

Topic(s):

,

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9120

State laws that require co-prescribing opioids and naloxone and co-dispensing practices

Type: Journal Article

Authors: K. N. Tormohlen, I. Schmid, E. A. Stuart, C. Davis, E. E. McGinty

Year: 2023

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