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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).
13017 Results
9141
Preventing Postpartum Depression in a Pediatric Primary Care Clinic: A Pilot Study
Type:
Journal Article
Year:
2014
Topic(s):
Healthcare Disparities
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Reference Links:
View the PubMed citation for Preventing Postpartum Depression in a Pediatric Primary Care Clinic: A Pilot Study
9142
Preventing Psychological Disorders in Service Members and Their Families: An Assessment of Programs.
Type:
Government Report
Year:
2014
Publication Place:
Washington, DC
Abstract:
Being deployed to a war zone can result in numerous adverse psychological health conditions. It is well documented in the literature that there are high rates of psychological disorders among military personnel serving in Operation Enduring Freedom in Afghanistan and Operation Iraqi Freedom in Iraq as well as among the service members' families. For service members' families, the degree of hardship and negative consequences rises with the amount of the service members' exposure to traumatic or life-altering experiences. Adult and child members of the families of service members who experience wartime deployments have been found to be at increased risk for symptoms of psychological disorders and to be more likely to use mental health services.In an effort to provide early recognition and early intervention that meet the psychological health needs of service members and their families, DOD currently screens for many of these conditions at numerous points during the military life cycle, and it is implementing structural interventions that support the improved integration of military line personnel, non-medical caregivers, and clinicians, such as RESPECT-Mil (Re-engineering Systems of Primary Care Treatment in the Military), embedded mental health providers, and the Patient-Centered Medical Home. Preventing Psychological Disorders in Service Members and Their Families evaluates risk and protective factors in military and family populations and suggests that prevention strategies are needed at multiple levels - individual, interpersonal, institutional, community, and societal - in order to address the influence that these factors have on psychological health. This report reviews and critiques reintegration programs and prevention strategies for PTSD, depression, recovery support, and prevention of substance abuse, suicide, and interpersonal violence.
Topic(s):
Grey Literature
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, Healthcare Disparities
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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.
View the PubMed citation for Preventing Psychological Disorders in Service Members and Their Families: An Assessment of Programs.Access more information about this Resource
Access more information about this Resource
Reference Links:
View the PubMed citation for Preventing Psychological Disorders in Service Members and Their Families: An Assessment of Programs.Access more information about this Resource
Access more information about this Resource
9148
Prevention of opioid abuse in chronic non-cancer pain: an algorithmic, evidence based approach
Type:
Journal Article
Year:
2012
Publication Place:
United States
Abstract:
BACKGROUND: The use of opioids for chronic non-cancer pain has grown exponentially in the last 15 years. Associated with that, dramatic increases in abuse and overdose deaths from opioid use have been noted. OBJECTIVES: Most opioid abuse stems from legitimate prescriptions, putting the onus on prescribers to use opioids responsibly for chronic pain. Very little evidence-based guidance exists for those who wish to prescribe opioids for legitimate chronic pain and at the same time prevent opioid abuse. METHODS: A review of literature was performed for articles focused on guidelines for opioid use when prescribed for chronic pain, opioid abuse, and overdose, strategies to detect and prevent abuse of opioids, urine drug screens (UDS) in chronic pain settings, prescription monitoring programs (PMP), and the relationship between opioid dosing and abuse. RESULTS: Based on the existing literature, an evidence-based algorithmic approach was developed to decrease opioid abuse in the chronic pain environment. The pillars of prevention are the screening of patients into high, medium, and low risk categories using screening tools; monitoring patients using UDS, PMP, and pill counts, and lastly, dose limitations. CONCLUSION: This algorithmic approach may enable physicians to prescribe opioids for patients with chronic pain and also to reduce opioid abuse.
Topic(s):
Opioids & Substance Use
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Reference Links:
View the PubMed citation for Prevention of opioid abuse in chronic non-cancer pain: an algorithmic, evidence based approach
9149
Prevention of Opioid Overdose
Type:
Journal Article
Year:
2019
Publication Place:
United States
Topic(s):
Opioids & Substance Use
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Reference Links:
View the DOI record for Prevention of Opioid Overdose
View DOI Record
View the PubMed citation for Prevention of Opioid Overdose
Export Citation:
Download the RIS reference file for Prevention of Opioid Overdose
9152
Preventive service gains from first contact access in the primary care home
Type:
Journal Article
Year:
2011
Publication Place:
United States
Abstract:
BACKGROUND: The patient-centered medical home (PCMH) concept recently has garnered national attention as a means of improving the quality of primary care. Preventive services are one area in which the use of a PCMH is hoped to achieve gains, though there has been limited exploration of PCMH characteristics that can assist with practice redesign. The purpose of this study was to examine whether first-contact access characteristics of a medical home (eg, availability of appointments or advice by telephone) confer additional benefit in the receipt of preventive services for individuals who already have a longitudinal relationship with a primary care physician at a site of care. METHODS: This was a secondary analysis examining data from 5507 insured adults with a usual physician who participated in the 2003 to 2006 round of the Wisconsin Longitudinal Study. Using logistic regression, we calculated the odds of receiving each preventive service, comparing individuals who had first-contact access with those without first-contact access. RESULTS: Eighteen percent of the sample received care with first-contact access. In multivariable analyses, after adjustment, individuals who had first-contact access had higher odds of having received a prostate examination (odds ratio [OR], 1.62; 95% CI, 1.20-2.18), a flu shot (OR, 1.36; 95% CI, 1.01-1.82), and a cholesterol test (OR, 1.36; 95% CI, 1.01-1.82) during the past year. There was no significant difference in receipt of mammograms (OR, 1.23; 95% CI, 0.94-1.61). CONCLUSIONS: In the primary care home, first-contact accessibility adds benefit, beyond continuity of care with a physician, in improving receipt of preventive services. Amid increasing primary care demands and finite resources available to translate the PCMH into clinic settings, there is a need for further studies of the interplay between specific PCMH principles and how they perform in practice.
Topic(s):
Medical Home
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Reference Links:
View the DOI record for Preventive service gains from first contact access in the primary care home
View DOI Record
View the PubMed citation for Preventive service gains from first contact access in the primary care home
9154
Primary and Behavioral Health Care Integration Program: Impacts on Health Care Utilization, Cost, and Quality
Type:
Journal Article
Year:
2021
Topic(s):
Financing & Sustainability
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, Healthcare Disparities
See topic collection
, Opioids & Substance Use
See topic collection
Reference Links:
View the PubMed citation for Primary and Behavioral Health Care Integration Program: Impacts on Health Care Utilization, Cost, and Quality
9157
Primary and behavioral healthcare integration: threat or opportunity for addiction treatment organizations?
Type:
Journal Article
Year:
2012
Publication Place:
United States
Topic(s):
Key & Foundational
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Reference Links:
View the DOI record for Primary and behavioral healthcare integration: threat or opportunity for addiction treatment organizations?
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View the PubMed citation for Primary and behavioral healthcare integration: threat or opportunity for addiction treatment organizations?
9159
Primary care after psychiatric crisis: a qualitative analysis
Type:
Journal Article
Year:
2008
Publication Place:
United States
Abstract:
PURPOSE: Patients with serious psychiatric problems experience difficulty accessing primary care. The goals of this study were to assess whether care managers improved access and to understand patients' experiences with health care after a psychiatric crisis. METHODS: A total of 175 consecutive patients seeking care in a psychiatric emergency department were randomly assigned to an intervention group with care managers or a control group. Brief, semistructured interviews about health care encounters were conducted at baseline and 1 year later. Five raters, using the content-driven, immersion-crystallization approach, analyzed 112 baseline and year-end interviews from 28 participants in each group. The main outcomes were patients' responses about their care experiences, connections with primary care, and integration of medical and mental health care. Scores for physical function and mental function were compared by analysis of variance (ANOVA). RESULTS: At baseline, most participants described negative experiences in receiving care and emphasized the importance of listening, sensitivity, and respect. Fully 71% of patients in the intervention group said that having a care manager to assist them with primary care connections was beneficial. Patients in the intervention group had significantly better physical and mental function than their counterparts in the control group at 6 months (P = .03 for each) but not at 12 months. There was also a trend toward functional improvement over the course of the study in the intervention group. CONCLUSIONS: This analysis suggests that care management is effective in helping patients access primary care after a psychiatric crisis. It provides evidence on and insight into how care may be delivered more effectively for this population. Future work should assess the sustainability of care connections and longer-term patient health outcomes.
Topic(s):
Healthcare Disparities
See topic collection
Reference Links:
View the DOI record for Primary care after psychiatric crisis: a qualitative analysis
View DOI Record
View the PubMed citation for Primary care after psychiatric crisis: a qualitative analysis