Literature Collection

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1500+

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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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11271 Results
9161
States Tackling Health Care System Transformation with Federal Support
Type: Report
Authors: Jennifer Lloyd, Stephanie Kissam, Allison Pompey
Year: 2019
Topic(s):
Grey Literature See topic collection
,
Financing & Sustainability 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 Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

9162
States' implementation of the Affordable Care Act and the supply of physicians waivered to prescribe buprenorphine for opioid dependence
Type: Journal Article
Authors: Hannah K. Knudsen, Michelle R. Lofwall, Jennifer R. Havens, Sharon L. Walsh
Year: 2015
Topic(s):
Opioids & Substance Use See topic collection
9163
Statewide Availability of Buprenorphine/Naloxone in Acute Care Hospitals
Type: Journal Article
Authors: Susie Pham, Alexandra Haigh, Eileen Barrett
Year: 2022
Topic(s):
Education & Workforce See topic collection
,
Healthcare Disparities See topic collection
,
Opioids & Substance Use See topic collection
9164
Statewide collaborative partnerships among American Indian and Alaska Native (AI/AN) communities in California to target the opioid epidemic: Preliminary results of the Tribal Medication Assisted Treatment (MAT) key informant needs assessment
Type: Journal Article
Authors: I. Zeledon, A. West, V. Antony, V. Telles, C. Begay, B. Henderson, J. B. Unger, C. Soto
Year: 2020
Publication Place: United States
Topic(s):
Education & Workforce See topic collection
,
Healthcare Disparities See topic collection
,
Measures See topic collection
,
Opioids & Substance Use See topic collection
9165
Statewide efforts to address the opioid epidemic: Results from a national survey of single state agencies
Type: Journal Article
Authors: M. A. G. Estrada, A. J. Abraham, C. M. Andrews, C. M. Grogan
Year: 2024
Topic(s):
Opioids & Substance Use See topic collection
,
Financing & Sustainability See topic collection
9166
Statewide Trends in Buprenorphine Prescribing in Rural and Nonrural Vermont: Analysis of Population-based Patient Pharmacy Claims
Type: Journal Article
Authors: S. A. Nowak, V. S. Harder, A. C. Villanti, S. H. Heil, S. C. Sigmon
Year: 2023
Topic(s):
Opioids & Substance Use See topic collection
,
Financing & Sustainability See topic collection
,
Healthcare Disparities See topic collection
9167
STATISTICAL BRIEF #312: Patient-Provider Communication by Race/Ethnicity and Disability Status: United States, 2007
Type: Web Resource
Authors: Frances M. Chevarley
Year: 2011
Topic(s):
Healthcare Disparities See topic collection
,
Grey Literature 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.

9168
Status of general medicine training and education in psychiatry residency
Type: Journal Article
Authors: A. Annamalai, R. M. Rohrbaugh, M. J. Sernyak
Year: 2014
Publication Place: United States
Abstract: OBJECTIVE: With the current emphasis on integrated care, the role of psychiatrists is expanding to either directly provide medical care or coordinate its delivery. The purpose of this study was to survey general psychiatry programs on the extent of general medicine training provided during residency. METHODS: A short web-based survey was sent to 173 residency program directors to recruit participants for a larger survey. Thirty-seven participants were recruited and surveyed, and of these, 12 (32.4%) responded. The survey assessed the extent of general medicine training and didactics during and after the first postgraduate year and attitudes towards enhancing this training in residency. This study was approved by the local institutional review board. RESULTS: Seventy-five percent of programs require only the minimum 4 months of primary care in the first postgraduate year, and didactics during these months is often not relevant to psychiatry residents. Some programs offer elective didactics on chronic medical conditions in the fourth postgraduate year. Respondents are in favor of enhancing general medicine training in psychiatry but indicate some resistance from their institutions. CONCLUSIONS: These results suggest that very few programs require additional clinical training in relevant medical illnesses after the first postgraduate year. Respondents indicated favorable institutional support for enhancing training, but also expected resistance. The reasons for resistance should be an area of future research. Also important is to determine if enhancing medical didactics improves patient care and outcomes. The changing role of psychiatrists entails a closer look at resident curricula.
Topic(s):
Education & Workforce See topic collection
9169
Stem the Tide: Addressing the Opioid Epidemic
Type: Report
Authors: American Hospital Association
Year: 2017
Publication Place: Chicago, IL
Topic(s):
Grey Literature See topic collection
,
Education & Workforce 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.

9170
Stem the Tide: Addressing the Opioid Epidemic & Taking Action
Type: Government Report
Authors: American Hospital Association
Year: 2017
Publication Place: Chicago, IL
Topic(s):
Opioids & Substance Use See topic collection
,
Grey Literature 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.

9171
Stem the Tide: Opioid Stewardship Measurement Implementation Guide
Type: Government Report
Authors: American Hospital Association Center for Health Innovation
Year: 2020
Publication Place: Chicago, IL
Topic(s):
Education & Workforce See topic collection
,
Opioids & Substance Use See topic collection
,
Grey Literature 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.

9172
Stepped Care as an Implementation and Service Delivery Model for Cognitive Behavioral Therapy for Psychosis
Type: Journal Article
Authors: Sarah L. Kopelovich, Eric Strachan, Harry Sivec, Valerie Kreider
Year: 2019
Publication Place: , <Blank>
Topic(s):
Education & Workforce See topic collection
,
Healthcare Disparities See topic collection
9173
Stepped care for depression at integrated chronic care centers (IC3) in Malawi: Study protocol for a stepped-wedge cluster randomized controlled trial
Type: Journal Article
Authors: R. K. McBain, O. Mwale, T. Ruderman, W. Kayira, E. Connolly, M. Chalamanda, C. Kachimanga, B. D. Khongo, J. Wilson, E. Wroe, G. Raviola, S. Smith, S. Coleman, K. Kelly, A. Houde, M. G. Tebeka, S. Watson, K. Kulisewa, M. Udedi, G. Wagner
Year: 2021
Topic(s):
Financing & Sustainability See topic collection
,
Healthcare Disparities See topic collection
,
Measures See topic collection
9174
Stepped care for depression in primary care: what should be offered and how?
Type: Journal Article
Authors: A. van Straten, W. Seekles, N. J. van 't Veer-Tazelaar, A. T. Beekman, P. Cuijpers
Year: 2010
Publication Place: Australia
Abstract: Stepped-care approaches may offer a solution to delivering accessible, effective and efficient services for individuals with depression. In stepped care, all patients commence with a low-intensity, low-cost treatment. Treatment results are monitored systematically, and patients move to a higher-intensity treatment only if necessary. We deliver a stepped-care model targeting patients with depression. The first step consists of "watchful waiting", as half of all patients with a depressive episode recover spontaneously within 3 months. The second step, guided self-help, is the key element of the stepped-care model. Guided self-help, especially when offered through the internet, is effective and cost-efficient. The third step consists of brief face-to-face psychotherapy. Finally, in the fourth step, longer-term face-to-face psychotherapy and antidepressant medication might be considered. Patients are monitored by one person, a care manager, who is responsible for the decision to step up to the next treatment and for continuity of care. The different treatments within the stepped-care model are evidence-based. Data on cost-effectiveness of the full model are still scarce, but we recently demonstrated that the incidence of new cases of depression and anxiety could be halved by introducing stepped care. Effects of web-based guided self-help could be enhanced by incorporating them in a stepped-care model.
Topic(s):
General Literature See topic collection
9175
Stepped care for depression is easy to recommend, but harder to implement: results of an explorative study within primary care in the Netherlands
Type: Journal Article
Authors: M. L. Hermens, A. Muntingh, G. Franx, P. T. van Splunteren, J. Nuyen
Year: 2014
Publication Place: England
Abstract: BACKGROUND: Depression is a common mental disorder with a high burden of disease which is mainly treated in primary care. It is unclear to what extent stepped care principles are applied in routine primary care. The first aim of this explorative study was to examine the gap between routine primary depression care and optimal care, as formulated in the depression guidelines. The second aim was to explore the facilitators and barriers that affect the provision of optimal care. METHODS: Optimal care was operationalised by indicators covering the entire continuum of depression care: from prevention to chronic depression. Routine care was investigated by interviewing general practitioners (GPs) individually and together with other mental health care providers about the depression care they delivered collaboratively. Qualitative analysis of transcripts was performed using thematic coding. Additionally, the GPs completed a self-report questionnaire. RESULTS: Six GPs and 22 other (mostly primary) mental health care providers participated. The GPs and their primary care colleagues embraced a general stepped care approach. They offered psycho-education and counselling to mildly depressed patients. When the treatment effects were not satisfactory or patients were more severely depressed, the GPs offered, or referred to, psychotherapy or pharmacotherapy. Patients with a complex and severe depressive disorder were directly referred to specialised mental health care. However, GPs relied on their clinical judgment and rarely used instruments to assess and monitor the severity of depressive symptoms. Structured, evidence based interventions such as self-management and e-health were rarely offered to patients with depressive symptoms. Specific psychological interventions for relapse prevention or for chronically depressed patients were not available. A wide range of influencing factors for the provision of optimal depression care were put forward. Close collaboration with other mental health care professionals was considered an important factor for improvement by nearly all GPs. CONCLUSIONS: The management of depression in primary care seems in line with stepped care principles, although it can be improved by applying more elements of a stepped care approach. Collaboration between GPs and mental health care providers in primary care and secondary care should be enhanced.
Topic(s):
Education & Workforce See topic collection
,
Healthcare Disparities See topic collection
9176
Stepped care for maternal mental health: a case study of the perinatal mental health project in South Africa
Type: Journal Article
Authors: S. Honikman, T. van Heyningen, S. Field, E. Baron, M. Tomlinson
Year: 2012
Publication Place: United States
Abstract: As one article in a series on Global Mental Health Practice, Simone Honikman and colleagues from South Africa provide a case study of the Perinatal Mental Health Project, which delivered mental health care to pregnant women in a collaborative, step-wise manner, making use of existing resources in primary care.
Topic(s):
Healthcare Disparities See topic collection
9177
Stepped Care for Opioid Use Disorder Train the Trainer (SCOUTT) initiative: Expanding access to medication treatment for opioid use disorder within Veterans Health Administration facilities
Type: Journal Article
Authors: A. J. Gordon, K. Drexler, E. J. Hawkins, J. Burden, N. K. Codell, A. Mhatre-Owens, M. T. Dungan, H. Hagedorn
Year: 2020
Abstract:

The US is confronted with a rise in opioid use disorder (OUD), opioid misuse, and opioid-associated harms. Medication treatment for opioid use disorder (MOUD)-including methadone, buprenorphine and naltrexone-is the gold standard treatment for OUD. MOUD reduces illicit opioid use, mortality, criminal activity, healthcare costs, and high-risk behaviors. The Veterans Health Administration (VHA) has invested in several national initiatives to encourage access to MOUD treatment. Despite these efforts, by 2017, just over a third of all Veterans diagnosed with OUD received MOUD. VHA OUD specialty care is often concentrated in major hospitals throughout the nation and access to this care can be difficult due to geography or patient choice. Recognizing the urgent need to improve access to MOUD care, in the Spring of 2018, the VHA initiated the Stepped Care for Opioid Use Disorder, Train the Trainer (SCOUTT) Initiative to facilitate access to MOUD in VHA non-SUD care settings. The SCOUTT Initiative's primary goal is to increase MOUD prescribing in VHA primary care, mental health, and pain clinics by training providers working in those settings on how to provide MOUD and to facilitate implementation by providing an ongoing learning collaborative. Thirteen healthcare providers from each of the 18 VHA regional networks across the VHA were invited to implement the SCOUTT Initiative within one facility in each network. We describe the goals and initial activities of the SCOUTT Initiative leading up to a two-day national SCOUTT Initiative conference attended by 246 participants from all 18 regional networks in the VHA. We also discuss subsequent implementation facilitation and evaluation plans for the SCOUTT Initiative. The VHA SCOUTT Initiative could be a model strategy to implement MOUD within large, diverse health care systems.

Topic(s):
Education & Workforce See topic collection
,
Healthcare Disparities See topic collection
,
Opioids & Substance Use See topic collection
9178
Stepped care in primary care - guided self-help and face-to-face cognitive behavioural therapy for common mental disorders: a randomized controlled trial
Type: Journal Article
Authors: Sigrid Salomonsson, Fredrik Santoft, Elin Lindsater, Kersti Ejeby, Brjann Ljotsson, Lars-Goran Ost, Martin Ingvar, Mats Lekander, Erik Hedman-Lagerlof
Year: 2018
Publication Place: England
Abstract:

BACKGROUND: Common mental disorders (CMD) cause large suffering and high societal costs. Cognitive behavioural therapy (CBT) can effectively treat CMD, but access to treatment is insufficient. Guided self-help (GSH) CBT, has shown effects comparable with face-to-face CBT. However, not all patients respond to GSH, and stepping up non-responders to face-to-face CBT, could yield larger response rates. The aim was to test a stepped care model for CMD in primary care by first evaluating the effects of GSH-CBT and secondly, for non-responders, evaluating the additional effect of face-to-face CBT. METHODS: Consecutive patients (N = 396) with a principal disorder of depression, anxiety, insomnia, adjustment or exhaustion disorder were included. In Step I, all patients received GSH-CBT. In Step II, non-responders were randomized to face-to-face CBT or continued GSH. The primary outcome was remission status, defined as a score below a pre-established cutoff on a validated disorder-specific scale. RESULTS: After GSH-CBT in Step I, 40% of patients were in remission. After Step II, 39% of patients following face-to-face CBT were in remission compared with 19% of patients after continued GSH (p = 0.004). Using this stepped care model required less than six therapy sessions per patient and led to an overall remission rate of 63%. CONCLUSIONS: Stepped care can be effective and resource-efficient to treat CMD in primary care, leading to high remission rates with limited therapist resources. Face-to-face CBT speeded up recovery compared with continued GSH. At follow-ups after 6 and 12 months, remission rates were similar in the two groups.

Topic(s):
Healthcare Disparities See topic collection
9179
Stepped Care Internet-Delivered vs Face-to-Face Cognitive-Behavior Therapy for Pediatric Obsessive-Compulsive Disorder: A Trial Protocol for a Randomized Noninferiority Trial
Type: Journal Article
Authors: Kristina Aspvall, Erik Andersson, Fabian Lenhard, Karin Melin, Lisa Norlin, Lena Wallin, Maria Silverberg-Mörse, Inna Feldman, Matteo Bottai, David Mataix-Cols, Eva Serlachius
Year: 2019
Publication Place: Chicago, Illinois
Topic(s):
Financing & Sustainability See topic collection
,
Healthcare Disparities See topic collection
,
HIT & Telehealth See topic collection
,
Measures See topic collection
9180
Stepped Care Interpersonal Psychotherapy Treatment for Depressed Adolescents: A Pilot Study in Pediatric Clinics
Type: Journal Article
Authors: L. Mufson, M. Rynn, P. Yanes-Lukin, T. H. Choo, K. Soren, E. Stewart, M. Wall
Year: 2018
Publication Place: United States
Abstract: Adolescents with depression are at risk for negative long-term consequences and recurrence of depression. Many do not receive nor access treatment, especially Latino youth. New treatment approaches are needed. This study examined the feasibility and acceptability of a stepped collaborative care treatment model (SCIPT-A) for adolescents with depression utilizing interpersonal psychotherapy for adolescents (IPT-A) and antidepressant medication (if needed) compared to Enhanced Treatment as Usual (E-TAU) in urban pediatric primary care clinics serving primarily Latino youth. Results suggest the SCIPT-A model is feasible, acceptable and potentially beneficial for urban Latino adolescents. Clinicians delivered the SCIPT-A model with fidelity using supervision successfully implemented in a community setting.
Topic(s):
Healthcare Disparities See topic collection