Literature Collection

9181

Strategies for treatment of generalized anxiety in the primary care setting.

Type: Journal Article

Authors: E. Schweizer, K. Rickels

Year: 1997

Topic(s):

Export Citation: RIS

View details

9182

Strategies to Address the Opioid Epidemic

Type: Report

Authors: Brian Neale

Year: 2017

Publication Place: Baltimore, MD

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 Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

PDF (170.70 KB)

Reference Links: PDF (170.70 KB)

Export Citation: RIS

View details

9183

Strategies to facilitate integrated care for people with alcohol and other drug problems: a systematic review

Type: Journal Article

Authors: M. Savic, D. Best, V. Manning, D. I. Lubman

Year: 2017

Publication Place: England

Abstract: BACKGROUND: There is a growing body of research highlighting the potential benefits of integrated care as a way of addressing the needs of people with alcohol and other drug (AOD) problems, given the broad range of other issues clients often experience. However, there has been little academic attention on the strategies that treatment systems, agencies and clinicians could implement to facilitate integrated care. METHODS: We synthesised the existing evidence on strategies to improve integrated care in an AOD treatment context by conducting a systematic review of the literature. We searched major academic databases for peer-reviewed articles that evaluated strategies that contribute to integrated care in an AOD context between 1990 and 2014. Over 2600 articles were identified, of which 14 met the study inclusion criteria of reporting on an empirical study to evaluate the implementation of integrated care strategies. The types of strategies utilised in included articles were then synthesised. RESULTS: We identified a number of interconnected strategies at the funding, organisational, service delivery and clinical levels. Ensuring that integrated care is included within service specifications of commissioning bodies and is adequately funded was found to be critical in effective integration. Cultivating positive inter-agency relationships underpinned and enabled the implementation of most strategies identified. Staff training in identifying and responding to needs beyond clinicians' primary area of expertise was considered important at a service level. However, some studies highlight the need to move beyond discrete training events and towards longer term coaching-type activities focussed on implementation and capacity building. Sharing of client information (subject to informed consent) was critical for most integrated care strategies. Case-management was found to be a particularly good approach to responding to the needs of clients with multiple and complex needs. At the clinical level, screening in areas beyond a clinician's primary area of practice was a common strategy for facilitating referral and integrated care, as was joint care planning. CONCLUSION: Despite considerable limitations and gaps in the literature in terms of the evaluation of integrated care strategies, particularly between AOD services, our review highlights several strategies that could be useful at multiple levels. Given the interconnectedness of integrated care strategies identified, implementation of multi-level strategies rather than single strategies is likely to be preferable.

Topic(s):

Reference Links:

Export Citation: RIS

View details

9184

Strategies to Improve Access to and Utilization of Health Care Services and Adherence to Antiretroviral Therapy Among HIV-Infected Drug Users

Type: Journal Article

Authors: Chinazo O. Cunningham, Nancy L. Sohler, Nina A. Cooperman, Karina M. Berg, Alain H. Litwin, Julia H. Arnsten

Year: 2011

Topic(s):

Export Citation: RIS

View details

9185

Strategies to Improve Communication Between Pharmacy Staff and Patients: Training Program for Pharmacy Staff. Curriculum Guide

Type: Web Resource

Authors: AHRQ

Year: 2007

Abstract: This training program is designed to introduce pharmacists to the problem of low health literacy in patient populations and to identify the implications of this problem for the delivery of health care services. The program also explains techniques that pharmacy staff members can use to improve communication with patients who may have limited health literacy skills.

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.

Access Resource

Reference Links: Access Resource

Export Citation: RIS

View details

9186

Strategies to improve implementation of medications for opioid use disorder reported by veterans involved in the legal system: A qualitative study

Type: Journal Article

Authors: E. Morse, I. A. Binswanger, E. Taylor, C. Gray, M. Stimmel, C. Timko, A. H. S. Harris, D. Smelson, A. K. Finlay

Year: 2021

Abstract:

BACKGROUND: Veterans involved in the legal system have a high risk of overdose mortality but limited utilization of medications for opioid use disorder (MOUD). To increase the use of MOUD in Veterans Health Administration (VHA) facilities and reduce overdose mortality, the VHA should incorporate strategies identified by legal-involved veterans to improve quality of care and ensure that their patients' experiences are integrated into care delivery. This study aims to determine strategies to increase use of MOUD from the perspective of legal-involved veterans with a history of opioid use or opioid use disorder (OUD). METHODS: Between February 2018 and March 2019, we conducted semistructured interviews with 18 veterans with a history of opioid use or OUD and legal involvement (15 men and 3 women; mean age 41, standard deviation 13, range 28-61). Veterans were from 9 geographically dispersed United States VHA facilities. The study analyzed verbatim transcripts using the framework method. The primary focus was themes that represented legal-involved veteran-identified strategies to improve the use of MOUD. RESULTS: The 18 veterans interviewed had legal involvement directly related to their opioid use and most (n = 15; 83%) had previously used MOUD. Veteran-identified strategies to improve access to and use of MOUD included: (1) VHA should provide transportation or telehealth services; (2) legal agencies should increase access to MOUD during incarceration; (3) the VHA should reduce physician turnover; (4) the VHA should improve physician education to deliver compassionate, patient-centered treatment; (5) the VHA should improve veteran education about MOUD; and (6) the VHA should provide social support opportunities to veterans. CONCLUSIONS: Legal-involved veterans provided strategies that can inform and expand MOUD to better meet their needs and the treatment needs of all patients with OUD. The VHA should consider incorporating these strategies into care, and should evaluate their impact on patients' experience, initiation of and retention on medications, and overdose rates.

Topic(s):

, ,

Reference Links:

Export Citation: RIS

View details

9187

Strategies to improve the management of depression in primary care

Type: Journal Article

Authors: J. Unutzer, M. Park

Year: 2012

Publication Place: United States

Topic(s):

Reference Links:

Export Citation: RIS

View details

9188

Strategies to Overcome Barriers to Implementation of Alcohol Screening and Brief Intervention in General Practice: a Delphi Study Among Healthcare Professionals and Addiction Prevention Experts

Type: Journal Article

Authors: L. Abidi, A. Oenema, P. Nilsen, P. Anderson, D. van de Mheen

Year: 2016

Publication Place: United States

Abstract: Despite the evidence base, alcohol screening and brief intervention (ASBI) have rarely been integrated into routine clinical practice. The aim of this study is to identify strategies that could tackle barriers to ASBI implementation in general practice by involving primary healthcare professionals and addiction prevention experts. A three-round online Delphi study was carried out in the Netherlands. The first-round questionnaire consisted of open-ended questions to generate ideas about strategies to overcome barriers. In the second round, participants were asked to indicate how applicable they found each strategy. Items without consensus were systematically fed back with group median ratings and interquartile range (IQR) scores in the third-round questionnaire. In total, 39 out of 69 (57 %) invited participants enrolled in the first round, 214 participants completed the second round, and 144 of these (67 %) completed the third-round questionnaire. Results show that participants reached consensus on 59 of 81 strategies, such as the following: (1) use of E-learning technology, (2) symptom-specific screening by general practitioners (GPs) and/or universal screening by practice nurses, (3) reimbursement incentives, (4) supportive materials, (5) clear guidelines, (6) service provision of addiction care centers, and (7) more publicity in the media. This exploratory study identified a broad set of strategies that could potentially be used for overcoming barriers to ASBI implementation in general practice and paves the way for future research to experimentally test the identified implementation strategies using multifaceted approaches.

Topic(s):

Reference Links:

Export Citation: RIS

View details

9189

Strategies to recruit rural primary care providers to implement a medication for opioid use disorder (MOUD) focused integrated care model

Type: Journal Article

Authors: R. M. Cloutier, E. S. Cole, B. L. McDonough, D. A. Lomauro, J. P. Miller, A. L. Talbert, T. M. Bear, N. C. Bridges, A. L. Foulds, R. Taber, A. J. Gordon, G. T. Cochran, J. Kmiec, J. M. Donohue, D. Kelley, E. DiDomenico, D. Adair, J. L. Pringle

Year: 2023

Reference Links:

Export Citation: RIS

View details

9190

Strategies to strengthen the provision of mental health care at the primary care setting: An Evidence Map

Type: Journal Article

Authors: W. Mapanga, D. Casteleijn, C. Ramiah, W. Odendaal, Z. Metu, L. Robertson, J. Goudge

Year: 2019

Publication Place: United States

Abstract:

In a deinstitutionalised mental health care system, those with mental illness require complex, multidisciplinary and intersectoral care at the primary or community service setting. This paper describes an Evidence Map of different strategies to strengthen the provision of mental health care at the primary health care (PHC) setting, the quality of the evidence, and knowledge gaps. Electronic and reference searching yielded 2666 articles of which 306 qualified for data extraction. A systematic review methodology identified nine different strategies that strengthen the provision of mental healthcare and these strategies are mapped in line with the outcomes they affect. The top three strategies that were reported the most, included strategies to empower families, carers and patients; integration of care or collaborative interventions; and e-health interventions. The least reported strategy was task shifting. The Evidence Map further shows the amount and quality of evidence supporting each of the listed strategies, and this helps to inform policy design and research priorities around mental health. This is the first systematic Evidence Map to show the different strategies that strengthen the provision of mental healthcare at PHC setting and the impact these strategies have on patient, hospital and societal level indicators.

Topic(s):

,

Reference Links:

Export Citation: RIS

View details

9191

Strategies to support the integration of mental health into pediatric primary care

Type: Report

Year: 2009

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.

PDF (357 KB)

Reference Links: PDF (357 KB)

Export Citation: RIS

View details

9192

Street Medicine and Outreach: Bringing Care to People Where They Are

Type: Government Report

Authors: National Health Care for the Homeless Council

Year: 2022

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.

PDF (3.6 MB)

Reference Links: PDF (3.6 MB)

Export Citation: RIS

View details

9193

Strengthening Efforts to Integrate Mental Health into Primary Health Care in Chile: Lessons from an International Collaboration Process

Type: Journal Article

Authors: Akwatu Khenti, Jaime C. Sapag, Ruth Trainor, Ximena Candia, Fernando Poblete, Ana Valdes, Debbie Thompson, Alberto Minoletti, Pablo Diaz, Katia Gysling, Carlos Vohringer, Sergio Chacon

Year: 2012

Publication Place: United States

Topic(s):

Export Citation: RIS

View details

9194

Strengthening integrated depression services within routine primary health care using the RE-AIM framework in South Africa

Type: Journal Article

Authors: I. Petersen, C. G. Kemp, D. Rao, B. H. Wagenaar, M. Bachmann, K. Sherr, T. Kathree, Z. Luvuno, A. van Rensburg, S. G. Gigaba, L. Mthethwa, M. Grant, O. Selohilwe, N. Hongo, G. Faris, C. J. Ras, L. Fairall, S. Bucibo, A. Bhana

Year: 2023

Topic(s):

Reference Links:

Export Citation: RIS

View details

9195

Strengthening Integration Of Health Services And Systems

Type: Journal Article

Authors: Laurie T. Martin, Alonzo Plough, Katherine G. Carman, Laura Leviton, Olena Bogdan, Carolyn E. Miller

Year: 2016

Publication Place: Bethesda, Maryland

Topic(s):

Reference Links:

Export Citation: RIS

View details

9196

Strengthening PNP curricula in mental/behavioral health and evidence-based practice

Type: Journal Article

Authors: B. M. Melnyk, E. Hawkins-Walsh, M. Beauchesne, P. Brandt, A. Crowley, M. Choi, E. Greenburg

Year: 2010

Publication Place: United States

Abstract: INTRODUCTION: The incidence of mental health/behavioral and developmental problems in children and teens is escalating. However, many primary care providers report inadequate skills to accurately screen, identify, and manage these problems using an evidence-based approach to care. Additionally, educational programs that prepare pediatric nurse practitioners (PNPs) have been slow to incorporate this content into their curriculums. METHODS: The purpose of this project was to implement and evaluate a strengthened curriculum in 20 PNP programs from across the United States that focused on: (a) health promotion strategies for optimal mental/behavioral health and developmental outcomes in children, and (b) screening and evidence-based interventions for these problems. An outcomes evaluation was conducted with faculty and graduating students from the participating programs along with faculty and students from 13 PNP programs who did not participate in the project. RESULTS: Participating schools varied in the speed at which components of the strengthened curriculum were incorporated into their programs. Over the course of the project, faculty from participating programs increased their own knowledge in the targeted areas and reported that their students were better prepared to assess and manage these problems using an evidence-based approach. Although reports of screening for certain problems were higher in the graduating students from the participating schools than the non-participating schools, the overall use of screening tools by students in clinical practice was low. DISCUSSION: There is a need for educational programs to strengthen their curricula and clinical experiences to prepare students to screen for, accurately identify, prevent, and provide early evidence-based interventions for children and teens with mental health/behavioral and developmental problems. This project can serve as a national model for curriculum change.

Topic(s):

Reference Links:

Export Citation: RIS

View details

9197

Strengthening primary care: The Veneto Region's model of the Integrated Medical Group

Type: Journal Article

Authors: Maria Cristina Ghiotto, Ylenia Rizzolo, Elisabetta Gandolfo, Emanuela Zuliani, Domenico Mantoan

Year: 2018

Publication Place: Ireland

Topic(s):

Reference Links:

Export Citation: RIS

View details

9198

Strengthening the Coordination of Pediatric Mental Health and Medical Care: Piloting a Collaborative Model for Freestanding Practices

Type: Journal Article

Authors: C. A. Greene, J. D. Ford, B. Ward-Zimmerman, L. Honigfeld, A. E. Pidano

Year: 2016

Publication Place: Netherlands

Abstract: BACKGROUND: Collaborative pediatric mental health and primary care is increasingly recognized as optimal for meeting the needs of children with mental health problems. This paper describes the challenges faced by freestanding specialty mental health clinics and pediatric health practices to provide such coordinated mind-and-body treatment. It describes critical elements of a proactive approach to achieving collaborative pediatric care under real-world circumstances using the patient-centered medical home neighborhood (PCMH-N) model. OBJECTIVE: The current study evaluates the field test of the Practitioner-Informed Model to Facilitate Interdisciplinary Collaboration (PIM-FIC), a systematic approach to improving inter-professional collaboration by building relationships and enhancing communication between pediatric mental health and primary care practices. METHODS: Thirty-nine providers at two mental health and two pediatric primary care practices participated in a pilot project and completed surveys prior to and following their participation. Key informant interviews were also conducted prior to the project. RESULTS: Participating practitioners' survey and interview responses indicate that the quantity and quality of communication between pediatric mental and medical health care providers increased post-project, as did satisfaction with overall collaboration. CONCLUSIONS: Improving relationships and communication are first steps in building the infrastructure to support effective coordinated care. Project results highlight practical and easily implemented strategies that pediatric mental health and primary care practices can take to strengthen their collaboration. Findings also suggest a need for collaborative care policies and competencies for child mental health providers working in freestanding practices within the PCMH-N.

Topic(s):

,

Reference Links:

Export Citation: RIS

View details

9199

Stress in America: Missing the Health Care Connection

Type: Report

Authors: America Psychological Association, Inc Harris Interactive, Vanguard Communications

Year: 2013

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.

PDF (5621.66 KB)

Reference Links: PDF (5621.66 KB)

Export Citation: RIS

View details

9200

Striving for integration: How the division of children and family services supports the integration of behavioral health and pediatric primary care

Type: Report

Authors: M. McHugh

Year: 2012

Publication Place: Albany, New York

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.

Export Citation: RIS

View details