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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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11259 Results
9201
Stigmatize the use, not the user? Attitudes on opioid use, drug injection, treatment, and overdose prevention in rural communities
Type: Journal Article
Authors: Jerel M. Ezell, Suzan Walters, Samuel R. Friedman, Rebecca Bolinski, Wiley D. Jenkins, John Schneider, Bruce Link, Mai T. Pho
Year: 2021
Publication Place: Oxford
Topic(s):
Healthcare Disparities See topic collection
,
Opioids & Substance Use See topic collection
9202
Stigmatizing attitudes toward mental illness among racial/ethnic older adults in primary care
Type: Journal Article
Authors: Daniel E. Jimenez, Stephen J. Bartels, Veronica Cardenas, Margarita Alegr
Year: 2013
Topic(s):
Healthcare Disparities See topic collection
9203
Stimulant and Designer Drug Use: Primary Care Management
Type: Journal Article
Authors: A. E. Klega, J. T. Keehbauch
Year: 2018
Publication Place: United States
Abstract:

Approximately 10% of the U.S. population 12 years and older reported using illicit substances in 2015. This article reviews the clinical effects and treatment of persons who use cocaine, methamphetamines, 3,4-methylenedioxymethamphetamine (MDMA), synthetic cannabinoids, and synthetic cathinones ("bath salts"). Cocaine blocks the reuptake of the monoamine transporters dopamine, norepinephrine, and serotonin. Immediate clinical effects include increased energy and euphoria, as well as hypertension and arrhythmias. Acute myocardial infarction, seizures, hallucinations, hyperthermia, and movement disorders are among the possible adverse effects. Like cocaine, methamphetamine blocks reuptake of monoamine transporters, but also stimulates dopamine release and has a longer duration of action. Methamphetamine misuse is associated with severe dental problems. MDMA is a stimulant and psychedelic with a chemical structure similar to serotonin. Adverse effects include serotonin syndrome, hyponatremia, long-term memory impairment, and mood disorders. Synthetic cannabinoids can have a more intense and long-lasting effect than natural cannabis. Acute intoxication may cause severe cardiac and respiratory complications and seizures. Synthetic cathinones are marketed as cheap substitutes for other stimulants. Their effects are similar to those of other stimulants, and they are addictive. Psychosocial intervention is the main form of treatment for addiction to these substances. Promising therapies include disulfiram and substitution therapy for cocaine misuse disorders, and mirtazapine for methamphetamine use disorder.

Topic(s):
Opioids & Substance Use See topic collection
9204
Stimulant use disorder
Type: Book Chapter
Authors: Allison M. Daurio, Mary R. Lee
Year: 2018
Publication Place: New York, NY
Topic(s):
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.

9205
Stimulant use disorder diagnosis and opioid agonist treatment dispensation following release from prison: A cohort study
Type: Journal Article
Authors: Heather Palis, Bin Zhao, Pam Young, Mo Korchinski, Leigh Greiner, Tonia Nicholls, Amanda Slaunwhite
Year: 2022
Topic(s):
Opioids & Substance Use See topic collection
,
Healthcare Disparities See topic collection
9206
Stimulant Use Disorders and Behavioral Health Integration
Type: Report
Authors: The Academy for Integrating Behavioral Health & Primary Care
Year: 2022
Publication Place: Rockville, MD
Topic(s):
Grey Literature 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.

9207
Strategic Implementation Planning for Integrated Behavioral Health Services in Pediatric Primary Care
Type: Journal Article
Authors: J. A. Mautone, C. B. Wolk, Z. Cidav, M. F. Davis, J. F. Young
Year: 2021
Abstract:

BACKGROUND: Delivering physical and behavioral health services in a single setting is associated with improved quality of care and reduced health care costs. Few health systems implementing integrated care develop conceptual models and targeted measurement strategies a priori with an eye toward adoption, implementation, sustainment, and evaluation. This is a broad challenge in the field, which can make it difficult to disentangle why implementation is or is not successful. METHOD: This paper discusses strategic implementation and evaluation planning for a pediatric integrated care program in a large health system. Our team developed a logic model, which defines resources and community characteristics, program components, evaluation activities, short-term activities, and intermediate and anticipated long-term patient-, clinician-, and practice-related outcomes. The model was designed based on research and stakeholder input to support strategic implementation and evaluation of the program. For each aspect of the logic model, a measurement battery was selected. Initial implementation data and intermediate outcomes from a pilot in five practices in a 30-practice pediatric primary care network are presented to illustrate how the logic model and evaluation plan have been used to guide the iterative process of program development. RESULTS: A total of 4,619 office visits were completed during the two years of the pilot. Primary care clinicians were highly satisfied with the integrated primary care program and provided feedback on ways to further improve the program. Members of the primary care team and behavioral health providers rated the program as being relatively well integrated into the practices after the second year of the pilot. CONCLUSIONS: This logic model and evaluation plan provide a template for future projects integrating behavioral health services in non-specialty mental health settings, including pediatric primary care, and can be used broadly to provide structure to implementation and evaluation activities and promote replication of effective initiatives.

Topic(s):
Healthcare Disparities See topic collection
9208
Strategic Review Process for an Accountable Care Organization and Emerging Accountable Care Best Practices
Type: Journal Article
Authors: S. J. Conway, S. Himmelrich, S. A. Feeser, J. A. Flynn, S. J. Kravet, J. Bailey, L. C. Hebert, S. H. Donovan, S. G. Kachur, P. M. C. Brown, W. A. Baumgartner, S. A. Berkowitz
Year: 2018
Publication Place: United States
Abstract: Accountable Care Organizations (ACOs), like other care entities, must be strategic about which initiatives they support in the quest for higher value. This article reviews the current strategic planning process for the Johns Hopkins Medicine Alliance for Patients (JMAP), a Medicare Shared Savings Program Track 1 ACO. It reviews the 3 focus areas for the 2017 strategic review process - (1) optimizing care coordination for complex, at-risk patients, (2) post-acute care, and (3) specialty care integration - reviewing cost savings and quality improvement opportunities, associated best practices from the literature, and opportunities to leverage and advance existing ACO and health system efforts in each area. It then reviews the ultimate selection of priorities for the coming year and early thoughts on implementation. After the robust review process, key stakeholders voted to select interventions targeted at care coordination, post-acute care, and specialty integration including Part B drug and imaging costs. The interventions selected incorporate a mixture of enhancing current ACO initiatives, working collaboratively and synergistically on other health system initiatives, and taking on new projects deemed targeted, cost-effective, and manageable in scope. The annual strategic review has been an essential and iterative process based on performance data and informed by the collective experience of other organizations. The process allows for an evidence-based strategic plan for the ACO in pursuit of the best care for patients.
Topic(s):
Financing & Sustainability See topic collection
9209
Strategic Review Process for an Accountable Care Organization and Emerging Accountable Care Best Practices
Type: Journal Article
Authors: S. J. Conway, S. Himmelrich, S. A. Feeser, J. A. Flynn, S. J. Kravet, J. Bailey, L. C. Hebert, S. H. Donovan, S. G. Kachur, P. M. C. Brown, W. A. Baumgartner, S. A. Berkowitz
Year: 2018
Publication Place: United States
Abstract: Accountable Care Organizations (ACOs), like other care entities, must be strategic about which initiatives they support in the quest for higher value. This article reviews the current strategic planning process for the Johns Hopkins Medicine Alliance for Patients (JMAP), a Medicare Shared Savings Program Track 1 ACO. It reviews the 3 focus areas for the 2017 strategic review process - (1) optimizing care coordination for complex, at-risk patients, (2) post-acute care, and (3) specialty care integration - reviewing cost savings and quality improvement opportunities, associated best practices from the literature, and opportunities to leverage and advance existing ACO and health system efforts in each area. It then reviews the ultimate selection of priorities for the coming year and early thoughts on implementation. After the robust review process, key stakeholders voted to select interventions targeted at care coordination, post-acute care, and specialty integration including Part B drug and imaging costs. The interventions selected incorporate a mixture of enhancing current ACO initiatives, working collaboratively and synergistically on other health system initiatives, and taking on new projects deemed targeted, cost-effective, and manageable in scope. The annual strategic review has been an essential and iterative process based on performance data and informed by the collective experience of other organizations. The process allows for an evidence-based strategic plan for the ACO in pursuit of the best care for patients.
Topic(s):
Financing & Sustainability See topic collection
9210
Strategies and policies to address the opioid epidemic: A case study of Ohio
Type: Journal Article
Authors: Jonathan Penm, Neil J. MacKinnon, Jill M. Boone, Antonio Ciaccia, Cameron McNamee, Erin L. Winstanley
Year: 2017
Publication Place: United States
Topic(s):
Education & Workforce See topic collection
,
Opioids & Substance Use See topic collection
9211
Strategies for Achieving Whole-Practice Engagement and Buy-in to the Patient-Centered Medical Home
Type: Journal Article
Authors: W. K. Bleser, M. Miller-Day, D. Naughton, P. L. Bricker, P. F. Cronholm, R. A. Gabbay
Year: 2014
Topic(s):
Medical Home See topic collection
9213
Strategies for developing competency models
Type: Journal Article
Authors: A. F. Marrelli, J. Tondora, M. A. Hoge
Year: 2005
Publication Place: United States
Abstract: There is an emerging trend within healthcare to introduce competency-based approaches in the training, assessment, and development of the workforce. The trend is evident in various disciplines and specialty areas within the field of behavioral health. This article is designed to inform those efforts by presenting a step-by-step process for developing a competency model. An introductory overview of competencies, competency models, and the legal implications of competency development is followed by a description of the seven steps involved in creating a competency model for a specific function, role, or position. This modeling process is drawn from advanced work on competencies in business and industry.
Topic(s):
Education & Workforce See topic collection
9214
Strategies for Reducing Opioid-Overdose Deaths - Lessons from Canada
Type: Journal Article
Authors: E. Wood
Year: 2018
Abstract: This article explores lessons the United States can learn from Canada, which has taken bold action on a number of fronts with the aim of reducing deaths related to fentanyl, fentanyl analogues, and other opioids.
Topic(s):
Healthcare Policy See topic collection
,
Opioids & Substance Use See topic collection
9215
Strategies for treatment of generalized anxiety in the primary care setting.
Type: Journal Article
Authors: E. Schweizer, K. Rickels
Year: 1997
Topic(s):
General Literature See topic collection
9216
Strategies to Address the Opioid Epidemic
Type: Report
Authors: Brian Neale
Year: 2017
Publication Place: Baltimore, MD
Topic(s):
Grey Literature See topic collection
,
Healthcare Policy 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.

9217
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):
Opioids & Substance Use See topic collection
9218
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):
Opioids & Substance Use See topic collection
9219
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):
Education & Workforce 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.

9220
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):
Education & Workforce See topic collection
,
Healthcare Disparities See topic collection
,
Opioids & Substance Use See topic collection