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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).
11248 Results
9222
Strengthening PNP curricula in mental/behavioral health and evidence-based practice
Type: Journal Article
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):
Education & Workforce
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Reference Links: 
View the DOI record for Strengthening PNP curricula in mental/behavioral health and evidence-based practice
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View the PubMed citation for Strengthening PNP curricula in mental/behavioral health and evidence-based practice9224
Strengthening primary care: The Veneto Region's model of the Integrated Medical Group
Type: Journal Article
Year: 2018
Publication Place: Ireland
Topic(s):
Education & Workforce
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Reference Links:
View the DOI record for Strengthening primary care: The Veneto Region's model of the Integrated Medical Group
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View the PubMed citation for Strengthening primary care: The Veneto Region's model of the Integrated Medical Group9225
Strengthening the Coordination of Pediatric Mental Health and Medical Care: Piloting a Collaborative Model for Freestanding Practices
Type: Journal Article
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):
Healthcare Disparities
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, Medical Home
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9229
Structural barriers in the context of opiate substitution treatment in Germany--A survey among physicians in primary care
Type: Journal Article
Year: 2013
Publication Place: England
Abstract: BACKGROUND: Opiate substitution treatment (OST) is the most widely used treatment for opioid dependence in Germany with substantial long-term benefits for the patient and for society. Due to lessened restrictive admission criteria, the number of registered OST patients in Germany has increased continuously in the recent years, whereas the number of physicians providing OST has remained constant. Previous data already indicated a deteriorating situation in the availability or quality of OST delivered and that structural barriers impede physicians in actively providing OST. The present survey among a sample of primary care physicians in Germany aimed to identify and assess potential structural barriers for the provision of health care in the context of OST. METHODS: An anonymous written questionnaire was sent out to a sample of 2,332 physicians across Germany providing OST. Physicians contacted were identified through databases of the Federal State Chambers of Physicians and/or of the Federal Associations of Statutory Health Insurance Physicians. Data obtained were analysed descriptively. RESULTS: The response rate was 25.5% and the majority of 596 physicians sampled viewed substantial problems in terms of the regulatory framework of OST care in the German context. Furthermore, financial remuneration, insufficient qualification, as well as inadequate interdisciplinary cooperation in the treatment of comorbidities of opiate substituted patients were regarded as problematic. The number of physicians providing OST in Germany is expected to substantially decrease in the near future. CONCLUSION: Despite less restrictive admission criteria for OST in Germany, the legal regulation framework for OST is still a limiting factor through raising concerns on the provider and consumer side to be unable to adhere to the strict rules. To avoid future shortages in the provision of OST care on the system level in Germany, revisions to the legal framework seem to be necessary. In regards to adequate care for drug use-related infectious diseases and psychiatric comorbidities commonly found in opiate substituted patients, efforts are required to improve professional qualifications of physicians providing OST as well as respective interdisciplinary collaboration.
Topic(s):
Opioids & Substance Use
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, Education & Workforce
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, Healthcare Policy
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9230
Structural Components of Integrated Behavioral Health Care: A Comparison of National Programs
Type: Journal Article
Year: 2022
Abstract:
Initiatives that support and incentivize the integration of behavioral health and general medical care have become a focus of government strategies to achieve the triple aim of improved health, better patient experience, and reduced costs. The authors describe the components of four large-scale national initiatives aimed at integrating care for a wide range of behavioral health needs. Commonalities across these national initiatives highlight health care and social services needs that must be addressed to improve care for people with co-occurring behavioral health and general medical conditions. These findings can inform how to design, test, select, and align the most promising strategies for integrated care in a variety of settings.
Topic(s):
Key & Foundational
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Reference Links:
View the DOI record for Structural Components of Integrated Behavioral Health Care: A Comparison of National Programs
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View the PubMed citation for Structural Components of Integrated Behavioral Health Care: A Comparison of National Programs9235
Structured contraceptive counseling--a randomized controlled trial
Type: Journal Article
Year: 2010
Publication Place: Ireland
Topic(s):
HIT & Telehealth
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Reference Links:
View the DOI record for Structured contraceptive counseling--a randomized controlled trial
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View the PubMed citation for Structured contraceptive counseling--a randomized controlled trial9238
Structuring payment for medical homes
Type: Journal Article
Year: 2010
Publication Place: United States
Abstract: Despite widespread interest in the medical home model, there has been a lack of careful assessment of alternative methods to pay practices that serve as medical homes. This paper examines four specific payment approaches: enhanced fee-for-service payments for evaluation and management; additional codes for medical home activities within fee-for-service payments; per patient per month medical home payments to augment fee-for-service visit payments; and risk-adjusted, comprehensive per patient per month payments. Payment policies selected will affect both the adoption of the model and its longer-term evaluation. Evaluations of ongoing demonstrations should focus on payment design as well as on care--and cost.
Topic(s):
Financing & Sustainability
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, Medical Home
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Reference Links:
View the DOI record for Structuring payment for medical homes
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View the PubMed citation for Structuring payment for medical homes9239
Students left behind: the limitations of university-based health insurance for students with mental illnesses
Type: Journal Article
Year: 2012
Publication Place: United States
Abstract: A growing trend in college and university health care is the requirement that students demonstrate proof of health insurance prior to enrollment. An increasing number of schools are contracting with insurance companies to provide students with school-based options for health insurance. Although this is advantageous to students in some ways, tying health insurance coverage to school enrollment can leave students vulnerable when they are most in need of help. Students whose health insurance is contingent upon their enrollment face significant lapses in coverage when they are required to leave school. This is especially challenging for students with mental illnesses whose treatment needs often go unmet in the absence of that coverage. The limitations in this system must be addressed as an increasing number of universities and students opt for university-based health insurance plans.
Topic(s):
Financing & Sustainability
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, Healthcare Disparities
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Reference Links:
View the DOI record for Students left behind: the limitations of university-based health insurance for students with mental illnesses
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View the PubMed citation for Students left behind: the limitations of university-based health insurance for students with mental illnesses9240
Students Seeking Mental Health Services at School-Based Health Centers: Characteristics and Utilization Patterns
Type: Journal Article
Year: 2019
Publication Place: United States
Topic(s):
Education & Workforce
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, Healthcare Disparities
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Reference Links:
View the DOI record for Students Seeking Mental Health Services at School-Based Health Centers: Characteristics and Utilization Patterns
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View the PubMed citation for Students Seeking Mental Health Services at School-Based Health Centers: Characteristics and Utilization Patterns