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The Literature Collection contains over 10,000 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).
10858 Results
9303
The changes involved in patient-centered medical home transformation
Type: Journal Article
Year: 2012
Publication Place: United States
Topic(s):
Medical Home
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Reference Links: 
View the DOI record for The changes involved in patient-centered medical home transformation
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View the PubMed citation for The changes involved in patient-centered medical home transformation9304
The Changing Context of Rural America: A Call to Examine the Impact of Social Change on Mental Health and Mental Health Care
Type: Journal Article
Year: 2017
Publication Place: United States
Abstract: Recent social changes and rising social inequality in the rural United States have affected the experience and meaning of mental illness and treatment seeking within rural communities. Rural Americans face serious mental health disparities, including higher rates of suicide and depression compared with residents of urban areas, and substance abuse rates in rural areas now equal those in urban areas. Despite these increased risks, people living in rural areas are less likely than their urban counterparts to seek or receive mental health services. This Open Forum calls for a research agenda supported by anthropological theory and methods to investigate the significance of this changed rural social context for mental health.
Topic(s):
Healthcare Disparities
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9305
The changing face of heroin use in the United States: a retrospective analysis of the past 50 years
Type: Journal Article
Year: 2014
Publication Place: United States
Abstract: IMPORTANCE: Over the past several years, there have been a number of mainstream media reports that the abuse of heroin has migrated from low-income urban areas with large minority populations to more affluent suburban and rural areas with primarily white populations. OBJECTIVE: To examine the veracity of these anecdotal reports and define the relationship between the abuse of prescription opioids and the abuse of heroin. DESIGN, SETTING, AND PARTICIPANTS: Using a mixed-methods approach, we analyzed (1) data from an ongoing study that uses structured, self-administered surveys to gather retrospective data on past drug use patterns among patients entering substance abuse treatment programs across the country who received a primary (DSM-IV) diagnosis of heroin use/dependence (n = 2797) and (2) data from unstructured qualitative interviews with a subset of patients (n = 54) who completed the structured interview. MAIN OUTCOMES AND MEASURES: In addition to data on population demographics and current residential location, we used cross-tabulations to assess prevalence rates as a function of the decade of the initiation of abuse for (1) first opioid used (prescription opioid or heroin), (2) sex, (3) race/ethnicity, and (4) age at first use. Respondents indicated in an open-ended format why they chose heroin as their primary drug and the interrelationship between their use of heroin and their use of prescription opioids. RESULTS: Approximately 85% of treatment-seeking patients approached to complete the Survey of Key Informants' Patients Program did so. Respondents who began using heroin in the 1960s were predominantly young men (82.8%; mean age, 16.5 years) whose first opioid of abuse was heroin (80%). However, more recent users were older (mean age, 22.9 years) men and women living in less urban areas (75.2%) who were introduced to opioids through prescription drugs (75.0%). Whites and nonwhites were equally represented in those initiating use prior to the 1980s, but nearly 90% of respondents who began use in the last decade were white. Although the "high" produced by heroin was described as a significant factor in its selection, it was often used because it was more readily accessible and much less expensive than prescription opioids. CONCLUSION AND RELEVANCE: Our data show that the demographic composition of heroin users entering treatment has shifted over the last 50 years such that heroin use has changed from an inner-city, minority-centered problem to one that has a more widespread geographical distribution, involving primarily white men and women in their late 20s living outside of large urban areas.
Topic(s):
Opioids & Substance Use
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, Healthcare Disparities
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Reference Links:
View the DOI record for The changing face of heroin use in the United States: a retrospective analysis of the past 50 years
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View the PubMed citation for The changing face of heroin use in the United States: a retrospective analysis of the past 50 years9306
The Changing Face of Treatment: Mental Health Concerns and Integrated Care in an HIV Clinic
Type: Journal Article
Year: 2017
Publication Place: United States
Abstract: Though advances in medical treatment have increased lifespans for those living with HIV, quality of life concerns often remain under-treated by health care providers. The integration of mental health services within the HIV medical setting can provide comprehensive care for patients, including brief screening, intervention, and appropriate follow-up. In this study, investigators examined mental health concerns identified during behavioral health screens at appointments in an Infectious Disease Clinic and compared them with previously published data from the same setting to assess changes in patient-reported problems. Results indicated shifts in identified problems, as well as demographic changes in the patient population from the previous study. Analyses suggested anger and goal-setting problems significantly contribute to reports of psychiatric symptoms, and suggested that adjustment to diagnosis, depression, and sleep concerns significantly contribute to the likelihood of engaging in a mental health consultation. Our findings highlight the importance of behavioral health screening to identify psychosocial concerns in integrated HIV care settings.
Topic(s):
Healthcare Disparities
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Reference Links:
View the DOI record for The Changing Face of Treatment: Mental Health Concerns and Integrated Care in an HIV Clinic
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View the PubMed citation for The Changing Face of Treatment: Mental Health Concerns and Integrated Care in an HIV Clinic9307
The changing landscape of naloxone availability in the United States, 2011 - 2017
Type: Journal Article
Year: 2018
Publication Place: Ireland
Topic(s):
Financing & Sustainability
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, Opioids & Substance Use
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Reference Links: View the PubMed citation for The changing landscape of naloxone availability in the United States, 2011 - 2017
9309
The Checklist Manifesto in action: integrating depression treatment into routine cardiac care
Type: Journal Article
Year: 2016
Publication Place: United States
Topic(s):
General Literature
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Reference Links:
View the DOI record for The Checklist Manifesto in action: integrating depression treatment into routine cardiac care
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View the PubMed citation for The Checklist Manifesto in action: integrating depression treatment into routine cardiac care9312
The co-occurrence of common mental and physical disorders within Australian families: A national population-based study
Type: Journal Article
Year: 2013
Abstract: Objective:Because comorbidity between mental and physical disorders is commonly found in patients, it would be expected that this pattern would also be reflected at the family level. During a recent population-based survey of common mental disorders, respondents were asked about the presence of selected mental and physical disorders in their relatives. The aim of this research was to describe the within-family co-occurrence of selected common physical and mental disorders in a population-based sample.Methods:Subjects were drawn from the Australian National Survey of Mental Health and Wellbeing 2007. A modified version of the World Mental Health Survey Initiative of the Composite International Diagnostic Interview (WMH-CIDI 3.0, henceforth CIDI) was used to identify lifetime-ever common psychiatric disorders (anxiety disorders, depression, drug or alcohol disorders). The respondents were asked if any of their relatives had one of a list of psychiatric (anxiety, bipolar disorder, depression, drug or alcohol problem, schizophrenia) or general physical disorders (cancer, heart problems, intellectual disability, memory problems). We examined the relationship between the variables of interest using logistic regression, adjusting for potential confounding factors.Results:Compared to otherwise-well respondents, those who had a CIDI diagnosis of major depressive disorders, anxiety disorders, or drug or alcohol abuse/dependence were significantly more likely to have first-degree relatives with (a) the same diagnosis as the respondent, (b) other mental disorders not identified in the respondent, and (c) a broad range of general physical conditions.Conclusions:Individuals with common mental disorders report greater familial co-occurrence for a range of mental and physical disorders. When eliciting family histories, clinicians should remain mindful that both mental and physical disorders can co-occur within families.
Topic(s):
General Literature
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Reference Links:
View the DOI record for The co-occurrence of common mental and physical disorders within Australian families: A national population-based study
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View the PubMed citation for The co-occurrence of common mental and physical disorders within Australian families: A national population-based study9314
The Collaborative Care Model for Patients With Both Mental Health and Medical Conditions Implemented in Hospital Outpatient Care Settings
Type: Journal Article
Year: 2020
Publication Place: United States
Abstract:
With the increased concern regarding the negative impact that care in silos has on patients and the health care system, there is growing interest in integrated models of care especially for individuals with co-occurring physical and mental health conditions. Although generally applied in a community setting, we adapted and implemented an evidence-based integrated model of care, the collaborative care model (CCM) in an adult and a pediatric hospital-based outpatient clinic. Enrolment was criteria based and management was measurement driven. The model is team based and consists of new roles for its members including the patient, the care manager, the primary care clinician, and the psychiatric consultant. A key role was that of the care manager who worked with the patient and engaged primary care. The care manager also organized team-based treatment planning in systematic case reviews that contributed to the care plan. Support for training of the new and changes in roles is underscored. In this communication we comment on our initial experience of applying the CCM to the hospital outpatient setting.
Topic(s):
Education & Workforce
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, Healthcare Disparities
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9318
The Columbia-Harlem Homeless Medical Partnership: A new model for learning in the service of those in medical need
Type: Journal Article
Year: 2009
Publication Place: United States
Abstract: Though altruism and patient advocacy are promoted in medical education curricula, students are given few opportunities to develop these skills. Student-run clinics focusing on the health needs of the underserved can provide important health services to needy patients while providing students with career-influencing primary care experiences. The Columbia-Harlem Homeless Medical Partnership (CHHMP)-a project initiated by medical students to provide primary care to Northern Manhattan's homeless population-serves as a new model of service learning in medical education. Unlike many other student-run clinics, CHHMP has developed direct patient outreach, continuous care (stable "student-patient teams" and a weekly commitment for all volunteers), and regular internal data review. Chart review data presented demonstrate the project's success in providing care to the clinic's target population of homeless and unstably housed patients. Targeted outreach efforts among clients have increased rates of patient follow-up at each subsequent review period. Additionally, CHHMP has used review data to develop services concordant with identified patient needs (psychiatric care and social services). CHHMP has recruited a committed group of volunteers and continues to engender an interest in the health needs of the underserved among students. Not only does CHHMP provide a "medical home" for homeless patients, it also provides a space in which students can develop skills unaddressed in large teaching hospitals. This project, a "win-win" for patients and students, serves as a unique model for community health-based service learning in medical education.
Topic(s):
Education & Workforce
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, Healthcare Disparities
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, Medical Home
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Reference Links:
View the DOI record for The Columbia-Harlem Homeless Medical Partnership: A new model for learning in the service of those in medical need
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View the PubMed citation for The Columbia-Harlem Homeless Medical Partnership: A new model for learning in the service of those in medical need