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Opioids & SU
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
9461
The effects of the Maryland Medicaid Health Home Waiver on Emergency Department and inpatient utilization among individuals with serious mental illness
Type: Journal Article
Year: 2019
Publication Place: United States
Topic(s):
Financing & Sustainability
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, Healthcare Disparities
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, Medical Home
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9462
The effects on suicide rates of an educational intervention for front-line health professionals with suicidal patients (the STORM Project)
Type: Journal Article
Year: 2005
Publication Place: England
Abstract: BACKGROUND: The opportunity to study district-wide educational interventions on suicide rates is rarely available. In 1997, the authors carried out a district-wide training programme for primary care, accident and emergency, and mental health workers (47% of eligible staff trained), and demonstrated improvements in skills, attitude and confidence among the recipients of the training. METHOD: Suicide rates (including definite suicides and undetermined deaths) and population statistics were collected for a district and region of England from official sources from 1993-2001. A before-and-after (1994-1996 and 1998-2000) training intervention analysis was conducted on suicide rates. RESULTS: The suicide rate in 1994-1996 was 8.8 per 100 000 before our educational intervention and unchanged at 8.6 per 100 000 in 1998-2000 after it (p = 0.783). CONCLUSION: Brief educational interventions to improve the assessment and management of suicide for front-line health professionals in contact with suicidal patients may not be sufficient to reduce the population suicide rate.
Topic(s):
Education & Workforce
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9465
The Efficiency of Mental Health Integration in Primary Health Care: a Ten-year Study
Type: Journal Article
Year: 2012
Publication Place: Iran
Topic(s):
General Literature
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Reference Links: View the PubMed citation for The Efficiency of Mental Health Integration in Primary Health Care: a Ten-year Study
9466
The electronic medical record. A randomized trial of its impact on primary care physicians' initial management of major depression [corrected]
Type: Journal Article
Year: 2001
Publication Place: United States
Abstract: BACKGROUND: Inadequate treatments are reported for depressed patients cared for by primary care physicians (PCPs). Providing feedback and evidence-based treatment recommendations for depression to PCPs via electronic medical record improves the quality of interventions. METHODS: Patients presenting to an urban academically affiliated primary care practice were screened for major depression with the Primary Care Evaluation of Mental Disorders (PRIME-MD). During 20-month period, 212 patients met protocol-eligibility criteria and completed a baseline interview. They were cared for by 16 board-certified internists, who were electronically informed of their patients' diagnoses, and randomized to 1 of 3 methods of exposure to guideline-based advice for treating depression (active, passive, and usual care). Ensuing treatment patterns were assessed by medical chart review and by patient self-report at baseline and 3 months. RESULTS: Median time for PCP response to the electronic message regarding the patient's depression diagnosis was 1 day (range, 1-95 days). Three days after notification, 120 (65%) of 186 PCP responses indicated agreement with the diagnosis, 24 (13%) indicated disagreement, and 42 (23%) indicated uncertainty. Primary care physicians who agreed with the diagnoses sooner were more likely to make a medical chart notation of depression, begin antidepressant medication therapy, or refer to a mental health specialist (P<.001). There were no differences in the agreement rate or treatments provided across guideline exposure conditions. CONCLUSIONS: Electronic feedback of the diagnosis of major depression can affect PCP initial management of the disorder. Further study is necessary to determine whether this strategy, combined with delivery of treatment recommendations, can improve clinical outcomes in routine practice.
Topic(s):
HIT & Telehealth
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9467
The Emergency Department as an Opportunity for Naloxone Distribution
Type: Journal Article
Year: 2018
Publication Place: United States
Abstract: Introduction: Substance use disorders, including opioid use disorders, are a major public health concern in the United States. Between 2005 and 2014, the rate of opioid-related emergency department (ED) visits nearly doubled, from 89.1 per 100,000 persons in 2005 to 177.7 per 100,000 persons in 2014. Thus, the ED presents a distinctive opportunity for harm-reduction strategies such as distribution of naloxone to patients who are at risk for an opioid overdose. Methods: We conducted a systematic review of all existing literature related to naloxone distribution from the ED. We included only those articles published in peer-reviewed journals that described results relating to naloxone distribution from the ED. Results: Of the 2,286 articles we identified from the search, five met the inclusion criteria and had direct relevance to naloxone distribution from the ED setting. Across the studies, we found variation in the methods of implementation and evaluation of take-home naloxone programs in the ED. In the three studies that attempted patient follow-up, success was low, limiting the evidence for the programs' effectiveness. Overall, in the included studies there is evidence that distributing take-home naloxone from the ED has the potential for harm reduction; however, the uptake of the practice remained low. Barriers to implementation included time allocated for training hospital staff and the burden on workflow. Conclusion: This systematic review of the best evidence available supports the ED as a potential setting for naloxone distribution for overdose reversal in the community. The variability of the implementation methods across the studies highlights the need for future research to determine the most effective practices.
Topic(s):
Opioids & Substance Use
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Reference Links:
View the DOI record for The Emergency Department as an Opportunity for Naloxone Distribution
View DOI Record
View the PubMed citation for The Emergency Department as an Opportunity for Naloxone Distribution9469
The Emergency Department Longitudinal Integrated Care (ED-LINC) intervention targeting opioid use disorder: A pilot randomized clinical trial
Type: Journal Article
Year: 2022
Publication Place: United States
Topic(s):
Education & Workforce
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, Financing & Sustainability
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, Opioids & Substance Use
See topic collection
9472
The epidemiology of opioid overdose in Flint and Genesee County, Michigan: Implications for public health practice and intervention
Type: Journal Article
Year: 2019
Publication Place: Ireland
Topic(s):
Education & Workforce
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, Healthcare Disparities
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, Opioids & Substance Use
See topic collection
9474
The estimated impact of state-level support for expanded delivery of substance use disorder treatment during the COVID-19 pandemic
Type: Journal Article
Year: 2021
Publication Place: England
Topic(s):
Healthcare Disparities
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, Healthcare Policy
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, HIT & Telehealth
See topic collection
, Opioids & Substance Use
See topic collection
9476
The evaluation of training in patient-centred interviewing skills for psychiatric residents
Type: Journal Article
Year: 2010
Publication Place: England
Abstract: BACKGROUND: Communication skills are considered 'core skills' in the curriculum of psychiatry but studies evaluating the effectiveness of a time-limited training course in interviewing skills in psychiatry have remained rare. The aim was to assess the effectiveness of training in patient-centred interviewing on the interview performance of psychiatric residents. METHOD: Psychiatric residents (n=10) each interviewed 12 different anonymized standardized patients (SPs), eight before and another four after training. SPs simulated psychiatric out-patients who attended for a first visit to the psychiatric out-patient clinic. The consultations were videotaped, transcribed and coded with a classification scheme developed for psychiatric consultations from which an interview performance index was derived. An interrupted time-series design and a segmented regression analysis with multilevel analysis explored the performance trend within the series of consultations. RESULTS: The regression model evidenced a horizontal slope at pre- and post-training, with a significant level change. These findings excluded the presence of a practice effect and indicated a significant effect of training. Performance variability between and within residents over the series of consultations increased at post-training. CONCLUSIONS: The training improved patient-centred interviewing performance. More post-training exercise time and supervised practice are necessary to establish consistent performance patterns at a higher skill level.
Topic(s):
Education & Workforce
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Reference Links:
View the DOI record for The evaluation of training in patient-centred interviewing skills for psychiatric residents
View DOI Record
View the PubMed citation for The evaluation of training in patient-centred interviewing skills for psychiatric residents9478
The Evolution of Recommended Naloxone Dosing for Opioid Overdose by Medical Specialty
Type: Journal Article
Year: 2016
Abstract: INTRODUCTION: Opioid abuse and opioid overdose deaths have increased significantly over the past decade. Naloxone is a potentially life-saving medication that can reverse opioid-induced respiratory depression, though precipitated opioid withdrawal can pose acute risks to the patient and medical personnel. The optimal naloxone dose is unclear and few studies address this question. METHODS: A convenience sample of commonly available references were queried for the recommended IV naloxone dose. When dosing recommendations were different for opioid-tolerant patients these were also recorded. RESULTS: Twenty-five references were located. 48% recommended a starting dose
Topic(s):
Opioids & Substance Use
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Reference Links:
View the DOI record for The Evolution of Recommended Naloxone Dosing for Opioid Overdose by Medical Specialty
View DOI Record
View the PubMed citation for The Evolution of Recommended Naloxone Dosing for Opioid Overdose by Medical Specialty9479
The evolving medicolegal precedent for medications for opioid use disorder in U.S. jails and prisons
Type: Journal Article
Year: 2021
Topic(s):
Education & Workforce
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, Healthcare Policy
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, Opioids & Substance Use
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Reference Links: View the PubMed citation for The evolving medicolegal precedent for medications for opioid use disorder in U.S. jails and prisons
9480
The evolving primary care physician
Type: Journal Article
Year: 2012
Publication Place: United States
Topic(s):
Education & Workforce
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Reference Links:
View the DOI record for The evolving primary care physician
View DOI Record
View the PubMed citation for The evolving primary care physician