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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).
12262 Results
962
Addressing the Poverty Barrier in Collaborative Care for Adults Experiencing Homelessness: A Case-Based Report
Type: Journal Article
Year: 2020
Publication Place: United States
Abstract: The Collaborative Care (CC) model of integrated care is an evidence-based, systematic approach in which primary care and behavioral health teams work together to deliver effective treatment for depression and other common mental illnesses in primary care settings. Because people experiencing homelessness have high rates of chronic medical conditions, mental illness and substance use disorders, interventions that integrate the physical, mental and social determinants of health have been shown to be effective to provide healthcare for this population in primary care outpatient settings. In this article we describe the implementation of a collaborative care program to treat depression in a population of adults experiencing homelessness and receiving primary care in a Federally Qualified Health Center (FQHC) located in Downtown Miami, Florida. We present three case studies that highlight key concepts, potential benefits and limitations in using this model to treat patients experiencing depression and homelessness in urban areas.
Topic(s):
Healthcare Disparities
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Reference Links: 
View the DOI record for Addressing the Poverty Barrier in Collaborative Care for Adults Experiencing Homelessness: A Case-Based Report
View DOI Record
View the PubMed citation for Addressing the Poverty Barrier in Collaborative Care for Adults Experiencing Homelessness: A Case-Based Report963
Addressing the Poverty Barrier in Collaborative Care for Adults Experiencing Homelessness: A Case-Based Report
Type: Journal Article
Year: 2020
Publication Place: United States
Abstract: The Collaborative Care (CC) model of integrated care is an evidence-based, systematic approach in which primary care and behavioral health teams work together to deliver effective treatment for depression and other common mental illnesses in primary care settings. Because people experiencing homelessness have high rates of chronic medical conditions, mental illness and substance use disorders, interventions that integrate the physical, mental and social determinants of health have been shown to be effective to provide healthcare for this population in primary care outpatient settings. In this article we describe the implementation of a collaborative care program to treat depression in a population of adults experiencing homelessness and receiving primary care in a Federally Qualified Health Center (FQHC) located in Downtown Miami, Florida. We present three case studies that highlight key concepts, potential benefits and limitations in using this model to treat patients experiencing depression and homelessness in urban areas.
Topic(s):
Healthcare Disparities
See topic collection
Reference Links:
View the DOI record for Addressing the Poverty Barrier in Collaborative Care for Adults Experiencing Homelessness: A Case-Based Report
View DOI Record
View the PubMed citation for Addressing the Poverty Barrier in Collaborative Care for Adults Experiencing Homelessness: A Case-Based Report967
Addressing the workforce crisis in integrated primary care
Type: Journal Article
Year: 2009
Publication Place: United States
Abstract: Training and education in integrated primary care is limited. We see a need for addressing the looming workforce shortage as behavioral health services in primary care become more widely implemented. Bringing mental health clinicians straight from specialty mental health settings into primary care often results in program failure due to poor skills fit, assumptions about services needed, and routines of practice these clinicians bring from their specialty settings. Health psychology graduate programs tend to prepare graduates for specialty research and practice in medical settings rather than preparing them for the pace, culture and broad spectrum of needs in primary care. Family medicine residency programs provide an underutilized resource for training primary care psychologists and family physicians together. Even if comprehensive graduate training programs in integrated primary care were developed, they could not begin to meet the need for behavioral health clinicians in primary care that the present expansion will require. In response to the demand for mental health providers in primary care, new initiatives have emerged which attempt to provide training for the preexisting mental health workforce to enable their successful integration into primary care settings.
Topic(s):
Education & Workforce
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, Key & Foundational
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Reference Links: View the PubMed citation for Addressing the workforce crisis in integrated primary care
968
Addressing trauma and stress in the COVID-19 pandemic: Challenges and the promise of integrated primary care
Type: Journal Article
Year: 2020
Publication Place: United States
Topic(s):
Education & Workforce
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, Healthcare Disparities
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, HIT & Telehealth
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Reference Links:
View the DOI record for Addressing trauma and stress in the COVID-19 pandemic: Challenges and the promise of integrated primary care
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View the PubMed citation for Addressing trauma and stress in the COVID-19 pandemic: Challenges and the promise of integrated primary care969
Addressing Unhealthy Substance Use in Primary Care
Type: Journal Article
Year: 2018
Publication Place: United States
Topic(s):
Opioids & Substance Use
See topic collection
974
Adherence to extended release naltrexone: Patient and treatment characteristics
Type: Journal Article
Year: 2018
Publication Place: England
Abstract: BACKGROUND AND OBJECTIVES: Despite the promise of extended release naltrexone in the treatment of the opioid and alcohol use disorders, challenges with initiation and subsequent adherence have limited its potential. The purpose of this study is to identify the patient and treatment characteristics associated with adherence to extended release naltrexone. METHODS: Retrospective cohort study of 155 veterans who initiated the medication in FY 2014 and FY2015. Medical records were abstracted for patient and treatment data including preferred drug and utilization of substance use treatment in the year before and after medication initiation. RESULTS: Sample characteristics include 94% male, 70% domiciled, 60% without current legal problems, 30% employed, and preferred drug being opioids for 55% and alcohol for 45%. The mean of five extended release naltrexone injections did not differ by preferred drug. Treatment variables associated with medication adherence included concurrent substance use residential, individual, group, and psychiatric therapies (all p < .05) with inpatient detoxification admissions halved afterward (p < .0001) . DISCUSSION AND CONCLUSIONS: Whereas most studies of extended release naltrexone have focused on patients with either alcohol or opioid use disorders for 6 months, this study allowed for a direct comparison of adherence in both groups over a year. The average treatment persistence in this veteran sample is greater than described in other public sector studies and may illustrate the importance of concurrent psychosocial therapies. SCIENTIFIC SIGNIFICANCE: Results extend the findings of other studies and add to an emerging appreciation of the factors associated with treatment retention for extended release naltrexone. (Am J Addict 2018;27:524-530).
Topic(s):
Opioids & Substance Use
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Reference Links:
View the DOI record for Adherence to extended release naltrexone: Patient and treatment characteristics
View DOI Record
View the PubMed citation for Adherence to extended release naltrexone: Patient and treatment characteristics975
Adherence to methadone maintenance treatment and associated factors among patients in Vietnamese mountainside areas
Type: Journal Article
Year: 2017
Publication Place: England
Topic(s):
Opioids & Substance Use
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Reference Links:
View the DOI record for Adherence to methadone maintenance treatment and associated factors among patients in Vietnamese mountainside areas
View DOI Record
View the PubMed citation for Adherence to methadone maintenance treatment and associated factors among patients in Vietnamese mountainside areas978
Adherence trajectories of buprenorphine therapy among pregnant women in a large state Medicaid program in the United States
Type: Journal Article
Year: 2018
Publication Place: England
Topic(s):
Financing & Sustainability
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, Healthcare Disparities
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, Opioids & Substance Use
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979
Adjustment disorder with anxiety in old age: comparing prevalence and clinical management in primary care and mental health care
Type: Journal Article
Year: 2014
Publication Place: France
Topic(s):
Healthcare Disparities
See topic collection