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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
9622
The integration of mental health into pediatric practice: pediatricians and child and adolescent psychiatrists working together in new models of care
Type: Journal Article
Year: 2010
Publication Place: United States
Topic(s):
General Literature
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9626
The integration of the treatment for common mental disorders in primary care: experiences of health care providers in the MANAS trial in Goa, India
Type: Journal Article
Year: 2011
Publication Place: England
Abstract: ABSTRACT: BACKGROUND: The MANAS trial reported that a Lay Health Counsellor (LHC) led collaborative stepped care intervention (the "MANAS intervention") for Common Mental Disorders (CMD) was effective in public sector primary care clinics but private sector General Practitioners (GPs) did as well with or without the additional counsellor. This paper aims to describe the experiences of integrating the MANAS intervention in primary care. METHODS: Qualitative semi-structured interviews with key members (n = 119) of the primary health care teams upon completion of the trial and additional interviews with control arm GPs upon completion of the outcome analyses which revealed non-inferiority of this arm. RESULTS: Several components of the MANAS intervention were reported to have been critically important for facilitating integration, notably: screening and the categorization of the severity of CMD; provision of psychosocial treatments and adherence management; and the support of the visiting psychiatrist. Non-adherence was common, often because symptoms had been controlled or because of doubt that health care interventions could address one's 'life difficulties'. Interpersonal therapy was intended to be provided face to face by the LHC; however it could not be delivered for most eligible patients due to the cost implications related to travel to the clinic and the time lost from work. The LHCs had particular difficulty in working with patients with extreme social difficulties or alcohol related problems, and elderly patients, as the intervention seemed unable to address their specific needs. The control arm GPs adopted practices similar to the principles of the MANAS intervention; GPs routinely diagnosed CMD and provided psychoeducation, advice on life style changes and problem solving, prescribed antidepressants, and referred to specialists as appropriate. CONCLUSION: The key factors which enhance the acceptability and integration of a LHC in primary care are training, systematic steps to build trust, the passage of time, the observable impacts on patient outcomes, and supervision by a visiting psychiatrist. Several practices by the control arm GPs approximated those of the LHC which may partly explain our findings that they were as effective as the MANAS intervention arm GPs in enabling recovery.
Topic(s):
Education & Workforce
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, Key & Foundational
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9631
The interRAI Suite of Mental Health Assessment Instruments: An Integrated System for the Continuum of Care
Type: Journal Article
Year: 2020
Publication Place: Switzerland
Topic(s):
Measures
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Reference Links: 
View the DOI record for The interRAI Suite of Mental Health Assessment Instruments: An Integrated System for the Continuum of Care
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View the PubMed citation for The interRAI Suite of Mental Health Assessment Instruments: An Integrated System for the Continuum of Care9632
The intertwined expansion of telehealth and buprenorphine access from a prescriber hub
Type: Journal Article
Year: 2021
Publication Place: United States
Topic(s):
Education & Workforce
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, HIT & Telehealth
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, Opioids & Substance Use
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Reference Links:
View the DOI record for The intertwined expansion of telehealth and buprenorphine access from a prescriber hub
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View the PubMed citation for The intertwined expansion of telehealth and buprenorphine access from a prescriber hub9634
The LASSO Program in Oslo: Harm Reduction Using Buprenorphine-Naloxone (Suboxone(R)) in a Low Threshold Setting
Type: Journal Article
Year: 2018
Publication Place: Switzerland
Topic(s):
Opioids & Substance Use
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Reference Links:
View the DOI record for The LASSO Program in Oslo: Harm Reduction Using Buprenorphine-Naloxone (Suboxone(R)) in a Low Threshold Setting
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View the PubMed citation for The LASSO Program in Oslo: Harm Reduction Using Buprenorphine-Naloxone (Suboxone(R)) in a Low Threshold Setting9635
The Learning Curve After Implementation of Collaborative Care in a State Mental Health Integration Program
Type: Journal Article
Year: 2019
Publication Place: United States
Abstract: OBJECTIVE:: This study examined organizational variability of process-of-care and depression outcomes at eight community health centers (CHCs) in the years following implementation of collaborative care (CC) for depression. METHODS:: The authors used 8 years of observational data for 13,362 unique patients at eight CHCs that participated in Washington State's Mental Health Integration Program. Organization-level changes in depression and process-of-care outcomes over time were studied. RESULTS:: On average, depression outcomes improved for the first 2 years before improvement slowed, peaking at year 5. Significant organization-level variation was noted in outcomes. Improvements in depression outcomes tended to follow process-of-care measures. CONCLUSIONS:: Findings suggest that it may take 2 years after implementation of CC to fully observe depression outcome improvement at an organization level. Substantial variation between organizations in depression outcomes over time suggests that sustained attention to processes of care may be necessary to maintain initially achieved gains.
Topic(s):
General Literature
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Reference Links:
View the DOI record for The Learning Curve After Implementation of Collaborative Care in a State Mental Health Integration Program
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View the PubMed citation for The Learning Curve After Implementation of Collaborative Care in a State Mental Health Integration Program9637
The Logan Healthy Living Program-a cluster randomized trial of a telephone-delivered physical activity & dietary behavior intervention for PC patients w/ type 2 diabetes or hypertension from a socially disadvantaged community
Type: Journal Article
Year: 2008
Publication Place: United States
Abstract: BACKGROUND: Physical activity and dietary behavior changes are important to both the primary prevention and secondary management of the majority of our most prevalent chronic conditions (i.e., cardiovascular disease, hypertension, type 2 diabetes, breast and colon cancer). With over 85% of Australian adults visiting a general practitioner each year, the general practice setting has enormous potential to facilitate wide scale delivery of health behaviour interventions. However, there are also many barriers to delivery in such settings, including lack of time, training, resources and remuneration. Thus there is an important need to evaluate other feasible and effective means of delivering evidence-based physical activity and dietary behaviour programs to patients in primary care, including telephone counseling interventions. METHODS: Using a cluster randomized design with practice as the unit of randomization, this study evaluated a telephone-delivered intervention for physical activity and dietary change targeting patients with chronic conditions (type 2 diabetes or hypertension) recruited from primary care practices in a socially disadvantaged community in Queensland, Australia. Ten practices were randomly assigned to the telephone intervention or to usual care, and 434 patients were recruited. Patients in intervention practices received a workbook and 18 calls over 12 months. Assessment at baseline, 4-, 12- and 18-months allows for assessment of initial change and maintenance of primary outcomes (physical activity and dietary behavior change) and secondary outcomes (quality of life, cost-effectiveness, support for health behavior change). CONCLUSIONS: This effectiveness trial adds to the currently limited number of telephone-delivered intervention studies targeting both physical activity and dietary change. It also addresses some of the shortcomings of previous trials by targeting patients from a disadvantaged community, and by including detailed reporting on participant representativeness, intervention implementation and cost-effectiveness, as well as an evaluation of maintenance of health behavior change.
Topic(s):
HIT & Telehealth
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9638
The long-term effects of a primary care physical activity intervention on mental health in low-active, community-dwelling older adults
Type: Journal Article
Year: 2013
Abstract: Objectives: To examine the effect that physical activity delivered via two different versions of the Green Prescription (a primary care physical activity scripting program) had on depressive symptomatology and general mental health functioning over a 12-month period in non-depressed, low-active, community-dwelling older adults. Method: Two hundred and twenty-five participants from the Healthy Steps study took part in the present study. Healthy Steps participants were randomized to receive either the standard time-based or a modified pedometer-based Green Prescription. Depression, mental health functioning and physical activity were measured at baseline, post-intervention (3 months post-baseline) and at the 9-month follow-up period. Results: At post-intervention, a positive association was found between increases in leisure-time physical activity and total walking physical activity and a decrease in depressive symptomatology (within the non-depressed range of the GDS-15) and an increase in perceived mental health functioning, regardless of intervention allocation. These improvements were also evident at the follow-up period for participants in both intervention allocation groups. Conclusion: Our findings suggest that the standard time-based Green Prescription and a modified pedometer-based Green Prescription are both effective in maintaining and improving mental health in non-depressed, previously low-active older adults.
Topic(s):
Healthcare Disparities
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9639
The long-term trajectory of depression among Latinos in primary care and its relationship to depression care disparities
Type: Journal Article
Year: 2011
Publication Place: United States
Abstract: OBJECTIVE: Lower use of medication treatment, poorer doctor-patient communication (DPC) and depression stigma are key contributors to mental healthcare disparities among Latinos with depression. The current study investigated the relationship between these key variables and the long-term trajectory of depression in primary care among Latinos. METHOD: Participants (N=220) were Latinos presenting to primary care who screened positive for depression. A repeated measures design was used to assess participants at baseline and 6, 25 and 30 months. Repeated measures included depression (Patient Health Questionnaire-9), self-reported quality of DPC and stigma pertaining to antidepressants. Using growth curve modeling, participants' depressive symptom trajectories were examined for a 30-month period. Self-reported utilization of antidepressants, DPC and antidepressant stigma were examined as predictors of the depressive symptom trajectory. In addition, rates of depression improvement/remission and recurrence/relapse were examined. RESULTS: Improvement/remission was experienced by 69.4% of participants during a 30-month period. Among those who improved/remitted at 6 or 25 months, 63.4% maintained that improvement/remission by 30 months. The long-term trajectory of depressive symptoms demonstrated a significant positive association with antidepressant stigma and significant negative associations with use of antidepressant treatment and quality DPC. CONCLUSIONS: While relapse/recurrence is common, most Latinos in this study experienced improvement in depression over 30 months. For many, there is a considerable time to reach improvement/remission. Also, these findings confirm the significance of antidepressant underutilization, DPC and stigma in the long-term outcome of depression among Latinos in primary care.
Topic(s):
Healthcare Disparities
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Reference Links:
View the DOI record for The long-term trajectory of depression among Latinos in primary care and its relationship to depression care disparities
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View the PubMed citation for The long-term trajectory of depression among Latinos in primary care and its relationship to depression care disparities