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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
9742
Service utilization and chronic condition outcomes among primary care patients with substance use disorders and co-occurring chronic conditions
Type: Journal Article
Year: 2020
Topic(s):
Financing & Sustainability
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, Healthcare Disparities
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, Opioids & Substance Use
See topic collection
9746
Serving Persons With Severe Mental Illness in Primary Care-Based Medical Homes
Type: Journal Article
Year: 2015
Abstract: Objective: Primary care-based medical homes are rapidly disseminating through populations with chronic illnesses. Little is known about how these models affect the patterns of care for persons with severe mental illness who typically receive much of their care from mental health specialists. This study examined whether enrollment in a primary care medical home alters the patterns of care for Medicaid enrollees with severe mental illness. Methods: The authors conducted a retrospective secondary data analysis of medication adherence, outpatient and emergency department visits, and screening services used by adult Medicaid enrollees with diagnoses of schizophrenia (N=7,228), bipolar disorder (N=13,406), or major depression (N=45,000) as recorded in North Carolina Medicaid claims from 2004-2007. Participants not enrolled in a medical home (control group) were matched by propensity score to medical home participants on the basis of demographic characteristics and comorbidities. Those dually enrolled in Medicare were excluded. Results: Results indicate that medical home enrollees had greater use of both primary and specialty mental health care, better medication adherence, and reduced use of the emergency department. Better rates of preventive lipid and cancer screening were found only for persons with major depression. Conclusions: Enrollment in a medical home was associated with substantial changes in patterns of care among persons with severe mental illness. These changes were associated with only a modest set of incentives, suggesting that medical homes can have large multiplier effects in primary care of persons with severe mental illness.
Topic(s):
Medical Home
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, Healthcare Disparities
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Reference Links: 
View the DOI record for Serving Persons With Severe Mental Illness in Primary Care-Based Medical Homes
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View the PubMed citation for Serving Persons With Severe Mental Illness in Primary Care-Based Medical Homes9748
Setting the stage for success: Implementation of developmental and behavioral screening and surveillance in primary care practice -- the North Carolina Assuring Better Child Health and Development (ABCD) Project
Type: Journal Article
Year: 2006
Abstract: Early identification of children with developmental and behavioral delays is important in primary care practice, and well-child visits provide an ideal opportunity to engage parents and perform periodic screening. Integration of this activity into office process and flow is necessary for making screening a routine and consistent part of primary care practice. In the North Carolina Assuring Better Child Health and Development Project, careful attention to and training for office process has resulted in a significant increase in screening rates to >70% of the designated well-child visits. The data from the project prompted a change in Medicaid policy, and screening is now statewide in primary practices that perform Early Periodic Screening, Diagnosis, and Treatment examinations. Although there are features of the project that are unique to North Carolina, there are also elements that are transferable to any practice or state interested in integrating child development services into the medical home. Included here are lessons learned and a listing of practical tools for implementation.
Topic(s):
Medical Home
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, Healthcare Policy
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9750
Seven years of workplace drug testing in Italy: A systematic review and meta-analysis
Type: Journal Article
Year: 2017
Publication Place: England
Topic(s):
Healthcare Policy
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, Opioids & Substance Use
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Reference Links:
View the DOI record for Seven years of workplace drug testing in Italy: A systematic review and meta-analysis
View DOI Record
View the PubMed citation for Seven years of workplace drug testing in Italy: A systematic review and meta-analysis9753
Severity of alcohol problems and readiness to change alcohol use in primary care
Type: Journal Article
Year: 2011
Publication Place: England
Topic(s):
General Literature
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Reference Links:
View the DOI record for Severity of alcohol problems and readiness to change alcohol use in primary care
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View the PubMed citation for Severity of alcohol problems and readiness to change alcohol use in primary care9754
Severity of dependence scale as a diagnostic tool for heroin and cocaine dependence
Type: Journal Article
Year: 2009
Publication Place: Switzerland
Abstract: AIMS: Our aim was to further assess the Severity of Dependence Scale (SDS) validity and to identify the cut-off score for a DSM-IV diagnosis of heroin and cocaine dependence through a cross-sectional survey in Barcelona, Spain. METHODS: The Psychiatric Research Interview for Substance and Mental Disorders (PRISM) was used as the gold standard. 146 young (18-30 years old) heroin users were recruited from outside the healthcare context, 135 of whom were also current cocaine users. SDS scores were correlated to quantity, frequency and length of drug use. RESULTS: The SDS cut-off point at which there was optimal discrimination of a DSM-IV diagnosis presence was found to be 3 (i.e., a score of 3 or more) for heroin dependence and 4 for cocaine dependence. CONCLUSIONS: The study gives further support to SDS dimensional properties and to its validity for rapid assessment of current heroin and cocaine dependence.
Topic(s):
Opioids & Substance Use
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, Measures
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Reference Links:
View the DOI record for Severity of dependence scale as a diagnostic tool for heroin and cocaine dependence
View DOI Record
View the PubMed citation for Severity of dependence scale as a diagnostic tool for heroin and cocaine dependence9755
Severity of mental health concerns in pediatric primary care and the role of child psychiatry access programs
Type: Journal Article
Year: 2018
Publication Place: United States
Topic(s):
HIT & Telehealth
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Reference Links: View the PubMed citation for Severity of mental health concerns in pediatric primary care and the role of child psychiatry access programs
9756
Severity of mental health impairment and trajectories of improvement in an integrated primary care clinic
Type: Journal Article
Year: 2012
Publication Place: United States
Abstract: Objective: To model typical trajectories for improvement among patients treated in an integrated primary care behavioral health service, multilevel models were used to explore the relationship between baseline mental health impairment level and eventual mental health functioning across follow-up appointments. Method: Data from 495 primary care patients (61.1% female, 60.7% Caucasian, 37.141 +/- 12.21 years of age) who completed the Behavioral Health Measure (Kopta & Lowry, 2002) at each primary care appointment were used for the analysis. Three separate models were constructed to identify clinical improvement in terms of number of appointments attended, baseline impairment severity level, and the interaction of these 2 variables. Results: The data showed that 71.5% of patients improved across appointments, 56.8% of which (40.5% of the entire sample) was clinically meaningful and reliable. Number of appointments and baseline severity of impairment significantly accounted for variability in clinical outcome, with trajectories of change varying across appointments as a function of baseline severity. Patients with more severe impairment at baseline improved faster than patients with less severe baseline impairment. Conclusions: Patients treated within an integrated primary care behavioral health service demonstrate significant improvements in clinical status, even those with the most severe levels of distress at baseline. (PsycINFO Database Record (c) 2012 APA, all rights reserved).
Topic(s):
General Literature
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Reference Links:
View the DOI record for Severity of mental health impairment and trajectories of improvement in an integrated primary care clinic
View DOI Record
View the PubMed citation for Severity of mental health impairment and trajectories of improvement in an integrated primary care clinic9757
Sex and female empowerment (SAFE): A randomized trial comparing sexual health interventions for women in treatment for opioid use disorder
Type: Journal Article
Year: 2021
Topic(s):
Healthcare Disparities
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, HIT & Telehealth
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, Opioids & Substance Use
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9759
Sex-specific disease outcomes of HIV-positive and HIV-negative drug users admitted to an opioid substitution therapy program in Spain: a cohort study
Type: Journal Article
Year: 2014
Publication Place: England
Abstract: BACKGROUND: Opioid substitution therapy has improved the survival of heroin users with and without HIV infection. We aimed to analyze sex differences in mortality rates and predictors of death among those admitted to a methadone treatment program (MTP). METHODS: Longitudinal study of patients enrolled in a MTP from 1992 to 2010. Socio-demographic and drug use characteristics, and markers of viral infections were assessed at entry. Vital status was ascertained by clinical charts and the mortality register. Four calendar periods were defined according to the introduction of preventive and treatment interventions in Spain. Predictors of death were analyzed by Cox regression models. RESULTS: 1,678 patients (82.8% men) were included; age at first heroin use was 18.6 years (IQR: 16-23 years), and age at first entry into a MTP was 30.7 years (IQR: 26-36 years). A total of 441 (26.3%) deaths occurred during 15,124 person-years (p-y) of follow-up (median: 9.2 years, IQR: 4-13 years). HIV infection was the main predictor of death in men (HR = 3.5, 95% CI: 2.1-5.7) and women (HR = 3.2, 95% CI: 1.2-8.7 ) and main cause of death was HIV/AIDS. Overall mortality rate was 2.9 per 100 p-y (95% CI: 2.7-3.2 per 100 p-y) and death rates decreased over time: 7.4 per 100 p-y (95% CI: 6.3-8.8 per 100 p-y) for the 1992-1996 period to 1.9 per 100 p-y (95% CI: 1.6-2.4 per 100 p-y) for the 2007-2010 period. In women, a slightly increase in mortality was observed in recent periods specifically among HIV-positive women (3.7 per 100 p-y in period 2002-2006 and 4.5 per 100 p-y in 2007-2010). CONCLUSIONS: Significant reductions in mortality of patients in MTP are observed after nineteen years of observation. However, HIV infection shows a great impact on survival, particularly among HIV-infected women.
Topic(s):
Opioids & Substance Use
See topic collection