Literature Collection

9841

Research agenda for integrated care: supporting collaboration in turbulent times

Type: Journal Article

Authors: S. van Elk, K. Armit, J. Baeza, A. Fraser, R. Harris, L. Jones, J. Lubin, G. McGivern, J. Waring

Year: 2025

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9842

Research and evaluation in the transformation of primary care

Type: Journal Article

Authors: C. J. Peek, D. J. Cohen, F. V. DeGruy

Year: 2014

Publication Place: United States

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9843

Research Compensation and Enhanced Contacts in Studies With Persons Who Use Drugs: Lessons From the COVID-19 Pandemic Demand a Reset

Type: Journal Article

Authors: M. G. Lemansky, A. K. Martin, J. A. Bernstein, S. A. Assoumou

Year: 2023

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9844

Research Findings #28: Demographics and Health Care Access and Utilization of Limited-English-Proficient and English-Proficient Hispanics

Type: Web Resource

Authors: Cindy Brach, Frances M. Chevarley

Year: 2008

Abstract: Data from the 2004 Household Component of the Medical Expenditure Panel Survey (MEPS-HC) reveals that Hispanic adults with limited English proficiency (LEP) are a distinct population subgroup from English-proficient Hispanic adults. LEP Hispanic adults are more likely to be poor/low income, less educated, older, not employed, uninsured, without a usual source of care, and without a visit to a doctor or dentist than English-proficient Hispanic adults. English-proficient Hispanic adults are similarly disadvantaged compared to white non-Hispanic adults, and also have lower utilization.The estimates in this report are based on the most recent data available at the time the report was written. However, selected elements of MEPS data may be revised on the basis of additional analyses, which could result in slightly different estimates from those shown here. Please check the MEPS Web site for the most current file releases.

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This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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9845

Research gaps on use of opioids for chronic noncancer pain: findings from a review of the evidence for an American Pain Society and American Academy of Pain Medicine clinical practice guideline

Type: Journal Article

Authors: R. Chou, J. C. Ballantyne, G. J. Fanciullo, P. G. Fine, C. Miaskowski

Year: 2009

Publication Place: United States

Abstract: Chronic noncancer pain is common and use of opioids is increasing. Previously published guidelines on use of opioids for chronic noncancer pain have been based primarily on expert consensus due to lack of strong evidence. We conducted searches on Ovid MEDLINE and the Cochrane databases through July 2008 to identify studies that addressed one or more of 37 Key Questions that a multidisciplinary expert panel identified as important to be answered to generate evidence-based recommendations on the use of opioids for chronic noncancer pain. A total of 14 systematic reviews, 38 randomized trials not included in a previously published systematic review, and 13 other studies met inclusion criteria. Almost all of the randomized trials of opioids for chronic noncancer pain were short-term efficacy studies. Critical research gaps on use of opioids for chronic noncancer pain include: lack of effectiveness studies on long-term benefits and harms of opioids (including drug abuse, addiction, and diversion); insufficient evidence to draw strong conclusions about optimal approaches to risk stratification, monitoring, or initiation and titration of opioid therapy; and lack of evidence on the utility of informed consent and opioid management plans, the utility of opioid rotation, the benefits and harms specific to methadone or higher doses of opioids, and treatment of patients with chronic noncancer pain at higher risk for drug abuse or misuse. PERSPECTIVE: Currently, clinical decisions regarding the use of opioids for chronic noncancer pain need to be made based on weak evidence. Research funding priorities need to be set to address these critical research needs if the care of patients with chronic noncancer pain is to improve.

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9846

Research in the Integration of Behavioral Health for Adolescents and Young Adults in Primary Care Settings: A Systematic Review

Type: Journal Article

Authors: L. P. Richardson, C. A. McCarty, A. Radovic, A. B. Suleiman

Year: 2017

Publication Place: United States

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9847

Research issues for improving treatment of U.S. Hispanics with persistent mental disorders

Type: Journal Article

Authors: W. A. Vega, M. Karno, M. Alegria, J. Alvidrez, G. Bernal, M. Escamilla, J. Escobar, P. Guarnaccia, J. Jenkins, A. Kopelowicz, I. T. Lagomasino, R. Lewis-Fernandez, H. Marin, S. Lopez, S. Loue

Year: 2007

Publication Place: United States

Abstract: This article reports on the outcome of an expert consensus meeting in August 2005 sponsored by the National Institute of Mental Health, which assembled 15 senior researchers with a background in treatment and services research with the Hispanic population. The purpose of the workshop was to identify research issues most pertinent for improving quality and effectiveness of treatment for Hispanics experiencing persistent mental disorders, defined as psychiatric syndromes that are of sufficient severity and duration to cause long-term impairment in social and occupational functioning and significant disability. The spectrum of ideas and recommendations advanced at the one-day meeting was wide and overlapping; therefore, the rich body of material was subsequently organized into five topics: diagnosis, quality of care and culturally appropriate services, psychosocial intervention development, psychopharmacologic interventions, and access to care. Although the authors recognize that the review was broad and the agenda presented is ambitious and in many instances generalizes to priority areas in overall mental health services and treatment research, the recommendations are intended to stimulate research for addressing the unique problems and research deficits that affect Hispanics with persistent mental disorders.

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9848

Research on Biopsychosocial Factors of Social Connectedness and Isolation on Health, Wellbeing, Illness, and Recovery

Type: Report

Authors: National Institute on Minority Health and Health Disparities

Year: 2021

Publication Place: Bethesda, MD

Topic(s):

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Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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9849

Research Portfolio Online Reporting Tools (RePORT)

Type: Web Resource

Authors: NIH

Year: 2011

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This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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9850

Research Priorities for Expansion of Opioid Use Disorder Treatment in the Community Pharmacy

Type: Journal Article

Authors: J. B. Jarrett, J. Bratberg, A. L. Burns, G. Cochran, B. A. DiPaula, Legreid Dopp, A. Elmes, T. C. Green, L. G. Hill, F. Homsted, S. L. Hsia, M. L. Matthews, U. E. Ghitza, L. T. Wu, G. Bart

Year: 2023

Abstract:

In the last decade, the U.S. opioid overdose crisis has magnified, particularly since the introduction of synthetic opioids, including fentanyl. Despite the benefits of medications for opioid use disorder (MOUD), only about a fifth of people with opioid use disorder (OUD) in the U.S. receive MOUD. The ubiquity of pharmacists, along with their extensive education and training, represents great potential for expansion of MOUD services, particularly in community pharmacies. The National Institute on Drug Abuse's National Drug Abuse Treatment Clinical Trials Network (NIDA CTN) convened a working group to develop a research agenda to expand OUD treatment in the community pharmacy sector to support improved access to MOUD and patient outcomes. Identified settings for research include independent and chain pharmacies and co-located pharmacies within primary care settings. Specific topics for research included adaptation of pharmacy infrastructure for clinical service provision, strategies for interprofessional collaboration including health service models, drug policy and regulation, pharmacist education about OUD and OUD treatment, including didactic, experiential, and interprofessional curricula, and educational interventions to reduce stigma towards this patient population. Together, expanding these research areas can bring effective MOUD to where it is most needed.

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9851

Research with Older Adult Methadone Clients: The Importance of Monitoring Suicide Ideation

Type: Journal Article

Authors: Janice McCall, Melissa Brusoski, Daniel Rosen

Year: 2017

Publication Place: United States

Abstract:

This study reports on the importance of monitoring suicide ideation among older adult research participants. A recently completed randomized controlled trial of older adults who are current clients in methadone maintenance treatment (MMT) served as a case study to elucidate a suicide protocol that was designed to account for the potential instances of suicide ideation within the research project structure. As the numbers of older adult heroin users increases, this study's findings seek to influence research protocols that involve older adults with addictions who may be particularly vulnerable to suicide risk due to comorbid psychiatric conditions and psychosocial adversities.

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9852

Researchers Call For Behavioral Health, Model Pairing In Primary Care Demo

Type: Journal Article

Authors: Chelsea Cirruzzo

Year: 2020

Publication Place: Arlington

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9853

Resident training in developmental/behavioral pediatrics: Where do we stand?

Type: Journal Article

Authors: C. D. Boreman, M. C. Thomasgard, S. A. Fernandez, D. L. Coury

Year: 2007

Publication Place: United States

Abstract: Approximately 25% to 30% of all complaints to a general pediatrician are developmental or behavioral in origin. Despite this, residency education in developmental/behavioral pediatrics has consistently been rated poorly. Changes were set forth in 1997 to include a mandatory 1-month block rotation in developmental/behavioral pediatrics. This study was a nationwide, cross-sectional, self-administered, mailed survey of pediatricians who completed residency either before or after these changes went into effect. Overall, pediatricians' comfort level in developmental/behavioral pediatrics was unchanged in the 2 groups. Certain areas (behavior problems, learning disabilities, sleep, and depression/anxiety) of developmental/behavioral pediatrics had lower comfort scores. Our data provide direction for the ongoing refinement of pediatric education that is based on feedback from currently practicing pediatricians.

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9854

Residential and nonresidential substance use treatment within Indigenous populations: A systematic review

Type: Journal Article

Authors: Elaine Toombs, Nicole Marshall, Christopher J. Mushquash

Year: 2021

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9855

Residential Substance Abuse Treatment (RSAT) Training Tool: Medication-Assisted Treatment (MAT) for Offender Populations

Type: Government Report

Authors: Niki Miller

Year: 2013

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This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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9856

Resolving the dilemma of multiple relationships for primary care behavioral health providers.

Type: Journal Article

Authors: Laurie C. Ivey, Timothy Doenges

Year: 2013

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9857

Resource document on risk management and liability issues in integrated care models

Type: Journal Article

Authors: D. A. Bland, K. Lambert, L. Raney

Year: 2014

Publication Place: United States

Abstract: In the wake of the implementation of the Affordable Care Act, more than 30 million previously uninsured Americans will gain access to health care. Some of these individuals may never have interfaced with the behavioral health system. In response to an increasing need for behavioral health services, improved outcomes, and cost containment, there is a growing shift from independent behavioral health and primary care practices to collaborative care practice models. These new models have psychiatrists working with primary care providers (PCPs) and behavioral health providers (BHPs, typically social workers or psychologists) using a systematic approach to concurrently treat behavioral health and physical health conditions. By following this approach it allows the extension of psychiatric expertise to more patients.From early studies in the 1990's to improve the detection and treatment of depression in elderly patients in primary care settings, to more recent work on outcomes in the management of depression in patients with multiple chronic conditions, a vast body of research has demonstrated the benefit of collaborative care models. However, as with any new treatment modality, psychiatrists may approach collaborative care models with a degree of uncertainty about liability risks. While there are several documents as well as case law addressing the potential malpractice risk of consultation in other medical specialties, a review of the literature revealed few publications offering guidelines for psychiatric consultations. Previous publications have been limited in scope by focusing on interactions between psychiatrists with non-physician treatment providers and have not addressed the potential liability exposure in the overlapping roles of the psychiatrist within an integrated care setting. However, these authors likely could not have anticipated the change in scope of practice of psychiatry in recent years. This resource document provides background information on medical malpractice cases, defines the doctor-patient relationship, and distinguishes the different forms of "split treatment" and how this applies to psychiatric consultation offered to PCPs and BHPs in primary care settings. In addition, it describes the duty of the psychiatrist across the spectrum of roles on an integrated care team and makes recommendations to reduce the risk of medical malpractice issues.Close proximity can foster a culture of cooperation and mutual education between PCPs and psychiatrists. This approach, often referred to as "co-location," has several benefits for patients. The PCP may or may not choose to communicate with the psychiatrist about the behavioral health of patients or make referrals, but the contiguity may increase the chances of successful referral. Limitations in this model have given rise to new treatment paradigms for improving care. In integrated care settings, behavioral health specialists are incorporated into the primary care practice with the psychiatrist providing consultation to the PCP and BHP for management of a patient's behavioral health conditions. These recommendations may be based upon an informal or "curbside" consultation request by the PCP or BHP, a review of the medical record or registry, and, less frequently, by formal evaluation of the patient in person or by televideo.There are a number of integrated care models including the Improving Mood Promoting Access to Collaborative Treatment (IMPACT) model and Massachusetts Child Psychiatry Access Project (MCPAP). In these models of care, the psychiatry consultant's role may include key aspects of both formal and informal consultation and varying aspects of "split treatment" (including what have traditionally been referred to as supervisory, consultative or collaborative roles for non-physicians).This resource document provides a framework for some of the issues to consider when working in practices offering integrated care, and provides practical points to consider in managing liability concerns. Keep in mind that issues regarding liability may not always be clear, particularly in specialty areas that are rapidly evolving. Where indicated, the psychiatrist should clarify the extent of their involvement clinically and the level of interaction with the patient and care team. Whether there is liability for malpractice depends upon specific circumstances surrounding each case and each state has different laws, regulations and caselaw. Finally, consulting an attorney or risk manager for guidance on specific issues is strongly encouraged.

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9858

Resource Guide: Best Practices for Effective Adolescent Substance Use Disorder Services

Type: Government Report

Authors: National Council for Mental Wellbeing

Year: 2024

Publication Place: Washington, DC

Topic(s):

, , ,

Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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9859

Resources health care homes

Type: Web Resource

Authors: Minnesota Dept. of Health

Year: 2018

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This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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9860

Resources. SAMHSA tools for the behavioral health workforce

Type: Journal Article

Year: 2007

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