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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).
11271 Results
9862
The Family-School-Primary Care Triangle and the Access to Mental Health Care Among Migrant and Ethnic Minorities
Type: Journal Article
Year: 2011
Abstract: Understanding the concepts of mental health and help seeking behaviours of migrant and ethnic minority families constitutes an important step toward improving the intercultural competence of health and education professionals. This paper addresses these goals among ethnic and migrant minorities in Portugal. For this a multi-informant approach was selected. The study involved nine focus groups (N = 39) conducted with different samples: young immigrants (12-17 years), immigrant parents, teachers and health professionals. The results showed similarities and differences in concepts of mental health, as well as help seeking processes. Stigma continued to be recognized as a barrier in the access to mental health care. The paper argues that providing adequate training on mental health on cultural diversity competencies to health and education professionals can contribute to a better inter-communication and -relation system in the family-school-primary care triangle and thus facilitate access to mental health care for youth.
Topic(s):
Education & Workforce
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, Healthcare Disparities
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Reference Links: 
View the DOI record for The Family-School-Primary Care Triangle and the Access to Mental Health Care Among Migrant and Ethnic Minorities
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View the PubMed citation for The Family-School-Primary Care Triangle and the Access to Mental Health Care Among Migrant and Ethnic Minorities9865
The financial dimension of integrated behavioral/primary care
Type: Journal Article
Year: 2009
Publication Place: United States
Abstract: There are two reasons why mental health, now more appropriately termed behavioral healthcare, is declining: (a) a lack of understanding among psychotherapists of healthcare economics, particularly the intricacies of medical cost offset, and (b) our failure as a profession to see the importance of behavioral interventions as an integral part of the healthcare system inasmuch as the nation pays for healthcare, not psychosocial care. This paper will briefly describe the rapid changes in the economics of healthcare during the past 75 years, including the post World War II enthusiastic espousal of psychotherapy by the American public which was followed by a precipitous decline as our outcomes research in behavioral care remained ignorant of financial outcomes, leaving it to the government and managed care to arbitrarily curtail escalating mental health costs. At the present time psychology is on the cusp of becoming part of the healthcare system through integrated behavioral/primary care, renewing the primacy of financial considerations such as return on investment (ROI) and medical cost offset, as well as an urgency that we avoid the mistakes that are emerging in some flawed implementations of integrated care.
Topic(s):
Financing & Sustainability
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Reference Links:
View the DOI record for The financial dimension of integrated behavioral/primary care
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View the PubMed citation for The financial dimension of integrated behavioral/primary care9866
The Fine Line Between Doctoring And Dealing
Type: Journal Article
Year: 2017
Publication Place: United States
Topic(s):
Opioids & Substance Use
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9867
The Five S's: A Communication Tool for Child Psychiatric Access Projects
Type: Journal Article
Year: 2016
Publication Place: United States
Topic(s):
Education & Workforce
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, Healthcare Disparities
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, Measures
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Reference Links: View the PubMed citation for The Five S's: A Communication Tool for Child Psychiatric Access Projects
9869
The fourth wave of the US opioid epidemic and its implications for the rural US: A federal perspective
Type: Journal Article
Year: 2021
Publication Place: United States
Abstract:
The current opioid epidemic in the United States has been characterized as having three waves: prescription opioid use, followed by heroin use, and then use of synthetic opioids (e.g., fentanyl), with early waves affecting a population that was younger, less predominantly male, and more likely to be Caucasian and rural than in past opioid epidemics. A variety of recent data suggest that we have entered a fourth wave which can be characterized as a stimulant/opioid epidemic, with mental illness co-morbidities being more evident than in the past. Stimulant use has introduced new complexities in terms of behavioral consequences (e.g., neurological deficits, suicidal ideation, psychosis, hostility, violence), available treatments, and engagement into services. These compound existing issues in addressing the opioid epidemic in rural areas, including the low density of populations and the scarcity of behavioral health resources (e.g., fewer credentialed behavioral health professionals, particularly those able to prescribe Buprenorphine). Considerations for addressing this new wave are discussed, along with the drawbacks of a wave perspective and persistent concerns in confronting drug abuse such as stigma.
Topic(s):
Education & Workforce
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, Healthcare Disparities
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, Opioids & Substance Use
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Reference Links:
View the DOI record for The fourth wave of the US opioid epidemic and its implications for the rural US: A federal perspective
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View the PubMed citation for The fourth wave of the US opioid epidemic and its implications for the rural US: A federal perspective9870
The Fracture of Relational Space in Depression: Predicaments in Primary Care Help Seeking
Type: Journal Article
Year: 2016
Publication Place: United States
Abstract: Primary care clinicians treat the majority of cases of depression in the United States. The primary care clinic is also a site for enactment of a disease-oriented concept of depression that locates disorder within an individual body. Drawing on theories of the self and stigma, this article highlights problematics of primary care depression treatment by examining the lived experience of depression. The data come from individuals who screened positive for depressive symptoms in primary care settings and were followed over ten years. After iterative mixed-methodological exploration of a large dataset, we analyzed interviews from a purposive sample of 46 individuals using grounded and phenomenological approaches. We describe two major results. First, we note that depression is experienced as located within and inextricable from relational space and that the self is experienced as relational, rather than autonomous, in depression. Second, we describe the ways in which the experience of depression contradicts a disease-oriented concept such that help-seeking intensifies rather than alleviates the relational problem of depression. We conclude by highlighting that an understanding of illness experience may be essential to improving primary care depression treatment and by questioning the bracketing of relational concerns in depression within the construct of stigma.
Topic(s):
General Literature
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Reference Links:
View the DOI record for The Fracture of Relational Space in Depression: Predicaments in Primary Care Help Seeking
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View the PubMed citation for The Fracture of Relational Space in Depression: Predicaments in Primary Care Help Seeking9871
The fundamentals of workforce competency: Implications for behavioral health
Type: Journal Article
Year: 2005
Publication Place: United States
Abstract: Increasing attention is being directed to the competency of those who deliver healthcare in the United States. In behavioral health, there is growing recognition of the need to define, teach, and assess essential competencies. Since attention to this issue in behavioral health is relatively recent, there is much to be gained by learning from the principles, definitions, and conceptual models of competency that have been developed in other fields. This article outlines the forces that drive the current focus on competency of the healthcare workforce. Relevant history, principles, definitions, and models that have evolved through research and application in business and industry are reviewed. From this analysis, recommendations are offered to guide future work on competencies in behavioral health.
Topic(s):
Education & Workforce
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Reference Links: View the PubMed citation for The fundamentals of workforce competency: Implications for behavioral health
9873
The future of health information technology in the patient-centered medical home
Type: Journal Article
Year: 2010
Publication Place: United States
Abstract: Most electronic health records today need further development of features that patient-centered medical homes require to improve their efficiency, quality, and safety. We propose a road map of the domains that need to be addressed to achieve these results. We believe that the development of electronic health records will be critical in seven major areas: telehealth, measurement of quality and efficiency, care transitions, personal health records, and, most important, registries, team care, and clinical decision support for chronic diseases. To encourage this development, policy makers should include medical homes in emerging electronic health record regulations. Additionally, more research is needed to learn how these records can enhance team care.
Topic(s):
HIT & Telehealth
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Reference Links:
View the DOI record for The future of health information technology in the patient-centered medical home
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View the PubMed citation for The future of health information technology in the patient-centered medical home9875
The future of pediatrics: Mental health competencies for pediatric primary care
Type: Journal Article
Year: 2009
Publication Place: United States
Abstract: Pediatric primary care clinicians have unique opportunities and a growing sense of responsibility to prevent and address mental health and substance abuse problems in the medical home. In this report, the American Academy of Pediatrics proposes competencies requisite for providing mental health and substance abuse services in pediatric primary care settings and recommends steps toward achieving them. Achievement of the competencies proposed in this statement is a goal, not a current expectation. It will require innovations in residency training and continuing medical education, as well as a commitment by the individual clinician to pursue, over time, educational strategies suited to his or her learning style and skill level. System enhancements, such as collaborative relationships with mental health specialists and changes in the financing of mental health care, must precede enhancements in clinical practice. For this reason, the proposed competencies begin with knowledge and skills for systems-based practice. The proposed competencies overlap those of mental health specialists in some areas; for example, they include the knowledge and skills to care for children with attention-deficit/hyperactivity disorder, anxiety, depression, and substance abuse and to recognize psychiatric and social emergencies. In other areas, the competencies reflect the uniqueness of the primary care clinician's role: building resilience in all children; promoting healthy lifestyles; preventing or mitigating mental health and substance abuse problems; identifying risk factors and emerging mental health problems in children and their families; and partnering with families, schools, agencies, and mental health specialists to plan assessment and care. Proposed interpersonal and communication skills reflect the primary care clinician's critical role in overcoming barriers (perceived and/or experienced by children and families) to seeking help for mental health and substance abuse concerns.
Topic(s):
Education & Workforce
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, Financing & Sustainability
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, Healthcare Disparities
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, Healthcare Policy
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, Medical Home
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Reference Links:
View the DOI record for The future of pediatrics: Mental health competencies for pediatric primary care
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View the PubMed citation for The future of pediatrics: Mental health competencies for pediatric primary care9879
The future role of the family physician in the United States: a rigorous exercise in definition
Type: Journal Article
Year: 2014
Publication Place: United States
Abstract: As the US health care delivery system undergoes rapid transformation, there is an urgent need to define a comprehensive, evidence-based role for the family physician. A Role Definition Group made up of members of seven family medicine organizations developed a statement defining the family physician's role in meeting the needs of individuals, the health care system, and the country. The Role Definition Group surveyed more than 50 years of foundational manuscripts including published works from the Future of Family Medicine project and Keystone III conference, external reviews, and a recent Accreditation Council on Graduate Medical Education Family Medicine Milestones definition. They developed candidate definitions and a "foil" definition of what family medicine could become without change. The following definition was selected: "Family physicians are personal doctors for people of all ages and health conditions. They are a reliable first contact for health concerns and directly address most health care needs. Through enduring partnerships, family physicians help patients prevent, understand, and manage illness, navigate the health system and set health goals. Family physicians and their staff adapt their care to the unique needs of their patients and communities. They use data to monitor and manage their patient population, and use best science to prioritize services most likely to benefit health. They are ideal leaders of health care systems and partners for public health." This definition will guide the second Future of Family Medicine project and provide direction as family physicians, academicians, clinical networks, and policy-makers negotiate roles in the evolving health system.
Topic(s):
Education & Workforce
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Reference Links:
View the DOI record for The future role of the family physician in the United States: a rigorous exercise in definition
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View the PubMed citation for The future role of the family physician in the United States: a rigorous exercise in definition9880
The general practice perspective on barriers to integration between primary and social care: a London, United Kingdom-based qualitative interview study
Type: Journal Article
Year: 2019
Publication Place: England
Topic(s):
Financing & Sustainability
See topic collection