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Opioids & SU
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
9861
The role of monitoring outcomes in initiating implementation of evidence-based treatments at the state level
Type: Journal Article
Year: 2004
Publication Place: United States
Abstract: This article describes a six-year statewide initiative to help mental health service providers in continuously monitoring the outcomes of youths with serious emotional disturbances who are treated in the public-sector managed behavioral health care system. Participating providers submit outcome data to a state-sponsored evaluator, using the Child and Adolescent Functional Assessment Scale (CAFAS), and receive monthly feedback that identifies youths who are making poor progress in treatment. Additional reports are used to ensure record compliance, monitor at-risk youths, and assist in reviewing the adequacy of treatment plans. In addition, outcome data for closed cases are generated for various types of clients. The consistently poor outcomes for some types of clients have generated a genuine interest among clinical staff in learning and implementing evidence-based treatments. The data for all participating providers were pooled to generate state averages for various indicators so that each provider can compare their site to these benchmarks. State administrators consider the data in generating policy and identifying systemwide needs. The processes that shaped this initiative and that created the providers' investment in continuous quality improvement activities are described.
Topic(s):
HIT & Telehealth
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, Healthcare Policy
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Reference Links: View the PubMed citation for The role of monitoring outcomes in initiating implementation of evidence-based treatments at the state level
9862
The role of nurse practitioners in reinventing primary care
Type: Journal Article
Year: 2010
Publication Place: United States
Abstract: Nurse practitioners are the principal group of advanced-practice nurses delivering primary care in the United States. We reviewed the current and projected nurse practitioner workforce, and we summarize the available evidence of their contributions to improving primary care and reducing more costly health resource use. We recommend that nurse practice acts--the state laws governing how nurses may practice--be standardized, that equivalent reimbursement be paid for comparable services regardless of practitioner, and that performance results be publicly reported to maximize the high-quality care that nurse practitioners provide.
Topic(s):
Education & Workforce
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Reference Links: View the PubMed citation for The role of nurse practitioners in reinventing primary care
9863
The role of organizational context in the implementation of a statewide initiative to integrate mental health services into pediatric primary care
Type: Journal Article
Year: 2017
Publication Place: United States
Abstract: BACKGROUND: Although there is evidence that mental health services can be delivered in pediatric primary care with good outcomes, few changes in service delivery have been seen over the past decade. Practices face a number of barriers, making interventions that address determinants of change at multiple levels a promising solution. However, these interventions may need appropriate organizational contexts in place to be successfully implemented. PURPOSE: The objective of this study was to test whether organizational context (culture, climate, structures/processes, and technologies) influenced uptake of a complex intervention to implement mental health services in pediatric primary care. METHODOLOGY/APPROACH: We incorporated our research into the implementation and evaluation of Ohio Building Mental Wellness Wave 3, a learning collaborative with on-site trainings and technical assistance supporting key drivers of mental health care implementation. Simple linear regression was used to test the effects of organizational context and external or fixed organizational characteristics on program uptake. RESULTS: Culture, structure/processes, and technologies scores indicating a more positive organizational context for mental health at the project's start, as well as general cultural values that were more group/developmental, were positively associated with uptake. Patient-centered medical home certification and use of electronic medical records were also associated with greater uptake. Changes in context over the course of Building Mental Wellness did not influence uptake. CONCLUSION: Organizational culture, structures/processes, and technologies are important determinants of the uptake of activities to implement mental health services in pediatric primary care. Interventions may be able to change these aspects of context to make them more favorable to integration, but baseline characteristics more heavily influence the more proximal uptake of program activities. PRACTICE IMPLICATIONS: Pediatric primary care practices would benefit from assessing their organizational context and taking steps to address it prior to or in a phased approach with mental health service implementation.
Topic(s):
Education & Workforce
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, Healthcare Disparities
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, HIT & Telehealth
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, Medical Home
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9865
The role of post-migration living difficulties on somatization among first-generation immigrants visited in a primary care service
Type: Journal Article
Year: 2011
Publication Place: Italy
Abstract: The role of post-migration living difficulties (PMLD) on somatization was studied in 101 first generation immigrants visited in primary care. Premigratory traumas and post-traumatic stress disorder (PTSD) were also assessed. About one third of patients somatized. Sociodemographic variables were similar in somatizers and non-somatizers. Premigratory traumas, PTSD and the likelihood to report at least one serious or very serious PMLD were higher in somatizers. Four kinds of PMLD were more frequent in somatizers: worries about unavailability of health assistance, working problems, discrimination and poor social help. Traumas and PTSD influenced the effect of PMLD on somatization. Findings suggest that in specific samples of primary care immigrants severe premigratory traumas increase the sensitivity to PMLD and in turn distress due to PMLD amplifies the tendency to somatize.
Topic(s):
Healthcare Disparities
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, Medically Unexplained Symptoms
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9866
The Role of Preterm Birth in the Association Between Opioid Maintenance Therapy and Neonatal Abstinence Syndrome
Type: Journal Article
Year: 2018
Publication Place: England
Topic(s):
Opioids & Substance Use
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, Healthcare Disparities
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Reference Links:
View the DOI record for The Role of Preterm Birth in the Association Between Opioid Maintenance Therapy and Neonatal Abstinence Syndrome
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View the PubMed citation for The Role of Preterm Birth in the Association Between Opioid Maintenance Therapy and Neonatal Abstinence Syndrome9868
The role of primary care in service provision for people with severe mental illness in the United kingdom
Type: Journal Article
Year: 2012
Publication Place: United States
Abstract: BACKGROUND: Severe mental illness is a serious and potentially life changing set of conditions. This paper describes and analyses patient characteristics and service usage over one year of a representative cohort of people with a diagnosis of severe mental illness across England, including contacts with primary and secondary care and continuity of care. METHODS AND FINDINGS: Data were collected from primary care patient notes (n = 1150) by trained nurses from 64 practices in England, covering all service contacts from 1(st) April 2008 to 31st March 2009. The estimated national rate of patients seen only in primary care in the period was 31.1% (95% C.I. 27.2% to 35.3%) and the rates of schizophrenia and bipolar disorder were 56.8% (95% C.I. 52.3% to 61.2%) and 37.9% (95% C.I. 33.7% to 42.2%). In total, patients had 7,961 consultations within primary care and 1,993 contacts with mental health services (20% of the total). Unemployed individuals diagnosed more recently were more likely to have contact with secondary care. Of those seen in secondary care, 61% had at most two secondary care contacts in the period. Median annual consultation rates with GPs were lower than have been reported for previous years and were only slightly above the general population. Relational continuity in primary care was poor for 21% of patients (Modified Modified Continuity Index = <0.5), and for almost a third of new referrals to mental health services the primary care record contained no information on the referral outcome. CONCLUSIONS: Primary care is centrally involved in the care of people with serious mental illness, but primary care and cross-boundary continuity is poor for a substantial proportion. Research is needed to determine the impact of poor continuity on patient outcomes, and above all, the impact of new collaborative ways of working at the primary/secondary care interface.
Topic(s):
General Literature
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Reference Links:
View the DOI record for The role of primary care in service provision for people with severe mental illness in the United kingdom
View DOI Record
View the PubMed citation for The role of primary care in service provision for people with severe mental illness in the United kingdom9869
The Role of Primary Care in the Initiation of Opioid Use Disorder Treatment in Statewide Public and Private Insurance
Type: Journal Article
Year: 2021
Publication Place: United States
Topic(s):
Education & Workforce
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, Financing & Sustainability
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, Opioids & Substance Use
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Reference Links:
View the DOI record for The Role of Primary Care in the Initiation of Opioid Use Disorder Treatment in Statewide Public and Private Insurance
View DOI Record
View the PubMed citation for The Role of Primary Care in the Initiation of Opioid Use Disorder Treatment in Statewide Public and Private Insurance9870
The Role of Primary Care in the Initiation of Opioid Use Disorder Treatment in Statewide Public and Private Insurance
Type: Journal Article
Year: 2022
Topic(s):
Education & Workforce
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, Financing & Sustainability
See topic collection
, Healthcare Disparities
See topic collection
, Opioids & Substance Use
See topic collection
Reference Links:
View the DOI record for The Role of Primary Care in the Initiation of Opioid Use Disorder Treatment in Statewide Public and Private Insurance
View DOI Record
View the PubMed citation for The Role of Primary Care in the Initiation of Opioid Use Disorder Treatment in Statewide Public and Private Insurance9871
The role of primary care in the recognition of and response to dementia
Type: Journal Article
Year: 2010
Publication Place: France
Topic(s):
General Literature
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View the PubMed citation for The role of primary care in the recognition of and response to dementia
Reference Links: View the PubMed citation for The role of primary care in the recognition of and response to dementia
9872
The Role of Program Directors in Treatment Practices: The Case of Methadone Dose Patterns in U.S. Outpatient Opioid Agonist Treatment Programs
Type: Journal Article
Year: 2017
Publication Place: United States
Topic(s):
Healthcare Disparities
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, Opioids & Substance Use
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9875
The role of psychiatry in U.S. Air Force primary care: Research-based models for clinical consultation and education
Type: Journal Article
Year: 2006
Publication Place: United States
Abstract: The integration of mental health treatment with primary care is a U.S. Air Force priority. Unfortunately, manning shortages limit the utility of psychiatry in existing Air Force health care models. In this study, we present efficient and data-driven models for psychiatric involvement with primary care. These models include the use of psychiatrists as clinical consultants and primary care educators. Certain factors are required to implement these models including command support for locating psychiatrists within primary care, data-driven educational approaches, collaborative clinical care, and administrative support.
Topic(s):
Education & Workforce
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Reference Links: View the PubMed citation for The role of psychiatry in U.S. Air Force primary care: Research-based models for clinical consultation and education
9879
The role of psychotherapy in integrated care
Type: Journal Article
Year: 2014
Publication Place: United States
Abstract: The current emphasis on integrated psychiatric and medical care for people with mental illnesses raises hopes for more favorable clinical outcomes as well as concerns about the quality of the actual care being delivered. The author writes from the perspective of a long career as a psychiatrist and psychoanalyst in a full service medical building in which communication and, at times, collaboration between mental health and general health providers yielded significant benefits to patients. Psychotherapy played a major role in these favorable outcomes, as did accessibility to general medical services when needed and working relationships between physicians of different specialties. However, conditions in current integrated systems pose seemingly insurmountable obstacles to offering full service psychiatric care. The overwhelming disproportion between the numbers of patients in serious need and the available psychiatric resources creates wrenching clinical dilemmas. The hard-nosed administrative approaches to the challenge appear to leave out the factors of human relationships and the conditions necessary for effective psychotherapy beyond simple triage and ultra-brief supportive therapy in crises. Where it is possible for psychiatrists to work closely with other physicians, certain conditions are necessary to maintain the integrity of the psychotherapeutic relationship and the psychiatrist's psychotherapeutic skills.
Topic(s):
General Literature
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9880
The Role of Science in Addressing the Opioid Crisis
Type: Journal Article
Year: 2017
Publication Place: United States
Topic(s):
Opioids & Substance Use
See topic collection