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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
9901
The Secret History method and the development of an ethos of care: Preparing the maternity environment for integrating mental health care in South Africa
Type: Journal Article
Year: 2020
Publication Place: England
Abstract: South Africa, like many low-and-middle-income countries, is integrating mental health services into routine Primary Health Care (PHC) through a task-shifting approach to reduce the gaps in treatment coverage. There is concern, however, that this approach will exacerbate nurses' abuse of patients currently common within PHC in the country. To address this concern, the Perinatal Mental Health Project developed its Secret History method, a critical pedagogical intervention for care-providers working within maternity settings. This article describes the method's theoretical underpinnings and practical application amongst nurses. Drawing on Augusto Boal's Theatre of the Oppressed and contrary to traditional nursing training in South Africa, the method creates a space for nurses to interrogate and reimagine nurse-patient relations. By introducing nurses to a counter ideology of empathic care, the method seeks to prepare the maternity environment for mental health task-shifting initiatives and ensure these initiatives are more democratic, responsive and humane.
Topic(s):
Healthcare Disparities
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9903
The Shared Principles of Primary Care: A Multistakeholder Initiative to Find a Common Voice
Type: Journal Article
Year: 2019
Publication Place: United States
Abstract: As America's health care system continues to transform, the foundational importance of primary care becomes more clear. The Joint Principles of the Patient Centered Medical Home are now more than a decade old. As delivery reform continues, the importance of seven essential shared principles have emerged from a dynamic, collaborative, and iterative process of consensus building across multiple stakeholders. These seven principles will help the public, policy makers, payers, physicians, and other clinical providers speak with a unified voice about these core principles that define the enduring essence and value of primary care. The seven shared principles of primary care consist of: (1) person and family centered, (2) continuous, (3) comprehensive and equitable, (4) team based and collaborative, (5) coordinated and integrated, (6) accessible, and (7) high value. When used together, these shared principles provide a solid platform on which to build all further health care reform.
Topic(s):
Healthcare Policy
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Reference Links: 
View the DOI record for The Shared Principles of Primary Care: A Multistakeholder Initiative to Find a Common Voice
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View the PubMed citation for The Shared Principles of Primary Care: A Multistakeholder Initiative to Find a Common Voice9905
The Show-me State Shows the Way On 'Health Homes' for Mental Health
Type: Journal Article
Year: 2018
Publication Place: United States
Abstract: The medical home model for delivering health care is getting tested for people with mental health problems. Missouri has been a pacesetter.
Topic(s):
Medical Home
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Reference Links: View the PubMed citation for The Show-me State Shows the Way On 'Health Homes' for Mental Health
9909
The SOMATICS collaborative: Introduction to a National Institute on Drug Abuse cooperative study of pharmacotherapy for opioid treatment in criminal justice settings
Type: Journal Article
Year: 2016
Publication Place: United States
Abstract: BACKGROUND: Among the nearly 750,000 inmates in U.S. jails, 12% report using opioids regularly, 8% report use in the month prior to their offense, and 4% report use at the time of their offense. Although ample evidence exists that medications effectively treat Opiate Use Disorder (OUD) in the community, strong evidence is lacking in jail settings. The general lack of medications for OUD in jail settings may place persons suffering from OUD at high risk for relapse to drug use and overdose following release from jail. METHODS: The three study sites in this collaborative are pooling data for secondary analyses from three open-label randomized effectiveness trials comparing: (1) the initiation of extended-release naltrexone [XR-NTX] in Sites 1 and 2 and interim methadone in Site 3 with enhanced treatment-as usual (ETAU); (2) the additional benefit of patient navigation plus medications at Sites 2 and 3 vs. medication alone vs. ETAU. Participants are adults with OUD incarcerated in jail and transitioning to the community. RESULTS: We describe the rationale, specific aims, and designs of three separate studies harmonized to enhance their scientific yield to investigate how to best prevent jail inmates from relapsing to opioid use and associated problems as they transition back to the community. CONCLUSIONS: Conducting drug abuse research during incarceration is challenging and study designs with data harmonization across different sites can increase the potential value of research to develop effective treatments for individuals in jail with OUD.
Topic(s):
Opioids & Substance Use
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, Healthcare Disparities
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, Medically Unexplained Symptoms
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9910
The somatization in primary care study: a tale of three diagnoses
Type: Journal Article
Year: 2003
Publication Place: United States
Abstract: Somatization is a common phenomenon that has been defined in many ways. The two most widely used diagnoses, Somatization Disorder (SD) and Abridged Somatization Disorder (ASD), are based on lifetime unexplained symptoms. However, reports indicate instability in lifetime symptom recall among somatizing patients. Multisomatoform disorder (MSD) is a new diagnosis based on current unexplained symptoms. To understand how knowledge about SD and ASD translates to MSD, we examined the diagnostic concordance, impairment and health care utilization of these groups in a sample from the Somatization in Primary Care Study. The diagnostic concordance was high between MSD and SD, but lower between MSD and ASD. All three groups reported considerable physical impairment (measured using the PCS subscale of the SF-36). The mental health (MCS) scores for the three groups were only slightly lower than those of the general population. Over the course of one year, physical functioning fell significantly for all three groups. Mental functioning did not change significantly for any of the three groups over this period. Utilization patterns were very similar for the three groups. The high prevalence, serious impairment, and worsening physical functioning over the course of one year suggest the importance of developing interventions in primary care to alleviate the impaired physical functioning and reduce utilization in somatizing patients. MSD should be a useful diagnosis for targeting these interventions because it identifies a sizable cohort of somatizing patients reporting impairment of comparable severity to full SD, using a more efficient diagnostic algorithm based on current symptoms.
Topic(s):
Medically Unexplained Symptoms
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Reference Links: View the PubMed citation for The somatization in primary care study: a tale of three diagnoses
9911
The South West Local Health Integration Network Behavioural Supports Ontario Experience
Type: Journal Article
Year: 2016
Publication Place: Canada
Abstract: Creating a seamless system of care with improved system and patient outcomes is imperative to the estimated 35,000 older adults living with mental health problems and addictions in the South West Local Health Integration Network. Building on existing investments and those offered through the Behavioural Supports Ontario program, strategies to improve system coordination were put in place, cross-sectoral partnerships were fostered, interdisciplinary teams from across the care continuum were linked, and educational opportunities were promoted. This evolving, co-created system has resulted in a decrease in alternate level of care cases among those with behavioural specialized needs and improved client/family perceptions of care. Also, in fiscal year 2014/15, it provided more than 7,000 care providers with learning opportunities.
Topic(s):
General Literature
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Reference Links: View the PubMed citation for The South West Local Health Integration Network Behavioural Supports Ontario Experience
9912
The Southcentral Foundation depression collaborative
Type: Journal Article
Year: 2007
Publication Place: Finland
Abstract: OBJECTIVES: To describe a collaborative between a primary care clinic and a behavioral health clinic to treat depression among Alaska Native and American Indian patients. STUDY DESIGN: Cross-sectional study. METHODS: Protocols for screening and intervention are described. The Patient Health Questionnaire identified individuals as negative or positive for DSM-IV depression. A computerized medical record was queried for descriptive data. Distribution of depression symptoms and diagnoses, antidepressant prescription, and service utilization highlight successes and weaknesses. RESULTS: Of those screened (n = 14,648), 17.2% (n = 2,534) screened positive for depression. A little more than half (57%) of positives were prescribed antidepressant medications. Roughly 55% of patients who initially screened positive scored negative for depression after follow-up. Less than half (42%) of patients who initially screened positive had received specialty behavioral health care or a mood disorder diagnosis during the previous year. CONCLUSIONS: This program successfully identified and treated the depressive symptoms of many Alaska Native and American Indian patients who had not presented for specialty care and had not previously been diagnosed as depressed. Implementing similar programs elsewhere may help address depression as a significant health concern in the Alaska Native and American Indian population. Recommendations for future investigation are delineated to guide program improvement efforts and add to the general health disparities literature.
Topic(s):
Healthcare Disparities
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9913
The space of access to primary mental health care: a qualitative case study
Type: Journal Article
Year: 2012
Publication Place: England
Topic(s):
Healthcare Disparities
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Reference Links:
View the DOI record for The space of access to primary mental health care: a qualitative case study
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View the PubMed citation for The space of access to primary mental health care: a qualitative case study9915
The State and Future of the Primary Care Behavioral Health Model of Service Delivery Workforce
Type: Journal Article
Year: 2018
Publication Place: United States
Topic(s):
Education & Workforce
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Reference Links:
View the DOI record for The State and Future of the Primary Care Behavioral Health Model of Service Delivery Workforce
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View the PubMed citation for The State and Future of the Primary Care Behavioral Health Model of Service Delivery Workforce9917
The State of Opioid Agonist Therapy in Canada 20 Years after Federal Oversight
Type: Journal Article
Year: 2017
Publication Place: United States
Topic(s):
Opioids & Substance Use
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, Healthcare Disparities
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, Healthcare Policy
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Reference Links:
View the DOI record for The State of Opioid Agonist Therapy in Canada 20 Years after Federal Oversight
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View the PubMed citation for The State of Opioid Agonist Therapy in Canada 20 Years after Federal Oversight9918
The state of readiness of Lagos State Primary Health Care Physicians to embrace the care of depression in Nigeria
Type: Journal Article
Year: 2014
Publication Place: United States
Abstract: Globally there is a huge treatment gap for common mental disorders such as depression. Key to improving access to treatment will be the attitudes held towards depression by those physicians who work in Primary Care. This study aimed to explore Lagos State's Primary Care Physicians' attitudes towards depression and their views regarding their current working practices. A survey of 41 (82%) Primary Care Physicians in Lagos State who, after written consent, completed the Depression Attitude Questionnaire which assessed their knowledge and attitude towards the causes, consequences and treatment of depression. The largest part of the sample (37.5%) estimated that between 5 and 10% of the patients they saw over a 3 months period would have depression while one in four perceived rates of depression seen to be between 31 and 40%. Close to half (40%) of them felt that fewer than 5% of these depressed patients they saw would need antidepressants and a large part (82.9 %) of them agreed that becoming depressed is a way that people with poor stamina deal with life difficulties. About half (41.6%) of them believed it was not rewarding to look after depressed patients. Our study suggests that the current knowledge, attitudes and practices of most Lagos State primary health care physicians may be a barrier to patients with depression accessing appropriate care.
Topic(s):
Education & Workforce
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Reference Links:
View the DOI record for The state of readiness of Lagos State Primary Health Care Physicians to embrace the care of depression in Nigeria
View DOI Record
View the PubMed citation for The state of readiness of Lagos State Primary Health Care Physicians to embrace the care of depression in Nigeria