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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).

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12252 Results
9981
Statement of the American Psychological Association in response to the "Joint principles: Integrating behavioral health care into the patient-centered medical home".
Type: Journal Article
Authors: Norman B. Anderson, Cynthia D. Belar, Barbara A. Cubic, Ellen G. Garrison, Suzanne Bennett Johnson, Nadine J. Kaslow
Year: 2014
Topic(s):
Medical Home See topic collection
9982
Statement of the American Society Of Addiction Medicine Consensus Panel on the use of buprenorphine in office-based treatment of opioid addiction
Type: Journal Article
Authors: M. L. Kraus, D. P. Alford, M. M. Kotz, P. Levounis, T. W. Mandell, M. Meyer, E. A. Salsitz, N. Wetterau, S. A. Wyatt, American Society of Addiction Medicine
Year: 2011
Publication Place: United States
Abstract: OBJECTIVES: Opioid addiction affects over 2 million patients in the United States. The advent of buprenorphine and the passage of the Drug Addiction Treatment Act in 2000 have revolutionized the opioid treatment delivery system by granting physicians the ability to administer office-based opioid treatment (OBOT), thereby giving patients greater access to treatment. The purpose of this consensus panel was to synthesize the most current evidence on the use of buprenorphine in the office-based setting and to make recommendations that will enable and allow additional physicians to begin to treat opioid-addicted individuals. METHODS: Literature published from 2000 to 2009 was searched using the PubMed search engine and yielded over 375 articles published in peer-reviewed journals, including some that were published guidelines. These articles were submitted to a consensus panel composed of researchers, educators, and clinicians who are leaders in the field of addiction medicine with specific expertise in the use of OBOT. The panel discussed results and agreed upon consensus recommendations for several facets of OBOT. RESULTS: : On the basis of the literature review and consensus discussions, the panel developed a series of findings, conclusions, and recommendations regarding the use of buprenorphine in office-based treatment of opioid addiction. CONCLUSIONS: Therapeutic outcomes for patients who self-select office-based treatment with buprenorphine are essentially comparable to those seen in patients treated with methadone programs. There are few absolute contraindications to the use of buprenorphine, although the experience and skill levels of treating physicians can vary considerably, as can access to the resources needed to treat comorbid medical or psychiatric conditions--all of which affect outcomes. It is important to conduct a targeted assessment of every patient to confirm that the provider has resources available to meet the patient's needs. Patients should be assessed for a broad array of biopsychosocial needs in addition to opioid use and addiction, and should be treated, referred, or both for help in meeting all their care needs, including medical care, psychiatric care, and social assistance. Current literature demonstrates promising efficacy of buprenorphine, though further research will continue to demonstrate its effectiveness for special populations, such as adolescents, pregnant women, and other vulnerable populations. Since the time of this review, several new studies have provided new data to continue to improve our understanding of the safety and efficacy of buprenorphine for special patient populations.
Topic(s):
Opioids & Substance Use See topic collection
,
Education & Workforce See topic collection
9983
States Enhance Medicaid Payment for Interprofessional Consultation: Opportunities for Maternal and Child Behavioral Health
Type: Report
Authors: Olivia Randi, Veronnica Thompson
Year: 2025
Publication Place: Washington, D.C.
Topic(s):
Healthcare Policy See topic collection
,
Healthcare Disparities See topic collection
,
Financing & Sustainability See topic collection
,
Education & Workforce See topic collection
,
Grey Literature See topic collection
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.

9984
States Leverage Medicaid Managed Care to Foster Behavioral Health Integration
Type: Report
Authors: National Academy for State Health Policy
Year: 2025
Publication Place: Washington, D.C.
Topic(s):
Healthcare Policy See topic collection
,
Grey Literature See topic collection
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.

9985
States Tackling Health Care System Transformation with Federal Support
Type: Report
Authors: Jennifer Lloyd, Stephanie Kissam, Allison Pompey
Year: 2019
Topic(s):
Grey Literature See topic collection
,
Financing & Sustainability See topic collection
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.

9986
States' implementation of the Affordable Care Act and the supply of physicians waivered to prescribe buprenorphine for opioid dependence
Type: Journal Article
Authors: Hannah K. Knudsen, Michelle R. Lofwall, Jennifer R. Havens, Sharon L. Walsh
Year: 2015
Topic(s):
Opioids & Substance Use See topic collection
9987
Statewide Availability of Buprenorphine/Naloxone in Acute Care Hospitals
Type: Journal Article
Authors: Susie Pham, Alexandra Haigh, Eileen Barrett
Year: 2022
Topic(s):
Education & Workforce See topic collection
,
Healthcare Disparities See topic collection
,
Opioids & Substance Use See topic collection
9988
Statewide collaborative partnerships among American Indian and Alaska Native (AI/AN) communities in California to target the opioid epidemic: Preliminary results of the Tribal Medication Assisted Treatment (MAT) key informant needs assessment
Type: Journal Article
Authors: I. Zeledon, A. West, V. Antony, V. Telles, C. Begay, B. Henderson, J. B. Unger, C. Soto
Year: 2020
Publication Place: United States
Topic(s):
Education & Workforce See topic collection
,
Healthcare Disparities See topic collection
,
Measures See topic collection
,
Opioids & Substance Use See topic collection
9989
Statewide efforts to address the opioid epidemic: Results from a national survey of single state agencies
Type: Journal Article
Authors: M. A. G. Estrada, A. J. Abraham, C. M. Andrews, C. M. Grogan
Year: 2024
Topic(s):
Opioids & Substance Use See topic collection
,
Financing & Sustainability See topic collection
9990
Statewide Trends in Buprenorphine Prescribing in Rural and Nonrural Vermont: Analysis of Population-based Patient Pharmacy Claims
Type: Journal Article
Authors: S. A. Nowak, V. S. Harder, A. C. Villanti, S. H. Heil, S. C. Sigmon
Year: 2023
Topic(s):
Opioids & Substance Use See topic collection
,
Financing & Sustainability See topic collection
,
Healthcare Disparities See topic collection
9991
STATISTICAL BRIEF #312: Patient-Provider Communication by Race/Ethnicity and Disability Status: United States, 2007
Type: Web Resource
Authors: Frances M. Chevarley
Year: 2011
Topic(s):
Healthcare Disparities See topic collection
,
Grey Literature See topic collection
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.

9992
Status of general medicine training and education in psychiatry residency
Type: Journal Article
Authors: A. Annamalai, R. M. Rohrbaugh, M. J. Sernyak
Year: 2014
Publication Place: United States
Abstract: OBJECTIVE: With the current emphasis on integrated care, the role of psychiatrists is expanding to either directly provide medical care or coordinate its delivery. The purpose of this study was to survey general psychiatry programs on the extent of general medicine training provided during residency. METHODS: A short web-based survey was sent to 173 residency program directors to recruit participants for a larger survey. Thirty-seven participants were recruited and surveyed, and of these, 12 (32.4%) responded. The survey assessed the extent of general medicine training and didactics during and after the first postgraduate year and attitudes towards enhancing this training in residency. This study was approved by the local institutional review board. RESULTS: Seventy-five percent of programs require only the minimum 4 months of primary care in the first postgraduate year, and didactics during these months is often not relevant to psychiatry residents. Some programs offer elective didactics on chronic medical conditions in the fourth postgraduate year. Respondents are in favor of enhancing general medicine training in psychiatry but indicate some resistance from their institutions. CONCLUSIONS: These results suggest that very few programs require additional clinical training in relevant medical illnesses after the first postgraduate year. Respondents indicated favorable institutional support for enhancing training, but also expected resistance. The reasons for resistance should be an area of future research. Also important is to determine if enhancing medical didactics improves patient care and outcomes. The changing role of psychiatrists entails a closer look at resident curricula.
Topic(s):
Education & Workforce See topic collection
9993
Stem the Tide: Addressing the Opioid Epidemic
Type: Report
Authors: American Hospital Association
Year: 2017
Publication Place: Chicago, IL
Topic(s):
Grey Literature See topic collection
,
Education & Workforce See topic collection
,
Opioids & Substance Use See topic collection
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.

9994
Stem the Tide: Addressing the Opioid Epidemic & Taking Action
Type: Government Report
Authors: American Hospital Association
Year: 2017
Publication Place: Chicago, IL
Topic(s):
Opioids & Substance Use See topic collection
,
Grey Literature See topic collection
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.

9995
Stem the Tide: Opioid Stewardship Measurement Implementation Guide
Type: Government Report
Authors: American Hospital Association Center for Health Innovation
Year: 2020
Publication Place: Chicago, IL
Topic(s):
Education & Workforce See topic collection
,
Opioids & Substance Use See topic collection
,
Grey Literature See topic collection
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.

9996
Stepped Care as an Implementation and Service Delivery Model for Cognitive Behavioral Therapy for Psychosis
Type: Journal Article
Authors: Sarah L. Kopelovich, Eric Strachan, Harry Sivec, Valerie Kreider
Year: 2019
Publication Place: , <Blank>
Topic(s):
Education & Workforce See topic collection
,
Healthcare Disparities See topic collection
9997
Stepped care for depression at integrated chronic care centers (IC3) in Malawi: Study protocol for a stepped-wedge cluster randomized controlled trial
Type: Journal Article
Authors: R. K. McBain, O. Mwale, T. Ruderman, W. Kayira, E. Connolly, M. Chalamanda, C. Kachimanga, B. D. Khongo, J. Wilson, E. Wroe, G. Raviola, S. Smith, S. Coleman, K. Kelly, A. Houde, M. G. Tebeka, S. Watson, K. Kulisewa, M. Udedi, G. Wagner
Year: 2021
Topic(s):
Financing & Sustainability See topic collection
,
Healthcare Disparities See topic collection
,
Measures See topic collection
9998
Stepped care for depression in primary care: what should be offered and how?
Type: Journal Article
Authors: A. van Straten, W. Seekles, N. J. van 't Veer-Tazelaar, A. T. Beekman, P. Cuijpers
Year: 2010
Publication Place: Australia
Abstract: Stepped-care approaches may offer a solution to delivering accessible, effective and efficient services for individuals with depression. In stepped care, all patients commence with a low-intensity, low-cost treatment. Treatment results are monitored systematically, and patients move to a higher-intensity treatment only if necessary. We deliver a stepped-care model targeting patients with depression. The first step consists of "watchful waiting", as half of all patients with a depressive episode recover spontaneously within 3 months. The second step, guided self-help, is the key element of the stepped-care model. Guided self-help, especially when offered through the internet, is effective and cost-efficient. The third step consists of brief face-to-face psychotherapy. Finally, in the fourth step, longer-term face-to-face psychotherapy and antidepressant medication might be considered. Patients are monitored by one person, a care manager, who is responsible for the decision to step up to the next treatment and for continuity of care. The different treatments within the stepped-care model are evidence-based. Data on cost-effectiveness of the full model are still scarce, but we recently demonstrated that the incidence of new cases of depression and anxiety could be halved by introducing stepped care. Effects of web-based guided self-help could be enhanced by incorporating them in a stepped-care model.
Topic(s):
General Literature See topic collection
9999
Stepped care for depression is easy to recommend, but harder to implement: results of an explorative study within primary care in the Netherlands
Type: Journal Article
Authors: M. L. Hermens, A. Muntingh, G. Franx, P. T. van Splunteren, J. Nuyen
Year: 2014
Publication Place: England
Abstract: BACKGROUND: Depression is a common mental disorder with a high burden of disease which is mainly treated in primary care. It is unclear to what extent stepped care principles are applied in routine primary care. The first aim of this explorative study was to examine the gap between routine primary depression care and optimal care, as formulated in the depression guidelines. The second aim was to explore the facilitators and barriers that affect the provision of optimal care. METHODS: Optimal care was operationalised by indicators covering the entire continuum of depression care: from prevention to chronic depression. Routine care was investigated by interviewing general practitioners (GPs) individually and together with other mental health care providers about the depression care they delivered collaboratively. Qualitative analysis of transcripts was performed using thematic coding. Additionally, the GPs completed a self-report questionnaire. RESULTS: Six GPs and 22 other (mostly primary) mental health care providers participated. The GPs and their primary care colleagues embraced a general stepped care approach. They offered psycho-education and counselling to mildly depressed patients. When the treatment effects were not satisfactory or patients were more severely depressed, the GPs offered, or referred to, psychotherapy or pharmacotherapy. Patients with a complex and severe depressive disorder were directly referred to specialised mental health care. However, GPs relied on their clinical judgment and rarely used instruments to assess and monitor the severity of depressive symptoms. Structured, evidence based interventions such as self-management and e-health were rarely offered to patients with depressive symptoms. Specific psychological interventions for relapse prevention or for chronically depressed patients were not available. A wide range of influencing factors for the provision of optimal depression care were put forward. Close collaboration with other mental health care professionals was considered an important factor for improvement by nearly all GPs. CONCLUSIONS: The management of depression in primary care seems in line with stepped care principles, although it can be improved by applying more elements of a stepped care approach. Collaboration between GPs and mental health care providers in primary care and secondary care should be enhanced.
Topic(s):
Education & Workforce See topic collection
,
Healthcare Disparities See topic collection
10000
Stepped care for maternal mental health: a case study of the perinatal mental health project in South Africa
Type: Journal Article
Authors: S. Honikman, T. van Heyningen, S. Field, E. Baron, M. Tomlinson
Year: 2012
Publication Place: United States
Abstract: As one article in a series on Global Mental Health Practice, Simone Honikman and colleagues from South Africa provide a case study of the Perinatal Mental Health Project, which delivered mental health care to pregnant women in a collaborative, step-wise manner, making use of existing resources in primary care.
Topic(s):
Healthcare Disparities See topic collection