Literature Collection

10121

Trajectories of retention in opioid agonist therapy in a Canadian setting

Type: Journal Article

Authors: Eugenia Socias, Huiru Dong, Evan Wood, Rupinder Brar, Lindsey Richardson, Kanna Hayashi, Thomas Kerr, M-J Milloy

Year: 2020

Publication Place: Amsterdam

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10122

Tramadol for maintenance in opioid dependence: A retrospective chart review

Type: Journal Article

Authors: S. Sarkar, R. Lal, M. Varshney, Y. P. S. Balhara

Year: 2017

Publication Place: United States

Abstract: BACKGROUND AND AIMS: Tramadol is an opioid agonist which can be potentially used for maintenance treatment of patients with opioid use disorders. This chart review presents the characteristics of individuals with an ICD 10 diagnosis of opioid dependence who were maintained on tramadol for a period of at least 6 months. METHODS: Records of patients seeking treatment for opioid dependence from the outpatient clinic of the National Drug Dependence Treatment Centre, Ghaziabad, India were screened. One hundred consecutive patients who received tramadol for more than 6 months were included. RESULTS: The sample comprised exclusively of males and had a mean age of 40.9 years. The median dose of tramadol at initiation and continuation was 300 mg/day. Sixty-two patients achieved complete abstinence during the course of treatment. Greater age, longer duration of opioid use, and better follow-up adherence were associated with abstinent status. The rates of abstinence were higher among those presenting with natural opioid use as compared to others (prescription opioid use or heroin use). CONCLUSION: Tramadol can be an alternative medication for harm reduction in select group of patients with opioid dependence. Further research is required to strengthen the evidence base of rational use of tramadol for maintenance treatment of patients with opioid dependence.

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10123

Transdermal buprenorphine patch: Potential for role in management of opioid dependence

Type: Journal Article

Authors: Anju Dhawan, Tamonud Modak, Siddharth Sarkar

Year: 2019

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10124

Transdiagnostic stepped care in mental health

Type: Journal Article

Authors: S. P. Cross, I. Hickie

Year: 2017

Publication Place: Australia

Abstract: A component of Australia's recent national reform agenda for mental health services is the directive to the Primary Health Networks to develop and implement stepped-care models of service delivery. The current guidance proposes that interventions are aligned to mild, moderate and severe illness categories. Other models in operation are tied to single disorders, such as depression. Both approaches have a number of limitations when applied to real-world, complex clinical practice, especially in primary care. This article outlines some limitations of these models and argues for the development of a transdiagnostic model, based on developments in our work in primary care youth services, which can be generalised to adult populations. Such models aim to ensure that consumers receive the right intensity of care at the right time. The adjunct use of technology within services could also improve service accessibility and outcomes monitoring, and help to improve the efficiency of resource allocation based on consumer need.

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10125

Transdisciplinary care: opportunities and challenges for behavioral health providers

Type: Journal Article

Authors: V. Little

Year: 2010

Publication Place: United States

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10126

Transforming assertive community treatment into an integrated care system: The role of nursing and primary care partnerships

Type: Journal Article

Authors: Lara Carson Weinstein, B. F. Henwood, J. W. Cody, M. Jordan, R. Lelar

Year: 2011

Publication Place: United States

Abstract: Despite the high rate of co-occurring medical conditions experienced by individuals receiving assertive community treatment (ACT), this comprehensive service model continues to be considered primarily a mental health intervention. Without compromising fidelity to the model, ACT can serve as an ideal platform from which to provide both primary and behavioral health care to those with complex service needs. Using a case example, this article considers the transformation of the ACT mental health care model into an integrated health care delivery system through establishing nursing and primary care partnerships. Specifically, by expanding and explicitly redefining the role of the ACT nurse, well-developed care models, such as Guided Care, can provide additional guidelines and training to ACT nurses who are uniquely trained and oriented to serve as the leader and coordinator of health integration efforts.

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10127

Transforming Behavioral Health Care Delivery in States: Critical Windows of Opportunity

Type: Report

Authors: Hadley Fitzgerald

Year: 2024

Publication Place: Hamilton, NJ

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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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10128

Transforming cancer care and the role of payment reform lessons from the New Mexico Cancer Center

Type: Web Resource

Authors: Darshak Sanghavi, Kavita Patel, Kate Samuels, Meaghan George, Frank McStay, Andrea Thoumi, Rio Hart, Mark McClellan

Year: 2014

Publication Place: Washington, D.C.

Abstract:

To support effective implementation of these strategies in practices throughout the country--including the identification of barriers and challenges--this case study examines the redesign of the New Mexico Cancer Center (NMCC) as one example of how a group of clinicians can implement change. This case study will focus on the care redesign model and potential payment reform options to sustain improvements at NMCC. With the aim to support the education of a clinical audience regarding how care innovations can be aligned with alternative payment models, this case will answer the following questions: What challenges or problems encouraged the organization to redesign cancer care? How did NMCC redesign care to improve quality, enhance the patient experience, and reduce costs? How can an organization prove they are improving quality and contract with a payer to maintain sustainability? How can alternative payment models sustain a community oncology medical home?

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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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10129

Transforming Delaware's health: A model for state health care system innovation: State Innovation Models (SIM) Update

Type: Web Resource

Authors: Delaware Health and Social Services

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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10130

Transforming Health and Wellness through Dynamically Integrated Health Care: a Big Solution to Health Care's Big Problems

Type: Journal Article

Authors: Read Sulik

Year: 2016

Publication Place: Baltimore

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10131

Transforming mental health care at the interface with general medicine: Report for the presidents commission

Type: Journal Article

Authors: J. Unutzer, M. Schoenbaum, B. G. Druss, W. J. Katon

Year: 2006

Publication Place: United States

Abstract: This paper is based on a report commissioned by the Subcommittee on Mental Health Interface With General Medicine of the Presidents New Freedom Commission on Mental Health. Although mental and medical conditions are highly interconnected, medical and mental health care systems are separated in many ways that inhibit effective care. Treatable mental or medical illnesses are often not detected or diagnosed properly, and effective services are often not provided. Improved mental health care at the interface of general medicine and mental health requires educated consumers and providers; effective detection, diagnosis, and monitoring of common mental disorders; valid performance criteria for care at the interface of general medicine and mental health; care management protocols that match treatment intensity to clinical outcomes; effective specialty mental health support for general medical providers; and financing mechanisms for evidence-based models of care. Successful models exist for improving the collaboration between medical and mental health providers. Recommendations are presented for achieving high-quality care for common mental disorders at the interface of general medicine and mental health and for overcoming barriers and facilitating use of evidence-based quality improvement models.

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10132

Transforming mental health care for children and their families

Type: Journal Article

Authors: L. Huang, B. Stroul, R. Friedman, P. Mrazek, B. Friesen, S. Pires, S. Mayberg

Year: 2005

Publication Place: United States

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10133

Transforming mental health care in America - The federal action agenda: First steps

Type: Web Resource

Year: 2009

Publication Place: Rockville, MD

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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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10134

Transforming Physician Practices To Patient-Centered Medical Homes: Lessons From The National Demonstration Project

Type: Journal Article

Authors: Paul A. Nutting, Benjamin F. Crabtree, William L. Miller, Kurt C. Stange, Elizabeth Stewart, Carlos Jaen

Year: 2011

Publication Place: United States

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10135

Transforming Primary Care in the New Orleans Safety-net: The Patient Experience

Type: Journal Article

Authors: L. A. Schmidt, D. R. Rittenhouse, K. J. Wu, J. A. Wiley

Year: 2012

Abstract: BACKGROUND:: The patient-centered medical home (PCMH) is a key service delivery innovation in health reform. However, there are growing questions about whether the changes in clinics promoted by the PCMH model lead to improvements in the patient experience. OBJECTIVE:: To test the hypothesis that PCMH improvements in safety-net primary care clinics are associated with a more positive patient experience. RESEARCH DESIGN:: Multilevel cross-sectional analysis of patients nested within the primary care clinics that serve them. SUBJECTS:: Primary care clinic leaders and patients throughout the City of New Orleans health care safety-net. MEASURES:: Dependent variables included patient ratings of accessibility, coordination, and confidence in the quality/safety of care. The key independent variable was a score measuring PCMH structural and process improvements at the clinic level. RESULTS:: Approximately two thirds of patients in New Orleans gave positive ratings to their clinics on access and quality/safety, but only one third did for care coordination. In all but the largest clinics, patient experiences of care coordination were positively associated with the clinic's use of PCMH structural and process changes. Results for patient ratings of access and quality/safety were mixed. CONCLUSIONS:: Among primary care clinics in the New Orleans safety-net, use of more PCMH improvements at the clinic level led to more positive patient rating of care coordination, but not of accessibility or confidence in quality/safety. Ongoing efforts to pilot, demonstrate, implement, and evaluate the PCMH should consider how the impact of medical practice transformation could vary across different aspects of the patient experience.

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10136

Transforming Primary Care Training - Patient-Centered Medical Home Entrustable Professional Activities for Internal Medicine Residents

Type: Journal Article

Authors: Anna Chang, Judith L. Bowen, Raquel A. Buranosky, Richard M. Frankel, Nivedita Ghosh, Michael J. Rosenblum, Sara Thompson, Michael L. Green

Year: 2012

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10137

Transforming primary care: From past practice to the practice of the future

Type: Journal Article

Authors: David Margolius, Thomas Bodenheimer

Year: 2010

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10138

Transforming primary care: Improving on the medical home model

Type: Journal Article

Authors: L. Windel, L. Anderko, T. Konetzka

Year: 2011

Publication Place: England

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10139

Transforming RN Roles in Community-Based Integrated Primary Care (TRIP): Background and Content

Type: Journal Article

Authors: Humphrey Beebe, S. J. Mixer, K. Thompson, S. Davis, L. Elliott, B. Lakin, T. Bullard, M. Hurt, V. Niederhauser

Year: 2019

Publication Place: England

Abstract: Given the large body of evidence linking physical and mental health and the impetus provided by health care reform and the Affordable Care Act, the time is ripe to engage nurses in community based, integrated primary care teams to holistically address psychiatric, mental health and substance abuse needs. There is a compelling need for curricular redesign and clinical innovation to prepare an RN workforce for practice in community based integrated primary care teams. To that end, a faculty team of primary care, interprofessional education and content experts developed the Transforming RN Roles in Community Based Integrated Primary Care (TRIP) program for BSN students in a large university in the southeastern United States. The primary goals of the TRIP program are to build/implement an innovative BSN curriculum and expand our academic practice partnership by enhancing student clinical experiences with the goal of preparing an RN workforce for practice in community based integrated care teams. The TRIP program incorporates didactic, simulation and clinical components. Our first student cohort began the TRIP program in the fall of 2018 and will complete the program in spring 2020. In this paper, we provide details about the background, content and activities of this 4-semester (2 year) program.

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10140

Transforming specialty practice - The patient-centered medical neighborhood.

Type: Journal Article

Authors: Xiaoyan Huang, Meredith B. Rosenthal

Year: 2014

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