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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).
11231 Results
10222
The role of staff turnover in the implementation of evidence-based practices in mental health care
Type: Journal Article
Year: 2008
Publication Place: United States
Abstract: OBJECTIVES: This study examined turnover rates of teams implementing psychosocial evidence-based practices in public-sector mental health settings. It also explored the relationship between turnover and implementation outcomes in an effort to understand whether practitioner perspectives on turnover are related to implementation outcomes. METHODS: Team turnover was measured for 42 implementing teams participating in a national demonstration project examining implementation of five evidence-based practices between 2002 and 2005. Regression techniques were used to analyze the effects of team turnover on penetration and fidelity. Qualitative data collected throughout the project were blended with the quantitative data to examine the significance of team turnover to those attempting to implement the practices. RESULTS: High team turnover was common (M+/-SD=81%+/-46%) and did not vary by practice. The 24-month turnover rate was inversely related to fidelity scores at 24 months (N=40, beta=-.005, p=.01). A negative trend was observed for penetration. Further analysis indicated that 71% of teams noted that turnover was a relevant factor in implementation. CONCLUSIONS: The behavioral health workforce remains in flux. High turnover most often had a negative impact on implementation, although some teams were able to use strategies to improve implementation through turnover. Implementation models must consider turbulent behavioral health workforce conditions.
Topic(s):
Education & Workforce
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Reference Links: 
View the DOI record for The role of staff turnover in the implementation of evidence-based practices in mental health care
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View the PubMed citation for The role of staff turnover in the implementation of evidence-based practices in mental health care10224
The role of stigma in U.S. primary care physicians' treatment of opioid use disorder
Type: Journal Article
Year: 2021
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 role of stigma in U.S. primary care physicians' treatment of opioid use disorder
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View the PubMed citation for The role of stigma in U.S. primary care physicians' treatment of opioid use disorder10225
The role of symptoms in the recognition of mental health disorders in primary care
Type: Journal Article
Year: 2003
Publication Place: United States
Abstract: This study investigates the role of patients' complaints and symptoms in the diagnostic process of mood and anxiety disorders in general practice. In 12 primary care practices, 1,211 patients were diagnosed with the aid of the National Institute of Mental Health Diagnostic Interview Schedule, then the diagnoses were compared with those established by the general practitioners. A low rate of concordance was found between these diagnoses. The absence of somatic illnesses and the presence of psychological complaints were the most important factors in the recognition of a mental illness by the general practitioners. The concordance between the general practitioners and the DIS diagnoses was higher if the patients had neither an acute nor a chronic somatic illness.
Topic(s):
Medically Unexplained Symptoms
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Reference Links: View the PubMed citation for The role of symptoms in the recognition of mental health disorders in primary care
10226
The role of take-home naloxone in the epidemic of opioid overdose involving illicitly manufactured fentanyl and its analogs
Type: Journal Article
Year: 2019
Publication Place: England
Topic(s):
Opioids & Substance Use
See topic collection
10227
The Role of Technology-Based Interventions for Substance Use Disorders in Primary Care: A Review of the Literature
Type: Journal Article
Year: 2018
Topic(s):
Education & Workforce
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, HIT & Telehealth
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, Opioids & Substance Use
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Reference Links:
View the DOI record for The Role of Technology-Based Interventions for Substance Use Disorders in Primary Care: A Review of the Literature
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View the PubMed citation for The Role of Technology-Based Interventions for Substance Use Disorders in Primary Care: A Review of the Literature10229
The Role of the Integrated Care Psychiatrist in Community Settings: A Survey of Psychiatrists' Perspectives
Type: Journal Article
Year: 2016
Publication Place: United States
Abstract: OBJECTIVE: The objective of this study was to describe the work and experiences of psychiatrists practicing integrated care in the community. METHODS: Consulting psychiatrists working in integrated care participated in an online survey about their experiences, opinions, and advice. Results were analyzed with quantitative and qualitative methods. RESULTS: A convenience sample of 52 psychiatrists from around the country who were working in integrated care responded. Respondents reported that they address a wide variety of clinical problems with a range of treatment strategies. Most reported positive experiences, which were summarized in four themes: working in a patient-centered care model, working with a team, the psychiatrist's role as educator, and opportunities for growth and innovation. CONCLUSIONS: The survey documented the experiences of psychiatrists working in integrated care. Findings suggest that integrated care teams allow consulting psychiatrists to leverage their expertise to reach a large number of patients in a variety of practice settings.
Topic(s):
Education & Workforce
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Reference Links:
View the DOI record for The Role of the Integrated Care Psychiatrist in Community Settings: A Survey of Psychiatrists' Perspectives
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View the PubMed citation for The Role of the Integrated Care Psychiatrist in Community Settings: A Survey of Psychiatrists' Perspectives10230
The Role of the Patient-Centered Medical Home in Treating Depression
Type: Journal Article
Year: 2020
Abstract:
PURPOSE OF REVIEW: This review discusses the role of the patient-centered medical home (PCMH) in treating depression, focusing on findings from primary care-based studies and their implications for the PCMH. RECENT FINDINGS: Pharmacotherapy, psychotherapy, and collaborative care are evidence-based treatments for depression that can be delivered in primary care and extended to diverse populations. Recent research aligns with the core components of the PCMH model. The core components of the PCMH are critical elements of depression treatment. Comprehensive care within the PCMH addresses medical and behavioral health concerns, including depression. Psychiatric and psychological care must be flexibly delivered so services remain accessible yet patient-centered. To ensure the quality and safety of treatment, depression symptoms must be consistently monitored. Coordination within and occasionally outside of the PCMH is needed to ensure patients receive the appropriate level of care. More research is needed to empirically evaluate depression treatment within the PCMH.
Topic(s):
Medical Home
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Reference Links:
View the DOI record for The Role of the Patient-Centered Medical Home in Treating Depression
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View the PubMed citation for The Role of the Patient-Centered Medical Home in Treating Depression10233
The role of urine drug testing for patients on opioid therapy
Type: Journal Article
Year: 2010
Publication Place: United States
Topic(s):
Opioids & Substance Use
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Reference Links:
View the DOI record for The role of urine drug testing for patients on opioid therapy
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View the PubMed citation for The role of urine drug testing for patients on opioid therapy10235
The science and practice of medication-assisted treatments for opioid dependence
Type: Journal Article
Year: 2012
Publication Place: England
Abstract: This paper briefly reviews the evolution of opioid addiction treatment from humanitarian to scientific and evidence-based, the evidence bases supporting major medication-assisted treatments and adjunctive psychosocial techniques, as well as challenges faced by clinicians and treatment providers seeking to provide those treatments. Attitudes, politics, policy, and financial issues are discussed.
Topic(s):
Opioids & Substance Use
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, Healthcare Policy
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Reference Links:
View the DOI record for The science and practice of medication-assisted treatments for opioid dependence
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View the PubMed citation for The science and practice of medication-assisted treatments for opioid dependence10237
The Scope of Behavioral Health Integration in a Pediatric Primary Care Setting
Type: Journal Article
Year: 2016
Publication Place: United States
Topic(s):
Education & Workforce
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, HIT & Telehealth
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Reference Links: View the PubMed citation for The Scope of Behavioral Health Integration in a Pediatric Primary Care Setting
10238
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
See topic collection
10239
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
See topic collection