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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).
11199 Results
10221
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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10222
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 study10224
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 Workforce10226
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 Oversight10227
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
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View the PubMed citation for The state of readiness of Lagos State Primary Health Care Physicians to embrace the care of depression in Nigeria10235
The symptom cluster-based approach to individualize patient-centered treatment for major depression
Type: Journal Article
Year: 2014
Publication Place: United States
Abstract: Unipolar major depressive disorder is a common, disabling, and costly disease that is the leading cause of ill health, early death, and suicide in the United States. Primary care doctors, in particular family physicians, are the first responders in this silent epidemic. Although more than a dozen different antidepressants in 7 distinct classes are widely used to treat depression in primary care, there is no evidence that one drug is superior to another. Comparative effectiveness studies have produced mixed results, and no specialty organization has published recommendations on how to choose antidepressants in a rational, evidence-based manner. In this article we present the theory and evidence for an individualized, patient-centered treatment model for major depression designed around a targeted symptom cluster-based approach to antidepressant selection. When using this model for healthy adults with major depressive disorder, the choice of antidepressants should be guided by the presence of 1 of 4 common symptom clusters: anxiety, fatigue, insomnia, and pain. This model was built to foster future research, provide a logical framework for teaching residents how to select antidepressants, and equip primary care doctors with a structured treatment strategy to deliver optimal patient-centered care in the management of a debilitating disease: major depressive disorder.
Topic(s):
General Literature
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Reference Links:
View the DOI record for The symptom cluster-based approach to individualize patient-centered treatment for major depression
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View the PubMed citation for The symptom cluster-based approach to individualize patient-centered treatment for major depression10236
The TANDEM3-PC: The Foundation for an Innovative, Integrated Behavioral Health NP-led Model of Practice in Rural Primary Care
Type: Journal Article
Year: 2019
Publication Place: United States
Topic(s):
Healthcare Disparities
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10238
The Team Based Biopsychosocial Model: Having a Clinical Ethicist as a Facilitator and a Bridge Between Teams
Type: Journal Article
Year: 2019
Publication Place: Netherlands
Abstract: The biopsychosocial model is characterized by the systematic consideration of biological, psychological, and social factors and their complex interactions in understanding health, illness, and health care delivery. This model opposes the biomedical model, which is the foundation of most current clinical practice. In the biomedical model, quest for evidence based medicine, the patient is reduced to molecules, genes, organelles, systems, diseases, etc. This reduction has brought great advances in medicine, but it lacks a holistic view of the person. To solve the problem, we propose an early team based approach where the primary care physician leads a group of people that can help her/him address the psychosocial issues while she/he attends to the biomedical issues. This article addresses one case where the clinical ethicist facilitating a team based biopsychosocial model for the care of a patient worked as a bridge between the primary team, the critical care team, and the psychosocial team to advance the argument that good communication among the groups can lead to a true biopsychosocial model where the collaboration of the social worker, psychologist, chaplain, ethicist and the different medical teams can improve the overall patient experience.
Topic(s):
Education & Workforce
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Reference Links:
View the DOI record for The Team Based Biopsychosocial Model: Having a Clinical Ethicist as a Facilitator and a Bridge Between Teams
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View the PubMed citation for The Team Based Biopsychosocial Model: Having a Clinical Ethicist as a Facilitator and a Bridge Between Teams10239
The teamlet model of primary care
Type: Journal Article
Year: 2007
Abstract: The 15-minute visit does not allow the physician sufficient time to provide the variety of services expected of primary care. A teamlet (little team) model of care is proposed to extend the 15-minute physician visit. The teamlet consists of 1 clinician and 2 health coaches. A clinical encounter includes 4 parts: a previsit by the coach, a visit by the clinician together with the coach, a postvisit by the coach, and between-visit care by the coach. Medical assistants or other practice personnel would require retraining to assume the health coach role. Some organizations have instituted aspects of the teamlet model. Primary care practices interested in trying out the teamlet concept need to train 2 health coaches for each full-time equivalent clinician to ensure smooth patient flow.
Topic(s):
Education & Workforce
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Reference Links:
View the DOI record for The teamlet model of primary care
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View the PubMed citation for The teamlet model of primary care