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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).
11231 Results
10265
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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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 depression10266
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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10268
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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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 Teams10269
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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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 care10272
The Thorn Course: Rhetoric and reality
Type: Journal Article
Year: 2007
Publication Place: England
Abstract: The Thorn Course that provides psychosocial interventions and family work training for UK mental health professionals was founded in 1992. Since this time policy, service provision and needs have changed. The aim of this study was to examine the Thorn Course through relevant literature, in order to establish whether research and policy have been integrated into practice within training and services. A search of professional journal databases was conducted. Keywords used were 'Thorn Course' and 'psychosocial intervention training'. The resulting body of literature was reviewed. Five main themes emerged which were examined: needs identified, delivering the Thorn Course, training outcomes, implementing interventions and user and carer involvement. There is a distinct lack of research studies evaluating any aspect of the Thorn Course. There is little evidence that user and carer involvement has moved beyond rhetoric and community mental health nurses continue to lack opportunities and support to implement psychosocial skills acquired in training.
Topic(s):
Education & Workforce
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View the DOI record for The Thorn Course: Rhetoric and reality
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View the PubMed citation for The Thorn Course: Rhetoric and reality10273
The Time Is Now: A Plan to Redesign Family Medicine Residency Education
Type: Journal Article
Year: 2022
Publication Place: United States
Abstract:
A new graduate medical education program in family medicine is urgently needed now. We propose an innovative plan to develop community-based, community-owned family medicine residency programs. The plan is founded on five guiding principles in which residencies will (1) transition to independent, community-owned organizations; (2) sustain comprehensiveness and generalism; (3) emphasize collaborative learning and interprofessional education; (4) develop local educators with national guidance; and (5) share resources, responsibilities, and learning. We describe actionable steps to begin the process of transforming residencies and strengthening primary care. As community-based and locally-run organizations, residencies will gain self-determination in how time is allocated, budgets are spent, and teams function. Building on the momentum of the National Academy of Medicine's 2021 primary care implementation plan and recommendations by family medicine organization leaders, we propose a Decade of Family Medicine Residency Transformation. We encourage individuals and organizations spanning disciplines, health care systems, and communities, to join forces to reimagine and recreate the preparation of outstanding personal physicians dedicated to individual and community health and well-being.
Topic(s):
Education & Workforce
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View the PubMed citation for The Time Is Now: A Plan to Redesign Family Medicine Residency Education
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View the DOI record for The Time Is Now: A Plan to Redesign Family Medicine Residency Education
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View the PubMed citation for The Time Is Now: A Plan to Redesign Family Medicine Residency Education10275
The Toxicology of Methadone-Related Death in Infants Under 1 Year: Three Case Series and Review of the Literature
Type: Journal Article
Year: 2017
Publication Place: United States
Topic(s):
Healthcare Disparities
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, Measures
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, Opioids & Substance Use
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Reference Links:
View the DOI record for The Toxicology of Methadone-Related Death in Infants Under 1 Year: Three Case Series and Review of the Literature
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View the PubMed citation for The Toxicology of Methadone-Related Death in Infants Under 1 Year: Three Case Series and Review of the Literature10277
The training gap: An acute crisis in behavioral health education
Type: Journal Article
Year: 2002
Publication Place: United States
Abstract: Changes in health care have outpaced changes in the educational programs offered to the behavioral health workforce. The result is a training gap that leaves graduate students, working professionals, and other direct care providers inadequately prepared for practice in the current health care environment. This article is based on a keynote address delivered at the Annapolis Conference on Behavioral Health Workforce Education and Training. Major changes in health care are reviewed, followed by a description of the training gap as an acute crisis that impedes the delivery of effective and efficient mental health and addiction services. The author describes a national initiative to narrow the training gap and he calls for collective action by the varied groups and organizations that have a stake in this agenda.
Topic(s):
Education & Workforce
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Reference Links: View the PubMed citation for The training gap: An acute crisis in behavioral health education
10278
The Transformation of Behavioral Healthcare in New Mexico
Type: Journal Article
Year: 2014
Abstract: Since 1997, public-sector behavioral healthcare in New Mexico has remained under continual transition. We have conducted qualitative research to examine recent efforts in NM to establish a recovery-oriented behavioral healthcare system, focusing on comprehensive community support services, clinical homes, and core service agencies. We examine how decisions made in the outer context (e.g., the system level) shaped the implementation of each initiative within the inner context of service provision (e.g., provider agencies). We also clarify how sociopolitical factors, as exemplified in changes instituted by one gubernatorial administration and undone by its successor, can undermine implementation efforts and create crises within fragile behavioral healthcare systems. Finally, we discuss findings in relation to efforts to promote wraparound service planning and to establish medical home models under national healthcare reform.
Topic(s):
Medical Home
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, Healthcare Policy
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Reference Links: View the PubMed citation for The Transformation of Behavioral Healthcare in New Mexico
10279
The Transitions Clinic Network: Post Incarceration Addiction Treatment, Healthcare, and Social Support (TCN-PATHS): A hybrid type-1 effectiveness trial of enhanced primary care to improve opioid use disorder treatment outcomes following release from jail
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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