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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).
11199 Results
10282
The value of pseudoneurological symptoms for assessing psychopathology in primary care
Type: Journal Article
Year: 2004
Publication Place: United States
Abstract: OBJECTIVE: This study sought to examine the relationship between pseudoneurological symptoms (PNS) and somatic and psychiatric symptom severity, physical functioning, and psychiatric comorbidity. METHODS: Interview and questionnaire data were obtained from 120 patients with somatization who participated in a study assessing the efficacy of cognitive-behavioral therapy. Measures elicited information on psychiatric diagnoses, anxiety and depressive symptom levels, somatic symptoms, and physical functioning. Statistical analyses examined the relationship between PNS and the diagnosis of somatization disorder, physical and psychiatric symptom severity, and psychiatric comorbidity. RESULTS: Roughly half of the sample had a history of four or more PNS. Results showed that having four or more PNS was not predictive of somatization disorder. However, having four or more PNS was found to be significantly correlated with the severity of anxiety, depression, somatic complaints, and physical dysfunction. These associations were identified while controlling for the symptom count of nonpseudoneurological symptoms, the presence of somatization disorder, and the presence of chronic painful physical conditions. In addition, having four or more PNS was significantly associated with a higher likelihood of receiving a diagnosis of major depression, dysthymia, panic disorder, and generalized anxiety disorder. CONCLUSIONS: A history of four or more PNS is common among somatizing patients in primary care and associated with a more severe clinical presentation, even after controlling for other factors known to be associated with severity. Four or more PNS may identify a distinct subgroup of somatization and serve as a clinical indicator for identifying psychiatric disorders in primary care. Future studies should explore the assessment of PNS using briefer measures. Furthermore, PNS should be evaluated with samples more representative of US primary care populations, as well as samples that include adequate representation from other ethnic backgrounds (eg, African-American, Asian, etc.).
Topic(s):
Medically Unexplained Symptoms
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Reference Links: View the PubMed citation for The value of pseudoneurological symptoms for assessing psychopathology in primary care
10283
The Value of Treating Opioid Use Disorder in Family Medicine: From the Patient Perspective
Type: Journal Article
Year: 2020
Publication Place: United States
Topic(s):
Education & Workforce
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, Opioids & Substance Use
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Reference Links:
View the DOI record for The Value of Treating Opioid Use Disorder in Family Medicine: From the Patient Perspective
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View the PubMed citation for The Value of Treating Opioid Use Disorder in Family Medicine: From the Patient Perspective10286
The Vietnam Multicomponent Collaborative Care for Depression Program: Development of Depression Care for Low- and Middle-Income Nations
Type: Journal Article
Year: 2014
Abstract: In this article, we discuss the Vietnam Multicomponent Collaborative Care for Depression Program, which was designed to provide evidence-based depression care services in low-resource, non-Western settings such as Vietnam. The article provides the program development background; the social, economic, and political context in which the program was developed; and the structure and content of the program and their underlying rationale in the context of rural Vietnam. Although the program was found to be acceptable, feasible, and effective in reducing depression outcomes, we did face challenges in implementation, which are outlined in this article. Key challenges included cultural factors (e.g., a lack of recognition of depression as a health-related entity amenable to professional treatment, relatively low levels of psychological mindedness useful for understanding of psychological interventions) and health system (e.g., lack of mental health specialists, overburdened health providers unfamiliar with behavioral interventions) factors. We discuss the strategies we employed to resolve these challenges and our successes and failures therein. We conclude with recommendations for others interested in implementing similar programs in low- and middle-income countries settings.
Topic(s):
Healthcare Disparities
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10288
The Washington State Hub and Spoke Model to increase access to medication treatment for opioid use disorders
Type: Journal Article
Year: 2020
Publication Place: United States
Topic(s):
Opioids & Substance Use
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Reference Links: View the PubMed citation for The Washington State Hub and Spoke Model to increase access to medication treatment for opioid use disorders
10289
The way we do things around here: Advancing an interprofessional care culture within primary care
Type: Journal Article
Year: 2009
Publication Place: Canada
Topic(s):
Education & Workforce
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Reference Links: View the PubMed citation for The way we do things around here: Advancing an interprofessional care culture within primary care
10290
The Western Norway mental health interface study: a controlled intervention trial on referral letters between primary care and specialist mental health care
Type: Journal Article
Year: 2011
Publication Place: England
Abstract: BACKGROUND: Referral letters are the main communication means between Primary and Specialised Mental Health Care. However, studies of referral letters reveal that they lack important information, and how this lack of information affects the care for patients is unknown. This study aims to explore if and to what degree the quality of referral letters within Mental Health Care for adults can be improved and the potential improvement's impact on defined patient, professional and organisational related outcomes. METHODS AND DESIGN: A controlled study with pre and post test will be prepared and accomplished to explore the correlation between the content of referral letters and outcomes of the care for the referred patients. The study is performed in accordance with the guideline of the Medical Research Council on development and evaluation of complex interventions. Using a mixed method design, a stepwise model will be conducted: Firstly, process and outcome measures will be developed and tested. Secondly, by these measures, the results from an intervention group of General Practitioners (GPs) who receive a complex quality improvement intervention will be compared with results from a control group who perform "care as usual". Compliance to the introduced guideline will be measured as a mediator. DISCUSSION: The Western Norway Mental Health Interface Study is among the first trials to evaluate the impact of the quality of referral letters on the organization of care. This study will provide information that will be usable for healthcare managers and clinicians in both Primary and Specialised Care settings. TRIAL REGISTRATION: ClinicalTrials.gov: NCT01374035.
Topic(s):
Healthcare Policy
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10291
The White River model of colocated collaborative care: A platform for mental and behavioral health care in the medical home
Type: Journal Article
Year: 2010
Publication Place: United States
Topic(s):
Medical Home
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10292
The who, the what, and the how: A description of strategies and lessons learned to expand access to medications for opioid use disorder in rural America
Type: Journal Article
Year: 2021
Publication Place: United States
Abstract:
Access to treatment for opioid use disorder (OUD) in rural areas within the United States remains a challenge. Providers must complete 8-24 h of training to obtain the Drug Addiction Treatment Act (DATA) 2000 waiver to have the legal authority to prescribe buprenorphine for OUD. Over the last 4 years, we executed five dissemination and implementation grants funded by the Agency for Healthcare Research and Quality to study and address barriers to providing Medications for Opioid Use Disorder Treatment (MOUD), including psychosocial supports, in rural primary care practices in different states. We found that obtaining the DATA 2000 waiver is just one component of meaningful treatment using MOUD, and that the waiver provides a one-time benchmark that often does not address other significant barriers that providers face daily. In this commentary, we summarize our initiatives and the common lessons learned across our grants and offer recommendations on how primary care providers can be better supported to expand access to MOUD in rural America.
Topic(s):
Education & Workforce
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, Healthcare Disparities
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, Opioids & Substance Use
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10295
The work and challenges of care managers in the implementation of collaborative care: A qualitative study
Type: Journal Article
Year: 2018
Publication Place: England
Topic(s):
General Literature
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Reference Links:
View the DOI record for The work and challenges of care managers in the implementation of collaborative care: A qualitative study
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View the PubMed citation for The work and challenges of care managers in the implementation of collaborative care: A qualitative study10296
The World Federation of Societies of Biological Psychiatry (WFSBP) guidelines for the biological treatment of substance use and related disorders. Part 2: Opioid dependence
Type: Journal Article
Year: 2011
Publication Place: England
Abstract: OBJECTIVES: To develop evidence-based practice guidelines for the pharmacological treatment of opioid abuse and dependence. METHODS: An international task force of the World Federation of Societies of Biological Psychiatry (WFSBP) developed these practice guidelines after a systematic review of the available evidence pertaining to the treatment of opioid dependence. On the basis of the evidence, the Task Force reached a consensus on practice recommendations, which are intended to be clinically and scientifically meaningful for physicians who treat adults with opioid dependence. The data used to develop these guidelines were extracted primarily from national treatment guidelines for opioid use disorders, as well as from meta-analyses, reviews, and publications of randomized clinical trials on the efficacy of pharmacological and other biological treatments for these disorders. Publications were identified by searching the MEDLINE database and the Cochrane Library. The literature was evaluated with respect to the strength of evidence for efficacy, which was categorized into one of six levels (A-F). RESULTS: There is an excellent evidence base supporting the efficacy of methadone and buprenorphine or the combination of buprenorphine and naloxone for the treatment of opioid withdrawal, with clonidine and lofexidine as secondary or adjunctive medications. Opioid maintenance with methadone and buprenorphine is the best-studied and most effective treatment for opioid dependence, with heroin and naltrexone as second-line medications. CONCLUSIONS: There is enough high quality data to formulate evidence-based guidelines for the treatment of opioid abuse and dependence. This task force report provides evidence for the efficacy of a number of medications to treat opioid abuse and dependence, particularly the opioid agonists methadone or buprenorphine. These medications have great relevance for clinical practice.
Topic(s):
Opioids & Substance Use
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, Education & Workforce
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