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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
10301
The Use of Electronic Health Record Tools to Improve Evidence-Based Treatment of Adolescent Depression in Primary Care
Type: Journal Article
Year: 2021
Topic(s):
Education & Workforce
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, Healthcare Disparities
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, HIT & Telehealth
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, Measures
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Reference Links: 
View the DOI record for The Use of Electronic Health Record Tools to Improve Evidence-Based Treatment of Adolescent Depression in Primary Care
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View the PubMed citation for The Use of Electronic Health Record Tools to Improve Evidence-Based Treatment of Adolescent Depression in Primary Care10302
The Use of Kratom (Mitragyna speciosa Korth.) Among People Who Co-use Heroin and Methamphetamine in Malaysia
Type: Journal Article
Year: 2022
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 Use of Kratom (Mitragyna speciosa Korth.) Among People Who Co-use Heroin and Methamphetamine in Malaysia
View DOI Record
View the PubMed citation for The Use of Kratom (Mitragyna speciosa Korth.) Among People Who Co-use Heroin and Methamphetamine in Malaysia10303
The use of methadone to facilitate opioid weaning in pediatric critical care patients: a systematic review of the literature and meta-analysis
Type: Journal Article
Year: 2017
Publication Place: France
Topic(s):
Education & Workforce
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, Healthcare Disparities
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, Opioids & Substance Use
See topic collection
10304
The use of off-label medications in substance abuse treatment programs
Type: Journal Article
Year: 2020
Abstract:
Background: Substance use disorder (SUD) treatment centers serve a population of clients who have diverse needs, and may desire or require access to varied treatments while seeking care for their SUDs. While pharmacotherapies have increased in popularity for the treatment of SUDs, adoption rates do remain quite low. But a wider array of pharmacotherapies has become available in recent years which may shift the trend. This article helps shed light on how variations in SUD treatment centers develop and persist with regard to the adoption and delivery of off-label medications. Methods: We use a nationally representative and longitudinal sample of SUD treatment centers in the US (N = 196). We use a logistic regression to analyze the relationship between organizational characteristics and offering any medications, off-label. We also use a negative binomial regression to analyze the relationship between organizational characteristics and the number of medications that were used off-label. Results: Our findings reveal that older centers, accredited centers, and centers that offer mental health screenings are all positively associated with the provision of off-label medication in SUD treatment. We also find a positive relationship between private funding and offering a greater number of off-label medications. Conclusions: Our results suggest that SUD clients who seek treatment from centers that offer medications off-label, may have access to a greater number of medication-assisted treatment options.
Topic(s):
Education & Workforce
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, Opioids & Substance Use
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Reference Links:
View the DOI record for The use of off-label medications in substance abuse treatment programs
View DOI Record
View the PubMed citation for The use of off-label medications in substance abuse treatment programs10306
The use of public health infrastructure probably the best strategy for national and large-scale naloxone distribution programmes
Type: Journal Article
Year: 2016
Publication Place: England
Topic(s):
Opioids & Substance Use
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10308
The Use of Telemedicine and Mobile Technology to Promote Population Health and Population Management for Psychiatric Disorders
Type: Journal Article
Year: 2017
Abstract: PURPOSE OF REVIEW: This article discusses recent applications in telemedicine to promote the goals of population health and population management for people suffering psychiatric disorders. RECENT FINDINGS: The use of telemedicine to promote collaborative care, self-monitoring and chronic disease management, and population screening has demonstrated broad applicability and effectiveness. Collaborative care using videoconferencing to facilitate mental health specialty consults has demonstrated effectiveness in the treatment of depression, PTSD, and also ADHD in pediatric populations. Mobile health is currently being harnessed to monitor patient symptom trajectories with the goal of using machine learning algorithms to predict illness relapse. Patient portals serve as a bridge between patients and providers. They provide an electronically secure shared space for providers and patients to collaborate and optimize care. To date, research has supported the effectiveness of telemedicine in promoting population health. Future endeavors should focus on developing the most effective clinical protocols for using these technologies to ensure long-term use and maximum effectiveness in reducing population burden of mental health.
Topic(s):
HIT & Telehealth
See topic collection
10309
The Use of Telepsychiatry to Provide Cost-Efficient Care During Pediatric Mental Health Emergencies
Type: Journal Article
Year: 2018
Abstract: OBJECTIVE: This study evaluated a videoconference-based psychiatric emergency consultation program (telepsychiatry) at geographically dispersed emergency department (ED) sites that are part of the network of care of an academic children's hospital system. The study compared program outcomes with those of usual care involving ambulance transport to the hospital for in-person psychiatric emergency consultation prior to disposition to inpatient care or discharge home. METHODS: This study compared process outcomes in a cross-sectional, pre-post design at five network-of-care sites before and after systemwide implementation of telepsychiatry consultation in 2015. Clinical records on 494 pediatric psychiatric emergencies included ED length of stay, disposition/discharge, and hospital system charges. Satisfaction surveys regarding telepsychiatry consultations were completed by providers and parents or guardians. RESULTS: Compared with children who received usual care, children who received telepsychiatry consultations had significantly shorter median ED lengths of stay (5.5 hours and 8.3 hours, respectively, p<.001) and lower total patient charges ($3,493 and $8,611, p<.001). Providers and patient caregivers reported high satisfaction with overall acceptability, effectiveness, and efficiency of telepsychiatry. No safety concerns were indicated based on readmissions within 72 hours in either treatment condition. CONCLUSIONS: Measured by charges and time, telepsychiatry consultations for pediatric psychiatric emergencies were cost-efficient from a hospital system perspective compared with usual care consisting of ambulance transport for in-person consultation at a children's hospital main campus. Telepsychiatry also improved clinical and operational efficiency and patient and family experience, and it showed promise for increasing access to other specialized health care needs.
Topic(s):
Financing & Sustainability
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, HIT & Telehealth
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Reference Links:
View the DOI record for The Use of Telepsychiatry to Provide Cost-Efficient Care During Pediatric Mental Health Emergencies
View DOI Record
View the PubMed citation for The Use of Telepsychiatry to Provide Cost-Efficient Care During Pediatric Mental Health Emergencies10311
The utility of a caseload registry: Perceptions of behavioral health clinicians working in an integrated primary care and mental health program
Type: Journal Article
Year: 2015
Publication Place: United States
Topic(s):
Education & Workforce
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, HIT & Telehealth
See topic collection
10313
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
10314
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
See topic collection
Reference Links:
View the DOI record for The Value of Treating Opioid Use Disorder in Family Medicine: From the Patient Perspective
View DOI Record
View the PubMed citation for The Value of Treating Opioid Use Disorder in Family Medicine: From the Patient Perspective10317
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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10319
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
10320
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
See topic collection
Reference Links: View the PubMed citation for The way we do things around here: Advancing an interprofessional care culture within primary care