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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
10381
Towards interprofessional family-oriented teamwork in primary services: The evaluation of an education programme
Type: Journal Article
Year: 2004
Publication Place: England
Abstract: A 2-year interprofessional family-oriented training programme for professionals working in the field of primary services (e.g. health care, social welfare, schools, day care) started in Oulu Province, Finland, in 2000. It aimed to provide the trainees with skills to work with families in interprofessional teams, to support them to cope better and to encourage them to develop new models for helping clients. Seventy-six trainees from 13 professions participated. This paper describes the structure, methods and the content of the programme and evaluates its success. Material was content analysed from participants' evaluations at the end of the programme and discussion during a focus group in which three trainees and three trainers participated. During the programme trainees' working methods moved from being detached experts towards client and family-orientation. Job satisfaction also improved. They began to appreciate interprofessional teamwork and found that client and family-oriented working methods supported families in using their own resources in solving problems. The study indicated that the sufficiently long process of education where the interprofessional collaboration has been put in practice already during the education is needed to change the theoretical framework and practical working methods of the trainees.
Topic(s):
Education & Workforce
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Reference Links: 
View the DOI record for Towards interprofessional family-oriented teamwork in primary services: The evaluation of an education programme
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View the PubMed citation for Towards interprofessional family-oriented teamwork in primary services: The evaluation of an education programme10382
Tracking the geographic distribution and growth of clinicians with a DEA waiver to prescribe buprenorphine to treat opioid use disorder
Type: Journal Article
Year: 2022
Publication Place: England
Topic(s):
Education & Workforce
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, Healthcare Disparities
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, Healthcare Policy
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, Opioids & Substance Use
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10383
Tracking the geographic distribution and growth of clinicians with a DEA waiver to prescribe buprenorphine to treat opioid use disorder
Type: Journal Article
Year: 2021
Publication Place: England
Topic(s):
Education & Workforce
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, Healthcare Disparities
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, Healthcare Policy
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, Opioids & Substance Use
See topic collection
10385
Traditional mental health training's effect on primary care physicians in Saudi Arabia
Type: Journal Article
Year: 2011
Publication Place: England
Topic(s):
Education & Workforce
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Reference Links: View the PubMed citation for Traditional mental health training's effect on primary care physicians in Saudi Arabia
10388
Training and education needs of consumers, families, and front-line staff in behavioral health practice
Type: Journal Article
Year: 2002
Publication Place: United States
Abstract: Much of the behavioral health care delivered to people with serious mental illnesses and chronic addictive disorders is provided by front-line or direct service mental health workers. Issues related to the qualifications, training, and ongoing evaluation of the competencies of this important provider group have received scant attention in the behavioral health field. This paper explores the educational needs and best practices of the consumers and families who carry much of the burden of caring for disabled populations, as well as the front-line staff, many of whom are employed in state psychiatric hospitals and community mental health or addiction treatment systems. Within the overall context of culturally competent behavioral health care, specific recommendations are proposed in an attempt to move the field forward.
Topic(s):
Education & Workforce
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Reference Links: View the PubMed citation for Training and education needs of consumers, families, and front-line staff in behavioral health practice
10389
Training clinicians in mental health communication skills: Impact on primary care utilization
Type: Journal Article
Year: 2010
Publication Place: United States
Abstract: OBJECTIVE: Although it is known that children with mental health problems utilize primary care services more than most other children, it is unknown how addressing mental health problems in primary care affects children's subsequent services utilization. This study measures primary care utilization in the context of a randomized trial of a communication skills training program for primary care clinicians that had a positive impact on child mental health outcomes. METHODS: From 2002 to 2005, 48 pediatric primary care clinicians at 13 sites in rural upstate New York, urban Maryland, and Washington, DC, were randomized to in-office training or to a control group. Consecutive primary care patients between the ages of 5 and 16 years were screened for mental health problems, as indicated by a possible or probable score on the Strengths and Difficulties Questionnaire (SDQ). For 397 screened children, primary care visits during the next 6 months were identified using chart review and administrative databases. Using generalized estimating equation regression to account for clustering at the clinician level, primary care utilization was compared by study group and SDQ status. RESULTS: The number of primary care visits to the trained clinicians did not differ significantly from those made to control clinicians (2.5 for both groups; P = .63). Children with possible or probable SDQ scores made, on average, 0.38 or 0.65 more visits on a per child basis, respectively, during the 6-month follow-up period than SDQ unlikely children (P = .0002). CONCLUSIONS: Seeing a trained clinician did not increase subsequent primary care utilization. However, primary care utilization was greater among children with mental health problems as measured by the SDQ. Addressing children's mental health in primary care does not increase the primary care visit burden. Research on overall health services utilization is needed.
Topic(s):
Education & Workforce
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Reference Links:
View the DOI record for Training clinicians in mental health communication skills: Impact on primary care utilization
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View the PubMed citation for Training clinicians in mental health communication skills: Impact on primary care utilization10392
Training family medicine residents to practice collaboratively with psychology trainees
Type: Journal Article
Year: 2013
Publication Place: United States
Abstract: OBJECTIVE: This article will describe a training curriculum for family medicine residents to practice collaboratively with psychology (doctoral) trainees at the Wayne State University/Crittenton Family Medicine Residency program. METHODS: The collaborative care curriculum involves a series of patient care and educational activities that require collaboration between family medicine residents and psychology trainees. Activities include: (1) clinic huddle, (2) shadowing, (3) pull-ins and warm handoffs, (4) co-counseling, (5) shared precepting, (6) feedback from psychology trainees to family medicine residents regarding consults, brief interventions, and psychological testing, (7) lectures, (8) video-observation and feedback, (9) home visits, and (10) research. The activities were designed to teach the participants to work together as a team and to provide a reciprocal learning experience. RESULTS: In a brief three-item survey of residents at the end of their academic year, 83% indicated that they had learned new information or techniques from working with the psychology trainees for assessment and intervention purposes; 89% indicated that collaborating with psychology trainees enhanced their patient care; and 89% indicated that collaborating with psychology trainees enhanced their ability to work as part of a team. Informal interviews with the psychology trainees indicated that reciprocal learning had taken place. CONCLUSIONS: Family medicine residents can learn to work collaboratively with psychology trainees through a series of shared patient care and educational activities within a primary care clinic where an integrated approach to care is valued.
Topic(s):
Education & Workforce
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Reference Links: View the PubMed citation for Training family medicine residents to practice collaboratively with psychology trainees
10395
Training general practitioners in the treatment of functional somatic symptoms: Effects on patient health in a cluster-randomised controlled trial (the Functional Illness in Primary Care study)
Type: Journal Article
Year: 2010
Publication Place: Switzerland
Abstract: BACKGROUND: Patients with medically unexplained or functional somatic symptoms (FSS) are prevalent in primary care. In this pragmatic cluster-randomised controlled trial we aimed to test the effect of a training programme (The Extended Reattribution and Management model) for general practitioners (GPs) in the treatment of FSS. METHODS: 38 participating GPs were randomised to the control group or the training group. The GPs included consecutive 18- to 65-year-old patients presenting during a 3-week period for new health complaints. We assessed a stratified subsample with the psychiatric interview Schedules of Clinical Assessment in Neuropsychiatry. Of 701 patients interviewed, 350 fulfilled the diagnostic criteria for any ICD-10 somatoform disorder (SD) and 111 presented FSS without fulfilling these criteria (sub-threshold SD). Patients completed questionnaires at baseline and after 3, 12 and 24 months. The questionnaires included assessment of health status (36-item Medical Outcomes Study Short Form; SF-36), health anxiety (Whiteley-7) and physical symptoms (Symptom Check List-90, somatization subscale). RESULTS: Patients with SD consulting trained GPs improved more on our primary outcome of physical functioning than patients consulting control GPs at the 3-month follow-up (p = 0.004), but the improvement was not statistically significant at later follow-up. We found no significant differences in improvement between patients with SD and those with sub-threshold SD. Results for other SF-36 subscales, physical symptoms and health anxiety only showed statistically significant differences between the intervention and control groups for patients with SD; patients consulting trained GPs had less improvement in vitality, health anxiety and physical symptoms at 24 months compared with the control group. CONCLUSIONS: GP training may accelerate improvement in physical functioning for patients with SD. However, the effect is small and may not be clinically significant.
Topic(s):
Education & Workforce
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, Medically Unexplained Symptoms
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10396
Training health providers to address unhealthy alcohol use in primary care: a cross-sectional, multicenter study
Type: Journal Article
Year: 2020
Abstract:
BACKGROUND: Health professionals' training is a key element to address unhealthy alcohol use in Primary Care (PC). Education about alcohol use can be effective in improving PC provider's knowledge and skills addressing alcohol-related problems. The aim of the study was to evaluate the training of health professionals to address unhealthy alcohol use in PC. METHODS: An observational, descriptive, cross-sectional, multicenter study was performed. LOCATION: PC centres of the Spanish National Health System (SNHS). PARTICIPANTS: Family physicians, residents and nurses completed an online questionnaire that inquired about their training (none, basic, medium or advanced), knowledge and preventive practices aimed at reducing unhealthy alcohol use. The study population was recruited via random sampling, stratified by the regions of the SNHS's PC centre, and by email invitation to members of two Spanish scientific societies of Family Medicine. RESULTS: A total of 1760 professionals participated in the study. Sixty-seven percent (95% CI: 67.5-71.8) reported not having received specific training to address unhealthy alcohol use, 30% (95% CI: 27.4-31.7) reported having received basic training, and 3% (95% CI: 2.3-4.0) medium/advanced training. The training received was greater in younger providers (p < 0.001) who participated in the PAPPS (Preventive Activities and Health Promotion Programme) (p < 0.001). Higher percentages of providers with intermediate or advanced training reported performing screening for unhealthy alcohol use (p < 0.001), clinical assessment of alcohol consumption (p < 0.001), counselling of patients to reduce their alcohol intake (p < 0.001) or to abstain, in the cases of pregnant women and drivers (p < 0.001). CONCLUSION: Our study reveals a low level of training among Spanish PC providers to address unhealthy alcohol use. A higher percentage of screening, clinical assessment and counselling interventions aimed at reducing unhealthy alcohol use was reported by health professionals with an intermediate or advanced level of training.
Topic(s):
Education & Workforce
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, Opioids & Substance Use
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Reference Links:
View the DOI record for Training health providers to address unhealthy alcohol use in primary care: a cross-sectional, multicenter study
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View the PubMed citation for Training health providers to address unhealthy alcohol use in primary care: a cross-sectional, multicenter study10399
Training in Buprenorphine and Office-Based Opioid Treatment: A Survey of Psychiatry Residency Training Programs
Type: Journal Article
Year: 2016
Publication Place: United States
Abstract: OBJECTIVE: Psychiatrists are well suited to provide office-based opioid treatment (OBOT), but the extent to which psychiatry residents are exposed to buprenorphine training and OBOT during residency remains unknown. METHODS: Psychiatry residency programs in the USA were recruited to complete a survey. RESULTS: Forty-one programs were included in the analysis for a response rate of 23.7 %. In total, 75.6 % of the programs currently offered buprenorphine waiver training and 78.1 % provided opportunities to treat opioid dependence with buprenorphine under supervision. Programs generally not only reported favorable beliefs about OBOT and buprenorphine waiver training but also reported numerous barriers. CONCLUSIONS: The majority of psychiatry residency training programs responding to this survey offer buprenorphine waiver training and opportunities to treat opioid-dependent patients, but numerous barriers continue to be cited. More research is needed to understand the role residency training plays in impacting future practice of psychiatrists.
Topic(s):
Opioids & Substance Use
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, Education & Workforce
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Reference Links:
View the DOI record for Training in Buprenorphine and Office-Based Opioid Treatment: A Survey of Psychiatry Residency Training Programs
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View the PubMed citation for Training in Buprenorphine and Office-Based Opioid Treatment: A Survey of Psychiatry Residency Training Programs10400
Training in Integrated Mental Health-Primary Care Models: A National Survey of Child Psychiatry Program Directors
Type: Journal Article
Year: 2014
Abstract: OBJECTIVE: The objective of this study was to assess current trainee exposure to integrated mental health/primary care models in US child and adolescent psychiatry fellowship programs. METHODS: In June 2013, an electronic survey was sent to all US child and adolescent psychiatry fellowship program directors (N = 123). RESULTS: Fifty-two responses were obtained from the 120 eligible participants (43 %). The majority of the program directors who responded (63 %) indicated that fellows in their programs regularly participate in clinical care and/or consultation within an outpatient pediatric primary care setting. Program directors identified barriers to increasing training exposure to integrated care delivery as competing clinical demands and challenging financial models for indirect consultation in primary care settings. DISCUSSION: Many child psychiatry fellowship program directors view training in integrated care models as an important part of their teaching and service mission, and are creating novel avenues for exposure. Current funding models, however, may limit the widespread implementation of these opportunities.
Topic(s):
Education & Workforce
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Reference Links:
View the DOI record for Training in Integrated Mental Health-Primary Care Models: A National Survey of Child Psychiatry Program Directors
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View the PubMed citation for Training in Integrated Mental Health-Primary Care Models: A National Survey of Child Psychiatry Program Directors