Literature Collection | Integration Academy

10621

Statement of the American Psychological Association in response to the "Joint principles: Integrating behavioral health care into the patient-centered medical home".

Type: Journal Article

Authors: Norman B. Anderson, Cynthia D. Belar, Barbara A. Cubic, Ellen G. Garrison, Suzanne Bennett Johnson, Nadine J. Kaslow

Year: 2014

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10622

Statement of the American Society Of Addiction Medicine Consensus Panel on the use of buprenorphine in office-based treatment of opioid addiction

Type: Journal Article

Authors: M. L. Kraus, D. P. Alford, M. M. Kotz, P. Levounis, T. W. Mandell, M. Meyer, E. A. Salsitz, N. Wetterau, S. A. Wyatt, American Society of Addiction Medicine

Year: 2011

Publication Place: United States

Abstract: OBJECTIVES: Opioid addiction affects over 2 million patients in the United States. The advent of buprenorphine and the passage of the Drug Addiction Treatment Act in 2000 have revolutionized the opioid treatment delivery system by granting physicians the ability to administer office-based opioid treatment (OBOT), thereby giving patients greater access to treatment. The purpose of this consensus panel was to synthesize the most current evidence on the use of buprenorphine in the office-based setting and to make recommendations that will enable and allow additional physicians to begin to treat opioid-addicted individuals. METHODS: Literature published from 2000 to 2009 was searched using the PubMed search engine and yielded over 375 articles published in peer-reviewed journals, including some that were published guidelines. These articles were submitted to a consensus panel composed of researchers, educators, and clinicians who are leaders in the field of addiction medicine with specific expertise in the use of OBOT. The panel discussed results and agreed upon consensus recommendations for several facets of OBOT. RESULTS: : On the basis of the literature review and consensus discussions, the panel developed a series of findings, conclusions, and recommendations regarding the use of buprenorphine in office-based treatment of opioid addiction. CONCLUSIONS: Therapeutic outcomes for patients who self-select office-based treatment with buprenorphine are essentially comparable to those seen in patients treated with methadone programs. There are few absolute contraindications to the use of buprenorphine, although the experience and skill levels of treating physicians can vary considerably, as can access to the resources needed to treat comorbid medical or psychiatric conditions--all of which affect outcomes. It is important to conduct a targeted assessment of every patient to confirm that the provider has resources available to meet the patient's needs. Patients should be assessed for a broad array of biopsychosocial needs in addition to opioid use and addiction, and should be treated, referred, or both for help in meeting all their care needs, including medical care, psychiatric care, and social assistance. Current literature demonstrates promising efficacy of buprenorphine, though further research will continue to demonstrate its effectiveness for special populations, such as adolescents, pregnant women, and other vulnerable populations. Since the time of this review, several new studies have provided new data to continue to improve our understanding of the safety and efficacy of buprenorphine for special patient populations.

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10623

States Enhance Medicaid Payment for Interprofessional Consultation: Opportunities for Maternal and Child Behavioral Health

Type: Report

Authors: Olivia Randi, Veronnica Thompson

Year: 2025

Publication Place: Washington, D.C.

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This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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10624

States Leverage Medicaid Managed Care to Foster Behavioral Health Integration

Type: Report

Authors: National Academy for State Health Policy

Year: 2025

Publication Place: Washington, D.C.

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This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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10625

States Tackling Health Care System Transformation with Federal Support

Type: Report

Authors: Jennifer Lloyd, Stephanie Kissam, Allison Pompey

Year: 2019

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This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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10626

States' implementation of the Affordable Care Act and the supply of physicians waivered to prescribe buprenorphine for opioid dependence

Type: Journal Article

Authors: Hannah K. Knudsen, Michelle R. Lofwall, Jennifer R. Havens, Sharon L. Walsh

Year: 2015

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10627

Statewide Availability of Buprenorphine/Naloxone in Acute Care Hospitals

Type: Journal Article

Authors: Susie Pham, Alexandra Haigh, Eileen Barrett

Year: 2022

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10628

Statewide collaborative partnerships among American Indian and Alaska Native (AI/AN) communities in California to target the opioid epidemic: Preliminary results of the Tribal Medication Assisted Treatment (MAT) key informant needs assessment

Type: Journal Article

Authors: I. Zeledon, A. West, V. Antony, V. Telles, C. Begay, B. Henderson, J. B. Unger, C. Soto

Year: 2020

Publication Place: United States

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10629

Statewide efforts to address the opioid epidemic: Results from a national survey of single state agencies

Type: Journal Article

Authors: M. A. G. Estrada, A. J. Abraham, C. M. Andrews, C. M. Grogan

Year: 2024

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10630

Statewide Trends in Buprenorphine Prescribing in Rural and Nonrural Vermont: Analysis of Population-based Patient Pharmacy Claims

Type: Journal Article

Authors: S. A. Nowak, V. S. Harder, A. C. Villanti, S. H. Heil, S. C. Sigmon

Year: 2023

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10631

STATISTICAL BRIEF #312: Patient-Provider Communication by Race/Ethnicity and Disability Status: United States, 2007

Type: Web Resource

Authors: Frances M. Chevarley

Year: 2011

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This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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10632

Status of general medicine training and education in psychiatry residency

Type: Journal Article

Authors: A. Annamalai, R. M. Rohrbaugh, M. J. Sernyak

Year: 2014

Publication Place: United States

Abstract: OBJECTIVE: With the current emphasis on integrated care, the role of psychiatrists is expanding to either directly provide medical care or coordinate its delivery. The purpose of this study was to survey general psychiatry programs on the extent of general medicine training provided during residency. METHODS: A short web-based survey was sent to 173 residency program directors to recruit participants for a larger survey. Thirty-seven participants were recruited and surveyed, and of these, 12 (32.4%) responded. The survey assessed the extent of general medicine training and didactics during and after the first postgraduate year and attitudes towards enhancing this training in residency. This study was approved by the local institutional review board. RESULTS: Seventy-five percent of programs require only the minimum 4 months of primary care in the first postgraduate year, and didactics during these months is often not relevant to psychiatry residents. Some programs offer elective didactics on chronic medical conditions in the fourth postgraduate year. Respondents are in favor of enhancing general medicine training in psychiatry but indicate some resistance from their institutions. CONCLUSIONS: These results suggest that very few programs require additional clinical training in relevant medical illnesses after the first postgraduate year. Respondents indicated favorable institutional support for enhancing training, but also expected resistance. The reasons for resistance should be an area of future research. Also important is to determine if enhancing medical didactics improves patient care and outcomes. The changing role of psychiatrists entails a closer look at resident curricula.

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10633

Stem the Tide: Addressing the Opioid Epidemic

Type: Report

Authors: American Hospital Association

Year: 2017

Publication Place: Chicago, IL

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This grey literature reference is included in the Academy�s Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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10634

Stem the Tide: Addressing the Opioid Epidemic & Taking Action

Type: Government Report

Authors: American Hospital Association

Year: 2017

Publication Place: Chicago, IL

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This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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10635

Stem the Tide: Opioid Stewardship Measurement Implementation Guide

Type: Government Report

Authors: American Hospital Association Center for Health Innovation

Year: 2020

Publication Place: Chicago, IL

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, ,

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This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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10636

Stepped Care as an Implementation and Service Delivery Model for Cognitive Behavioral Therapy for Psychosis

Type: Journal Article

Authors: Sarah L. Kopelovich, Eric Strachan, Harry Sivec, Valerie Kreider

Year: 2019

Publication Place: , <Blank>

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10637

Stepped care for depression at integrated chronic care centers (IC3) in Malawi: Study protocol for a stepped-wedge cluster randomized controlled trial

Type: Journal Article

Authors: R. K. McBain, O. Mwale, T. Ruderman, W. Kayira, E. Connolly, M. Chalamanda, C. Kachimanga, B. D. Khongo, J. Wilson, E. Wroe, G. Raviola, S. Smith, S. Coleman, K. Kelly, A. Houde, M. G. Tebeka, S. Watson, K. Kulisewa, M. Udedi, G. Wagner

Year: 2021

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10638

Stepped care for depression in primary care: what should be offered and how?

Type: Journal Article

Authors: A. van Straten, W. Seekles, N. J. van 't Veer-Tazelaar, A. T. Beekman, P. Cuijpers

Year: 2010

Publication Place: Australia

Abstract: Stepped-care approaches may offer a solution to delivering accessible, effective and efficient services for individuals with depression. In stepped care, all patients commence with a low-intensity, low-cost treatment. Treatment results are monitored systematically, and patients move to a higher-intensity treatment only if necessary. We deliver a stepped-care model targeting patients with depression. The first step consists of "watchful waiting", as half of all patients with a depressive episode recover spontaneously within 3 months. The second step, guided self-help, is the key element of the stepped-care model. Guided self-help, especially when offered through the internet, is effective and cost-efficient. The third step consists of brief face-to-face psychotherapy. Finally, in the fourth step, longer-term face-to-face psychotherapy and antidepressant medication might be considered. Patients are monitored by one person, a care manager, who is responsible for the decision to step up to the next treatment and for continuity of care. The different treatments within the stepped-care model are evidence-based. Data on cost-effectiveness of the full model are still scarce, but we recently demonstrated that the incidence of new cases of depression and anxiety could be halved by introducing stepped care. Effects of web-based guided self-help could be enhanced by incorporating them in a stepped-care model.

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10639

Stepped care for depression is easy to recommend, but harder to implement: results of an explorative study within primary care in the Netherlands

Type: Journal Article

Authors: M. L. Hermens, A. Muntingh, G. Franx, P. T. van Splunteren, J. Nuyen

Year: 2014

Publication Place: England

Abstract: BACKGROUND: Depression is a common mental disorder with a high burden of disease which is mainly treated in primary care. It is unclear to what extent stepped care principles are applied in routine primary care. The first aim of this explorative study was to examine the gap between routine primary depression care and optimal care, as formulated in the depression guidelines. The second aim was to explore the facilitators and barriers that affect the provision of optimal care. METHODS: Optimal care was operationalised by indicators covering the entire continuum of depression care: from prevention to chronic depression. Routine care was investigated by interviewing general practitioners (GPs) individually and together with other mental health care providers about the depression care they delivered collaboratively. Qualitative analysis of transcripts was performed using thematic coding. Additionally, the GPs completed a self-report questionnaire. RESULTS: Six GPs and 22 other (mostly primary) mental health care providers participated. The GPs and their primary care colleagues embraced a general stepped care approach. They offered psycho-education and counselling to mildly depressed patients. When the treatment effects were not satisfactory or patients were more severely depressed, the GPs offered, or referred to, psychotherapy or pharmacotherapy. Patients with a complex and severe depressive disorder were directly referred to specialised mental health care. However, GPs relied on their clinical judgment and rarely used instruments to assess and monitor the severity of depressive symptoms. Structured, evidence based interventions such as self-management and e-health were rarely offered to patients with depressive symptoms. Specific psychological interventions for relapse prevention or for chronically depressed patients were not available. A wide range of influencing factors for the provision of optimal depression care were put forward. Close collaboration with other mental health care professionals was considered an important factor for improvement by nearly all GPs. CONCLUSIONS: The management of depression in primary care seems in line with stepped care principles, although it can be improved by applying more elements of a stepped care approach. Collaboration between GPs and mental health care providers in primary care and secondary care should be enhanced.

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10640

Stepped care for insomnia in primary care using digital and face-to-face cognitive behavioral therapies: A pragmatic nonrandomized clinical trial

Type: Journal Article

Authors: C. M. Morin, S. J. Chen, K. Lemieux, H. Ivers, J. M. Y. Cheung, M. Lamy, L. Ritterband

Year: 2025

Abstract:

OBJECTIVE: To evaluate the effectiveness of a stepped-care intervention for insomnia in primary care. METHODS: In this non-randomized pragmatic clinical trial, patients from primary care clinics and with chronic insomnia disorder were allowed to choose between continuing their usual treatment (prescribed sleep medication) or receiving digital CBT-I (dCBT-I), either alone or in combination with medication. After the first treatment step, non-remitters were provided with the choice of receiving face-to-face CBT-I (FtFCBT-I), medication, or no additional treatment. The primary outcome was insomnia symptoms as measured by the Insomnia Severity Index. RESULTS: Among 154 adults with insomnia, 73 were allocated to dCBT-I, 66 to combined treatment and 15 to medication alone based on their preference. When compared to medication alone, first-step treatment with dCBT-I or combined treatment both produced significantly larger effects on reducing insomnia severity (dCBT-I vs Med, difference in the mean changes = -3.3; Comb vs Med, -3.7), and led to higher percentages of responders (dCBT-I vs Med, 54.8 % vs 16.0 %, OR = 6.38; Comb vs Med, 53.6 % vs 16.0 %, OR = 6.07) and remitters (dCBT-I vs Med, 65.8 % vs 9.4 %, OR = 18.61; Comb vs Med, 67.5 % vs 9.4 %, OR = 20.13). Adding FtFCBT-I as second-step treatment offered an added value for non-remitters after the first-step treatment. Improvements achieved at post-treatment were sustained through the 6-month follow-up for most of the treatment sequences. CONCLUSIONS: These findings demonstrated the feasibility and efficiency of implementing digital and in-person CBT-I within a stepped-care model in primary care practice. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT03633305.

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