Literature Collection

10761

Unmet needs for specialty, dental, mental, and allied health care among children with special health care needs: Are there racial/ethnic disparities?

Type: Journal Article

Authors: Emmanuel M. Ngui, Glenn Flores

Year: 2007

Publication Place: US: Johns Hopkins University Press

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10762

UNODC Early Warning Advisory on Emerging Trends in Psychoactive Substances

Type: Report

Authors: United Nations Office on Drugs and Crime

Year: 2023

Publication Place: Vienna, Austria

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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 Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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10763

Unpacking Collaborative Care for Depression: Examining Two Essential Tasks for Implementation

Type: Journal Article

Authors: Y. Bao, B. G. Druss, H . Y. Jung, Y. F. Chan, J. Unutzer

Year: 2016

Publication Place: United States

Abstract: OBJECTIVE: This study examined how two key process-of-care tasks of the collaborative care model (CCM) predict patient depression outcomes. METHODS: Registry data were from a large implementation of the CCM in Washington State and included 5,439 patient-episodes for patients age 18 or older with a baseline Patient Health Questionnaire-9 (PHQ-9) score of >/=10 and at least one follow-up contact with the CCM care manager within 24 weeks of initial contact. Key CCM tasks examined were at least one care manager follow-up contact within four weeks of initial contact and at least one psychiatric consultation between weeks 8 and 12 for patients not responding to treatment by week 8. Clinically significant improvement in depression symptoms was defined as achieving a PHQ-9 score of <10 or a 50% or more reduction in PHQ-9 score compared with baseline. Bivariate and multivariate (logistic and proportional hazard models) analyses were conducted to examine how fidelity with either task predicted outcomes. All analyses were conducted with the original sample and with a propensity score-matched sample. RESULTS: Four-week follow-up was associated with a greater likelihood of achieving improvement in depression (odds ratio [OR]=1.63, 95% confidence interval [CI]=1.23-2.17) and a shorter time to improvement (hazard ratio=2.06, CI=1.67-2.54). Psychiatric consultation was also associated with a greater likelihood of improvement (OR=1.44, CI=1.13-1.84) but not with a shorter time to improvement. Propensity score-matched analysis yielded very similar results. CONCLUSIONS: Findings support efforts to improve fidelity to the two process-of-care tasks and to include these tasks among quality measures for CCM implementation.

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10764

Unprecedented need and recommendations for harnessing data to guide future policy and practice for opioid use disorder treatment following COVID-19

Type: Journal Article

Authors: N. A. Livingston, V. Ameral, A. N. Banducci, R. B. Weisberg

Year: 2021

Abstract:

The COVID-19 pandemic struck in the midst of an ongoing opioid epidemic. To offset disruption to life-saving treatment for opioid use disorder (OUD), several federal agencies granted exemptions to existing federal regulations. This included loosening restrictions on medications for OUD (MOUD), including methadone and buprenorphine. In this commentary, we briefly review policy and practice guidelines for treating OUD prior to the onset of the COVID-19 pandemic. We then outline specific MOUD treatment policy and practice exemptions that went into effect in February and March 2020, and discuss the ways in which these unprecedented changes have dramatically changed MOUD treatment. Given the unprecedented nature of these changes, and unknown outcomes to date, we advocate for a data-driven approach to guide future policy and practice recommendations regarding MOUD. We outline several critical clinical, research, and policy questions that can inform MOUD treatment in a post-COVID-19 era.

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10765

Unrounding the corners of collaborative family health care

Type: Journal Article

Authors: A. Blount

Year: 2015

Publication Place: United States

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10766

Untangling the Complexities of Substance Use Initiation and Recovery: Client Reflections on Opioid Use Prevention and Recovery From a Social-Ecological Perspective

Type: Journal Article

Authors: G. Maina, K. Marshall, J. Sherstobitof

Year: 2021

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10767

Up-scaling clinician assisted internet cognitive behavioural therapy (iCBT) for depression: A model for dissemination into primary care

Type: Journal Article

Authors: G. Andrews, A. D. Williams

Year: 2014

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10768

Update on Barriers to Pharmacotherapy for Opioid Use Disorders

Type: Journal Article

Authors: A. Sharma, S. M. Kelly, S. G. Mitchell, J. Gryczynski, K. E. O'Grady, R. P. Schwartz

Year: 2017

Publication Place: United States

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10769

Updated DEA Registration Certificate after Removal of X-Waiver

Type: Report

Authors: Drug Enforcement Administration

Year: 2023

Publication Place: Springfield, VA

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, ,

Disclaimer:

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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10770

Updated: Health IT for You: Giving You Access to Your Medical Records When and Where They're Needed [Video]

Type: Web Resource

Authors: HealthIT .gov

Year: 2012

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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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10771

Upstream With A Small Paddle: How ACOs Are Working Against The Current To Meet Patients' Social Needs

Type: Journal Article

Authors: Genevra F. Murray, Hector P. Rodriguez, Valerie A. Lewis

Year: 2020

Publication Place: Bethesda, Maryland

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10772

Uptake of a national primary mental health program by young people in Australia.

Type: Journal Article

Authors: Bridget Bassilios, Angela Nicholas, Lennart Reifels, Jane Pirkis

Year: 2014

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10773

Uptake of Medicare Behavioral Health Integration Billing Codes in 2017 and 2018

Type: Journal Article

Authors: J. D. Brown, C. Urato, P. Ogbuefi

Year: 2021

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10774

Uptake of Web-based clinical resources from the MacArthur Initiative on Depression and Primary Care

Type: Journal Article

Authors: C. Han, C. I. Voils, J. W. Williams Jr

Year: 2013

Publication Place: United States

Abstract: This study assessed the usability and desired enhancements for the MacArthur Foundation's Depression and Primary Care (MDPC) Web site to determine if resources for integrated depression care that are disseminated through the Web site are incorporated into routine clinical care. Since its launch in 2003, more than 20,000 users registered as members of the MDPC website to read and download depression care resources. Subjects were randomly selected from MDPC Web site users who had previously downloaded the depression toolkit. Web-based survey, which was administered anonymously, included the following domains: (1) socio-demographic data, (2) confidence in managing depression (3) Web site content and design features, (4) desired enhancements to Web site and content, (5) use of resources downloaded from the Web site, and (6) importance of depression care resources. Of the 3,478 randomly selected participants, 666 (19.1%) responded. Web site content was rated "good" or "excellent" for screening and diagnosis (84.3%), treatment (69.8%), patient education (66.2%), and care management (66.9%). The Patient Health Questionnaire-9 (PHQ-9) was rated "very useful" by 68.3%; 47.1% reported using it in at least 25% of encounters with patients who are depressed. PHQ-9 use was significantly associated with higher self-confidence in managing depression (P = 0.05). Evidence-based resources for depression care can be disseminated effectively through a dedicated Web site and may help clinicians incorporate effective care models into routine practice.

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10775

Urban health and primary care at Johns Hopkins: urban primary care medical home resident training programs

Type: Journal Article

Authors: R. Stewart, L. Feldman, D. Bitzel, M. C. Gibbons, M. McGuire

Year: 2012

Publication Place: United States

Abstract: Johns Hopkins University recently implemented two novel urban health residency training programs (UHR). The programs include increased access programs, community health worker-delivered care, substance abuse screening and treatment, community psychiatry/ mental health programs, case and disease management teams, and interprofessional training. These programs are designed to create well-trained physicians who competently provide care for the underserved inner-city patient.

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10776

Urban Rural Differences on Accessing Patient Centered Medical Home Among Children With Mental/Developmental Health Conditions/Disorders

Type: Journal Article

Authors: L. Huang, J. S. Onge, S. M. Lai

Year: 2024

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10777

Urban vs. rural differences in prescription opioid misuse among adults in the United States: Informing region specific drug policies and interventions

Type: Journal Article

Authors: K. K. Rigg, S. M. Monnat

Year: 2015

Publication Place: Netherlands

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10778

Urban‐rural disparities in opioid use disorder prevention and response activities: A cross‐sectional analysis

Type: Journal Article

Authors: William L. Swann, Sojeong Kim, Serena Y. Kim, Terri L. Schreiber

Year: 2021

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10779

Urine drug screen findings among ambulatory oncology patients in a supportive care clinic

Type: Journal Article

Authors: S. Rauenzahn, A. Sima, B. Cassel, D. Noreika, T. H. Gomez, L. Ryan, C. E. Wolf, L. Legakis, E. Del Fabbro

Year: 2017

Publication Place: Germany

Abstract: PURPOSE: Professional organizations provide no guidelines regarding assessment and management of opioid abuse risk in cancer. Universal precautions (UP) developed for non-cancer pain, include assessments for aberrant behavior, screening questionnaires, and urine drug screens (UDS). The role of UDS for identifying opioid abuse risk in cancer is uncertain. Our aim is to characterize inappropriate UDS, and identify a potential role for UDS in therapeutic decision-making. METHODS: An observational retrospective chart review of 232 consecutive supportive care clinic patients were seen during the study. Twenty-eight of the two hundred thirty-two did not meet inclusion criteria. One hundred fifty of the two hundred four had active cancer, while 54 had no evidence of active disease. Clinicians ordered UDS based on their clinical judgment of patients' substance misuse risk. Edmonton symptom assessment scores, history of substance abuse, alcohol use, tobacco use, aberrant behavior, and morphine equivalent daily dose (MEDD) were obtained. RESULTS: Pain scores and MEDD were higher (p = 0.021; p < 0.001) in the UDS group vs non-UDS. Forty percent of the patients (n = 82/204) had at least one UDS and 70% (60/82) had an inappropriate result. Thirty-nine percent (32) were inappropriately negative, showing no prescribed opioids. Forty-nine of the eighty-two were positive for non-prescribed opioids, benzodiazepine, or illicit substance. Eleven of the forty-nine had only cannabis metabolites in their urine. There were no significant differences between appropriate and inappropriate UDS groups regarding pain scores, MEDD or referral to psychology, psychiatry, or substance abuse specialists. CONCLUSIONS: UDS on the 82 oncology patients at high risk for substance misuse were frequently positive (46%) for non-prescribed opioids, benzodiazepines or potent illicit drugs such as heroin or cocaine, and 39% had inappropriately negative UDS, raising concerns for diversion.

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10780

Urine drug screening for early detection of unwitting use of fentanyl and its analogues among people who inject heroin in Sydney, Australia

Type: Journal Article

Authors: Monica J. Barratt, Julie Latimer, Marianne Jauncey, Emma Tay, Suzanne Nielsen

Year: 2018

Publication Place: Surry Hills

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