Literature Collection

10821

Using choice architecture to integrate substance use services with primary care: Commentary on Donohue et al

Type: Journal Article

Authors: Leo Beletsky

Year: 2018

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10822

Using community engagement to implement evidence-based practices for opioid use disorder: A data-driven paradigm & systems science approach

Type: Journal Article

Authors: N. El-Bassel, L. Gilbert, T. Hunt, E. Wu, E. A. Oga, T. I. Mukherjee, A. N. C. Campbell, N. Sabounchi, D. Gutnick, R. Kerner, K. L. Venner, D. Lounsbury, T. T. K. Huang, B. Rapkin

Year: 2021

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10823

Using digital technology to promote physical health in mental healthcare: A sequential mixed‐methods study of clinicians' views

Type: Journal Article

Authors: Chelsea Sawyer, Lamiece Hassan, John Sainsbury, Rebekah Carney, Sandra Bucci, Harriet Burgess, Karina Lovell, John Torous, Joseph Firth

Year: 2024

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10824

Using distance education to promote the transfer of motivational interviewing skills among behavioral health professionals

Type: Journal Article

Authors: M. S. Shafer, R. Rhode, J. Chong

Year: 2004

Publication Place: United States

Abstract: This study evaluated the effectiveness of distance education for training behavioral health professionals. Five live video workshops that covered key elements of Motivational Interviewing (MI) were delivered. The programs occurred a month apart, each 3 hours long. The programs used compressed video, transmitting the video signal through telephone lines. The audience was staff at substance abuse treatment organizations throughout the state of Arizona. Participants completed assessments regarding their training experiences, knowledge and self-efficacy in MI, and their satisfaction with the training, prior to, during, and subsequent to the workshops. Participation in the five workshops varied; the first workshop had the largest attendance of 351, the fourth the lowest of 92; 145 participants attended all five workshops. Participants expressed moderate levels of satisfaction with most aspects of the training, although some expressed frustration with interrupted audio or video signals during the programs. The handouts and videotaped examples of MI were identified as the more helpful aspects of the training. Participants reported statistically significant improvements in their self-perceived knowledge and skills. They demonstrated a statistically significant but clinically insignificant increase in knowledge. A small group of participants provided audiotapes of actual counseling sessions. These participants demonstrated minimal improvement in skills across the study that were not statistically significant. These results are discussed in terms of their implications for future research in the use of distance education as a technology transfer tool in the addiction treatment profession.

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10825

Using electronic health record-based tools to screen for bipolar disorder in primary care patients with depression

Type: Journal Article

Authors: J. M. Gill, Y. X. Chen, A. Grimes, M. S. Klinkman

Year: 2012

Publication Place: United States

Abstract: PURPOSE: National guidelines recommend screening all persons with depression for bipolar disorder (BPD); one way to facilitate screening is through the use of electronic health records (EHRs). This study examined the impact of an EHR-based screening and decision support tool on diagnosis and treatment of BPD among patients diagnosed with depression in primary care offices. METHODS: This nonrandomized, controlled trial was conducted in a national network of offices using EHRs. The intervention included a screening instrument and other tools for diagnosis and management of BPD, which were embedded into the EHR. This instrument automatically activated when a patient with a diagnosis of depression but no diagnosis of BPD was seen in the office. The primary outcomes were the rates of new diagnoses of BPD and prescription of new BPD medications during the 6-month study period (April to October 2009). RESULTS: Twenty-one offices with 75 clinicians and 8355 adult patients with depression composed the intervention group, whereas 17 offices with 81 clinicians and 8799 adult patients with depression served as the comparison group. The screening tool was used with 47.5% of intervention patients, of whom 2.5% scored at high or very high risk for BPD. Intervention patients were more likely than comparison patients to be newly diagnosed with BPD (1.11% vs. 0.36%; P < .01) and be prescribed new BPD medications (1.85% vs. 1.19%; P < .01). CONCLUSIONS: The study suggests that EHR-based tools can be useful for screening and management of BPD for patients with depression in primary care offices.

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10826

Using enhanced and integrated services to improve response to standard methadone treatment: changing the clinical infrastructure of treatment networks

Type: Journal Article

Authors: K. Neufeld, M. Kidorf, V. King, K. Stoller, M. Clark, J. Peirce, R. K. Brooner

Year: 2010

Publication Place: United States

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10827

Using evidence to inform policy: Developing a policy-relevant research agenda for the patient-centered medical home

Type: Journal Article

Authors: Bruce E. Landon, James M. Gill, Richard C. Antonelli, Eugene C. Rich

Year: 2010

Publication Place: Germany: Springer

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10828

Using evidence-based quality improvement methods for translating depression collaborative care research into practice

Type: Journal Article

Authors: L. V. Rubenstein, E. F. Chaney, S. Ober, B. Felker, S. E. Sherman, A. Lanto, S. Vivell

Year: 2010

Publication Place: United States

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10829

Using financial incentives to promote shared mental health care

Type: Journal Article

Authors: C. S. Dewa, J. S. Hoch, P. Goering

Year: 2001

Publication Place: Canada

Abstract: OBJECTIVES: To consider the most common primary care reimbursement structures, to identify incentives inherent in each, and to discuss how each could be used to encourage a shared-care approach to treating mental disorders at the primary care level. METHOD: Three major financial reimbursement models--fee-for-service, capitation, and blended payment mechanisms--are examined. Each is considered in terms of its risk-sharing elements and the consequent incentives. We offer several scenarios to illustrate how the shared-care practice model might be encouraged under each financing mechanism. RESULTS: The current fee-for-service system does not encourage shared care. For wide adoption of the shared-care practice model, there must be a change in the reimbursement system's incentives. While none of the financing mechanisms offers a perfect solution, each has potential. Each, however, must be carefully tailored to its environment. CONCLUSIONS: Financial considerations are just one aspect to achieving shared care. Nevertheless, in designing a system to encourage collaborative, coordinated care for those suffering from mental illness, decision makers should be wary of creating or maintaining obstacles (financial or otherwise) to provision of accessible, high-quality care.

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10830

Using Health Information Technology to Support Quality Improvement in Primary Care

Type: Government Report

Authors: Collins Higgins, J. Crosson, D. Peikes, R. McNellis, J. Genevro, D. Meyers

Year: 2015

Publication Place: Rockville, MD

Topic(s):

,

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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10831

Using implementation facilitation to implement primary care mental health integration via clinical video telehealth in rural clinics: protocol for a hybrid type 2 cluster randomized stepped-wedge design

Type: Journal Article

Authors: R. R. Owen, E. N. Woodward, K. L. Drummond, T. L. Deen, K. A. Oliver, N. J. Petersen, S. S. Meit, J. C. Fortney, J. E. Kirchner

Year: 2019

Publication Place: England

Abstract: BACKGROUND: Integrating mental health providers into primary care clinics improves access to and outcomes of mental health care. In the Veterans Health Administration (VA) Primary Care Mental Health Integration (PCMHI) program, mental health providers are co-located in primary care clinics, but the implementation of this model is challenging outside large VA medical centers, especially for rural clinics without full mental health staffing. Long wait times for mental health care, little collaboration between mental health and primary care providers, and sub-optimal outcomes for rural veterans could result. Telehealth could be used to provide PCMHI to rural clinics; however, the clinical effectiveness of the tele-PCMHI model has not been tested. Based on evidence that implementation facilitation is an effective implementation strategy to increase uptake of PCMHI when delivered on-site at larger VA clinics, it is hypothesized that this strategy may also be effective with regard to ensuring adequate uptake of the tele-PCMHI model at rural VA clinics. METHODS: This study is a hybrid type 2 pragmatic effectiveness-implementation trial of tele-PCMHI in six sites over 24 months. Tele-PCMHI, which will be delivered by clinical staff available in routine care settings, will be compared to usual care. Fidelity to the care model will be monitored but not controlled. We will use the Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) framework to evaluate the patient-level clinical effectiveness of tele-PCMHI in rural VA clinics and also to evaluate the fidelity to and outcomes of the implementation strategy, implementation facilitation. The proposed study will employ a stepped-wedge design in which study sites sequentially begin implementation in three steps at 6-month intervals. Each step will include (1) a 6-month period of implementation planning, followed by (2) a 6-month period of active implementation, and (3) a final period of stepped-down implementation facilitation. DISCUSSION: This study will evaluate the effectiveness of PCMHI in a novel setting and via a novel method (clinical video telehealth). We will test the feasibility of using implementation facilitation as an implementation strategy to deploy tele-PCMHI in rural VA clinics. TRIAL REGISTRATION: ClinicalTrials.gov registration number NCT02713217 . Registered on 18 March 2016.

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10832

Using implementation interventions and peer recovery support to improve opioid treatment outcomes in community supervision: Protocol

Type: Journal Article

Authors: R. A. Martin, L. A. R. Stein, D. J. Rohsenow, S. Belenko, L. E. Hurley, J. G. Clarke, L. Brinkley-Rubinstein

Year: 2021

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10833

Using In Lieu of Services to Address Health-Related Social Needs: Upshots from the Recent Federal Rule

Type: Government Report

Authors: Center for Health Care Strategies

Year: 2024

Publication Place: Hamilton, NJ

Topic(s):

, ,

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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10834

Using information communication technology in models of integrated community-based primary health care: learning from the iCOACH case studies

Type: Journal Article

Authors: Carolyn Steele Gray, Jan Barnsley, Dominique Gagnon, Louise Belzile, Tim Kenealy, James Shaw, Nicolette Sheridan, Paul Wankah Nji, Walter P. Wodchis

Year: 2018

Publication Place: England

Abstract:

BACKGROUND: Information communication technology (ICT) is a critical enabler of integrated models of community-based primary health care; however, little is known about how existing technologies have been used to support new models of integrated care. To address this gap, we draw on data from an international study of integrated models, exploring how ICT is used to support activities of integrated care and the organizational and environmental barriers and enablers to its adoption. METHODS: We take an embedded comparative multiple-case study approach using data from a study of implementation of nine models of integrated community-based primary health care, the Implementing Integrated Care for Older Adults with Complex Health Needs (iCOACH) study. Six cases from Canada, three each in Ontario and Quebec, and three in New Zealand, were studied. As part of the case studies, interviews were conducted with managers and front-line health care providers from February 2015 to March 2017. A qualitative descriptive approach was used to code data from 137 interviews and generate word tables to guide analysis. RESULTS: Despite different models and contexts, we found strikingly similar accounts of the types of activities supported through ICT systems in each of the cases. ICT systems were used most frequently to support activities like care coordination by inter-professional teams through information sharing. However, providers were limited in their ability to efficiently share patient data due to data access issues across organizational and professional boundaries and due to system functionality limitations, such as a lack of interoperability. CONCLUSIONS: Even in innovative models of care, managers and providers in our cases mainly use technology to enable traditional ways of working. Technology limitations prevent more innovative uses of technology that could support disruption necessary to improve care delivery. We argue the barriers to more innovative use of technology are linked to three factors: (1) information access barriers, (2) limited functionality of available technology, and (3) organizational and provider inertia.

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10835

Using integrated care to threat anxiety among Latino populations

Type: Book Chapter

Authors: Velma Barrios, Michelle Blackmore, Denise Chavira

Year: 2016

Publication Place: Switzerland

Topic(s):

,

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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10836

Using machine learning of online expression to explain recovery trajectories: Content analytic approach to studying a substance use disorder forum

Type: Journal Article

Authors: Ellie Fan Yang, Rachel Kornfield, Yan Liu, Ming-Yuan Chih, Prathusha Sarma, David Gustafson, John Curtin, Dhavan Shah

Year: 2023

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10837

Using medication-assisted treatment in jails: a North Carolina focus

Type: Web Resource

Authors: North Carolina Department of Health and Human Services

Year: 2020

Publication Place: Raleigh, N.C.

Topic(s):

, ,

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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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10838

Using mobile phone technology to provide recovery support for women offenders

Type: Journal Article

Authors: Christy K. Scott, Kimberly Johnson, Michael L. Dennis

Year: 2013

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10839

Using motivational interviewing to meet core competencies in psychiatric resident training

Type: Journal Article

Authors: S. Kaplan, H. Elliott

Year: 2011

Publication Place: United States

Abstract: OBJECTIVE: the authors propose that motivational interviewing (MI), a brief intervention designed to manage ambivalence regarding complex behavior change, is well suited for integration into psychiatric residency training programs. METHODS: the authors provide a brief description of MI. In addition, based on a review of the literature the authors explore which core competencies the empirically validated, client-centered, and directive method of MI would address. RESULTS: the authors argue that psychiatric residency programs can effectively address several core competencies through the addition of MI training in their curricula, including Brief Psychotherapy, Patient Care, and Interpersonal and Communication Skills. CONCLUSION: the implementation of MI training offers psychiatric residency programs potential benefits in several key areas. However, the authors provide guidance for important research questions to more confidently ascertain whether MI training for psychiatric residents is worthwhile.

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10840

Using nominal group technique among clinical providers to identify barriers and prioritize solutions to scaling up opioid agonist therapies in Ukraine

Type: Journal Article

Authors: Lynn Madden, Martha J. Bojko, Scott Farnum, Alyona Mazhnaya, Tatiana Fomenko, Ruthanne Marcus, Declan Barry, Irina Ivanchuk, Viktor Kolomiets, Sergey Filippovych, Sergey Dvoryak, Frederick L. Altice

Year: 2017

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