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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
10841
Use of the 9-Item Patient Health Questionnaire for Depression Assessment in Primary Care Patients With Type 2 Diabetes
Type: Journal Article
Year: 2016
Publication Place: United States
Topic(s):
Measures
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Reference Links: 
View the DOI record for Use of the 9-Item Patient Health Questionnaire for Depression Assessment in Primary Care Patients With Type 2 Diabetes
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View the PubMed citation for Use of the 9-Item Patient Health Questionnaire for Depression Assessment in Primary Care Patients With Type 2 Diabetes10842
Use of the ADAPTE Method to Develop a Guideline for the Improvement of Depression Care in Primary Care
Type: Journal Article
Year: 2017
Publication Place: United States
Abstract: Depression is the most frequent psychiatric disorder in primary health care, and the evidence shows that there is suboptimal management by primary care practitioners, perhaps owing to difficulties in decision making. Because clinical guidelines can improve decision making and management, a clinical guideline to manage depression in primary health care was developed in adherence to the ADAPTE method and was implemented in the Malaga Primary Health Care District in Spain. This column reports on the guideline development process, which produced a set of resources to improve the quality of primary health care-based depression care in Spain.
Topic(s):
Healthcare Policy
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Reference Links:
View the DOI record for Use of the ADAPTE Method to Develop a Guideline for the Improvement of Depression Care in Primary Care
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View the PubMed citation for Use of the ADAPTE Method to Develop a Guideline for the Improvement of Depression Care in Primary Care10844
Usefulness of symptom feedback to providers in an integrated primary care--mental health care clinic
Type: Journal Article
Year: 2012
Publication Place: United States
Abstract: OBJECTIVE: Measurement-based care has been endorsed but not embraced in mental health settings. There is currently little guidance regarding the best methods to implement measurement-based care. METHODS: A survey of mental health providers was conducted before (N=15) and after (N=17) the implementation of a patient self-report symptom measurement system. RESULTS: At baseline, respondents rarely used the patient self-assessment information (mean+/-SD=1.8+/-1.8); they reported the patient data to be marginally useful (4.1+/-1.9), and only slightly recommended the use of patient assessments (4.3+/-2.0). Possible scores ranged from 1 to 7, with higher scores indicating more positivity. At follow-up, respondents almost always used the information in the assessments (6.3+/-1.7), found the patient report data very useful (6.4+/-.8), and highly recommended continued use of patient surveys in the integrated clinic (6.6+/-.5). CONCLUSIONS: Providers' lack of enthusiasm about integration of routine data collection and reporting of patient symptoms may be overcome by simply exposing providers to this process.
Topic(s):
Education & Workforce
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Reference Links:
View the DOI record for Usefulness of symptom feedback to providers in an integrated primary care--mental health care clinic
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View the PubMed citation for Usefulness of symptom feedback to providers in an integrated primary care--mental health care clinic10845
Usefulness of the opioid risk tool to predict aberrant drug-related behavior in patients receiving opioids for the treatment of chronic pain
Type: Journal Article
Year: 2013
Publication Place: United States
Abstract: OBJECTIVE: The purpose of this study was to determine if the opioid risk tool (ORT) was clinically useful in guiding physician decision making during chronic opioid therapy and to determine whether there were differences between the patient-completed and physician-completed ORT. DESIGN: Retrospective review of prospectively collected data. SETTING: A single-center tertiary care outpatient pain management center. PATIENTS, PARTICIPANTS: One-hundred twenty-five patients who received chronic opioids as part of their pain therapy. INTERVENTIONS: Patients receiving care were asked to complete the ORT as part of their initial evaluation. In addition, as part of this study, a pain physician reviewed the information available at the time of the initial evaluation and completed the ORT. Medical records were reviewed for evidence of moderate-to-severe aberrant drug-related behavior (ADRB), according to specified criteria. MAIN OUTCOME MEASURES: Patient-completed and physician-completed ORT and presence or absence of moderate to severe ADRB. RESULTS: Of the 125 patients included in this study, physician-completed ORT was available for 125 patients, and a patient-completed ORT was available on 87 of these patients. There was good correlation between the patient-completed and physician-completed ORT (correlation coefficient = 0.61). There were 112 observations of ADRB in 53 of 125 patients (42.4 percent) during the observation period of an average of 7.8 months (range 2-17 months). Of these 53 patients, 32 (60.4 percent) were identified by urine drug screen (UDS) alone, 7 (13.2 percent) were identified by physician observation alone, and 14 (26.4 percent) were identified by both UDS and physician observation. Based on the physician-completed ORT, 41 of 106 (38.7 percent) low risk patients had ADRB, compared to 8 of 14 (57.1 percent) moderate risk, and 4 of 5 (80 percent) high risk patients. CONCLUSIONS: Neither the patient-completed nor the physician-completed ORT was strongly predictive of moderate-to-severe ADRB in patients receiving chronic opioid therapy for the treatment of noncancer pain in our pain center.
Topic(s):
Opioids & Substance Use
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, Measures
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10846
User-generated quality standards for youth mental health in primary care: a participatory research design using mixed methods
Type: Journal Article
Year: 2014
Publication Place: England
Abstract: OBJECTIVES: To develop user-generated quality standards for young people with mental health problems in primary care using a participatory research model. METHODS: 50 young people aged 16-25 from community settings and primary care participated in focus groups and interviews about their views and experiences of seeking help for mental health problems in primary care, cofacilitated by young service users and repeated to ensure respondent validation. A second group of young people also aged 16-25 who had sought help for any mental health problem from primary care or secondary care within the last 5 years were trained as focus groups cofacilitators (n=12) developed the quality standards from the qualitative data and participated in four nominal groups (n=28). RESULTS: 46 quality standards were developed and ranked by young service users. Agreement was defined as 100% of scores within a two-point region. Group consensus existed for 16 quality standards representing the following aspects of primary care: better advertising and information (three); improved competence through mental health training and skill mix within the practice (two); alternatives to medication (three); improved referral protocol (three); and specific questions and reassurances (five). Alternatives to medication and specific questions and reassurances are aspects of quality which have not been previously reported. CONCLUSIONS: We have demonstrated the feasibility of using participatory research methods in order to develop user-generated quality standards. The development of patient-generated quality standards may offer a more formal method of incorporating the views of service users into quality improvement initiatives. This method can be adapted for generating quality standards applicable to other patient groups.
Topic(s):
General Literature
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10847
Users' involvement in mental health services: programme logic model of an innovative initiative in integrated care
Type: Journal Article
Year: 2017
Publication Place: England
Abstract: BACKGROUND: Collaboration and partnership are key issues for modern health systems seeking to implement quality integrated care that meets the needs of the population. The Carrefour Communautaire-Institutionnel-Usagers (Connecting Community organisations-Institutions-Users, CCIU), involving community- and institution-based mental health workers, carers and users, is an innovative normative integrated care group (group for shared values, culture and vision) established by the Canadian Mental Health Association-Montreal Branch. A programme evaluation approach was used to conduct a logic analysis of the CCIU in order to understand the relationships between its resources, activities and outcomes, build a common understanding and, allow for its replication. METHODS: Five steps were involved in the creation of a programme logic model. A non-exhaustive literature search for similar initiatives, a review of documents related to the CCIU process and direct observations led to the development of a first model. Then, following a participatory and reflexive process, this model was validated with CCIU participants. RESULTS: A comprehensive model and a simplified model were created. Participants' experiential knowledge and scientific knowledge helped to identify the essential components of the successful operation of the CCIU. CONCLUSIONS: The CCIU, with its eight essential components, including relations based on equality and mutual respect, corresponds to an essential step in normative integration and integrated care that lead to improved quality services.
Topic(s):
General Literature
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Reference Links:
View the DOI record for Users' involvement in mental health services: programme logic model of an innovative initiative in integrated care
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View the PubMed citation for Users' involvement in mental health services: programme logic model of an innovative initiative in integrated care10849
Using a Continuum-Based Framework for Behavioral Health Integration Into Primary Care in New York State
Type: Journal Article
Year: 2017
Publication Place: United States
Abstract: Behavioral health integration with primary care has long been shown to be an essential part of improving health care and, more recently, of achieving the "triple aim" as part of national reform. Many states are promoting integration activities as part of Medicaid reform, using different models and strategies. The purpose of this column is to describe a framework developed to support behavioral health integration into primary care settings in New York State and how it is specifically linked to key policy initiatives. The framework is designed to be adaptable to practices of varying sizes and with various resources and organizational structures. Its use in groundbreaking New York State integration initiatives is discussed.
Topic(s):
Healthcare Policy
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Reference Links:
View the DOI record for Using a Continuum-Based Framework for Behavioral Health Integration Into Primary Care in New York State
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View the PubMed citation for Using a Continuum-Based Framework for Behavioral Health Integration Into Primary Care in New York State10851
Using a Learning Collaborative Strategy With Office-based Practices to Increase Access and Improve Quality of Care for Patients With Opioid Use Disorders
Type: Journal Article
Year: 2016
Publication Place: United States
Abstract: OBJECTIVES: Rapidly escalating rates of heroin and prescription opioid use have been widely observed in rural areas across the United States. Although US Food and Drug Administration-approved medications for opioid use disorders exist, they are not routinely accessible to patients. One medication, buprenorphine, can be prescribed by waivered physicians in office-based practice settings, but practice patterns vary widely. This study explored the use of a learning collaborative method to improve the provision of buprenorphine in the state of Vermont. METHODS: We initiated a learning collaborative with 4 cohorts of physician practices (28 total practices). The learning collaborative consisted of a series of 4 face-to-face and 5 teleconference sessions over 9 months. Practices collected and reported on 8 quality-improvement data measures, which included the number of patients prescribed buprenorphine, and the percent of unstable patients seen weekly. Changes from baseline to 8 months were examined using a p-chart and logistic regression methodology. RESULTS: Physician engagement in the learning collaborative was favorable across all 4 cohorts (85.7%). On 6 of the 7 quality-improvement measures, there were improvements from baseline to 8 months. On 4 measures, these improvements were statistically significant (P < 0.001). Importantly, practice variation decreased over time on all measures. The number of patients receiving medication increased only slightly (3.4%). CONCLUSIONS: Results support the effectiveness of a learning collaborative approach to engage physicians, modestly improve patient access, and significantly reduce practice variation. The strategy is potentially generalizable to other systems and regions struggling with this important public health problem.
Topic(s):
Opioids & Substance Use
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, Education & Workforce
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10852
Using a multi-level approach to implement a primary care mental health (PCMH) program
Type: Journal Article
Year: 2010
Publication Place: United States
Topic(s):
General Literature
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Reference Links:
View the DOI record for Using a multi-level approach to implement a primary care mental health (PCMH) program
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View the PubMed citation for Using a multi-level approach to implement a primary care mental health (PCMH) program10853
Using buprenorphine for outpatient opioid detoxification
Type: Journal Article
Year: 2007
Publication Place: United States
Abstract: The Drug Addiction Treatment Act of 2000 (DATA 2000) was established to create a new paradigm for medication-assisted treatment of persons with opiate addiction in the United States. Before enactment of DATA 2000, the use of opioid medications to treat patients with opioid addiction was permissible only in federally approved treatment programs, ie, "methadone clinics." The only medications permitted were Schedule II drugs (eg, methadone hydrochloride and l-alpha-acetylmethadol [LAAM]), which could only be dispensed, not prescribed. Under provisions of DATA 2000, qualified physicians in a medical office and other appropriate settings outside the opioid treatment program system may prescribe and/or dispense Schedule III, IV, and V opioid medications for treating persons with opioid addiction if such medications have been specifically approved by the US Food and Drug Administration for that indication. Opioid addiction treatment programs were commonly known as methadone clinics. Such programs now may also dispense buprenorphine hydrochloride and the buprenorphine hydrochloride-naloxone combination.
Topic(s):
Opioids & Substance Use
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, Healthcare Policy
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Reference Links: View the PubMed citation for Using buprenorphine for outpatient opioid detoxification
10857
Using community engagement to implement evidence-based practices for opioid use disorder: A data-driven paradigm & systems science approach
Type: Journal Article
Year: 2021
Topic(s):
Opioids & Substance Use
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10859
Using distance education to promote the transfer of motivational interviewing skills among behavioral health professionals
Type: Journal Article
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.
Topic(s):
Education & Workforce
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10860
Using electronic health record-based tools to screen for bipolar disorder in primary care patients with depression
Type: Journal Article
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.
Topic(s):
HIT & Telehealth
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Reference Links:
View the DOI record for Using electronic health record-based tools to screen for bipolar disorder in primary care patients with depression
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View the PubMed citation for Using electronic health record-based tools to screen for bipolar disorder in primary care patients with depression