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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).
12774 Results
10901
The 10 Conditions That Increased Vermont's Readiness to Implement Statewide Health System Transformation
Type:
Journal Article
Year:
2018
Publication Place:
United States
Abstract:
Following an arduous, 6-year policy-making process, Vermont is the first state implementing a unified, statewide all-payer integrated delivery system with value-based payment, along with aligned medical and social service reforms, for almost all residents and providers in a state. Commercial, Medicare, and Medicaid value-based payment for most Vermonters will be administered through a new statewide accountable care organization in 2018-2022. The purpose of this article is to describe the 10 conditions that increased Vermont's readiness to implement statewide system transformation. The authors reviewed documents, conducted internet searches of public information, interviewed key informants annually in 2014-2016, cross-validated factual and narrative interpretation, and performed content analyses to derive conditions that increased readiness and their implications for policy and practice. Four social conditions (leadership champions; a common vision; collaborative culture; social capital and collective efficacy) and 6 support conditions (money; statewide data; legal infrastructure; federal policy promoting payment reform; delivery system transformation aligned with payment reform; personnel skilled in system reform) increased Vermont's readiness for system transformation. Vermont's experience indicates that increasing statewide readiness for reform is slow, incremental, and exhausting to overcome the sheer inertia of large fee-based systems. The new payments may work because statewide, uniform population-based payment will affect the health care of almost all Vermonters, creating statewide, uniform provider incentives to reduce volume and making the current fee-based system less viable. The conditions for readiness and statewide system transformation may be more likely in states with regulated markets, like Vermont, than in states with highly competitive markets.
Topic(s):
Financing & Sustainability
See topic collection
, Healthcare Policy
See topic collection
Reference Links:
View the DOI record for The 10 Conditions That Increased Vermont's Readiness to Implement Statewide Health System Transformation
View DOI Record
View the PubMed citation for The 10 Conditions That Increased Vermont's Readiness to Implement Statewide Health System Transformation
10902
The 10 Conditions That Increased Vermont's Readiness to Implement Statewide Health System Transformation
Type:
Journal Article
Year:
2018
Publication Place:
United States
Abstract:
Following an arduous, 6-year policy-making process, Vermont is the first state implementing a unified, statewide all-payer integrated delivery system with value-based payment, along with aligned medical and social service reforms, for almost all residents and providers in a state. Commercial, Medicare, and Medicaid value-based payment for most Vermonters will be administered through a new statewide accountable care organization in 2018-2022. The purpose of this article is to describe the 10 conditions that increased Vermont's readiness to implement statewide system transformation. The authors reviewed documents, conducted internet searches of public information, interviewed key informants annually in 2014-2016, cross-validated factual and narrative interpretation, and performed content analyses to derive conditions that increased readiness and their implications for policy and practice. Four social conditions (leadership champions; a common vision; collaborative culture; social capital and collective efficacy) and 6 support conditions (money; statewide data; legal infrastructure; federal policy promoting payment reform; delivery system transformation aligned with payment reform; personnel skilled in system reform) increased Vermont's readiness for system transformation. Vermont's experience indicates that increasing statewide readiness for reform is slow, incremental, and exhausting to overcome the sheer inertia of large fee-based systems. The new payments may work because statewide, uniform population-based payment will affect the health care of almost all Vermonters, creating statewide, uniform provider incentives to reduce volume and making the current fee-based system less viable. The conditions for readiness and statewide system transformation may be more likely in states with regulated markets, like Vermont, than in states with highly competitive markets.
Topic(s):
Financing & Sustainability
See topic collection
, Healthcare Policy
See topic collection
Reference Links:
View the DOI record for The 10 Conditions That Increased Vermont's Readiness to Implement Statewide Health System Transformation
View DOI Record
View the PubMed citation for The 10 Conditions That Increased Vermont's Readiness to Implement Statewide Health System Transformation
10903
The 12-Month Incidence and Predictors of PHQ-9-Screened Depressive Symptoms in Chinese Primary Care Patients
Type:
Journal Article
Year:
2016
Publication Place:
United States
Topic(s):
Measures
See topic collection
Reference Links:
View the DOI record for The 12-Month Incidence and Predictors of PHQ-9-Screened Depressive Symptoms in Chinese Primary Care Patients
View DOI Record
View the PubMed citation for The 12-Month Incidence and Predictors of PHQ-9-Screened Depressive Symptoms in Chinese Primary Care Patients
10906
The 5 R's: an emerging bold standard for conducting relevant research in a changing world
Type:
Journal Article
Year:
2014
Publication Place:
United States
Topic(s):
General Literature
See topic collection
Reference Links:
View the DOI record for The 5 R's: an emerging bold standard for conducting relevant research in a changing world
View DOI Record
View the PubMed citation for The 5 R's: an emerging bold standard for conducting relevant research in a changing world
10907
The Abuse Potential of Prescription Opioids in Humans-Closing in on the First Century of Research
Type:
Journal Article
Year:
2016
Abstract:
While opioids are very effective analgesics for treating acute pain, humans have struggled with opiate addiction for millenia. An opium abuse epidemic in the early 1900's led the US government to develop a systematic research infrastructure and scientific plan to produce new compounds with analgesic properties but without abuse liability. This review describes the techniques that were developed for testing in the human laboratory, including empirically derived outcome measures and required elements for human abuse potential assessment. The evaluation and characterization of semi-synthetic and synthetic opioids, including full mu opioid agonists, partial agonists and mixed agonist-antagonists, are described across several decades of research. Finally, the prescription opioid epidemic beginning in the 1990's in the US led to a resurgence in abuse potential evaluations, and the application of these methods to the study of novel abuse-deterrent formulations is discussed.
Topic(s):
Opioids & Substance Use
See topic collection
Reference Links:
View the DOI record for The Abuse Potential of Prescription Opioids in Humans-Closing in on the First Century of Research
View DOI Record
View the PubMed citation for The Abuse Potential of Prescription Opioids in Humans-Closing in on the First Century of Research
10908
The Abuse Potential of Prescription Opioids in Humans-Closing in on the First Century of Research
Type:
Journal Article
Year:
2017
Publication Place:
Germany
Abstract:
While opioids are very effective analgesics for treating acute pain, humans have struggled with opiate addiction for millenia. An opium abuse epidemic in the early 1900's led the US government to develop a systematic research infrastructure and scientific plan to produce new compounds with analgesic properties but without abuse liability. This review describes the techniques that were developed for testing in the human laboratory, including empirically derived outcome measures and required elements for human abuse potential assessment. The evaluation and characterization of semi-synthetic and synthetic opioids, including full mu opioid agonists, partial agonists and mixed agonist-antagonists, are described across several decades of research. Finally, the prescription opioid epidemic beginning in the 1990's in the US led to a resurgence in abuse potential evaluations, and the application of these methods to the study of novel abuse-deterrent formulations is discussed.
Topic(s):
Opioids & Substance Use
See topic collection
Reference Links:
View the DOI record for The Abuse Potential of Prescription Opioids in Humans-Closing in on the First Century of Research
View DOI Record
View the PubMed citation for The Abuse Potential of Prescription Opioids in Humans-Closing in on the First Century of Research
10909
The ACA and behavioral health: a look ahead
Type:
Journal Article
Year:
2014
Publication Place:
United States
Topic(s):
Healthcare Policy
See topic collection
10915
The Advantages and Disadvantages of Medication-Assisted Treatment in Primary Care Offices
Type:
Journal Article
Year:
2019
Publication Place:
United States
Abstract:
Substance use disorder (SUD), more specifically opioid use disorder, is a national epidemic. Although there is an emphasis on treatment and increasing treatment locations, there continues to be a gap between the number of people with SUD and the number of treatment centers. To help narrow this gap, some primary care clinicians started providing medication-assisted treatment (MAT) on an outpatient basis in their offices. This option enables clinicians to provide treatment in their own communities, which increases access to treatment and decreases costs. It also enables the clinician and the person with SUD/opioid use disorder to build a relationship, which many clinicians believe is the foundation of successful treatment. The clinician, whether a doctor, a physician assistant, or an advanced practice nurse, has to obtain a Drug Addiction Treatment Act 2000 waiver to provide MAT beyond naltrexone, which has a required educational program and includes a limitation on the number of clients. Conversely, a possible drawback to this type of treatment is the potential for the disruption of continuity of care with regard to psychotherapy treatment. Federal law mandates that therapy is available and provided to people receiving MAT. The clinician may not be able to provide this service and would need to refer the person with SUD for psychotherapy treatment. It may be clinically significant for a type of follow-up communication to be implemented so that the clinician and the therapy provider can maximize SUD treatment success.
Topic(s):
Education & Workforce
See topic collection
, Healthcare Policy
See topic collection
, Opioids & Substance Use
See topic collection
Reference Links:
View the DOI record for The Advantages and Disadvantages of Medication-Assisted Treatment in Primary Care Offices
View DOI Record
View the PubMed citation for The Advantages and Disadvantages of Medication-Assisted Treatment in Primary Care Offices
10916
The advent of mental health nurses in Australian general practice
Type:
Journal Article
Year:
2010
Publication Place:
Australia
Abstract:
The remarkable progress that has been witnessed in the physical and material wellbeing for most Australians over the 20th century has not been paralleled by gains in the mental and subjective wellbeing of the population. General practice plays a strategic role in Australia's primary health care, which has been recognised as an essential health system that is able to deliver health to the population in a timely and equitable manner (World Health Organisation [WHO], 2008). General Practitioners are unable to provide adequate care to people experiencing a severe mental illness without support from specialist mental health professional such as a mental health nurse in the practice. The mental health nurse incentive program (MHNIP) offers opportunity for mental health nurses to work collaboratively with GPs in primary health care in the delivery of care to people with a severe mental illness.
Topic(s):
Education & Workforce
See topic collection
Reference Links:
View the DOI record for The advent of mental health nurses in Australian general practice
View DOI Record
View the PubMed citation for The advent of mental health nurses in Australian general practice
10918
The Affordable Care Act and integrated behavioral health programs in community health centers to promote utilization of mental health services among Asian Americans
Type:
Journal Article
Year:
2016
Publication Place:
United States
Abstract:
The Affordable Care Act has greatly expanded health care coverage and recognizes mental health as a major priority. However, individuals suffering from mental health disorders still face layered barriers to receiving health care, especially Asian Americans. Integration of behavioral health services within primary care is a viable way of addressing underutilization of mental health services. This paper provides insight into a comprehensive care approach integrating behavioral health services into primary care to address underutilization of mental health services in the Asian American population. True integration of behavioral health services into primary care will require financial support and payment reform to address multi-disciplinary care needs and optimize care coordination, as well as training and workforce development early in medical and mental health training programs to develop the skills that aid prevention, early identification, and intervention. Funding research on evidence-based practice oriented to the Asian American population needs to continue.
Topic(s):
Healthcare Disparities
See topic collection
, Healthcare Policy
See topic collection
10919
The affordable care act and integrated care
Type:
Journal Article
Year:
2014
Publication Place:
United States
Abstract:
The Patient Protection and Affordable Care Act (ACA) of 2010 offers a comprehensive, integrated health insurance reform program for those who are eligible to enroll. A core feature of the ACA is the integration of primary health, behavioral health, and related services in a new national program for the first time. This article traces the history of past federal services integration efforts and identify varying approaches for implementing them to improve care, especially for underserved populations. The business case for integrated care, reducing escalating health care costs and overcoming barriers to implementation, is also discussed.
Topic(s):
Financing & Sustainability
See topic collection
, Healthcare Policy
See topic collection
10920
The affordable care act and treatment for "substance use disorders:" implications of ending segregated behavioral healthcare
Type:
Journal Article
Year:
2014
Publication Place:
United States
Topic(s):
Education & Workforce
See topic collection
, Financing & Sustainability
See topic collection