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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
10904
Using Telehealth to Implement Cognitive-Behavioral Therapy
Type: Journal Article
Year: 2018
Abstract: Behavioral health issues are common among patients with comorbid medical conditions but often go unrecognized or untreated, resulting in worse clinical outcomes and avoidable medical expenditures. This column describes an innovative telehealth solution that includes proactive and targeted patient identification and engagement and nationwide delivery of a technology-enabled, standardized, and evidence-based behavioral health program delivered via phone or video. A retrospective before-after evaluation of the program demonstrated national reach, high patient satisfaction, and significant reductions in symptoms of depression, anxiety, and stress.
Topic(s):
HIT & Telehealth
See topic collection
Reference Links: View the PubMed citation for Using Telehealth to Implement Cognitive-Behavioral Therapy
10905
Using telehealth to improve buprenorphine access during and after COVID-19: A rapid response initiative in Rhode Island
Type: Journal Article
Year: 2021
Topic(s):
Education & Workforce
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, Healthcare Policy
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, HIT & Telehealth
See topic collection
, Opioids & Substance Use
See topic collection
Reference Links:
View the DOI record for Using telehealth to improve buprenorphine access during and after COVID-19: A rapid response initiative in Rhode Island
View DOI Record
View the PubMed citation for Using telehealth to improve buprenorphine access during and after COVID-19: A rapid response initiative in Rhode Island10907
Using Telepsychiatry to Enrich Existing Integrated Primary Care
Type: Journal Article
Year: 2018
Publication Place: United States
Abstract: BACKGROUND: Integrated care is characterized by evolving heterogeneity in models. Using telepsychiatry to enhance these models can increase access, quality, and efficiencies in care. INTRODUCTION: The purpose of this report is to describe the process and outcomes of adapting telepsychiatry into an existing integrated care service. MATERIALS AND METHODS: Telepsychiatry was implemented into an existing integrated care model in a high-volume, urban, primary care clinic in Colorado serving patients with complex physical and behavioral needs. Consultative, direct care, educational/training encounters, provider-to-provider communication, process changes, and patient-level descriptive measures were tracked as part of ongoing quality improvement. RESULTS: Telepsychiatry was adapted into the existing behavioral health services using an iterative team meeting process within a stepped care model. Over 35% of the requests for psychiatry services were medication related-and medication changes (type/dose) were the most frequent referral outcome of psychiatric consultation. Forty percent of patients in the service had multiple behavioral health diagnoses, in addition to physical health diagnoses. DISCUSSION: Telehealth will become an increasingly necessary component in building hybrid/blended integrated care teams. Examples of flexible model implementation will support clinics in tailoring effective applications for their unique patient panels. CONCLUSIONS: An adapted integrated care model leveraging telepsychiatry is successfully serving the complex deep end of a primary care patient population in Colorado. Lessons learned in implementing this model include the importance of team attitudes.
Topic(s):
HIT & Telehealth
See topic collection
Reference Links:
View the DOI record for Using Telepsychiatry to Enrich Existing Integrated Primary Care
View DOI Record
View the PubMed citation for Using Telepsychiatry to Enrich Existing Integrated Primary Care10908
Using Telepsychiatry to Enrich Existing Integrated Primary Care
Type: Journal Article
Year: 2019
Publication Place: United States
Abstract: Background: Integrated care is characterized by evolving heterogeneity in models. Using telepsychiatry to enhance these models can increase access, quality, and efficiencies in care. Introduction: The purpose of this report is to describe the process and outcomes of adapting telepsychiatry into an existing integrated care service. Materials and Methods: Telepsychiatry was implemented into an existing integrated care model in a high-volume, urban, primary care clinic in Colorado serving patients with complex physical and behavioral needs. Consultative, direct care, educational/training encounters, provider-to-provider communication, process changes, and patient-level descriptive measures were tracked as part of ongoing quality improvement. Results: Telepsychiatry was adapted into the existing behavioral health services using an iterative team meeting process within a stepped care model. Over 35% of the requests for psychiatry services were medication related-and medication changes (type/dose) were the most frequent referral outcome of psychiatric consultation. Forty percent of patients in the service had multiple behavioral health diagnoses, in addition to physical health diagnoses. Discussion: Telehealth will become an increasingly necessary component in building hybrid/blended integrated care teams. Examples of flexible model implementation will support clinics in tailoring effective applications for their unique patient panels. Conclusions: An adapted integrated care model leveraging telepsychiatry is successfully serving the complex deep end of a primary care patient population in Colorado. Lessons learned in implementing this model include the importance of team attitudes.
Topic(s):
HIT & Telehealth
See topic collection
Reference Links:
View the DOI record for Using Telepsychiatry to Enrich Existing Integrated Primary Care
View DOI Record
View the PubMed citation for Using Telepsychiatry to Enrich Existing Integrated Primary Care10909
Using Telepsychiatry to Enrich Existing Integrated Primary Care
Type: Journal Article
Year: 2019
Publication Place: United States
Abstract: Background: Integrated care is characterized by evolving heterogeneity in models. Using telepsychiatry to enhance these models can increase access, quality, and efficiencies in care. Introduction: The purpose of this report is to describe the process and outcomes of adapting telepsychiatry into an existing integrated care service. Materials and Methods: Telepsychiatry was implemented into an existing integrated care model in a high-volume, urban, primary care clinic in Colorado serving patients with complex physical and behavioral needs. Consultative, direct care, educational/training encounters, provider-to-provider communication, process changes, and patient-level descriptive measures were tracked as part of ongoing quality improvement. Results: Telepsychiatry was adapted into the existing behavioral health services using an iterative team meeting process within a stepped care model. Over 35% of the requests for psychiatry services were medication related-and medication changes (type/dose) were the most frequent referral outcome of psychiatric consultation. Forty percent of patients in the service had multiple behavioral health diagnoses, in addition to physical health diagnoses. Discussion: Telehealth will become an increasingly necessary component in building hybrid/blended integrated care teams. Examples of flexible model implementation will support clinics in tailoring effective applications for their unique patient panels. Conclusions: An adapted integrated care model leveraging telepsychiatry is successfully serving the complex deep end of a primary care patient population in Colorado. Lessons learned in implementing this model include the importance of team attitudes.
Topic(s):
HIT & Telehealth
See topic collection
Reference Links:
View the DOI record for Using Telepsychiatry to Enrich Existing Integrated Primary Care
View DOI Record
View the PubMed citation for Using Telepsychiatry to Enrich Existing Integrated Primary Care10912
Using the collaborative intervention planning framework to adapt a health-care manager intervention to a new population and provider group to improve the health of people with serious mental illness
Type: Journal Article
Year: 2014
Abstract: BackgroundHealth-care manager interventions improve the physical health of people with serious mental illness (SMI) and could be widely implemented in public mental health clinics. Local adaptations and customization may be needed to increase the reach of these interventions in the public mental health system and across different racial and ethnic communities. In this study, we describe how we used the collaborative intervention planning framework to customize an existing health-care manager intervention to a new patient population (Hispanics with SMI) and provider group (social workers) to increase its fit with our local community.MethodsThe study was conducted in partnership with a public mental health clinic that serves predominantly Hispanic clients. A community advisory board (CAB) composed of researchers and potential implementers (e.g., social workers, primary care physicians) used the collaborative intervention planning framework, an approach that combines community-based participatory research principles and intervention mapping (IM) procedures, to inform intervention adaptations.ResultsThe adaptation process included four steps: fostering collaborations between CAB members; understanding the needs of the local population through a mixed-methods needs assessment, literature reviews, and group discussions; reviewing intervention objectives to identify targets for adaptation; and developing the adapted intervention. The application of this approach enabled the CAB to identify a series of cultural and provider level-adaptations without compromising the core elements of the original health-care manager intervention.ConclusionsReducing health disparities in people with SMI requires community engagement, particularly when preparing existing interventions to be used with new communities, provider groups, and practice settings. Our study illustrates one approach that can be used to involve community stakeholders in the intervention adaptation process from the very beginning to enhance the transportability of a health-care manager intervention in order to improve the health of people with SMI.
Topic(s):
Education & Workforce
See topic collection
, Healthcare Disparities
See topic collection
10913
Using the GAD-Q-IV to identify generalized anxiety disorder in psychiatric treatment seeking and primary care medical samples
Type: Journal Article
Year: 2014
Publication Place: Netherlands
Topic(s):
General Literature
See topic collection
10915
Using the Omaha System to Evaluate the Integration of Behavioral Health Services into Nurse-Led Primary Health Care
Type: Journal Article
Year: 2020
Publication Place: United States
Abstract: Integrating behavioral health services into nurse-led primary care at one location ensures that individuals receive a comprehensive array of preventive and restorative services, based on their varying needs. A formative program evaluation of a federally funded behavioral health integration (BHI) project in a small nurse-led clinic used the Omaha System taxonomy to explore the changes in the documented practice of providers due to the BHI implementation. The evaluation provided evidence of the benefits of a collaborative care model to urban low-income, underserved, adults who were predominantly African American/Blacks.
Topic(s):
Healthcare Disparities
See topic collection
Reference Links:
View the DOI record for Using the Omaha System to Evaluate the Integration of Behavioral Health Services into Nurse-Led Primary Health Care
View DOI Record
View the PubMed citation for Using the Omaha System to Evaluate the Integration of Behavioral Health Services into Nurse-Led Primary Health Care10916
Using the Omaha System to Evaluate the Integration of Behavioral Health Services into Nurse-Led Primary Health Care
Type: Journal Article
Year: 2020
Publication Place: United States
Abstract: Integrating behavioral health services into nurse-led primary care at one location ensures that individuals receive a comprehensive array of preventive and restorative services, based on their varying needs. A formative program evaluation of a federally funded behavioral health integration (BHI) project in a small nurse-led clinic used the Omaha System taxonomy to explore the changes in the documented practice of providers due to the BHI implementation. The evaluation provided evidence of the benefits of a collaborative care model to urban low-income, underserved, adults who were predominantly African American/Blacks.
Topic(s):
Healthcare Disparities
See topic collection
Reference Links:
View the DOI record for Using the Omaha System to Evaluate the Integration of Behavioral Health Services into Nurse-Led Primary Health Care
View DOI Record
View the PubMed citation for Using the Omaha System to Evaluate the Integration of Behavioral Health Services into Nurse-Led Primary Health Care10918
Using the PHQ-9 for depression screening and treatment monitoring for Chinese Americans in primary care
Type: Journal Article
Year: 2006
Publication Place: United States
Abstract: OBJECTIVE: Because Chinese Americans are known to underutilize mental health services, routine screening for depression in primary care clinics has been advocated as a means of identifying Chinese-American patients with depression and initiating appropriate treatment. This analysis evaluated the utility of the nine-item depression module of the Patient Health Questionnaire (PHQ-9) for depression screening and monitoring treatment outcomes among Chinese Americans at a primary health care setting. METHODS: A total of 3,417 patients who presented for an initial or annual physical examination with their primary care providers were screened for depression between January and October 2003 at the Charles B. Wang Community Health Center, a primary health care center in New York City serving primarily low-income Chinese Americans. The depression screen was a two-tier process: if patients endorsed one or more of three initial questions on an abridged version of the PHQ-9, they were then administered the PHQ-9. RESULTS: A total of 141 individuals (4.1 percent) had clinically significant depressive symptoms (PHQ-9 score of 10 or higher). Women were more likely to have significant levels of depressive symptoms than men (17.3 percent compared with 11.6 percent). A total of 114 of the 141 patients with clinically significant depressive symptoms received treatment plans initiated by their primary care provider. Forty (35.1 percent) responded to treatment (50 percent decrease in PHQ-9 score) by eight weeks of treatment. CONCLUSIONS: The PHQ-9 can be used to screen for depression as well as guide depression treatment planning among Chinese Americans in primary care. Screening for major depression with the PHQ-9 in primary care settings should be considered for appropriate identification and treatment of depression for Chinese-American patients.
Topic(s):
Healthcare Disparities
See topic collection
Reference Links:
View the DOI record for Using the PHQ-9 for depression screening and treatment monitoring for Chinese Americans in primary care
View DOI Record
View the PubMed citation for Using the PHQ-9 for depression screening and treatment monitoring for Chinese Americans in primary care