Email UpdatesLiterature Collection
Collection Insights
11K+
References
9K+
Articles
1500+
Grey Literature
4600+
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).
12262 Results
1102
Alcohol Screening among Opioid Agonist Patients in a Primary Care Clinic and an Opioid Treatment Program
Type: Journal Article
Year: 2015
Publication Place: United States
Abstract: Problem alcohol use is associated with adverse health and economic outcomes, especially among people in opioid agonist treatment. Screening, brief intervention, and referral to treatment (SBIRT) are effective in reducing alcohol use; however, issues involved in SBIRT implementation among opioid agonist patients are unknown. To assess identification and treatment of alcohol use disorders, we reviewed clinical records of opioid agonist patients screened for an alcohol use disorder in a primary care clinic (n = 208) and in an opioid treatment program (n = 204) over a two-year period. In the primary care clinic, 193 (93%) buprenorphine patients completed an annual alcohol screening and six (3%) had elevated AUDIT scores. In the opioid treatment program, an alcohol abuse or dependence diagnosis was recorded for 54 (27%) methadone patients. Practitioner focus groups were completed in the primary care (n = 4 physicians) and the opioid treatment program (n = 11 counselors) to assess experience with and attitudes towards screening opioid agonist patients for alcohol use disorders. Focus groups suggested that organizational, structural, provider, patient, and community variables hindered or fostered alcohol screening. Alcohol screening is feasible among opioid agonist patients. Effective implementation, however, requires physician training and systematic changes in workflow.
Topic(s):
Opioids & Substance Use
See topic collection
, Education & Workforce
See topic collection
Reference Links: 
View the DOI record for Alcohol Screening among Opioid Agonist Patients in a Primary Care Clinic and an Opioid Treatment Program
View DOI Record
View the PubMed citation for Alcohol Screening among Opioid Agonist Patients in a Primary Care Clinic and an Opioid Treatment Program1104
Alcohol use disorder and associated physical health complications and treatment amongst individuals with and without opioid dependence: A case-control study
Type: Journal Article
Year: 2018
Publication Place: Ireland
Topic(s):
Opioids & Substance Use
See topic collection
1105
Alcohol Use Disorder in Primary Cares: How to Integrate Brief Interventions and Continuous Care?
Type: Journal Article
Year: 2020
Publication Place: Croatia
Abstract:
BACKGROUND: In Belgium, 82% of the population consumes alcohol occasionally while 10% consume in a way that can be seen as problematic. On a European level, only 8% of the people who can be characterized as having Alcohol Use Disorder (AUD) would have consulted professional assistance in the past year. In this context, the KCE (Belgian Health Care Knowledge Centre) has addressed multiple recommendations to health professionals to reduce the "treatment gap" concerning the patients' care: (1) encourage screening and preventative interventions, (2) promote the acquirement of communicational and relational competences (3) develop collaborations between professionals. The objective of this article is to better understand their functioning. METHOD: We format a non-systematic literature review concerning these recommendations. RESULTS: The implementation of these Brief Interventions programs in primary care is relevant due to the moderately positive impact on the frequency and quantity of alcohol consumption but both the quality of the therapeutic relationship and collaboration with the care network would optimize Brief Interventions. The quality of the therapeutic relationship alone appears to have an impact on therapeutic outcome. CONCLUSION: Training concerning patient-professional relationship is necessary to maximize the effectiveness of BIs.
Topic(s):
Education & Workforce
See topic collection
, Opioids & Substance Use
See topic collection
Reference Links: View the PubMed citation for Alcohol Use Disorder in Primary Cares: How to Integrate Brief Interventions and Continuous Care?
1107
Alcohol use screening and case finding: screening tools, clinical clues, and making the diagnosis
Type: Journal Article
Year: 2011
Publication Place: United States
Topic(s):
HIT & Telehealth
See topic collection
Reference Links:
View the DOI record for Alcohol use screening and case finding: screening tools, clinical clues, and making the diagnosis
View DOI Record
View the PubMed citation for Alcohol use screening and case finding: screening tools, clinical clues, and making the diagnosis1110
Alcohol-Related Nurse Care Management in Primary Care: A Randomized Clinical Trial
Type: Journal Article
Year: 2018
Publication Place: United States
Abstract: Importance: Experts recommend that alcohol use disorders (AUDs) be managed in primary care, but effective approaches are unclear. Objective: To test whether 12 months of alcohol care management, compared with usual care, improved drinking outcomes among patients with or at high risk for AUDs. Design, Setting, and Participants: This randomized clinical trial was conducted at 3 Veterans Affairs (VA) primary care clinics. Between October 11, 2011, and September 30, 2014, the study enrolled 304 outpatients who reported heavy drinking (>/=4 drinks per day for women and >/=5 drinks per day for men). Interventions: Nurse care managers offered outreach and engagement, repeated brief counseling using motivational interviewing and shared decision making about treatment options, and nurse practitioner-prescribed AUD medications (if desired), supported by an interdisciplinary team (CHOICE intervention). The comparison was usual primary care. Main Outcomes and Measures: Primary outcomes, assessed by blinded telephone interviewers at 12 months, were percentage of heavy drinking days in the prior 28 days measured by timeline follow-back interviews and a binary good drinking outcome, defined as abstinence or drinking below recommended limits in the prior 28 days (according to timeline follow-back interviews) and no alcohol-related symptoms in the past 3 months as measured by the Short Inventory of Problems. Results: Of 304 participants, 275 (90%) were male, 206 (68%) were white, and the mean (SD) age was 51.4 (13.8) years. At baseline, both the CHOICE intervention (n = 150) and usual care (n = 154) groups reported heavy drinking on 61% of days (95% CI, 56%-66%). During the 12-month intervention, 137 of 150 patients in the intervention group (91%) had at least 1 nurse visit, and 77 of 150 (51%) had at least 6 nurse visits. A greater proportion of patients in the intervention group than in the usual care group received alcohol-related care: 42% (95% CI, 35%-49%; 63 of 150 patients) vs 26% (95% CI, 19%-35%; 40 of 154 patients). Alcohol-related care included more AUD medication use: 32% (95% CI, 26%-39%; 48 of 150 patients in the intervention group) vs 8% (95% CI, 5%-13%; 13 of 154 patients in the usual care group). No significant differences in primary outcomes were observed at 12 months between patients in both groups. The percentages of heavy drinking days were 39% (95% CI, 32%-47%) and 35% (95% CI, 28%-42%), and the percentages of patients with a good drinking outcome were 15% (95% CI, 9%-22%; 18 of 124 patients) and 20% (95 % CI, 14%-28%; 27 of 134 patients), in the intervention and usual care groups, respectively (P = .32-.44). Findings at 3 months were similar. Conclusions and Relevance: The CHOICE intervention did not decrease heavy drinking or related problems despite increased engagement in alcohol-related care. Trial Registration: clinicaltrials.gov Identifier: NCT01400581.
Topic(s):
Opioids & Substance Use
See topic collection
Reference Links:
View the DOI record for Alcohol-Related Nurse Care Management in Primary Care: A Randomized Clinical Trial
View DOI Record
View the PubMed citation for Alcohol-Related Nurse Care Management in Primary Care: A Randomized Clinical Trial1111
Alcohol, Cannabis, and Opioid Use Disorders, and Disease Burden in an Integrated Health Care System
Type: Journal Article
Year: 2017
Publication Place: United States
Abstract: OBJECTIVES: We examined prevalence of major medical conditions and extent of disease burden among patients with and without substance use disorders (SUDs) in an integrated health care system serving 3.8 million members. METHODS: Medical conditions and SUDs were extracted from electronic health records in 2010. Patients with SUDs (n = 45,461; alcohol, amphetamine, barbiturate, cocaine, hallucinogen, and opioid) and demographically matched patients without SUDs (n = 45,461) were compared on the prevalence of 19 major medical conditions. Disease burden was measured as a function of 10-year mortality risk using the Charlson Comorbidity Index. P-values were adjusted using Hochberg's correction for multiple-inference testing within each medical condition category. RESULTS: The most frequently diagnosed SUDs in 2010 were alcohol (57.6%), cannabis (14.9%), and opioid (12.9%). Patients with these SUDs had higher prevalence of major medical conditions than non-SUD patients (alcohol use disorders, 85.3% vs 55.3%; cannabis use disorders, 41.9% vs 23.0%; and opioid use disorders, 44.9% vs 26.1%; all P < 0.001). Patients with these SUDs also had higher disease burden than non-SUD patients; patients with opioid use disorders (M = 0.48; SE = 1.46) had particularly high disease burden (M = 0.23; SE = 0.09; P < 0.001). CONCLUSIONS: Common SUDs, particularly opioid use disorders, are associated with substantial disease burden for privately insured individuals without significant impediments to care. This signals the need to explore the full impact SUDs have on the course and outcome of prevalent conditions and initiate enhanced service engagement strategies to improve disease burden.
Topic(s):
Opioids & Substance Use
See topic collection
Reference Links:
View the DOI record for Alcohol, Cannabis, and Opioid Use Disorders, and Disease Burden in an Integrated Health Care System
View DOI Record
View the PubMed citation for Alcohol, Cannabis, and Opioid Use Disorders, and Disease Burden in an Integrated Health Care System1112
Aligning health information technologies with effective service delivery models to improve chronic disease care
Type: Journal Article
Year: 2014
Publication Place: United States
Topic(s):
HIT & Telehealth
See topic collection
Reference Links:
View the DOI record for Aligning health information technologies with effective service delivery models to improve chronic disease care
View DOI Record
View the PubMed citation for Aligning health information technologies with effective service delivery models to improve chronic disease care1118
All Hands on Deck: Addressing Adolescent Depression in Pediatric Primary Care
Type: Journal Article
Year: 2021
Topic(s):
Healthcare Disparities
See topic collection
, Measures
See topic collection
Reference Links:
View the DOI record for All Hands on Deck: Addressing Adolescent Depression in Pediatric Primary Care
View DOI Record
View the PubMed citation for All Hands on Deck: Addressing Adolescent Depression in Pediatric Primary Care1119
All together now? Staff views and experiences of a pre-qualifying interprofessional curriculum
Type: Journal Article
Year: 2007
Publication Place: England
Abstract: An interprofessional pre-qualifying curriculum for health and social care professionals was introduced at an English university in September 2000. This study explored the experiences of academic staff from a range of professional backgrounds involved in this interprofessional initiative. Data were collected via questionnaires, individual interviews and focus groups and were analysed using Interpretative Phenomenological Analysis. Sixty-one questionnaires were returned out of a possible two hundred (response rate 30.5%); twenty-nine respondents participated in interviews and focus groups. Four main themes emerged from the data: (i) Huge: Size does matter; (ii) Isolation: Together but separate; (iii) Facilitation: Anything but easy; and (iv) Faculty: Do we walk the talk? The study found a cross-Faculty commitment to interprofessional education, but revealed considerable difficulties for those staff responsible for the management and delivery of the curriculum. The vast scale, the complex nature of interprofessional education delivery, the logistics and organizational challenges created significant difficulties for staff, who could at times feel overwhelmed and isolated. Attitudinal barriers to interprofessional education were identified, although the interprofessional curriculum had enhanced interprofessional working within the Faculty. In order to optimize the success of interprofessional education, the significant challenges that exist for academic staff must be addressed, and ownership by staff enabled.
Topic(s):
Education & Workforce
See topic collection
Reference Links:
View the DOI record for All together now? Staff views and experiences of a pre-qualifying interprofessional curriculum
View DOI Record
View the PubMed citation for All together now? Staff views and experiences of a pre-qualifying interprofessional curriculum