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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).
12252 Results
11161
The role of primary care in service provision for people with severe mental illness in the United kingdom
Type: Journal Article
Year: 2012
Publication Place: United States
Abstract: BACKGROUND: Severe mental illness is a serious and potentially life changing set of conditions. This paper describes and analyses patient characteristics and service usage over one year of a representative cohort of people with a diagnosis of severe mental illness across England, including contacts with primary and secondary care and continuity of care. METHODS AND FINDINGS: Data were collected from primary care patient notes (n = 1150) by trained nurses from 64 practices in England, covering all service contacts from 1(st) April 2008 to 31st March 2009. The estimated national rate of patients seen only in primary care in the period was 31.1% (95% C.I. 27.2% to 35.3%) and the rates of schizophrenia and bipolar disorder were 56.8% (95% C.I. 52.3% to 61.2%) and 37.9% (95% C.I. 33.7% to 42.2%). In total, patients had 7,961 consultations within primary care and 1,993 contacts with mental health services (20% of the total). Unemployed individuals diagnosed more recently were more likely to have contact with secondary care. Of those seen in secondary care, 61% had at most two secondary care contacts in the period. Median annual consultation rates with GPs were lower than have been reported for previous years and were only slightly above the general population. Relational continuity in primary care was poor for 21% of patients (Modified Modified Continuity Index = <0.5), and for almost a third of new referrals to mental health services the primary care record contained no information on the referral outcome. CONCLUSIONS: Primary care is centrally involved in the care of people with serious mental illness, but primary care and cross-boundary continuity is poor for a substantial proportion. Research is needed to determine the impact of poor continuity on patient outcomes, and above all, the impact of new collaborative ways of working at the primary/secondary care interface.
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View the DOI record for The role of primary care in service provision for people with severe mental illness in the United kingdom
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View the PubMed citation for The role of primary care in service provision for people with severe mental illness in the United kingdom11162
The Role of Primary Care in the Initiation of Opioid Use Disorder Treatment in Statewide Public and Private Insurance
Type: Journal Article
Year: 2022
Topic(s):
Education & Workforce
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, Financing & Sustainability
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, Healthcare Disparities
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, Opioids & Substance Use
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Reference Links:
View the DOI record for The Role of Primary Care in the Initiation of Opioid Use Disorder Treatment in Statewide Public and Private Insurance
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View the PubMed citation for The Role of Primary Care in the Initiation of Opioid Use Disorder Treatment in Statewide Public and Private Insurance11163
The Role of Primary Care in the Initiation of Opioid Use Disorder Treatment in Statewide Public and Private Insurance
Type: Journal Article
Year: 2021
Publication Place: United States
Topic(s):
Education & Workforce
See topic collection
, Financing & Sustainability
See topic collection
, Opioids & Substance Use
See topic collection
Reference Links:
View the DOI record for The Role of Primary Care in the Initiation of Opioid Use Disorder Treatment in Statewide Public and Private Insurance
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View the PubMed citation for The Role of Primary Care in the Initiation of Opioid Use Disorder Treatment in Statewide Public and Private Insurance11164
The role of primary care in the recognition of and response to dementia
Type: Journal Article
Year: 2010
Publication Place: France
Topic(s):
General Literature
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View the PubMed citation for The role of primary care in the recognition of and response to dementia
Reference Links: View the PubMed citation for The role of primary care in the recognition of and response to dementia
11165
The Role of Program Directors in Treatment Practices: The Case of Methadone Dose Patterns in U.S. Outpatient Opioid Agonist Treatment Programs
Type: Journal Article
Year: 2017
Publication Place: United States
Topic(s):
Healthcare Disparities
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, Opioids & Substance Use
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11167
The role of psychiatry in U.S. Air Force primary care: Research-based models for clinical consultation and education
Type: Journal Article
Year: 2006
Publication Place: United States
Abstract: The integration of mental health treatment with primary care is a U.S. Air Force priority. Unfortunately, manning shortages limit the utility of psychiatry in existing Air Force health care models. In this study, we present efficient and data-driven models for psychiatric involvement with primary care. These models include the use of psychiatrists as clinical consultants and primary care educators. Certain factors are required to implement these models including command support for locating psychiatrists within primary care, data-driven educational approaches, collaborative clinical care, and administrative support.
Topic(s):
Education & Workforce
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Reference Links: View the PubMed citation for The role of psychiatry in U.S. Air Force primary care: Research-based models for clinical consultation and education
11171
The role of psychotherapy in integrated care
Type: Journal Article
Year: 2014
Publication Place: United States
Abstract: The current emphasis on integrated psychiatric and medical care for people with mental illnesses raises hopes for more favorable clinical outcomes as well as concerns about the quality of the actual care being delivered. The author writes from the perspective of a long career as a psychiatrist and psychoanalyst in a full service medical building in which communication and, at times, collaboration between mental health and general health providers yielded significant benefits to patients. Psychotherapy played a major role in these favorable outcomes, as did accessibility to general medical services when needed and working relationships between physicians of different specialties. However, conditions in current integrated systems pose seemingly insurmountable obstacles to offering full service psychiatric care. The overwhelming disproportion between the numbers of patients in serious need and the available psychiatric resources creates wrenching clinical dilemmas. The hard-nosed administrative approaches to the challenge appear to leave out the factors of human relationships and the conditions necessary for effective psychotherapy beyond simple triage and ultra-brief supportive therapy in crises. Where it is possible for psychiatrists to work closely with other physicians, certain conditions are necessary to maintain the integrity of the psychotherapeutic relationship and the psychiatrist's psychotherapeutic skills.
Topic(s):
General Literature
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11172
The Role of Science in Addressing the Opioid Crisis
Type: Journal Article
Year: 2017
Publication Place: United States
Topic(s):
Opioids & Substance Use
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11177
The role of staff turnover in the implementation of evidence-based practices in mental health care
Type: Journal Article
Year: 2008
Publication Place: United States
Abstract: OBJECTIVES: This study examined turnover rates of teams implementing psychosocial evidence-based practices in public-sector mental health settings. It also explored the relationship between turnover and implementation outcomes in an effort to understand whether practitioner perspectives on turnover are related to implementation outcomes. METHODS: Team turnover was measured for 42 implementing teams participating in a national demonstration project examining implementation of five evidence-based practices between 2002 and 2005. Regression techniques were used to analyze the effects of team turnover on penetration and fidelity. Qualitative data collected throughout the project were blended with the quantitative data to examine the significance of team turnover to those attempting to implement the practices. RESULTS: High team turnover was common (M+/-SD=81%+/-46%) and did not vary by practice. The 24-month turnover rate was inversely related to fidelity scores at 24 months (N=40, beta=-.005, p=.01). A negative trend was observed for penetration. Further analysis indicated that 71% of teams noted that turnover was a relevant factor in implementation. CONCLUSIONS: The behavioral health workforce remains in flux. High turnover most often had a negative impact on implementation, although some teams were able to use strategies to improve implementation through turnover. Implementation models must consider turbulent behavioral health workforce conditions.
Topic(s):
Education & Workforce
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Reference Links:
View the DOI record for The role of staff turnover in the implementation of evidence-based practices in mental health care
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View the PubMed citation for The role of staff turnover in the implementation of evidence-based practices in mental health care11179
The role of stigma in U.S. primary care physicians' treatment of opioid use disorder
Type: Journal Article
Year: 2021
Topic(s):
Education & Workforce
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, Healthcare Disparities
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, Opioids & Substance Use
See topic collection
Reference Links:
View the DOI record for The role of stigma in U.S. primary care physicians' treatment of opioid use disorder
View DOI Record
View the PubMed citation for The role of stigma in U.S. primary care physicians' treatment of opioid use disorder