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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).

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12780 Results
11741
The TrueBlue model of collaborative care using practice nurses as case managers for depression alongside diabetes or heart disease: a randomised trial
Type: Journal Article
Authors: M. A. Morgan, M. J. Coates, J. A. Dunbar, P. Reddy, K. Schlicht, J. Fuller
Year: 2013
Publication Place: England
Abstract: OBJECTIVES: To determine the effectiveness of collaborative care in reducing depression in primary care patients with diabetes or heart disease using practice nurses as case managers. DESIGN: A two-arm open randomised cluster trial with wait-list control for 6 months. The intervention was followed over 12 months. SETTING: Eleven Australian general practices, five randomly allocated to the intervention and six to the control. PARTICIPANTS: 400 primary care patients (206 intervention, 194 control) with depression and type 2 diabetes, coronary heart disease or both. INTERVENTION: The practice nurse acted as a case manager identifying depression, reviewing pathology results, lifestyle risk factors and patient goals and priorities. Usual care continued in the controls. MAIN OUTCOME MEASURE: A five-point reduction in depression scores for patients with moderate-to-severe depression. Secondary outcome was improvements in physiological measures. RESULTS: Mean depression scores after 6 months of intervention for patients with moderate-to-severe depression decreased by 5.7+/-1.3 compared with 4.3+/-1.2 in control, a significant (p=0.012) difference. (The plus-minus is the 95% confidence range.) Intervention practices demonstrated adherence to treatment guidelines and intensification of treatment for depression, where exercise increased by 19%, referrals to exercise programmes by 16%, referrals to mental health workers (MHWs) by 7% and visits to MHWs by 17%. Control-practice exercise did not change, whereas referrals to exercise programmes dropped by 5% and visits to MHWs by 3%. Only referrals to MHW increased by 12%. Intervention improvements were sustained over 12 months, with a significant (p=0.015) decrease in 10-year cardiovascular disease risk from 27.4+/-3.4% to 24.8+/-3.8%. A review of patients indicated that the study's safety protocols were followed. CONCLUSIONS: TrueBlue participants showed significantly improved depression and treatment intensification, sustained over 12 months of intervention and reduced 10-year cardiovascular disease risk. Collaborative care using practice nurses appears to be an effective primary care intervention. TRIAL REGISTRATION: ACTRN12609000333213 (Australia and New Zealand Clinical Trials Registry).
Topic(s):
Education & Workforce See topic collection
11742
The U.S. Has Two Opioid Epidemics: The Federal Response Should Consider Both
Type: Report
Authors: Shanoor Seervai, Arnav Shah, Eric Schneider
Year: 2018
Topic(s):
Grey Literature See topic collection
,
Healthcare Policy See topic collection
,
Opioids & Substance Use See topic collection
Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

11743
The UK National Recovery Survey: Nationally representative survey of people overcoming a drug or alcohol problem
Type: Journal Article
Authors: Ed Day, Ifigeneia Manitsa, Amanda Farley, John F. Kelly
Year: 2024
Topic(s):
Opioids & Substance Use See topic collection
11745
The unmet educational agenda in integrated care
Type: Journal Article
Authors: W. T. O'Donohue, N. A. Cummings, J. L. Cummings
Year: 2009
Publication Place: United States
Abstract: One of the reasons integrated care has not become a dominant service delivery model is the unmet training agenda. This article argues that the typical mental health professional is not trained to adequately address the challenges of integrated care. To insure competency both a macro and clinical training agenda are needed. At the macro-level, mental health professionals need to understand healthcare economics and basic business principles as any integrated care service delivery system is embedded and driven by economic forces. Integrated care practitioners also need some basic business skills to understand these forces and to create and manage a financially viable system, given the future flux of the system. Traditional mental health professionals also do not have the clinical skills to implement integrated care. Integrated care is not simply placing a traditionally trained mental health professional and letting them practice specialty mental health in a medical setting. Thus, the special skills needed in integrated care are enumerated and discussed. Finally, a new degree program is described as it is time given the huge need and advantages of integrated care to develop specialty training in integrated care.
Topic(s):
Education & Workforce See topic collection
,
Financing & Sustainability See topic collection
11746
The unsettled baby: crying out for an integrated, multidisciplinary primary care approach
Type: Journal Article
Authors: P. S. Douglas, H. Hiscock
Year: 2010
Publication Place: Australia
Abstract: Unsettled behaviour in the first few months of life is a common clinical problem, with the associated risks of postnatal depression, premature cessation of breastfeeding, long-term psychological disturbance, and child abuse. Parents of new babies complain of difficulty accessing appropriate care and receiving conflicting advice. Although organic disturbance is implicated in only 5% of cases, gastro-oesophageal reflux disease, food allergies and lactose intolerance are often mistakenly diagnosed in unsettled babies. There is no evidence that acid-suppressive medications help in treating unsettled behaviour and, until the hypothesis that proton-pump inhibitors may predispose to food allergies has been properly investigated, treatment with acid-suppressive medications should be avoided in this population. Although unsettled behaviour in infants is commonly a transient neurodevelopmental phenomenon that peaks at 6 weeks of age, failure to diagnose other correctable problems, including breastfeeding difficulty and cows milk allergy, risks entrenching anxiety and disrupted mother-infant interactions in the long term. In the current climate of health system reform, the design and evaluation of an integrated, evidence-based, multidisciplinary primary care approach to management of unsettled babies and their mothers is a priority.
Topic(s):
General Literature See topic collection
11748
The urgency of preparing primary care physicians to care for older people with chronic illnesses
Type: Journal Article
Authors: Chad Boult, Steven R. Counsell, Rosanne M. Leipzig, Robert A. Berenson
Year: 2010
Topic(s):
Education & Workforce See topic collection
11749
The urgent need for contingency management among Tribal communities in the United States: Considerations for implementation, policy, and sovereignty
Type: Journal Article
Authors: K. A. Hirchak, H. Echo-Hawk, S. Parent, K. M. Peavy, K. Webb, K. Bajet, M. Richardson, A. Granbois, J. L. Herron, K. Catron, K. King, E. Parsells, T. E. Freese, L. R. Thomas, R. Rawson, H. W. Clark, J. Roll, M. G. McDonell
Year: 2023
Topic(s):
Opioids & Substance Use See topic collection
,
Healthcare Disparities See topic collection
,
Healthcare Policy See topic collection
11750
The Use of a Participatory Approach to Develop a Framework for Assessing Quality of Care in Children's Mental Health Services
Type: Journal Article
Year: 2013
11752
The use of Australian SMART Recovery groups by people who use methamphetamine: Analysis of routinely-collected nationwide data
Type: Journal Article
Authors: Alison K. Beck, Briony Larance, Frank P. Deane, Amanda L. Baker, Victoria Manning, Leanne Hides, Anthony Shakeshaft, Angela Argent, Peter J. Kelly
Year: 2021
Topic(s):
Education & Workforce See topic collection
,
Healthcare Disparities See topic collection
,
Measures See topic collection
,
Opioids & Substance Use See topic collection
11753
The use of cannabis in response to the opioid crisis: A review of the literature
Type: Journal Article
Authors: M. B. Vyas, V. T. LeBaron, A. M. Gilson
Year: 2018
Publication Place: United States
Topic(s):
Opioids & Substance Use See topic collection
,
Healthcare Policy See topic collection
11754
The Use of Electronic Health Record Tools to Improve Evidence-Based Treatment of Adolescent Depression in Primary Care
Type: Journal Article
Authors: T. Bruni, L. LaLonde, A. Maragakis, J. Lee, A. Caserta, A. M. Kilbourne, S. Smith, K. Orringer, J. Quigley, H. McCaffery, B. Lancaster
Year: 2021
Topic(s):
Education & Workforce See topic collection
,
Healthcare Disparities See topic collection
,
HIT & Telehealth See topic collection
,
Measures See topic collection
11755
The Use of Kratom (Mitragyna speciosa Korth.) Among People Who Co-use Heroin and Methamphetamine in Malaysia
Type: Journal Article
Authors: D. Singh, S. Narayanan, B. Vicknasingam, W. C. Prozialeck, K. E. Smith, O. Corazza, J. E. Henningfield, O. Grundmann
Year: 2022
Publication Place: United States
Topic(s):
Education & Workforce See topic collection
,
Opioids & Substance Use See topic collection
11757
The use of off-label medications in substance abuse treatment programs
Type: Journal Article
Authors: M. Paino, L. Aletraris, P. M. Roman
Year: 2020
Abstract:

Background: Substance use disorder (SUD) treatment centers serve a population of clients who have diverse needs, and may desire or require access to varied treatments while seeking care for their SUDs. While pharmacotherapies have increased in popularity for the treatment of SUDs, adoption rates do remain quite low. But a wider array of pharmacotherapies has become available in recent years which may shift the trend. This article helps shed light on how variations in SUD treatment centers develop and persist with regard to the adoption and delivery of off-label medications. Methods: We use a nationally representative and longitudinal sample of SUD treatment centers in the US (N = 196). We use a logistic regression to analyze the relationship between organizational characteristics and offering any medications, off-label. We also use a negative binomial regression to analyze the relationship between organizational characteristics and the number of medications that were used off-label. Results: Our findings reveal that older centers, accredited centers, and centers that offer mental health screenings are all positively associated with the provision of off-label medication in SUD treatment. We also find a positive relationship between private funding and offering a greater number of off-label medications. Conclusions: Our results suggest that SUD clients who seek treatment from centers that offer medications off-label, may have access to a greater number of medication-assisted treatment options.

Topic(s):
Education & Workforce See topic collection
,
Opioids & Substance Use See topic collection
11758
The use of online consultation systems and patient experience of primary care: Cross-sectional analysis using the General Practice Patient Survey
Type: Journal Article
Authors: Xiaochen Ge, Paul Chappell, Jean Ledger, Minal Bakhai, Geraldine M. Clarke
Year: 2024
Topic(s):
Education & Workforce See topic collection
,
HIT & Telehealth See topic collection
11759
The use of patient navigation to transition detoxification patients to substance use treatment in the Alaska Interior
Type: Journal Article
Authors: Running Bear, E. M. Poole, C. Muller, J. D. Hanson, C. Noonan, J. Trojan, R. Rosenman, S. M. Manson
Year: 2023
Topic(s):
Opioids & Substance Use See topic collection
,
Healthcare Disparities See topic collection
,
Financing & Sustainability See topic collection