Literature Collection

11941

Utility of an integrated health system specialty pharmacy in provision of extended-release buprenorphine for patients with opioid use disorder

Type: Journal Article

Authors: R. Shah, S. Hendrickson, L. Fanucchi, M. Lofwall, T. Platt, C. Rhudy

Year: 2023

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11942

Utility of prompting physicians for brief alcohol consumption intervention

Type: Journal Article

Authors: G. L. Rose, D. A. Plante, C. S. Thomas, L. J. Denton, J. E. Helzer

Year: 2010

Publication Place: England

Abstract: A comprehensive prompting strategy designed to maximize the rate of Brief Intervention (BI) for "heavy drinking" was implemented from 2001 to 2003 for a randomized controlled trial of a post-BI treatment enhancement. Thirty-one internists at four outpatient practices in a county of 150,000 in a rural US state documented their BI's using an intervention checklist. The prompting procedures implemented in this study yielded documented BI for 39% of identified cases, but participation rates varied by physician and clinic and over time. The overall rate was lower than expected. Implications and recommendations for future BI research and training are offered; the paper's limitations are discussed.

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11943

Utilization and Adherence in Medical Homes: An Assessment of Rural-Urban Differences for People With Severe Mental Illness

Type: Journal Article

Authors: M. Kilany, J. P. Morrissey, M. E. Domino, K. C. Thomas, P. Silberman

Year: 2018

Publication Place: United States

Abstract: BACKGROUND: The complex nature of managing care for people with severe mental illness (SMI), including major depression, bipolar disorder, and schizophrenia, is a challenge for primary care practices, especially in rural areas. The team-based emphasis of medical homes may act as an important facilitator to help reduce observed rural-urban differences in care. OBJECTIVE: The objective of this study was to examine whether enrollment in medical homes improved care in rural versus urban settings for people with SMI. RESEARCH DESIGN: Secondary data analysis of North Carolina Medicaid claims from 2004-2007, using propensity score weights and generalized estimating equations to assess differences between urban, nonmetropolitan urban and rural areas. SUBJECTS: Medicaid-enrolled adults with diagnoses of major depressive disorder, bipolar disorder or schizophrenia. Medicare/Medicaid dual eligibles were excluded. MEASURES: We examined utilization measures of primary care use, specialty mental health use, inpatient hospitalizations, and emergency department use and medication adherence. RESULTS: Rural medical home enrollees generally had higher primary care use and medication adherence than rural nonmedical home enrollees. Rural medical home enrollees had fewer primary care visits than urban medical home enrollees, but both groups were similar on the other outcome measures. These findings varied somewhat by SMI diagnosis. CONCLUSIONS: Findings indicate that enrollment in medical homes among rural Medicaid beneficiaries holds the promise of reducing rural-urban differences in care. Both urban and rural medical homes may benefit from targeted resources to help close the remaining gaps and to improve the success of the medical home model in addressing the health care needs of people with SMI.

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11944

Utilization and cost impact of integrating substance abuse treatment and primary care

Type: Journal Article

Authors: S. Parthasarathy, J. Mertens, C. Moore, C. Weisner

Year: 2003

Publication Place: United States

Abstract: OBJECTIVE: To examine the impact of integrating medical and substance abuse treatment on health care utilization and cost. RESEARCH DESIGN: Randomized clinical trial assigning patients to one of two treatment modalities: an Integrated Care model where primary health care is provided along with substance abuse treatment within the unit and an Independent Care model where medical care is provided in the HMO's primary care clinics independently from substance abuse treatment. SUBJECTS: Adult patients entering treatment at the outpatient Chemical Dependency Recovery Program in Kaiser Sacramento. MEASURES: Medical utilization and cost for 12 months pretreatment and 12 months after treatment entry. RESULTS: For the full, randomized cohort, there were no statistically significant differences between the two treatment groups over time. However, among the subset of patients with substance abuse related medical conditions (SAMC), Integrated Care patients had significant decreases in hospitalization rates (P = 0.04), inpatient days (P = 0.05) and ER use (P = 0.02). Total medical costs per member-month declined from 431.12 US dollars to 200.03 US dollars (P = 0.02). Among SAMC Independent Care patients, there was a downward trend in inpatient days (P = 0.08) and ER costs (P = 0.05) but no statistically significant decrease in total medical cost. CONCLUSIONS: (Non)findings for the full sample suggest that integrating substance abuse treatment with primary care, may not be necessary or appropriate for all patients. However, it may be beneficial to refer patients with substance abuse related medical conditions to a provider also trained in addiction medicine. There appear to be large cost impacts of providing integrated care for such patients.

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11945

Utilization and cost of behavioral health services: Employee characteristics and workplace health promotion

Type: Journal Article

Authors: J. V. Trudeau, D. K. Deitz, R. F. Cook

Year: 2002

Publication Place: United States

Abstract: The study sought to (1) model demographic and employment-related influences on behavioral health care utilization and cost; (2) model behavioral health care utilization and cost influences on general health care cost, job performance, and earnings; and (3) assess workplace-based health promotion's impact on these factors. Behavioral health care utilization was more common in employees who were female, over age 30, with below-median earnings, or with above-median general (non-behavioral) health care costs. Among employees utilizing behavioral health care, related costs were higher for employees with below-median earnings. Employees utilizing behavioral health care had higher general health care costs and received lower performance ratings than other employees. Health promotion participants were compared with a nonparticipant random sample matched on gender, age, and pre-intervention behavioral health care utilization. Among employees without pre-intervention behavioral health care, participants and nonparticipants did not differ in post-intervention utilization. Among employees utilizing behavioral health care adjusting for pre-intervention costs, participants had higher short-term post-intervention behavioral health care costs than nonparticipants.

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11946

Utilization and emergency department diversion as a result of pediatric psychology trainees integrated in pediatric primary and specialty clinics

Type: Journal Article

Authors: Lila M. Pereira, Jenna Wallace, Whitney Brown, Terry Stancin

Year: 2020

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11947

Utilization and intensity of integrated behavioral health services within a primary care setting

Type: Web Resource

Authors: Joseph A. Shafer

Year: 2016

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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.

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11948

Utilization and intensity of integrated behavioral health services within a primary care setting

Type: Web Resource

Authors: Joseph A. Shafer

Year: 2017

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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.

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11949

Utilization and perceptions of primary health care services in Australian adults with mental illness

Type: Journal Article

Authors: D. Scott, B. Happell

Year: 2013

Publication Place: United States

Abstract: Persons accessing inpatient mental health services generally experience reduced access to and quality of primary health care. The objective of this study was to compare health service utilization and perceptions, and receipt of specified health services, in Australian adults with and without a previous mental illness diagnosis. A cross-sectional survey was administered by computer-assisted telephone interviewing in 2011; the main outcome measures were receipt of services in the previous 12 months, satisfaction with health care services, and concerns regarding health care affordability. Participants included 1275 adults residing in Queensland, Australia; 292 (23%) participants reported a diagnosis of mental illness, largely depression and/or anxiety (87%). The mental illness group had higher scores for concerns regarding health care affordability (mean ranks 778 vs. 706, respectively; z=-2.90, P=0.004) and lower scores for perceptions of health care service quality and accessibility (mean ranks 631 vs. 701, respectively; z=-2.90, P=0.004). After adjustment for increased utilization of services, the mental illness group had an increased likelihood of having received only 5 of 19 services in the past 12 months (odds ratios: 1.54-1.71). Compared to those with no mental illness, Australians with a mental illness report increased dissatisfaction with health care affordability, accessibility, and quality, and generally have similar odds of primary care services per health care utilization despite being at significantly greater risk of chronic disease.

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11950

Utilization Management for Medications for Addiction Treatment

Type: Government Report

Authors: American Society of Addiction Medicine

Year: 2021

Publication Place: Rockville, MD

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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.

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11951

Utilization of buprenorphine and methadone among opioid users who inject drugs

Type: Journal Article

Authors: J. I. Tsui, R. Burt, H. Thiede, S. N. Glick

Year: 2018

Publication Place: United States

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11952

Utilization of Child Psychiatry Consultation Embedded in Primary Care for an Urban, Latino Population

Type: Journal Article

Authors: Andrea E. Spencer, Cindy Chiang, Natalie Plasencia, Joseph Biederman, Ying Sun, Carolina Gebara, HealthCare Center MGH Chelsea, Michael Jellinek, J. M. Murphy, Bonnie T. Zima

Year: 2019

Publication Place: Baltimore

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11953

Utilization of communication technology by patients enrolled in substance abuse treatment

Type: Journal Article

Authors: E. A. McClure, S. P. Acquavita, E. Harding, M. L. Stitzer

Year: 2013

Publication Place: Ireland

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11954

Utilization of Integrated and Colocated Behavioral Health Models in Pediatric Primary Care

Type: Journal Article

Authors: A. Hoff, C. Hughes-Reid, E. Sood, M. Lines

Year: 2020

Publication Place: United States

Abstract:

Integrating behavioral health services within pediatric primary care may help address barriers to these services for youth, especially the underserved. Models of primary care behavioral health include coordinated, colocated, integrated, and collaborative care. This study began exploring the comparative utility of these models by investigating differences in the demographics and diagnoses of patients seen for a behavioral health warm handoff (integrated model) and a scheduled behavioral health visit (colocated model) across 3 pediatric primary care sites. The 3 sites differed in their rates of warm handoff usage, and there were differences in certain diagnoses given at warm handoffs versus scheduled visits. Depression diagnoses were more likely to be given in warm handoffs, and disruptive behavior, trauma/adjustment, and attention-deficit/hyperactivity disorder-related diagnoses were more likely to be given in scheduled visits. These results have implications for the influence of office structure and standardized procedures on behavioral health models used in pediatric primary care.

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11955

Utilization of Medications for Opioid Use Disorder Across US States: Relationship to Treatment Availability and Overdose Mortality

Type: Journal Article

Authors: N. Krawczyk, V. Jent, S. E. Hadland, M. Cerda

Year: 2022

Publication Place: United States

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11956

Utilization of opioid agonist therapy among incarcerated persons with opioid use disorder in Vancouver, Canada

Type: Journal Article

Authors: Nikki Bozinoff, Kora DeBeck, M-J Milloy, Ekaterina Nosova, Nadia Fairbairn, Evan Wood, Kanna Hayashi

Year: 2018

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11957

Utilization of outpatient medical care and substance use among rural stimulant users: Do the number of visits matter?

Type: Journal Article

Authors: Michael A. Cucciare, Kristina M. Kennedy, Xiaotong Han, Christine Timko, Nickolas Zaller, Brenda M. Booth

Year: 2018

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11958

Utilization of peer-based substance use disorder and recovery interventions in rural emergency departments: Patient characteristics and exploratory analysis

Type: Journal Article

Authors: Robert D. Ashford, Matthew Meeks, Brenda Curtis, Austin M. Brown

Year: 2018

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11959

Utilization of Pharmacists in Addressing Medication Abuse in the Pacific Northwest

Type: Journal Article

Authors: D. Q. Nguyen, B. Chung, L. L. Osburn, M. A. Della Paolera, B. Chavez

Year: 2017

Publication Place: United States

Abstract: OBJECTIVE: This article aims to explore the statistics observed in the Pacific Northwest regarding substance abuse, as Oregon and Washington have been shown to be most affected given the increased treatment admissions for opioid utilization and mortality related to medication overdose. METHODS: Using PubMed and National Conference of State Legislatures database, articles detailing prescription drug abuse statistics, programs, and laws were collected and analyzed in order to identify possible solutions. SUMMARY: Many studies report that pain medication prescriptions have seen a rise in recent years, however, there still exists an inadequacy in pain management. This increase in prescriptions may also contribute to the rising number in substance misuse and subsequently overdose deaths. Pharmacists can have a global effect on abuse prevention if certain monitoring strategies are implemented and enforced. CONCLUSION: Health-care providers and pharmacists should contribute to abuse prevention by helping to detect fraudulent prescriptions, staying up to date with current guidelines, and being aware of new safety programs such as prescription drug monitoring programs (PDMPs).

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11960

Utilization of primary care among college students with mental health disorders

Type: Journal Article

Authors: J. C. Turner, A. Keller, H. Wu, M. Zimmerman, J. Zhang, L. E. Barnes

Year: 2018

Publication Place: United States

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