Literature Collection | Integration Academy

12341

Treating Adolescent Opioid Use Disorder in Primary Care

Type: Journal Article

Authors: S. E. Hadland, W. H. Burr, K. Zoucha, C. A. Somberg, D. R. Camenga

Year: 2024

Abstract:

This survey study explores primary care pediatricians’ preparedness to counsel and treat adolescents with opioid use disorder (OUD) and perceived barriers to prescribing OUD medications.

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12342

Treating alcohol use disorders in primary care – a qualitative evaluation of a new innovation: The 15-method

Type: Journal Article

Authors: Sara Wallhed Finn, Anders Hammarberg, Sven Andreasson, Maria Jirwe

Year: 2021

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12343

Treating anxiety in the presence of medical comorbidity: calmly moving forward

Type: Journal Article

Authors: B. L. Rollman, J. C. Huffman

Year: 2013

Publication Place: United States

Abstract: Patients with chronic medical conditions (CMCs) and a comorbid anxiety or mood disorder tend to report more symptoms and experience poorer treatment outcomes compared with those without mental health comorbidity. Although the benefits to be derived from treating depression in patients with CMCs have begun to be quantified, particularly among those with cardiovascular disease, our understanding of the benefits of treating anxiety in patients with CMCs is far less developed. Improving care for patients with CMCs is one of the major challenges facing medicine today because patients with multiple chronic diseases account for most health care costs. Emerging evidence indicates that integrated or "blended" collaborative care strategies that treat both the psychiatric and physical conditions together tend to produce greater improvements in mood symptoms and control of CMCs compared with programs that target the psychiatric condition alone. We review a new report, published in this issue of Psychosomatic Medicine, from the National Institutes of Mental Health-funded multisite Coordinated Anxiety Learning and Management trial, that shines new attention on anxiety disorders and medical comorbidity. We place their findings in context with these new blended care models that are potentially more powerful, scalable, cost-effective, and readily delivered through existing CMC programs.

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12344

Treating Child and Adolescent Attention-Deficit/Hyperactivity Disorder and Behavioral Disorders in Primary Care

Type: Journal Article

Authors: Matthew Schroer, Brittany Haskell, Rose Vick

Year: 2021

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12345

Treating Childhood Obesity: Building and Evaluating Evidence-Based Models of Integrated Care

Type: Journal Article

Authors: Z. C. McSweeney, R. C. Antonelli, C. B. Ebbeling

Year: 2025

Abstract:

Childhood obesity is a complex chronic condition, such that effective management requires intensive programming and sustained access to treatment. Integrated care models are useful for designing and delivering services to treat children with overweight or obesity. For this narrative mini-review, we searched PubMed (January 1, 2010, to December 31, 2024) using broad terms in 3 categories-care models, condition of interest (obesity), and population of interest (children/youth). This resulted in identification of 2 foundational models, the Chronic Care Model (CCM) and the Patient/Family-Centered Medical Home (PFCMH), which distinguish key elements of integrated care for childhood obesity (treatment with self-management support, team-based care, child/family activation and engagement, collaborative community linkages, and care coordination) and considerations for implementing such models (accessibility to care, virtual care, interprofessional education, and information systems and clinical decision support). Drawing upon the CCM and PFCMH, we designed an integrated care model with the child/family at the center and coordinated wraparound services pertaining to sectors influencing child health (health care, community, and family home). We concluded by noting the need to further study, adapt, scale, and fund strategies for implementing integrated care models and underscoring the importance of relevant outcome measures to drive ongoing quality improvement and sustainability.

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12346

Treating chronic pain and opioid misuse disorder among underserved populations in Colorado

Type: Journal Article

Authors: Rosario Medina, Tanya Sorrell, Aimee Techau, Jason Weiss

Year: 2019

Publication Place: Baltimore, Maryland

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12347

Treating depression in an urban primary care setting: Introducing an adapted therapeutic approach to improve behavioral health engagement in primary care

Type: Journal Article

Authors: S. Herrera, L. Peccoralo, G. A. Hinrichsen

Year: 2018

Publication Place: United States

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12348

Treating depression in disabled, low-income elderly: a conceptual model and recommendations for care

Type: Journal Article

Authors: P. A. Arean, S. Mackin, E. Vargas-Dwyer, P. Raue, J. A. Sirey, D. Kanellopolos, G. S. Alexopoulos

Year: 2010

Publication Place: England

Abstract: BACKGROUND: The treatment of depression in low-income older adults who live in poverty is complicated by several factors. Poor access to resources, disability, and mild cognitive impairment are the main factors that moderate treatment effects in this population. Interventions that not only address the depressive syndrome but also manage social adversity are sorely needed to help this patient population recover from depression. METHODS: This paper is a literature review of correlates of depression in late life. In the review we propose a treatment model that combines case management (CM) to address social adversity with problem solving treatment (PST) to address the depressive syndrome. RESULTS: We present the case of Mr Z, an older gentleman living in poverty who is also depressed and physically disabled. In this case we illustrate how the combination of CM and PST can work together to ameliorate depression. CONCLUSIONS: The combination of age, disability, and social adversity complicates the management and treatment of depression. CM and PST are interventions that work synergistically to overcome depression and manage social problems.

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12349

Treating depression in primary care: an innovative role for mental health nurses

Type: Journal Article

Authors: C. D. Saur, L. H. Harpole, D. C. Steffens, C. D. Fulcher, Y. Porterfield, R. Haverkamp, D. Kivett, J. Unutzer

Year: 2002

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12350

Treating depression: What patients want; findings from a randomized controlled trial in primary care

Type: Journal Article

Authors: Michele Magnani, Anna Sasdelli, Silvio Bellino, Antonello Bellomo, Bernardo Carpiniello, Pierluigi Politi, Marco Menchetti, Domenico Berardi

Year: 2016

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12351

Treating depressive symptoms among veterans in primary care: A multi-site RCT of brief behavioral activation

Type: Journal Article

Authors: J. S. Funderburk, W. R. Pigeon, R. L. Shepardson, M. Wade, J. Acker, H. Fivecoat, L. O. Wray, S. A. Maisto

Year: 2021

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12352

Treating Heavy Drinking in Primary Care Practices: Evaluation of a Telephone-based Intervention Program

Type: Journal Article

Authors: Amy W. Helstrom, Erin Ingram, Wang Wei, Dylan Small, Johanna Klaus, David Oslin

Year: 2014

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12353

Treating late-life depression with interpersonal psychotherapy in the primary care sector

Type: Journal Article

Authors: H. C. Schulberg, E. P. Post, P. J. Raue, T. T. Have, M. Miller, M. L. Bruce

Year: 2007

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12354

Treating late-life generalized anxiety disorder in primary care: an effectiveness pilot study

Type: Journal Article

Authors: J. S. Calleo, A. L. Bush, J. A. Cully, N. L. Wilson, C. Kraus-Schuman, H. M. Rhoades, D. M. Novy, N. Masozera, S. Williams, M. Horsfield, M. E. Kunik, M. A. Stanley

Year: 2013

Publication Place: United States

Abstract: To increase the sustainability of cognitive behavior therapy (CBT) in primary care for late-life anxiety, we incorporated nonexpert counselors, options for telephone meetings, and integration with primary care clinicians. This open trial examines the feasibility, satisfaction, and clinical outcomes of CBT delivered by experienced and nonexperienced counselors for older adults with generalized anxiety disorder (GAD). Clinical outcomes assessed worry (Penn State Worry Questionnaire), GAD (Generalized Anxiety Disorder Severity Scale), and anxiety (Beck Anxiety Inventory and Structured Interview Guide for Hamilton Anxiety Scale). After 3 months of treatment, Cohen's d effect sizes for worry and anxiety ranged from 0.48 to 0.78. Patients treated by experienced and nonexperienced counselors had similar reductions in worry and anxiety, although treatment outcomes were more improved on the Beck Anxiety Inventory for experienced therapists. Preliminary results suggest that adapted CBT can effectively reduce worry. The piloted modifications can provide acceptable and feasible evidence-based care.

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12355

Treating mental health problems in primary care: Discrepancies between therapist expectations and clients’ attendance

Type: Journal Article

Authors: Colleen McMillan, Carol A. Stalker, Joseph Lee

Year: 2018

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12356

Treating opiate dependence in rural communities: A guide for developing community resources

Type: Government Report

Authors: Center for Substance Abuse Treatment

Year: 2003

Publication Place: Rockville, MD

Topic(s):

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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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12357

Treating Opioid Addiction - The Role of Integrated Behavioral Health

Type: Report

Authors: Stephanie Gold, Shale Wong

Year: 2018

Publication Place: Washington, D.C.

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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.

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12358

Treating Opioid Addiction as a Chronic Disease

Type: Report

Authors: American Society of Addiction Medicine

Year: 2014

Publication Place: Rockville, MD

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,

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.

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12359

Treating opioid addiction with buprenorphine-naloxone in community-based primary care settings

Type: Journal Article

Authors: I. L. Mintzer, M. Eisenberg, M. Terra, C. MacVane, D. U. Himmelstein, S. Woolhandler

Year: 2007

Publication Place: United States

Abstract: PURPOSE: Office-based treatment of opioid addiction with a combination of buprenorphine and naloxone was approved in 2002. Efficacy of this treatment in non-research clinical settings has not been studied. We examined the efficacy and practicality of buprenorphine-naloxone treatment in primary care settings. METHODS: We studied a cohort of 99 consecutive patients enrolled in buprenorphine-naloxone treatment for opioid dependence at 2 urban primary care practices: a hospital-based primary care clinic, and a primary care practice in a free-standing neighborhood health center. The primary outcome measure was sobriety at 6 months as judged by the treating physician based on periodic urine drug tests, as well as frequent physical examinations and questioning of the patients about substance use. RESULTS: Fifty-four percent of patients were sober at 6 months. There was no significant correlation between sobriety and site of care, drug of choice, neighborhood poverty level, or dose of buprenorphine-naloxone. Sobriety was correlated with private insurance status, older age, length of treatment, and attending self-help meetings. CONCLUSIONS: Opioid-addicted patients can be safely and effectively treated in non-research primary care settings with limited on-site resources. Our findings suggest that greater numbers of patients should have access to buprenorphine-naloxone treatment in nonspecialized settings.

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12360

Treating Opioid Dependence with Buprenorphine in the Safety Net: Critical Learning from Clinical Data

Type: Journal Article

Authors: T. R. Rieckmann, N. Gideonse, A. Risser, J. E. DeVoe, A. J. Abraham

Year: 2017

Publication Place: United States

Abstract: Research has examined the safety, efficacy, feasibility, and cost-effectiveness of buprenorphine for the treatment of opioid dependence, but few studies have examined patient and provider experiences, especially in community health centers. Using de-identified electronic health record system (EHRS) data from 70 OCHIN community health centers (n = 1825), this cross-sectional analysis compared the demographics, comorbidities, and service utilization of patients receiving buprenorphine to those not receiving medication-assisted treatment (MAT). Compared to non-MAT patients, buprenorphine patients were younger and less likely to be Hispanic or live in poverty. Buprenorphine patients were less likely to have Medicaid insurance coverage, more likely to self-pay, and have private insurance coverage. Buprenorphine patients were less likely to have problem medical comorbidities or be coprescribed high-risk medications. It is important for providers, clinic administrators, and patients to understand the clinical application of medications for opioid dependence to ensure safe and effective care within safety net clinics.

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