Literature Collection

12601

What can we learn from a cross-national study of somatic distress?

Type: Journal Article

Authors: O. Gureje

Year: 2004

Publication Place: England

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12602

What caregivers want: Preferences for behavioral health screening implementation procedures in pediatric primary care

Type: Journal Article

Authors: Mallory Schneider, Krista Mehari, Jennifer Langhinrichsen-Rohling

Year: 2020

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12603

What Caregivers Want: Preferences for Behavioral Health Screening Implementation Procedures in Pediatric Primary Care

Type: Journal Article

Authors: M. Schneider, K. Mehari, J. Langhinrichsen-Rohling

Year: 2021

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12604

What clinical differences distinguish depressed teens with and without comorbid externalizing problems?

Type: Journal Article

Year: 2013

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12605

What constitutes "behavioral health"? Perceptions of substance-related problems and their treatment in primary care

Type: Journal Article

Authors: I. Q. Chen, Chokron Garneau, T. Seay-Morrison, M. R. Mahoney, H. Filipowicz, M. P. McGovern

Year: 2020

Abstract:

BACKGROUND: Integrating behavioral health in primary care is a widespread endeavor. Yet rampant variation exists in models and approaches. One significant question is whether frontline providers perceive that behavioral health includes substance use. The current study examined front line providers': 1. definition of behavioral health, and 2. levels of comfort treating patients who use alcohol and other drugs. Frontline providers at two primary care clinics were surveyed using a 28-item instrument designed to assess their comfort and knowledge of behavioral health, including substance use. Two questions from the Integrated Behavioral Health Staff Perceptions Survey pertaining to confidence in clinics' ability to care for patients' behavioral health needs and comfort dealing with patients with behavioral health needs were used for the purposes of this report. Participants also self-reported their clinic role. Responses to these two items were assessed and then compared across roles. Chi square estimates and analysis of variance tests were used to examine relationships between clinic roles and comfort of substance use care delivery. RESULTS: Physicians, nurses/nurse practitioners, medical assistants, and other staff (N = 59) participated. Forty-nine participants included substance use in their definition of behavioral health. Participants reported the least comfort caring for patients who use substances (M = 3.5, SD = 1.0) compared to those with mental health concerns (M = 4.1, SD = 0.7), chronic medical conditions (M = 4.2, SD = 0.7), and general health concerns (M = 4.2, SD = 0.7) (p < 0.001). Physicians (M = 3.0, SD = 0.7) reported significantly lower levels of comfort than medical assistants (M = 4.2, SD = 0.9) (p < 0.001) caring for patients who use substances. CONCLUSIONS: In a small sample of key stakeholders from two primary care clinics who participated in this survey, most considered substance use part of the broad umbrella of behavioral health. Compared to other conditions, primary care providers reported being less comfortable addressing patients' substance use. Level of comfort varied by role, where physicians were least comfortable, and medical assistants most comfortable.

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12606

What Do Adolescents and Their Parents Need From Mental Health Integration in Primary Care? A Qualitative Exploration of Design Insights

Type: Journal Article

Authors: Andrea J. Hoopes, Susan D. Brandzel, Casey Luce, Dawn M. Ferguson, Lisa Shulman, Blanca Chavez, Paula Lozano, Gwen T. Lapham

Year: 2022

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12607

What do general practice patients want when they present medically unexplained symptoms, and why do their doctors feel pressurized?

Type: Journal Article

Authors: P. Salmon, A. Ring, C. F. Dowrick, G. M. Humphris

Year: 2005

Publication Place: England

Abstract: OBJECTIVE: We tested predictions that patients with medically unexplained symptoms (MUS) want more emotional support and explanation from their general practitioners (GPs) than do other patients, and that doctors find them more controlling because of this. DESIGN: Thirty-five doctors participated in a cross-sectional comparison of case-matched groups. Three hundred fifty-seven patients attending consecutively with MUS were matched for doctor and time of attendance with 357 attending with explained symptoms. Patients self-reported the extent to which they wanted somatic intervention, emotional support, explanation and reassurance. Doctors rated their perception of patients' influence on the consultation. Predictions were tested by multilevel analyses. RESULTS: Patients with MUS sought more emotional support than did others, but no more explanation and reassurance or somatic intervention. A minority of doctors experienced them as exerting more influence than others. The experience of patient influence was related to the patients' desire for support. CONCLUSIONS: Future research should examine why GPs provide disproportionate levels of somatic intervention to patients who seek, instead, greater levels of emotional support.

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12608

What do general practitioners want from specialist alcohol and other drug services? A qualitative study of new south wales metropolitan general practitioners

Type: Journal Article

Authors: Hester Wilson, Michelle Schulz, Craig Rodgers, Nicholas Lintzeris, John J. Hall, Ben Harris‐Roxas

Year: 2022

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12609

What do primary care clinicians and patients think about internet-based computerized cognitive behavioral therapy for depression? A qualitative study from the Veterans Health Administration

Type: Journal Article

Authors: L. B. Leung, S. Hovsepian, K. E. Dyer, C. E. Brayton, A. S. Young, S. Pollack, J. Trafton, A. B. Hamilton

Year: 2025

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12610

What do primary care doctors get out of a year-long postgraduate course in community psychological medicine?

Type: Journal Article

Authors: T. P. Lam, D. Goldberg, E . Y. Tse, K. F. Lam, K . Y. Mak, E. W. Lam

Year: 2011

Publication Place: United States

Abstract: OBJECTIVE: There are increasing expectations on primary care doctors to care for patients with common mental health problems. This study examines the outcomes of a postgraduate training course in psychological medicine for primary care doctors. METHODS: A questionnaire developed by the research team was sent to the Course graduates (year 2003-2007). A retrospective design was adopted to compare their clinical practice characteristics before and after the Course. Differences in the ratings by the respondents before and after the Course were analyzed using the nonparametric Wilcoxon signed rank test. RESULTS: Sixty-nine graduates replied with a response rate of 58.5% (69/118). Most respondents were confident of diagnosing (96.9%) and managing (97.0%) common mental health problems after the Course, compared to 50.0% and 50.7%, respectively, before the Course. Most graduates had modified their approach, increased their attention and empathy to patients with mental health problems. The percentage of respondents having enough time to treat these patients had increased from 55.8% to 72.1%. The median number of patients with mental health problems seen per week was in the range of 3-6 before, and had increased to the range of 7-10 after the Course. The proportion of respondents being confident of making appropriate referrals had increased from 72.8% to 97.0%, while the number of referrals to psychiatrists had dropped significantly. CONCLUSIONS: The Course is effective in improving graduates' confidence, attitude, and skills in treating patients with common mental health problems. There are significant increases in the number of mental health patients handled, increased confidence in making referrals to psychiatrists, and decreased percentage of patients being referred.

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12611

What does it mean to "employ" the RE-AIM model?

Type: Journal Article

Authors: R. S. Kessler, E. P. Purcell, R. E. Glasgow, L. M. Klesges, R. M. Benkeser, C. J. Peek

Year: 2013

Publication Place: United States

Abstract: Many grant proposals identify the use of a given evaluation model or framework but offer little about how such models are implemented. The authors discuss what it means to employ a specific model, RE-AIM, and key dimensions from this model for program planning, implementation, evaluation, and reporting. The authors report both conceptual and content specifications for the use of the RE-AIM model and a content review of 42 recent dissemination and implementation grant applications to National Institutes of Health that proposed the use of this model. Outcomes include the extent to which proposals addressed the overall RE-AIM model and specific items within the five dimensions in their methods or evaluation plans. The majority of grants used only some elements of the model (less than 10% contained thorough measures across all RE-AIM dimensions). Few met criteria for "fully developed use" of RE-AIM and the percentage of key issues addressed varied from, on average, 45% to 78% across the RE-AIM dimensions. The results and discussion of key criteria should help investigators in their use of RE-AIM and illuminate the broader issue of comprehensive use of evaluation models.

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12612

What Does It Take for Primary Care Practices to Truly Deliver Behavioral Health Care?

Type: Journal Article

Authors: L. I. Sederer

Year: 2014

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12613

What Experts are Saying About The U.S. Surgeon General’s Advisory on Social Media and Youth Mental Health

Type: Web Resource

Authors: Office of the U.S. Surgeon General

Year: 2023

Publication Place: North Bethesda, 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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12614

What factors influence engagement with primary mental health care services? A qualitative study of service user perspectives in rural communities of Mexico

Type: Journal Article

Authors: Georgina Miguel Esponda, June Larrieta, Sarah Hartman, Fátima Rodríguez Cuevas, Alex Cohen, Ritsuko Kakuma

Year: 2022

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12615

What Families Need to Know About Treatment for Adolescent Opioid Use Disorder

Type: Report

Authors: Christal Ramos, Lisa Clemans-Cope, Haley Samuel-Jakubos, Luis Basurto

Year: 2018

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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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12616

What fosters or prevents interprofessional teamworking in primary and community care? A literature review

Type: Journal Article

Authors: A. Xyrichis, K. Lowton

Year: 2008

Publication Place: England

Abstract: BACKGROUND: The increase in prevalence of long-term conditions in Western societies, with the subsequent need for non-acute quality patient healthcare, has brought the issue of collaboration between health professionals to the fore. Within primary care, it has been suggested that multidisciplinary teamworking is essential to develop an integrated approach to promoting and maintaining the health of the population whilst improving service effectiveness. Although it is becoming widely accepted that no single discipline can provide complete care for patients with a long-term condition, in practice, interprofessional working is not always achieved. OBJECTIVES: This review aimed to explore the factors that inhibit or facilitate interprofessional teamworking in primary and community care settings, in order to inform development of multidisciplinary working at the turn of the century. DESIGN: A comprehensive search of the literature was undertaken using a variety of approaches to identify appropriate literature for inclusion in the study. The selected articles used both qualitative and quantitative research methods. FINDINGS: Following a thematic analysis of the literature, two main themes emerged that had an impact on interprofessional teamworking: team structure and team processes. Within these two themes, six categories were identified: team premises; team size and composition; organisational support; team meetings; clear goals and objectives; and audit. The complex nature of interprofessional teamworking in primary care meant that despite teamwork being an efficient and productive way of achieving goals and results, several barriers exist that hinder its potential from becoming fully exploited; implications and recommendations for practice are discussed. CONCLUSIONS: These findings can inform development of current best practice, although further research needs to be conducted into multidisciplinary teamworking at both the team and organisation level, to ensure that enhancement and maintenance of teamwork leads to an improved quality of healthcare provision.

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12617

What general emergency nurses want to know about mental health patients presenting to their emergency department

Type: Journal Article

Authors: S. A. Kerrison, R. Chapman

Year: 2007

Publication Place: Scotland

Abstract: This paper presents the findings of a qualitative project conducted to investigate the education and training requirements that non-mental health trained emergency nurses need to enable them to effectively care for psychiatric patients presenting to a West Australian emergency department. Non-mental health trained nurses are ill-equipped in their psychiatric knowledge, assessment and communication skills to provide best possible care to the one in ten patients presenting to the emergency department with a complex mental health issue. The area of assessment and management of mental health patients in the emergency department is a complex one and staff are required to assess, triage and manage these patients appropriately. Furthermore, with aggression and violence increasing, emergency department nurses are concerned about their safety in the workplace. Focus groups with emergency nurses and semi-structured interviews with subject matter experts were conducted at one West Australian teaching hospital. The findings of the project demonstrated that these nurses considered that customer focus, workplace aggression and violence, psychiatric theory, mental health assessment and chemical dependence as key learning areas. These findings will form a platform for further education and training for ED staff.

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12618

What is a Balint Group?

Type: Web Resource

Authors: The American Balint Society

Year: 2017

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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12619

What is integrated care?

Type: Journal Article

Authors: H. Huang, W. Meller, Y. Kishi, R. G. Kathol

Year: 2014

Publication Place: England

Abstract: Abstract Increasing awareness of mental illness's impact on medical and psychiatric health has accelerated global efforts to integrate medical and behavioural health services. As the field of integration has advanced, numerous integrated programmes have been implemented. In examining the impact of these programmes, it is important to maintain a standardized vocabulary to describe the various components of their integration. Additionally important is examination of how these programmes impact elements of patient care and the healthcare system. Specifically, what value do they bring? This article will discuss the importance of carefully assessing the value integrated services bring to patients, and questioning whether they do so in ways in which today's segregated world of medical and behavioural health cannot. This article will also explore the various settings in which medical and behavioural integration can bring added value.

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12620

What is known about community pharmacy supply of naloxone? A scoping review

Type: Journal Article

Authors: S. Nielsen, M. C. Van Hout

Year: 2016

Publication Place: Netherlands

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