Literature Collection

Magnifying Glass
Collection Insights

11K+

References

9K+

Articles

1500+

Grey Literature

4600+

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).

Enter Search Term(s)
Year
Sort by
Order
Show
11271 Results
1341
Attitudes of Primary Care Health Workers Towards Mental Health Patients: A Cross-Sectional Study in Osun State, Nigeria
Type: Journal Article
Authors: K. S. Mosaku, A. H. Wallymahmed
Year: 2017
Publication Place: United States
Abstract: World Health Organization (WHO) recommends integration of mental health services into primary health services; however attitude of primary health care workers is one barrier to this. A cross sectional survey using the Community Attitudes towards Mental Illness (CAMI) was done. One hundred and twenty primary care workers were randomly selected from three local government areas. Descriptive and inferential statistics were used in analyses. The results showed that most primary health care workers hold a benevolent (mean = 2.47, SD = 0.52) attitude towards the mentally ill. Workers with 10 years or more experience tend to have less authoritarian (t = 3.19, p = 0.01) and less social restrictive (t = 3.90, p = 0.01) attitudes towards the mentally ill. There were no significant differences in attitude by gender, marital status, or designation of health care workers. The study showed that primary care workers have attitudes similar to that seen in the general population.
Topic(s):
Education & Workforce See topic collection
1342
Attitudes of primary care physicians toward prescribing buprenorphine: a narrative review
Type: Journal Article
Authors: D. L. Louie, M. T. Assefa, M. P. McGovern
Year: 2019
Abstract:

BACKGROUND: The opioid epidemic is a major public health issue associated with significant overdose deaths. Effective treatments exist, such as the medication buprenorphine, but are not widely available. This narrative review examines the attitudes of primary care providers (PCPs) toward prescribing buprenorphine. METHODS: Narrative review of 20 articles published after the year 2000, using the Consolidated Framework for Implementation Research (CFIR) to organize the findings. RESULTS: Three of the five CFIR domains ("Intervention Characteristics," "Outer Setting," "Inner Setting") were strongly represented in our analysis. Providers were concerned about the clientele associated with buprenorphine, diversion, and their self-efficacy in prescribing the medication. Some believed that buprenorphine does not belong in the discipline of primary care. Other barriers included philosophical objections and stigma toward substance use disorders. Notably, two studies reported a shift in attitudes once physicians prescribed buprenorphine to actual patients. CONCLUSIONS: Negative attitudes toward buprenorphine encompassed multi-layered concerns, ranging from skepticism about the medication itself, the behaviors of patients with opioid use disorders, and beliefs regarding substance use disorders more generally. We speculate, however, that negative attitudes may be improved by tailoring support strategies that address providers' self-efficacy and level of knowledge.

Topic(s):
Education & Workforce See topic collection
,
Opioids & Substance Use See topic collection
1343
Attitudes of Primary Care Practitioners in Managing Chronic Pain Patients Prescribed Opioids for Pain: A Prospective Longitudinal Controlled Trial
Type: Journal Article
Authors: R. N. Jamison, E. Scanlan, M. L. Matthews, D. C. Jurcik, E. L. Ross
Year: 2016
Publication Place: England
Abstract: OBJECTIVE: There is increasing concern among primary care practitioners (PCPs) regarding medication misuse and noncompliance among chronic pain patients prescribed opioids for pain. This study investigated the benefits of interventions designed to track potential opioid misuse and to improve practitioner confidence in managing patients with chronic pain through the use of risk assessment, monthly monitoring of compliance, and specialty support. METHODS: Fifty-six PCPs and 253 chronic pain patients were recruited into the study. All patients were assessed for risk and called once a month for 6 months to monitor pain and opioid compliance. Practitioner knowledge about opioids, concerns about analgesic prescriptions, practice behavior, and attitudes of managing chronic pain patients were assessed and questionnaires were repeated after 1 year. Practitioners in the experimental group received monthly patient summary reports that consisted of pain, mood, activity levels, healthcare utilization, and results of the Opioid Compliance Checklist, while practitioners in the control group did not receive the monthly reports. RESULTS: After 1 year all the PCPs reported improvement in identifying patients at risk for misuse (P < 0.05), perceived confidence in prescribing opioids for pain (P < 0.05) and increased satisfaction with communication with pain specialists (P < 0.05). The patients reported greater compliance with their opioid medication and felt that the monthly monitoring was beneficial. Despite modest improvements, many PCPs still lacked confidence in managing pain patients and reported reluctance to prescribe opioids for chronic noncancer pain, especially among younger practitioners. This study demonstrates the benefits of careful monitoring of chronic pain patients and need for pain management support within primary care.
Topic(s):
Opioids & Substance Use See topic collection
,
Education & Workforce See topic collection
1344
Attitudes of primary care team to diagnosing dementia
Type: Journal Article
Authors: H. Thomas
Year: 2010
Publication Place: England
Abstract: Healthcare professionals in primary care are gatekeepers to specialist services and are important in terms of ensuring access to community support and appropriate referral for the sizable number of older people with mental health problems. This literature review explores the role of primary care professionals, particularly GPs and practice nurses, in diagnosing and managing patients with dementia. It recommends that education and training are required to raise awareness of the importance of accurate diagnosis and management in primary care.
Topic(s):
Education & Workforce See topic collection
1345
Attitudes of primary health care providers towards people with mental illness: evidence from two districts in Zambia
Type: Journal Article
Authors: A. Kapungwe, S. Cooper, J. Mayeya, J. Mwanza, L. Mwape, A. Sikwese, C. Lund, the Mental Health and Poverty Project Research Programme Consortium
Year: 2011
Abstract: OBJECTIVE: The aim of this study was to explore health care providers' attitudes towards people with mental illness within two districts in Zambia. It sought to document types of attitudes of primary health care providers towards people suffering from mental illness and possible predictors of such attitudes. This study offers insights into how health care providers regard people with mental illness that may be helpful in designing appropriate training or re-training programs in Zambia and other low-income African countries. METHOD: Using a pilot tested structured questionnaire, data were collected from a total of 111 respondents from health facilities in the two purposively selected districts in Zambia that the Ministry of Health has earmarked as pilot districts for integrating mental health into primary health care. RESULTS: There are widespread stigmatizing and discriminatory attitudes among primary health care providers toward mental illness and those who suffer from it. These findings confirm and add weight to the results from the few other studies which have been conducted in Africa that have challenged the notion that stigma and discrimination of mental illness is less severe in African countries. CONCLUSION: There is an urgent need to start developing more effective awareness-raising, training and education programmes amongst health care providers. This will only be possible if there is increased consensus, commitment and political will within government to place mental health on the national agenda and secure funding for the sector. These steps are essential if the country is improve the recognition, diagnosis and treatment of mental disorders, and realize the ideals enshrined in the progressive health reforms undertaken over the last decade.
Topic(s):
Healthcare Disparities See topic collection
1346
Attitudes toward extended-release naltrexone treatment for opioid use disorder among African Americans
Type: Journal Article
Authors: K. K. Rigg
Year: 2024
Topic(s):
Opioids & Substance Use See topic collection
,
Healthcare Disparities See topic collection
1347
Attitudes toward harm reduction and low-threshold healthcare during the COVID-19 pandemic: Qualitative interviews with people who use drugs in rural southern Illinois
Type: Journal Article
Authors: Alex Rains, Mary York, Rebecca Bolinski, Jerel Ezell, Lawrence J. Ouellet, Wiley D. Jenkins, Mai T. Pho
Year: 2022
Topic(s):
Healthcare Disparities See topic collection
1348
Attitudes toward interprofessional healthcare teams: A comparison between undergraduate students and alumni
Type: Journal Article
Authors: Takatoshi Makino
Year: 2012
Topic(s):
Education & Workforce See topic collection
1349
Attitudes toward medical and mental health care delivered via telehealth applications among rural and urban primary care patients
Type: Journal Article
Authors: A. L. Grubaugh, G. D. Cain, J. D. Elhai, S. L. Patrick, B. C. Frueh
Year: 2008
Publication Place: United States
Abstract: Adequate health care services are often not available in rural and remote areas, and this problem is expected to grow worse in the near future. "Telehealth" interventions represent a strategy for addressing access to care problems. We examined and compared attitudes toward medical and mental health care delivered via telehealth applications among adult rural (n = 112) and urban (n = 78) primary care patients. We also examined attitudes toward telehealth applications among a subset of patients with posttraumatic stress disorder (PTSD)--a group likely in need of specialized services. Both urban and rural patients were receptive to receiving medical and psychiatric services via telehealth. There were few meaningful differences across variables between urban and rural patients, and there were no meaningful differences by PTSD status. These findings support the feasibility of telehealth applications, particularly for rural patients who may not otherwise receive needed services.
Topic(s):
HIT & Telehealth See topic collection
1350
Attitudes Toward Medication for Opioid Use Disorder Among Pregnant and Postpartum Women and People Seeking Treatment
Type: Journal Article
Authors: D. E. Banks, A. Fentem, X. Li, M. Paschke, L. Filiatreau, C. Woolfolk, P. Cavazos-Rehg
Year: 2023
1351
Attitudes toward medication for opioid use disorder among substance use treatment providers
Type: Journal Article
Authors: Emily Pasman, Guijin Lee, Rachel Kollin, Brooke Rodriguez, Elizabeth Agius, Erin Fanning Madden, Stella M. Resko
Year: 2022
Topic(s):
Education & Workforce See topic collection
,
Healthcare Disparities See topic collection
1353
Attitudes toward opioids and risk of misuse/abuse in patients with chronic noncancer pain receiving long-term opioid therapy
Type: Journal Article
Authors: Grisell Vargas-Schaffer, Jennifer Cogan
Year: 2018
Topic(s):
Healthcare Disparities See topic collection
,
Measures See topic collection
,
Opioids & Substance Use See topic collection
1354
Attitudes toward syringe exchange programs in a rural Appalachian community
Type: Journal Article
Authors: T. A. Zeller, T. Beachler, L. Diaz, R. P. Thomas, M. Heo, J. Lanzillotta-Rangeley, A. H. Litwin
Year: 2021
Publication Place: England
Abstract:

OBJECTIVES: To evaluate community attitudes concerning syringe exchange programs (SEPs) in a rural community as part of an effort to implement evidence-based harm reduction strategies and improve health outcomes related to opioid use disorder. METHODS: Dissemination of a 24-item survey to individuals living in a rural community followed by comparative analysis of survey results based on support for SEPs. RESULTS: Three hundred and sixty-one individuals responded. Overall, 49.3% of respondents indicated support for syringe exchange. Individuals who support syringe exchange as a harm reduction service are more likely to: agree that opioid use disorder is a real illness (p < 0.0001); agree that anyone can become addicted to pain medications (p = 0.01); agree that medication assisted treatment is effective (p < 0.0001); agree that individuals with OUD have the same right to a job (p < 0.0001); be willing to administer naloxone to a stranger (p < 0.0001); support HIV and HCV screening (p < 0.0001), condom distribution (p < 0.0001), and medication for opioid use disorder (p < 0.0001). They are less likely to believe that harm reduction services encourage drug use (p < 0.0001). CONCLUSIONS: Positive correlations exist between support for SEPs, awareness of OUD as a chronic illness, less stigmatizing attitudes toward individuals with OUD, and support for other harm reduction strategies. Efforts to increase awareness of OUD as a chronic illness may lead to greater acceptance of harm reduction strategies in rural areas, easing evolution of evidence-based healthy policy.

Topic(s):
Opioids & Substance Use See topic collection
1355
Attitudes toward syringe exchange programs in a rural Appalachian community
Type: Journal Article
Authors: Timothy A. Zeller, Taylor Beachler, Liam Diaz, Richard P. Thomas, Moonseong Heo, Jennifer Lanzillotta-Rangeley, Alain H. Litwin
Year: 2022
Topic(s):
Measures See topic collection
,
Opioids & Substance Use See topic collection
1357
Attitudes, practices, and preparedness to care for patients with substance use disorder; Results from a survey of general internists
Type: Journal Article
Authors: S. E. Wakeman, G. Pham-Kanter, K. Donelan
Year: 2016
Abstract: BACKGROUND: Previous research demonstrates that most primary care physicians feel unprepared to diagnose and treat substance use disorder (SUD). Confidence in SUD management has been associated with improved clinical practices. METHODS: A Cross-sectional survey of 290 inpatient and outpatient general internists in an academic medical center evaluating attitudes, preparedness, and clinical practice related to SUD. RESULTS: 149 general internists responded, a response rate of 51%. 46% frequently cared for patients with SUD. 16% frequently referred patients to treatment and 6% frequently prescribed a medication to treat SUD. 20% felt very prepared to screen for SUD, 9% to provide a brief intervention, 7% to discuss behavioral treatments, and 9% to discuss medication treatments. 31% felt that SUD is different from other chronic diseases because they believe using substances is a choice. 14% felt treatment with opioid agonists was replacing one addiction with another. 12% of hospitalists and 6% of PCPs believe that someone who uses drugs is committing a crime and deserves punishment. Preparedness was significantly associated with evidence-based clinical practice and favorable attitudes. Frequently caring for patients with SUD was significantly associated with preparedness, clinical practice, and favorable attitudes. CONCLUSIONS: SUD is a treatable and prevalent disease, yet a majority of general internists do not feel very prepared to screen, diagnose, provide a brief intervention, refer to treatment, or discuss treatment options with patients. Very few frequently prescribe medications to treat SUD. Some physicians view substance use as a crime and a choice. Physician preparedness and exposure to SUD is associated with improved clinical practice and favorable attitudes towards SUD. Physicians need education and support to provide better care for patients with SUD.
Topic(s):
Opioids & Substance Use See topic collection
,
Education & Workforce See topic collection
1358
Attributes of Provider Referrals for Digital Mental Health Applications in an Integrated Health System, 2019-2021
Type: Journal Article
Authors: L. Eberhart, P. Seegan, J. McGuire, H. Hu, B. R. Tripuraneni, M. J. Miller
Year: 2024
Abstract:

OBJECTIVE: This article describes trends and attributes associated with digital mental health application (DMHA) referrals from December 2019 through December 2021. METHODS: In total, 43,842 DMHA referrals for 25,213 unique patients were extracted from the electronic health record of a large, diverse, integrated health system. DMHAs were aggregated by type (cognitive-behavioral therapy [CBT] or mindfulness and meditation [MM]). Monthly referral patterns were described and categorized into mutually exclusive clusters (MM, CBT, or MM and CBT). Multinomial logistic regression and post hoc predicted probabilities were used to profile patient, clinical, and encounter attributes among referral clusters. RESULTS: DMHA referrals increased, reached equilibrium, and then began to decline over the 25-month observation period. Compared with the referral cluster average, MM-alone referrals were more likely to occur for patients who were ages ≥65, who were Hispanic or Asian, whose reason for visit concerned mental health, and who had a primary diagnosis of other anxiety disorders. CBT-alone referrals were more likely to occur for patients with a primary diagnosis of depression and less likely to occur for Hispanic patients. Combined MM and CBT referrals were more likely to occur for patients who were ages 18-30, whose reason for visit was "other," and who had a primary diagnosis of depression and were less likely to occur for Hispanic patients and those ages ≥65. CONCLUSIONS: Although this study demonstrates readiness to integrate DMHA referral into clinical workflows, observed variations in attributes of referral clusters support the need to further investigate provider decision making and whether referral patterns are optimal and sustainable.

Topic(s):
HIT & Telehealth See topic collection
,
Healthcare Disparities See topic collection
1359
Attributions Concerning Past Opiate Use
Type: Journal Article
Authors: B. P. Bradley, M. Gossop, C. R. Brewin, G. Phillips, L. Green
Year: 1992
Topic(s):
Opioids & Substance Use See topic collection
,
Measures See topic collection
1360
Atypical alliances: the potential for social work and pharmacy collaborations in primary health care delivery
Type: Journal Article
Authors: C. Fouche, R. Butler, J. Shaw
Year: 2013
Publication Place: United States
Abstract: The growing prevalence of chronic conditions is a cause for concern globally, both in terms of its impact on the health of populations and also the strain it is predicted to place on health resources. There is a push to adopt more holistic and collaborative approaches to health care, and for the education of health care professionals to be reformed if these efforts are to be successful. A research project was undertaken in New Zealand in 2010-2011 aimed at exploring the perceptions of health care professionals on competencies in the field of chronic care. This article aims to highlight learning from the project regarding the "atypical alliance" between social work and pharmacy. Based on this, the authors argue that, with the growing expectations for interprofessional collaboration, effective primary and community health care delivery is increasingly dependent on relationships between educators in different health disciplines, between health professionals-in-training, and between education providers and health organizations.
Topic(s):
Education & Workforce See topic collection