Literature Collection

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Articles

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Grey Literature

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Opioids & SU

The Literature Collection contains over 13,000 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).

13394 Results

1361

Analysis & Commentary: Unleashing nurse practitioners' potential to deliver primary care and lead teams

Type: Journal Article

Authors: Joanne M. Pohl, Charlene Hanson, Jamesetta A. Newland, Linda Cronenwett

Year: 2010

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1362

Analysis of barriers to adoption of buprenorphine maintenance therapy by family physicians

Type: Journal Article

Authors: J. R. DeFlavio, S. A. Rolin, B. R. Nordstrom, L. A. Kazal Jr

Year: 2015

Publication Place: Australia

Abstract: INTRODUCTION: Opioid abuse has reached epidemic levels. Evidence-based treatments such as buprenorphine maintenance therapy (BMT) remain underutilized. Offering BMT in primary care settings has the potential to reduce overall costs of care, decrease medical morbidity associated with opioid dependence, and improve treatment outcomes. However, access to BMT, especially in rural areas, remains limited. This article will present a review of barriers to adoption of BMT among family physicians in a primarily rural area in the USA. METHODS: An anonymous survey of family physicians practicing in Vermont or New Hampshire, two largely rural states, was conducted. The survey included both quantitative and qualitative questions, focused on BMT adoption and physician opinions of opioids. Specific factors assessed included physician factors, physicians' understanding of patient factors, and logistical issues. RESULTS: One-hundred and eight family physicians completed the survey. Approximately 10% were buprenorphine prescribers. More than 80% of family physicians felt they regularly saw patients addicted to opiates. The majority (70%) felt that they, as family physicians, bore responsibility for treating opiate addiction. Potential logistical barriers to buprenorphine adoption included inadequately trained staff (88%), insufficient time (80%), inadequate office space (49%), and cumbersome regulations (37%). Common themes addressed in open-ended questions included lack of knowledge, time, or interest; mistrust of people with addiction or buprenorphine; and difficult patient population. CONCLUSIONS: This study aims to quantify perceived barriers to treatment and provide insight expanding the community of family physicians offering BMT. The results suggest family physicians are excellent candidates to provide BMT, as most report regularly seeing opioid-addicted patients and believe that treating opioid addiction is their responsibility. Significant barriers remain, including inadequate staff training, lack of access to addiction experts, and perceived efficacy of BMT. Addressing these barriers may lower resistance to buprenorphine adoption and increase access to BMT in rural areas.

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1363

Analysis of data items and gaps in Australia's national mental health services activity and capacity data collections for integrated regional service planning

Type: Journal Article

Authors: Claudia Pagliaro, Arabella Mundie, Harvey Whiteford, Sandra Diminic

Year: 2024

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1364

Analysis of rising cases of adolescent opioid use presentations to the emergency department and their management

Type: Journal Article

Authors: A. Sidlak, B. Dibble, M. Dhaliwal, P. Bottone, R. Marino, L. Henry, J. Howell

Year: 2024

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1365

Analysis of U-47700, a Novel Synthetic Opioid, in Human Urine by LC-MS-MS and LC-QToF

Type: Journal Article

Authors: S. W. Fleming, J. C. Cooley, L. Johnson, C. C. Frazee, K. Domanski, K. Kleinschmidt, U. Garg

Year: 2017

Publication Place: England

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1366

Analyzing the Interprofessional Working of a Home-Based Primary Care Team

Type: Journal Article

Authors: Tracy Smith-Carrier, Sheila Neysmith

Year: 2014

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1367

Another Reason to Love Integrated Behavioral Health: Notes From the North

Type: Journal Article

Authors: Jennifer F. Havens

Year: 2017

Publication Place: Baltimore

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1368

Another Senseless Death - The Case for Supervised Injection Facilities

Type: Journal Article

Authors: S. E. Wakeman

Year: 2017

Publication Place: United States

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1369

Another Silver Lining?: Anthropological Perspectives on the Promise and Practice of Relaxed Restrictions for Telemedicine and Medication-Assisted Treatment in the Context of COVID-19

Type: Journal Article

Authors: Emery R. Eaves, Robert T. Trotter II, Julie A. Baldwin

Year: 2020

Publication Place: Oklahoma City

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1370

Another trial falls short in search for stimulant use disorder treatment

Type: Journal Article

Authors: Gary Enos

Year: 2021

Publication Place: Hoboken, New Jersey

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1371

Antecedents and correlates of methadone treatment entry: A comparison of out-of-treatment and in-treatment cohorts

Type: Journal Article

Authors: Robert P. Schwartz, Sharon M. Kelly, Kevin E. O'Grady, Shannon Gwin Mitchell, Barry S. Brown

Year: 2011

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1372

Antecedents of opioid dependence and personality disorder: Attention-deficit/hyperactivity disorder and conduct disorder

Type: Journal Article

Authors: J. Modestin, B. Matutat, O. Wurmle

Year: 2001

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1373

Antidepressant prescribing in older primary care patients in community and care home settings in England and Wales

Type: Journal Article

Authors: T. Harris, I. M. Carey, S. M. Shah, S. DeWilde, D. G. Cook

Year: 2010

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1374

Antidepressant Prescribing in Primary Care to Older Adults Without Major Depression

Type: Journal Article

Authors: D. T. Maust, J. A. Sirey, H. C. Kales

Year: 2017

Publication Place: United States

Abstract: OBJECTIVE: The study compared distress levels among two groups of older adults who had been newly prescribed an antidepressant by their primary care physician, those with major depressive disorder (MDD) and those without MDD. METHODS: This analysis used a convenience sample of participants (N=231) who had been newly prescribed an antidepressant in a randomized controlled trial of a program to improve antidepressant adherence and depression outcomes among older adults (>/=55). After determining the proportion of participants with and without MDD (using the Structured Clinical Interview for DSM-IV), the authors compared groups on demographic, clinical, and psychosocial characteristics, including the 12-Item Short-Form Health Survey physical and mental component summary scores (PCS and MCS). Logistic regression was used to test the association of these characteristics with antidepressant use in the absence of MDD. RESULTS: Most (57%) participants did not have MDD. This group was older (69.4 versus 64.7, p<.001), had a larger proportion of white participants (82% versus 56%, p<.001), and reported better physical (PCS, 43.4 versus 39.9, p=.03) and emotional (MCS, 40.2 versus 30.5, p<.001) well-being compared with the group with MDD. In the final regression model, white race (adjusted odds ratio [AOR]=3.11, p=.03) and better emotional well-being (AOR=1.16, p<.001) were associated with antidepressant use in the absence of MDD. CONCLUSIONS: Older adults prescribed antidepressants in the absence of MDD did not report similar distress levels compared with their counterparts with MDD. Given the continued emphasis on screening for depression in primary care, it is important to consider the potential for overtreatment.

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1375

Antidepressant prescription behavior among primary care clinician providers after an interprofessional primary care psychiatric training program

Type: Journal Article

Authors: Shutong Huo, Tim A. Bruckner, Glen L. Xiong, Emma Cooper, Amy Wade, Ariel B. Neikrug, Jane P. Gagliardi, Robert McCarron

Year: 2023

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1376

Antidepressants, primary care, and adult mental health services in England during COVID-19

Type: Journal Article

Authors: R. Armitage

Year: 2021

Publication Place: England

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1377

Antipsychotic medication prescribing in children enrolled in medicaid

Type: Journal Article

Authors: D. C. Rettew, J. Greenblatt, J. Kamon, D. Neal, V. Harder, R. Wasserman, P. Berry, C. D. MacLean, N. Hogue, W. McMains

Year: 2015

Publication Place: United States

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1378

Anxiety and Depression Screening of Youth in Pediatric Pulmonary Hypertension Clinic: A Multi-Center, Cross-Sectional Study

Type: Journal Article

Authors: C. Parker, E. Whalen, M. A. Smith, J. Becerra, L. Stevens, C. M. Avitabile, A. Brown, M. Cash, E. O. Jackson, J. McSweeney, K. Miller-Reed, J. T. Reyes, C. Sheppard, M. P. Mullen

Year: 2025

Abstract:

Children with chronic diseases, including pulmonary hypertension (PH), have an increased risk of anxiety and depression (AD), impacting mental health (MH), and quality of life (QoL). We sought to characterize the prevalence of AD in pediatric PH and identify associated factors. We developed a prospective cross-sectional study with 10 Pediatric Pulmonary Hypertension Network (PPHNet) centers. Eligible subjects aged 12-21, diagnosed with PH, and English or Spanish speaking, completed validated AD screening questionnaires during routine outpatient clinic visits. Caregivers provided socioeconomic status (SES) data and MH history via survey. Patient demographics and clinical characteristics were analyzed using standard descriptive statistics. Eighty-eight patients were enrolled (female = 54, 61%). Forty-six (51.7%) identified at least mild symptoms of AD. Females were more likely to report AD than males (OR 2.67, 95% CI 1.11-6.61, p = 0.030). There were no significant associations between AD and PH severity, MH history, family dynamics, SES status, race, or ethnicity. Twenty-seven of those patients (58.7%) received MH education/counseling by MH professionals; ten (21.7%) were referred to MH providers, and nine patients (19.6%) were assessed for suicide safety. Adolescents with PH have a high prevalence of AD. Female patients had increased AD compared to male patients; no other predictors were linked to the prevalence of AD. Routine AD screening should be integrated into outpatient PH clinic visits with a focus on psychosocial support for young females diagnosed with PH.

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1379

Anxiety and depression treatment in primary care pediatrics

Type: Journal Article

Authors: Talia R. Lester, Jessica E. Herrmann, Yair Bannett, Rebecca M. Gardner, Heidi M. Feldman, Lynne C. Huffman

Year: 2023

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1380

Anxiety disorders in primary care: prevalence, impairment, comorbidity, and detection

Type: Journal Article

Authors: K. Kroenke, R. L. Spitzer, J. B. Williams, P. O. Monahan, B. Lowe

Year: 2007

Abstract: Abstract. BACKGROUND: Anxiety, although as common as depression, has received less attention and is often undetected and undertreated. OBJECTIVE: To determine the current prevalence, impairment, and comorbidity of anxiety disorders in primary care and to evaluate a brief measure for detecting these disorders. DESIGN: Criterion-standard study performed between November 2004 and June 2005. SETTING: 15 U.S. primary care clinics. PARTICIPANTS: 965 randomly sampled patients from consecutive clinic patients who completed a self-report questionnaire and agreed to a follow-up telephone interview. MEASUREMENTS: 7-item anxiety measure (Generalized Anxiety Disorder [GAD]-7 scale) in the clinic, followed by a telephone-administered, structured psychiatric interview by a mental health professional who was blinded to the GAD-7 results. Functional status (Medical Outcomes Study Short Form-20), depressive and somatic symptoms, and self-reported disability days and physician visits were also assessed. RESULTS: Of the 965 patients, 19.5% (95% CI, 17.0% to 22.1%) had at least 1 anxiety disorder, 8.6% (CI, 6.9% to 10.6%) had posttraumatic stress disorder, 7.6% (CI, 5.9% to 9.4%) had a generalized anxiety disorder, 6.8% (CI, 5.3% to 8.6%) had a panic disorder, and 6.2% (CI, 4.7% to 7.9%) had a social anxiety disorder. Each disorder was associated with substantial impairment that increased significantly (P < 0.001) as the number of anxiety disorders increased. Many patients (41%) with an anxiety disorder reported no current treatment. Receiver-operating characteristic curve analysis showed that both the GAD-7 scale and its 2 core items (GAD-2) performed well (area under the curve, 0.80 to 0.91) as screening tools for all 4 anxiety disorders. LIMITATION: The study included a nonrandom sample of selected primary care practices. CONCLUSIONS: Anxiety disorders are prevalent, disabling, and often untreated in primary care. A 2-item screening test may enhance detection.

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