Literature Collection

1381

Balint groups as 'shared care' in the area of mental health in primary medicine

Type: Journal Article

Authors: S. Rabin, B. Maoz, Y. Shorer, A. Matalon

Year: 2009

Publication Place: URL

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1382

BAP updated guidelines: evidence-based guidelines for the pharmacological management of substance abuse, harmful use, addiction and comorbidity: recommendations from BAP

Type: Journal Article

Authors: A. R. Lingford-Hughes, S. Welch, L. Peters, D. J. Nutt, Expert Reviewers Group British Association for Psychopharmacology

Year: 2012

Publication Place: United States

Abstract: The British Association for Psychopharmacology guidelines for the treatment of substance abuse, harmful use, addiction and comorbidity with psychiatric disorders primarily focus on their pharmacological management. They are based explicitly on the available evidence and presented as recommendations to aid clinical decision making for practitioners alongside a detailed review of the evidence. A consensus meeting, involving experts in the treatment of these disorders, reviewed key areas and considered the strength of the evidence and clinical implications. The guidelines were drawn up after feedback from participants. The guidelines primarily cover the pharmacological management of withdrawal, short- and long-term substitution, maintenance of abstinence and prevention of complications, where appropriate, for substance abuse or harmful use or addiction as well management in pregnancy, comorbidity with psychiatric disorders and in younger and older people.

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1383

Barriers and attitudes reported by Canadian emergency physicians regarding the initiation of buprenorphine/naloxone in the emergency department for patients with opioid use disorder

Type: Journal Article

Authors: T. Savage, M. Ross

Year: 2022

Publication Place: England

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1384

Barriers and drivers of health information technology use for the elderly, chronically ill, and underserved

Type: Journal Article

Authors: H. Jimison, P. Gorman, S. Woods, P. Nygren, M. Walker, S. Norris, W. Hersh

Year: 2008

Publication Place: United States

Abstract: OBJECTIVES: We reviewed the evidence on the barriers and drivers to the use of interactive consumer health information technology (health IT) by specific populations, namely the elderly, those with chronic conditions or disabilities, and the underserved. DATA SOURCES: We searched MEDLINE, CINHAHL, PsycINFO the Cochrane Controlled Trials Register and Database of Systematic Reviews, ERIC, and the American Association of Retired Persons (AARP) AgeLine databases. We focused on literature 1990 to present. METHODS: We included studies of all designs that described the direct use of interactive consumer health IT by at least one of the populations of interest. We then assessed the quality and abstracted and summarized data from these studies with regard to the level of use, the usefulness and usability, the barriers and drivers of use, and the effectiveness of the interactive consumer health IT applications. RESULTS: We identified and reviewed 563 full-text articles and included 129 articles for abstraction. Few of the studies were specifically designed to compare the elderly, chronically ill, or underserved with the general population. We did find that several types of interactive consumer health IT were usable and effective in multiple settings and with all of our populations of interest. Of the studies that reported the impact of interactive consumer health IT on health outcomes, a consistent finding of our review was that these systems tended to have a positive effect when they provided a complete feedback loop that included: Monitoring of current patient status. Interpretation of this data in light of established, often individualized, treatment goals. Adjustment of the management plan as needed. Communication back to the patient with tailored recommendations or advice. Repetition of this cycle at appropriate intervals. Systems that provided only one or a subset of these functions were less consistently effective. The barriers and drivers to use were most often reported as secondary outcomes. Many studies were hampered by usability problems and unreliable technology, primarily due to the research being performed on early stage system prototypes. However, the most common factor influencing the successful use of the interactive technology by these specific populations was that the consumers' perceived a benefit from using the system. Convenience was an important factor. It was critical that data entry not be cumbersome and that the intervention fit into the user's daily routine. Usage was more successful if the intervention could be delivered on technology consumers used every day for other purposes. Finally, rapid and frequent interactions from a clinician improved use and user satisfaction. CONCLUSIONS: The systems described in the studies we examined depended on the active engagement of consumers and patients and the involvement of health professionals, supported by the specific technology interventions. Questions remain as to: The optimal frequency of use of the system by the patient, which is likely to be condition-specific. The optimal frequency of use or degree of involvement by health professionals. Whether the success depends on repeated modification of the patient's treatment regimen or simply ongoing assistance with applying a static treatment plan. However, it is clear that the consumer's perception of benefit, convenience, and integration into daily activities will serve to facilitate the successful use of the interactive technologies for the elderly, chronically ill, and underserved.

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1385

Barriers and enablers of integrated care in the UK: a rapid evidence review of review articles and grey literature 2018-2022

Type: Journal Article

Authors: L. J. M. Thomson, H. J. Chatterjee

Year: 2023

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1386

Barriers and enablers of integrated care in the UK: a rapid evidence review of review articles and grey literature 2018-2022

Type: Journal Article

Authors: L. J. M. Thomson, H. J. Chatterjee

Year: 2023

Abstract:

Integrated care refers to person-centered and coordinated, health and social care, and community services. Integrated care systems are partnerships of organizations that deliver health and care services which were placed on a statutory footing in England, April 2022. Due to the need for fast, accessible, and relevant evidence, a rapid review was conducted according to World Health Organization methods to determine barriers and enablers of integrated care across the United Kingdom, 2018-2022. Nine databases were searched for review articles reporting evaluation of integrated care interventions involving medical (clinical and diagnostic) and nonmedical (public health services and community-based or social care/person-centred care) approaches, quality checked with the Critical Appraisal Skills Program qualitative checklist. OpenGrey and hand searches were used to identify grey literature, quality checked with the Authority, Accuracy, Coverage, Objectivity, Date, and Significance checklist. Thirty-four reviews and 21 grey literature reports fitted inclusion criteria of adult physical/mental health outcomes/multiple morbidities. Thematic analysis revealed six themes (collaborative approach; costs; evidence and evaluation; integration of care; professional roles; service user factors) with 20 subthemes including key barriers (cost effectiveness; effectiveness of integrated care; evaluation methods; focus of evidence; future research; impact of integration) and enablers (accessing care; collaboration and partnership; concept of integration; inter-professional relationships; person-centered ethos). Findings indicated a paucity of robust research to evaluate such interventions and lack of standardized methodology to assess cost effectiveness, although there is growing interest in co-production that has engendered information sharing and reduced duplication, and inter-professional collaborations that have bridged task-related gaps and overlaps. The importance of identifying elements of integrated care associated with successful outcomes and determining sustainability of interventions meeting joined-up care and preventive population health objectives was highlighted.

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1387

Barriers and Enablers to Integrating Mental Health into Primary Care: A Policy Analysis

Type: Journal Article

Authors: A. Durbin, J. Durbin, J. M. Hensel, R. Deber

Year: 2016

Abstract: Integrating care for physical health and behavioural health (mental health and addictions) has been a longstanding challenge, although research supports the clinical and cost effectiveness of integrated care for many clients. In one such model, primary care (PC) physicians work with specialist physicians and non-physician providers (NPPs) to provide mental health and addictions care in PC settings. This Ontario, Canada-focused policy analysis draws on research evidence to examine potential barriers and enablers to this model of integrated care, focusing on mental health. Funding challenges pertain to incentivizing PC physicians to select patients with mental illness, include NPPs on the treatment team, and collaborate with specialist providers. Legal/regulatory challenges pertain to NPP scopes of practice for prescribing and counselling. Integrated care also requires revising the role of the physician and distribution of functions among the team. Policy support to integrate addictions treatment in PC may face similar challenges but requires further exploration.

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1388

Barriers and facilitators associated with establishment of emergency department-initiated buprenorphine for opioid use disorder in rural Maine

Type: Journal Article

Authors: N. K. Rosenberg, A. B. Hill, L. Johnsky, D. Wiegn, R. C. Merchant

Year: 2021

Publication Place: England

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1389

Barriers and facilitators associated with establishment of emergency department‐initiated buprenorphine for opioid use disorder in rural Maine

Type: Journal Article

Authors: Noah K. Rosenberg, Alexander B. Hill, Lily Johnsky, David Wiegn, Roland C. Merchant

Year: 2022

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1390

Barriers and facilitators of accessing perinatal mental health services: The perspectives of women receiving continuity of care midwifery

Type: Journal Article

Authors: C. J. Viveiros, E. K. Darling

Year: 2018

Publication Place: Scotland

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1391

Barriers and facilitators of adolescent behavioral health in primary care: Perceptions of primary care providers

Type: Journal Article

Authors: G. W. Bitar, P. Springer, R. Gee, C. Graff, M. Schydlower

Year: 2009

Publication Place: United States

Abstract: Several major policy reports describe the central role of primary care in improving the delivery of behavioral health care services to children and adolescents. Although primary care providers are uniquely positioned to provide these services, numerous obstacles hinder the integration of these services, including time, clinic management and organization issues, training, and resources. Although many of these obstacles have been described in the literature, few studies have investigated these issues from the first-person perspective of front-line providers. The purpose of this study, therefore, is to provide an in-depth description of primary care providers' attitudes and perceptions of adolescent behavioral health care across a diversity of primary care settings (i.e., Federally Qualified Health Center [FQHC], FQHC-Look Alike, school-based, military). Sixteen focus groups were conducted at 5 primary care clinics. Thematic analysis was used to analyze the focus group data. Obstacles to integration are presented as well as strategies to overcome these challenges, using training and education, working groups, and community collaboratives.

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1392

Barriers and Facilitators of Advanced Practice Registered Nurse Participation in Medication Treatment for Opioid Use Disorder: A Mixed Methods Study

Type: Journal Article

Authors: Joanne Spetz, Susan Chapman, Matthew Tierney, Bethany Phoenix, Laurie Hailer

Year: 2021

Publication Place: Philadelphia, Pennsylvania

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1393

Barriers and Facilitators of Healthcare for People with Mental Illness: Why Integrated Patient Centered Healthcare Is Necessary

Type: Journal Article

Authors: Chyrell D. Bellamy, Elizabeth H. Flanagan, Mark Costa, Maria O'Connell-Bonarrigo, Thanh Tana Le, Kimberly Guy, Kimberly Antunes, Jeanne L. Steiner

Year: 2016

Publication Place: Philadelphia, Pennsylvania

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1394

Barriers and facilitators of mental health programmes in primary care in low-income and middle-income countries

Type: Journal Article

Authors: G. M. Esponda, S. Hartman, O. Qureshi, E. Sadler, A. Cohen, R. Kakuma

Year: 2020

Publication Place: England

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1395

Barriers and facilitators of treatment for depression in a latino community: a focus group study

Type: Journal Article

Authors: L. A. Uebelacker, B. A. Marootian, P. A. Pirraglia, J. Primack, P. M. Tigue, R. Haggarty, L. Velazquez, J. J. Bowdoin, Z. Kalibatseva, I. W. Miller

Year: 2012

Publication Place: United States

Abstract: We conducted focus groups with Latinos enrolled in a Medicaid health plan in order to ask about the barriers to and facilitators of depression treatment in general as well as barriers to participation in depression telephone care management. Telephone care management has been designed for and tested in primary care settings as a way of assisting physicians with caring for their depressed patients. It consists of regular brief contacts between the care manager and the patient; the care manager educates, tracks, and monitors patients with depression, coordinates care between the patient and primary care physician, and may provide short-term psychotherapy. We conducted qualitative analyses of four focus groups (n = 30 participants) composed of Latinos who endorsed having been depressed themselves or having had a close friend or family member with depression, stress, nervios, or worries. Within the area of barriers and facilitators of receiving care for depression, we identified the following themes: vulnerability, social connection and engagement, language, culture, insurance/money, stigma, disengagement, information, and family. Participants discussed attitudes toward: importance of seeking help for depression, specific types of treatments, healthcare providers, continuity and coordination of care, and phone calls. Improved understanding of barriers and facilitators of depression treatment in general and depression care management in particular for Latinos enrolled in Medicaid should lead to interventions better able to meet the needs of this particular group.

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1396

Barriers and facilitators to accessing inpatient and community substance use treatment and harm reduction services for PWUD in the Muslim communities: A systematic narrative review…on the experiences of people receiving services and service providers

Type: Journal Article

Authors: Qutba Al-Ghafri, Polly Radcliffe, Gail Gilchrist

Year: 2023

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1397

Barriers and facilitators to buprenorphine prescribing among nurse practitioners working in primary care settings in eastern North Carolina

Type: Web Resource

Authors: Chandra Speight

Year: 2020

Publication Place: Greenville, N.C.

Topic(s):

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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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1398

Barriers and facilitators to buprenorphine use for opioid agonist treatment: protocol for a scoping review

Type: Journal Article

Authors: P. Leece, T. Khorasheh, K. Corace, C. Strike, A. M. Bayoumi, S. Taha, E. Marks, B. Pach, K. Ahamad, E. Grennell, M. Holowaty, H. Manson, S. E. Straus

Year: 2019

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1399

Barriers and facilitators to community‐based psycho‐oncology services: A qualitative study of health professionals' attitudes to the feasibility and acceptability of a shared care model

Type: Journal Article

Authors: Lisa Vaccaro, Joanne Shaw, Suvena Sethi, Laura Kirsten, Lisa Beatty, Geoffrey Mitchell, David Kissane, Brian Kelly, Jane Turner

Year: 2019

Publication Place: Hoboken, New Jersey

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1400

Barriers and facilitators to depression care among Latino men in a primary care setting: a qualitative study

Type: Journal Article

Authors: N. Swetlitz, L. Hinton, M. Rivera, M. Liu, A. C. Fernandez, M. E. Garcia

Year: 2024

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