Literature Collection

1481

Behavioral health and refugee youth in primary care: An ecological systems perspective of the complexities of care

Type: Journal Article

Authors: Florence J. Lewis, Shaelise Tor, Damon Rappleyea, Katharine W. Didericksen, Natalia Sira

Year: 2021

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1482

Behavioral Health and the Comprehensive Primary Care (CPC) Initiative: findings from the 2014 CPC behavioral health survey

Type: Journal Article

Authors: K. Zivin, B. F. Miller, B. Finke, A. Bitton, P. Payne, E. C. Stowe, A. Reddy, T. J. Day, P. Lapin, J. L. Jin, L. L. Sessums

Year: 2017

Publication Place: England

Abstract: BACKGROUND: Incorporating behavioral health care into patient centered medical homes is critical for improving patient health and care quality while reducing costs. Despite documented effectiveness of behavioral health integration (BHI) in primary care settings, implementation is limited outside of large health systems. We conducted a survey of BHI in primary care practices participating in the Comprehensive Primary Care (CPC) initiative, a four-year multi-payer initiative of the Centers for Medicare and Medicaid Services (CMS). We sought to explore associations between practice characteristics and the extent of BHI to illuminate possible factors influencing successful implementation. METHOD: We fielded a survey that addressed six substantive domains (integrated space, training, access, communication and coordination, treatment planning, and available resources) and five behavioral health conditions (depression, anxiety, pain, alcohol use disorder, and cognitive function). Descriptive statistics compared BHI survey respondents to all CPC practices, documented the availability of behavioral health providers, and primary care and behavioral health provider communication. Bivariate relationships compared provider and practice characteristics and domain scores. RESULTS: One hundred sixty-one of 188 eligible primary care practices completed the survey (86% response rate). Scores indicated basic to good baseline implementation of BHI in all domains, with lowest scores on communication and coordination and highest scores for depression. Higher scores were associated with: having any behavioral health provider, multispecialty practice, patient-centered medical home designation, and having any communication between behavioral health and primary care providers. CONCLUSIONS: This study provides useful data on opportunities and challenges of scaling BHI integration linked to primary care transformation. Payment reform models such as CPC can assist in BHI promotion and development.

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1483

Behavioral health as primary care: Beyond efficacy to effectiveness: A report of the Third Reno Conference on the Integration of Behavioral Health in Primary Care

Type: Web Resource

Authors: Nicholas A. Cummings, William T. O'Donohue, Kyle E. Ferguson

Year: 2003

Publication Place: Reno, NV, US

Abstract: This book contains papers that were first presented at the University of Nevada, Reno on May 17-18, 2002. The goal of this conference was to assist practitioners, researchers, administrators, and decision makers to understand the practical issues surrounding how to integrate behavioral health care with medical surgical health care. The context of this conference is the health care crisis facing the United States. Costs are escalating at multiples of the rate of general inflation. The managed care model is sick or dying. 40 million Americans are uninsured. The rate of medical errors is unacceptably high. The population is aging and the health care needs represented by the elderly have increased. Technological advances often bring higher costs. What can be done? This book is an attempt to illustrate the trend toward addressing these problems by integrating care. One of the key advantages to integrated care is that it can reduce demand for health care by providing patients with the health care they actually need. There is significant clinical research and clinical experience all pointing to one fact: many patients (perhaps even a majority) receiving traditional primary care or specialty care medicine also need behavioral care. (PsycINFO Database Record (c) 2010 APA, all rights reserved)(preface)

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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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1484

Behavioral Health Barometer: United States, Volume 4: Indicators as measured through the 2015 National Survey on Drug Use and Health and National Survey of Substance Abuse Treatment Services

Type: Government Report

Authors: Substance Abuse and Mental Health Services Administration

Year: 2017

Publication Place: Rockville, MD

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,

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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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1485

Behavioral health care for children: the Massachusetts Child Psychiatry Access Project

Type: Journal Article

Authors: J. H. Straus, B. Sarvet

Year: 2014

Publication Place: United States

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1486

Behavioral Health Clinical Quality Measures

Type: Web Resource

Authors: HealthIT .gov

Year: 2017

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,

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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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1487

Behavioral health coaching for rural veterans with diabetes and depression: a patient randomized effectiveness implementation trial

Type: Journal Article

Authors: J. A. Cully, J . Y. Breland, S. Robertson, A. E. Utech, N. Hundt, M. E. Kunik, N. J. Petersen, N. Masozera, R. Rao, A. D. Naik

Year: 2014

Abstract: BACKGROUND: Depression and diabetes cause significant burden for patients and the healthcare system and, when co-occurring, result in poorer self-care behaviors and worse glycemic control than for either condition alone. However, the clinical management of these comorbid conditions is complicated by a host of patient, provider, and system-level barriers that are especially problematic for patients in rural locations. Patient-centered medical homes provide an opportunity to integrate mental and physical health care to address the multifaceted needs of complex comorbid conditions. Presently, there is a need to not only develop robust clinical interventions for complex medically ill patients but also to find feasible ways to embed these interventions into the frontlines of existing primary care practices.Methods/design: This randomized controlled trial uses a hybrid effectiveness-implementation design to evaluate the Healthy Outcomes through Patient Empowerment (HOPE) intervention, which seeks to simultaneously address diabetes and depression for rural veterans in Southeast Texas. A total of 242 Veterans with uncontrolled diabetes and comorbid symptoms of depression will be recruited and randomized to either the HOPE intervention or to a usual-care arm. Participants will be evaluated on a host of diabetes and depression-related measures at baseline and 6- and 12-month follow-up. The trial has two primary goals: 1) to examine the effectiveness of the intervention on both physical (diabetes) and emotional health (depression) outcomes and 2) to simultaneously pilot test a multifaceted implementation strategy designed to increase fidelity and utilization of the intervention by coaches interfacing within the primary care setting. DISCUSSION: This ongoing blended effectiveness-implementation design holds the potential to advance the science and practice of caring for complex medically ill patients within the constraints of a busy patient-centered medical home.Trial registration: Behavioral Activation Therapy for Rural Veterans with Diabetes and Depression: NCT01572389.

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1488

Behavioral Health Consult: Targeting depression: Primary care tips and tools

Type: Journal Article

Authors: M. Maksimowski, M. Raddock

Year: 2017

Publication Place: United States

Abstract: The resources provided here can help you determine if depression is to blame for your patient's symptoms. A handy antidepressant guide can inform your Tx choices.

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1489

Behavioral health consultation and primary care: Lessons learned

Type: Journal Article

Authors: P. J. Robinson, K. D. Strosahl

Year: 2009

Publication Place: United States

Abstract: This article provides an overview of 20 years of professional experiences with developing and implementing a model for integrating behavioral health services into primary care. The Primary Care Behavioral Health (PCBH) model is designed to provide immediate access to behavioral care for a large number of primary care patients by positioning a behavioral health consultant in the exam room area to function as a core member of the primary care team. In an initial era of discovery, the authors were directly involved in developing and testing a variety of new approaches to providing behavioral health services in general medicine. In a second era focused on feasibility, the authors worked with Kaiser Permanente, the United States Air Force and Navy, the Veteran's Administration, and the Bureau of Primary Care to system test this innovative model of integrated care. Now in an era devoted to dissemination, the authors review the various roles formal research, system level quality improvement initiatives and stakeholder analysis play in promoting integrated care. The authors also describe current efforts to (1) create a tool that helps systems develop integration targets and (2) use the PCBH model as a platform for teaching medical residents and behavioral health providers to work together in a redesigned primary care team model.

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1490

Behavioral Health Homes

Type: Web Resource

Authors: Connecticut Department of Mental Health and Addictions Services

Year: 2018

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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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1491

Behavioral Health Homes

Type: Journal Article

Authors: R. Aquila

Year: 2018

Publication Place: United States

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1492

Behavioral Health Homes for People with Mental Health and Substance Use Conditions: The Core Clinical Features

Type: Government Report

Authors: L. Alexander, Benjamin G. Druss

Year: 2012

Publication Place: Washington, D.C.

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,

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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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1493

Behavioral Health Homes: an opportunity to address healthcare inequities in people with serious mental illness

Type: Journal Article

Authors: M. Viron, K. Zioto, J. Schweitzer, G. Levine

Year: 2014

Publication Place: Netherlands

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1494

Behavioral Health Homes: The Authors Reply

Type: Journal Article

Authors: J. M. Schuster, C. F. Reynolds III, T. Carney

Year: 2018

Publication Place: United States

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1495

Behavioral health in federally qualified health centers: What practitioners and researchers need to know.

Type: Journal Article

Authors: Andrea M. Auxier, Holen K. Hirsh, Meredith K. Warman

Year: 2013

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1496

Behavioral Health in Primary Care: Brief Screening and Intervention Strategies for Pediatric Clinicians

Type: Journal Article

Authors: R. A. Petts, S. T. Gaynor

Year: 2021

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1497

Behavioral health in the pediatric primary care setting: Needs, barriers, and implications for psychologists

Type: Journal Article

Authors: Anne E. Pidano, Craig A. Kimmelblatt, William P. Neace

Year: 2011

Publication Place: US: Educational Publishing Foundation

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1498

Behavioral Health Integration

Type: Web Resource

Authors: M. L. Infante

Year: 2012

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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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1499

Behavioral health Integration - Progress Update

Type: Government Report

Year: 2011

Publication Place: MD

Abstract:

As part of the FY 2012 budget, the [Maryland] General Assembly asked the Deparment of Health and Mental Hygiene to convene a workgroup "to develop a system of integrated care for individuals with co-occurring serious mental illness and substance abuse issues." The General Assembly asked the Department to provide recommendations for developing such a system. This report is in response to that requirement.

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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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1500

Behavioral Health Integration - Substance Use Disorder How-To Guide

Type: Report

Authors: American Medical Association

Year: 2021

Publication Place: Washington, D.C.

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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