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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).
11231 Results
1521
Behavioral Health Integration With Primary Care: Implementation Experience and Impacts From the State Innovation Model Round 1 States
Type: Journal Article
Year: 2019
Publication Place: United States
Topic(s):
Financing & Sustainability
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1524
Behavioral health interventions being implemented in a VA primary care system
Type: Journal Article
Year: 2011
Publication Place: United States
Abstract: The integration of behavioral health and primary care has received much attention in the literature. Behavioral health providers (BHPs) in integrated settings are faced with different treatment constraints than those who work in specialty mental health. The existing literature focuses on what BHPs should do in primary care settings; however, little research exists specifying what BHPs are actually doing. This study provides a glimpse into what types of interventions BHPs are using, and what types of patients they are seeing, in primary care. A chart review was conducted of patients (N = 180) seen by BHPs in five Veterans Affairs primary care clinics. Depression was the most common diagnosis, while less common presenting problems included substance abuse/dependence, psychosis, and bipolar disorder. Common interventions used were medical management, psycho-education, elements of cognitive-behavioral therapy (CBT), and supportive psychotherapy. Future research should examine the efficacy of brief interventions in primary care settings.
Topic(s):
General Literature
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Reference Links: 
View the DOI record for Behavioral health interventions being implemented in a VA primary care system
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View the PubMed citation for Behavioral health interventions being implemented in a VA primary care system1526
Behavioral Health Needs, Barriers, and Parent Preferences in Rural Pediatric Primary Care
Type: Journal Article
Year: 2020
Publication Place: United States
Topic(s):
Healthcare Disparities
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Reference Links:
View the DOI record for Behavioral Health Needs, Barriers, and Parent Preferences in Rural Pediatric Primary Care
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View the PubMed citation for Behavioral Health Needs, Barriers, and Parent Preferences in Rural Pediatric Primary Care1531
Behavioral Health Problems Presented to Integrated Pediatric Behavioral Health Clinics: Differences in Urban and Rural Patients
Type: Journal Article
Year: 2017
Publication Place: United States
Abstract: Behavioral health diagnoses and service use may differ based on rurality. The purpose of this study was to examine the patterns of mental disorder diagnoses of urban, rural, and remote pediatric populations. This retrospective study used electronic medical records from integrated behavioral health clinics in Nebraska from 2012 to 2013. Bivariate and multivariable models were used to examine the differences in diagnoses. Adolescents with attention deficit and related disorders were more likely to be male, younger, have public insurance and rural/remote residents. Adjustment disorders were associated with being female, older, and urban residents. Adolescents with anxiety disorder had a significant interaction between age and gender, with both genders being older, having private insurance, and urban residents. Adolescents with mood disorder were more likely to be female, older, and urban residents. Demographic and clinical differences among patients in urban and rural/remote settings have implications for care in rural settings.
Topic(s):
Healthcare Disparities
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1533
Behavioral health providers' perspectives of delivering behavioral health services in primary care: a qualitative analysis
Type: Journal Article
Year: 2012
Publication Place: England
Abstract: BACKGROUND: Co-located, collaborative care (CCC) is one component of VA's model of Integrated Primary Care that embeds behavioral health providers (BHPs) into primary care clinics to treat commonly occurring mental health concerns among Veterans. Key features of the CCC model include time-limited, brief treatments (up to 6 encounters of 30 minutes each) and emphasis on multi-dimensional functional assessment. Although CCC is a mandated model of care, the barriers and facilitators to implementing this approach as identified from the perspective of BHPs have not been previously identified. METHODS: This secondary data analysis used interview data captured as part of a quality improvement project in 2008. Fourteen BHPs (48% of providers in a regional VA network) agreed to participate in a 30-minute, semi-structured phone interview. The interview included questions about their perceived role as a CCC provider, depiction of usual practice styles and behaviors, and perceptions of typical barriers and facilitators to providing behavioral healthcare to Veterans in CCC. Interviews were transcribed verbatim into a text database and analyzed using grounded theory. RESULTS: Six main categories emerged from the analysis: (a) Working in the VA Context, (b) Managing Access to Care on the Front Line, (c) Assessing a Care Trajectory, (d) Developing a Local Integrated Model, (e) Working in Collaborative Teams, and (f) Being a Behavioral Health Generalist. These categories pointed to system, clinic, and provider level factors that impacted BHP's role and ability to implement CCC. Across categories, participants identified ways in which they provided Veteran-centered care within variable environments. CONCLUSIONS: This study provided a contextualized account of the experiences of BHP's in CCC. Results suggest that these providers play a multifaceted role in delivering clinical services to Veterans while also acting as an interdependent component of the larger VA behavioral health and primary care systems. Based on the inherent challenges of enacting this role, BHPs in CCC may benefit from additional implementation support in their effort to promote health care integration and to increase access to patient-centered care in their local clinics.
Topic(s):
Education & Workforce
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1536
Behavioral health screening and intervention in primary care
Type: Journal Article
Year: 2011
Publication Place: United States
Topic(s):
General Literature
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Reference Links:
View the DOI record for Behavioral health screening and intervention in primary care
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View the PubMed citation for Behavioral health screening and intervention in primary care1537
Behavioral Health Screening in Pediatric Primary Care: A Pilot Study
Type: Journal Article
Year: 2014
Topic(s):
General Literature
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Reference Links: View the PubMed citation for Behavioral Health Screening in Pediatric Primary Care: A Pilot Study
1538
Behavioral health service utilization: Trends in utilization within a patient-centered medical home for low-income children and women
Type: Journal Article
Year: 2019
Publication Place: India
Topic(s):
Financing & Sustainability
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, Healthcare Disparities
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, Medical Home
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1539
Behavioral health services influence medical treatment utilization among primary care patients with comorbid substance use and depression
Type: Journal Article
Year: 2013
Publication Place: United States
Abstract: Although research has shown benefits of integrating psychological care in primary care settings, it is unclear how this form of treatment impacts individuals with comorbid substance use and depression. The findings are also mixed concerning how frequently this comorbid population seeks primary care services. This study examined the associations between substance use, depression, and medical treatment utilization among 224 primary care patients. The aim of the investigation was twofold. First, to determine if depression increases medical treatment utilization among patients with substance use disorders; second, to evaluate if behavioral health treatment reduces medical service utilization. A moderated mediation model with bootstrapping analyses revealed that depression strengthened the relationship between substance use and primary care treatment utilization (both medical and behavioral health). The model also indicated that behavioral health services were associated with fewer primary care visits for individuals with comorbid substance use and depression. Clinical and social implications are discussed.
Topic(s):
Opioids & Substance Use
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