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Opioids & SU
The Literature Collection contains over 10,000 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).
10858 Results
1822
Case management to improve major depression in primary health care: a systematic review
Type: Journal Article
Year: 2006
Topic(s):
General Literature
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Reference Links: 
View the DOI record for Case management to improve major depression in primary health care: a systematic review
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View the PubMed citation for Case management to improve major depression in primary health care: a systematic review1823
Case management: ongoing evaluation of patients' needs in an opioid treatment program
Type: Journal Article
Year: 2010
Publication Place: United States
Abstract: PURPOSE/OBJECTIVE: Case management has been widely used in mental health and substance abuse services. There have been only a few studies that have examined the use of case management in opioid-treatment programs. In a project funded by the Centers of Substance Abuse Treatment, we looked at the use of case managers and specifically at the treatment needs of this unique population. Our case managers, with the aid of research assistants, surveyed the treatment needs of 189 patients entering an opioid-treatment program over a 3-year period. Patients completed the Needs Assessment Instrument at intake, 6 months, and 12 months. PRIMARY PRACTICE SETTING(S): The use of case managers to assess the needs of opioid-dependent patients is applicable to substance abuse treatment setting especially in opioid-treatment programs that provide methadone or buprenorphine maintenance. FINDINGS/CONCLUSIONS: The critical services most requested were vocational, employment, transportation, dental, emotional, and smoking cessation. There were changes over the 12-month follow-up period in the types and priority of services requested. IMPLICATION FOR CASE MANAGEMENT PRACTICE: The Needs Assessment Instrument is a useful tool for case mangers to assess treatment needs of patients and the overall clinic population. Once sufficient patients have been surveyed, the opioid-treatment program can plan needed services for the clinic. Specific social agencies can be contacted to provide key services. Service needs are not static and as patients improve they may need a different mix of services to support their continued abstinence.
Topic(s):
Opioids & Substance Use
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, Education & Workforce
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Reference Links:
View the DOI record for Case management: ongoing evaluation of patients' needs in an opioid treatment program
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View the PubMed citation for Case management: ongoing evaluation of patients' needs in an opioid treatment program1824
Case Report: Implementation of a Multi-Component Behavioral Health Integration Program in Obstetrics for Perinatal Behavioral Health
Type: Journal Article
Year: 2021
Topic(s):
Healthcare Disparities
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1826
Case study of a primary care-based accountable care system approach to medical home transformation
Type: Journal Article
Year: 2011
Publication Place: United States
Abstract: We report a case study of a mature primary care-based accountable care organization that is both a health plan and a network of medical homes. Over 20 years, WellMed Inc (San Antonio, Texas) implemented many patient-centered services, experimenting to find which belong within clinics and which operate best as system functions. The adjusted mortality rate is half that of the state for people older than 65 years. Hospitalization and readmission rates and emergency department visits have not changed over time, but preventive services have improved. Phased implementation across the network makes it difficult to link improvements to specific processes but they seem to have improved outcomes collectively.
Topic(s):
Medical Home
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View the DOI record for Case study of a primary care-based accountable care system approach to medical home transformation
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View the PubMed citation for Case study of a primary care-based accountable care system approach to medical home transformation1829
Case vignette-based evaluation of psychiatric blended training program of primary care doctors
Type: Journal Article
Year: 2019
Publication Place: India
Topic(s):
Education & Workforce
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Reference Links: View the PubMed citation for Case vignette-based evaluation of psychiatric blended training program of primary care doctors
1833
Casting a wider net in behavioral health screening in primary care: a preliminary study of the Outcome Rating Scale
Type: Journal Article
Year: 2017
Publication Place: England
Abstract: Introduction The integration of behavioral health services into primary care has led to enhanced use of brief screening measures to identify mental health problems. Although useful, such instruments are largely symptom based and diagnosis specific. This narrow focus can potentially limit the identification of broader social or relational distress in patients that affect medical outcomes, as well as present feasibility challenges using a multi-measure approach in identifying mental health comorbidities. METHOD: This exploratory study of adult primary care patients compared an ultra-brief, and widely used measure of global distress across life functioning, the Outcome Rating Scale (ORS), with the Patient Health Questionnaire (PHQ-9 and PHQ-2). RESULTS: Correlations between the ORS and the PHQ-9 and PHQ-2 indicated agreement between the measures in classifying patients, and the ORS identified significantly more patients in the clinical range. Discussion Although results are preliminary, the ORS may cast a wider net in identifying patients with significant distress in primary care.
Topic(s):
Measures
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View the DOI record for Casting a wider net in behavioral health screening in primary care: a preliminary study of the Outcome Rating Scale
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View the PubMed citation for Casting a wider net in behavioral health screening in primary care: a preliminary study of the Outcome Rating Scale1839
CDC Guideline for Prescribing Opioids for Chronic Pain--United States, 2016
Type: Journal Article
Year: 2016
Publication Place: United States
Abstract: IMPORTANCE: Primary care clinicians find managing chronic pain challenging. Evidence of long-term efficacy of opioids for chronic pain is limited. Opioid use is associated with serious risks, including opioid use disorder and overdose. OBJECTIVE: To provide recommendations about opioid prescribing for primary care clinicians treating adult patients with chronic pain outside of active cancer treatment, palliative care, and end-of-life care. PROCESS: The Centers for Disease Control and Prevention (CDC) updated a 2014 systematic review on effectiveness and risks of opioids and conducted a supplemental review on benefits and harms, values and preferences, and costs. CDC used the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) framework to assess evidence type and determine the recommendation category. EVIDENCE SYNTHESIS: Evidence consisted of observational studies or randomized clinical trials with notable limitations, characterized as low quality using GRADE methodology. Meta-analysis was not attempted due to the limited number of studies, variability in study designs and clinical heterogeneity, and methodological shortcomings of studies. No study evaluated long-term (>/=1 year) benefit of opioids for chronic pain. Opioids were associated with increased risks, including opioid use disorder, overdose, and death, with dose-dependent effects. RECOMMENDATIONS: There are 12 recommendations. Of primary importance, nonopioid therapy is preferred for treatment of chronic pain. Opioids should be used only when benefits for pain and function are expected to outweigh risks. Before starting opioids, clinicians should establish treatment goals with patients and consider how opioids will be discontinued if benefits do not outweigh risks. When opioids are used, clinicians should prescribe the lowest effective dosage, carefully reassess benefits and risks when considering increasing dosage to 50 morphine milligram equivalents or more per day, and avoid concurrent opioids and benzodiazepines whenever possible. Clinicians should evaluate benefits and harms of continued opioid therapy with patients every 3 months or more frequently and review prescription drug monitoring program data, when available, for high-risk combinations or dosages. For patients with opioid use disorder, clinicians should offer or arrange evidence-based treatment, such as medication-assisted treatment with buprenorphine or methadone. CONCLUSIONS AND RELEVANCE: The guideline is intended to improve communication about benefits and risks of opioids for chronic pain, improve safety and effectiveness of pain treatment, and reduce risks associated with long-term opioid therapy.
Topic(s):
Opioids & Substance Use
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, Healthcare Policy
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, Education & Workforce
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Reference Links:
View the DOI record for CDC Guideline for Prescribing Opioids for Chronic Pain--United States, 2016
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View the PubMed citation for CDC Guideline for Prescribing Opioids for Chronic Pain--United States, 2016