Literature Collection

1841

CDC Opioid Guidelines in Today's Drug Culture

Type: Journal Article

Authors: M. M. Deren

Year: 2016

Publication Place: United States

Topic(s):

Reference Links:

Export Citation: RIS

View details

1842

Centennial Care: Ensuring Care for New Mexicans for the Next 100 Years and Beyond

Type: Government Report

Year: 2012

Abstract:

As the State moves forward to further refine and implement its modernization plan, New Mexico seeks to try a different approach to slowing the rate of growth in the program while avoiding cuts. Our vision is to build a service delivery system that delivers the right amount of care at the right time in the right setting. Our vision is to educate our recipients to become more savvy health care consumers, promote more integrated care, properly case manage the most at-risk members, involve members in their own wellness and pay providers for outcomes, rather than process. New Mexico believes that the up-front investment in seeding medical and health homes and investing in health literacy will return a healthier population and a reduction in the spiraling rate of growth.

Topic(s):

, ,

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 Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

PDF (213.27 KB)

Reference Links: PDF (213.27 KB)

Export Citation: RIS

View details

1843

Center for Integrated Healthcare (CIH)

Type: Web Resource

Authors: U.S. Department of Veterans Affairs

Year: 2013

Publication Place: Washington, D.C.

Topic(s):

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 Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

Access Resource

Reference Links: Access Resource

Export Citation: RIS

View details

1844

Center for Medical Home Improvement (CMHI)

Type: Web Resource

Authors: Center for Medical Home Improvement

Year: 2013

Publication Place: Concord, NH

Topic(s):

,

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.

Access Resource

Reference Links: Access Resource

Export Citation: RIS

View details

1845

Center for mental health services in pediatric primary care

Type: Web Resource

Authors: Johns Hopkins Bloomberg School of Public Health

Year: 2013

Publication Place: Baltimore, MD

Topic(s):

,

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.

Access Resource

Reference Links: Access Resource

Export Citation: RIS

View details

1846

Center for Neuroscience and Behavioral Medicine: An innovative administrative structure and possible paradigm for the future

Type: Journal Article

Authors: R. J. Packer, J. Villongco, M. Batshaw, P. Holbrook, W. D. Gaillard, P. L. Pearl, S. Weinstein, E. Zechman

Year: 2011

Publication Place: United States

Topic(s):

Reference Links:

Export Citation: RIS

View details

1847

Center for Shared Decision Making

Type: Web Resource

Authors: Dartmouth-Hitchcock Health

Year: 2021

Topic(s):

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.

Access Resource

Reference Links: Access Resource

Export Citation: RIS

View details

1848

Center of Excellence on Social Media and Youth Mental Health

Type: Report

Authors: American Academy of Pediatrics

Year: 2023

Publication Place: Itasca, IL

Topic(s):

,

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.

Access Resource

Reference Links: Access Resource

Export Citation: RIS

View details

1849

Centering culture in the treatment of opioid use disorder with American Indian and Alaska Native Communities: Contributions from a National Collaborative Board

Type: Journal Article

Authors: K. A. Hirchak, M. Nadeau, A. Vasquez, A. Hernandez-Vallant, K. Smith, C. Pham, K. A. Oliver, P. Baukol, K. Lizzy, R. Shaffer, J. Herron, A. N. C. Campbell, K. L. Venner

Year: 2023

Reference Links:

Export Citation: RIS

View details

1850

Centers for Medicare & Medicaid Services (CMS) Opioid Misuse Strategy 2016

Type: Government Report

Authors: Centers for Medicare and Medicaid Services

Year: 2017

Publication Place: Baltimore, MD

Topic(s):

, ,

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.

PDF (818.88 KB)

Reference Links: PDF (818.88 KB)

Export Citation: RIS

View details

1851

Centrally Assisted Collaborative Telecare for Posttraumatic Stress Disorder and Depression Among Military Personnel Attending Primary Care: A Randomized Clinical Trial

Type: Journal Article

Authors: C. C. Engel, L. H. Jaycox, M. C. Freed, R. M. Bray, D. Brambilla, D. Zatzick, B. Litz, T. Tanielian, L. A. Novak, M. E. Lane, B. E. Belsher, K. L. Olmsted, D. P. Evatt, R. Vandermaas-Peeler, J. Unutzer, W. J. Katon

Year: 2016

Publication Place: United States

Abstract: IMPORTANCE: It is often difficult for members of the US military to access high-quality care for posttraumatic stress disorder (PTSD) and depression. OBJECTIVE: To determine effectiveness of a centrally assisted collaborative telecare (CACT) intervention for PTSD and depression in military primary care. DESIGN, SETTING, AND PARTICIPANTS: The STEPS-UP study (Stepped Enhancement of PTSD Services Using Primary Care) is a randomized trial comparing CACT with usual integrated mental health care for PTSD or depression. Patients, mostly men in their 20s, were enrolled from 18 primary care clinics at 6 military installations from February 2012 to August 2013 with 12-month follow-up completed in October 2014. INTERVENTIONS: Randomization was to CACT (n = 332) or usual care (n = 334). The CACT patients received 12 months of stepped psychosocial and pharmacologic treatment with nurse telecare management of caseloads, symptoms, and treatment. MAIN OUTCOMES AND MEASURES: Primary outcomes were severity scores on the PTSD Diagnostic Scale (PDS; scored 0-51) and Symptom Checklist depression items (SCL-20; scored 0-4). Secondary outcomes were somatic symptoms, pain severity, health-related function, and mental health service use. RESULTS: Of 666 patients, 81% were male and the mean (SD) age was 31.1 (7.7) years. The CACT and usual care patients had similar baseline mean (SD) PDS PTSD (29.4 [9.4] vs 28.9 [8.9]) and SCL-20 depression (2.1 [0.6] vs 2.0 [0.7]) scores. Compared with usual care, CACT patients reported significantly greater mean (SE) 12-month decrease in PDS PTSD scores (-6.07 [0.68] vs -3.54 [0.72]) and SCL-20 depression scores -0.56 [0.05] vs -0.31 [0.05]). In the CACT group, significantly more participants had 50% improvement at 12 months compared with usual care for both PTSD (73 [25%] vs 49 [17%]; relative risk, 1.6 [95% CI, 1.1-2.4]) and depression (86 [30%] vs 59 [21%]; relative risk, 1.7 [95% CI, 1.1-2.4]), with a number needed to treat for a 50% improvement of 12.5 (95% CI, 6.9-71.9) and 11.1 (95% CI, 6.2-50.5), respectively. The CACT patients had significant improvements in somatic symptoms (difference between mean 12-month Patient Health Questionnaire 15 changes, -1.37 [95% CI, -2.26 to -0.47]) and mental health-related functioning (difference between mean 12-month Short Form-12 Mental Component Summary changes, 3.17 [95% CI, 0.91 to 5.42]), as well as increases in telephone health contacts and appropriate medication use. CONCLUSIONS AND RELEVANCE: Central assistance for collaborative telecare with stepped psychosocial management modestly improved outcomes of PTSD and depression among military personnel attending primary care. TRIAL REGISTRATION: clinicaltrials.gov Identifier: NCT01492348.

Topic(s):

,

Reference Links:

Export Citation: RIS

View details

1852

CFHA's past, present, and future: Building the plane while flying.

Type: Journal Article

Authors: Parinda Khatri

Year: 2014

Topic(s):

Export Citation: RIS

View details

1853

Challenges and opportunities during the COVID-19 pandemic: Treating patients for substance use disorders during the perinatal period

Type: Journal Article

Authors: H. E. Jones, E. Hairston, A. C. Lensch, L. K. Marcus, S. H. Heil

Year: 2021

Topic(s):

, ,

Reference Links:

Export Citation: RIS

View details

1854

Challenges and opportunities for implementing integrated mental health care: a district level situation analysis from five low- and middle-income countries

Type: Journal Article

Authors: C. Hanlon, N. P. Luitel, T. Kathree, V. Murhar, S. Shrivasta, G. Medhin, J. Ssebunnya, A. Fekadu, R. Shidhaye, I. Petersen, M. Jordans, F. Kigozi, G. Thornicroft, V. Patel, M. Tomlinson, C. Lund, E. Breuer, M. De Silva, M. Prince

Year: 2014

Publication Place: United States

Abstract: BACKGROUND: Little is known about how to tailor implementation of mental health services in low- and middle-income countries (LMICs) to the diverse settings encountered within and between countries. In this paper we compare the baseline context, challenges and opportunities in districts in five LMICs (Ethiopia, India, Nepal, South Africa and Uganda) participating in the PRogramme for Improving Mental health carE (PRIME). The purpose was to inform development and implementation of a comprehensive district plan to integrate mental health into primary care. METHODS: A situation analysis tool was developed for the study, drawing on existing tools and expert consensus. Cross-sectional information obtained was largely in the public domain in all five districts. RESULTS: The PRIME study districts face substantial contextual and health system challenges many of which are common across sites. Reliable information on existing treatment coverage for mental disorders was unavailable. Particularly in the low-income countries, many health service organisational requirements for mental health care were absent, including specialist mental health professionals to support the service and reliable supplies of medication. Across all sites, community mental health literacy was low and there were no models of multi-sectoral working or collaborations with traditional or religious healers. Nonetheless health system opportunities were apparent. In each district there was potential to apply existing models of care for tuberculosis and HIV or non-communicable disorders, which have established mechanisms for detection of drop-out from care, outreach and adherence support. The extensive networks of community-based health workers and volunteers in most districts provide further opportunities to expand mental health care. CONCLUSIONS: The low level of baseline health system preparedness across sites underlines that interventions at the levels of health care organisation, health facility and community will all be essential for sustainable delivery of quality mental health care integrated into primary care.

Topic(s):

Reference Links:

Export Citation: RIS

View details

1855

Challenges and Opportunities for Integrating Preventive Substance-Use-Care Services in Primary Care through the Affordable Care Act

Type: Journal Article

Authors: Udi E. Ghitza, Betty Tai

Year: 2014

Topic(s):

Export Citation: RIS

View details

1856

Challenges and Opportunities for the Use of Medications to Treat Opioid Addiction in the United States and Other Nations of the World

Type: Journal Article

Authors: M. W. Parrino, A. G. Maremmani, P. N. Samuels, I. Maremmani

Year: 2015

Publication Place: England

Abstract: There has been a well documented increase in the use and abuse of prescription opioids and heroin in the United States and other parts of the world. There has also been an increasing focus to increase access to the use of medications (methadone, buprenorphine, Naltrexone/Vivitrol) for opioid addicted individuals under legal supervision. As policymakers engage in strategic initiatives to better prevent and effectively treat chronic opioid addiction, both in the United States and other countries, there are a number of unintended consequences, complicating how best to increase access to effective treatment.

Topic(s):

Reference Links:

Export Citation: RIS

View details

1857

Challenges and solutions to integrating mental and physical health care

Type: Journal Article

Authors: B. G. Druss, J. W. Newcomer

Year: 2007

Topic(s):

Export Citation: RIS

View details

1858

Challenges applying alcohol brief intervention in diverse practice settings: Populations, outcomes, and costs

Type: Journal Article

Authors: R. Saitz, D. Svikis, G. D'Onofrio, K. L. Kraemer, H. Perl

Year: 2006

Publication Place: United States

Abstract: This article summarizes the proceedings of a symposium at the 2005 Research Society on Alcoholism, Santa Barbara, California. The purpose of the symposium was to address challenges that arise in translating evidence for efficacy of alcohol brief intervention (BI) into diverse clinical settings and populations by reviewing the literature and describing 4 research studies. Dr. Saitz reviewed the limitations in evidence for efficacy of BIs and then described results of a randomized clinical trial of brief motivational intervention for medical inpatients drinking risky amounts. Dr. Svikis presented alternative methods for identifying pregnant women in prenatal care at risk for alcohol and drug problems (including nicotine and caffeine) and BIs to reduce or eliminate use. Dr. D'Onofrio discussed results of a randomized trial of the brief negotiated interview in emergency department patients. Dr. Kraemer presented results of a decision analytic and computer-simulation model regarding the cost-effectiveness of alcohol screening and intervention in primary care settings. Finally, Dr. Perl discussed the salient issues and suggested future directions for work in the area of alcohol BI.

Topic(s):

Reference Links:

Export Citation: RIS

View details

1859

Challenges in implementing models of coordinated care

Type: Journal Article

Authors: Nicole K. Janich, Michael S. Shafer

Year: 2020

Topic(s):

, ,

Reference Links:

Export Citation: RIS

View details

1860

Challenges in Referral Communication Between VHA Primary Care and Specialty Care

Type: Journal Article

Authors: J. L. Zuchowski, D. E. Rose, A. B. Hamilton, S. E. Stockdale, L. S. Meredith, E. M. Yano, L. V. Rubenstein, K. M. Cordasco

Year: 2014

Abstract: BACKGROUND: Poor communication between primary care providers (PCPs) and specialists is a significant problem and a detriment to effective care coordination. Inconsistency in the quality of primary-specialty communication persists even in environments with integrated delivery systems and electronic medical records (EMRs), such as the Veterans Health Administration (VHA). OBJECTIVE: The purpose of this study was to measure ease of communication and to characterize communication challenges perceived by PCPs and primary care personnel in the VHA, with a particular focus on challenges associated with referral communication. DESIGN: The study utilized a convergent mixed-methods design: online cross-sectional survey measuring PCP-reported ease of communication with specialists, and semi-structured interviews characterizing primary-specialty communication challenges. PARTICIPANTS: 191 VHA PCPs from one regional network were surveyed (54 % response rate), and 41 VHA PCPs and primary care staff were interviewed. MAIN MEASURES/APPROACH: PCP-reported ease of communication mean score (survey) and recurring themes in participant descriptions of primary-specialty referral communication (interviews) were analyzed. KEY RESULTS: Among PCPs, ease-of-communication ratings were highest for women's health and mental health (mean score of 2.3 on a scale of 1-3 in both), and lowest for cardiothoracic surgery and neurology (mean scores of 1.3 and 1.6, respectively). Primary care personnel experienced challenges communicating with specialists via the EMR system, including difficulty in communicating special requests for appointments within a certain time frame and frequent rejection of referral requests due to rigid informational requirements. When faced with these challenges, PCPs reported using strategies such as telephone and e-mail contact with specialists with whom they had established relationships, as well as the use of an EMR-based referral innovation called "eConsults" as an alternative to a traditional referral. CONCLUSIONS: Primary-specialty communication is a continuing challenge that varies by specialty and may be associated with the likelihood of an established connection already in place between specialty and primary care. Improvement in EMR systems is needed, with more flexibility for the communication of special requests. Building relationships between PCPs and specialists may also facilitate referral communication.

Topic(s):

,

Reference Links:

Export Citation: RIS

View details