Integrating behavioral health into two primary care clinics serving vulnerable populations

Talley, Michele; White‐Williams, Connie; Srivatsan, Yashas; Peng, Li; Frank, Jennifer Sandson; Selleck, Cynthia S.

doi:10.1016/j.xjep.2021.100430

Cited by 6 publications

(12 citation statements)

References 7 publications

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“…Nine studies identified mental health and substance use separately, without reference to the possible co-occurrence of these disorders in an individual (Arincorayan et al , 2013; Benda and House, 2003; Bisgaier and Rhodes, 2011; Gabrielian et al , 2021; Mowbray et al , 2016; Talley et al , 2021; Tang et al , 2011; Tinland et al , 2020; VanderWaal et al , 2012). However, a theme identified by some of these studies was the importance of behavioural health screening for co-occurring conditions in settings that are not generally focused on mental health or substance use (Arincorayan et al , 2013; Talley et al , 2021). For example, Arincorayan et al (2013) focused on a military setting, while Talley et.…”

Section: Resultsmentioning

confidence: 99%

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Social work, mental health and substance use: a scoping review

Benson

Cameron

Allan

2023

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Purpose Integrated care approaches have been recommended for co-occurring substance use and mental health disorders. The purpose of this study is to explore and map the research literature regarding social work and its intersection with co-occurring substance use and mental health disorders. Design/methodology/approach An iterative and systematic search of five electronic databases CINAHL, Scopus, PsycINFO, Social Science Database and Medline was conducted to identify studies published between 2002 and 2022. Two reviewers independently screened publications in two successive stages of title and abstract screening, followed by a full-text screening of eligible studies. Data from each included publication were screened and extracted using Covidence. Findings A total of 38 eligible studies were included in the final scoping review. The included studies were conducted in eight different counties, including a range of study designs (e.g. cross-sectional, RCT, pilot studies). Only 8 of the 38 studies included people with co-occurring disorders as participants. Study settings were broad, for example, dual-diagnosis, military, homeless, substance use and community-based settings. Originality/value A review of the literature surrounding social work practice and its intersection with co-occurring mental health and Alcohol and other drug was warranted to document the evidence on this largely unexplored area of research. This review found that there was a paucity of literature that focused specifically on the role of social work practice in relation to individuals with co-occurring disorders, with a limited number of studies focusing on dual diagnoses.

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Section: Resultsmentioning

confidence: 99%

“…For example, Arincorayan et al (2013) focused on a military setting, while Talley et. al (Talley et al , 2021) focused on chronic disease primary health care clinics and both studies used behavioural health screening for these populations.…”

Section: Resultsmentioning

confidence: 99%

Social work, mental health and substance use: a scoping review

Benson

Cameron

Allan

2023

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“…NPs provided care for MCCs in a variety of health care settings that have different resources for care delivery. For example, studies were conducted in community clinics (Mailliard et al, 2019; Mallow et al, 2018; Sharma et al, 2013), a federally qualified health center (FQHC; Druss et al, 2017), primary care clinics within academic medical centers (Christianson-Silva et al, 2021; Litaker et al, 2003; Talley et al, 2021), and within the Veterans Health Administration (Hummel et al, 2017; Kobb et al, 2003; Zulman et al, 2017). The integration of NP telehealth structures into care for patients in rural areas was represented in two studies, paired with either remote physiologic monitoring or care coordination services (Kobb et al, 2003; Mallow et al, 2018).…”

Section: Resultsmentioning

confidence: 99%

“…More than half (8/15) of studies examined primary care delivered by interdisciplinary teams, which included NPs (Christianson-Silva et al, 2021; Druss et al, 2017; Hummel et al, 2017; Kobb et al, 2003; Litaker et al, 2003; Sharma et al, 2013; Talley et al, 2021; Zulman et al, 2017). Yet, there was variability in NP roles and team compositions.…”

Section: Resultsmentioning

confidence: 99%

“…Similarly, a quasi-experimental study reported that patients with diabetes and cancer had greater empowerment for diabetes self-management after receiving NP care (4.04 pre-intervention vs. 4.59 postintervention, no p value reported; Sharma et al, 2013). Another quasi-experimental study found that NP primary care with integrated behavioral health care was associated with a reduction in tobacco use among highly engaged heart failure patients with behavioral health conditions (nonsmokers: 56.5% vs. 62.6%, p = .033; Talley et al, 2021). However, the RCT by Druss et al (2017) found no change in patient activation, defined as a patient's capacity to manage their illness, after NP primary care with integrated behavioral health care among patients with serious mental illness and cardiometabolic disease, compared with usual care.…”

Section: Discussionmentioning

confidence: 99%

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A Systematic Review of Outcomes Related to Nurse Practitioner-Delivered Primary Care for Multiple Chronic Conditions

McMenamin

Turi

Schlak³

et al. 2023

Med Care Res Rev

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Multiple chronic conditions (MCCs) are more common and costly than any individual health condition in the United States. The growing workforce of nurse practitioners (NPs) plays an active role in providing primary care to this patient population. This study identifies the effect of NP primary care models, compared with models without NP involvement, on cost, quality, and service utilization by patients with MCCs. We conducted a literature search of six databases and performed critical appraisal. Fifteen studies met inclusion criteria (years: 2003–2021). Overall, most studies showed reduced or similar costs, equivalent or better quality, and similar or lower rates of emergency department use and hospitalization associated with NP primary care models for patients with MCCs, compared with models without NP involvement. No studies found them associated with worse outcomes. Thus, NP primary care models, compared with models without NP involvement, have similar or positive impacts on MCC patient outcomes.

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