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Journal ArticleDOI

Integrated Primary Care: Organizing the Evidence.

Alexander Blount
- 01 Jan 2003 - 
- Vol. 21, Iss: 2, pp 121-133
TLDR
The most comprehensive overall assessment of this important approach to patients' needs can be encouraged.
Abstract
The evidence for bringing behavioral health services into primary care can be confusing. Studies are quite varied in the types of programs assessed, what impacts are assessed, what kind of therapy is offered, for what populations, and on how broad a scale. By organizing the evidence into categories: whether the program is coordinated, co-located or integrated, whether for a targeted or non-targeted patient population, offering specified or unspecified behavioral health services, in a small scale or extensive implementation, programs can be compared more easily. By noting what sorts of impacts are reportedimproved access to services, clinical outcome, maintained improvement^ improved compliance, patient satisfaction, provider satisfaction, cost effectiveness or medical cost offset-the most comprehensive overall assessment of this important approach to patients' needs can be encouraged.

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Citations
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Journal ArticleDOI

College Students: Mental Health Problems and Treatment Considerations

TL;DR: By becoming familiar with the unique problems characteristic of the developmental stage and environment college students are in, practitioners will be able to better serve them.

Integration of Mental Health/Substance Abuse and Primary Care

TL;DR: There is a reasonably strong body of evidence to encourage integrated care, at least for depression, and there is no discernible effect of integration level, processes of care, or combination on patient outcomes for mental health services in primary care settings.
Journal ArticleDOI

Investing in the Health and Well-Being of Young Adults

TL;DR: It is recommended that young adults ages 18-26 years be treated as a distinct subpopulation in policy, planning, programming, and research, and action is taken in three priority areas to improve health care for young adults.
Journal ArticleDOI

Health systems integration: state of the evidence

TL;DR: Healthcare is likely too complex for a one-size-fits-all integration solution, and decision makers and planners should include evaluation for accountability purposes and to ensure a better understanding of the effectiveness and impact of health systems integration.
Book

Integrated Behavioral Health in Primary Care: Step-by-Step Guidance for Assessment and Intervention

TL;DR: This comprehensive book belongs on the bookshelf of a range of clinicians including psychologists and social workers, as well as family physicians, physician assistants, nurses, and health care educators.
References
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Journal ArticleDOI

Pharmacological interventions for somatoform disorders in adults.

TL;DR: A systematic review and meta-analysis of placebo-controlled studies examined the efficacy and tolerability of different types of antidepressants, the combination of an antidepressant and an antipsychotic, antipsychotics alone, or natural products in adults with somatoform disorders in adults to improve optimal treatment decisions.
Journal ArticleDOI

The de Facto US Mental and Addictive Disorders Service System: Epidemiologic Catchment Area Prospective 1-Year Prevalence Rates of Disorders and Services

TL;DR: Potential 1-year prevalence and service use rates of mental and addictive disorders in the US population and applications to US health care system reform options are considered in the context of other variables that will determine national health policy.
Journal ArticleDOI

Collaborative management to achieve treatment guidelines : impact on depression in primary care

TL;DR: A multifaceted intervention consisting of collaborative management by the primary care physician and a consulting psychiatrist, intensive patient education, and surveillance of continued refills of antidepressant medication improved adherence to antidepressant regimens in patients with major and with minor depression and resulted in more favorable depressive outcomes.
Journal ArticleDOI

Impact of disseminating quality improvement programs for depression in managed primary care: A randomized controlled trial.

TL;DR: When managed primary care practices implemented QI programs that improve opportunities for depression treatment without mandating it, quality of care, mental health outcomes, and retention of employment of depressed patients improved over a year, while medical visits did not increase overall.
Journal ArticleDOI

Common symptoms in ambulatory care: Incidence, evaluation, therapy, and outcome

TL;DR: The classification, evaluation, and management of common symptoms need to be refined, and diagnostic strategies emphasizing organic causes may be inadequate.
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