Depression Care Management—an Evidence-Based, Collaborative Care Approach to Treating Depression in a Primary Care Setting

2018 ◽  
Author(s):  
Mark Dreskin
Author(s):  
Bea Herbeck Belnap ◽  
Julie Kuebler ◽  
Carole Upshur ◽  
Kevin Kerber ◽  
Deborah Ruth Mockrin ◽  
...  

Author(s):  
Kathleen Broad ◽  
Tony P. George

This chapter provides a practical and evidence-based approach to the screening, assessment, and treatment of substance use disorders (SUDs) in the primary care setting. SUDs according to the DSM-5 is defined and the evidence for validated screening tools in the primary care setting is discussed. A primary care approach to the assessment of SUDs is described in detail including assessing readiness to change using the transtheoretical model, motivational interviewing techniques, assessing medical and psychiatric comorbidities, and determining treatment setting using the ASAM Criteria. A detailed overview of the epidemiology, acute and chronic effects, and withdrawal syndromes associated with alcohol, opioid, stimulant, cannabis, and nicotine is provided. Finally, behavioural interventions for SUDs including relapse-prevention and evidence-based pharmacotherapies for tobacco, alcohol, and opioids use disorders are reviewed.


JAMA ◽  
2002 ◽  
Vol 288 (22) ◽  
pp. 2836 ◽  
Author(s):  
Jürgen Unützer ◽  
Wayne Katon ◽  
Christopher M. Callahan ◽  
John W. Williams, Jr ◽  
Enid Hunkeler ◽  
...  

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Jocelyn Lebow ◽  
Cassandra Narr ◽  
Angela Mattke ◽  
Janna R. Gewirtz O’Brien ◽  
Marcie Billings ◽  
...  

Abstract Background The primary care setting offers an attractive opportunity for, not only the identification of pediatric eating disorders, but also the delivery of evidence-based treatment. However, constraints of this setting pose barriers for implementing treatment. For interventions to be successful, they need to take into consideration the perspectives of stakeholders. As such, the purpose of this study was to examine in-depth primary care providers’ perspective of challenges to identifying and managing eating disorders in the primary care setting. Methods This mixed methods study surveyed 60 Pediatric and Family Medicine providers across 6 primary care practices. Sixteen of these providers were further interviewed using a qualitative, semi-structured interview. Results Providers (n = 60, response rate of 45%) acknowledged the potential of primary care as a point of contact for early identification and treatment of pediatric eating disorders. They also expressed that this was an area of need in their practices. They identified numerous barriers to successful implementation of evidence-based treatment in this setting including scarcity of time, knowledge, and resources. Conclusions Investigations seeking to build capacities in primary care settings to address eating disorders must address these barriers.


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