Specialty behavioral health service use among chronically ill medicare advantage patients with substance use problems.


OBJECTIVE:This study examines the use of substance abuse and mental health services among older adults with substance use disorders. METHODS:Participants were members of Humana Cares, a subsidiary of Humana, Inc., a care management program for chronically ill Medicare Advantage members, between 2008 and 2010. All adults aged 65 and older with a substance use disorder identified with International Classification of Diseases-9 codes were included. We compared utilization of substance abuse and mental health services among participants with no psychiatric comorbidity (n = 585), with comorbid depression (n = 605), and with comorbid severe and persistent mental illness (severe and persistent mental illness, n = 95). RESULTS:Twenty-eight percent utilized substance abuse services and 36% utilized mental health services. After adjusting for covariates, comorbid depression (odds ratio = 4.27, 95% confidence interval: 3.22-5.65) and severe and persistent mental illness (odds ratio = 10.75, 95% confidence interval: 5.22-20.13) were independently associated with specialty service use (either substance abuse or mental health services). CONCLUSION:Although few chronically ill older adults with substance use disorders in this Medicare Advantage program received any specialty substance abuse or mental health services, utilization was higher among those who had concurrent psychiatric disorders.






Huang H,Chan YF,Bauer AM,Suzuki J,Katon W,Russo J,Hogan D,Unützer J




Has Abstract


2013-11-01 00:00:00














  • Psychometric properties of the 20-item toronto alexithymia scale and prevalence of alexithymia in a finnish adolescent population.

    abstract::The authors assessed, in an adolescent population sample, the internal consistency, test-retest stability, and factor structure of the Toronto Alexithymia Scale (TAS-20) and established the frequency of alexithymia in this age-group. Pupils (N=882; age-groups: 14-, 15-, and 16-year-olds) from two secondary schools com...


    pub_type: 杂志文章


    authors: Säkkinen P,Kaltiala-Heino R,Ranta K,Haataja R,Joukamaa M

    更新日期:2007-03-01 00:00:00

  • Adolescent cancer survivors. Psychosocial and familial adaptation.

    abstract::Adolescent cancer survivors were compared with nondiseased control subjects on measures of adaptation, coping, body image, sexual adjustment, psychopathology, and family functioning. Cancer survivors reported no major difficulties in social competence, overall coping, and family communication. Although their school te...


    pub_type: 杂志文章


    authors: Madan-Swain A,Brown RT,Sexson SB,Baldwin K,Pais R,Ragab A

    更新日期:1994-09-01 00:00:00

  • Patients with "organically unexplained symptoms" presenting to a borreliosis clinic: clinical and psychobehavioral characteristics and quality of life.

    abstract:OBJECTIVE:This study explores the prevalence of patients with "organically unexplained symptoms" presenting to a Lyme borreliosis clinic and describes their clinical and psychobehavioral characteristics as well as health-related quality of life. METHODS:Study instruments consisted of a set of self-rating questionnaire...


    pub_type: 杂志文章


    authors: Csallner G,Hofmann H,Hausteiner-Wiehle C

    更新日期:2013-07-01 00:00:00

  • Significant reductions in drinking following brief alcohol treatment provided in a hepatitis C clinic.

    abstract:BACKGROUND:Although the hepatitis C virus (HCV) alone increases the risk of cirrhosis, alcohol use is thought to act synergistically with HCV to significantly hasten the development of fibrosis. OBJECTIVE:The authors assessed the impact of brief medical counseling or integrated-care approaches to lessen or eliminate a...


    pub_type: 杂志文章


    authors: Dieperink E,Ho SB,Heit S,Durfee JM,Thuras P,Willenbring ML

    更新日期:2010-03-01 00:00:00

  • A two-year follow-up study of patients with somatoform disorders.

    abstract::Thirty inpatients with multiple somatoform symptoms admitted to a psychosomatic hospital were diagnosed using the Structured Clinical Interview for DSM-III-R and questionnaires. Two years later, a reexamination by interview and a follow-up questionnaire took place. The authors found high comorbidity rates not only for...


    pub_type: 杂志文章


    authors: Rief W,Hiller W,Geissner E,Fichter MM

    更新日期:1995-07-01 00:00:00

  • Psychoneuroendocrine aspects of temporolimbic epilepsy. Part I. Brain, reproductive steroids, and emotions.

    abstract::The temporolimbic structures of the brain that subserve emotional representation are highly epileptogenic and play an important role in the modulation of hormonal secretion and mediation of hormonal feedback. Estrogen is highly epileptogenic and exerts energizing and antidepressant effects. Excessive estrogen influenc...


    pub_type: 杂志文章,评审


    authors: Herzog AG

    更新日期:1999-03-01 00:00:00

  • Pseudoseizures, families, and unspeakable dilemmas.

    abstract::Fourteen videotaped family interviews of patients with diagnosed pseudoseizures were studied to determine the relationship of the symptoms to unspeakable dilemmas as forced choices imposed by family or social circumstances under conditions that also require the ensuing distress to be hidden. An unspeakable dilemma was...


    pub_type: 杂志文章


    authors: Griffith JL,Polles A,Griffith ME

    更新日期:1998-03-01 00:00:00

  • Adverse cutaneous reactions to psychotropic drugs.

    abstract::Psychotropic drugs are frequently used in both psychiatric and general medical practice. Familiarity with common side effects and their management may assist psychiatrists in the selection of agents to suit individual patient needs. The authors describe the morphologic features and pathologic basis of cutaneous reacti...


    pub_type: 杂志文章,评审


    authors: MacMorran WS,Krahn LE

    更新日期:1997-09-01 00:00:00

  • The state of the service: a survey of psychiatry resident education in psychosomatic medicine.

    abstract:BACKGROUND:Although required by the Accreditation Council for Graduate Medical Education, training of general psychiatry residents in Psychosomatic Medicine (PM) varies significantly between programs. In 1996, the Academy of Psychosomatic Medicine (APM) developed guidelines for residency training in PM. Since then, the...


    pub_type: 杂志文章


    authors: Heinrich TW,Schwartz AC,Zimbrean PC,Wright MT,Academy of Psychosomatic Medicine's Residency Education Subcommittee.

    更新日期:2013-11-01 00:00:00

  • Ready, set, relax: biofeedback-assisted relaxation training (BART) in a pediatric psychiatry consultation service.

    abstract:BACKGROUND:Biofeedback-assisted relaxation training (BART) can treat several common pediatric presentations, including chronic pain and anxiety. Its effectiveness, applicability to a variety of conditions, and equipment portability make it an ideal treatment approach for use in an inpatient pediatric consultation-liais...


    pub_type: 杂志文章


    authors: McKenna K,Gallagher KA,Forbes PW,Ibeziako P

    更新日期:2015-07-01 00:00:00

  • Shared or discordant grief in couples 2-6 years after the death of their premature baby: effects on suffering and posttraumatic growth.

    abstract:BACKGROUND:The loss of a baby causes severe short- and long-term distress to parents and their marital relationship, but little is known about how this distress is shared between spouses. The authors hypothesized that the grief-related concordance within a couple 2 to 6 years after the loss of a premature baby could be...


    pub_type: 杂志文章


    authors: Büchi S,Mörgeli H,Schnyder U,Jenewein J,Glaser A,Fauchère JC,Ulrich Bucher H,Sensky T

    更新日期:2009-03-01 00:00:00

  • Teaching Collaborative Care in Primary Care Settings for Psychiatry Residents.

    abstract:BACKGROUND:Job descriptions for psychiatrists will change significantly over the next decade, as psychiatrists will be called on to work as caseload consultants to the primary care team. OBJECTIVE:The purpose of this pilot study was to examine the effects of an American Association of Directors of Psychiatric Residenc...


    pub_type: 杂志文章


    authors: Huang H,Barkil-Oteo A

    更新日期:2015-11-01 00:00:00

  • Predictors of quality of life in patients with implantable cardioverter defibrillators.

    abstract::Few studies have prospectively examined characteristics of implantable cardioverter defibrillator (ICD) patients as predictors of postimplant outcome. In this study the authors considered the association between preimplant psychological characteristics, ICD shocks, and postimplant quality of life at short- and long-te...


    pub_type: 杂志文章


    authors: Sears SF,Lewis TS,Kuhl EA,Conti JB

    更新日期:2005-09-01 00:00:00

  • A Randomized Double-Blind Controlled Trial Comparing Davanloo Intensive Short-Term Dynamic Psychotherapy as Internet-Delivered Vs Treatment as Usual for Medically Unexplained Pain: A 6-Month Pilot Study.

    abstract:BACKGROUND:Research has shown that Intensive Short-Term Dynamic Psychotherapy (ISTDP) can effectively decrease pain intensity and improve quality of life in patients with medically unexplained pain. OBJECTIVE:Understanding that not all patients with medically unexplained pain have access to in-person ISTDP, this study...


    pub_type: 杂志文章,随机对照试验


    authors: Chavooshi B,Mohammadkhani P,Dolatshahi B

    更新日期:2016-05-01 00:00:00

  • Screening for somatizing patients in the pulmonary subspecialty clinic.

    abstract::Somatizing patients present a history of vague, unexplained medical symptoms. This study compared somatizing patients with pulmonary control subjects by using the Diagnostic Interview Schedule (DIS-III-R), the Illness Attitude Scales (IAS), and the Minnesota Multiphasic Personality Inventory (MMPI-2). The groups diffe...


    pub_type: 杂志文章


    authors: Labott SM,Preisman RC,Torosian T,Popovich J Jr,Iannuzzi MC

    更新日期:1996-07-01 00:00:00

  • Depression in Korean immigrants with hepatitis B and related liver diseases.

    abstract::The authors evaluated 50 Korean immigrants who had chronic viral hepatitis or who were healthy carriers for the hepatitis B virus in terms of the relationships between their depression scores, psychosocial stressors, social support, and biological markers of dysfunction. All participants completed a questionnaire, des...


    pub_type: 杂志文章


    authors: Kunkel EJ,Kim JS,Hann HW,Oyesanmi O,Menefee LA,Field HL,Lartey PL,Myers RE

    更新日期:2000-11-01 00:00:00

  • Are doctors who have been ill more compassionate? Attitudes of resident physicians regarding personal health issues and the expression of compassion in clinical care.

    abstract:BACKGROUND:Compassion is an attribute central to professionalism and modern clinical care, yet little is known about how compassion is acquired and preserved in medical training. We sought to understand whether personal illness experiences are thought by residents to foster compassion. METHODS:The authors surveyed 155...


    pub_type: 杂志文章


    authors: Roberts LW,Warner TD,Moutier C,Geppert CM,Green Hammond KA

    更新日期:2011-07-01 00:00:00

  • Problem substance use among depressed patients in managed primary care.

    abstract::This study identifies characteristics associated with problem substance use among 1,187 patients with either depressive symptoms (44%) or depressive disorders (56%) in primary care clinics of six managed care organizations. Sedative misuse (reported by 14% of all patients) was associated with greater wealth, social ph...


    pub_type: 杂志文章


    authors: Roeloffs CA,Wells KB,Ziedonis D,Tang L,Unützer J

    更新日期:2002-09-01 00:00:00

  • Concurrent validity of two observer-rated alexithymia measures.

    abstract::The purposes of the present study were to evaluate 1) the correspondence between two observer-rated alexithymia measures, the Observer Alexithymia Scale and the modified Beth Israel Hospital Psychosomatic Questionnaire (BIQ) and 2) the psychometric properties of both instruments. Clinical and counseling psychologists ...


    pub_type: 杂志文章


    authors: Haviland MG,Warren WL,Riggs ML,Nitch SR

    更新日期:2002-11-01 00:00:00

  • Consultants' conflicts: a case discussion of differences and their resolution.

    abstract::Conflicts among consultants are frequent in general hospitals. Unfortunately, such disputes are rarely resolved to the satisfaction of all concerned. The authors discuss the conflicts that may arise among consultants and review techniques that can lead to more effective collaboration. Authors review the literature on ...


    pub_type: 杂志文章


    authors: Caplan JP,Epstein LA,Stern TA

    更新日期:2008-01-01 00:00:00

  • Hepatitis C treatment for people with severe mental illness.

    abstract::Over 4 million people in the United States are chronically infected with hepatitis C virus (HCV), and, if untreated, over 20% of these will progress to more serious disease. Persons with severe mental illness (SMI) have markedly elevated rates of HCV infection, but treatment of persons with SMI and HCV has been contro...


    pub_type: 杂志文章,评审


    authors: Mistler LA,Brunette MF,Marsh BJ,Vidaver RM,Luckoor R,Rosenberg SD

    更新日期:2006-03-01 00:00:00

  • Corticosteroid-induced psychotic and mood disorders: diagnosis defined by DSM-IV and clinical pictures.

    abstract::The authors investigated long-term outcome and treatment strategy of corticosteroid-induced psychotic and mood disorders as defined by DSM-IV. Review of medical records of 2,069 referral patients revealed 18 applicable patients. Their clinical characteristics, longitudinal courses, and treatments were studied. The aut...


    pub_type: 杂志文章


    authors: Wada K,Yamada N,Sato T,Suzuki H,Miki M,Lee Y,Akiyama K,Kuroda S

    更新日期:2001-11-01 00:00:00

  • Psychological status and quality of life in elderly patients with asthma.

    abstract::The psychological status and quality of life of 70 stable patients with asthma age > or =60 years and 40 age-matched comparison subjects were examined. The patients with long-standing asthma (duration > or = 8 years) had lower quality-of-life scores than those with recent-onset asthma (duration < 8 years). In multivar...


    pub_type: 杂志文章


    authors: Oğuztürk O,Ekici A,Kara M,Ekici M,Arslan M,Iteginli A,Kara T,Kurtipek E

    更新日期:2005-01-01 00:00:00

  • Psychosocial Risk Predicts New Episode Depression After Heart Transplant.

    abstract:BACKGROUND:Psychosocial assessment is an essential component of the pretransplant evaluation. Many individuals have significant psychosocial problems, and they are either denied for transplantation or deferred from listing and transplant until the psychosocial issues are addressed. OBJECTIVE:The primary aim of this st...


    pub_type: 杂志文章


    authors: Schneekloth TD,Hitschfeld MJ,Jowsey-Gregoire SG,Petterson TM,Dunlay SM,Niazi SK,Vasquez AR,Rummans TA

    更新日期:2019-01-01 00:00:00

  • High-Risk Phenotypes of Early Psychiatric Readmission in Bipolar Disorder With Comorbid Medical Illness.

    abstract:BACKGROUND:Individuals with co-existing serious mental illness and non-psychiatric medical illness are at high risk of acute care utilization. Mining of electronic health record data can help identify and categorize predictors of psychiatric hospital readmission in this population. OBJECTIVE:This study aimed to identi...


    pub_type: 杂志文章


    authors: Edgcomb J,Shaddox T,Hellemann G,Brooks JO 3rd

    更新日期:2019-01-01 00:00:00

  • A review of treating depression in diabetes: emerging findings.

    abstract:BACKGROUND:Depression in patients with diabetes is associated with poorer adherence and worse health outcomes, however treating depression may help improve these outcomes. OBJECTIVE:The present systematic review identified published papers to evaluate treatments for depression in patients with diabetes. RESULTS:Seven...


    pub_type: 杂志文章,评审


    authors: Markowitz SM,Gonzalez JS,Wilkinson JL,Safren SA

    更新日期:2011-01-01 00:00:00

  • Psychosocial assessment of organ transplant candidates. Current status of methodological and philosophical issues.

    abstract::Psychosocial assessments of candidates for organ transplant surgery are conducted to ascertain that potential patients are likely to benefit from the surgery through adequate coping, good compliance, and commitment to rehabilitation. Such assessments must be based on a realistic analysis of the behavioral demands of t...


    pub_type: 杂志文章,评审


    authors: Olbrisch ME,Levenson JL

    更新日期:1995-05-01 00:00:00

  • Relationships among pain and depressive and anxiety symptoms in clinical trials of pregabalin in fibromyalgia.

    abstract:BACKGROUND:Fibromyalgia, as defined by the American College of Rheumatology, is characterized by widespread pain lasting for at least 3 months, with pain in at least 11 out of 18 tender points when palpated with digital pressure. OBJECTIVE:The authors investigated the relationship between changes in pain and symptoms ...


    pub_type: 杂志文章


    authors: Arnold LM,Leon T,Whalen E,Barrett J

    更新日期:2010-11-01 00:00:00

  • Prophylaxis with antipsychotic medication reduces the risk of post-operative delirium in elderly patients: a meta-analysis.

    abstract:BACKGROUND:Delirium commonly occurs in hospitalized elderly patients, resulting in increased morbidity and mortality. Although evidence for treatment of delirium exists, evidence supporting pharmacologic prevention of delirium in high risk patients is limited. OBJECTIVE:This review examined whether delirium in at-risk...


    pub_type: 杂志文章,meta分析,评审


    authors: Teslyar P,Stock VM,Wilk CM,Camsari U,Ehrenreich MJ,Himelhoch S

    更新日期:2013-03-01 00:00:00

  • Psychological distress among women with recurrent spontaneous abortion.

    abstract::Fifty-seven of 100 women with recurrent abortion completed questionnaires designed to assess demographic and reproductive variables, depression, anxiety, social desirability, self-esteem, locus of control, and marital adjustment. The results indicated that 32% of the women could be classified as depressed. The subject...


    pub_type: 杂志文章


    authors: Klock SC,Chang G,Hiley A,Hill J

    更新日期:1997-09-01 00:00:00