2022
Does Primary Care Fill the Gap in Access to Specialty Mental Health Care? A Mixed Methods Study
Kyanko KA, A. Curry L, E. Keene D, Sutherland R, Naik K, Busch SH. Does Primary Care Fill the Gap in Access to Specialty Mental Health Care? A Mixed Methods Study. Journal Of General Internal Medicine 2022, 37: 1641-1647. PMID: 34993864, PMCID: PMC8734538, DOI: 10.1007/s11606-021-07260-z.Peer-Reviewed Original ResearchConceptsSpecialty mental health carePrimary care providersMental health carePrimary careMental health treatmentMental health providersHealth careHealth treatmentHealth providersOutpatient mental health providersPatient-reported barriersSerious psychological distressAddress unmet needsAdults ages 18PCP rolePCP careSpecialty careKey ResultsOfPCP engagementCare providersClinician trainingSpecialty consultantsSpecialty servicesPatient experienceUnmet need
2019
Propensity-matched study of enhanced primary care on contact with the criminal justice system among individuals recently released from prison to New Haven
Wang EA, Lin HJ, Aminawung JA, Busch SH, Gallagher C, Maurer K, Puglisi L, Shavit S, Frisman L. Propensity-matched study of enhanced primary care on contact with the criminal justice system among individuals recently released from prison to New Haven. BMJ Open 2019, 9: e028097. PMID: 31048315, PMCID: PMC6502013, DOI: 10.1136/bmjopen-2018-028097.Peer-Reviewed Original ResearchConceptsPrimary careControl groupClinic participantsPropensity scoreHealth systemPropensity-matched studyPrimary care systemCommunity health systemIncarceration exposureTransition clinicIndex dateService utilisationMAIN OUTCOMELower oddsQuasi-experimental studyClinic programAddiction servicesState-wide dataMental healthCare systemPopulation healthIncarceration daysCareIncarceration historyConnecticut Department
2017
Transitions Clinic Network: Challenges And Lessons In Primary Care For People Released From Prison
Shavit S, Aminawung JA, Birnbaum N, Greenberg S, Berthold T, Fishman A, Busch SH, Wang EA. Transitions Clinic Network: Challenges And Lessons In Primary Care For People Released From Prison. Health Affairs 2017, 36: 1006-1015. PMID: 28583958, DOI: 10.1377/hlthaff.2017.0089.Peer-Reviewed Original ResearchConceptsTransitions Clinic NetworkAcute care visitsPrimary careCare visitsMore acute care visitsCommunity health care systemHealth care systemAcute careChronic conditionsCommunity-based partnersClinic networkHealth disparitiesHealth equityCare systemHealth of peopleCareVulnerable populationsEarly engagementPatientsReferralVisitsMonthsPercentCorrectional systemReleaseEmergency Department-Initiated Buprenorphine for Opioid Dependence with Continuation in Primary Care: Outcomes During and After Intervention
D’Onofrio G, Chawarski MC, O’Connor P, Pantalon MV, Busch SH, Owens PH, Hawk K, Bernstein SL, Fiellin DA. Emergency Department-Initiated Buprenorphine for Opioid Dependence with Continuation in Primary Care: Outcomes During and After Intervention. Journal Of General Internal Medicine 2017, 32: 660-666. PMID: 28194688, PMCID: PMC5442013, DOI: 10.1007/s11606-017-3993-2.Peer-Reviewed Original ResearchConceptsIllicit opioid useOpioid usePrimary careHIV riskBrief interventionAddiction treatmentBuprenorphine groupEmergency Department-Initiated BuprenorphineCohort of patientsLong-term followLong-term outcomesFormal addiction treatmentSignificant differencesMain MeasuresSelfStudy entryUrine toxicologyBuprenorphine/Opioid dependenceED interventionsUrine resultsBuprenorphineTreatment engagementDrug useReferralPatients
2016
Estimating demand for primary care‐based treatment for substance and alcohol use disorders
Barry CL, Epstein AJ, Fiellin DA, Fraenkel L, Busch SH. Estimating demand for primary care‐based treatment for substance and alcohol use disorders. Addiction 2016, 111: 1376-1384. PMID: 26899802, PMCID: PMC4940268, DOI: 10.1111/add.13364.Peer-Reviewed Original ResearchConceptsAlcohol use disorderSubstance use disordersPrimary care settingPrimary careUsual careUse disordersCollaborative careCare settingsAlcohol treatmentPrimary care-based treatmentTreatment ratesSpecialty care settingsPrior treatment historyDrug treatment centersHigh societal costsDrug treatmentSUD treatmentCommon reasonDiagnostic criteriaTreatment historyTreatment centersDisorder treatmentSocietal costsCareDisorders
2015
Consumers’ Valuation of Primary Care–Based Treatment Options for Mental and Substance Use Disorders
Epstein AJ, Barry CL, Fiellin DA, Busch SH. Consumers’ Valuation of Primary Care–Based Treatment Options for Mental and Substance Use Disorders. Psychiatric Services 2015, 66: 772-774. PMID: 25930049, PMCID: PMC4523443, DOI: 10.1176/appi.ps.201500077.Peer-Reviewed Original ResearchConceptsUsual careSubstance use disordersUse disordersTreatment optionsSpecialty treatmentMental disordersPrimary care-based treatmentPrimary care settingAlcohol use disorderCare visitsTreatment visitsPrimary careCollaborative careCare settingsTreatment settingsTreatment ratesTreatment typeCareDisordersTreatmentVisitsMost individualsOptionsSettingIndividuals