Improving home-based providers’ communication to primary care providers to enhance care coordination

References

• Administration on Aging. (2012). FY 2012 report to Congress. Washington, DC: Administration on Aging, Administration for Community Living, US Department of Health and Human Services.
   Google Scholar
• Alkema, G.E., Shannon, G.R., & Wilber, K.H. (2003). Using interagency collaboration to serve older adults with chronic care needs: The care advocate program. Family & Community Health, 26, 221–229.
   PubMed Web of Science ®Google Scholar
• Areán, P.A., & Gum, A.M. (2013). Psychologists at the table in health care reform: The case of geropsychology and integrated care. Professional Psychology: Research and Practice, 44(3), 142–149. doi:10.1037/a0031083
   Web of Science ®Google Scholar
• Areán, P.A., Hegel, M., Vannoy, S., Fan, M.-Y., & Unützer, J. (2008). Effectiveness of problem-solving therapy for older, primary care patients with depression: Results from the IMPACT project. The Gerontologist, 48(3), 311–323. doi:10.1093/geront/48.3.311
   PubMed Web of Science ®Google Scholar
• Baik, S.-Y., Bowers, B.J., Oakley, L.D., & Susman, J.L. (2005). The recognition of depression: The primary care clinicians perspective. Annals of Family Medicine, 3, 31–37. doi:10.1370/afm.239
   PubMed Web of Science ®Google Scholar
• Bell, A.C., & D’Zurilla, T.J. (2009). Problem-solving therapy for depression: A meta-analysis. Clinical Psychology Review, 29(4), 348–353. doi:10.1016/j.cpr.2009.02.00319299058
   PubMed Web of Science ®Google Scholar
• Brandt, B., Lutfiyya, M.N., King, J.A., & Chioresco, C. (2014). A scoping review of interprofessional collaborative practice and education using the lens of the Triple Aim. Journal of Interprofessional Care, 28, 393–399. doi:10.3109/13561820.2014.906391
   PubMed Web of Science ®Google Scholar
• Brown, E.L., Raue, P.J., Klimtra, S., Mlodzianowski, A.E., & Bruce, M.L. (2010). An intervention to improve nurse-physician communication in depression care. American Journal of Geriatric Psychiatry, 18(6), 483–490. doi:10.1097/JGP.0b013e3181bf9efa
   PubMed Web of Science ®Google Scholar
• Callahan, C.M., Unverzagt, F.W., Hui, S.L., Perkins, A.J., & Hendrie, H.C. (2002). Six item screener to identify cognitive impairment among potential subjects for clinical research. Medical Care, 40, 771–781. doi:10.1097/01.mlr.0000024610.33213.c8
   PubMed Web of Science ®Google Scholar
• Choi, N.G., & McDougall, G.J. (2007). Comparison of depressive symptoms between homebound older adults and ambulatory older adults. Aging & Mental Health, 11(3), 310–322. doi:10.1080/1360786060084461417558582
   PubMed Web of Science ®Google Scholar
• Ciechanowski, P., Wagner, E., Schmaling, K., Schwartz, S., Williams, B., Diehr, P., … LoGerfo, J. (2004). Community-integrated home-based depression treatment in older adults: A randomized controlled trial. JAMA: Journal of the American Medical Association, 291(13), 1569–1577. doi:10.1001/jama.291.13.1569
   PubMed Web of Science ®Google Scholar
• Darlington, Y., & Feeney, J.A. (2008). Collaboration between mental health and child protection services: Professionals’ perceptions of best practice. Children and Youth Services Review, 30, 187–198.
   Web of Science ®Google Scholar
• Darlington, Y., Feeney, J.A., & Rixon, K. (2005). Interagency collaboration between child protection and mental health services: Practices, attitudes and barriers. Child Abuse & Neglect, 29, 1085–1098. doi:10.1016/j.chiabu.2005.04.005
   PubMed Web of Science ®Google Scholar
• de Stampa, M., Vedel, I., Bergman, H., Novella, J.-L., Lechowski, L., Ankri, J., & Lapointe, L. (2013). Opening the black box of clinical collaboration in integrated care models for frail, elderly patients. The Gerontologist, 53(2), 313–325. doi:10.1093/geront/gns081
   PubMed Web of Science ®Google Scholar
• Derogatis, L.R., Lipman, R.S., Rickels, K., Uhlenhuth, E.H., & Covi, L. (1974). The Hopkins Symptom Checklist: A self report symptom inventory. Behavioral Science, 19, 1–15. doi:10.1002/bs.3830190102
   PubMedGoogle Scholar
• Emery, E.E., Lapidos, S., Eisenstein, A.R., Ivan, II, & Golden, R.L. (2012). The BRIGHTEN program: Implementation and evaluation of a program to bridge resources of an interdisciplinary geriatric health team via electronic networking. Gerontologist, 52(6), 857–865. doi:10.1093/geront/gns034
   PubMed Web of Science ®Google Scholar
• Fairchild, D.G., Hogan, J., Smith, R., Portnow, M., & Bates, D.W. (2002). Survey of primary care physicians and home care clinicians: An assessment of communication and collaboration. Journal of General Internal Medicine, 17(4), 253–261. doi:10.1046/j.1525-1497.2002.10717.x
   PubMed Web of Science ®Google Scholar
• Fixsen, D.L., Naoom, S.F., Blase, K.A., Friedman, R.M., & Wallace, F. (2005). Implementation research: A synthesis of the literature. Tampa, FL: University of South Florida, Louis de la Parte Florida Mental Health Institute, The National Implementation Research Network.
   Google Scholar
• Georgiou, A., Marks, A., Braithwaite, J., & Westbrook, J.I. (2013). Gaps, disconnections, and discontinuities – the role of information exchange in the delivery of quality long-term care. The Gerontologist, 53(5), 770–779. doi:10.1093/geront/gns127
   PubMed Web of Science ®Google Scholar
• Gum, A.M., Greene, J., DeMuth, A., & Dautovich, N.D. (2013). Primary care physicians’ attitudes regarding collaborating with home-based depression care managers. Home Health Care Management & Practice, 25(5), 196–202. doi:10.1177/1084822313480178
   Google Scholar
• Gum, A.M., Iser, L., & Petkus, A. (2010). Behavioral health service utilization and preferences in homebound older adults receiving aging services. American Journal of Geriatric Psychiatry, 18(6), 491–501. doi:10.1097/JGP.0b013e3181c29495
   PubMed Web of Science ®Google Scholar
• Gum, A.M., Ojeda, D., Southers, F., Schweiers, T., & Banks, B. (2009, July). How should social service and medical providers collaborate to care for elders? Case managers’ views. Paper presented at the World Congress of Gerontology and Geriatrics, Paris, France.
   Google Scholar
• Gum, A.M., Petkus, A., McDougal, S.J., Present, M., King-Kallimanis, B., & Schonfeld, L. (2009). Behavioral health needs and problem recognition by older adults receiving home-based aging services. International Journal of Geriatric Psychiatry, 24, 400–408. doi:10.1002/gps.2135
   PubMed Web of Science ®Google Scholar
• Hegel, M.T., Barrett, J.E., & Oxman, T.E. (2000). Training therapists in problem-solving treatment of depressive disorders in primary care: Lessons learned from the “Treatment Effectiveness Project”. Families, Systems and Health, 18(4), 423–435. doi:10.1037/h0091866
   Google Scholar
• Institute of Medicine. (2012). Best care at lower cost: The path to continuously learning health care in America. Washington, DC: National Academies Press.
   Google Scholar
• Klein, K.J., Palmer, S.L., & Conn, A.B. (2000). Interorganizational relations: A multilevel perspective. In K.J. Klein & S.W.J. Kozlowski (Eds.), Multilevel theory, research, and methods in organizations: Foundations, extensions, and new directions (pp. 267–307). San Francisco: Jossey-Bass.
   Google Scholar
• Kroenke, K., Spitzer, R.L., & Williams, J.B.W. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16, 606–613. doi:10.1046/j.1525-1497.2001.016009606.x
   PubMed Web of Science ®Google Scholar
• Linton, J.D. (2002). Implementation research: State of the art and future directions. Technovation, 22, 65–79.
   Web of Science ®Google Scholar
• Malterud, K. (2001). Qualitative research: Standards, challenges, and guidelines. Lancet, 358(9280), 483–488. doi:10.1016/S0140-6736(01)05627-6
   PubMed Web of Science ®Google Scholar
• Marchington, M., & Vincent, S. (2004). Analysing the influence of institutional, organizational and interpersonal forces in shaping inter-organizational relations. Journal of Management Studies, 41, 1029–1056. doi:10.1111/j.1467-6486.2004.00465.x
   Web of Science ®Google Scholar
• McDonald, K.M., Sundaram, V., Bravata, D.M., Lewis, R., Lin, N., Kraft, S., … Owens, D.K. (2007). Care coordination. In K.G. Shojania, K.M. McDonald, R.M. Wachter, & D.K. Owens (Eds.), Closing the quality gap: A critical analysis of quality improvement strategies (Vol. 7). Rockville, MD: Agency for Healthcare Research and Quality.
   Google Scholar
• Morrow-Howell, N., Proctor, E., Choi, S., Lawrence, L., Brooks, A., Hasche, L., … Blinne, W. (2008). Depression in public community long-term care: Implications for intervention development. Journal of Behavioral Health Services & Research, 35(1), 37–51.
   PubMed Web of Science ®Google Scholar
• Munson, M., Proctor, E., Morrow-Howell, N., Fedoravicius, N., & Ware, N. (2007). Case managers speak out: Responding to depression in community long-term care. Psychiatric Services, 58, 1124–1127. doi:10.1176/appi.ps.58.8.1124
   PubMed Web of Science ®Google Scholar
• Neubert, M.J. (1998). The value of feedback and goal setting over goal setting alone and potential moderators of this effect: A meta-analysis. Human Performance, 11, 321–335. doi:10.1207/s15327043hup1104_2
   Web of Science ®Google Scholar
• O'Shea Carney, K., Gum, A.M., & Zeiss, A.M. (in press). Geropsychology within interprofessional teams across different practice settings. In P.A. Lichtenberg & B.T. Mast (Eds.), Handbook of clinical geropsychology. Washington, DC: American Psychological Association.
   Google Scholar
• Quijano, L.M., Stanley, M.A., Petersen, N.J., Casado, B.L., Steinberg, E.H., Cully, J.A., & Wilson, N.L. (2007). Healthy IDEAS: A depression intervention delivered by community-based case managers serving older adults. Journal of Applied Gerontology, 26(2), 139–156. doi:10.1177/0733464807299354
   Web of Science ®Google Scholar
• Rees, G., Huby, G., McDade, L., & McKechnie, L. (2004). Joint working in community mental health teams: Implementation of an integrated care pathway. Health and Social Care in the Community, 12(6), 527–536. doi:10.1111/j.1365-2524.2004.00523.x
   PubMed Web of Science ®Google Scholar
• Reeves, S., Tassone, M., Parker, K., Wagner, S.J., & Simmons, B. (2012). Interprofessional education: An overview of key developments in the past three decades. Work (Reading, Mass), 41, 233–245. doi:10.3233/WOR-2012-1298
   PubMedGoogle Scholar
• Rounsaville, B.J., Carroll, K.M., & Onken, L.S. (2001). A stage model of behavioral therapies research: Getting started and moving on from Stage I. Clinical Psychology: Science & Practice, 8, 133–142.
   Web of Science ®Google Scholar
• Ruggiano, N., Shtompel, N., & Edvardsson, D. (2014). Engaging in coordination of health and disability services as described by older adults: Processes and influential factors. The Gerontologist. doi:10.1093/geront/gnt208
   PubMedGoogle Scholar
• Ruggiano, N., Shtompel, N., Hristidis, V., Roberts, L., Grochowski, J., & Brown, E.L. (2012). Need and potential use of information technology for case manager-physician communication in home care. Home Health Care Management & Practice, 24(6), 292–297. doi:10.1177/1084822312459615
   Google Scholar
• Sandelowski, M. (2000). Combining qualitative and quantitative sampling, data collection, and analysis techniques in mixed-method studies. Research in Nursing and Health, 23(3), 246–255.
   PubMed Web of Science ®Google Scholar
• Schaefer, K., Hansen, A.O., Maerkedahl, H., Rehfeld, C., Birk, H.O., & Henriksen, L.O. (2007). Changing GPs’ prescription patterns through guidelines and feedback. Intervention study. Pharmacoepidemiology & Drug Safety, 16(6), 695–704. doi:10.1002/pds.1404
   PubMed Web of Science ®Google Scholar
• Simning, A., Richardson, T.M., Friedman, B., Boyle, L.L., Podgorski, C., & Conwell, Y. (2010). Mental distress and service utilization among help-seeking, community-dwelling older adults. International Psychogeriatrics, 22(5), 739–749. doi:10.1017/S104161021000058X
   PubMed Web of Science ®Google Scholar
• Simpson, D.D. (2002). A conceptual framework for transferring research to practice. Journal of Substance Abuse Treatment, 22, 171–182.
   PubMed Web of Science ®Google Scholar
• Sloper, P. (2004). Facilitators and barriers for co-ordinated multi-agency services. Child: Care, Health and Development, 30(6), 571–580.
   PubMed Web of Science ®Google Scholar
• Stange, K.C. (2009). The problem of fragmentation and the need for integrative solutions. Annals of Family Medicine, 7, 100–103. doi:10.1370/afm.971
   PubMed Web of Science ®Google Scholar
• Stange, K.C., Nutting, P.A., Miller, W.L., Jaen, C.R., Crabtree, B.F., Flocke, S.A., & Gill, J.M. (2010). Defining and measuring the patient-centered medical home. Journal of General Intern Medicine, 25(6), 601–612. doi:10.1007/s11606-010-1291-3
   PubMed Web of Science ®Google Scholar
• Steinman, L.E., Frederick, J.T., Prohaska, T., Satariano, W.A., Dornberg-Lee, S., Fisher, R., … Snowden, M. (2007). Recommendations for treating depression in community-based older adults. American Journal of Preventive Medicine, 33(3), 175–181. doi:10.1016/j.amepre.2007.04.034
   PubMed Web of Science ®Google Scholar
• Thistlethwaite, J. (2012). Interprofessional education: A review of context, learning and the research agenda. Medical Education, 46, 58–70. doi:10.1111/j.1365-2923.2011.04143.x
   PubMed Web of Science ®Google Scholar
• Unützer, J., Katon, W., Callahan, C.M., Williams, J.W., Jr, Hunkeler, E., Harpole, L., … Langston, C. (2002). Collaborative care management of late-life depression in the primary care setting: A randomized controlled trial. JAMA: Journal of the American Medical Association, 288(22), 2836–2845. doi:10.1001/jama.288.22.2836
   PubMed Web of Science ®Google Scholar
• Wandersman, A., Duffy, J., Flaspohler, P., Noonan, R., Lubell, K.M., Stillman, L., … Saul, J. (2008). Bridging the gap between prevention research and practice: The interactive systems framework for dissemination and implementation. American Journal of Community Psychology, 41, 171–181.
   PubMed Web of Science ®Google Scholar
• Williams, P. (2013). We are all boundary spanners now? International Journal of Public Sector Management, 26(1), 17–32. doi:10.1108/09513551311293417
   Google Scholar
• World Health Organization. (2010a). Framework for action on interprofessional education and collaborative practice. Geneva: WHO Press.
   Google Scholar
• World Health Organization. (2010b). World Health Organization Disability Assessment Schedule - WHODAS 2.0. Geneva: WHO.
   Google Scholar
• World Health Organization. (2014). Patient safety checklists. Retrieved April 15, 2014, from http://www.who.int/patientsafety/implementation/checklists/en/
   Google Scholar
• Xyrichis, A., & Lowton, K. (2008). What fosters or prevents interprofessional teamworking in primary and community care? A literature review. International Journal of Nursing Studies, 45(1), 140–153. doi:10.1016/j.ijnurstu.2007.01.015
   PubMed Web of Science ®Google Scholar