ArticlePsychiatric services (Washington, D.C.)2017
The Perceived Impact of 42 CFR Part 2 on Coordination and Integration of Care: A Qualitative Analysis.
Article in Psychiatric services (Washington, D.C.), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Outpatient follow-up and use of medications for opioid use disorder after residential treatment among Medicaid enrollees in 10 states.Drug and alcohol dependence · 2022Pooled it
- Article
- Benchmarking the Transformed Medicaid Statistical Information System Analytic Files for analysis of opioid use disorder treatment.Health services research · 2025Article
- Balancing Privacy, Trust, and Equity: Patient Perspectives on Substance Use Disorder Data Sharing.International journal of environmental research and public health · 2025Article
- Advancing Health Equity Through Substance Use Medical Record Data Sharing: Insights from Healthcare Providers.International journal of environmental research and public health · 2025Article
- Peer support for patients with opioid use disorder in the emergency department: A narrative review.Journal of the American College of Emergency Physicians open · 2024Review
- External validation of a model to predict future chronic opioid use among hospitalized patients.Journal of hospital medicine · 2023Article
- Patterns of Health Care Use 5 Years After an Intervention Linking Patients in Addiction Treatment With a Primary Care Practitioner.JAMA network open · 2022Article
- Identifying unique barriers to implementing rural emergency department-based peer services for opioid use disorder through qualitative comparison with urban sites.Addiction science & clinical practice · 2022Article
- Behavioral Health Professionals' Perceptions on Patient-Controlled Granular Information Sharing (Part 1): Focus Group Study.JMIR mental health · 2022Article
- Potential Uses of Blockchain Technology for Outcomes Research on Opioids.JMIR medical informatics · 2021Article
- Early Detection of Prescription Drug Abuse Using Doctor Shopping Monitoring From Claims Databases: Illustration From the Experience of the French Addictovigilance Network.Frontiers in psychiatry · 2021Review
- Predictive Modeling of Opioid Overdose Using Linked Statewide Medical and Criminal Justice Data.JAMA psychiatry · 2020Article
- Mental health professionals' perceptions on patients control of data sharing.Health informatics journal · 2020Article
- Electronic Health Information Exchange At Discharge From Inpatient Psychiatric Care In Acute Care Hospitals.Health affairs (Project Hope) · 2020Article
- America's opioid crisis: the need for an integrated public health approach.Translational psychiatry · 2020Review
- Is it feasible to pay specialty substance use disorder treatment programs based on patient outcomes?Drug and alcohol dependence · 2020Review
- Clinical Workflow and Substance Use Screening, Brief Intervention, and Referral to Treatment Data in the Electronic Health Records: A National Drug Abuse Treatment Clinical Trials Network Study.EGEMS (Washington, DC) · 2019Article
- Interpretation and integration of the federal substance use privacy protection rule in integrated health systems: A qualitative analysis.Journal of substance abuse treatment · 2019Article
- Legislative and Policy Developments and Imperatives for Advancing the Primary Care Behavioral Health (PCBH) Model.Journal of clinical psychology in medical settings · 2018Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectiveTitle 42 of the Code of Federal Regulations Part 2 (42 CFR Part 2) controls the release of patient information about treatment for substance use disorders. In 2016, the Substance Abuse and Mental Health Services Administration (SAMHSA) released a proposed rule to update the regulations, reduce provider burdens, and facilitate information exchange. Oregon's Medicaid program (Oregon Health Plan) altered the financing and structure of medical, dental, and behavioral care to promote greater integration and coordination. A qualitative analysis examined the perceived impact of 42 CFR Part 2 on care coordination and integration.
methodsInterviews with 76 stakeholders (114 interviews) conducted in 2012-2015 probed the processes of integrating behavioral health into primary care settings in Oregon and assessed issues associated with adherence to 42 CFR Part 2.
resultsRespondents expressed concerns that the regulations caused legal confusion, inhibited communication and information sharing, and required updating. Addiction treatment directors noted the challenges of obtaining patient consent to share information with primary care providers.
conclusionsThe confidentiality regulations were perceived as a barrier to care coordination and integration. The Oregon Health Authority, therefore, requested regulatory changes. SAMHSA's proposed revisions permit a general consent to an entire health care team and allow inclusion of substance use disorder information within health information exchanges, but they mandate data segmentation of diagnostic and procedure codes related to substance use disorders and restrict access only to parties with authorized consent, possibly adding barriers to the coordination and integration of addiction treatment with primary care.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.