2001
The Effect of Institutional Fiscal Stress on the Use of Atypical Antipsychotic Medications in the Treatment of Schizophrenia
LESLIE D, ROSENHECK R. The Effect of Institutional Fiscal Stress on the Use of Atypical Antipsychotic Medications in the Treatment of Schizophrenia. The Journal Of Nervous And Mental Disease 2001, 189: 377-383. PMID: 11434638, DOI: 10.1097/00005053-200106000-00005.Peer-Reviewed Original ResearchMeSH KeywordsAlzheimer DiseaseAntipsychotic AgentsBenzodiazepinesBudgetsClozapineComorbidityDepressive DisorderDrug CostsFemaleHealth Care CostsHealth FacilitiesHumansMaleMiddle AgedOlanzapinePirenzepinePractice Patterns, Physicians'Regression AnalysisRisperidoneSchizophreniaTreatment OutcomeUnited StatesUnited States Department of Veterans AffairsConceptsAtypical antipsychotic medicationsTreatment of schizophreniaAtypical antipsychoticsAntipsychotic medicationExpensive atypical antipsychotic medicationsVeterans AffairsPrescription drug recordsGeneralized estimation equationsDrug recordsPatientsReduced likelihoodAntipsychoticsMedicationsFacility characteristicsSchizophreniaAtypicalsFinal sampleTreatmentOlanzapineRisperidone
2000
Mortality among Homeless and Nonhomeless Mentally Ill Veterans
KASPROW W, ROSENHECK R. Mortality among Homeless and Nonhomeless Mentally Ill Veterans. The Journal Of Nervous And Mental Disease 2000, 188: 141-147. PMID: 10749278, DOI: 10.1097/00005053-200003000-00003.Peer-Reviewed Original ResearchConceptsMortality riskGeneral U.S. populationMental health programsIll veteransCohort membersMortality rateHealth programsRetrospective cohort designU.S. populationHealth care systemPrior hospitalizationAge 45Cohort designOlder veteransElevated riskGeneral populationMale veteransNonsignificant trendAge 55Medical problemsVeterans AffairsCare systemBaselineMortalityAlcohol problemsCross‐system service use among psychiatric patients: Data from the Department of Veterans Affairs
Hoff R, Rosenheck R. Cross‐system service use among psychiatric patients: Data from the Department of Veterans Affairs. The Journal Of Behavioral Health Services & Research 2000, 27: 98-106. PMID: 10695244, DOI: 10.1007/bf02287807.Peer-Reviewed Original ResearchMeSH KeywordsFemaleHumansMaleMental Health ServicesOutpatientsRegression AnalysisSocioeconomic FactorsUnited StatesUnited States Department of Veterans AffairsConceptsCross-system useNon-VA servicesPsychiatric patientsVA service-connected disabilityVeterans Affairs servicesMental health patientsService-connected disabilityMental health outpatientsHealth care systemSelf-reported useHealth patientsService useVA servicesVeterans AffairsPatientsCare systemVA utilizationDemographic informationSubstantial proportionTwo-week periodUtilization patternsDiagnosisMonthsWeeksVA
1999
The Effects of Marital Dissolution and Marital Quality on Health and Health Service Use Among Women
Prigerson H, Maciejewski P, Rosenheck R. The Effects of Marital Dissolution and Marital Quality on Health and Health Service Use Among Women. Medical Care 1999, 37: 858-873. PMID: 10493465, DOI: 10.1097/00005650-199909000-00003.Peer-Reviewed Original ResearchConceptsHealth service useService usePhysician visitsDepressive symptomsAlcohol consumptionGreater health service useMental health service useMore mental health servicesMental health servicesPhysical health problemsIndividuals age 60Worsened healthAge 60Health problemsHealth statusGood sleepHealth servicesAge 24Health difficultiesFemale subjectsPhysical healthInfluences healthWomenLongitudinal studySymptomsAnalysis of violent behavior in Vietnam combat veteran psychiatric inpatients with posttraumatic stress disorder
McFall M, Fontana A, Raskind M, Rosenheck R. Analysis of violent behavior in Vietnam combat veteran psychiatric inpatients with posttraumatic stress disorder. Journal Of Traumatic Stress 1999, 12: 501-517. PMID: 10467558, DOI: 10.1023/a:1024771121189.Peer-Reviewed Original ResearchMeSH KeywordsCase-Control StudiesComorbidityDiagnosis, Dual (Psychiatry)Factor Analysis, StatisticalHumansInpatientsMaleMental DisordersMiddle AgedPatient Acceptance of Health CarePsychiatric Status Rating ScalesRegression AnalysisSeverity of Illness IndexStress Disorders, Post-TraumaticSubstance-Related DisordersSurveys and QuestionnairesVeteransVietnamViolenceWashingtonConceptsPTSD inpatientsInpatient treatmentPsychiatric inpatientsVietnam veteransMale Vietnam veteransPosttraumatic stress disorderMixed diagnostic groupViolent behaviorPTSD symptom severityMale psychiatric inpatientsRoutine assessmentInpatientsDiagnostic groupsSymptom severitySubstance abuseAnger dyscontrolStress disorderCorrelates of violenceSpecialized interventionsPTSDCommunity sampleComparison conditionVeteransTreatmentPhysical fightingComparison of Outcome between Homogeneous and Heterogeneous Treatment Environments in Combat-Related Posttraumatic Stress Disorder
JOHNSON D, LUBIN H, ROSENHECK R, FONTANA A, CHARNEY D, SOUTHWICK S. Comparison of Outcome between Homogeneous and Heterogeneous Treatment Environments in Combat-Related Posttraumatic Stress Disorder. The Journal Of Nervous And Mental Disease 1999, 187: 88-95. PMID: 10067948, DOI: 10.1097/00005053-199902000-00004.Peer-Reviewed Original ResearchMeSH KeywordsAdultAttitude to HealthChronic DiseaseCombat DisordersFollow-Up StudiesHospitalizationHumansMaleMental DisordersPatient SatisfactionProgram EvaluationPsychiatric Status Rating ScalesPsychotherapyPsychotherapy, GroupRegression AnalysisSocial EnvironmentSocial SupportTreatment OutcomeVeteransConceptsPosttraumatic stress disorderStress disorderVietnam combat veteransChronic posttraumatic stress disorderComparison of outcomesGeneral psychiatric patientsCombat veteransTreatment environmentTreatment outcomesInpatient programPsychiatric patientsVeteran populationDisordersVeteransOutcomesMonthsHeterogeneous conditionPatients
1998
Access to Public Mental Health Services
Rosenheck R, Stolar M. Access to Public Mental Health Services. Medical Care 1998, 36: 503-512. PMID: 9544590, DOI: 10.1097/00005650-199804000-00006.Peer-Reviewed Original ResearchConceptsMental health servicesService system factorsHealth servicesUS veteransVeterans Affairs (VA) mental health servicesNational Veterans Affairs databaseMental health service useSystem factorsPublic mental health servicesVeterans Affairs databaseHealth service useCounty-level sociodemographic characteristicsHealth system performance assessmentClinical statusService useSociodemographic factorsMultivariate analysisSociodemographic characteristicsVeterans AffairsService system characteristicsVeteransUS countiesService deliverySubstitution effectFunding levels
1997
Influence of patient and hospital factors on consumer satisfaction with inpatient mental health treatment
Rosenheck R, Wilson N, Meterko M. Influence of patient and hospital factors on consumer satisfaction with inpatient mental health treatment. Psychiatric Services 1997, 48: 1553-1561. PMID: 9406263, DOI: 10.1176/ps.48.12.1553.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAttitude to HealthFemaleHealth Care SurveysHealth Facility SizeHospitals, VeteransHumansLength of StayMaleMarital StatusMental DisordersMiddle AgedPatient SatisfactionPsychiatric Department, HospitalRacial GroupsRegression AnalysisSampling StudiesSex FactorsSubstance-Related DisordersSurveys and QuestionnairesUnited StatesConceptsMental health treatmentSubstance use disordersPatient characteristicsUse disordersHealth treatmentInpatient mental health servicesMental health care servicesInpatient mental health treatmentRecent hospital experienceInfluence of patientMental health servicesBetter self-reported healthHealth care servicesSelf-reported healthHospital factorsMajority of subscalesGreater satisfactionHealthy patientsPatient satisfactionPrimary diagnosisHospital characteristicsHospital experienceNonpsychotic disordersInpatient unitCare servicesEffectiveness of treatment elements in a residential-work therapy program for veterans with severe substance abuse
Rosenheck R, Seibyl C. Effectiveness of treatment elements in a residential-work therapy program for veterans with severe substance abuse. Psychiatric Services 1997, 48: 928-935. PMID: 9219302, DOI: 10.1176/ps.48.7.928.Peer-Reviewed Original ResearchMeSH KeywordsAdultChi-Square DistributionChronic DiseaseDiagnosis, Dual (Psychiatry)FemaleHumansJob SatisfactionLength of StayLongitudinal StudiesMaleOutcome and Process Assessment, Health CareProgram EvaluationRegression AnalysisSeverity of Illness IndexSheltered WorkshopsSocial AdjustmentSubstance-Related DisordersTreatment OutcomeUnited StatesVeteransConceptsSevere substance abuseSubstance abuseTreatment elementsTherapy programSevere substance use disordersAdmission risk factorsBaseline prognostic factorsLength of staySubstance use disordersPrognostic factorsToxicology screenFunctional statusRisk factorsIntensive treatmentOutcome measuresOutcome dataUse disordersRehabilitative approachVeterans AffairsOutcome domainsSignificant relationshipSubstance useOutcomesVeteransTreatmentThe Impact of the Homecoming Reception on the Development of Posttraumatic Stress Disorder: The West Haven Homecoming Stress Scale (WHHSS)
Johnson D, Lubin H, Rosenheck R, Fontana A, Southwick S, Charney D. The Impact of the Homecoming Reception on the Development of Posttraumatic Stress Disorder: The West Haven Homecoming Stress Scale (WHHSS). Journal Of Traumatic Stress 1997, 10: 259-277. PMID: 9136091, DOI: 10.1023/a:1024830229391.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderStress disorderStress ScaleNegative interpersonal interactionsSelf-report measuresCurrent PTSD symptomatologyStressful life eventsPTSD symptomatologyIntensity of feelingsInterpersonal interactionsCombat exposureLife eventsSocial withdrawalHomecoming experiencesOrthogonal factorsVietnam veteransFactor analysisHomecoming receptionInpatient programSignificant predictorsInpatient treatmentLevel of supportVeteransCivilian traumaDisordersClient and site characteristics as barriers to service use by homeless persons with serious mental illness
Rosenheck R, Lam J. Client and site characteristics as barriers to service use by homeless persons with serious mental illness. Psychiatric Services 1997, 48: 387-390. PMID: 9057243, DOI: 10.1176/ps.48.3.387.Peer-Reviewed Original Research
1995
An Etiological Model of Attempted Suicide Among Vietnam Theater Veterans
FONTANA A, ROSENHECK R. An Etiological Model of Attempted Suicide Among Vietnam Theater Veterans. The Journal Of Nervous And Mental Disease 1995, 183: 377-383. PMID: 7798086, DOI: 10.1097/00005053-199506000-00005.Peer-Reviewed Original ResearchConceptsTreatment-seeking sampleVietnam theater veteransCommunity sampleEtiological modelsTraumatic military experiencesTheater veteransPsychiatric symptomsStructural equation modelingSimilarity of findingsSignificant pathsEquation modelingBetter parsimonyHigh fitDirection of causationCausal pathsVeteransTeam ProgramAttempted SuicideMilitary experienceCommunity-based modelSuicideGeneralizabilitySymptomsSubsequent attemptsAmbiguity
1994
Utilization of Mental Health Services by Minority Veterans of the Vietnam Era
ROSENHECK R, FONTANA A. Utilization of Mental Health Services by Minority Veterans of the Vietnam Era. The Journal Of Nervous And Mental Disease 1994, 182: 685-691. PMID: 7989912, DOI: 10.1097/00005053-199412000-00002.Peer-Reviewed Original ResearchMeSH KeywordsAdultAttitude to HealthCausalityClergyHospitals, VeteransHumansLogistic ModelsMaleMental DisordersMental Health ServicesMinority GroupsRegression AnalysisSelf-Help GroupsSocial AdjustmentStress Disorders, Post-TraumaticUnited StatesUnited States Department of Veterans AffairsVeteransVietnamConceptsMental health servicesNon-VA mental health servicesHealth servicesHealth statusVA mental health servicesMinority veteransLogistic regression analysisPuerto Rican HispanicsChi-square testHealth insurance coverageVietnam-era veteransHispanic veteransService useNonpsychiatrist physiciansSociodemographic characteristicsWhite veteransVietnam eraVA systemEra veteransInsurance coverageBlack veteransVeteransFurther studiesMexican HispanicsRegression analysisPosttraumatic Stress Disorder Among Vietnam Theater Veterans A Causal Model of Etiology in a Community Sample
FONTANA A, ROSENHECK R. Posttraumatic Stress Disorder Among Vietnam Theater Veterans A Causal Model of Etiology in a Community Sample. The Journal Of Nervous And Mental Disease 1994, 182: 677-684. PMID: 7989911, DOI: 10.1097/00005053-199412000-00001.Peer-Reviewed Original ResearchAdultChild AbuseChild Behavior DisordersChild, PreschoolCombat DisordersComorbidityFamilyHumansMaleModels, StatisticalRacial GroupsRegression AnalysisReproducibility of ResultsRetrospective StudiesRisk FactorsSocial AdjustmentSocial Control, FormalSocial SupportStress Disorders, Post-TraumaticVeteransVietnam