2022
Beyond Supported Housing: Correlates of Improvements in Quality of Life Among Homeless Adults with Mental Illness
O’Connell M, Tsai J, Rosenheck R. Beyond Supported Housing: Correlates of Improvements in Quality of Life Among Homeless Adults with Mental Illness. Psychiatric Quarterly 2022, 94: 49-59. PMID: 36538200, DOI: 10.1007/s11126-022-10010-x.Peer-Reviewed Original ResearchMeSH KeywordsAdultHousingHumansIll-Housed PersonsMental DisordersQuality of LifeSubstance-Related Disorders
2003
Cost-effectiveness of Supported Housing for Homeless Persons With Mental Illness
Rosenheck R, Kasprow W, Frisman L, Liu-Mares W. Cost-effectiveness of Supported Housing for Homeless Persons With Mental Illness. JAMA Psychiatry 2003, 60: 940-951. PMID: 12963676, DOI: 10.1001/archpsyc.60.9.940.Peer-Reviewed Original ResearchMeSH KeywordsAdultCase ManagementCommunity-Institutional RelationsCost of IllnessCost-Benefit AnalysisFemaleFinancing, GovernmentGovernment AgenciesHealth Care CostsHealth StatusHumansIll-Housed PersonsMaleMental DisordersProgram EvaluationProspective StudiesPublic HousingSocial AdjustmentSubstance-Related DisordersUnited StatesUnited States Department of Veterans AffairsVeteransConceptsStandard care groupIntensive case managementStandard careCase managementCare groupMore daysMental illnessVeterans AffairsIncremental cost-effectiveness ratioSuperior housing outcomesSubstance abuse statusHUD-VASHMental health statusSubstance abuse disordersCost-effectiveness ratioCommunity adjustmentMental illness resultsSupported housing programsSecondary outcomesPrimary outcomeAbuse disordersIllness resultsControl groupHealth statusSocietal perspective
2001
Stages in the Implementation of Innovative Clinical Programs in Complex Organizations
ROSENHECK R. Stages in the Implementation of Innovative Clinical Programs in Complex Organizations. The Journal Of Nervous And Mental Disease 2001, 189: 812-821. PMID: 11794574, DOI: 10.1097/00005053-200112000-00002.Peer-Reviewed Original ResearchTime-Limited Assertive Community Treatment for Homeless Persons With Severe Mental Illness
Rosenheck RA, Dennis D. Time-Limited Assertive Community Treatment for Homeless Persons With Severe Mental Illness. JAMA Psychiatry 2001, 58: 1073-1080. PMID: 11695955, DOI: 10.1001/archpsyc.58.11.1073.Peer-Reviewed Original ResearchConceptsSevere mental illnessMental illnessService useHealth statusOutpatient health service useSubstance abuseAssertive community treatment modelHealth service useAssertive community treatmentMental health statusRandom-effects modelCommunity treatment modelHospital daysPublic support paymentsCommunity treatmentCommunity careIllnessMental healthMore daysMonthsTreatment modelHomeless personsEffects modelAnnual cohortsHomeless clientsOlder Adult Patients with Both Psychiatric and Substance Abuse Disorders: Prevalence and Health Service Use
Prigerson H, Desai R, Rosenheck R. Older Adult Patients with Both Psychiatric and Substance Abuse Disorders: Prevalence and Health Service Use. Psychiatric Quarterly 2001, 72: 1-18. PMID: 11293198, DOI: 10.1023/a:1004821118214.Peer-Reviewed Original ResearchConceptsOlder adult patientsSubstance abuse disordersAdult patientsAbuse disordersService useDual diagnosisSubstance abuse visitsLonger inpatient staysHealth service useMental health careCross-sectional surveyElderly patientsPsychiatric visitsYounger patientsInpatient stayProgram patientsPatientsOlder ageSubstance abuseOlder adultsHealth careRepresentative national sampleContrast groupPrevalenceDiagnosisCross-System Service Use Among VA Mental Health Patients Living in Philadelphia
Desai R, Rosenheck R, Rothbard A. Cross-System Service Use Among VA Mental Health Patients Living in Philadelphia. Administration And Policy In Mental Health And Mental Health Services Research 2001, 28: 299-309. PMID: 11577656, DOI: 10.1023/a:1011137630558.Peer-Reviewed Original ResearchCombat Trauma: Trauma with Highest Risk of Delayed Onset and Unresolved Posttraumatic Stress Disorder Symptoms, Unemployment, and Abuse Among Men
PRIGERSON H, MACIEJEWSKI P, ROSENHECK R. Combat Trauma: Trauma with Highest Risk of Delayed Onset and Unresolved Posttraumatic Stress Disorder Symptoms, Unemployment, and Abuse Among Men. The Journal Of Nervous And Mental Disease 2001, 189: 99-108. PMID: 11225693, DOI: 10.1097/00005053-200102000-00005.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderForms of dysfunctionWorst traumaComposite International Diagnostic InterviewRisk of PTSDPTSD symptom onsetLifetime posttraumatic stress disorderDiagnostic Interview ScheduleNational Comorbidity SurveyPosttraumatic stress disorder (PTSD) symptomsSymptom onsetPersons 15PTSD moduleHigh riskDiagnostic InterviewDelayed onsetStress disorderTraumaPTSD symptomsDisorder symptomsMenRepresentative national sampleCombat traumaDysfunctionSymptomsHomeless Mothers with Severe Mental Illnesses and Their Children: Predictors of Family Reunification
Hoffman D, Rosenheck R. Homeless Mothers with Severe Mental Illnesses and Their Children: Predictors of Family Reunification. Psychiatric Rehabilitation Journal 2001, 25: 163-169. PMID: 11769982, DOI: 10.1037/h0095029.Peer-Reviewed Original Research
2000
Acculturation and the Lifetime Risk of Psychiatric and Substance Use Disorders among Hispanics
ORTEGA A, ROSENHECK R, ALEGRÍA M, DESAI R. Acculturation and the Lifetime Risk of Psychiatric and Substance Use Disorders among Hispanics. The Journal Of Nervous And Mental Disease 2000, 188: 728-735. PMID: 11093374, DOI: 10.1097/00005053-200011000-00002.Peer-Reviewed Original ResearchConceptsSubstance use disordersNational Comorbidity SurveyUse disordersLifetime riskGreater riskSubstance abuse disordersNon-Hispanic whitesMexican AmericansMultivariate adjustmentRisk factorsAbuse disordersPsychiatric disordersPsychiatric diagnosisIllness increasesSociodemographic characteristicsDSM-IIIU.S. adultsDisordersHispanic subgroupsAmerican SocietyParental nativityNational probability sampleRiskHispanicsProbability sampleMilitary Discharge Status of Homeless Veterans with Mental Illness
Gamache G, Rosenheck R, Tessler R. Military Discharge Status of Homeless Veterans with Mental Illness. Military Medicine 2000, 165: 803-808. PMID: 11143423, DOI: 10.1093/milmed/165.11.803.Peer-Reviewed Original ResearchMeSH KeywordsAdultBehaviorEmploymentHumansIll-Housed PersonsMaleMental DisordersRisk FactorsSocioeconomic FactorsUnited StatesVeteransRelationship Between Climate and Psychiatric Inpatient Length of Stay in Veterans Health Administration Hospitals
Federman E, Drebing C, Boisvert C, Penk W, Binus G, Rosenheck R. Relationship Between Climate and Psychiatric Inpatient Length of Stay in Veterans Health Administration Hospitals. American Journal Of Psychiatry 2000, 157: 1669-1673. PMID: 11007722, DOI: 10.1176/appi.ajp.157.10.1669.Peer-Reviewed Original ResearchConceptsVeterans Health Administration hospitalsLength of stayVHA hospitalsAdministration HospitalInpatient psychiatric lengthPsychiatric hospitalization costsPsychiatric Inpatient LengthHealth care utilizationLonger lengthInpatient psychiatric servicesHigh clinical costsCare utilizationHospitalization costsInpatient lengthPsychiatric lengthHospital utilizationMedical CenterPsychiatric servicesHospital levelStayHospitalClinical costsMean lengthSignificant correlationShorter lengthPrimary care satellite clinics and improved access to general and mental health services.
Rosenheck R. Primary care satellite clinics and improved access to general and mental health services. Health Services Research 2000, 35: 777-90. PMID: 11055448, PMCID: PMC1089152.Peer-Reviewed Original ResearchConceptsCommunity-based primary care clinicsVA mental health servicesPrimary care clinicsGeneral health care servicesMental health servicesHealth care servicesMental health componentCare clinicsProportion of veteransHealth servicesCare servicesHealth care componentNew clinicCare componentsHealth componentVeterans AffairsVA compensationVA health care servicesComparison countiesHealth careGeneral health careGeneral veteran populationFY 1995Mental health careNew primary care clinicThe Case Management Relationship and Outcomes of Homeless Persons With Serious Mental Illness
Chinman M, Rosenheck R, Lam J. The Case Management Relationship and Outcomes of Homeless Persons With Serious Mental Illness. Psychiatric Services 2000, 51: 1142-1147. PMID: 10970917, DOI: 10.1176/appi.ps.51.9.1142.Peer-Reviewed Original ResearchConceptsSerious mental illnessCase managersClinical outcomesMental illnessHomeless personsHigh therapeutic allianceMental health servicesCase management relationshipIll homeless personsLow allianceHigher allianceGeneral life satisfactionOutcome dataCommunity careHealth servicesMultivariate analysisSignificant associationMonthsTherapeutic allianceBaselineOutcomesIllnessDaysLife satisfactionSupport programsComparing Consumer and Nonconsumer Provided Case Management Services for Homeless Persons with Serious Mental Illness
CHINMAN M, ROSENHECK R, LAM J, DAVIDSON L. Comparing Consumer and Nonconsumer Provided Case Management Services for Homeless Persons with Serious Mental Illness. The Journal Of Nervous And Mental Disease 2000, 188: 446-453. PMID: 10919704, DOI: 10.1097/00005053-200007000-00009.Peer-Reviewed Original ResearchConceptsMental health servicesCase managersHealth servicesSerious mental illnessCase management servicesCase management teamClinical outcomesMeasures of analysisAccess siteOutcome measuresMental illnessPresent study showConsumer providersOutcomes of servicesTime pointsAccess programClient outcomesHomeless personsOutcomesStaff ageCohortIllnessNonconsumersLarge sampleManagement servicesChildhood Risk Factors for Criminal Justice Involvement in a Sample of Homeless People with Serious Mental Illness
DESAI R, LAM J, ROSENHECK R. Childhood Risk Factors for Criminal Justice Involvement in a Sample of Homeless People with Serious Mental Illness. The Journal Of Nervous And Mental Disease 2000, 188: 324-332. PMID: 10890340, DOI: 10.1097/00005053-200006000-00002.Peer-Reviewed Original ResearchConceptsChildhood risk factorsRisk factorsCriminal justice involvementMental illnessCurrent illness severityJustice involvementRecent criminal justice involvementSerious mental illnessConduct-disordered behaviorStrongest predictorDisorder behaviorsCriminal justice contactIll adultsIllness severityAdult criminal activityBaseline interviewMedical attentionSubstance-related chargeIll personsNational ratesIll peopleConduct disorderJustice contactProportion of arrestsAccess programPosttraumatic Stress Disorder Among Hispanic Vietnam Veterans
Ortega A, Rosenheck R. Posttraumatic Stress Disorder Among Hispanic Vietnam Veterans. American Journal Of Psychiatry 2000, 157: 615-619. PMID: 10739422, DOI: 10.1176/appi.ajp.157.4.615.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderHispanic Vietnam veteransSevere PTSD symptomsVietnam veteransGreater riskStress disorderPTSD symptomsNon-Hispanic white veteransGreater functional impairmentNational Epidemiologic StudyNational Vietnam Veterans Readjustment StudyFunctional impairmentSecondary data analysisEpidemiologic studiesHigh riskHispanic veteransSevere symptomsMental disordersSymptom reportingWhite veteransSymptomsVeteransDisordersRiskRepresentative sampleMortality 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 problemsThe Delivery of Mental Health Services in the 21st Century: Bringing the Community Back In
Rosenheck R. The Delivery of Mental Health Services in the 21st Century: Bringing the Community Back In. Community Mental Health Journal 2000, 36: 107-124. PMID: 10708049, DOI: 10.1023/a:1001860812441.Peer-Reviewed Original ResearchConceptsCommunity mental health movementMental illnessMental health movementCommunity mental health centerState mental health agenciesPersistent mental illnessSevere mental illnessMental health centersMental health servicesMental health agenciesSafety net servicesIntended target populationHealth centersHealth movementState HospitalHealth servicesIll individualsHealth agenciesTarget populationIllness
1999
Shifting to Outpatient Care? Mental Health Care Use and Cost Under Private Insurance
Leslie D, Rosenheck R. Shifting to Outpatient Care? Mental Health Care Use and Cost Under Private Insurance. American Journal Of Psychiatry 1999, 156: 1250-1257. PMID: 10450268, DOI: 10.1176/ajp.156.8.1250.Peer-Reviewed Original ResearchConceptsMental health servicesMental health costsOutpatient careInpatient careTreatment daysService useHealth servicesMental health care useOutpatient mental health costsOutpatient service useInpatient service useProportion of enrolleesHealth care usePatterns of careHealth costsHealth care costsHospital daysIll patientsInpatient costsOutpatient claimsPrimary diagnosisCare useModerate depressionStudy groupOutpatient servicesAnalysis 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 fighting