2022
Racial and ethnic differences in suicidal behavior and mental health service use among US adults, 2009–2020
Bommersbach T, Rosenheck R, Rhee T. Racial and ethnic differences in suicidal behavior and mental health service use among US adults, 2009–2020. Psychological Medicine 2022, 53: 5592-5602. PMID: 36106374, PMCID: PMC10482716, DOI: 10.1017/s003329172200280x.Peer-Reviewed Original ResearchConceptsPast-year suicidal ideationMental health service useHealth service useService useSuicidal ideationSuicide attemptsRace/ethnicityHispanic individualsWhite individualsEthnic differencesSuicidal behaviorSuicidal thoughts/behaviorsMental health servicesThoughts/behaviorsSI/SAMultivariable adjustmentUS adultsUS civilianDrug useHealth servicesProportion of whitesPast-year suicide attemptsHealthcare systemNational surveySuicide rates
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 ResearchUse of Pharmacy Data to Assess Quality of Pharmacotherapy for Schizophrenia in a National Health Care System
Leslie D, Rosenheck R. Use of Pharmacy Data to Assess Quality of Pharmacotherapy for Schizophrenia in a National Health Care System. Medical Care 2001, 39: 923-933. PMID: 11502950, DOI: 10.1097/00005650-200109000-00003.Peer-Reviewed Original ResearchMeSH KeywordsAcademic Medical CentersAdultAntipsychotic AgentsComorbidityDelivery of Health Care, IntegratedDiagnosis, Dual (Psychiatry)FemaleGuideline AdherenceHumansMaleMental Health ServicesMiddle AgedNational Health ProgramsOutcome and Process Assessment, Health CarePatient CompliancePolypharmacyPractice Guidelines as TopicSchizophreniaUnited StatesUnited States Department of Veterans AffairsConceptsPatient Outcomes Research TeamLarger mental health systemMultiple antipsychotic medicationsAntipsychotic medicationPORT recommendationsSchizophrenia Patient Outcomes Research TeamVeterans AffairsHealth systemTotal weekly doseTreatment of schizophreniaPrescription drug recordsMental health systemHealth care systemGeneralized estimation equationsMultiple antipsychoticsNational Health SystemOlder patientsWeekly doseNational health care systemPharmacy dataComorbid depressionTreatment recommendationsDrug recordsMedicationsPatientsCross-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 Research
2000
Cross‐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
Changing Patterns of Care for War-Related Post-Traumatic Stress Disorder at Department of Veterans Affairs Medical Centers: The Use of Performance Data to Guide Program Development
Rosenheck R, Fontana A. Changing Patterns of Care for War-Related Post-Traumatic Stress Disorder at Department of Veterans Affairs Medical Centers: The Use of Performance Data to Guide Program Development. Military Medicine 1999, 164: 795-802. PMID: 10578592, DOI: 10.1093/milmed/164.11.795.Peer-Reviewed Original ResearchConceptsPost-traumatic stress disorderVeterans Affairs Medical CenterInpatient programMedical CenterOutcome studiesStress disorderSpecialized inpatient programTreatment of PTSDPatterns of careSpecialized outpatient clinicEmphasis of careVA Medical CenterSpecialized outpatient treatmentWar-related post-traumatic stress disorderHealth care systemMost health care systemsInpatient outcomesOutpatient clinicOutpatient settingOutpatient treatmentOutpatient servicesOutcome assessmentMental illnessVA treatmentCare systemEffect of declining mental health service use on employees of a large corporation
Rosenheck R, Druss B, Stolar M, Leslie D, Sledge W. Effect of declining mental health service use on employees of a large corporation. Health Affairs 1999, 18: 193-203. PMID: 10495607, DOI: 10.1377/hlthaff.18.5.193.Peer-Reviewed Original ResearchShifting 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 servicesChanges in Inpatient Mental Health Utilization and Costs in a Privately Insured Population, 1993 to 1995
Leslie D, Rosenheck R. Changes in Inpatient Mental Health Utilization and Costs in a Privately Insured Population, 1993 to 1995. Medical Care 1999, 37: 457-468. PMID: 10335748, DOI: 10.1097/00005650-199905000-00005.Peer-Reviewed Original ResearchConceptsHospital daysMental health utilizationInpatient claims dataProportion of enrolleesAnnual hospital daysHealth care providersMental health servicesQuality of careHealth care costsMental health costsMarketScan databaseInpatient costsHealth utilizationPatient satisfactionPrimary diagnosisModerate depressionTreatment daysCare providersClaims dataPsychiatric carePatientsCare costsDiem costsHealth servicesDiagnostic groupsImpatient Treatment of Comorbid Psychiatric and Substance Abuse Disorders: Comparison of Public Sector and Privately Insured Populations
Leslie D, Rosenheck R. Impatient Treatment of Comorbid Psychiatric and Substance Abuse Disorders: Comparison of Public Sector and Privately Insured Populations. Administration And Policy In Mental Health And Mental Health Services Research 1999, 26: 253-268. PMID: 10431398, DOI: 10.1023/a:1022269926310.Peer-Reviewed Original Research
1998
The Use of VA and Non-VA Mental Health Services by Female Veterans
Hoff R, Rosenheck R. The Use of VA and Non-VA Mental Health Services by Female Veterans. Medical Care 1998, 36: 1524-1533. PMID: 9821940, DOI: 10.1097/00005650-199811000-00002.Peer-Reviewed Original ResearchConceptsNon-VA mental health servicesVA mental health servicesMental health servicesSpecialty mental health clinicsFemale veteransHealth servicesMale veteransVeterans AffairsService useMental health service useVA mental health careHealth service useMental health clinicsVA service useMental health careLogistic regression modelsHealth clinicsDiagnostic subgroupsPsychiatric diagnosisGender differencesVA servicesObjective diagnostic dataHealth careVeteransUtilization patternsHomelessness
Rosenheck R, Seibyl C. Homelessness. Medical Care 1998, 36: 1256-1264. PMID: 9708597, DOI: 10.1097/00005650-199808000-00013.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedFemaleHealth Care SurveysHospital CostsHospitals, VeteransHumansIll-Housed PersonsMaleMental Health ServicesMiddle AgedPsychiatric Department, HospitalResidence CharacteristicsSocioeconomic FactorsSubstance Abuse Treatment CentersUnited StatesUnited States Department of Veterans AffairsVeteransConceptsTime of admissionSurvey dataSocial welfare programsService useMental health care unitsVeterans Affairs Medical CenterDate of dischargeMental health expendituresHealth service useHealth expenditureCost of careWelfare programsSafety netHealth care unitsHomelessness ratesHealth care servicesPublic fundingSubstance abuse programsComplete survey dataIndex hospitalizationAverage annual costCare unitSubstance abuse unitVA inpatientMedical CenterFemale Veterans' Use of Department of Veterans Affairs Health Care Services
Hoff R, Rosenheck R. Female Veterans' Use of Department of Veterans Affairs Health Care Services. Medical Care 1998, 36: 1114-1119. PMID: 9674628, DOI: 10.1097/00005650-199807000-00017.Peer-Reviewed Original ResearchMeSH KeywordsAdultFemaleHealth Care SurveysHealth Knowledge, Attitudes, PracticeHospitals, VeteransHumansLikelihood FunctionsMaleMental Health ServicesPatient Acceptance of Health CareSocioeconomic FactorsSurveys and QuestionnairesUnited StatesUnited States Department of Veterans AffairsVeteransWomenConceptsHealth care utilizationHealth service utilizationHealth servicesVA health servicesMental disordersCare utilizationVA outpatient servicesOutpatient utilizationService utilizationOutpatient servicesVeterans Affairs (VA) health care servicesFemale veteransVA health care utilizationVeterans Affairs (VA) health servicesMental health care utilizationOutpatient utilization ratesSelf-reported mental disordersInpatient admission ratesNon-VA careInpatient health servicesMental health servicesHealth care providersSubgroups of veteransHealth care servicesVA outpatientsLong-Term Patterns of Service Use and Cost Among Patients With Both Psychiatric and Substance Abuse Disorders
Hoff R, Rosenheck R. Long-Term Patterns of Service Use and Cost Among Patients With Both Psychiatric and Substance Abuse Disorders. Medical Care 1998, 36: 835-843. PMID: 9630125, DOI: 10.1097/00005650-199806000-00007.Peer-Reviewed Original ResearchMeSH KeywordsAnalysis of VarianceComorbidityCross-Sectional StudiesFemaleHealth Services ResearchHospital CostsHospitals, VeteransHumansLongitudinal StudiesMaleMental DisordersMental Health ServicesMiddle AgedOutpatient Clinics, HospitalPsychiatric Department, HospitalSubstance-Related DisordersTime FactorsUnited StatesConceptsHigher health care costsSubstance abuse disordersHealth care costsAbuse disordersCare costsVeterans Affairs (VA) health careCohort of inpatientsIntensive outpatient servicesCohort of veteransMental health servicesSubstance abuse careMental health programsType of careInpatient cohortFiscal year 1991Outpatient careOutpatient servicesPsychiatric patientsService usePatientsHealth servicesPsychiatric outpatientsHealth programsOutpatientsCohortAccess 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
HOMELESS MENTALLY ILL VETERANS
Rosenheck R, Leda C, Frisman L, Gallup P. HOMELESS MENTALLY ILL VETERANS. American Journal Of Orthopsychiatry 1997, 67: 632-638. PMID: 9361869, DOI: 10.1037/h0080260.Peer-Reviewed Original ResearchHomeless mentally ill clients' and providers' perceptions of service needs and clients' use of services
Rosenheck R, Lam J. Homeless mentally ill clients' and providers' perceptions of service needs and clients' use of services. Psychiatric Services 1997, 48: 381-386. PMID: 9057242, DOI: 10.1176/ps.48.3.381.Peer-Reviewed Original ResearchMeSH KeywordsAdultAttitude of Health PersonnelAttitude to HealthCommunity-Institutional RelationsDental Health ServicesFemaleFollow-Up StudiesHealth Care SurveysHealth ServicesHealth Services Needs and DemandHumansIll-Housed PersonsLogistic ModelsMaleMental DisordersMental Health ServicesSampling StudiesUnited StatesConceptsMental health servicesProviders' perceptionsHealth servicesProvider assessmentService useSubstance abuseDomain mental healthMental health service providersCommunity treatment programsSubstance abuse servicesHealth service providersService needsDental careCase management evaluationGeneral healthNational demonstration projectCommunity careMental illnessIll clientsTreatment programAbuse servicesMental healthOutreach workersMedical servicesHomeless persons
1995
Do Vietnam-Era Veterans Who Suffer from Posttraumatic Stress Disorder Avoid VA Mental Health Services?
Rosenheck R, Fontana A. Do Vietnam-Era Veterans Who Suffer from Posttraumatic Stress Disorder Avoid VA Mental Health Services? Military Medicine 1995, 160: 136-142. PMID: 7783937, DOI: 10.1093/milmed/160.3.136.Peer-Reviewed Original ResearchClozapine's cost effectiveness.
Rosenheck R, Charney D, Frisman L, Cramer J. Clozapine's cost effectiveness. American Journal Of Psychiatry 1995, 152: 152-3. PMID: 7802113.Peer-Reviewed Original Research
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 analysis