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 clientsImpact of VA bed closures on use of state psychiatric services
Rosenheck R, Frisman L, Essock S. Impact of VA bed closures on use of state psychiatric services. The Journal Of Behavioral Health Services & Research 2001, 28: 58-66. PMID: 11329999, DOI: 10.1007/bf02287234.Peer-Reviewed Original ResearchMeSH KeywordsAdultCommunity Mental Health ServicesConnecticutCost AllocationHealth Facility ClosureHospital Bed CapacityHospitals, PsychiatricHospitals, StateHospitals, VeteransHumansInpatients
2000
Primary 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 ResearchMeSH KeywordsAdultCase ManagementCommunity Mental Health ServicesFemaleFollow-Up StudiesHumansIll-Housed PersonsMaleMental DisordersProfessional-Patient RelationsTreatment OutcomeUnited StatesConceptsSerious 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 servicesBenchmarking Treatment of Schizophrenia
ROSENHECK R, DESAI R, STEINWACHS D, LEHMAN A. Benchmarking Treatment of Schizophrenia. The Journal Of Nervous And Mental Disease 2000, 188: 209-216. PMID: 10789997, DOI: 10.1097/00005053-200004000-00003.Peer-Reviewed Original ResearchMeSH KeywordsAdultAge FactorsAmbulatory CareCase ManagementCommunity Mental Health ServicesDay Care, MedicalDelivery of Health CareHealth StatusHospitalizationHospitals, VeteransHumansMaleMiddle AgedOutcome Assessment, Health CarePatient Acceptance of Health CareQuality of Health CareSchizophreniaSocial AdjustmentSocial Work, PsychiatricUnited StatesUnited States Department of Veterans AffairsConceptsNon-VA patientsTreatment of schizophreniaVeterans AffairsVA outpatientsVA patientsPsychosocial servicesQuality of careCase management servicesCross-sectional surveyHealth care systemMale patientsClinical outcomesClinical statusHospital treatmentVA careTreatment recommendationsVA inpatientDay hospitalCrisis intervention servicesPatientsOutpatientsClinical diagnosisSimilar satisfactionIntervention servicesCare systemThe 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 ResearchMeSH KeywordsChronic DiseaseCommunity Mental Health ServicesCost-Benefit AnalysisDelivery of Health CareForecastingHealth ResourcesHumansManaged Care ProgramsMental DisordersSocial SupportUnited StatesConceptsCommunity 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
1998
Participation and Outcome in a Residential Treatment and Work Therapy Program for Addictive Disorders: The Effects of Race
Rosenheck R, Seibyl C. Participation and Outcome in a Residential Treatment and Work Therapy Program for Addictive Disorders: The Effects of Race. American Journal Of Psychiatry 1998, 155: 1029-1034. PMID: 9699689, DOI: 10.1176/ajp.155.8.1029.Peer-Reviewed Original ResearchMeSH KeywordsAdultBlack or African AmericanCommunity Mental Health ServicesFemaleHumansMaleOccupational TherapyPatient Acceptance of Health CarePersonality InventoryPsychiatric Status Rating ScalesResidential TreatmentSubstance-Related DisordersTreatment OutcomeUnited StatesUnited States Department of Veterans AffairsVeteransWhite PeopleWorkConceptsWork therapy programTherapy programWhite veteransBlack participantsAddictive disordersLarger study groupBlack patientsAdmission characteristicsWorse outcomesProgram participationStudy groupPsychiatric problemsSevere alcoholMultivariate analysisDrug abuse problemsAlcohol useEffect of raceTherapeutic milieuAbuse problemsBlack veteransBlack subjectsOutcomesResidential treatmentVeteransSocial support networksINTERSITE VARIATION IN THE IMPACT OF INTENSIVE PSYCHIATRIC COMMUNITY CARE ON HOSPITAL USE
Rosenheck R, Neale M. INTERSITE VARIATION IN THE IMPACT OF INTENSIVE PSYCHIATRIC COMMUNITY CARE ON HOSPITAL USE. American Journal Of Orthopsychiatry 1998, 68: 191-200. PMID: 9589758, DOI: 10.1037/h0080329.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedCommunity Mental Health ServicesFemaleHealth Services AccessibilityHospitals, VeteransHumansMaleMiddle AgedPatient ReadmissionPsychotic DisordersTreatment OutcomeUtilization ReviewWisconsin
1997
Use of Medical Services by Veterans With Mental Disorders
Druss B, Rosenheck R. Use of Medical Services by Veterans With Mental Disorders. Journal Of The Academy Of Consultation-Liaison Psychiatry 1997, 38: 451-458. PMID: 9314714, DOI: 10.1016/s0033-3182(97)71422-1.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAmbulatory CareCommunity Mental Health ServicesComorbidityCross-Sectional StudiesFemaleHealth Services AccessibilityHumansIncidenceMaleMental DisordersMiddle AgedPatient DischargeUnited StatesVeteransConceptsMedical servicesMedical service useComorbid medical disordersOutpatient mental healthMedical-surgical careVA outpatient clinicDiagnosis of schizophreniaPosttraumatic stress disorderOutpatient clinicMedical disordersPsychiatric servicesPsychiatric unitService useMedical careMental disordersSubstance abuseStress disorderMental healthDisordersCareNational sampleVeteransClinicDiagnosisSchizophrenia
1995
Effectiveness and cost of specific treatment elements in a program for homeless mentally ill veterans
Rosenheck R, Frisman L, Gallup P. Effectiveness and cost of specific treatment elements in a program for homeless mentally ill veterans. Psychiatric Services 1995, 46: 1131-1139. PMID: 8564501, DOI: 10.1176/ps.46.11.1131.Peer-Reviewed Original ResearchMeSH KeywordsAdultChronic DiseaseCommunity Mental Health ServicesContract ServicesCost-Benefit AnalysisFemaleHospitals, VeteransHumansIll-Housed PersonsLength of StayLongitudinal StudiesMaleMental DisordersMiddle AgedOutcome and Process Assessment, Health CareSocial AdjustmentSocial EnvironmentSubstance-Related DisordersUnited StatesVeteransConceptsSpecific treatment elementsTreatment elementsIll veteransOutcome measuresResidential treatmentNumber of daysLongitudinal outcome studyNumber of referralsSubstance use disordersMeasures of outcomeVeterans Affairs programsPublic support paymentsProgram cliniciansOutcome studiesClinical contactUse disordersIll personsOutcome domainsEight-month periodHomeless veteransMultimodal approachProgram entryVeteran ProgramTreatmentVeteransEffect of clinician-veteran racial pairing in the treatment of posttraumatic stress disorder
Rosenheck R, Fontana A, Cottrol C. Effect of clinician-veteran racial pairing in the treatment of posttraumatic stress disorder. American Journal Of Psychiatry 1995, 152: 555-563. PMID: 7694904, DOI: 10.1176/ajp.152.4.555.Peer-Reviewed Original ResearchMeSH KeywordsAdultAmbulatory CareAntidepressive AgentsBlack or African AmericanCommunity Mental Health ServicesHumansMaleMiddle AgedPatient Acceptance of Health CarePatient DropoutsProgram EvaluationPsychotherapyPsychotropic DrugsStress Disorders, Post-TraumaticTreatment OutcomeUnited StatesUnited States Department of Veterans AffairsVeteransWhite PeopleConceptsPosttraumatic stress disorderImprovement ratingBlack veteransWhite cliniciansWhite veteransStress disorderBlack male veteransWar-related posttraumatic stress disorderClinician raceOutcome of treatmentLow program participationVeterans' raceAntidepressant medicationPrimary clinicianClinical statusClinician characteristicsMale veteransMultivariate analysisSociodemographic characteristicsLess improvementTreatment emphasisVeterans AffairsClinician ratingsSubstance abuseMore treatmentsIssues in estimating the cost of innovative mental health programs
Rosenheck R, Neale M, Frisman L. Issues in estimating the cost of innovative mental health programs. Psychiatric Quarterly 1995, 66: 9-31. PMID: 7701023, DOI: 10.1007/bf02238713.Peer-Reviewed Original ResearchMeSH KeywordsCommunity Mental Health ServicesCost-Benefit AnalysisHumansUnited StatesVeteransWorkloadConceptsMental health programsInnovative mental health programsHealth programsIntensive psychiatric community careVeterans Affairs Medical CenterPsychiatric community careHealth care servicesDirect programme costsMedical CenterProgram costsCare servicesCommunity careMulti-site studyCase managementIndirect costsStaffing levelsCommunity programsCaseload sizeMultisite Experimental Cost Study of Intensive Psychiatric Community Care
Rosenheck R, Neale M, Leaf P, Milstein R, Frisman L. Multisite Experimental Cost Study of Intensive Psychiatric Community Care. Schizophrenia Bulletin 1995, 21: 129-140. PMID: 7770734, DOI: 10.1093/schbul/21.1.129.Peer-Reviewed Original ResearchConceptsControl patientsHealth care service usageIntensive psychiatric community careVeterans Affairs Medical CenterHigh hospital usersPsychiatric community careStandard VA careInpatient service useCommunity care programProgram entryInpatient usageVA careAge 45Medical CenterSurgical hospitalsService usePatientsCare programCommunity careVA costsSociodemographic characteristicsService usageCareComputerized dataCost studies
1992
Combat Stress, Psychosocial Adjustment, and Service Use Among Homeless Vietnam Veterans
Rosenheck R, Leda C, Gallup P. Combat Stress, Psychosocial Adjustment, and Service Use Among Homeless Vietnam Veterans. Psychiatric Services 1992, 43: 145-149. PMID: 1572610, DOI: 10.1176/ps.43.2.145.Peer-Reviewed Original ResearchConceptsMental health servicesIll veteransVietnam veteransHealth servicesVA mental health servicesGreater social dysfunctionNational epidemiological studySubstance abuse problemsCombat stressClinical dataEpidemiological studiesService useClinical programsHomeless veteransAbuse problemsVeteransSocial dysfunctionPsychosocial adjustmentTwo-fifthsSignificant problemDysfunction