2019
Early intervention service for first episode psychosis in Modena, Northern Italy: The first hundred cases
Ferrara M, Tedeschini E, Baccari F, Musella V, Vacca F, Mazzi F, Ferri M, Srihari V, Starace F, Group F. Early intervention service for first episode psychosis in Modena, Northern Italy: The first hundred cases. Early Intervention In Psychiatry 2019, 13: 1011-1017. PMID: 30672134, DOI: 10.1111/eip.12788.Peer-Reviewed Original ResearchConceptsEarly intervention servicesClinical improvementMedian ageIntervention servicesCommunity mental health centerCommunity outpatient servicesPsychiatric hospital unitMeaningful clinical improvementFirst-episode psychosisModel of careNon-affective psychosisNation Outcome ScalesMental health centersHigher median ageEarly detection effortsRefinement of treatmentMain referralsPharmacological consultationYounger patientsUntreated psychosisOutcome ScaleGeneral practitionersEpisode psychosisHealth centersOutpatient services
2018
An Economic Evaluation of Coordinated Specialty Care (CSC) Services for First-Episode Psychosis in the U.S. Public Sector.
Murphy SM, Kucukgoncu S, Bao Y, Li F, Tek C, Breitborde NJK, Guloksuz S, Phutane VH, Ozkan B, Pollard JM, Cahill JD, Woods SW, Cole RA, Schoenbaum M, Srihari VH. An Economic Evaluation of Coordinated Specialty Care (CSC) Services for First-Episode Psychosis in the U.S. Public Sector. The Journal Of Mental Health Policy And Economics 2018, 21: 123-130. PMID: 30530872, PMCID: PMC6314808.Peer-Reviewed Original ResearchConceptsSpecialty care servicesPatient costsEarly intervention servicesUsual treatmentSchizophrenia spectrum disordersMonth 12Economic evaluationCare servicesSTEP participantsCommunity mental health centerThird-party payer perspectiveIntervention servicesFirst-episode servicesMonths post randomizationHealthcare service utilizationMental health centersU.S. public sectorTeam-based careCost-offset analysisEligible patientsThird-party payersAntipsychotic exposureED visitsMonth 6Episode psychosis
2016
The Connecticut Mental Health Center: Celebrating 50 Years of a Successful Partnership Between the State and Yale University
Steiner JL, Anez-Nava L, Baranoski M, Cole R, Davidson L, Delphin-Rittmon M, Dike C, DiLeo PJ, Duman RS, Kirk T, Krystal J, Malison RT, Rohrbaugh RM, Sernyak MJ, Srihari V, Styron T, Tebes JK, Woods S, Zonana H, Jacobs SC. The Connecticut Mental Health Center: Celebrating 50 Years of a Successful Partnership Between the State and Yale University. Psychiatric Services 2016, 67: 1286-1289. PMID: 27691379, DOI: 10.1176/appi.ps.201600373.Peer-Reviewed Original Research
2015
First-Episode Services for Psychotic Disorders in the U.S. Public Sector: A Pragmatic Randomized Controlled Trial
Srihari VH, Tek C, Kucukgoncu S, Phutane VH, Breitborde NJ, Pollard J, Ozkan B, Saksa J, Walsh BC, Woods SW. First-Episode Services for Psychotic Disorders in the U.S. Public Sector: A Pragmatic Randomized Controlled Trial. Psychiatric Services 2015, 66: 705-712. PMID: 25639994, PMCID: PMC4490067, DOI: 10.1176/appi.ps.201400236.Peer-Reviewed Original ResearchConceptsUsual treatmentSTEP participantsCommunity mental health centerFirst-episode servicesFirst-episode psychosisMental health centersSerious mental illnessInpatient psychiatric unitAntipsychotic exposureAdditional patientsIllness onsetHospital utilizationHealth centersInpatient utilizationPsychiatric hospitalizationMAIN OUTCOMEPsychotic illnessPsychiatric unitPsychotic disordersHospitalizationEarly interventionMental illnessSpecialized treatmentPatientsTranslational research
2014
High Rates of Obstructive Sleep Apnea Symptoms Among Patients With Schizophrenia
Annamalai A, Palmese LB, Chwastiak LA, Srihari VH, Tek C. High Rates of Obstructive Sleep Apnea Symptoms Among Patients With Schizophrenia. Journal Of The Academy Of Consultation-Liaison Psychiatry 2014, 56: 59-66. PMID: 25023923, PMCID: PMC5583522, DOI: 10.1016/j.psym.2014.02.009.Peer-Reviewed Original ResearchConceptsObstructive sleep apneaSevere mental illnessSTOP questionnaireSleep apneaHigh riskLarge urban community mental health centerMental illnessDiagnosis of OSAUrban community mental health centerCommunity mental health centerBody mass indexHigh-risk groupCross-sectional studyHigh clinical utilityMental health centersSample of outpatientsHigh rateOSA symptomsCardiovascular morbiditySurgical populationMass indexRisk factorsHealth centersSTOP scoreClinical utility
2013
Cardiovascular mortality in schizophrenia: Defining a critical period for prevention
Srihari VH, Phutane VH, Ozkan B, Chwastiak L, Ratliff JC, Woods SW, Tek C. Cardiovascular mortality in schizophrenia: Defining a critical period for prevention. Schizophrenia Research 2013, 146: 64-68. PMID: 23422728, PMCID: PMC3622848, DOI: 10.1016/j.schres.2013.01.014.Peer-Reviewed Original ResearchConceptsPremature cardiovascular mortalityCardiovascular mortalityCardiovascular riskUrban community mental health centerCommunity mental health centerCardiovascular risk estimatesPrior antipsychotic exposureRace-matched peersCardiovascular risk factorsEarly psychosis clinicMental health centersSuch preventive effortsLow-risk categoryCritical periodAntipsychotic exposureBlood pressureMetabolic syndromeObese categoryPsychosis clinicNormal weightPrimary preventionRisk factorsNational HealthHealth centersNutrition Survey
2011
Who Is Paying the Price? Loss of Health Insurance Coverage Early in Psychosis
Dodds TJ, Phutane VH, Stevens BJ, Woods SW, Sernyak MJ, Srihari VH. Who Is Paying the Price? Loss of Health Insurance Coverage Early in Psychosis. Psychiatric Services 2011, 62: 878-881. PMID: 21807825, PMCID: PMC4469900, DOI: 10.1176/ps.62.8.pss6208_0878.Peer-Reviewed Original ResearchConceptsHealth insurance coverageInsurance coverageConnecticut Mental Health CenterClinical chart reviewEarly psychosis patientsLong-term outcomesContinuity of careMental health centersPeriod of illnessChart reviewInsurance statusHealth centersEarly psychosisSpecialty servicesClinician reportsPrivate insurancePublic insuranceSpecialized treatmentPsychosisHealth insuranceMonthsOne-thirdParticipantsInsurancePatients
2009
Public-academic partnerships: early intervention for psychotic disorders in a community mental health center.
Srihari VH, Breitborde NJ, Pollard J, Tek C, Hyman L, Frisman LK, McGlashan TH, Jacobs S, Woods SW. Public-academic partnerships: early intervention for psychotic disorders in a community mental health center. Psychiatric Services 2009, 60: 1426-8. PMID: 19880454, PMCID: PMC4469899, DOI: 10.1176/appi.ps.60.11.1426.Peer-Reviewed Original ResearchConceptsMental health centersEarly interventionHealth centersConnecticut Mental Health CenterCommunity mental health centerLong-term outcomesEarly intervention servicesYounger patientsUntreated illnessPsychotic illnessPsychotic disordersAddiction servicesSpecialized treatmentMental healthInterventionConnecticut DepartmentIllnessPatientsPsychosisPublic-Academic Partnerships: Early Intervention for Psychotic Disorders in a Community Mental Health Center
Srihari V, Breitborde N, Pollard J, Tek C, Hyman L, Frisman L, McGlashan T, Jacobs S, Woods S. Public-Academic Partnerships: Early Intervention for Psychotic Disorders in a Community Mental Health Center. Psychiatric Services 2009, 60: 1426-1428. DOI: 10.1176/ps.2009.60.11.1426.Peer-Reviewed Original ResearchCommunity mental health centerMental health centersHealth centersPsychotic disordersEarly intervention
2007
Best Practices: Surveillance and Management of Diabetes in a CMHC Population
Srihari VH, Tek C, Chwastiak LA, Woods SW, Steiner JL. Best Practices: Surveillance and Management of Diabetes in a CMHC Population. Psychiatric Services 2007, 58: 1151-1153. PMID: 17766557, DOI: 10.1176/ps.2007.58.9.1151.Peer-Reviewed Original ResearchConceptsManagement of diabetesType 2 diabetes mellitusCommunity mental health centerMaintenance antipsychotic medicationPercent of patientsCross-sectional studyMental health centersSerious mental illnessCardiovascular profileDiabetes mellitusGlucose dysregulationAntipsychotic medicationCardiovascular healthHealth centersTobacco useGeneral populationUndiagnosed diseaseDiabetesMental illnessPatientsHigh rateHalf timesMellitusMedicationsObesity