Mark Williams
Associate Research ScientistAbout
Research
Publications
2026
Primary Care Clinicians’ Attitudes on Digital Care Collaborative Management for Substance Use Disorders
Lai B, Bormann N, Arndt S, Smith J, Paul M, Stoppel C, Tuen K, Cox D, Breitinger S, Williams M, Oesterle T. Primary Care Clinicians’ Attitudes on Digital Care Collaborative Management for Substance Use Disorders. INQUIRY The Journal Of Health Care Organization Provision And Financing 2026, 63: 00469580261440482. PMID: 41954165, PMCID: PMC13070159, DOI: 10.1177/00469580261440482.Peer-Reviewed Original ResearchConceptsPrimary care clinicians' attitudesPrimary care cliniciansSubstance use disordersLong-term substance use disorderProvider-level barriersCollaborative care managementConfidential electronic surveyUse disorderAssociated with yearsClinician typePrimary careCare cliniciansMedication prescribingClinicians' attitudesPractice changeCare managementOpioid use disorderElectronic surveyPrescribed medicationsCoCMTreatment resourcesComfort levelAnti-craving medicationsPsychiatric conditionsSource of morbidityHeterogeneity and misaligned incentives in discharge transition programs: Insights from a multisite rapid qualitative study
Weerahandi H, Williams M, Rosenthal M, Anderson T, Angeli E, Burden M, Dalal S, Farrag S, Fisher A, Keniston A, Westergaard S, Schnipper J. Heterogeneity and misaligned incentives in discharge transition programs: Insights from a multisite rapid qualitative study. Journal Of Hospital Medicine 2026 PMID: 41531122, DOI: 10.1002/jhm.70258.Peer-Reviewed Original ResearchHealth-related social needsPatient-centered careHospitalist perspectivesLeadership supportFocus groupsQualitative studyTransitions of careVirtual focus groupsPostdischarge Follow-upHealth literacyCare fragmentationInterprofessional collaborationAppointment availabilityPatient safetyCommunity settingsInsurance barriersImplementation barriersUS hospitalsPatient preferencesTransition programGeographical challengesAdequate resourcesCommunity engagementCareMultimorbidity
2025
Impact of rurality and the area deprivation index on outcomes of collaborative care for depression
Savitz S, Chamberlain A, Jiang R, Sarwar S, Williams M. Impact of rurality and the area deprivation index on outcomes of collaborative care for depression. The Journal Of Rural Health 2025, 41: e70044. PMID: 40545556, DOI: 10.1111/jrh.70044.Peer-Reviewed Original ResearchConceptsArea Deprivation IndexCare coordinationPrimary carePHQ-9Associated with lower enrollmentADI quintilesRural areasCollaborative care modelImpact of ruralityArea-based measuresAssociated with enrollmentArea deprivationCollaborative careCare modelDeprivation indexLow enrollmentBehavioral healthCoCMClinical outcomesCareObservational analysisEnrollment barriersBad responseAssociated with worse responseRuralDeveloping a Decision Support Tool to Guide Shared Decision‐Making in Bipolar Depression Treatment: Results From a Collaboration Between Clinicians and People With Lived Experience
Fuentes‐Salgado M, Gardea‐Resendez M, Smith A, Lam A, Allen K, Ercis M, Kremin A, Joyce J, Park J, Keeth N, Moore K, Betcher H, Yang P, Leung J, Ozerdem A, Savitz S, Williams M, Montori V, Michael P, Frye M. Developing a Decision Support Tool to Guide Shared Decision‐Making in Bipolar Depression Treatment: Results From a Collaboration Between Clinicians and People With Lived Experience. Bipolar Disorders 2025, 27: 358-364. PMID: 40491157, DOI: 10.1111/bdi.70037.Peer-Reviewed Original ResearchConceptsSDM toolClinical encountersBipolar depressionThematic analysisBipolar disorderShared decision-makingMental health cliniciansNarrative reviewBipolar depression treatmentEvidence-based treatment optionsHealth cliniciansDepression treatmentPsychotherapeutic treatmentPatient preferencesHuman-centered designAdvocacy groupsSDMLived experienceClinical practiceDecision support toolConvening committeeCliniciansDepressionClinical considerationsTreatment effectsVirtual Patient-PCP-Hospitalist Care Transition Meeting Before Hospital Discharge
Li J, Reuter M, Schmidt J, Moore N, Forget N, Carron J, Ernest J, Williams M. Virtual Patient-PCP-Hospitalist Care Transition Meeting Before Hospital Discharge. JAMA Network Open 2025, 8: e2515848. PMID: 40512492, PMCID: PMC12166488, DOI: 10.1001/jamanetworkopen.2025.15848.Peer-Reviewed Original ResearchConceptsPrimary care practitionersAcceptability of Intervention MeasureIntervention appropriateness measureQuality improvement studyImprovement studyPerceptions of care coordinationCenters for Medicare & Medicaid ServicesHospital dischargeHealth care systemIncrease patient confidenceOpen-ended questionsFamily caregiversCare coordinationRelational EmpathyDischarge planningPatient feedbackCare practitionersCare questionsCare systemPatients' perceptionsMedicaid ServicesPatient confidenceHospital settingHospitalistsMain OutcomesTreatment of Substance Use Disorders With a Mobile Phone App Within Rural Collaborative Care Management (Senyo Health): Protocol for a Mixed Methods Randomized Controlled Trial
Oesterle T, Bormann N, Paul M, Breitinger S, Lai B, Smith J, Stoppel C, Arndt S, Williams M. Treatment of Substance Use Disorders With a Mobile Phone App Within Rural Collaborative Care Management (Senyo Health): Protocol for a Mixed Methods Randomized Controlled Trial. JMIR Research Protocols 2025, 14: e65693. PMID: 40138685, PMCID: PMC11982759, DOI: 10.2196/65693.Peer-Reviewed Original ResearchConceptsINTERNATIONAL REGISTERED REPORT IDENTIFIERPrimary care settingCollaborative care managementPrimary careSubstance use disordersRandomized Controlled TrialsCare settingsCare managementRural primary care clinicsMethods Randomized controlled trialsPrimary care clinicsPrimary care providersControlled TrialsSpecialty addictions treatmentReferral to treatmentImplementation research methodsMental health treatmentWaitlist-controlled trialWaitlist control groupEvidenced-based strategiesUse disorderMobile appsCare clinicsBrief interventionCare providers
2024
Delays in bipolar depression treatment in primary care vs. integrated behavioral health and specialty care
Park J, Breitinger S, Savitz S, Gardea-Resendez M, Singh B, Williams M, Frye M. Delays in bipolar depression treatment in primary care vs. integrated behavioral health and specialty care. Journal Of Affective Disorders 2024, 369: 404-410. PMID: 39389118, DOI: 10.1016/j.jad.2024.10.011.Peer-Reviewed Original ResearchIntegrated Behavioral HealthBipolar depression treatmentBipolar depressionBipolar disorderCollaborative care modelPrimary careCare modelSpecialty clinicsDepression treatmentEpisodes of bipolar depressionBehavioral healthDSM-5 criteriaSwitching to monotherapyPharmacological treatment patternsRetrospective study of adultsDepressive episodeDSM-5Mood stabilizersCompare treatment recommendationsStudy of adultsAntidepressant useGroup differencesDepression careEvidence of delayRetrospective study designEnsuring Equitable Application of Interventions to Vulnerable Subpopulations in the Kentucky Consortium for Accountable Health Communities (KC-AHC)
Li J, Clouser J, Adu A, Weverka A, Vundi N, Stratton T, Williams M. Ensuring Equitable Application of Interventions to Vulnerable Subpopulations in the Kentucky Consortium for Accountable Health Communities (KC-AHC). Journal Of Appalachian Health 2024, 6: 38-56. PMID: 39640237, PMCID: PMC11617025, DOI: 10.13023/jah.0601.04.Peer-Reviewed Original ResearchAccountable Health CommunitiesHealth-related social needsCenters for Medicare and Medicaid ServicesDual enrolleesHealth communityAccountable Health Communities modelPrimary care clinic sitesVulnerable subpopulationsOpt-in ratesSocial needsDisabled individualsDually-enrolledHealthcare utilizationNon-disabled counterpartsHealthcare organizationsMedicaid ServicesMedicaid beneficiariesScreening instrumentClinical sitesDelivery dataEnrolleesCommunity serviceRegional benchmarksComparison groupOpt-inProject BOOST®: A Comprehensive Program to Improve Discharge Coordination for Geriatric Patients
Li J, Williams M, Young R. Project BOOST®: A Comprehensive Program to Improve Discharge Coordination for Geriatric Patients. 2024, 113-121. DOI: 10.1007/978-3-031-56204-4_10.Peer-Reviewed Original ResearchFee-for-serviceOlder adultsChronically Ill Older AdultsLow health literacyFragmentation of careIll Older AdultsMedicare fee-for-serviceComplex medical needsAbsent social supportAssociated with hospitalizationCare transitionsHealth literacyDischarge coordinatorCaregiver stressCare experiencesSocial supportHealth statusPatient ratingsHospital dischargeRehospitalization ratesCareSystem issuesComprehensive programGeriatric patientsCaregiversEmergency department risk model: timely identification of patients for outpatient care coordination.
Zolnoori M, Williams M, Angstman K, Wi C, Leasure W, Patel S, Ngufor C. Emergency department risk model: timely identification of patients for outpatient care coordination. The American Journal Of Managed Care 2024, 30: e147-e156. PMID: 38748915, DOI: 10.37765/ajmc.2024.89542.Peer-Reviewed Original ResearchConceptsPrimary care systemED visitsFrequent ED visitsMajor depressive disorderED utilizationCare systemIncreased risk of emergency departmentArea under the curveEmergency departmentRisk of emergency departmentPatient Health Questionnaire-9Higher Patient Health Questionnaire-9Frequent ED utilizationED visit riskPrimary care patientsOutpatient care coordinationCollaborative care managementElectronic health recordsLow educational levelCare coordinationPrimary careHealth recordsED usageCare patientsRetrospective cohort study