2024
Leveraging Electronic Health Records to Assess Residential Mobility Among Veterans in the Veterans Health Administration
Wang K, Hendrickson Z, Miller M, Abel E, Skanderson M, Erdos J, Womack J, Brandt C, Desai M, Han L. Leveraging Electronic Health Records to Assess Residential Mobility Among Veterans in the Veterans Health Administration. Medical Care 2024, 62: 458-463. PMID: 38848139, DOI: 10.1097/mlr.0000000000002017.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedCross-Sectional StudiesElectronic Health RecordsFemaleHumansMaleMiddle AgedPopulation DynamicsUnited StatesUnited States Department of Veterans AffairsVeteransConceptsVeterans Health AdministrationElectronic health recordsResidential addressesHealth recordsHealth AdministrationLeveraging electronic health recordsInfluence health care utilizationVeterans Health Administration dataAssociations of sociodemographicsHealth care utilizationHealth care systemPatient's residential addressCross-sectional analysisGeneralized logistic regressionCare utilizationHealth systemResidential mobilitySubstance use disordersCare systemPatient's residenceLogistic regressionVeteransMultinomial outcomesHealthOdds
2007
Time Trends and Predictors of Suicide Among Mental Health Outpatients in the Department of Veterans Affairs
Desai MM, Rosenheck RA, Desai RA. Time Trends and Predictors of Suicide Among Mental Health Outpatients in the Department of Veterans Affairs. The Journal Of Behavioral Health Services & Research 2007, 35: 115-124. PMID: 17990123, DOI: 10.1007/s11414-007-9092-0.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAmbulatory CareDatabases as TopicFemaleForecastingHumansMaleMental DisordersMental Health ServicesMiddle AgedSuicideUnited StatesUnited States Department of Veterans AffairsConceptsMental health outpatientsVeterans AffairsNational Death Index dataDeath Index dataSuicide ratesMental health spendingMore chronic patientsMental health servicesMental health expendituresMental health programsPredictors of suicideMultivariable predictorsChronic patientsProtective effectVA populationNonsignificant trendInpatient servicesHealth servicesPatient volumeHealth programsGreater riskOlder ageSuicide riskOutpatientsFacility levelPrevalence and Correlates of Human Immunodeficiency Virus Testing and Posttest Counseling Among Outpatients With Serious Mental Illness
Desai MM, Rosenheck RA, Desai RA. Prevalence and Correlates of Human Immunodeficiency Virus Testing and Posttest Counseling Among Outpatients With Serious Mental Illness. The Journal Of Nervous And Mental Disease 2007, 195: 776-780. PMID: 17984780, DOI: 10.1097/nmd.0b013e31814514ad.Peer-Reviewed Original ResearchMeSH KeywordsAdultAIDS SerodiagnosisAmbulatory CareAttitude to HealthCase ManagementCommunity Mental Health ServicesComorbidityConnecticutCounselingCross-Sectional StudiesDiagnosis, Dual (Psychiatry)HIVHIV AntibodiesHIV InfectionsHumansMaleMental DisordersPrevalenceSubstance-Related DisordersUnited StatesUnited States Department of Veterans AffairsConceptsSerious mental illnessHuman immunodeficiency virus (HIV) testingPosttest counselingMental illnessHIV testingIndependent correlatesVirus testingCommunity-based case management servicesCorrelates of receiptHIV-positive individualsImmune deficiency syndromeCase management servicesHigher educational levelStrong therapeutic alliancePublic sector facilitiesPrimary clinicianDeficiency syndromeRisk populationsYounger ageIllnessPsychological distressTherapeutic allianceSubstantial proportionCounselingOutpatients
2006
Case-Finding for Depression Among Medical Outpatients in the Veterans Health Administration
Desai MM, Rosenheck RA, Craig TJ. Case-Finding for Depression Among Medical Outpatients in the Veterans Health Administration. Medical Care 2006, 44: 175-181. PMID: 16434917, DOI: 10.1097/01.mlr.0000196962.97345.21.Peer-Reviewed Original ResearchMeSH KeywordsAcademic Medical CentersAdultAgedCross-Sectional StudiesDepressionFemaleHospitals, VeteransHumansMaleMedical RecordsMiddle AgedOutpatientsRisk FactorsSocioeconomic FactorsUnited StatesUnited States Department of Veterans AffairsConceptsMedical comorbiditiesMedical outpatientsExternal Peer Review ProgramGreater medical comorbidityPredictors of screeningMental health visitsChart review dataVeterans Health AdministrationCase-finding activitiesCross-sectional studyMental health careAdministrative dataEligible patientsHealth visitsMale patientsDepression screeningMale genderPositive screenDepressive disorderDecreased oddsDepression diagnosisSubsequent diagnosisMedical CenterHealth AdministrationPositive cases
2005
Screening for Alcohol Use Disorders Among Medical Outpatients: The Influence of Individual and Facility Characteristics
Desai MM, Rosenheck RA, Craig TJ. Screening for Alcohol Use Disorders Among Medical Outpatients: The Influence of Individual and Facility Characteristics. American Journal Of Psychiatry 2005, 162: 1521-1526. PMID: 16055775, DOI: 10.1176/appi.ajp.162.8.1521.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAlcohol-Related DisordersAmbulatory CareDiagnosis, Dual (Psychiatry)FemaleFollow-Up StudiesHealth Facility SizeHospitals, VeteransHumansMaleMass ScreeningMedical RecordsMental DisordersMiddle AgedPrevalenceRisk FactorsUnited StatesUnited States Department of Veterans AffairsVeteransConceptsAlcohol use disorderAlcohol screeningMedical outpatientsUse disordersExternal Peer Review ProgramRoutine alcohol screeningMultivariate logistic regressionCase-finding activitiesSystem-level barriersQuality improvement dataLarge medical centerEligible patientsPsychiatric comorbidityPrimary careMedical CenterPositive screeningVA facilitiesAlcohol misusePositive casesDecreased likelihoodGreater riskLogistic regressionFacility characteristicsOutpatientsPatients
2003
Trends in Discharge Disposition, Mortality, and Service Use Among Long-Stay Psychiatric Patients in the 1990s
Desai MM, Rosenheck RA. Trends in Discharge Disposition, Mortality, and Service Use Among Long-Stay Psychiatric Patients in the 1990s. Psychiatric Services 2003, 54: 542-548. PMID: 12663843, DOI: 10.1176/appi.ps.54.4.542.Peer-Reviewed Original ResearchMeSH KeywordsAffective Disorders, PsychoticAgedBrain DiseasesCensusesCohort StudiesFemaleHealth Facility ClosureHospital MortalityHospitals, VeteransHumansLength of StayMaleMental Health ServicesMentally Ill PersonsMiddle AgedPatient DischargePsychotic DisordersUnited StatesUnited States Department of Veterans AffairsUtilization ReviewConceptsDischarge dispositionThree-year followService usePrincipal diagnosisPsychiatric patientsVA mental health servicesLong-stay psychiatric patientsLong-stay bedsLong-stay cohortsStay Psychiatric PatientsVA administrative databasesMental health bedsMental health inpatientsLong-term inpatientsVA service useMental health servicesPatient's principal diagnosisMental health systemFiscal year 1991Administrative databasesMortality ratePsychotic disordersHealth servicesPatientsCohort
2002
Mental Disorders and Quality of Diabetes Care in the Veterans Health Administration
Desai MM, Rosenheck RA, Druss BG, Perlin JB. Mental Disorders and Quality of Diabetes Care in the Veterans Health Administration. American Journal Of Psychiatry 2002, 159: 1584-1590. PMID: 12202281, DOI: 10.1176/appi.ajp.159.9.1584.Peer-Reviewed Original ResearchMeSH KeywordsAgedAmbulatory CareComorbidityDiabetes MellitusFemaleHealth Care CostsHealth ServicesHospitalizationHospitals, VeteransHumansMaleMental DisordersMiddle AgedMultivariate AnalysisQuality Indicators, Health CareQuality of Health CareSubstance-Related DisordersUnited StatesUnited States Department of Veterans AffairsConceptsDiabetes careRetina examinationMental disordersSensory examinationFoot inspectionHealth statusVeterans Affairs Medical CenterHospital-level characteristicsVeterans Health AdministrationMental health diagnosesMental health statusSubstance use disordersSample of veteransPopulation of personsSecondary preventionOutpatient visitsPatient subgroupsMedical CenterChart documentationUse disordersHealth AdministrationMedical carePulse examinationHealth diagnosisDisorders