2019
Factors Associated with Dissatisfaction in Medical Care Quality among Older Medicare Beneficiaries Suffering from Mental Illness
Travers JL, Le C, Desai MM, Merrill JA. Factors Associated with Dissatisfaction in Medical Care Quality among Older Medicare Beneficiaries Suffering from Mental Illness. Journal Of Aging & Social Policy 2019, 33: 51-66. PMID: 31266436, DOI: 10.1080/08959420.2019.1628624.Peer-Reviewed Original ResearchConceptsMedical care qualityMental health disordersOlder adultsCare qualityHealth disordersOlder Medicare beneficiariesPrimary care providersPrimary care practicesUS older adultsMedicaid Services dataMental health needsCare providersMedicare beneficiariesSatisfactory careCare practicesMental illnessHealth needsEthnic differencesAdultsDisordersService dataIllnessFactorsCare
2014
Need and Unmet Need for Care Coordination Among Children With Mental Health Conditions
Brown NM, Green JC, Desai MM, Weitzman CC, Rosenthal MS. Need and Unmet Need for Care Coordination Among Children With Mental Health Conditions. Pediatrics 2014, 133: e530-e537. PMID: 24534403, DOI: 10.1542/peds.2013-2590.Peer-Reviewed Original ResearchConceptsMental health conditionsCare coordinationFamily-centered careUnmet needHealth conditionsOutcome measuresHealth care characteristicsPrevalence of needLogistic regression modelsParents of childrenCare characteristicsChild healthHigh riskChild anxiety disordersLower riskHealth servicesPrevalenceAnxiety disordersVulnerable populationsChildrenNational surveyFamily supportSocial supportLow incomeCare
2013
Characteristics of Medicaid enrollees with frequent ED use
Capp R, Rosenthal MS, Desai MM, Kelley L, Borgstrom C, Cobbs-Lomax DL, Simonette P, Spatz ES. Characteristics of Medicaid enrollees with frequent ED use. The American Journal Of Emergency Medicine 2013, 31: 1333-1337. PMID: 23850143, DOI: 10.1016/j.ajem.2013.05.050.Peer-Reviewed Original ResearchConceptsFrequent ED usersFrequent ED useED usersMedicaid enrolleesED visitsED useFrequent emergency department visitsCommon ED diagnosesEmergency department visitsChronic medical conditionsPrimary care providersAlcohol-related disordersAbdominal painClinical characteristicsDepartment visitsCommon diagnosisSingle centerRetrospective studyPrimary careInsurance typeED diagnosisMedical conditionsCare providersAlcohol abusePatients
2009
Gender Differences in the Association Between Body Mass Index and Psychopathology
Desai RA, Manley M, Desai MM, Potenza MN. Gender Differences in the Association Between Body Mass Index and Psychopathology. CNS Spectrums 2009, 14: 372-383. PMID: 19773713, PMCID: PMC3708686, DOI: 10.1017/s1092852900023026.Peer-Reviewed Original ResearchConceptsPsychiatric disordersWeight groupHigh body mass index groupBody mass index groupsPersonality disorderBody mass indexNormal weight respondentsAxis II psychopathologyAxis II disordersNational Epidemiologic SurveyLogistic regression modelsObese patientsObese womenMass indexWeight managementAxis IDiagnostic criteriaEpidemiologic SurveyGender differencesIndex groupMeeting criteriaPrevalence estimatesRelated conditionsAnxiety disordersDisorders
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 ResearchConceptsMental 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
2005
Unmet need for medical care among homeless adults with serious mental illness
Desai MM, Rosenheck RA. Unmet need for medical care among homeless adults with serious mental illness. General Hospital Psychiatry 2005, 27: 418-425. PMID: 16271656, DOI: 10.1016/j.genhosppsych.2005.06.003.Peer-Reviewed Original ResearchConceptsSerious mental illnessUnmet medical needMedical careMedical needMedical servicesMental illnessCommunity-based case management programMultivariate logistic regression modelingHomeless adultsOutpatient psychiatric servicesAppropriate medical servicesLogistic regression modelingProgram entryCase management programLow educational levelCollaborative case managementStrong therapeutic allianceIndependent correlatesPsychiatric servicesPsychotic symptomsUnmet needCommunity careCase managementCase managersTherapeutic allianceScreening 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
2004
HIV Testing and Receipt of Test Results Among Homeless Persons With Serious Mental Illness
Desai MM, Rosenheck RA. HIV Testing and Receipt of Test Results Among Homeless Persons With Serious Mental Illness. American Journal Of Psychiatry 2004, 161: 2287-2294. PMID: 15569902, DOI: 10.1176/appi.ajp.161.12.2287.Peer-Reviewed Original ResearchConceptsSerious mental illnessHIV testingReceipt of resultsCase management programMental illnessService utilizationCommunity-based case management programIntensive case management programHomeless personsTargeting of strategiesHealth service utilizationSevere psychiatric symptomsMedical service utilizationProgram entryIll homeless personsHIV resultsHIV serostatusPsychiatric symptomsGreater social supportCommunity careLevel of worryYounger ageDrug abuse problemsIllnessLess education
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 diagnosisDisordersReceipt of Nutrition and Exercise Counseling Among Medical Outpatients with Psychiatric and Substance Use Disorders
Desai MM, Rosenheck RA, Druss BG, Perlin JB. Receipt of Nutrition and Exercise Counseling Among Medical Outpatients with Psychiatric and Substance Use Disorders. Journal Of General Internal Medicine 2002, 17: 556-560. PMID: 12133146, PMCID: PMC1495079, DOI: 10.1046/j.1525-1497.2002.10660.x.Peer-Reviewed Original ResearchConceptsExercise counselingSubstance use disordersNutrition counselingMedical CenterUse disordersHealth statusMental disordersVeterans Affairs Medical CenterMedical outpatient visitsNon-VA settingsRates of counselingActive medical treatmentChart review dataCross-sectional studyVA Medical CenterMental health statusOutpatient administrative databasesOutcomes of interestMost patientsOutpatient visitsAdministrative databasesMedical outpatientsVA inpatientMedical treatmentMedical careQuality of Preventive Medical Care for Patients With Mental Disorders
Druss BG, Rosenheck RA, Desai MM, Perlin JB. Quality of Preventive Medical Care for Patients With Mental Disorders. Medical Care 2002, 40: 129-136. PMID: 11802085, DOI: 10.1097/00005650-200202000-00007.Peer-Reviewed Original ResearchConceptsSubstance use disordersPreventive servicesUse disordersPsychiatric disordersPsychiatric/substance use disordersGeneral medical visitsActive medical treatmentComorbid substance useCross-sectional studyFacility-level characteristicsPreventive medical careSample of patientsHigher baseline ratesTobacco screeningMedical visitsCancer screeningChronic conditionsMedical outpatientsMultivariable modelMedical treatmentMedical providersHealth statusPreventive proceduresMedical careMental disordersMENTAL DISORDERS AND QUALITY OF CARE AMONG POSTACUTE MYOCARDIAL INFARCTION OUTPATIENTS
Desai MM, Rosenheck RA, Druss BG, Perlin JB. MENTAL DISORDERS AND QUALITY OF CARE AMONG POSTACUTE MYOCARDIAL INFARCTION OUTPATIENTS. The Journal Of Nervous And Mental Disease 2002, 190: 51-53. PMID: 11838034, DOI: 10.1097/00005053-200201000-00014.Peer-Reviewed Original Research