2013
The use of second generation antipsychotics for post-traumatic stress disorder in a US Veterans Health Administration Medical Center
Hermes E, Sernyak M, Rosenheck R. The use of second generation antipsychotics for post-traumatic stress disorder in a US Veterans Health Administration Medical Center. Epidemiology And Psychiatric Sciences 2013, 23: 281-288. PMID: 24007653, PMCID: PMC6998245, DOI: 10.1017/s2045796013000449.Peer-Reviewed Original ResearchPost-traumatic stress disorderMedical CenterUS Veterans Health Administration medical centersVeterans Health Administration medical centersSingle Veterans Affairs medical centerVeterans Affairs Medical CenterStress disorderSecond-generation antipsychoticsGoals of sedationSleep/sedationGeneration antipsychoticsAntipsychotic useParticular medicationSole diagnosisClinical correlatesSGA useProvider surveyCommon reasonPsychiatric disordersClinicians' usePsychiatric diagnosisSGALimited evidenceChi-squareDisorders
2007
Generic Fluoxetine and Choice of Antidepressant Medication
Sernyak M, Rosenheck R. Generic Fluoxetine and Choice of Antidepressant Medication. Psychiatric Services 2007, 58: 128-130. PMID: 17215423, DOI: 10.1176/ps.2007.58.1.128.Peer-Reviewed Original Research
2001
Using a computerized patient database to evaluate guideline adherence and measure patterns of care for major depression
Rosenheck R, Chen R. Using a computerized patient database to evaluate guideline adherence and measure patterns of care for major depression. The Journal Of Behavioral Health Services & Research 2001, 28: 466-474. PMID: 11732248, DOI: 10.1007/bf02287776.Peer-Reviewed Original ResearchConceptsPatterns of careMajor depressionGuideline adherenceGuideline recommendationsOutpatient mental health appointmentsVeterans Affairs Medical CenterComputerized database analysisMental health appointmentsMonths of dischargeComputerized patient databaseNumber of followTranslation of recommendationsHealth care policyAntidepressant therapyHealth appointmentsMedical CenterAlcohol abuseDual diagnosisTreatment interventionsPatient databaseComputerized databasePatientsConcurrent alcoholismDatabase analysisDepressionImpact 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 Research
2000
Relationship Between Climate and Psychiatric Inpatient Length of Stay in Veterans Health Administration Hospitals
Federman E, Drebing C, Boisvert C, Penk W, Binus G, Rosenheck R. Relationship Between Climate and Psychiatric Inpatient Length of Stay in Veterans Health Administration Hospitals. American Journal Of Psychiatry 2000, 157: 1669-1673. PMID: 11007722, DOI: 10.1176/appi.ajp.157.10.1669.Peer-Reviewed Original ResearchConceptsVeterans Health Administration hospitalsLength of stayVHA hospitalsAdministration HospitalInpatient psychiatric lengthPsychiatric hospitalization costsPsychiatric Inpatient LengthHealth care utilizationLonger lengthInpatient psychiatric servicesHigh clinical costsCare utilizationHospitalization costsInpatient lengthPsychiatric lengthHospital utilizationMedical CenterPsychiatric servicesHospital levelStayHospitalClinical costsMean lengthSignificant correlationShorter length
1999
Changing Patterns of Care for War-Related Post-Traumatic Stress Disorder at Department of Veterans Affairs Medical Centers: The Use of Performance Data to Guide Program Development
Rosenheck R, Fontana A. Changing Patterns of Care for War-Related Post-Traumatic Stress Disorder at Department of Veterans Affairs Medical Centers: The Use of Performance Data to Guide Program Development. Military Medicine 1999, 164: 795-802. PMID: 10578592, DOI: 10.1093/milmed/164.11.795.Peer-Reviewed Original ResearchConceptsPost-traumatic stress disorderVeterans Affairs Medical CenterInpatient programMedical CenterOutcome studiesStress disorderSpecialized inpatient programTreatment of PTSDPatterns of careSpecialized outpatient clinicEmphasis of careVA Medical CenterSpecialized outpatient treatmentWar-related post-traumatic stress disorderHealth care systemMost health care systemsInpatient outcomesOutpatient clinicOutpatient settingOutpatient treatmentOutpatient servicesOutcome assessmentMental illnessVA treatmentCare systemPsychiatric comorbidity of eating disorders in men: A national study of hospitalized veterans
Striegel‐Moore R, Garvin V, Dohm F, Rosenheck R. Psychiatric comorbidity of eating disorders in men: A national study of hospitalized veterans. International Journal Of Eating Disorders 1999, 25: 399-404. PMID: 10202650, DOI: 10.1002/(sici)1098-108x(199905)25:4<399::aid-eat4>3.0.co;2-0.Peer-Reviewed Original ResearchConceptsSchizophrenia/psychotic disordersPsychiatric comorbidityBulimia nervosaMale patientsPsychotic disordersAnorexia nervosaICD-9-CM diagnosisVeterans Affairs Medical CenterOrganic mental disordersComorbid substance useComorbid personality disorderHospitalized veteransMedical CenterMood disordersHigh riskMale veteransComorbidity analysisMental disordersComorbiditiesDischarge summariesSpecial riskFiscal year 1996Substance usePersonality disorderDisordersEating disorders in a national sample of hospitalized female and male veterans: Detection rates and psychiatric comorbidity
Striegel‐Moore R, Garvin V, Dohm F, Rosenheck R. Eating disorders in a national sample of hospitalized female and male veterans: Detection rates and psychiatric comorbidity. International Journal Of Eating Disorders 1999, 25: 405-414. PMID: 10202651, DOI: 10.1002/(sici)1098-108x(199905)25:4<405::aid-eat5>3.0.co;2-f.Peer-Reviewed Original ResearchConceptsMale veteransPsychiatric comorbidityVeterans Affairs Medical CenterUncommon diseaseDischarge diagnosisPoint prevalenceNational sampleRoutine clinical diagnosisComorbid substanceMedical CenterMood disordersPrevalence ratesAdministrative data setsFemale veteransClinical diagnosisComorbiditiesFiscal year 1996Personality disorderDisordersDisorder casesVeteransHigh rateElevated ratesDiagnosisWomen
1998
Multiple outcome assessment in a study of the cost-effectiveness of clozapine in the treatment of refractory schizophrenia. Department of Veterans Affairs Cooperative Study Group on Clozapine in Refractory Schizophrenia.
Rosenheck R, Cramer J, Xu W, Grabowski J, Douyon R, Thomas J, Henderson W, Charney D. Multiple outcome assessment in a study of the cost-effectiveness of clozapine in the treatment of refractory schizophrenia. Department of Veterans Affairs Cooperative Study Group on Clozapine in Refractory Schizophrenia. Health Services Research 1998, 33: 1237-61. PMID: 9865219, PMCID: PMC1070315.Peer-Reviewed Original ResearchConceptsCost-effectiveness ratioRefractory schizophreniaVeterans Affairs Cooperative Study GroupHigh hospital usersIncremental cost-effectiveness ratioDouble-blind trialCooperative Study GroupDisease-specific measuresVA Medical CenterStandard assessment instrumentsMeasures of symptomsMultiple outcome domainsQuality Adjusted Life YearsComposite health indexAdjusted Life YearsHealth indexStudy entryPercent confidence intervalsAverage annual costStandard treatmentCost dataRole functioningStudy groupMedical CenterSide effectsHomelessness
Rosenheck R, Seibyl C. Homelessness. Medical Care 1998, 36: 1256-1264. PMID: 9708597, DOI: 10.1097/00005650-199808000-00013.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedFemaleHealth Care SurveysHospital CostsHospitals, VeteransHumansIll-Housed PersonsMaleMental Health ServicesMiddle AgedPsychiatric Department, HospitalResidence CharacteristicsSocioeconomic FactorsSubstance Abuse Treatment CentersUnited StatesUnited States Department of Veterans AffairsVeteransConceptsTime of admissionSurvey dataSocial welfare programsService useMental health care unitsVeterans Affairs Medical CenterDate of dischargeMental health expendituresHealth service useHealth expenditureCost of careWelfare programsSafety netHealth care unitsHomelessness ratesHealth care servicesPublic fundingSubstance abuse programsComplete survey dataIndex hospitalizationAverage annual costCare unitSubstance abuse unitVA inpatientMedical Center
1997
A Comparison of Clozapine and Haloperidol in Hospitalized Patients with Refractory Schizophrenia
Rosenheck R, Cramer J, Xu W, Thomas J, Henderson W, Frisman L, Fye C, Charney D. A Comparison of Clozapine and Haloperidol in Hospitalized Patients with Refractory Schizophrenia. New England Journal Of Medicine 1997, 337: 809-815. PMID: 9295240, DOI: 10.1056/nejm199709183371202.Peer-Reviewed Original ResearchConceptsClozapine groupExtrapyramidal side effectsHaloperidol groupRefractory schizophreniaSide effectsAntipsychotic drugsDouble-blind comparative studyVeterans Affairs Medical CenterMore outpatient servicesNegative Syndrome ScaleComparison of clozapineLower symptom levelsSimilar overall costsHospitalized patientsTreat analysisTardive dyskinesiaPsychiatric reasonsLower incidenceMedical CenterOutpatient servicesHospital usePatientsSyndrome ScaleClozapineHaloperidol
1995
Issues 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 ResearchConceptsMental 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
1993
Who Should Receive High-cost Mental Health Treatment and for How Long?
Rosenheck R, Massari L, Frisman L. Who Should Receive High-cost Mental Health Treatment and for How Long? Schizophrenia Bulletin 1993, 19: 843-852. PMID: 8303231, DOI: 10.1093/schbul/19.4.843.Peer-Reviewed Original ResearchConceptsMental health treatmentInpatient costsCost offsetsHealth treatmentLarger mental health systemVeterans Affairs Medical CenterInpatient service useAverage inpatient costCost-effectiveness studiesFrequent hospital usersCost of treatmentMental health systemHigh-cost interventionsHigh treatment costsHigh-cost treatmentsClinical effectivenessInpatient treatmentMedical CenterHospital useService useSchizophrenia patientsPatientsInpatient expensesExpensive treatmentHealth system
1992
Mental health status and community adjustment after treatment in a residential treatment program for homeless veterans
Leda C, Rosenheck R. Mental health status and community adjustment after treatment in a residential treatment program for homeless veterans. American Journal Of Psychiatry 1992, 149: 1219-1224. PMID: 1503135, DOI: 10.1176/ajp.149.9.1219.Peer-Reviewed Original ResearchConceptsResidential treatment programTreatment programPsychiatric symptomsVeterans Affairs Medical CenterCommunity adjustmentDrug abuseSuperior housing outcomesHomeless veteransUncontrolled outcome studiesCorrelates of improvementMental health statusMental health problemsHomeless Veterans programSubstance abuse problemsPostdischarge followClinical improvementIll veteransMedical CenterOutcome studiesAlcohol abuseHealth problemsHealth statusDomiciliary careMental healthAbuse problems
1991
Psychiatric inpatient care in the VA: before, during, and after DRG- based budgeting
Rosenheck R, Massari L. Psychiatric inpatient care in the VA: before, during, and after DRG- based budgeting. American Journal Of Psychiatry 1991, 148: 888-891. PMID: 1905110, DOI: 10.1176/ajp.148.7.888.Peer-Reviewed Original ResearchConceptsDiagnosis-related groupsMedical-surgical careNumber of episodesInpatient carePsychiatric careReadmission ratesMore episodesVeterans Affairs Medical CenterComputerized discharge abstractsHigher readmission ratesInpatient psychiatric careNon-VA hospitalsPsychiatric inpatient careVA inpatient careMedicare diagnosis-related groupsNonpsychiatric hospitalizationsUnduplicated patientsUnique patientsBed daysDischarge abstractsMedical CenterCareProspective payment systemMean lengthNumber of dischargesWho Is Served by Programs for the Homeless? Admission to a Domiciliary Care Program for Homeless Veterans
Rosenheck R, Leda C. Who Is Served by Programs for the Homeless? Admission to a Domiciliary Care Program for Homeless Veterans. Psychiatric Services 1991, 42: 176-181. PMID: 1997368, DOI: 10.1176/ps.42.2.176.Peer-Reviewed Original ResearchConceptsDomiciliary care programCare programPublic mental health service systemMental health service systemVA Medical CenterMental health treatmentTime of assessmentHealth service systemHomeless Veterans programClinical dataMedical CenterHealth treatmentDomiciliary careHomeless veteransResidential treatmentVeteransRehabilitative effortsVeteran ProgramTwo-thirdsFirst yearTreatmentAdmissionBroader roleService programsYears
1990
Mentally ill chemical abusers discharged from VA inpatient treatment: 1976–1988
Rosenheck R, Massari L, Astrachan B, Suchinsky R. Mentally ill chemical abusers discharged from VA inpatient treatment: 1976–1988. Psychiatric Quarterly 1990, 61: 237-249. PMID: 2103008, DOI: 10.1007/bf01064864.Peer-Reviewed Original ResearchConceptsIll chemical abusersChemical abusersVeterans Affairs Medical CenterSubstance abuse diagnosisMental illness diagnosisSubstance abuse treatmentDischarge abstractsInpatient treatmentMedical CenterAbuse diagnosisPsychiatric patientsPsychiatric diagnosisIllness diagnosisAbuse treatmentPatientsDiagnosisYear periodSame fiscal yearAbusersTreatmentYearsAdmissionHospitalThe Impact of DRG-Based Budgeting on Inpatient Psychiatric Care in Veterans Administration Medical Centers
Rosenheck R, Massari L, Astrachan B. The Impact of DRG-Based Budgeting on Inpatient Psychiatric Care in Veterans Administration Medical Centers. Medical Care 1990, 28: 124-134. PMID: 2105414, DOI: 10.1097/00005650-199002000-00003.Peer-Reviewed Original ResearchConceptsDiagnosis-related groupsInpatient psychiatric carePsychiatric careUnique patientsVeterans Administration Medical CenterVeterans AdministrationAnnual bed daysLarge health care systemAcute inpatient careSubstance abuse disordersHealth care systemImplementation of DRGsBed daysInpatient careMedical CenterAbuse disordersPsychiatric patientsPatientsCare systemCareProspective budgetingAverage lengthTotal numberYearsDirect expenditures