2023
Impact of multi-site clinical trial results on clinical practice: Use of risperidone to treat PTSD nationally in the veterans health administration
Rosenheck R, Kurtz S, Anand S, Hau C, Smedberg D, Sicilia R, Pontzer J, Ferguson R. Impact of multi-site clinical trial results on clinical practice: Use of risperidone to treat PTSD nationally in the veterans health administration. Psychiatry Research 2023, 321: 115071. PMID: 36720177, DOI: 10.1016/j.psychres.2023.115071.Peer-Reviewed Original ResearchMeSH KeywordsAntipsychotic AgentsHumansRisperidoneStress Disorders, Post-TraumaticUnited StatesUnited States Department of Veterans AffairsVeteransVeterans HealthConceptsClinical practiceNational VHA administrative dataOral second-generation antipsychoticsUse of risperidoneVHA administrative dataSecond-generation antipsychoticsMulti-site clinical trialVeterans Health AdministrationClinical trialsEffectiveness trialHealth AdministrationRisperidoneCooperative StudyYear of publicationAdministrative dataPTSDTrialsYearsAntipsychoticsStudy resultsAdministration
2003
Cost-effectiveness of Supported Housing for Homeless Persons With Mental Illness
Rosenheck R, Kasprow W, Frisman L, Liu-Mares W. Cost-effectiveness of Supported Housing for Homeless Persons With Mental Illness. JAMA Psychiatry 2003, 60: 940-951. PMID: 12963676, DOI: 10.1001/archpsyc.60.9.940.Peer-Reviewed Original ResearchMeSH KeywordsAdultCase ManagementCommunity-Institutional RelationsCost of IllnessCost-Benefit AnalysisFemaleFinancing, GovernmentGovernment AgenciesHealth Care CostsHealth StatusHumansIll-Housed PersonsMaleMental DisordersProgram EvaluationProspective StudiesPublic HousingSocial AdjustmentSubstance-Related DisordersUnited StatesUnited States Department of Veterans AffairsVeteransConceptsStandard care groupIntensive case managementStandard careCase managementCare groupMore daysMental illnessVeterans AffairsIncremental cost-effectiveness ratioSuperior housing outcomesSubstance abuse statusHUD-VASHMental health statusSubstance abuse disordersCost-effectiveness ratioCommunity adjustmentMental illness resultsSupported housing programsSecondary outcomesPrimary outcomeAbuse disordersIllness resultsControl groupHealth statusSocietal perspective
2001
Use of Pharmacy Data to Assess Quality of Pharmacotherapy for Schizophrenia in a National Health Care System
Leslie D, Rosenheck R. Use of Pharmacy Data to Assess Quality of Pharmacotherapy for Schizophrenia in a National Health Care System. Medical Care 2001, 39: 923-933. PMID: 11502950, DOI: 10.1097/00005650-200109000-00003.Peer-Reviewed Original ResearchMeSH KeywordsAcademic Medical CentersAdultAntipsychotic AgentsComorbidityDelivery of Health Care, IntegratedDiagnosis, Dual (Psychiatry)FemaleGuideline AdherenceHumansMaleMental Health ServicesMiddle AgedNational Health ProgramsOutcome and Process Assessment, Health CarePatient CompliancePolypharmacyPractice Guidelines as TopicSchizophreniaUnited StatesUnited States Department of Veterans AffairsConceptsPatient Outcomes Research TeamLarger mental health systemMultiple antipsychotic medicationsAntipsychotic medicationPORT recommendationsSchizophrenia Patient Outcomes Research TeamVeterans AffairsHealth systemTotal weekly doseTreatment of schizophreniaPrescription drug recordsMental health systemHealth care systemGeneralized estimation equationsMultiple antipsychoticsNational Health SystemOlder patientsWeekly doseNational health care systemPharmacy dataComorbid depressionTreatment recommendationsDrug recordsMedicationsPatientsThe Effect of Institutional Fiscal Stress on the Use of Atypical Antipsychotic Medications in the Treatment of Schizophrenia
LESLIE D, ROSENHECK R. The Effect of Institutional Fiscal Stress on the Use of Atypical Antipsychotic Medications in the Treatment of Schizophrenia. The Journal Of Nervous And Mental Disease 2001, 189: 377-383. PMID: 11434638, DOI: 10.1097/00005053-200106000-00005.Peer-Reviewed Original ResearchMeSH KeywordsAlzheimer DiseaseAntipsychotic AgentsBenzodiazepinesBudgetsClozapineComorbidityDepressive DisorderDrug CostsFemaleHealth Care CostsHealth FacilitiesHumansMaleMiddle AgedOlanzapinePirenzepinePractice Patterns, Physicians'Regression AnalysisRisperidoneSchizophreniaTreatment OutcomeUnited StatesUnited States Department of Veterans AffairsConceptsAtypical antipsychotic medicationsTreatment of schizophreniaAtypical antipsychoticsAntipsychotic medicationExpensive atypical antipsychotic medicationsVeterans AffairsPrescription drug recordsGeneralized estimation equationsDrug recordsPatientsReduced likelihoodAntipsychoticsMedicationsFacility characteristicsSchizophreniaAtypicalsFinal sampleTreatmentOlanzapineRisperidone
2000
Primary care satellite clinics and improved access to general and mental health services.
Rosenheck R. Primary care satellite clinics and improved access to general and mental health services. Health Services Research 2000, 35: 777-90. PMID: 11055448, PMCID: PMC1089152.Peer-Reviewed Original ResearchMeSH KeywordsAgedAmbulatory Care FacilitiesCommunity Mental Health ServicesHealth Services AccessibilityHealth Services ResearchHumansMedically Underserved AreaMental DisordersPrimary Health CareUnited StatesUnited States Department of Veterans AffairsConceptsCommunity-based primary care clinicsVA mental health servicesPrimary care clinicsGeneral health care servicesMental health servicesHealth care servicesMental health componentCare clinicsProportion of veteransHealth servicesCare servicesHealth care componentNew clinicCare componentsHealth componentVeterans AffairsVA compensationVA health care servicesComparison countiesHealth careGeneral health careGeneral veteran populationFY 1995Mental health careNew primary care clinicBenchmarking Treatment of Schizophrenia
ROSENHECK R, DESAI R, STEINWACHS D, LEHMAN A. Benchmarking Treatment of Schizophrenia. The Journal Of Nervous And Mental Disease 2000, 188: 209-216. PMID: 10789997, DOI: 10.1097/00005053-200004000-00003.Peer-Reviewed Original ResearchMeSH KeywordsAdultAge FactorsAmbulatory CareCase ManagementCommunity Mental Health ServicesDay Care, MedicalDelivery of Health CareHealth StatusHospitalizationHospitals, VeteransHumansMaleMiddle AgedOutcome Assessment, Health CarePatient Acceptance of Health CareQuality of Health CareSchizophreniaSocial AdjustmentSocial Work, PsychiatricUnited StatesUnited States Department of Veterans AffairsConceptsNon-VA patientsTreatment of schizophreniaVeterans AffairsVA outpatientsVA patientsPsychosocial servicesQuality of careCase management servicesCross-sectional surveyHealth care systemMale patientsClinical outcomesClinical statusHospital treatmentVA careTreatment recommendationsVA inpatientDay hospitalCrisis intervention servicesPatientsOutpatientsClinical diagnosisSimilar satisfactionIntervention servicesCare systemOutcomes monitoring and the testing of new psychiatric treatments: work therapy in the treatment of chronic post-traumatic stress disorder.
Rosenheck R, Stolar M, Fontana A. Outcomes monitoring and the testing of new psychiatric treatments: work therapy in the treatment of chronic post-traumatic stress disorder. Health Services Research 2000, 35: 133-51. PMID: 10778827, PMCID: PMC1089118.Peer-Reviewed Original ResearchConceptsPost-traumatic stress disorderWar-related post-traumatic stress disorderVeterans AffairsStress disorderUntested treatmentsChronic post-traumatic stress disorderTreatment of PTSDTreatment of patientsFour-month followCWT programAdministrative databasesObservational studyInpatient programOutcome measuresWork therapy programMedical statusTreatment groupsPsychiatric treatmentTherapy interventionPropensity scoringUse of outcomesDrug usePatientsTherapy programPropensity scoreMortality among Homeless and Nonhomeless Mentally Ill Veterans
KASPROW W, ROSENHECK R. Mortality among Homeless and Nonhomeless Mentally Ill Veterans. The Journal Of Nervous And Mental Disease 2000, 188: 141-147. PMID: 10749278, DOI: 10.1097/00005053-200003000-00003.Peer-Reviewed Original ResearchConceptsMortality riskGeneral U.S. populationMental health programsIll veteransCohort membersMortality rateHealth programsRetrospective cohort designU.S. populationHealth care systemPrior hospitalizationAge 45Cohort designOlder veteransElevated riskGeneral populationMale veteransNonsignificant trendAge 55Medical problemsVeterans AffairsCare systemBaselineMortalityAlcohol problemsCross‐system service use among psychiatric patients: Data from the Department of Veterans Affairs
Hoff R, Rosenheck R. Cross‐system service use among psychiatric patients: Data from the Department of Veterans Affairs. The Journal Of Behavioral Health Services & Research 2000, 27: 98-106. PMID: 10695244, DOI: 10.1007/bf02287807.Peer-Reviewed Original ResearchMeSH KeywordsFemaleHumansMaleMental Health ServicesOutpatientsRegression AnalysisSocioeconomic FactorsUnited StatesUnited States Department of Veterans AffairsConceptsCross-system useNon-VA servicesPsychiatric patientsVA service-connected disabilityVeterans Affairs servicesMental health patientsService-connected disabilityMental health outpatientsHealth care systemSelf-reported useHealth patientsService useVA servicesVeterans AffairsPatientsCare systemVA utilizationDemographic informationSubstantial proportionTwo-week periodUtilization patternsDiagnosisMonthsWeeksVA
1999
Assessing Quality of Care
Rosenheck R, Fontana A, Stolar M. Assessing Quality of Care. Medical Care 1999, 37: 180-188. PMID: 10024122, DOI: 10.1097/00005650-199902000-00008.Peer-Reviewed Original ResearchMeSH KeywordsAdultAmbulatory CareCombat DisordersFollow-Up StudiesHospitals, VeteransHumansMaleMiddle AgedOutcome and Process Assessment, Health CarePatient ReadmissionPsychiatric Department, HospitalQuality Indicators, Health CareSocial AdjustmentUnited StatesUnited States Department of Veterans AffairsVeteransConceptsClinical outcome measuresHospital readmissionClinical outcomesOutcome measuresQuality of carePosttraumatic stress disorderIndex dischargeMeasures of accessPoor outcomePatient interviewsCare indicatorsOutpatient careInpatient programAdministrative data setsHospital useReadmissionSubstance abuseStress disorderUse of qualityAdministrative dataOutcomesCareMonthsSymptomsSocial function
1998
Predictors of differential response to clozapine and haloperidol
Rosenheck R, Lawson W, Crayton J, Cramer J, Xu W, Thomas J, Stolar M, Charney D, Schizophrenia F. Predictors of differential response to clozapine and haloperidol. Biological Psychiatry 1998, 44: 475-482. PMID: 9777179, DOI: 10.1016/s0006-3223(98)00117-6.Peer-Reviewed Original ResearchMeSH KeywordsAdultAge FactorsAntipsychotic AgentsClozapineDouble-Blind MethodDrug ResistanceFemaleHaloperidolHumansMalePsychiatric Status Rating ScalesQuality of LifeRacial GroupsSchizophreniaSchizophrenic PsychologySocial SupportTreatment OutcomeUnited StatesUnited States Department of Veterans AffairsConceptsQuality of lifeThree-month outcomeOnset of schizophreniaSeverity of symptomsGreater symptom reductionGreater improvementRefractory patientsRefractory schizophreniaClozapine treatmentHospital daysClinical predictorsExtrapyramidal symptomsHospitalized patientsClinical trialsBaseline predictorsSample patientsSide effectsSymptom reductionClozapinePatientsSymptomsHigher symptomsHigh levelsHaloperidolMultiple regression analysisHomelessness
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 CenterParticipation and Outcome in a Residential Treatment and Work Therapy Program for Addictive Disorders: The Effects of Race
Rosenheck R, Seibyl C. Participation and Outcome in a Residential Treatment and Work Therapy Program for Addictive Disorders: The Effects of Race. American Journal Of Psychiatry 1998, 155: 1029-1034. PMID: 9699689, DOI: 10.1176/ajp.155.8.1029.Peer-Reviewed Original ResearchMeSH KeywordsAdultBlack or African AmericanCommunity Mental Health ServicesFemaleHumansMaleOccupational TherapyPatient Acceptance of Health CarePersonality InventoryPsychiatric Status Rating ScalesResidential TreatmentSubstance-Related DisordersTreatment OutcomeUnited StatesUnited States Department of Veterans AffairsVeteransWhite PeopleWorkConceptsWork therapy programTherapy programWhite veteransBlack participantsAddictive disordersLarger study groupBlack patientsAdmission characteristicsWorse outcomesProgram participationStudy groupPsychiatric problemsSevere alcoholMultivariate analysisDrug abuse problemsAlcohol useEffect of raceTherapeutic milieuAbuse problemsBlack veteransBlack subjectsOutcomesResidential treatmentVeteransSocial support networksFemale Veterans' Use of Department of Veterans Affairs Health Care Services
Hoff R, Rosenheck R. Female Veterans' Use of Department of Veterans Affairs Health Care Services. Medical Care 1998, 36: 1114-1119. PMID: 9674628, DOI: 10.1097/00005650-199807000-00017.Peer-Reviewed Original ResearchMeSH KeywordsAdultFemaleHealth Care SurveysHealth Knowledge, Attitudes, PracticeHospitals, VeteransHumansLikelihood FunctionsMaleMental Health ServicesPatient Acceptance of Health CareSocioeconomic FactorsSurveys and QuestionnairesUnited StatesUnited States Department of Veterans AffairsVeteransWomenConceptsHealth care utilizationHealth service utilizationHealth servicesVA health servicesMental disordersCare utilizationVA outpatient servicesOutpatient utilizationService utilizationOutpatient servicesVeterans Affairs (VA) health care servicesFemale veteransVA health care utilizationVeterans Affairs (VA) health servicesMental health care utilizationOutpatient utilization ratesSelf-reported mental disordersInpatient admission ratesNon-VA careInpatient health servicesMental health servicesHealth care providersSubgroups of veteransHealth care servicesVA outpatientsAccess to Public Mental Health Services
Rosenheck R, Stolar M. Access to Public Mental Health Services. Medical Care 1998, 36: 503-512. PMID: 9544590, DOI: 10.1097/00005650-199804000-00006.Peer-Reviewed Original ResearchMeSH KeywordsAgedHealth Services AccessibilityHospitals, VeteransHumansIncomeManaged Care ProgramsMental Health ServicesRegression AnalysisSocioeconomic FactorsUnited StatesUnited States Department of Veterans AffairsVeteransConceptsMental health servicesService system factorsHealth servicesUS veteransVeterans Affairs (VA) mental health servicesNational Veterans Affairs databaseMental health service useSystem factorsPublic mental health servicesVeterans Affairs databaseHealth service useCounty-level sociodemographic characteristicsHealth system performance assessmentClinical statusService useSociodemographic factorsMultivariate analysisSociodemographic characteristicsVeterans AffairsService system characteristicsVeteransUS countiesService deliverySubstitution effectFunding levels
1995
Race in the Treatment of Homeless Mentally Ill Veterans
LEDA C, ROSENHECK R. Race in the Treatment of Homeless Mentally Ill Veterans. The Journal Of Nervous And Mental Disease 1995, 183: 529-537. PMID: 7643065, DOI: 10.1097/00005053-199508000-00006.Peer-Reviewed Original ResearchMeSH KeywordsAdultAmbulatory Care FacilitiesBlack or African AmericanFemaleFollow-Up StudiesHealth ServicesHealth StatusHumansIll-Housed PersonsMaleMental DisordersResidential FacilitiesSocial AdjustmentSubstance-Related DisordersSuicide, AttemptedTreatment OutcomeUnited StatesUnited States Department of Veterans AffairsVeteransConceptsWhite veteransOutpatient health service useVA health care systemFactorial repeated-measures analysisTime of admissionHealth service useSerious psychiatric disordersEpisodes of treatmentDescriptive outcome studyChi-square testHealth care systemRepeated-measures analysisSubstance abuse problemsHomeless Veterans programPostdischarge followAdmission characteristicsRacial groupsIll veteransMedical symptomatologyOutcome studiesAlcohol abusePsychiatric disordersService useAdmissionClinical diagnosisEffect of clinician-veteran racial pairing in the treatment of posttraumatic stress disorder
Rosenheck R, Fontana A, Cottrol C. Effect of clinician-veteran racial pairing in the treatment of posttraumatic stress disorder. American Journal Of Psychiatry 1995, 152: 555-563. PMID: 7694904, DOI: 10.1176/ajp.152.4.555.Peer-Reviewed Original ResearchMeSH KeywordsAdultAmbulatory CareAntidepressive AgentsBlack or African AmericanCommunity Mental Health ServicesHumansMaleMiddle AgedPatient Acceptance of Health CarePatient DropoutsProgram EvaluationPsychotherapyPsychotropic DrugsStress Disorders, Post-TraumaticTreatment OutcomeUnited StatesUnited States Department of Veterans AffairsVeteransWhite PeopleConceptsPosttraumatic stress disorderImprovement ratingBlack veteransWhite cliniciansWhite veteransStress disorderBlack male veteransWar-related posttraumatic stress disorderClinician raceOutcome of treatmentLow program participationVeterans' raceAntidepressant medicationPrimary clinicianClinical statusClinician characteristicsMale veteransMultivariate analysisSociodemographic characteristicsLess improvementTreatment emphasisVeterans AffairsClinician ratingsSubstance abuseMore treatmentsDo Vietnam-Era Veterans Who Suffer from Posttraumatic Stress Disorder Avoid VA Mental Health Services?
Rosenheck R, Fontana A. Do Vietnam-Era Veterans Who Suffer from Posttraumatic Stress Disorder Avoid VA Mental Health Services? Military Medicine 1995, 160: 136-142. PMID: 7783937, DOI: 10.1093/milmed/160.3.136.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedHealth Care ReformHospitals, VeteransHumansLogistic ModelsMaleMental Health ServicesMiddle AgedPatient Acceptance of Health CareStress Disorders, Post-TraumaticUnited StatesUnited States Department of Veterans AffairsVeteransVietnamWarfare
1994
Utilization of Mental Health Services by Minority Veterans of the Vietnam Era
ROSENHECK R, FONTANA A. Utilization of Mental Health Services by Minority Veterans of the Vietnam Era. The Journal Of Nervous And Mental Disease 1994, 182: 685-691. PMID: 7989912, DOI: 10.1097/00005053-199412000-00002.Peer-Reviewed Original ResearchMeSH KeywordsAdultAttitude to HealthCausalityClergyHospitals, VeteransHumansLogistic ModelsMaleMental DisordersMental Health ServicesMinority GroupsRegression AnalysisSelf-Help GroupsSocial AdjustmentStress Disorders, Post-TraumaticUnited StatesUnited States Department of Veterans AffairsVeteransVietnamConceptsMental health servicesNon-VA mental health servicesHealth servicesHealth statusVA mental health servicesMinority veteransLogistic regression analysisPuerto Rican HispanicsChi-square testHealth insurance coverageVietnam-era veteransHispanic veteransService useNonpsychiatrist physiciansSociodemographic characteristicsWhite veteransVietnam eraVA systemEra veteransInsurance coverageBlack veteransVeteransFurther studiesMexican HispanicsRegression analysis
1993
Health Care Utilization and Costs After Entry Into an Outreach Program for Homeless Mentally Ill Veterans
Rosenheck R, Frisman L, Gallup P. Health Care Utilization and Costs After Entry Into an Outreach Program for Homeless Mentally Ill Veterans. Psychiatric Services 1993, 44: 1166-1171. PMID: 8132189, DOI: 10.1176/ps.44.12.1166.Peer-Reviewed Original ResearchMeSH KeywordsAdultAmbulatory CareChronic DiseaseCost-Benefit AnalysisDiagnosis, Dual (Psychiatry)FemaleHospitals, VeteransHumansIll-Housed PersonsLength of StayLongitudinal StudiesMaleMental DisordersMiddle AgedOutpatient Clinics, HospitalPatient AdmissionPatient Care PlanningSubstance-Related DisordersUnited StatesUnited States Department of Veterans AffairsUtilization ReviewVeteransConceptsHealth care servicesCare servicesIll veteransVA health service utilizationClinical needHealth care utilizationHealth service utilizationInitial contactHealth care costsSubstance abuse problemsResidential treatment programCare utilizationService utilizationUse of servicesOutpatient servicesOutreach programsClinical reportsInpatient servicesCare costsHealth servicesMultivariate analysisIll personsTreatment programDischarge summariesIntake instruments