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 Clozapine Prescription on Inpatient Resource Utilization
SERNYAK M, ROSENHECK R, DESAI R, STOLAR M, RIPPER G. Impact of Clozapine Prescription on Inpatient Resource Utilization. The Journal Of Nervous And Mental Disease 2001, 189: 766-773. PMID: 11758660, DOI: 10.1097/00005053-200111000-00006.Peer-Reviewed Original ResearchConceptsInpatient resource utilizationClozapine treatmentInpatient daysComparison groupService utilization variablesMore inpatient daysClozapine prescriptionIndex dischargeRefractory schizophreniaConventional neurolepticsTypical neurolepticsClinical variablesVA databasesInpatient hospitalizationInpatient careYear treatmentUtilization variablesClozapineTreatmentNeurolepticsPatientsSchizophreniaImpact 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 lengthBenchmarking 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 system
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 systemImpatient Treatment of Comorbid Psychiatric and Substance Abuse Disorders: Comparison of Public Sector and Privately Insured Populations
Leslie D, Rosenheck R. Impatient Treatment of Comorbid Psychiatric and Substance Abuse Disorders: Comparison of Public Sector and Privately Insured Populations. Administration And Policy In Mental Health And Mental Health Services Research 1999, 26: 253-268. PMID: 10431398, DOI: 10.1023/a:1022269926310.Peer-Reviewed Original ResearchAssessing 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
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 effectsThe Use of VA and Non-VA Mental Health Services by Female Veterans
Hoff R, Rosenheck R. The Use of VA and Non-VA Mental Health Services by Female Veterans. Medical Care 1998, 36: 1524-1533. PMID: 9821940, DOI: 10.1097/00005650-199811000-00002.Peer-Reviewed Original ResearchConceptsNon-VA mental health servicesVA mental health servicesMental health servicesSpecialty mental health clinicsFemale veteransHealth servicesMale veteransVeterans AffairsService useMental health service useVA mental health careHealth service useMental health clinicsVA service useMental health careLogistic regression modelsHealth clinicsDiagnostic subgroupsPsychiatric diagnosisGender differencesVA servicesObjective diagnostic dataHealth careVeteransUtilization patternsThe Quality of VA Mental Health Services
Hoff R, Rosenheck R, Materko M, Wilson N. The Quality of VA Mental Health Services. Administration And Policy In Mental Health And Mental Health Services Research 1998, 26: 45-56. PMID: 9866234, DOI: 10.1023/a:1021217420121.Peer-Reviewed Original ResearchConceptsMental health careInpatient careVA mental health servicesVA mental health careHealth careMental health servicesSpecific health behaviorsMental health programsOutpatient carePsychiatric diagnosisHealth behaviorsFemale veteransHealth servicesHealth programsMeasures of qualityCareStudy sampleObjective measuresWomenDiagnosisHomelessness
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 CenterFemale 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 outpatientsLong-Term Patterns of Service Use and Cost Among Patients With Both Psychiatric and Substance Abuse Disorders
Hoff R, Rosenheck R. Long-Term Patterns of Service Use and Cost Among Patients With Both Psychiatric and Substance Abuse Disorders. Medical Care 1998, 36: 835-843. PMID: 9630125, DOI: 10.1097/00005650-199806000-00007.Peer-Reviewed Original ResearchMeSH KeywordsAnalysis of VarianceComorbidityCross-Sectional StudiesFemaleHealth Services ResearchHospital CostsHospitals, VeteransHumansLongitudinal StudiesMaleMental DisordersMental Health ServicesMiddle AgedOutpatient Clinics, HospitalPsychiatric Department, HospitalSubstance-Related DisordersTime FactorsUnited StatesConceptsHigher health care costsSubstance abuse disordersHealth care costsAbuse disordersCare costsVeterans Affairs (VA) health careCohort of inpatientsIntensive outpatient servicesCohort of veteransMental health servicesSubstance abuse careMental health programsType of careInpatient cohortFiscal year 1991Outpatient careOutpatient servicesPsychiatric patientsService usePatientsHealth servicesPsychiatric outpatientsHealth programsOutpatientsCohortINTERSITE VARIATION IN THE IMPACT OF INTENSIVE PSYCHIATRIC COMMUNITY CARE ON HOSPITAL USE
Rosenheck R, Neale M. INTERSITE VARIATION IN THE IMPACT OF INTENSIVE PSYCHIATRIC COMMUNITY CARE ON HOSPITAL USE. American Journal Of Orthopsychiatry 1998, 68: 191-200. PMID: 9589758, DOI: 10.1037/h0080329.Peer-Reviewed Original ResearchAccess 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 ResearchConceptsMental 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
1997
Influence of patient and hospital factors on consumer satisfaction with inpatient mental health treatment
Rosenheck R, Wilson N, Meterko M. Influence of patient and hospital factors on consumer satisfaction with inpatient mental health treatment. Psychiatric Services 1997, 48: 1553-1561. PMID: 9406263, DOI: 10.1176/ps.48.12.1553.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAttitude to HealthFemaleHealth Care SurveysHealth Facility SizeHospitals, VeteransHumansLength of StayMaleMarital StatusMental DisordersMiddle AgedPatient SatisfactionPsychiatric Department, HospitalRacial GroupsRegression AnalysisSampling StudiesSex FactorsSubstance-Related DisordersSurveys and QuestionnairesUnited StatesConceptsMental health treatmentSubstance use disordersPatient characteristicsUse disordersHealth treatmentInpatient mental health servicesMental health care servicesInpatient mental health treatmentRecent hospital experienceInfluence of patientMental health servicesBetter self-reported healthHealth care servicesSelf-reported healthHospital factorsMajority of subscalesGreater satisfactionHealthy patientsPatient satisfactionPrimary diagnosisHospital characteristicsHospital experienceNonpsychotic disordersInpatient unitCare services
1996
Outcome of intensive inpatient treatment for combat-related posttraumatic stress disorder
Johnson D, Rosenheck R, Fontana A, Lubin H, Charney D, Southwick S. Outcome of intensive inpatient treatment for combat-related posttraumatic stress disorder. American Journal Of Psychiatry 1996, 153: 771-777. PMID: 8633688, DOI: 10.1176/ajp.153.6.771.Peer-Reviewed Original ResearchMeSH KeywordsAdaptation, PsychologicalAdultCombat DisordersCombined Modality TherapyFollow-Up StudiesHospital UnitsHospitalizationHospitals, VeteransHumansInterpersonal RelationsMaleMilieu TherapyMoralePersonality InventoryProgram EvaluationPsychiatric Status Rating ScalesSocial AdjustmentTreatment OutcomeUnited StatesVeteransVietnamConceptsPosttraumatic stress disorderCombat-related posttraumatic stress disorderIntensive inpatient treatmentInpatient treatmentStress disorderIntensive inpatient programOverall study groupLength of stayLong-term intensive inpatient treatmentForm of treatmentVietnam veteransInpatient treatment programPatient characteristicsPatient evaluationPretreatment levelsInpatient programChronic natureStudy groupPsychiatric symptomsMale veteransRehabilitation focusTreatment programSymptomsSocial functioningAdmission
1995
Effectiveness and cost of specific treatment elements in a program for homeless mentally ill veterans
Rosenheck R, Frisman L, Gallup P. Effectiveness and cost of specific treatment elements in a program for homeless mentally ill veterans. Psychiatric Services 1995, 46: 1131-1139. PMID: 8564501, DOI: 10.1176/ps.46.11.1131.Peer-Reviewed Original ResearchMeSH KeywordsAdultChronic DiseaseCommunity Mental Health ServicesContract ServicesCost-Benefit AnalysisFemaleHospitals, VeteransHumansIll-Housed PersonsLength of StayLongitudinal StudiesMaleMental DisordersMiddle AgedOutcome and Process Assessment, Health CareSocial AdjustmentSocial EnvironmentSubstance-Related DisordersUnited StatesVeteransConceptsSpecific treatment elementsTreatment elementsIll veteransOutcome measuresResidential treatmentNumber of daysLongitudinal outcome studyNumber of referralsSubstance use disordersMeasures of outcomeVeterans Affairs programsPublic support paymentsProgram cliniciansOutcome studiesClinical contactUse disordersIll personsOutcome domainsEight-month periodHomeless veteransMultimodal approachProgram entryVeteran ProgramTreatmentVeteransDo 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 Research