Mental Disorders; Psychopharmacology; Psychotherapy; Substance-Related Disorders; Psychiatry and Psychology
Our group develops, tests, and disseminates behavioral therapies for people with psychiatric and/or substance abuse disorders. We are working primarily with:
- people receiving disability payments related to their disorders;
- people with HIV;
- veterans applying for Compensation and Pension
Extensive Research Description
We develop and test the efficacy of behavioral interventions for clients with comorbid psychiatric and substance abuse.
One line of research considers whether interventions targeting spending decisions by dually diagnosed clients might reduce their substance use. This question has been approached with surveys, analysis of data from quasi-experimental designs, and clinical trials. Our research has demonstrated that a high proportion of VA inpatients need money management assistance, and that expenditures for illicit drugs are not increased after benefits have been awarded. In several surveys, we have described generally high client ratings of satisfaction with a variety of involuntary payee arrangements.
In clinical trials, we have tested the efficacy of a money management-based intervention called ATM (Advisor Teller Money Manager). ATM involves a positive conception of the power of money to help clients achieve their goals and their ability to learn to manage their own affairs, as well as dampening the temptation to spend loose cash on illicit drugs and alcohol. In a recently-completed 36-week clinical trial of ATM, ATM participants had less cocaine use, reduced preference for immediate rewards (as measured by the Delayed Discounting Questionnaire), and greater likelihood of being assigned a payee compared to participants assigned to the Control intervention.
A second line of research considers interventions targeting medication non-adherence. A difficulty in counseling clients concerning the need to take prescribed medication is the difficulty in knowing when the medications were taken. In a series of studies, our group has tested the efficacy of counseling in which clients are provided electronically-generated feedback and review the dates and times medications were taken as prescribed and when they were missed. In clinical trials, we have found this counseling to be effective among clients prescribed medication for diabetes but ineffective among clients prescribed antiretroviral medication. However, review of feedback has been effective when coupled with material reinforcement, contingent on on-time bottle openings.
A third line of research examines the processes involved in applying for Compensation and Pension examinations. One multi-site study involves comparing a semi-structured method of conducting the Compensation and Pension evaluation of veterans being evaluated for PTSD to assessment as usual. A second study is comparing the effect of four sessions of Benefits Counseling to a control condition on engagement in work among veterans presenting for evaluation of psychiatric disabilities.
- Clinical trial of abstinence-linked money management in people with comorbid psychiatric disorders and cocaine use.
- Clinical trial of benefits counseling for veterans presenting for Compensation and Pension evaluations.
- E3 study comparing two methods of conducting Compensation and Pension evaluations of veterans presenting for psychiatric evaluations.
- Multisite Adherence evaluation of pooled data concerning adherence, viral loads and substance use among people with HIV
- The Check Effect Reconsidered Rosen MI: The Check Effect Reconsidered. Addiction 2011; 106(6):1071-7. NIHMSID # 279152. PMC3094507
- A Randomized Controlled Trial of a Money-Management Based Intervention Targeting Substance Use Rosen MI, Carroll KM, Stefanovics EA, Rosenheck RA: A Randomized Controlled Trial of a Money-Management Based Intervention Targeting Substance Use. Psychiatric Services 2009; 60(4): 498-504.
- Work Outcomes After Benefits Counseling Among Veterans Applying for Service Connection for a Psychiatric Condition Rosen MI, Ablondi K, Black AC, Mueller L, Serowik KL, Martino S, Mobo BH, Rosenheck RA: Work Outcomes After Benefits Counseling Among Veterans Applying for Service Connection for a Psychiatric Condition. Psychiatric Services 2014; 65 (12): 1426-1432.
- Association between use of specific drugs and antiretroviral adherence: findings from MACH14 Rosen MI, Black AC, Arnsten JH, Goggin K, Remien RH, Simoni JM, Golin CE, Bangsberg DR, Liu H for the MACH14 Investigators: Association between use of specific drugs and antiretroviral adherence: findings from MACH14. AIDS and Behavior 2013; 17(1): 142-147. PMCID: 3549004
Full List of PubMed Publications
- Black AC, Cooney NL, Sartor CE, Arias AJ, Rosen MI: Impulsivity interacts with momentary PTSD symptom worsening to predict alcohol use in male veterans. Am J Drug Alcohol Abuse. 2018 Apr 11; 2018 Apr 11. PMID: 29641264
- Meshberg-Cohen S, Kachadourian L, Black AC, Rosen MI: Relationship between substance use and attitudes towards seeking professional psychological help among veterans filing PTSD claims. Addict Behav. 2017 Nov; 2017 May 23. PMID: 28558337
- Meshberg-Cohen S, DeViva JC, Rosen MI: Counseling Veterans Applying for Service Connection Status for Mental Health Conditions. Psychiatr Serv. 2017 Apr 1; 2016 Sep 15. PMID: 27629795
- Moore BA, Black AC, Rosen MI: Factors Associated with Money Mismanagement Among Adults with Severe Mental Illness and Substance Abuse. Int J Ment Health Addict. 2016 Aug; 2015 Dec 30. PMID: 29456461
- Lazar CM, Black AC, McMahon TJ, Rosenheck RA, Ries R, Ames D, Rosen MI: All-data approach to assessing financial capability in people with psychiatric disabilities. Psychol Assess. 2016 Apr; 2015 Jul 6. PMID: 26146947
- Black AC, Cooney NL, Justice AC, Fiellin LE, Pietrzak RH, Lazar CM, Rosen MI: Momentary assessment of PTSD symptoms and sexual risk behavior in male OEF/OIF/OND Veterans. J Affect Disord. 2016 Jan 15; 2015 Oct 31. PMID: 26551400
- Marx BP, Wolf EJ, Cornette MM, Schnurr PP, Rosen MI, Friedman MJ, Keane TM, Speroff T: Using the WHODAS 2.0 to Assess Functioning Among Veterans Seeking Compensation for Posttraumatic Stress Disorder. Psychiatr Serv. 2015 Dec 1; 2015 Aug 17. PMID: 26278226
- Moore BA, Rosen MI, Wang Y, Shen J, Ablondi K, Sullivan A, Guerrero M, Siqueiros L, Daar ES, Liu H: A Remotely-Delivered CBT and Contingency Management Therapy for Substance Using People with HIV. AIDS Behav. 2015 Jun. PMID: 25645326
- Petersen ML, LeDell E, Schwab J, Sarovar V, Gross R, Reynolds N, Haberer JE, Goggin K, Golin C, Arnsten J, Rosen MI, Remien RH, Etoori D, Wilson IB, Simoni JM, Erlen JA, van der Laan MJ, Liu H, Bangsberg DR: Super Learner Analysis of Electronic Adherence Data Improves Viral Prediction and May Provide Strategies for Selective HIV RNA Monitoring. J Acquir Immune Defic Syndr. 2015 May 1. PMID: 25942462
- Black AC, McMahon TJ, Potenza MN, Fiellin LE, Rosen MI: Gender moderates the relationship between impulsivity and sexual risk-taking in a cocaine-using psychiatric outpatient population. Pers Individ Dif. 2015 Mar 1. PMID: 25554716
- Lazar CM, Black AC, McMahon TJ, O'Shea K, Rosen MI: Ambiguity in determining financial capability of SSI and SSDI beneficiaries with psychiatric disabilities. Psychiatr Serv. 2015 Mar 1; 2014 Dec 1. PMID: 25727116
- Erlen JA, Tamres LK, Reynolds N, Golin CE, Rosen MI, Remien RH, Banderas JW, Schneiderman N, Wagner G, Bangsberg DR, Liu H: Assessing usual care in clinical trials. West J Nurs Res. 2015 Mar; 2014 Mar 12. PMID: 24622154
- Rosen MI, Ablondi K, Black AC, Mueller L, Serowik KL, Martino S, Mobo BH, Rosenheck RA: Work outcomes after benefits counseling among veterans applying for service connection for a psychiatric condition. Psychiatr Serv. 2014 Dec 1; 2014 Oct 31. PMID: 25082304
- Serowik KL, Rowe M, Black AC, Ablondi K, Fiszdon J, Wilber C, Rosen MI: Financial motivation to work among people with psychiatric disorders. J Ment Health. 2014 Aug. PMID: 25054368
- Rosen MI, Ablondi K, Black AC, Serowik KL, Rowe M: Pathways to assignment of payees. Community Ment Health J. 2014 Apr; 2013 Jun 14. PMID: 23765182
- Black AC, McMahon TJ, Rosenheck RA, Ball SA, Ries RK, Ames D, Rosen MI: Development of the Clinician Assessment of Financial Incapability (CAFI). Psychiatry Res. 2014 Mar 30; 2014 Jan 22. PMID: 24495575
- Meshberg-Cohen S, Reid-Quiñones K, Black AC, Rosen MI: Veterans' attitudes toward work and disability compensation: associations with substance abuse. Addict Behav. 2014 Feb; 2013 Sep 11. PMID: 24090622
- Rowe M, Serowik KL, Ablondi K, Wilber C, Rosen MI: Recovery and money management. Psychiatr Rehabil J. 2013 Jun. PMID: 23750764
- Black AC, Hochman E, Rosen MI: Acute Effects of Competitive Exercise on Risk-Taking in a Sample of Adolescent Male Athletes. J Appl Sport Psychol. 2013 Apr. PMID: 24761127
- Rosen MI, Afshartous DR, Nwosu S, Scott MC, Jackson JC, Marx BP, Murdoch M, Sinnott PL, Speroff T: Racial differences in veterans' satisfaction with examination of disability from posttraumatic stress disorder. Psychiatr Serv. 2013 Apr 1. PMID: 23318842
- Black AC, Serowik KL, Schensul JJ, Bowen AM, Rosen MI: Build a better mouse: directly-observed issues in computer use for adults with SMI. Psychiatr Q. 2013 Mar. PMID: 22711454
- Serowik KL, Bellamy CD, Rowe M, Rosen MI: Subjective Experiences of Clients in a Voluntary Money Management Program. Am J Psychiatr Rehabil. 2013. PMID: 24605071
- Black AC, Serowik KL, Ablondi KM, Rosen MI: Timeline historical review of income and financial transactions: a reliable assessment of personal finances. J Nerv Ment Dis. 2013 Jan. PMID: 23274297
- Rosen MI, Black AC, Arnsten JH, Simoni JM, Wagner GJ, Goggin K, Remien RH, Golin CE, Wang Y, Bangsberg D, Liu HH, MACH14 Study Group.: ART adherence changes among patients in community substance use treatment: a preliminary analysis from MACH14. AIDS Res Ther. 2012 Oct 11; 2012 Oct 11. PMID: 23057423
- Rosen MI: Overview of special sub-section on money management articles: cross-disciplinary perspectives on money management by addicts. Am J Drug Alcohol Abuse. 2012 Jan; 2012 Jan 3. PMID: 22211461
- Massa AA, Rosen MI: The Relationship between Substance Use and HIV Transmission in Peru. J Addict Res Ther. 2012; 2012 Jul 22. PMID: 25264494
- Rosen MI: The 'check effect' reconsidered. Addiction. 2011 Jun; 2011 Apr 28. PMID: 21338431
- Black AC, Rosen MI: A money management-based substance use treatment increases valuation of future rewards. Addict Behav. 2011 Jan-Feb; 2010 Aug 11. PMID: 20826055
- Fries HP, Rosen MI: The efficacy of assertive community treatment to treat substance use. J Am Psychiatr Nurses Assoc. 2011 Jan-Feb. PMID: 21532920
- Rosen MI, Rounsaville BJ, Ablondi K, Black AC, Rosenheck RA: Advisor-Teller Money Manager (ATM) therapy for substance use disorders. Psychiatr Serv. 2010 Jul. PMID: 20592006
- Le T, Chiarella J, Simen BB, Hanczaruk B, Egholm M, Landry ML, Dieckhaus K, Rosen MI, Kozal MJ: Low-abundance HIV drug-resistant viral variants in treatment-experienced persons correlate with historical antiretroviral use. PLoS One. 2009 Jun 29; 2009 Jun 29. PMID: 19562031
- Rosen MI, Carroll KM, Stefanovics E, Rosenheck RA: A randomized controlled trial of a money management-based substance use intervention. Psychiatr Serv. 2009 Apr. PMID: 19339325
- Black RA, Rounsaville BJ, Rosenheck RA, Conrad KJ, Ball SA, Rosen MI: Measuring money mismanagement among dually diagnosed clients. J Nerv Ment Dis. 2008 Jul. PMID: 18626300
- Rosen MI, McMahon TJ, Rosenheck R: Does assigning a representative payee reduce substance abuse? Drug Alcohol Depend. 2007 Jan 12; 2006 Jul 12. PMID: 16839710
- Rosen MI, Dieckhaus K, McMahon TJ, Valdes B, Petry NM, Cramer J, Rounsaville B: Improved adherence with contingency management. AIDS Patient Care STDS. 2007 Jan. PMID: 17263651
- Rosen MI, McMahon TJ, Rosenheck RA: Homeless people whose self-reported SSI/DI status is inconsistent with Social Security Administration records. Soc Secur Bull. 2007. PMID: 17972788
- Rosen MI, McMahon TJ, Lin H, Rosenheck RA: Effect of Social Security payments on substance abuse in a homeless mentally ill cohort. Health Serv Res. 2006 Feb. PMID: 16430606
- Rosen MI, Bailey M, Dombrowski E, Ablondi K, Rosenheck RA: A comparison of satisfaction with clinician, family members/friends and attorneys as payees. Community Ment Health J. 2005 Jun. PMID: 16131008
- Rosen MI, Rigsby MO, Salahi JT, Ryan CE, Cramer JA: Electronic monitoring and counseling to improve medication adherence. Behav Res Ther. 2004 Apr. PMID: 14998735
- Rosen MI, Rosenheck R, Shaner A, Eckman T, Gamache G, Krebs C: Do patients who mismanage their funds use more health services? Adm Policy Ment Health. 2003 Nov. PMID: 14756196
- Rosen MI, Rigsby MO, Dieckhaus KD, Cramer JA: Effects of illicit drug use on adherence to prescribed antiretroviral medication. Am J Addict. 2003 Oct-Dec. PMID: 14660159
- Rosen MI, Beauvais JE, Rigsby MO, Salahi JT, Ryan CE, Cramer JA: Neuropsychological correlates of suboptimal adherence to metformin. J Behav Med. 2003 Aug. PMID: 12921008
- Rosen MI, Bailey M, Rosenheck RR: Alcohol & drug abuse: principles of money management as a therapy for addiction. Psychiatr Serv. 2003 Feb. PMID: 12556596
- Rosen MI, Rosenheck R, Shaner A, Eckman T, Gamache G, Krebs C: Payee relationships: institutional payees versus personal acquaintances. Psychiatr Rehabil J. 2003 Winter. PMID: 12653448
- Rosen MI, Rosenheck RA, Shaner AL, Eckman TA, Gamache GR, Krebs CW: Substance abuse and the need for money management assistance among psychiatric inpatients. Drug Alcohol Depend. 2002 Aug 1. PMID: 12127204
- Rosen MI, Rosenheck RA, Shaner A, Eckman T, Gamache G, Krebs C: Veterans who may need a payee to prevent misuse of funds for drugs. Psychiatr Serv. 2002 Aug. PMID: 12161675