2001
Detecting Improvement in Quality of Life and Symptomatology in Schizophrenia
Cramer J, Rosenheck R, Xu W, Henderson W, Thomas J, Charney D, Schizophrenia D. Detecting Improvement in Quality of Life and Symptomatology in Schizophrenia. Schizophrenia Bulletin 2001, 27: 227-234. PMID: 11354590, DOI: 10.1093/oxfordjournals.schbul.a006869.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 systemOne‐year use and cost of inpatient and outpatient services among female and male patients with an eating disorder: Evidence from a national database of health insurance claims
Striegel‐Moore R, Leslie D, Petrill S, Garvin V, Rosenheck R. One‐year use and cost of inpatient and outpatient services among female and male patients with an eating disorder: Evidence from a national database of health insurance claims. International Journal Of Eating Disorders 2000, 27: 381-389. PMID: 10744844, DOI: 10.1002/(sici)1098-108x(200005)27:4<381::aid-eat2>3.0.co;2-u.Peer-Reviewed Original ResearchConceptsCosts of inpatientMale patientsFemale patientsOutpatient treatmentNational insurance databaseStandard of careHealth insurance claimsCost of treatmentTreatment guidelinesInsurance databaseOne-year useOutpatient servicesPatientsBulimia nervosaAnorexia nervosaUtilization dataNational databaseMore daysDisordersTreatmentInpatientsOne-year dataNervosaTerms of barriersInsurance claims
1999
Shifting to Outpatient Care? Mental Health Care Use and Cost Under Private Insurance
Leslie D, Rosenheck R. Shifting to Outpatient Care? Mental Health Care Use and Cost Under Private Insurance. American Journal Of Psychiatry 1999, 156: 1250-1257. PMID: 10450268, DOI: 10.1176/ajp.156.8.1250.Peer-Reviewed Original ResearchConceptsMental health servicesMental health costsOutpatient careInpatient careTreatment daysService useHealth servicesMental health care useOutpatient mental health costsOutpatient service useInpatient service useProportion of enrolleesHealth care usePatterns of careHealth costsHealth care costsHospital daysIll patientsInpatient costsOutpatient claimsPrimary diagnosisCare useModerate depressionStudy groupOutpatient servicesPsychiatric 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 ratesDiagnosisWomenChanges in Inpatient Mental Health Utilization and Costs in a Privately Insured Population, 1993 to 1995
Leslie D, Rosenheck R. Changes in Inpatient Mental Health Utilization and Costs in a Privately Insured Population, 1993 to 1995. Medical Care 1999, 37: 457-468. PMID: 10335748, DOI: 10.1097/00005650-199905000-00005.Peer-Reviewed Original ResearchConceptsHospital daysMental health utilizationInpatient claims dataProportion of enrolleesAnnual hospital daysHealth care providersMental health servicesQuality of careHealth care costsMental health costsMarketScan databaseInpatient costsHealth utilizationPatient satisfactionPrimary diagnosisModerate depressionTreatment daysCare providersClaims dataPsychiatric carePatientsCare costsDiem costsHealth servicesDiagnostic groupsComparison of Outcome between Homogeneous and Heterogeneous Treatment Environments in Combat-Related Posttraumatic Stress Disorder
JOHNSON D, LUBIN H, ROSENHECK R, FONTANA A, CHARNEY D, SOUTHWICK S. Comparison of Outcome between Homogeneous and Heterogeneous Treatment Environments in Combat-Related Posttraumatic Stress Disorder. The Journal Of Nervous And Mental Disease 1999, 187: 88-95. PMID: 10067948, DOI: 10.1097/00005053-199902000-00004.Peer-Reviewed Original ResearchMeSH KeywordsAdultAttitude to HealthChronic DiseaseCombat DisordersFollow-Up StudiesHospitalizationHumansMaleMental DisordersPatient SatisfactionProgram EvaluationPsychiatric Status Rating ScalesPsychotherapyPsychotherapy, GroupRegression AnalysisSocial EnvironmentSocial SupportTreatment OutcomeVeteransConceptsPosttraumatic stress disorderStress disorderVietnam combat veteransChronic posttraumatic stress disorderComparison of outcomesGeneral psychiatric patientsCombat veteransTreatment environmentTreatment outcomesInpatient programPsychiatric patientsVeteran populationDisordersVeteransOutcomesMonthsHeterogeneous conditionPatientsImpact of Clozapine on Negative Symptoms and on the Deficit Syndrome in Refractory Schizophrenia
Rosenheck R, Dunn L, Peszke M, Cramer J, Xu W, Thomas J, Charney D, Schizophrenia T. Impact of Clozapine on Negative Symptoms and on the Deficit Syndrome in Refractory Schizophrenia. American Journal Of Psychiatry 1999, 156: 88-93. PMID: 9892302, DOI: 10.1176/ajp.156.1.88.Peer-Reviewed Original ResearchConceptsRefractory schizophreniaDeficit syndromeNegative symptomsPositive symptomsClozapine's effectVeterans Administration TrialEffects of clozapineImpact of clozapineNegative clinical symptomsProminent negative symptomsClozapine treatmentHospitalized patientsConventional medicationsClinical symptomsControl subjectsAdministration trialClinical subtypesAnalysis of covariancePatientsClozapineSyndromeSymptomsNegative syndromeSchizophreniaTime points
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 ScaleClozapineHaloperidolAssessing the structure, content, and perceived social climate of residential posttraumatic stress disorder treatment programs
Johnson D, Rosenheck R, Fontana A. Assessing the structure, content, and perceived social climate of residential posttraumatic stress disorder treatment programs. Journal Of Traumatic Stress 1997, 10: 361-376. DOI: 10.1002/jts.2490100303.Peer-Reviewed Original ResearchAssessing the Structure, Content, and Perceived Social Climate of Residential Posttraumatic Stress Disorder Treatment Programs
Johnson D, Rosenheck R, Fontana A. Assessing the Structure, Content, and Perceived Social Climate of Residential Posttraumatic Stress Disorder Treatment Programs. Journal Of Traumatic Stress 1997, 10: 361-376. PMID: 9246645, DOI: 10.1023/a:1024881002500.Peer-Reviewed Original ResearchInpatient Treatment of War-Related Posttraumatic Stress Disorder: A 20-Year Perspective
Rosenheck R, Fontana A, Errera P. Inpatient Treatment of War-Related Posttraumatic Stress Disorder: A 20-Year Perspective. Journal Of Traumatic Stress 1997, 10: 407-413. PMID: 9246648, DOI: 10.1023/a:1024837220247.Peer-Reviewed Original ResearchInpatient treatment of war‐related posttraumatic stress disorder: A 20‐year perspective
Rosenheck R, Fontana A, Errera P. Inpatient treatment of war‐related posttraumatic stress disorder: A 20‐year perspective. Journal Of Traumatic Stress 1997, 10: 407-413. DOI: 10.1002/jts.2490100306.Peer-Reviewed Original Research
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
Clozapine's cost effectiveness.
Rosenheck R, Charney D, Frisman L, Cramer J. Clozapine's cost effectiveness. American Journal Of Psychiatry 1995, 152: 152-3. PMID: 7802113.Peer-Reviewed Original Research
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 ResearchMeSH KeywordsDiagnosis-Related GroupsHospitalizationHospitals, VeteransHumansLength of StayMental DisordersUnited StatesConceptsDiagnosis-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 discharges
1990
Regional variation in patterns of inpatient psychiatric care
Rosenheck R, Astrachan B. Regional variation in patterns of inpatient psychiatric care. American Journal Of Psychiatry 1990, 147: 1180-1183. PMID: 2386251, DOI: 10.1176/ajp.147.9.1180.Peer-Reviewed Original Research