2001
Impact 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 variablesClozapineTreatmentNeurolepticsPatientsSchizophrenia
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
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 servicesA 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 ScaleClozapineHaloperidolEffectiveness of treatment elements in a residential-work therapy program for veterans with severe substance abuse
Rosenheck R, Seibyl C. Effectiveness of treatment elements in a residential-work therapy program for veterans with severe substance abuse. Psychiatric Services 1997, 48: 928-935. PMID: 9219302, DOI: 10.1176/ps.48.7.928.Peer-Reviewed Original ResearchMeSH KeywordsAdultChi-Square DistributionChronic DiseaseDiagnosis, Dual (Psychiatry)FemaleHumansJob SatisfactionLength of StayLongitudinal StudiesMaleOutcome and Process Assessment, Health CareProgram EvaluationRegression AnalysisSeverity of Illness IndexSheltered WorkshopsSocial AdjustmentSubstance-Related DisordersTreatment OutcomeUnited StatesVeteransConceptsSevere substance abuseSubstance abuseTreatment elementsTherapy programSevere substance use disordersAdmission risk factorsBaseline prognostic factorsLength of staySubstance use disordersPrognostic factorsToxicology screenFunctional statusRisk factorsIntensive treatmentOutcome measuresOutcome dataUse disordersRehabilitative approachVeterans AffairsOutcome domainsSignificant relationshipSubstance useOutcomesVeteransTreatment
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 ProgramTreatmentVeterans
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 instrumentsWho 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
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
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 yearAbusersTreatmentYearsAdmissionHospitalRegional 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 ResearchThe 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