2024
Barriers to Mental Health Care in US Military Veterans
Lewis C, Fischer I, Tsai J, Harpaz-Rotem I, Pietrzak R. Barriers to Mental Health Care in US Military Veterans. Psychiatric Quarterly 2024, 95: 367-383. PMID: 38940875, DOI: 10.1007/s11126-024-10078-7.Peer-Reviewed Original ResearchMental health careMental health treatmentHealth careHealth treatmentReduce barriersUS veteransNegative beliefsInstrumental barriersNational Health and ResiliencePromote engagementMental health servicesPopulation-based effortsUS military veteransNationally representative dataMultivariate logistic regressionPerceived stigmaHealth servicesSocial supportPsychiatric needsVeterans StudyPractical barriersLow purposeConclusionsNearly halfMilitary veteransCare
2014
Determinants of Prospective Engagement in Mental Health Treatment Among Symptomatic Iraq/Afghanistan Veterans
Harpaz-Rotem I, Rosenheck RA, Pietrzak RH, Southwick SM. Determinants of Prospective Engagement in Mental Health Treatment Among Symptomatic Iraq/Afghanistan Veterans. The Journal Of Nervous And Mental Disease 2014, 202: 97-104. PMID: 24469520, DOI: 10.1097/nmd.0000000000000078.Peer-Reviewed Original ResearchConceptsMental health treatmentPosttraumatic stress disorderIraq/Afghanistan veteransHealth treatmentAfghanistan veteransSymptomatic veteransMental health visitsMental health screeningMental health statusMental health servicesHealth visitsHealth screeningService utilizationRe-experiencing symptomsDepressive symptomsHealth statusHealth servicesPsychosocial determinantsStress disorderSymptomsVeteransTreatmentConsistent determinantsNumbing symptomsProspective engagement
2012
Psychotherapy use in a privately insured population of patients diagnosed with a mental disorder
Harpaz-Rotem I, Libby D, Rosenheck RA. Psychotherapy use in a privately insured population of patients diagnosed with a mental disorder. Social Psychiatry And Psychiatric Epidemiology 2012, 47: 1837-1844. PMID: 22349151, DOI: 10.1007/s00127-012-0486-9.Peer-Reviewed Original ResearchMeSH KeywordsAdultAnxiety DisordersComorbidityDatabases as TopicDepressive Disorder, MajorFemaleHealth Care SurveysHumansInsurance CoverageInsurance, HealthLogistic ModelsMaleMental DisordersMental Health ServicesMiddle AgedPrivate SectorPsychotherapyStress Disorders, Post-TraumaticTreatment OutcomeUnited StatesConceptsMajor depressive disorderUse of psychotherapyPosttraumatic stress disorderReceipt of psychotherapyPsychotherapy visitsDepressive disorderMild depressionBipolar disorderMental disordersStress disorderAlcohol useCorrelates of receiptCurrent Procedural Terminology codesPopulation of patientsLarge claims databaseAlternative drug therapiesProcedural Terminology codesMental health servicesMultivariate binary regressionEffectiveness of psychotherapyPatient characteristicsClaims databasePharmacological treatmentDrug therapyPsychotherapy use
2011
Serving Those Who Served: Retention of Newly Returning Veterans From Iraq and Afghanistan in Mental Health Treatment
Harpaz-Rotem I, Rosenheck RA. Serving Those Who Served: Retention of Newly Returning Veterans From Iraq and Afghanistan in Mental Health Treatment. Psychiatric Services 2011, 62: 22-27. PMID: 21209295, DOI: 10.1176/ps.62.1.pss6201_0022.Peer-Reviewed Original ResearchMeSH KeywordsAfghan Campaign 2001-Case-Control StudiesComorbidityFemaleHealth Services AccessibilityHumansIraq War, 2003-2011MaleMental DisordersMental Health ServicesMiddle AgedMultivariate AnalysisPatient Acceptance of Health CarePatient DropoutsProportional Hazards ModelsStress Disorders, Post-TraumaticSurvival AnalysisUnited StatesVeteransConceptsMental health visitsMental health treatmentPosttraumatic stress disorderVietnam-era veteransHealth visitsHealth treatmentPTSD treatmentMental health statusMental health servicesComorbid conditionsInitial diagnosisNumber of visitsNew diagnosisPsychiatric treatmentComorbid diagnosesHealth statusPoisson regressionSurvival analysisFunction of ageHealth servicesMultivariate analysisMore visitsVeterans AffairsStress disorder
2008
Pharmacologic Treatment of Posttraumatic Stress Disorder Among Privately Insured Americans
Harpaz-Rotem I, Rosenheck RA, Mohamed S, Desai RA. Pharmacologic Treatment of Posttraumatic Stress Disorder Among Privately Insured Americans. Psychiatric Services 2008, 59: 1184-1190. PMID: 18832505, DOI: 10.1176/ps.2008.59.10.1184.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderPsychotropic medicationsMedication classesStress disorderTreatment of PTSDMental health care usersSymptom-specific responsesComorbid psychiatric disordersUse of anxiolyticsMultivariate logistic regressionDiagnosis of PTSDMajor depressive disorderMental health servicesHealth care usersMedication usePharmacologic treatmentAntidepressant useHealth insurance plansMarketScan databaseAntipsychotic usePrivate health insurance plansPharmacological treatmentDepressive disorderSpecific symptomsMillions of Americans
2007
Out‐of‐Home Placement of Children Exposed to Violence
Harpaz‐Rotem I, Berkowitz S, Marans S, Murphy R, Rosenheck R. Out‐of‐Home Placement of Children Exposed to Violence. Children & Society 2007, 22: 29-40. DOI: 10.1111/j.1099-0860.2006.00073.x.Peer-Reviewed Original ResearchMental health servicesHome placementHealth servicesMental health service useHigher clinical ratingsHealth service useGeneral clinical assessmentGreater likelihoodTimes greater likelihoodPast useRisk factorsClinical assessmentLower riskPsychiatric problemsService useCurrent symptomsNumber of childrenClinical ratingsClinical functioningRisk of violenceOlder ageFurther studiesCommunity violenceChildrenPsychological trauma
2006
Prescribing practices of psychiatrists and primary care physicians caring for children with mental illness
Harpaz‐Rotem I, Rosenheck RA. Prescribing practices of psychiatrists and primary care physicians caring for children with mental illness. Child Care Health And Development 2006, 32: 225-238. PMID: 16441857, DOI: 10.1111/j.1365-2214.2006.00588.x.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdolescent BehaviorAge DistributionAnxiety DisordersAttention Deficit Disorder with HyperactivityChildChild Behavior DisordersDrug Administration ScheduleFamily PracticeFemaleHealth Services AccessibilityHumansInsurance, HealthMaleMental DisordersMood DisordersPractice Patterns, Physicians'PsychiatryPsychotropic DrugsSex DistributionTime FactorsConceptsPrimary care physiciansMental health servicesPsychotropic medicationsMental illnessCare physiciansPrescribing practicesHealth servicesProportion of patientsCollaborative care modelType of medicationEffective mental health servicesCombination of psychotherapyMental health specialistsPsychotropic prescribing practicesSignificant differencesPatient characteristicsHealth insurance plansMarketScan databasePrivate health insurance plansCalendar year 2000Mood disordersCare modelEffective treatmentMedicationsClinical contact
2004
Treatment Retention Among Children Entering a New Episode of Mental Health Care
Harpaz-Rotem I, Leslie D, Rosenheck RA. Treatment Retention Among Children Entering a New Episode of Mental Health Care. Psychiatric Services 2004, 55: 1022-1028. PMID: 15345762, DOI: 10.1176/appi.ps.55.9.1022.Peer-Reviewed Original ResearchConceptsMental health servicesService usePsychiatric hospitalizationHealth servicesRecent psychiatric hospitalizationSeverity of illnessPrimary care physiciansMental health contactsMental health specialistsMental health careMental health professionalsCare physiciansHealth contactsOverall mean numberSix-month periodLower riskNew episodesTreatment retentionType of insuranceHealth specialistsHealth professionalsPrivate insuranceAverage durationTotal numberInsurance coverageChanges in Outpatient Psychiatric Diagnosis in Privately Insured Children and Adolescents from 1995 to 2000
Harpaz-Rotem I, Rosenheck RA. Changes in Outpatient Psychiatric Diagnosis in Privately Insured Children and Adolescents from 1995 to 2000. Child Psychiatry & Human Development 2004, 34: 329-340. PMID: 15039605, DOI: 10.1023/b:chud.0000020683.08514.2d.Peer-Reviewed Original ResearchConceptsOutpatient mental health servicesProportion of childrenMental health servicesSubstance abuse disordersMental health problemsHealth insurance plansPrivate health insurance plansDepressive disorderAbuse disordersPsychiatric diagnosisDiagnostic prevalenceBipolar disorderHealth problemsHealth servicesInsurance plansDiagnostic patternsDisordersChildrenYear periodAdolescentsPrevalenceDiagnosisYears 1995Dramatic increase