Ilse Wiechers
Research & Publications
Biography
News
Research Summary
I am a fellowship-trained, board-certified geriatric psychiatrist with additional expertise in health policy and health services research. As Associate Director for the Northeast Program Evaluation Center within the Office of Mental Health Operations, I am responsible for supporting evaluation of the national mental health services program within the Department of Veterans Affairs.This includes program evaluation of existing service lines, the development, dissemination and implementation of VA policy related to mental health services, and the analysis of outcomes of mental health treatment. In my current work as the National Program Director for the VA’s Psychotropic Drug Safety Initiative (PDSI), I am responsible for implementing and evaluating the outcomes of a nation-wide psychopharmacology quality improvement initiative. PDSI aims to ensure safe, effective, and evidence-based psychopharmacological treatments are provided to veterans with mental health problems across VA. My research to date has focused primarily on drug utilization studies and understanding prescribing patterns of psychotropic medications, especially among elderly and veteran populations. Through my expertise and ongoing work, both research and administrative, I have worked extensively with the VA administrative data and used it to perform program evaluations as well as studies of service utilization and pharmacoepidemiology.
Research Interests
Drug Utilization; Geriatric Psychiatry; Health Services Research; Mental Health Services; Psychotropic Drugs; Program Evaluation; Pharmacoepidemiology; Community-Based Participatory Research; Quality Improvement
Selected Publications
- National Trends in Antidepressant, Benzodiazepine, and Other Sedative-Hypnotic Treatment of Older Adults in Psychiatric and Primary Care.Maust DT, Blow FC, Wiechers IR, Kales HC, Marcus SC. National Trends in Antidepressant, Benzodiazepine, and Other Sedative-Hypnotic Treatment of Older Adults in Psychiatric and Primary Care. The Journal Of Clinical Psychiatry 2017, 78: e363-e371. PMID: 28448697, PMCID: PMC5408458, DOI: 10.4088/jcp.16m10713.
- No End in Sight: Benzodiazepine Use in Older Adults in the United StatesMaust DT, Kales HC, Wiechers IR, Blow FC, Olfson M. No End in Sight: Benzodiazepine Use in Older Adults in the United States. Journal Of The American Geriatrics Society 2016, 64: 2546-2553. PMID: 27879984, PMCID: PMC5173408, DOI: 10.1111/jgs.14379.
- Growing Use of Mental and General Health Care Services Among Older Veterans With Mental IllnessWiechers IR, Karel MJ, Hoff R, Karlin BE. Growing Use of Mental and General Health Care Services Among Older Veterans With Mental Illness. Psychiatric Services 2015, 66: 1242-1244. PMID: 26278225, DOI: 10.1176/appi.ps.201400370.
- Prescribing of Psychotropic Medications to Patients Without a Psychiatric DiagnosisWiechers IR, Leslie DL, Rosenheck RA. Prescribing of Psychotropic Medications to Patients Without a Psychiatric Diagnosis. Psychiatric Services 2013, 64: 1243-1248. PMID: 23999894, DOI: 10.1176/appi.ps.201200557.
- Increased Risk Among Older Veterans of Prescribing Psychotropic Medication in the Absence of Psychiatric DiagnosesWiechers IR, Kirwin PD, Rosenheck RA. Increased Risk Among Older Veterans of Prescribing Psychotropic Medication in the Absence of Psychiatric Diagnoses. American Journal Of Geriatric Psychiatry 2013, 22: 531-539. PMID: 24211029, DOI: 10.1016/j.jagp.2013.10.007.