2023
Opioid Use Disorder With Chronic Pain Increases Disease Burden and Service Use
MacLean RR, Sofuoglu M, Stefanovics E, Rosenheck R. Opioid Use Disorder With Chronic Pain Increases Disease Burden and Service Use. Psychological Services 2023, 20: 157-165. PMID: 34968125, PMCID: PMC9358616, DOI: 10.1037/ser0000607.Peer-Reviewed Original ResearchConceptsOpioid use disorderChronic painMental health diagnosesService useUse disordersHealth AdministrationConcurrent opioid use disorderHealth diagnosisOngoing opioid epidemicOutpatient service useVeterans Health AdministrationMental health disordersSubstance use diagnosesSingle disorder groupsClinical service useOpioid prescriptionsAdditional comorbiditiesMultinomial regression analysisDisease burdenMedication fillsOpioid epidemicPrescription opiatesMedical conditionsMedical disordersUse diagnoses
2021
Who Uses Veterans Mental Health Services?
Manhapra A, Stefanovics EA, Rhee TG, Rosenheck RA. Who Uses Veterans Mental Health Services? The Journal Of Nervous And Mental Disease 2021, 209: 702-709. PMID: 33993183, DOI: 10.1097/nmd.0000000000001369.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationPosttraumatic stress disorderHealth service usersMH service usersSubstance use disorder diagnosisClinical practice guidelinesMental health servicesMental health service usersClinical characteristicsMedicaid insurancePain interferenceService usersBlack raceSimilar prevalenceMental health researchMH researchPractice guidelinesGreater prevalenceHealth AdministrationHealth servicesPTSD diagnosisRacial distributionMH statusStress disorderDisorder diagnosisMental Health Service Utilization in Rural Areas Nationally in the Veterans Health Administration
Bommersbach T, Stefanovics E, Rosenheck R. Mental Health Service Utilization in Rural Areas Nationally in the Veterans Health Administration. Rural Mental Health 2021, 45: 229-242. DOI: 10.1037/rmh0000182.Peer-Reviewed Original ResearchVeterans Health AdministrationMental health servicesHealth servicesHealth AdministrationSpecialty mental health servicesMental health service utilizationRural-Urban Commuting Area codesSpecific mental health servicesVHA administrative databasesHealth service utilizationSubstance use diagnosesIntensive case managementUtilization of servicesMental health problemsService usersAdministrative databasesService utilizationUrban veteransUse diagnosesHigh riskEligible veteransService useEquitable careSystemic propensityLarger sample sizeThe association of opioid use disorder and homelessness nationally in the veterans health administration
Manhapra A, Stefanovics E, Rosenheck R. The association of opioid use disorder and homelessness nationally in the veterans health administration. Drug And Alcohol Dependence 2021, 223: 108714. PMID: 33865213, DOI: 10.1016/j.drugalcdep.2021.108714.Peer-Reviewed Original ResearchConceptsOpioid use disorderSubstance use disordersVeterans Health AdministrationRisk factorsUse disordersHealth AdministrationUnited States Veterans Health AdministrationCo-morbid risk factorsPrevalence of OUDMajor risk factorMultivariate logistic regressionHomeless veteransHigher unadjusted oddsCross-sectional analysisClinical factorsVHA patientsNon-homeless veteransUnadjusted oddsVHA careFiscal year 2012US veteransOdds ratioHigh prevalenceHigher oddsPsychiatric diagnosisSex Differences in Opioid Use Disorder Prevalence and Multimorbidity Nationally in the Veterans Health Administration
Peltier MR, Sofuoglu M, Petrakis IL, Stefanovics E, Rosenheck RA. Sex Differences in Opioid Use Disorder Prevalence and Multimorbidity Nationally in the Veterans Health Administration. Journal Of Dual Diagnosis 2021, 17: 124-134. PMID: 33982642, PMCID: PMC8887838, DOI: 10.1080/15504263.2021.1904162.Peer-Reviewed Original ResearchConceptsOpioid use disorderPain-related diagnosesVeterans Health AdministrationSex-specific differencesAnxiolytics/sedatives/hypnoticsRates of OUDHealth AdministrationFemale veteransOpioid use disorder prevalenceOpioid agonist medicationsVHA health carePeripheral vascular diseaseHealth service utilizationPatterns of multimorbiditySedative/hypnoticsSex-specific treatmentsCo-occurring disordersSubstance use treatmentHigh rateSubstantial sex-specific differencesAgonist prescriptionAgonist medicationsRelated complicationsRenal diseaseVHA patients
2020
Increasing the Numbers of Homeless Veterans Served by the Veterans Health Administration from 2008 to 2015: maintaining focus on the intended target population and on sustaining service intensity
Rosenheck R, Sorkin H, Stefanovics E. Increasing the Numbers of Homeless Veterans Served by the Veterans Health Administration from 2008 to 2015: maintaining focus on the intended target population and on sustaining service intensity. Journal Of Social Distress And The Homeless 2020, 30: 66-76. DOI: 10.1080/10530789.2020.1753914.Peer-Reviewed Original ResearchIntended target populationHomeless veteransTarget populationVeterans AffairsVeterans Health AdministrationMental health servicesNon-homeless veteransIntensity of servicesHealth AdministrationHealth servicesSociodemographic characteristicsHealth careVeteransSuccessful maintenanceDelivery of servicesPopulationLittle evidenceVeteran homelessnessHigh levelsService intensityGender Differences in Outcomes Following Specialized Intensive PTSD Treatment in the Veterans Health Administration
Stefanovics EA, Rosenheck RA. Gender Differences in Outcomes Following Specialized Intensive PTSD Treatment in the Veterans Health Administration. Psychological Trauma Theory Research Practice And Policy 2020, 12: 272-280. PMID: 31282719, DOI: 10.1037/tra0000495.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderTotal PTSD symptom scoresPTSD symptomsNational program evaluation dataVeterans Health AdministrationVeterans Health Administration programGreater improvementPTSD symptom scoresIntensive PTSD treatmentSymptom scoresTreatment outcomesProgram participationMale veteransGender differencesHealth AdministrationPTSD treatmentFemale veteransPTSD programProgram evaluation dataMedium effect size differencesStress disorderGender-based differencesEffect size differencesSubstance useStudy sampleInitiating Opioid Agonist Treatment for Opioid use Disorder Nationally in the Veterans Health Administration: Who Gets What?
Manhapra A, Stefanovics E, Rosenheck R. Initiating Opioid Agonist Treatment for Opioid use Disorder Nationally in the Veterans Health Administration: Who Gets What? Substance Use & Addiction Journal 2020, 41: 110-120. PMID: 31403914, DOI: 10.1080/08897077.2019.1640831.Peer-Reviewed Original ResearchConceptsOpioid agonist treatmentOpioid use disorderMethadone maintenance treatmentUse disordersOAT initiationAgonist treatmentHigher oddsMultivariate logistic regression modelVeterans Health AdministrationNational administrative dataDrug use variablesLogistic regression modelsMMT initiationPatient characteristicsIndependent predictorsMaintenance treatmentBlack raceFiscal year 2012Inpatient treatmentLower oddsBuprenorphineHealth AdministrationOpioid crisisSociodemographic characteristicsPatients
2019
Predictors of Post-Discharge Suicide Attempt Among Veterans Receiving Specialized Intensive Treatment for Posttraumatic Stress Disorder.
Stefanovics EA, Rosenheck RA. Predictors of Post-Discharge Suicide Attempt Among Veterans Receiving Specialized Intensive Treatment for Posttraumatic Stress Disorder. The Journal Of Clinical Psychiatry 2019, 80 PMID: 31412170, DOI: 10.4088/jcp.19m12745.Peer-Reviewed Original ResearchConceptsPost-discharge suicide attemptsPosttraumatic stress disorderSuicide attemptsAlcohol useSuicidal ideationStress disorderSubstance abuse comorbidityMultivariable logistic regressionNational program evaluation dataVeterans Health AdministrationAssociation of changesIntensive treatment programViolent behaviorBaseline characteristicsClinical correlatesUS veteransClinical changesIntensive treatmentHigh riskHealth AdministrationAdmissionBivariate analysisPTSD programTreatment programGreater riskPrevalence and multi-morbid correlates of homelessness among veterans with HIV infection nationally in the veterans health administration
Stefanovics EA, Rosenheck RA. Prevalence and multi-morbid correlates of homelessness among veterans with HIV infection nationally in the veterans health administration. Psychology Health & Medicine 2019, 24: 1123-1136. PMID: 30900465, DOI: 10.1080/13548506.2019.1595680.Peer-Reviewed Original ResearchConceptsRisk factorsNational VHA administrative dataVeterans Health Administration (VHA) servicesVHA administrative dataVeterans Health AdministrationHIV-positive veteransPreventive psychosocial interventionsHIV-positive usersHIV diagnosisHIV infectionUnadjusted riskFiscal year 2012Independent riskHigh riskHIVPsychosocial interventionsHealth AdministrationSubstantial riskIndependent effectsVeteransRiskAdministrative dataRisk of homelessnessCorrelatesInfection
2018
Opioid use disorder and homelessness in the Veterans Health Administration: The challenge of multimorbidity.
Iheanacho T, Stefanovics E, Rosenheck R. Opioid use disorder and homelessness in the Veterans Health Administration: The challenge of multimorbidity. Journal Of Opioid Management 2018, 14: 171-182. PMID: 30044482, DOI: 10.5055/jom.2018.0447.Peer-Reviewed Original ResearchConceptsOpioid use disorderVeterans Health AdministrationUse disordersAgonist therapyHomeless veteransRisk ratioRisk factorsService useHealth AdministrationOpioid agonist therapyGreater service useMajor risk factorChallenges of multimorbidityAlcohol use disorderPercent of veteransMore multimorbidityClinical correlatesVHA usersFiscal year 2012Vulnerable veteransMultimorbidityBivariate analysisGreater riskLogistic regressionMajor cause
2017
Psychotropic Medication Prescribing in Iraq/Afghanistan Veterans and Vietnam Era Veterans With Posttraumatic Stress Disorder
Vojvoda D, Stefanovics EA, Rosenheck RA. Psychotropic Medication Prescribing in Iraq/Afghanistan Veterans and Vietnam Era Veterans With Posttraumatic Stress Disorder. The Journal Of Nervous And Mental Disease 2017, 205: 848-854. PMID: 28953506, DOI: 10.1097/nmd.0000000000000755.Peer-Reviewed Original ResearchConceptsIraq/Afghanistan veteransPosttraumatic stress disorderVietnam-era veteransAfghanistan veteransEra veteransAnxiolytics/sedatives/hypnoticsVeterans Health Administration (VHA) administrative dataStress disorderSedative/hypnoticsPsychotropic medication prescribingVeterans Health AdministrationNumber of prescriptionsProportion of veteransIraq/Afghanistan warMedication prescribingPsychotropic medicationsPsychotropic pharmacotherapyFiscal year 2012Psychopharmacological treatmentSame diagnosisHealth AdministrationYounger groupVeteransPrazosinAdministrative dataReceptivity to a peer counselling program and recovery atmosphere as perceived by Veterans Health Administration peer support specialists and supervisors
Stefanovics E, Drebing C, Sweeney P, Sofuoglu M, Rosenheck R. Receptivity to a peer counselling program and recovery atmosphere as perceived by Veterans Health Administration peer support specialists and supervisors. American Journal Of Psychiatric Rehabilitation 2017, 20: 62-73. DOI: 10.1080/15487768.2016.1267050.Peer-Reviewed Original ResearchVeterans Health AdministrationRecovery Self-AssessmentPeer support specialistsPeer support servicesRecovery attitudesSerious mental illnessPromotion of recoveryVA facilitiesVHA sampleHealth AdministrationMental illnessSupport specialistsPeer counselling programmeSupport servicesConvenience sampleLevels of receptivityRSA scoresPeer supportPeer supervisorsCounselling programmeScoresMore recoveryReceptivitySelf-AssessmentStandard measures