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 intensity
2003
Cost-effectiveness of Supported Housing for Homeless Persons With Mental Illness
Rosenheck R, Kasprow W, Frisman L, Liu-Mares W. Cost-effectiveness of Supported Housing for Homeless Persons With Mental Illness. JAMA Psychiatry 2003, 60: 940-951. PMID: 12963676, DOI: 10.1001/archpsyc.60.9.940.Peer-Reviewed Original ResearchMeSH KeywordsAdultCase ManagementCommunity-Institutional RelationsCost of IllnessCost-Benefit AnalysisFemaleFinancing, GovernmentGovernment AgenciesHealth Care CostsHealth StatusHumansIll-Housed PersonsMaleMental DisordersProgram EvaluationProspective StudiesPublic HousingSocial AdjustmentSubstance-Related DisordersUnited StatesUnited States Department of Veterans AffairsVeteransConceptsStandard care groupIntensive case managementStandard careCase managementCare groupMore daysMental illnessVeterans AffairsIncremental cost-effectiveness ratioSuperior housing outcomesSubstance abuse statusHUD-VASHMental health statusSubstance abuse disordersCost-effectiveness ratioCommunity adjustmentMental illness resultsSupported housing programsSecondary outcomesPrimary outcomeAbuse disordersIllness resultsControl groupHealth statusSocietal perspective
2001
Use of Pharmacy Data to Assess Quality of Pharmacotherapy for Schizophrenia in a National Health Care System
Leslie D, Rosenheck R. Use of Pharmacy Data to Assess Quality of Pharmacotherapy for Schizophrenia in a National Health Care System. Medical Care 2001, 39: 923-933. PMID: 11502950, DOI: 10.1097/00005650-200109000-00003.Peer-Reviewed Original ResearchMeSH KeywordsAcademic Medical CentersAdultAntipsychotic AgentsComorbidityDelivery of Health Care, IntegratedDiagnosis, Dual (Psychiatry)FemaleGuideline AdherenceHumansMaleMental Health ServicesMiddle AgedNational Health ProgramsOutcome and Process Assessment, Health CarePatient CompliancePolypharmacyPractice Guidelines as TopicSchizophreniaUnited StatesUnited States Department of Veterans AffairsConceptsPatient Outcomes Research TeamLarger mental health systemMultiple antipsychotic medicationsAntipsychotic medicationPORT recommendationsSchizophrenia Patient Outcomes Research TeamVeterans AffairsHealth systemTotal weekly doseTreatment of schizophreniaPrescription drug recordsMental health systemHealth care systemGeneralized estimation equationsMultiple antipsychoticsNational Health SystemOlder patientsWeekly doseNational health care systemPharmacy dataComorbid depressionTreatment recommendationsDrug recordsMedicationsPatientsThe Effect of Institutional Fiscal Stress on the Use of Atypical Antipsychotic Medications in the Treatment of Schizophrenia
LESLIE D, ROSENHECK R. The Effect of Institutional Fiscal Stress on the Use of Atypical Antipsychotic Medications in the Treatment of Schizophrenia. The Journal Of Nervous And Mental Disease 2001, 189: 377-383. PMID: 11434638, DOI: 10.1097/00005053-200106000-00005.Peer-Reviewed Original ResearchMeSH KeywordsAlzheimer DiseaseAntipsychotic AgentsBenzodiazepinesBudgetsClozapineComorbidityDepressive DisorderDrug CostsFemaleHealth Care CostsHealth FacilitiesHumansMaleMiddle AgedOlanzapinePirenzepinePractice Patterns, Physicians'Regression AnalysisRisperidoneSchizophreniaTreatment OutcomeUnited StatesUnited States Department of Veterans AffairsConceptsAtypical antipsychotic medicationsTreatment of schizophreniaAtypical antipsychoticsAntipsychotic medicationExpensive atypical antipsychotic medicationsVeterans AffairsPrescription drug recordsGeneralized estimation equationsDrug recordsPatientsReduced likelihoodAntipsychoticsMedicationsFacility characteristicsSchizophreniaAtypicalsFinal sampleTreatmentOlanzapineRisperidone
2000
Primary care satellite clinics and improved access to general and mental health services.
Rosenheck R. Primary care satellite clinics and improved access to general and mental health services. Health Services Research 2000, 35: 777-90. PMID: 11055448, PMCID: PMC1089152.Peer-Reviewed Original ResearchConceptsCommunity-based primary care clinicsVA mental health servicesPrimary care clinicsGeneral health care servicesMental health servicesHealth care servicesMental health componentCare clinicsProportion of veteransHealth servicesCare servicesHealth care componentNew clinicCare componentsHealth componentVeterans AffairsVA compensationVA health care servicesComparison countiesHealth careGeneral health careGeneral veteran populationFY 1995Mental health careNew primary care clinicOutcomes monitoring and the testing of new psychiatric treatments: work therapy in the treatment of chronic post-traumatic stress disorder.
Rosenheck R, Stolar M, Fontana A. Outcomes monitoring and the testing of new psychiatric treatments: work therapy in the treatment of chronic post-traumatic stress disorder. Health Services Research 2000, 35: 133-51. PMID: 10778827, PMCID: PMC1089118.Peer-Reviewed Original ResearchConceptsPost-traumatic stress disorderWar-related post-traumatic stress disorderVeterans AffairsStress disorderUntested treatmentsChronic post-traumatic stress disorderTreatment of PTSDTreatment of patientsFour-month followCWT programAdministrative databasesObservational studyInpatient programOutcome measuresWork therapy programMedical statusTreatment groupsPsychiatric treatmentTherapy interventionPropensity scoringUse of outcomesDrug usePatientsTherapy programPropensity scoreBenchmarking 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 systemMortality among Homeless and Nonhomeless Mentally Ill Veterans
KASPROW W, ROSENHECK R. Mortality among Homeless and Nonhomeless Mentally Ill Veterans. The Journal Of Nervous And Mental Disease 2000, 188: 141-147. PMID: 10749278, DOI: 10.1097/00005053-200003000-00003.Peer-Reviewed Original ResearchConceptsMortality riskGeneral U.S. populationMental health programsIll veteransCohort membersMortality rateHealth programsRetrospective cohort designU.S. populationHealth care systemPrior hospitalizationAge 45Cohort designOlder veteransElevated riskGeneral populationMale veteransNonsignificant trendAge 55Medical problemsVeterans AffairsCare systemBaselineMortalityAlcohol problemsCross‐system service use among psychiatric patients: Data from the Department of Veterans Affairs
Hoff R, Rosenheck R. Cross‐system service use among psychiatric patients: Data from the Department of Veterans Affairs. The Journal Of Behavioral Health Services & Research 2000, 27: 98-106. PMID: 10695244, DOI: 10.1007/bf02287807.Peer-Reviewed Original ResearchConceptsCross-system useNon-VA servicesPsychiatric patientsVA service-connected disabilityVeterans Affairs servicesMental health patientsService-connected disabilityMental health outpatientsHealth care systemSelf-reported useHealth patientsService useVA servicesVeterans AffairsPatientsCare systemVA utilizationDemographic informationSubstantial proportionTwo-week periodUtilization patternsDiagnosisMonthsWeeksVA
1998
The Use of VA and Non-VA Mental Health Services by Female Veterans
Hoff R, Rosenheck R. The Use of VA and Non-VA Mental Health Services by Female Veterans. Medical Care 1998, 36: 1524-1533. PMID: 9821940, DOI: 10.1097/00005650-199811000-00002.Peer-Reviewed Original ResearchConceptsNon-VA mental health servicesVA mental health servicesMental health servicesSpecialty mental health clinicsFemale veteransHealth servicesMale veteransVeterans AffairsService useMental health service useVA mental health careHealth service useMental health clinicsVA service useMental health careLogistic regression modelsHealth clinicsDiagnostic subgroupsPsychiatric diagnosisGender differencesVA servicesObjective diagnostic dataHealth careVeteransUtilization patternsAccess to Public Mental Health Services
Rosenheck R, Stolar M. Access to Public Mental Health Services. Medical Care 1998, 36: 503-512. PMID: 9544590, DOI: 10.1097/00005650-199804000-00006.Peer-Reviewed Original ResearchConceptsMental health servicesService system factorsHealth servicesUS veteransVeterans Affairs (VA) mental health servicesNational Veterans Affairs databaseMental health service useSystem factorsPublic mental health servicesVeterans Affairs databaseHealth service useCounty-level sociodemographic characteristicsHealth system performance assessmentClinical statusService useSociodemographic factorsMultivariate analysisSociodemographic characteristicsVeterans AffairsService system characteristicsVeteransUS countiesService deliverySubstitution effectFunding levelsA Mental Health Program Report Card: A Multidimensional Approach to Performance Monitoring in Public Sector Programs
Rosenheck R, Cicchetti D. A Mental Health Program Report Card: A Multidimensional Approach to Performance Monitoring in Public Sector Programs. Community Mental Health Journal 1998, 34: 85-106. PMID: 9559242, DOI: 10.1023/a:1018720414126.Peer-Reviewed Original Research
1997
Effectiveness 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 useOutcomesVeteransTreatmentThe relationship of public support payments to substance abuse among homeless veterans with mental illness
Frisman L, Rosenheck R. The relationship of public support payments to substance abuse among homeless veterans with mental illness. Psychiatric Services 1997, 48: 792-795. PMID: 9175187, DOI: 10.1176/ps.48.6.792.Peer-Reviewed Original ResearchConceptsSerious mental disordersDisability paymentsSubstance useSubstance abuseHomeless veteransMental disordersPublic support paymentsIll veteransDependence disordersCommunity outreach programsCurrent diagnosisMental illnessVeterans AffairsDisability statusNumber of daysStudy sampleDisability entitlementsDisordersVeteransFrequent usersAbuseSignificant relationshipReceiptOutreach programsChemical addiction
1996
Improving the efficiency of outpatient treatment for posttraumatic stress disorder
Fontana A, Rosenheck R. Improving the efficiency of outpatient treatment for posttraumatic stress disorder. Administration And Policy In Mental Health And Mental Health Services Research 1996, 23: 197-210. DOI: 10.1007/bf02108320.Peer-Reviewed Original ResearchMonths of treatmentOutpatient psychiatric treatmentDisorder treatment programsPosttraumatic stress disorderOutpatient treatmentService utilizationOutpatient programClinical gainsOutcome dataPsychiatric treatmentTreatment programVeterans AffairsStress disorderTreatmentMonthsWorkload projectionsPatientsIntensive servicesVisits
1995
Effect of clinician-veteran racial pairing in the treatment of posttraumatic stress disorder
Rosenheck R, Fontana A, Cottrol C. Effect of clinician-veteran racial pairing in the treatment of posttraumatic stress disorder. American Journal Of Psychiatry 1995, 152: 555-563. PMID: 7694904, DOI: 10.1176/ajp.152.4.555.Peer-Reviewed Original ResearchMeSH KeywordsAdultAmbulatory CareAntidepressive AgentsBlack or African AmericanCommunity Mental Health ServicesHumansMaleMiddle AgedPatient Acceptance of Health CarePatient DropoutsProgram EvaluationPsychotherapyPsychotropic DrugsStress Disorders, Post-TraumaticTreatment OutcomeUnited StatesUnited States Department of Veterans AffairsVeteransWhite PeopleConceptsPosttraumatic stress disorderImprovement ratingBlack veteransWhite cliniciansWhite veteransStress disorderBlack male veteransWar-related posttraumatic stress disorderClinician raceOutcome of treatmentLow program participationVeterans' raceAntidepressant medicationPrimary clinicianClinical statusClinician characteristicsMale veteransMultivariate analysisSociodemographic characteristicsLess improvementTreatment emphasisVeterans AffairsClinician ratingsSubstance abuseMore treatments
1992
War Zone Traumas and Posttraumatic Stress Disorder Symptomatology
FONTANA A, ROSENHECK R, BRETT E. War Zone Traumas and Posttraumatic Stress Disorder Symptomatology. The Journal Of Nervous And Mental Disease 1992, 180: 748-755. PMID: 1469372, DOI: 10.1097/00005053-199212000-00002.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderConstellation of symptomsWar-zone stressorsPosttraumatic stress disorder (PTSD) symptomatologyGeneral psychiatric distressVietnam theater veteransDiagnostic criteriaPsychiatric distressWar-zone traumaSuicide attemptsVeterans AffairsStress disorderInjuryClinical understandingTheater veteransCurrent symptomatologyDeathSymptomsTraumaDisorder symptomatologySymptomatologyObjective measuresVeteransNational evaluationTraumatic experiences