A5016984954- Mental Health Treatment and Access
- Psychopathy, Forensic Psychiatry, Sexual Offending
- Schizophrenia research and treatment
- Healthcare Decision-Making and Restraints
- Bipolar Disorder and Treatment
- Psychiatric care and mental health services
- Homelessness and Social Issues
- Mental Health and Patient Involvement
- Child Abuse and Trauma
- Substance Abuse Treatment and Outcomes
- Health Policy Implementation Science
- Posttraumatic Stress Disorder Research
- Child and Adolescent Psychosocial and Emotional Development
- Primary Care and Health Outcomes
- Adolescent and Pediatric Healthcare
- Criminal Justice and Corrections Analysis
- Maternal Mental Health During Pregnancy and Postpartum
- Crime Patterns and Interventions
- Opioid Use Disorder Treatment
- Electroconvulsive Therapy Studies
- Emergency and Acute Care Studies
- Community Health and Development
- Digital Mental Health Interventions
- Health disparities and outcomes
- Suicide and Self-Harm Studies
University of New Mexico
2016-2025
University of Pittsburgh
2023
University of California, San Francisco
2023
Health Resources and Services Administration
2021
Western Interstate Commission for Higher Education
2015
Behavioral Health Research Center of the Southwest
2011
University of Hawaiʻi at Mānoa
2000-2010
FrontLine Service
2010
University of Hawaii System
2000-2008
Hawaii Department of Health
1999-2003
Some believe serious mental illness has been "criminalized." Effects of and substance abuse on criminal offenses were studied for 113 postbooking jail diversion participants their nondiverted counterparts.Raters read participants' police report descriptions explanations them. Using 5-point scales, raters independently estimated whether an offense resulted directly or indirectly from abuse.Serious had little effect offenses. However, led to a sizable minority was more likely than cause...
Abstract Using the Cascade of Care framework, we explored demographic and clinical characteristics students at six stages in an early psychosis detection program a college counseling center, with focus on transition between highest disengagement. We detailed compared those who (1) completed Prodromal Questionnaire-Brief (PQ-B, N = 1588); (2) met PQ-B cutoff score (n 486); (3) were referred for secondary phone screening 404); (4) 198); (5) Coordinated Specialty (CSC) eligibility assessment...
Prolonged untreated psychosis worsens outcomes, thus motivating the study of pathways and perceived barriers to care, especially for high-risk age groups like college students. The primary objective this was explore coordinated specialty care (CSC) in students at high risk or with first-episode determine any association between them. Twenty-four enrolled CSC completed Circumstances Onset Relapse Schedule Barriers Seeking Psychological Help Scale (BSPHS). Non-parametric tests were used...
Permanent supportive housing (PSH) is an evidence-based health intervention for persons experiencing homelessness, but the impact of individual mechanisms within this on requires further research. This study examines longitudinal mechanism a peer-delivered PSH model overall and mental (as measured by psychological distress self-report bothersome symptoms) outcomes in ethnically diverse population. The 237 participants included who were homeless or at risk homelessness also had been diagnosed...
Objectives As part of a series Patient‐Centered Outcomes Research Institute‐funded large‐scale retrospective observational studies on bipolar disorder ( BD ) treatments and outcomes, we sought the input patients with their family members to develop research questions. We aimed identify systemic root causes patient‐reported challenges management in order guide subsequent initiatives. Methods Three focus groups were conducted where (total n = 34) formulated questions around central theme,...
To compare the largest set of bipolar disorder pharmacotherapies to date (102 drugs and drug combinations) for risk diabetes mellitus (DM). The IBM MarketScan® database was used retrospectively analyze data on 565,253 adults with without prior glucose metabolism-related diagnoses. compared were lithium, mood-stabilizing anticonvulsants, antipsychotics, antidepressants (monotherapy multi-class polypharmacy). Cox regression modeling included fixed pre-treatment covariates time-varying exposure...
The placement of a peer support workers (PSWs) in emergency departments (ED) is promising practice for supporting persons with opioid use disorder who are presenting an overdose or related medical condition. However, this underutilized. objective study was to identify the challenges employing PSWs ED and provide checklist increase likelihood their successful integration retention environment. Qualitative methods were used collect data from nineteen key stakeholders worked hospital settings....
Study attrition is a problem in all community-based intervention studies using longitudinal research designs, but compounded with hard to reach populations. High poses threats internal and external validity may result an inadequate sample size. The purpose of our study was determine the characteristics associated attrition. employed data from cross-site evaluation jail diversion programs. A self-report interview conducted at baseline for 1,289 individuals. 33% 52% rate observed 6-month...
Objective: Low mental health literacy (MHL) is widespread in the general population and even more so among racial ethnic minority groups. Mental Health First Aid (MHFA) aims to improve MHL. The objective of this study was determine impact MHFA on perceptions confidence about MHL a large national sample by subgroup. Methods: self-perceived 36,263 people who completed 12-hour training feedback form examined. Results: A multiple regression analysis showed that resulted high ratings being able...
Nationally, the behavioral health workforce is in crisis because of a lack resources, culturally responsive services, quality clinical supervision, sufficient training evidence-based practices, and targeted recruitment retention. Disparities access to care are particularly significant New Mexico, where 25% population live rural areas, shortages among highest nation. Additionally, as Medicaid expansion state, Mexico providers experience increased demand for services at time when state...
Article AbstractContext: Ethnoracial differences may exist in exposure to trauma and posttraumatic outcomes. However, Asian Americans Native Hawaiians/other Pacific Islanders (NHOPIs) are vastly underrepresented research pertaining health status sequelae. Objective: To determine whether there ethnoracial disparities sexual its sequelae for functioning among NHOPIs. Method: We examined data on assault from the 2006-2007 Hawaii Behavioral Risk Factor Surveillance System (H-BRFSS), which...
Mental Health First Aid (MHFA) has the potential to addresses health disparities, especially within rural communities that are underserved with respect behavioral services, through increasing mental literacy among key community members. Because MHFA instructors play a role in dissemination of MHFA, their views on challenges delivering course important. The purpose this study was identify type and extent have experienced, or expect experience, when disseminating New Mexico. An online survey...
Until recently, the Criminal Code of Canada, enacted in 1892, stood stalwart to social, political and technological changes, particularly with respect regulations pertaining management mentally ill offender. This became more definitely so enactment Canadian Charter Rights Freedoms (1984) as many about offenders contravened mandates contained Charter. The Supreme Court Canada's decision on Regina v. Swain spurred Federal Government bring offender into line result was Bill C-30 which intended...
Abstract This randomized controlled non-inferiority trial explored the effectiveness of Seeking Safety (SS) delivered by peer providers compared to its delivery licensed behavioral health clinicians. The study enrolled 291 adults with PTSD and/or substance use disorders. Data were collected at 3 and 6-months post start treatment. With respect long-term outcomes, 6 months symptoms decreased 5.1 points [95% CI (− 9.0, − 1.1)] 4.9 8.6, coping skills increased 5.5 (0.4, 10.6)] 5.6 (0.8, 10.4)],...
Patient education has taken center stage in successfully shared decision making between patients and health care providers. However, little is known about how with bipolar disorder typically obtain information on their illness the treatment options available to them.This study aimed perspectives of family members preferred most effectively used channels options.We conducted nine focus groups Montana, New Mexico, California, which we surveyed 84 individuals including disorder. The...
Peer providers have been associated with positive outcomes in behavioral health, but little is known about the perceived helpfulness of their services. We used a mixed-methods randomized controlled trial to compare seeking safety (SS) led by peer compared its delivery licensed health clinicians (including both alcohol and drug abuse counselor clinical mental counselor). Participants (N = 278) rated 12 SS topics at end every session. A subset (n 245) participants also overall treatment...
: This study compared the largest set of bipolar disorder pharmacotherapies to date (71 drugs and drug combinations) for risk kidney disorders (KDs). retrospective observational used IBM MarketScan® database analyze data on 591,052 adults with without prior nephropathy, onset KDs (of "moderate" or "high" severity) following psychopharmacotherapy (lithium, mood stabilizing anticonvulsants [MSAs], antipsychotics, antidepressants), "No drug". Cox regression models included fixed pre-treatment...