A5046187975- Child and Adolescent Psychosocial and Emotional Development
- Homelessness and Social Issues
- Posttraumatic Stress Disorder Research
- Child Abuse and Trauma
- Opioid Use Disorder Treatment
- Migration, Health and Trauma
- Digital Mental Health Interventions
- Mental Health Treatment and Access
- Food Security and Health in Diverse Populations
- Suicide and Self-Harm Studies
- Substance Abuse Treatment and Outcomes
- Child and Adolescent Health
- Attention Deficit Hyperactivity Disorder
- Adolescent and Pediatric Healthcare
- HIV, Drug Use, Sexual Risk
- Urban, Neighborhood, and Segregation Studies
- Resilience and Mental Health
- Machine Learning in Healthcare
- Autism Spectrum Disorder Research
- HIV/AIDS Research and Interventions
- COVID-19 and Mental Health
- Impact of Technology on Adolescents
- Health Policy Implementation Science
- Psychopathy, Forensic Psychiatry, Sexual Offending
- LGBTQ Health, Identity, and Policy
University of Illinois Chicago
2022-2025
National Institute on Drug Abuse
2025
National Institutes of Health
2025
University of Illinois Urbana-Champaign
1998-2025
Rush University Medical Center
2013-2023
Youth Development
2023
Rush University
2014-2022
Illinois Department of Human Services
2021
University of Wisconsin–Madison
2021
Fordham University
2021
Intensive delivery of evidence-based treatment for posttraumatic stress disorder (PTSD) is becoming increasingly popular overcoming barriers to veterans. Understanding how and whom these intensive treatments work critical optimizing their dissemination. The goals the current study were evaluate patterns PTSD depression symptom change over course a 3-week cohort-based outpatient program (IOP) veterans with PTSD, examine changes in cognitions as predictor response, determine whether outcome or...
Abstract Objectives To assess fairness and bias of a previously validated machine learning opioid misuse classifier. Materials & Methods Two experiments were conducted with the classifier’s original (n = 1000) external validation 53 974) datasets from 2 health systems. Bias was assessed via testing for differences in type II error rates across racial/ethnic subgroups (Black, Hispanic/Latinx, White, Other) using bootstrapped 95% confidence intervals. A local surrogate model estimated to...
This study reports a comprehensive environmental scan of the generative AI (GenAI) infrastructure in national network for clinical and translational science across 36 institutions supported by CTSA Program led National Center Advancing Translational Sciences (NCATS) Institutes Health (NIH) at United States. Key findings indicate diverse range institutional strategies, with most organizations experimental phase GenAI deployment. The results underscore need more coordinated approach to...
Alcohol misuse is present in over a quarter of trauma patients. Information the clinical notes electronic health record patients may be used for phenotyping tasks with natural language processing (NLP) and supervised machine learning. The objective this study to train validate an NLP classifier identifying alcohol misuse.An observational cohort 1422 adult admitted center between April 2013 November 2016. Linguistic was performed using Text Analysis Knowledge Extraction System. primary...
Youth homelessness is a substantial issue, and many youths experiencing have mental health issues as both cause consequence of homelessness. These face barriers to receiving traditional services, result, only few receive any form care.
Approaches are needed to better delineate the continuum of opioid misuse that occurs in hospitalized patients. A prognostic enrichment strategy with latent class analysis (LCA) may facilitate treatment strategies subtypes misuse. We aim identify patients and examine distinctions between by examining patient characteristics, topic models from clinical notes, outcomes.This was an observational study inpatient hospitalizations at a tertiary care center 2007 2017. Patients were identified using...
Abstract Objective Pediatric primary care (PPC) is a common treatment site for pediatric mental health, but it currently unable to meet the needs of all teen patients, particularly those with minoritized identities and/or marginalized experiences. Digital health (DMH) low-intensity treatments (LITs) can increase screening and capacity in PPC, how this done successfully without burdening providers, or families unclear. This paper presents pre-implementation study aimed at understanding...
Abstract: The rate of increase at which women are incarcerated in the United States dramatically outpaces among men. Women frequently enter incarceration after facing extensive trauma and often suffer consequences unacknowledged undertreated post-traumatic stress disorder (PTSD). Yet, little is known regarding types traumas that who (WI) experience, types/magnitude traumatic symptoms endured, or attitudes towards intervention. We sought to understand experiences WI (particularly those...
Objectives: Healthcare-associated stigma is a critical barrier for treatment engagement patients with substance use disorders. Although there are efforts to combat stigmatizing language in clinical documentation, little known about the presence of use-related structured diagnosis codes ubiquitous medicine. Methods: We examined terms contained within International Classification Diseases, 10th revision, modification (ICD-10-CM) code descriptions. Stigmatizing were compiled from guidelines...
This study examined prevalence rates of psychiatric disorders among young offenders after they were incarcerated for nine months.A total 790 youths surveyed, including a significant proportion females (N=140, 18%), months incarceration. The Structured Clinical Interview DSM-IV with portions the Diagnostic Children and Adolescents Personality used.Even when conduct disorder oppositional defiant excluded, 88% males 92% had (including substance use disorder); more than 80% met criteria some...
To examine the implications of an ontology aggressive behavior which divides aggression into reactive, affective, defensive, impulsive (RADI) or "emotionally hot"; and planned, instrumental, predatory (PIP) cold." Recent epidemiological, criminological, clinical neuroscience studies converge to support a connection between emotional trauma related psychopathology disturbances in emotions, self-regulation has important for diagnosis treatment, especially delinquent populations. Selective...
Homelessness has serious consequences for youth that heighten the need mental health services; however, these individuals face significant barriers to access. New models of intervention delivery are required improve dissemination interventions tailor services unique challenges faced by homeless youth. The purpose this study was better understand youths' use technology, experiences and needs, willingness engage with technology-supported help guide development future youth-facing...
Abstract Background Automated de-identification methods for removing protected health information (PHI) from the source notes of electronic record (EHR) rely on building systems to recognize mentions PHI in text, but they remain inadequate at ensuring perfect removal. As an alternative relying systems, we propose following solutions: (1) Mapping corpus documents standardized medical vocabulary (concept unique identifier [CUI] codes mapped Unified Medical Language System) thus eliminating as...
Youth experiencing housing instability have higher rates of mental health problems than their housed peers. Few studies evaluated technological resources for homeless youth to determine how effectively engage and reach them.The primary aims this pilot study were establish the feasibility (as measured by phone retention rates) acceptability (ie, participant ratings resources) delivering automated via smartphone technology.Youth aged 16 25 years (N=100) recruited through shelter agencies in...
In 2017, an academic health center in Chicago launched the multidisciplinary Substance Use Intervention Team (SUIT) to address opioid misuse across 18 inpatient units and a new outpatient addiction medicine clinic. This report assesses first 5 months of implementation associations with patient healthcare utilization.Patient demographic screening data were extracted from administrative warehouse electronic record (EHR) infrastructure. Distribution sample characteristics for positive initial...
Abstract Posttraumatic stress disorder (PTSD) treatments are increasingly delivered in massed formats and have shown comparable results to standard, weekly treatment. To date, cognitive processing therapy (CPT), daily, has been primarily combination with adjunctive services among veteran populations, but it not rigorously evaluated as a standalone intervention. The present study 1‐week CPT virtually (i.e., via telehealth) community sample of trauma‐exposed individuals ( N = 24). Using...