A5026755757- Bipolar Disorder and Treatment
- Schizophrenia research and treatment
- Mental Health Treatment and Access
- Family Caregiving in Mental Illness
- Maternal Mental Health During Pregnancy and Postpartum
- Electroconvulsive Therapy Studies
- Adolescent and Pediatric Healthcare
- Mental Health and Psychiatry
- Telemedicine and Telehealth Implementation
- Primary Care and Health Outcomes
- Healthcare Systems and Technology
- Health Sciences Research and Education
- Innovations in Medical Education
- Health and Medical Research Impacts
- Chronic Disease Management Strategies
- Digital Mental Health Interventions
- Psychiatric care and mental health services
- Psychosomatic Disorders and Their Treatments
- Treatment of Major Depression
- Neurological and metabolic disorders
- Child and Adolescent Psychosocial and Emotional Development
- Family Support in Illness
- Posttraumatic Stress Disorder Research
- Interprofessional Education and Collaboration
- Diet and metabolism studies
University of Cincinnati Medical Center
2025
VA Puget Sound Health Care System
2014-2024
University of Washington
2015-2024
Seattle University
2019-2022
VA Boston Healthcare System
2019
United States Department of Veterans Affairs
2019
Health Services Research & Development
2019
Harvard University
2019
Marshall B. Ketchum University
2019
Cornell University
2018
IMPORTANCEAlthough schizophrenia is associated with several age-related disorders and considerable cognitive impairment, it remains unclear whether the risk of dementia higher among persons compared those without schizophrenia.OBJECTIVE To determine in a large nationwide cohort study up to 18 years follow-up, taking age established factors for into account. DESIGN, SETTING, AND PARTICIPANTSThis population-based more than 2.8 million aged 50 or older used individual data from 6 registers...
Only one-third of patients with complex psychiatric disorders engage in specialty mental health care, and only one-tenth receive adequate treatment primary care. Scalable approaches are critically needed to improve access effective treatments underserved care settings.
Hospitalizations for ambulatory care-sensitive conditions (ACSCs) and early rehospitalizations increase health care costs.To determine if individuals with serious mental illnesses (SMIs) (eg, schizophrenia or bipolar disorder) are at increased risk hospitalizations ACSCs, rehospitalization the same another ACSC, within 30 days.Population-based cohort study.A total of 5.9 million Danish persons aged 18 years older between January 1, 1999 December 31, 2013.The Psychiatric Central Register...
Abstract Evidence describing the association between sleep quality and trauma‐focused therapy is mixed. This secondary analysis of a primary care sample examined whether (a) baseline moderated posttraumatic stress disorder (PTSD) symptom severity over time across groups receiving different doses cognitive processing (CPT) (b) improved with CPT. Participants were 227 adults who screened positive for PTSD participating in clinical trial comparing two models treatment delivery care. The...
This study aimed to describe the characteristics of primary care patients with bipolar disorder enrolled in a statewide mental health integration program (MHIP).With Composite International Diagnostic Interview (Version 3.0) and clinician diagnosis, 740 were identified Washington State between January 2008 December 2011. Clinical rating scales administered at time enrollment during treatment. Quality-of-care outcomes obtained from systematic review patient disease registry compared previous...
Use quality improvement methods to implement evidence-based practices for bipolar depression and treatment-resistant in 6 Federally Qualified Health Centers.Following qualitative needs assessments, implementation teams comprised of front-line providers, patients, content experts identified, adapted, adopted practices. With external facilitation, onsite clinical champions led the deployment Evaluation data were collected from 104 patients with probable disorder or via chart review an...
It is estimated that the prevalence of depression among women seen at obstetrics and gynecology clinics ranges from 4% to 22%. Most with do not present symptoms. Because they often headache or other somatic symptoms, less than one third these are accurately diagnosed. The aims this study were describe presenting symptoms who screened positive for in clinics, determine frequency a diagnosis depression, investigate factors associated by an obstetrician-gynecologist (ob-gyn). Data obtained...
To understand primary care patients' and clinicians' experiences with diagnosis treatment of patients bipolar disorder in care. We conducted a qualitative study using thematic content analysis individual interviews nine clinicians six from Federally Qualified Health Centers to their the disorder. Themes detection, referral specialty mental health medication emerged clinicians. Clinicians faced challenges deciding continue that is easier access, but less intensive, than can be harder access...
This study examined whether psychiatric case review was associated with depression medication modification in a large implementation program of collaborative care for safety-net primary clinics.Registry data were from an the model Washington State. A total 14,960 adults 178 clinics who initiated between January 1, 2008, and September 30, 2014, had baseline Patient Health Questionnaire-9 (PHQ-9) score 10 or higher included. Rates reviews receipt new medications extracted registry all patients...
Availability of mental health services is limited in the rural United States. Two promising models to reach patients with access care are telehealth referral and collaborative care. The objective this study was assess telepsychiatrist- telepsychologist-level facilitators barriers satisfaction implementation these 2 settings.
To describe the presenting symptoms of women with depression in two obstetrics and gynecology clinics, determine diagnosis frequency, examine factors associated diagnosis.Data were extracted from charts screening positive for a clinical trial testing collaborative care intervention. Bivariate multivariable analyses examined patient by an obstetrician-gynecologist (ob-gyn).Eleven percent presented psychologic chief complaint but another 30% mentioned distress. All others noted physical only...