A5016547880- Mental Health Treatment and Access
- Schizophrenia research and treatment
- Primary Care and Health Outcomes
- Healthcare Policy and Management
- Health disparities and outcomes
- Chronic Disease Management Strategies
- Child and Adolescent Psychosocial and Emotional Development
- Mental Health and Psychiatry
- Health Systems, Economic Evaluations, Quality of Life
- Mental Health and Patient Involvement
- Health Policy Implementation Science
- Psychiatric care and mental health services
- Substance Abuse Treatment and Outcomes
- Employment and Welfare Studies
- Mental Health Research Topics
- Suicide and Self-Harm Studies
- Cardiac Health and Mental Health
- Opioid Use Disorder Treatment
- Homelessness and Social Issues
- Patient Satisfaction in Healthcare
- Maternal Mental Health During Pregnancy and Postpartum
- Workplace Health and Well-being
- Family Caregiving in Mental Illness
- Bipolar Disorder and Treatment
- Global Health Care Issues
Emory University
2016-2025
Southeast Tech
2024
International Rescue Committee
2023
Walker (United States)
2021-2022
Georgia Mental Health Consumer Network
2018-2022
Mathematica Policy Research
2022
San Francisco Department of Public Health
2022
RAND Corporation
2021-2022
University of California, San Francisco
2020-2022
Duke University
2022
Treatments have been developed and tested to successfully reduce the symptoms disabilities of many mental illnesses. Unfortunately, people distressed by these illnesses often do not seek out services or choose fully engage in them. One factor that impedes care seeking undermines service system is illness stigma. In this article, we review complex elements stigma order understand its impact on participating care. We then summarize public policy considerations tackle improve treatment...
Background The aim was to examine barriers initiation and continuation of treatment among individuals with common mental disorders in the US general population. Method Respondents National Comorbidity Survey Replication 12-month DSM-IV mood, anxiety, substance, impulse control childhood were asked about perceived need for treatment, structural attitudinal/evaluative treatment. Results Low reported by 44.8% respondents a disorder who did not seek Desire handle problem on one's own most reason...
Excess mortality in persons with severe mental disorders (SMD) is a major public health challenge that warrants action. The number and scope of truly tested interventions this area remain limited, strategies for implementation scaling up programmes strong evidence base are scarce. Furthermore, the majority available focus on single or an otherwise limited risk factors. Here we present multilevel model highlighting factors excess SMD at individual, system socio‐environmental levels. Informed...
ContextA number of studies have found race- and sex-based differences in rates cardiovascular procedures the United States. Similarly, mental disorders might be expected to associated with lower such on basis clinical, socioeconomic, patient, provider factors.ObjectiveTo assess whether having a comorbid disorder is likelihood cardiac catheterization and/or revascularization after acute myocardial infarction.DesignRetrospective cohort study using data from medical charts administrative files...
This study investigated whether differences in quality of medical care might explain a portion the excess mortality associated with mental disorders year after myocardial infarction.This examined national cohort 88 241 Medicare patients 65 years and older who were hospitalized for clinically confirmed acute infarction. Proportional hazard models compared association between before adjusting 5 established indicators: reperfusion, aspirin, beta-blockers, angiotensin-converting enzyme...
With Serious Mental IllnessThe coronavirus disease 2019 (COVID-19) pandemic will present an unprecedented stressor to patients and health care systems across the globe.Because there is currently no vaccine or treatment for underlying infection, current efforts are focused on providing prevention screening, maintaining continuity of other chronic conditions, ensuring access appropriately intensive services those with most severe symptoms. 1isasters disproportionately affect poor vulnerable...
Background: This randomized trial evaluated an integrated model of primary medical care for a cohort patients with serious mental disorders.Methods: A total 120 individuals enrolled in Veterans Affairs (VA) health clinic were to receive through initiative located the (n=59) or VA general medicine (n=61).Veterans who obtained received on-site and case management that emphasized preventive care, patient education, close collaboration providers improve access continuity care.Analyses compared...
ContextThe terms alternative and complementary medicine suggest 2 contradictory possibilities.Whether individuals use unconventional therapies as a substitute for or an "add on" to conventional medical treatments is uncertain.Objective To determine the association between of care in national sample. Design, Setting, ParticipantsThe 1996 Medical Expenditure Panel Survey was distributed probability sample noninstitutionalized civilian US population.Of 24 676 responding (77.7% response rate),...
Background Although growing concern has been expressed about premature medical mortality in persons with mental illness, limited data are available quantifying the extent and correlates of this problem using population-based, nationally representative samples. Methods The study used from 1989 National Health Interview Survey health supplement, through 2006 linked Death Index (80,850 participants, 16,435 deaths). Multivariable models adjusting for demographic factors assessed increased hazard...
OBJECTIVE: Employers are playing an increasingly influential role in determining the scope and character of health coverage United States. This study compares disability costs depressive illness with those four other chronic conditions among employees a large U.S. corporation. METHOD: Data from employee files 15,153 major corporation who filed claims 1995 were examined. Analyses compared mental costs, medical sick days, total associated depression conditions: heart disease, diabetes,...
Poor quality of healthcare contributes to impaired health and excess mortality in individuals with severe mental disorders. The authors tested a population-based medical care management intervention designed improve primary community settings.A total 407 subjects illness at an urban center were randomly assigned either the or usual care. For group, managers provided communication advocacy providers, education, support overcoming system-level fragmentation barriers care.At 12-month follow-up...
This study compares quality of preventive services between persons with and without mental/substance use disorders for a national sample medical outpatients.Cross-sectional study.A total 113,505 veterans chronic conditions at least three general visits to Veterans Health Administration providers during 1998 1999.Chart-derived rates eight services: two measures immunization, four cancer screening, tobacco screening counseling. Multivariable-generalized estimating equations compared each...
Increasing mental health treatment of young people and broadening conceptualizations psychopathology have triggered concerns about a disproportionate increase in the youths with low levels impairment.
Objective: The purpose of this study was to provide updated national estimates and correlates service use, unmet need, barriers mental health treatment among adults with disorders. Methods: sample included 36,647 ages 18–64 (9,723 any illness 2,608 serious illness) from the 2011 National Survey on Drug Use Health. Logistic regression models were used examine predictors perceived need. Results: Substantial numbers did not receive (any illness, 62%; 41%) an need for 21%; 41%). Having insurance...
Using a nationally representative sample of 23,230 U.S. residents, we examine patterns economic burden across five chronic conditions: mood disorders, diabetes, heart disease, asthma, and hypertension. Almost half health care costs in 1996 were borne by persons with one or more these conditions; that spending amount, only about one-quarter was spent on treating the conditions themselves remainder coexistent illnesses. Each condition demonstrated substantial but also unique characteristics...
Background: This study examines the association between presence of a general medical illness and suicidality in representative sample US young adults.Methods: Between 1988 1994, 7589 individuals aged 17 to 39 years were administered Diagnostic Interview Schedule as part national probability survey.The survey collected information about lifetime suicidal ideation suicide attempts, checklist common conditions, data on major depression, alcohol use, demographic characteristics.Results: Whereas...
Although mental health treatment dropout is common, patterns and predictors of are poorly understood. This study explored in a nationally representative sample.
This article reports recent trends in the use of outpatient psychotherapy United States.Data from household sections 1987 National Medical Expenditure Survey and 1997 Panel were analyzed. Trends rate these nationally representative samples are presented by age, sex, race/ethnicity, marital status, education, employment income. Psychotherapy users compared over time provider specialty, concomitant psychotropic medication use, number annual visits, costs. In addition, payment source primary...