A5020580683- Opioid Use Disorder Treatment
- Mental Health Treatment and Access
- Schizophrenia research and treatment
- Suicide and Self-Harm Studies
- Pain Management and Opioid Use
- Substance Abuse Treatment and Outcomes
- Musculoskeletal pain and rehabilitation
- Chronic Disease Management Strategies
- Eating Disorders and Behaviors
- Mental Health and Psychiatry
- Health Policy Implementation Science
- Prenatal Substance Exposure Effects
- Diet and metabolism studies
- Mental Health and Patient Involvement
- Homelessness and Social Issues
- Obesity and Health Practices
- Poisoning and overdose treatments
- Primary Care and Health Outcomes
- Bipolar Disorder and Treatment
- HIV, Drug Use, Sexual Risk
- Pain Management and Placebo Effect
- Obsessive-Compulsive Spectrum Disorders
- Treatment of Major Depression
- Psychosomatic Disorders and Their Treatments
- Human-Animal Interaction Studies
Kaiser Permanente Center for Health Research
2016-2025
Kaiser Permanente
2012-2024
Kaiser Permanente Washington Health Research Institute
2017-2022
HealthPartners
2018-2022
Henry Ford Health System
2018-2022
MultiCare Health System
2022
Vanderbilt University
2021
Behavioral Health Services
2021
Seminole Public Schools
2020
VA Portland Health Care System
2019
Objectives: The STRIDE study assessed whether a lifestyle intervention, tailored for individuals with serious mental illnesses, reduced weight and diabetes risk. authors hypothesized that the intervention would be more effective than usual care in reducing improving glucose metabolism. Method: design was multisite, parallel two-arm randomized controlled trial community settings an integrated health plan. Participants who met inclusion criteria were ≥18 years old, taking antipsychotic agents...
Individuals with psychotic disorders have increased mortality, and recent research suggests a marked increase shortly after diagnosis.To use population-based data to examine overall cause-specific mortality first diagnosis of disorder.This cohort study used records from 5 integrated health systems that serve more than 8 million members in states. Members aged 16 through 30 years who received lifetime disorder September 30, 2009, 2015, 2 comparison groups matched for age, sex, system, year...
Most clinic-based weight control treatments for youth have been designed preadolescent children by using family-based care. However, as adolescents become more autonomous and less motivated parental influence, this strategy may be appropriate. This study evaluated a primary care-based, multicomponent lifestyle intervention specifically tailored overweight adolescent females.Adolescent girls (N = 208) 12 to 17 years of age (mean ± SD: 14.1 1.4 years), with mean SD BMI percentile 97.09 2.27,...
Increasing evidence supports the effectiveness of comprehensive early intervention at first onset psychotic symptoms. Implementation programs will require population-based data on overall incidence symptoms and care settings presentation.In five large health systems, electronic records were used to identify all occurrences psychosis diagnoses among persons ages 15-59 between January 1, 2007, December 31, 2013 (N=37,843). For a random sample these putative cases (N=1,337), review full-text...
Individuals with serious mental illnesses are disproportionately affected by overweight and obesity. Understanding the factors that facilitate or hinder lifestyle change in this population could lead to better interventions improved health outcomes.
OBJECTIVE The objective was to identify trajectories of recovery from serious mental illnesses. METHODS A total 177 members (92 women; 85 men) a not-for-profit integrated health plan participated in two-year mixed-methods study (STARS, the Study Transitions and Recovery Strategies). Diagnoses included schizophrenia, schizoaffective disorder, bipolar affective psychosis. Data sources self-reported standardized measures, interviewer ratings, qualitative interviews, data. conceptualized as...
Veterans with posttraumatic stress disorder (PTSD) are increasingly seeking service dogs to help them manage trauma-related symptoms, yet literature describing dog use in this population is scant. The goal of study was document the benefits and challenges experienced by veterans trained assist PTSD-related needs.Participants were (N = 41) dogs, their caregivers (n 8), recruited through community-based training agencies. We conducted in-depth interviews observed sessions as part a larger...
Abstract Background Individuals with major depressive disorder (MDD) and bipolar (BD) have particularly high rates of chronic non-cancer pain (CNCP) are also more likely to receive prescription opioids for their pain. However, there been no known studies published date that examined opioid treatment patterns among individuals schizophrenia. Methods Using electronic medical record data across 13 Mental Health Research Network sites, diagnoses MDD ( N = 65,750), BD 38,117) or schizophrenia...
The United States is in the middle of an opioid overdose epidemic, and experts are calling for improved detection use disorders (OUDs) treatment with buprenorphine or extended release (XR) injectable naltrexone, which can be prescribed general medical settings. To better understand magnitude opportunities among primary care (PC) patients, we estimated prevalence documented OUD medication PC patients.
Most people with opioid use disorder (OUD) never receive treatment. Medication treatment of OUD in primary care is recommended as an approach to increase access care. The PRimary Care Opioid Use Disorders (PROUD) trial tests whether implementation a collaborative model (Massachusetts Model) using nurse manager (NCM) support medication increases and improves outcomes. Specifically, it care, compared usual the number days for (implementation objective) reduces acute health utilization...
Statistical models, including those based on electronic health records, can accurately identify patients at high risk for a suicide attempt or death, leading to implementation of prediction models population-based prevention in systems. However, some have questioned whether statistical predictions really inform clinical decisions. Appropriately reconciling algorithms with traditional clinician assessment depends from these two methods are competing, complementary, merely duplicative. In June...
The authors measured implementation of Zero Suicide (ZS) clinical practices that support identification suicide risk and mitigation, including screening, assessment, lethal means counseling, across mental health specialty primary care settings.
Objectives: This study examined needs related to posttraumatic stress disorder (PTSD), assistance by service dogs, and feasibility of data collection among veterans receiving dogs. Methods: Questionnaires assessed PTSD-related services performed or expected be dogs 78 who had were on a wait list for dog (average age, 42; women, 31%). Analyses compared pre-post characteristics 22 received as part the (91% follow-up; average follow-up=3.37±2.57 months). Results: Veterans reported that most...
Importance Suicide is a major public health concern, and as most individuals have contact with care practitioners before suicide, systems are essential for suicide prevention. The Zero (ZS) model the recommended approach prevention in systems, but more evidence needed to support its widespread adoption. Objective To examine attempt rates associated implementation of ZS outpatient mental within 6 US systems. Design, Setting, Participants This quality improvement study an interrupted time...
The purpose of this study was to compare effects adverse childhood experiences and adult on recovery from serious mental illnesses.As part a mixed-methods illnesses, we interviewed administered questionnaires 177 members not-for-profit health plan over 2-year period. Participants had diagnosis bipolar disorder, affective psychosis, schizophrenia, or schizoaffective disorder. Data for analyses came standardized self-reported measures; outcomes included recovery, functioning, quality life,...
AbstractObjective: Individuals with serious mental illnesses are more likely to have substance-related problems than those without health problems. They also face difficult recovery trajectories as they cope dual disorders. Nevertheless, little is known about individuals' perspectives regarding their experiences. Methods: This qualitative analysis was conducted part of an exploratory mixed-methods study recovery. Members Kaiser Permanente Northwest (a group-model, not-for-profit, integrated...