A5083325111- Schizophrenia research and treatment
- Family Caregiving in Mental Illness
- Mental Health and Patient Involvement
- Mental Health Treatment and Access
- Adolescent and Pediatric Healthcare
- Child and Adolescent Psychosocial and Emotional Development
- Digital Mental Health Interventions
- Maternal Mental Health During Pregnancy and Postpartum
- Treatment of Major Depression
- Tryptophan and brain disorders
- Child Nutrition and Feeding Issues
- Sleep and related disorders
- Psychiatric care and mental health services
- Early Childhood Education and Development
- Functional Brain Connectivity Studies
- Palliative Care and End-of-Life Issues
- Child Abuse and Trauma
- Healthcare Policy and Management
- Intergenerational Family Dynamics and Caregiving
- Occupational Therapy Practice and Research
- Bipolar Disorder and Treatment
- Youth Substance Use and School Attendance
- Food Waste Reduction and Sustainability
- Patient-Provider Communication in Healthcare
- Counseling Practices and Supervision
University of Maryland, Baltimore
2009-2024
VA Capitol Health Care Network
2016-2017
VA Maryland Health Care System
2017
Mental Illness Research, Education and Clinical Centers
2012-2013
VA Greater Los Angeles Healthcare System
2013
Columbia University
2012
Despite robust evidence of efficacy, family services for individuals diagnosed as having serious mental illness are limited availability and drastically underutilized. This underutilization may be due to a mismatch between consumer preferences the offered. study is first systematic report on expressed by consumers with involvement.The enrolled 232 health who had contact but did not have any regularly involved in their care. Consumers were recruited from outpatient clinics at three large...
Consumers with serious mental illness smoke more and are at higher risk for smoking-related illness. We examined provider consumer factors influencing the implementation of evidence-based "5 A's" (ask, advise, assess, assist, arrange) in six community health centers greater Baltimore.Data collected as part a larger study examining effectiveness delivery 5 A's patient visits. First, we responses to survey administered 49 clinicians on barriers attitudes toward delivering A's. Second, used...
The purposes of this research were to assess relationships between social support and objective subjective recovery in a sample adults with serious mental illness examine self-efficacy as potential mediator these relationships.In cross-sectional study, 250 individuals completed measures tapping network size, satisfaction support, perceived from the health system, self-efficacy, (i.e., psychiatric symptoms, functioning), recovery. Pearson product-moment correlations multiple linear regression...
This study aimed to assess racial differences in clozapine prescribing, dosing, symptom presentation and response, hospitalization status. extends previous studies of by examining patient- treatment-related factors that may help explain or eliminate reasons for differential prescribing.Clozapine records 373 white African American patients with schizophrenia schizoaffective disorder treated between March 1, 1994, December 31, 2000, inpatient mental health facilities the state Maryland were...
Family psychoeducation is a highly effective, but underused, evidence-based practice in the treatment of schizophrenia and other serious mental illnesses. This study examined views about family relationships participation care among sample 69 consumers with illness receiving within Department Veterans Affairs healthcare system. We found that younger those higher levels psychiatric symptoms were more likely to report conflict distress. Of participating consumers, 67% wanted their at least...
Objective The Recovery-Oriented Decisions for Relatives' Support (REORDER) intervention is an innovative, manualized protocol utilizing shared decision-making principles with persons who have serious mental illnesses to promote recovery and encourage consideration of family involvement in care. This study compared REORDER enhanced treatment as usual a randomized design. Methods Participants included 226 veterans illness whose relatives had low rates contact staff. involved up three consumer...
Studies outlining the protective functions of shared family meals suggest that helping families experience successful is an important goal. Measuring effectiveness mealtime interventions necessitates ability to quantify both frequency and context mealtimes. This article introduces a new instrument, Family Mealtime Q-Sort, describes its development, presents preliminary data about psychometric properties. Data from initial evaluation Q-Sort using videos (N = 51) demonstrate acceptable...
This study described how families were involved in the RAISE Connection Program for clients with first-episode psychosis (FEP) and examined factors that predicted family involvement.Presence of members at clinical visits 65 FEP was described. Multiple regressions conducted to determine whether demographic characteristics, factors, or client-provider discussions regarding involvement during first six months program.Most participants (95%) had least one member attend a visit program...
Aim Recent research on first episode psychosis (FEP) has demonstrated the effectiveness of coordinated specialty care (CSC) models to support young adults and their families, yet few tools exist promote engagement in care. This study aimed develop a prototype computer‐based role‐playing game (RPG) designed for people who have experienced FEP, conduct pilot determine feasibility test whether improves consumers' attitudes toward treatment recovery. Methods Twenty with FEP were receiving...
Identifying substance use disorders in persons with mental illness is often difficult. In this study prevalence rates of among state psychiatric hospital patients were obtained by six different methods: DSM-III-R diagnoses and five additional strategies based on frequency past abuse treatment. Overlaps differences between identified the methods examined.Chart review a structured screening interview used random sample 20 percent (N = 474) population Maryland system. Comparisons focused...
Several studies have shown the benefits of coordinated specialty care (CSC) for individuals with first episode psychosis; however, pathways to are marred by lack knowledge, stigma, and difficulties treatment engagement. Serious games or video interventions may provide a way address these factors.This study focuses on qualitative results randomized controlled trial comparing OnTrack>The Game (OTG) recovery videos (RVs) engagement, empowerment, hope, recovery, understanding psychosis in...