A5012934010- Suicide and Self-Harm Studies
- Posttraumatic Stress Disorder Research
- Mental Health Treatment and Access
- Resilience and Mental Health
- Healthcare professionals’ stress and burnout
- Patient-Provider Communication in Healthcare
- Healthcare Systems and Technology
- Electronic Health Records Systems
- Child and Adolescent Psychosocial and Emotional Development
- Digital Mental Health Interventions
- Mental Health and Patient Involvement
- Emergency and Acute Care Studies
- Big Data and Business Intelligence
- Psychosomatic Disorders and Their Treatments
- Mental Health Research Topics
- Gun Ownership and Violence Research
- Migration, Health and Trauma
- Health disparities and outcomes
- Health Systems, Economic Evaluations, Quality of Life
- Disaster Response and Management
- Primary Care and Health Outcomes
- Musculoskeletal pain and rehabilitation
- Pharmacy and Medical Practices
- Traumatic Brain Injury Research
- Cardiac Arrest and Resuscitation
VA Portland Health Care System
2016-2025
Oregon Health & Science University
2016-2025
VA Finger Lakes Healthcare System
2025
VA Ann Arbor Healthcare System
2025
Government of the United States of America
2023
United States Department of Veterans Affairs
2018-2022
Northern Light Mercy Hospital
2019
Portland State University
2019
Portland VA Medical Center
2010-2017
MaineHealth
2017
The purpose of this study was to assess the impact Virtual Hope Box (VHB), a smartphone app improve stress coping skills, suicidal ideation, and perceived reasons for living among patients at elevated risk suicide self-harm.The authors conducted parallel-group randomized controlled trial with two groups U.S. service veterans in active mental health treatment who had recently expressed ideation. Between March 2014 April 2015, 118 were enrolled study. Participants assigned use VHB (N=58) or...
A "Hope Box" is a therapeutic tool employed by clinicians with patients who are having difficulty coping negative thoughts and stress, including may be at risk of suicide or nonsuicidal self-harm. We conducted proof-of-concept test "Virtual" Hope Box (VHB)-a smartphone app that delivers patient-tailored tools. Compared conventional hope box integrated into VA behavioral health treatment, high-risk their used the VHB more regularly found beneficial, useful, easy to set up, said they were...
As part of the national OpenNotes initiative, Veterans Health Administration (VHA) provides veterans online access to their clinical progress notes, raising concern in mental health settings.The aim this study was examine perspectives and experiences clinicians with better understand how may be affecting care.We conducted individual semi-structured interviews 28 VHA nurses. Transcripts were analyzed using a thematic analysis approach, which allows for both inductive deductive themes explored...
This study explored patient perspectives of how online access to clinical notes (OpenNotes) within the Veterans Affairs (VA) health care system may affect patients' relationships with their mental clinicians.Semistructured qualitative interviews were conducted 28 patients receiving VA who had accessed OpenNotes. Transcripts coded and analyzed a constant comparative approach.Respondents consistently reported that patient-clinician relationships-feelings trust in particular-are critical...
We describe prior use and willingness to try complementary alternative medicine (CAM) among 401 veterans experiencing chronic noncancer pain explore differences between CAM users nonusers. Participants in a randomized controlled trial of collaborative intervention for from five Department Veterans Affairs (VA) primary care clinics self-reported chiropractic care, massage therapy, herbal medicines, acupuncture. Prior were compared with nonusers on demographic characteristics, pain-related...
This study described health care contacts at a Department of Veterans Affairs (VA) medical center in Oregon the year before death veterans who completed suicide.Oregon Violent Death Reporting System (OVDRS) data and VA administrative were linked to identify 112 suicide between 2000 2005 had contact with single death. Medical records reviewed collect on clinician assessment risk reasons for last contact.In death, 54 (48%) one or more mental 71 (63%) primary contacts. The mean age was 57;...
Background: The OpenNotes initiative provides patients online access to their clinical notes. Mental health clinicians in the Veterans Health Administration report a need for guidance on how provide care, write notes, and discuss them context of OpenNotes.Aim: To mental recommendations identified by that help effectively practice OpenNotes.Method: Twenty-eight 28 care participated semi-structured interviews about experiences perceptions with OpenNotes. A rapid review approach was used...
Objective: This study describes responses to OpenNotes, clinical notes available online, among patients receiving mental health care and explores whether vary by patient demographic or characteristics. Methods: Survey data from 178 veterans treatment at a large Veterans Affairs medical center included patient-reported self-efficacy, knowledge, alliance with clinicians, negative emotional after reading OpenNotes. Health were extracted the database. Results: Reading OpenNotes helped many...
Abstract Background Healthcare, research, policy, and legislative stakeholders need timely, accurate, detailed information on the effectiveness potential harms of suicide prevention approaches. We created Suicide Prevention Trials Database (SPTD) to provide a centralized, publicly accessible, database harmonized study‐level clinical trial data. Methods searched for randomized controlled trials (RCTs) published from 1980 2023. Over 300 data variables were extracted each RCT. Results...
The authors estimated associations between emergency dispatches initiated by Veterans Crisis Line (VCL) responders and use of U.S. Department Affairs (VA) behavioral health care in the following month. sample included 217,541 veterans with VCL contacts 2017 2019 who could be linked medical records. Models were weighted a propensity score stratified VA year preceding contact. Of dispatches, 85.9% (weighted) 62.2% without prior accessed month after dispatch. Dispatch receipt was associated...
Veterans Crisis Line (VCL) responders may initiate emergency dispatches when individuals are at high risk for suicide, cannot be reduced, and self-transportation to care is not possible. The purpose of this study was understand veterans' experiences following a crisis line contact. Forty veterans (29 men; 11 women) who contacted VCL received an dispatch were recruited. Participants completed semi-structured interviews exploring their experience the contact receiving dispatch. Transcriptions...
Abstract Objective This study evaluates whether a web-based educational program for patients who read their mental health notes online improves patient-clinician communication and increases patient activation. Methods The program, developed with end-user input, was designed to educate on the content of notes, provide guidance communicating clinicians about facilitate patients’ safe purposeful use information. Eligible were engaged in treatment (≥1 visit prior 6 months) had logged into...
The OpenNotes initiative encourages health care systems to provide patients online access clinical notes. Some individuals have expressed concerns about use of in mental care. This study evaluated changes clinicians' attitudes and communications with after participation a Web-based course designed reduce potential for unintended consequences enhance likelihood positive outcomes OpenNotes.All 251 clinicians (physicians, nurse practitioners, psychologists, social workers) large U.S. Department...
A total of 295 veterans who died by suicide in 2009 across 11 states and received Veterans Affairs ( VA ) health care the 6 months prior to death were identified. The risk factors documented at these veterans' last contacts are described, study explores whether present differently (i.e., different or settings accessed) based on proximity their contact suicide. Many seen primary n = 136; 46%) for routine follow‐up 168; 57%). Fifty‐three (18%) assessed suicidal thoughts; 20 (38%) whom endorsed...
Abstract Background The Whole Health model of the U.S. Department Veterans Affairs (VA) emphasizes holistic self-care and multimodal approaches to improve pain, functioning, quality life. wHOPE (Whole Options Pain Education) seeks be first multisite pragmatic trial establish evidence for VA chronic pain care. Design is a randomized controlled comparing Team (WHT) approach Primary Care Group Education (PC-GE); both will compared Usual (UPC). WHT consists medical provider, complementary...
Objective. We assessed primary care clinician-provided guideline-concordant as documented in patients' medical records, predictors of care, and its association with pain-related functioning. Patients were participants a randomized trial collaborative for chronic musculoskeletal pain. The intervention featured patient clinician education, symptom monitoring feedback to clinicians by the team.