- Obsessive-Compulsive Spectrum Disorders
- Mental Health Treatment and Access
- Body Image and Dysmorphia Studies
- Eating Disorders and Behaviors
- Sexuality, Behavior, and Technology
- Child and Adolescent Psychosocial and Emotional Development
- Autism Spectrum Disorder Research
- Digital Mental Health Interventions
- Schizophrenia research and treatment
- Migration, Health and Trauma
- Traumatic Brain Injury Research
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Primary Care and Health Outcomes
- Adolescent and Pediatric Healthcare
- Grief, Bereavement, and Mental Health
- Health Policy Implementation Science
- COVID-19 and Mental Health
- Telemedicine and Telehealth Implementation
- Long-Term Effects of COVID-19
- Mindfulness and Compassion Interventions
- Intensive Care Unit Cognitive Disorders
- Patient-Provider Communication in Healthcare
- Suicide and Self-Harm Studies
- Palliative Care and End-of-Life Issues
- Health Literacy and Information Accessibility
Columbia University
2015-2025
Behavioral Health Services
2020-2025
New York Psychoanalytic Society and Institute
2007-2024
New York State Psychiatric Institute
2010-2024
James J. Peters VA Medical Center
2024
New York State Office of Mental Health
2014-2023
Research Foundation For Mental Hygiene
2017-2022
Columbia University Irving Medical Center
2020
Columbia College
2017
Royal College of Physicians
2017
This study examines the impact of yoga, including physical poses, breathing, and meditation exercises, on quality life (QOL), fatigue, distressed mood, spiritual well-being among a multiethnic sample breast cancer patients.One hundred twenty-eight patients (42% African American, 31% Hispanic) recruited from an urban center were randomly assigned (2:1 ratio) to 12-week yoga intervention (n = 84) or waitlist control group 44). Changes in QOL (eg, Functional Assessment Cancer Therapy) before...
Objective: To compare trends in office-based treatment of mental disorders between Hispanics and non-Hispanics. Design, Setting, Participants: Analysis a nationally representative sample visits to physicians conducted 1993 2002 (N = 251,905). Visits were grouped into 3 discrete time periods, 1993–1996, 1997–1999 2000–2002. Main Outcome Measures: Rate diagnosis, type health visit, received (medication or psychotherapy), rate psychotropic medications prescription, specialty the treating...
Background: To explore women's perspectives about the treatment decision-making process for depression during pregnancy and after birth. Method: One hundred pregnant postpartum women completed an anonymous web-based surveys regarding decision making depression. Results: Survey data reveal that most in this sample prefer active collaborative role Sixty-five percent of made a their major depressive disorder, including no treatment, 34% reported not having or feeling unsure decision. More than...
Despite the Veterans Administration (VA) designating suicide prevention as number one clinical priority, Veteran rates continue to rise. One sub-population at elevated risk are living in rural communities given their heightened availability of firearms coupled with more limited access mental health services. Telehealth delivery treatment is a potential solution for provision critical services areas. expansive growth virtual after pandemic, there exist few suicide-specific telehealth Our...
Implementing evidence-based practices has become a standard policy in U.S. behavioral health care. However, current penetration remains inadequate, and longitudinal studies of scaling up these are rare. This article examined the steady, 3-decade growth individual placement support (IPS), model employment services for people with psychiatric disabilities. The number IPS programs United States increased to >1,000. Nevertheless, coverage limited, challenges further substantial. Facilitators...
Article AbstractObjective: To explore preferences for the treatment of obsessive-compulsive disorder (OCD). We hypothesized that OCD patients will select a combination medication and psychotherapy as their most preferred choice overall.Method: The authors designed treatment-preference survey using 2 health economics methods, forced-choice contingent-ranking to elicit available in mainstream care (serotonin reuptake inhibitors , exposure response prevention combination) novel treatments under...
Compared to non-Latino Whites, U.S. racial/ethnic minority groups show higher non-adherence with outpatient antidepressant therapy, including lower retention, despite adjusting for sociodemographic and insurance covariates. Culturally salient concerns about antidepressants leading ambivalence treatment engagement may contribute this discrepancy. To improve adherence among depressed Latinos, we developed motivational pharmacotherapy, a novel approach that combines interviewing, standard...
Abstract Worldwide, early intervention services for young people with recent-onset psychosis have been associated improvements in outcomes, including reductions hospitalization, symptoms, and treatment engagement work/school participation. States received federal mental health block grant funding to implement team-based, multi-element, evidence-based services, now called coordinated specialty care (CSC) the USA. New York State’s CSC program, OnTrackNY, has grown into a 23-site, statewide...
Objective: Obsessive-compulsive disorder (OCD) can be a chronic and disabling illness with lifetime prevalence of 2%, twice that schizophrenia. Although effective treatments exist, OCD often remains underdetected undertreated. Methods: The authors performed scoping review the literature (of articles in PubMed PsycINFO published from January 1, 2000, to February 2020) define gaps diagnosis treatment among U.S. adults. Interventions at patient, clinician, health care system levels used address...
Article AbstractBackground: Spanish-speaking individuals comprise a growing percentage of the United States population. They have greater difficulty than most in accessing and remaining psychiatric treatments, including psychotherapy, their stated preference. The literature on cultural competence treating Hispanic patients provides few details psychotherapeutic adaptations. Objective: This article, based interpersonal psychotherapy (IPT) supervision for low-socioeconomic sample monolingual...
The COVID-19 pandemic prompted a significant shift to delivering early psychosis services using telehealth. Little is known about the experience of telehealth in services. This quality improvement qualitative project investigated experiences program participants and family members with OnTrackNY, an intervention for New York State during pandemic.
Objective This study examined treatment of obsessive-compulsive disorder (OCD) in office-based practice. Methods Data from the 2003–2010 National Ambulatory Medical Care Survey, a nationally representative survey visits to U.S. physicians, were used examine outpatient involving adults with OCD. Results Among 316 diagnosis OCD, most physician seen previously by patient (96%), usually psychiatrist (86%), and patients (56%) had at least six times previous year. Most included psychotropic...
Complicated grief, a syndrome of persistent grief diagnosed >6 months following the loss someone close is expected to be included in 11th revision International Classification Diseases as new diagnosis called prolonged disorder. associated with impaired functioning and health comorbidity does not respond treatments for depression. Individuals may seek help primary care where providers need familiar syndrome.This study examines acceptability, feasibility outcome screening programme...