A5090240171- Mental Health Treatment and Access
- HIV/AIDS Research and Interventions
- Global Maternal and Child Health
- Homelessness and Social Issues
- Primary Care and Health Outcomes
- Healthcare Policy and Management
- HIV/AIDS Impact and Responses
- Adolescent Sexual and Reproductive Health
- Maternal Mental Health During Pregnancy and Postpartum
- Migration, Health and Trauma
- Telemedicine and Telehealth Implementation
- Family Caregiving in Mental Illness
- Face Recognition and Perception
- Child and Adolescent Psychosocial and Emotional Development
- Psychiatric care and mental health services
- Healthcare Systems and Reforms
- Emergency and Acute Care Studies
- Schizophrenia research and treatment
- Health and Conflict Studies
- Child and Adolescent Health
- Child Abuse and Trauma
- Food Security and Health in Diverse Populations
- COVID-19 and healthcare impacts
- Opioid Use Disorder Treatment
- Visual perception and processing mechanisms
RAND Corporation
2018-2025
Brigham and Women's Hospital
2017-2025
Harvard University
2008-2025
Harvard Global Health Institute
2011-2024
New York University
2024
Partners In Health
2016-2023
FrontLine Service
2023
California Hospital Association
2023
Santa Clara County Behavioral Health Services
2023
Mental Health Services
2023
IntroductionThe COVID-19 pandemic has forced telehealth to be the primary means through which patients interact with their providers. There is a concern that will exacerbate existing disparities in overall healthcare utilization and utilization. Few national studies have examined changes use during pandemic.MethodsData on 6.8 6.4 million employer-based health plan beneficiaries 2020 2019, respectively, were collected 2020. Unadjusted rates compared both before after week of declaration as...
Importance Although telehealth services expanded rapidly during the COVID-19 pandemic, association between state policies and availability has been insufficiently characterized. Objective To investigate associations 4 at outpatient mental health treatment facilities throughout US. Design, Setting, Participants This cohort study measured whether offered each quarter from April 2019 through September 2022. The sample comprised with that were not part of US Department Veterans Affairs system....
To outline mental health service accessibility, estimate the treatment gap and describe utilization for people with schizophrenic disorders in 50 low- middle-income countries.The World Health Organization Assessment Instrument Mental Systems was used to assess accessibility of services their utilization. The measurement based on number cases treated per 100,000 persons disorders, it compared subregional estimates Global burden disease 2004 update report. Multivariate analysis using backward...
Background Trauma from witnessing events such as bombings and killings well direct victimization or participation in violence has been associated with psychosocial distress poor mental health among war‐exposed children adolescents. This study examines the relationship between caregiver child internalizing (anxiety depression) symptoms over a 4‐year period postconflict Sierra Leone. Methods The sample included 118 adolescent Leonean youth (73% male; mean age = 16.5 years at Time 1) their...
Three waves of data from a prospective longitudinal study in Sierra Leone were used to examine internalizing trajectories 529 war‐affected youth (ages 10–17 at baseline; 25% female). Latent class growth analyses identified 4 trajectories: A large majority maintained lower levels problems (41.4%) or significantly improved over time (47.6%) despite very limited access care, but smaller proportions continued report severe difficulties 6 years postwar (4.5%) their symptoms worsened (6.4%)....
Historically, there has been a shortage of child psychiatrists in the United States, undermining access to care. This study updated trends growth and distribution over past decade.Data from Area Health Resource Files were used compare number per 100 000 children ages 0 19 between 2007 2016 by state county. We also examined sociodemographic characteristics associated with density at county level this period using negative binomial multivariable models.From 2016, States increased 6590 7991,...
The study examined temporal and geographic trends in telehealth availability at U.S. behavioral health treatment facilities risk factors for not offering telehealth.Longitudinal data on 15,691 outpatient were extracted daily from the Substance Abuse Mental Health Services Administration's Behavioral Treatment Locator between January 20, 2020, 2021. Facilities operated by Department of Veterans Affairs excluded. Bivariate analyses used to assess 2020 Multivariable regression analysis was...
Importance The COVID-19 pandemic has been associated with an elevated prevalence of mental health conditions and disrupted care throughout the US. Objective To examine service use among US adults from January through December 2020. Design, Setting, Participants This cohort study used county-level utilization data a national database commercial medical claims (age >18 years) 5 to 21, All analyses were conducted in April May 2021. Main Outcomes Measures Per-week services per 10 000...
Importance Telehealth utilization for mental health care remains much higher than it was before the COVID-19 pandemic; however, availability may vary across facilities, geographic areas, and by patients’ demographic characteristics conditions. Objective To quantify availability, wait times, service features of telehealth major depressive disorder, general anxiety schizophrenia throughout US, as well facility-, client-, county-level associated with availability. Design, Settings, Participants...
Importance The launch of the 988 Suicide and Crisis Lifeline (988) in July 2022 aimed to enhance access crisis mental health services by replacing National Prevention with a more memorable number expanding scope beyond suicide. However, 988’s success relies on availability community services. Objective To examine whether was associated Design, Setting, Participants This cohort study characterized trends offered US treatment facilities (MHTFs) from November 1, 2021, through June 30, 2023....
An epidemic of Ebola virus disease (EVD) beginning in 2013 has claimed an estimated 11 310 lives West Africa. As the EVD subsides, it is important for all who participated emergency response to reflect on strengths and weaknesses response. Such reflections should take into account perspectives not usually included peer-reviewed publications after-action reports, including those from public sector, nongovernmental organizations (NGOs), survivors Ebola, Ebola-affected households communities....
Letters7 April 2020Growth and Distribution of Buprenorphine-Waivered Providers in the United States, 2007–2017Ryan K. McBain, PhD, MPH, Andrew Dick, Mark Sorbero, MS, Bradley D. Stein, MD, PhDRyan MPHRAND Corporation, Boston, Massachusetts (R.K.M., A.D.), PhDRAND MSRAND Pittsburgh, Pennsylvania (M.S., B.D.S.), B.D.S.)Author, Article, Disclosure Informationhttps://doi.org/10.7326/M19-2403 Author Insight Video - Ryan MPH; PhD; MS; PhD In this video, authors offer additional insight into...
Background Former child soldiers are at risk of developing post-traumatic stress disorder (PTSD); however, the trajectory symptoms has yet to be examined. Aims The and protective factors associated with PTSD symptom change among former in Sierra Leone were investigated. Method Data from 243 (mean age 16.6 years, 30% female) analysed. Results Self-reported rates possible using standard cut-off points declined 32% 16% 4 years later ( P <0.05). Symptoms baseline significantly war experiences...
HIV/AIDS remains the second most common cause of death in low and middle-income countries (LMICs), only 34% eligible patients Africa received antiretroviral therapy (ART) 2013. This study investigated impact ART decentralization on patient enrollment retention rural Malawi. We reviewed electronic medical records registered Neno District program from August 1, 2006, when first became available, through December 31, used GPS data to calculate patient-level distance care, examined number annual...
Low-income and middle-income countries account for over 80% of the world's infectious disease burden, but <20% global expenditures on health. In this context, judicious resource allocation can mean difference between life death, not just individual patients, entire patient populations. Understanding cost healthcare delivery is a prerequisite allocating health resources, such as staff medicines, in way that effective, efficient, fair. Nevertheless, costs are often poorly understood,...
Objectives To examine the effect of age on likelihood PIP opioids and adverse outcomes. Design Retrospective cohort study. Setting Data from multiple state agencies in Massachusetts 2011 to 2015. Participants Adult residents (N=3,078,163) who received at least one prescription opioid during study period; approximately half (1,589,365) aged 50 older. Measurements We measured exposure 5 types PIP: high‐dose opioids, coprescription with benzodiazepines, prescribers, pharmacies, continuous...