Research Topics
| Deborah GarnickSummaryAffiliation: Brandeis University Country: USA Publications
Research Grants
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Detail Information
Publications
Performance measures for substance use disorders -- what research is needed?Deborah W Garnick
Institute for Behavioral Health, The Heller School for Social Policy and Management, Brandeis University, Waltham, MA, USA
Addict Sci Clin Pract 7:18. 2012....
The Washington circle engagement performance measures' association with adolescent treatment outcomesDeborah W Garnick
Institute for Behavioral Health, Schneider Institutes for Health Policy, The Heller School for Social Policy and Management, Brandeis University, Waltham, MA 02454 9110, USA
Drug Alcohol Depend 124:250-8. 2012..This study explored the extent to which engagement in outpatient treatment was associated with outcomes and whether demographic/clinical characteristics moderated these relationships...- Lessons from five states: public sector use of the Washington Circle performance measuresDeborah W Garnick
The Heller School for Social Policy and Management, Brandeis University, Waltham, MA02454, USA
J Subst Abuse Treat 40:241-54. 2011..As additional states adopt some of the WC measures, or adopt other performance measurement approaches, these states' experiences could help them to develop implementations based on their particular needs... - Management of behavioral health provider networks in private health plansDeborah W Garnick
Institute for Behavioral Health, Schneider Institutes for Health Policy, Heller School for Social Policy and Management, Brandeis University, Waltham, Mass, USA
J Ambul Care Manage 31:330-41. 2008..Some standard activities are common, but some health plans are adopting other approaches to retain higher-quality providers... - Adapting Washington Circle performance measures for public sector substance abuse treatment systemsDeborah W Garnick
Institute for Behavioral Health, Schneider Institutes for Health Policy, Heller School for Social Policy and Management, Brandeis University, Waltham, MA 02454, USA
J Subst Abuse Treat 36:265-77. 2009..Ongoing research is needed to examine the reasons for these results, which might include lack of patient interest or commitment, need for quality improvement efforts, or financial issues... 
Identification and treatment of mental and substance use conditions: health plans strategiesDeborah W Garnick
Institute for Behavioral Health, Schneider Institutes for Health Policy, Heller School for Social Policy and Management, Brandeis University, 415 South Street, Waltham, MA 02454, USA
Med Care 45:1060-7. 2007..Mental health and substance use conditions are under-recognized and under-treated. Private health plans may be able to affect the extent of screening and, thus, identification of enrollees who need treatment...- Are Washington Circle performance measures associated with decreased criminal activity following treatment?Deborah W Garnick
Institute for Behavioral Health, Schneider Institutes for Health Policy, Heller School for Social Policy and Management, Brandeis University, Waltham, MA 02454 9110, USA
J Subst Abuse Treat 33:341-52. 2007..Applying the "process-of-care" measures can make a difference when they are used as a target for quality improvement in treatment facilities... - Risk transfer and accountability in managed care organizations' carve-out contractsD W Garnick
Schneider Institute for Health Policy, Heller Graduate School, Brandeis University, Waltham, Massachusetts 02454 9110, USA
Psychiatr Serv 52:1502-9. 2001.... - Selecting data sources for substance abuse services researchDeborah W Garnick
Schneider Institute for Health Policy, Heller Graduate School, Brandeis University, 415 South Street, Waltham, MA 02454 9110, USA
J Subst Abuse Treat 22:11-22. 2002..Moreover, it should foster better communication among these stakeholders in collaborative projects to improve the effectiveness of services for people with addictions... - Managed care plans' requirements for screening for alcohol, drug, and mental health problems in primary careDeborah W Garnick
Schneider Institute for Health Policy, Heller Graduate School, Brandeis University, Waltham, MA 02454 9110, USA
Am J Manag Care 8:879-88. 2002..To determine managed care organizations' (MCOs) requirements for screening for alcohol, drug, or mental health problems in primary care settings... - Establishing the feasibility of performance measures for alcohol and other drugsDeborah W Garnick
Schneider Institute for Health Policy, Heller School for Social Policy and Management, Brandeis University, 415 South Street, Waltham, MA 02454 9110, USA
J Subst Abuse Treat 23:375-85. 2002..The article discusses issues in interpreting performance measures in several areas: organizational structure of alcohol and other drug services, information available for measurement, and computational issues... - Cost sharing for substance abuse and mental health services in managed care plansDominic Hodgkin
Brandeis University, USA
Med Care Res Rev 60:101-16. 2003..Future parity initiatives should be examined for how they address differences in cost sharing as well as limits... - Does type of gatekeeping model affect access to outpatient specialty mental health services?Dominic Hodgkin
Schneider Institute for Health Policy, Heller School of Social Policy and Management, Brandeis University, MS 035, Waltham, MA 02454 9110, USA
Health Serv Res 42:104-23. 2007..To measure how a change in gatekeeping model affects utilization of specialty mental health services... - Performance measures for alcohol and other drug servicesDeborah W Garnick
Center for Behavioral Health, Schneider Institute for Health Policy, Heller School for Social Policy and Management, Brandeis University, Waltham, Massachusetts, USA
Alcohol Res Health 29:19-26. 2006..The Washington Circle measures--identification, initiation of treatment, and treatment engagement--are a widely used set of performance measures... - Management of access to branded psychotropic medications in private health plansDominic Hodgkin
Institute for Behavioral Health, Schneider Institutes, Heller School of Social Policy and Management, Brandeis University, Waltham, Massachusetts 02454 9110, USA
Clin Ther 29:371-80. 2007..Little is known about how these policies are being applied to psychotropic medications, many of which have low rates of patient adherence... - Health plans' disease management programs: extending across the medical and behavioral health spectrum?Elizabeth Levy Merrick
Institute for Behavioral Health, Schneider Institutes for Health Policy, Heller School for Social Policy and Management, Brandeis University, Waltham, Mass 02454, USA
J Ambul Care Manage 31:342-53. 2008..In health plans, disease management has penetrated more slowly into behavioral health and depression program characteristics are highly variable... - Benefit limits for behavioral health care in private health plansDominic Hodgkin
Schneider Institute for Behavioral Health, Heller School for Social Policy and Management, Brandeis University, Waltham, MA 02454 9110, USA
Adm Policy Ment Health 36:15-23. 2009..Plans' access to new managed care tools has not led them to stop using benefit limits for cost containment purposes... - Accessing specialty behavioral health treatment in private health plansElizabeth L Merrick
Heller School for Social Policy and Management, Brandeis University, Waltham, MA 02454 9110, USA
J Behav Health Serv Res 36:420-35. 2009..Products with carve-outs differed on several treatment entry dimensions. Findings suggest that health plans focus on timely access and typically do not heavily manage initial entry into outpatient treatment... - Older adults' inpatient and emergency department utilization for ambulatory-care-sensitive conditions: relationship with alcohol consumptionElizabeth S Levy Merrick
Brandeis University, Waltham, MA, USA
J Aging Health 23:86-111. 2011..This study examined the relationship between drinking that exceeds guideline-recommended limits and acute-care utilization for ambulatory-care-sensitive conditions (ACSCs) by older Medicare beneficiaries... - Systems-level smoking cessation activities by private health plansSharon Reif
Institute for Behavioral Health, Heller School for Social Policy and Management, Brandeis University, 415 South St, MS035, Waltham, MA 02454, USA
Prev Chronic Dis 8:A14. 2011..This study provides national estimates of systems-level strategies used by private health insurance plans to influence provider delivery of smoking cessation activities... - Managed care organizations' use of treatment management strategies for outpatient mental health careElizabeth Levy Merrick
Schneider Center for Behavioral Health, Heller School for Social Policy and Management, Brandeis University, Waltham, MA 02454 9110, USA
Adm Policy Ment Health 33:104-14. 2006..Prevalence varied from 43% to 87% depending on the technique. HMO products and products with specialty behavioral health contracts were more likely to use the techniques. Product type and contracting arrangement had independent effects... - Datapoints: adolescents with substance abuse: are health plans missing them?Margaret T Lee
Schneider Institute for Health Policy of the Heller School of Social Policy Management at Brandeis University, Waltham, MA 02454 9110, USA
Psychiatr Serv 55:116. 2004 - Unhealthy drinking patterns in older adults: prevalence and associated characteristicsElizabeth L Merrick
Institute for Behavioral Health, Heller School for Social Policy and Management, Brandeis University, Waltham, Massachusetts 02454, USA
J Am Geriatr Soc 56:214-23. 2008..To examine the prevalence of unhealthy drinking patterns in community-dwelling older adults and its association with sociodemographic and health characteristics... - Quality measurement and accountability for substance abuse and mental health services in managed care organizationsElizabeth Levy Merrick
Schneider Institute for Health Policy, Heller School for Social Policy and Management, MS 035 Brandeis University, 415 South Street, Waltham, MA 02454 9110, USA
Med Care 40:1238-48. 2002..To analyze managed care organizations' (MCOs') use of behavioral health quality management activities using nationally representative survey data... - Unhealthy drinking patterns and receipt of preventive medical services by older adultsElizabeth L Merrick
Institute for Behavioral Health, Heller School for Social Policy and Management, Brandeis University, Waltham, MA 02454, USA
J Gen Intern Med 23:1741-8. 2008..Preventive service use among older adults is suboptimal. Unhealthy drinking may constitute a risk factor for failure to receive these services... - Health plan requirements for mental health and substance use screening in primary careConstance M Horgan
Institute for Behavioral Health, Schneider Institutes, Heller School for Social Policy and Management, Brandeis University, Waltham, MA, USA
J Gen Intern Med 22:930-6. 2007..Screening for substance abuse and mental health in primary care can improve detection. One way to advance screening is for health plans to require it... - Availability of addiction medications in private health plansConstance M Horgan
Institute for Behavioral Health, Schneider Institutes for Health Policy, Heller School for Social Policy and Management, Brandeis University, Waltham, MA 02454, USA
J Subst Abuse Treat 34:147-56. 2008..These findings demonstrate that pharmacy benefits have an impact on access to medications for substance abuse... - Constructing adolescent substance abuse performance measures using administrative dataMargaret T Lee
Center for Behavioral Health, Schneider Institute for Health Policy, Heller School for Social Policy and Management, Brandeis University, Waltham, MA, USA
J Healthc Qual 28:42-8, 59. 2006..This article discusses the importance of performance measures for adolescent substance abuse treatment, the measurement tools now being developed, and implications for future treatment... - Quality standards and incentives in managed care organizations' specialty contracts for behavioral healthDominic Hodgkin
Heller School, MS 035, Brandeis University, Waltham, MA 02454 9110, USA
J Ment Health Policy Econ 5:61-9. 2002..Based on economic theory, we anticipate that MCOs should be more likely to require quality standards in contracts that transfer all financial risk to the vendor... - Changing mental health gatekeeping: effects on performance indicatorsElizabeth Levy Merrick
Schneider Institute for Health Policy, Heller School for Social Policy and Management, Brandeis University, 415 South Street, Waltham, MA 02454 9110, USA
J Behav Health Serv Res 35:3-19. 2008..The move to call-center gatekeeping did not appear to have a negative impact on treatment process as reflected in these indicators... - Changes in how health plans provide behavioral health servicesConstance M Horgan
Institute for Behavioral Health, Schneider Institutes for Health Policy, Heller School for Social Policy and Management, Brandeis University, 415 South Street, Waltham, MA 02454 9110, USA
J Behav Health Serv Res 36:11-24. 2009..However, increased prevalence of higher levels of cost sharing suggests financial barriers have grown. These changes have important implications for enrollees seeking care and for providers working to meet patients' needs... - Injury prevalence among children and adolescents with mental retardationElspeth M Slayter
The Nathan and Toby Starr Center on Mental Retardation, Schneider Institute for Health Policy, The Heller School for Social Policy and Management, Brandeis University, 415 S St, Waltham, MA 02454, USA
Ment Retard 44:212-23. 2006..9% Medicaid beneficiaries ages 1 to 20 with mental retardation had at least one injury claim as compared with 23.5% of those without mental retardation. Prevalence rates are reported by gender and age for a variety of injury types... - Advancing performance measures for use of medications in substance abuse treatmentCindy Parks Thomas
Brandeis University, Institute for Behavioral Health, Heller School for Social Policy and Management, Waltham, MA 02454, USA
J Subst Abuse Treat 40:35-43. 2011..This article summarizes those findings by identifying a number of critical themes related to advancing SUD pharmacotherapy performance measures, highlighting examples from the field, and recommending actions for policy makers... - Medicare spending for injured elders: are there opportunities for savings?Christine E Bishop
Schneider Institute for Health Policy, Heller School, Brandeis University, USA
Health Aff (Millwood) 21:215-23. 2002..Medicare could realize substantial savings if these injuries could be prevented; the program should consider underwriting effective prevention activities... - The need for performance measures on testing for latent tuberculosis infection in primary careCynthia Tschampl
The Heller School for Social Policy and Management, Brandeis University, Waltham, Massachusetts, USA
Jt Comm J Qual Patient Saf 37:309-16. 2011..The proposed performance measures will address a neglected secondary prevention opportunity and will be consistent with national priorities and health reform...
Research Grants
- Linking Performance Measures to Treatment OutcomesDeborah Garnick; Fiscal Year: 2004..Our goal is to develop a data set rich enough to support testing the WCG performance measures and their relationship to outcomes in states that represent larger and more diverse populations. ..
- Washington Circle Performance Measures and Criminal Justice OutcomesDeborah W Garnick; Fiscal Year: 2010..In planning quality improvement activities, it is vitally important for states and providers to understand whether initiation, engagement and continuity of treatment are linked to key outcomes. ..