Research Topics
| Constance WeisnerSummaryAffiliation: Kaiser Permanente Country: USA Publications
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Publications
Substance use, symptom, and employment outcomes of persons with a workplace mandate for chemical dependency treatmentConstance Weisner
Department of Psychiatry, University of California, San Francisco, 401 Parnassus Ave, Box F 0984, San Francisco, CA 94143, USA
Psychiatr Serv 60:646-54. 2009..This study examined the role of workplace mandates to chemical dependency treatment in treatment adherence, alcohol and drug abstinence, severity of employment problems, and severity of psychiatric problems...
Trends in prescribed opioid therapy for non-cancer pain for individuals with prior substance use disordersConstance M Weisner
Department of Psychiatry, University of California, San Francisco, CA 94143, USA
Pain 145:287-93. 2009....
Individuals receiving addiction treatment: are medical costs of their family members reduced?Constance Weisner
Department of Psychiatry, University of California, San Francisco, CA, USA
Addiction 105:1226-34. 2010..To examine whether alcohol and other drug (AOD) treatment is related to reduced medical costs of family members...
Prescription long-term opioid use in HIV-infected patientsMichael J Silverberg
Kaiser Permanente Northern California, Oakland, CA 94612, USA
Clin J Pain 28:39-46. 2012..To examine changes the in use of prescription opioids for the management of chronic noncancer pain in human immunodeficiency virus (HIV)-infected patients and to identify patient characteristics associated with long-term use...
Twelve-Step attendance trajectories over 7 years among adolescents entering substance use treatment in an integrated health planFelicia W Chi
Division of Research, Kaiser Permanente Northern California, Oakland, CA 94612 2403, USA
Addiction 107:933-42. 2012....
Alcohol consumption, medical conditions, and health behavior in older adultsDerek D Satre
Department of Psychiatry, University of California, San Francisco, San Francisco, CA 94143, USA
Am J Health Behav 31:238-48. 2007..To examine associations between drinking patterns, medical conditions, and behavioral health risks among older adults...
Short-term alcohol and drug treatment outcomes predict long-term outcomeConstance Weisner
Department of Psychiatry, University of California, San Francisco, CA 94143 0984, USA
Drug Alcohol Depend 71:281-94. 2003..We examined the relationship of 6-month treatment outcomes to abstinence 5 years post-treatment, and whether the predictors of abstinence at 5 years were different for those who were, and were not, abstinent at 6 months...
Peer influences on adolescent alcohol and other drug use outcomesRhonda Ramirez
Family Nurse Practitioner Program, Samuel Merritt University, Oakland, CA, USA
J Nurs Scholarsh 44:36-44. 2012..To examine the role of family environment and peer networks in abstinence outcomes for adolescents 1 year after intake to alcohol and other drug (AOD) treatment...
Computerized screening for alcohol and drug use among adults seeking outpatient psychiatric servicesDerek Satre
Depression Center and Department of Psychiatry, University of California, San Francisco, San Francisco, CA 94143, USA
Psychiatr Serv 59:441-4. 2008....
Subdiagnostic alcohol use by depressed men and women seeking outpatient psychiatric services: consumption patterns and motivation to reduce drinkingDerek D Satre
Department of Psychiatry, University of California, San Francisco, San Francisco, California 94143, USA
Alcohol Clin Exp Res 35:695-702. 2011..This study examined alcohol use patterns among men and women with depression seeking outpatient psychiatric treatment, including factors associated with recent heavy episodic drinking and motivation to reduce alcohol consumption...
Five-year alcohol and drug treatment outcomes of older adults versus middle-aged and younger adults in a managed care programDerek D Satre
Department of Psychiatry, University of California, San Francisco 94143, USA
Addiction 99:1286-97. 2004..We examined age group differences in individual, treatment and extra-treatment factors, which may influence long-term outcome...
Patterns of alcohol and drug use among depressed older adults seeking outpatient psychiatric servicesDerek D Satre
Department of Psychiatry, University of California, San Francisco, 94143, USA
Am J Geriatr Psychiatry 19:695-703. 2011....
The role of continuing care in 9-year cost trajectories of patients with intakes into an outpatient alcohol and drug treatment programSujaya Parthasarathy
Division of Research, Kaiser Permanente Northern California, Oakland, CA, USA
Med Care 50:540-6. 2012..The study builds on this work to examine the cost implications of this model...
Dependent and problem drinking over 5 years: a latent class growth analysisKevin L Delucchi
Department of Psychiatry, University of California, San Francisco, CA 94143 0984, USA
Drug Alcohol Depend 74:235-44. 2004..Findings also support the usefulness of a semi-parametric latent group-based approach as a tool for analyzing alcohol-related behaviors...
Gender differences in seven-year alcohol and drug treatment outcomes among older adultsDerek D Satre
Department of Psychiatry, University of California, San Francisco, CA 94143, USA
Am J Addict 16:216-21. 2007..Findings indicate that older women have better long-term addiction outcome than older men, but treatment length is more significant than gender in predicting outcome...
Adolescents entering chemical dependency treatment in private managed care: ethnic differences in treatment initiation and retentionCynthia I Campbell
Department of Psychiatry, University of California, San Francisco, San Francisco, California, USA
J Adolesc Health 38:343-50. 2006..In particular, little is known about ethnic differences in utilization of adolescent CD services...
Ethnic disparities in accessing treatment for depression and substance use disorders in an integrated health planDerek D Satre
Department of Psychiatry, University of California, San Francisco 94143, USA
Int J Psychiatry Med 40:57-76. 2010..This study examined ethnic differences in accessing treatment for depression and substance use disorders (SUDs) among men and women in a large integrated health plan, and explored factors potentially contributing to health care disparities...
Contrasting outcomes of older versus middle-aged and younger adult chemical dependency patients in a managed care programDerek D Satre
University of California, San Francisco, 401 Parnassus Avenue, Box 0984 OVS, San Francisco, California 94143, USA
J Stud Alcohol 64:520-30. 2003..To predict successful outcome, we tested a model incorporating age group differences in individual, treatment and extratreatment factors...
Nonmedical use of prescription drugs among a longitudinal sample of dependent and problem drinkersHelen Matzger
University of California, San Francisco, San Francisco, CA, United States
Drug Alcohol Depend 86:222-9. 2007....
Reasons for drinking less and their relationship to sustained remission from problem drinkingHelen Matzger
Department of Psychiatry, University of California, San Francisco, CA 94709, USA
Addiction 100:1637-46. 2005..To compare representative general population and treated samples on their reasons for drinking less and whether particular reasons were related to sustained remission from problem drinking for either group...
Gender differences in treatment outcomes for alcohol dependence among older adultsDerek D Satre
Department of Psychiatry, University of California at San Francisco, San Francisco, California 94143, USA
J Stud Alcohol 65:638-42. 2004..This study examined clinical characteristics and treatment outcomes of older alcohol-dependent men and women in a mixed-age private outpatient chemical dependency program...
Depression and ambivalence toward chronic opioid therapy for chronic noncancer painCatherine Q Howe
Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, 98195, USA
Clin J Pain 28:561-6. 2012..This study examines predictors of the desire to cut down or stop opioid therapy among patients receiving COT who report that opioids are helpful for relieving pain...
Missed opportunities in addressing drinking behavior in medical and mental health servicesConstance Weisner
Department of Psychiatry, University of California, San Francisco, USA
Alcohol Clin Exp Res 27:1132-41. 2003..However, little is known about which problem drinkers seek help from those services or about the characteristics of those who have their drinking addressed...
The role of community services and informal support on five-year drinking trajectories of alcohol dependent and problem drinkersConstance Weisner
Department of Psychiatry, University of California, San Francisco, 401 Parnassus Avenue, Box F 0984, San Francisco, California 94143 0984, USA
J Stud Alcohol 64:862-73. 2003..The purpose of this study was to examine how informal support and community services impact the course of alcohol disorders by examining the trajectories of alcohol consumption over 5 years in dependent and problem drinkers...
Transitioning into and out of problem drinking across seven yearsKevin L Delucchi
Department of Psychiatry, University of California, San Francisco, 0984 TRC, San Francisco, California 94143 0984, USA
J Stud Alcohol Drugs 71:210-8. 2010..The extent to which problem drinkers transition into and out of problem drinking was examined using Markov modeling...
Family environment factors and substance abuse severity in an HMO adolescent treatment populationNancy S Wu
Department of Psychiatry, University of California, San Francisco, California, USA
Clin Pediatr (Phila) 43:323-33. 2004..depression (p<0.0003), anxiety (p<0.0002), conduct disorder (p=0.07)), and substance-abusing family members (53 % versus 39%; p=0.006). To conclude, family and peers influence severity of alcohol and drug problems in adolescents...
Cigarette smoking and long-term alcohol and drug treatment outcomes: a telephone follow-up at five yearsDerek D Satre
Department of Psychiatry, University of California San Francisco, 401 Parnassus Avenue, San Francisco, CA 94143, USA
Am J Addict 16:32-7. 2007..Findings inform understanding of long-term substance abuse treatment outcomes and potential service needs of smokers...
Alcohol in emerging adulthood: 7-year study of problem and dependent drinkersKevin L Delucchi
Department of Psychiatry, University of California, Box 0984 TRC, 401 Parnassus Ave, San Francisco, CA 94143 0984, United States
Addict Behav 33:134-42. 2008..This study examined the level, changes and predictors of alcohol consumption and binge drinking over a 7-year period among young adults (18-25 years) who met the criteria for problem drinking...
Self-initiated tobacco cessation and substance use outcomes among adolescents entering substance use treatment in a managed care organizationCynthia I Campbell
Division of Research, Kaiser Permanente Northern California, 2000 Broadway, Oakland, California 94612, USA
Addict Behav 34:171-9. 2009..This study examines self-initiated tobacco cessation and 12-month alcohol and drug abstinence in adolescents entering SU treatment in a private, managed care organization...
Family members of people with alcohol or drug dependence: health problems and medical cost compared to family members of people with diabetes and asthmaG Thomas Ray
Division of Research, Kaiser Permanente Northern California, Oakland, CA 94612, USA
Addiction 104:203-14. 2009..To compare the medical costs and prevalence of health conditions of family members of people with an alcohol or drug dependence (AODD) diagnosis to family members of people with diabetes and asthma...
Twelve-Step affiliation and 3-year substance use outcomes among adolescents: social support and religious service attendance as potential mediatorsFelicia W Chi
Division of Research, Kaiser Permanente Northern California, Oakland, CA 94612 2403, USA
Addiction 104:927-39. 2009..We also examined the effects of social support and religious service attendance on the relationship...
Excess mortality among HIV-infected patients diagnosed with substance use dependence or abuse receiving care in a fully integrated medical care programGerald N DeLorenze
Kaiser Permanente Medical Care Program, Oakland, California 94612, USA
Alcohol Clin Exp Res 35:203-10. 2011..We examined the association between substance use (SU) disorder and mortality among HIV-infected patients in a large, private medical care program...
Age and gender trends in long-term opioid analgesic use for noncancer painCynthia I Campbell
Division of Research, Kaiser Permanente Northern California, Oakland, CA 94612, USA
Am J Public Health 100:2541-7. 2010..We describe age and gender trends in long-term use of prescribed opioids for chronic noncancer pain in 2 large health plans...
Hazardous drinkers and drug users in HMO primary care: prevalence, medical conditions, and costsJennifer R Mertens
Division of Research, Kaiser Permanente Medical Care Program, Oakland, CA 94612, USA
Alcohol Clin Exp Res 29:989-98. 2005..However, little is known about the larger population of "hazardous" drinkers (those whose consumption increases their "risk of physical and psychological harm") and drug users...
Adolescents with co-occurring substance use and mental conditions in a private managed care health plan: prevalence, patient characteristics, and treatment initiation and engagementFelicia W Chi
Division of Research, Kaiser Permanente Northern California, Oakland, CA 94612 2403, USA
Am J Addict 15:67-79. 2006..Being dually diagnosed in specialty departments (rather than Primary Care and Emergency) and receiving both diagnoses within a shorter time period were associated with treatment initiation and engagement...
Health care services use by adolescents with intakes into an outpatient alcohol and drug treatment programSujaya Parthasarathy
Division of Research, Northern California Kaiser Permanente, Oakland, CA 94612, USA
Am J Addict 15:113-21. 2006..This is of concern since it would appear that the medical and mental health problems of adolescents entering CD treatment may be so severe that there are no short-term reductions in post-treatment cost, including ER and hospitalizations...
The excess medical cost and health problems of family members of persons diagnosed with alcohol or drug problemsG Thomas Ray
Division of Research, Kaiser Permanente Northern California, Oakland, California 94612, USA
Med Care 45:116-22. 2007..Having a family member with substance use problems affects family functioning, which may lead to increased medical problems and increased health care utilization and costs in the other family members...
Chemical dependency patients with cooccurring psychiatric diagnoses: service patterns and 1-year outcomesFelicia W Chi
Division of Research, Kaiser Permanente Northern California, Oakland 94612 2403, USA
Alcohol Clin Exp Res 30:851-9. 2006..In particular,patterns of psychiatric services (amount of services, receiving a critical dose, or receiving services concurrently with CD treatment) were assessed in relation to outcome...
Relationship between use of psychiatric services and five-year alcohol and drug treatment outcomesG Thomas Ray
Division of Research of Kaiser Permanente Northern California, 2000 Broadway, Oakland, California 94612, USA
Psychiatr Serv 56:164-71. 2005..It was anticipated that receipt of psychiatric services would predict long-term abstinence...
Coping among individuals seeking private chemical dependence treatment: gender differences and impact on length of stay in treatmentCarolynn S Kohn
Department of Psychiatry, University of California San Francisco, San Francisco, CA, USA
Alcohol Clin Exp Res 26:1228-33. 2002..Because predictors of length of stay in treatment vary by gender, it also may be reasonable to expect gender differences in coping strategies as well as in the relationship between coping and LOS in treatment...
Changes in smoking status among substance abusers: baseline characteristics and abstinence from alcohol and drugs at 12-month follow-upCarolynn S Kohn
University of California San Francisco, 401 Parnassus Avenue, San Francisco, CA 94143 0984, USA
Drug Alcohol Depend 69:61-71. 2003..Future studies may want to measure the smoking status of all participants at all time points in order to include this higher-risk group of substance using smokers...
Mortality after diagnosis of psychiatric disorders and co-occurring substance use disorders among HIV-infected patientsGerald N DeLorenze
Division of Research, Kaiser Permanente Northern California, Oakland, California 94612, USA
AIDS Patient Care STDS 24:705-12. 2010....
Nine-year psychiatric trajectories and substance use outcomes: an application of the group-based modeling approachFelicia W Chi
Kaiser Permanente Northern California, Oakland, CA 94612 2403, USA
Eval Rev 32:39-58. 2008..Older cohorts and life course measures of marital status and employment status as individuals changed over time are related to drug and some alcohol outcomes...
Five-year trajectories of health care utilization and cost in a drug and alcohol treatment sampleSujaya Parthasarathy
Division of Research, Northern California, Kaiser Permanente Medical Care Program, 2000 Broadway, 3rd Floor, Oakland, CA 94612 2304, USA
Drug Alcohol Depend 80:231-40. 2005..The study examined the effect of individual characteristics on longitudinal patterns of health care utilization and cost among individuals entering chemical dependency (CD) treatment...
Readmission among chemical dependency patients in private, outpatient treatment: patterns, correlates and role in long-term outcomeJennifer R Mertens
Division of Research, Kaiser Permanente Northern California, 2000 Broadway, 3rd Floor, Oakland, California 94612 2304, USA
J Stud Alcohol 66:842-7. 2005..We examine readmission patterns and the role of readmission in 5-year outcome in chemical dependency patients in a private, integrated health plan...
Medical conditions of adolescents in alcohol and drug treatment: comparison with matched controlsJennifer R Mertens
Kaiser Permanente Northern California, Division of Research, Oakland, California 94612 2304, USA
J Adolesc Health 40:173-9. 2007..This study addresses gaps in the literature regarding medical comorbidities in adolescents with alcohol and drug use disorders...
The role of medical conditions and primary care services in 5-year substance use outcomes among chemical dependency treatment patientsJennifer R Mertens
Division of Research, Kaiser Permanente Medical Care Program, 2000 Broadway, 3rd Floor, Oakland, CA 94612, United States
Drug Alcohol Depend 98:45-53. 2008....
The relationship between alcohol consumption and glycemic control among patients with diabetes: the Kaiser Permanente Northern California Diabetes RegistryAmeena T Ahmed
Kaiser Permanente Division of Research, Oakland, CA 94612, USA
J Gen Intern Med 23:275-82. 2008..Alcohol consumption is a common behavior. Little is known about the relationship between alcohol consumption and glycemic control among people with diabetes...
Motivational interviewing to reduce hazardous drinking and drug use among depression patientsDerek D Satre
Department of Psychiatry, University of California, San Francisco, 401 Parnassus Avenue, Box 0984, San Francisco, CA 94143, USA
J Subst Abuse Treat 44:323-9. 2013..0 vs. 81.8%, p=.043). MI is a promising intervention to reduce hazardous drinking among depression patients...
Does marital status predict long-term drinking? Five-year observations of dependent and problem drinkersHelen Matzger
Department of Psychiatry, University of California, San Francisco, San Francisco, California, USA
J Stud Alcohol 65:255-65. 2004..This longitudinal analysis examines marital status with other individual predisposing, problem severity and social predisposing characteristics to understand its strength in predicting alcohol consumption over 5 years...
Remission from alcohol and other drug problem use in public and private treatment samples over seven yearsKevin L Delucchi
Department of Psychiatry, University of California, San Francisco, 401 Parnassus Ave, San Francisco, CA 94143, United States
Drug Alcohol Depend 124:57-62. 2012..A model which includes continuing access to health care may optimize outcomes. Most studies of chronic care models have not included health care and have only examined short term effects...
Integrating substance use treatment into adolescent health careStacy Sterling
Division of Research, Kaiser Permanente Northern California, 2000 Broadway, 3rd Floor, Oakland, CA 94612 2403, USA
Curr Psychiatry Rep 14:453-61. 2012....
How important is treatment? One-year outcomes of treated and untreated alcohol-dependent individualsConstance Weisner
Department of Psychiatry, University of California, San Francisco, CA 94143, USA
Addiction 98:901-11. 2003..To compare representative treatment and untreated samples of alcohol-dependent individuals in rates of abstinence and non-problematic use at 1-year follow-up...
Who goes to alcohol and drug treatment? Understanding utilization within the context of insuranceConstance Weisner
Department of Psychiatry, University of California, San Francisco, San Francisco, California, USA
J Stud Alcohol 63:673-82. 2002..This study assesses the differential roles of demographic characteristics, problem severity, motivational factors and insurance in entrance into alcohol and drug treatment...
Psychiatric symptoms, impaired function, and medical care costs in an HMO settingEnid M Hunkeler
Kaiser Permanente Northern California Division of Research, Oakland, CA, USA
Gen Hosp Psychiatry 25:178-84. 2003..We conclude that depressed mood, persistent anxiety, and related impaired function are associated with substantial increases in the use and cost of general medical care...
Priority actions to improve the care of persons with co-occurring substance abuse and other mental disorders: a call to actionDennis S Charney
Department of Psychiatry, University of Pennsylvania School of Medicine, 3900 Chestnut Street, Philadelphia, PA 19104-6178, USA
Biol Psychiatry 56:703-13. 2004
