Research Topics
| Amy M KilbourneSummaryAffiliation: University of Michigan Country: USA Publications
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Detail Information
Publications
Nutrition and exercise behavior among patients with bipolar disorderAmy M Kilbourne
Veterans Affairs Pittsburgh Center for Health Equity Research and Promotion, PA, USA
Bipolar Disord 9:443-52. 2007....
A collaborative therapeutic relationship and risk of suicidal ideation in patients with bipolar disorderMark A Ilgen
Department of Veterans Affairs, Health Services Research and Development and VA National Serious Mental Illness Treatment Research and Evaluation Center, Ann Arbor, MI, United States
J Affect Disord 115:246-51. 2009..The present study examines the relative impact of current mood state (depressed, manic or mixed) and patient perceptions of the therapeutic relationship on suicidal ideation in veterans with BD...- Health-related quality of life and utilities among patients with depression in the Department of Veterans AffairsKara Zivin
Department of Psychiatry, University of Michigan Medical School, Ann Arbor, MI 48109, USA
Psychiatr Serv 59:1331-4. 2008..This study establishes veteran-specific utility measures for patients with and those without depression... - Service delivery in older patients with bipolar disorder: a review and development of a medical care modelAmy M Kilbourne
VA Ann Arbor National Serious Mental Illness Treatment Research and Evaluation Center, Ann Arbor, MI 48105, USA
Bipolar Disord 10:672-83. 2008..We describe the development, implementation, and feasibility/tolerability results of a manual-based medical care model (BCM) designed to improve medical outcomes in older patients with bipolar disorder... - Employment status of patients in the VA health system: implications for mental health servicesKara Zivin
Serious Mental Illness Treatment Resource and Evaluation Center, Health Services Research and Development, Department of Veterans Affairs, Ann Arbor, Michigan, USA
Psychiatr Serv 62:35-8. 2011..Most veterans who use Department of Veterans Affairs (VA) health care are not employed. This study evaluated the association between mental disorders and labor force status among VA health care users... - Primary care of patients with serious mental illness: your chance to make a differenceKatherine J Gold
Department of Family Medicine, University of Michigan, Ann Arbor, MI 48104-1213, USA
J Fam Pract 57:515-25. 2008 
Quality of care for cardiovascular disease-related conditions in patients with and without mental disordersAmy M Kilbourne
VA Ann Arbor National Serious Mental Illness Treatment Research and Evaluation Center, Ann Arbor, MI 48105, USA
J Gen Intern Med 23:1628-33. 2008..We compared the quality of care for cardiovascular disease (CVD)-related risk factors for patients diagnosed with and without mental disorders...- Improving medical and psychiatric outcomes among individuals with bipolar disorder: a randomized controlled trialAmy M Kilbourne
Serious Mental Illness Treatment Research and Evaluation Center, Health Services Research and Development, Department of Veterans Affairs Ann Arbor, Ann Arbor, MI 48105, USA
Psychiatr Serv 59:760-8. 2008..This pilot study examined a bipolar disorder medical care model (BCM) and determined whether, compared with usual care, individuals randomly assigned to receive BCM care had improved medical and psychiatric outcomes... - Improving integrated general medical and mental health services in community-based practicesAmy M Kilbourne
Department of Veterans Affairs, National Serious Mental Illness Treatment Research and Evaluation Center, Ann Arbor, MI, USA
Adm Policy Ment Health 35:337-45. 2008.... - Is the collaborative chronic care model effective for patients with bipolar disorder and co-occurring conditions?Amy M Kilbourne
VA Ann Arbor Serious Mental Illness Treatment Research and Evaluation Center and Department of Psychiatry, University of Michigan Ann Arbor, MI 48105, USA
J Affect Disord 112:256-61. 2009..We assessed whether B-CCM effects are equivalent comparing those with and without co-occurring conditions... - The continuous improvement for veterans in care: Mood Disorders (civic-md) Study, a VA-academic partnershipAmy M Kilbourne
Department of Veterans Affairs National Serious Mental Illness Treatment Research and Evaluation Center VA SMITREC, Ann Arbor, MI 48105, USA
Psychiatr Serv 59:483-5. 2008..This column describes how the partnership formed, key elements of its success, and challenges and opportunities to inform future research partnerships... - Medical burden in late-life bipolar and major depressive disordersAriel G Gildengers
Intervention Research Center for Late Life Mood Disorders, Department of Psychiatry, University of Pittsburgh School of Medicine, The Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA, USA
Am J Geriatr Psychiatry 16:194-200. 2008..The authors compare medical burden in elderly patients with bipolar disorder with that in those with major depressive disorder... - Cardiovascular disease and metabolic risk factors in male patients with schizophrenia, schizoaffective disorder, and bipolar disorderAmy M Kilbourne
VA Ann Arbor National Serious Mental Illness Treatment, Research, and Evaluation Center and the Department of Medicine, University of Michigan, Ann Arbor, MI 48105, USA
Psychosomatics 48:412-7. 2007..Clinical suspicion for CVD-related conditions, as well as risk-modification strategies, in patients with serious mental illness should incorporate differences in prevalence across specific psychiatric diagnoses... - Guideline-concordant hepatitis C virus testing and notification among patients with and without mental disordersAmy M Kilbourne
VA Serious Mental Illness Treatment Research and Evaluation Center, Ann Arbor, MI 48105, USA
Gen Hosp Psychiatry 30:495-500. 2008..g., schizophrenia, bipolar disorder) or depression or those with no psychiatric diagnosis... - Access to conventional mental health and medical care among users of complementary and alternative medicine with bipolar disorderBRIAN E PERRON
School of Social Work, University of Michigan, Ann Arbor, Michigan, USA
J Nerv Ment Dis 197:287-90. 2009..Patients having non-Veterans Affairs insurance reported no differences in rates of CAM use. Overall, no discernable trends were observed to suggest that CAM use among this sample was associated with service access... - Severe pain predicts greater likelihood of subsequent suicideMark A Ilgen
VA Serious Mental Illness Treatment Research and Evaluation Center, Ann Arbor, MI, USA
Suicide Life Threat Behav 40:597-608. 2010..33; 95% CI: 1.15, 1.54), after controlling for demographic and psychiatric characteristics. These results indicate that pain evaluations should be included in comprehensive suicide assessments and suicide prevention efforts... - Challenges and opportunities in measuring the quality of mental health careAmy M Kilbourne
VA Ann Arbor National Serious Mental Illness Treatment Research and Evaluation Center, Ann Arbor, Michigan 48105, USA
Can J Psychiatry 55:549-57. 2010.... - Characteristics of patients with bipolar disorder managed in VA primary care or specialty mental health care settingsAmy M Kilbourne
Department of Veterans Affairs Ann Arbor, Serious Mental Illness Treatment Research and Evaluation Center, Health Services Research and Development Center of Excellence, 2215 Fuller Rd, Ann Arbor, MI 48105, USA
Psychiatr Serv 61:500-7. 2010.... - Racial/Ethnic group differences in bipolar symptomatology in a community sample of persons with bipolar I disorderBRIAN E PERRON
School of Social Work, University of Michigan, Ann Arbor, MI 48103, USA
J Nerv Ment Dis 198:16-21. 2010.... - Financial incentives and accountability for integrated medical care in Department of Veterans Affairs mental health programsAmy M Kilbourne
Serious Mental Illness Treatment Research and Evaluation Center, Health Services Research and Development HSR and D, Department of Veterans Affairs VA Ann Arbor, Ann Arbor, MI 48105, USA
Psychiatr Serv 61:38-44. 2010.... - Prevalence and burden of general medical conditions among adults with bipolar I disorder: results from the National Epidemiologic Survey on Alcohol and Related ConditionsBRIAN E PERRON
University of Michigan, Ann Arbor, MI 48109, USA
J Clin Psychiatry 70:1407-15. 2009..To examine the prevalence and burden of general medical conditions (GMCs) among a nationally representative sample of adults with bipolar I disorder... - Excess heart-disease-related mortality in a national study of patients with mental disorders: identifying modifiable risk factorsAmy M Kilbourne
VA Ann Arbor HSR and D Center of Excellence and National Serious Mental Illness Treatment Research and Evaluation Center, Ann Arbor, MI 48105, USA
Gen Hosp Psychiatry 31:555-63. 2009..We assessed whether Veterans Affairs (VA) health system patients with mental disorders were more likely to die from HD than patients without these disorders, and whether modifiable factors may explain differential mortality risks... - Profiles of disability among adults with bipolar spectrum disordersBRIAN E PERRON
University of Michigan, Ann Arbor, USA
Soc Psychiatry Psychiatr Epidemiol 45:1125-34. 2010.... - A brief measure of perceived clinician support by patients with bipolar spectrum disordersBRIAN E PERRON
School of Social Work, University of Michigan, Ann Arbor, MI 48109, USA
J Nerv Ment Dis 197:574-9. 2009..Regular monitoring of provider support may provide useful when tailoring psychosocial treatment strategies, especially in routine care settings... - Co-occurring conditions and health-related quality of life in patients with bipolar disorderAmy M Kilbourne
VA Ann Arbor Health Services Research and Development and National Serious Mental Illness Treatment Research and Evaluation Center, Ann Arbor, MI 48105, USA
Psychosom Med 71:894-900. 2009.... - What do general medical guidelines say about depression care? Depression treatment recommendations in general medical practice guidelinesAmy M Kilbourne
VA Serious Mental Illness Treatment Research and Evaluation Center, Ann Arbor, MI 48105, USA
Curr Opin Psychiatry 20:626-31. 2007..This review identifies the extent to which depression treatment is being addressed in guidelines for general medical illness treatment... - Diabetes preventive care and non-traumatic lower extremity amputation ratesMichael E Moreland
VA Pittsburgh Healthcare System, PA, USA
J Healthc Qual 26:12-7. 2004..External review measures can be used by administrators and cLinicians to determine trends in quality of care and patient outcomes andto provide feedback on prevention efforts... - Therapeutic alliance perceptions and medication adherence in patients with bipolar disorderJohn E Zeber
Veterans Affairs HSR and D South Texas Veterans Health Care System VERDICT, University of Texas Health Science Center at San Antonio, Department of Psychiatry, San Antonio, TX 78229 4404, United States
J Affect Disord 107:53-62. 2008..Maintaining a beneficial therapeutic alliance with providers is one important strategy for improving adherence. We examine the association between adherence and therapeutic environment perceptions among veterans with bipolar disorder... - Datapoints: self-reported access to general medical and psychiatric care among veterans with bipolar disorderJohn E Zeber
Veterans Affairs (VA) Health Services Research and Development Service (HSR and D, South Texas Veterans Health Care System, 7400 Merton Minter Blvd. (11C6, San Antonio, TX 78229, USA
Psychiatr Serv 58:740. 2007 - Treatment adherence and illness insight in veterans with bipolar disorderLaurel A Copeland
South Texas Veterans Health Care System, VERDICT, 7400 Merton Minter 11c6, San Antonio, TX 78229 4404, USA
J Nerv Ment Dis 196:16-21. 2008..Odds of poor adherence increased for women, African Americans, mania, and hazardous drinking. The association of mutable factors-hazardous drinking, manic symptoms, and insight-could represent an opportunity to improve adherence... - Gender differences in health-related quality of life for veterans with serious mental illnessCARRIE FARMER TEH
Western Psychiatric Institute and Clinic, University of Pittsburgh, Pittsburgh, PA 15213, USA
Psychiatr Serv 59:663-9. 2008..This study assessed gender differences in health-related quality of life (HRQOL) in a national sample of veterans with serious mental illness... - Improving care for patients with serious mental illnessKatherine J Gold
Am Fam Physician 78:314-5. 2008 - Are physician-derived disease severity indices associated with health-related quality of life in patients with end-stage liver disease?Fasiha Kanwal
VA Greater Los Angeles Health Care System, David Geffen School of Medicine at UCLA, 11301 Wilshire Boulevard, Los Angeles, CA 90073, USA
Am J Gastroenterol 99:1726-32. 2004..However, there are no data evaluating the associations between MELD scores and patient reports of health-related quality of life (HRQOL)... - Social support among veterans with serious mental illnessAmy M Kilbourne
VA National Serious Mental Illness Treatment Research and Evaluation Center, 2215 Fuller Road, 48105, Ann Arbor, MI, USA
Soc Psychiatry Psychiatr Epidemiol 42:639-46. 2007..We determined whether patients with serious mental illness were more likely to report low social support than those without serious mental illness... - Patients with Complex Chronic Diseases: perspectives on supporting self-managementMary Ann Sevick
Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System 151 C, Pittsburgh, Pennsylvania, USA
J Gen Intern Med 22:438-44. 2007..The case is discussed in terms of intervention effectiveness in the areas of prevention, addiction, and self-management of single diseases. Implications for research are discussed... - Oral health in Veterans Affairs patients diagnosed with serious mental illnessAmy M Kilbourne
VA National Serious Mental Illness Treatment Research and Evaluation Center, Ann Arbor, MI 48105, USA
J Public Health Dent 67:42-8. 2007.... - Racial differences in the treatment of veterans with bipolar disorderAmy M Kilbourne
Department of Veterans Affairs Pittsburgh Healthcare System, and the Department of Psychiatry, University of Pittsburgh, PA 15240, USA
Psychiatr Serv 56:1549-55. 2005..CONCLUSIONS: Although a majority of patients received guideline-concordant care for bipolar disorder, potential gaps in continuity of outpatient care may exist for African-American patients... - The burden of general medical conditions in patients with bipolar disorderAmy M Kilbourne
VA Pittsburgh Center for Health Equity Research and Promotion 151C U, University Drive C, Pittsburgh, PA 15240, USA
Curr Psychiatry Rep 7:471-7. 2005.... - Medical comorbidity and health-related quality of life in bipolar disorder across the adult age spanHoward H Fenn
Adjunct Clinical Associate Professor of Psychiatry Stanford University Veterans Affairs Palo Alto Health Care System Building 348 Menlo Park Division, 795 Willow Road, Menlo Park, CA 94025 6328 94025
J Affect Disord 86:47-60. 2005..Little is known about medical comorbidity or health-related quality of life (HRQOL) in bipolar disorder across the adult age span, especially in public sector patients... - General-medical conditions in older patients with serious mental illnessAmy M Kilbourne
VA Pittsburgh Center for Health Equity Research and Promotion 151 C, University Drive C, Pittsburgh, PA 15240, USA
Am J Geriatr Psychiatry 13:250-4. 2005..The burden of medical comorbidities was compared between older (> or =60 years) and younger patients with serious mental illness... - Bipolar disorder in late life: future directions in efficacy and effectiveness researchAmy M Kilbourne
Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System Mailstop 151 C, University Drive C, Pittsburgh, PA 15240, USA
Curr Psychiatry Rep 7:10-7. 2005.... - Translating evidence-based depression management services to community-based primary care practicesAmy M Kilbourne
VA Pittsburgh Healthcare System, Pittsburgh, PA 15240, USA
Milbank Q 82:631-59. 2004.... - Burden of general medical conditions among individuals with bipolar disorderAmy M Kilbourne
VA Pittsburgh Healthcare System, University of Pittsburgh, Pittsburgh, PA 15240, USA
Bipolar Disord 6:368-73. 2004..We determined the prevalence of general medical conditions in a population-based sample of patients diagnosed with bipolar disorder in the Veterans Administration (VA)... - Clinical importance of HIV and depressive symptoms among veterans with HIV infectionAmy M Kilbourne
VA Pittsburgh Center for Health Equity Research and Promotion, the University of Pittsburgh Center for Research on Health Care, School of Medicine, Division of General Internal Medicine, Pittsburgh, PA 15240, USA
J Gen Intern Med 17:512-20. 2002..To compare the clinical importance (association with illness severity and survival) of depressive and HIV symptoms among veterans with HIV infection... - Self-reported medication treatment adherence among veterans with bipolar disorderMartha Sajatovic
Department of Psychiatry, Case Western Reserve University School of Medicine, Cleveland, Ohio 44106 5000, USA
Psychiatr Serv 57:56-62. 2006..Treatment nonadherence has been identified as an understudied, yet frequent, cause of relapse among patients with bipolar disorder. This study evaluated factors related to treatment adherence... - Management of mental disorders in VA primary care practicesAmy M Kilbourne
VA Pittsburgh Healthcare System, Pittsburgh, PA 15240, USA
Adm Policy Ment Health 33:208-14. 2006..VA primary care programs, while tending to refer for more serious mental illnesses, may also be using mental health specialists and physician extenders to provide mental health care within general medical settings... - Psychiatric symptoms, health services, and HIV risk factors among homeless womenAmy M Kilbourne
University of Pittsburgh, USA
J Health Care Poor Underserved 13:49-65. 2002..Homeless women who are substance abusers are vulnerable to HIV risk behaviors. Risk reduction interventions for homeless women should be implemented through substance abuse and intensive case management programs... - Advancing health disparities research within the health care system: a conceptual frameworkAmy M Kilbourne
Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA 15240, USA
Am J Public Health 96:2113-21. 2006.... - Recognition of co-occurring medical conditions among patients with serious mental illnessAmy M Kilbourne
VA Pittsburgh Center for Health Equity Research and Promotion, Pittsburgh, Pennsylvania, USA
J Nerv Ment Dis 194:598-602. 2006..79, p < 0.001), back pain (OR = 0.81, p < 0.001), congestive heart failure (OR = 0.71, p < 0.001), and hypertension (OR = 0.77, p < 0.001). Patients with SMI were less aware of co-occurring medical conditions... - Collaborative care for bipolar disorder: Part II. Impact on clinical outcome, function, and costsMark S Bauer
Providence Veterans Affairs Medical Center VANC, Rhode Island 02908 4799, USA
Psychiatr Serv 57:937-45. 2006..The study addressed whether a collaborative model for chronic care, described in part I (this issue), improves outcome for bipolar disorder... - Access to and satisfaction with care comparing patients with and without serious mental illnessAmy M Kilbourne
VA Pittsburgh Center for Health Equity Research and Promotion, USA
Int J Psychiatry Med 36:383-99. 2006..We compared perceived access to and satisfaction with health care between patients diagnosed with serious mental illness (SMI: schizophrenia or bipolar disorder) and among those with no SMI diagnosis... - Collaborative care for bipolar disorder: part I. Intervention and implementation in a randomized effectiveness trialMark S Bauer
Providence Veterans Affairs Medical Center VANC, Rhode Island 02908 4799, USA
Psychiatr Serv 57:927-36. 2006..Part II (see companion article, this issue) reports clinical, functional, and overall cost outcomes of the trial... - From silos to bridges: meeting the general health care needs of adults with severe mental illnessesMarcela Horvitz-Lennon
University of Pittsburgh School of Medicine, Western Psychiatric Institute and Clinic, Pittsburgh, Pennsylvania, USA
Health Aff (Millwood) 25:659-69. 2006..We discuss obstacles to clinical integration and propose strategies to address them... - Therapeutic drug and cardiovascular disease risk monitoring in patients with bipolar disorderAmy M Kilbourne
VA Serious Mental Illness Treatment Research and Evaluation Center, Ann Arbor, MI, USA
J Affect Disord 102:145-51. 2007..We assessed whether patients with bipolar disorder received serum drug level and toxicity monitoring for mood stabilizers and assessment of cardiovascular disease (CVD)-related risk factors attributed to atypical antipsychotic medications... - Hospital care for low-risk patients with acute, nonvariceal upper GI hemorrhage: a comparison of neighboring community and tertiary care centersTommy T Oei
VA Greater Los Angeles Healthcare System, California 90073, USA
Am J Gastroenterol 97:2271-8. 2002..This observed variation in the process of care for populations with similar disease severity and outcomes suggests an opportunity for evidence-based interventions aimed at improving the efficiency of care... - Prevalence and predictors of HIV testing among a probability sample of homeless women in Los Angeles CountyBrooke Herndon
General Internal Medicine, Dartmouth Hitchcock Medical Center, Lebanon, NH 03756, USA
Public Health Rep 118:261-9. 2003..To describe the prevalence and predictors of HIV testing in a probability cluster sample of urban homeless women... - Underdiagnosis of depression in HIV: who are we missing?Steven M Asch
VA Los Angeles Healthcare System and UCLA Department of Medicine, Los Angeles, California 90073, USA
J Gen Intern Med 18:450-60. 2003..To determine the sociodemographic and service delivery correlates of depression underdiagnosis in HIV... - Response to symptoms among a U.S. national probability sample of adults infected with human immunodeficiency virusAmy M Kilbourne
Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, USA
Med Care Res Rev 59:36-58. 2002..Vulnerable groups were no less likely to use services for HIV-related symptoms when need for care was considered. However, disparities may exist for symptom-specific care among HIV infected persons covered by public or HMO insurance... - Differences in symptom expression in older HIV-positive patients: The Veterans Aging Cohort 3 Site Study and HIV Cost and Service Utilization Study experienceDavid S Zingmond
Division of General Internal Medicine and Health Services Research, University of Southern California at Los Angeles, 90095 1736, USA
J Acquir Immune Defic Syndr 33:S84-92. 2003..Nonwhites appeared less likely to report symptoms. Age is a determinant of reporting certain symptoms in HIV disease but may be masked or accentuated by other factors such as race... - Concurrent psychiatric diagnoses by age and race among persons with bipolar disorderAmy M Kilbourne
Center for Health Equity Research and Promotion, the Department of Veterans Affairs VA Pittsburgh Healthcare System, Pennsylvania 15240, USA
Psychiatr Serv 55:931-3. 2004.... - Racial differences in the impact of irritable bowel syndrome on health-related quality of lifeIan M Gralnek
VA Greater Los Angeles Health Care System, Los Angeles, CA, USA
J Clin Gastroenterol 38:782-9. 2004..To compare the impact of irritable bowel syndrome (IBS) on health related quality of life (HRQOI) for non-white and white IBS patients... - Clinical, psychosocial, and treatment differences in minority patients with bipolar disorderAmy M Kilbourne
Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA 15240, USA
Bipolar Disord 7:89-97. 2005.... - Algorithm for assessing patients' adherence to oral hypoglycemic medicationAmy M Kilbourne
Center for Health Equity Research and Promotion, Veterans Affairs Pittsburgh Healthcare System (VAPHS, Pittsburgh, PA 15240, USA
Am J Health Syst Pharm 62:198-204. 2005 - How does depression influence diabetes medication adherence in older patients?Amy M Kilbourne
VA Pittsburgh Center for Health Equity Research and Promotion, General Internal Medicine 151 C, University Drive C, Pittsburgh, PA 15240, USA
Am J Geriatr Psychiatry 13:202-10. 2005..Using various measures (electronic monitoring, patient/provider report, pharmacy data), the authors assessed the association between depression and diabetes medication adherence among older patients with Type 2 diabetes... - Executive function and employment status among veterans with bipolar disorderLori Altshuler
Department of Psychiatry, West Los Angeles Healthcare Center, Department of Veterans Affairs Greater Los Angeles Healthcare System, University of California, CA 90095 7057, USA
Psychiatr Serv 58:1441-7. 2007.... - Challenges of implementing depression care management in the primary care settingBea Herbeck Belnap
Center for Research on Health Care, School of Medicine, University of Pittsburgh, Pittsburgh, PA 5213 25821, USA
Adm Policy Ment Health 33:65-75. 2006.... - The research-to-practice gap in mood disorders: a role for the U.S. Department of Veterans AffairsAmy M Kilbourne
VA Ann Arbor Serious Mental Illness Treatment Research and Evaluation Center and Department of Psychiatry, University of Michigan, Ann Arbor, USA
J Clin Psychiatry 68:502-4. 2007 - Quality of care for substance use disorders in patients with serious mental illnessAmy M Kilbourne
VA Pittsburgh Healthcare System, Pittsburgh, PA 15240, USA
J Subst Abuse Treat 30:73-7. 2006..9%, 63.2%, and 62.2%, respectively; chi(2) = 72.25, df = 2, p <. 001). Greater efforts are needed to diagnose and treat SUDs in patients with serious mental illness, particularly for those with bipolar disorder... - Patterns of psychotropic medication use by race among veterans with bipolar disorderAmy M Kilbourne
Center for Health Equity Research and Promotion, Department of Veterans Affairs Pittsburgh Healthcare System, Mailstop 151C U, University Drive C, Pittsburgh, Pennsylvania 15240, USA
Psychiatr Serv 57:123-6. 2006..This study investigated whether race was associated with patterns of psychotropic medication use among veterans with bipolar disorder...