Research Topics
| Marcia ValensteinSummaryAffiliation: University of Michigan Country: USA Publications
Research Grants
| Collaborators
|
Detail Information
Publications
Antidepressant agents and suicide death among US Department of Veterans Affairs patients in depression treatmentMarcia Valenstein
Department of Veterans Affairs, Ann Arbor Center of Excellence COE, Ann Arbor, MI, USA
J Clin Psychopharmacol 32:346-53. 2012..Multiple analytic strategies were used to address potential selection biases...- Patterns of primary care and mortality among patients with schizophrenia or diabetes: a cluster analysis approach to the retrospective study of healthcare utilizationLaurel A Copeland
VERDICT Research, South Texas Veterans Health Care System, San Antonio, TX, USA
BMC Health Serv Res 9:127. 2009..We also assessed whether such patterns of primary care use were a significant predictor of mortality over a 4-year period... 
Agreement between seriously mentally ill veterans and their clinicians about medication complianceM Valenstein
Serious Mental Illness Treatment Research and Evaluation Center, Health Services Research and Development, Veterans Affairs Medical Center, Ann Arbor, Michigan 48113 0170, USA
Psychiatr Serv 49:1043-8. 1998....- Antipsychotic adherence over time among patients receiving treatment for schizophrenia: a retrospective reviewMarcia Valenstein
Department of Veterans Affairs, Ann Arbor Center of Excellence COE, Serious Mental Illness Treatment Research and Evaluation Center SMITREC, Ann Arbor, MI 48113 0170, USA
J Clin Psychiatry 67:1542-50. 2006..However, little is known about patients' adherence over time, although this has important services implications. We examined antipsychotic adherence over 4 years at the aggregate and the individual level among a large cohort of patients... - Poor antipsychotic adherence among patients with schizophrenia: medication and patient factorsMarcia Valenstein
Health Services Research and Development HSRandD, Department of Veterans Affairs Medical Center, Ann Arbor, MI 48113 0170, USA
Schizophr Bull 30:255-64. 2004..African-Americans and younger patients are particularly at risk. Unfortunately, atypical antipsychotics may not be associated with substantial improvements in adherence. More intensive interventions are likely needed... - What happened to lithium? Antidepressant augmentation in clinical settingsMarcia Valenstein
Health Services Research and Development, VA Medical Center, P O Box 130170, Ann Arbor, MI 48113 0170, USA
Am J Psychiatry 163:1219-25. 2006..Antidepressant augmentation is recommended when patients do not respond to antidepressant monotherapy. However, little is know about antidepressant augmentation in clinical settings and whether these practices reflect the research evidence... - Using a pharmacy-based intervention to improve antipsychotic adherence among patients with serious mental illnessMarcia Valenstein
Department of Veterans Affairs Serious Mental Illness Treatment, Research, and Evaluation Center, Health Services Research and Development, Ann Arbor, MI 48104, USA
Schizophr Bull 37:727-36. 2011..Similar to patients with other chronic disorders, patients with serious mental illness (SMI) are often poorly adherent with prescribed medications... - Quality indicators and monitoring of mental health services: what do frontline providers think?Marcia Valenstein
Department of Veterans Affairs, Serious Mental Illness Treatment, Research, and Evaluation Center, Ann Arbor, Mich, USA
Am J Psychiatry 161:146-53. 2004..quot; The authors surveyed frontline mental health care providers to elicit their perceptions of widely used indicators for quality monitoring in mental health services... - Pharmacy data identify poorly adherent patients with schizophrenia at increased risk for admissionMarcia Valenstein
From the Department of Veterans Affairs, Serious Mental Illness Treatment, Research, and Evaluation Center SMITREC, Health Services Research and Development HSR and D Center for Excellence, Ann Arbor, MI 48113 0170, USA
Med Care 40:630-9. 2002..Health care organizations may be able to use pharmacy data to identify patients with schizophrenia and poor antipsychotic adherence... - Delays in adopting evidence-based dosages of conventional antipsychoticsM Valenstein
Department of Veterans Affairs Serious Mental Illness Treatment, Evaluation and Research Center SMITREC Ann Arbor, MI 48112 0170, USA
Psychiatr Serv 52:1242-4. 2001..These data suggest that there was considerable delay in the adoption of evidence-based dosing of conventional antipsychotics. Efforts must be made to transfer research findings more rapidly into practice... - Targeting quality improvement activities for depression. Implications of using administrative dataM Valenstein
Serious Mental Illness Treatment Research and Evaluation Center, Health Services Research and Development, Department of Veterans Affairs Medical Center, Ann Arbor, MI 48113 0170, USA
J Fam Pract 49:721-8. 2000..We describe the clinical characteristics and outcomes of patients identified through administrative data in 2 family practice clinics... - Higher-risk periods for suicide among VA patients receiving depression treatment: prioritizing suicide prevention effortsMarcia Valenstein
Department of Veterans Affairs, Ann Arbor Center of Excellence COE, Serious Mental Illness Treatment Research and Evaluation Center SMITREC, Ann Arbor, Michigan 48113 0170, USA
J Affect Disord 112:50-8. 2009..To date, few health systems have carefully segmented their depression treatment populations by level of risk and prioritized prevention efforts on this basis... - Examining the relationship between clinical monitoring and suicide risk among patients with depression: matched case-control study and instrumental variable approachesHyungjin Myra Kim
Department of Veterans Affairs Health Services Research and Development, Ann Arbor Center of Excellence COE, Ann Arbor, MI 48109, USA
Health Serv Res 45:1205-26. 2010..To assess the relationship between closer monitoring of depressed patients during high-risk treatment periods and death from suicide, using two analytic approaches... - Differential medication adherence among patients with schizophrenia and comorbid diabetes and hypertensionJohn D Piette
Health Services Research and Development, Department of Veterans Affairs, Ann Arbor, Michigan, USA
Psychiatr Serv 58:207-12. 2007..Medication adherence was examined among patients with schizophrenia and comorbid physical conditions for consistency across therapeutic classes... 
Risk of mortality among individual antipsychotics in patients with dementiaHelen C Kales
Ann Arbor VA Center for Clinical Management Research, Serious Mental Illness Treatment, Resource, and Evaluation Center, Ann Arbor, Mich, USA
Am J Psychiatry 169:71-9. 2012..The use of antipsychotics to treat the behavioral symptoms of dementia is associated with greater mortality. The authors examined the mortality risk of individual agents to augment the limited information on individual antipsychotic risk...- Diabetes treatment among VA patients with comorbid serious mental illnessSarah L Krein
Center for Practice Management and Outcomes Research, Department of Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan 48113 0170, USA
Psychiatr Serv 57:1016-21. 2006..The quality and outcomes of diabetes care were compared in an observational study among patients with and without serious mental illness... - 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... - Suicide mortality among patients receiving care in the veterans health administration health systemJohn F McCarthy
US Department of Veterans Affairs Serious Mental Illness Treatment Research and Evaluation Center, Ann Arbor, Michigan 48113 0170, USA
Am J Epidemiol 169:1033-8. 2009..Prior to the conflicts in Afghanistan and Iraq and before recent VHA initiatives, rates were higher among VHA patients than in the general population. Female patients had particularly high relative risks... - Predictors of alternative antidepressant agent initiation among U. S. veterans diagnosed with depressionHyungjin Myra Kim
Department of Veterans Affairs, Ann Arbor Center of Excellence COE, Serious Mental Illness Treatment Resource and Evaluation Center SMITREC, Ann Arbor, Michigan, USA
Pharmacoepidemiol Drug Saf 19:1049-56. 2010..We examined predictors of antidepressant choice among VA patients treated for depression... - Depression care following psychiatric hospitalization in the Veterans Health AdministrationPaul N Pfeiffer
National Serious Mental Illness Treatment Resource and Evaluation Center and VA Center for Clinical Management Research, Department of Psychiatry, University of Michigan Medical School, Ann Arbor, MI 48109, USA
Am J Manag Care 17:e358-64. 2011..To assess quality of depression care during the high-risk period following a psychiatric hospitalization... - Depressive symptoms, smoking, drinking, and quality of life among head and neck cancer patientsSonia A Duffy
VA HSR and D Center for Practice Management and Outcomes Research, VA Ann Arbor Healthcare System 11H, P O Box 130170, Ann Arbor, MI 48113 0170, USA
Psychosomatics 48:142-8. 2007..Interventions targeting depression, smoking, and problem drinking need to be integrated into oncology clinics... - Impact of distance and facility of initial diagnosis on depression treatmentPaul N Pfeiffer
Department of Psychiatry, University of Michigan Medical School, 4250 Plymouth Road, Ann Arbor, MI 48109, USA
Health Serv Res 46:768-86. 2011..To assess whether distance to services or diagnosis at a hospital-based medical center compared with a community clinic influences the receipt of psychotherapy versus pharmacotherapy for depression... - Ethnicity and diagnostic patterns in veterans with psychosesFrederic C Blow
Dept of Psychiatry, University of Michigan, Ann Arbor, Michigan, USA
Soc Psychiatry Psychiatr Epidemiol 39:841-51. 2004..CONCLUSIONS: This study confirms continued ethnic disparities in diagnostic patterns, and highlights the importance of recognizing ethnic differences in symptom presentation while emphasizing greater cultural competency... - Trends in antipsychotic use in dementia 1999-2007Helen C Kales
Veterans Affairs Health Services Researchand Development Center for Clinical Management Research, Serious Mental Illness Treatment, Resource, and Evaluation Center, Ann Arbor, Michigan, USA
Arch Gen Psychiatry 68:190-7. 2011..Concerns about their use began to emerge in 2002, and in 2005, the US Food and Drug Administration warned that use of atypical antipsychotics in dementia was associated with increased mortality... - Veterans Affairs Health System and mental health treatment retention among patients with serious mental illness: evaluating accessibility and availability barriersJohn F McCarthy
Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA
Health Serv Res 42:1042-60. 2007..We examine the impact of two dimensions of access-geographic accessibility and availability-on VA health system and mental health treatment retention among patients with serious mental illness (SMI)... - Suicide mortality among individuals receiving treatment for depression in the Veterans Affairs health system: associations with patient and treatment setting characteristicsKara Zivin
Serious Mental Illness Treatment Research and Evaluation Center SMITREC, Health Services Research and Development HSR and D Center of Excellence, Department of Veterans Affairs, Ann Arbor, Mich, USA
Am J Public Health 97:2193-8. 2007..We sought to report clinical and demographic factors associated with suicide among depressed veterans in an attempt to determine what characteristics identified depressed veterans at high risk for suicide... - Service implications of providing intensive monitoring during high-risk periods for suicide among VA patients with depressionMarcia Valenstein
Health Services Research and Development, Department of Veterans Affairs Medical Center, 2215 Fuller Rd, Box 130170, Ann Arbor, MI 48113 0170, USA
Psychiatr Serv 60:439-44. 2009.... - Intensity of outpatient monitoring after discharge and psychiatric rehospitalization of veterans with depressionHyungjin Myra Kim
Ann Arbor Center of Excellence, Serious Mental Illness Treatment Resource and Evaluation Center, U S Department of Veterans Affairs, Ann Arbor, Michigan, USA
Psychiatr Serv 62:1346-52. 2011.... - Risk of death from accidental overdose associated with psychiatric and substance use disordersAmy S B Bohnert
Serious Mental Illness Treatment Resource and Evaluation Center, Center for Clinical Management Research, Health Services Research and Development, VA, Ann Arbor, Mich, USA
Am J Psychiatry 169:64-70. 2012..The authors examined the association of psychiatric and substance use diagnoses with death from accidental overdose... - Mortality risk in patients with dementia treated with antipsychotics versus other psychiatric medicationsHelen C Kales
Serious Mental Illness Treatment Research and Evaluation Center, Health Services Research and Development, VA Ann Arbor Healthcare System, Ann Arbor, Ann Arbor, MI 48109, USA
Am J Psychiatry 164:1568-76; quiz 1623. 2007..Mortality rates in the year following new antipsychotic medication starts for neuropsychiatric symptoms of dementia were compared with rates after starts of other psychiatric medications... - Electroconvulsive therapy for major depression within the Veterans Health AdministrationPaul N Pfeiffer
Department of Veterans Affairs, Health Services Research and Development Center of Excellence, Ann Arbor, MI, United States
J Affect Disord 130:21-5. 2011..We examined receipt of ECT among depressed patients in the largest coordinated health system in the US, the Veterans Health Administration... - A tailored smoking, alcohol, and depression intervention for head and neck cancer patientsSonia A Duffy
Veterans Affairs Health Services Research and Development Service, Center for Practice Management and Outcomes Research, VA Ann Arbor Healthcare System 11H, P O Box 130170, Ann Arbor, MI 48113 0170, USA
Cancer Epidemiol Biomarkers Prev 15:2203-8. 2006..Consequently, we developed and tested a tailored smoking, alcohol, and depression intervention for patients with head and neck cancer... - 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... - Pain and suicidal thoughts, plans and attempts in the United StatesMark A Ilgen
VA Serious Mental Illness Treatment Research and Evaluation Center, Ann Arbor, MI 48109 5763, USA
Gen Hosp Psychiatry 30:521-7. 2008..This study examined the association between pain and suicidality in the general US population... - Patient- and facility-level factors associated with diffusion of a new antipsychotic in the VA health systemMarcia Valenstein
SMITREC VA Ann Arbor Center for Excellence, P O Box 130170, Ann Arbor, Michigan 48113 0170, USA
Psychiatr Serv 57:70-6. 2006..This study evaluated the influence of patient- and facility-level characteristics on the early use of a new antipsychotic, ziprasidone, among Department of Veterans Affairs (VA) patients with schizophrenia... - Association between opioid prescribing patterns and opioid overdose-related deathsAmy S B Bohnert
Department of Veterans Affairs, Health Services Research and Development Center of Excellence, Ann Arbor, Michigan, USA
JAMA 305:1315-21. 2011..The rate of prescription opioid-related overdose death increased substantially in the United States over the past decade. Patterns of opioid prescribing may be related to risk of overdose mortality... - Comorbid anxiety as a suicide risk factor among depressed veteransPaul N Pfeiffer
Department of Veterans Affairs, Health Services Research and Development HSR and D Center of Excellence, Serious Mental Illness Treatment Research and Evaluation Center SMITREC, Ann Arbor, Michigan, USA
Depress Anxiety 26:752-7. 2009..We examined whether depressed veterans with comorbid anxiety had higher risks of suicide death... - Who receives outpatient monitoring during high-risk depression treatment periods?Helen C Kales
Serious Mental Illness Treatment, Research, and Evaluation Center, Ann Arbor Center of Excellence, Department of Veterans Affairs, Ann Arbor, Michigan, USA
J Am Geriatr Soc 58:908-13. 2010..To examine the intensity of monitoring received by important patient subgroups during high-risk periods (the 12 weeks after psychiatric hospitalization and after new antidepressant starts)... - 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... - 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 - Feasibility and acceptability of interventions to delay gun access in VA mental health settingsHeather Walters
Department of Veterans Affairs, Ann Arbor Center for Clinical Management Research, Serious Mental Illness Treatment Resource and Evaluation Center SMITREC, Ann Arbor, MI, USA
Gen Hosp Psychiatry 34:692-8. 2012..Using qualitative methods, stakeholders' perceptions about gun safety and interventions to delay gun access during high-risk periods were explored... - Peers and peer-based interventions in supporting reintegration and mental health among National Guard soldiers: a qualitative studyPaul N Pfeiffer
Department of Veterans Affairs, Health Services Research and Development Center for Clinical Management Research, 2800 Plymouth Road, Building 14, Ann Arbor, MI 48109, USA
Mil Med 177:1471-6. 2012..Formal peer-based programs may assist soldiers not sufficiently benefitting from natural peer networks, although there are barriers to implementation... - Predictors of suicide in patient charts among patients with depression in the Veterans Health Administration health system: importance of prescription drug and alcohol abuseHyungjin Myra Kim
Center for Statistical Consultation and Research, University of Michigan, 3555 Rackham, Ann Arbor, MI 48109 1070, USA
J Clin Psychiatry 73:e1269-75. 2012..To identify factors recorded in electronic medical chart progress notes associated with suicide among patients who had received treatment for depression... - Validation of key behaviourally based mental health diagnoses in administrative data: suicide attempt, alcohol abuse, illicit drug abuse and tobacco useHyungjin Myra Kim
Center for Statistical Consultation and Research, 3555 Rackham, University of Michigan, Ann Arbor, MI 48109 1070, USA
BMC Health Serv Res 12:18. 2012.... - Clinical complexity and the effectiveness of an intervention for depressed diabetes patientsJohn D Piette
Ann Arbor VA Healthcare System, HSR and D Center for Clinical Management Research, Ann Arbor, MI, USA
Chronic Illn 7:267-78. 2011..This study examined variation in intervention effects across patient subgroups defined by a measure of clinical complexity... - The prevalence and predictors of mental health treatment services in a national sample of depressed veteransStephen T Chermack
Department of Veterans Affairs, Ann Arbor Center of Excellence COE, Serious Mental Illness Treatment, Research, and Evaluation Center SMITREC, Ann Arbor, Michigan 48108, USA
Med Care 46:813-20. 2008..Both low level care (receipt of any MT, PT, or CT, but all below guideline levels) as well as guideline concordant care (GC MT, PT, and CT) were examined... - Trends in antidepressant prescribing for new episodes of depression and implications for health system quality measuresPaul N Pfeiffer
Department of Veterans Affairs, National Serious Mental Illness Treatment Resource and Evaluation Center, Health Services Research and Development Center of Excellence, USA
Med Care 50:86-90. 2012..Although initial prescriptions for a 90-day supply satisfy measure requirements, they may circumvent its purpose of ensuring adequate medication management... - Civilian employment among recently returning Afghanistan and Iraq National Guard veteransInger Burnett-Zeigler
VA Ann Arbor Healthcare System, Health Services Research and Development HSR and D, 2215 Fuller Road, Ann Arbor, MI 48105, USA
Mil Med 176:639-46. 2011..National Guard service members face deactivation from active duty soon after they return to the United States and rapid entry into the civilian workforce; therefore, it is important to examine employment among these Veterans... - Prevalence and correlates of alcohol misuse among returning Afghanistan and Iraq veteransInger Burnett-Zeigler
VA Ann Arbor Healthcare System, VA Serious Mental Illness Treatment Research and Evaluation Center Health Services Research and Development, Ann Arbor, MI 48105, USA
Addict Behav 36:801-6. 2011..This study assessed the prevalence and correlates of alcohol misuse and the factors associated with treatment utilization among recently returned National Guard service members... - Does consideration of Medicare use affect VA evaluations of treatment for new episodes of depression?John F McCarthy
HSR and D Field Program, VA Serious Mental Illness Treatment Research and Evaluation Center, PO Box 130170, Ann Arbor, MI 48113 0170, USA
Adm Policy Ment Health 35:468-76. 2008..Among the remainder, 3% received Medicare depression treatment and 0.5% were re-classified as having recommended contacts. Medicare use does not substantially supplement VA depression treatment... - Early mortality and years of potential life lost among veterans affairs patients with depressionKara Zivin
National Serious Mental Illness TreatmentResearch and Evaluation Center and the Health Services Research and Development Center for Clinical Management Research, US Department of Veterans Affairs, North Campus Research Complex, 2800 Plymouth Rd, Bldg 14, Ann Arbor, MI 48109, USA
Psychiatr Serv 63:823-6. 2012..Substantial literature documents excess and early mortality among individuals with serious mental illness, but there are relatively few data about mortality and depression... - Patterns of treatment utilization before suicide among male veterans with substance use disordersMark A Ilgen
Serious Mental Illness Treatment Research and Evaluation Center SMITREC, Department of Veterans Affairs, Ann Arbor, MI, USA
Am J Public Health 102:S88-92. 2012..We sought to describe the extent and nature of contact with the health care system before suicide among veterans with substance use disorders (SUDs)... - Benzodiazepine use among depressed patients treated in mental health settingsMarcia Valenstein
Department of Veterans Affairs Medical Center, Serious Mental Illness Treatment, Research, and Evaluation Center, and Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA
Am J Psychiatry 161:654-61. 2004..Elderly patients are particularly likely to receive benzodiazepines. Further research on the effectiveness of this widespread practice is needed... - Effect of race and sex on primary care physicians' diagnosis and treatment of late-life depressionHelen C Kales
Serious Mental Illness Treatment Research Education and Clinical Center, Health Services Research and Development, Ann Arbor, Michigan, USA
J Am Geriatr Soc 53:777-84. 2005..To examine primary care physician (PCP) contributions toward racial and sex differences in the diagnosis and treatment of late-life depression... - Prescription sleeping pills, insomnia, and suicidality in the National Comorbidity Survey ReplicationKirk J Brower
University of Michigan, Department of Psychiatry, 4250 Plymouth Rd, SPC 5740, Ann Arbor, MI 48109, USA
J Clin Psychiatry 72:515-21. 2011..Moreover, the association of nonbenzodiazepine benzodiazepine receptor agonists (NBRAs) with suicidality has not been specifically studied in the US general population... - Treatment for new episodes of depressionJohn F McCarthy
Department of Veterans Affairs Serious Mental Illness Treatment Research and Evaluation Center, Ann Arbor, MI 48113, USA
Psychiatr Serv 58:1035. 2007 - Racial disparity in the use of atypical antipsychotic medications among veteransLaurel A Copeland
VA Health Services Research and Development Field Office, Ann Arbor, Mich, 48113 0170, USA
Am J Psychiatry 160:1817-22. 2003..This study assessed the current state of antipsychotic prescription practices regarding race among veterans receiving care through the Department of Veterans Affairs... - Initiation of Primary Care-Mental Health Integration programs in the VA Health System: associations with psychiatric diagnoses in primary careKara Zivin
Department of Veterans Affairs, National Serious Mental Illness Treatment Research and Evaluation Center and Health Services Research and Development HSR and D Center for Clinical Management Research, Ann Arbor, MI, USA
Med Care 48:843-51. 2010..In 2008, many Department of Veterans Affairs (VA) facilities implemented collaborative care programs, as part of the VA's Primary Care-Mental Health Integration (PC-MHI) program... - Is there an "unhealthy volunteer effect" in mental health outpatient research?Paul N Pfeiffer
Department of Psychiatry, University of Michigan Medical School, Ann Arbor, MI, United States
Psychiatry Res 176:224-8. 2010..The possibility of such an effect should be considered when conducting and interpreting clinical trials... - A randomized trial of telephonic counseling plus walking for depressed diabetes patientsJohn D Piette
Ann Arbor VA Healthcare System, Flint, MI, USA
Med Care 49:641-8. 2011..This study evaluated the impact of telephone-delivered cognitive behavioral therapy (CBT) targeting patients' management of depressive symptoms, physical activity levels, and diabetes-related outcomes... - Suicide among patients in the Veterans Affairs health system: rural-urban differences in rates, risks, and methodsJohn F McCarthy
Department of Veterans Affairs, Office of Mental Health Operations, Serious Mental Illness Treatment Resource and Evaluation Center SMITREC, Ann Arbor, MI 48109, USA
Am J Public Health 102:S111-7. 2012..Using national patient cohorts, we assessed rural-urban differences in suicide rates, risks, and methods in veterans... - Antidepressant adherence after psychiatric hospitalization among VA patients with depressionKara Zivin
Department of Veterans Affairs, Health Services Research and Development HSR and D Center of Excellence, Serious Mental Illness Treatment Research and Evaluation Center SMITREC, Ann Arbor, MI, USA
Adm Policy Ment Health 36:406-15. 2009..Poor antidepressant adherence is common among depressed patients after psychiatric hospitalization. Efforts to improve adherence at this time may be critical in improving the outcomes of these high-risk patients... - Access-related measures and out-of-system utilization among veterans with bipolar disorderJohn F McCarthy
U S Department of Veterans Affairs National Serious Mental Illness Treatment Resource and Evaluation Center, Ann Arbor, MI 48113 0170, USA
Psychiatr Serv 61:1035-8. 2010..S. Department of Veterans Affairs (VA) medical center... - Initiation of assertive community treatment among veterans with serious mental illness: client and program factorsJohn F McCarthy
Health Services Research and Development, Serious Mental Illness Treatment Research and Evaluation Center, Department of Veterans Affairs, HSR and D Field Program, P O Box 130170, Ann Arbor, MI 48113 0170, USA
Psychiatr Serv 60:196-201. 2009..Ensuring equitable access to mental health services is a national priority. The authors examined assertive community treatment (ACT) services initiation in the Veterans Affairs (VA) health system among program-eligible patients... - Are primary care mental health services associated with differences in specialty mental health clinic use?Paul N Pfeiffer
Health Services Research and Development, Ann Arbor Department of Veterans Affairs Health System, MI, USA
Psychiatr Serv 62:422-5. 2011..The aim of this study was to determine whether implementation of primary care mental health services is associated with differences in specialty mental health clinic use within the Veterans Health Administration (VHA)... - Effectiveness of a depression disease management program in improving depression and work function--a pilot studyKara Zivin
Dept of Veterans Affairs, Ann Arbor, Michigan, USA
Int J Psychiatry Med 39:1-13. 2009..In addition, we examined the relationship between depressive symptoms and workplace functioning among M-DOCC enrollees over time... - Outpatient visit chaining among patients with serious mental illnessJohn F McCarthy
Department of Veterans Affairs Serious Mental Illness Treatment Research and Evaluation Center, Ann Arbor, MI 48113 0170, USA
Med Care 44:257-64. 2006..Unmeasured visit "chaining" may bias estimates of the impact of accessibility barriers when utilization volume is measured using visit days. No studies have evaluated differential encounter chaining by distance... - "No-shows": who fails to follow up with initial behavioral health treatment?Kara Zivin
Health Services Research and Development Center of Excellence, Department of Veterans Affairs, Ann Arbor, MI, USA
Am J Manag Care 15:105-12. 2009..We sought to determine what demographic and clinical factors are associated with receipt of initial mental health treatment... - Benzodiazepines and adequacy of initial antidepressant treatment for depressionPaul N Pfeiffer
Department of Veterans Affairs, Health Services Research and Development Center of Excellence, University of Michigan Medical School, Ann Arbor, MI, USA
J Clin Psychopharmacol 31:360-4. 2011..These findings should be considered by clinicians when assessing the individual risks and benefits of combining a benzodiazepine with antidepressant treatment... - Efficacy of peer support interventions for depression: a meta-analysisPaul N Pfeiffer
Health Services Research and Development, Department of Veterans Affairs, Ann Arbor, MI, USA
Gen Hosp Psychiatry 33:29-36. 2011..To assess the efficacy of peer support for reducing symptoms of depression... - Telephone-based mutual peer support for depression: a pilot studyJamie Travis
Department of Psychiatry, University of Michigan, Ann Arbor, Michigan, USA
Chronic Illn 6:183-91. 2010..To evaluate the acceptability, feasibility and depression-related outcomes of a telephone-based mutual peer support intervention for individuals with continued depressive symptoms in specialty mental health treatment... - Dosing frequency and adherence to antipsychotic medicationsPaul N Pfeiffer
Serious Mental Illness Treatment Research and Evaluation Center, Department of Veterans Affairs, Ann Arbor, Michigan 48113 0170, USA
Psychiatr Serv 59:1207-10. 2008..This study investigated whether dosing frequency affects antipsychotic medication adherence among patients with schizophrenia... - The mental health care context and patient characteristics: implications for provider job satisfactionC Raymond Bingham
Department of Veterans Affairs, Department of Psychiatry, University of Michigan, HSR and D, Ann Arbor, MI, USA
J Behav Health Serv Res 29:335-44. 2002..Provider job satisfaction was found to be greater on smaller units and units with higher patient functioning and lower illness severity. Implications of these results are discussed... - Buddy-to-Buddy, a citizen soldier peer support program to counteract stigma, PTSD, depression, and suicideJohn F Greden
University of Michigan Department of Psychiatry and Comprehensive Depression Center, University of Michigan, Ann Arbor, Michigan 48109, USA
Ann N Y Acad Sci 1208:90-7. 2010..Goals are to improve treatment entry, adherence, clinical outcomes, and to reduce suicides. This manuscript describes training approaches, preliminary results, and explores future national dissemination... - Residential mobility among patients in the VA health system: associations with psychiatric morbidity, geographic accessibility, and continuity of careJohn F McCarthy
Department of Veterans Affairs, VA Serious Mental Illness Treatment Research and Evaluation Center, Ann Arbor, MI, USA
Adm Policy Ment Health 34:448-55. 2007..When relocating, patients with schizophrenia and bipolar disorder were more likely to move closer to providers, suggesting greater sensitivity to accessibility barriers... - Aging and schizophrenia: current health services research and recommendationsKristen Lawton Barry
Department of Veterans Affairs, Serious Mental Illness Treatment Research and Evaluation Center, University of Michigan, Ann Arbor, Michigan, USA
J Geriatr Psychiatry Neurol 15:121-7. 2002..When older patients are hospitalized for psychiatric reasons, their stays are longer. The implications of these findings are discussed... - Violent and nonviolent suicide in veterans with substance-use disordersMark A Ilgen
Health Services Research and Development Center of Excellence and the Serious Mental Illness Treatment Research and Evaluation Center, Ann Arbor Department of Veterans Affairs, 2215 Fuller Road 11H, Ann Arbor, Michigan 48105, USA
J Stud Alcohol Drugs 71:473-9. 2010..We examined the demographic and clinical predictors of violent and nonviolent suicide among patients with SUDs... - Effect of strengths model versus assertive community treatment model on participant outcomes and utilization: two-year follow-upKristen Lawton Barry
Department of Veterans Affairs, Serious Mental Illness Treatment, Evaluation, and Research Center, Health Services Research and Development Field Office, Ann Arbor, Michigan 48113 0170, USA
Psychiatr Rehabil J 26:268-77. 2003..Findings support both treatment models, but additional clinical gains may be obtained from the Strengths approach... - Effect of smoking, alcohol, and depression on the quality of life of head and neck cancer patientsSonia A Duffy
Center for Practice Management and Outcomes Research, VA Ann Arbor Healthcare System, Ann Arbor, MI, USA
Gen Hosp Psychiatry 24:140-7. 2002..While smoking, alcohol intake and depression may be episodically treated, standardized protocols and aggressive intervention strategies for systematically addressing these highly prevalent disorders are needed in this population... - Exploratory data mining analysis identifying subgroups of patients with depression who are at high risk for suicideMark A Ilgen
J Clin Psychiatry 70:1495-500. 2009..Using an empirically based decision tree analysis for a large national sample of Veterans Affairs (VA) health system patients treated for depression, we identified subgroups with particularly high or low rates of suicide... - Mental illness, previous suicidality, and access to guns in the United StatesMark A Ilgen
Department of Veterans Affairs Ann Arbor, and Department of Psychiatry, University of Michigan 48109 5763, USA
Psychiatr Serv 59:198-200. 2008..This study examined the association between mental disorders, prior suicidality, and access to guns and gun safety in the U.S. population... - Addressing the needs of patients with multiple chronic illnesses: the case of diabetes and depressionJohn D Piette
Center for Practice Management and Outcomes Research, VA Ann Arbor Health Care System, Ann Arbor, Mich 48113 0170, USA
Am J Manag Care 10:152-62. 2004..To review the literature on comorbid depression and diabetes (DM/D) and present a conceptual framework for integrating depression management with diabetes care in a managed care environment... - Sleep problems and suicidality in the National Comorbidity Survey ReplicationMarcin Wojnar
University of Michigan, Department of Psychiatry, 4250 Plymouth Road, Ann Arbor, MI 48109 5763, USA
J Psychiatr Res 43:526-31. 2009..Using data from a nationally representative survey, we examined the association between self-reported sleep difficulties and suicidality in the United States... - A comparison of guidelines for the treatment of schizophreniaKaren K Milner
Department of Psychiatry of the University of Michigan Health System BID102, UH, 1500 East Medical Center Drive, Ann Arbor, Michigan 48109 0020, USA
Psychiatr Serv 53:888-90. 2002..The algorithms are those of the Texas Medication Algorithm Project (TMAP). The authors outline the strengths of each and suggest how a future guideline might build on these strengths... - Implementing standardized assessments in clinical care: now's the timeMarcia Valenstein
Department of Veterans Affairs, Health Services Research and Development, Serious Mental Illness Treatment Research and Evaluation Center, Ann Arbor, MI 48113 0170, USA
Psychiatr Serv 60:1372-5. 2009..Finally, the committee makes practical suggestions for clinicians and systems attempting to implement routine outcome measures in their clinics... - Public-academic partnerships: working together to meet the needs of Army National Guard soldiers: an academic-military partnershipGregory W Dalack
Department of Psychiatry, University of Michigan, 4250 Plymouth Rd, Ann Arbor, MI 48109
Psychiatr Serv 61:1069-71. 2010..The process of forming the partnership and the challenges, opportunities, and benefits arising from it are described... - 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 - Treatment adherence with lithium and anticonvulsant medications among patients with bipolar disorderMartha Sajatovic
Department of Psychiatry, Case Western Reserve University, OH 44106 5000, USA
Psychiatr Serv 58:855-63. 2007..This study examined adherence with lithium and anticonvulsant medication among patients with bipolar disorder receiving treatment in Department of Veterans Affairs (VA) settings... - Age comparison of treatment adherence with antipsychotic medications among individuals with bipolar disorderMartha Sajatovic
Psychiatry and Epidemiology and Biostatistics, Case Western Reserve University School of Medicine, Cleveland, OH, USA
Int J Geriatr Psychiatry 22:992-8. 2007..We compared adherence with antipsychotic medication among older (age 60 and older) and younger individuals using a large case registry (n = 73,964)... - Effect of a medication copayment increase in veterans with schizophreniaJohn E Zeber
Veterans Affairs Health Services Research and Development South Texas Veterans Health Care System VERDICT, San Antonio, TX 78229 4404, USA
Am J Manag Care 13:335-46. 2007.... - Effect of care setting on evidence-based depression treatment for veterans with COPD and comorbid depressionNeil Jordan
Center for Management of Complex Chronic Care, Hines VA Hospital, Hines, IL, USA
J Gen Intern Med 22:1447-52. 2007..Existing research does not assess the impact of care setting on delivery of evidence-based depression care for these patients... - Criminal background checks for psychiatry? Michigan's mental health exceptionalismKara Zivin
J Am Acad Psychiatry Law 36:6-9. 2008 - Long-term combination antipsychotic treatment in VA patients with schizophreniaJulie Kreyenbuhl
Division of Services Research, Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD 21201, USA
Schizophr Res 84:90-9. 2006..The most commonly used antipsychotic combinations have little support for safety or efficacy. Further research is needed to understand the impact of these treatments on symptoms, side effects, and costs... - Treatment adherence with antipsychotic medications in bipolar disorderMartha Sajatovic
Case Western Reserve University School of Medicine, Cleveland, OH, USA
Bipolar Disord 8:232-41. 2006..Using data from the VA National Psychosis Registry, we examined adherence with antipsychotic medications among patients with bipolar disorder (n = 73,964)... - Complexity in late-life depression: impact of confounding factors on diagnosis, treatment, and outcomesHelen C Kales
Department of Psychiatry, University of Michigan, Ann Arbor Veterans Affairs Medical Center 48105, USA
J Geriatr Psychiatry Neurol 15:147-55. 2002..Attention to such factors must be included in an agenda for mental health services research, with emphasis on the delivery of effective treatment to elderly patients with depression and improved outcomes in clinical settings... - Long-term antipsychotic polypharmacy in the VA health system: patient characteristics and treatment patternsJulie A Kreyenbuhl
Division of Services Research, Department of Psychiatry, University of Maryland School of Medicine, 737 W Lombard St, Baltimore, MD 21201, USA
Psychiatr Serv 58:489-95. 2007..Although antipsychotic polypharmacy is being prescribed with increasing frequency, few studies have described patient characteristics and treatment patterns associated with long-term use of this treatment strategy... - Improving care for patients with serious mental illnessKatherine J Gold
Am Fam Physician 78:314-5. 2008 - Case report of aripiprazole usage during pregnancyBenjamin Mervak
Arch Womens Ment Health 11:249-50. 2008 - Using pharmacy data on partial adherence to inform clinical care of patients with serious mental illnessEmily M Woltmann
Dartmouth Psychiatric Research Center, NH, USA
Psychiatr Serv 58:864-7. 2007..Pharmacy data might be used by health systems to identify partially adherent patients for interventions. This study assessed whether using pharmacy data is an accurate screening method for identifying at-risk patients... - Keeping our eyes on STAR*DMarcia Valenstein
Am J Psychiatry 163:1484-6. 2006 - Psychiatrists and primary caring: what are our boundaries of responsibility?Lisa B Dixon
Psychiatr Serv 58:600-2. 2007..Characteristics of the setting, practitioner, and patient that affect how such responsibilities are fulfilled are also discussed...
Research Grants
- Antidepressants, Concurrent Treatments, and Completed Suicide in VA Registry DataMarcia Valenstein; Fiscal Year: 2007..We anticipate that the proposed project will advance knowledge in this critical area and inform future efforts to use organizational datasets to examine sentinel events, such as suicide. ..