Research Topics
| K B WellsSummaryAffiliation: University of California Country: USA Publications
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Publications
Five-year impact of quality improvement for depression: results of a group-level randomized controlled trialKenneth Wells
Health Program, RAND, Santa Monica, CA 90407 2138, USA
Arch Gen Psychiatry 61:378-86. 2004..Quality improvement (QI) programs for depressed primary care patients can improve health outcomes for 6 to 28 months; effects for longer than 28 months are unknown...
Treatment research at the crossroads: the scientific interface of clinical trials and effectiveness researchK B Wells
Neuropsychiatric Institute and Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, 90024 6505, USA
Am J Psychiatry 156:5-10. 1999..An understanding of the design, analysis, and conventions of both efficacy and effectiveness studies can lead to research that better informs clinical and societal questions...
The cumulative effects of quality improvement for depression on outcome disparities over 9 years: results from a randomized, controlled group-level trialKenneth B Wells
RAND Corporation, 1776 Main Street, Santa Monica, CA 90407, USA
Med Care 45:1052-9. 2007..Quality improvement (QI) programs for depression can improve outcomes of care and reduce outcome disparities; but cumulative effects on mental health outcome disparities have seldom been evaluated...
Science discovery in clinician-economist collaboration: legacy and future challengesKenneth B Wells
UCLA NPI Health Services Research Center, Los Angeles, CA 90024, USA
J Ment Health Policy Econ 5:89-94. 2002..2002 Carl Taube Lecture at the NIMH Mental Health Economics Meeting...
Building an academic-community partnered network for clinical services research: the Community Health Improvement Collaborative (CHIC)Kenneth B Wells
RAND Corporation, Santa Monica, California, USA
Ethn Dis 16:S3-17. 2006....
Bridging community intervention and mental health services researchKenneth Wells
Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles, CA 90024, USA
Am J Psychiatry 161:955-63. 2004..This article explores the potential of community intervention perspectives for increasing the relevance, reach, and public health impact of mental health services research...
Impact of disseminating quality improvement programs for depression in managed primary care: a randomized controlled trialK B Wells
RAND, Health Program, Santa Monica, CA 90407, USA
JAMA 283:212-20. 2000..Care of patients with depression in managed primary care settings often fails to meet guideline standards, but the long-term impact of quality improvement (QI) programs for depression care in such settings is unknown...
Cost-effectiveness of quality improvement programs for patients with subthreshold depression or depressive disorderKenneth B Wells
RAND Corporation, Santa Monica, CA 90407 2138, USA
Psychiatr Serv 58:1269-78. 2007..This study explored the cost-effectiveness of quality-improvement interventions for depression in primary care, relative to usual care, among patients with subthreshold depression or depressive disorder...
Switches between prepaid and fee-for-service health systems among depressed outpatients: results from the Medical Outcomes StudyR Sturm
RAND, Santa Monica, CA 90407
Med Care 32:917-29. 1994..Nevertheless, it appears that patients switching from prepaid to fee-for-service may be at risk for poorer functioning outcomes, although there was no similar effect on mental health status...
Long-term effectiveness of disseminating quality improvement for depression in primary careC D Sherbourne
Health Program, RAND, 1700 Main St, Santa Monica, CA 90407 2138, USA
Arch Gen Psychiatry 58:696-703. 2001....
Provider choice and continuity for the treatment of depressionR Sturm
RAND, Santa Monica, CA 90407, USA
Med Care 34:723-34. 1996..Although the authors find provider switching to be associated significantly with discontinuing antidepressant medication, there is no significant direct effect on patient health outcomes...
How the medical comorbidity of depressed patients differs across health care settings: results from the Medical Outcomes StudyK B Wells
RAND Corporation, Santa Monica, CA 90407 2138
Am J Psychiatry 148:1688-96. 1991....
Outcomes for adult outpatients with depression under prepaid or fee-for-service financingW H Rogers
RAND Corporation, Santa Monica, Calif
Arch Gen Psychiatry 50:517-25. 1993..To compare change over time in symptoms of depression and limitations in role and physical functioning of patients receiving prepaid or fee-for-service care within and across clinician specialties...
Use of minor tranquilizers and antidepressant medications by depressed outpatients: results from the medical outcomes studyK B Wells
RAND Corporation, Santa Monica, CA 90407 2138
Am J Psychiatry 151:694-700. 1994..The purpose of this study was to compare use of minor tranquilizers and antidepressant medications by depressed outpatients across different treatment settings...
Witness for Wellness: preliminary findings from a community-academic participatory research mental health initiativeRicky N Bluthenthal
Project Export, Department of Psychiatry, Charles R Drew University of Medicine and Science, Los Angeles, California 90059, USA
Ethn Dis 16:S18-34. 2006..Continued monitoring of this project should help refine the model as well as assist in the identification of process and outcome measures for such efforts...
Quality improvement for depression enhances long-term treatment knowledge for primary care cliniciansL S Meredith
RAND, Santa Monica, Calif 90407 2138, USA
J Gen Intern Med 15:868-77. 2000..We evaluated the effect of implementing quality improvement (QI) programs for depression, relative to usual care, on primary care clinicians' knowledge about treatment...
Can quality improvement programs for depression in primary care address patient preferences for treatment?M Dwight-Johnson
Department of Psychiatry, University of Southern California, Los Angeles, USA
Med Care 39:934-44. 2001..Depression is common in primary care, but rates of adequate care are low. Little is known about the role of patient treatment preferences in encouraging entry into care...
Quality of care for primary care patients with depression in managed careK B Wells
Department of Psychiatry and Behavioral Sciences, University of California, Los Angeles, USA
Arch Fam Med 8:529-36. 1999..To evaluate the process and quality of care for primary care patients with depression under managed care organizations...
Mental health care utilization in prepaid and fee-for-service plans among depressed patients in the Medical Outcomes StudyR Sturm
RAND, Santa Monica, CA 90407 2138, USA
Health Serv Res 30:319-40. 1995..We compare mental health utilization in prepaid and fee-for-service plans and analyze selection biases...
How can care for depression become more cost-effective?R Sturm
RAND, Santa Monica, CA 90407 2138
JAMA 273:51-8. 1995....
Can utility-weighted health-related quality-of-life estimates capture health effects of quality improvement for depression?C Donald Sherbourne
RAND, Santa Monica, California 90407 2138, USA
Med Care 39:1246-59. 2001..Utility methods that are responsive to changes in desirable outcomes are needed for cost-effectiveness (CE) analyses and to help in decisions about resource allocation...
Effects of cost-containment strategies within managed care on continuity of the relationship between patients with depression and their primary care providersL S Meredith
RAND Health Program, Santa Monica, California 90407, USA
Med Care 39:1075-85. 2001..Continuity of the relationship between patients and primary care providers (PCPs) is an important component of care from the consumer perspective that may be affected by variation in cost containment strategies within managed care...
Functioning and utility for current health of patients with depression or chronic medical conditions in managed, primary care practicesK B Wells
RAND, Santa Monica, Calif 90407 2138, USA
Arch Gen Psychiatry 56:897-904. 1999..Health utility is the recommended outcome metric for medical cost-effectiveness studies. We compared health utility and quality of life for primary care patients with depression or chronic medical conditions...
Caring for depression in primary care: defining and illustrating the policy contextK B Wells
Department of Psychiatry and Biobehavioral Neurosciences, University of California, Los Angeles, School of Medicine, USA
J Clin Psychiatry 58:24-7. 1997....
Mental disorders and the use of alternative medicine: results from a national surveyJ Unutzer
UCLA Neuropsychiatric Institute, Santa Monica, CA 90024, USA
Am J Psychiatry 157:1851-7. 2000..The study examined the relationship between mental disorders and the use of complementary and alternative medicine...
Improving care for depression in patients with comorbid substance misuseKatherine E Watkins
RAND Corporation, Santa Monica, CA 90407-2138, USA
Am J Psychiatry 163:125-32. 2006..No consistent evidence was found for a differential program-by-comorbidity effect except for a suggestion of greater increase in psychotherapy among individuals with no substance misuse...
The Building Wellness project: a case history of partnership, power sharing, and compromiseDrew Jones
Semel Institute for Neuroscience and Human Behavior, Health Services Research Center, Los Angeles, California, USA
Ethn Dis 16:S54-66. 2006....
Estimation of utilities for the effects of depression from the SF-12L A Lenert
Veterans Affairs San Diego Healthcare System and Department of Medicine, University of California, San Diego 92161, USA
Med Care 38:763-70. 2000..Because of the complexity of utility measurement and the existence of large numbers of completed studies with HRQOL data but not utility data, it would be desirable to be able to estimate utilities from measurements of HRQOL...
Severity of depression in prepaid and fee-for-service general medical and mental health specialty practicesK B Wells
RAND Corporation, Santa Monica, CA 90407 2138, USA
Med Care 33:350-64. 1995..Because payment was unrelated to severity, treatment implications are similar under prepaid and fee-for-service care. Implications for clinical practice, public policy, and outcomes research design are discussed...
Disparities in depression treatment for Latinos and site of careIsabel T Lagomasino
Department of Psychiatry and Behavioral Sciences, University of Southern California Keck School of Medicine, 1520 San Pablo Street, Suite 4100, Los Angeles, California 90033, USA
Psychiatr Serv 56:1517-23. 2005..This study examined the impact of patient characteristics and source of care on differences between whites and Latinos in use and quality of depression treatment in managed primary care settings...
The effects of health sector market factors and vulnerable group membership on access to alcohol, drug, and mental health careSusan E Stockdale
UCLA Semel Institute Health Services Research Center, 10920 Wilshire Blvd, Ste 300 Los Angeles, CA 90024, USA
Health Serv Res 42:1020-41. 2007....
Depression and health-related quality of life in ethnic minorities seeking care in general medical settingsM E Jackson-Triche
Department of Psychiatry and Biobehavioral Sciences, University of California at Los Angeles, Sepulveda Veterans Affairs Medical Center, 91343, USA
J Affect Disord 58:89-97. 2000..To examine ethnic groups differences in (a) prevalence of depressive disorders and (b) health related quality of life in fee-for-service and managed care patients (n=21504) seeking care in general medical settings...
Two-year effects of quality improvement programs on medication management for depressionJ Unutzer
Center for Health Services Research, Neuropsychiatric Institute, University of California, Los Angeles, 10920 Wilshire Blvd, Suite 300, Los Angeles, CA 90024, USA
Arch Gen Psychiatry 58:935-42. 2001..Significant underuse of evidence-based treatments for depression persists in primary care. We examined the effects of 2 primary care-based quality improvement (QI) programs on medication management for depression...
Treatment preferences among depressed primary care patientsM Dwight-Johnson
Department of Psychiatry, University of Southern California, Los Angeles, Calif, USA
J Gen Intern Med 15:527-34. 2000..To understand patient factors that may affect the probability of receiving appropriate depression treatment, we examined treatment preferences and their predictors among depressed primary care patients...
Counseling typically provided for depression. Role of clinician specialty and payment systemL S Meredith
Social Policy Department, RAND, Santa Monica, Calif, USA
Arch Gen Psychiatry 53:905-12. 1996....
The effects of a prepaid group practice on mental health outcomesK B Wells
RAND Corporation, Santa Monica, CA 90406
Health Serv Res 25:615-25. 1990..Thus, the less intensive style of treatment in the prepaid group practice was not associated with noticeably worse mental health outcomes...
Problematic substance use, depressive symptoms, and gender in primary careC A Roeloffs
Department of Psychiatry, University of California, Los Angeles 90024, USA
Psychiatr Serv 52:1251-3. 2001..Men were significantly more likely than women to have received counseling about drug or alcohol use from their primary care practitioner...
The effects of primary care depression treatment on patients' clinical status and employmentMichael Schoenbaum
RAND, Arlington, VA 22202, USA
Health Serv Res 37:1145-58. 2002..05. CONCLUSIONS: Appropriate treatment for depression provided in community-based primary care substantially improves clinical and quality of life outcomes and employment...
The effects of quality improvement for depression in primary care at nine years: results from a randomized, controlled group-level trialKenneth B Wells
THE RAND CORPORATION, 1776 Main Street, Santa Monica, CA 90401, USA
Health Serv Res 43:1952-74. 2008..To examine 9-year outcomes of implementation of short-term quality improvement (QI) programs for depression in primary care...
Relationship between age and patients' current health state preferencesC D Sherbourne
RAND, Santa Monica, CA 90407 2138, USA
Gerontologist 39:271-8. 1999..Health providers should take care to assess individual preferences from all patients regardless of age...
The quality of care for depressive and anxiety disorders in the United StatesA S Young
UCLA Neuropsychiatric Institute, Health Services Research Center, 10920 Wilshire Blvd, Suite 300, Los Angeles, CA 90024-6505, USA
Arch Gen Psychiatry 58:55-61. 2001..Most adults with a probable depressive or anxiety disorder do not receive appropriate care for their disorder. While this holds across diverse groups, appropriate care is less common in certain demographic subgroups...
Do the effects of quality improvement for depression care differ for men and women? Results of a group-level randomized controlled trialCathy Donald Sherbourne
RAND Corporation, Health Program, Santa Monica, California 90407 2138, USA
Med Care 42:1186-93. 2004..We sought to examine whether a quality improvement (QI) program for depression care is effective for both men and women and whether their responses differed...
Alcohol, drug abuse, and mental health care for uninsured and insured adultsKenneth B Wells
RAND, Santa Monica, CA 90407-2138, USA
Health Serv Res 37:1055-66. 2002..Despite low ADM use, those with Medicare tend to be satisfied. Across plans, unmet need for ADM care was high, suggesting changes are needed in policy and practice...
What is necessary to transform the quality of mental health careKavita K Patel
RAND, Santa Monica, California, USA
Health Aff (Millwood) 25:681-93. 2006..We also discuss the need to develop leadership among health care stakeholders and community engagement to promote public commitment to high-quality care in mental health...
Treating depression in staff-model versus network-model managed care organizationsL S Meredith
RAND, Santa Monica, Calif 90407, USA
J Gen Intern Med 14:39-48. 1999..Given varying attitudes and behaviors, improving primary care for the treatment of depression will require unique strategies beyond enhancing technical knowledge for the two types of MCOs...
Course of depression in patients with comorbid anxiety disordersC D Sherbourne
RAND, Santa Monica CA, USA
J Affect Disord 43:245-50. 1997..The findings emphasize the poor clinical prognosis associated with comorbid anxiety disorder...
Affective disorders in children and adolescents: addressing unmet need in primary care settingsK B Wells
Department of Psychiatry, University of California, Los Angeles, California 90024-6505, USA
Biol Psychiatry 49:1111-20. 2001..Research is needed to support development of these solutions and evaluation of their impacts...
Termination of social security benefits among Los Angeles recipients disabled by substance abuseK E Watkins
Department of Psychiatry and Biobehavioral Science, University of California, Los Angeles, USA
Psychiatr Serv 50:914-8. 1999..This study examined appeal and recertification in Los Angeles County...
Long-term benefits of short-term quality improvement interventions for depressed youths in primary careJoan Rosenbaum Asarnow
Neuropsychiatric Institute, UCLA School of Medicine, 760 Westwood Plaza, Los Angeles, CA 90024 1759
Am J Psychiatry 166:1002-10. 2009..The authors examined 6-, 12-, and 18-month outcomes of a primary care quality improvement intervention...
Depression and role impairment among adolescents in primary care clinicsJoan Rosenbaum Asarnow
University of California, Los Angeles School of Medicine, Los Angeles, California, USA
J Adolesc Health 37:477-83. 2005..To evaluate the association between depression and role impairment in a primary care sample, with and without controlling for the effects of general medical conditions...
The content of substance abuse and mental health counseling reported by patients in a national surveyCraig Landry
UCLA Health Services Research Center, Los Angeles, CA 90095, USA
Adm Policy Ment Health 37:279-86. 2010..Patient self-report may be one useful way of tracking whether components of standard therapies are implemented in practice...
Generalizability of studies on mental health treatment and outcomes, 1981 to 1996Joel T Braslow
Department of psychiatry and biobehavioral sciences at University of California, Los Angeles, California 90024, USA
Psychiatr Serv 56:1261-8. 2005..This study operationalized and measured the external validity, or generalizability, of studies on mental health treatment and outcomes published in four journals between 1981 and 1996...
How a therapy-based quality improvement intervention for depression affected life events and psychological well-being over time: a 9-year longitudinal analysisCathy Donald Sherbourne
RAND Corporation, Santa Monica, California, USA
Med Care 46:78-84. 2008..We hypothesized that 1 pathway for such health benefits was an indirect effect with QI reducing risk factors for depression such as stressful life events...
Longitudinal patterns of alcohol, drug, and mental health need and care in a national sample of U.S. adultsSusan E Stockdale
Health Services Research Center, Semel Institute, University of California, Los Angeles, 10920 Wilshire Boulevard, Suite 300, Los Angeles, California 90024, USA
Psychiatr Serv 57:93-9. 2006..This study examined the level of transient and persistent need and unmet need over time among respondents to a national survey and whether need was met by provision of mental health services or resolved without treatment...
Using community arts events to enhance collective efficacy and community engagement to address depression in an African American communityBowen Chung
RAND Corporation, Santa Monica, CA, USA
Am J Public Health 99:237-44. 2009..We used community-partnered participatory research (CPPR) to measure collective efficacy and its role as a precursor of community engagement to improve depression care in the African American community of South Los Angeles...
Talking Wellness: a description of a community-academic partnered project to engage an African-American community around depression through the use of poetry, film, and photographyBowen Chung
Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, UCLA Health Services Research Center, CA 90024 6505, USA
Ethn Dis 16:S67-78. 2006..The project is described from the perspective of community members involved in the process...
A community participatory research partnership: the development of a faith-based intervention for children exposed to violenceSheryl H Kataoka
Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, USA
Ethn Dis 16:S89-97. 2006....
Persistent depression and anxiety in the United States: prevalence and quality of careAlexander S Young
Mental Illness Research, Education, and Clinical Center, Department of Veterans Affairs Healthcare Center, Los Angeles, CA, USA
Psychiatr Serv 59:1391-8. 2008..This study provided national estimates of the prevalence of persistent depression and anxiety, as well as estimates of illness severity, treatment use, and quality of care in this population...
The importance of social context: neighborhood stressors, stress-buffering mechanisms, and alcohol, drug, and mental health disordersSusan E Stockdale
UCLA Semel Institute Health Service Research Center, Los Angeles, CA, USA
Soc Sci Med 65:1867-81. 2007..e., low-average household occupancy) had a higher likelihood of disorders. If replicated by future studies using longitudinal data, our results have implications for policies and programs targeting neighborhoods to reduce ADM disorders...
Datapoints: second-generation antipsychotic medication combinations for schizophreniaCarol Eisen
Semel Institute for Neuroscience and Human Behavior, Health Services Research Center, University of California, Los Angeles, CA 90024, USA
Psychiatr Serv 59:235. 2008
Quality of publicly-funded outpatient specialty mental health care for common childhood psychiatric disorders in CaliforniaBonnie T Zima
Department of Psychiatry and Biobehavioral Sciences, University of California at Los Angeles, CA 90024, USA
J Am Acad Child Adolesc Psychiatry 44:130-44. 2005....
Problem substance use among depressed patients in managed primary careCarol A Roeloffs
Department of Psychiatry and Behavioral Sciences, UCLA Neuropsychiatric Institute, CA 90024, USA
Psychosomatics 43:405-12. 2002..Greater understanding of substance use problems in primary care patients with depressive symptoms and disorders may aid efforts to more quickly identify, educate, and provide services for those in need...
Unmet need for mental health care among U.S. children: variation by ethnicity and insurance statusSheryl H Kataoka
Department of Psychiatry and Behavioral Sciences, Research Center on Managed Care for Psychiatric Disorders, University of California, Los Angeles, USA
Am J Psychiatry 159:1548-55. 2002..The authors use three national data sets and examine ethnic disparities in unmet need (defined as having a need for mental health evaluation but not using any services in a 1-year period) to provide such estimates...
Effectiveness of a quality improvement intervention for adolescent depression in primary care clinics: a randomized controlled trialJoan Rosenbaum Asarnow
UCLA Neuropsychiatric Institute, David Geffen School of Medicine at UCLA, Los Angeles, Calif 90024 1759, USA
JAMA 293:311-9. 2005..Depression is a common condition associated with significant morbidity in adolescents. Few depressed adolescents receive effective treatment for depression in primary care settings...
Quality of care for childhood attention-deficit/hyperactivity disorder in a managed care medicaid programBonnie T Zima
Department of Psychiatry and Biobehavioral Science, UCLA Center for Health Services and Society, Los Angeles, CA 90024, USA
J Am Acad Child Adolesc Psychiatry 49:1225-37, 1237.e1-11. 2010....
Stigma and depression among primary care patientsCarol Roeloffs
Department of Psychiatry and Behavioral Sciences, Neuropsychiatric Institute, University of California, Los Angeles, CA, USA
Gen Hosp Psychiatry 25:311-5. 2003..The relationship between stigma and service use deserves further study in diverse settings and populations...
Does obesity contribute as much to morbidity as poverty or smoking?R Sturm
RAND, 1700 Main Street, Santa Monica, CA 90401, USA
Public Health 115:229-35. 2001..Nevertheless, the latter have achieved more consistent attention in recent decades in clinical practice and public health policy...
Quality of care for depressed elderly pre-post prospective payment system: differences in response across treatment settingsK B Wells
RAND Corporation, Santa Monica, CA 90407 2138
Med Care 32:257-76. 1994....
Overcoming barriers to reducing the burden of affective disordersKenneth B Wells
Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, California, USA
Biol Psychiatry 52:655-75. 2002..We review the literature, identify key gaps, and recommend new research to guide national efforts to reduce the burden of affective disorders...
Mental health care for adults with suicide ideationRachel Brook
Health Services Research Center, Los Angeles, CA 90024, USA
Gen Hosp Psychiatry 28:271-7. 2006..Even among those perceiving a need for care, many experience difficulties in obtaining it. It is critical to understand barriers to treatments for this high-risk group...
What outcomes matter to patients?C D Sherbourne
RAND, Santa Monica, CA 90407 2138, USA
J Gen Intern Med 14:357-63. 1999..Despite recommendations to use patient preferences to guide treatment decisions, little is known about how patients value different dimensions of their health status...
Adolescent primary care patients' preferences for depression treatmentLisa H Jaycox
RAND Corporation, Arlington, Virginia 22202 5050, USA
Adm Policy Ment Health 33:198-207. 2006..Youth preference for counseling over medication may contribute to low adherence to medication treatment and underscores the importance of patient education aimed at promoting positive expectations for treatments...
Policy interventionRichard Scheffler
University of California, Berkeley, 2150 Shattuck Avenue, Suite 525, Berkeley, California 94720 7380, USA
Ment Health Serv Res 4:215-22. 2002..A research agenda is developed for formulating and implementing public policy...
Interventions in organizational and community context: a framework for building evidence on dissemination and implementation in health services researchPeter Mendel
RAND Corporation, 1776 Main Street, Santa Monica, CA 90407, USA
Adm Policy Ment Health 35:21-37. 2008....
Rapid community participatory assessment of health care in post-storm New OrleansBENJAMIN F SPRINGGATE
University of California, Los Angeles, California, USA
Am J Prev Med 37:S237-43. 2009..This project engaged community stakeholders in a rapid, participatory assessment of health priorities 1 year post-disaster, to inform the policy process and build capacity for recovery planning among community members...
Characteristics, treatment patterns, and outcomes of persistent depression despite treatment in primary careCathy Sherbourne
RAND, 1700 Main Street, Santa Monica, CA 90407 2138, USA
Gen Hosp Psychiatry 26:106-14. 2004..High rates of service use and poor outcomes emphasize the urgency of new research to find solutions for these patients...
Community-based interventionsMartha L Bruce
Department of Psychiatry, Westchester Division, Weill Medical College of Cornell University, 21 Bloomingdale Road, White Plains, New York 10605, USA
Ment Health Serv Res 4:205-14. 2002..An agenda for developing this field of intervention research is proposed...
Twelve-month use of mental health services in the United States: results from the National Comorbidity Survey ReplicationPhilip S Wang
Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts 02115, USA
Arch Gen Psychiatry 62:629-40. 2005..Dramatic changes have occurred in mental health treatments during the past decade. Data on recent treatment patterns are needed to estimate the unmet need for services...
Mental health service use among hurricane Katrina survivors in the eight months after the disasterPhilip S Wang
Interventional Research, National Institute of Mental Health, Bethesda, MD, USA
Psychiatr Serv 58:1403-11. 2007..This study examined use of mental health services among adult survivors of Hurricane Katrina in order to improve understanding of the impact of disasters on persons with mental disorders...
Improving care for minorities: can quality improvement interventions improve care and outcomes for depressed minorities? Results of a randomized, controlled trialJeanne Miranda
Department of Psychiatry, Georgetown University Medical Center, Washington, DC, USA
Health Serv Res 38:613-30. 2003..We determined whether practice-initiated quality improvement (QI) interventions for depressed primary care patients improve care across ethnic groups and reduce outcome disparities...
Do users of regularly prescribed opioids have higher rates of substance use problems than nonusers?Mark J Edlund
Central Arkansas Veterans Healthcare System, North Little Rock, Arkansas, USA
Pain Med 8:647-56. 2007....
Failure and delay in initial treatment contact after first onset of mental disorders in the National Comorbidity Survey ReplicationPhilip S Wang
Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts 02115, USA
Arch Gen Psychiatry 62:603-13. 2005..An understudied crucial step in the help-seeking process is making prompt initial contact with a treatment provider after first onset of a mental disorder...
Disruption of existing mental health treatments and failure to initiate new treatment after Hurricane KatrinaPhilip S Wang
Department of Health Care Policy, Harvard Medical School, 180 Longwood Ave, Boston, MA 02115, USA
Am J Psychiatry 165:34-41. 2008..The authors examined the disruption of ongoing treatments among individuals with preexisting mental disorders and the failure to initiate treatment among individuals with new-onset mental disorders in the aftermath of Hurricane Katrina...
Improving the care for depression in patients with comorbid medical illnessAlan K Koike
Department of Psychiatry, Medical School, University of California Davis, 2230 Stockton Boulevard, Sacramento, CA 95817, USA
Am J Psychiatry 159:1738-45. 2002..The authors compared treatment and outcomes for depressed primary care patients with and without comorbid medical conditions and assessed the impact of quality improvement programs for these patients...
Understanding mental health treatment in persons without mental diagnoses: results from the National Comorbidity Survey ReplicationBenjamin G Druss
Department of Health Policy and Management, Rollins School of Public Health, Emory University, 1518 Clifton Road NE, Atlanta, GA 30322, USA
Arch Gen Psychiatry 64:1196-203. 2007..Concerns have been raised that this pattern might represent evidence of misallocation of treatment resources...
Reducing the burden of depression: building villages for coordinated careKenneth B Wells
JAMA 298:1451-2. 2007
Do family physicians and internists differ in knowledge, attitudes, and self-reported approaches for depression?Joseph J Gallo
Department of Family Practice and Community Medicine, University of Pennsylvania, Philadelphia 19104, USA
Int J Psychiatry Med 32:1-20. 2002..The purpose of this investigation was to assess the relationship of primary care specialty training with self-assessed skill, knowledge, attitudes, and behavior toward depression recognition and management...
Does satisfaction reflect the technical quality of mental health care?Mark J Edlund
Department of Psychiatry, University of Arkansas Medical School, USA
Health Serv Res 38:631-45. 2003..To analyze the relationship between satisfaction and technical quality of care for common mental disorders...
Implementing the Institute of Medicine definition of disparities: an application to mental health careThomas G McGuire
Department of Health Care Policy, Harvard Medical School, 180 Longwood Ave, Boston, MA 02115, USA
Health Serv Res 41:1979-2005. 2006..With such a definition, disparities can be estimated by adjusting for group differences in models for expenditures and access to mental health services...
Influence of patient preference and primary care clinician proclivity for watchful waiting on receipt of depression treatmentMegan Dwight Johnson
Department of Psychiatry and Behavioral Sciences, University of Washington, P O Box 356560, Seattle, WA 98195, USA
Gen Hosp Psychiatry 28:379-86. 2006..We examined whether patients' preference for watchful waiting and their primary care clinician's proclivity for watchful waiting were associated with decreased likelihood of receiving depression treatment...
Changing profiles of service sectors used for mental health care in the United StatesPhilip S Wang
Department of Health Care Policy, Harvard Medical School, 180 Longwood Ave, Boston, MA 02115, USA
Am J Psychiatry 163:1187-98. 2006..Redesigning the fragmented U.S. mental health care system requires knowing how service sectors share responsibility for individuals' mental health needs...
Clinician screening and treatment of alcohol, drug, and mental problems in primary care: results from healthcare for communitiesMark J Edlund
VA South Central VISN 16 Mental Illness Research, Education, and Clinical Center, North Little Rock, Arkansas, USA
Med Care 42:1158-66. 2004..We sought to estimate national rates of screening and treatment of alcohol, drug, and mental (ADM) problems in primary care...
The partners in care approach to ethics outcomes in quality improvement programs for depressionJodi Halpern
School of Public Health at the University of California, Berkeley, USA
Psychiatr Serv 55:532-9. 2004..Nevertheless, interventions so modified can increase a practice's ability to realize ethics goals...
Prevalence and treatment of mental disorders, 1990 to 2003Ronald C Kessler
Department of Health Care Policy, Harvard Medical School, Boston, MA 02115, USA
N Engl J Med 352:2515-23. 2005..Although the 1990s saw enormous change in the mental health care system in the United States, little is known about changes in the prevalence or rate of treatment of mental disorders...
Overcoming barriers and creating opportunities to reduce burden of affective disorders: a new research agendaKenneth B Wells
Ment Health Serv Res 4:175-8. 2002
Burden of illnessTom McGuire
Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, Massachusetts 02115 5899, USA
Ment Health Serv Res 4:179-85. 2002..Reserch should focus on improving measures of burden in general and on quantifying burden from the standpoint of diverse population groups...
Barriers to reducing burden of affective disordersMartha L Bruce
Department of Psychiatry, Westchester Division, Weill Medical College of Cornell University, 21 Bloomingdale Road, White Plains, New York 10605, USA
Ment Health Serv Res 4:187-97. 2002....
Association between mental health disorders, problem drug use, and regular prescription opioid useMark D Sullivan
Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle 98195, USA
Arch Intern Med 166:2087-93. 2006..Psychiatric disorders are associated with increased physical symptoms such as pain and may be associated with opioid use, but no prospective population-based studies have addressed this issue...
Practice-based interventionsDaniel E Ford
Johns Hopkins University, 2024 E Monument Street, Suite 2 500, Baltimore, Maryland 21205 2223, USA
Ment Health Serv Res 4:199-204. 2002..More research is needed to develop programs to improve outcomes for children with depression and adults with bipolar disorders...
Research development mechanismsJunius J Gonzales
Ment Health Serv Res 4:255-6. 2002..New research infrastructures are needed to support community and research collaborations, as well as supporting development of new technologies to enable diffusion of care...
Physician conceptions of responsibility to individual patients and distributive justice in health careMary Catherine Beach
Division of General Internal Medicine, School of Medicine, Johns Hopkins University, 2024 East Monument Street, Suite 2 500, Baltimore, MD 21287, USA
Ann Fam Med 3:53-9. 2005..We describe physician conceptions of responsibility to individual patients and distributive justice in health care, and explore whether these values are associated with type of managed care practice and professional satisfaction...
Research Grants
- Center for Research on Quality in Managed CareKenneth Wells; Fiscal Year: 2007..abstract_text> ..
- COMMUNITY PARTNERS IN CAREKenneth Wells; Fiscal Year: 2007..The project investigators and community leaders represent diverse clinical and social science disciplines. The project is conducted, overall, under a community participatory partnered approach. ..
