Research Topics
| A S YoungSummaryAffiliation: University of California Country: USA Publications
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Detail Information
Publications
Routine outcomes monitoring to support improving care for schizophrenia: report from the VA Mental Health QUERIAlexander S Young
VA Desert Pacific Mental Illness Research, Education and Clinical Center MIRECC, West Los Angeles VA, 11301 Wilshire Boulevard, Los Angeles, CA 90073, USA
Community Ment Health J 47:123-35. 2011..There are validated instruments and assessment strategies that are feasible for quality improvement in routine practice...- 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 appropriateness of routine medication treatment for schizophreniaAlexander S Young
Department of Veterans Affairs Desert Pacific Mental Illness Research, Education and Clinical Center, Los Angeles, CA, USA
Schizophr Bull 36:732-9. 2010..Given that most prescriptions are now for second-generation medications, this study describes current clinical problems and the appropriateness of treatment in routine practice... - Information technology to support improved care for chronic illnessAlexander S Young
West Los Angeles VA Healthcare Center, VA Desert Pacific Mental Illness Research, Education and Clinical Center MIRECC, 11301 Wilshire Blvd 210A, Los Angeles, CA 90073, USA
J Gen Intern Med 22:425-30. 2007..However, considerable uncertainty remains regarding the relative impact of specific informatics technologies on chronic illness care... 
Use of a consumer-led intervention to improve provider competenciesAlexander S Young
Department of Veterans Affairs Greater Los Angeles Healthcare System, Desert Pacific Mental Illness Research, Education, and Clinical Center, 11301 Wilshire Boulevard, 210A, Los Angeles, California 90073, USA
Psychiatr Serv 56:967-75. 2005....- Patient, provider, and treatment factors associated with poor-quality care for schizophreniaA S Young
Veterans Health Administration VISN 22 Mental Illness Research, Education and Clinical Center, Los Angeles, California 90073, USA
Ment Health Serv Res 1:201-11. 1999..Interventions to improve care for schizophrenia should attend to the need for accurate clinical assessment and strategies for managing challenging clinical situations... - Routine outcome monitoring in a public mental health system: the impact of patients who leave careA S Young
Department of Psychiatry, University of California, Los Angeles, USA
Psychiatr Serv 51:85-91. 2000..Because patients leave these organizations at a high rate, the impact of patient attrition on routinely collected outcome data was examined... - The accuracy of medical record documentation in schizophreniaJ Cradock
West Los Angeles Veterans Healthcare Center, VISN 22 MIRECC, 11301 Wilshire Boulevard, Building 210A, Los Angeles, CA 90073, USA
J Behav Health Serv Res 28:456-65. 2001..The accuracy and consistency of medical record documentation should be demonstrated before using it to evaluate care at public mental health clinics... - The MIRECC version of the Global Assessment of Functioning scale: reliability and validityNoosha Niv
Veterans Affairs Desert Pacific Mental Illness Research, Education, and Clinical Center, West Los Angeles VA, 11301 Wilshire Blvd 210A, Los Angeles, CA 90073, USA
Psychiatr Serv 58:529-35. 2007..The MIRECC GAF measures occupational functioning, social functioning, and symptom severity on three subscales... - Computer-assisted self-assessment in persons with severe mental illnessMatthew Chinman
VA VISN 22 Mental Illness Research, Education, and Clinical Center MIRECC, Los Angeles, Calif 90073, USA
J Clin Psychiatry 65:1343-51. 2004..Audio computer-assisted self-interviewing (ACASI) can facilitate this data collection and has improved outcomes for a number of disorders, suggesting the need to test its accuracy and reliability in people with SMI... - Managed care in the public sector: lessons learned from the Los Angeles PARTNERS programG Sullivan
VISN 16 Mental Illness Research, Education, and Clinical Center, Central Arkansas Veterans Healthcare System, 2200 Fort Roots Drive, Building 58, Room 134 16MIR, North Little Rock, Arkansas 72114, USA
J Behav Health Serv Res 28:155-63. 2001..Beyond considering these concerns, the range of community stakeholders who may be affected by such interventions must be addressed... - 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... 
The MATRICS Consensus Cognitive Battery, part 1: test selection, reliability, and validityKeith H Nuechterlein
Department of Psychology, UCLA Semel Institute for Neuroscience and Human Behavior, 300 Medical Plaza, Rm 2251, Los Angeles, CA 90095 6968, USA
Am J Psychiatry 165:203-13. 2008....- The validity of using patient self-report to assess psychotic symptoms in schizophreniaNoosha Niv
VA Desert Pacific Mental Illness Research, Education and Clinical Center, West Los Angeles VA, MIRECC, Los Angeles, CA 90073, USA
Schizophr Res 90:245-50. 2007..5 to best detect moderate or greater psychosis, and a cutoff score of 1.0 to best detect severe or extremely severe psychosis. The BASIS-R has potential as an assessment tool and screening instrument in schizophrenia... - Clinical and subthreshold panic disorderAlexander Bystritsky
The Semel Institute for Neuroscience and Human Behavior, David Geffen School of Medicine, University of California, Los Angeles, California 90095 8346, USA
Depress Anxiety 27:381-9. 2010..The purpose of this study was to add to the accumulating evidence of significant comorbidity and disability associated with subthreshold PD... - Organizational readiness in specialty mental health careAlison B Hamilton
VA Desert Pacific Mental Illness Research, Education and Clinical Center, and UCLA Integrated Substance Abuse Programs, 1640 S Sepulveda Blvd, Los Angeles, CA 90025, USA
J Gen Intern Med 25:27-31. 2010..This paper discusses organizational assessment in specialty mental health, in preparation for improving care for individuals with schizophrenia... - Clinical utility of magnetic resonance imaging radiographs for suspected organic syndromes in adult psychiatryStephen M Erhart
Department of Veterans Affairs Health Care Center Greater Los Angeles, Los Angeles, CA, USA
J Clin Psychiatry 66:968-73. 2005..We identified the most common signs and symptoms prompting MRIs to establish the predictive value of these signs and symptoms for clinically pertinent organic syndromes... - Workforce competencies in behavioral health: an overviewMichael A Hoge
Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06519, USA
Adm Policy Ment Health 32:593-631. 2005..These varied resources may also be useful in identifying the core competencies that are common to the multiple disciplines and specialties... - Performance of a general location model with an ignorable missing-data assumption in a multivariate mental health services studyT R Belin
UCLA Department of Psychiatry and Biobehavioral Sciences, Los Angeles, CA, USA
Stat Med 18:3123-35. 1999..We note some problems with this approach and embed the discussion of this example in a broader consideration of the role of ignorable and non-ignorable models in applied research... - Characteristics of individuals with severe mental illness who use emergency servicesAlexander S Young
Department of Veterans Affairs Desert Pacific Mental Illness Research, Education and Clinical Center, Los Angeles, CA, USA
Community Ment Health J 41:159-68. 2005..Efforts to reduce emergency services need to improve access to appropriate community services, particularly for people who are homeless or lack family support... - An instrument to assess competencies of providers treating severe mental illnessMatthew Chinman
VA VISN 22 Mental Illness Research, Education, and Clinical Center, Los Angeles, California 90073, USA
Ment Health Serv Res 5:97-108. 2003..Most CAI scales have good internal consistency (Cronbach's alphas = .52-.93), test-retest reliability (scales ranged from .42 to .78), and validity, and should be useful in efforts to improve care... - 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... - A network-based system to improve care for schizophrenia: the Medical Informatics Network Tool (MINT)Alexander S Young
Department of Veterans Affairs Desert Pacific Mental Illness Research, Education and Clinical Center, Los Angeles, CA, USA
J Am Med Inform Assoc 11:358-67. 2004..To date, MINT has been used with more than 165 patients and 29 psychiatrists and has supported practices that are consistent with improvements in the quality of care... - The feasibility of computerized patient self-assessment at mental health clinicsMatthew Chinman
VA Desert Pacific Mental Illness Research, Education, and Clinical Center, 11301 Wilshire Blvd MIRECC 210A, Los Angeles, CA 90073, USA
Adm Policy Ment Health 34:401-9. 2007..It has improved outcomes for many disorders. While reliable and accurate for SMI in research settings, this study assesses questions about ACASI's feasibility in usual care... - Co-location of health care for adults with serious mental illness and HIV infectionGreer Sullivan
Department of Veterans Affairs, South Central Mental Illness Research, Education and Clinical Center MIRECC, North Little Rock, AR 72114, USA
Community Ment Health J 42:345-61. 2006..These subjects may be benefiting from increased funding for, and attention to, persons with HIV infection... - Use of general medical services by VA patients with psychiatric disordersAlexander S Young
Department of Veterans Affairs, Desert Paacific Mental Illness Reserch, Education, and Clinical Center, Los Angeles, CA 90073, USA
Psychiatr Serv 53:874-8. 2002..Interventions to improve medical care may need to be tailored to the population being targeted... - Evaluating client and family preferences regarding outcomes in severe mental illnessJulie A Cradock
Department of Veterans Affairs Veterans Integrated Service Network, Mental Illness Research Education and Clinical Center, West Los Angeles VA Healthcare Center, CA 90073, USA
Adm Policy Ment Health 29:257-61. 2002 - 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... - Using information systems to improve care for persons with schizophreniaAlexander S Young
Department of Veterans Affairs, Desert Pacific Mental Illness Research, Education, and Clinical Center (MIRECC, 11301 Wilshire Boulevard 210A, Los Angeles, CA 90073, USA
Psychiatr Serv 55:253-5. 2004 - Implementation of a family intervention for individuals with schizophreniaAmy N Cohen
VA Desert Pacific Mental Health Research, Education and Clinical Center, Los Angeles, CA 90073, USA
J Gen Intern Med 25:32-7. 2010..Families are rarely included in clinical care despite research showing that family involvement has a positive effect on individuals with schizophrenia by reducing relapse, improving work functioning, and social adjustment... - The impact of parity on major depression treatment quality in the Federal Employees' Health Benefits Program after parity implementationAlisa B Busch
Department of Psychiatry, Harvard Medical School, McLean Hospital, Alcohol and Drug Abuse Treatment Program, Belmont, Massachusetts 02478, USA
Med Care 44:506-12. 2006..Major depressive disorder (MDD) is a prevalent but often undetected and undertreated and thus could potentially benefit from parity implementation... - Toward the implementation of mental health consumer provider servicesMatthew Chinman
Health Services Unit, West Los Angeles VA MIRECC, 11301 Wilshire Blvd, 210A, CA 90073, USA
J Behav Health Serv Res 33:176-95. 2006..Using literature and study findings, an organizational change framework and other strategies to overcome potential implementation challenges of CP services are suggested... - Informatics systems to promote improved care for chronic illness: a literature reviewDavid Dorr
Oregon Health and Science University, Department of Medical Informatics and Clinical Epidemiology, Portland, OR, USA
J Am Med Inform Assoc 14:156-63. 2007..To understand information systems components important in supporting team-based care of chronic illness through a literature search... - 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... - Dosages and outcomesAlexander S Young
Psychiatr Serv 54:1547; author reply 1547-8. 2003 - Routinely measuring schizophrenia treatment quality--shortcomings with medical recordsAlexander S Young
Med Care 45:104; author reply 104-5. 2007 - Impact of full mental health and substance abuse parity for children in the Federal Employees Health Benefits ProgramSusan T Azrin
Westat, 1650 Research Blvd, Rockville, MD 20850, USA
Pediatrics 119:e452-9. 2007..This study examined the effects of full mental health and substance abuse parity for children... - Patterns of HIV care for patients with serious mental illnessLaura M Bogart
RAND Health, Santa Monica, California 90407 2138, USA
AIDS Patient Care STDS 20:175-82. 2006..05). Specialized programs providing assistance to serious mental illness populations with HIV may be helping to narrow health care disparities as a result of having serious mental illness... - Needs for services reported by adults with severe mental illness and HIVAlexander S Young
RAND, Santa Monica, California, USA
Psychiatr Serv 56:99-101. 2005..People with severe mental illness and HIV may be benefiting from the special resources that are available for people with HIV... - Behavioral health insurance parity for federal employeesHoward H Goldman
University of Maryland School of Medicine, Baltimore, MD 21227, USA
N Engl J Med 354:1378-86. 2006..The plans were encouraged to manage care...