2007
Time Trends and Predictors of Suicide Among Mental Health Outpatients in the Department of Veterans Affairs
Desai MM, Rosenheck RA, Desai RA. Time Trends and Predictors of Suicide Among Mental Health Outpatients in the Department of Veterans Affairs. The Journal Of Behavioral Health Services & Research 2007, 35: 115-124. PMID: 17990123, DOI: 10.1007/s11414-007-9092-0.Peer-Reviewed Original ResearchConceptsMental health outpatientsVeterans AffairsNational Death Index dataDeath Index dataSuicide ratesMental health spendingMore chronic patientsMental health servicesMental health expendituresMental health programsPredictors of suicideMultivariable predictorsChronic patientsProtective effectVA populationNonsignificant trendInpatient servicesHealth servicesPatient volumeHealth programsGreater riskOlder ageSuicide riskOutpatientsFacility levelPrevalence and Correlates of Human Immunodeficiency Virus Testing and Posttest Counseling Among Outpatients With Serious Mental Illness
Desai MM, Rosenheck RA, Desai RA. Prevalence and Correlates of Human Immunodeficiency Virus Testing and Posttest Counseling Among Outpatients With Serious Mental Illness. The Journal Of Nervous And Mental Disease 2007, 195: 776-780. PMID: 17984780, DOI: 10.1097/nmd.0b013e31814514ad.Peer-Reviewed Original ResearchMeSH KeywordsAdultAIDS SerodiagnosisAmbulatory CareAttitude to HealthCase ManagementCommunity Mental Health ServicesComorbidityConnecticutCounselingCross-Sectional StudiesDiagnosis, Dual (Psychiatry)HIVHIV AntibodiesHIV InfectionsHumansMaleMental DisordersPrevalenceSubstance-Related DisordersUnited StatesUnited States Department of Veterans AffairsConceptsSerious mental illnessHuman immunodeficiency virus (HIV) testingPosttest counselingMental illnessHIV testingIndependent correlatesVirus testingCommunity-based case management servicesCorrelates of receiptHIV-positive individualsImmune deficiency syndromeCase management servicesHigher educational levelStrong therapeutic alliancePublic sector facilitiesPrimary clinicianDeficiency syndromeRisk populationsYounger ageIllnessPsychological distressTherapeutic allianceSubstantial proportionCounselingOutpatients
2005
Screening for Alcohol Use Disorders Among Medical Outpatients: The Influence of Individual and Facility Characteristics
Desai MM, Rosenheck RA, Craig TJ. Screening for Alcohol Use Disorders Among Medical Outpatients: The Influence of Individual and Facility Characteristics. American Journal Of Psychiatry 2005, 162: 1521-1526. PMID: 16055775, DOI: 10.1176/appi.ajp.162.8.1521.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAlcohol-Related DisordersAmbulatory CareDiagnosis, Dual (Psychiatry)FemaleFollow-Up StudiesHealth Facility SizeHospitals, VeteransHumansMaleMass ScreeningMedical RecordsMental DisordersMiddle AgedPrevalenceRisk FactorsUnited StatesUnited States Department of Veterans AffairsVeteransConceptsAlcohol use disorderAlcohol screeningMedical outpatientsUse disordersExternal Peer Review ProgramRoutine alcohol screeningMultivariate logistic regressionCase-finding activitiesSystem-level barriersQuality improvement dataLarge medical centerEligible patientsPsychiatric comorbidityPrimary careMedical CenterPositive screeningVA facilitiesAlcohol misusePositive casesDecreased likelihoodGreater riskLogistic regressionFacility characteristicsOutpatientsPatients
2002
Mental Disorders and Quality of Diabetes Care in the Veterans Health Administration
Desai MM, Rosenheck RA, Druss BG, Perlin JB. Mental Disorders and Quality of Diabetes Care in the Veterans Health Administration. American Journal Of Psychiatry 2002, 159: 1584-1590. PMID: 12202281, DOI: 10.1176/appi.ajp.159.9.1584.Peer-Reviewed Original ResearchMeSH KeywordsAgedAmbulatory CareComorbidityDiabetes MellitusFemaleHealth Care CostsHealth ServicesHospitalizationHospitals, VeteransHumansMaleMental DisordersMiddle AgedMultivariate AnalysisQuality Indicators, Health CareQuality of Health CareSubstance-Related DisordersUnited StatesUnited States Department of Veterans AffairsConceptsDiabetes careRetina examinationMental disordersSensory examinationFoot inspectionHealth statusVeterans Affairs Medical CenterHospital-level characteristicsVeterans Health AdministrationMental health diagnosesMental health statusSubstance use disordersSample of veteransPopulation of personsSecondary preventionOutpatient visitsPatient subgroupsMedical CenterChart documentationUse disordersHealth AdministrationMedical carePulse examinationHealth diagnosisDisordersReceipt of Nutrition and Exercise Counseling Among Medical Outpatients with Psychiatric and Substance Use Disorders
Desai MM, Rosenheck RA, Druss BG, Perlin JB. Receipt of Nutrition and Exercise Counseling Among Medical Outpatients with Psychiatric and Substance Use Disorders. Journal Of General Internal Medicine 2002, 17: 556-560. PMID: 12133146, PMCID: PMC1495079, DOI: 10.1046/j.1525-1497.2002.10660.x.Peer-Reviewed Original ResearchConceptsExercise counselingSubstance use disordersNutrition counselingMedical CenterUse disordersHealth statusMental disordersVeterans Affairs Medical CenterMedical outpatient visitsNon-VA settingsRates of counselingActive medical treatmentChart review dataCross-sectional studyVA Medical CenterMental health statusOutpatient administrative databasesOutcomes of interestMost patientsOutpatient visitsAdministrative databasesMedical outpatientsVA inpatientMedical treatmentMedical careMENTAL DISORDERS AND QUALITY OF CARE AMONG POSTACUTE MYOCARDIAL INFARCTION OUTPATIENTS
Desai MM, Rosenheck RA, Druss BG, Perlin JB. MENTAL DISORDERS AND QUALITY OF CARE AMONG POSTACUTE MYOCARDIAL INFARCTION OUTPATIENTS. The Journal Of Nervous And Mental Disease 2002, 190: 51-53. PMID: 11838034, DOI: 10.1097/00005053-200201000-00014.Peer-Reviewed Original Research