Article
Health Care Sciences & Services
Kate L. Sheahan, Karen M. Goldstein, Claire T. Than, Bevanne Bean-Mayberry, Catherine C. Chanfreau, Megan R. Gerber, Danielle E. Rose, Julian Brunner, Ismelda A. Canelo, Jill E. Darling Mshs, Sally Haskell, Alison B. Hamilton, Elizabeth M. Yano
Summary: The study surveyed 1,391 women Veterans who routinely use VA primary care, finding that they have significant multimorbid physical and mental health conditions and trauma histories, requiring continued investment in woman-centered primary care and emphasis on trauma-informed, age-specific care.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2022)
Article
Medicine, General & Internal
Megan E. Vanneman, Matthew H. Samore, Tianyu Zheng, Warren B. P. Pettey, Angela Fagerlin, Alex H. S. Harris
Summary: Following recent policy changes, younger Veterans now have more options for healthcare providers. This study focused on facility access and quality factors that can influence Veterans' decisions to enroll in the VA. The findings suggest that improving facility-specific quality of care can increase VA enrollment.
Letter
Medicine, General & Internal
Liam Rose, Anna Schmidt, Elizabeth Gehlert, Laura A. Graham, Marion Aouad, Todd H. Wagner
Summary: Using survey data, this cross-sectional study examines the correlation between reliance on the Department of Veterans Affairs (VA) for health care and self-reported health among VA enrollees, considering different types of insurance coverage.
Article
Health Care Sciences & Services
Elizabeth Hulen, Avery Laliberte, Sarah Ono, Somnath Saha, Samuel T. Edwards
Summary: The study found that HBPC patients are often socially isolated and face multiple layers of medical and social complexity, affecting their ability to access clinic-based care. Providers highlighted the importance of observing and providing care in patients' homes, filling in instrumental support gaps that are not solely medical. Flexible care designs provided by HBPC are necessary to address the social complexity of patients.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2021)
Article
Medicine, General & Internal
Samuel T. Edwards, Liberty Greene, Camila Chaudhary, Derek Boothroyd, Bruce Kinosian, Donna M. Zulman
Summary: This study aimed to investigate outpatient care fragmentation patterns and subsequent acute care among high-risk HBPC patients. The study found that an increased number of practitioners was associated with higher odds of ED visits and hospitalizations for ambulatory care sensitive conditions, while more concentrated care was associated with reduced odds of these outcomes.
Article
Neurosciences
Linda L. Chao
Summary: This study aimed to analyze the health status of Gulf War veterans who participated in research studies at the San Francisco VA Health Care System. The study found that veterans with Gulf War Illness had poorer health status, and those with Kansas GWI exclusionary conditions had the poorest health status. Furthermore, factors related to deployment experiences and exposures were also associated with veterans' health status.
FRONTIERS IN NEUROSCIENCE
(2023)
Article
Psychology, Clinical
Jack Tsai, Dorota Szymkowiak, Rajiv Radhakrishnan
Summary: The study found that homeless and unstably housed (HUH) veterans were more likely to be prescribed antipsychotic medications, but were less likely to receive prescriptions for first-generation and second-generation antipsychotics in cases of severe mental illness. The usage of long-acting injectable second-generation antipsychotics and clozapine was also low in both HUH and non-HUH veterans.
JOURNAL OF CLINICAL PSYCHIATRY
(2021)
Article
Health Care Sciences & Services
Audrey L. Jones, Karen Chu, Danielle E. Rose, Lillian Gelberg, Stefan G. Kertesz, Adam J. Gordon, Kenneth B. Wells, Lucinda Leung
Summary: PEH in homeless-tailored primary care settings receive higher quality of depression care compared to PEH in usual VA primary care.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Article
Health Care Sciences & Services
Kristin M. Mattocks, Aimee Kroll-Desrosiers, Rebecca Kinney, Lori A. Bastian, Bevanne Bean-Mayberry, Karen M. Goldstein, Geetha Shivakumar, Laurel Copeland
Summary: This study found significant racial and geographic disparities in the rate of C-sections among pregnant Veterans receiving community obstetrical care. The C-section rate was associated with factors such as race, depression symptoms, body mass index, and age. Future research needs to focus on hospital variations, providers and hospital quality, and the types of providers available to women Veterans for obstetrical care paid for by the VA.
Article
Computer Science, Information Systems
Brian E. Dixon, Kimberly M. Judon, Ashley L. Schwartzkopf, Vivian M. Guerrero, Nicholas S. Koufacos, Justine May, Cathy C. Schubert, Kenneth S. Boockvar
Summary: In older adult healthcare, the use of event notification service (ENS) alerts can increase the likelihood of timely follow-up after non-VA acute care encounters, but does not significantly affect 30-day readmission rates.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2021)
Article
Neurosciences
Christopher B. Brady, Ian Robey, Thor D. Stein, Bertrand R. Huber, Jessica Riley, Nazifa Abdul Rauf, Keith R. Spencer, Gabriel Walt, Latease Adams, James G. Averill, Sean Walker, Ann C. McKee, Stephen P. Thomson, Neil W. Kowall
Summary: The study introduces the Gulf War Veterans' Illnesses Biorepository (GWVIB) as a resource for researching Gulf War illness (GWI) and related disorders. By recruiting Gulf War era veterans nationally and conducting annual follow-ups, the GWVIB ensures the collection of health data and postmortem neuropathological examination for tissue banking. Data as of September 2021 show significant enrolment of GWVs, with common neuropathologies such as ALS, CTE, and Lewy body disease observed in tissue samples. High-quality CNS tissue and health data from this well-characterized cohort will support ongoing research on GWI and related disorders.
Article
Environmental Sciences
Brian N. Palen, Elizabeth A. Mattox, Ken He, Lauren A. Beste, Joleen Borgerding, Sarah Patel, David H. Au, Michael F. Chang, Elizabeth C. Parsons
Summary: Sleep VA-ECHO is a national telementorship program aimed at improving knowledge about sleep disorders among non-specialty providers. The study found that most participants were from primary care teams, and the knowledge gained from the program significantly improved the quality of sleep care for patients in practice.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2021)
Article
Multidisciplinary Sciences
Ines Heinz, Sabrina Baldofski, Katja Beesdo-Baum, Susanne Knappe, Elisabeth Kohls, Christine Rummel-Kluge
Summary: Patients with depression tend to report more symptoms to their GP, including a combination of physical and mental symptoms. Some patients may only report physical symptoms to their GP out of fear of stigma. Perceived depression stigma is associated with male gender and a lack of pharmacological treatment in patients with depression.
Editorial Material
Medicine, General & Internal
Baligh R. Yehia, Stephan D. Fihn
Summary: To respond to declining numbers of veterans and impending budget constraints, the VA health care system can accelerate the transition to value-based care, optimize infrastructure, and strengthen engagement with employees and the public.
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
(2021)
Review
Health Care Sciences & Services
Lynn A. Garvin, Marianne Pugatch, Deborah Gurewich, Jacquelyn N. Pendergast, Christopher J. Miller
Summary: This systematic review examined interorganizational care coordination for rural Veterans by VA and Community Care programs, identifying challenges and opportunities. Four organizational domains were found to shape care coordination, impacting health care outcomes.
Article
Health Policy & Services
Alexander S. Young, Amy N. Cohen, Noosha Niv, Nancy Nowlin-Finch, Rebecca S. Oberman, Tanya T. Olmos-Ochoa, Richard W. Goldberg, Fiona Whelan
PSYCHIATRIC SERVICES
(2020)
Article
Health Care Sciences & Services
Lucinda B. Leung, Alexander S. Young, Leonie Heyworth, Danielle Rose, Susan Stockdale, A. Laurie Graaff, Timothy R. Dresselhaus, Lisa Rubenstein
JOURNAL OF GENERAL INTERNAL MEDICINE
(2020)
Article
Public, Environmental & Occupational Health
Lucinda B. Leung, Karen E. Dyer, Elizabeth M. Yano, Alexander S. Young, Lisa Rubenstein, Alison B. Hamilton
TRANSLATIONAL BEHAVIORAL MEDICINE
(2020)
Editorial Material
Psychiatry
George A. Keepers, Laura J. Fochtmann, Joan M. Anzia, Sheldon Benjamin, Jeffrey M. Lyness, Ramin Mojtabai, Mark Servis, Art Walaszek, Peter Buckley, Mark F. Lenzenweger, Alexander S. Young, Amanda Degenhardt, Seung-Hee Hong
AMERICAN JOURNAL OF PSYCHIATRY
(2020)
Article
Psychiatry
Robert S. Kern, L. Felice Reddy, Amy N. Cohen, Alexander S. Young, Michael F. Green
PSYCHIATRY RESEARCH
(2020)
Article
Psychiatry
Sonya Gabrielian, Gerhard Hellemann, Ella R. Koosis, Michael F. Green, Alexander S. Young
Summary: This study aimed to identify person-level determinants of housing status among homeless-experienced veterans with serious mental illness, with a focus on cognition. Findings showed no significant differences in cognition, symptoms, or other person-level factors among participants grouped by housing status. Recursive partitioning did not yield a stable model to predict housing status from potential predictor variables.
PSYCHIATRIC REHABILITATION JOURNAL
(2021)
Article
Public, Environmental & Occupational Health
Sonya Gabrielian, Ella R. Koosis, Jennifer Cohenmehr, Gerhard Hellemann, Anais Tuepker, Michael F. Green, Jesse K. Vazzano, Alexander S. Young
Summary: This study aimed to distinguish PSH residents with different levels of social integration and instrumental functioning. Health-related quality of life, psychiatric symptoms, and case management frequency were found to be important factors for social integration. PSH services may benefit residents with poor health, while existing services may adequately address instrumental functioning.
JOURNAL OF COMMUNITY PSYCHOLOGY
(2022)
Article
Health Care Sciences & Services
Alexander S. Young, Evelyn T. Chang, Amy N. Cohen, Rebecca Oberman, Dennis T. Chang, Alison B. Hamilton, Laurie A. Lindamer, Jesse Sanford, Fiona Whelan
Summary: This study examines the implementation and effectiveness of a specialized primary care medical home for patients with serious mental illness. The results show that compared to usual care, this medical home significantly improves the quality of care, chronic illness care and care experience, symptoms, and quality of life.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2022)
Article
Health Care Sciences & Services
Alexander S. Young, Abigail Choi, Shay Cannedy, Lauren Hoffmann, Lionel Levine, Li-Jung Liang, Melissa Medich, Rebecca Oberman, Tanya T. Olmos-Ochoa
Summary: This study aims to explore the feasibility, acceptability, and safety of using passive mobile sensing to track behaviors and symptoms in SMI patients, and to develop predictive analytics using passive data. The study uses a mobile app to monitor and transmit passive mobile sensor and phone utilization data to track activity, sociability, and sleep. The research consists of a design phase and a mobile sensing phase, involving focus groups, usability testing, and interviews to inform app development, as well as interviews with clinicians to evaluate the usefulness of the app in clinical care. Predictive analytic models are then built using machine learning methods to predict behavioral changes and symptoms. The study is currently ongoing, with the design phase completed and recruitment for the mobile sensing phase underway.
JMIR RESEARCH PROTOCOLS
(2022)
Article
Health Care Sciences & Services
Melissa Medich, Shay L. Cannedy, Lauren C. Hoffmann, Melissa Y. Chinchilla, Jose M. Pila, Stephanie A. Chassman, Ronald A. Calderon, Alexander S. Young
Summary: Remote mental health monitoring using smartphone technology shows promise in early intervention for mental health crises. This study examines the acceptability and usability of passive mobile monitoring and self-tracking among patients with serious mental illness and their mental health clinicians, finding that most participants are receptive to the technology but have concerns about privacy and implementation challenges.
JMIR HUMAN FACTORS
(2023)
Article
Health Care Sciences & Services
Alicia A. Bergman, Evelyn T. Chang, Amy N. Cohen, Sona Hovsepian, Rebecca S. Oberman, Merlyn Vinzon, Alexander S. Young
Summary: This study qualitatively examined patients' experiences with a novel, specialized patient-centered medical home for individuals with serious mental illness (SMI). The findings indicated that patients had overwhelmingly positive experiences with the care provided in the medical home, primarily due to the qualities of interpersonal communication displayed by the staff, the structural features of the collaborative care model, and other unique aspects tailored for SMI patients. Patients also reported improvements in healthcare engagement and self-management as a result of their participation in the medical home.
FAMILIES SYSTEMS & HEALTH
(2023)
Article
Psychology, Clinical
Anjana Muralidharan, Clayton H. Brown, Yilin Zhang, Noosha Niv, Amy N. Cohen, Julie Kreyenbuhl, Rebecca S. Oberman, Richard W. Goldberg, Alexander S. Young
JOURNAL OF BEHAVIORAL MEDICINE
(2020)
Article
Psychiatry
Tanya T. Olmos-Ochoa, Noosha Niv, Gerhard Hellemann, Amy N. Cohen, Rebecca Oberman, Richard Goldberg, Alexander S. Young
PSYCHIATRIC REHABILITATION JOURNAL
(2019)
Article
Psychiatry
Amy N. Cohen, Eric R. Pedersen, Shirley M. Glynn, Alison B. Hamilton, Kirk P. McNagny, Christopher Reist, Eran Chemerinski, Alexander S. Young
PSYCHIATRIC REHABILITATION JOURNAL
(2019)
Article
Medicine, Research & Experimental
Sonya Gabrielian, Alison B. Hamilton, Lillian Gelberg, Gerhard Hellemann, Ella R. Koosis, Axeline Johnson, Alexander S. Young
CONTEMPORARY CLINICAL TRIALS COMMUNICATIONS
(2019)