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Article ; Online: Empirical Considerations of an Unsolved Conundrum: Disability Payments and Work.

Rosenheck, Robert

2022 Volume 49, Issue 1, Page(s) 7–8

MeSH term(s)	Humans ; Insurance, Disability
Language	English
Publishing date	2022-09-17
Publishing country	United States
Document type	Journal Article
ZDB-ID	439173-1
ISSN	1745-1701 ; 0586-7614
ISSN (online)	1745-1701
ISSN	0586-7614
DOI	10.1093/schbul/sbac136
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Article ; Online: Medicalizing Homelessness: Mistaken Identity, Adaptation to Conservative Times, or Revival of Social Medicine.

Rosenheck, Robert

Medical care

2021 Volume 59, Issue Suppl 2, Page(s) S106–S109

MeSH term(s)	Ill-Housed Persons ; Humans ; Medicalization ; Poverty ; Social Determinants of Health ; Social Medicine ; Social Problems ; United States
Language	English
Publishing date	2021-02-26
Publishing country	United States
Document type	Journal Article
ZDB-ID	411646-x
ISSN	1537-1948 ; 0025-7079
ISSN (online)	1537-1948
ISSN	0025-7079
DOI	10.1097/MLR.0000000000001366
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Article ; Online: Increasing Use of Cannabis for Medical Purposes Among U.S. Residents, 2013-2020.

Rhee, Taeho Greg / Rosenheck, Robert A

American journal of preventive medicine

2023 Volume 65, Issue 3, Page(s) 528–533

Abstract: Introduction: Cannabis use for medical purposes is legalized across 39 states and the District of Columbia in the U.S. The objective of this study was to evaluate temporal trends and correlates of cannabis use for medical purposes in the U.S.: Methods! ...

Abstract	Introduction: Cannabis use for medical purposes is legalized across 39 states and the District of Columbia in the U.S. The objective of this study was to evaluate temporal trends and correlates of cannabis use for medical purposes in the U.S. Methods: Data from the 2013-2020 National Survey on Drug Use and Health were used. Since 2013, medical cannabis use has been assessed using a dichotomous question asking whether any medical cannabis use was recommended by a doctor among those who used cannabis in the past 12 months. A modified Poisson model was used to estimate the average annual percentage change in medical cannabis use from 2013 to 2020. The analyses were repeated for key sociodemographic and clinical subgroups. Data were analyzed from September to November 2022. Results: The prevalence of U.S. residents using cannabis for medical purposes increased significantly from 1.2% in 2013-2014 to 2.5% in 2019-2020, with an average annual percentage change of 12.9% (95% CI=10.4, 15.5), and many of sociodemographic and clinical subgroups showed similar significant increases in cannabis use for medical purposes. In the multivariable-adjusted model, living in a state that legalized medical cannabis remained significantly associated with medical cannabis use (AOR=4.10; 95% CI=3.68, 4.56). Conclusions: The study documents a continued nationwide increase in the use of cannabis for diverse medical purposes between 2013 and 2020, two decades after the first state passed legalizing legislation.
MeSH term(s)	Humans ; Cannabis ; Medical Marijuana/therapeutic use ; Substance-Related Disorders ; District of Columbia ; Prevalence
Chemical Substances	Medical Marijuana
Language	English
Publishing date	2023-03-12
Publishing country	Netherlands
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	632646-8
ISSN	1873-2607 ; 0749-3797
ISSN (online)	1873-2607
ISSN	0749-3797
DOI	10.1016/j.amepre.2023.03.005
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Article ; Online: Association of mental health related quality of life and other factors with treatment seeking for substance use disorders: A comparison of SUDs rooted in legal, partially legal, and illegal substances.

Havlik, John L / Rhee, Taeho G / Rosenheck, Robert A

PloS one

2024 Volume 19, Issue 4, Page(s) e0302544

Abstract: The association of subjective mental health-related quality of life (MHRQOL) and treatment use among people experiencing common substance use disorders (SUDs) is not known. Furthermore, the association of a given substance's legal status with treatment ... ...

Abstract	The association of subjective mental health-related quality of life (MHRQOL) and treatment use among people experiencing common substance use disorders (SUDs) is not known. Furthermore, the association of a given substance's legal status with treatment use has not been studied. This work aims determine the association of MHRQOL with SUD treatment use, and how substance legal status modulates this relationship. Our analysis used nationally-representative data from the NESARC-III database of those experiencing past-year SUDs (n = 5,808) to compare rates of treatment use and its correlates among three groups: those with illicit substance use disorders (ISUDs); those with partially legal substance use disorders, i.e., cannabis use disorder (CUD); and those with fully legal substance use disorders, i.e., alcohol use disorder (AUD). Survey-weighted multiple regression analysis was used to assess the association of MHRQOL with likelihood of treatment use among these three groups, both unadjusted and adjusted for sociodemographic, behavioral, and diagnostic factors. Adults with past-year ISUDs were significantly more likely to use treatment than those with CUD and AUD. Among those with ISUDs, MHRQOL had no significant association with likelihood of treatment use. Those with past-year CUD saw significant negative association of MHRQOL with treatment use in unadjusted analysis, but not after controlling for diagnostic and other behavioral health factors. Those with past-year AUD had significant negative association of MHRQOL with treatment use in both unadjusted and adjusted analysis. If legalization and decriminalization continue, there may be a greater need for effective public education and harm reduction services to address this changing SUD landscape.
MeSH term(s)	Humans ; Quality of Life ; Male ; Adult ; Substance-Related Disorders/therapy ; Substance-Related Disorders/psychology ; Substance-Related Disorders/epidemiology ; Female ; Mental Health/legislation & jurisprudence ; Middle Aged ; Young Adult ; Adolescent ; Patient Acceptance of Health Care ; Alcoholism/therapy ; Alcoholism/psychology ; Alcoholism/epidemiology
Language	English
Publishing date	2024-04-29
Publishing country	United States
Document type	Journal Article ; Comparative Study
ZDB-ID	2267670-3
ISSN	1932-6203 ; 1932-6203
ISSN (online)	1932-6203
ISSN	1932-6203
DOI	10.1371/journal.pone.0302544
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: The challenge of cost-effectiveness research on first-episode psychosis.

Rosenheck, Robert

The British journal of psychiatry : the journal of mental science

2019 Volume 215, Issue 1, Page(s) 386–387

Abstract: Early intervention in psychosis has generated hope. Cost-effectiveness studies, to determine whether benefits exceed costs, thus far conclude only that early intervention 'might be' worth its costs. It is a testament to the importance of the question: ... ...

Abstract	Early intervention in psychosis has generated hope. Cost-effectiveness studies, to determine whether benefits exceed costs, thus far conclude only that early intervention 'might be' worth its costs. It is a testament to the importance of the question: even in the absence of conclusive data, a synthesis should be attempted.Declaration of interestNone.
MeSH term(s)	Cost-Benefit Analysis ; Humans ; Psychotic Disorders ; Schizophrenia
Language	English
Publishing date	2019-06-14
Publishing country	England
Document type	Editorial ; Comment
ZDB-ID	218103-4
ISSN	1472-1465 ; 0007-1250
ISSN (online)	1472-1465
ISSN	0007-1250
DOI	10.1192/bjp.2019.78
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Article ; Online: Toward Dissemination of Secondary Prevention for Psychosis.

Rosenheck, Robert

The American journal of psychiatry

2018 Volume 175, Issue 5, Page(s) 393–394

MeSH term(s)	Adolescent ; Humans ; Psychotic Disorders ; Secondary Prevention ; Young Adult
Language	English
Publishing date	2018-05-04
Publishing country	United States
Document type	Editorial ; Comment
ZDB-ID	280045-7
ISSN	1535-7228 ; 0002-953X
ISSN (online)	1535-7228
ISSN	0002-953X
DOI	10.1176/appi.ajp.2018.18010029
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Article ; Online: Provision of Mental Health Services in the Veterans Health Administration: A Nationwide Comparison With Other Providers.

Loho, Hieronimus / Rosenheck, Robert A

Psychiatric services (Washington, D.C.)

2022 Volume 74, Issue 5, Page(s) 472–479

Abstract: Objective: Public interest in developing a national health care system has grown in the United States, but so have concerns that a large system would provide poor care. The Veterans Health Administration (VHA) is the largest national U.S. health care ... ...

Abstract	Objective: Public interest in developing a national health care system has grown in the United States, but so have concerns that a large system would provide poor care. The Veterans Health Administration (VHA) is the largest national U.S. health care system, and several of its performance measures have been compared with those of non-VHA organizations. However, few studies have compared VHA's overall provision of mental health care services, and this study aimed to fill this gap. Methods: Using 2018 National Mental Health Services Survey data, the authors examined the differences in provision of 45 treatment modalities, specialized services, and dedicated programs between self-identified VHA facilities (N=459), non-VHA facilities that serve only adults (N=3,671), and non-VHA facilities that serve all ages (N=6,378). Results: Self-identified VHA facilities offered more services (including more treatment modalities, specialized services, and dedicated programs) (mean±SD=24.2±8.9 services) than both non-VHA adult-only facilities (15.4±6.8; Cohen's d=1.11, p<0.001) and non-VHA all-ages facilities (17.1±6.6; Cohen's d=0.90, p<0.001). Notably, VHA facilities were more likely to offer electroconvulsive therapy and telemedicine. VHA facilities were more likely to offer integrated primary care, chronic illness management, supportive housing, vocational rehabilitation, and psychiatric emergency services, among others. Last, VHA facilities were more likely to offer dedicated treatment programs for patients identifying as lesbian, gay, bisexual, or transgender, as well as for patients with posttraumatic stress disorder, traumatic brain injury, or dementia. Conclusions: VHA facilities offer no fewer and possibly more comprehensive mental health services per facility than do non-VHA facilities, possibly because VHA represents an integrated and centralized health system.
MeSH term(s)	Adult ; Female ; Humans ; United States ; Veterans Health ; Veterans/psychology ; United States Department of Veterans Affairs ; Stress Disorders, Post-Traumatic ; Mental Health Services
Language	English
Publishing date	2022-10-27
Publishing country	United States
Document type	Journal Article
ZDB-ID	1220173-x
ISSN	1557-9700 ; 1075-2730
ISSN (online)	1557-9700
ISSN	1075-2730
DOI	10.1176/appi.ps.202100713
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Zs.A 416: Show issues

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Article ; Online: Admissions to substance use treatment facilities for cannabis use disorder, 2000-2017: Does legalization matter?

Rhee, Taeho Greg / Rosenheck, Robert A

The American journal on addictions

2022 Volume 31, Issue 5, Page(s) 423–432

Abstract: Background and objectives: A growing number of US states have legalized marijuana use in the past decade. We examined if marijuana legalization is associated with increased marijuana-related admissions to substance use treatment facilities between 2000 ... ...

Abstract	Background and objectives: A growing number of US states have legalized marijuana use in the past decade. We examined if marijuana legalization is associated with increased marijuana-related admissions to substance use treatment facilities between 2000 and 2017. Methods: Data from the Treatment Episode Data Set-Admissions were used to examine the relationship between marijuana-related admissions among adults aged ≥18 by year and legalization status (i.e., fully legalized, medical use only [partially legalized], and illegal) (N = 35,457,854). Using interaction analyses, we further examined whether certain patient characteristics were associated with residence in states that legalized marijuana use as compared to those in which marijuana remained illegal. Results: Overall, the proportion of marijuana-related admissions in states with legalization decreased by 2.3% from 31.7% in 2000-2005 to 29.4% in 2012-2017 (odds ratio [OR], 0.90; 95% confidence intervals [CI], 0.89-0.90) with little difference from states where marijuana use remained illegal, in which marijuana use as any reason for admissions decreased by 0.3% from 39.8% in 2000-2005 to 39.5% in 2012-2017 (OR, 0.99; 95% CI, 0.98-0.99). We did not find any striking patient characteristics (e.g., referral by the police) associated with admissions in states that legalized compared to those that had not. Discussion and conclusions: While earlier studies suggested that marijuana legalization is associated with increased levels of use, emergency department visits, and traffic fatalities, our findings suggest that marijuana legalization did not increase marijuana-related treatment use in the United States. Scientific significance: This is the first study to examine the association of marijuana legalization with marijuana-related treatment use.
MeSH term(s)	Adult ; Cannabis ; Hallucinogens ; Humans ; Legislation, Drug ; Marijuana Abuse/epidemiology ; Marijuana Abuse/therapy ; Marijuana Smoking ; Medical Marijuana ; Substance-Related Disorders ; United States/epidemiology
Chemical Substances	Hallucinogens ; Medical Marijuana
Language	English
Publishing date	2022-04-02
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural
ZDB-ID	1141440-6
ISSN	1521-0391 ; 1055-0496
ISSN (online)	1521-0391
ISSN	1055-0496
DOI	10.1111/ajad.13286
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Article: Early intervention in psychosis: p-values, policy, and politics.

Rosenheck, Robert

World psychiatry : official journal of the World Psychiatric Association (WPA)

2017 Volume 16, Issue 3, Page(s) 270–271

Language	English
Publishing date	2017-09-21
Publishing country	Italy
Document type	Journal Article
ZDB-ID	2236130-3
ISSN	2051-5545 ; 1723-8617
ISSN (online)	2051-5545
ISSN	1723-8617
DOI	10.1002/wps.20450
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Article ; Online: Receipt of Electroconvulsive Therapy in Outpatient Settings in a National Sample of Privately Insured Patients With Mood Disorders.

Agbese, Edeanya / Leslie, Douglas L / Rosenheck, Robert

The journal of ECT

2023 Volume 40, Issue 1, Page(s) 31–36

Abstract: Purpose: Electroconvulsive therapy (ECT), an effective treatment for bipolar and major depressive disorder, is underused. Little information is available on use of ECT in potentially less costly outpatient settings, possibly reducing cost barriers.: ... ...

Abstract	Purpose: Electroconvulsive therapy (ECT), an effective treatment for bipolar and major depressive disorder, is underused. Little information is available on use of ECT in potentially less costly outpatient settings, possibly reducing cost barriers. Methods: Insurance claims from the 2008 to 2017 MarketScan Commercial Database for patients diagnosed with mood disorders were used to compare 4 groups of ECT users in each year: those receiving (1) exclusively outpatient ECT, (2) first inpatient and subsequently outpatient, (3) outpatient and subsequently inpatient, and (4) exclusively inpatient ECT. Groups were compared on the proportion receiving ECT in each group over time as well as on the total numbers of treatments received along with group differences in sociodemographic and diagnostic characteristics and health care costs. Results: Among 2.9 million patients diagnosed with mood disorders, the proportion who received ECT (n = 8859) was small (0.30%) and declined over the decade to 0.17%. Among those who received ECT, most did so exclusively as outpatients (52.3%), the group with fewest comorbidities and lowest costs. This proportion increased by 19.7% over the decade, whereas the proportion receiving ECT exclusively in an inpatient setting (12.1%) fell by 30.6%. The total number of treatments per patient averaged 11.7 per year and increased by 28.0% over the decade, with outpatients decreasing to slightly less than average. Health care costs were greatest for those who started ECT as inpatients. Conclusions: Although the proportion of privately insured patients receiving ECT in outpatient settings has increased, reducing cost barriers, the use of ECT continued to be extremely limited and declining.
MeSH term(s)	Humans ; Mood Disorders/therapy ; Electroconvulsive Therapy ; Depressive Disorder, Major/therapy ; Outpatients ; Hospitalization ; Insurance, Health
Language	English
Publishing date	2023-07-20
Publishing country	United States
Document type	Journal Article
ZDB-ID	1426385-3
ISSN	1533-4112 ; 1095-0680
ISSN (online)	1533-4112
ISSN	1095-0680
DOI	10.1097/YCT.0000000000000950
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