It is critical to understand the metabolic effects of antipsychotic drugs that are used for prolonged periods of time in the treatment of schizophrenia, as well as other serious mental illnesses, often at higher-than-recommended doses.
Aug 22, 2018
Focusing on medication reconciliation or care transition services could help reduce readmission rates for Medicare beneficiaries with mental illness.
Jul 3, 2018
Impact of a Mental Health Based Primary Care Program on Emergency Department Visits and Inpatient Stays
Introducing primary care services into mental health clinics may increase utilization of inpatient services, perhaps due to newly identified unmet medical need.
Apr 10, 2018
Potential Benefits to Patients and Payers From Increased Measurement of Antipsychotic Plasma Levels in the Management of Schizophrenia
Improvements in disease management enabled by antipsychotic plasma level information could improve outcomes for patients with complicated treatment courses and thus improve the value of schizophrenia care.
Jan 12, 2018
Simulated Effects of Policies to Reduce Diabetes Risk Among Adults With Schizophrenia Receiving Antipsychotics
Policies to promote early diabetes detection among Medicaid patients receiving antipsychotic medication could reduce the rate of diabetes over ten years, but would likely require higher spending.
Sep 28, 2017
Personalizing Antipsychotic Treatment of Schizophrenia: Monitoring Plasma Levels for Improved Treatment Decisions
Uncertainty in the pharmacological management of schizophrenia remains a challenge for prescribers, and this Perspective describes the rationale and opportunity for using a point-of-care diagnostic technology to improve health outcomes.
Sep 28, 2017
Programs to integrate physical health care services into specialty mental health clinics improved monitoring of psychiatric medication side effects, but did not improve other aspects of care among the seriously mentally ill.
Sep 19, 2017
Antipsychotic plasma levels may be used to guide the management of patients with schizophrenia who exhibit poor response or poor tolerance.
Jun 12, 2017
Prescribing of Clozapine and Antipsychotic Polypharmacy for Schizophrenia in a Large Medicaid Program
Analysis of prescribing habits for treatment of schizophrenia suggests that some clinicians may underprescribe clozapine and overprescribe multiple antipsychotics; addressing such inconsistencies with the evidence base could improve care.
Mar 16, 2017
Enrollment of Specialty Mental Health Clinics in a State Medicaid Program to Promote General Medical Services
A policy to promote mental health-based general medical care--specifically health monitoring and health physicals--was embraced by specialty mental health clinics in New York State.
Sep 22, 2016
Rigorous integration of primary and preventive medical services into behavioral health settings may help improve medical outcomes for people with serious mental illness.
Aug 29, 2016
Prescribing antipsychotics for young children is relatively common, especially in rural areas.
Jul 25, 2016
This study examines the use of administrative data routinely collected when patients interact with the healthcare system.
Jan 18, 2016
Psychiatrists exposed to strict conflict of interest policies prescribed heavily promoted antipsychotics at rates similar to academic psychiatrists and nonacademic psychiatrists exposed to less strict or no policies.
Mar 24, 2015
Where You Live Matters: Quality and Racial/Ethnic Disparities in Schizophrenia Care in Four State Medicaid Programs
Care for Schizophrenia: it matters where you live.
Mar 19, 2015
This column presents findings of an analysis conducted to quantify the potential net savings to state budgets from interventions to improve adherence to antipsychotic drugs among patients with schizophrenia.
Feb 2, 2015
RAND's evaluation of the Primary and Behavioral Health Care Integration grants program found that programs improved access to integrated primary and behavioral health care for people with serious mental illness but had mixed success improving health.
May 28, 2014
Evaluation of the SAMHSA Primary and Behavioral Health Care Integration (PBHCI) Grant Program: Final Report (Task 13)
Describes the results of RAND's evaluation of Primary and Behavioral Health Care Integration (PBHCI), one of the Substance Abuse and Mental Health Services Administration's service grant programs.
Apr 21, 2014
Disparities in Quality of Care Among Publicly Insured Adults with Schizophrenia in Four Large U. S. States, 2002-2008
Examines racial/ethnic disparities in quality of schizophrenia care and assess the size of observed disparities across states and over time.
Mental Health Retrosight: Identifying the attributes of successfully translated research (lessons from schizophrenia)
Identifying the attributes of successfully translated research (lessons from schizophrenia); headline findings and policy provocations from the Mental Health Retrosight project.
Oct 28, 2013
Mental Health Retrosight: Understanding the returns from research (lessons from schizophrenia): Policy Report
Examines the impacts arising from neuroscience and mental health research over 20-25 years, focusing on schizophrenia. Identifies attributes of the research, researchers or setting associated with translation into patient benefit. Policy report.
Oct 28, 2013
Examines the impacts arising from neuroscience and mental health research over 20-25 years, focusing on schizophrenia. Identifies attributes of the research, researchers or setting associated with translation into patient benefit. Perspectives.
Oct 28, 2013
The authors examined physician adoption of second-generation antipsychotic medications and identified physician-level factors associated with early adoption.
Apr 1, 2013
Physician antipsychotic prescribing behavior may be influenced by comparative effectiveness evidence, regulatory warnings, and formulary and other restrictions on these drugs.
Aims to identify the long term payback from mental health research; identify factors that are associated with the successful translation of research; and make insights that will inform future funding policy.
Jun 28, 2012
The Effect of Race-Ethnicity and Geography on Adoption of Innovations in the Treatment of Schizophrenia
This study evaluated the effect of race-ethnicity and geography on the adoption of a pharmacological innovation (long-acting injectable risperidone [LAIR]) among Medicaid beneficiaries with schizophrenia as well as the contribution of geographic location to observed racial-ethnic disparities.
The Effect of Race-Ethnicity and Geography on the Comparative Effectiveness of Clozapine Among Medicaid Beneficiaries
Clozapine proved to be superior to other antipsychotics for treating Black and Latino Medicaid beneficiaries with schizophrenia. Efforts should be made to increase clozapine use, particularly among minority groups.
Racial and Ethnic Service Use Disparities Among Homeless Adults with Severe Mental Illnesses Receiving ACT
Case management of community interventions is intended to narrow racial and ethnic disparities, but this study of homeless individuals with severe mental illness found that it reduced disparities for blacks, but not for Latinos.
Jun 1, 2011
This paper presents the methodology used to develop a comprehensive set of performance indicators in a national evaluation of the mental healthcare delivered by the Veterans Health Administration.
Jan 15, 2011
Care for Veterans with Mental and Substance Use Disorders: Good Performance, but Room to Improve on Many Measures
The 15 % of veterans with mental health illness accounted for about one-third of total VA costs, mostly for non-mental health conditions. VA quality of care was generally better than care in private plans, but quality varied across VA regions.
Transforming Mental Healthcare in the Veterans Health Administration: A Model for Measuring Performance to Improve Access, Quality, and Outcomes
This paper describes the conceptual framework and research design of a national evaluation of the quality of mental healthcare provided to veterans by the Veterans Health Administration, and present results on the reported availability of evidence-based practices.
Presents the technical specifications for the performance indicators developed during a study to evaluate the Veterans Health Administration in the U.S. Department of Veterans Affairs mental health services.
Nov 19, 2009
This fact sheet outlines steps for improving the level of integration between the mental health care sector and the general health care sector for treating the health care needs of adults with severe mental disorders.
Jul 12, 2006
The authors discuss obstacles to clinical integration and propose strategies to address them.