Longitudinal patterns of health system retention among veterans with schizophrenia or bipolar disorder.

Community Mental Health Journal
Ellen P FischerMarcia Valenstein

Abstract

Inconsistent service use for schizophrenia and bipolar disorder is associated with poorer outcomes of care. We analyzed VHA National Psychosis Registry data for 164,150 veterans with these disorders to identify characteristics associated with 5-year patterns of survival and with retention in VHA care. Most cohort members (63%) survived the period with no break in VHA healthcare lasting over 12 months. Inconsistent utilization was associated with younger age, no service-connected disability, and less physical comorbidity, regardless of diagnosis. The influence of gender and ethnicity on attrition varied by diagnosis and gap-duration. Variation in attrition by gender and ethnicity warrants additional attention.

References

Jan 1, 1995·Schizophrenia Bulletin·P J Weiden, M Olfson
Jan 1, 1995·Women & Health·T W Weiss
Sep 1, 1996·Psychiatric Services : a Journal of the American Psychiatric Association·E P FischerB J Cuffel
Nov 14, 1997·Psychiatric Services : a Journal of the American Psychiatric Association·R A Hoff, R A Rosenheck
Nov 14, 1997·Psychiatric Services : a Journal of the American Psychiatric Association·M SajatovicW Semple
Jul 23, 1998·Medical Care·R A Hoff, R A Rosenheck
Nov 20, 1998·Medical Care·R A Hoff, R A Rosenheck
Jan 27, 2000·Psychiatric Services : a Journal of the American Psychiatric Association·A S YoungT R Belin
Mar 1, 2000·The Journal of Behavioral Health Services & Research·R A Hoff, R A Rosenheck
Feb 7, 2001·The British Journal of Psychiatry : the Journal of Mental Science·H KillaspyM Lloyd
Jun 27, 2000·Social Psychiatry and Psychiatric Epidemiology·W E NarrowB Arons
Oct 16, 2002·Annals of Epidemiology·Diane C CowperDenise M Hynes
Mar 29, 2003·Psychiatric Services : a Journal of the American Psychiatric Association·Mayur M Desai, Robert A Rosenheck
May 3, 2003·Journal of Clinical Epidemiology·Vincent de GrootLex M Bouter
May 7, 2003·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Donna L WashingtonElizabeth M Yano
May 7, 2003·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Elizabeth M YanoCarole Turner
Jul 30, 2003·Medical Care·Maureen MurdochNancy O'Brien
Nov 6, 2003·Psychiatric Services : a Journal of the American Psychiatric Association·Michael F Hogan
Dec 6, 2003·Women & Health·Paige OuimetteKristian Gima
Mar 6, 2004·Psychiatric Services : a Journal of the American Psychiatric Association·Martha SajatovicDebra R Hrouda
May 4, 2004·The Journal of Clinical Psychiatry·Andrea FagioliniEllen Frank
Oct 14, 2004·Administration and Policy in Mental Health·Greg A Greenberg, Robert A Rosenheck
Nov 6, 2004·CNS Spectrums·Roger S McIntyre, Jakub Z Konarski
Jan 27, 2005·Social Psychiatry and Psychiatric Epidemiology·Frederic C BlowC Raymond Bingham
Oct 24, 2006·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Elizabeth M YanoDonna L Washington

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Citations

Oct 23, 2012·Community Mental Health Journal·Nicholas W BowersoxBertrand Berger
May 3, 2013·Administration and Policy in Mental Health·Thomas E SmithBradley D Stein
May 22, 2013·Administration and Policy in Mental Health·Cynthia A FontanellaJohn C Fortney
Dec 15, 2015·The Journal of Behavioral Health Services & Research·Alison EasterThomas E Smith
Nov 5, 2014·Clinical Schizophrenia & Related Psychoses·Neely MyersMichael T Compton
Dec 6, 2017·Journal of Neurosciences in Rural Practice·Nikhil JainRajiv Gupta
Sep 14, 2017·Journal of Clinical Psychology in Medical Settings·Jessica Maura, Amy Weisman de Mamani
May 13, 2020·Psychiatric Services : a Journal of the American Psychiatric Association·Benson S KuBenjamin G Druss
Jun 7, 2018·The Journal of Behavioral Health Services & Research·Jane E HamiltonRaymond Y Cho

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