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Full-Text Articles in Social and Behavioral Sciences

What Factors Determine Disclosure Of Suicide Ideation In Adults 60 And Older To A Treatment Provider?, Steven D. Vannoy Jun 2014

What Factors Determine Disclosure Of Suicide Ideation In Adults 60 And Older To A Treatment Provider?, Steven D. Vannoy

Steven D Vannoy

Correlates of patient disclosure of suicide ideation to a primary care or mental health provider were identified. Secondary analyses of IMPACT trial data were conducted. Of the 107 patients 60 years of age or older who endorsed thoughts of ending their life at least "a little bit" during the past month, 53 indicated they had disclosed these thoughts to a mental health or primary care provider during this period. Multiple logistic regression was used to identify predictors of disclosure to a provider. Significant predictors included poorer quality of life and prior mental health specialty treatment. Among participants endorsing thoughts of …


A Learning Collaborative Of Cmhcs And Chcs To Support Integration Of Behavioral Health And General Medical Care, Steven D. Vannoy, Barbara Mauer, John Kern, Kamaljeet Girn, Charles Ingoglia, Jeannie Campbell, Laura Galbreath, JüRgen UnüTzer Jul 2011

A Learning Collaborative Of Cmhcs And Chcs To Support Integration Of Behavioral Health And General Medical Care, Steven D. Vannoy, Barbara Mauer, John Kern, Kamaljeet Girn, Charles Ingoglia, Jeannie Campbell, Laura Galbreath, JüRgen UnüTzer

Steven D Vannoy

Objective: Integration of general medical and mental health services is a growing priority for safety-net providers. The authors describe a project that established a one-year learning collaborative focused on integration of services between community health centers (CHCs) and community mental health centers (CMHCs). Specific targets were treatment for general medical and psychiatric symptoms related to depression, bipolar dis- order, alcohol use disorders, and metabolic syndrome. Methods: This ob- servational study used mixed methods. Quantitative measures included 15 patient-level health indicators, practice self-assessment of resources and support for chronic disease self-management, and participant satisfaction. Results: Sixteen CHC-CMHC pairs were selected for …


Community-Based Participatory Development Of A Community Health Worker Mental Health Outreach Role To Extend Collaborative Care In Post-Katrina New Orleans, Ashley Wennerstrom, Steven D. Vannoy, Charles E. Allen, Diana Meyers, Elizabeth O’Toole, Kenneth B. Wells, Benjamin F. Springgate Jan 2011

Community-Based Participatory Development Of A Community Health Worker Mental Health Outreach Role To Extend Collaborative Care In Post-Katrina New Orleans, Ashley Wennerstrom, Steven D. Vannoy, Charles E. Allen, Diana Meyers, Elizabeth O’Toole, Kenneth B. Wells, Benjamin F. Springgate

Steven D Vannoy

No abstract provided.


Now What Should I Do? Primary Care Physicians’ Responses To Older Adults Expressing Thoughts Of Suicide, Steven D. Vannoy, Ming Tai-Seale, Paul Duberstein, Laura J. Eaton, Mary Ann Cook Jan 2011

Now What Should I Do? Primary Care Physicians’ Responses To Older Adults Expressing Thoughts Of Suicide, Steven D. Vannoy, Ming Tai-Seale, Paul Duberstein, Laura J. Eaton, Mary Ann Cook

Steven D Vannoy

ACKGROUND: Many older adults who die by suicide have had recent contact with a primary care physician. As the risk-assessment and referral process for suicide is not readily comparable to procedures for other high- risk behaviors, it is important to identify areas in need of quality improvement (QI). OBJECTIVE: Identify patterns in physician-patient com- munication regarding suicide to inform QI interventions. DESIGN: Qualitative thematic analysis of video-taped clinical encounters in which suicide was discussed. PARTICIPANTS: Adult primary care patients (n=385) 65 years and older and their primary care physicians. RESULTS: Mental health was discussed in 22% of encounters (n=85), with …


Mental Health Infrastructure And Training Project. Building Community Resilience Through Mental Health Infrastructure And Training In Post-Katrina New Orleans, Benjamin F. Springgate, Ashley Wennerstrom, Diana Meyers, Charles E. Allen, Steven D. Vannoy, Wayne Bentham, Kenneth B. Wells Jan 2011

Mental Health Infrastructure And Training Project. Building Community Resilience Through Mental Health Infrastructure And Training In Post-Katrina New Orleans, Benjamin F. Springgate, Ashley Wennerstrom, Diana Meyers, Charles E. Allen, Steven D. Vannoy, Wayne Bentham, Kenneth B. Wells

Steven D Vannoy

No abstract provided.


Does Ptsd Moderate The Relationship Between Social Support And Suicide Risk In Iraq And Afghanistan War Veterans Seeking Mental Health Treatment?, Matthew Jakupcak, Steven D. Vannoy, Zac Imel, Jessica W. Cook, Alan Fontana, Robert Rosenheck, Miles Mcfall Jan 2010

Does Ptsd Moderate The Relationship Between Social Support And Suicide Risk In Iraq And Afghanistan War Veterans Seeking Mental Health Treatment?, Matthew Jakupcak, Steven D. Vannoy, Zac Imel, Jessica W. Cook, Alan Fontana, Robert Rosenheck, Miles Mcfall

Steven D Vannoy

Objective: This study examined posttraumatic stress disorder (PTSD) as a potential moderating variable in the relationship between social support and elevated suicide risk in a sample of treatment-seeking Iraq and Afghanistan War Veterans. Method: As part of routine care, self-reported marital status, satisfaction with social networks, PTSD, and recent suicidality were assessed in Veterans (N 5 431) referred for mental health services at a large Veteran Affairs Medical Center. Logistic regression analyses were conducted using this cross- sectional data sample to test predictions of diminished influence of social support on suicide risk in Veterans reporting PTSD. Results: Thirteen percent of …


Current Practices Of Suicide Risk Management Protocols In Research, Steven D. Vannoy, Ursula Whiteside, JüRgen UnüTzer Jan 2010

Current Practices Of Suicide Risk Management Protocols In Research, Steven D. Vannoy, Ursula Whiteside, JüRgen UnüTzer

Steven D Vannoy

Abstract. Background: Participant safety is an important concern in mental-health-oriented research. Investigators conducting studies in the United States that include potentially suicidal individuals are often required to develop written suicide risk management (SRM) protocols. But little is known about these protocols. It is possible that such protocols could serve as templates for suicide risk management in clinical settings. Aims: To elucidate common (best) practices from mental health intervention researchers. Methods: We conducted a systematic descriptive analysis of written SRM protocols. A convenience sample of studies funded by the United States’ National Institute of Mental Health in 2005 were scanned to …


Effectiveness Of Problem-Solving Therapy For Older, Primary Care Patients With Depression: Results From The Impact Project, Patricia Arean, Mark Hegel, Steven D. Vannoy, Ming-Yu Fan, Jurgen Unuzter Jan 2008

Effectiveness Of Problem-Solving Therapy For Older, Primary Care Patients With Depression: Results From The Impact Project, Patricia Arean, Mark Hegel, Steven D. Vannoy, Ming-Yu Fan, Jurgen Unuzter

Steven D Vannoy

Purpose: We compared a primary-care-based psy- chotherapy, that is, problem-solving therapy for primary care (PST-PC), to community-based psycho- therapy in treating late-life major depression and dys- thymia. Design and Methods: The data here are from the IMPACT study, which compared collabora- tive care within a primary care clinic to care as usual in the treatment of 1,801 primary care patients, 60 years of age or older, with major depression or dysthymia. This study is a secondary data analysis (n = 433) of participants who received either PST-PC (by means of collaborative care) or community-based psychotherapy (by means of usual care). …


Models Of Care For Treating Late-Life Depression In Primary Care, Steven D. Vannoy, Diane Powers, JüRgen UnüTzer Jan 2007

Models Of Care For Treating Late-Life Depression In Primary Care, Steven D. Vannoy, Diane Powers, JüRgen UnüTzer

Steven D Vannoy

No abstract provided.


Evaluation Of An Anger Therapy Intervention For Incarcerated Adult Males, Steven D. Vannoy, William T. Hoyt Jan 2004

Evaluation Of An Anger Therapy Intervention For Incarcerated Adult Males, Steven D. Vannoy, William T. Hoyt

Steven D Vannoy

ABSTRACT An anger therapy intervention was developed for incarcerated adult males. The therapy was an extension of cognitive-behavioral approaches, incorporating principles and practices drawn from Buddhist psychology. Adult males from a Midwestern low-security prison were randomly assigned to ei- ther a treatment group (n = 16) or a waiting list control group (n = 15). Following a 10-session intervention, treated participants exhibited significant reduction in anger relative to those in the control group. Greater reductions in anger for the therapy group was mediated (p = .07), by greater reduction in egotism relative to the control group. Contrary to predictions, anger …