Eric G. Smith
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View article: Ten Years of Bipolar Telehealth: Program Evaluation of a Team-Based Telemental Health Clinic
Ten Years of Bipolar Telehealth: Program Evaluation of a Team-Based Telemental Health Clinic Open
Objectives: Telemental health via videoconferencing (TMH-V) can overcome many of the barriers to accessing quality mental health care. Toward this end, in 2011, the U.S. Department of Veterans Affairs (VA) established the National Bipolar …
View article: Complexity of patients with mental healthcare needs cared for by mental health clinical pharmacist practitioners in Veterans Affairs
Complexity of patients with mental healthcare needs cared for by mental health clinical pharmacist practitioners in Veterans Affairs Open
Purpose The complexity of patients with mental healthcare needs cared for by clinical pharmacists is not well delineated. We evaluated the complexity of patients with schizophrenia, bipolar disorder, and major depressive disorder (MDD) in …
View article: Lithium Receipt and Risk of Dementia in Older Veterans With Bipolar Disorder in the VA Health System
Lithium Receipt and Risk of Dementia in Older Veterans With Bipolar Disorder in the VA Health System Open
Older adults with bipolar disorder are at increased risk of developing dementia. The literature suggests lithium treatment may reduce the incidence of dementia. This study sought to inform clinical practice in the Veterans Affairs (VA) hea…
View article: Lithium Treatment in the Prevention of Repeat Suicide-Related Outcomes in Veterans With Major Depression or Bipolar Disorder
Lithium Treatment in the Prevention of Repeat Suicide-Related Outcomes in Veterans With Major Depression or Bipolar Disorder Open
ClinicalTrials.gov Identifier: NCT01928446.
View article: Individual Treatment of Posttraumatic Stress Disorder Using Mantram Repetition: A Randomized Clinical Trial
Individual Treatment of Posttraumatic Stress Disorder Using Mantram Repetition: A Randomized Clinical Trial Open
In a sample of veterans with PTSD, individually delivered mantram repetition therapy was generally more effective than present-centered therapy for reducing PTSD symptom severity and insomnia.
View article: Antidepressant Medication Treatment and Risk of Death
Antidepressant Medication Treatment and Risk of Death Open
Objective Although previous studies have assessed whether depression is a mortality risk factor, few have examined whether antidepressant medications (ADMs) influence mortality risk. Methods We estimated hazards of 1-year all-cause mortali…
View article: The Business Case for Expanded Clozapine Utilization
The Business Case for Expanded Clozapine Utilization Open
Increased clozapine utilization would result in net cost savings for the VHA.
View article: Organizational Characteristics of Veterans Affairs Clinics With High and Low Utilization of Clozapine
Organizational Characteristics of Veterans Affairs Clinics With High and Low Utilization of Clozapine Open
Implementation efforts to organize, streamline, and simplify clozapine processes; development of a multidisciplinary clozapine clinic; increased capacity of existing clinics; and provision of transportation are reasonable targets to increa…
View article: Development and Validation of a Computerized-Adaptive Test for PTSD (P-CAT)
Development and Validation of a Computerized-Adaptive Test for PTSD (P-CAT) Open
The P-CAT appears to be a promising tool for efficient and accurate assessment of PTSD symptomatology. Further testing is needed to evaluate its responsiveness to change. With increasing availability of computers and other technologies, CA…
View article: Mortality associated with lithium and valproate treatment of US Veterans Health Administration patients with mental disorders
Mortality associated with lithium and valproate treatment of US Veterans Health Administration patients with mental disorders Open
Background The mood stabilisers lithium and valproate might plausibly have differing associations with mortality because of differing effects on mental health and various physiological indicators. Aims To assess associations between lithiu…
View article: The ACCE method: an approach for obtaining quantitative or qualitative estimates of residual confounding that includes unmeasured confounding
The ACCE method: an approach for obtaining quantitative or qualitative estimates of residual confounding that includes unmeasured confounding Open
Background: Nonrandomized studies typically cannot account for confounding from unmeasured factors. Method: A method is presented that exploits the recently-identified phenomenon of “confounding amplification” to produce, in principle, a q…