Martha Shumway

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BACKGROUND Limited English proficiency (LEP) may contribute to mental health care disparities, yet empirical data are limited. OBJECTIVE To quantify the language barriers to mental health care by race/ethnicity using a direct measure of LEP is the objective of the study. DESIGN Cross-sectional analysis of the 2001 California Health Interview Survey is(More)
The prevalence and course of alcohol and drug use were examined in a longitudinal, retrospective study of 100 schizophrenic outpatients. During the 18 month study period, problem substance use (abuse and dependence) was not associated with differential attrition from outpatient treatment. Thirty to forty percent of subjects were using drugs or alcohol(More)
OBJECTIVE Study findings indicating that involuntary outpatient commitment can improve treatment outcomes among persons with severe mental illness remain controversial. Opponents of outpatient commitment argue that its coerciveness is unacceptable even given its arguable benefits. However, it is unclear to what extent the public debate surrounding(More)
OBJECTIVE This study examined whether data needed to inform evidence-based practice can be found in leading mental health journals. METHODS Research studies described in articles that were published in 12 leading mental health journals in 1999 were examined to determine whether they evaluated clinical interventions, used rigorous designs, were conducted(More)
Little is known about the long-term outcomes of patients in the public mental health system who are disabled by co-occurring bipolar and substance use disorders. This article reports on the 3-year course of 51 patients with co-occurring bipolar and substance use disorders in the New Hampshire Dual Diagnosis Study. Participants received integrated dual(More)
OBJECTIVE This study estimated rates of eligibility for treatment with clozapine among clients in a public mental health system using criteria with various degrees of restrictiveness. METHODS A stratified, random cluster sample of 293 clients was selected from among all clients with schizophrenic disorders known to the mental health system of the city and(More)
BACKGROUND Self-administered depression measures are important tools for research and practice, but their utility depends on the quality of the measurements they yield. Respondent comprehension is essential for meaningful measurement and prior studies have used readability indices to assess comprehensibility. Readability, however, is only one aspect of(More)
1. The purpose of this retrospective chart review study was to determine whether broad and stringent criteria differentially impact clozapine eligibility in ethnic, gender, and age subgroups of schizophrenic patients. 2. 505 patients charts were selected from a random cluster sample of mental health patients known to the city and county of San Francisco.(More)
Treatment cost can have a dramatic effect on treatment availability, and clinicians may find themselves unable to provide expensive treatments they believe their patients should receive. The introduction of new, premium-priced antipsychotic medications has provided visible examples of this problem. Cost considerations must be part of treatment decisions,(More)
BACKGROUND Measures have not taken account of the relative importance patients place on various outcomes. AIMS To construct and evaluate a multidimensional, preference-weighted mental health index. METHOD Each of over 1200 patients identified the relative importance of improvement in six domains: social life, energy, work, symptoms, confusion and(More)