Michael S. Klinkman

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PURPOSE This study aimed to identify the demographic, psychiatric, and attitudinal predictors of treatment adherence during the maintenance phase of antidepressant treatment, ie, after symptoms and regimen are stabilized. METHODS We surveyed 81 primary care patients given maintenance antidepressant medications regarding general adherence, recent missed(More)
OBJECTIVE A technical expert panel convened by the Agency for Healthcare Research and Quality and the National Institute of Mental Health was charged with reviewing the state of research on behavioral intervention technologies (BITs) in mental health and identifying the top research priorities. BITs refers to behavioral and psychological interventions that(More)
  • Dan Armijo, Cheryl Mcdonnell, Kristen Werner, Armijo D Mcdonnell, Werner K, Mark Ackerman +14 others
  • 2009
HEALTH IT ii This document is in the public domain and may be used and reprinted without special permission. Citation of the source is appreciated. Preface To support research and policy formation in the area of Electronic Health Record (EHR) usability, the Agency for Healthcare Research and Quality (AHRQ) commissioned the " Use of Dense Display and(More)
  • Cheryl Mcdonnell, Kristen Werner, Lauren Wendel, C Mcdonnell, Werner K, Wendel L +16 others
  • 2010
ii This document is in the public domain and may be used and reprinted without special permission. Citation of the source is appreciated. One of the key factors driving the adoption and appropriate utilization of electronic health record (EHR) systems is their usability. 1 However, a recent study funded by the Agency for Healthcare Research and Quality(More)
  • Dan Armijo, Cheryl Mcdonnell, Kristen Werner, Armijo D Mcdonnell, Werner K, Mark Ackerman +14 others
  • 2009
HEALTH IT ii This document is in the public domain and may be used and reprinted without special permission. Citation of the source is appreciated. Preface To support research and policy formation in the area of Electronic Health Record (EHR) usability, the Agency for Healthcare Research and Quality (AHRQ) commissioned the " Use of Dense Display and(More)
Many depressed patients present to primary care physicians instead of psychiatrists, and several studies have found that primary care physicians underdiagnose and undertreat depression. Primary care physicians may fail to diagnose and treat depression for many reasons: depression as it appears in primary care is in many ways a different disease than that(More)
Primary care differs considerably from specialist mental health settings: problems are presented in undifferentiated forms, with consequent difficulties in distinguishing between distress and disorder, and a complex relationship between psychological, mental and social problems and their temporal variations. Existing psychiatric diagnostic systems,(More)
OBJECTIVE Although depression treatment improves diverse outcomes, it is unclear whether these improvements are comparable in magnitude and timing. The objective was therefore to compare treatment-related improvements in depressive symptoms, work and social functioning, hopefulness, somatic complaints and positive well-being. METHOD Secondary analysis of(More)
Individuals with emotional disorders are more likely to use primary medical care than specialty mental health services, but these disorders are likely to be undetected or inadequately treated. Recognition of the importance of primary medical care for the treatment of mental disorder has resulted in pressing new research priorities. One set of issues(More)
Electronic health records (EHRs) must support primary care clinicians and patients, yet many clinicians remain dissatisfied with their system. This article presents a consensus statement about gaps in current EHR functionality and needed enhancements to support primary care. The Institute of Medicine primary care attributes were used to define needs and(More)