Robert Rosenheck
Biographic Data
| ID | 138987 |
|---|---|
| NAME | Robert Rosenheck |
| GIVEN NAMES | Robert |
| FAMILY NAME | Rosenheck |
| SIGNATURE | ROSENHECK R |
| AFFILIATIONS | Yale University |
| ORCID | 0000-0003-4314-4592 |
| VERIFIED | Yes |
| TOTAL WORKS | 117 |
| TOTAL CITATIONS | 222 |
| AUTHOR COUNT | 117 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1985 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 8 |
Perspectives of Traditional Healers, Religious Leaders, and Biomedical Providers on Depression and HIV Care in Rural Uganda
Pathways to suicide attempts in rural Uganda
Correlates of Mental Health Stigma in the Buyende District of Eastern Uganda
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Experienced stigma related to common mental illness and alcohol use disorder in rural Uganda
Background: Stigma remains a major barrier to mental health care in low- and middle-income countries (LMICs), yet little is known about how stigma operates for common mental illnesses (CMIs) and alcohol use disorder (AUD) in rural Uganda. Methods: We conducted 80 in-depth interviews (IDIs) with individuals and family members affected by CMIs (n=34) or AUD (n=46) in Buyende District, Uganda. Interviews were analyzed inductively using the framework…
Experiences of adults who survived suicide attempts in rural Uganda
Suicide disproportionately burdens low- and middle-income countries. In Uganda, attempt survivors encounter intense stigma, minimal mental-health services and social exclusion, elevating their risk of future attempts. Rural African data on post-attempt experiences are scarce. From June to August 2023, we conducted semi-structured, in-depth interviews in Buyende District with 18 attempt survivors, 17 relatives, 10 healthcare workers and 9 communit…
Mixed-methods evaluation of a Global South-North research fellowship in Uganda
Integrated, simultaneous training of Global South and North trainees offers novel opportunities to enhance equitable collaboration and research capacity in global health. While existing programs often focus on exchange rotations or separate training tracks, simultaneous training of Global South and North trainees in the same intensive program remains understudied. We describe the Global Health Experiential Fellowship (GHEF), which combines resear…
Correlates of impaired sleep duration among adults with trauma alone and with posttraumatic stress disorder
Impaired sleep duration among individuals with trauma/PTSD is highly multifactorial. While trauma and PTSD contribute to sleep disturbances, other factors such as psychiatric and medical comorbidities play significant roles; impaired sleep in trauma/PTSD may be better understood through the lens of allostatic load. Addressing these comorbid factors alongside trauma/PTSD may improve treatment outcomes. (PsycInfo Database Record (c) 2025 APA, all r…
Perspectives of traditional healers, faith healers, and biomedical providers about mental illness treatment
Most people with mental illness in low and middle-income countries (LMICs) do not receive biomedical treatment, though many seek care from traditional healers and faith healers. We conducted a qualitative study in Buyende District, Uganda, using framework analysis. Data collection included interviews with 24 traditional healers, 20 faith healers, and 23 biomedical providers, plus 4 focus group discussions. Interviews explored treatment approaches…
Twelve-month outcomes of a destigmatizing theatrical intervention in rural Uganda
Associative stigma among community mental health professionals in work and nonwork settings
Pathways to care for psychosis in rural Uganda
Despite a preference for biomedical care, structural barriers and diverse illness perceptions led many to seek pluralistic care pathways. Enhancing access to biomedical services and integrating traditional and faith healers could improve mental health outcomes in rural Uganda
Mental health service utilization in rural areas nationally in the Veterans Health Administration
Increasing the Numbers of Homeless Veterans Served by the Veterans Health Administration from 2008 to 2015
In 2009, the Department of Veterans Affairs (VA) set a goal of ending veteran homelessness by expanding health care and housing services. The process of expanding programs on a large scale can lead to erosion of focus on program goals, especially if it involves serving a target population that is challenging to assist and that may require delivery of services at a high level of intensity. This study examined changes from 2008 to 2015 in the numbe…
Psychiatric and Substance Use Disorders and Related Service Use in the Diverse Black Sub-Populations in the United States
Why are black adults over-represented among individuals who have experienced lifetime homelessness? Oaxaca-Blinder decomposition analysis of homelessness among US male adults
Background Non-Hispanic black adults experience homelessness at higher rates than non-Hispanic white adults in many studies. We aim to identify factors that could account for this disparity. Methods We used national survey data on non-Hispanic black and white men with complete data from the National Epidemiological Survey on Alcohol and Related Conditions Wave III. Using the Oaxaca-Blinder decomposition analysis, we examined race-based disparitie…
Preventing Suicide Among Homeless Veterans
Rates of death by suicide among Veterans remain high, with age- and sex-adjusted rates 1.5 times higher for Veterans than non-Veteran adults.1 This risk is especially pronounced among Veterans experiencing homelessness, who have particularly high rates of suicidal ideation and suicidal self-directed violence.2 This likely relates to the presence of multiple risk factors, including extreme poverty and lack of housing; loneliness and limited social…
Medicalizing Homelessness
IS HOMELESSNESS A MEDICAL PROBLEM? Is homelessness an illness? Is it a medical problem? How does it come about that a journal called Medical Care publishes a special supplement on homelessness? And why an emphasis on multimorbidity, the co-occurrence, and interaction of multiple illnesses? Multimorbidity is indeed an understudied challenge common to many homeless adults but the focus of this supplement is not merely on the health of homeless peop…
Medical Education and the Stigmatization of Mental Illness in the Philippines
Social determinants of mental health care systems
Almost one-fifth of VHA mental health patients receive community-based services prominently addressing major social determinants of health and multimorbid substance use disorders
Gender differences in outcomes following specialized intensive PTSD treatment in the Veterans Health Administration
In spite of the predominantly male environment of these VHA PTSD programs, women experienced greater improvement than men in PTSD symptoms and subscales. The differences were partially explained by positive indicators of program participation. Further studies are needed to better understand these differences. (PsycINFO Database Record (c) 2020 APA, all rights reserved)
Implementing the protocol of a pilot randomized controlled trial for the recovery-oriented intervention to people with psychoses in two Latin American cities
Several Latin American countries have made remarkable strides towards offering community mental health care for people with psychoses. Nonetheless, mental health clinics generally have a very limited outreach in the community, tending to have weaker links to primary health care; rarely engaging patients in providing care; and usually not providing recovery-oriented services. This paper describes a pilot randomized controlled trial (RCT) of Critic…
Medical Student Attitudes Towards People with Mental Illness in China
Resilience and Cognitive Function in Patients With Schizophrenia and Bipolar Disorder, and Healthy Controls
Background: This study compared adaptive resilience among patients with schizophrenia, bipolar disorder, and healthy controls, and examined the relationship of resilience to cognitive function. Methods: A sample of 81 patients diagnosed with schizophrenia, 34 with bipolar disorder, and 52 healthy controls completed the Connor-Davidson Resilience Scale (CD-RISC) and cognitive tests of verbal comprehension, executive functioning, and working memory…
How do Housing Subsidies Improve Quality of Life Among Homeless Adults? A Mediation Analysis
Supported housing, combining rent subsidies with intensive case management, is associated with improvements in quality of life of homeless adults, but factors mediating their impact on quality of life have not been studied. Twelve‐month outcome data from a randomized trial of the Housing and Urban Development‐ Veterans Affairs Supported Housing program ( HUD ‐ VASH ) showed that access to a housing rent subsidy plus intensive case management ( IC…
Characteristics of urban male homeless veterans and non-veterans in Omaha, Nebraska
The current study examined differences between urban homeless veterans and non-veterans on sociodemographics, housing, clinical characteristics, and psychosocial factors. We recruited a sample of 196 homeless men (101 veterans, 95 non-veterans) from the Omaha, Nebraska metropolitan area. Structured interviews were conducted by research staff. The results showed that the two groups were similar in most respects, though there were several notable d…
Population Attributable Fractions of Psychiatric Disorders and Behavioral Outcomes Associated With Combat Exposure Among US Men
Objectives. This study determined the percentage of adverse outcomes in US men attributable to combat exposure. Methods. Standardized psychiatric interviews (modified Diagnostic Interview Schedule and Composite International Diagnostic Interview assessments) were administered to a representative national sample of 2583 men aged 18 to 54 in the National Comorbidity Survey part II subsample. Results. Adjusted attributable fraction estimates indicat…
The proportion of veterans among homeless men
This study used data from four surveys conducted in 1986/87 to identify age-race cohorts of homeless men in which veterans are overrepresented. The overall proportion of veterans among homeless men (41%) was somewhat higher than that in the general population (34%). This overrepresentation is largely attributable to the disproportionate representation of veterans in the youngest age cohort (20 to 34 years) of homeless White men. Veterans in this …
Service system integration, access to services, and housing outcomes in a program for homeless persons with severe mental illness
OBJECTIVES: This study evaluated the hypothesis that greater integration and coordination between agencies within service systems is associated with greater accessibility of services and improved client housing outcomes. METHODS: As part of the Access to Community Care and Effective Services and Supports program, data were obtained on baseline client characteristics, service use, and 3-month and 12-month outcomes from 1832 clients seen at 18 site…
When Health Insurance Is Not a Factor
Objectives. We examined the proportion of homeless veterans among users of Veterans Affairs (VA) emergency departments (EDs) and compared sociodemographic and clinical characteristics of homeless and nonhomeless VA emergency department users nationally. Methods. We used national VA administrative data from fiscal year 2010 for a cross-sectional study comparing homeless (n = 64 091) and nonhomeless (n = 866 621) ED users on sociodemographics, medi…
Overrepresentation of Women Veterans Among Homeless Women
Objectives. This study estimated the proportion of veterans among homeless women and their risk of homelessness relative to that of nonveterans. Methods. Data came from 2 surveys of homeless women (1 clinical and 1 nonclinical) and 1 survey of domiciled women. Results. The proportion of veterans (4.4%, 3.1%) among homeless women was greater than the proportion among domiciled women (1.3%, 1.2%). When we computed odds ratios for being a veteran am…
Latent Homeless Risk Profiles of a National Sample of Homeless Veterans and Their Relation to Program Referral and Admission Patterns
Objectives. We identified risk and need profiles of homeless veterans and examined the relation between profiles and referrals and admissions to Department of Veterans Affairs (VA) homeless service programs. Methods. We examined data from the VA’s new Homeless Operations Management and Evaluation System on 120 852 veterans from 142 sites nationally in 2011 and 2012 using latent class analyses based on 9 homeless risk factors. The final 4-class so…
Risk of Incarceration among Male Veterans and Nonveterans
In this study, we used data from national surveys of U.S. veterans and nonveterans to investigate whether military service increased risk for incarceration compared to non-veteran peers. White veterans aged thirty-five to fifty-four (early years of the All Volunteer Force and the Vietnam era) were at higher risk for incarceration than white nonveterans. Black and Hispanic veterans of these eras were generally at lower risk of incarceration than a…
A Mental Health Program Report Card
Conceptualizing Social Integration Among Formerly Homeless Adults With Severe Mental Illness
The multiple dimensions of social integration among formerly homeless adults with severe mental illness have not been well‐studied. Previous studies have focused on clinical measures or narrow components of social integration. We used a multisite study of chronically homeless adults who were provided housing to (a) identify the main factors related to social integration, (b) examine the association between clinical symptoms and social integration…
Longitudinal Association of Therapeutic Alliance and Clinical Outcomes in Supported Housing for Chronically Homeless Adults
Housing Satisfaction Among Chronically Homeless Adults
Effects of Ethnicity on Psychotropic Medications Adherence
Residential Environment and Quality of Life Among Seriously Mentally Ill Residents of Board and Care Homes
Uninsured Veterans Who Will Need to Obtain Insurance Coverage Under the Patient Protection and Affordable Care Act
Objectives. We examined the number and clinical needs of uninsured veterans, including those who will be eligible for the Medicaid expansion and health insurance exchanges in 2014. Methods. We analyzed weighted data for 8710 veterans from the 2010 National Survey of Veterans, classifying it by veterans’ age, income, household size, and insurance status. Results. Of 22 million veterans, about 7%, or more than 1.5 million, were uninsured and will n…
A Geographic Analysis of Chronically Homeless Adults Before and After Enrollment in a Multi‐Site Supported Housing Initiative
The current study examined the community characteristics and migration of chronically homeless adults before and after entry into a multi-site supported housing initiative. A total of 394 participants were geocoded at baseline and 12-month follow up. Data from geographic information systems indicate that the median distance participants traveled from their last residence to their residence 1 year after program entry was 4.6 miles and 12% of parti…
Monitoring the Dissemination of Peer Support in the VA Healthcare System
Impact of Health Insurance Status and a Diagnosis of Serious Mental Illness on Whether Chronically Homeless Individuals Engage in Primary Care
Objectives. We evaluated the impact of a diagnosis of serious mental illness on use of a primary care provider (vs the emergency department [ED]) as a source of care by people who were chronically homeless. Methods. We used data from 750 chronically homeless adults enrolled in the 11-site Collaborative Initiative to Help End Chronic Homelessness and identified demographic and clinical characteristics independently associated with using a primary …
The Mental Health of Children Exposed to Maternal Mental Illness and Homelessness
Employment Histories of Homeless Persons with Mental Illness
Improving access to disability benefits among homeless persons with mental illness
OBJECTIVES: This study evaluated a joint initiative of the Social Security Administration (SSA) and the Department of Veterans Affairs (VA) to improve access to Social Security disability benefits among homeless veterans with mental illness. METHODS: Social Security personnel were colocated with VA clinical staff at 4 of the VA's Health Care for Homeless Veterans (HCHV) programs. Intake assessment data were merged with SSA administrative data to …
Posttraumatic stress disorder among female Vietnam veterans
OBJECTIVES: The Vietnam and Persian Gulf wars have awakened people to the realization that military service can be traumatizing for women as well as men. This study investigated the etiological roles of both war and sexual trauma in the development of chronic posttraumatic stress disorder among female Vietnam veterans. METHODS: Data from the National Vietnam Veterans Readjustment Study for 396 Vietnam theater women and 250 Vietnam era women were …
How do Housing Subsidies Improve Quality of Life Among Homeless Adults? A Mediation Analysis
Supported housing, combining rent subsidies with intensive case management, is associated with improvements in quality of life of homeless adults, but factors mediating their impact on quality of life have not been studied. Twelve‐month outcome data from a randomized trial of the Housing and Urban Development‐ Veterans Affairs Supported Housing program ( HUD ‐ VASH ) showed that access to a housing rent subsidy plus intensive case management ( IC…
Homeless Veterans of the Mil-Volunteer Force
Recent research has shown that men who served in the military during the early years of the all-volunteer force (AVF) have a higher risk of homelessness than do veterans of other eras and nonveterans of comparable ages. The current article draws on data from the 1996 National Survey of Homeless Assistance Providers and Clients in order to examine differences between currently homeless veterans and nonveterans in the number of months they had been…
Comparison of Outcomes of Homeless Female and Male Veterans in Transitional Housing
Client-level Measures of Services Integration Among Chronically Homeless Adults
Malignant post-Vietnam stress syndrome
A particularly severe form of Post-Vietnam Stress Syndrome is described. Its most distinctive clinical characteristic is the mutually escalating interaction among four psychological and social features: explosive, violent behavior; social ostracism and isolation; extreme self-loathing; and the exceptionally vivid and persistent reexperiencing of psychological war trauma. Recognition of these features, and consideration of their diagnostic signifi…
The Impact of DRG-Based Budgeting on Inpatient Psychiatric Care in Veterans Administration Medical Centers
In 1985 the Veterans Administration (VA) implemented a prospective budgeting system for acute inpatient care based on diagnosis-related groups (DRGs). To assess the impact of this system on psychiatric care, this study reviewed data on all VA discharges for psychiatric or substance abuse disorders that occurred during the four years before and the four years after this system was implemented. During the four years following the implementation of …
Vietnam era and Vietnam combat veterans among the homeless
Of 10,524 homeless veterans assessed in a 43-site VA program, 50 percent served during the Vietnam War era, compared to only 29 percent of all veterans in the general population. This reflects the greater risk of homelessness among men aged 30-44 rather than the impact of Vietnam Era service. The proportion of homeless veterans who served in the Vietnam Theater (44.9 percent), and the proportion exposed to combat fire (40.5 percent) were similar …
Homelessness in America
Homelessness in America. R RosenheckCopyRight https://doi.org/10.2105/AJPH.84.12.1885 Published Online: October 07, 2011
The proportion of veterans among homeless men
This study used data from four surveys conducted in 1986/87 to identify age-race cohorts of homeless men in which veterans are overrepresented. The overall proportion of veterans among homeless men (41%) was somewhat higher than that in the general population (34%). This overrepresentation is largely attributable to the disproportionate representation of veterans in the youngest age cohort (20 to 34 years) of homeless White men. Veterans in this …
Substance abuse and the chronically mentally ill
PTSD and community-based treatment
Posttraumatic stress disorder among female Vietnam veterans
OBJECTIVES: The Vietnam and Persian Gulf wars have awakened people to the realization that military service can be traumatizing for women as well as men. This study investigated the etiological roles of both war and sexual trauma in the development of chronic posttraumatic stress disorder among female Vietnam veterans. METHODS: Data from the National Vietnam Veterans Readjustment Study for 396 Vietnam theater women and 250 Vietnam era women were …
Homeless mentally ill veterans
Comparisons of service use and treatment outcomes for 145 black and 236 white homeless veterans with mental disorders showed few differences. A greater improvement in psychiatric symptoms and alcohol problems among white than black veterans did not hold true when black veterans had participated in the residential treatment component of the program. The implications of the findings for the successful treatment of homeless black veterans are discus…
Service system integration, access to services, and housing outcomes in a program for homeless persons with severe mental illness
OBJECTIVES: This study evaluated the hypothesis that greater integration and coordination between agencies within service systems is associated with greater accessibility of services and improved client housing outcomes. METHODS: As part of the Access to Community Care and Effective Services and Supports program, data were obtained on baseline client characteristics, service use, and 3-month and 12-month outcomes from 1832 clients seen at 18 site…
The Use of VA and Non-VA Mental Health Services by Female Veterans
OBJECTIVES: This study compared Department of Veterans Affairs (VA) and non-VA mental health service use among male and female veterans. Because female veterans are a distinct minority in VA, it was hypothesized that they would be less likely to use VA mental health care than would male veterans. METHODS: Using data from a national sample of Vietnam and Vietnam-era male (n = 1,612) and female (n = 736) veterans, the following were examined: (1) g…
Long-Term Patterns of Service Use and Cost Among Patients With Both Psychiatric and Substance Abuse Disorders
OBJECTIVES: This is a longitudinal study designed to determine: (1) if patients dually diagnosed with psychiatric and substance abuse disorders incur higher health care costs than other psychiatric patients and (2) if higher costs can be attributed to particular subgroups of the dually diagnosed or types of care. METHODS: Two cohorts of veterans treated in Veterans Affairs mental health programs at the start of fiscal year 1991 were followed for …
Female Veterans' Use of Department of Veterans Affairs Health Care Services
OBJECTIVES: As access of women to mental health services has become increasingly important, empirical research has begun to examine the determinants of mental health care utilization across gender. This article examines the effect of being an extreme minority on utilization of Department of Veterans Affairs (VA) health services by female veterans. METHODS: Data were collected on a representative national sample of veterans in 1992 as part of the …
Homelessness
OBJECTIVES: This study examines health service use and costs for homeless and domiciled veterans hospitalized in psychiatric and substance abuse units at Department of Veterans Affairs (VA) medical centers, nationwide. METHODS: A national survey of residential status at the time of admission was conducted on all VA inpatients hospitalized in acute mental health care units on September 30, 1995. Survey data were merged with computerized workload d…
Access to Public Mental Health Services
OBJECTIVES: This study examined factors that affect access to Veterans Administration mental health services. METHODS: Data from national Veterans Affairs databases and the 1990 Decennial Census were used to estimate rates of Veterans Affairs mental health service use in each US county (n = 3,156) among all US veterans and in three subpopulations defined by eligibility and clinical status. Independent variables examined in standard multivariate a…
Intersite variation in the impact of intensive psychiatric community care on hospital use
Differences among treatment facilities in effectiveness of intensive psychiatric community care (IPCC) for reducing hospital dependence are examined. Experimental data from nine VA hospitals showed IPCC to be most effective where former orientation to inpatient care was changing to improved accessibility of outpatient services. These hospitals appeared to have the greatest need for community care programs and to be most committed to shifting thei…
Treatment involvement and outcomes for four subtypes of homeless veterans
A longitudinal study examined treatment services and outcomes in a nationwide sample of 565 homeless veterans who were classified as alcoholic, psychiatrically impaired, multiproblem, or best-functioning. All four groups experienced some improvement in their primary problem area, in employment status, and in residential quality at eight-month follow-up, but there were significant differences in degree of improvement across groups. Implications fo…
A Mental Health Program Report Card
Consensus criteria for traumatic grief
BACKGROUND: Studies suggest that symptoms of traumatic grief constitute a distinct syndrome worthy of diagnosis. AIMS: A consensus conference aimed to develop and test a criteria set for traumatic grief. METHOD: The expert panel proposed consensus criteria for traumatic grief. Receiver operator characteristic (ROC) analyses tested the performance of the proposed criteria on 306 widowed respondents at seven months post loss. RESULTS: ROC analyses …
Social Support and Service Use Among Homeless Persons With Serious Mental Illness
It has been widely hypothesized that persons with greater social support use fewer health care services, although previous studies have shown variable results. This study examines the relationship between levels of social support and formal service use among clients entering 18 community treatment programs for homeless persons with serious mental illness as part of the ACCESS demonstration project of the U.S. Center for Mental Health Services. Ba…
Improving access to disability benefits among homeless persons with mental illness
OBJECTIVES: This study evaluated a joint initiative of the Social Security Administration (SSA) and the Department of Veterans Affairs (VA) to improve access to Social Security disability benefits among homeless veterans with mental illness. METHODS: Social Security personnel were colocated with VA clinical staff at 4 of the VA's Health Care for Homeless Veterans (HCHV) programs. Intake assessment data were merged with SSA administrative data to …
Effectiveness of a Targeted Mailing Outreach Program on SSI Applications and Awards
We conducted a randomized controlled trial to test the effectiveness of a targeted mail outreach program on the volume of applications and subsequent awards for Supplemental Security Income (SSI). We targeted mailings to a random sample of current Retirement, Survivors, and Disability Insurance (RSDI) beneficiaries. The sample consisted of RSDI recipients (1) who were disabled or 65 years old or older, (2) whose benefit amount was under the SSI i…
Changes in Inpatient Mental Health Utilization and Costs in a Privately Insured Population, 1993 to 1995
BACKGROUND: Concerns over rising health care costs have led to pressure on health care providers to reduce inpatient costs. METHODS: Inpatient claims data were analyzed for adult users of mental health services (n = 45,579) from a national sample of over 3.8 million privately insured individuals between 1993 and 1995 from the MarketScan database. Costs and annual hospital days per treated patient were compared across diagnostic groups and plan ty…
Street Outreach for Homeless Persons With Serious Mental Illness
OBJECTIVES: This study examined data on case management clients who are homeless and have a severe mental illness to determine how those contacted through street outreach differ in their socio-demographic characteristics, service needs, and outcomes from those clients contacted in shelters and other health and social service agencies. METHODS: As part of the Center for Mental Health Services' Access to Community Care and Effective Services and Su…
The Effects of Marital Dissolution and Marital Quality on Health and Health Service Use Among Women
BACKGROUND: Little is known about the impact of marital dissolution and/or marital harmony on health service use. OBJECTIVES: To examine the ways in which marital dissolution and/or marital quality influence health and health service use. RESEARCH DESIGN: The Americans' Changing Lives (ACL) survey was designed to provide a longitudinal study of successful aging. The ACL contains a nationally representative sample of people over age 24, with an ov…
Medicine (107 works) · Psychiatry (91 works) · Mental health (61 works) · Psychology (60 works) · Gerontology (49 works) · Homelessness and Social Issues (48 works) · Gerontology (43 works) · Environmental health (31 works) · Veterans Affairs (30 works) · Mental Health Treatment and Access (28 works)