Heather Schacht Reisinger
Datos Biográficos
| ID | 101904 |
|---|---|
| NOMBRE | Heather Schacht Reisinger |
| NOMBRES | Heather Schacht |
| APELLIDO | Reisinger |
| FIRMA | REISINGER H S |
| AFILIACIONES | Iowa City VA Medical Center |
| ORCID | 0000-0002-5348-063X |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 22 |
| TOTAL DE CITAS | 18 |
| TOTAL COMO AUTOR | 22 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1999 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2025 |
| ÍNDICE H | 3 |
Voice of concern” for rural veterans with PTSD
Veterans appreciated many qualities about their CM unrelated to trauma-focused psychotherapy. For those engaging in trauma-focused psychotherapy, CMs played the role of "side counselor" helping them stay engaged in care. Understanding patient perspectives about CMs' roles can help other types of providers understand how to best engage patients in trauma-focused psychotherapies. (PsycInfo Database Record (c) 2025 APA, all rights reserved)
A valued voice
INTRODUCTION: Shared decision-making, with an emphasis on patient autonomy, is often advised in healthcare decision-making. However, this may be difficult to implement in emergent settings. We have previously demonstrated that when considering emergent operations for their children, parents prefer surgeon guidance as opposed to shared decision-making. Here, we interviewed parents of paediatric patients who had undergone emergent operations to bet…
Building a Community of Anthropological Practice
The disciplinary contribution of anthropologists employed outside traditional anthropology departments has been a topic of discussion and debate in the field for nearly a century. Alongside industry, nongovernmental, and nonprofit career paths, an increasing number of anthropologists have developed productive research careers outside of academic anthropology departments. The United States Department of Veterans Affairs (VA), which provides health…
Patient Aligned Care Team (Pact) Performance in Urban and Rural VHA Primary Care Clinics
PURPOSE: To assess differences in Patient Aligned Care Team (PACT) performance between rural and urban primary care clinics within the Veterans Health Administration (VHA). METHODS: An Explanatory Sequential Mixed Methods design was conducted using VHA administrative data to assess performance of a national sample of 891 VHA primary care clinics. Generalized Estimating Equations with repeated measures were used to estimate associations between ru…
Anthropology and Implementation Science
Basic science and health services research has produced a substantial body of knowledge that has the significant possibility of improving human health and well-being. Much of that knowledge is published, yet read only by other researchers. Alternatively, this research becomes “evidence-based practice” (EBP), that is, knowledge obtained under specific controlled conditions. The world where humans live their everyday lives tends to be complex and “…
Michael H. Agar
Unclaimed Health Care Benefits
PURPOSE: Rural areas contribute a disproportionate number of US military recruits compared to urban areas. However, few studies have examined why many rural veterans do not enroll in the Veterans Health Administration (VHA) for health care. Our objective was to elicit reasons rural veterans chose not to use VHA. METHODS: This mixed-methods study included quantitative survey and qualitative interview data. Surveys were mailed to 4,176 households w…
Servicewomen’s Strategies to Staying Safe During Military Service
Redefining Retention
This study examines the process of discharge and treatment reentry for six participants who entered treatment voluntarily but were administratively discharged from methadone treatment programs. The participants completed semistructured interviews at treatment entry and at four, eight and 12 months post-treatment entry. Grounded theory methodology was used to examine the phenomenon of treatment reentry from the perspective of the patients, who oft…
Why don’t out-of-treatment individuals enter methadone treatment programmes
Premature Discharge from Methadone Treatment
Longer retention in drug abuse treatment is associated with better patient outcomes, and research indicates the first 12 months of methadone treatment are critical to patient success. Nevertheless, large-scale multisite longitudinal studies over the past three decades indicate that the majority of patients drop out during the first year of methadone treatment. Through an examination of 42 qualitative interviews with patients prematurely discharge…
Incarceration and Opioid Withdrawal
Both heroin-addicted individuals and methadone maintenance patients are likely to face untreated opioid withdrawal while incarcerated. Limited research exists concerning the withdrawal experiences of addicted inmates and their impact on individuals' attitudes and plans concerning drug abuse treatment. In the present study, 53 opioid dependent adults (32 in methadone treatment and 21 out of treatment) were interviewed in an ethnographic investigat…
Anthropologists Research Veteran Health
Targeted Sampling in Drug Abuse Research
Locating and recruiting out-of-treatment drug-dependent individuals for inclusion in research studies are important and challenging tasks. Targeted sampling, a technique to reach such populations, has been described in the substance abuse literature. However, this literature has generally lacked a recent detailed account of the procedures for planning and implementing targeted sampling. This article provides a review of the literature of targeted…
Long-Term Patterns of Drug Use Among an Urban African-American Cohort
Counting Apples as Oranges
In spite of a history of collaboration between epidemiology and qualitative research, the mix of these two perspectives is not well developed in the substance use field. Part of the reason for the difficult match is that qualitative research often adds issues of context and meaning that complicate the epidemiological data of interest. In the substance use field, epidemiological indicators tend to focus on a single drug, but the context typically …
Ecstasy
This article evaluates past work on heroin and crack cocaine epidemics by comparing it with the increase in Ecstasy use in the late 1990s. First of all, the authors make the case that there was, in fact, a dramatic increase in Ecstasy use in the late 1990s. Following that is a review of the rise and fall of several different Ecstasy scenes beginning in the 1960s. The most recent rise, in the late 1990s, requires a broadening of the theory of epid…
Going for the Global
Anthropologists now routinely use global factors to describe and explain meanings and practices uncovered in specific ethnographic sites. In our efforts to explain illicit drug epidemics, we participate in this shift, since changes in a system of illicit drug production and distribution are always a part of the story. In the case study presented here--the increasing use of ecstasy in the late 1990s--we deal with two new problems. First, global an…
A Tale of Two Policies
A heroin epidemic at the intersection of histories
In the drug field the fundamental epidemiological question-why illicit drug use, here, now, among these people-has still not been adequately answered. Drawing on the work of colleagues in medical anthropology, we attempt to move closer to an answer by developing a "trend theory." In this article we analyze a single case: the increase in heroin use and addiction among African Americans in the City of Baltimore in the 1960s. We found that the two m…
Using Trend Theory to Explain Heroin Use Trends
Trend theory is an effort to integrate histories of populations and distribution systems to explain the key epidemiological question: why do these people in this place at this time experience a rapid increase in heroin use? The theory grew out of work on heroin trends in the Baltimore metropolitan area, specifically on epidemics among urban African-Americans in the 1960s and among suburban white youth in the 1990s. This overview represents trend …
Numbers and Patterns
Trends in heroin or other substance use are typically monitored by quantitative epidemiological indicators. Recently the Baltimore metropolitan area has seen an increase in heroin use among suburban youth. In this article media and interviewee perceptions of the timing of this trend are compared to several different indicators. In general, the indicators do not reflect the timing as experienced by media/interviewees, though in some cases a more p…
A heroin epidemic at the intersection of histories
In the drug field the fundamental epidemiological question-why illicit drug use, here, now, among these people-has still not been adequately answered. Drawing on the work of colleagues in medical anthropology, we attempt to move closer to an answer by developing a "trend theory." In this article we analyze a single case: the increase in heroin use and addiction among African Americans in the City of Baltimore in the 1960s. We found that the two m…
Long-Term Patterns of Drug Use Among an Urban African-American Cohort
Servicewomen’s Strategies to Staying Safe During Military Service
Numbers and Patterns
Trends in heroin or other substance use are typically monitored by quantitative epidemiological indicators. Recently the Baltimore metropolitan area has seen an increase in heroin use among suburban youth. In this article media and interviewee perceptions of the timing of this trend are compared to several different indicators. In general, the indicators do not reflect the timing as experienced by media/interviewees, though in some cases a more p…
Using Trend Theory to Explain Heroin Use Trends
Trend theory is an effort to integrate histories of populations and distribution systems to explain the key epidemiological question: why do these people in this place at this time experience a rapid increase in heroin use? The theory grew out of work on heroin trends in the Baltimore metropolitan area, specifically on epidemics among urban African-Americans in the 1960s and among suburban white youth in the 1990s. This overview represents trend …
A Tale of Two Policies
A heroin epidemic at the intersection of histories
In the drug field the fundamental epidemiological question-why illicit drug use, here, now, among these people-has still not been adequately answered. Drawing on the work of colleagues in medical anthropology, we attempt to move closer to an answer by developing a "trend theory." In this article we analyze a single case: the increase in heroin use and addiction among African Americans in the City of Baltimore in the 1960s. We found that the two m…
Going for the Global
Anthropologists now routinely use global factors to describe and explain meanings and practices uncovered in specific ethnographic sites. In our efforts to explain illicit drug epidemics, we participate in this shift, since changes in a system of illicit drug production and distribution are always a part of the story. In the case study presented here--the increasing use of ecstasy in the late 1990s--we deal with two new problems. First, global an…
Counting Apples as Oranges
In spite of a history of collaboration between epidemiology and qualitative research, the mix of these two perspectives is not well developed in the substance use field. Part of the reason for the difficult match is that qualitative research often adds issues of context and meaning that complicate the epidemiological data of interest. In the substance use field, epidemiological indicators tend to focus on a single drug, but the context typically …
Ecstasy
This article evaluates past work on heroin and crack cocaine epidemics by comparing it with the increase in Ecstasy use in the late 1990s. First of all, the authors make the case that there was, in fact, a dramatic increase in Ecstasy use in the late 1990s. Following that is a review of the rise and fall of several different Ecstasy scenes beginning in the 1960s. The most recent rise, in the late 1990s, requires a broadening of the theory of epid…
Targeted Sampling in Drug Abuse Research
Locating and recruiting out-of-treatment drug-dependent individuals for inclusion in research studies are important and challenging tasks. Targeted sampling, a technique to reach such populations, has been described in the substance abuse literature. However, this literature has generally lacked a recent detailed account of the procedures for planning and implementing targeted sampling. This article provides a review of the literature of targeted…
Long-Term Patterns of Drug Use Among an Urban African-American Cohort
Premature Discharge from Methadone Treatment
Longer retention in drug abuse treatment is associated with better patient outcomes, and research indicates the first 12 months of methadone treatment are critical to patient success. Nevertheless, large-scale multisite longitudinal studies over the past three decades indicate that the majority of patients drop out during the first year of methadone treatment. Through an examination of 42 qualitative interviews with patients prematurely discharge…
Incarceration and Opioid Withdrawal
Both heroin-addicted individuals and methadone maintenance patients are likely to face untreated opioid withdrawal while incarcerated. Limited research exists concerning the withdrawal experiences of addicted inmates and their impact on individuals' attitudes and plans concerning drug abuse treatment. In the present study, 53 opioid dependent adults (32 in methadone treatment and 21 out of treatment) were interviewed in an ethnographic investigat…
Anthropologists Research Veteran Health
Why don’t out-of-treatment individuals enter methadone treatment programmes
Redefining Retention
This study examines the process of discharge and treatment reentry for six participants who entered treatment voluntarily but were administratively discharged from methadone treatment programs. The participants completed semistructured interviews at treatment entry and at four, eight and 12 months post-treatment entry. Grounded theory methodology was used to examine the phenomenon of treatment reentry from the perspective of the patients, who oft…
Servicewomen’s Strategies to Staying Safe During Military Service
Unclaimed Health Care Benefits
PURPOSE: Rural areas contribute a disproportionate number of US military recruits compared to urban areas. However, few studies have examined why many rural veterans do not enroll in the Veterans Health Administration (VHA) for health care. Our objective was to elicit reasons rural veterans chose not to use VHA. METHODS: This mixed-methods study included quantitative survey and qualitative interview data. Surveys were mailed to 4,176 households w…
Michael H. Agar
Anthropology and Implementation Science
Basic science and health services research has produced a substantial body of knowledge that has the significant possibility of improving human health and well-being. Much of that knowledge is published, yet read only by other researchers. Alternatively, this research becomes “evidence-based practice” (EBP), that is, knowledge obtained under specific controlled conditions. The world where humans live their everyday lives tends to be complex and “…
Patient Aligned Care Team (Pact) Performance in Urban and Rural VHA Primary Care Clinics
PURPOSE: To assess differences in Patient Aligned Care Team (PACT) performance between rural and urban primary care clinics within the Veterans Health Administration (VHA). METHODS: An Explanatory Sequential Mixed Methods design was conducted using VHA administrative data to assess performance of a national sample of 891 VHA primary care clinics. Generalized Estimating Equations with repeated measures were used to estimate associations between ru…
A valued voice
INTRODUCTION: Shared decision-making, with an emphasis on patient autonomy, is often advised in healthcare decision-making. However, this may be difficult to implement in emergent settings. We have previously demonstrated that when considering emergent operations for their children, parents prefer surgeon guidance as opposed to shared decision-making. Here, we interviewed parents of paediatric patients who had undergone emergent operations to bet…
Building a Community of Anthropological Practice
The disciplinary contribution of anthropologists employed outside traditional anthropology departments has been a topic of discussion and debate in the field for nearly a century. Alongside industry, nongovernmental, and nonprofit career paths, an increasing number of anthropologists have developed productive research careers outside of academic anthropology departments. The United States Department of Veterans Affairs (VA), which provides health…
Voice of concern” for rural veterans with PTSD
Veterans appreciated many qualities about their CM unrelated to trauma-focused psychotherapy. For those engaging in trauma-focused psychotherapy, CMs played the role of "side counselor" helping them stay engaged in care. Understanding patient perspectives about CMs' roles can help other types of providers understand how to best engage patients in trauma-focused psychotherapies. (PsycInfo Database Record (c) 2025 APA, all rights reserved)
Medicine (15 obras) · Psychology (15 obras) · Psychiatry (13 obras) · Sociology (9 obras) · Heroin (8 obras) · Substance Abuse Treatment and Outcomes (8 obras) · Opioid Use Disorder Treatment (7 obras) · Drug (6 obras) · Geography (6 obras) · Health care (6 obras)