Robin E Clark
Biographic Data
| ID | 5416648 |
|---|---|
| NAME | Robin E Clark |
| GIVEN NAMES | Robin E |
| FAMILY NAME | Clark |
| SIGNATURE | CLARK R E |
| AFFILIATIONS | University of Massachusetts Chan Medical School |
| ORCID | 0000-0001-6779-3736 |
| VERIFIED | Yes |
| TOTAL WORKS | 15 |
| TOTAL CITATIONS | 58 |
| WORKS AS AUTHOR | 15 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 1994 |
| LATEST PUBLICATION YEAR | 2018 |
| H-INDEX | 3 |
Health Care Utilization and Expenditures of Homeless Family Members Before and After Emergency Housing
Objectives. To describe longitudinal health service utilization and expenditures for homeless family members before and after entering an emergency shelter. Methods. We linked Massachusetts emergency housing assistance data with Medicaid claims between July 2008 and June 2015, constructing episodes of health care 12 months before and 12 months after families entered a shelter. We modeled emergency department visits, hospital admissions, and expen…
Initiation and Engagement with Methadone Treatment among Pregnant and Postpartum Women
Lin et al. Respond
Lin et al. Respond Affiliation Wen-Chieh Lin PhD, Robin E. Clark PhD, Jianying Zhang MD, MPH, Elizabeth O’Connell MS, and Monica Bharel MD, MPHWen-Chieh Lin, Jianying Zhang, and Elizabeth O’Connell are with the Center for Health Policy and Research, University of Massachusetts Medical School, Shrewsbury. Wen-Chieh Lin is also with and Robin E. Clark is with Family Medicine and Community Health, University of Massachusetts Medical School, Worceste…
Frequent Emergency Department Visits and Hospitalizations Among Homeless People With Medicaid
Objectives. We examined factors associated with frequent hospitalizations and emergency department (ED) visits among Medicaid members who were homeless. Methods. We included 6494 Massachusetts Medicaid members who received services from a health care for the homeless program in 2010. We used negative binomial regression to examine variables associated with frequent utilization. Results. Approximately one third of the study population had at least…
Not Paying for Catheter-associated Urinary Tract Infections
Policy interventions that attempt to influence patient care can be hard to implement and their desired outcomes can be slow to achieve. The efforts of the Centers for Medicare and Medicaid Services (CMS) to reduce preventable infections by withholding payment for additional expenses related to catheter-associated urinary tract infections (CAUTI) illustrate this challenge clearly
Health Care Utilization Patterns of Homeless Individuals in Boston
Objectives. We studied 6494 Boston Health Care for the Homeless Program (BHCHP) patients to understand the disease burden and health care utilization patterns for a group of insured homeless individuals. Methods. We studied merged BHCHP data and MassHealth eligibility, claims, and encounter data from 2010. MassHealth claims and encounter data provided a comprehensive history of health care utilization and expenditures, as well as associated diagn…
Predictors of Prenatal and Postpartum Care Adequacy in a Medicaid Managed Care Population
Beyond Health Plans
BACKGROUND: Most health insurance plans monitor ambulatory care quality using the Healthcare Effectiveness Data and Information Set (HEDIS), publicly reporting results at the plan level. Plan-level comparisons obscure the influence of patients served or settings where care is delivered. Mental illness, substance abuse, and other physical comorbidities, particularly prevalent among Medicaid beneficiaries, can impact adherence to recommended care. …
Implementing Dual Diagnosis Services for Clients With Severe Mental Illness
After 20 years of development and research, dual diagnosis services for clients with severe mental illness are emerging as an evidence-based practice. Effective dual diagnosis programs combine mental health and substance abuse interventions that are tailored for the complex needs of clients with comorbid disorders. The authors describe the critical components of effective programs, which include a comprehensive, long-term, staged approach to reco…
Assertive community treatment for patients with co-occurring severe mental illness and substance use disorder
Integrated mental health and substance abuse treatment within an assertive community treatment (ACT) approach was compared to that within a standard case management approach for 223 patients with dual disorders over three years. ACT patients showed greater improvements on some measures of substance abuse and quality of life, but the groups were equivalent on most measures, including stable community days, hospital days, psychiatric symptoms, and …
Methodological issues in assertive community treatment studies
Recent evaluations of ACT programs have produced equivocal findings, often leading to the invocation of methodological problems as responsible for the lack of positive results. This paper discusses issues of theory and methodology as they pertain to improving research of ACT, with particular attention paid to issues of sampling, process evaluation, measurement, and data analysis
The course, treatment, and outcome of substance disorder in persons with severe mental illness
Individuals with co-occurring substance abuse and severe mental illness are particularly vulnerable to negative outcomes. This paper reviews findings on the longitudinal course of dual disorders in traditional treatment systems, which provide separate mental health and substance-abuse programs; describes the movement toward programs that integrate both types of treatment at the clinical level; reviews evidence related to outcomes in integrated tr…
Creating work opportunities for people with severe mental illness (response to “the economic advancement of the mentally ill in the community”)
Employmentand security
Expenditures of time and money by families of people with severe mental illness and substance use disorders
Frequent Emergency Department Visits and Hospitalizations Among Homeless People With Medicaid
Objectives. We examined factors associated with frequent hospitalizations and emergency department (ED) visits among Medicaid members who were homeless. Methods. We included 6494 Massachusetts Medicaid members who received services from a health care for the homeless program in 2010. We used negative binomial regression to examine variables associated with frequent utilization. Results. Approximately one third of the study population had at least…
Health Care Utilization Patterns of Homeless Individuals in Boston
Objectives. We studied 6494 Boston Health Care for the Homeless Program (BHCHP) patients to understand the disease burden and health care utilization patterns for a group of insured homeless individuals. Methods. We studied merged BHCHP data and MassHealth eligibility, claims, and encounter data from 2010. MassHealth claims and encounter data provided a comprehensive history of health care utilization and expenditures, as well as associated diagn…
Expenditures of time and money by families of people with severe mental illness and substance use disorders
Health Care Utilization and Expenditures of Homeless Family Members Before and After Emergency Housing
Objectives. To describe longitudinal health service utilization and expenditures for homeless family members before and after entering an emergency shelter. Methods. We linked Massachusetts emergency housing assistance data with Medicaid claims between July 2008 and June 2015, constructing episodes of health care 12 months before and 12 months after families entered a shelter. We modeled emergency department visits, hospital admissions, and expen…
Creating work opportunities for people with severe mental illness (response to “the economic advancement of the mentally ill in the community”)
Expenditures of time and money by families of people with severe mental illness and substance use disorders
Creating work opportunities for people with severe mental illness (response to “the economic advancement of the mentally ill in the community”)
Employmentand security
The course, treatment, and outcome of substance disorder in persons with severe mental illness
Individuals with co-occurring substance abuse and severe mental illness are particularly vulnerable to negative outcomes. This paper reviews findings on the longitudinal course of dual disorders in traditional treatment systems, which provide separate mental health and substance-abuse programs; describes the movement toward programs that integrate both types of treatment at the clinical level; reviews evidence related to outcomes in integrated tr…
Assertive community treatment for patients with co-occurring severe mental illness and substance use disorder
Integrated mental health and substance abuse treatment within an assertive community treatment (ACT) approach was compared to that within a standard case management approach for 223 patients with dual disorders over three years. ACT patients showed greater improvements on some measures of substance abuse and quality of life, but the groups were equivalent on most measures, including stable community days, hospital days, psychiatric symptoms, and …
Methodological issues in assertive community treatment studies
Recent evaluations of ACT programs have produced equivocal findings, often leading to the invocation of methodological problems as responsible for the lack of positive results. This paper discusses issues of theory and methodology as they pertain to improving research of ACT, with particular attention paid to issues of sampling, process evaluation, measurement, and data analysis
Implementing Dual Diagnosis Services for Clients With Severe Mental Illness
After 20 years of development and research, dual diagnosis services for clients with severe mental illness are emerging as an evidence-based practice. Effective dual diagnosis programs combine mental health and substance abuse interventions that are tailored for the complex needs of clients with comorbid disorders. The authors describe the critical components of effective programs, which include a comprehensive, long-term, staged approach to reco…
Beyond Health Plans
BACKGROUND: Most health insurance plans monitor ambulatory care quality using the Healthcare Effectiveness Data and Information Set (HEDIS), publicly reporting results at the plan level. Plan-level comparisons obscure the influence of patients served or settings where care is delivered. Mental illness, substance abuse, and other physical comorbidities, particularly prevalent among Medicaid beneficiaries, can impact adherence to recommended care. …
Predictors of Prenatal and Postpartum Care Adequacy in a Medicaid Managed Care Population
Health Care Utilization Patterns of Homeless Individuals in Boston
Objectives. We studied 6494 Boston Health Care for the Homeless Program (BHCHP) patients to understand the disease burden and health care utilization patterns for a group of insured homeless individuals. Methods. We studied merged BHCHP data and MassHealth eligibility, claims, and encounter data from 2010. MassHealth claims and encounter data provided a comprehensive history of health care utilization and expenditures, as well as associated diagn…
Not Paying for Catheter-associated Urinary Tract Infections
Policy interventions that attempt to influence patient care can be hard to implement and their desired outcomes can be slow to achieve. The efforts of the Centers for Medicare and Medicaid Services (CMS) to reduce preventable infections by withholding payment for additional expenses related to catheter-associated urinary tract infections (CAUTI) illustrate this challenge clearly
Frequent Emergency Department Visits and Hospitalizations Among Homeless People With Medicaid
Objectives. We examined factors associated with frequent hospitalizations and emergency department (ED) visits among Medicaid members who were homeless. Methods. We included 6494 Massachusetts Medicaid members who received services from a health care for the homeless program in 2010. We used negative binomial regression to examine variables associated with frequent utilization. Results. Approximately one third of the study population had at least…
Lin et al. Respond
Lin et al. Respond Affiliation Wen-Chieh Lin PhD, Robin E. Clark PhD, Jianying Zhang MD, MPH, Elizabeth O’Connell MS, and Monica Bharel MD, MPHWen-Chieh Lin, Jianying Zhang, and Elizabeth O’Connell are with the Center for Health Policy and Research, University of Massachusetts Medical School, Shrewsbury. Wen-Chieh Lin is also with and Robin E. Clark is with Family Medicine and Community Health, University of Massachusetts Medical School, Worceste…
Initiation and Engagement with Methadone Treatment among Pregnant and Postpartum Women
Health Care Utilization and Expenditures of Homeless Family Members Before and After Emergency Housing
Objectives. To describe longitudinal health service utilization and expenditures for homeless family members before and after entering an emergency shelter. Methods. We linked Massachusetts emergency housing assistance data with Medicaid claims between July 2008 and June 2015, constructing episodes of health care 12 months before and 12 months after families entered a shelter. We modeled emergency department visits, hospital admissions, and expen…
Medicine (13 works) · Psychiatry (8 works) · Psychology (7 works) · Mental health (6 works) · Family medicine (5 works) · Mental illness (5 works) · Political science (5 works) · Schizophrenia research and treatment (5 works) · Dual diagnosis (4 works) · Health care (4 works)