Todd Gilmer
Datos Biográficos
| ID | 5417673 |
|---|---|
| NOMBRE | Todd Gilmer |
| NOMBRES | Todd |
| APELLIDO | Gilmer |
| FIRMA | GILMER T |
| AFILIACIONES | University of California San Diego |
| ORCID | 0000-0002-8360-3522 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 24 |
| TOTAL DE CITAS | 21 |
| TOTAL COMO AUTOR | 24 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2001 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 3 |
Digital Divide Among Adults Under Community Supervision
This study examines the digital divide (i.e. access to and use of information and communication technology) (ICT) among adults under community supervision (ACS). We address the digital divide given ICT’s role in shaping post-release socioeconomic status, health, and compliance with court conditions. We surveyed 306 ACS in Southern California. On average, participants were 40.5 years old, 58% were supervised by probation, 42% by parole, and 54% re…
An emerging knowledge exchange framework
Engagement in public health initiatives is essential for community well-being and responsive public health initiatives. These data provide an emerging framework for thoughtful engagement and knowledge exchange among partnership and community members, while highlighting knowledge exchange as a key impact for outcome consideration
Dulce Digital-Me
OBJECTIVE: To compare the effectiveness of a static, text-based diabetes education and support intervention (Dulce Digital, DD) versus a dynamic approach with personalized feedback and goal setting (Dulce Digital-Me, DD-Me) in improving diabetes outcomes. DESIGN AND METHODS: Comparative effectiveness trial in 310 Latine adults with poorly managed type 2 diabetes in a Federally Qualified Health Center in Southern California, randomized to DD, DD-M…
A randomized clinical trial testing a health literacy intervention to reduce disparities in access to care among Justice-Impacted Adults (JIA)
Lifetime HIV testing among three samples of adults with histories of incarceration in Southern California
Justice-impacted persons may inconsistently access HIV testing. This cross-sectional secondary analysis investigates lifetime HIV testing prevalence among adults with prior histories of incarceration in Southern California, United States, participating in health-focused programming (n = 3 studies). Self-reported demographic and lifetime HIV testing data were collected between 2017–2023; descriptive analyses were conducted. Across the three sample…
Updating the Chronic Illness and Disability Payment System
BACKGROUND: Of the 38 Medicaid programs that risk adjust payments to Medicaid managed care organizations (MCOs), 33 of them use the Chronic Illness and Disability Payment System (CDPS). There has been recent interest in adding social determinants of health (SDH) into risk-adjustment models. OBJECTIVE: To update the CDPS models using recent MCO data based on the International Classification of Diseases version 10 coding system and to explore wheth…
Building trust
Community engagement and trust are essential for overall health and well-being, increasing equitable access to resources, and supporting an effective and connected citizenry. These data shed light on opportunities for trust-building and thoughtful engagement among agencies working directly with community members in large urban areas
We’re not a separate entity, we're staff now’ The involvement of transition age youth peer supporters in trauma-informed community partnerships
Programmatic Support for Peer Specialists that Serve Transition Age Youth Living with Serious Mental Illness
Peer Specialists (PS) often work in outpatient mental health programs serving transition age youth (TAY). This study examines program managers' perspectives on efforts to strengthen PS' professional development. In 2019, we interviewed program managers (n = 11) from two Southern California Counties employed by public outpatient mental health programs (n = 8) serving TAY and conducted thematic analyses. We present themes and illustrative quotes. P…
Barriers to Accessing Mental Health Care Under the Mental Health Services Act
Developing trauma resilient communities through community capacity-building
Community-based partnerships demonstrated effective capacity-building strategies. Despite the pandemic, community members did not report reduced stress tolerance, instead demonstrating gains in external help-seeking (use of emotional and instrumental supports) and perception of community connectedness. Future work will use qualitative methods to examine the impact of community capacity-building and the sustainability of this approach for addressi…
A Mixed-method Evaluation of the Behavioral Health Integration and Complex Care Initiative Using the Consolidated Framework for Implementation Research
BACKGROUND: Integrated behavioral health and primary care can improve the health of persons with complex chronic conditions. The Behavioral Health Integration and Complex Care Initiative (BHICCI) implemented integrated care across a large health system. Whether Behavioral Health Organizations (BHOs) and Federally Qualified Health Centers (FQHCs) implemented the BHICCI differently is unclear. OBJECTIVES: The objective of this study was to evaluate…
HIV and Sexual Health Services Available to Sexual and Gender Minority Youth Seeking Care at Outpatient Public Mental Health Programs in Two California Counties
Purpose: Sexual and gender minority youth (SGMY, ages 16–24 years) face disparities in sexually transmitted infections (STIs) and HIV, in part, due to exposure to settings and behaviors that may harm youth's physical and mental health. This study examines the scope of sexual health and HIV services available to youth living with serious mental illness (SMI), including SGMY, seeking care at publicly funded outpatient mental health programs. Method…
The effects of financial incentives on diabetes prevention program attendance and weight loss among low-income patients
ClinicalTrials.gov NCT02422420 ; retrospectively registered April 21, 2015
Advancing Integrated Care through Practice Coaching
Practice coaches can provide individualized, hands-on guidance to support successful implementation of integrated care
Peer Support in Full-Service Partnerships
Implementation of Peer Providers in Integrated Mental Health and Primary Care Settings
Objective: Peer providers are essential to the delivery of recovery-oriented mental health services, but little is known about their roles in delivering integrated mental health and primary care services. This study examines how peer-based services are implemented in newly integrated behavioral health care settings in Los Angeles County, California. Methods: During summer 2013, teams of 3 implementation monitors conducted full-day on-site program…
Implementation and Outcomes of Forensic Housing First Programs
Adolescents’ Use of Indoor Tanning
Objectives. We evaluated psychosocial, built-environmental, and policy-related correlates of adolescents’ indoor tanning use. Methods. We developed 5 discrete data sets in the 100 most populous US cities, based on interviews of 6125 adolescents (aged 14–17 years) and their parents, analysis of state indoor tanning laws, interviews with enforcement experts, computed density of tanning facilities, and evaluations of these 3399 facilities’ practices…
Costs of Chronic Disease Management for Newly Insured Adults
OBJECTIVE: Healthcare reform will result in substantial numbers of newly insured, low-income adults with chronic conditions. This paper examines the costs of a chronic disease management program among newly insured adults with diabetes and/or hypertension. RESEARCH DESIGN AND METHODS: Low-income adults with diabetes and/or hypertension were provided County-sponsored health insurance coverage and access to disease management. Health econometric me…
Evaluating a Measure of Social Health Derived from Two Mental Health Recovery Measures
Social health is important to measure when assessing outcomes in community mental health. Our objective was to validate social health scales using items from two broader commonly used measures that assess mental health outcomes. Participants were 609 adults receiving psychological treatment services. Items were identified from the California Quality of Life (CA-QOL) and Mental Health Statistics Improvement Program (MHSIP) outcome measures by thei…
Prevalence and Risk Factors for Homelessness and Utilization of Mental Health Services Among 10,340 Patients With Serious Mental Illness in a Large Public Mental Health System
OBJECTIVE: The authors examined the prevalence of and risk factors for homelessness among all patients treated for serious mental illnesses in a large public mental health system in a 1-year period. The use of public mental health services among homeless persons was also examined. METHOD: The study included 10,340 persons treated for schizophrenia, bipolar disorder, or major depression in the San Diego County Adult Mental Health Services over a 1…
Health Plan Disenrollment in a Choice-Based Medicaid Managed Care Program
Consumer decisions to switch health plans have implications for quality of care and risk selection. We examine factors related to time to disenrollment in a Medicaid managed care program where beneficiaries face a menu of plans and can change plans every month. Several findings have direct policy relevance. Families and individuals who make active choices upon entering the program are at substantially lower risk of disenrollment than those who ar…
The Medicaid Rx Model
BACKGROUND: Risk adjustment models typically use diagnoses from claims or encounter records to assess illness severity. However, concerns about the availability and reliability of diagnostic data raise the potential for alternative methods of risk adjustment. Here, we explore the use of pharmacy data as an alternative or complement to diagnostic data in risk adjustment. OBJECTIVES: To develop and test a pharmacy-based risk adjustment model for SS…
Implementation of Peer Providers in Integrated Mental Health and Primary Care Settings
Objective: Peer providers are essential to the delivery of recovery-oriented mental health services, but little is known about their roles in delivering integrated mental health and primary care services. This study examines how peer-based services are implemented in newly integrated behavioral health care settings in Los Angeles County, California. Methods: During summer 2013, teams of 3 implementation monitors conducted full-day on-site program…
Adolescents’ Use of Indoor Tanning
Objectives. We evaluated psychosocial, built-environmental, and policy-related correlates of adolescents’ indoor tanning use. Methods. We developed 5 discrete data sets in the 100 most populous US cities, based on interviews of 6125 adolescents (aged 14–17 years) and their parents, analysis of state indoor tanning laws, interviews with enforcement experts, computed density of tanning facilities, and evaluations of these 3399 facilities’ practices…
Implementation and Outcomes of Forensic Housing First Programs
Advancing Integrated Care through Practice Coaching
Practice coaches can provide individualized, hands-on guidance to support successful implementation of integrated care
Evaluating a Measure of Social Health Derived from Two Mental Health Recovery Measures
Social health is important to measure when assessing outcomes in community mental health. Our objective was to validate social health scales using items from two broader commonly used measures that assess mental health outcomes. Participants were 609 adults receiving psychological treatment services. Items were identified from the California Quality of Life (CA-QOL) and Mental Health Statistics Improvement Program (MHSIP) outcome measures by thei…
We’re not a separate entity, we're staff now’ The involvement of transition age youth peer supporters in trauma-informed community partnerships
Barriers to Accessing Mental Health Care Under the Mental Health Services Act
Peer Support in Full-Service Partnerships
The Medicaid Rx Model
BACKGROUND: Risk adjustment models typically use diagnoses from claims or encounter records to assess illness severity. However, concerns about the availability and reliability of diagnostic data raise the potential for alternative methods of risk adjustment. Here, we explore the use of pharmacy data as an alternative or complement to diagnostic data in risk adjustment. OBJECTIVES: To develop and test a pharmacy-based risk adjustment model for SS…
Health Plan Disenrollment in a Choice-Based Medicaid Managed Care Program
Consumer decisions to switch health plans have implications for quality of care and risk selection. We examine factors related to time to disenrollment in a Medicaid managed care program where beneficiaries face a menu of plans and can change plans every month. Several findings have direct policy relevance. Families and individuals who make active choices upon entering the program are at substantially lower risk of disenrollment than those who ar…
Prevalence and Risk Factors for Homelessness and Utilization of Mental Health Services Among 10,340 Patients With Serious Mental Illness in a Large Public Mental Health System
OBJECTIVE: The authors examined the prevalence of and risk factors for homelessness among all patients treated for serious mental illnesses in a large public mental health system in a 1-year period. The use of public mental health services among homeless persons was also examined. METHOD: The study included 10,340 persons treated for schizophrenia, bipolar disorder, or major depression in the San Diego County Adult Mental Health Services over a 1…
Evaluating a Measure of Social Health Derived from Two Mental Health Recovery Measures
Social health is important to measure when assessing outcomes in community mental health. Our objective was to validate social health scales using items from two broader commonly used measures that assess mental health outcomes. Participants were 609 adults receiving psychological treatment services. Items were identified from the California Quality of Life (CA-QOL) and Mental Health Statistics Improvement Program (MHSIP) outcome measures by thei…
Adolescents’ Use of Indoor Tanning
Objectives. We evaluated psychosocial, built-environmental, and policy-related correlates of adolescents’ indoor tanning use. Methods. We developed 5 discrete data sets in the 100 most populous US cities, based on interviews of 6125 adolescents (aged 14–17 years) and their parents, analysis of state indoor tanning laws, interviews with enforcement experts, computed density of tanning facilities, and evaluations of these 3399 facilities’ practices…
Costs of Chronic Disease Management for Newly Insured Adults
OBJECTIVE: Healthcare reform will result in substantial numbers of newly insured, low-income adults with chronic conditions. This paper examines the costs of a chronic disease management program among newly insured adults with diabetes and/or hypertension. RESEARCH DESIGN AND METHODS: Low-income adults with diabetes and/or hypertension were provided County-sponsored health insurance coverage and access to disease management. Health econometric me…
Implementation and Outcomes of Forensic Housing First Programs
Implementation of Peer Providers in Integrated Mental Health and Primary Care Settings
Objective: Peer providers are essential to the delivery of recovery-oriented mental health services, but little is known about their roles in delivering integrated mental health and primary care services. This study examines how peer-based services are implemented in newly integrated behavioral health care settings in Los Angeles County, California. Methods: During summer 2013, teams of 3 implementation monitors conducted full-day on-site program…
Peer Support in Full-Service Partnerships
HIV and Sexual Health Services Available to Sexual and Gender Minority Youth Seeking Care at Outpatient Public Mental Health Programs in Two California Counties
Purpose: Sexual and gender minority youth (SGMY, ages 16–24 years) face disparities in sexually transmitted infections (STIs) and HIV, in part, due to exposure to settings and behaviors that may harm youth's physical and mental health. This study examines the scope of sexual health and HIV services available to youth living with serious mental illness (SMI), including SGMY, seeking care at publicly funded outpatient mental health programs. Method…
The effects of financial incentives on diabetes prevention program attendance and weight loss among low-income patients
ClinicalTrials.gov NCT02422420 ; retrospectively registered April 21, 2015
Advancing Integrated Care through Practice Coaching
Practice coaches can provide individualized, hands-on guidance to support successful implementation of integrated care
Developing trauma resilient communities through community capacity-building
Community-based partnerships demonstrated effective capacity-building strategies. Despite the pandemic, community members did not report reduced stress tolerance, instead demonstrating gains in external help-seeking (use of emotional and instrumental supports) and perception of community connectedness. Future work will use qualitative methods to examine the impact of community capacity-building and the sustainability of this approach for addressi…
A Mixed-method Evaluation of the Behavioral Health Integration and Complex Care Initiative Using the Consolidated Framework for Implementation Research
BACKGROUND: Integrated behavioral health and primary care can improve the health of persons with complex chronic conditions. The Behavioral Health Integration and Complex Care Initiative (BHICCI) implemented integrated care across a large health system. Whether Behavioral Health Organizations (BHOs) and Federally Qualified Health Centers (FQHCs) implemented the BHICCI differently is unclear. OBJECTIVES: The objective of this study was to evaluate…
Barriers to Accessing Mental Health Care Under the Mental Health Services Act
Building trust
Community engagement and trust are essential for overall health and well-being, increasing equitable access to resources, and supporting an effective and connected citizenry. These data shed light on opportunities for trust-building and thoughtful engagement among agencies working directly with community members in large urban areas
We’re not a separate entity, we're staff now’ The involvement of transition age youth peer supporters in trauma-informed community partnerships
Programmatic Support for Peer Specialists that Serve Transition Age Youth Living with Serious Mental Illness
Peer Specialists (PS) often work in outpatient mental health programs serving transition age youth (TAY). This study examines program managers' perspectives on efforts to strengthen PS' professional development. In 2019, we interviewed program managers (n = 11) from two Southern California Counties employed by public outpatient mental health programs (n = 8) serving TAY and conducted thematic analyses. We present themes and illustrative quotes. P…
A randomized clinical trial testing a health literacy intervention to reduce disparities in access to care among Justice-Impacted Adults (JIA)
Lifetime HIV testing among three samples of adults with histories of incarceration in Southern California
Justice-impacted persons may inconsistently access HIV testing. This cross-sectional secondary analysis investigates lifetime HIV testing prevalence among adults with prior histories of incarceration in Southern California, United States, participating in health-focused programming (n = 3 studies). Self-reported demographic and lifetime HIV testing data were collected between 2017–2023; descriptive analyses were conducted. Across the three sample…
Updating the Chronic Illness and Disability Payment System
BACKGROUND: Of the 38 Medicaid programs that risk adjust payments to Medicaid managed care organizations (MCOs), 33 of them use the Chronic Illness and Disability Payment System (CDPS). There has been recent interest in adding social determinants of health (SDH) into risk-adjustment models. OBJECTIVE: To update the CDPS models using recent MCO data based on the International Classification of Diseases version 10 coding system and to explore wheth…
An emerging knowledge exchange framework
Engagement in public health initiatives is essential for community well-being and responsive public health initiatives. These data provide an emerging framework for thoughtful engagement and knowledge exchange among partnership and community members, while highlighting knowledge exchange as a key impact for outcome consideration
Dulce Digital-Me
OBJECTIVE: To compare the effectiveness of a static, text-based diabetes education and support intervention (Dulce Digital, DD) versus a dynamic approach with personalized feedback and goal setting (Dulce Digital-Me, DD-Me) in improving diabetes outcomes. DESIGN AND METHODS: Comparative effectiveness trial in 310 Latine adults with poorly managed type 2 diabetes in a Federally Qualified Health Center in Southern California, randomized to DD, DD-M…
Digital Divide Among Adults Under Community Supervision
This study examines the digital divide (i.e. access to and use of information and communication technology) (ICT) among adults under community supervision (ACS). We address the digital divide given ICT’s role in shaping post-release socioeconomic status, health, and compliance with court conditions. We surveyed 306 ACS in Southern California. On average, participants were 40.5 years old, 58% were supervised by probation, 42% by parole, and 54% re…
Medicine (22 obras) · Psychology (17 obras) · Nursing (14 obras) · Health care (11 obras) · Political science (10 obras) · Public health (9 obras) · Mental health (8 obras) · Psychiatry (8 obras) · Sociology (8 obras) · Family medicine (7 obras)