The Systems and Psychosocial Advances Research Center (SPARC) at the University of Massachusetts Medical School conducts research to enhance services, improve the quality of life, and promote recovery for people with behavioral health conditions. SPARC, previously the Center for Mental Health Services Research (CMHSR), was created in 1993 when it was designated a Center of Excellence for Psychosocial and Systems Research by the Massachusetts Department of Mental Health (DMH).

Our mission mirrors DMH's commitment to collaborating with other state agencies, consumers, families, advocates, providers, and communities. We strive for the broadest possible dissemination of our research with the goal of informing all stakeholders as to the state of the science. DMH and SPARC are aligned in their vision of promoting mental health through early intervention, treatment, education, policy and regulation to provide opportunities for citizens of the Commonwealth to live full and productive lives.

Our Center has internationally recognized expertise in program development, services research, quantitative and qualitative research methods, forensic/legal and human rights issues, child and family mental health issues, transitional youth, and co-occurring disorders.

This collection showcases journal articles and other publications and presentations written by faculty and researchers of the Systems and Psychosocial Advances Research Center.

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Publications from 2014

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A Culturally Adapted Smoking Cessation Intervention for Korean Americans: A Mediating Effect of Perceived Family Norm Toward Quitting, Sun S. Kim, Seong-Ho Kim, Hua (Julia) Fang, Simona Kwon, Donna Shelley, and Douglas M. Ziedonis

Publications from 2013

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Neuroprediction of future rearrest, Eyal Aharoni, Gina M. Vincent, Carla L. Harenski, Vince D. Calhoun, Walter Sinnott-Armstrong, Michael S. Gazzaniga, and Kent A. Kiehl

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Supporting Recovery in the Deaf Community: Creating Continuum of Behavioral Health Care in Central Massachusetts, Melissa L. Anderson, Neil S. Glickman, Lisa Mistler, Susan Jones, Monika E. Kolodziej, and Douglas M. Ziedonis

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A collaborative care model to improve access to pediatric mental health services, Onesky Aupont, Leonard A. Doerfler, Daniel F. Connor, Christopher Stille, Mayra Tisminetzky, and Thomas J. McLaughlin

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Neuropsychological correlates of symptom dimensions in inpatients with major depressive disorder, Michael R. Basso, Dennis R. Combs, Rod Purdie, Philip J. Candilis, and Robert Bornstein

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Lethal Means Restriction for Suicide Prevention: Beliefs and Behaviors of Emergency Department Providers, Marian E. Betz, Matthew Miller, Catherine Barber, Ivan Miller, Ashley F. Sullivan, Carlos A. Camargo Jr., Edwin D. Boudreaux, Edward W. Boyer, Robin E. Clark, Mardia A. Coleman, Barry N. Feldman, and ED-SAFE Investigators

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Knowledge, Attitudes, and Practices of Emergency Department Providers in the Care of Suicidal Patients, Marian E. Betz, Ashley F. Sullivan, Anne P. Manton, Janice A. Espinola, Ivan Miller, Carlos A. Camargo Jr., Edwin D. Boudreaux, Edward W. Boyer, Robin E. Clark, Mardia A. Coleman, Barry N. Feldman, and ED-SAFE Investigators

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Community Mental Health Provider Reluctance to Provide Pharmacotherapy May Be a Barrier to Addressing Perinatal Depression: A Preliminary Study, Nancy Byatt, Kathleen Biebel, Gifty Debordes-Jackson, Rebecca S. Lundquist, Tiffany A. Moore Simas, Linda F. Weinreb, and Douglas M. Ziedonis

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Barriers and Facilitators to Addressing Perinatal Depression in Obstetric Settings, Nancy Byatt, Kathleen Biebel, Liz Friedman, Gifty Debordes-Jackson, Jeroan J. Allison, and Douglas M. Ziedonis

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Women's perspectives on postpartum depression screening in pediatric settings: a preliminary study, Nancy Byatt, Kathleen Biebel, Liz Friedman, Gifty Debordes-Jackson, and Douglas M. Ziedonis

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Smoking Topography in Korean American and White Men: Preliminary Findings, Sangkeun Chung, Sun S. Kim, Nisha Kini, Hua (Julia) Fang, David Kalman, and Douglas M. Ziedonis

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Adult Willingness to Use Email and Social Media for Peer-to-Peer Cancer Screening Communication: Quantitative Interview Study, Sarah L. Cutrona, Douglas W. Roblin, Joann L. Wagner, Bridget Gaglio, Andrew E. Williams, Rosalie A. Torres Stone, Terry S. Field, and Kathleen M. Mazor

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Pass This Message Along: Self-edited Email Messages Promoting Colon Cancer Screening among Friends and Family, Sarah L. Cutrona, Joann L. Wagner, Douglas W. Roblin, Bridget Gaglio, Andrew E. Williams, Rosalie A. Torres Stone, and Kathleen M. Mazor

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No sympathy for the devil: attributing psychopathic traits to capital murderers also predicts support for executing them, John F. Edens, Karen M. Davis, Krissie Fernandez Smith, and Laura Guy

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Ten year research update (2001-2010): evaluations for competence to stand trial (adjudicative competence), Michael H. Fogel, Wendy Schiffman, Denise L. Mumley, Chad E. Tillbrook, and Thomas Grisso

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Community treatment orders for patients with psychosis, Jeffrey L. Geller

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United States Department of Justice findings letters in psychiatric hospital CRIPA cases: an aid or a distraction, Jeffrey L. Geller and Leilani Lee

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Dorsal/ventral parcellation of the amygdala: relevance to impulsivity and aggression, Abilash Gopal, Erika Clark, Amy Allgair, Christopher D'Amato, Margery Furman, David A. Gansler, and Carl E. Fulwiler

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Progressive levels of physical dependence to tobacco coincide with changes in the anterior cingulum bundle microstructure, Wei Huang, Joseph R. DiFranza, David N. Kennedy, Nanyin Zhang, Douglas M. Ziedonis, W. W. Sanouri A. Ursprung, and Jean A. King

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A Pilot Study of a Modified Acceptance and Commitment Therapy Smoking Cessation Treatment for Veterans with PTSD, Megan M. Kelly, John Forsyth, Douglas M. Ziedonis, David Kalman, and Judith Cooney

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Three Measures of Tobacco Dependence Independently Predict Changes in Neural Structure, Jean A. King, W. W. Sanouri A. Ursprung, Joseph R. DiFranza, Wei Huang, Nanyin Zhang, David N. Kennedy, and Douglas M. Ziedonis

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Impact of Ivacaftor on Medication Use, Hospital and Outpatient Provider Visits and Associated Costs in a Medicaid Population, Sam M. Leo, Maria M. Lowe, Caroline J. Alper, Karen W. Lee, Kimberly J. Lenz, Gloria Liou, Thomas C. Pomfret, Mylissa K. Price, Mark A. Tesell, and Paul L. Jeffrey

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What the ANPRM missed: additional needs for IRB reform, Charles W. Lidz and Suzanne Garverich

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Predictors of criminal justice involvement in severe mania, Patrick J. McCabe, Paul P. Christopher, Debra A. Pinals, and William H. Fisher

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Telephone care coordination for smokers in VA mental health clinics: protocol for a hybrid type-2 effectiveness-implementation trial, Erin Rogers, Senaida Fernandez, Colleen Gillespie, David A. Smelson, Hildi J. Hagedorn, Brian Elbel, David Kalman, Alfredo Axtmayer, Karishma Kurowski, and Scott E. Sherman

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Conceptualization and measurement of mental health providers' recovery-promoting competence: the recovery promoting relationships scale (RPRS), Zlatka Russinova, E. Sally Rogers, Karon F. Cook, Marsha Langer Ellison, and Asya Lyass

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Predictors of financial self-sufficiency among Social Security beneficiaries with psychiatric disabilities, Zlatka Russinova, E. Sally Rogers, Marsha Langer Ellison, Philippe Bloch, Asya Lyass, and Nancy J. Wewiorski

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Adherence Measurement and Incidence of Bleeding and Systemic Embolism with Dabigatran in a Medicaid Population, Nicole Trask, Payal N. Kotadiya, James Gagnon, Mark Kohn, Pavel Lavitas, Karen Lee, Andrea Lewtas, Maria M. Lowe, Alkiviadis Nacopoulos, Tamara Rosenzweig, Caroline Alper, and Paul Jeffrey

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A pilot study of a primary prevention curriculum to address preschool behavior problems, Carole C. Upshur, Melodie Wenz-Gross, and George W. Reed

Publications from 2012

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Limitations on the Use of Evidence From Evaluations of Competence to Stand Trial in the Penalty Phase, Natalie M. Anumba and Kenneth L. Appelbaum

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Therapeutic misconception in research subjects : Development and validation of a measure, Paul S. Appelbaum, Milena D. Anatchkova, Karen Albert, Laura B. Dunn, and Charles W. Lidz

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A Collaborative Care Model to Improve Access to Pediatric Mental Health Services, Onesky Aupont, Leonard A. Doerfler, Daniel F. Connor, Christopher J. Stille, Mayra Tisminetzky, and Thomas J. McLaughlin

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Patient, provider, and system-level barriers and facilitators to addressing perinatal depression, Nancy Byatt, Kathleen Biebel, Rebecca Lundquist, Tiffany A. Moore Simas, Gifty Debordes-Jackson, Jeroan J. Allison, and Douglas M. Ziedonis

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Strategies for improving perinatal depression treatment in North American outpatient obstetric settings, Nancy Byatt, Tiffany A. Moore Simas, Rebecca Lundquist, Julia V. Johnson, and Douglas M. Ziedonis

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The silent majority: who speaks at IRB meetings, Philip J. Candilis, Charles W. Lidz, Paul S. Appelbaum, Robert M. Arnold, William P. Gardner, Suzanne Myers, Albert J. Grudzinskas Jr., and Lorna J. Simon

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Reflections and narratives: new to The Journal and to professional ethics, Philip J. Candilis and Richard Martinez

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Prevalence of involvement in the criminal justice system during severe mania and associated symptomatology, Paul P. Christopher, Patrick J. McCabe, and William H. Fisher

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Characteristics of children with juvenile bipolar disorder or disruptive behavior disorders and negative mood: can they be distinguished in the clinical setting?, Daniel F. Connor and Leonard A. Doerfler

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Between Adolescence and Adulthood: Rehabilitation Research to Improve Services for Youth and Young adults, Maryann Davis, Nancy Koroloff, and Marsha Langer Ellison

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Social network analysis of child and adult interorganizational connections, Maryann Davis, Nancy Koroloff, and Matthew Johnsen

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Participatory action research and young adults with psychiatric disabilities, Jonathan Delman

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Posttraumatic Stress Disorder and Heart Disease, Leonard A. Doerfler and John A. Paraskos

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Health Status, Neighborhood Socioeconomic Context, and Premature Mortality in the United States: The National Institutes of Health-AARP Diet and Health Study, Chyke A. Doubeni, Mario Schootman, Jacqueline M. Major, Rosalie A. Torres Stone, Adeyinka O. Laiyemo, Yikyung Park, Min Lian, Lynne Messer, Barry I. Graubard, Rashmi Sinha, Albert R. Hollenbeck, and Arthur Schatzkin

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An assessment of satisfaction with ambulatory child psychiatry consultation services to primary care providers by parents of children with emotional and behavioral needs: the Massachusetts Child Psychiatry Access Project University of Massachusetts Parent Satisfaction Study, Yael Dvir, Melodie Wenz-Gross, Mary Jeffers-Terry, and Peter Metz

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Supporting the Education Goals of Post-9/11 Veterans with Self-Reported PTSD Symptoms: A Needs Assessment, Marsha Langer Ellison, Lisa Mueller, David A. Smelson, Patrick W. Corrigan, Rosalie A. Torres Stone, Barbara G. Bokhour, Lisa M. Najavits, Jennifer M. Vessella, and Charles Drebing

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Breakout Session: "Dissemination: Challenges and Successes in Working with Communities", Carl E. Fulwiler and Marie Hobart

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Amygdala-orbitofrontal resting-state functional connectivity is associated with trait anger, Carl E. Fulwiler, Jean A. King, and Nanyin Zhang

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Patient-centered, recovery-oriented psychiatric care and treatment are not always voluntary, Jeffrey L. Geller

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Best practices: Visions for best practices in using coercion in mental health care, Jeffrey L. Geller and William M. Glazer

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Addressing Tobacco Through Organizational Change (ATTOC) in Residential Addiction Treatment Settings, Joseph Guydish, Douglas M. Ziedonis, Barbara Tajima, Gregory Seward, Emma Passalacqua, Mable Chan, Kevin Delucchi, Lucy Zammarelli, Michael Levy, Monika Kolodziej, and Greg Brigham

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Harmonizing databases? Developing a quasi-experimental design to evaluate a public mental health re-entry program, Stephanie W. Hartwell, Xiaogang Deng, William H. Fisher, Carl E. Fulwiler, Usha Sambamoorthi, Craig Johnson, Debra A. Pinals, Lisa Sampson, and Julianne Siegfriedt

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Gender Differences in the Fagerström Test for Nicotine Dependence in Korean Americans, Sun Kim, (Julia) Hua Fang, Joseph R. DiFranza, Douglas M. Ziedonis, and Grace X. Ma

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Gender-Specific Factors Associated with Readiness to Quit Smoking among Korean Americans, Sun Kim, David Kalman, and Douglas M. Ziedonis

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A Systematic Review of Smoking Cessation Intervention Studies in China, Sun S. Kim, Wei Chen, Monika Kolodziej, Xue Wang, Victoria J. Wang, and Douglas M. Ziedonis

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Culture and Smoking Among Vietnamese Americans in Central Massachusetts, Sun S. Kim, Thu Ha Len, and Hoa L. Nguyen

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How closely do institutional review boards follow the common rule, Charles W. Lidz, Paul S. Appelbaum, Robert M. Arnold, Philip J. Candilis, William P. Gardner, Suzanne Myers, and Lorna J. Simon

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The participation of community members on medical institutional review boards, Charles W. Lidz, Lorna J. Simon, Antonia Seligowski, Suzanne Myers, William P. Gardner, Philip J. Candilis, Robert M. Arnold, and Paul S. Appelbaum

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Arrest Types and Co-occurring Disorders in Persons with Schizophrenia or Related Psychoses, Patrick J. McCabe, Paul P. Christopher, Nicholas Druhn, Kristen M. Roy-Bujnowski, Albert J. Grudzinskas Jr., and William H. Fisher

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Peer Supports for Tobacco Cessation for Adults with Serious Mental Illness: A Review of the Literature, Colleen E. McKay and Faith Dickerson

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Adapting services to engage young adults in ICCD clubhouses, Colleen E. McKay, Ruth Osterman, Joseph Shaffer, Emily Sawyer, Evan Gerrard, and Nelson Olivera

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The shift from monologue to dialogue in a couple therapy session: dialogical investigation of change from the therapists' point of view, Mary E. Olson, Aarno Laitila, Peter Rober, and Jaakko Seikkula

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New systems of care for substance use disorders: treatment, finance, and technology under health care reform, David R. Pating, Michael M. Miller, Eric Goplerud, Judith Martin, and Douglas M. Ziedonis

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Probation officers' perceptions of youths' risk of reoffending and use of risk assessment in case management, Rachael T. Perrault, Melissa Paiva-Salisbury, and Gina M. Vincent

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You Can't Recover From Suicide: Perspectives on Suicide Education in MSW Programs, Betty J. Ruth, Mark Gianino, Jordana Muroff, Donna McLaughlin, and Barry N. Feldman

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Preventing Suicide through Improved Training in Suicide Risk Assessment and Care: An American Association of Suicidology Task Force Report Addressing Serious Gaps in U.S. Mental Health Training, William M. Schmitz Jr., Michael H. Allen, Barry N. Feldman, Nina J. Gutin, Danielle R. Jahn, Phillip M. Kleespies, Paul Quinnett, and Skip Simpson

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Prevalence and Impact of Substance Use Among Emerging Adults with Serious Mental Health Conditions, Ashli J. Sheidow, Michael McCart, Kristyn Zajac, and Maryann Davis

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A self-assessment survey of the Institutional Animal Care and Use Committee, Part 1: animal welfare and protocol compliance, Jerald Silverman, Stephen P. Baker, and Charles W. Lidz

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A self-assessment survey of the Institutional Animal Care and Use Committee, part 2: structure and organizational functions, Jerald Silverman, Stephen P. Baker, and Charles W. Lidz

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Disparities in opioid prescribing for patients with psychiatric diagnoses presenting with pain to the emergency department, Lorna J. Simon, Aurelia N. Bizamcer, Charles W. Lidz, Susan Stefan, and Mark J. Pletcher

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Genetic association of GABA-A receptor alpha-2 and mu opioid receptor with cocaine cue-reactivity: evidence for inhibitory synaptic neurotransmission involvement in cocaine dependence, David A. Smelson, Lei Yu, Steven Buyske, Gerardo Gonzalez, Jay Tischfield, Curtis K. Deutsch, and Douglas M. Ziedonis

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Field Reliability of the SAVRY with Juvenile Probation Officers: Implications for Training, Gina M. Vincent, Laura S. Guy, Samantha L. Fusco, and Bernice Gershenson

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Does Risk Assessment Make a Difference? Results of Implementing the SAVRY in Juvenile Probation, Gina M. Vincent, Laura S. Guy, Bernice G. Gershenson, and Patrick J. McCabe

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Risk Assessment in Juvenile Justice: A Guidebook for Implementation, Gina M. Vincent, Laura S. Guy, and Thomas Grisso

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Impact of risk/needs assessment on juvenile probation officers' decision making: Importance of implementation, Gina M. Vincent, Melissa Paiva-Salisbury, Nathan E. Cook, Laura S. Guy, and Rachael T. Perrault

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Residential Treatment in Adolescents Targeting Self-Injury and Suicidal Behavior, Barent W. Walsh, Leonard A. Doerfler, and Ariana Perry

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Changing the system by changing the workforce: employing consumers to increase access, cultural diversity, and engagement, Melodie Wenz-Gross, Toni M. Irsfeld, Tammy Twomey, Ana Perez, Judith Thompson, Martha Wally, Barbara Colleton, Christine Kroell, Steven K. McKeown, and Peter Metz

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Implementing a Primary Prevention Social Skills Intervention in Urban Preschools: Factors Associated with Quality and Fidelity, Melodie Wenz-Gross and Carole C. Upshur

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Innovative Interventions for Treating Tobacco Addiction Among Persons With Co-occurring Mental Illness and Addiction: New Approaches to Improve Outcomes, Douglas M. Ziedonis and Monika E. Kolodziej

Publications from 2011

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A national survey of self-injurious behavior in American prisons, Kenneth L. Appelbaum, Judith A. Savageau, Robert L. Trestman, Jeffrey L. Metzner, and Jacques Baillargeon

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Overcoming Barriers to Perinatal Depression Treatment, Nancy Byatt, Kathleen Biebel, Liz Friedman, Jeroan J. Allison, and Douglas M. Ziedonis

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Commentary: A new chapter for forensic ethics, Philip J. Candilis

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Evaluating psychiatric disability: differences by forensic expertise, Paul P. Christopher, Rasim Arikan, Debra A. Pinals, William H. Fisher, and Paul S. Appelbaum

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Development and validation of the Mental Health Attitude Survey for Police, Jonathan C. Clayfield, Kenneth E. Fletcher, and Albert J. Grudzinskas Jr.

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Aggression, ADHD symptoms, and dysphoria in children and adolescents diagnosed with bipolar disorder and ADHD, Leonard A. Doerfler, Daniel F. Connor, and Peter F. Toscano Jr.

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The CBCL Bipolar Profile and Attention, Mood, and Behavior Dysregulation, Leonard A. Doerfler, Daniel F. Connor, and Peter F. Toscano Jr.

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Posttraumatic stress disorder following myocardial infarction or cardiac surgery, Leonard A. Doerfler and John A. Paraskos

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On Being an Expert Witness: It's Not About You, Joel A. Dvoskin and Laura S. Guy

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Vocational and Educational Support for Veterans, Marsha Langer Ellison, Charles Drebing, Lisa Mueller, Jonathan Delman, and Lisa Mistler

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Statewide initiative of intensive psychiatric rehabilitation: outcomes and relationship to other mental health service use, Marsha Langer Ellison, E. Sally Rogers, Asya Lyass, Joseph Massaro, Nancy J. Wewiorski, Su-Ting Hsu, and William A. Anthony

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Public policy and limits of diversion programs for reducing jail exposure of persons with serious mental illness, William H. Fisher, Albert J. Grudzinskas Jr., Kristen M. Roy-Bujnowski, and Nancy Wolff

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Risk of Arrest Among Public Mental Health Services Recipients and the General Public, William H. Fisher, Lorna J. Simon, Kristen M. Roy-Bujnowski, Albert J. Grudzinskas Jr., Nancy Wolff, Emily Crockett, and Steven M. Banks

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Borderline Personality Disorder: Considerations for Inclusion in the Massachusetts Parity List of "Biologically-Based" Disorders, Mary Ellen Foti, Jeffrey L. Geller, Laura S. Guy, John G. Gunderson, Brian A. Palmer, and Lisa M. Smith

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Supporting Parents With Mental Health Needs in Systems of Care, Barbara J. Friesen, Judith Katz-Leavy, and Joanne Nicholson

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Center for Mental Health Services Research Dissemination Activities, Carl E. Fulwiler, Kathleen Biebel, Susan Doiron, Gifty Debordes-Jackson, and Lisa M. Smith

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Prefrontal regional correlates of self-control in male psychiatric patients: Impulsivity facets and aggression, David A. Gansler, Athene K. W. Lee, Britt C. Emerton, Christopher D'Amato, Rafeeque A. Bhadelia, Matthew Jerram, and Carl E. Fulwiler

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A Premature Obituary: Edward C. Spitzka and the American Psychiatry of 1878, Jeffrey L. Geller

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Measuring Smoking Knowledge, Attitudes and Services (S-KAS) Among Clients in Addiction Treatment, Joseph Guydish, Barbara Tajima, Mable Chan, Kevin L. Delucchi, and Douglas M. Ziedonis

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Developing Statutes for Competence to Stand Trial in Juvenile Delinquency Proceedings: A Guide for Lawmakers, Kimberly A. Larson, Thomas Grisso, and National Youth Screening & Assessment Project

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Neural correlates of impulsivity factors in psychiatric patients and healthy volunteers: a voxel-based morphometry study, Athene K. W. Lee, Matthew Jerram, Carl E. Fulwiler, and David A. Gansler

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Geographic variation in colorectal cancer survival and the role of small-area socioeconomic deprivation: a multilevel survival analysis of the NIH-AARP Diet and Health Study Cohort, Min Lian, Mario Schootman, Chyke A. Doubeni, Yikyung Park, Jacqueline M. Major, Rosalie A. Torres Stone, Adeyinka O. Laiyemo, Albert R. Hollenbeck, Barry I. Graubard, and Arthur Schatzkin