Psychiatric Quarterly, Vol. 77, No. 2, Summer 2006 (
USE OF NATIONWIDE OUTCOMES
MONITORING DATA TO COMPARE
CLINICAL OUTCOMES IN SPECIALIZED
MENTAL HEALTH PROGRAMS AND
GENERAL PSYCHIATRIC CLINICS IN THE
VETERANS HEALTH ADMINISTRATION
Greg A. Greenberg, Ph.D. and Robert A. Rosenheck, M.D.
Published online: 9 June 2006
Abstract There has been a growing interest in the implementation of evidence-
based specialized mental health programs. However, there has been little study
of the effectiveness of these programs in comparison with standard men-
tal health care in real world mental health systems. This study used a na-
tional sample of patients from the Veterans Health Administration to compare
changes in mental health status in various specialized mental health outpa-
tient programs and in general psychiatric clinics. Hierarchical linear models
were used to compare the association of both regularity and intensity of care
in six specialized mental health programs with GAF change scores in patients
Greg A. Greenberg, Ph.D., Project Director, Northeast Program Evaluation Center,
VAMC West Haven, CT; Lecturer, Yale University Department of Psychiatry, New Haven,
Robert A. Rosenheck, M.D., Director, Northeast Program Evaluation Center, VAMC
West Haven, Ct., VA New England Mental Illness Research, Education, and Clinical
Center; Professor, Department of Psychiatry and Yale University School of Epidemiology
and Public Health, New Haven, CT.
Address correspondence to Greg A. Greenberg, Ph.D., Northeast Program Evaluation
Center, 950 Campbell Ave, West Haven, CT 06516 ; e-mail: email@example.com.
2006 Springer Science+Business Media, Inc.