Anthony J Pavlo

• Doctor of Philosophy
• Associate Research Scientist at Yale University

How to successfully integrate mental health and primary care remains a critically important question given the continued morbidity and early mortality of people with serious mental illness. This study investigated integration in a community mental health center (MHC) primarily treating people with SMI in a large, urban northeastern city where an on...

Study objective: Racial and ethnic bias in health care has been documented at structural, organizational, and clinical levels, impacting emergency care, including agitation management in the emergency department (ED). Little is known about the experiences of racial and ethnic minority ED clinicians caring for racial and ethnic minority groups, espe...

Introduction: A substantial number of people with substance use disorders recover without formal treatment, though we know little about the process of self-change among Black adults with cocaine use disorder (CUD) and whether racism contributes to the development of CUD and these adults' process of self-change. Methods: The study team conducted...

Objectives Agitation, defined as excessive psychomotor activity leading to aggressive or violent behaviour, is prevalent in the emergency department (ED) due to rising behavioural-related visits. Experts recommend use of verbal de-escalation and avoidance of physical restraint to manage agitation. However, bedside applications of these recommendati...

Cognitive behavioural therapy (CBT) is recommended as the frontline treatment for depression and anxiety disorders and has been implemented in a wide range of mental health care contexts. In Danish mental health services, group CBT is the most common psychotherapeutic treatment format. Recently, a standardized, time-restricted treatment format has...

Decades of research show that psychosocial treatments are effective for psychosis, yet they remain unimplemented as the American healthcare system relies primarily on pharmacological solutions instead. This book reviews the history and current state of research to provide a more nuanced understanding of the evidence for and barriers to psychosocial...

Background Although there has been movement in cardiology to advance patient‐centered approaches to postacute myocardial infarction (AMI) care, work remains to be done in aligning patient preferences with clinical care. Our objective was to characterize patients’ experience of AMI and treatment to develop a new conceptual framework of patient‐cente...

Objective: Qualitative research can shed light on the subjective experiences of individuals at clinical high risk (CHR) for psychosis, complement quantitative research, broaden our understanding of experiencing CHR, and inform intervention development. The aim of this study was to explore life experiences of individuals at CHR through qualitative...

Shortly after the COVID-19 pandemic arrived at the United States, mental health services moved towards using tele-mental health to provide care. A survey about resilience and tele-mental health was developed and conducted with ForLikeMinds’ members and followers. Correlational analysis was used to examine relationships between quantitative variable...

Persons living with mental health challenges are at increased risk of stigma, social isolation, and social exclusion. Due to its emphasis on member participation and community, the clubhouse model of mental health may help address these issues. In this study, we examined experiences of social belonging and of various social determinants of mental h...

Objective: The coronavirus disease (COVID-19) pandemic has been recognized as causing a wide variety of behavioral health problems. Society must mitigate this impact by recognizing that COVID-19 can trigger people's fears of exacerbating an existing mental illness. A survey about COVID-19 for people with mental illness was developed. Methods: Tw...

Background: Recovery from acute myocardial infarction (AMI) has been primarily understood in a narrow medical sense. For patients who survive, secondary prevention focuses largely on enhancing clinical outcomes. As a result, there is a lack of descriptive accounts of patients' experiences after AMI and little is known about how people go about the...

Objective: United States veterans with posttraumatic stress disorder (PTSD) symptoms are at elevated risk for high-risk sexual behavior (HRSB). Although quantitative research has examined relationships between PTSD symptoms and HRSB, qualitative research to understand the lived experiences of veterans with PTSD symptoms and HRSB has not been condu...

Importance Individuals with behavioral disorders are increasingly presenting to the emergency department (ED), and associated episodes of agitation can cause significant safety threats to patients and the staff caring for them. Treatment includes the use of physical restraints, which may be associated with injuries and psychological trauma; to date...

Shared decision-making (SDM) is a collaborative approach to making decisions in health care, and is a cornerstone of person-centered care. While providers are increasingly expected to utilize SDM in routine practice, widespread and sustainable implementation has proven difficult, especially in the care of individuals diagnosed with serious mental i...

Background: Acute myocardial infarction (AMI) poses a traumatic experience that is a life-challenging event for patients. Yet, there is a lack of descriptive accounts of patients’ experiences post AMI and little is known about how people go about the challenge of recovering from such an event, either in terms of their physical health or in terms of...

This brief article examines the social determinants of mental health for a group of Vietnam veterans who recently received a diagnosis of posttraumatic stress disorder (PTSD). In this study, interviews were conducted with Vietnam-era veterans presenting for mental healthcare at the Veterans Health Administration (VHA), about 40 years after the Viet...

Violence is a serious public health problem in the United States, and a common risk factor for many forms of violence is the perpetrator’s motivation to achieve personal justice for past wrongs and injustices. Using a fictional transgression scenario to stimulate revenge feelings, we studied the preliminary efficacy of an intervention designed to m...

With peer supporters now comprising one of the most rapidly growing components of the mental health workforce, group interventions that combine their expertise with those of more traditional mental health providers are needed. An example of one such intervention, developed and implemented at a large community mental health center for individuals wi...

Despite the prevalence of the DSM in mental health practice, research, and the public imagination, it remains the target of criticism. With the publication of another volume in the DSM series, we have seen increased dialogue regarding the necessity of viable alternatives that do not succumb to the pitfalls of a descriptive diagnostic system. In thi...

Background: Deprescribing, or the active reduction or elimination of psychiatric medications, requires close collaboration between physician and patient. Purpose: This article outlines the use of shared decision making, peer support, and relapse prevention strategies as key elements of successful deprescribing in people with psychiatric disorders w...

Purpose Much of the existing literature on Shared Decision Making (SDM) in mental health has focused on the use of Decision Aids (DAs). However, DAs tend to focus on information exchange and neglect other essential elements to SDM in mental health. Therefore, the present work aimed to expand the review of SDM interventions in mental health by iden...

Purpose This article will consider the role of shared decision-making as one component of recovery-oriented care. Design/methodology/approach This article is conceptual and reviews literature relevant to recovery-oriented care, person-centered recovery planning, and shared decision-making. Findings To the degree to which shared decision-making...

Background The Canadian Computed Tomography (CT) Head Rule, a clinical decision rule designed to safely reduce imaging in minor head injury, has been rigorously validated and implemented, and yet expected decreases in CT were unsuccessful. Recent work has identified empathic care as a key component in decreasing CT overuse. Health information techn...

The statement quoted above has many possible meanings. It could be taken, for example, to refer to the body of research reviewed in this volume that suggests that exposure over time to people in recovery who are occupying valued social roles is the most effective way to reduce stigma. Or, it could be taken to mean that recovering from a serious men...

Objective The authors assessed psychiatric trainees’ understanding of recovery-oriented care, a therapeutic philosophy with varied meanings but wide purchase in contemporary mental health policy. Methods Four cohorts of residents were presented with a clinical vignette as part of a written curricular evaluation and asked what it would mean to engag...

There continues to be an increase in the number of Vietnam-era veterans receiving a diagnosis of PTSD in the Veterans Health Administration, nearly four decades after Vietnam. In the present study, our aim was to better understand what prompts Vietnam-era veterans to present to a VHA mental health clinic, and to determine the meaning of this experi...

Introduction EPCP Research Process Overview of Mae's Therapy Brendon Alex Anthony Conclusion