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Ish P Bhalla

Ish P Bhalla

Medical Assistant Professor in the Department of Psychiatry and Behavioral Sciences
Psychiatry & Behavioral Sciences, Adult Psychiatry & Psychology

Selected Publications

A Survey of Behavioral Health Care Providers on Use and Barriers to Use of Measurement-Based Care.

Journal Article Psychiatr Serv · April 1, 2023 OBJECTIVE: Despite robust evidence for efficacy of measurement-based care (MBC) in behavioral health care, studies suggest that adoption of MBC is limited in practice. A survey from Blue Cross-Blue Shield of North Carolina was sent to behavioral health car ... Full text Link to item Cite

Involuntary Psychiatric Hospitalization: How Patient Characteristics Affect Decision-Making.

Journal Article Psychiatr Q · March 2022 Emergency department (ED) psychiatrists face the consequential decision to pursue involuntary inpatient psychiatric admission. Research on the relationship between patient characteristics and the decision to pursue involuntary psychiatric admission is limi ... Full text Link to item Cite

Psychiatric Multimorbidity in a Specialized Program for Severely Mentally Ill Veterans.

Journal Article Psychiatr Q · June 2021 It has been suggested that psychiatric multimorbidity may better characterize severely impaired psychiatric patients than individual severe mental illness (SMI) diagnoses, and that these patients may be better served by centers offering integrated co-locat ... Full text Link to item Cite

Community-based organizations' perspectives on improving health and social service integration.

Journal Article BMC Public Health · March 6, 2021 BACKGROUND: Collaborations between health systems and community-based organizations (CBOs) are increasingly common mechanisms to address the unmet health-related social needs of high-risk populations. However, there is limited evidence on how to develop, m ... Full text Link to item Cite

Social determinants of mental health care systems: intensive community based Care in the Veterans Health Administration.

Journal Article BMC Public Health · August 28, 2020 BACKGROUND: Since deinstitutionalization in the 1950s-1970s, public mental health care has changed its focus from asylums to general hospitals, outpatient clinics and specialized community-based programs addressing both clinical and social determinants of ... Full text Link to item Cite

The architecture of co-morbidity networks of physical and mental health conditions in military veterans

Journal Article Proceedings of the Royal Society A Mathematical Physical and Engineering Sciences · July 1, 2020 Co-morbidity between medical and psychiatric conditions is commonly considered between individual pairs of conditions. However, an important alternative is to consider all conditions as part of a co-morbidity network, which encompasses all interactions bet ... Full text Cite

Treatment of Veterans with Psychiatric Diagnoses Nationally in the Veterans Health Administration: A Comparison of Service Delivery by Mental Health Specialists and Other Providers.

Journal Article Adm Policy Ment Health · May 2019 Patients with psychiatric disorders are treated by both mental health specialists and non-specialists. We use national data from the Veterans Health Administration to evaluate changing proportions of patients seen exclusively by non-specialists during the ... Full text Link to item Cite

Polysubstance Use Among Veterans in Intensive PTSD Programs: Association With Symptoms and Outcomes Following Treatment.

Journal Article J Dual Diagn · 2019 Objective: A distinct group of patients has recently been described who experience polysubstance use disorder characterized by use of multiple addictive substances. This study examines baseline characteristics and longitudinal outcomes of a group of such p ... Full text Link to item Cite

Mental health multimorbidity and poor quality of life in patients with schizophrenia.

Journal Article Schizophr Res · November 2018 OBJECTIVE: While "dual diagnosis" involving both psychiatric and substance use disorders has long been a focus of schizophrenia research, recent studies have advocated for a shift of focus to multimorbidity, addressing comorbidity from both additional psyc ... Full text Link to item Cite

First amendment rights and forensic evaluations

Journal Article Journal of the American Academy of Psychiatry and the Law · March 1, 2018 Cite

A Change in Perspective: From Dual Diagnosis to Multimorbidity.

Journal Article Psychiatr Serv · January 1, 2018 OBJECTIVE: There has been increasing interest within psychiatry in the concept of multimorbidity because psychiatric patients typically present with multiple concurrent disorders, these disorders mutually exacerbate one another, and their interaction shape ... Full text Link to item Cite

Alcohol Withdrawal and Lithium Toxicity: A Novel Psychiatric Mannequin-Based Simulation Case for Medical Students.

Journal Article MedEdPORTAL · November 1, 2017 INTRODUCTION: High-fidelity mannequin-based simulation is frequently used to compliment medical student education during clinical clerkships. However, psychiatric educators have not broadly adopted this modality, focusing rather on standardized patient act ... Full text Link to item Cite

Clinical Epidemiology of Single Versus Multiple Substance Use Disorders: Polysubstance Use Disorder.

Journal Article Med Care · September 2017 OBJECTIVE: While research on substance abuse has largely focused on people who have a single substance use disorder (SUD), many people abuse multiple substances. Studies have yet to examine the distinctive characteristics of patients diagnosed with more th ... Full text Link to item Cite

Suicide risk assessment

Chapter · January 1, 2017 Suicide is an unfortunate clinical outcome for many patients, and malpractice associated with suicide is the most common reason psychiatrists are sued. A crucial part of the psychiatric assessment is a systematic suicide risk assessment, and psychiatrists ... Full text Cite

Toward understanding the heterogeneity in obsessive-compulsive disorder: Evidence from narratives in adult patients.

Journal Article Aust N Z J Psychiatry · January 2016 BACKGROUND: Current attempts at understanding the heterogeneity in obsessive-compulsive disorder have relied on quantitative methods. The results of such work point toward a dimensional structure for obsessive-compulsive disorder. Existing qualitative work ... Full text Link to item Cite