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RCS 00-001 – HSR&D Study

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RCS 00-001
Quality and Care of Substance Abuse and Psychiatric Treatment
Christine Timko PhD
VA Palo Alto Health Care System, Palo Alto, CA
Palo Alto, CA
Funding Period: July 2000 - June 2024

BACKGROUND/RATIONALE:
In Fiscal Year 2014, over 57,000 Veterans receiving VHA inpatient medical-surgical services (excluding psychiatry and addiction treatment settings) had diagnosed alcohol use disorders (AUDs) in the medical record. This is likely an underrepresentation of the true prevalence of AUDs among Veteran medical-surgical inpatients, because these disorders often go undiagnosed during hospital stays. AUDs among VHA medical-surgical inpatients are of critical concern because AUDs and medical conditions exacerbate each other, and AUDs that co-occur with medical conditions increase the use of costly health services. Medical-surgical settings are well-suited to addressing AUDs because they provide a safe and experienced context in which to engage Veterans in a discussion of their drinking and treatment options. Yet, there are no evidence-based strategies to improve outcomes in this patient population. We have identified an intervention, Drinking Options: Motivate, Shared Decisions, Telemonitor (DO-MoST), as a potential solution to the critical need for evidence-based strategies to bridge the gap between inpatient medical-surgical care episodes and AUD treatment. This project builds on VHA mental health operations' call to adapt and expand health services research to a common and difficult-to-treat condition to which patient-centered approaches have not yet been applied.

OBJECTIVE(S):
The primary objective of this project is to evaluate DO-MoST as a new and innovative intervention to facilitate the transition from inpatient medical-surgical care to AUD help (behavioral and/or medication-based treatments; mutual-help groups), thereby improving Veterans' AUD and medical outcomes and decreasing VA health care costs. In addition, this project will include a qualitative process evaluation - that is, gather information from providers and patients on DO-MoST's adoptability - to inform VA's potential widespread implementation of DO-MoST with medical-surgical inpatients with AUDs. The study uses an effectiveness-implementation Hybrid Type 1 design, incorporating both a randomized controlled trial (RCT) and process evaluation to facilitate future implementation.

METHODS:
The study is developing a Decision Aid for Veteran medical-surgical inpatients with AUD that can be used systemwide. We are adapting a Decision Aid being implemented with AUD patients in non-VA, private, primary care settings to be applicable for Veterans with AUDs in VHA medical-surgical inpatient settings.
The project is also evaluating the effectiveness of DO-MoST to improve outcomes of medical-surgical inpatients with AUD. In an RCT, DO-MoST, which incorporates use of Motivational Interviewing, the Decision Aid, and Telemonitoring, is compared to Usual Care (UC) at two VHA facilities (Ann Arbor and Palo Alto). The primary hypotheses are that patients in the DO-MoST condition, compared to patients in UC, are more likely to (1) initiate AUD help and engage in AUD help for a longer duration, (2) have better AUD and medical outcomes, and (3) have fewer and more delayed (i.e., a longer duration of time until) acute care episodes (re-hospitalizations, Emergency Department visits).
The project is further informing future broader implementation of DO-MoST. It is conducting a qualitative process evaluation of DO-MoST at the intervention sites, using the RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) framework. The purpose is to provide guidance for VA facilities' adoption of DO-MoST in the future, including the operations partner that would hold primary ownership, and possible adaptation for diverse subpopulations of Veterans.

FINDINGS/RESULTS:
Not yet available.

IMPACT:
VA Mental Health and Medical Services are committed to eradicating a dangerous and costly pattern: Veterans in inpatient medical/surgical care do not receive the SUD treatment they need. DO-MoST, a promising way to improve treatment access and outcomes by these patients, has not been utilized with the challenging population of medical-surgical inpatients with untreated alcohol use disorders before. This project is helping to accomplish VHA's and HSR&D's missions by increasing Veterans' access to, engagement in, and benefit from SUD treatment services, particularly among Veterans who are using VA medical services and need SUD services but are not receiving them.

PUBLICATIONS:

Journal Articles

  1. Timko C, Johnson JE, Kurth M, Schonbrun YC, Anderson BJ, Stein MD. Health Services Use Among Jailed Women with Alcohol Use Disorders. The journal of behavioral health services & research. 2019 Jan 1; 46(1):116-128.
  2. Giannitrapani K, McCaa M, Haverfield M, Kerns RD, Timko C, Dobscha S, Lorenz K. Veteran Experiences Seeking Non-pharmacologic Approaches for Pain. Military medicine. 2018 Nov 1; 183(11-12):e628-e634.
  3. Owens MD, Chen JA, Simpson TL, Timko C, Williams EC. Barriers to addiction treatment among formerly incarcerated adults with substance use disorders. Addiction science & clinical practice. 2018 Aug 21; 13(1):19.
  4. Woodhead EL, Booth BM, Timko C, Tjemsland A, Han X, Cucciare MA. Longitudinal health outcomes and treatment utilization among emerging, early-mid, and older rural adults using stimulants. Journal of Adult Development. 2018 Jul 9; https://doi.org/10.1007/s10804-018-9309-x.
  5. Heinz AJ, Meffert BN, Halvorson MA, Blonigen D, Timko C, Cronkite R. Employment characteristics, work environment, and the course of depression over 23 years: Does employment help foster resilience?. Depression and anxiety. 2018 Sep 1; 35(9):861-867.
  6. Wong JJ, Cucciare MA, Booth BM, Timko C. Predicting Substance Use Patterns Among Rural Adults: The Roles of Mothers, Fathers, and Parenthood. Family process. 2019 Jun 1; 58(2):431-445.
  7. Blonigen DM, Cucciare MA, Timko C, Smith JS, Harnish A, Kemp L, Rosenthal J, Smelson D. Study protocol: a hybrid effectiveness-implementation trial of Moral Reconation Therapy in the US Veterans Health Administration. BMC health services research. 2018 Mar 7; 18(1):164.
  8. Blonigen DM, Manfredi L, Heinz A, Bi X, Suarez P, Nevedal AL, Vashi AA, Timko C, Wagner T. Reducing Frequent Utilization of Psychiatric Emergency Services Among Veterans While Maintaining Quality of Care. Psychiatric services (Washington, D.C.). 2018 Apr 1; 69(4):438-447.
  9. Wong JJ, Jones N, Timko C, Humphreys K. Exclusion criteria and generalizability in bipolar disorder treatment trials. Contemporary clinical trials communications. 2018 Mar 1; 9:130-134.
  10. Cucciare MA, Kennedy KM, Han X, Timko C, Zaller N, Booth BM. Utilization of outpatient medical care and substance use among rural stimulant users: Do the number of visits matter?. Journal of substance abuse treatment. 2018 Mar 1; 86:78-85.
  11. Finlay AK, Harris AHS, Rosenthal J, Blue-Howells J, Clark S, Flatley B, Timko C. Justice Involvement and Treatment Use Among Rural Veterans. Rural mental health. 2018 Jan 1; 42(1):46-59.
  12. Banducci AN, Bonn-Miller MO, Timko C, Rosen CS. Associations between residential treatment length, PTSD, and outpatient healthcare utilization among veterans. Psychological Services. 2018 Nov 1; 15(4):529-535.
  13. Timko C, Flatley B, Tjemsland A, McGuire J, Clark S, Blue-Howells J, Blonigen D, Rosenthal J, Finlay A. A Longitudinal Examination of Veterans Treatment Courts' Characteristics and Eligibility Criteria. Justice research and policy : journal of the Justice Research and Statistics Association : JRP. 2017 Nov 13; 17(2):123-136.
  14. Timko C, Ilgen M, Haverfield M, Shelley A, Breland JY. Polysubstance use by psychiatry inpatients with co-occurring mental health and substance use disorders. Drug and Alcohol Dependence. 2017 Nov 1; 180:319-322.
  15. Rodriguez AL, Manfredi L, Wong AC, Nevedal A, Timko C, Rosenthal J, Blonigen DM. Implementation Potential of Structured Risk Assessments for Criminal Recidivism in the Veterans Health Administration: Qualitative Perspectives From Providers. Criminal justice policy review. 2017 Aug 14; DOI: https://doi.org/10.1177/0887403417725567 .
  16. Kelly JF, Kaminer Y, Kahler CW, Hoeppner B, Yeterian J, Cristello JV, Timko C. A pilot randomized clinical trial testing integrated 12-Step facilitation (iTSF) treatment for adolescent substance use disorder. Addiction (Abingdon, England). 2017 Dec 1; 112(12):2155-2166.
  17. Harrison AJ, Timko C, Blonigen DM. Interpersonal styles, peer relationships, and outcomes in residential substance use treatment. Journal of substance abuse treatment. 2017 Oct 1; 81:17-24.
  18. Grant KM, Young LB, Tyler KA, Simpson JL, Pulido RD, Timko C. Intensive referral to mutual-help groups: A field trial of adaptations for rural veterans. Patient education and counseling. 2018 Jan 1; 101(1):79-84.
  19. Cucciare MA, Han X, Timko C, Zaller N, Kennedy KM, Booth BM. Longitudinal associations between outpatient medical care use and substance use among rural stimulant users. The American journal of drug and alcohol abuse. 2017 Jun 29; 44(2):235-243.
  20. Timko C, Hoggatt KJ, Wu FM, Tjemsland A, Cucciare M, Rubin A, Simpson TL. Substance Use Disorder Treatment Services for Women in the Veterans Health Administration. Women's health issues : official publication of the Jacobs Institute of Women's Health. 2017 Nov 1; 27(6):639-645.
  21. Johnson JE, Schonbrun YC, Anderson B, Kurth M, Timko C, Stein M. Study protocol: Community Links to Establish Alcohol Recovery (CLEAR) for women leaving jail. Contemporary clinical trials. 2017 Apr 1; 55:39-46.
  22. Maisel NC, Halvorson MA, Finney JW, Bi X, Hayashi KP, Blonigen DM, Weitlauf JC, Timko C, Cronkite RC. Institutional Incentives for Mentoring at the U.S. Department of Veterans Affairs and Universities: Associations With Mentors' Perceptions and Time Spent Mentoring. Academic Medicine. 2017 Apr 1; 92(4):521-527.
  23. Timko C, Booth BM, Han X, Schultz NR, Blonigen DM, Wong JJ, Cucciare MA. Criminogenic Needs, Substance Use, and Offending among Rural Stimulant Users. Rural mental health. 2017 Apr 1; 41(2):110-122.
  24. Cucciare MA, Han X, Timko C, Zaller N, Kennedy KM, Booth BM. Correlates of three-year outpatient medical care use among rural stimulant users. Journal of substance abuse treatment. 2017 Jun 1; 77:6-12.
  25. Finlay AK, Stimmel M, Blue-Howells J, Rosenthal J, McGuire J, Binswanger I, Smelson D, Harris AH, Frayne SM, Bowe T, Timko C. Use of Veterans Health Administration Mental Health and Substance Use Disorder Treatment After Exiting Prison: The Health Care for Reentry Veterans Program. Administration and policy in mental health. 2017 Mar 1; 44(2):177-187.
  26. Abraham TH, Lewis ET, Drummond KL, Timko C, Cucciare MA. Providers' perceptions of barriers and facilitators to disclosure of alcohol use by women veterans. Primary health care research & development. 2017 Jan 1; 18(1):64-72.
  27. Gidwani R, Nevedal A, Patel M, Blayney DW, Timko C, Ramchandran K, Kelly PA, Asch SM. The Appropriate Provision of Primary versus Specialist Palliative Care to Cancer Patients: Oncologists' Perspectives. Journal of palliative medicine. 2017 Apr 1; 20(4):395-403.
  28. Timko C, Schultz NR, Britt J, Cucciare MA. Transitioning From Detoxification to Substance Use Disorder Treatment: Facilitators and Barriers. Journal of substance abuse treatment. 2016 Nov 1; 70:64-72.
  29. Blonigen DM, Bui L, Britt JY, Thomas KM, Timko C. Internalizing and externalizing personality subtypes predict differences in functioning and outcomes among veterans in residential substance use disorder treatment. Psychological assessment. 2016 Oct 1; 28(10):1186-1197.
  30. Lewis ET, Jamison AL, Ghaus S, Durazo EM, Frayne SM, Hoggatt KJ, Bean-Mayberry B, Timko C, Cucciare MA. Receptivity to alcohol-related care among U.S. women Veterans with alcohol misuse. Journal of addictive diseases. 2016 Oct 1; 35(4):226-237.
  31. Trivedi R, Slightam C, Fan VS, Rosland AM, Nelson K, Timko C, Asch SM, Zeliadt SB, Heidenreich P, Hebert PL, Piette JD. A Couples' Based Self-Management Program for Heart Failure: Results of a Feasibility Study. Frontiers in public health. 2016 Aug 29; 4:171.
  32. Young LB, Timko C, Tyler KA, Grant KM. Trauma in Veterans With Substance Use Disorder: Similar Treatment Need Among Urban and Rural Residents. The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association. 2017 Jun 1; 33(3):314-322.
  33. Boden MT, Gaudiano BA, Walser RD, Timko C, Faustman W, Yasmin S, Cronkite RC, Bonn-Miller MO, McCarthy JF. Feasibility and challenges of inpatient psychotherapy for psychosis: lessons learned from a veterans health administration pilot randomized controlled trial. BMC research notes. 2016 Jul 30; 9(1):376.
  34. Timko C, Laudet A, Moos RH. Al-Anon newcomers: benefits of continuing attendance for six months. The American journal of drug and alcohol abuse. 2016 Jul 1; 42(4):441-9.
  35. Kelly JF, Yeterian JD, Cristello JV, Kaminer Y, Kahler CW, Timko C. Developing and Testing Twelve-Step Facilitation for Adolescents with Substance Use Disorder: Manual Development and Preliminary Outcomes. Substance abuse : research and treatment. 2016 Jun 13; 10:55-64.
  36. Schultz NR, Martinez R, Cucciare MA, Timko C. Patient, Program, and System Barriers and Facilitators to Detoxification Services in the U.S. Veterans Health Administration: A Qualitative Study of Provider Perspectives. Substance use & misuse. 2016 Aug 23; 51(10):1330-41.
  37. Timko C, Kong C, Vittorio L, Cucciare MA. Screening and brief intervention for unhealthy substance use in patients with chronic medical conditions: a systematic review. Journal of Clinical Nursing. 2016 Nov 1; 25(21-22):3131-3143.
  38. Finlay AK, Binswanger I, Timko C, Rosenthal J, Clark S, Blue-Howells J, McGuire J, Hagedorn H, Wong JJ, Van Campen J, Sox-Harris AH. Receipt of pharmacotherapy for alcohol use disorder by male justice-involved U.S. Veterans Health Administration patients. Criminal justice policy review. 2016 Apr 18; doi: 10.1177/0887403416644011.
  39. Finney JW, Amundson EO, Bi X, Cucciare MA, Eisen SA, Finlay AK, Halvorson MA, Hayashi K, Owens DK, Maisel NC, Timko C, Weitlauf JC, Cronkite RC. Evaluating the Productivity of VA, NIH, and AHRQ Health Services Research Career Development Awardees. Academic Medicine. 2016 Apr 1; 91(4):563-9.
  40. Timko C, Gupta S, Schultz N, Harris AH. Veterans' Service Utilization Patterns After Alcohol and Opioid Detoxification in VHA Care. Psychiatric services (Washington, D.C.). 2016 Apr 1; 67(4):460-4.
  41. Timko C, Finlay A, Schultz NR, Blonigen DM. Dually Diagnosed Patients with Arrests for Violent and Nonviolent Offenses: Two-Year Treatment Outcomes. Journal of addiction. 2016 Mar 28; 2016:6793907.
  42. Cucciare MA, Lewis ET, Hoggatt KJ, Bean-Mayberry B, Timko C, Durazo EM, Jamison AL, Frayne SM. Factors Affecting Women's Disclosure of Alcohol Misuse in Primary Care: A Qualitative Study with U.S. Military Veterans. Women's health issues : official publication of the Jacobs Institute of Women's Health. 2016 Mar 1; 26(2):232-9.
  43. Finlay AK, Harris AH, Rosenthal J, Blue-Howells J, Clark S, McGuire J, Timko C, Frayne SM, Smelson D, Oliva E, Binswanger I. Receipt of pharmacotherapy for opioid use disorder by justice-involved U.S. Veterans Health Administration patients. Drug and Alcohol Dependence. 2016 Mar 1; 160:222-6.
  44. Halvorson MA, Finlay AK, Cronkite RC, Bi X, Hayashi K, Maisel NC, Amundson EO, Weitlauf JC, Litt IF, Owens DK, Timko C, Cucciare MA, Finney JW. Ten-Year Publication Trajectories of Health Services Research Career Development Award Recipients: Collaboration, Awardee Characteristics, and Productivity Correlates. Evaluation & the health professions. 2016 Mar 1; 39(1):49-64.
  45. Blonigen DM, Rodriguez AL, Manfredi L, Britt J, Nevedal A, Finlay AK, Rosenthal J, Smelson D, Timko C. The Availability and Utility of Services to Address Risk Factors for Recidivism among Justice-Involved Veterans. Criminal justice policy review. 2017 Oct 1; 28(8):790-813.
  46. Blonigen DM, Rodriguez AL, Manfredi LB, Britt J, Nevedal A, Finlay AK, Rosenthal J, Smelson D, Timko C. The availability and utility of services to address risk factors for recidivism among justice-involved veterans. Criminal justice policy review. 2016 Feb 10; DOI: 10.1177/0887403416628601.
  47. Glynn LH, Kendra MS, Timko C, Finlay AK, Blodgett JC, Maisel NC, Midboe AM, McGuire JF, Blonigen DM. Facilitating treatment access and engagement for justice-involved Veterans with substance use disorders. Criminal justice policy review. 2016 Feb 4; 27(2):doi: 10.1177/0887403414560884.
  48. Simpson TL, Rillamas-Sun E, Lehavot K, Timko C, Rubin A, Cucciare MA, Williams EC, Padula CB, Hunt JR, Hoggatt KJ. Alcohol Consumption Levels and All-Cause Mortality Among Women Veterans and Non-Veterans Enrolled in the Women's Health Initiative. The Gerontologist. 2016 Feb 1; 56 Suppl 1:S138-49.
  49. Timko C, Halvorson M, Kong C, Moos RH. Social processes explaining the benefits of Al-Anon participation. Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors. 2015 Dec 1; 29(4):856-63.
  50. Timko C, Valenstein H, Stuart GL, Moos RH. Substance abuse and batterer programmes in California, USA: factors associated with treatment outcomes. Health & Social Care in The Community. 2015 Nov 1; 23(6):642-53.
  51. Timko C, Schultz NR, Cucciare MA, Vittorio L, Garrison-Diehn C. Retention in medication-assisted treatment for opiate dependence: A systematic review. Journal of addictive diseases. 2015 Oct 14; 35(1):22-35.
  52. Cucciare MA, Coleman EA, Timko C. A conceptual model to facilitate transitions from primary care to specialty substance use disorder care: a review of the literature. Primary health care research & development. 2015 Sep 1; 16(5):492-505.
  53. Cucciare MA, Timko C. Bridging the gap between medical settings and specialty addiction treatment. Addiction (Abingdon, England). 2015 Sep 1; 110(9):1417-9.
  54. Schultz NR, Blonigen D, Finlay A, Timko C. Criminal typology of veterans entering substance abuse treatment. Journal of substance abuse treatment. 2015 Jul 1; 54:56-62.
  55. Bi X, Moos RH, Timko C, Cronkite RC. Family conflict and somatic symptoms over 10 years: a growth mixture model analysis. Journal of psychosomatic research. 2015 May 1; 78(5):459-65.
  56. Timko C, Below M, Schultz NR, Brief D, Cucciare MA. Patient and program factors that bridge the detoxification-treatment gap: a structured evidence review. Journal of substance abuse treatment. 2015 May 1; 52:31-9.
  57. Finlay AK, Binswanger IA, Smelson D, Sawh L, McGuire J, Rosenthal J, Blue-Howells J, Timko C, Blodgett JC, Harris AH, Asch SM, Frayne S. Sex differences in mental health and substance use disorders and treatment entry among justice-involved Veterans in the Veterans Health Administration. Medical care. 2015 Apr 1; 53(4 Suppl 1):S105-11.
  58. Blonigen DM, Blonigen DM, Timko C, Jacob T, Moos RH, Moos RH. Patient-centered feedback on the results of personality testing increases early engagement in residential substance use disorder treatment: a pilot randomized controlled trial. Addiction science & clinical practice. 2015 Mar 14; 10:9.
  59. Heinz AJ, Makin-Byrd K, Blonigen DM, Reilly P, Timko C. Aggressive behavior among military veterans in substance use disorder treatment: the roles of posttraumatic stress and impulsivity. Journal of substance abuse treatment. 2015 Mar 1; 50:59-66.
  60. Hoggatt KJ, Jamison AL, Lehavot K, Cucciare MA, Timko C, Simpson TL. Alcohol and drug misuse, abuse, and dependence in women veterans. Epidemiologic Reviews. 2015 Jan 21; 37:23-37.
  61. Kendra MS, Weingardt KR, Cucciare MA, Timko C. Satisfaction with substance use treatment and 12-step groups predicts outcomes. Addictive Behaviors. 2015 Jan 1; 40:27-32.
  62. Short NA, Cronkite R, Moos R, Timko C. Men and women who attend Al-Anon: gender differences in reasons for attendance, health status and personal functioning, and drinker characteristics. Substance use & misuse. 2015 Jan 1; 50(1):53-61.
  63. Young LB, Timko C. Benefits and costs of alcoholic relationships and recovery through Al-Anon. Substance use & misuse. 2015 Jan 1; 50(1):62-71.
  64. Finlay AK, Smelson D, Sawh L, McGuire J, Rosenthal J, Blue-Howells J, Timko C, Binswanger I, Frayne SM, Blodgett JC, Bowe T, Clark SC, Harris A. U.S. Department of Veterans Affairs Veterans Justice Outreach Program: Connecting Justice-Involved Veterans with Mental Health and Substance Use Disorder Treatment. Criminal justice policy review. 2014 Dec 18; 1-20.
  65. Woodhead EL, Cronkite RC, Moos RH, Timko C. Coping strategies predictive of adverse outcomes among community adults. Journal of Clinical Psychology. 2014 Dec 1; 70(12):1183-95.
  66. Timko C, Midboe AM, Maisel NC, Blodgett JC, Asch SM, Rosenthal J, Blonigen DM. Treatments for recidivism risk among justice-involved Veterans. Journal of offender rehabilitation. 2014 Nov 5; 53(8):620-640.
  67. Cucciare MA, Coleman EA, Saitz R, Timko C. Enhancing transitions from addiction treatment to primary care. Journal of addictive diseases. 2014 Oct 9; 33(4):340-53.
  68. Finlay AK, Oliva EM, Timko C, Moos RH, Cronkite R. Predictors of 30-year mortality in depressed and comparison samples. Journal of affective disorders. 2014 Aug 1; 165:114-9.
  69. Timko C, Cronkite R, Laudet A, Kaskutas LA, Roth J, Moos RH. Al-Anon family groups' newcomers and members: Concerns about the drinkers in their lives. The American journal on addictions. 2014 Jul 1; 23(4):329-36.
  70. Timko C, Laudet A, Moos RH. Newcomers to Al-Anon family groups: Who stays and who drops out? Addictive Behaviors. 2014 Jun 1; 39(6):1042-9.
  71. Elbogen EB, Johnson SC, Newton VM, Timko C, Vasterling JJ, Van Male LM, Wagner HR, Beckham JC. Protective mechanisms and prevention of violence and aggression in veterans. Psychological Services. 2014 May 1; 11(2):220-8.
  72. Vederhus JK, Timko C, Kristensen O, Hjemdahl B, Clausen T. Motivational intervention to enhance post-detoxification 12-Step group affiliation: a randomized controlled trial. Addiction (Abingdon, England). 2014 May 1; 109(5):766-73.
  73. Laudet A, Timko C, Hill T. Comparing life experiences in active addiction and recovery between veterans and non-veterans: a national study. Journal of addictive diseases. 2014 Jan 1; 33(2):148-62.
  74. Timko C, Bonn-Miller MO, McKellar JD, Ilgen MA. Detoxification history and two-year outcomes of substance use disorder treatment and mutual-help group participation. Journal of drug issues. 2014 Jan 1; 44(1):4-21.
  75. Timko C, Cronkite R, Kaskutas LA, Laudet A, Roth J, Moos RH. Al-Anon family groups: newcomers and members. Journal of studies on alcohol and drugs. 2013 Nov 1; 74(6):965-76.
  76. Cronkite RC, Woodhead EL, Finlay A, Timko C, Unger Hu K, Moos RH. Life stressors and resources and the 23-year course of depression. Journal of affective disorders. 2013 Sep 5; 150(2):370-7.
  77. Woodhead E, Cowden Hindash A, Timko C. Dual Diagnosis, Mutual-Help Use, and Outcomes: A Naturalistic Follow-Up. Journal of Dual Diagnosis. 2013 May 3; 9(2):158-164.
  78. Woodhead EL, Cronkite R, Moos R, Valenstein H, Timko C. Age-related concomitants of obtaining mental health care in adulthood. American Journal of Health Behavior. 2013 Mar 1; 37(2):269-76.
  79. Elbogen EB, Wagner HR, Johnson SC, Kinneer P, Kang H, Vasterling JJ, Timko C, Beckham JC. Are Iraq and Afghanistan veterans using mental health services? New data from a national random-sample survey. Psychiatric services (Washington, D.C.). 2013 Feb 1; 64(2):134-41.
  80. Timko C, Cronkite RC, McKellar J, Zemore S, Moos RH. Dually diagnosed patients' benefits of mutual-help groups and the role of social anxiety. Journal of substance abuse treatment. 2013 Feb 1; 44(2):216-23.
  81. Weaver CM, Trafton JA, Kimerling R, Timko C, Moos R. Prevalence and nature of criminal offending in a national sample of veterans in VA substance use treatment prior to the Operation Enduring Freedom/Operation Iraqi Freedom conflicts. Psychological Services. 2013 Feb 1; 10(1):54-65.
  82. Blonigen DM, Timko C, Moos RH. Alcoholics Anonymous and reduced impulsivity: a novel mechanism of change. Substance Abuse. 2013 Jan 1; 34(1):4-12.
  83. Cucciare MA, Simpson T, Hoggatt KJ, Gifford E, Timko C. Substance use among women veterans: epidemiology to evidence-based treatment. Journal of addictive diseases. 2013 Jan 1; 32(2):119-39.
  84. Valenstein H, Cronkite RC, Moos RH, Snipes C, Timko C. Suicidal ideation in adult offspring of depressed and matched control parents: childhood and concurrent predictors. Journal of mental health (Abingdon, England). 2012 Oct 1; 21(5):459-68.
  85. Timko C, Young LB, Moos RH. Al-Anon Family Groups: Origins, Conceptual Basis, Outcomes, and Research Opportunities. Journal of groups in addiction & recovery. 2012 Sep 12; 7(2-4):279-296.
  86. Timko C, Valenstein H, Lin PY, Moos RH, Stuart GL, Cronkite RC. Addressing substance abuse and violence in substance use disorder treatment and batterer intervention programs. Substance abuse treatment, prevention, and policy. 2012 Sep 7; 7(1):37.
  87. Makin-Byrd K, Bonn-Miller MO, Drescher K, Timko C. Posttraumatic stress disorder symptom severity predicts aggression after treatment. Journal of anxiety disorders. 2012 Mar 1; 26(2):337-42.
  88. Vederhus JK, Timko C, Kristensen Ø, Clausen T. The courage to change: patient perceptions of 12-Step fellowships. BMC health services research. 2011 Dec 15; 11(1):339.
  89. Blonigen DM, Timko C, Finney JW, Moos BS, Moos RH. Alcoholics Anonymous attendance, decreases in impulsivity and drinking and psychosocial outcomes over 16 years: moderated-mediation from a developmental perspective. Addiction (Abingdon, England). 2011 Dec 1; 106(12):2167-77.
  90. Blonigen DM, Timko C, Moos BS, Moos RH. Impulsivity is an independent predictor of 15-year mortality risk among individuals seeking help for alcohol-related problems. Alcoholism, clinical and experimental research. 2011 Nov 1; 35(11):2082-92.
  91. Timko C, Sutkowi A, Cronkite RC, Makin-Byrd K, Moos RH. Intensive referral to 12-step dual-focused mutual-help groups. Drug and Alcohol Dependence. 2011 Nov 1; 118(2-3):194-201.
  92. Makin-Byrd K, Cronkite RC, Timko C. The influence of abuse victimization on attendance and involvement in mutual-help groups among dually diagnosed male veterans. Journal of substance abuse treatment. 2011 Jul 1; 41(1):78-87.
  93. Lash SJ, Timko C, Curran GM, McKay JR, Burden JL. Implementation of evidence-based substance use disorder continuing care interventions. Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors. 2011 Jun 1; 25(2):238-51.
  94. Timko C, Desai A, Blonigen DM, Moos BS, Moos RH. Driving while intoxicated among individuals initially untreated for alcohol use disorders: one- and sixteen-year follow-ups. Journal of studies on alcohol and drugs. 2011 Mar 1; 72(2):173-84.
  95. Schneider RA, Timko C, Moos BS, Moos RH. Violence victimization, help-seeking, and one- and eight-year outcomes of individuals with alcohol use disorders. Addiction research & theory. 2011 Feb 1; 19(1):22-31.
  96. Timko C, Sutkowi A, Moos R. Patients with dual diagnoses or substance use disorders only: 12-step group participation and 1-year outcomes. Substance use & misuse. 2010 Mar 1; 45(4):613-27.
  97. Timko C, Cronkite RC, Swindle R, Robinson RL, Sutkowi A, Moos RH. Parental depression as a moderator of secondary deficits of depression in adult offspring. Child Psychiatry and Human Development. 2009 Dec 1; 40(4):575-88.
  98. Blonigen DM, Timko C, Moos BS, Moos RH. Treatment, alcoholics anonymous, and 16-year changes in impulsivity and legal problems among men and women with alcohol use disorders. Journal of studies on alcohol and drugs. 2009 Sep 1; 70(5):714-25.
  99. Timko C, Moos BS, Moos RH. Gender differences in 16-year trends in assault- and police-related problems due to drinking. Addictive Behaviors. 2009 Sep 1; 34(9):744-50.
  100. Timko C, Cronkite RC, Swindle R, Robinson RL, Moos RH. Characteristics of depressed and nondepressed adult offspring of depressed and matched nondepressed parents. Journal of affective disorders. 2009 Feb 1; 113(1-2):56-65.
  101. Burnette ML, Schneider R, Timko C, Ilgen MA. Impact of substance-use disorder treatment on women involved in prostitution: substance use, mental health, and prostitution one year after treatment. Journal of studies on alcohol and drugs. 2009 Jan 1; 70(1):32-40.
  102. Schneider R, Burnette ML, Ilgen MA, Timko C. Prevalence and correlates of intimate partner violence victimization among men and women entering substance use disorder treatment. Violence and victims. 2009 Jan 1; 24(6):744-56.
  103. Schneider R, Timko C. Does a history of violence influence treatment, self-help, and 1-year outcomes in substance use disorder patients? Journal of addictive diseases. 2009 Jan 1; 28(2):171-9.
  104. Burnette ML, Schneider R, Ilgen MA, Timko C. Women's past-year prostitution status and receipt of substance abuse treatment services. Psychiatric services (Washington, D.C.). 2008 Dec 1; 59(12):1458-61.
  105. Schneider R, Cronkite R, Timko C. Lifetime physical and sexual abuse and substance use treatment outcomes in men. Journal of substance abuse treatment. 2008 Dec 1; 35(4):353-61.
  106. Timko C, Sutkowi A, Pavao J, Kimerling R. Women's childhood and adult adverse experiences, mental health, and binge drinking: the California Women's Health Survey. Substance abuse treatment, prevention, and policy. 2008 Jun 6; 3:15.
  107. Timko C, Cronkite RC, Swindle R, Robinson RL, Turrubiartes P, Moos RH. Functioning status of adult children of depressed parents: a 23-year follow-up. Psychological medicine. 2008 Mar 1; 38(3):343-52.
  108. Schneider R, Burnette M, Timko C. History of physical or sexual abuse and participation in 12-step self-help groups. The American journal of drug and alcohol abuse. 2008 Jan 1; 34(5):617-25.
  109. Timko C. Outcomes of AA for special populations. Recent developments in alcoholism : an official publication of the American Medical Society on Alcoholism, the Research Society on Alcoholism, and the National Council on Alcoholism. 2008 Jan 1; 18:373-92.
  110. Timko C. Substance use disorders and interpersonal violence. AACN clinical issues. 2008 Jan 1; 12(1):43-54.
  111. Timko C, DeBenedetti A. A randomized controlled trial of intensive referral to 12-step self-help groups: one-year outcomes. Drug and Alcohol Dependence. 2007 Oct 8; 90(2-3):270-9.
  112. Timko C, Ilgen M, Moos R. Predictors of dually diagnosed patients' psychiatric symptom exacerbation during acute substance use disorder treatment. Journal of Dual Diagnosis. 2007 Oct 1; 4(1):55-74.
  113. Timko C, Debenedetti A, Moos BS, Moos RH. Predictors of 16-year mortality among individuals initiating help-seeking for an alcoholic use disorder. Alcoholism, clinical and experimental research. 2006 Oct 1; 30(10):1711-20.
  114. Moos RH, Moos BS, Timko C. Gender, treatment and self-help in remission from alcohol use disorders. Clinical Medicine & Research. 2006 Sep 1; 4(3):163-74.
  115. Chen S, Barnett PG, Sempel JM, Timko C. Outcomes and costs of matching the intensity of dual-diagnosis treatment to patients' symptom severity. Journal of substance abuse treatment. 2006 Jul 1; 31(1):95-105.
  116. Timko C, Billow R, DeBenedetti A. Determinants of 12-step group affiliation and moderators of the affiliation-abstinence relationship. Drug and Alcohol Dependence. 2006 Jun 28; 83(2):111-21.
  117. Timko C, Debenedetti A, Billow R. Intensive referral to 12-Step self-help groups and 6-month substance use disorder outcomes. Addiction. 2006 May 1; 101(5):678-88.
  118. Timko C, Chen S, Sempel JM, Barnett PG. Dual diagnosis patients in community or hospital care: 1-year outcomes and health care utilization and costs. Journal of Mental Health. 2006 Apr 1; 15(2):163-177.
  119. Timko C, Dixon K, Moos RH. Treatment for dual diagnosis patients in the psychiatric and substance abuse systems. Mental health services research. 2005 Dec 1; 7(4):229-42.
  120. Timko C, Finney JW, Moos RH. The 8-year course of alcohol abuse: gender differences in social context and coping. Alcoholism, clinical and experimental research. 2005 Apr 1; 29(4):612-21.
  121. Timko C, Sempel JM. Short-term outcomes of matching dual diagnosis patients' symptom severity to treatment intensity. Journal of substance abuse treatment. 2004 Apr 1; 26(3):209-18.
  122. Timko C, Sempel JM. Intensity of acute services, self-help attendance and one-year outcomes among dual diagnosis patients. Journal of Studies On Alcohol. 2004 Mar 1; 65(2):274-82.
  123. Timko C, Sempel JM, Moos RH. Models of standard and intensive outpatient care in substance abuse and psychiatric treatment. Administration and policy in mental health. 2003 May 1; 30(5):417-36.
  124. Timko C, Lesar M, Calvi NJ, Moos RH. Trends in acute mental health care: comparing psychiatric and substance abuse treatment programs. The journal of behavioral health services & research. 2003 Apr 1; 30(2):145-60.
  125. Timko C, Moos RH. Symptom severity, amount of treatment, and 1-year outcomes among dual diagnosis patients. Administration and policy in mental health. 2002 Sep 1; 30(1):35-54.
  126. Timko C, Moos RH, Finney JW, Connell EG. Gender differences in help-utilization and the 8-year course of alcohol abuse. Addiction. 2002 Jul 1; 97(7):877-89.
  127. Timko C, Cronkite RC, Berg EA, Moos RH. Children of parents with unipolar depression: a comparison of stably remitted, partially remitted, and nonremitted parents and nondepressed controls. Child Psychiatry and Human Development. 2002 Mar 1; 32(3):165-85.
  128. Timko C, Yu K, Moos RH. Demand characteristics of residential substance abuse treatment programs. Journal of substance abuse. 2000 Oct 1; 12(4):387-403.
  129. Timko C, Lesar M, Engelbrekt M, Moos RH. Changes in services and structure in community residential treatment facilities for substance abuse patients. Psychiatric services (Washington, D.C.). 2000 Apr 1; 51(4):494-8.
Journal Other

  1. Timko C, Cucciare MA. Commentary on Socias et al. (2018): Clinical research perspectives on cannabis use in opioid agonist treatment. Addiction (Abingdon, England). 2018 Dec 1; 113(12):2259-2260.
  2. Timko C, Moos R. Commentary on Laslett et?al. (2012): integrating substance use disorder and child welfare interventions. Addiction. 2012 Oct 1; 107(10):1794-5.
Books

  1. Zottarelli MK, Fairweather A, Brett E, Dudum M, Guerra R, Litzenberger J, MacVicar D, McCullough C, Timko C, Upton B, Lara S. Screening guide: For CA Bay Area domestic violence providers and advocates to identify Veteran families experiencing domestic violence. Zottarelli MK, Fairweather A, editors. San Francisco, CA: Swords to Plowshares Domestic Violence Protocol Working Group & Institute for Veteran Policy; 2012. 24 p.
Book Chapters

  1. Finney JW, Timko C, Moos RH. Alcohol abuse. In: Grossman L, Walfish S, editors. Translating research into practice: A desk reference for practicing mental health professionals. New York, NY: Springer Publishing Company; 2013. Chapter 16. 117-119 p.
  2. Finney JW, Timko C, Moos RH. Treating alcohol misuse and alcohol use disorders: A research-based perspective. In: Grossman L, Walfish S, editors. Alcohol Abuse: Translating Psychological Research Into Practice. New York, NY: Springer; 2013. Chapter 16. 117-120 p.
  3. Finney JW, Moos RH, Timko C. The course of treated and untreated substance use disorders: Remission and resolution, relapse and mortality. In: Addictions: A Comprehensive Guidebook. 2nd ed. New York, NY: Oxford University Press; 2013. 108-131 p.
  4. Makin-Byrd K, Timko C. Violence and partner violence among Veterans enrolled in HUD-VASH. In: Kane V, editor. HUD-VASH Resource Guide for Permanent Housing and Clinical Care. Washington, DC: VA National Center on Homelessness Among Veterans & U.S. Department of Housing and Urban Development (HUD); 2012. Chapter 7. 146-152 p.
  5. Moos RH, Timko C. Self-Help Programs Focused on Substance Use: Active Ingredients and Outcomes. In: Ruiz P, Strain E, editors. Lowinson and Ruiz's Substance Abuse: A Comprehensive Textbook. Fifth ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2011. Chapter 37. 523-532 p.
  6. Timko C. Outcomes of AA for Special Populations. In: Galanter M, Kashutas L, editors. Alcoholism Research: Alcoholics Anonymous and Spirituality. Recent Developments in Alcoholism, Volume XVIII. Springer; 2008. Chapter 21. 373-408 p.
  7. Moos R, Timko C. Outcome research on twelve-step and other self-help programs. In: The American Psychiatric Publishing Textbook of Substance Abuse Treatment. Washington, DC: American Psychiatric Publishing; 2008. 511-521 p.
  8. Moos RH, Timko C. Outcome research on twelve-step programs. In: Galanter M, Kleber HD, editors. Textbook of Sustance Abuse Treatment. 4th ed. Arlington, VA: American Psychiatric Press; 2008.
  9. Timko C, Moos R. Trends in acute care for substance use in psychiatric patients. In: Directions in Addiction Treatment and Prevention. 8 ed. Long Island City, NY: The Hatherleigh Company, Ltd.; 2004. 63-73 p.
  10. Timko C, Moos R. Measuring the therapeutic environment. In: Campling P, Davies S, Farquharson G, editors. From Toxic Institutions to Therapeutic Environments: Residential Settings in Mental Health Services. United Kingdom: Gaskell Press, Royal College of Psychiatrists; 2004. Chapter 14. 143-156 p.
  11. Timko C, Moos RH, Finney JW. Models of matching patients and treatment programs. In: Craik K, Price R, Walsh WB, editors. New directions in person-environment psychology. Hillsdale, NJ: Erlbaum; 2000.
  12. Finney JW, Moos RH, Timko C. The course of treated and untreated substance use disorders: Remission and resolution, relapse and mortality. In: McCrady BS, Epstein EE, editors. Addictions: A comprehensive guidebook. New York, NY: Oxford University Press; 1999.
Magazine/Popular Press Articles

  1. Timko C, Cucciare MA. Transitioning from Detoxification to Addiction Treatment: Facilitators and Barrier. Counselor Magazine. 2016 Nov 1; 70:64-72.
Reports

  1. Finney JW, Cronkite RC, Amundson E, Bi X, Cucciare MA, Finlay A, Halvorson M, Hayashi K, Macus S, Owens DK, Maisel N, Smith BN, Timko C, Unger-Hu K, Weitlauf JC. Evaluation of the VHA Office of Research and Development Career Development Program: Accomplishments of Biomedical/Laboratory, Clinical Sciences, and Rehabilitation Research and Development Services Awardees. Menlo Park, CA: Center for Health Care Evaluation; 2013 May 1. 34 p.
  2. Finney JW, Cronkite RC, Amundson EO, Bi X, Cucciare M, Finlay A, Halvorson M, Hayashi K, Macus S, Owens D, Maisel N, Smith B, Timko C, Unger-Hu K, Weitlauf J. An Evaluation of the Veterans Health Administration Health Services Research and Development Career Development Award Program. Menlo Park, CA: Center for Health Care Evaluation; 2013 May 1. 52 p.
  3. Halvorson M, Finney JW, Cronkite RC, Amundson EO, Bi X, Cucciare MA, Finlay A, Hayashi K, Macus S, Owens DK, Maisel N, Smith BN, Timko C, Unger-Hu K, Weitlauf JC. Accomplishments of Veterans Health Administration Health Services Research and Development Research Career Scientists. Menlo Park, CA: Center for Health Care Evaluation; 2013 May 1. 10 p.
HSR&D or QUERI Publications

  1. Halvorson M, Finney JW, Cronkite RC, Amundson EO, Bi X, Cucciare MA, Finlay A, Hayashi K, Owens D, Maisel N, Timko C, Weitlauf J. Improving the VHA Health Services and Development Career Development Award Program: Interviews with Key Stakeholders. 2014 May 1.
HSR&D or QUERI Articles

  1. Timko C, Cucciare MA, Ilgen M. Facilitating care transitions among patients with substance use disorders. VA HSR&D FORUM: Translating research into quality health care for Veterans. 2014 Aug 1; 6.
Center Products

  1. Timko C. Bridging the Gap between Detoxification and Addiction Treatment. VA Palo Alto/VA Boston/Brockton VAMC Mental Health Inpatient Services: TeleMonitoring to Improve Substance Use Disorder Treatment After Detoxification. 2015 Sep 8.
  2. Timko C. The Evidence Base for Mutual-Help Groups. Presentation to Homeless Veterans Rehabilitation Program (HVRP), VAPAHCS, Palo Alto, CA. 2015 Jul 6.
  3. Lin S, Timko C. Violence Prevention for Veterans Treated for Substance Abuse. Presented at Marine Corps Muster, VA Palo Alto Health Care System (VAPAHCS). 2012 Apr 21.
  4. Timko C, Cowden-Hindash A, Latimer J. Telephone Monitoring with Veterans. Presented at Marine Corps Muster, VA Palo Alto Health Care System (VAPAHCS). 2012 Apr 21.
  5. Timko C, Kaskutas LA, Moos RH, Chan S, Joyner M, Cronkite RC. Al-Anon: Helping people concerned about a family member or friend’s substance abuse. Presented at Marine Corps Muster, VA Palo Alto Health Care System (VAPAHCS). 2012 Apr 21.
  6. Timko C. Narcotics Anonymous. In: Korsmeyer P, Kranzler HR, editors. Encyclopedia of Drugs, Alcohol and Addictive Behavior. 3rd ed. Farmington Hills, Michigan: Cengage Gale, Macmillan Reference USA. 2008 Nov 14.
Conference Presentations

  1. Abraham TH, Cucciare MA, Timko C, Drummond KL, Lewis E. Providers' Perceptions of Barriers and Facilitators to Disclosure of Alcohol Use by Women Veterans. Poster session presented at: AcademyHealth Annual Research Meeting; 2016 Jun 27; Boston, MA.
  2. Finlay AK, Binswanger I, Timko C, Rosenthal J, Clark S, Blue-Howells J, McGuire J, Hagedorn H, Wong J, Van Campen J, Sox-Harris AH. Receipt of pharmacotherapy for opioid use disorder by justice-involved U.S. Veterans Health Administration patients. Drug and Alcohol Dependence. Paper presented at: Academic and Health Policy Conference on Correctional Health; 2016 Mar 18; Baltimore, MD.
  3. Garrison-Diehn C, Wu FM, Timko C. Hearing Loss and Mortality: A Structured Evidence Review of Observational Studies. Presented at: VA National Center for Rehabilitative Auditory Research Biennial Conference; 2015 Sep 1; Portland, OR.
  4. Blonigen DM, Rodriguez A, Nevedal A, Smelson D, Finlay A, Rosenthal J, Timko C. A Qualitative Analysis to Identify Provider Perceptions of Gaps in the Implementation of Best Care Practices to Reduce Recidivism among Justice-Involved Veterans. Presented at: VA HSR&D / QUERI National Meeting; 2015 Jul 10; Philadelphia, PA.
  5. Cucciare MA, Lewis ET, Hoggatt K, Bean-Mayberry B, Timko C, Durazo E, Jamison AL, Frayne SM. Factors Impacting Women’s Disclosure of Alcohol Misuse in Primary Care: A Qualitative Study with US Military Veterans. Presented at: VA HSR&D / QUERI National Meeting; 2015 Jul 10; Philadelphia, PA.
  6. Cronkite RC, Halvorson M, Maisel NC, Bi X, Weitlauf JC, Timko C, Blonigen DM, Hayashi KP, Zulman DM, Finney JW. Evaluating a Model of Mentorship Outcomes of HSR&D Career Development Awardees. Poster session presented at: VA HSR&D / QUERI National Meeting; 2015 Jul 9; Philadelphia, PA.
  7. Halvorson M, Finney JW, Bi X, Maisel N, Hayashi K, Amundson E, Weitlauf JC, Litt I, Owens DK, Goldstein MK, Fine M, Timko C, Asch SM, Cucciare MA, Cronkite RC. A Multivariate Model of Mentoring Relationships and Outcomes in the VA Health Services Research & Development CDA Program. Presented at: AcademyHealth Annual Research Meeting; 2015 Jun 15; Minneapolis, MN.
  8. Blonigen DM, Rodriguez A, Manfredi L, Timko C. Gaps in the implementation of best-care practices to improve outcomes among justice-involved Veterans: A qualitative analysis. Presented at: AcademyHealth Behavioral Health Services Research Interest Group Meeting; 2015 Jun 13; Minneapolis, MN.
  9. Schultz NR, Finlay AK, Blonigen DM, Timko C. History of violence: Two year outcomes of dually diagnosed Veterans. Poster session presented at: Western Psychological Association Annual Convention; 2015 May 1; Las Vegas, NV.
  10. Bi X, Moos RH, Timko C, Cronkite RC. Trajectories of family conflict and somatic symptoms over 10 years: A growth mixture model analysis. Poster session presented at: Western Psychological Association Annual Convention; 2015 Apr 30; Las Vegas, NV.
  11. Schultz N, Blonigen DM, Finlay AK, Timko C. Veterans’ criminal history severity and one-year treatment outcomes. Poster session presented at: Western Psychological Association Annual Convention; 2015 Apr 30; Las Vegas, NV.
  12. Schultz NR, Blonigen DM, Finlay AK, Timko C. Severity of Criminal Offending among Veterans in Substance Use Disorder Treatment. Presented at: Western Psychological Association Annual Convention; 2015 Apr 30; Las Vegas, NV.
  13. Finlay AK, Smelson D, Sawh L, Timko C, McGuire J, Rosenthal J, Blue-Howells J, Clark SC, Binswanger I, Bowe T, Stimmel M, Frayne S, Harris A. Justice-involved Veterans: Mental health and substance use disorder conditions and utilization of care after prison incarceration. Presented at: American Society of Criminology Annual Meeting; 2014 Nov 21; San Francisco, CA.
  14. Schultz NR, Finlay AK, Blonigen DM, Timko C. Arrest history, treatment utilization, and mutual-help group attendance among dually diagnoses Veterans. Presented at: American Society of Criminology Annual Meeting; 2014 Nov 21; San Francisco, CA.
  15. Finlay AK, McGuire J, Rosenthal J, Blue-Howells J, Binswanger I, Smelson D, Sawh L, Timko C, Blodgett JC, Bowe T, Harris A, Clark SC, Asch S, Frayne S. Gender differences in mental health and substance use disorders among justice-involved Veterans after prison incarceration. Poster session presented at: American Society of Criminology Annual Meeting; 2014 Nov 20; San Francisco, CA.
  16. Blonigen DM, Bui L, Britt JY, Timko C. Personality-based subtypes of justice-involved Veterans in substance abuse treatment. Paper presented at: American Society of Criminology Annual Meeting; 2014 Nov 19; San Francisco, CA.
  17. Schultz NR, Finlay AK, Blonigen DM, Timko C. Typology of criminal offending and treatment utilization among Veteran patients entering substance use disorder treatment. Poster session presented at: American Society of Criminology Annual Meeting; 2014 Nov 19; San Francisco, CA.
  18. Jamison A, Cucciare MA, Timko C, Simpson T. Substance misuse, abuse, and dependence in women Veterans: a systematic review of the literature. Paper presented at: VA HSR&D Enhancing Partnerships for Research and Care of Women Veterans Conference; 2014 Jul 31; Arlington, VA.
  19. Timko C. Evidence-Based Practices for Effective Referrals to 12-Step Groups. Presented at: Clinical Overview of the Recovery Experience Annual Conference; 2014 Jul 21; Amelia Island, FL.
  20. Finlay AK, Smelson D, Timko C, McGuire J, Rosenthal J, Bowe T, Harris AH. Justice-Involved Veterans: Substance Use Disorder Conditions and Utilization of Care. Poster session presented at: Research Society on Alcoholism Annual Scientific Meeting; 2014 Jun 21; Bellevue, WA.
  21. Halvorson MA, Finlay A, Bi X, Maisel NC, Hayashi K, Amundson EO, Weitlauf JC, Litt IF, Owens DK, Timko C, Cucciare MA, Cronkite RC, Finney JW. Ten-year publication trajectories of Health Services Research Career Development Award recipients. Poster session presented at: AcademyHealth Annual Research Meeting; 2014 Jun 10; San Diego, CA.
  22. Finlay AK, Smelson D, Timko C, McGuire J, Rosenthal J, Sawh L, Bowe T, Harris AH. Justice-involved Veterans: Mental health and substance use disorder conditions and utilization of care. Poster session presented at: AcademyHealth Annual Research Meeting; 2014 Jun 9; San Diego, CA.
  23. Halvorson M, Ahmed U, Ilgen MA, Sonnicksen S, Kong C, Cronkite RC, Timko C. Telephone Monitoring Linked to Lower Rates of Drinking and Suicide in Early Results from a Randomized Controlled Trial of Dual Diagnosis Inpatients. Poster session presented at: AcademyHealth Annual Research Meeting; 2014 Jun 9; San Diego, CA.
  24. Ahmed U, Halvorson MK, Sonnicken SD, Kong C, Bui L, Cronkite RC, Ilgen MA, Timko C. Telephone Monitoring for Dually Diagnosed Psychiatry Inpatients Improves Alcohol-Related Outcomes. Poster session presented at: AcademyHealth Annual Research Meeting; 2014 Jun 8; San Diego, CA.
  25. Bucossi M, DuBois R, Garneau-Fournier J, Hebenstreit C, Kimerling R, Koo KH, Kulkarni M, Madden E, Maguen S, McBain S, Oliva EM, Timko C, Trafton JA, Turchik JA. Service Utilization and Barriers to Care Among Female Veterans - Symposium. Presented at: Association for Psychological Science Annual Convention; 2014 May 25; San Francisco, CA.
  26. Halvorson MK, Ahmed U, Ilgen MA, Sonnicksen SD, Kong C, Bui L, Cronkite RC, Timko C. Telephone Monitoring for Dual Diagnosis Inpatients Reduced Drinking and Suicidality. Poster session presented at: Association for Psychological Science Annual Convention; 2014 May 23; San Francisco, CA.
  27. Heinz AJ, Schultz N, Makin-Byrd K, Blonigen DM, Timko C. Posttraumatic stress, impulsivity, and aggressive behavior among substance use disorder treatment patients. Poster session presented at: Association for Psychological Science Annual Convention; 2014 May 23; San Francisco, CA.
  28. Turchik JA, Rosen CS, Timko C, Whooley M, Kimerling R. Military Sexual Trauma-Related VA Outpatient Mental Health Care: Which Veterans Utilize this Free Care? Presented at: International Society for Traumatic Stress Studies Annual Symposium; 2013 Nov 7; Philadelphia, PA.
  29. Finlay AK, Oliva EM, Timko C, Cronkite RC. Depression, Social Support, Activities, and Risk off All-Cause Mortality: A 23-Year Study of Clinically Depressed Patients. Presented at: American Public Health Association Annual Meeting and Exposition; 2013 Nov 2; Boston, MA.
  30. Timko C. Al-Anon Family Groups: A 12-Step program for People Concerned About Another's Drinking. For: Addiction and its Effects on the Family. Presented at: Puerto Rico Addiction Research Foundation Annual Conference; 2013 Sep 7; San Juan, Puerto Rico.
  31. Timko C. Al-Anon Family Groups Research Workshop. For: Addiction and its Effect on the Family. Presented at: Puerto Rico Addiction Research Foundation Annual Conference; 2013 Sep 6; San Juan, Puerto Rico.
  32. Baldini L, Howard D, Blonigen DM, Timko C. Prior incarceration, mutual-help group participation, and substance use outcomes among dually-diagnosed outpatients. Poster session presented at: Research Society on Alcoholism Annual Scientific Meeting; 2013 Jun 22; Orlando, FL.
  33. Howard D, Baldini L, Blonigen DM, Timko C. Are former prisoners with drug disorders ready for mutual-help? Poster session presented at: College on Problems of Drug Dependence Annual Meeting; 2013 Jun 15; San Diego, CA.
  34. Finlay A, Oliva EM, Timko C, Cronkite RC. Depression, social and physical activities, and risk of all-cause mortality: A 23-year study. Poster session presented at: Society of Behavioral Medicine Annual Meeting and Scientific Sessions; 2013 Mar 22; San Francisco, CA.
  35. Kulkarni M, Oliva EM, Timko C, Trafton JA, Kimerling R. Patterns of Specialty Care Utilization by Veterans with PTSD and Substance Use Disorders. Poster session presented at: VA HSR&D / QUERI National Meeting; 2012 Jul 16; National Harbor, MD.
  36. Makin-Byrd K, Bonn-Miller MO, Drescher K, Timko C. Posttraumatic Stress Disorder Symptom Severity Predicts Aggression After Treatment. Presented at: University of New Hampshire Family Research Laboratory and Crimes Against Children Research Center International Family Violence Research Conference; 2012 Jul 8; Portsmouth, NH.
  37. Joyner M, Chan S, Cronkite RC, Timko C. Al-Anon Newcomers’ Reasons for Initiating Attendance: Concerns About the Problem Drinker. Poster session presented at: Research Society on Alcoholism Annual Scientific Meeting; 2012 Jun 26; San Francisco, CA.
  38. Sackett KL, Bui L, Blonigen DM, Timko C. Partner Relationship Quality and Interpersonal Styles in the Prediction of Peer Support Among Veterans in Alcohol and Drug Treatment. Poster session presented at: Research Society on Alcoholism Annual Scientific Meeting; 2012 Jun 26; San Francisco, CA.
  39. Kulkarni M, Oliva EM, Timko C, Trafton JA, Kimerling R. Examining Patterns of Special Care Utilization by Veterans with PTSD and Substance Use Disorders. Poster session presented at: Research Society on Alcoholism Annual Scientific Meeting; 2012 Jun 24; San Francisco, CA.
  40. Chan S, Joyner M, Cronkite RC, Timko C. Goals for Initiating Participation in Al-Anon Family Groups: Implications for Improving Facilitation. Poster session presented at: Research Society on Alcoholism Annual Scientific Meeting; 2012 Jun 23; San Francisco, CA.
  41. Cowden Hindash AH, Latimer J, Timko C. Mutual-help Participation and 1-Year Outcomes in Veterans Dually Diagnosed with Bipolar or Unipolar Depression. Poster session presented at: Research Society on Alcoholism Annual Scientific Meeting; 2012 Jun 23; San Francisco, CA.
  42. Lin SL, Timko C, Cowden Hindash AH. Benefits of Mutual-Help Groups for Dually Diagnosed Patients. Poster session presented at: Research Society on Alcoholism Annual Scientific Meeting; 2012 Jun 23; San Francisco, CA.
  43. Valenstein H, Sun P, Cronkite RC, Timko C. Assessment, Treatment, and Barriers to Treatment of Intimate Partner Violence Perpetration in Substance Use Disorder Treatment Programs in California. Poster session presented at: American Psychological Association Annual Convention; 2011 Aug 4; Washington, DC.
  44. Blonigen DM, Timko C, Finney JW, Moos BS, Moos RH. Alcoholics Anonymous attendance, decreases in impulsivity and drinking and psychosocial outcomes over 16 years: Moderated-mediation from a developmental perspective. Presented at: Research Society on Alcoholism Annual Scientific Meeting; 2011 Jun 25; Atlanta, GA.
  45. Sun P, Valenstein H, Cronkite RC, Timko C. Addressing Intimate Partner Violence Perpetration in Substance Use Disorder Treatment Programs in California. Presented at: College on Problems of Drug Dependence Annual Meeting; 2011 Jun 22; Hollywood, FL.
  46. Sun P, Valenstein H, Cronkite RC, Stuart G, Timko C. Assessing, Treating, and Monitoring Intimate Partner Violence Perpetration in Substance Use Disorder Treatment Programs in California. Presented at: AcademyHealth Annual Research Meeting; 2011 Jun 13; Seattle, WA.
  47. Valenstein H, Sun P, Cronkite RC, Stuart G, Timko C. Assessment, Treatment, and Barriers to Treatment of Clients with Alcohol and Drug Disorders in Batterer Intervention Programs. Poster session presented at: AcademyHealth Annual Research Meeting; 2011 Jun 13; Seattle, WA.
  48. Timko C. Connecting People with Addictions to Mutual Help Groups: How and Why. Presented at: Susan Li Annual Conference on Addiction and Mental Health; 2011 Jun 2; Indianapolis, IN.
  49. Sun P, Valenstein H, Cronkite RC, Timko C. Existing Linkages Between Substance Use Disorder Treatment and Batterer Intervention Programs in California. Poster session presented at: American Society of Addiction Medicine Annual Meeting; 2011 Apr 15; Washington, DC.
  50. Blonigen DM, Timko C, Moos BS, Moos RH. Impulsivity is an independent predictor of 15-year mortality risk among individuals seeking help for an alcohol use disorder. Poster session presented at: Association for Behavioral and Cognitive Therapies Annual Convention; 2010 Nov 21; San Francisco, CA.
  51. Makin-Byrd K, Cronkite RC, Timko C. The Influence of Abuse Victimization on Health Outcomes in Dually Diagnosed Men. Presented at: Association for Behavioral and Cognitive Therapies Annual Convention; 2010 Nov 21; San Francisco, CA.
  52. Blonigen DM, Timko C, Moos BS, Moos RH. Impulsivity as an independent predictor of 15-year mortality risk among individuals seeking help for an alcohol use disorder. Paper presented at: Research Society on Alcoholism Annual Scientific Meeting; 2010 Jun 1; San Antonio, TX.
  53. Makin-Byrd K, Cronkite RC, Timko C. The influence of abuse victimization on health outcomes in dually diagnosed men. Paper presented at: VA HSR&D Field-Based Mental Health and Substance Use Disorders Meeting; 2010 Apr 28; Little Rock, AR.
  54. Rosen CS, Knight S, Timko C. Managing Your Funding/Career Portfolio. Paper presented at: VA HSR&D Career Development Annual Meeting; 2010 Feb 14; San Francisco, CA.
  55. Burnette M, Schneider RA, Timko C. Do Substance Use Disorder Treatment Providers View Women Involved in Prostitution More Negatively? Paper presented at: Association for Behavioral and Cognitive Therapies Annual Convention; 2009 Nov 14; New York, NY.
  56. Blonigen DM, Moos BS, Moos RH, Timko C. Treatment, Alcoholics Anonymous, and 16-year Changes in Impulsivity and Legal Problems among Women and Men with Alcohol Use Disorders. Paper presented at: Association for Research in Personality Annual Conference; 2009 Jul 16; Evanston, IL.
  57. Blonigen DM, Timko C, Moos B, Moos RH. Treatment, Alcoholics Anonymous and 16-year Changes in Impulsivity and Legal Problems among Men and Women with Alcohol Disorders. Paper presented at: Research Society on Alcoholism Annual Scientific Meeting; 2009 Jun 20; San Diego, CA.
  58. Sutkowi A, Timko C. Homeless, Alcohol-Abusing Veterans and Engagement in Treatment by Outreach Events. Paper presented at: Research Society on Alcoholism Annual Scientific Meeting; 2009 Jun 20; San Diego, CA.
  59. Timko C, Sutkowi A, Moos RH. Sixteen Year Trends in Assault- and Police-Related Problems Due to Drinking among Women and Men. Paper presented at: Research Society on Alcoholism Annual Scientific Meeting; 2009 Jun 20; San Diego, CA.
  60. Burnette M, Schneider RA, Ilgen MA, Timko C. Adverse Childhood Events, Violence Perpetration, and Sex Trade Involvement among Men and Women. Paper presented at: American Psychology-Law Society Annual Conference; 2009 Mar 5; San Antonio, TX.
  61. Timko C. Dually Diagnosed Veterans 12-Step Group Participation and Outcomes Over One Year. Paper presented at: Research Society on Alcoholism Annual Scientific Meeting; 2008 Jun 30; Washington, DC.
  62. Timko C, Sutkowi A, Pavao J, Kimerling R. Women's childhood and adult victimization, mental health, and binge drinking. Poster session presented at: Research Society on Alcoholism Annual Scientific Meeting; 2008 Jun 30; Washington, DC.
  63. Timko C, Fung K, Sutkowi A, Ramirez H, Lemke S. Evaluating an intervention to engage homeless, substance abusing veterans in treatment. Paper presented at: American Psychological Association Annual Convention; 2007 Aug 20; San Francisco, CA.
  64. Timko C. Advances in health services research for alcohol problems. Paper presented at: Research Society on Alcoholism Annual Scientific Meeting; 2007 Jul 7; Chicago, IL.
  65. Weaver C, Crawford E, DeBenedetti A, Rosen C, McKellar J, Timko C, Trafton JA, Kimerling R. Preventing chronicity and relapse in SUD/PTSD: Research issues. Paper presented at: VA HSR&D National Meeting; 2007 Feb 21; Arlington, VA.
  66. Cronkite R, Timko C, Swindle R, Robinson R, Moos RH. Impaired mood and social functioning among adult children of depressed parents. Paper presented at: Institute on Psychiatric Services Annual Meeting; 2006 Oct 5; New York, NY.
  67. Cronkite RC, Timko C, Swindle R, Robinson R, Moos RH. Functioning of adult offspring of depressed parents: A 23-year follow-up. Poster session presented at: Institute on Psychiatric Services Annual Meeting; 2006 Oct 5; New York, NY.
  68. Cronkite RC, Timko C, Swindle R, Robinson R, Moos RH. Impaired mood and social functioning among adult children of depressed parents. Paper presented at: American Psychiatric Association Annual Meeting; 2006 May 23; Toronto, Canada.
  69. Debenedetti A, Timko C. Veteran substance use disorder patients with fewer resources benefit more from 12-step groups. Paper presented at: VA HSR&D National Meeting; 2006 Feb 1; Arlington, VA.
  70. Burling AS, Burling TA, Levine RE, Shore KK, Timko C. Smoking policies and services in residential drug/alcohol programs: Current status. Paper presented at: Treatment of Addictive Behaviors Annual International Conference; 2006 Jan 1; Santa Fe, NM.
  71. Burling AS, Levine RE, Burling TA, Shore KK, Timko C. Drug/alcohol policies and services in residential treatment programs: Current status, interrelationships, and impacts on outcome. Paper presented at: Treatment of Addictive Behaviors Annual International Conference; 2006 Jan 1; Santa Fe, NM.
  72. Burling AS, Shore KS, Burling TA, Levine R, Timko C. Smoking policies and services in residential substance abuse treatment: Key findings. Paper presented at: RWJ Foundation Substance Abuse Policy Research Program Annual Meeting; 2005 Dec 1; Tucson, AZ.
  73. Burling A, Shore KK, Burling TA, Levine RE, Timko C. Relationships Between Residential Substance Abuse Program Characteristics and Smoking Policies/Services. Paper presented at: AcademyHealth Annual Research Meeting; 2005 Jun 1; Boston, MA.
  74. Timko C, DeBenedetti AF, Moos RH. The 8-year course of alcohol use disorders: Gender differences in social context and coping. Paper presented at: Research Society on Alcoholism Annual Scientific Meeting; 2005 Jun 1; Santa Barbara, CA.
  75. DeBenedetti AF, Moos RH, Timko C. Services for Dual Diagnosis Patients in the Psychiatric and Substance Abuse Systems. Paper presented at: VA HSR&D National Meeting; 2005 Feb 1; Baltimore, MD.
  76. Burling AS, Shore KS, Burling TA, Levine R, Timko C. Smoking and Drug/Alcohol Use Policies in Substance Abuse Treatment. Paper presented at: RWJ Foundation Substance Abuse Policy Research Program Annual Meeting; 2004 Dec 1; Charleston, SC.
  77. Burling A, Shore K, Lahey M, Timko C, Burling T, Carlson E. Organizational Capacity in Substance Abuse Treatment Agencies. Paper presented at: AcademyHealth Annual Research Meeting; 2004 Jun 1; San Diego, CA.
  78. Timko C. Eight-Year AA Attendance and Drinking Outcomes Among Initially Untreated Alcoholics. Paper presented at: Research Society on Alcoholism Annual Scientific Meeting; 2004 Jun 1; Vancouver, Canada.
  79. Humphreys K, Timko C, Moos RH. Why do help-seeking alcohol dependent women often have better outcomes than men. Paper presented at: Kettil Bruun Society for Social and Epidemiological Research on Alcohol Annual Symposium; 2002 Oct 15; Stockholm, Sweden.
  80. Timko C, Sempel J, Moos RH. Models of Standard and Intensive Outpatient Care in Substance Abuse and Psychiatric Treatment. Paper presented at: VA HSR&D National Meeting; 2002 Feb 1; Washington, DC.
  81. Timko C. Person-environment psychology and mental health. Paper presented at: American Psychological Association Annual Convention; 2001 Aug 1; San Francisco, CA.
  82. Timko C, Moos R. Breaking into the black box of therapeutic communities: Studying organizational and treatment practices. Paper presented at: National Institute on Drug Abuse Annual Conference; 2000 Aug 1; San Francisco, CA.
  83. Timko C, Moos R, Finney J. Person-environment matching in substance abuse and psychiatric treatment. Paper presented at: American Psychological Association Annual Convention; 2000 Aug 1; Washington, DC.


DRA: Health Systems, Mental, Cognitive and Behavioral Disorders, Substance Abuse and Addiction
DRE: Epidemiology, Treatment - Observational, Prognosis
Keywords: Career Development, Dual diagnosis – substance abuse and mental health, Patient outcomes
MeSH Terms: none