John C. Fortney, PhD

Contact information for this researcher is no longer available, but you can still access their previous work.

Completed Projects - (3)
Publications - (13)

Completed Projects - (3)

Identifying At-Risk Rural Areas for Targeting Enhanced Depression Treatment
This project will identify characteristics of rural areas that are associated with increased risk of depression-related hospitalizations, and will identify high risk rural areas within the U.S. that should be targeted for early adoption of enhanced depression treatment models based on patient need.
Research center: WICHE Center for Rural Mental Health Research
Topic: Mental and behavioral health
Identifying At-Risk Rural Areas for Targeting Enhanced Schizophrenia Treatment
The goal of this project is to identify rural areas that should be targeted for early adoption of evidence-based schizophrenia treatment. This project proposes a scientifically-based method to identify counties in greatest need for quality improvement to inform national, regional, and local decision-makers about distributing scarce resources to areas which would most benefit from improved schizophrenia treatment.
Research center: WICHE Center for Rural Mental Health Research
Topic: Mental and behavioral health
Rural-Urban Differences In The Use, Type, And Quality Of Depression Treatment
As access to evidence-based treatment for affective disorders (major depressive disorder, dysthymia, and bipolar disorder) improves in urban areas, it is critical to monitor rural-urban differences in the use and quality of treatment over time to identify and address rural disparities, especially for vulnerable populations such as the elderly and ethnic minorities.
Research center: WICHE Center for Rural Mental Health Research
Topics: Aging, Health disparities and health equity, Mental and behavioral health, Minority health

Publications - (13)

2010

Assessment of the Mental Health Funding Marketplace in Urban vs. Rural Settings for Individuals With Serious Mental Illness (Findings Brief)
WICHE Center for Rural Mental Health Research
Date: 03/2010
This study was designed to assess the impact of rurality on the source of payment for mental health treatments and determine whether urban-rural differences in payment sources vary for the seriously mentally ill relative to all other mental health conditions.
Assessment of the Mental Health Funding Marketplace in Rural vs. Urban Settings (Working Paper)
WICHE Center for Rural Mental Health Research
Date: 02/2010
Rural residents are less likely to have mental health services funded through private insurance and more likely through public sources than urban residents, suggesting that targeting policies through public funding sources could be the most effective method to reduce urban-rural disparities in mental healthcare.

2009

Rural-Urban Differences in Depression Care (Working Paper)
WICHE Center for Rural Mental Health Research
Date: 10/2009
This paper assesses the association between rurality and depression care. It reports that rural individuals are more reliant on pharmacotherapy than psychotherapy.
The Association Between Rural Residence and the Use, Type, and Quality of Depression Care
Policy Brief
WICHE Center for Rural Mental Health Research
Date: 05/2009
The purpose of the project was to assess the association between rurality and the use, type (pharmacotherapy versus psychotherapy), and quality of care among individuals in the Medical Expenditure Panel Survey with self-reported depression.

2006

Differential Effectiveness of Depression Disease Management for Rural and Urban Primary Care Patients
Journal Article
WICHE Center for Rural Mental Health Research
Date: 09/2006
Is there a differential impact of enhanced depression care on patient outcomes in rural vs. urban primary care settings? Differences may be mediated by receiving evidence-based care (pharmacotherapy and specialty care counseling). Findings indicate that care for depression improved mental health for urban populations, but not rural patients.

2005

Community-Level Risk Factors for Depression Hospitalizations
Policy Brief
WICHE Center for Rural Mental Health Research
Date: 09/2005
This policy brief examines the association between depression hospitalization rates and community-level socio-demographic, economic, and healthcare system characteristics.
Differential Effectiveness of Enhanced Depression Treatment for Rural and Urban Primary Care Patients
WICHE Center for Rural Mental Health Research
Date: 09/2005
This paper explored whether a depression disease management program has a comparable impact on clinical outcomes over two years in patients treated in rural and urban primary care practices.
Are Primary Care Services a Substitute or Complement for Specialty and Inpatient Services?
Journal Article
WICHE Center for Rural Mental Health Research
Date: 2005
Analyses show primary care service use increases were associated with increases in all specialty outpatient services and inpatient services, as well as increases in inpatient/outpatient costs. Results show that health systems can implement strategies encouraging members to use more primary care services without driving up physical health costs.
Does Improving Geographic Access to VA Primary Care Services Impact Patients' Patterns of Utilization and Costs?
Journal Article
WICHE Center for Rural Mental Health Research
Date: 2005
This article examines whether the establishment of community-based outpatient clinics has affected access, use, and costs for the Department of Veterans Affairs.
One Size Fits Some: The Impact of Patient Treatment Attitudes on the Cost-Effectiveness of a Depression Primary Care Intervention
Journal Article
WICHE Center for Rural Mental Health Research
Date: 2005
This study reports the estimated impact of patient receptivity to antidepressant medication on the cost-effectiveness of an evidence-based primary-care depression intervention.

2003

Rural-Urban Difference in Health Care Benefits of Community-Based Sample of At-Risk Drinkers
Journal Article
WICHE Center for Rural Mental Health Research
Date: 2003
Compares the cost-containment strategies used by health plans of insured at-risk drinkers residing in rural and urban areas.

Unknown year

Assessment of the Mental Health Funding Marketplace in Urban vs. Rural Settings (Summary Brief)
WICHE Center for Rural Mental Health Research
Data from the National Comorbidity Survey Replication show that rural individuals with mental health problems are significantly less likely to receive mental health services than individuals in urban and suburban areas.
The Association Between Rural Residence and the Use, Type, and Quality of Depression Care (Final Paper)
WICHE Center for Rural Mental Health Research
Rural individuals are more reliant on pharmacotherapy than psychotherapy, which may be a concern if this is due to poor access to psychotherapy rather than a preference for antidepressants.