Division Head, Social and Community Psychiatry
Interim Chair, Department of Psychiatry

Department / Division:
Psychiatry and Behavioral Sciences / Social and Community Psychiatry

Address:
DUMC 3173
Durham, NC 27710

Appointment Telephone:
919-684-8676 or 919-684-3332

Office Telephone:
919-684-8676 or 919-684-5616

Fax Telephone:
919-681-7504

• MD, Tufts University School of Medicine (Massachusetts), 1980

• Psychiatry, Duke University Medical Center, 1981-1984

Clinical Interests:
General adult psychiatry; outpatient treatment of adults with neurotic, affective, and psychotic disorders; individual outpatient psychotherapy

Research Interests:
My major research interest is in examining the effectiveness of services for severely mentally ill individuals, including factors that improve or impede good outcomes. Current research includes: the effectiveness of involuntary outpatient commitment, psychiatric advance directives and antipsychotic medications.

I also serve as member of the MacArthur Foundation Research Network on Mandated Community Treatment.  In this and related work we are examining the role legal tools such as Psychiatric Advance Directives may play in improving outcomes for persons with severe mental illness. In this regard, I serve as Co-PI with Jeffrey Swanson of a NIMH study examining the  effectiveness of Psychiatric Advance Directives and a MacArthur Foundation grant supporting their dissemination. We are also evaluating New York's Assisted Outpatient Treatment Program (Kendra's Law) and estimating the cost of criminal justice involvement in severely mentally ill individuals.  

I am also involved in clinical trials in schizophrenia and serve as Co-PI of the NIMH funded Clinical Antipsychotics Trials of Intervention Effectiveness study investigating the role of antipsychotics in treatment outcomes in schizophrenia and Alzheimer’s Disease.

Representative Publications:
Swartz MS, Swanson JW, Wagner HR, Hannon MJ, Burns BJ, Shumway M. Assessment of four stakeholder groups' preferences concerning outpatient commitment for persons with schizophrenia. Am J Psychiatry. 2003 Jun;160(6):1139-46. (2003) Abstract

Swartz MS, Swanson JW, Hannon MJ. Detection of illicit substance use among persons with schizophrenia by radioimmunoassay of hair. Psychiatr Serv. 2003 Jun;54(6):891-5. (2003) Abstract

Swartz MS, Swanson JW, Hannon MJ, Bosworth HS, Osher FC, Essock SM, Rosenberg SD. Blood-borne infections and persons with mental illness: regular sources of medical care among persons with severe mental illness at risk of hepatitis C infection. Psychiatr Serv. 2003 Jun;54(6):854-9. (2003) Abstract

Swartz MS, Wagner HR, Swanson JW, Hiday VA, Burns BJ. The perceived coerciveness of involuntary outpatient commitment: findings from an experimental study. J Am Acad Psychiatry Law. 2002;30(2):207-17. (2002) Abstract

Swanson JW, Swartz MS, Essock SM, Osher FC, Wagner HR, Goodman LA, Rosenberg SD, Meador KG. The social-environmental context of violent behavior in persons treated for severe mental illness. Am J Public Health. 2002 Sep;92(9):1523-31. (2002) Abstract

Swartz MS, Swanson JW, Wagner HR, Burns BJ, Hiday VA. Effects of involuntary outpatient commitment and depot antipsychotics on treatment adherence in persons with severe mental illness. J Nerv Ment Dis. 2001 Sep;189(9):583-92. (2001) Abstract

Swartz MS, Swanson JW, Hiday VA, Wagner HR, Burns BJ, Borum R. A randomized controlled trial of outpatient commitment in North Carolina. Psychiatr Serv. 2001 Mar;52(3):325-9. (2001) Abstract

Swartz MS, Monahan J. Special section on involuntary outpatient commitment: introduction. Psychiatr Serv. 2001 Mar;52(3):323-4. (2001) Abstract

Rosenberg SD, Goodman LA, Osher FC, Swartz MS, Essock SM, Butterfield MI, Constantine NT, Wolford GL, Salyers MP. Prevalence of HIV, hepatitis B, and hepatitis C in people with severe mental illness. Am J Public Health. 2001 Jan;91(1):31-7. (2001) Abstract

Monahan J, Bonnie RJ, Appelbaum PS, Hyde PS, Steadman HJ, Swartz MS. Mandated community treatment: beyond outpatient commitment. Psychiatr Serv. 2001 Sep;52(9):1198-205. (2001) Abstract

Swanson JW, Tepper MC, Backlar P, Swartz MS. Psychiatric advance directives: an alternative to coercive treatment? Psychiatry. 2000 Summer;63(2):160-72. (2000) Abstract

Swanson JW, Swartz MS, Borum R, Hiday VA, Wagner HR, Burns BJ. Involuntary out-patient commitment and reduction of violent behaviour in persons with severe mental illness. Br J Psychiatry. 2000 Apr;176:324-31. (2000) Abstract

Swartz MS, Swanson JW, Wagner HR, Burns BJ, Hiday VA, Borum R. Can involuntary outpatient commitment reduce hospital recidivism?: Findings from a randomized trial with severely mentally ill individuals. Am J Psychiatry. 1999 Dec;156(12):1968-75. (1999) Abstract

Hiday VA, Swartz MS, Swanson JW, Borum R, Wagner HR. Criminal victimization of persons with severe mental illness. Psychiatr Serv. 1999 Jan;50(1):62-8. (1999) Abstract

Swartz MS, Swanson JW, Hiday VA, Borum R, Wagner R, Burns BJ. Taking the wrong drugs: the role of substance abuse and medication noncompliance in violence among severely mentally ill individuals. Soc Psychiatry Psychiatr Epidemiol. 1998 Dec;33 Suppl 1:S75-80. (1998) Abstract

Swartz MS, Swanson JW, Hiday VA, Borum R, Wagner HR, Burns BJ. Violence and severe mental illness: the effects of substance abuse and nonadherence to medication. Am J Psychiatry. 1998 Feb;155(2):226-31. (1998) Abstract

Swartz MS. What constitutes a psychiatric emergency: clinical and legal dimensions. Bull Am Acad Psychiatry Law. 1987;15(1):57-68. (1987) Abstract