Physicians

Division Head, Social and Community Psychiatry

Department / Division
Psychiatry / Social & Community Psychiatry

Address
DUMC 3173
Durham, NC 27710

Appointment Telephone
919-684-8676, 919-684-3332

Office Telephone
919-684-8676, 919-684-5616

Fax Telephone
919-681-7504

Training

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

Residency

• 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 served 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 served 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 served 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.

Industry Relationships and Collaborations (What's this?)

This faculty member has no reported relationships with industry.

Representative Publications
Swartz, MS; Swanson, JW; Hannon, MJ. Detection of illicit substance use among persons with schizophrenia by radioimmunoassay of hair. Psychiatric Services. 2003;54:891-895. (2003) Abstract

Swartz, MS; Swanson, JW; Hannon, MJ; Bosworth, HS; Osher, FC; Essock, SM; Rosenberg, SD; Five-Site Health and Risk Study Research Committee. Regular sources of medical care among persons with severe mental illness at risk of hepatitis C infection. Psychiatric Services. 2003;54:854-859. (2003) Abstract

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. American Journal of Psychiatry. 2003;160:1139-1146. (2003) 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. American Journal of Public Health. 2002;92:1523-1531. (2002) Abstract

Swartz, MS; Wagner, HR; Swanson, JW; Hiday, VA; Burns, BJ. The perceived coerciveness of involuntary outpatient commitment: findings from an experimental study. Journal of the American Academy of Psychiatry and the Law. 2002;30:207-217. (2002) Abstract

Monahan, J; Bonnie, RJ; Appelbaum, PS; Hyde, PS; Steadman, HJ; Swartz, MS. Mandated community treatment: beyond outpatient commitment. Psychiatric Services. 2001;52:1198-1205. (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. American Journal of Public Health. 2001;91:31-37. (2001) Abstract

Swartz, MS; Monahan, J. Special section on involuntary outpatient commitment: introduction. Psychiatric Services. 2001;52:323-324. (2001) Abstract

Swartz, MS; Swanson, JW; Hiday, VA; Wagner, HR; Burns, BJ; Borum, R. A randomized controlled trial of outpatient commitment in North Carolina. Psychiatric Services. 2001;52:325-329. (2001) 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. Journal of Nervous and Mental Disease. 2001;189:583-592. (2001) 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. British Journal of Psychiatry. 2000;176:324-331. (2000) Abstract

Swanson, JW; Tepper, MC; Backlar, P; Swartz, MS. Psychiatric advance directives: an alternative to coercive treatment?. Psychiatry: interpersonal and biological processes. 2000;63:160-172. (2000) Abstract

Hiday, VA; Swartz, MS; Swanson, JW; Borum, R; Wagner, HR. Criminal victimization of persons with severe mental illness. Psychiatric Services. 1999;50:62-68. (1999) 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. American Journal of Psychiatry. 1999;156:1968-1975. (1999) 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. American Journal of Psychiatry. 1998;155:226-231. (1998) 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. Social Psychiatry and Psychiatric Epidemiology. 1998;33 Suppl 1:S75-S80. (1998) Abstract

Swartz, MS. What constitutes a psychiatric emergency: clinical and legal dimensions. Journal of the American Academy of Psychiatry and the Law. 1987;15:57-68. (1987) Abstract