Jennifer Havens, M.D.

Making psychiatric emergency services work better for children and families
Havens, Jennifer F
2011 Nov;50(11):1093-1094, Journal of the American Academy of Child & Adolescent Psychiatry
— id: 139750, year: 2011, vol: 50, page: 1093, stat: Journal Article,

Implementation of CBT for Youth Affected by the World Trade Center Disaster: Matching Need to Treatment Intensity and Reducing Trauma Symptoms
Hoagwood, Kimberly Eaton; Felton, Chip; Donahue, Sheila; Appel, Anita; Rodriguez, James; Murray, Laura; Fernandez, David; Legerski, Joanna; Chung, Michelle; Gisis, Jacob; Sawaya, Jennifer; Weaver, Jamie; Mehta, Sudha; Levitt, Jessica Mass; Radigan, Marleen; Foster, Jameson; Abramovitz, Robert; Abright, Reese; D'Amico, Peter; Constantino, Giussepe; Epstein, Carrie; Havens, Jennifer; Kaplan, Sandra; Newcorn, Jeffrey; Perez, Moises; Silva, Raul; de Bocanegra, Heike Thiel; Vogel, Juliet
2010 DEC ;23(6):699-707, Journal of traumatic stress
An implementation study of cognitive-behavioral therapies (CBT) was conducted for traumatized youth in a postdisaster context. Headed by the New York State Office of Mental Health, the study targeted youth (N = 306) ages 5-21 affected by the World Trade Center disaster. They received either trauma-specific CBT or brief CBT skills depending upon the severity of trauma symptoms. Clinicians were trained to deliver these interventions and received monthly consultation. A regression discontinuity design was used to assess optimal strategies for matching need to service intensity. At 6-months postbaseline, both groups had improved. Rate of change was similar despite differences in severity of need. The implications for the implementation of evidence-based treatments postdisaster are discussed
— id: 121339, year: 2010, vol: 23, page: 699, stat: Journal Article,

Adherence to antiretroviral medications and medical care in HIV-infected adults diagnosed with mental and substance abuse disorders
Mellins, Claude Ann; Havens, Jennifer F; McDonnell, Cheryl; Lichtenstein, Carolyn; Uldall, Karina; Chesney, Margaret; Santamaria, E Karina; Bell, James
2009 Feb;21(2):168-177, AIDS Care
This paper examines factors associated with adherence to antiretroviral medications (ARVs) in an HIV-infected population at high risk for non-adherence: individuals living with psychiatric and substance abuse disorders. Data were examined from baseline interviews of a multisite cohort intervention study of 1138 HIV-infected adults with both a psychiatric and substance abuse disorder (based on a structured psychiatric research interview using DSM-IV criteria). The baseline interview documented mental illness and substance use in the past year, mental illness and substance abuse severity, demographics, service utilization in the past three months, general health and HIV-related conditions, self-reported spirituality and self-reported ARV medication use. Among the participants, 62% were prescribed ARVs at baseline (n = 542) and 45% of those on ARVs reported skipping medications in the past three days. Reports of non-adherence were significantly associated with having a detectable viral load (p<.01). The factors associated with non-adherence were current drug and alcohol abuse, increased psychological distress, less attendance at medical appointments, non-adherence to psychiatric medications and lower self-reported spirituality. Increased psychological distress was significantly associated with non-adherence, independent of substance abuse (p<.05). The data suggest that both mental illness and substance use must be addressed in HIV-infected adults living with these co-morbid illnesses to improve adherence to ARVs
— id: 96610, year: 2009, vol: 21, page: 168, stat: Journal Article,

Implementing CBT for traumatized children and adolescents after september 11: lessons learned from the Child and Adolescent Trauma Treatments and Services (CATS) Project
Steinberg, Allan; Appel, Anita; Mannarino, Anthony; Epstein, Carrie; Felton, Chip; Layne, Christopher M.; Fernandez, David; Constantino, Giussepe; de Bocanegra, Heike Thiel; Gisis, Jacob; Rodriguez, James; Foster, Jameson; Newcorn, Jeffrey; Havens, Jennifer; Sawaya, Jennifer; Levitt, Jessica Mass; Legerski, Joanna; Cappelleri, Joseph; Cohen, Judith; Vogel, Juliet; Hoagwood, Kimberly Eaton; Murray, Laura; Palinkas, Lawrence; Bickman, Leonard; Radigan, Marleen; McKay, Mary; Crowe, Maura; Chung, Michelle; Perez, Moises; D'Amico, Peter; Jensen, Peter S.; Silva, Raul; Abright, Reese; Abramovitz, Robert; Pynoos, Robert; Kaplan, Sandra; Donahue, Sheila; Mehta, Sudha; Marcus, Sue; Essock, Susan; Silverman, Wendy; Saltzman, William R.
2007 Oct-Dec;36(4):581-592, Journal of clinical child & adolescent psychology
The Child and Adolescent Trauma Treatments and Services Consortium (CATS) was the largest youth trauma project associated with the September 11 World Trade Center disaster. CATS was created as a collaborative project involving New York State policymakers; academic scientists; clinical treatment developers; and routine practicing clinicians, supervisors, and administrators. The CATS project was established to deliver evidence-based cognitive-behavioral trauma treatments for children and adolescents affected by the September 11 terrorist attack in New York City and to examine implementation processes and outcomes associated with delivery of these treatments. Referrals were obtained on 1,764 children and adolescents; of these, 1,387 were subsequently assessed with a standardized clinical battery and 704 found to be eligible for services. Ultimately 700 youth participated in the project. Treatments were delivered in either school or clinic settings by clinicians employed in 9 provider organizations in New York City. All participating clinicians were trained on the cognitive behavioral therapy models by the treatment developers and received case consultation for 18 months by expert clinician consultants and the treatment developers. The challenges of mounting a large trauma treatment project within routine clinical practices in the aftermath of a disaster and simultaneously evaluating the project have been significant. We outline the major challenges, describe strategies we employed to address them, and make recommendations based on critical lessons learned
— id: 90819, year: 2007, vol: 36, page: 581, stat: Journal Article,