Photo of Steven K. Dobscha, M.D.

Steven K. Dobscha M.D.

  • (503) 220-8262
    • Professor of Psychiatry School of Medicine

Dr. Dobscha is Principal Investigator on research projects exploring interactions of primary care teams with Veterans prior to suicide; measuring effectiveness of smart phone applications for enhancing distress tolerance; examining stakeholder perspectives on the use of OpenNotes in mental health settings; and identifying predictors of improvements in pain scores among older Veterans. His research interests also include approaches to integrating psychiatric and primary medical care and managing chronic conditions including chronic pain in primary care.

Bush NE, Dobscha SK, Crumpton R, et al. A Virtual Hope Box Smartphone App as an Accessory to Therapy: Proof-of-Concept in a Clinical Sample of Veterans. Suicide & Life-Threatening Behavior, 45, 1 2015. DOI: 10.1111/sltb.12103 Plagge JM, Lu MW, Lovejoy TI, Karl AI, Dobscha SK. Treatment of Comorbid Pain and PTSD in Returning Veterans: A Collaborative Approach Utilizing Behavioral Activation. Pain Medicine, 14(8):1164-72, 2013. Lu MW, Plagge JM, Marsiglio MS, Dobscha SK. Clinician Documentation on Receipt of Trauma-Focused Evidence-Based Psychotherapies in a VA PTSD Clinic. Journal of Behavioral Health Denneson LM, Teo AR, Ganzini L, Helmer DA, Bair MJ, Dobscha SK. Military veterans’ experiences with suicidal ideation: Implications for intervention and prevention. Suicide and Life-Threatening Behavior, available Epub 11/3/2014 ahead of print; doi 10.1111.sltb.12136 Dobscha SK, Corson K, Hickam DH, Perrin NA, Kraemer DF, Gerrity MS. Depression decision support in primary care: A cluster-randomized trial. Annals of Internal Medicine, 145:477-487, 2006. Dobscha SK, Corson K, Perrin NA, Hanson GC, Leibowitz RQ, Dickinson KC, Sullivan MD, Gerrity MS. Collaborative care for chronic pain in primary care: A Cluster-Randomized Trial. JAMA, 301(12):1242-1252, 2009 Dobscha SK, Leibowitz RQ, Flores JA, Doak M, Gerrity MS. Primary care provider preferences for working with a collaborative support team. Implementation Science, 2:16. DOI:10.1186/1748-5908-2-16, 2007. Corson K, Gerrity MS, Dobscha SK: Screening for depression and suicidality in a VA primary care setting: Two items are better than one. American Journal of Managed Care, 10:839-845, 2004. Dobscha SK, Denneson LM, Kovas AE, Teo A, Forsberg CS, Kaplan MS, Bossarte R, McFarland BH. Correlates of suicide among veterans treated in primary care: Case-control study of a nationally representative sample. JGIM, 4:853-60, 2014. doi: 10.1007/s11606-014-3028-1 . Dobscha SK, Denneson LM, Kovas AE, Teo A, Forsberg CS, Kaplan MS, Bossarte R, McFarland BH. Correlates of suicide among veterans treated in primary care: Case-control study of a nationally representative sample. JGIM, 4:853-60, 2014. doi: 10.1007/s11606-014-3028-1. Dobscha SK, Corson K, Helmer D, Bair M, Denneson LM, Brandt C, Beane A, Ganzini L. Brief assessment for suicidal ideation in OEF/OIF veterans with positive depression screens. General Hospital Psychiatry, 35(3):272-278, 2013.
Dobscha SK, Denneson LM, Kovas AE, Corson K, Helmer DA, Bair MJ. Primary Care Clinician Responses to Positive Suicidal Ideation Risk Assessments in Veterans of Iraq and Afghanistan. General Hospital Psychiatry, 36(3):310-317, 2014. Dobscha SK, Soleck GD, Dickinson KC, Burgess DJ, Lasarev MR, Lee ES, McFarland BH.Associations between race and ethnicity and treatment for chronic pain in the VA. Journal of Pain, 10(10):1078-1087, 2009 . Morasco BJ, Duckart JP, Carr TP, Deyo RA, Dobscha SK. Clinical characteristics of veterans prescribed high doses of opioid medications for chronic non-cancer pain. Pain 151:625-632, 2010. Dobscha SK, Morasco BJ, Duckart JP, Macey T. Correlates of prescription opioid initiation and long-term opioid use in veterans with persistent pain. Clinical Journal of Pain, 29:102–108, 2013. Morasco BJ, Turk DC, Donovan DM, Dobscha SK. Risk for prescription opioid misuse among patients with a history of substance use disorder. Drug and Alcohol Dependence, 127;193-199, 2013. Dobscha SK, Heintz RT, Press N, Ganzini L: Oregon physicians’ responses to requests for assisted suicide: A qualitative study. Journal of Palliative Medicine, 7:451-461, 2004. Ganzini L, Dobscha SK, Heintz RT, Press N: Oregon physicians' perceptions of patients who request assisted suicide and their families. Journal of Palliative Medicine, 6:381-390, 2003. Ganzini L, Goy ER, Dobscha SK. Prevalence of depression and anxiety in patients requesting physician aid in dying. British Medical Journal, 337:a1682, 2008. Ganzini L, Goy ER, Dobscha SK. Oregonians’ reasons for requesting physician aid in dying. Archives of Internal Medicine, 169:489-492, 2009. Dobscha SK, Ganzini L: A program for teaching psychiatry residents to provide integrated psychiatric and primary medical care. Psych. Services, 52:1651-1653, 2001. Dobscha SK, Snyder KM, Corson K, Ganzini L. Psychiatry resident graduate comfort with general medical issues:  Impact of an integrated psychiatry-primary medical care training track. Academic Psychiatry, 29:448-451, 2005.

Education

  • B.A., University of California, Berkeley California 1983
  • M.D., Yale University School of Medicine, New Haven Connecticut 1988
  • Residency:

    • UCLA Neuropsychiatric Institute/Brentwood VA, 2005

Memberships and associations

  • Director, VA Health Services Research and Development Center

Publications

  • "Why Oregon patients request assisted death" Journal of General Internal Medicine August 2008
  • "Correlates of prescription opioid initiation and long-term opioid use in veterans with persistent pain" Clinical Journal of Pain February 2013
  • "Depression treatment preferences of VA primary care patients" Psychosomatics November 2007
  • "Trust is the basis for effective suicide risk screening and assessment in veterans" Journal of General Internal Medicine September 2013
  • "Clinical outcomes of integrated psychiatric and general medical care" Community Mental Health Journal June 2008
  • "Primary care clinician responses to positive suicidal ideation risk assessments in veterans of Iraq and Afghanistan" General Hospital Psychiatry  2014
  • "Comment on ganzini and dobscha regarding comparing rates of physician-assisted suicide in oregon with that of other states" Journal of Clinical Ethics December 2004
  • "Primary care provider preferences for working with a collaborative support team" Implementation Science  2007
  • "Military Veterans' Experiences with Suicidal Ideation" Suicide and Life-Threatening Behavior August 1 2015
  • "Oregon physicians' responses to requests for assisted suicide" Journal of Palliative Medicine June 2004
  • "Correlates of Suicide Among Veterans Treated in Primary Care" Journal of General Internal Medicine  2014
  • "Pain, Substance Use Disorders and Opioid Analgesic Prescription Patterns in Veterans with Hepatitis C" Journal of Pain and Symptom Management July 2008
  • "The effects of age on initiation of mental health treatment after positive PTSD screens among Veterans Affairs primary care patients" General Hospital Psychiatry November 2012
  • "Mental health utilization of new-to-care Iraq and Afghanistan Veterans following suicidal ideation assessment" Psychiatry Research July 30 2014
  • "Associations Between Race and Ethnicity and Treatment for Chronic Pain in the VA" Journal of Pain October 2009
  • "Patterns and Correlates of Prescription Opioid Use in OEF/OIF Veterans with Chronic Noncancer Pain" Pain Medicine October 2011
  • "Depression and suicidal ideation in patients who discontinue the life-support treatment of dialysis" Psychosomatic Medicine November 2002
  • "Measuring adherence to depression treatment guidelines in a VA primary care clinic" General Hospital Psychiatry July 2003
  • "Treatment of comorbid pain and PTSD in returning veterans" Pain Medicine August 2013
  • "Rationale, design, and baseline findings from a randomized trial of collaborative care for chronic musculoskeletal pain in primary care" Pain Medicine  2008
  • "Reducing drug costs at a Veterans Affairs hospital by increasing market-share of generic fluoxetine" Community Mental Health Journal February 2007
  • "Adherence with referrals for outpatient follow-up from a VA psychiatric emergency room" Community Mental Health Journal  1999
  • "Brief assessment for suicidal ideation in OEF/OIF veterans with positive depression screens" General Hospital Psychiatry May 2013
  • "Pain-related anxiety mediates the relationship between depressive symptoms and pain interference in veterans with hepatitis C" General Hospital Psychiatry November 1 2015
  • "Why Oregon patients request assisted death" Journal of General Internal Medicine February 2008
  • "The relationship between PTSD and chronic pain" Pain April 2013
  • "Characteristics and VA health care utilization of U.S. Veterans who completed suicide in Oregon between 2000 and 2005" Suicide and Life-Threatening Behavior June 2011
  • "Use of videoconferencing for depression research" Telemedicine and e-Health February 2005
  • "Risk for prescription opioid misuse among patients with a history of substance use disorder" Drug and Alcohol Dependence January 1 2013
  • "Associations between race and ethnicity and receipt of advice about alcohol use in the department of veterans affairs" Psychiatric Services May 2009

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