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Denise M. Adams

· Assistant Professor

University of Pennsylvania · Rehabilitation Medicine

Active 2000–2024

h-index20
Citations1.4k
Papers6123 last 5y
Funding
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About

Denise M. Adams, MD, is a Professor of Pediatrics (Oncology) at the Children's Hospital of Philadelphia. She serves as Co-Director of the CVAP Frontier Program and Director of the Complicated Vascular Anomalies Program at the Children’s Hospital of Philadelphia. Dr. Adams is an Attending Physician and a member of the PENN Cancer Center and the PENN Cardiovascular Institute. Her educational background includes a BS in Nursing magna cum laude from Georgetown University in 1982 and an MD in Medicine from Georgetown University School of Medicine in 1988. Her professional focus is on vascular anomalies, with significant contributions to research and clinical care in this area.

Research topics

  • Computer Science
  • Political Science
  • Psychiatry
  • Medicine
  • Clinical psychology
  • Data science
  • Family medicine
  • Psychotherapist
  • Environmental health
  • Knowledge management
  • Business
  • Psychology
  • Medical emergency
  • Public administration

Selected publications

  • Availability and Accessibility of Mental Health Services for Youth: A Descriptive Survey of Safety-Net Health Centers During the COVID-19 Pandemic

    Community Mental Health Journal · 2023 · 14 citations

    1st authorCorresponding
    • Medicine
    • Family medicine
    • Medical emergency

    Community Mental Health Centers (CMHCs) and Federally Qualified Health Centers (FQHCs) are critical access points for families with adolescents needing mental health care, especially those enrolled in Medicaid. However, barriers exist which may reduce their accessibility. This study aims to describe the availability and accessibility of outpatient mental health services for children and adolescents at safety-net health centers in a large metropolitan county. Approximately one year after the COVID-19 pandemic began in the U.S., a comprehensive sample of 117 CMHCs and 117 FQHCs were called and administered a 5-minute survey. Approximately 10% of health centers were closed, and 20% (28.2% of FQHCs and 7.7% of CMHCs) reported not offering outpatient mental health services. Despite CMHCs having 5.4 more clinicians on staff on average, reported wait times were longer at CMHCs than FQHCs. These findings indicate that online directories intended to be a comprehensive and accessible resource, such as the SAMHSA Treatment Locator, are often inaccurate or out-of-date.

  • Simulating the role of knowledge brokers in policy making in state agencies: An agent‐based model

    Health Services Research · 2022 · 29 citations

    • Computer Science
    • Political Science
    • Computer Science

    OBJECTIVE: To model children's mental health policy making dynamics and simulate the impacts of knowledge broker interventions. DATA SOURCES: Primary data from surveys (n = 221) and interviews (n = 64) conducted in 2019-2021 with mental health agency (MHA) officials in state agencies. STUDY DESIGN: A prototype agent-based model (ABM) was developed using the PARTE (Properties, Actions, Rules, Time, Environment) framework and informed through primary data collection. In each simulation, a policy is randomly generated (salience weights: cost, contextual alignment, and strength of evidence) and discussed among agents. Agents are MHA officials and heterogenous in their properties (policy making power and network influence) and policy preferences (based on salience weights). Knowledge broker interventions add agents to the MHA social network who primarily focus on the policy's research evidence. DATA COLLECTION/EXTRACTION METHODS: A sequential explanatory mixed method approach was used. Descriptive and regression analyses were used for the survey data and directed content analysis was used to code interview data. Triangulated results informed ABM development. In the ABM, policy makers with various degrees of decision influence interact in a scale-free network before and after knowledge broker interventions. Over time, each decides to support or oppose a policy proposal based on policy salience weights and their own properties and interactions. The main outcome is an agency-level decision based on policy maker support. Each intervention and baseline simulation runs 250 times across 50 timesteps. PRINCIPAL FINDINGS: Surveys and interviews revealed that barriers to research use could be addressed by knowledge brokers. Simulations indicated that policy decision outcomes varied by policy making context within agencies. CONCLUSIONS: This is the first application of ABM to evidence-informed mental health policy making. Results suggest that the presence of knowledge brokers can: (1) influence consensus formation in MHAs, (2) accelerate policy decisions, and (3) increase the likelihood of evidence-informed policy adoption.

  • Perceptions of Evidence-based Treatment among Youth and Caregivers Receiving Trauma Focused-Cognitive Behavioral Therapy

    Journal of Child and Family Studies · 2020 · 9 citations

    • Psychology
    • Clinical psychology
    • Medicine

Frequent coauthors

Labs

  • Denise M. Adams LaboratoryPI

Education

  • B.S., Nursing

    Georgetown University

    1982
  • M.D.

    Georgetown University School of Medicine

    1988

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