Marvin S. Swartz, MD


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Professor in Psychiatry and Behavioral Sciences
Division Head, Social and Community Psychiatry
Department / Division:
Psychiatry / Social & Community Psychiatry
DUMC 3173
Durham, NC 27710
Appointment Telephone:
919-684-8676, 919-684-3332
Office Telephone:
  • 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 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.
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.  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.  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.  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.  Abstract
  • Swartz, MS; Wagner, HR; Swanson, JW; Hiday, VA; Burns, BJ. The perceived coerciveness of involuntary outpatient commitment: findings from an experimental study. The journal of the American Academy of Psychiatry and the Law. 2002;30:207-217.  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.  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.  Abstract
  • Swartz, MS; Monahan, J. Special section on involuntary outpatient commitment: introduction. Psychiatric Services. 2001;52:323-324.  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.  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.  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. The British journal of psychiatry : the journal of mental science. 2000;176:324-331.  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.  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.  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.  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.  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.  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.  Abstract