Jeffrey W. Swanson, PhD, MA

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Professor in Psychiatry and Behavioral Sciences
Department / Division:
Psychiatry / Social & Community Psychiatry
Address:
Brightleaf Sq Ste 23A
905 W Main St
Durham, NC 27701
Office Telephone:
(919) 682-4827
Training:
  • PhD, Yale University, 1985
  • MA, Yale University, 1980
Research Interests:
Jeffrey Swanson is Professor in Psychiatry and Behavioral Sciences at Duke University School of Medicine. He is a medical sociologist (PhD, Yale, 1985) with expertise in psychiatric epidemiology, mental health services effectiveness research, and mental health law and policy studies. He received the 2011 Carl Taube Award from the American Public Health Association and the 2010 Eugene C. Hargrove, MD Award from the North Carolina Psychiatric Foundation, both for outstanding career contributions to mental health research. Dr. Swanson is co-director of the UNC-Chapel Hill/Duke Postdoctoral Training Program in Mental Health and Substance Abuse Services and Systems Research. He is a Faculty Fellow at the Duke Center for Child and Family Policy. He also directs research for the National Resource Center on Psychiatric Advance Directives. Dr. Swanson is the author or co-author of over 180 publications on topics including violence and severe mental illness, the impact of involuntary outpatient commitment law, and psychiatric advance directives. He is currently principal investigator of a multi-site study on firearms laws, mental illness and prevention of violence, co-sponsored by the National Science Foundation and the Robert Wood Johnson Foundation's Program on Public Health Law Research (PHLR). He is a key consultant and member of the PHLR program's Methods Core. Dr. Swanson was also PI of the first major study of the implementation of psychiatric advance directive laws for adults with severe mental illness in the United States, funded by a grant from the National Institute of Mental Health and the John D. and Catherine T. MacArthur Foundation. Dr. Swanson was the recipient of an Independent Research Scientist Career Award from the National Institute of Mental Health in support of his research program on violence and severe mental illness. He was a member of the MacArthur Foundation Research Network on Mandated Community Treatment. He served as Associate Editor of Administration and Policy in Mental Health and Mental Health Services Research. Dr. Swanson has served as a consultant to policymakers at the state and national levels, public health care institutions, foundations, corporate research and legal firms.
Representative Publications:
  • Swanson, J. Mental illness and new gun law reforms: The promise and peril of crisis-driven policy. JAMA: Journal of the American Medical Association. 2013;309:1233-1234.  
  • Swanson, JW; Frisman, LK; Robertson, AG; Lin, HJ; Trestman, RL; Shelton, DA; Parr, K; Rodis, E; Buchanan, A; Swartz, MS. Costs of criminal justice involvement among persons with serious mental illness in connecticut. Psychiatric Services. 2013;64:630-637.  Abstract
  • Swanson, JW; Robertson, AG; Frisman, LK; Norko, MA; Lin, HJ; Swartz, MS; Cook, PJ. Preventing gun violence involving people with serious mental illness. Reducing Gun Violence in America. Johns Hopkins University Press.  
  • Swanson, JW; Van Dorn, RA; Swartz, MS; Robbins, PC; Steadman, HJ; McGuire, TG; Monahan, J. The cost of Assisted Outpatient Commitment: Can it save states money?. 2013;  
  • Swartz, MS; Swanson, JW. Economic grand rounds: Can states implement involuntary outpatient commitment within existing state budgets?. Psychiatric Services. 2013;64:7-9.  Abstract
  • Wilder, CM; Swanson, JW; Bonnie, RJ; Wanchek, T; McLaughlin, L; Richardson, J. A survey of stakeholder knowledge, experience, and opinions of advance directives for mental health in Virginia. Administration and Policy in Mental Health and Mental Health Services Research. 2013;40:232-239.  
  • Swanson, J; Gilbert, AR. Mental illness and firearm violence. JAMA: Journal of the American Medical Association. 2011;306:930-931.  Abstract
  • Swanson, JW. Explaining rare acts of violence: the limits of evidence from population research. Psychiatric Services. 2011;62:1369-1371.  Abstract
  • Appelbaum, PS; Swanson, JW. Law & psychiatry: Gun laws and mental illness: how sensible are the current restrictions?. Psychiatric Services. 2010;61:652-654.  Abstract
  • Burris, S; Wagenaar, AC; Swanson, J; Ibrahim, JK; Wood, J; Mello, MM. Making the case for laws that improve health: a framework for public health law research. Milbank Quarterly. 2010;88:169-210.  Abstract
  • Swanson, J. What would Mary Douglas do? A commentary on Kahan et al., "Cultural cognition and public policy: the case of outpatient commitment laws". Law and Human Behavior. 2010;34:176-185.  Abstract
  • Swanson, JW; Van Dorn, RA; Swartz, MS; Cislo, AM; Wilder, CM; Moser, LL; Gilbert, AR; McGuire, TG. Robbing Peter to pay Paul: did New York State's outpatient commitment program crowd out voluntary service recipients?. Psychiatric Services. 2010;61:988-995.  Abstract
  • Swartz, MS; Wilder, CM; Swanson, JW; Van Dorn, RA; Robbins, PC; Steadman, HJ; Moser, LL; Gilbert, AR; Monahan, J. Assessing outcomes for consumers in New York's assisted outpatient treatment program. Psychiatric Services. 2010;61:976-981.  Abstract
  • Volavka, J; Swanson, J. Violent behavior in mental illness: the role of substance abuse. JAMA: Journal of the American Medical Association. 2010;304:563-564.  Abstract
  • Swanson, J; Swartz, M; Van Dorn, RA; Monahan, J; McGuire, TG; Steadman, HJ; Robbins, PC. Racial disparities in involuntary outpatient commitment: are they real?. Health Affairs. 2009;28:816-826.  Abstract
  • Swanson, JW. Preventing the unpredicted: managing violence risk in mental health care. Psychiatric Services. 2008;59:191-193.  Abstract
  • Swanson, JW; Van Dorn, RA; Swartz, MS; Smith, A; Elbogen, EB; Monahan, J. Alternative pathways to violence in persons with schizophrenia: the role of childhood antisocial behavior problems. Law and Human Behavior. 2008;32:228-240.  Abstract
  • Swanson, J; Van Dorn, RA; Swartz, MS. Effectiveness of atypical antipsychotics for substance use in schizophrenia patients. Schizophrenia Research. 2007;94:114-118.  Abstract
  • Swanson, JW; Van McCrary, S; Swartz, MS; Van Dorn, RA; Elbogen, EB. Overriding psychiatric advance directives: factors associated with psychiatrists' decisions to preempt patients' advance refusal of hospitalization and medication. Law and Human Behavior. 2007;31:77-90.  Abstract
  • Swanson, J; Swartz, M; Ferron, J; Elbogen, E; Van Dorn, R. Psychiatric advance directives among public mental health consumers in five U.S. cities: prevalence, demand, and correlates. Journal of the American Academy of Psychiatry and the Law. 2006;34:43-57.  Abstract
  • Swanson, JW; McCrary, SV; Swartz, MS; Elbogen, EB; Van Dorn, RA. Superseding psychiatric advance directives: ethical and legal considerations. Journal of the American Academy of Psychiatry and the Law. 2006;34:385-394.  Abstract
  • Swanson, JW; Swartz, MS; Elbogen, EB; Van Dorn, RA; Ferron, J; Wagner, HR; McCauley, BJ; Kim, M. Facilitated psychiatric advance directives: a randomized trial of an intervention to foster advance treatment planning among persons with severe mental illness. American Journal of Psychiatry. 2006;163:1943-1951.  Abstract
  • Swanson, JW; Swartz, MS; Van Dorn, RA; Elbogen, EB; Wagner, HR; Rosenheck, RA; Stroup, TS; McEvoy, JP; Lieberman, JA. A national study of violent behavior in persons with schizophrenia. Archives of General Psychiatry. 2006;63:490-499.  Abstract
  • Swanson, JW; Van Dorn, RA; Monahan, J; Swartz, MS. Violence and leveraged community treatment for persons with mental disorders. American Journal of Psychiatry. 2006;163:1404-1411.  Abstract
  • Swartz, MS; Swanson, JW; Kim, M; Petrila, J. Use of outpatient commitment or related civil court treatment orders in five U.S. communities. Psychiatric Services. 2006;57:343-349.  Abstract
  • Elbogen, EB; Swanson, JW; Swartz, MS; Van Dorn, R. Family representative payeeship and violence risk in severe mental illness. Law and Human Behavior. 2005;29:563-574.  Abstract
  • Monahan, J; Redlich, AD; Swanson, J; Robbins, PC; Appelbaum, PS; Petrila, J; Steadman, HJ; Swartz, M; Angell, B; McNiel, DE. Use of leverage to improve adherence to psychiatric treatment in the community. Psychiatric Services. 2005;56:37-44.  Abstract
  • Van Dorn, RA; Swanson, JW; Elbogen, EB; Swartz, MS. A comparison of stigmatizing attitudes toward persons with schizophrenia in four stakeholder groups: perceived likelihood of violence and desire for social distance. Psychiatry: interpersonal and biological processes. 2005;68:152-163.  Abstract
  • Van Dorn, RA; Swanson, JW; Swartz, MS; Elbogen, EB. The effects of race and criminal justice involvement on access to atypical antipsychotic medications among persons with schizophrenia. Administration and Policy in Mental Health and Mental Health Services Research. 2005;7:123-134.  Abstract
  • Swanson, JW; Swartz, MS; Elbogen, EB. Effectiveness of atypical antipsychotic medications in reducing violent behavior among persons with schizophrenia in community-based treatment. Schizophrenia Bulletin. 2004;30:3-20.  Abstract
  • Swanson, JW; Swartz, MS; Elbogen, EB; Van Dorn, RA. Reducing violence risk in persons with schizophrenia: olanzapine versus risperidone. Journal of Clinical Psychiatry. 2004;65:1666-1673.  Abstract
  • Swartz, MS; Wagner, HR; Swanson, JW; Elbogen, EB. Consumers' perceptions of the fairness and effectiveness of mandated community treatment and related pressures. Psychiatric Services. 2004;55:780-785.  Abstract
  • Rosenberg, SD; Swanson, JW; Wolford, GL; Osher, FC; Swartz, MS; Essock, SM; Butterfield, MI; Marsh, BJ; Five-Site Health and Risk Study Research Committee. The five-site health and risk study of blood-borne infections among persons with severe mental illness. Psychiatric Services. 2003;54:827-835.  Abstract
  • Swanson, JW; Swartz, MS; Elbogen, EB; Wagner, HR; Burns, BJ. Effects of involuntary outpatient commitment on subjective quality of life in persons with severe mental illness. Behavioral Sciences and the Law. 2003;21:473-491.  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
  • Moss, K; Swanson, J; Ullman, M; Burris, S. Mediation of employment discrimination disputes involving persons with psychiatric disabilities. Psychiatric Services. 2002;53:988-994.  Abstract
  • Silver, E; Mulvey, EP; Swanson, JW. Neighborhood structural characteristics and mental disorder: Faris and Dunham revisited. Social Science and Medicine. 2002;55:1457-1470.  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; 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
  • 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.  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
  • Swanson, J; Borum, R; Swartz, M; Hiday, V. Violent behavior preceding hospitalization among persons with severe mental illness. Law and Human Behavior. 1999;23:185-204.  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
  • Swanson, J; Swartz, M; Estroff, S; Borum, R; Wagner, R; Hiday, V. Psychiatric impairment, social contact, and violent behavior: evidence from a study of outpatient-committed persons with severe mental disorder. Social Psychiatry and Psychiatric Epidemiology. 1998;33 Suppl 1:S86-S94.  Abstract
  • Swanson, J; Estroff, S; Swartz, M; Borum, R; Lachicotte, W; Zimmer, C; Wagner, R. Violence and severe mental disorder in clinical and community populations: the effects of psychotic symptoms, comorbidity, and lack of treatment. Psychiatry: interpersonal and biological processes. 1997;60:1-22.  Abstract
  • Swanson, JW; Swartz, MS; George, LK; Burns, BJ; Hiday, VA; Borum, R; Wagner, HR. Interpreting the effectiveness of involuntary outpatient commitment: a conceptual model. Journal of the American Academy of Psychiatry and the Law. 1997;25:5-16.  Abstract
  • Swanson, JW; McCrary, SV. Medical futility decisions and physicians' legal defensiveness: the impact of anticipated conflict on thresholds for end-of-life treatment. Social Science and Medicine. 1996;42:125-132.  Abstract
  • Swanson, JW; McCrary, SV. Doing all they can: physicians who deny medical futility. Journal of Law, Medicine, and Ethics. 1994;22:318-326.  Abstract
  • Swanson, J; Morrissey, JP; Goldstrom, I; Rudolph, L; Manderscheid, RW. Demographic and diagnostic characteristics of inmates receiving mental health services in state adult correctional facilities: United States, 1988. Mental health statistical note. 1993;1-20.  Abstract
  • Swanson, JW; Holzer, CE; Ganju, VK. Hispanic Americans and the state mental hospitals in Texas: ethnic parity as a latent function of a fiscal incentive policy. Social Science and Medicine. 1993;37:917-926.  Abstract
  • Swanson, JW; Morrissey, JP; Goldstrom, I; Rudolph, L; Manderscheid, RW. Funding, expenditures, and staffing of mental health services in state adult correctional facilities: United States, 1988. Mental health statistical note. 1993;1-20.  Abstract
  • Swanson, JW; Linskey, AO; Quintero-Salinas, R; Pumariega, AJ; Holzer, CE. A binational school survey of depressive symptoms, drug use, and suicidal ideation. Journal of the American Academy of Child and Adolescent Psychiatry. 1992;31:669-678.  Abstract
  • Swanson, JW; Holzer, CE; Ganju, VK; Jono, RT. Violence and psychiatric disorder in the community: evidence from the Epidemiologic Catchment Area surveys. Hospital and Community Psychiatry. 1990;41:761-770.  Abstract