Jeffrey W Swanson

Associate Professor in Psychiatry and Behavioral Sciences and Faculty Fellow of the Center for Child and Family Policy

Jeffrey Swanson is professor in psychiatry and behavioral sciences at Duke University School of Medicine. He is also co-director of the UNC-Chapel Hill/Duke Postdoctoral Training Program in Mental Health and Substance Abuse Services and Systems Research. Swanson is a medical sociologist (Ph.D., Yale, 1985) with expertise in psychiatric epidemiology, mental health services effectiveness, and mental health law and policy studies.

Swanson is the author or co-author of over 150 research publications on topics including violence and severe mental illness, the impact of involuntary outpatient commitment law, and psychiatric advance directives.

Swanson is 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 has served as a consultant to policymakers at the state and national levels, public health care institutions, foundations, corporate research, and legal firms.

Research Interests:

  • Children's Mental Health

Education:

  • Ph.D. Yale University - 1985
  • M.A. Yale University - 1980

Recent Publications (More Publications)

  • J Swanson (2013) Mental Illness and New Gun Law Reforms: The Promise and Peril of Crisis-Driven Policy. JAMA : the journal of the American Medical Association, 1-2, [doi]
  • MS Swartz, JW Swanson (2013) Economic grand rounds: can states implement involuntary outpatient commitment within existing state budgets? Psychiatric services (Washington, D.C.), 64, 7-9, [doi], [abs]
  • CM Wilder, JW Swanson, RJ Bonnie, T Wanchek, L McLaughlin, J Richardson (2012) A Survey of Stakeholder Knowledge, Experience, and Opinions of Advance Directives for Mental Health in Virginia. Administration and policy in mental health, [doi], [abs]
  • J Swanson, AR Gilbert (2011) Mental illness and firearm violence. JAMA : the journal of the American Medical Association, 306, 930-1; author reply 931, [doi]
  • Swanson, J.W. (2011) Explaining rare acts of violence: The limits of population research evidence. Psychiatric Services. 62:1369-1371. ,
  • MS Swartz, CM Wilder, JW Swanson, RA Van Dorn, PC Robbins, HJ Steadman, LL Moser, AR Gilbert, J Monahan (2010) Assessing outcomes for consumers in New York's assisted outpatient treatment program. Psychiatric services (Washington, D.C.), 61, 976-81, [doi], [abs]
  • JW Swanson, RA Van Dorn, MS Swartz, AM Cislo, CM Wilder, LL Moser, AR Gilbert, TG McGuire (2010) Robbing Peter to pay Paul: did New York State's outpatient commitment program crowd out voluntary service recipients? Psychiatric services (Washington, D.C.), 61, 988-95, [doi], [abs]
  • J Volavka, J Swanson (2010) Violent behavior in mental illness: the role of substance abuse. JAMA : the journal of the American Medical Association, 304, 563-4, [doi]
  • PS Appelbaum, JW Swanson (2010) Law & psychiatry: Gun laws and mental illness: how sensible are the current restrictions? Psychiatric services (Washington, D.C.), 61, 652-4, [doi], [abs]
  • S Burris, AC Wagenaar, J Swanson, JK Ibrahim, J Wood, MM Mello (2010) Making the case for laws that improve health: a framework for public health law research. The Milbank quarterly, 88, 169-210, [doi], [abs]
  • J Swanson (2010) 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, 34, 176-85, [doi], [abs]
  • RA Van Dorn, JW Swanson, MS Swartz (2009) Preferences for psychiatric advance directives among Latinos: views on advance care planning for mental health. Psychiatric services (Washington, D.C.), United States, 60, 1383-5, , [abs]
  • J Swanson, M Swartz, RA Van Dorn, J Monahan, TG McGuire, HJ Steadman, PC Robbins (2009) Racial disparities in involuntary outpatient commitment: are they real? Health affairs (Project Hope), 28, 816-26, [doi], [abs]
  • (2009) Monahan J and Swanson J. Lawyers at Mid-Career: A 20-Year Longitudinal Study of Job and Life Satisfaction. Journal of Empirical Legal Studies 2009;6(3):451-483. ,
  • JW Swanson, RA Van Dorn, MS Swartz, A Smith, EB Elbogen, J Monahan (2008) Alternative pathways to violence in persons with schizophrenia: the role of childhood antisocial behavior problems. Law and human behavior, 32, 228-40, [doi], [abs]
  • JW Swanson (2008) Preventing the unpredicted: managing violence risk in mental health care. Psychiatric services (Washington, D.C.), 59, 191-3, [doi], [abs]
  • (2008) Swanson JW, Swartz MS, Elbogen EB, Van Dorn RA, Wagner HR, Moser LA, Wilder C, Gilbert AR. Psychiatric advance directives and reduction of coercive crisis interventions. Journal of Mental Health. 2008 Jun;17(13):255-267.
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  • (2008) Swanson JW, Swartz MS, Van Dorn RA, Volavka J, Monahan J, Stroup TS, McEvoy JP, Wagner HR, Elbogen EB, Lieberman JA. Comparison of antipsychotic medication effects on reducing violence in people with schizophrenia. Br J Psychiatry. 2008 Jul;193:37-43. ,
  • J Swanson, RA Van Dorn, MS Swartz (2007) Effectiveness of atypical antipsychotics for substance use in schizophrenia patients. Schizophrenia research, 94, 114-8, [doi], [abs]
  • JW Swanson, S Van McCrary, MS Swartz, RA Van Dorn, EB Elbogen (2007) Overriding psychiatric advance directives: factors associated with psychiatrists' decisions to preempt patients' advance refusal of hospitalization and medication. Law and human behavior, 31, 77-90, [doi], [abs]
  • (2007) Swanson JW, Burris S, Moss K, Ullman MA, Ranney LM, Justice Disparities: Does the ADA enforcement system treat persons with psychiatric disabilities fairly? Maryland Law Review. 2007;66:94-139. ,
  • JW Swanson, MS Swartz, EB Elbogen, RA Van Dorn, J Ferron, HR Wagner, BJ McCauley, M Kim (2006) Facilitated psychiatric advance directives: a randomized trial of an intervention to foster advance treatment planning among persons with severe mental illness. The American journal of psychiatry, 163, 1943-51, [doi], [abs]
  • JW Swanson, RA Van Dorn, J Monahan, MS Swartz (2006) Violence and leveraged community treatment for persons with mental disorders. The American journal of psychiatry, 163, 1404-11, [doi], [abs]
  • JW Swanson, MS Swartz, RA Van Dorn, EB Elbogen, HR Wagner, RA Rosenheck, TS Stroup, JP McEvoy, JA Lieberman (2006) A national study of violent behavior in persons with schizophrenia. Archives of general psychiatry, 63, 490-9, [doi], [abs]
  • MS Swartz, JW Swanson, M Kim, J Petrila (2006) Use of outpatient commitment or related civil court treatment orders in five U.S. communities. Psychiatric services (Washington, D.C.), 57, 343-9, [doi], [abs]
  • J Swanson, M Swartz, J Ferron, E Elbogen, R Van Dorn (2006) Psychiatric advance directives among public mental health consumers in five U.S. cities: prevalence, demand, and correlates. The journal of the American Academy of Psychiatry and the Law, 34, 43-57, , [abs]
  • JW Swanson, SV McCrary, MS Swartz, EB Elbogen, RA Van Dorn (2006) Superseding psychiatric advance directives: ethical and legal considerations. The journal of the American Academy of Psychiatry and the Law, 34, 385-94, , [abs]
  • EB Elbogen, JW Swanson, MS Swartz, R Van Dorn (2005) Family representative payeeship and violence risk in severe mental illness. Law and human behavior, 29, 563-74, [doi], [abs]
  • RA Van Dorn, JW Swanson, MS Swartz, EB Elbogen (2005) The effects of race and criminal justice involvement on access to atypical antipsychotic medications among persons with schizophrenia. Mental health services research, 7, 123-34, , [abs]
  • J Monahan, AD Redlich, J Swanson, PC Robbins, PS Appelbaum, J Petrila, HJ Steadman, M Swartz, B Angell, DE McNiel (2005) Use of leverage to improve adherence to psychiatric treatment in the community. Psychiatric services (Washington, D.C.), 56, 37-44, [doi], [abs]
  • RA Van Dorn, JW Swanson, EB Elbogen, MS Swartz (2005) A comparison of stigmatizing attitudes toward persons with schizophrenia in four stakeholder groups: perceived likelihood of violence and desire for social distance. Psychiatry, 68, 152-63, , [abs]
  • JW Swanson, MS Swartz, EB Elbogen, RA Van Dorn (2004) Reducing violence risk in persons with schizophrenia: olanzapine versus risperidone. The Journal of clinical psychiatry, 65, 1666-73, , [abs]
  • MS Swartz, HR Wagner, JW Swanson, EB Elbogen (2004) Consumers' perceptions of the fairness and effectiveness of mandated community treatment and related pressures. Psychiatric services (Washington, D.C.), 55, 780-5, , [abs]
  • JW Swanson, MS Swartz, EB Elbogen (2004) Effectiveness of atypical antipsychotic medications in reducing violent behavior among persons with schizophrenia in community-based treatment. Schizophrenia bulletin, 30, 3-20, , [abs]
  • MS Swartz, JW Swanson, HR Wagner, MJ Hannon, BJ Burns, M Shumway (2003) Assessment of four stakeholder groups' preferences concerning outpatient commitment for persons with schizophrenia. The American journal of psychiatry, 160, 1139-46, , [abs]
  • MS Swartz, JW Swanson, MJ Hannon, HS Bosworth, FC Osher, SM Essock, SD Rosenberg, Five-Site Health and Risk Study Research Committee (2003) Regular sources of medical care among persons with severe mental illness at risk of hepatitis C infection. Psychiatric services (Washington, D.C.), 54, 854-9, , [abs]
  • SD Rosenberg, JW Swanson, GL Wolford, FC Osher, MS Swartz, SM Essock, MI Butterfield, BJ Marsh, Five-Site Health and Risk Study Research Committee (2003) The five-site health and risk study of blood-borne infections among persons with severe mental illness. Psychiatric services (Washington, D.C.), 54, 827-35, , [abs]
  • JW Swanson, MS Swartz, EB Elbogen, HR Wagner, BJ Burns (2003) Effects of involuntary outpatient commitment on subjective quality of life in persons with severe mental illness. Behavioral sciences & the law, 21, 473-91, [doi], [abs]
  • (2003) Swanson JW, Swartz MS, Hannon MJ, Elbogen EB, Wagner HR, McCauley BJ, Butterfield MI. Psychiatric advance directives: A survey of persons with schizophrenia, family members, and treatment providers. International Journal of Forensic Mental Health, 2003;2,73-86. ,
  • (2003) Swartz MS, Swanson JW, Monahan J. Endorsement of personal benefit of outpatient commitment among persons with severe mental illness. Psychology, Public Policy and Law. 2003;9(1):70-93. ,
  • E Silver, EP Mulvey, JW Swanson (2002) Neighborhood structural characteristics and mental disorder: Faris and Dunham revisited. Social science & medicine (1982), 55, 1457-70, , [abs]
  • JW Swanson, MS Swartz, SM Essock, FC Osher, HR Wagner, LA Goodman, SD Rosenberg, KG Meador (2002) The social-environmental context of violent behavior in persons treated for severe mental illness. American journal of public health, 92, 1523-31, , [abs]
  • K Moss, J Swanson, M Ullman, S Burris (2002) Mediation of employment discrimination disputes involving persons with psychiatric disabilities. Psychiatric services (Washington, D.C.), 53, 988-94, , [abs]
  • (2002) Swartz MS, Swanson JW. Involuntary Outpatient Commitment in the United States:  Practice and Controversy.  In Buchanan, Alec (Ed.) Care for the Mentally Disordered Offender in the Community. 2002; Oxford, Oxford University Press. ,
  • MS Swartz, JW Swanson, VA Hiday, HR Wagner, BJ Burns, R Borum (2001) A randomized controlled trial of outpatient commitment in North Carolina. Psychiatric services (Washington, D.C.), 52, 325-9, , [abs]
  • JW Swanson, MS Swartz, R Borum, VA Hiday, HR Wagner, BJ Burns (2000) 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, 176, 324-31, , [abs]
  • JW Swanson, MC Tepper, P Backlar, MS Swartz (2000) Psychiatric advance directives: an alternative to coercive treatment? Psychiatry, 63, 160-72, , [abs]
  • MS Swartz, JW Swanson, HR Wagner, BJ Burns, VA Hiday, R Borum (1999) Can involuntary outpatient commitment reduce hospital recidivism?: Findings from a randomized trial with severely mentally ill individuals. The American journal of psychiatry, 156, 1968-75, , [abs]
  • J Swanson, R Borum, M Swartz, V Hiday (1999) Violent behavior preceding hospitalization among persons with severe mental illness. Law and human behavior, 23, 185-204, , [abs]
  • J Swanson, M Swartz, S Estroff, R Borum, R Wagner, V Hiday (1998) Psychiatric impairment, social contact, and violent behavior: evidence from a study of outpatient-committed persons with severe mental disorder. Social psychiatry and psychiatric epidemiology, 33 Suppl 1, S86-94, , [abs]
  • JW Swanson, MS Swartz, LK George, BJ Burns, VA Hiday, R Borum, HR Wagner (1997) Interpreting the effectiveness of involuntary outpatient commitment: a conceptual model. The journal of the American Academy of Psychiatry and the Law, 25, 5-16, , [abs]
  • J Swanson, S Estroff, M Swartz, R Borum, W Lachicotte, C Zimmer, R Wagner (1997) Violence and severe mental disorder in clinical and community populations: the effects of psychotic symptoms, comorbidity, and lack of treatment. Psychiatry, 60, 1-22, , [abs]
  • JW Swanson, SV McCrary (1996) Medical futility decisions and physicians' legal defensiveness: the impact of anticipated conflict on thresholds for end-of-life treatment. Social science & medicine (1982), 42, 125-32, , [abs]
  • (1995) Swanson JW. Echoes of the Call: Identity and Ideology Among American Missionaries in Ecuador. 1995; Oxford University Press. ,
  • (1994) Swanson JW. Mental disorder, substance abuse, and community violence: An epidemiological approach. In Monahan J and Steadman  H  (Eds.), Violence and Mental Disorder. 1994; Chicago, University of Chicago Press:101-136. ,
  • JW Swanson, SV McCrary (1994) Doing all they can: physicians who deny medical futility. The Journal of law, medicine & ethics : a journal of the American Society of Law, Medicine & Ethics, 22, 318-26,
  • JW Swanson, CE Holzer 3rd, VK Ganju (1993) Hispanic Americans and the state mental hospitals in Texas: ethnic parity as a latent function of a fiscal incentive policy. Social science & medicine (1982), 37, 917-26, , [abs]
  • J Swanson, JP Morrissey, I Goldstrom, L Rudolph, RW Manderscheid (1993) Demographic and diagnostic characteristics of inmates receiving mental health services in state adult correctional facilities: United States, 1988. Mental health statistical note, 1-20, , [abs]
  • JW Swanson, JP Morrissey, I Goldstrom, L Rudolph, RW Manderscheid (1993) Funding, expenditures, and staffing of mental health services in state adult correctional facilities: United States, 1988. Mental health statistical note, 1-20, , [abs]
  • JW Swanson, AO Linskey, R Quintero-Salinas, AJ Pumariega, CE Holzer 3rd (1992) A binational school survey of depressive symptoms, drug use, and suicidal ideation. Journal of the American Academy of Child and Adolescent Psychiatry, 31, 669-78, [doi], [abs]
  • JW Swanson, CE Holzer 3rd, VK Ganju, RT Jono (1990) Violence and psychiatric disorder in the community: evidence from the Epidemiologic Catchment Area surveys. Hospital & community psychiatry, 41, 761-70, , [abs]