Ilse Wiechers, MD, MPP, MHS

Title(s)Associate Professor, Psychiatry
SchoolSchool of Medicine
Address1550 Fourth Street, #282
San Francisco CA 94158
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    Collapse Biography 
    Collapse Education and Training
    Yale School of Medicine, New Haven, CTMHS06/2014Post-Doctoral Fellowship
    Yale School of Medicine, New Haven, CT06/2011Geriatric Psychiatry Fellowship
    MGH/McLean Hospitals, Boston, MA06/2010Psychiatry Residency
    Duke University School of Medicine, Durham, NCMD05/2005
    Duke University, Durham, NCMPP05/2003Health Policy Certificate
    Case Western Reserve University, Cleveland, OHBA05/1999Political Science
    Collapse Awards and Honors
    American Psychiatric Association2022Distinguished Fellow
    American Association for Geriatric Psychiatry2022Distinguished Fellow
    American College of Psychiatrists2020Inducted member
    American Psychiatric Association2016Hartford-Jeste Award for Future Leaders in Geriatric Psychiatry

    Collapse Overview 
    Collapse Overview
    Ilse Wiechers, MD, MPP, MHS is a practicing and board-certified adult and geriatric psychiatrist and a senior healthcare executive with the Department of Veterans Affairs. She currently serves as the Deputy Executive Director in VHA Office of Mental Health and Suicide Prevention. In this role, she leads the operations of OMHSP and the timely development and implementation of policies and programs that ensure Veteran-centered, evidence-based and high-quality mental health and suicide prevention services to over 1.9 million Veterans every year. She also leads OMHSP’s legislative policy and partnership work, engaging regularly with key Congressional and Veteran Service Organization stakeholders. She has been instrumental in the development of VHA’s portfolio of innovative mental health treatments including ketamine, esketamine, and psychedelic-assisted therapy.

    Dr. Wiechers is Associate Professor of Clinical Psychiatry at University of California San Francisco and adjunct faculty at Yale University School of Medicine. She specializes in providing clinical care for Veterans with late-life mood, anxiety and trauma-related disorders and currently practices and provides care for Veterans in the San Francisco VA ketamine clinic. She teaches extensively to interprofessional healthcare audiences at all levels of training and experience. She is a collaborator on several grants focused on improving the quality of psychotropic prescribing and serves as an operational partner for several VA-funded studies. Dr. Wiechers has been deeply engaged in advocacy and policy work through her service to professional organizations. She is a past Secretary/Treasurer of the American Association for Geriatric Psychiatry (AAGP) Board of Directors, AAGP representative to the American Psychiatric Association Assembly, and served for 8 years as chair of the Public Policy Committee of the AAGP.

    Dr. Wiechers completed her medical education at Duke University, residency at MGH/McLean Hospitals, and fellowship at Yale. She received a master’s degree in Public Policy from Duke University and a master’s degree in Health Science from Yale University. She is an alumna of the VA Advanced Fellowship Program in Mental Illness Research and Treatment, the Yale RWJF/VA Clinical Scholars Program, and the John A. Hartford Foundation's Center of Excellence in Geriatric Medicine and Geriatric Psychiatry Training Program. Dr. Wiechers is a Distinguished Fellow of the American Association for Geriatric Psychiatry and the American Psychiatric Association and has been inducted into the American College of Psychiatrists.

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    Collapse Publications
    Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Researchers can login to make corrections and additions, or contact us for help. to make corrections and additions.
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    Altmetrics Details PMC Citations indicate the number of times the publication was cited by articles in PubMed Central, and the Altmetric score represents citations in news articles and social media. (Note that publications are often cited in additional ways that are not shown here.) Fields are based on how the National Library of Medicine (NLM) classifies the publication's journal and might not represent the specific topic of the publication. Translation tags are based on the publication type and the MeSH terms NLM assigns to the publication. Some publications (especially newer ones and publications not in PubMed) might not yet be assigned Field or Translation tags.) Click a Field or Translation tag to filter the publications.
    1. The Management of Posttraumatic Stress Disorder and Acute Stress Disorder: Synopsis of the 2023 U.S. Department of Veterans Affairs and U.S. Department of Defense Clinical Practice Guideline. Ann Intern Med. 2024 Mar; 177(3):363-374. Schnurr PP, Hamblen JL, Wolf J, Coller R, Collie C, Fuller MA, Holtzheimer PE, Kelly U, Lang AJ, McGraw K, Morganstein JC, Norman SB, Papke K, Petrakis I, Riggs D, Sall JA, Shiner B, Wiechers I, Kelber MS. PMID: 38408360.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    2. Clinical Outcomes of Intravenous Ketamine Treatment for Depression in the VA Health System. J Clin Psychiatry. 2024 Jan 08; 85(1). Pfeiffer PN, Geller J, Ganoczy D, Jagusch J, Carty J, Festin FED, Gilmer WS, Martis B, Ranganathan M, Wiechers IR, Hosanagar A. PMID: 38206011.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    3. A clinician's guide to the 2023 VA/DoD Clinical Practice Guideline for Management of Posttraumatic Stress Disorder and Acute Stress Disorder. J Trauma Stress. 2024 Feb; 37(1):19-34. Lang AJ, Hamblen JL, Holtzheimer P, Kelly U, Norman SB, Riggs D, Schnurr PP, Wiechers I. PMID: 38184799.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    4. The Management of Major Depressive Disorder: Synopsis of the 2022 U.S. Department of Veterans Affairs and U.S. Department of Defense Clinical Practice Guideline. Ann Intern Med. 2022 10; 175(10):1440-1451. McQuaid JR, Buelt A, Capaldi V, Fuller M, Issa F, Lang AE, Hoge C, Oslin DW, Sall J, Wiechers IR, Williams S. PMID: 36122380.
      View in: PubMed   Mentions: 6     Fields:    Translation:Humans
    5. Effect of Pharmacogenomic Testing for Drug-Gene Interactions on Medication Selection and Remission of Symptoms in Major Depressive Disorder: The PRIME Care Randomized Clinical Trial. JAMA. 2022 07 12; 328(2):151-161. Oslin DW, Lynch KG, Shih MC, Ingram EP, Wray LO, Chapman SR, Kranzler HR, Gelernter J, Pyne JM, Stone A, DuVall SL, Lehmann LS, Thase ME, PRIME Care Research Group, Aslam M, Batki SL, Bjork JM, Blow FC, Brenner LA, Chen P, Desai S, Dieperink EW, Fears SC, Fuller MA, Goodman CS, Graham DP, Haas GL, Hamner MB, Helstrom AW, Hurley RA, Icardi MS, Jurjus GJ, Kilbourne AM, Kreyenbuhl J, Lache DJ, Lieske SP, Lynch JA, Meyer LJ, Montalvo C, Muralidhar S, Ostacher MJ, Paschall GY, Pfeiffer PN, Prieto S, Przygodzki RM, Ranganathan M, Rodriguez-Suarez MM, Roggenkamp H, Schichman SA, Schneeweis JS, Simonetti JA, Steinhauer SR, Suppes T, Umbert MA, Vassy JL, Voora D, Wiechers IR, Wood AE. PMID: 35819423; PMCID: PMC9277497.
      View in: PubMed   Mentions: 25     Fields:    Translation:Humans
    6. Strategies Associated With Reducing Benzodiazepine Prescribing to Older Adults: A Mixed Methods Study. Ann Fam Med. 2022 Jul-Aug; 20(4):328-335. Maust DT, Takamine L, Wiechers IR, Blow FC, Bohnert ASB, Strominger J, Min L, Krein SL. PMID: 35879067; PMCID: PMC9328717.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    7. Comparison of mental health outcomes of augmenting medications for patients with posttraumatic stress disorder: A national veterans affairs study. J Eval Clin Pract. 2023 02; 29(1):191-202. Ranney R, Maguen S, Woods A, Seal KH, Neylan TC, Bernardy N, Wiechers I, Ryder A, Cohen BE. PMID: 35709244.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    8. Evaluation of Antipsychotic Reduction Efforts in Patients With Dementia in Veterans Health Administration Nursing Homes. Am J Psychiatry. 2022 08; 179(8):544-552. Gerlach LB, Maust DT, Kales HC, Chang M, Kim HM, Wiechers IR, Zivin K. PMID: 35615813; PMCID: PMC9349465.
      View in: PubMed   Mentions: 4     Fields:    Translation:Humans
    9. Impact of an interdisciplinary intervention for distress behaviors in dementia on psychotropic drug use in Veterans Health Administration Community Living Centers: STAR-VA impact on psychotropic drug utilization. Geriatr Nurs. 2021 Nov-Dec; 42(6):1533-1540. McConeghy KW, Curyto K, Jedele J, Intrator O, Mohr DC, Wiechers IR, Karel MJ. PMID: 34739929.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    10. Benzodiazepine Prescribing from VA and Medicare to Dually Enrolled Older Veterans: A Retrospective Cohort Study. J Gen Intern Med. 2021 12; 36(12):3689-3696. Lei L, Strominger J, Wiechers IR, Kim HM, Blow FC, Bohnert ASB, Min L, Krein SL, Maust DT. PMID: 34047924; PMCID: PMC8642498.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    11. Trends in Medication Prescribing in Patients With PTSD From 2009 to 2018: A National Veterans Administration Study. J Clin Psychiatry. 2021 05 04; 82(3). Holder N, Woods A, Neylan TC, Maguen S, Seal KH, Bernardy N, Wiechers I, Ryder A, Urbieta AM, Cohen BE. PMID: 34004087.
      View in: PubMed   Mentions: 5     Fields:    Translation:Humans
    12. Comment on "Do Benzodiazepines Cause Alzheimer's Disease?" Am J Psychiatry. 2021 02 01; 178(2):205-206. Maust DT, Wiechers IR. PMID: 33517758.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    13. Benzodiazepine Use among Medicare, Commercially Insured, and Veteran Older Adults, 2013-2017. J Am Geriatr Soc. 2021 01; 69(1):98-105. Maust DT, Kim HM, Wiechers IR, Ignacio RV, Bohnert ASB, Blow FC. PMID: 32951209; PMCID: PMC7856043.
      View in: PubMed   Mentions: 8     Fields:    Translation:Humans
    14. An Unconventional Path. Am J Geriatr Psychiatry. 2019 02; 27(2):167-169. Wiechers I. PMID: 30558851.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    15. Engage for Change: The Imperative to Increase Our Efforts in Geriatric Mental Health Policy. Am J Geriatr Psychiatry. 2019 02; 27(2):97-99. Wiechers I, Epstein-Lubow G, Thielke S. PMID: 30558850.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    16. Prescription Benzodiazepine Use Among Older Adults: A Critical Review. Harv Rev Psychiatry. 2018 Sep/Oct; 26(5):264-273. Gerlach LB, Wiechers IR, Maust DT. PMID: 30188338; PMCID: PMC6129989.
      View in: PubMed   Mentions: 17     Fields:    Translation:Humans
    17. Patient centered medical homes did not improve access to timely follow-up after ED visit. Am J Emerg Med. 2018 May; 36(5):854-858. Chou SC, Rothenberg C, Agnoli A, Wiechers I, Lott J, Voorhees J, Bernstein SL, Venkatesh AK. PMID: 29452920.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    18. National Trends in Antidepressant, Benzodiazepine, and Other Sedative-Hypnotic Treatment of Older Adults in Psychiatric and Primary Care. J Clin Psychiatry. 2017 Apr; 78(4):e363-e371. Maust DT, Blow FC, Wiechers IR, Kales HC, Marcus SC. PMID: 28448697; PMCID: PMC5408458.
      View in: PubMed   Mentions: 40     Fields:    Translation:Humans
    19. Development and applications of the Veterans Health Administration's Stratification Tool for Opioid Risk Mitigation (STORM) to improve opioid safety and prevent overdose and suicide. Psychol Serv. 2017 02; 14(1):34-49. Oliva EM, Bowe T, Tavakoli S, Martins S, Lewis ET, Paik M, Wiechers I, Henderson P, Harvey M, Avoundjian T, Medhanie A, Trafton JA. PMID: 28134555.
      View in: PubMed   Mentions: 83     Fields:    Translation:Humans
    20. No End in Sight: Benzodiazepine Use in Older Adults in the United States. J Am Geriatr Soc. 2016 12; 64(12):2546-2553. Maust DT, Kales HC, Wiechers IR, Blow FC, Olfson M. PMID: 27879984; PMCID: PMC5173408.
      View in: PubMed   Mentions: 25     Fields:    Translation:Humans
    21. Prevalence and correlates of coprescribing anxiolytic medications with extensive prescription opioid use in Veterans Health Administration patients with metastatic cancer. J Opioid Manag. 2016 Jul-Aug; 12(4):259-68. Barry DT, Sofuoglu M, Kerns RD, Wiechers IR, Rosenheck RA. PMID: 27575827.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    22. Growing Use of Mental and General Health Care Services Among Older Veterans With Mental Illness. Psychiatr Serv. 2015 Nov; 66(11):1242-4. Wiechers IR, Karel MJ, Hoff R, Karlin BE. PMID: 26278225.
      View in: PubMed   Mentions: 9     Fields:    Translation:Humans
    23. Prevalence and correlates of co-prescribing psychotropic medications with long-term opioid use nationally in the Veterans Health Administration. Psychiatry Res. 2015 Jun 30; 227(2-3):324-32. Barry DT, Sofuoglu M, Kerns RD, Wiechers IR, Rosenheck RA. PMID: 25863822.
      View in: PubMed   Mentions: 12     Fields:    Translation:Humans
    24. Antidepressant prescribing in elderly populations. Psychiatr Serv. 2014 Oct; 65(10):1285. Wiechers IR, Maust DT. PMID: 25270498.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    25. A Call to Restructure Psychiatry General and Subspecialty Training. Acad Psychiatry. 2016 Feb; 40(1):145-8. Kirwin P, Conroy M, Lyketsos C, Greenwald B, Forester B, deVries C, Ahmed II, Wiechers I, Zdanys K, Steffens D, Reynolds CF. PMID: 24809688.
      View in: PubMed   Mentions: 4     Fields:    Translation:Humans
    26. Prescribing of psychotropic medications to patients without a psychiatric diagnosis. Psychiatr Serv. 2013 Dec 01; 64(12):1243-8. Wiechers IR, Leslie DL, Rosenheck RA. PMID: 23999894.
      View in: PubMed   Mentions: 15     Fields:    Translation:Humans
    27. Increased risk among older veterans of prescribing psychotropic medication in the absence of psychiatric diagnoses. Am J Geriatr Psychiatry. 2014 Jun; 22(6):531-9. Wiechers IR, Kirwin PD, Rosenheck RA. PMID: 24211029.
      View in: PubMed   Mentions: 13     Fields:    Translation:Humans
    28. The emergence of commercial genomics: analysis of the rise of a biotechnology subsector during the Human Genome Project, 1990 to 2004. Genome Med. 2013; 5(9):83. Wiechers IR, Perin NC, Cook-Deegan R. PMID: 24050173; PMCID: PMC3971346.
      View in: PubMed   Mentions: 7     Fields:    
    29. The role of consultation-liaison psychiatrists in improving health care of patients with schizophrenia. Psychosomatics. 2013 Jan-Feb; 54(1):22-7. Wiechers IR, Freudenreich O. PMID: 23194936.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    30. Impact of a metabolic screening bundle on rates of screening for metabolic syndrome in a psychiatry resident outpatient clinic. Acad Psychiatry. 2012 Mar 01; 36(2):118-21. Wiechers IR, Viron M, Stoklosa J, Freudenreich O, Henderson DC, Weiss A. PMID: 22532201.
      View in: PubMed   Mentions: 5     Fields:    Translation:Humans
    31. Peer review by early career psychiatrists: an opportunity for development. J Clin Psychiatry. 2009 Nov; 70(11):1600-1. Gross AF, Wiechers IR, Stern TA. PMID: 20031102.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    32. Behavioral observations reflected on consultation requests from primary medical-surgical services: are they predictive of delirium diagnosis and outcomes? J Psychosom Res. 2009 Feb; 66(2):177-81. Xiong GL, Wiechers IR, Bourgeois JA, Gagliardi JP. PMID: 19154861.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    33. The effects of business practices, licensing, and intellectual property on development and dissemination of the polymerase chain reaction: case study. J Biomed Discov Collab. 2006 Jul 03; 1:7. Fore J, Wiechers IR, Cook-Deegan R. PMID: 16817955; PMCID: PMC1523369.
      View in: PubMed   Mentions: 13  
    34. If patients with schizophrenia have small brains, why don't they have small heads? Schizophr Res. 2000 Mar 16; 42(1):1-6. Friedman L, Wiechers IR, Cerny CA, Schulz SC, Buckley P. PMID: 10706980.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    35. Sexual behavior of psychiatric inpatients: hospital responses and policy formulation. Community Ment Health J. 1999 Dec; 35(6):531-6. Buckley PF, Wiechers IR. PMID: 10863989.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    36. Global structural brain abnormalities in mood disorders: evidence from a meta-analysis versus a traditional review. Biol Psychiatry. 1998 Nov 01; 44(9):932-4. Friedman L, Wiechers IR, Elkis H. PMID: 9807654.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    37. Psychiatry. The brain hallucinates and gets caught in the web. Lancet. 1996 Dec 21-28; 348 Suppl 2:sII21. Friedman L, Wiechers IR. PMID: 8973499.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
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