Show cover of Psychiatric Services From Pages to Practice

Psychiatric Services From Pages to Practice

A discussion of research highlights and timely issues in the delivery of mental health care services, brought to you by Psychiatric Services, a journal of the American Psychiatric Association.

Tracks

55: Taking an Evidence-Based Approach to Involuntary Psychiatric Hospitalization
Nathaniel P. Morris, M.D., joins Dr. Dixon and Dr. Berezin to discuss an evidence-based approach to involuntary psychiatric hospitalization.  Dr. Morris is an Assistant Professor of Psychiatry in the Department of Psychiatry and Behavioral Sciences at the University of California, San Francisco. How did you get interested in this topic? [00:51] What is involuntary psychiatric hospitalization? [02:28] How does it vary by state and nationally? [04:46] What don't we know about the evidence behind involuntary psychiatric hospitalization? [05:46] What are the challenges of investigating involuntary hospitalization? [07:32] What is meant by “involuntary” [09:49] Lack of evidence [11:55] How do you approach studying this subject? [14:12] Alternatives to involuntary hospitalization [17:33] Who gets hospitalized? [19:27] Open Forum [21:30] What does public tracking mean? [22:50] How can we manage this if we don't even know anything about the practice across this country? [23:58] Transcript Subscribe to the podcast here. Check out Editor's Choice, a set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections. Browse other articles on our website. Be sure to let your colleagues know about the podcast, and please rate and review it wherever you listen to it. Listen to other podcasts produced by the American Psychiatric Association. Follow the journal on Twitter. E-mail us at psjournal@psych.org
26:29 11/22/2022
54: Young Adults’ Perspectives on Factors Related to Relapse After First-Episode Psychosis: Qualitative Focus Group Study
Shalini Lal, Ph.D., joins Dr. Dixon and Dr. Berezin to discuss the perspective of patients related to recovery, treatment, and relapse following first-episode psychosis.  Dr. Lal is the Canada Research Chair in Innovation and Technology for Youth Mental Health Services and an associate professor at the School of Rehabilitation, University of Montreal, Montreal, Canada. How did you get interested in this topic? [01:26] What do we mean by the word “relapse”? [04:33] What’s the perspective of an occupational therapist on first episode psychosis? [06:21] Questions for the focus groups [07:55] Moving beyond the relapse binary [09:10] Categorizing and summarizing [12:44] Four factors [14:20] The complications of technology [15:01] Positives and negatives [17:01] Social environment [19:20] Relationships with healthcare providers [21:43] How did participants understand the meaning of relapse [22:12] The value of qualitative research [25:35] What’s next [28:52] Transcript Subscribe to the podcast here. Check out Editor's Choice, a set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections. Browse other articles on our website. Be sure to let your colleagues know about the podcast, and please rate and review it wherever you listen to it. Listen to other podcasts produced by the American Psychiatric Association. Follow the journal on Twitter. E-mail us at psjournal@psych.org
31:14 10/20/2022
53: Use of Acute Mental Health Care in U.S. Children’s Hospitals Before and After Statewide COVID-19 School Closure Orders
Dr. Bonnie Zima, M.D., M.P.H., joins Dr. Dixon and Dr. Berezin to discuss trends in child emergency department discharges, hospitalization, and mental health care utilization before and after statewide school closure orders due to the COVID-19 pandemic.  Dr. Zima is a Professor-in-Residence in the Department of Psychiatry and Biobehavioral Sciences at the University of California, Los Angeles. How did you get interested in this topic? [01:06] Study design [02:26] The team [03:25] The data set: Pediatric Health Information System (PHIS) [06:51] What’s in the data? [08:06] Looking at data from 2019 and 2020 [09:27] Medical data as a baseline [10:10] Changes are relative [12:07] Stratification by psychiatric disorder [12:35] Untangling the effects of the pandemic [15:53] Examining the co-occurrence of medical and mental health disorders [17:13] What are the important take home lessons [19:12] IS there a correlation between the severity of the outbreak and service utilization? [22:36] What’s next for this research? [23:23] Research and COVID [26:08] Transcript Subscribe to the podcast here. Check out Editor's Choice, a set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections. Browse other articles on our website. Be sure to let your colleagues know about the podcast, and please rate and review it wherever you listen to it. Listen to other podcasts produced by the American Psychiatric Association. Follow the journal on Twitter. E-mail us at psjournal@psych.org
28:04 07/26/2022
52: Downward National Trends in Mental Health Treatment Offered in Spanish
Dr. George Pro, Ph.D., M.P.H., joins Dr. Dixon and Dr. Berezin to discuss the downward trend in the provision of mental health services in Spanish across the US, despite the rapidly increasing Hispanic population.  Dr. Pro is an Assistant Professor in the College of Public Health at the University of Arkansas for Medical Sciences. How did you get involved in this research? [01:04] What are the demographic challenges and what do we know about services provision in this population? [02:20] The level of mental health care service utilization [04:45] Why focus on language access? [05:39] What did you find? [06:48] The National Mental Health Services Survey [08:25] National results [10:24] The importance of data visualization [12:39] Figures and how they convey information [17:02] Ohio and North Dakota: rate of change, not overall population [20:07] What are the limitations to this approach? [21:43] Communicating data to policy makers [23:26] What’s next for your research? [24:45] Figures from the article:  Figure 1 Figure 2 Subscribe to the podcast here. Check out Editor's Choice, a set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections. Browse other articles on our website. Be sure to let your colleagues know about the podcast, and please rate and review it wherever you listen to it. Listen to other podcasts produced by the American Psychiatric Association. Follow the journal on Twitter. E-mail us at psjournal@psych.org
26:59 06/27/2022
51: Lived Experience as a Protective Factor for Mental Health Workers
Courtney von Hippel, Ph.D., joins Dr. Dixon and Dr. Berezin to discuss burnout and negative job attitudes, and how lived experience might help provide a buffer in mental health workers. Dr. von Hippel is an Associate Professor of Health and Behavioural Sciences at the University of Queensland in Brisbane, Australia. How did you get involved in this research? [01:16] A profession with a huge amount of burnout [03:20] What does burnout lead to? [05:45] Private versus public practice [08:07] How does a provider’s lived experience change their experience with the job? [11:03] Who did you look at and what did you ask? [14:57] What did you find? [19:17] Was there anything about your findings that was surprising to you? [20:52] Lived experience versus self-disclosure [22:22] Do different kinds of lived experience translate? [24:03] Next steps for research [25:54] Subscribe to the podcast here. Check out Editor's Choice, a set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections. Browse other articles on our website. Be sure to let your colleagues know about the podcast, and please rate and review it wherever you listen to it. Listen to other podcasts produced by the American Psychiatric Association. Follow the journal on Twitter. E-mail us at psjournal@psych.org
29:35 05/16/2022
50: Online Psychosis Screening: Characterizing an Underexamined Population to Improve Access and Equity
Mark Savill, Ph.D., joins Dr. Dixon and Dr. Berezin to discuss using online psychosis screening data to see what can be learned about the population taking the assessment, what can be done to close the gap between screening and treatment, and to reduce the duration of untreated psychosis.  Dr. Savill is a professor in the Department of Psychiatry and Behavioral Sciences at University of California, Davis. What’s your background? [01:17] Prodromal Questionnaire Brief (PQ-B) [03:03] Duration of Untreated Psychosis (DUP) [03:40] What does the beginning of treatment mean? [05:22] How can the internet help to decrease the time from symptoms to treatment? [07:20] What are people looking for and what are they finding? [10:05] Mental Health America screening [11:00] Where does the PQ-B fit? What did you investigate? [14:33] Getting people into treatment – from A to B, or from A to L? [18:53] What did you learn? [19:50] The numbers [25:02] Further research [23:24] Subscribe to the podcast here. Check out Editor's Choice, a set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections. Browse other articles on our website. Be sure to let your colleagues know about the podcast, and please rate and review it wherever you listen to it. Listen to other podcasts produced by the American Psychiatric Association. Follow the journal on Twitter. E-mail us at psjournal@psych.org
31:45 03/29/2022
49: Implementation Potential of Moral Reconation Therapy for Criminal Recidivism in Mental Health Residential Programs
Daniel M. Blonigen, Ph.D. joins Dr. Dixon and Dr. Berezin to discuss implementing moral reconation therapy (MRT) in a noncorrectional setting among justice-involved veterans receiving residential mental health treatment in the U.S. Veterans Health Administration with an aim towards reducing criminal recidivism.  Dr. Blonigen is an Associate Director at the Center for Innovation to Implementation, VA Palo Alto Health Care System, in Palo Alto, California. Blonigen interview [00:55] Veterans Justice programs [02:29] Moral reconation therapy (MRT) [03:18] Treatments for criminal recidivism? [04:24] A group based, cognitive behavioral intervention [05:13] The structure of MRT [06:22] How does MRT avoid implying there’s one right way to live? [10:10] MRT in a residential mental health setting [12:58] A hybrid trial design [15:47] Bringing together research and implementation [18:38] What did the participants think of MRT? [19:09] Listening to people who didn’t engage [20:34] Barriers to MRT implementation [23:23] Does MRT overlap with other treatments in residential settings? [25:30] What’s the next step? [27:16] Subscribe to the podcast here. Check out Editor's Choice, a set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections. Browse other articles on our website. Be sure to let your colleagues know about the podcast, and please rate and review it wherever you listen to it. Listen to other podcasts produced by the American Psychiatric Association. Follow the journal on Twitter. E-mail us at psjournal@psych.org
30:54 02/28/2022
48: Cops, Clinicians, or Both? Collaborative Approaches to Responding to Behavioral Health Emergencies
Margaret E. Balfour, M.D., Ph.D., and Jason Winsky, B.A., join Dr. Dixon and Dr. Berezin to discuss their special article published in Psychiatric Services, “Cops, Clinicians, or Both? Collaborative Approaches to Responding to Behavioral Health Emergencies,” looking at collaborations between police and clinicians in the treatment of mental health and behavioral health emergencies.  Dr. Balfour is Chief of Quality & Clinical Innovation at Connections Health Solutions in Tucson, Arizona, and Sgt. Winsky is a police officer and supervisor of the Mental Health Investigative Support Team with the Tucson Police Department. Balfour and Winsky interview [00:32] How did you get started in this work? [01:22] Police department mental health team [02:44] Crisis Response Center [03:04] Why Arizona? [03:58] Arnold vs Sarn [04:54] Twenty-three hour observation model [05:35] Funding [06:20] How the crisis system works in Tucson [07:44] Easy access for law enforcement [10:11] Crisis management from the law enforcement perspective [10:39] Police training in dealing with mental health crisis [12:41] Who the police bring to the crisis center [14:59] Challenges in providing mental health services for intoxicated and violent patients [16:21] Keeping patients out of the justice system when possible [17:31] “No Wrong Door” policy [18:47] How this works in practice: the lady with the car [21:05] Creating the opportunity for creative solutions to removing barriers to mental health care [23:56] “There can’t be a rule for everything in crisis” [24:44] Social justice framing of the paper [26:49] The Technical Assistance Coalition working papers series [29:24] What would you add to enhance the program? Housing, housing, housing [30:07] Collaboration between siloed systems [32:01] Working with stakeholders [32:59] The impact of mental health crisis on people of color [34:41] Other places doing great work [37:13] Subscribe to the podcast here. Check out Editor's Choice, a set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections. Browse other articles on our website. Be sure to let your colleagues know about the podcast, and please rate and review it wherever you listen to it. Listen to other podcasts produced by the American Psychiatric Association. Follow the journal on Twitter. E-mail us at psjournal@psych.org
40:15 01/10/2022
47: Effects of High-Deductible Health Plans on Enrollees With Mental Health Conditions With and Without Substance Use Disorders
Cameron Schilling, M.P.H, joins Dr. Dixon and Dr. Berezin to discuss the effects of high deductible health insurance plans on enrollees with mental health conditions and substance use disorder.  Mr. Schilling is a programmer and data analyst from the Center for Mental Health and Addiction Policy at the Johns Hopkins School of Public Health, and an author of an article in the journal. Health insurance and how it works What is a “high deductible” health insurance plan? Premiums, health care utilization, and planning ahead Employment and insurance Deductibles, premiums, and health savings accounts Co-occurring disorders and high deductible insurance Healthcare utilization and high deductibles: increase and decrease How do people navigate this? The literature: high deductible insurance and bipolar disorder Little change when accessing care, but decrease in likelihood of seeking treatment Prioritization and tradeoffs Do people with a mental health diagnosis and those co-occurring substance use disorders access care differently under high deductible plans? Choice of health care plans provided by employers Let’s talk methods Impact of high deductible plans on healthcare utilization Subscribe to the podcast here. Check out Editor's Choice, a set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections. Browse other articles on our website. Be sure to let your colleagues know about the podcast, and please rate and review it wherever you listen to it. Listen to other podcasts produced by the American Psychiatric Association. Follow the journal on Twitter. E-mail us at psjournal@psych.org  
25:17 11/09/2021
46: Persons With Intellectual and Developmental Disabilities in the Mental Health System: Clinical, Policy and Systems Considerations
Dr. Debra A. Pinals, M.D., joins Dr. Dixon and Dr. Berezin to discuss two forthcoming articles from Psychiatric Services looking at persons with intellectual and developmental disabilities in mental health systems.  The first paper addresses clinical considerations, and the second looks at policy and systems considerations. Dr. Pinals is a Clinical Professor of Psychiatry and the Director of the Program in Psychiatry, Law, and Ethics at the University of Michigan Medical School in Ann Arbor, Michigan. Topics discussed in this episode: Mental health systems and law enforcement Medicaid-funded and state-funded systems Defining the patient population “Beyond Beds” and the psychiatric continuum of care Seeing the population beyond just crisis Dealing with aggressive behavior and overmedicating the population Restricting individual autonomy as a last resort Applied Behavioral Analysis Overlooked stressors and potential drivers of crisis Role of evidence-based practices in this population Distinguishing between mental illness and intellectual disabilities, and how they interact Encouraging communication across systems Expansion of crisis services Rehabilitation services versus habilitation services Where does neurology fit in? What system does care take place in? How do we improve things from here? Subscribe to the podcast here. Check out Editor's Choice, a set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections. Browse other articles on our website. Be sure to let your colleagues know about the podcast, and please rate and review it wherever you listen to it. Listen to other podcasts produced by the American Psychiatric Association. Follow the journal on Twitter. E-mail us at psjournal@psych.org  
41:01 10/12/2021
45: From Shelters to Hotels: An Enduring Solution to Ending Homelessness for Thousands of Americans
Deborah K. Padgett, Ph.D., M.P.H., and Daniel Herman, M.S.W., Ph.D., join Dr. Dixon and Dr. Berezin to discuss a potentially effective and affordable approach to ending homelessness for many Americans by extending the authorization that U.S. health authorities gave to shelter providers to move residents into hotels. Dr. Padgett is a Professor at New York University’s Silver School of Social Work. Dr. Herman is a Professor at Hunter College’s Silberman School of Social Work and Director of the Center for the Advancement of Critical Time Intervention.   Topics discussed in this episode: Career trajectories: planned and unplanned transitions Homelessness issue pre-pandemic: 40 years in 4 minutes Structural racism as a contributor SMI: a subset of homelessness issue COVID contagion leading to general agreement on the need to “de-densify” shelters Permanent hotel housing: measurable outcome improvements and qualitative game changer Discussion of Critical Time Intervention   Subscribe to the podcast here. Check out Editor's Choice, a set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections. Browse other articles on our website. Be sure to let your colleagues know about the podcast, and please rate and review it wherever you listen to it. Listen to other podcasts produced by the American Psychiatric Association. Follow the journal on Twitter. E-mail us at psjournal@psych.org
46:33 08/25/2021
44: Engaging African American Clergy and Community Members to Increase Access to Evidence-Based Practices for Depression
Sidney H. Hankerson, M.D., M.B.A., joins Dr. Dixon and Dr. Berezin to discuss efforts to train African American clergy interested in interpersonal counseling in managing major depression among community members, as they are positioned to curb the cultural mistrust and depression stigma that impedes the use of traditional psychiatric services among African Americans. Dr. Hankerson is Assistant Professor of Clinical Psychiatry at Columbia University, College of Physicians and Surgeons, and the New York State Psychiatric Institute. Journey to this area of research  Grady Hospital patients requesting pastor involvement  Importance of NAMI-sponsored suicide prevention program at a large church in Queens  Summary of current paper  Description of and relationship with church involved in the study  Talking with pastors and community members about the intervention  Distrust of institutions  Depression stigma  Future work involving community health workers  How to get involved  Personal connection with mental health  Subscribe to the podcast here. Check out Editor's Choice, a set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections. Browse other articles on our website. Be sure to let your colleagues know about the podcast. If you like this podcast please rate and review us on itunes or the platform you prefer. More podcasts from the American Psychiatric Association. Follow the journal on Twitter. E-mail us at psjournal@psych.org
31:32 07/15/2021
Episode 43 Transitioning From the ED to Outpatient MH Care and Supporting the Mental Health Workforce Amid COVID-19
Benjamin G. Druss, M.D., M.P.H., joins Dr. Dixon and Dr. Berezin to discuss two articles: 1) A qualitative study of barriers and facilitators to transitions from the emergency department to outpatient mental health care 2) Supporting the mental health workforce during and after COVID-19. Dr. Druss is a psychiatrist and a professor in the Department of Health Policy and Management at the School of Public Health at Emory University. How research interests and career path have provided expertise on these two seemingly very disparate articles (1:36) Background on interests in emergency department transitions (3:01) Methodology of ED transition study (4:23) Questions asked of subjects (7:52) Client, provider, and system perspectives (8:50) Social determinants of treatment seeking and post-discharge care (12:09) Surprising findings (14:38) How ED visits are often a confluence of factors that are outside of the control of patients (16:35) Structural factors compounding transition difficulties (18:38) How technical assistance supports the adoption and sustainment of evidence-based practices (23:00) Factors affecting successful implementation of evidence-based interventions (26:44) COVID disruption (29:00) COVID’s long-term effects on mental health service delivery (33:00) Panoramic view of COVID’s effects on the field from adjudicating papers (34:51) Subscribe to the podcast here. Check out Editor's Choice, a set of curated collections from the rich resource of articles published in the journal Browse other articles on our web site. Be sure to let your colleagues know about the podcast, and please rate and review it wherever you listen to it. Listen to other podcasts produced by the American Psychiatric Association. Follow the journal on Twitter. E-mail us at psjournal@psych.org
38:31 06/03/2021
42: Deepening Engagement of Service User Participation Within Research and the Mental Health System
Marie Brown, Ph.D., and Nev Jones, Ph.D., join Dr. Dixon and Dr. Berezin to discuss steps to build a pipeline of researchers with significant psychiatric disabilities and intersecting lived experiences and to increase service user participation in the U.S. mental health care system. Dr. Brown is a licensed clinical psychologist, postdoctoral fellow at Columbia University Irving Medical Center, and a cofounder of Hearing Voices Network NYC. Dr. Jones is an assistant professor in the Department of Psychiatry at the University of South Florida. How the authors began their collaboration [1:35] Genesis of the collaboration on the two Open Forum pieces in Psychiatric Services [2:38] Background of advocacy to have people with lived experience in mental health research positions [5:00] A paradigm of what meaningful participation would look like [7:59] Should the same standards of participation and inclusion apply to other research areas? [11:47] Is research disconnected from practice? [16:01] Steps the research community and academia can take to address these issues [22:11] Self-disclosure of psychiatric disability/lived experience [27:30] Deepening engagement of service user participation within the mental health system [31:50] The “radical roots” of the concept of peer support [34:33] What relational psychotherapy has to do with deepening engagement and service user participation [39:18] How Dr. Brown’s experience with the Hearing Voices movement has informed her work [46:31] Activities designed to deepen engagement and help build a diverse lived experience pipeline [48:19] Subscribe to the podcast here. Check out Editor's Choice, a set of curated collections from the rich resource of articles published in the journal Browse other articles on our web site. Be sure to let your colleagues know about the podcast, and please rate and review it wherever you listen to it. Listen to other podcasts produced by the American Psychiatric Association. Follow the journal on Twitter. E-mail us at psjournal@psych.org
52:13 04/07/2021
41: Addressing the Gap Between Global Mental Health Research and Treatment
Milton L. Wainberg, M.D., joins Dr. Dixon and Dr. Berezin to discuss protocols for studies implementing comprehensive mental health services in low- and middle-income countries. Dr. Wainberg is a professor of clinical psychiatry at Columbia University and the New York State Psychiatric Institute and director of the Global Mental Health Implementation Science program at Columbia University. Development of the author's partnership with Psychiatric Services to publish protocols to address the gap between global mental health research and treatment [1:59] Applying lessons learned in low- and middle-income countries to the United States [11:17] Overriding themes of the published protocols [15:41] Key advantages, challenges, and design solutions of these programs [20:15] Overview of what related studies are doing at other sites [21:35] A call to be bold in engaging with complex problems in mental health care [28:11] List of published Global Mental Health Implementation Science Protocols: Adaptation and Implementation of the Multiple-Family Group Intervention in Ghana The Sub-Saharan Africa Regional Partnership (SHARP) for Mental Health Capacity-Building Scale-Up Trial: Study Design and Protocol Technology-Assisted Teachers’ Training to Promote Socioemotional Well-Being of Children in Public Schools in Rural Pakistan Youth Functioning and Organizational Success for West African Regional Development (Youth FORWARD): Study Protocol Partnerships in Research to Implement and Disseminate Sustainable and Scalable Evidence-Based Practices (PRIDE) in Mozambique Subscribe to the podcast here. Check out Editor's Choice, a set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections. Browse other articles on our web site. Be sure to let your colleagues know about the podcast, and please rate and review it wherever you listen to it. Listen to other podcasts produced by the American Psychiatric Association. Follow the journal on Twitter. E-mail us at psjournal@psych.org
31:12 02/24/2021
40: A Peer-Led Healthy Lifestyle Intervention for People With Serious Mental Illness in Supportive Housing
Leopoldo J. Cabassa, Ph.D., M.S.W., and Ana Stefancic, Ph.D., join Dr. Dixon to discuss the effectiveness of the Peer-led Group Lifestyle Balance intervention, a 12-month manualized healthy lifestyle intervention delivered by peer specialists, in a sample of persons with serious mental illness who were overweight or obese and living in supportive housing. Dr. Cabassa is an associate professor at the Brown School at Washington University in St. Louis. He also is director of the NIMH T-32 Training Program and co-director of the Center for Mental Health Services Research at the university. His work aims to improve care for underserved communities, with a focus on disparities among racial-ethnic minorities with serious mental illness. Dr. Stefancic is an associate research scientist in the Department of Psychiatry at Columbia University. Her research interests focus on evaluating housing and support services for individuals who have experienced homelessness, psychiatric disabilities, and other medical conditions. How the authors became interested in this field [2:08] Summary of study findings [6:20] Details of the supportive housing sites [10:05] Description of the peer-led program intervention [14:04] Work of the peer specialists within the program [16:35] Discussion of usual care [19:16] Details of the main outcomes [21:27] Differences between peer-led and usual care [22:31] Discussion of fidelity [27:02] Discussion of patient-level randomization [28:22] Remembering peer specialist Kelli Adams [33:41] One key takeaway from the work [36:44] Subscribe to the podcast here. Check out Editor's Choice, a set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections. Browse other articles on our web site. Be sure to let your colleagues know about the podcast, and please rate and review it wherever you listen to it. Listen to other podcasts produced by the American Psychiatric Association. Follow the journal on Twitter. E-mail us at psjournal@psych.org
40:09 01/21/2021
39: Wanda Wright on Oral Health Among Persons With Mental Illness
Wanda G. Wright, D.D.S., M.S.D., joins Dr. Dixon and Dr. Berezin to explore barriers and facilitators in addressing the oral health needs of individuals with mental illness from the perspectives of patients, psychiatrists, and dentists. Dr. Wright is affiliated with the School of Dental Medicine at East Carolina University, where she is Assistant Dean for Diversity, Equity, and Inclusion; Assistant Professor; and Division Director of Dental Public Health. Introduction to the field of dental public health [1:39] Issues of diversity, equity, and inclusion in dentistry and dental health [2:50] How Dr. Wright became interested in this area, and the type of collaboration that is involved [4:44] Details of the research [6:40] Did any results from the research stand out to Dr. Wright? [10:26] Key findings of the research [11:58] Description of public sector funding for dental services [12:44] Examples of integrated dental and mental health clinics, training, and hospital care [14:57] Discussion of stigma [19:18] Challenges around referring patients for dental care and around access [21:10] The one policy Dr. Wright would change, and what mental health providers should know about oral health in general [23:19] The next phase of this research [26:12] Subscribe to the podcast here. Check out Editor's Choice, a set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections. Browse other articles on our web site. Be sure to let your colleagues know about the podcast, and please rate and review it wherever you listen to it. Listen to other podcasts produced by the American Psychiatric Association. Follow the journal on Twitter. E-mail us at psjournal@psych.org
28:06 12/14/2020
38: Michael Hogan on Improving Mental Health Crisis Systems
Michael F. Hogan, Ph.D., joins Dr. Dixon and Dr. Berezin to discuss the challenges and opportunities for nationwide reform in systems of care for individuals in psychiatric crisis in the United States. Dr. Hogan has served as commissioner of the New York State Office of Mental Health, director of the Ohio Department of Mental Health, and commissioner of the Connecticut Department of Mental Health and Addiction Services. He was chair of the President’s New Freedom Commission on Mental Health under President George W. Bush. He has been appointed to the board of The Joint Commission and as a member of the National Action Alliance for Suicide Prevention. How Dr. Hogan became interested in this area of research [2:10] How an ideal crisis system would operate, and what aspects of such a system are currently missing [7:10] How widespread is this model throughout the United States? [16:02] Other recommendations the article makes to improve crisis services [23:22] Efforts to improve the National Suicide Prevention Lifeline [29:12] How has nonsuicidal crisis been incorporated into the new three-digit (988) hotline? [32:11] Examples of larger structural changes in crises services [36:30] How issues of race and social injustice tie in to this conversation [38:56] Dr. Hogan’s thoughts on what the future holds [44:38] Subscribe to the podcast here. Check out Editor's Choice, a set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections. Browse other articles on our web site. Be sure to let your colleagues know about the podcast, and please rate and review it wherever you listen to it. Listen to other podcasts produced by the American Psychiatric Association. Follow the journal on Twitter. E-mail us at psjournal@psych.org This article is part of the Think Bigger, Do Good series commissioned by the Thomas Scattergood Behavioral Health Foundation, Peg’s Foundation, the Patrick P. Lee Foundation, and the Peter & Elizabeth Tower Foundation. The full series can be viewed at www.ThinkBiggerDoGood.org.
49:23 11/09/2020
37: John Torous on Smartphone Apps for College Mental Health
John Torous, M.D., M.B.I., joins Dr. Dixon and Dr. Berezin to discuss the expanded access to smartphone apps for mental health on college campuses as well as issues regarding the privacy, efficacy, and quality of mental health apps. Dr. Torous is the director of the digital psychiatry division at Beth Israel Deaconess Medical Center and an instructor in psychiatry at Harvard Medical School. How Dr. Torous became interested in this area of research [1:27] What does it mean to be a director of digital psychiatry? [2:27] Why colleges are a good place to study digital psychiatry [3:47] A sense of the landscape of digital mental health or digital psychiatry on college campuses [5:20] Pros and cons of digital mental health tools [7:25] Major findings of the study [12:39] Key conclusions of the study [16:42] Evidence base for mental health apps [18:34] Recommendations for college mental health organizations [20:35] Questions surrounding legal liability [22:57] Emerging issues in the field [25:08] Final thoughts from Dr. Torous [27:05] Subscribe to the podcast here. Check out Editor's Choice, a set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections. Browse other articles on our web site. Be sure to let your colleagues know about the podcast, and please rate and review it wherever you listen to it. Listen to other podcasts produced by the American Psychiatric Association. Follow the journal on Twitter. E-mail us at psjournal@psych.org
29:53 10/05/2020
36: Ayana Jordan on Mental Health Disparities by Race and Ethnicity
Ayana Jordan, M.D., Ph.D., joins Dr. Dixon and Dr. Berezin to discuss disparities in initiation of and engagement in mental health care among persons from racial-ethnic minority groups. This topic formed the basis of an Editor's Choice collection assembled by Dr. Jordan. Dr. Jordan is the associate program director of the adult psychiatry training program and an assistant professor of psychiatry at the Yale University School of Medicine. She also is a member of the Psychiatric Services Early-Career Psychiatrist Advisory Committee. Dr. Jordan's career interests [2:11] Development of the Editor's Choice collection on mental health disparities by race and ethnicity of adults [6:44] Dr. Jordan's perspectives in the area of mental health disparities [10:50] Dr. Dixon's statement on racism and creation of an advisory group to address racism as it relates to the journal [17:37] Dr. Jordan's plans to update the Editor's Choice collection [20:21] Dr. Berezin's take on the Editor's Choice collection [23:08] How health care systems can engage with policy, historical, and structural issues involving racism [24:37] Interventions required to address racism in health care and in scientific research [28:33] How funding priorities in scientific research affect racism [36:16] Final thoughts on the subject [38:38] Subscribe to the podcast here. Check out Editor's Choice, a set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections. Browse other articles on our web site. Be sure to let your colleagues know about the podcast, and please rate and review it wherever you listen to it. Listen to other podcasts produced by the American Psychiatric Association. Follow the journal on Twitter. E-mail us at psjournal@psych.org
41:26 08/05/2020
35: Erik Messamore on State Policies Regarding Medical Marijuana
Erik Messamore, M.D., Ph.D., joins Dr. Dixon and Dr. Berezin to discuss suggestions for informing the public more effectively about the potential benefits and risks of marijuana in state medical marijuana programs. Dr. Messamore is Associate Professor of Psychiatry at Northeast Ohio Medical University and Medical Director of the university's Best Practices in Schizophrenia Treatment Center. How Dr. Messamore became interested in medical marijuana policy [2:33] Points raised by patients regarding the benefits and risks of medical marijuana [5:57] A history of the legalization of medical marijuana in the United States [7:54] The difference between the authorization of marijuana for medical use relative to recreational use [10:24] Discrepancies between the approval processes of regular medicines and medical marijuana [12:32] The role of industry and lobbying [18:09] Recommendations for what state governments should be doing [19:22] Side effects of cannabis [20:43] Arguments for the continued loosening of cannabis policies [24:40] Response to cannabis advocates [27:28] Subscribe to the podcast here. Check out Editor's Choice, a set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections. Browse other articles on our web site. Be sure to let your colleagues know about the podcast, and please rate and review it wherever you listen to it. Listen to other podcasts produced by the American Psychiatric Association. Follow the journal on Twitter. E-mail us at psjournal@psych.org This article is part of the Think Bigger, Do Good series commissioned by the Thomas Scattergood Behavioral Health Foundation, Peg's Foundation, the Patrick P. Lee Foundation, and the Peter & Elizabeth Tower Foundation. The full series can be viewed at www.ThinkBiggerDoGood.org.
31:35 07/02/2020
34: Mental Health Policy in the Era of COVID-19
Matthew Goldman, M.D., M.S., joins Dr. Dixon and Dr. Berezin to discuss the significant changes in mental health policy prompted by the COVID-19 crisis across five major areas: legislation, regulation, financing, accountability, and workforce development. Special considerations for mental health policy are discussed, including social determinants of health, innovative technologies, and research and evaluation. The article was authored by the members of the Psychiatric Services Policy Advisory Group, which aims to guide the journal on how to maximize its relevance and impact on mental health policy. Dr. Goldman's research interests, and how his responsibilities have changed during the COVID-19 pandemic [3:29] What is mental health policy, and how is policy evolving during the pandemic? [6:35] Differences between legislative and regulatory frameworks [9:13] Discussion of changes involving financing, accountability, and workforce development [14:14] Discussion of changes involving state licensing [17:41] Umbrella issues that affect policy [19:57] Dr. Goldman is a Public Psychiatry Fellow at the University of California, San Francisco, and is a clinical instructor in the Department of Psychiatry at UCSF. Subscribe to the podcast here. Check out Editor's Choice, a set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections. Browse other articles on our web site. Be sure to let your colleagues know about the podcast, and please rate and review it wherever you listen to it. Listen to other podcasts produced by the American Psychiatric Association. Follow the journal on Twitter. E-mail us at psjournal@psych.org
24:32 05/20/2020
33: Providing Services to Criminal Justice–Involved Individuals
Mark Munetz, M.D., and Elizabeth Ford, M.D., join Dr. Dixon and Dr. Berezin to discuss their work in the field of providing services to individuals who have criminal justice contact and serious mental illness. Articles discussed: Black Robe/White Coat: Mental Health Providers Must Reclaim the Role of Caring Clinician Clinical Outcomes of Specialized Treatment Units for Patients With Serious Mental Illness in the New York City Jail System How each author became interested in the field in general and the topic of their article [2:14] Take-home messages from Dr. Ford's work [9:07] Dr. Munetz's experience with mental health courts [9:38] Areas of overlap between the articles [12:41] How to approach these areas of research [18:29] How unusual are the examples featured in the articles? [21:28] With improved funding, would individuals be more empathic toward people involved with criminal justice? [24:39] How the personal reflections discussed in these articles may interact with the field generally [26:40] What advice do the authors have for younger professionals? [30:42] Subscribe to the podcast here. Check out Editor's Choice, a set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections. Browse other articles on our web site. Be sure to let your colleagues know about the podcast, and please rate and review it wherever you listen to it. Listen to other podcasts produced by the American Psychiatric Association. Follow the journal on Twitter. E-mail us at psjournal@psych.org
35:34 03/17/2020
32: Delbert Robinson on Barriers to Use of Long-Acting Injectable Antipsychotics
Delbert G. Robinson, M.D., joins Dr. Dixon and Dr. Berezin to discuss barriers to the use of long-acting injectable (LAI) antipsychotic medication. Dr. Robinson's path to this particular area of research [1:43] How have people traditionally viewed LAIs? [3:32] A different approach to LAIs [4:13] The trend to use qualitative methods to understand perspectives of different stakeholders [7:28] Scope of the study [8:13] What the barriers are to more uptake of the use of LAIs [14:18] Barriers stemming from the individual level (interactions between a clinician and a patient) and the systems level (clinics not having appropriate infrastructure) [19:48] What is the next step in this line of research? [22:20] Subscribe to the podcast here. Check out Editor's Choice, a set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections. Browse other articles on our web site. Be sure to let your colleagues know about the podcast, and please rate and review it wherever you listen to it. Listen to other podcasts produced by the American Psychiatric Association. Follow the journal on Twitter. E-mail us at psjournal@psych.org
24:13 02/14/2020
31: Pat Deegan on the Journey to Use Medication Optimally to Support Recovery
Patricia E. Deegan, Ph.D., joins Dr. Dixon and Dr. Berezin to discuss the dynamic journey that is learning to use psychiatric medicine optimally to support recovery. It requires more than learning to take pills on schedule. As people recover, as they learn and grow, as they age, and as their concerns and interests evolve, the use of medication as a tool in recovery also evolves. What is Pat Deegan, Ph.D., & Associates? [1:15] Dr. Deegan's personal experience with mental illness [2:48] Recovery as a journey [5:06] Challenges people face when using medication [9:53] The clinician-patient relationship [14:04] Using analogy to understand the use of medication [17:25] Personal motivation for using medication [18:32] The context from which this Personal Accounts column emerged [22:44] Subscribe to the podcast here. Check out Editor's Choice, a new set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections. Browse other articles on our web site. Be sure to let your colleagues know about the podcast, and please rate and review it wherever you listen to it. Listen to other podcasts produced by the American Psychiatric Association. Follow the journal on Twitter. E-mail us at psjournal@psych.org
25:28 01/17/2020
30: Natalie Bonfine on a New Approach for Justice-Involved People With Serious Mental Illness
Natalie Bonfine, Ph.D., joins Dr. Dixon and Dr. Berezin to discuss the reasons why people with serious mental illness are overrepresented in the criminal justice system. Dr. Bonfine also outlines ways to address the multiple factors that contribute to justice involvement for this population. Dr. Bonfine's professional background and research interests [2:05] Development of Dr. Bonfine's article [3:20] What is the criminalization hypothesis? [5:06] What is the criminogenic risk perspective? [10:13] How can the community mental health system address this issue? [12:48] Discussion of the sequential intercept model [17:50] What changes are necessary for the community mental health system to become “intercept 0” [20:41] A counterargument [26:50] Final thoughts [28:55] Check out Editor's Choice, a new set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections. Browse other articles on our web site. Be sure to let your colleagues know about the podcast, and please rate and review it wherever you listen to it. Listen to other podcasts produced by the American Psychiatric Association. Follow the journal on Twitter. E-mail us at psjournal@psych.org
31:03 12/13/2019
29: Substance Use Among LGBTQ Young Adults, and Turnover Among Community Mental Health Providers
Dr. Dixon and Dr. Berezin discuss substance use among LGBTQ young adults with probable substance use disorders and characteristics and job stressors associated with turnover and turnover intention among community mental health providers. Introduction to article on substance use among LGBTQ populations [1:00] Study design [2:12] Study results [6:32] Introduction to article on turnover at community mental health centers [15:16] Study design [16:06] Study results [18:16] Check out Editor's Choice, a new set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections. Browse other articles on our web site. Be sure to let your colleagues know about the podcast, and please rate and review it wherever you listen to it. Listen to other podcasts produced by the American Psychiatric Association. Follow the journal on Twitter. E-mail us at psjournal@psych.org
23:04 11/19/2019
28: Peer Specialists in Community Mental Health
Nev Jones, Ph.D., and Christina Mangurian, M.D., M.A.S., join Dr. Dixon and Dr. Berezin to discuss the significant ethical, political, and procedural challenges that affect recruitment and retention of the peer specialist workforce. Introduction to the topic [1:05] Outline of the case study described in the column [6:20] Challenges involved in hiring peer staff [11:28] Tips for helping clients [14:42] Challenges dealing with microaggressions [17:54] What progress has been made? [23:19] Check out Editor's Choice, a new set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections. Other articles may be viewed at our web site. Be sure to let your colleagues know about the podcast, and please rate and review it wherever you listen to it. Listen to other podcasts produced by the American Psychiatric Association. Follow the journal on Twitter. E-mail us at psjournal@psych.org
25:40 10/18/2019
27: Project ECHO for Rural Primary Care, and Mental Health Consequences From Hurricanes
Dr. Dixon and Dr. Berezin discuss an innovative model to integrate medication-assisted treatment (MAT) in rural primary care settings for patients with opioid use disorders, and how mental health professionals can prepare and respond to the mental health consequences of increasingly dangerous storms. The barriers and facilitators that affect engagement with Project ECHO (Extension for Community Healthcare Outcomes) to implement MAT in primary care settings [0:58] How mental health professionals can help individuals affected by hurricanes [12:24] We encourage listeners to donate to any trusted charity serving communities affected by Hurricane Dorian. Check out Editor's Choice, a new set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections. Other articles may be viewed at our web site. Be sure to let your colleagues know about the podcast, and please rate and review it wherever you listen to it. Listen to other podcasts produced by the American Psychiatric Association. Follow the journal on Twitter. E-mail us at psjournal@psych.org
23:49 09/06/2019
26: Jonathan Purtle on Legislators’ Opinions on Adverse Childhood Experiences
Jonathan Purtle, Dr.P.H., M.Sc., joins Dr. Dixon and Dr. Berezin to discuss state legislators’ opinions about adverse childhood experiences as risk factors for adult behavioral health conditions, as well as how opinions vary between legislators with different characteristics. Dr. Purtle’s research interests [1:35] What are adverse childhood experiences (ACEs)? [3:50] How do the opinions of state legislators align with the body of evidence on ACEs? [6:57] Description of study methods [8:18] Characteristics of the surveyed legislators [13:00] Major findings of the study [14:54] What’s next in this line of research [25:36] Check out Editor's Choice, a new set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections. Other articles may be viewed at our web site. Be sure to let your colleagues know about the podcast, and please rate and review it wherever you listen to it. The podcast is now on Spotify. Listen to other podcasts produced by the American Psychiatric Association. Follow the journal on Twitter. E-mail us at psjournal@psych.org
29:04 07/26/2019