Primary Care: #6 Emerging Adults with Mental Illness

Discover how PCP Dr. Bonnie Engelbart manages the referral maze & limited resources when caring for emerging adults with mental illness.

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Episode Notes
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Proem.. 1

Podcast intro 01:26. 2

Health is fragile 02:00. 2

Primary care practice at Cambridge Health Alliance 05:31. 3

Screening for mental illness 06:29. 3

The referral maze 08:10. 3

Team building 11:40. 4

Toll on staff 14:02. 4

The burden of stigma, lack of resources, barriers to continuity 14:41. 5

Need more bodies 17:00. 5

Care partners 18:31. 5

A word from our sponsor, Abridge 19:27. 6

Complex time 20:09. 6

Changes over the past twenty years 21:27. 6

Self-medication 22:56. 7

Questions for emerging adults 24:03. 7

Questions for administrators 25:27. 7

The burden of cost to families 27:19. 7

Culture and language 28:09. 8

Reflection 30:35. 8

Next #7 Emergency medicine: We’re not trained for this 32:25. 9

Podcast Outro 33:02. 9
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Credits
Music on intro and outro by permission from Joey van Leeuwen, Drummer, Composer, Arranger including Moe's Blues for Proem and Reflection

Web and Social Media Coach, Dissemination Kayla Nelson @lifeoflesion

Intro photo of Vulture Couple by Rich Rieger used with permission

Photo of Swaziland by Ndumiso Silindza on Unsplash

Images of emerging adult with mental illness and community collaboration from DALL.E

The views and opinions presented in this podcast and publication are solely my responsibility and do not necessarily represent the views of the Patient-Centered Outcomes Research Institute®  (PCORI®), its Board of Governors, or Methodology Committee. Danny van Leeuwen (Health Hats)
Sponsored by Abridge
Inspired by and grateful to Laura Zucker, Mike Herndon, Sue Donnelley, Luc Pelletier
 
Links
World Health Organization (WHO) Adolescent Mental Health

Most mental health concerns, especially for emerging adults, first present in primary care, placing them in a critical role for addressing these concerns.

The PSC-17 Pediatric System Checklist is a brief questionnaire that helps identify and assess changes in emotional and behavioral problems in children

When kids turn 18, we transition to a form called the AWQ, Cambridge Health Alliance Adult Wellbeing Scale, which screens for depression, anxiety, and substance use.

National Alliance of Mental Health: Kids, Teens, and Young Adults,

White House Fact Sheet: Improving Access and Care for Youth Mental Health and Substance Abuse Conditions,

American Academy of Family Practice (AAFP) article, Managing Behavioral Health Issues in Primary Care: Six Five-Minute Tools.

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Series: Emerging Adults with Mental Illness

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About the Show
Welcome to Health Hats, learning on the journey toward best health. I am Danny van Leeuwen, a two-legged, old, cisgender, white man with privilege, living in a food oasis, who can afford many hats and knows a little about a lot of healthcare and a lot about very little. Most people wear hats one at a time, but I wear them all at once.  I'm the Rosetta Stone of Healthcare. We will listen and learn about what it takes to adjust to life's reali...