Psychiatric Services From Pages to Practice
68 episodes - English - Latest episode: about 1 month ago - ★★★★★ - 26 ratingsEditor Lisa Dixon, M.D., M.P.H., and Podcast Editor and Co-Host Josh Berezin, M.D., M.S., discuss key aspects of research recently published by Psychiatric Services (https://ps.psychiatryonline.org/), a journal of the American Psychiatric Association. Tune in to Psychiatric Services From Pages to Practice to learn about the latest mental health services research and why it is relevant. Topics include community-based treatment programs, collaborative care, evidence-based treatment and service delivery, criminal and social justice, policy analysis, and more.
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Episodes
68: Designing Community Services for People With Borderline Personality Disorder to Reduce Hospitalizations
May 14, 2024 18:52 - 32 minutes - 45.3 MBSimon Graham, M.B.Ch.B., M.R.C.Psych., and Kathy Curtis (Spring House Psychotherapy and Personality Disorder Service) join Dr. Dixon and Dr. Berezin to discuss the use of a local case management team and a combined day treatment and crisis service for patients with borderline personality disorder in Liverpool, United Kingdom. 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. Sig...
67: Addressing Mental Health Disability in Unsheltered Homelessness: Outpatient Conservatorship in Los Angeles
April 17, 2024 15:19 - 33 minutes - 46.3 MBElizabeth Bromley, M.D., Ph.D. (University of California, Los Angeles) joins Dr. Dixon and Dr. Berezin to discuss the use of outpatient conservatorship in the effort to address mental health disability among unsheltered homeless persons in Los Angeles County, California. 00:00 Introduction 03:04 Homelessness in Los Angeles County, California 09:04 The paper and services 11:39 Lanterman-Petris-Short (LPS) conservatorship 13:44 Outpatient conservatorship (OPC) pilot...
66: Predicting Outcomes of Antidepressant Treatment in Community Practice Settings
February 21, 2024 16:17 - 32 minutes - 44.4 MBGregory E. Simon, M.D., M.P.H. (Kaiser Permanente Washington Health Research Institute, Seattle) join Dr. Dixon and Dr. Berezin to discuss the use of machine learning models to analyze electronic health records to predict antidepressant treatment response. 00:00 Introduction 02:31 Focus on practical research 04:55 Population studied 05:57 Predicting outcomes 07:20 Using diagnostic codes, not personalized notes 08:04 What three data items might be more helpful? 08:4...
65: Remodeling Broken Systems: Addressing the National Emergency in Child and Adolescent Mental Health
January 16, 2024 16:53 - 36 minutes - 50.9 MBMisty C. Richards, M.D., M.S. (University of California, Los Angeles), and Nicole Kozloff, M.D. (University of Toronto), join Dr. Dixon and Dr. Berezin to discuss the need to remodel our systems and provision of mental health services for children and adolescents. 00:00 Introduction 01:18 Impetus 05:45 What constitutes a mental health crisis? 11:14 “Remodeling” 16:21 Differences by location 18:28 Remodeling primary care 21:25 Virtual care 27:19 ...
64: Acceptance of Insurance by Psychiatrists and Other Physicians, 2007–2016
December 04, 2023 15:21 - 30 minutes - 41.8 MBAndrew D. Carlo, M.D., M.P.H. (Northwestern University Feinberg School of Medicine, Chicago) joins Dr. Dixon and Dr. Berezin to discuss the insurance acceptance rates of psychiatric practitioners compared with other medical disciplines. 00:00 Introduction 01:04 Background and Motivation 02:46 Data Set and Methodology 05:12 Restricted Data Set and Privacy Concerns 06:08 Research Questions and Goals 10:04 Findings: Insurance Acceptance Rates 11:29 Fact...
63: Factors Influencing Turnover and Attrition in the Public Behavioral Health System Workforce: Qualitative Study
September 15, 2023 19:17 - 31 minutes - 43.8 MBEliza Hallett, M.S., (Oregon Health & Science University, Portland, Oregon) joins Dr. Dixon and Dr. Berezin to discuss the challenges faced by staff and behavioral health service providers, including low wages, traumatic work environments, low wages, and physical and administrative infrastructure. Workforce crisis in behavioral health care [01:33] How representative of the country is Oregon? [03:45] Who were you talking to? [05:32] A figure on radio [06:30] Generating a theoretical ...
62: Medicaid Costs and Utilization of Collaborative Versus Colocation Care for Patients With Depression
August 04, 2023 19:32 - 30 minutes - 42.5 MBHenry Chung, M.D., (Albert Einstein College of Medicine, Bronx, New York City) joins Dr. Dixon and Dr. Berezin to discuss the differences between the collaborative care model and the colocation model, and the impact on Medicaid costs and utilization, for the treatment of patients with depression. Chung interview [00:58] A bridge between clinical and research work [02:32] The colocation model and the collaborative care model [03:44] What populations are you working with? [07:21] Diff...
61: Guidance for Handling the Increasing Prevalence of Drugs Adulterated or Laced With Fentanyl
June 28, 2023 18:21 - 22 minutes - 31.5 MBJoseph Parks, M.D., joins Dr. Dixon and Dr. Berezin to discuss guidelines for clinicians on how to deal with the increased prevalence of drugs adulterated with fentanyl and similar potent fentanyl analogs. MDI publications can be found here. Parks interview [00:53] The National Council for Mental Wellbeing [01:21] Guidelines [03:50] Contemplation [05:02] A back-to-basics approach [07:13] Fentanyl test strips and harm reduction [08:37] Spillover [10:06] Issues with fentanyl [...
60: Psychiatrist and Nonpsychiatrist Physician Network Breadth in Dual Eligible Special Needs Plans
May 12, 2023 18:22 - 42 minutes - 58.6 MBEric P. Slade, Ph.D., joins Dr. Dixon and Dr. Berezin to discuss the complex and often confusing world of dual eligibility for Medicare and Medicaid coverage when it comes to mental health services, in particular Dual Eligible Special Needs Plans (D-SNPs), a type of Medicare Advantage plan designed around those eligible for both programs. Slade interview [00:59] Medicare and Medicaid [02:24] Eligibility for each, and both [06:36] Dual eligibility [08:09] Who pays for care? [09:5...
59: Effect of Integrating Patient-Generated Digital Data Into Mental Health Therapy: A Randomized Controlled Trial
April 11, 2023 14:47 - 30 minutes - 41.7 MBLauren Southwick, M.P.H., and Sharath Guntuku, Ph.D., join Dr. Dixon and Dr. Berezin to discuss whether using a digital dashboard maintained by patients to track social media and other digital data usage had an impact on mental health therapy outcomes. • Southwick and Guntuku interview [01:37] • What led you to this study design? [03:06] • What did you think this would look like in a therapy setting? [08:00] • Amount of data patients contributed varied widely [09:39] • T...
58: A Survey of Behavioral Health Care Providers on Use and Barriers to Use of Measurement-Based Care
February 27, 2023 16:23 - 28 minutes - 39.9 MBBreanna C. Keepers, M.D., M.B.A., and Ish P. Bhalla, M.D., M.S., join Dr. Dixon and Dr. Berezin to discuss the results of a survey of mental healthcare providers and their usage of measurement-based care. Dr. Keepers is in the Department of Psychiatry at New York-Presbyterian Hospital, and Dr. Bhalla is Medical Director of Behavioral Health Value Transformation at Blue Cross-Blue Shield of North Carolina. • Keepers and Bhalla interview [00:50] • Incentivizing provider behavior chan...
57: Trends in Racial-Ethnic Disparities in Adult Mental Health Treatment Use From 2005 to 2019
January 24, 2023 15:14 - 28 minutes - 39 MBNavdep Kaur, M.P.H., joins Dr. Dixon and Dr. Berezin to discuss persistent racial and ethnic disparities in mental health treatment access and outcomes prior to and following the passage of the 2010 Affordable Care Act. Ms. Kaur is a predoctoral fellow at the Columbia University Mailman School of Public Health in New York. Kaur interview [01:01] Connecting your work with your passion [03:09] Affordable Care Act and mental health [05:39] What did you look at to study this? [09:11] W...
56: Peer Review
December 20, 2022 17:44 - 44 minutes - 61.6 MBHoward H. Goldman, M.D., PH.D. (PS emeritus Editor-in-Chief) and Alison Cuellar, Ph.D., (George Mason University, Fairfax, Virginia) joins current PS Editor-in-Chief Dr. Lisa Dixon to discuss the peer review process from the perspective of both reviewers and editors. 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 collect...
55: Taking an Evidence-Based Approach to Involuntary Psychiatric Hospitalization
November 22, 2022 18:44 - 26 minutes - 36.4 MBNathaniel 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 eviden...
54: Young Adults’ Perspectives on Factors Related to Relapse After First-Episode Psychosis: Qualitative Focus Group Study
October 20, 2022 15:59 - 31 minutes - 42.9 MBShalini 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...
53: Use of Acute Mental Health Care in U.S. Children’s Hospitals Before and After Statewide COVID-19 School Closure Orders
July 26, 2022 12:56 - 28 minutes - 38.5 MBDr. 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 ...
52: Downward National Trends in Mental Health Treatment Offered in Spanish
June 27, 2022 13:43 - 26 minutes - 37 MBDr. 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] ...
51: Lived Experience as a Protective Factor for Mental Health Workers
May 16, 2022 15:58 - 29 minutes - 40.6 MBCourtney 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...
50: Online Psychosis Screening: Characterizing an Underexamined Population to Improve Access and Equity
March 29, 2022 15:24 - 31 minutes - 43.6 MBMark 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] Durat...
49: Implementation Potential of Moral Reconation Therapy for Criminal Recidivism in Mental Health Residential Programs
February 28, 2022 21:35 - 30 minutes - 42.4 MBDaniel 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] Veteran...
48: Cops, Clinicians, or Both? Collaborative Approaches to Responding to Behavioral Health Emergencies
January 10, 2022 20:46 - 40 minutes - 55.3 MBMargaret 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 S...
47: Effects of High-Deductible Health Plans on Enrollees With Mental Health Conditions With and Without Substance Use Disorders
November 09, 2021 16:47 - 25 minutes - 23.1 MBCameron 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 c...
46: Persons With Intellectual and Developmental Disabilities in the Mental Health System: Clinical, Policy and Systems Considerations
October 12, 2021 18:41 - 41 minutes - 75.1 MBDr. 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 Arbo...
45: From Shelters to Hotels: An Enduring Solution to Ending Homelessness for Thousands of Americans
August 25, 2021 16:47 - 46 minutes - 47.4 MBDeborah 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 ...
44: Engaging African American Clergy and Community Members to Increase Access to Evidence-Based Practices for Depression
July 15, 2021 14:54 - 31 minutes - 31.8 MBSidney 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 t...
Episode 43 Transitioning From the ED to Outpatient MH Care and Supporting the Mental Health Workforce Amid COVID-19
June 03, 2021 21:38 - 38 minutes - 38.9 MBBenjamin 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 e...
42: Deepening Engagement of Service User Participation Within Research and the Mental Health System
April 07, 2021 14:00 - 52 minutes - 45.5 MBMarie 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 Departm...
41: Addressing the Gap Between Global Mental Health Research and Treatment
February 24, 2021 15:00 - 31 minutes - 27.5 MBMilton 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 th...
40: A Peer-Led Healthy Lifestyle Intervention for People With Serious Mental Illness in Supportive Housing
January 21, 2021 20:30 - 40 minutes - 33.9 MBLeopoldo 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 Tr...
39: Wanda Wright on Oral Health Among Persons With Mental Illness
December 14, 2020 15:00 - 28 minutes - 23.9 MBWanda 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 dent...
38: Michael Hogan on Improving Mental Health Crisis Systems
November 09, 2020 14:30 - 49 minutes - 38.9 MBMichael 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 Healt...
37: John Torous on Smartphone Apps for College Mental Health
October 05, 2020 15:30 - 29 minutes - 24.2 MBJohn 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 direct...
36: Ayana Jordan on Mental Health Disparities by Race and Ethnicity
August 05, 2020 16:30 - 41 minutes - 31 MBAyana 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 Ear...
35: Erik Messamore on State Policies Regarding Medical Marijuana
July 02, 2020 15:00 - 31 minutes - 25.3 MBErik 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 ...
34: Mental Health Policy in the Era of COVID-19
May 20, 2020 15:30 - 24 minutes - 19.8 MBMatthew 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 Advis...
33: Providing Services to Criminal Justice–Involved Individuals
March 17, 2020 16:30 - 35 minutes - 41.6 MBMark 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 ...
32: Delbert Robinson on Barriers to Use of Long-Acting Injectable Antipsychotics
February 14, 2020 17:00 - 24 minutes - 30.9 MBDelbert 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] ...
31: Pat Deegan on the Journey to Use Medication Optimally to Support Recovery
January 17, 2020 16:30 - 25 minutes - 24.4 MBPatricia 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] R...
30: Natalie Bonfine on a New Approach for Justice-Involved People With Serious Mental Illness
December 13, 2019 15:00 - 31 minutes - 44.8 MBNatalie 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 perspec...
29: Substance Use Among LGBTQ Young Adults, and Turnover Among Community Mental Health Providers
November 19, 2019 16:30 - 23 minutes - 29.4 MBDr. 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 E...
28: Peer Specialists in Community Mental Health
October 18, 2019 13:31 - 25 minutes - 24.5 MBNev 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? [2...
27: Project ECHO for Rural Primary Care, and Mental Health Consequences From Hurricanes
September 06, 2019 18:50 - 23 minutes - 35.3 MBDr. 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 profess...
26: Jonathan Purtle on Legislators’ Opinions on Adverse Childhood Experiences
July 26, 2019 13:21 - 29 minutes - 30.9 MBJonathan 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 [...
25: Services for Autism, Hospitalizations and AOT, and Behavioral Economics for Medication Adherence
June 28, 2019 13:38 - 30 minutes - 39.5 MBDr. Dixon and Dr. Berezin discuss psychiatric hospitalization of youths with autism spectrum disorder and whether increasing spending on home and community-based care lowers that risk [1:13], reducing hospitalization through court-ordered assisted outpatient treatment with or without assertive community treatment [11:20], and use of behavioral economics to enhance medication adherence [20:47]. Check out Editor's Choice, a new set of curated collections from the rich resource of articles pu...
24: First-Episode Psychosis, Marijuana Legalization, and Suicide
May 31, 2019 14:48 - 30 minutes - 40.5 MBDr. Dixon and Dr. Berezin discuss an innovative program to engage patients with early psychosis [1:12], two essays on the legalization of marijuana [11:25], and the aftermath of celebrity suicide [22:30]. 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 podc...
23: Transforming Inpatient Care and Sharing Clinician Notes
April 16, 2019 14:00 - 24 minutes - 32 MBDr. Dixon and Dr. Berezin discuss a new model of inpatient care in England [1:23] and improving clinician practices when sharing notes with patients [14:42]. 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...
22: Paul Appelbaum on Responsibility for Suicide or Violence on Campus
March 15, 2019 14:00 - 30 minutes - 45.2 MBPaul S. Appelbaum, M.D., joins Dr. Dixon and Dr. Berezin to discuss what degree of responsibility universities have to prevent student suicide or violence on campus. This question was the focus of two recent state supreme court decisions, in Massachusetts and in California. Looking to legal rules that define when duties exist to protect third parties, both courts held that the unique aspects of the campus setting create a responsibility for universities to take reasonable steps to protect ...
21: Technology
February 15, 2019 13:00 - 28 minutes - 38.8 MBDr. Dixon and Dr. Berezin discuss the use of text messaging to detect postpartum depression (01:16), the use of telemedicine to improve medication adherence (11:45), and ethical considerations regarding Internet searches for patient information (19:56). 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. B...
20: Benzodiazepines, Child Protective Services, and Self-Directed Care Financing
January 15, 2019 15:00 - 32 minutes - 33.2 MBDr. Dixon and Dr. Berezin discuss benzodiazepine use and misuse among adults in the United States, child protective service disparities and serious mental illnesses, and mental health self-directed care financing.
19: Malingering, 13 Reasons Why, and Predicting Suicidal Behavior
December 15, 2018 14:30 - 32 minutes - 46.9 MBDr. Dixon and Dr. Berezin discuss malingering in the psychiatric emergency department, the Netflix series 13 Reasons Why, and whether responses to item 9 of the Patient Health Questionnaire (PHQ-9) predicts suicidal behavior among outpatients with diagnoses of psychotic disorders.