Psychiatric Services From Pages to Practice

Rachel Oblath, Ph. D., joins Dr. Dixon and Dr. Berezin, with guest host Dr. Matt Hirschtritt, to discuss repeated utilization of emergency psychiatric services among youths in both emergency department and alternative settings. Transcript 01:10    Emergency psychiatric services utilization 03:57    Previous studies and unanswered questions 07:01    Emergency room and urgent care 08:39    BEST prog...

Katherine Koh, M.D., M.Sc., joins Dr. Dixon and Dr. Berezin, along with guest host Dr. Matt Hirschtritt, to d iscuss street psychiatry : what it is, its history, and what it means for the treatment of unhoused patients in often adverse settings. Transcript 01:08      What is street psychiatry? 05:03      Path into street psychiatry 08:24      Purpose of the article 09:22      What makes street psy...

Ruth S. Shim, M.D., M.P.H., and Alex Shevrin Venet, M.Ed., join Dr. Dixon and Dr. Berezin, along with guest host Dr. Matt Hirschtritt to discuss equity-centered trauma-informed education (ECTIE), a model that can be applied across the educational spectrum. 04:15     Expanding equity-centered trauma-informed education (ECTIE) beyond K–12 05:59    Five core components 10:25    Reception from teacher...

Dr. Kathyrn Ridout (Kaiser Permanente Northern California) joins Dr. Dixon and Dr. Berezin to discuss implementing measurement-based care for solo and small-group practitioners. Transcript 00:33      Ridout interview 00:57      Background 02:56      Measurement-based care 04:32      Large integrated systems versus small group and solo practitioners 06:25      Evidence for the utility of measuremen...

Dr. Robert Drake (Columbia University, New York) joins Dr. Dixon and Dr. Berezin to discuss a personal reflection looking back at research conducted at Dartmouth in the 1990s looking at mental health, employment, individual placement, and support. Transcript 00:49      Dartmouth in the 1990s 01:59      Failures and successes 04:01      " This was really the greatest serendipity of my life" 07:05  ...

Dr. Benjamin Brody (Weill Cornell Medicine, New York) joins Dr. Dixon and Dr. Berezin to discuss how Joint Commission accreditation can be evolved to ensure that it is aligned with best incentives to for high-quality behavioral health care. Transcript 00:52      Brody background 02:51      Inpatient work 03:42      The tension of inpatient psychiatric care 05:28      The Joint Commission 07:39    ...

Dr. Judith Cook (University of Illinois Chicago) joins Dr. Dixon and Dr. Berezin to discuss an intervention designed to help improve financial literacy and competency and reduce economic strain for people receiving services for psychiatric disorders. Transcript 00:57      Psychiatric services research 02:05      Clinical work and Thresholds 03:46      Current role 04:23      Why does financial wel...

Dr. Kevin Simon (Harvard Medical School and Boston Public Health Commission) joins Dr. Dixon and Dr. Berezin to discuss the processes behind and concerns surrounding involuntary psychiatric hospitalization. Transcript 01:03      Career path 03:42      Boston Public Health Commission 09:28      Collaborators 13:09      Section 12 16:14      Transportation 17:17      Rates of involuntary transport 2...

Eunice Wong, Ph. D., (RAND, Santa Monica, Calif.) joins Dr. Dixon and Dr. Berezin to discuss a review taking a look at the interactions of faith communities and the mental health sector in the provision of mental health care. Transcript 00:56      How did you arrive at this field of study? 02:58      What is RAND and what do they do? 04:11      How are works for a think tank evaluated? 05:21     ...

Dr. Mette Ødegaard Nielsen (Unit for Complicated Schizophrenia, Glostrup, Denmark) joins Dr. Dixon and Dr. Berezin to discuss patient motivations and experiences of antipsychotic medication tapering at a clinic in Denmark. Transcript 01:02      Nielsen interview 02:22      Tapering medication 04:09      Controversies around tapering 07:07      Debilitating effects of side effects 09:09      The te...

Maggi A. Price, Ph. D., M.A. (School of Social Work, Boston College) joins Dr. Dixon and Dr. Berezin to discuss gender-affirming psychotherapy (GAP) , a comprehensive, evidence-informed, and human-centered set of practices focusing on the treatment of transgender youth developed by Dr. Price and colleagues. The training discussed in the podcast is available to the public at a reduced cost at https...

Dr. Sharon Hoover (University of Maryland School of Medicine, Baltimore) joins Dr. Dixon and Dr. Berezin to discuss the provision of mental health services in schools : why it matters, who it touches, how it's funded, and how it's doing. 01:15      Background 02:46      Provision of school mental health 09:56      How mental health services differ between ages and grades 11:08      COVID pandemic...

Simon 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...

Elizabeth 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      L...

Gregory 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...

Misty 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      Differ...

Andrew 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...

Eliza 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:...

Henry 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 t...

Joseph 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...

Eric 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] El...

Lauren 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 the...

Breanna 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...

Navdep 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] Affo...

Howard 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 ar...