57: Trends in Racial-Ethnic Disparities in Adult Mental Health Treatment Use From 2005 to 2019

Psychiatric Services From Pages to Practice

Player FM - Internet Radio Done Right

22 subscribers

Lagt till six år sedan

Innehåll tillhandahållet av American Psychiatric Association Publishing and Psychiatric Services. Allt poddinnehåll inklusive avsnitt, grafik och podcastbeskrivningar laddas upp och tillhandahålls direkt av American Psychiatric Association Publishing and Psychiatric Services eller deras podcastplattformspartner. Om du tror att någon använder ditt upphovsrättsskyddade verk utan din tillåtelse kan du följa processen som beskrivs här https://sv.player.fm/legal.

<div class="span index">1</div> <span><a class="" data-remote="true" data-type="html" href="/series/peak-travel">Peak Travel</a></span>

1
Peak Travel

Av-prenumerera

för 13 dagar sedanför 13d ago

Av-prenumerera

En gång i månaden+

Travel can do amazing things: broaden horizons, build relationships, and rejuvenate the soul. But often, those experiences come at a cost. This is Peak Travel, a new podcast from WHYY about how travel shapes communities in hot-spots around the world. We’ll share the wonder that comes with exploring new places, as well as the harm that our worst travel habits can cause. And we’ll try to figure out how we can do it better. Each episode transports you to a new destination. You’ll meet the people who call that place home, hear their stories, and come to understand how tourism has changed their everyday lives. Supported by rich, on-location sound from around the world, Peak Travel unpacks the $1.9 trillion travel industry and its impact on people and the planet.

för 2 år sedan 28:24

MP3•Episod hem

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]
What are we talking about when we talk about distress? [10:06]
How do you define treatment usage? [11:30]
What are your hypotheses for why your findings on mental health treatment usage look the way they do? [13:11]
Disaggregating data for disparate groups [14:40]
Has the amount of treatment change overall differed between subgroups and the whole population? [17:42]
How do you categorize the various levels of stigma and attitudes towards treatment? [19:16]
Sources of market failure – lack of providers, insurance, access [21:21]
What would a data set that could answer your questions look like? [22:22]
What are you working on next? [24:34]
Has your passion survived contact with sample sizes, measures, and the nitty gritty of data sets? [25:20]

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

74 episoder

#Communitybasedtreatment #Psychiatricservices #Science #Medicine #Americanpsychiatricassociation #Criminaljustice #Depression #Mentalhealth #Psychiatry #Psychology #Fitness #American Psychiatric Association Publishing #Psychiatric Services #DSM #Journalism #Socialwork

57: Trends in Racial-Ethnic Disparities in Adult Mental Health Treatment Use From 2005 to 2019

Psychiatric Services From Pages to Practice

22 subscribers

published för 2 år sedan

Dela

MP3•Episod hem

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]
What are we talking about when we talk about distress? [10:06]
How do you define treatment usage? [11:30]
What are your hypotheses for why your findings on mental health treatment usage look the way they do? [13:11]
Disaggregating data for disparate groups [14:40]
Has the amount of treatment change overall differed between subgroups and the whole population? [17:42]
How do you categorize the various levels of stigma and attitudes towards treatment? [19:16]
Sources of market failure – lack of providers, insurance, access [21:21]
What would a data set that could answer your questions look like? [22:22]
What are you working on next? [24:34]
Has your passion survived contact with sample sizes, measures, and the nitty gritty of data sets? [25:20]

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

74 episoder

Alla avsnitt

1
74: Building Financial Wellness: Randomized Control Trial of a Financial Education and Support Intervention 35:22

för 6 dagar sedan35:22

35:22

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 wellness matter for this population? 06:43 Psych rehab 08:05 Spending triggers 10:59 A psych rehab framework 12:53 Financial wellness 14:10 Beyond trans-diagnostic 16:24 The curriculum 20:10 Receiving a good financial education 21:32 Top line findings of the trial 25:07 The emotional context of financial wellness 25:55 Trained peer instructors 27:34 Policymaker takeaways 30:30 Financial literacy does not imply financial wellness 32:07 Small goals towards financial wellness 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…

1
73: Understanding Involuntary Hospitalization Applications Submitted to an Urban Police Department 33:16

för 6 weeks sedan33:16

33:16

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 22:29 Requests that don’t end in transport 23:42 Police involvement 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…

1
72: Partnerships Between Faith Communities and the Mental Health Sector: A Scoping Review 33:22

för 13 weeks sedan33:22

33:22

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 The interaction of faith communities and mental health service provision 07:38 Types of collaboration – PSFPTP Hankerson episode 09:57 Why look at the literature now? 11:12 What kinds of questions are you asking? 12:57 The complexity of different faiths, and different organizations 15:56 Topline findings 18:12 Does the research paradigm work in situations like this? 22:03 Discussing a patient and provider’s religiosity 23:20 Assumptions and characterizations of faith-based organizations 24:55 Destigmatizing conversations about mental health and behavioral health in faith-based communities 27:39 The multilayered nature of faith-based community participation 28:53 Future research 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…

1
71: Motivations for and Experiences With Antipsychotic Tapering Among Patients With Schizophrenia Seeking Guided Dose Reduction 33:32

för 22 weeks sedan33:32

33:32

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 tension between medication and side effects for the clinician 12:47 Top line findings 15:28 Psychotic symptom relapse 17:38 Differences by medication 19:43 Expectations from patients 21:47 Shared decision making 24:44 Mixed expectations and reality 27:20 Relapse 29:50 Close contact between patients and clinic staff 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…

1
70: Gender-Affirming Psychotherapy (GAP): Core Principles and Skills to Reduce the Mental Health Care “GAP” for Transgender Youths 31:57

för 31 weeks sedan31:57

31:57

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://www.affirmlab.org/gaptraining with the discount code “psychserv50." Transcript 01:27 How did you end up on this project? 04:20 Gaps in care for transgender youths 05:47 Methods 08:47 Human-centered design 09:28 Stakeholders and focus groups 12:32 Domains 15:22 Key themes 18:17 Can you separate out gender identity from other goals of therapy? 20:38 Bringing in providers who are less supportive of potentially hostile 23:40 Providers who work in areas of transgender discrimination 26:03 First steps 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…

1
69: Investing in School Mental Health: Strategies to Wisely Spend Federal and State Funding 37:17

för 38 weeks sedan37:17

37:17

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 and youth mental health 15:29 Federal funding mechanisms 18:39 Using the funding while it’s still available 22:10 Partnerships in school mental health 23:00 Medicaid 27:11 Medicaid billing and complications for school systems 28:47 Technical assistance for schools 30:07 Data systems 33:49 Temperature check 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…

1
68: Designing Community Services for People With Borderline Personality Disorder to Reduce Hospitalizations 32:59

för 49 weeks sedan32:59

32:59

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 , 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…

1
67: Addressing Mental Health Disability in Unsheltered Homelessness: Outpatient Conservatorship in Los Angeles 33:30

för 1 year sedan33:30

33:30

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 Lanterman-Petris-Short (LPS) conservatorship 13:44 Outpatient conservatorship (OPC) pilot program 15:54 Skepticism 18:48 Beyond conservatorship: other aspects of the program 22:34 Initial evaluation 25:21 Quantitative measures 28:33 Coordination 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…

1
66: Predicting Outcomes of Antidepressant Treatment in Community Practice Settings 32:21

för 1 year sedan32:21

32:21

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 codes, not personalized notes 08:04 What three data items might be more helpful? 08:49 What key indicators are we missing in clinical care? 11:35 A billing tool, not a clinical tool 12:57 Is suicide a predictable event based on electronic health record data? 14:48 “Machine learning and artificial intelligence” 16:15 Methods 18:59 Can we do a better job clarifying what we mean by depression? 22:32 How can we use a predictive model in clinical practice? 28:20 Predictive models, probability, the weather, and communicating 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…

1
65: Remodeling Broken Systems: Addressing the National Emergency in Child and Adolescent Mental Health 36:50

för 1 year sedan36:50

36:50

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 Differences by location 18:28 Remodeling primary care 21:25 Virtual care 27:19 New service models 32:19 Are we moving in the right direction? 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…

1
64: Acceptance of Insurance by Psychiatrists and Other Physicians, 2007–2016 30:14

för 1 year sedan30:14

30:14

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 Questions and Goals 10:04 Findings: Insurance Acceptance Rates 11:29 Factors Influencing Insurance Acceptance 14:23 Magnitude of the Gap in Insurance Acceptance 15:44 Factors Affecting Insurance Acceptance for Psychiatrists 18:08 Challenges in Enforcing Mental Health Parity 19:27 Market Power of Psychiatrists 22:48 Impact on Other Mental Health Professionals 24:16 Importance and Implications 25:11 Potential Solutions and Policy Changes 29:31 Conclusion 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…

1
63: Factors Influencing Turnover and Attrition in the Public Behavioral Health System Workforce: Qualitative Study 31:39

för 2 years sedan31:39

31:39

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? [03:45] Who were you talking to? [05:32] A figure on radio [06:30] Generating a theoretical framework from the responses [08:01] Qualitative methods [09:30] The five factors [10:33] Wages [14:05] Infrastructure [14:40] Are these issues unique to behavioral health services? [19:11] Legislative changes in Oregon [21:25] Feeling supported matters [23:39] Did the pandemic exacerbate the problem? [27:04] Take home [29:08] Access the complete Behavioral Health Workforce Report to the Oregon Health Authority and State Legislature here. Transcript Figure 1. Factors influencing turnover and attrition in the public behavioral health system workforce in Oregona a Interviewees identified factors across three levels—system, organizational, and individual—that contribute to the direct drivers of workforce turnover and attrition. https://ps.psychiatryonline.org/pb-assets/podcasts/transcripts/PS/PS_Chung_August_2023_transcript.pdf 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…

1
62: Medicaid Costs and Utilization of Collaborative Versus Colocation Care for Patients With Depression 30:43

för 2 years sedan30:43

30:43

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 the collaborative care model [03:44] What populations are you working with? [07:21] Differences in service utilization and cost [10:25] Methodology [10:47] Concentration on depression instead of other psychiatric disorders [13:59] Findings [15:11] Choosing between models [20:21] Impact of COVID [24:06] Final thoughts [28:21] 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…

1
61: Guidance for Handling the Increasing Prevalence of Drugs Adulterated or Laced With Fentanyl 22:43

för 2 years sedan22:43

22:43

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 test strips and harm reduction [08:37] Spillover [10:06] Issues with fentanyl [12:05] Incremental behavioral changes [13:44] Things people should know about fentanyl [16:29] Training for professionals [18:03] How things are moving [19:55] See the Psychiatric Services Editor's Choice collection, "Responding to the Opioid Crisis." 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…

1
60: Psychiatrist and Nonpsychiatrist Physician Network Breadth in Dual Eligible Special Needs Plans 42:26

för 2 years sedan42:26

42:26

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] Eligibility for each, and both [06:36] Dual eligibility [08:09] Who pays for care? [09:51] Managed care [11:13] Trade offs between traditional insurance and HMO plans [15:47] Medicare Advantage [18:17] Dual Eligible Special Needs Plans (D-SNPs) [19:06] D-SNPs from the perspective of consumers [21:34] Provider networks [24:50] Findings [27:07] Why do D-SNPs not have larger psychiatrist networks than traditional Medicare? [30:02] Mental health care and insurance coverage [33:47] What should policymakers take from this? [36:37] What should clinicians take from this? [39:56] 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…

Psychiatric Services From Pages to Practice

1
59: Effect of Integrating Patient-Generated Digital Data Into Mental Health Therapy: A Randomized Controlled Trial 30:08

för 2 years sedan30:08

30:08

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 therapy setting? [08:00] • Amount of data patients contributed varied widely [09:39] • The dashboard [10:12] • What were the effects of sharing digital data with therapists? [12:31] • The Hawthorne effect [15:25] • What’s next for your research? [18:23] • Recruitment [20:46] • COVID and people’s interactions with digital media and mental health [23:29] • ChatGPT [26:50] 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…

Psychiatric Services From Pages to Practice

1
58: A Survey of Behavioral Health Care Providers on Use and Barriers to Use of Measurement-Based Care 28:53

för 2 years sedan28:53

28:53

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 Carolina. • Keepers and Bhalla interview [00:50] • Incentivizing provider behavior changes [03:01] • Measurement instruments [05:30] • Measurement-based care from the care recipient’s perspective [06:27] • Study design [09:16] • Clinical utility and measurement-based care [11:31] • Are we using the right measure? [14:45] • Heterogeneity in provider perceptions of measurement-based care [16:08] • Training providers [17:25] • Providing care is hard [19:36] • What’s next for your research? [22:10] 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…

Psychiatric Services From Pages to Practice

1
57: Trends in Racial-Ethnic Disparities in Adult Mental Health Treatment Use From 2005 to 2019 28:24

för 2 years sedan28:24

28:24

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] Affordable Care Act and mental health [05:39] What did you look at to study this? [09:11] What are we talking about when we talk about distress? [10:06] How do you define treatment usage? [11:30] What are your hypotheses for why your findings on mental health treatment usage look the way they do? [13:11] Disaggregating data for disparate groups [14:40] Has the amount of treatment change overall differed between subgroups and the whole population? [17:42] How do you categorize the various levels of stigma and attitudes towards treatment? [19:16] Sources of market failure – lack of providers, insurance, access [21:21] What would a data set that could answer your questions look like? [22:22] What are you working on next? [24:34] Has your passion survived contact with sample sizes, measures, and the nitty gritty of data sets? [25:20] 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…

Psychiatric Services From Pages to Practice

1
56: Peer Review 44:53

för 2 years sedan44:53

44:53

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 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…

Psychiatric Services From Pages to Practice

1
55: Taking an Evidence-Based Approach to Involuntary Psychiatric Hospitalization 26:29

för 2 years sedan26:29

26:29

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…

Psychiatric Services From Pages to Practice

1
54: Young Adults’ Perspectives on Factors Related to Relapse After First-Episode Psychosis: Qualitative Focus Group Study 31:14

för 3 years sedan31:14

31:14

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…

Psychiatric Services From Pages to Practice

1
53: Use of Acute Mental Health Care in U.S. Children’s Hospitals Before and After Statewide COVID-19 School Closure Orders 28:04

för 3 years sedan28:04

28:04

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…

Psychiatric Services From Pages to Practice

1
52: Downward National Trends in Mental Health Treatment Offered in Spanish 26:59

för 3 years sedan26:59

26:59

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…

Psychiatric Services From Pages to Practice

1
51: Lived Experience as a Protective Factor for Mental Health Workers 29:35

för 3 years sedan29:35

29:35

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…

Psychiatric Services From Pages to Practice

1
50: Online Psychosis Screening: Characterizing an Underexamined Population to Improve Access and Equity 31:45

för 3 years sedan31:45

31:45

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…

Psychiatric Services From Pages to Practice

1
49: Implementation Potential of Moral Reconation Therapy for Criminal Recidivism in Mental Health Residential Programs 30:54

för 3 years sedan30:54

30:54

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…

Psychiatric Services From Pages to Practice

1
48: Cops, Clinicians, or Both? Collaborative Approaches to Responding to Behavioral Health Emergencies 40:15

för 3 years sedan40:15

40:15

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…

Psychiatric Services From Pages to Practice

1
47: Effects of High-Deductible Health Plans on Enrollees With Mental Health Conditions With and Without Substance Use Disorders 25:17

för 3 years sedan25:17

25:17

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…

Psychiatric Services From Pages to Practice

1
46: Persons With Intellectual and Developmental Disabilities in the Mental Health System: Clinical, Policy and Systems Considerations 41:01

för 4 years sedan41:01

41:01

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…

Psychiatric Services From Pages to Practice

1
45: From Shelters to Hotels: An Enduring Solution to Ending Homelessness for Thousands of Americans 46:33

för 4 years sedan46:33

46:33

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…

Välkommen till Player FM

Player FM scannar webben för högkvalitativa podcasts för dig att njuta av nu direkt. Den är den bästa podcast-appen och den fungerar med Android, Iphone och webben. Bli medlem för att synka prenumerationer mellan enheter.

Lyssna på 500+ ämnen

22 subscribers

Liknande Psychiatric Services From Pages to Practice

Amazon Basics Multipurpose Copy Printer Paper, 8.5 x 11 inches, 20 lb, 1 Ream, 500 Sheets, 92 Bright, White

2024 Topps Baseball Complete Set Factory Sealed Box Set - Baseball Complete Sets

Pink Pony Club

Podcaster värda att lyssna på

Psychiatric Services From Pages to Practice « » 57: Trends in Racial-Ethnic Disparities in Adult Mental Health Treatment Use From 2005 to 2019

57: Trends in Racial-Ethnic Disparities in Adult Mental Health Treatment Use From 2005 to 2019

Podcaster värda att lyssna på

Välkommen till Player FM

The Let Them Theory: A Life-Changing Tool That Millions of People Can't Stop Talking About

The Let Them Theory: A Life-Changing Tool That Millions of People Can't Stop Talking About

Ailun 3 Pack Screen Protector for iPhone 16 Pro [6.3 inch] + 3 Pack Camera Lens Protector with Installation Frame,Case Friendly Tempered Glass Film,[9H Hardness] - HD [6 Pack]

Tubi: Watch Free Movies & TV Shows

The Let Them Theory: A Life-Changing Tool That Millions of People Can't Stop Talking About

Liknande Psychiatric Services From Pages to Practice

Snabbguide

Psychiatric Services From Pages to Practice « »
57: Trends in Racial-Ethnic Disparities in Adult Mental Health Treatment Use From 2005 to 2019