40: A Peer-Led Healthy Lifestyle Intervention for People With Serious Mental Illness in Supportive Housing
Psychiatric Services From Pages to Practice
Release Date: 01/21/2021
68: Designing Community Services for People With Borderline Personality Disorder to Reduce Hospitalizations
Psychiatric Services From Pages to Practice
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 and a combined day treatment and crisis service for patients with borderline personality disorder in Liverpool, United Kingdom. Subscribe to the podcast . Check out , a set of curated collections from the rich resource of articles published in the journal. to receive notification of new Editor's Choice collections. Browse other articles on our . Be sure to let your colleagues know about the podcast, and please rate...
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67: Addressing Mental Health Disability in Unsheltered Homelessness: Outpatient Conservatorship in Los Angeles
Psychiatric Services From Pages to Practice
Elizabeth Bromley, M.D., Ph.D. (University of California, Los Angeles) joins Dr. Dixon and Dr. Berezin 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...
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66: Predicting Outcomes of Antidepressant Treatment in Community Practice Settings
Psychiatric Services From Pages to Practice
Gregory E. Simon, M.D., M.P.H. (Kaiser Permanente Washington Health Research Institute, Seattle) join Dr. Dixon and Dr. Berezin to discuss the 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...
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65: Remodeling Broken Systems: Addressing the National Emergency in Child and Adolescent Mental Health
Psychiatric Services From Pages to Practice
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 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 ...
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64: Acceptance of Insurance by Psychiatrists and Other Physicians, 2007–2016
Psychiatric Services From Pages to Practice
Andrew D. Carlo, M.D., M.P.H. (Northwestern University Feinberg School of Medicine, Chicago) joins Dr. Dixon and Dr. Berezin 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...
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63: Factors Influencing Turnover and Attrition in the Public Behavioral Health System Workforce: Qualitative Study
Psychiatric Services From Pages to Practice
Eliza Hallett, M.S., (Oregon Health & Science University, Portland, Oregon) joins Dr. Dixon and Dr. Berezin to 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...
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62: Medicaid Costs and Utilization of Collaborative Versus Colocation Care for Patients With Depression
Psychiatric Services From Pages to Practice
Henry Chung, M.D., (Albert Einstein College of Medicine, Bronx, New York City) joins Dr. Dixon and Dr. Berezin to 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...
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61: Guidance for Handling the Increasing Prevalence of Drugs Adulterated or Laced With Fentanyl
Psychiatric Services From Pages to Practice
Joseph Parks, M.D., joins Dr. Dixon and Dr. Berezin to discuss the increased prevalence of drugs adulterated with fentanyl and similar potent fentanyl analogs. MDI publications can be found . 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...
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60: Psychiatrist and Nonpsychiatrist Physician Network Breadth in Dual Eligible Special Needs Plans
Psychiatric Services From Pages to Practice
Eric P. Slade, Ph.D., joins Dr. Dixon and Dr. Berezin to 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...
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59: Effect of Integrating Patient-Generated Digital Data Into Mental Health Therapy: A Randomized Controlled Trial
Psychiatric Services From Pages to Practice
Lauren Southwick, M.P.H., and Sharath Guntuku, Ph.D., join Dr. Dixon and Dr. Berezin to discuss whether 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...
info_outlineLeopoldo J. Cabassa, Ph.D., M.S.W., and Ana Stefancic, Ph.D., join Dr. Dixon to discuss the effectiveness of the Peer-led Group Lifestyle Balance intervention, a 12-month manualized healthy lifestyle intervention delivered by peer specialists, in a sample of persons with serious mental illness who were overweight or obese and living in supportive housing.
Dr. Cabassa is an associate professor at the Brown School at Washington University in St. Louis. He also is director of the NIMH T-32 Training Program and co-director of the Center for Mental Health Services Research at the university. His work aims to improve care for underserved communities, with a focus on disparities among racial-ethnic minorities with serious mental illness.
Dr. Stefancic is an associate research scientist in the Department of Psychiatry at Columbia University. Her research interests focus on evaluating housing and support services for individuals who have experienced homelessness, psychiatric disabilities, and other medical conditions.
- How the authors became interested in this field [2:08]
- Summary of study findings [6:20]
- Details of the supportive housing sites [10:05]
- Description of the peer-led program intervention [14:04]
- Work of the peer specialists within the program [16:35]
- Discussion of usual care [19:16]
- Details of the main outcomes [21:27]
- Differences between peer-led and usual care [22:31]
- Discussion of fidelity [27:02]
- Discussion of patient-level randomization [28:22]
- Remembering peer specialist Kelli Adams [33:41]
- One key takeaway from the work [36:44]
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