47: Effects of High-Deductible Health Plans on Enrollees With Mental Health Conditions With and Without Substance Use Disorders
Psychiatric Services From Pages to Practice
Release Date: 11/09/2021
71: Motivations for and Experiences With Antipsychotic Tapering Among Patients With Schizophrenia Seeking Guided Dose Reduction
Psychiatric Services From Pages to Practice
Dr. Mette Ødegaard Nielsen (Unit for Complicated Schizophrenia, Glostrup, Denmark) joins Dr. Dixon and Dr. Berezin to of antipsychotic medication tapering at a clinic in Denmark. 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...
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70: Gender-Affirming Psychotherapy (GAP): Core Principles and Skills to Reduce the Mental Health Care “GAP” for Transgender Youths
Psychiatric Services From Pages to Practice
Maggi A. Price, Ph.D., M.A. (School of Social Work, Boston College) joins Dr. Dixon and Dr. Berezin to , 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 with the discount code “psychserv50." 01:27 How did you end up on this project? 04:20 Gaps in care for transgender youths 05:47 Methods 08:47 ...
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69: Investing in School Mental Health: Strategies to Wisely Spend Federal and State Funding
Psychiatric Services From Pages to Practice
Dr. Sharon Hoover (University of Maryland School of Medicine, Baltimore) joins Dr. Dixon and Dr. Berezin to : 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...
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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...
info_outlineCameron 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
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