58: A Survey of Behavioral Health Care Providers on Use and Barriers to Use of Measurement-Based Care
Psychiatric Services From Pages to Practice
Release Date: 02/27/2023
Psychiatric Services From Pages to Practice
Amandeep Jutla, M.D., joins Dr. Dixon and Dr. Berezin, with guest host Dr. Matt Hirschtritt, to discuss and psychiatric risk. 01:08 Introduction 04:03 Language models in 2019 05:18 The appeal of chat-based AI for autistic adults 07:34 Do you use chat-based AI models personally? 09:44 Specific concerns of interacting with AI chat bots 11:07 The illusion of speaking with a person 13:34 Suggestions for clinicians and researchers 16:17 Questions a clinician should ask 18:29 Uses for AI...
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Rachel Oblath, Ph.D., joins Dr. Dixon and Dr. Berezin, with guest host Dr. Matt Hirschtritt, to discuss among youths in both emergency department and alternative settings. 01:10 Emergency psychiatric services utilization 03:57 Previous studies and unanswered questions 07:01 Emergency room and urgent care 08:39 BEST program 10:53 Findings and considerations 13:46 Results 15:56 Repeat utilization 19:03 Effectiveness of inpatient care 20:06 Non-ED settings 21:46 Implications...
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Katherine Koh, M.D., M.Sc., joins Dr. Dixon and Dr. Berezin, along with guest host Dr. Matt Hirschtritt, to d: what it is, its history, and what it means for the treatment of unhoused patients in often adverse settings. 01:08 What is street psychiatry? 05:03 Path into street psychiatry 08:24 Purpose of the article 09:22 What makes street psychiatry unique 14:09 “A long walk” 15:45 When does a person become a patient? ...
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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 (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 teachers and school administrators to ECTIE 12:41 Unconditional positive regard 14:22 How did your collaboration begin? 17:29 Medical school and TIE 19:42 Bidirectional...
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Dr. Kathyrn Ridout (Kaiser Permanente Northern California) joins Dr. Dixon and Dr. Berezin to for solo and small-group practitioners. 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 measurement-based care 07:37 Communication and engagement between clinicians and patients 10:22 Edge cases that...
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Dr. Robert Drake (Columbia University, New York) joins Dr. Dixon and Dr. Berezin to looking back at research conducted at Dartmouth in the 1990s looking at mental health, employment, individual placement, and support. 00:49 Dartmouth in the 1990s 01:59 Failures and successes 04:01 “This was really the greatest serendipity of my life” 07:05 Employment versus day centers 09:11 A pivot point 11:07 Assertive Community Treatment (ACT)...
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Dr. Benjamin Brody (Weill Cornell Medicine, New York) joins Dr. Dixon and Dr. Berezin to can be evolved to ensure that it is aligned with best incentives to for high-quality behavioral health care. 00:52 Brody background 02:51 Inpatient work 03:42 The tension of inpatient psychiatric care 05:28 The Joint Commission 07:39 What the Joint Commission is doing well 09:04 Best practices 11:02 Who ordered what, when, and...
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Dr. Judith Cook (University of Illinois Chicago) joins Dr. Dixon and Dr. Berezin to and competency and reduce economic strain for people receiving services for psychiatric disorders. 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 ...
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Dr. Kevin Simon (Harvard Medical School and Boston Public Health Commission) joins Dr. Dixon and Dr. Berezin to behind and concerns surrounding involuntary psychiatric hospitalization. 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...
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Eunice Wong, Ph.D., (RAND, Santa Monica, Calif.) joins Dr. Dixon and Dr. Berezin to and the mental health sector in the provision of mental health care. 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 – 09:57 Why look at the literature now? ...
info_outlineBreanna 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]
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