60: Psychiatrist and Nonpsychiatrist Physician Network Breadth in Dual Eligible Special Needs Plans
Psychiatric Services From Pages to Practice
Release Date: 05/12/2023
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...
info_outline 67: Addressing Mental Health Disability in Unsheltered Homelessness: Outpatient Conservatorship in Los AngelesPsychiatric 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...
info_outline 66: Predicting Outcomes of Antidepressant Treatment in Community Practice SettingsPsychiatric 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...
info_outline 65: Remodeling Broken Systems: Addressing the National Emergency in Child and Adolescent Mental HealthPsychiatric 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 ...
info_outline 64: Acceptance of Insurance by Psychiatrists and Other Physicians, 2007–2016Psychiatric 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...
info_outline 63: Factors Influencing Turnover and Attrition in the Public Behavioral Health System Workforce: Qualitative StudyPsychiatric 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...
info_outline 62: Medicaid Costs and Utilization of Collaborative Versus Colocation Care for Patients With DepressionPsychiatric 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_outline 61: Guidance for Handling the Increasing Prevalence of Drugs Adulterated or Laced With FentanylPsychiatric 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...
info_outline 60: Psychiatrist and Nonpsychiatrist Physician Network Breadth in Dual Eligible Special Needs PlansPsychiatric 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...
info_outline 59: Effect of Integrating Patient-Generated Digital Data Into Mental Health Therapy: A Randomized Controlled TrialPsychiatric 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_outlineEric 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]
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