63: Factors Influencing Turnover and Attrition in the Public Behavioral Health System Workforce: Qualitative Study
Psychiatric Services From Pages to Practice
Release Date: 09/15/2023
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...
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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...
info_outlineEliza 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.
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
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