Psychiatric Services From Pages To Practice

Erik Messamore, M.D., Ph.D., joins Dr. Dixon and Dr. Berezin to discuss suggestions for informing the public more effectively about the potential benefits and risks of marijuana in state medical marijuana programs. Dr. Messamore is Associate Professor of Psychiatry at Northeast Ohio Medical University and Medical Director of the university's Best Practices in Schizophrenia Treatment Center. How Dr. Messamore became interested in medical marijuana policy [2:33] Points raised by patients regarding the benefits and risks of medical marijuana [5:57] A history of the legalization of medical marijuana in the United States [7:54] The difference between the authorization of marijuana for medical use relative to recreational use [10:24] Discrepancies between the approval processes of regular medicines and medical marijuana [12:32] The role of industry and lobbying [18:09] Recommendations for what state governments should be doing [19:22] Side effects of cannabis [20:43] Arguments for the continued loosening of cannab

Matthew Goldman, M.D., M.S., joins Dr. Dixon and Dr. Berezin to discuss the significant changes in mental health policy prompted by the COVID-19 crisis across five major areas: legislation, regulation, financing, accountability, and workforce development. Special considerations for mental health policy are discussed, including social determinants of health, innovative technologies, and research and evaluation. The article was authored by the members of the Psychiatric Services Policy Advisory Group, which aims to guide the journal on how to maximize its relevance and impact on mental health policy. Dr. Goldman's research interests, and how his responsibilities have changed during the COVID-19 pandemic [3:29] What is mental health policy, and how is policy evolving during the pandemic? [6:35] Differences between legislative and regulatory frameworks [9:13] Discussion of changes involving financing, accountability, and workforce development [14:14] Discussion of changes involving state licensing [17:41] Umbrel

Mark Munetz, M.D., and Elizabeth Ford, M.D., join Dr. Dixon and Dr. Berezin to discuss their work in the field of providing services to individuals who have criminal justice contact and serious mental illness. Articles discussed: Black Robe/White Coat: Mental Health Providers Must Reclaim the Role of Caring Clinician Clinical Outcomes of Specialized Treatment Units for Patients With Serious Mental Illness in the New York City Jail System How each author became interested in the field in general and the topic of their article [2:14] Take-home messages from Dr. Ford's work [9:07] Dr. Munetz's experience with mental health courts [9:38] Areas of overlap between the articles [12:41] How to approach these areas of research [18:29] How unusual are the examples featured in the articles? [21:28] With improved funding, would individuals be more empathic toward people involved with criminal justice? [24:39] How the personal reflections discussed in these articles may interact with the field generally [26:40] What adv

Delbert G. Robinson, M.D., joins Dr. Dixon and Dr. Berezin to discuss barriers to the use of long-acting injectable (LAI) antipsychotic medication. Dr. Robinson's path to this particular area of research [1:43] How have people traditionally viewed LAIs? [3:32] A different approach to LAIs [4:13] The trend to use qualitative methods to understand perspectives of different stakeholders [7:28] Scope of the study [8:13] What the barriers are to more uptake of the use of LAIs [14:18] Barriers stemming from the individual level (interactions between a clinician and a patient) and the systems level (clinics not having appropriate infrastructure) [19:48] What is the next step in this line of research? [22:20] Subscribe to the podcast here. Check out Editor's Choice, a set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections. Browse other articles on our web site. Be sure to let your colleagues know about the podcast, a

Patricia E. Deegan, Ph.D., joins Dr. Dixon and Dr. Berezin to discuss the dynamic journey that is learning to use psychiatric medicine optimally to support recovery. It requires more than learning to take pills on schedule. As people recover, as they learn and grow, as they age, and as their concerns and interests evolve, the use of medication as a tool in recovery also evolves. What is Pat Deegan, Ph.D., & Associates? [1:15] Dr. Deegan's personal experience with mental illness [2:48] Recovery as a journey [5:06] Challenges people face when using medication [9:53] The clinician-patient relationship [14:04] Using analogy to understand the use of medication [17:25] Personal motivation for using medication [18:32] The context from which this Personal Accounts column emerged [22:44] Subscribe to the podcast here. Check out Editor's Choice, a new set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections. Browse o

Natalie Bonfine, Ph.D., joins Dr. Dixon and Dr. Berezin to discuss the reasons why people with serious mental illness are overrepresented in the criminal justice system. Dr. Bonfine also outlines ways to address the multiple factors that contribute to justice involvement for this population. Dr. Bonfine's professional background and research interests [2:05] Development of Dr. Bonfine's article [3:20] What is the criminalization hypothesis? [5:06] What is the criminogenic risk perspective? [10:13] How can the community mental health system address this issue? [12:48] Discussion of the sequential intercept model [17:50] What changes are necessary for the community mental health system to become “intercept 0” [20:41] A counterargument [26:50] Final thoughts [28:55] Check out Editor's Choice, a new set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections. Browse other articles on our web site. Be sure to let your

Dr. Dixon and Dr. Berezin discuss substance use among LGBTQ young adults with probable substance use disorders and characteristics and job stressors associated with turnover and turnover intention among community mental health providers. Introduction to article on substance use among LGBTQ populations [1:00] Study design [2:12] Study results [6:32] Introduction to article on turnover at community mental health centers [15:16] Study design [16:06] Study results [18:16] Check out Editor's Choice, a new set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections. Browse other articles on our web site. Be sure to let your colleagues know about the podcast, and please rate and review it wherever you listen to it. Listen to other podcasts produced by the American Psychiatric Association. Follow the journal on Twitter. E-mail us at psjournal@psych.org

Nev Jones, Ph.D., and Christina Mangurian, M.D., M.A.S., join Dr. Dixon and Dr. Berezin to discuss the significant ethical, political, and procedural challenges that affect recruitment and retention of the peer specialist workforce. Introduction to the topic [1:05] Outline of the case study described in the column [6:20] Challenges involved in hiring peer staff [11:28] Tips for helping clients [14:42] Challenges dealing with microaggressions [17:54] What progress has been made? [23:19] Check out Editor's Choice, a new set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections. Other articles may be viewed at our web site. Be sure to let your colleagues know about the podcast, and please rate and review it wherever you listen to it. Listen to other podcasts produced by the American Psychiatric Association. Follow the journal on Twitter. E-mail us at psjournal@psych.org

Dr. Dixon and Dr. Berezin discuss an innovative model to integrate medication-assisted treatment (MAT) in rural primary care settings for patients with opioid use disorders, and how mental health professionals can prepare and respond to the mental health consequences of increasingly dangerous storms. The barriers and facilitators that affect engagement with Project ECHO (Extension for Community Healthcare Outcomes) to implement MAT in primary care settings [0:58] How mental health professionals can help individuals affected by hurricanes [12:24] We encourage listeners to donate to any trusted charity serving communities affected by Hurricane Dorian. Check out Editor's Choice, a new set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections. Other articles may be viewed at our web site. Be sure to let your colleagues know about the podcast, and please rate and review it wherever you listen to it. Listen to other p

Jonathan Purtle, Dr.P.H., M.Sc., joins Dr. Dixon and Dr. Berezin to discuss state legislators’ opinions about adverse childhood experiences as risk factors for adult behavioral health conditions, as well as how opinions vary between legislators with different characteristics. Dr. Purtle’s research interests [1:35] What are adverse childhood experiences (ACEs)? [3:50] How do the opinions of state legislators align with the body of evidence on ACEs? [6:57] Description of study methods [8:18] Characteristics of the surveyed legislators [13:00] Major findings of the study [14:54] What’s next in this line of research [25:36] Check out Editor's Choice, a new set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections. Other articles may be viewed at our web site. Be sure to let your colleagues know about the podcast, and please rate and review it wherever you listen to it. The podcast is now on Spotify. Listen to other

Dr. Dixon and Dr. Berezin discuss psychiatric hospitalization of youths with autism spectrum disorder and whether increasing spending on home and community-based care lowers that risk [1:13], reducing hospitalization through court-ordered assisted outpatient treatment with or without assertive community treatment [11:20], and use of behavioral economics to enhance medication adherence [20:47]. Check out Editor's Choice, a new set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections. Other articles may be viewed at our web site. Be sure to let your colleagues know about the podcast, and please rate and review it wherever you listen to it. The podcast is now on Spotify. Listen to other podcasts produced by the American Psychiatric Association. Follow the journal on Twitter. E-mail us at psjournal@psych.org

Dr. Dixon and Dr. Berezin discuss an innovative program to engage patients with early psychosis [1:12], two essays on the legalization of marijuana [11:25], and the aftermath of celebrity suicide [22:30]. Check out Editor's Choice, a new set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections. Other articles may be viewed at our web site. Be sure to let your colleagues know about the podcast, and please rate and review it wherever you listen to it. The podcast is now on Spotify. Follow the journal on Twitter. E-mail us at psjournal@psych.org  

Dr. Dixon and Dr. Berezin discuss a new model of inpatient care in England [1:23] and improving clinician practices when sharing notes with patients [14:42]. Check out Editor's Choice, a new set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections. Other articles may be viewed at our web site. Be sure to let your colleagues know about the podcast, and please rate and review it wherever you listen to it. The podcast is now on Spotify. Follow the journal on Twitter. E-mail us at psjournal@psych.org

Paul S. Appelbaum, M.D., joins Dr. Dixon and Dr. Berezin to discuss what degree of responsibility universities have to prevent student suicide or violence on campus. This question was the focus of two recent state supreme court decisions, in Massachusetts and in California. Looking to legal rules that define when duties exist to protect third parties, both courts held that the unique aspects of the campus setting create a responsibility for universities to take reasonable steps to protect students from themselves and each other. Widening the scope of institutional liability in this way could encourage schools to overreact to students with mental health problems, making them less likely to come forward for treatment. Dr. Appelbaum is the Elizabeth K. Dollard Professor of Psychiatry, Medicine and Law in the Department of Psychiatry at Columbia University, New York City, and is editor of the Law & Psychiatry column in Psychiatric Services. Check out Editor's Choice, a new set of curated collections from the

Dr. Dixon and Dr. Berezin discuss the use of text messaging to detect postpartum depression (01:16), the use of telemedicine to improve medication adherence (11:45), and ethical considerations regarding Internet searches for patient information (19:56). Check out Editor's Choice, a new set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections. Other articles may be viewed at our web site. Be sure to let your colleagues know about the podcast, and please rate and review it wherever you listen to it. The podcast is now on Spotify. Follow the journal on Twitter. E-mail us at psjournal@psych.org

Dr. Dixon and Dr. Berezin discuss benzodiazepine use and misuse among adults in the United States, child protective service disparities and serious mental illnesses, and mental health self-directed care financing.

Dr. Dixon and Dr. Berezin discuss malingering in the psychiatric emergency department, the Netflix series 13 Reasons Why, and whether responses to item 9 of the Patient Health Questionnaire (PHQ-9) predicts suicidal behavior among outpatients with diagnoses of psychotic disorders.

Dr. Dixon and Dr. Berezin discuss the effects of transformational leadership on mental health practitioners’ attitudes toward feedback, provider attitudes and experience with measurement-based mental health care, and China’s reward policy for family care of persons with serious mental illness.

Molly T. Finnerty, M.D., joins Dr. Dixon and Dr. Berezin to discuss the use of a Web-based shared decision-making application for ongoing outpatient mental health treatment engagement and antipsychotic medication adherence.

Dr. Dixon and Dr. Berezin discuss racial and ethnic differences in treatment outcomes among participants in a randomized controlled trial of an intervention for first-episode psychosis; psychosis literacy among Latinos with first-episode psychosis and their caregivers; and recovery colleges, which involve supporting people living with mental health problems through adult education.