Psychiatric Services From Pages To Practice

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.

Dr. Dixon and Dr. Berezin discuss a collaborative practice model with pediatrics; continuity of information sharing between mental health care and primary care providers; and impacts on service utilization and expenditures of a whole health model at a community mental health center.

Ruth S. Shim, M.D., M.P.H., joins Dr. Dixon and Dr. Berezin to discuss how addressing the social determinants of mental health may help influence public policy and change social norms in an effort to eliminate inequities in care and improve outcomes.

Dror Ben-Zeev, Ph.D., joins Dr. Dixon and Dr. Berezin to discuss a mobile health intervention for people with serious mental illness.

Dr. Dixon and Dr. Berezin discuss housing and employment outcomes for mental health self-direction participants; results of OnTrackNY, a coordinated specialty care program for early psychosis; and a first-person account on the disabling effects of mental illness on education.

Dr. Dixon and Dr. Berezin discuss In SHAPE, a lifestyle intervention for individuals with serious mental illness; outcomes of a peer mentor intervention for persons with recurrent psychiatric hospitalizations; and the inaugural Viewpoint column in Psychiatric Services. Viewpoint is a new feature that touches on controversial and important current topics. Our first Viewpoint discusses work requirements in Medicaid. Articles may be viewed online at ps.psychiatryonline.org. Follow the journal on Twitter at @APAPubPsychSvcs.

Lloyd Sederer, M.D., Chief Medical Officer of the New York State Office of Mental Health and adjunct professor at the Columbia University Mailman School of Public Health, joins host Josh Berezin, M.D., M.S., to discuss psychiatric workforce issues, a depression-prevention program in high schools, and how implicit bias affects mental health care services. Articles may be viewed online at ps.psychiatryonline.org.

Dr. Dixon and Dr. Berezin discuss recipients of electroconvulsive therapy, or ECT; peer-led self-management of general medical conditions for patients with serious mental illnesses; and racial, ethnic, and gender disparities in health care access and use among U.S. adults with serious psychological distress. Articles may be viewed online at ps.psychiatryonline.org.