Podcasts about Psychiatric Services

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Best podcasts about Psychiatric Services

Latest podcast episodes about Psychiatric Services

The Richard Piet Show
(Oaklawn Health Matters 10) Thinking About Therapy? A Professional Offers Some Perspective

The Richard Piet Show

Play Episode Listen Later May 22, 2025 19:01


On this episode of Oaklawn Health Matters, psychologist Dr. John Tobin of Oaklawn Psychological and Psychiatric Services discusses some considerations for those considering seeing a therapist.Among them, the indications it would be a good idea to see a therapist - along with some therapy benefits and what to consider in choosing a therapist.Episode ResourcesOaklawn Hospital website and Psychological ServicesAbout OaklawnOaklawn was founded in 1925 as a 12-bed hospital in a residential home, funded by a group of visionary philanthropists. Now, almost ten decades later, we've evolved into a highly regarded regional health care organization, licensed for 77 acute care beds and a 17-bed inpatient psychiatric unit. We've continued to be an independently owned not-for-profit hospital, with our main campus residing on the same site as the original hospital, providing facilities, equipment and technology that are usually only found at larger health systems. We enjoy a reputation for advancing medicine and providing compassionate, personal care. Our service area includes Calhoun County and parts of Branch and Eaton counties with a medical staff of more than 300 providers representing over 55 specialties. For information, visit www.oaklawnhospital.org.Oaklawn Health Matters is produced by Livemic Communications.

The Best of LKN
285: Zen Psychiatric Services - Meet Dr. Anthony Frasca

The Best of LKN

Play Episode Listen Later Apr 15, 2025 54:33


In this conversation, Dr. Anthony Frasca, the Founder and CEO of Zen Psychiatric, shares his journey into psychiatry and the establishment of his practice. He discusses his background, the importance of Assertive Community Treatment (ACT), and the challenges he faced in building Zen Psychiatric, which aims to provide innovative mental health care.Dr. Frasca also highlights the challenges he faced in business management, the growth of his practice, and the importance of building a supportive team. He emphasizes the impact of their treatment on patients suffering from depression and PTSD, and reflects on the balance between leadership and personal health. Dr. Frasca shares insights on entrepreneurship, the necessity of hiring skilled individuals, and the purpose-driven approach of his practice.Zen Psychiatric137 Professional Park Dr suite dMooresville, NC 28117(828) 608-0892---------------------------------------------------------------------------------------The Best of LKNhttps://thebestoflkn.com/Hosted by:Jeff HammAllen Tate Realtors®Charlotte & Lake Norman (NC)https://lknreal.com/Support the show

Wedgwood's Coffee Break Conversations
When is the Right Time to Seek Mental Health Support? w/ Alli Matthews

Wedgwood's Coffee Break Conversations

Play Episode Listen Later Dec 11, 2024 22:08


Send us a textIn this episode, Hillary sits down with Alli Matthews, a physician assistant in Wedgwood's Outpatient Psychiatry Program. They discuss the vital role psychiatry plays in mental health care, how it complements therapy, and the personalized approach she takes when it comes to individual treatment. Alli addresses common misconceptions about mental health diagnoses and medications, providing helpful examples. Whether you're curious about how psychiatry works, seeking clarity on mental health treatments, or looking for hope and encouragement, this episode offers both practical information and compassionate support!For more information on the podcast, please visit: https://www.wedgwood.org/podcast/To learn more about Psychiatric Services at Wedgwood, please visit: https://www.wedgwood.org/psych-services/For podcast and/or Wedgwood merch, please visit: https://wcb.myprostores.com/Support the showDon't forget to subscribe to stay up-to-date on the latest episodes!

Hope Discovered
CommQuest Psychiatric Services Overview with Dr. Iyoha

Hope Discovered

Play Episode Listen Later Oct 21, 2024 29:28


“The most important piece of considering reaching out for help is knowing there is something better on the other side. I see so many patients whose symptoms are in remission who say, ‘Why didn't I do this sooner? Why did I suffer for so long?”In this episode, we are joined by Dr. Iyoha, the Psychiatric Medical Director at CommQuest Services, Inc. Dr. Iyoha shares insights into the full scope of psychiatric services provided by CommQuest, offering a detailed overview of what falls under the psychiatric care umbrella and the types of professionals who deliver care to clients.The conversation explores common misconceptions and stigmas surrounding mental health treatment, particularly concerns about medication and its side effects. Dr. Iyoha addresses these fears, emphasizing the importance of careful patient monitoring as part of a comprehensive treatment plan.“The folks that I've taken care of are in business, healthcare, law. They're thriving in our community and no one has ever known that they were afflicted with a mental health disorder, a disorder that's well managed with medication, just like any other health condition.” The interview concludes with Dr. Iyoha highlighting recent advancements in mental health care, including the growing availability of services in our community.For more information please visit CommQuest.orgEpisode Blog Post: https://www.commquest.org/2024/10/commquest-psychiatric-services-overview-with-dr-iyoha/

Connecting Badgers
Psychiatric Services

Connecting Badgers

Play Episode Listen Later Sep 18, 2024 26:07


Today we talk with Dr. Ritu Bhatnagar about Psychiatric Services at UHS and answer basic questions on what to expect in a psychiatry appointment, how to get connected to services, and more!   At Psychiatric Services, we believe that medications can be a part of the answer. If you are looking only to the medications to solve your problems, you may overlook opportunities for the other 23.9 hours of your day. Here are some recommended links and resources Dr. Bhatnagar shared out:    Sleep hygiene   Free resources about sleep practices and guided meditations:  From MIT: https://mindhandheart.mit.edu/sites/default/files/2019-05/Cheat%20Sleep_word%20format_2019.pdf   From Dartmouth: https://students.dartmouth.edu/wellness-center/wellness-mindfulness/mindfulness-meditation/guided-recordings/progressive-muscle-relaxation       Center for Healthy Minds has a free meditation and wellness app which also includes tools for insomnia: https://hminnovations.org/meditation-app. You can learn more about the Center for Healthy Minds and the other programs they have here: https://centerhealthyminds.org     Breathing exercises:   https://www.projectxfactor.com/post/the-3-most-effective-breathing-exercises-to-combat-stress   Pick one and use it every morning and during the day for a week whenever you notice your thoughts taking over.    General information on Mental Health Services at UHS: https://www.uhs.wisc.edu/mental-health/    To schedule an Access appointment, please call us at 608-265-5600, option #2 or webbook through the MyUHS portal: https://myuhs.uhs.wisc.edu/     Our intro and outro music is ‘Storybook' by Scott Holmes: scottholmesmusic.com 

The Payal Nanjiani Leadership Podcast
HOW YOUR MENTAL HEALTH IMPACTS YOUR SUCCESS EP 323

The Payal Nanjiani Leadership Podcast

Play Episode Listen Later Sep 6, 2024 36:02


Dr Satish Ramaiah | Executive Director of Psychiatry Services, Sukoon HealthDr Satish Ramaiah is currently the Executive Director of Psychiatric Services and Centre Head for Bangalore Unit of Sukoon Healthcare. He is a Senior Consultant Psychiatrist and Sleep Disorders Specialist. Dr Satish Ramaiah graduated from Bangalore Medical College, traveled to the UK to complete hisMRCPsych post-graduation in psychiatry and specialist training in various subspecialties of psychiatry with advanced training / expertise in addiction disorders from University of Leeds and sleep disorders from University of Edinburgh. He has a specialist endorsement in Liaison Psychiatry by Royal Collegeof Psychiatrists, UK. He has been the Lead Consultant for Neuropsychiatry Services for the Cambian Group (Largest Private Mental Health Services Provider in the UK) and has consultant experience in NHS Sheffield. He previously co-founded and served as a Medical Director of MAARGA (Unit of PEOPLE TREEHospitals) psychiatry hospital in Bengaluru. He also served as an Executive Director on the Board of TMI Healthcare Pvt Ltd. He has research publications in the field of addiction, learning disabilities and sleep disorders. He has delivered talks at national and international conferences and featured in several national & localprint media and TV discussions on mental health topics. He is a passionate teacher and served as a Honorary Lecturer at The Hull and York Medical School, UK. He has served as member of Executive Committee, Indian Psychiatric Society - Karnataka Chapter and was the organising secretary of statepsychiatry conference in 2019. He has delivered over 300 mental health awareness workshops and seminars in various prestigious institutes and corporates including IIM Bangalore, Centre for BrainResearch - IISc, National Law School of India University (NLSIU), Azim Premji University, Hitachi, Wipro, Toyota, ABB, Amazon, National Public Schools, NAFL, CRPF, Rotary Clubs etc. He has conducted several medical CMEs for mental health professionals. Topic : How your mental health impacts your success

Think Out Loud
Safe Social Spaces program run by Lines for Life uses social media to help youth in crisis

Think Out Loud

Play Episode Listen Later Jul 10, 2024 30:00


For the past five years, Oregon’s Lines for Life has been running a youth program called Safe Social Spaces. Now an OHSU study published in the journal Psychiatric Services suggests the program may have prevented more than 160 suicide attempts since it began. The program uses social media to find youth struggling with suicidal ideation and provide support through the social media’s direct messaging systems. We hear more from Angie Nielsen, the nonprofit’s YouthLine assistant director of clinical operations who co-authored the study, and gen castle, a social media crisis intervention specialist.  If you or someone you know is struggling, you can call or text 9-8-8 to reach the suicide and crisis lifeline or contact the YouthLine.  Help is available 24 hours a day, 7 days a week.

Hope Discovered
Meet Dr. Osamuedemen D. Iyoha, M.D. - Medical Director of Psychiatric Services for CommQuest

Hope Discovered

Play Episode Listen Later May 15, 2024 23:55


In this episode, we welcome Osamuedemen D. Iyoha, M.D., who assumes the role of Medical Director of Psychiatric Services at CommQuest Services. Joining Ashlie Martin, M.D., Addiction Medical Director, and Michele Heberling, Ph.D., LPCC-S, Chief Clinical Officer, Dr. Iyoha forms part of the leadership team overseeing CommQuest's treatment services. During the podcast, Dr. Iyoha delves into the delicate balance between counseling and holistic patient care. She also sheds light on the intersection of mental health challenges and substance use disorders.Additionally, we had the pleasure of discovering Dr. Iyoha's background, her unique approach to psychiatry, and her message of hope conveyed through this interview. Her compassionate tone resonates with both our staff and the community, serving as an inspiration to all.

Vision Beyond Sight
Forge Ahead: Creating a New Context for Your Mental Health and Well-Being During and After a Challenging Illness with Dr. Guy Maytal (Episode #93)

Vision Beyond Sight

Play Episode Listen Later Mar 28, 2024 46:03


Dr. Lynn Hellerstein of Vision Beyond Sight speaks with Dr. Guy Maytal, Chief of Integrated Care and Psychiatric Services of Forge Health, to talk about creating a new context for mental health and mental well-being upon getting diagnosed with a mental or severe illness, going through it, and after recovering from it. Dr. Maytal discussed the challenges of facing and reacting to our symptoms and illness, and the importance of empowering ourselves to communicate what we feel and go through. He also delved on the misconceptions of what a diagnosis is, how we should not see ourselves through our severe or mental illnesses without resorting to toxic positivity, and the impact of intentions, prayers and meditation to our mental well-being. Dr. Lynn Hellerstein, Developmental Optometrist, co-owner of Hellerstein & Brenner Vision Center, P.C., award-winning author and international speaker, holds powerful and inspiring conversations with her guests in the areas of health, wellness, education, sports and psychology. They share their inspirational stories of healing and transformation through their vision expansion. Vision Beyond Sight Podcast will help you see with clarity, gain courage and confidence. Welcome to Vision Beyond Sight! Also available on Apple Podcasts, iTunes, Google Podcasts, Spotify, iHeart Radio, Audible and Stitcher.

DEPTH Work: A Holistic Mental Health Podcast
79. Why Forced Psychiatric Interventions are More Common Than We Think with Journalist Rob Wipond

DEPTH Work: A Holistic Mental Health Podcast

Play Episode Listen Later Mar 1, 2024 91:17


Some of the most egregious harms have been done in the name of “help,” and this is especially true when it comes to forced psychiatric interventions. Investigative journalist, Rob Wipond illuminates the systemic harms of the psychiatric system after experiencing his father attempt to get help and instead of care, be met with coercion and force. As many find out, this is an all too common story. The evidence that psychiatric detention is beneficial to people is lacking, yet rates continue to dramatically rise. From mental health laws and policies, to corruption in pharmaceutical companies, and even political organizations lobbying for more control, all grease the wheels of power and injustice. In this episode we discuss: the politics of forced psychiatric treatment and why it is harmful how the evidence on forced treatment is systematically hidden the ins and out of mental health laws why there's a higher suicide risk in the weeks after psychiatric hospitalization how giving people the label of ‘lacking insight' is dangerous and false several alternative interventions and why we need more advocates advice for family members the cultural shift that's needed Rob Wipond is a freelance investigative journalist who writes frequently about the interfaces between psychiatry, civil rights, community issues, policing, surveillance and privacy, and social change. His articles have been nominated for seventeen magazine and journalism awards in science, law, business, and community issues, and he's the author of the book Your Consent is Not Required: The Rise in Psychiatric Detentions, Forced Treatment, and Abusive Guardianships. Links Rob's Website: https://robwipond.com/about Book: Your Consent is not Required: https://robwipond.com/your-consent-is-not-required Socials: https://twitter.com/robwipond https://www.facebook.com/RobWipondAuthor https://www.youtube.com/user/robwipond Resources: US rates of committment: Lee, Gi and David Cohen. “Incidences of Involuntary Psychiatric Detentions in 25 U.S. States.” Psychiatric Services 72, no. 1 (January 1, 2021). https://doi.org/10.1176/appi.ps.201900477 European rates of commitment: Sheridan Rains, Luke. “Variations in Patterns of Involuntary Hospitalisation and in Legal Frameworks: An International Comparative Study.” Lancet Psychiatry 6, no. 5 (May 2019). https://doi.org/10.1016%2 FS2215-0366(19)30090-2 Suicidality after hospitalization: Whitaker, Robert. “Suicide in the Age of Prozac.” Mad in America (August 6, 2018). https://www.madinamerica.com/2018/08/suicide-in-the-age-ofprozac/ & Simons, Peter. “Involuntary Hospitalization Increases Risk of Suicide.” Mad in America (June 24, 2019). https://www.madinamerica. com/2019/06/involuntary-hospitalization-increases-risk-suicide-study-finds/ United Nations statement: https://www.ohchr.org/en/statements/2020/10/statement-mr-dainius-puras-special-rapporteur-right-everyone-enjoyment-highest Find all notes, research, and resources list on Rob's Website Become a member of the Institute for the Development of Human Arts: ⁠www.idha-nyc.org⁠ Sessions & Information about the host: ⁠⁠JazmineRussell.com⁠⁠ Disclaimer: The DEPTH Work Podcast is for educational and entertainment purposes only. Any information on this podcast in no way to be construed or substituted as psychological counseling, psychotherapy, mental health counseling, or any other type of therapy or medical advice.

Compassionate Climb
Episode 44: Doreen Huffman became a prescriber

Compassionate Climb

Play Episode Listen Later Dec 15, 2023 34:03


Meet Doreen Huffman LMHC PMHNP, a fellow group practice owner. Doreen started her career in community mental health and once fully licensed started working for a group practice. When she eventually decided to open a practice of her own, an issue she often encountered was finding prescribers for her patients who needed medication management. She decided to fix her own problem and went back to school. She is now both a psychiatric nurse practitioner and a therapist. She shares the growth of her practice, DLH Consulting and Psychiatric Services, and her efforts to share what she has learned by having practicum students and interns and through the local Facebook group she created. Key Takeaways:  -Don't underestimate the power of baked goods when networking in person -Networking with other local professionals can be a great source of referrals -Joining a group practice can be a great opportunity to learn and prepare for your own -Always have a vacation on the calendar ⁠https://www.dlhconsultant.com/⁠⁠ https://www.facebook.com/dlhconsulting/⁠⁠ https://www.instagram.com/dlh.consulting/ https://www.facebook.com/groups/1931648187098725 --- Send in a voice message: https://podcasters.spotify.com/pod/show/compassionate-climb/message

Moments with Marianne
Families on the Edge with Elizabeth Carpenter-Song PhD

Moments with Marianne

Play Episode Listen Later Oct 3, 2023 48:37


Did you know that those suffering from homelessness in rural areas are met with unique challenges? Tune in for a discussion with Elizabeth Carpenter-Song, PhD, on her new #book Families on the Edge: Experiences of Homelessness and Care in Rural New England. #MomentsWithMarianne airs in the Southern California area on KMET1490AM & 98.1 FM, an ABC Talk News Radio Affiliate! Elizabeth Carpenter-Song is currently Research Associate Professor in the Department of Anthropology at Dartmouth College. Her work has been published in journals ranging from Ethos to Psychiatric Services to Journal of Social Distress and the Homeless. https://mitpress.mit.edu/author/elizabeth-carpenter-song-37673/For more show information visit: www.MariannePestana.com#bookclub #readinglist #books #bookish #author #authorinterview #KMET1490AM #radioshow #booklover #mustread #reading #bookstagram

Adultbrain Audiobooks
The Effect of Adrenochrome and Adrenolutin on the Behavior of Animals and the Psychology of Man by The University of Saskatchewan Psychiatric Services Branch

Adultbrain Audiobooks

Play Episode Listen Later Aug 31, 2023


Psychiatric Services Branch, Department of Public Health, and Department of Psychiatry, University of Saskatchewan, Saskatoon, Saskatchewan I. Introduction . II. Biochemistry of Adrenochrome III. Action of Adrenochrome on Cells IV. Effect of Adrenochrome on Fish V. Effect of Adrenochrome on Spiders VI. Effect of Adrenochrome on Pigeons VII. Effect of Adrenochrome on Mammals A. Mice...

Psychiatric Services From Pages to Practice
62: Medicaid Costs and Utilization of Collaborative Versus Colocation Care for Patients With Depression

Psychiatric Services From Pages to Practice

Play Episode Listen Later Aug 4, 2023 30:43


Henry Chung, M.D., (Albert Einstein College of Medicine, Bronx, New York City) joins Dr. Dixon and Dr. Berezin to discuss the differences 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 [13:59] Findings [15:11] Choosing between models [20:21] Impact of COVID [24:06] Final thoughts [28:21] Transcript   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 website. 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

DMH UCLA Public Mental Health Partnership
Essentials of Field-Based Psychiatric Services

DMH UCLA Public Mental Health Partnership

Play Episode Listen Later May 18, 2023 54:46


Presented by Shayan Rab, MD. This presentation will outline key principles in field-based psychiatric services through a model developed by the HOME Team. Psychiatrists will learn how to adapt traditional psychiatric services for service delivery in the field and gain a better understanding of the DMH innovations available to support field-based psychiatry. The presentation will outline how to utilize a team-based approach in supporting community reintegration and the role of a psychiatrist in critical psychosocial interventions, including housing support. Internal and external DMH clinical resources will also be shared to enhance collaboration and care-coordination efforts. This training is tailored for community mental health providers working in field-based settings in Los Angeles County.

Psychiatric Services From Pages to Practice
60: Psychiatrist and Nonpsychiatrist Physician Network Breadth in Dual Eligible Special Needs Plans

Psychiatric Services From Pages to Practice

Play Episode Listen Later May 12, 2023 42:26


Eric 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]   Transcript   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 website.   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

The Psychology of Self-Injury: Exploring Self-Harm & Mental Health
Self-Injury Recovery: A Person-Centered Approach, with Drs. Stephen Lewis & Penny Hasking

The Psychology of Self-Injury: Exploring Self-Harm & Mental Health

Play Episode Listen Later Apr 28, 2023 57:19


In this episode, ISSS Past Presidents Dr. Stephen Lewis from the University of Guelph in Canada, and Dr. Penelope Hasking from Curtin University in Australia talk about a new way of understanding self-injury and self-harm, with a special focus on recovery. In their person-centered approach, they emphasize the perspective of lived experience, move away from a "why don't you just stop" mentality, normalize ongoing self-injury thoughts and urges, and discuss strengths, scarring, and disclosures. Follow Drs. Lewis and Hasking on Twitter at @SPLewisPhD and @PennyHasking. Keep up with Dr. Lewis' non-profit outreach organization Self-Injury Outreach & Support at @sioutreach, and follow Dr. Hasking's research in the Emotional Health and Self-Injury Research Group at @NSSI_RG. Below are links to their book and a couple of their articles referenced in this episode:Lewis, S. P., & Hasking, P. A. (2023). Understanding self-injury: A person-centered approach. Oxford University Press.Lewis, S. P., & Hasking, P. A. (2021). Understanding self-injury: A person-centered approach. Psychiatric Services, 72(6), 721-723.Lewis, S. P., & Hasking, P. (2019). Putting the “self” in self-injury research: Inclusion of people with lived experience in the research process. Psychiatric Services, 70(11), 1058-1060.To read more about person-first language and identity-first language when referencing autism, click here and also visit https://pubmed.ncbi.nlm.nih.gov/36237135/. To read about language used to discuss race and ethnicity, click here. The Psychology of Self-Injury podcast has been rated #5 by Feedspot in their "Best 20 Clinical Psychology Podcasts" and by Welp Magazine in their "20 Best Injury Podcasts."

Psychiatric Services From Pages to Practice
59: Effect of Integrating Patient-Generated Digital Data Into Mental Health Therapy: A Randomized Controlled Trial

Psychiatric Services From Pages to Practice

Play Episode Listen Later Apr 11, 2023 30:08


Lauren Southwick, M.P.H., and Sharath Guntuku, Ph.D., join Dr. Dixon and Dr. Berzin to discuss whether using a digital dashboard 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 digital data with therapists? [12:31] •    The Hawthorne effect [15:25] •    What's next for your research? [18:23] •    Recruitment [20:46] •    COVID and people's interactions with digital media and mental health [23:29] •    ChatGPT [26:50] Transcript 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 website. 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  

Meet The Elite Podcast
10800 Dr Kevin Joseph-04 05 23-Psychiatric Services-Phil

Meet The Elite Podcast

Play Episode Listen Later Apr 6, 2023 4:50


The MCG Pediatric Podcast
Acetaminophen Toxicity

The MCG Pediatric Podcast

Play Episode Listen Later Mar 15, 2023 26:09


Did you know that household Tylenol is one of the most common causes of both intentional and unintentional toxicity in the pediatric population? Dr. George Hsu, a Pediatric Emergency Physician, joins Dr. Rebecca Yang and Medical Students Morgan Franklin and Ifrah Waris to discuss the evaluation and management for acetaminophen overdose in a pediatric patient.  Specifically, they will:  Review the basic assessment skills and evaluation for a child presenting with a potential acetaminophen overdose Discuss the diagnostic options and monitoring of acetaminophen overdose Discuss how to use the Rumack-Matthew nomogram in the treatment of acetaminophen overdose Medications and treatments reviewed: N-acetylcysteine, activated charcoal, and gastric lavage Discuss the potential complications of acetaminophen overdose Special thanks to Dr. Rebecca Yang and Dr. Arden Conway for peer reviewing this episode. Special thanks to Dr. Rebecca Yang and Dr. Arden Conway for peer reviewing the discussion today.  FREE CME Credit (requires free sign-up): Link Coming Soon! References:  Agrawal S, Khazaeni B. Acetaminophen Toxicity. [Updated 2021 Jul 18]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK441917/ Heard K. J. (2008). Acetylcysteine for acetaminophen poisoning. The New England journal of medicine, 359(3), 285–292. https://doi.org/10.1056/NEJMct0708278 Hinson JA. Mechanism of acetaminophen-induced liver toxicity. In: Kaplowitz N, DeLeve LD, eds. Drug-Induced Liver Disease. 3rd ed. London, England: Academic Press; 2013:305-330. Hon KL, Hui WF, Leung AKC. Antidotes for childhood toxidromes. Drugs in Context 2021; 10: 2020-11-4. DOI: 10.7573/dic.2020-11-4 Greene SL, Dargan PI, Jones AL. Acute poisoning: understanding 90% of cases in a nutshell. Postgrad Med J. 2005 Apr;81(954):204-16. doi: 10.1136/pgmj.2004.024794. PMID: 15811881; PMCID: PMC1743253. Lee J, Fan NC, Yao TC, Hsia SH, Lee EP, Huang JL, Wu HP. Clinical spectrum of acute poisoning in children admitted to the pediatric emergency department. Pediatr Neonatol. 2019 Feb;60(1):59-67. doi: 10.1016/j.pedneo.2018.04.001. Epub 2018 Apr 19. PMID: 29748113. Manov I, Motanis H, Frumin I, Iancu TC. Hepatotoxicity of anti-inflammatory and analgesic drugs: ultrastructural aspects. Acta Pharmacol Sin. 2006 Mar;27(3):259-72. doi: 10.1111/j.1745-7254.2006.00278.x. PMID: 16490160. Myers WC, Otto TA, Harris E, Diaco D, Moreno A. Acetaminophen overdose as a suicidal gesture: a survey of adolescents' knowledge of its potential for toxicity. J Am Acad Child Adolesc Psychiatry. 1992 Jul;31(4):686-90. doi: 10.1097/00004583-199207000-00016. PMID: 1644732. Park, B. K., Dear, J. W., & Antoine, D. J. (2015). Paracetamol (acetaminophen) poisoning. BMJ clinical evidence, 2015, 2101. Riordan M, Rylance G, Berry K. Poisoning in children 2: painkillers. Arch Dis Child. 2002 Nov;87(5):397-9. doi: 10.1136/adc.87.5.397. PMID: 12390909; PMCID: PMC1763068. Silberman J, Galuska MA, Taylor A. Activated Charcoal. [Updated 2022 Jul 5]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK482294/ Shekunov, J., Lewis, C. P., Vande Voort, J. L., Bostwick, J. M., & Romanowicz, M. (2021). Clinical Characteristics, Outcomes, Disposition, and Acute Care of Children and Adolescents Treated for Acetaminophen Toxicity. Psychiatric Services, appi-ps. Sheridan DC, Hendrickson RG, Lin AL, Fu R, Horowitz BZ. Adolescent Suicidal Ingestion: National Trends Over a Decade. J Adolesc Health. 2017 Feb;60(2):191-195. doi: 10.1016/j.jadohealth.2016.09.012. Epub 2016 Nov 23. PMID: 27889404. Silberman J, Galuska MA, Taylor A. Activated Charcoal. [Updated 2021 Jul 26]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK482294/ Runde TJ, Nappe TM. Salicylates Toxicity. [Updated 2021 Jul 14]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK499879/ Yarema M, Chopra P, Sivilotti MLA, Johnson D, Nettel-Aguirre A, Bailey B, Victorino C, Gosselin S, Purssell R, Thompson M, Spyker D, Rumack B. Anaphylactoid Reactions to Intravenous N-Acetylcysteine during Treatment for Acetaminophen Poisoning. J Med Toxicol. 2018 Jun;14(2):120-127. doi: 10.1007/s13181-018-0653-9. Epub 2018 Feb 8. Erratum in: J Med Toxicol. 2018 Mar 12;: PMID: 29423816; PMCID: PMC5962465.  

Psychiatric Services From Pages to Practice
58: A Survey of Behavioral Health Care Providers on Use and Barriers to Use of Measurement-Based Care

Psychiatric Services From Pages to Practice

Play Episode Listen Later Feb 27, 2023 28:53


Breanna 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] Transcript 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 website. 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

The Uncommon OT Series
OT Mental Health Task Force

The Uncommon OT Series

Play Episode Listen Later Jan 30, 2023 76:29


In this episode, we will learn from some of the founders and members of the Mental Health Task Force (MHTF). Anne Hiller Scott, OTR/L, PhD, FAOTA, Joan Feder MA, OTR/L, Diane Tewfik, MA, OT (Retired), Mabel Martinez-Almonte, OTR/L. The MHTF is a NYSOTA (New York State Occupational Therapy Association) community of practice that identifies, promotes, and supports occupational therapy practitioners in addressing the psychosocial aspects of occupational engagement in all practice settings through education, advocacy, and community. Show Key Points:· Members and founders briefly introduce themselves and tell us about their backgrounds and OT work· The discuss their motivation to do the Podcast and the MHTF beginnings and summary of its history and goals· They describe their Uncommon OT roles, projects and initiatives· They describe some of MHTF's recent highs and lows· They provide OT practitioners with valuable career advice· They provide resources, community and their contact information Anne Hiller Scott, OTR/L, PhD, FAOTAIn 1969 Dr. Scott began her career at St. Vincent's during the community mental health movement. With the local NYSOTA MH Task Force (MHTF), she led initiatives in continuing education, resource development and publications on evaluation, practice, supervision, quality assurance and wellness. This pioneering service and advocacy were recognized with honors: FAOTA, NYSOTA Practice Award and the Abreu Award. An OTMH issue “New Frontiers in Psychosocial Occupational Therapy” which she edited, showcased innovations by MHTF members, therapists' nationwide and included consumer and OTS perspectives. After teaching at Downstate for fifteen years, she launched the LIU OT Program in 1997 with a mission emphasizing wellness, health promotion and community service learning.Diane Tewfik, MA, OT (Retired)As one of the founding members of the MHOT Taskforce, Diane has had a career In Mental Health OT for over 30 years. Her practice has included outpatient programs, addiction, private practice as well as adult rehabilitation. She was also Associate Professor and Field Coordinator at York College of CUNY's OT Program. She received NYSOTA's Merit of Practice Award in 1997 and AOTA's Recognition of Achievement in 2003 for Preserving Occupational Therapy's Role in Mental Health. Joan Feder MA, OTR/LJoan has dedicated her 40 year career to peer-centered treatment, working in a wide range of settings from acute psychiatric in-patient settings to outpatient psychosocial rehabilitation programs. She received an advanced mental health OT degree from NYU and worked in designing and implementing programming at New York-Presbyterian Hospital –Cornell Medical Center. She had the unique opportunity of designing outpatient services for the SPMI population while overseeing a multidisciplinary team. Her programs were driven by the Recovery Model, with a focus on fostering function and independence, while responding to the ever-changing demands of external regulators. She collaborated over the years on CBT for Psychosis research and lectured at multiple OT schools in NY. She has published in AOTA SIS journals and has a chapter in APA – Textbook of Hospital Psychiatry. Most importantly she was one of the founders of the MNYD mental health task force and has played a key role in the group, over the last 26 years, while benefiting from the amazing professional support provided by all its members. Mabel Martinez-Almonte, OTR/LMabel is a graduate from SUNY Downstate College of Health Related Professions, from the class of 1992. She has worked in mental health for 25 years, on the inpatient psychiatric unit NS-52 in which she supervised Occupational Therapy (OT) students for the past 21 years. She was nominated by her students for the "Supervisor of the Year" in 2000, 2007, 2010, and in 2009 was the recipient of this prestigious award. In addition, she was actively involved with educating the staff in the inpatient psychiatry unit (NS-52), on treatment modalities to decrease restraint and seclusion. She has served as an adjunct professor for the SUNY Downstate CHRP OT program since 1994. These experiences served as a springboard for other teaching opportunities. This spearheaded the initiative to give back to SUNY Downstate and work with professors who served as mentors in her profession as an Occupational Therapist, including getting involved with community service in the mental health arena. Since 1999, she has served in various capacities with NAMI East Flatbush (an affiliate of the National Alliance on Mental Illness) consumer and family support group held monthly at SUNY Downstate. She continued to do community service in a broad spectrum, which included conducting lectures and conference presentations to students at various schools (i.e., Long Island University, Columbia University, and Public School 274), and participated as a panelist for mental health Special Interest Group, and co-presented with psychiatry residents from DMC department of psychiatry at the Institute on Psychiatric Services in 2010 on the topic: "Discuss updates working with patients affected by mental illness at SUNY Downstate Medical Center and the National Alliance on Mental Illness (NAMI) towards mental health consumer empowerment and advocacy and the Metabolic Syndrome Screening Booth at the yearly NAMI Walks event." She has also worked closely with CHRP Occupational Therapy Program and the Department of Psychiatry to organize a yearly NAMI Walk event from 2008-2018, which included the involvement of SUNY Downstate trainees: occupational therapy and medical students, along with psychiatry residents; together with NAMI East Flatbush chapter members and their families, to set up a walk team (SUNY Downstate at NAMI East Flatbush) and provide a Metabolic Syndrome Screening Booth. She has co-presented the work that she does with NAMI and the yearly NAMI Walk events at the Department of Psychiatry Grand Rounds. She is an active Advisory Board Member since 2006, for the State University of New York/Health Science Center of Brooklyn - College of Health Related Professions -Occupational Therapy Program, now renamed State University of New York - School of Health Professions (SOHP). Mabel went on to complete graduate studies at Nyack Alliance Graduate School of Counseling and graduated with a master's degree in Mental Health Counseling. She is currently employed at the Special Treatment and Research (STAR) Health Center at SUNY Downstate Medical Center as a mental health counselor since December 2014. She currently provides both individual and group mental health, substance abuse, and supportive counseling for patients receiving care at the STAR Health Center. Her love for educating the community at large on mental health literacy has taken her to pursue training and certification in Mental Health First Aid for adults, youth curriculums since 2012. She has continued to enrich her love for knowledge and service and became certified as a National Certified Counselor and an Evergreen Certified Dementia Care Specialist (ECDCS).RESOURCES & IMPORTANT WORKS BY MEMBERS OVER THE YEARS: Social Profile by Mary Donohue, AOTA Presshttps://journals.sagepub.com/doi/abs/10.1177/000841740507200304?journalCode=cjocOT's Walk with Nami (Initiative and Protocol)Let's Get Organized AssessmentSensory Modulation for pediatric inpatientSuzanne White, MA, OTR/L, FAOTAhttps://www.suzannewhiteotr.com/namiPhotography for those with mental illness- Joan Feder, MA, OTR/Lhttps://healthmatters.nyp.org./photography-program-mental-illnessArticle Testimony: Advocacy in Action. OT Practice, Nov 8,2004 by Diane B. Tewfik, MA, OT and Richard Sabel, MA, MPH, OTR, GCFP -2-Article published in September, 2022 issue in OT Practice: Highlighting OT's Role in Mental Health , An Innovative Fieldwork Program for Community- Based Mental Health by Diane B. Tewfik, MA, OT and Anne Hiller Scott, OTR/L, PhD, FAOTAhttps://www.aota.org/publications/ot-practice/ot-practice-issues/2022/community-based-mental-healthDream Home Assessment (free download) by Emily Raphael-Greenfield https://www.vagelos.columbia.edu/education/academic-programs/programs-occupational-therapy/about-programs/faculty-innovations/dream-home-assessment Bucket Drumming Group Article -Hard –Wired for Groups: Students and Clients in the Classroom and Clinic-Mental Health special Interest Section Quarterly, Volume 34, No. 3, September 2011.SMART program (Supporting Many to Achieve Residential Transition, Gutman, S.A. and Raphael-Greenfield EI(2018).https://www.vagelos.columbia.edu/education/academic-programs/programs-occupational-therapy/faculty-innovations/smart-program.Scott, A., (Ed.) (1998). New Frontiers in Psychosocial Occupational Therapy (Ed). Binghamton, NY: Haworth Press. Scott, A. (1999). Wellness works: Community service health promotion groups led by occupational therapy students. American Journal of Occupational Therapy, (53) 6, 566-574. https://doi.org/10.5014/ajot.53.6.566Salem, Y., & Scott, A. (2011). A community-based aquatic program for individuals with systemic lupus erythematous: A community-based study. Journal of Aquatic Physical Therapy,19:30-31. DOI: 10.3109/09638288.2010.507855Salem, Y., Scott, A., Karpatkin, H., Concert, G., Haller, L., Kaminsky, E., Weisbrot, R, & Spatz, E. (2011). Community-based group aquatic program for individuals with multiple sclerosis: A pilot study. Disability and Rehabilitation, 33:720-728. DOI: 10.3109/09638288.2010.507855 Scott, A., Scott, R., & Cole, M. (2016). Narrative reasoning in disability-themed films (pp. 117-143). In M. Cole & J. Creek (Eds.), Global Perspectives in Professional Reasoning. Thorofare, NJ: Slack.Scott, A., Scott, R., & Cole, M. (2018/4/19-22). From reel to real: Illness narratives in disability-themed films. [Poster Presentation]. AOTA Annual Conference, Salt Lake City, Utah. Brooklyn International Disability Film Festival and Wellness Expohttps://www.brooklynpaper.com › superwomanJul 22, 2005 — Brooke Ellison, who at age 11 was hit by a car and left paralyzed ... The free screening is part of the Brooklyn International Disability Film Festival… How to Contact The MHTF: Website: https://www.nysota.org/page/MHTFhttps://www.nysota.org/page/MHTFBios Mental Health Taskforce Listserv: OTmentalhealthtaskforce@gmail.comAs always, I welcome any feedback & ideas from all of you or if you are interested in being a guest on future episodes, please do not hesitate to contact Patricia Motus at transitionsot@gmail.com or DM via Instagram @transitionsot THANK YOU for LISTENING, FOLLOWING, DOWNLOADING, RATING, REVIEWING & SHARING “The Uncommon OT Series” Podcast with all your OTP friends and colleagues! Full Episodes and Q & A only available at: https://www.wholistic-transitions.com/the-uncommon-ot-seriesSign Up NOW for the Transitions OT Email List to Receive the FREE Updated List of Uncommon OT Practice Settingshttps://www.wholistic-transitions.com/transitionsot For Non-Traditional OT Practice Mentorship w/ Patricia: https://docs.google.com/forms/d/e/1FAIpQLSeC3vI5OnK3mLrCXACEex-5ReO8uUVPo1EUXIi8FKO-FCfoEg/viewformHappy Listening Friends!Big OT Love!All views are mine and the guests' own.Be a Patron to support The Uncommon OT Series Podcast project via Patreon.

RTÉ - Morning Ireland
IMO says new consultant contract will not solve problems in child psychiatric services

RTÉ - Morning Ireland

Play Episode Listen Later Jan 25, 2023 7:56


Professor Matthew Sadlier, Consultant Psychiatrist and chair of Irish Medical Organisation Consultant Committee, on the new consultant contract and CAMHS.

Psychiatric Services From Pages to Practice
57: Trends in Racial-Ethnic Disparities in Adult Mental Health Treatment Use From 2005 to 2019

Psychiatric Services From Pages to Practice

Play Episode Listen Later Jan 24, 2023 28:24


Navdep Kaur, M.P.H., joins Dr. Dixon and Dr. Berezin to discuss persistent racial and ethnic disparities in mental health treatment access and outcomes prior to and following the passage of the 2010 Affordable Care Act.  Ms. Kaur is a predoctoral fellow at the Columbia University Mailman School of Public Health in New York. Kaur interview [01:01] Connecting your work with your passion [03:09] Affordable Care Act and mental health [05:39] What did you look at to study this? [09:11] What are we talking about when we talk about distress? [10:06] How do you define treatment usage? [11:30] What are your hypotheses for why your findings on mental health treatment usage look the way they do? [13:11] Disaggregating data for disparate groups [14:40] Has the amount of treatment change overall differed between subgroups and the whole population? [17:42] How do you categorize the various levels of stigma and attitudes towards treatment? [19:16] Sources of market failure – lack of providers, insurance, access [21:21] What would a data set that could answer your questions look like? [22:22] What are you working on next? [24:34] Has your passion survived contact with sample sizes, measures, and the nitty gritty of data sets? [25:20] Transcript 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 website. 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

MSU Today with Russ White
Alexis Travis setting a culture of health and wellbeing at Michigan State University

MSU Today with Russ White

Play Episode Listen Later Jan 10, 2023 13:45


In leading the new division, Dr. Travis will provide strategic vision and leadership for a comprehensive health and wellness approach that meets the diverse needs of students, staff, and faculty. “I'm originally from the United Kingdom, born and raised in England, and I've lived in the U.S. for 16 years. I moved here with my husband, who's an American. And most recently I've been at the state of Michigan working in the Michigan Department of Health and Human Services. I've led the Public Health Administration there. Before that, I led the Aging and Adult Services Agency and was the bureau director for health and wellness. Prior to that, my family and I lived in Massachusetts where I was chief of Community Health for the city of Worcester, which is the second largest city in New England. I focus on how to improve population health, whether at the local level or state level. And then through my time working in public health, the common thread has really been working on health equity, so figuring out what communities need and meeting them where they are to get the best and optimal health outcomes.”What attracted you to this position at MSU?“I was really excited about this opportunity to set a culture of health and wellbeing and create something new, building on a very strong foundation of these 11 units, but really having the opportunity to look at assessment and planning and work with the Spartan community to reach optimal health and wellbeing here. I really enjoy engaging with communities directly. Working with faculty, students, and staff directly is something that I'm really looking forward to, and I want to look at opportunities to fill gaps and build on the amazing services we're already offering.”Why are you passionate about this work?“Both of my parents were African immigrants. They came to the UK to attend university. Understanding the differences between different groups and their different needs and how that impacts health has really been a passion of mine, working towards leveling the playing field and figuring out how we can better meet the needs culturally, for example, or in terms of language. Here at MSU, I'm really excited about this diverse, huge community that we get to serve. There are many opportunities for us to look to make sure that health and wellbeing are integrated into all aspects of campus life and think about the different backgrounds people come here with and how we can listen and develop more programming and initiatives to meet those needs. My vision is to make sure that each Spartan has access to the resources and education, information, and services they need to be able to meet their full potential here.”How do you define health and wellbeing? And what do you see as the mission of University Health and Wellbeing?“Diversity in our community at MSU is one of our strengths. People are coming here from all over the world with different understandings about health and wellbeing, which can be considered subjective in some ways. It's important for us as we do this work to really have some shared definitions. The World Health Organization outlines health as an optimal state of complete physical, mental, and social wellbeing, not just the absence of disease or infirmity.“Universities across the U.S. have adopted an inter-association definition of wellbeing, which is an optimal and dynamic state where people are able to fulfill their full potential. So when we think about that in the MSU community, it's looking at what is academic success. How do we achieve that? If people are not healthy or not feeling their best selves, then it's going to be more difficult for them to reach their academic goals, whether it's graduation or something else. For our faculty and staff, it's equally as important as we facilitate that academic journey for others to make sure we're also looking after ourselves during that process.”How would you describe your relationship with the University Physician's Office?“There has been some restructuring. Previously there was integration of what now is University Health and Wellbeing and the University Physician's Office. Now we're two distinct units, although we do work closely together. The University Physician is a cabinet member. He's advising the president and guiding senior leadership within the university on all things related to health and safety, including how we respond to COVID and other major threats as well as making sure we're also meeting statutory responsibilities in terms of state and federal statutes that we're responsible to adhere to.“University Health and Wellness is on more of the programmatic side. My role as an administrator is overseeing all the programs and the array of services that we provide in those 11 units. It brings together units that were formally in the University Physician office. It's the Employee Assistance Program, the Healthy U program, which is health promotion for our staff and our faculty. It also brings together Occupational Health and Travel. And then we have other units like Student Health Services, which is housed in the Olin Health Clinic. We also have CAPS, which is Counseling and Psychiatric Services, and the Center for Survivors, which provides support to people who have experienced relationship violence or sexual misconduct. We have Safe Place, which is the only on-campus shelter for people who have experienced relationship violence or stalking and other forms of harassment. And then we have the Resource Center for Persons Living with Disabilities. That's a program area that's seeing a lot of demand right now as we're admitting more students who are living with disabilities and making sure that they have an equitable experience here as well. And then we also have the Work Life Office, making sure that employees have the best possible experience here and that we are forming and following best practices for that supervisor-employee relationship and beyond.”What are some of your short- and long-term goals?“In the short term, what we're looking at is bringing together those 11 units. It's always difficult when you go through organizational change. And when we look at those 11 units, they've all been following different practices. We are looking at policies, practices, and processes. With that challenge comes the opportunity to make it more efficient, really leveraging the data from each of those program areas to make sure that we have a full picture of what the needs are of the Spartan community. In the short term, I'm also looking at how we educate the university community about the services that we offer, making sure that we're making those connections as tightly as possible so people know from the beginning of their journey with MSU all the way through the end of their journey that we're here to support them and we have resources, information, and other support that they can take advantage of.“In the longer term, we are looking at how to measure outcomes. How can we move the needle on health and wellbeing outcomes and reach that optimal state of health? In public health, it takes a little bit longer to see those in terms of our metrics, but we can track things incrementally. When we are looking at that data and we are assessing health and wellbeing, we need to make sure that we have strong campaigns and accurate information and are leveraging and highlighting the fact that a lot of the time, students have healthier behaviors than are relayed in the stereotypes about students. We are the home to the National Social Norms Center. A big part of our responsibility is to do those social norm campaigns and share what most students are doing and the healthful behaviors that we see here on the MSU campus.”As you pursue these goals, are there any challenges and opportunities you see?“There are always challenges when you bring together new organizations. We're looking at how to get on to shared data systems. But I think the biggest opportunities are really to be a convener, bringing together so many different areas across the university all focused on health. And outside of our team, also convening others who have programs and initiatives supporting health and wellbeing so that we're collectively making a bigger impact. And that's a lot of what we'll be doing moving forward as well as assessment.”I imagine you're pleased to see how society is seeing mental health as an important factor in our overall health and wellbeing.“Yes. One of the things that I think about is this period that we're coming out of with COVID and the impact it's had on folks' mental health. We can't deny that. And we're seeing more and more demand for mental health services. That's a challenge in and of itself, and we have limited resources. It's going to take all of us, faculty, students, and staff to address the current mental health crisis and to really support each other as we come out of this. Over the next few years, we're going to see a lot of students admitted who were in high school earlier on in the pandemic in the most critical times. We anticipate seeing more of those mental health challenges, but we also will be ready to receive those students and to support them every step of the way.“The bottom line here is we're here for you. We have an array of services. Our health changes at different times; it's really a spectrum. Sometimes people will feel healthier, and then other times people will feel some sense of illness, maybe mental health issues. Our goal is to try to work with Spartans to keep them at the healthier end of that spectrum and to be there with services when there are fluctuations. I am so thrilled to be working with such a talented team of individuals who really stay up on best practices and are ready to provide services year-round to our Spartan community. There are some exciting things coming ahead and things to look forward to.”MSU Today airs Saturdays at 5 p.m. and Sundays at 5 a.m. on WKAR News/Talk and Sundays at 8 p.m. on 760 WJR. Find “MSU Today with Russ White” on Spotify, Apple Podcasts, and wherever you get your shows.

Psychiatric Services From Pages to Practice

Howard H. Goldman, M.D., PH.D. (PS emeritus Editor-in-Chief) and Alison Cuellar, Ph.D., (George Mason University, Fairfax, Virginia) joins current PS Editor-in-Chief Dr. Lisa Dixon to discuss the peer review process from the perspective of both reviewers and editors. Transcript 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 website. 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

Mother Love
S02:Ep06 The Crisis Nursery with Susie Zeak

Mother Love

Play Episode Listen Later Dec 15, 2022 50:54


Susie Zeak, the Director of Toby's House, a crisis nursery located in Great Falls, Montana, joins us for an important discussion on the importance of free, open-late, non-judgemental childcare. The services and relationships that happen at Toby's House are crucial and, at time, lifesaving. Susie also opens up about her own mothering journey and how surviving the incredible challenges of being a teen mom in the 80's has turned her into a humble, empathy-driven super-hero. Her story is tremendously hopeful, and she insists on "keeping it real", which is always refreshing. Meet Susie and hear about the incredible work being done to support families when they're struggling.https://tobyshousemt.orgFacebook or Instagram: @tobyshousemtSubscribe to Toby's House's newsletter:https://tobyshousemt.org/subscribe/LIFTS Online Resource Guide: https://hmhb-lifts.orgFor statewide resources please visit the Linking Infants and Families to Supports athttps://hmhb-lifts.org/

Psychiatric Services From Pages to Practice
55: Taking an Evidence-Based Approach to Involuntary Psychiatric Hospitalization

Psychiatric Services From Pages to Practice

Play Episode Listen Later Nov 22, 2022 26:29


Nathaniel P. Morris, M.D., joins Dr. Dixon and Dr. Berezin to discuss an evidence-based approach to involuntary psychiatric hospitalization.  Dr. Morris is an Assistant Professor of Psychiatry in the Department of Psychiatry and Behavioral Sciences at the University of California, San Francisco. How did you get interested in this topic? [00:51] What is involuntary psychiatric hospitalization? [02:28] How does it vary by state and nationally? [04:46] What don't we know about the evidence behind involuntary psychiatric hospitalization? [05:46] What are the challenges of investigating involuntary hospitalization? [07:32] What is meant by “involuntary” [09:49] Lack of evidence [11:55] How do you approach studying this subject? [14:12] Alternatives to involuntary hospitalization [17:33] Who gets hospitalized? [19:27] Open Forum [21:30] What does public tracking mean? [22:50] How can we manage this if we don't even know anything about the practice across this country? [23:58] Transcript 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 website. 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

Neuro Pathways: A Cleveland Clinic Podcast for Medical Professionals
Adolescent Psychiatric Services: Managing an Increased Demand

Neuro Pathways: A Cleveland Clinic Podcast for Medical Professionals

Play Episode Listen Later Nov 15, 2022 27:49


Joseph Austerman, DO, discusses how psychiatric care is evolving to better meet the needs of the adolescent patient population.

Mad in America: Science, Psychiatry and Social Justice
Morgan Shields - Breaking Academia's Silence on Inpatient Psychiatry

Mad in America: Science, Psychiatry and Social Justice

Play Episode Listen Later Nov 9, 2022 60:05


Morgan Shields is one of the few health policy researchers who focuses on quality of care and issues of coercion within inpatient psychiatry. Her research exposes how current healthcare settings are influenced by power imbalances, profit structures, and organizational priorities that are fundamentally misaligned with the human needs of individual patients. Dr. Shields completed her Ph.D. in Social Policy at Brandeis University and is currently an Assistant Professor at the Brown School of Social Work at Washington University in St. Louis, where she also directs her own research group. She has published over 25 peer-reviewed articles in outlets such as Health Affairs, Psychiatric Services, and the JAMA Network. She has also completed several policy reports for entities such as the U.S. Health and Human Services Office, and has served as a legal expert in cases related to psychiatric patient discrimination. In doing so, her research has effected change at the state and federal levels, prompting internal investigations and structural reforms within agencies such as the Veterans Health Administration and the Massachusetts Department of Mental Health. In this interview, Dr. Shields discusses her current work, which aims to identify strategies for implementing patient-centered and equitable treatment within existing mental health care structures—toward a wholesale re-imagining of inpatient psychiatry.

Psychiatric Services From Pages to Practice
54: Young Adults' Perspectives on Factors Related to Relapse After First-Episode Psychosis: Qualitative Focus Group Study

Psychiatric Services From Pages to Practice

Play Episode Listen Later Oct 20, 2022 31:14


Shalini Lal, Ph.D., joins Dr. Dixon and Dr. Berezin to discuss the perspective of patients related to recovery, treatment, and relapse following first-episode psychosis.  Dr. Lal is the Canada Research Chair in Innovation and Technology for Youth Mental Health Services and an associate professor at the School of Rehabilitation, University of Montreal, Montreal, Canada. How did you get interested in this topic? [01:26] What do we mean by the word “relapse”? [04:33] What's the perspective of an occupational therapist on first episode psychosis? [06:21] Questions for the focus groups [07:55] Moving beyond the relapse binary [09:10] Categorizing and summarizing [12:44] Four factors [14:20] The complications of technology [15:01] Positives and negatives [17:01] Social environment [19:20] Relationships with healthcare providers [21:43] How did participants understand the meaning of relapse [22:12] The value of qualitative research [25:35] What's next [28:52] Transcript 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 website. 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

Wedgwood's Coffee Break Conversations
Joining Your Journey w/ Beth Oman

Wedgwood's Coffee Break Conversations

Play Episode Listen Later Aug 29, 2022 19:25


“And there's a lot of kids out there that are just struggling. I've heard from a lot of places that no one accepts kids, no one takes care of kid. Not true. We do. That's what we're here for. Wedgwood has the means and the resources to help them.”The need for mental health support is great, and many services in West Michigan have long waiting lists. Wedgwood's Psychiatric Services not only have immediate openings, but are available for the whole family – including children as young as six years old.In today's Coffee Break Conversation, we chat with Beth Oman, a Physician's Assistant at Wedgwood Christian Services about what Psych Services are, how they are an important component of a holistic approach to mental health, and how Wedgwood can help kids and families in West Michigan right now.To get connected to Wedgwood's Psych Services or set up an initial appointment, email psychiatry@wedgwood.org or call 616.831.5641. You can learn more at www.wedgwood.org/psychiatry 

Jones Health Law Podcast
EDUCATION: Does Autonomous Practice Registration for Florida Nurse Practitioners Include Psychiatric Services?

Jones Health Law Podcast

Play Episode Listen Later Aug 24, 2022 3:43


Recently, the Board of Nursing voted to approve the following revised language for adoption by rule as the definition of “primary care practice”: “Includes physical and mental health promotion, assessment, evaluation, disease prevention, health maintenance, counseling, patient education, diagnosis and treatment of acute and chronic illnesses, inclusive of behavioral and mental health conditions”. This definition would be read in conjunction with Section 464.0123(3), Florida Statutes. The Board also voted to accept the recommendation, also for adoption by rule, from the Council on APRN Autonomous Practice for “standards of practice” as: “Advanced practice registered nurses who are registered pursuant to Section 464.0123, F.S., shall engage in autonomous practice only in a manner that meets the General Standard of Practice. The General Standard of Practice shall be that standard of practice, care, skill, and treatment which, in light of all relevant surrounding circumstances, is recognized as acceptable and appropriate by reasonably prudent similarly situated health care providers.” Web: www.JonesHealthLaw.com Phone: (305)877-5054 Instagram: @JonesHealthLaw Facebook: @JonesHealthLaw Youtube: #JonesHealthLaw --- Support this podcast: https://podcasters.spotify.com/pod/show/joneshealthlaw/support

Psychiatric Services From Pages to Practice
53: Use of Acute Mental Health Care in U.S. Children's Hospitals Before and After Statewide COVID-19 School Closure Orders

Psychiatric Services From Pages to Practice

Play Episode Listen Later Jul 26, 2022 28:04


Dr. Bonnie Zima, M.D., M.P.H., joins Dr. Dixon and Dr. Berezin to discuss trends in child emergency department discharges, hospitalization, and mental health care utilization before and after statewide school closure orders due to the COVID-19 pandemic.  Dr. Zima is a Professor-in-Residence in the Department of Psychiatry and Biobehavioral Sciences at the University of California, Los Angeles. How did you get interested in this topic? [01:06] Study design [02:26] The team [03:25] The data set: Pediatric Health Information System (PHIS) [06:51] What's in the data? [08:06] Looking at data from 2019 and 2020 [09:27] Medical data as a baseline [10:10] Changes are relative [12:07] Stratification by psychiatric disorder [12:35] Untangling the effects of the pandemic [15:53] Examining the co-occurrence of medical and mental health disorders [17:13] What are the important take home lessons [19:12] IS there a correlation between the severity of the outbreak and service utilization? [22:36] What's next for this research? [23:23] Research and COVID [26:08]   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 website. 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

Psychiatric Services From Pages to Practice
52: Downward National Trends in Mental Health Treatment Offered in Spanish

Psychiatric Services From Pages to Practice

Play Episode Listen Later Jun 27, 2022 26:59


Dr. George Pro, Ph.D., M.P.H., joins Dr. Dixon and Dr. Berezin to discuss the downward trend in the provision of mental health services in Spanish across the US, despite the rapidly increasing Hispanic population.  Dr. Pro is an Assistant Professor in the College of Public Health at the University of Arkansas for Medical Sciences. https://ps.psychiatryonline.org/doi/10.1176/appi.ps.202100614 How did you get involved in this research? [01:04] What are the demographic challenges and what do we know about services provision in this population? [02:20] The level of mental health care service utilization [04:45] Why focus on language access? [05:39] What did you find? [06:48] The National Mental Health Services Survey [08:25] National results [10:24] The importance of data visualization [12:39] Figures and how they convey information [17:02] Ohio and North Dakota: rate of change, not overall population [20:07] What are the limitations to this approach? [21:43] Communicating data to policy makers [23:26] What's next for your research? [24:45] Figures from the article:  Figure 1 Figure 2 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 website. 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

Voices of UMassMed
Key program links pediatricians to psychiatric services for youth during mental health crisis

Voices of UMassMed

Play Episode Listen Later Apr 8, 2022 21:42


In a new Voices of UMass Chan podcast, Yael Dvir, MD, and Bruce Waslick, MD, describe how the Massachusetts Child Psychiatry Access Program supports Massachusetts pediatricians caring for struggling children and their families, one phone call at a time.

Psychiatric Services From Pages to Practice
50: Online Psychosis Screening: Characterizing an Underexamined Population to Improve Access and Equity

Psychiatric Services From Pages to Practice

Play Episode Listen Later Mar 29, 2022 31:45


Mark Savill, Ph.D., joins Dr. Dixon and Dr. Berezin to discuss using online psychosis screening data to see what can be learned about the population taking the assessment, what can be done to close the gap between screening and treatment, and to reduce the duration of untreated psychosis.  Dr. Savill is a professor in the Department of Psychiatry and Behavioral Sciences at University of California, Davis. https://ps.psychiatryonline.org/doi/10.1176/appi.ps.202100257 What's your background? [01:17] Prodromal Questionnaire Brief (PQ-B) [03:03] Duration of Untreated Psychosis (DUP) [03:40] What does the beginning of treatment mean? [05:22] How can the internet help to decrease the time from symptoms to treatment? [07:20] What are people looking for and what are they finding? [10:05] Mental Health America screening [11:00] Where does the PQ-B fit? What did you investigate? [14:33] Getting people into treatment – from A to B, or from A to L? [18:53] What did you learn? [19:50] The numbers [25:02] Further research [23:24]   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 website. 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

Palm Beach County Perspective
Ep. 31 - Palm Beach County Has A Heart For Its Residents With Special Needs

Palm Beach County Perspective

Play Episode Listen Later Mar 28, 2022 31:26


Episode 31 is an opportunity to take a look at two organizations in Palm Beach County giving much needed services to some of our residents with special needs.   Our first guest is Sharon Alexnder. She serves as the CEO of Unicorn Children's Foundation in Boca Raton, Fla. It is a one of a kind organization that changes the lives of people living with developmental differences who are disconnected, isolated, and need support.    In 2015, Sharon founded and continues to lead the Special Needs Advisory Coalition of Palm Beach County, a collective impact project comprised of more than 600 individuals representing more than 160 organizations who are collaborating to create a more inclusive and supportive community.   Our second guest is Danielle Hartman. Hartman joined Ruth & Norman Rales Jewish Family Services (JFS) as President and CEO in March 2010.    Danielle is joined by Aliyah Longhurst, Director of the Toby and Leon Cooperman Therapy & Family Resource Center (a dividion of JFS). Aliyah comes to JFS with over 20 years of experience working within the mental and behavioral health field with children and families. Aliyah has spent the past 13 years working with children with special needs and their families in Palm Beach County.    Ruth & Norman Rales Jewish Family Services (JFS), through the Center for Families & Children offers a number of supports for families with special needs. Individual and Family Counseling; Support groups for parents, caregivers, siblings and grandparents; Psychiatric Services; Psychological Testing Services; Food & Financial Assistance; and Respite care training program for future special needs workers.    Unicorn Children's Foundation is dedicated to creating cradle to career pathways for kids and young adults with developmental differences and helping their families navigate the complex journey.    Our last guest is Dr Marlene Sotelo, Executive Director of Els for Autism®. Els is a game-changing resource, delivering and facilitating programs that are examples of what can be available to people with autism spectrum disorder (ASD).   They are committed to better understanding the aspirations of people with autism spectrum disorder and helping them to fulfill their potential to lead positive, productive and rewarding lives. The Foundation provides high-quality information, intervention, education and support to local, state, national, and international families of diverse cultures. In addition they provide programs based on best practices and develop innovative interventions through investigative study and analysis.   If you or someone you know has a family member with special needs, this program will offer useful information on the services available.

The Athens Frontline
Pandemic-Induced Eating Disorders

The Athens Frontline

Play Episode Listen Later Mar 16, 2022 29:48


In our ninth episode, host Simran Kaur Malhotra speaks with Dr. Christopher Corbett, ta doctor of psychology and the Director of Counseling and Psychiatric Services at the University of Georgia.  Together, Simran and Corbett discuss the availability of CAPS at UGA, pandemic-induced eating disorders, and how students can seek mental health help.

The Brian Lehrer Show
Brian Lehrer Weekend: The Alarming Lack of Homeless Psychiatric Services in NY; Director Stanley Nelson on HBCUs; #BLTrees

The Brian Lehrer Show

Play Episode Listen Later Feb 18, 2022 80:15


Three of our favorite segments from the week, in case you missed them. The Alarming Lack of Homeless Psychiatric Services in NY (First) | Documentary Filmmaker Stanley Nelson on the History of HBCUs and 'Attica' (Starts at 34:50) | #BLTrees: A Year in the Life (February) (Starts at 59:15) If you don't subscribe to the Brian Lehrer Show on iTunes, you can do that here.

VOCM Shows
Thursday Feb 17th - Current Strains On Psychiatric Services In The Province

VOCM Shows

Play Episode Listen Later Feb 17, 2022 38:12


Thursday Feb 17th - Current Strains On Psychiatric Services In The Province by VOCM

The Brian Lehrer Show
When NY's Network of Homeless Psychiatric Services Fails Everyone

The Brian Lehrer Show

Play Episode Listen Later Feb 16, 2022 34:20


Andy Newman, reporter for the New York Times who writes about social services and poverty in New York City, and Dr. Anthony Carino, director of psychiatry at CUCS/Janian Medical Care, a healthcare program for people impacted by homelessness talk about the patchwork of psychiatric services available to homeless New Yorkers and why, in some cases, high-need individuals with documented violent histories fall through the cracks leading to dire outcomes, as was the case with Martial Simon who pushed Michelle Alyssa Go onto the subway tracks. 

Navigating Nursing
Victoria Williams, Nursing Associate working in High Secure Psychiatric Services

Navigating Nursing

Play Episode Listen Later Feb 10, 2022 19:49


In this episode Laura speaks with Victoria Williams who is a Registered Nursing Associate in High Secure Psychiatric Services. She shares her career in healthcare and why she decided to apply for the Nursing Associate apprentiship. She qualified in 2019 after studying at the University of West London. Victoria shares her experiences being redeployed during the pandemic to a Covid ward and a vaccination centre. Victoria discusses the benefits of having a variety of clinical experiences through working bank at a hospice. Victoria shares her experience of being part of the Florence Nightingale Foundation Leadership Programme for Mental Health Nursing Associates. Victoria gives advice to anyone wishing to apply to be a Nursing Associate and shares her career aims for the future. · ·

Psychiatric Services From Pages to Practice
48: Cops, Clinicians, or Both? Collaborative Approaches to Responding to Behavioral Health Emergencies

Psychiatric Services From Pages to Practice

Play Episode Listen Later Jan 10, 2022 40:15


Margaret E. Balfour, M.D., Ph.D., and Jason Winsky, B.A., join Dr. Dixon and Dr. Berezin to discuss their special article published in Psychiatric Services, “Cops, Clinicians, or Both? Collaborative Approaches to Responding to Behavioral Health Emergencies,” looking at collaborations between police and clinicians in the treatment of mental health and behavioral health emergencies.  Dr. Balfour is Chief of Quality & Clinical Innovation at Connections Health Solutions in Tucson, Arizona, and Sgt. Winsky is a police officer and supervisor of the Mental Health Investigative Support Team with the Tucson Police Department.   Balfour and Winsky interview [00:32] How did you get started in this work? [01:22] Police department mental health team [02:44] Crisis Response Center [03:04] Why Arizona? [03:58] Arnold vs Sarn [04:54] Twenty-three hour observation model [05:35] Funding [06:20] How the crisis system works in Tucson [07:44] Easy access for law enforcement [10:11] Crisis management from the law enforcement perspective [10:39] Police training in dealing with mental health crisis [12:41] Who the police bring to the crisis center [14:59] Challenges in providing mental health services for intoxicated and violent patients [16:21] Keeping patients out of the justice system when possible [17:31] “No Wrong Door” policy [18:47] How this works in practice: the lady with the car [21:05] Creating the opportunity for creative solutions to removing barriers to mental health care [23:56] “There can't be a rule for everything in crisis” [24:44] Social justice framing of the paper [26:49] The Technical Assistance Coalition working papers series [29:24] What would you add to enhance the program? Housing, housing, housing [30:07] Collaboration between siloed systems [32:01] Working with stakeholders [32:59] The impact of mental health crisis on people of color [34:41] Other places doing great work [37:13]   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 website. 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

Reframing our Stories: The Podcast
Episode 25: Let's Talk About Sex - No Shame: Dr. Lea Lis

Reframing our Stories: The Podcast

Play Episode Listen Later Nov 10, 2021 42:56


With shared enthusiasm for talking about sex to parents and kids shame free, Kara and Dr. Lea Lis get right to it with the help from her book: No Shame: Real Talk With Your Kids About Sex, Self-confidence, and Healthy Relationships. In this episode we highlight the importance of being able to talk with our children about sex and to not fear it as often as we do. Dr. Lea helps to dispel myths and provides insight into what she learned from her clients. She is uniquely positioned to help parents and children face many mental health challenges and live healthy lives. During her training and residency at St. Vincent's Hospital in New York and New York University, and her private psychiatric practice (Mindful Kid), she has developed expertise in working with modern families of all types.   Psychiatry and medicine has been Dr. Lis' calling since age 15 when she started working at Hillside Psychiatric Hospital. She has a thriving clinical practice where she sees adults and children with all types of mental health issues in Southampton, New York. She has a well-received column on Psychology Today and Thrive Global, and has appeared as an expert on parenting in programming by ABC, CBS and NBC. She has been featured in numerous media outlets such as The Chicago Tribune, The Washington Post, and in niche publications like Good Housekeeping, Modern Beach Luxury and Psychiatric News. She has been interviewed as an expert on multiple podcasts. Dr. Lea is double board certified as an Adult and Child Psychiatrist. She is an Assistant Clinical Professor at New York Medical College. She is active in the American Psychiatric Association, having served as a member of their National Ethics Committee and on the Board of Trustees. She has presented numerous symposia and workshops at the annual APA meetings and at the meetings of the Institute of Psychiatric Services. Her Academic publications have appeared in the Journal of Psychiatric Practice and the Journal of Academic Psychiatry. Learn more about Dr. Lea on her website.

Psychiatric Services From Pages to Practice
46: Persons With Intellectual and Developmental Disabilities in the Mental Health System: Clinical, Policy and Systems Considerations

Psychiatric Services From Pages to Practice

Play Episode Listen Later Oct 12, 2021 41:01


Dr. Debra A. Pinals, M.D., joins Dr. Dixon and Dr. Berezin to discuss two forthcoming articles from Psychiatric Services looking at persons with intellectual and developmental disabilities in mental health systems.  The first paper addresses clinical considerations, and the second looks at policy and systems considerations. Dr. Pinals is a Clinical Professor of Psychiatry and the Director of the Program in Psychiatry, Law, and Ethics at the University of Michigan Medical School in Ann Arbor, Michigan. Topics discussed in this episode: Mental health systems and law enforcement Medicaid-funded and state-funded systems Defining the patient population “Beyond Beds” and the psychiatric continuum of care Seeing the population beyond just crisis Dealing with aggressive behavior and overmedicating the population Restricting individual autonomy as a last resort Applied Behavioral Analysis Overlooked stressors and potential drivers of crisis Role of evidence-based practices in this population Distinguishing between mental illness and intellectual disabilities, and how they interact Encouraging communication across systems Expansion of crisis services Rehabilitation services versus habilitation services Where does neurology fit in? What system does care take place in? How do we improve things from here? 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 website. 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  

Tabitha Speaks
Episode 106 - Woman Fitting Wendy Williams Description Rushed To Hospital For Psychiatric Services!!

Tabitha Speaks

Play Episode Listen Later Sep 17, 2021 11:23


Voices of the Community
Uplift Family Services

Voices of the Community

Play Episode Listen Later May 27, 2021 21:58


"We do whatever it takes to strengthen and advocate for children, families, and adults to realize their hopes, behavior, health, and well being"- Faith JacksonIn this episode, our featured voice is the Transitional Housing Program Supervisor of Uplift Family Services Faith Jackson. The focus of this week’s show is on how the covid-19 pandemic is impacting our youth and the nonprofit organizations that provide support services to help youth through this crisis.To find out more about Uplift Family Services and to support Foster Youth with gift cards and donating suitcases as well as their other programs go to up lift fs dot org  For more insights into how our youth are being impacted by the pandemic and how our nonprofits are supporting our youth through the pandemic please listen to our interview with the Executive Director of the Huckleberry Youth Programs Doug Styles, in Episode 19, Charles Lerner the Executive Director and Demaree Miller the Program Manager of At the Crossroads in episode 29 along with the Chief Program Officer Justine Underhill and the Director of Advancement Gregg Biggs from Edgewood Center for Children and Families in episode 54 

A Year and a Day: Divorce Without Destruction
Season 4 Episode 5: Reunification Therapy

A Year and a Day: Divorce Without Destruction

Play Episode Listen Later May 24, 2021 21:19


Thriving during separation can be difficult when you have a child who refuses to spend time with either you or your co-parent.  In this episode, host Jaime Davis discusses the process of reunification therapy with Dr. Tina Lepage, a forensic and clinical pyschologist and founder of Lepage Associates Psychological and Psychiatric Services.  https://lepageassociates.com/. 

Psychiatric Services From Pages to Practice
42: Deepening Engagement of Service User Participation Within Research and the Mental Health System

Psychiatric Services From Pages to Practice

Play Episode Listen Later Apr 7, 2021 52:13


Marie Brown, Ph.D., and Nev Jones, Ph.D., join Dr. Dixon and Dr. Berezin to discuss steps to build a pipeline of researchers with significant psychiatric disabilities and intersecting lived experiences and to increase service user participation in the U.S. mental health care system. Dr. Brown is a licensed clinical psychologist, postdoctoral fellow at Columbia University Irving Medical Center, and a cofounder of Hearing Voices Network NYC. Dr. Jones is an assistant professor in the Department of Psychiatry at the University of South Florida. How the authors began their collaboration [1:35] Genesis of the collaboration on the two Open Forum pieces in Psychiatric Services [2:38] Background of advocacy to have people with lived experience in mental health research positions [5:00] A paradigm of what meaningful participation would look like [7:59] Should the same standards of participation and inclusion apply to other research areas? [11:47] Is research disconnected from practice? [16:01] Steps the research community and academia can take to address these issues [22:11] Self-disclosure of psychiatric disability/lived experience [27:30] Deepening engagement of service user participation within the mental health system [31:50] The “radical roots” of the concept of peer support [34:33] What relational psychotherapy has to do with deepening engagement and service user participation [39:18] How Dr. Brown’s experience with the Hearing Voices movement has informed her work [46:31] Activities designed to deepen engagement and help build a diverse lived experience pipeline [48:19] 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 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

People, Space, and Place
Mental Health Care is the Best Type of Self Care!

People, Space, and Place

Play Episode Listen Later Mar 29, 2021 40:21


The month of March is health awareness month! What better type of health than mental health? Join us as we interview Dr. Tenille Gaines, the Associate Director of Counseling & Psychiatric Services at Michigan State University, on the importance of mental health. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/peopleplacespace/message

Capital Daily
The Facebook Group Taking on Royal Jubilee's Psychiatric Emergency Services

Capital Daily

Play Episode Listen Later Mar 23, 2021 44:08


A Facebook group has prompted many people to share their negative experiences with Royal Jubilee's Psychiatric Services. We speak to some of those people to hear their stories firsthand. Jonny Morris, CEO of the Canadian Mental Health Association B.C. also joins to speak to the larger issues at play. 

The Barrier Breakdown: Disrupting Mental Health
Episode 14: Trends in Suicidality During Covid 19

The Barrier Breakdown: Disrupting Mental Health

Play Episode Listen Later Mar 19, 2021 25:11


Welcome to The Barrier Breakdown: Disrupting Mental Health!  This week our guests are doctors Elizabeth Sysak and Jack Rozel, who work with Resolve Crisis Services. Dr. Sysak oversees Resolve, Western Psychiatric Hospital's Psychiatric Services, and provides lectures and presentations on motivation interviewing, crisis intervention, trauma and leadership. Dr. Rozel is an associate professor of psychiatry at the University of Pittsburgh, and the medical director for UPMC's Resolve Crisis Services.  Resolve's mantra is that everyone defines his or her own crisis, and with that mentality this community crisis program delivers over 125,000 services each year. Resolve is a 24-hour, 365-day crisis service that's free to all Allegheny County residents. Callers can talk to a live person whenever needed, a simple act that has become unprecedentedly scarce over the past year.  You can call their hotline for 24-hour crisis help at 1-888-7-YOU-CAN (796-8226). To see the other work Resolve does, check out Resolve's website at https://www.upmc.com/services/behavioral-health/resolve-crisis-services  For more information and non-urgent matters, call 412-864-5004 or email resolve Crisis Services at resolve@upmc.edu  All our upcoming continuing education events can be found at www.cbicenterforeducation.com You can watch or listen to The Barrier Breakdown on any of the following streaming services: Youtube - https://www.youtube.com/channel/UCyc6xZzY7ra3L5pI2g5GKrw  Podbean - https://cbi.podbean.com  Spotify - https://open.spotify.com/show/2ETgUdDykWN96Tv26PWyZ2  Apple Podcasts - https://podcasts.apple.com/us/podcast/the-barrier-breakdown-disrupting-mental-health/id1546097545  Follow us on social media: CBI: https://www.facebook.com/CognitiveBehaviorInstitute  Center for Ed: https://www.facebook.com/CBIcenterforeducation  Instagram: @cognitivebehaviorinstitute  :::::::::::::::::::: Music: Basic Majesty - Ashley Shadow Support by RFM - NCM: https://youtu.be/XVwlTTMgw5c  ::::::::::::::::::::

JOWMA (Jewish Orthodox Women's Medical Association) Podcast
PANDAS: It's More Than A Strep Throat

JOWMA (Jewish Orthodox Women's Medical Association) Podcast

Play Episode Listen Later Mar 4, 2021 44:43


Margo Thienemann, MD is a Co-founder and Director of Psychiatric Services at for the Immune Behavioral Health/Pediatric Acute-Onset Neuropsychiatric Syndrome (IBH/PANS) Clinic at Stanford Children's Health and a Clinical Professor in Psychiatry and Behavioral Sciences Child and Adolescent Psychiatry in the Stanford School of Medicine. The clinic is the first PANS clinic in the country. Dr. Thienemann is an author and contributor to many PANS publications including the PANS Consensus Treatment Guidelines and PANS, Clinical Management of Pediatric Acute-Onset Neuropsychiatric Syndrome: Part I-Psychiatric and Behavioral Interventions. She has also written: Seeing Your First Child with PANDAS/PANS along with The PANDAS Physicians Network Diagnostics and Therapeutics Committee and with Stanford Continuing Medical Education, a free online CME activity: Presentation and Early Management of PANS. https://www.stanfordchildrens.org/en/doctor/margo-l-thienemann Join us Thursday nights at 8 PM EST on Instagram live @jowma_org for our latest podcast discussions!!

JOWMA (Jewish Orthodox Women's Medical Association) Podcast
PANDAS: It's More Than A Strep Throat

JOWMA (Jewish Orthodox Women's Medical Association) Podcast

Play Episode Listen Later Mar 4, 2021 44:43


Margo Thienemann, MD is a Co-founder and Director of Psychiatric Services at for the Immune Behavioral Health/Pediatric Acute-Onset Neuropsychiatric Syndrome (IBH/PANS) Clinic at Stanford Children's Health and a Clinical Professor in Psychiatry and Behavioral Sciences Child and Adolescent Psychiatry in the Stanford School of Medicine. The clinic is the first PANS clinic in the country. Dr. Thienemann is an author and contributor to many PANS publications including the PANS Consensus Treatment Guidelines and PANS, Clinical Management of Pediatric Acute-Onset Neuropsychiatric Syndrome: Part I-Psychiatric and Behavioral Interventions. She has also written: Seeing Your First Child withPANDAS/PANS along with The PANDAS Physicians Network Diagnostics and Therapeutics Committee and with Stanford Continuing Medical Education, a free online CME activity: Presentation and Early Management of PANS. https://www.stanfordchildrens.org/en/doctor/margo-l-thienemann Join us Thursday nights at 8 PM EST on Instagram live @jowma_org for our latest podcast discussions!! This podcast is powered by JewishPodcasts.org. Start your own podcast today and share your content with the world. Click jewishpodcasts.fm/signup to get started.

Get Your Head in the Game with Shannon Beasley Taitt
Ep 5. Teen Mental Health with Dr. Thomas Hughes

Get Your Head in the Game with Shannon Beasley Taitt

Play Episode Listen Later Mar 3, 2021 34:43


In today's episode, Shannon continues the conversation around the importance of teen mental health with her special guest, board certified psychiatrist, Dr. Thomas Hughes from The C.U.B.E. Psychiatric Services. There is so much pressure on teens and young adults in society today so it's important to recognize the signs and symptoms of distress and learn ways to help our young people navigate these challenging times. To learn more about Dr. Hughes and his practice, visit: http://psychadjacent.com/ or follow him on Instagram @psychadjacent. To learn more about Deep Roots Coaching Group go to www.deeprootscoachinggroup.com an to learn more get Shannon's book, "Get Your Head in the Game," go to www.shannonbtaitt.com. You can follow Shannon on Instagram @shannonbeasleytaitt

Calm, Cool and Connected - The Guide Book to Peace of Mind

Have you been feeling more anxious lately than you have in the past? If so, you are far from being alone. The number of clinical anxiety diagnoses are on the steady rise due to what Jessica Adams, President of Coastal Medical & Psychiatric Services, calls “Pandemic Exhaustion.” Find out what you can do in your day-to-day life to help manage anxiety. Hear what the connection is between anxiety and your television. Find out what item can be used to help anxiety, that Jessica says is “kind of like a comforting hug!” All of this and more, on this episode of Calm, Cool & Connected. More information about Jessica and Coastal Medical and Psychiatric Services can be found on their website, For more great Calm, Cool and Connected content, don't forget to subscribe to the podcast on all major podcasting platforms. Already subscribed? Please take a moment to rate and review the podcast so that we can reach as many people that need the help as we can.DISCLAIMER: THE CONSULTATIONS or interactions with Rachel Ann Dine OFFERED ARE NOT MENTAL HEALTH THERAPY. THE CONSULTATION IS FOR EDUCATIONAL PURPOSES ONLY AND NOT STRUCTURED IN A WAY TO PROVIDE MENTAL HEALTH COUNSELING/PSYCHOTHERAPY/THERAPY/DIAGNOSING OF ANY KIND. YOU UNDERSTAND THAT RACHEL ANN DINE AND CALM, COOL AND CONNECTED IS NOT PROVIDING INFORMATION AS YOUR TREATING MENTAL HEALTH COUNSELOR, PHYSICIAN, ATTORNEY, LEGAL COUNSEL, EMPLOYER, MEDICAL PROFESSIONAL. Rachel Ann Dine is a licensed professional counselor at time of EVENT and distribution but is in no way by engagement of interaction with you attempting to diagnose or treat you. After the end of the event, there is no obligation to continue a relationship on the side of Rachel Ann Dine, and should you desire to engage in different professional relationship, a contract will be administered and signed prior to engaging in professional relationship. We offer no guarantees or promise of results from event nor assume liability for any information provided.

American Journal of Psychiatry Audio
March 2021: Psychiatry Diversity Leadership in Academic Medicine

American Journal of Psychiatry Audio

Play Episode Listen Later Mar 1, 2021 51:24


Executive Editor Michael Roy speaks with Ayana Jordan, M.D., Ph.D., and Christina Mangurian, M.D., M.A.S., about their article on psychiatry diversity leadership in academic medicine. Dr. Ayana Jordan is an associate program director of the adult psychiatry training program and an assistant professor of psychiatry at the Yale University School of Medicine. She is a member of the APA Board of Trustees, and she serves on the Early-Career Psychiatrist Advisory Committee for the journal Psychiatric Services. Her research is concentrated on increasing access to care for minoritized populations with substance use problems. Dr. Christina Mangurian is a professor of psychiatry, epidemiology, and biostatistics in the School of Medicine at the University of California, San Francisco (UCSF). She is also vice chair for diversity and health equity at the UCSF Department of Psychiatry and Behavioral Sciences and a former chair of the APA Council on Minority Mental Health and Health Disparities. Her primary research program focuses on promoting mental health equity for patients and the workforce. The authors’ background and how they became involved in their work [2:50] How the authors’ roles in the workplace and in the community changed over the course of the past few years [7:51] Description of the case vignette presented in the article [14:23] The overall landscape for diversity leaders at psychiatry departments [18:40] Comparisons with other fields of medicine and academia [22:20] Three unique challenges faced by individuals who hold diversity, equity, and inclusion (DEI) roles [24:44] Initial steps that can help leaders in DEI positions [28:42] What people with institutional power can do to make sure that the experiences of BIPOC individuals are not ignored [34:40] Best practices to effectively support DEI leadership efforts in psychiatry [37:18] How scholarly research can adapt to help advance these efforts [42:39] Are the authors optimistic that we can overcome barriers and make real progress in efforts to expand diversity, equity, and inclusion throughout our community and workplaces? [46:11] Photo (from top): Helena Hansen, M.D., Ph.D., Christina Mangurian, M.D., M.A.S., Carolyn I. Rodriguez, M.D., Ph.D., Ayana Jordan, M.D., Ph.D., Ruth S. Shim, M.D., M.P.H., Altha J. Stewart, M.D. (Image courtesy of Dr. Mary Kay Smith.) Full author list of the article: Ayana Jordan, M.D., Ph.D. (Department of Psychiatry, Yale University School of Medicine, New Haven, Conn.) Ruth S. Shim, M.D., M.P.H. (Department of Psychiatry, University of California, Davis) Carolyn I. Rodriguez, M.D., Ph.D. (Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, Calif., and Veterans Affairs Palo Alto Health Care System, Palo Alto, Calif.) Eraka Bath, M.D. (Department of Psychiatry, Division of Child and Adolescent Psychiatry, University of California, Los Angeles) Jean-Marie Alves-Bradford, M.D. (Department of Psychiatry, Columbia University, and New York State Psychiatric Institute, New York) Lisa Eyler, Ph.D. (Department of Psychiatry, University of California, San Diego, and Desert-Pacific Mental Illness Research, Education, and Clinical Center, VA San Diego Healthcare Center, San Diego) Nhi-Ha Trinh, M.D. (Department of Psychiatry, Massachusetts General Hospital and Harvard University School of Medicine, Boston) Helena Hansen, M.D., Ph.D. (Departments of Psychiatry and Anthropology, New York University, New York) Christina Mangurian, M.D., M.A.S. (Department of Psychiatry and Behavioral Sciences and Department of Biostatistics and Epidemiology, University of California, San Francisco (UCSF), UCSF Center for Vulnerable Populations at Zuckerberg San Francisco General, and UCSF Philip R. Lee Institute for Health Policy Studies, San Francisco) Be sure to let your colleagues know about the podcast, and please rate and review it on Apple Podcasts, Google Podcasts, Stitcher, Spotify, or wherever you listen to it. Subscribe to the podcast here. Listen to other podcasts produced by the American Psychiatric Association. Browse articles online. Watch Deputy Editor Daniel S. Pine, M.D., present highlights from the March 2021 issue. Follow the journals of APA Publishing on Twitter. E-mail us at ajp@psych.org

Psychiatric Services From Pages to Practice
41: Addressing the Gap Between Global Mental Health Research and Treatment

Psychiatric Services From Pages to Practice

Play Episode Listen Later Feb 24, 2021 31:12


Milton L. Wainberg, M.D., joins Dr. Dixon and Dr. Berezin to discuss protocols for studies implementing comprehensive mental health services in low- and middle-income countries. Dr. Wainberg is a professor of clinical psychiatry at Columbia University and the New York State Psychiatric Institute and director of the Global Mental Health Implementation Science program at Columbia University. Development of the author's partnership with Psychiatric Services to publish protocols to address the gap between global mental health research and treatment [1:59] Applying lessons learned in low- and middle-income countries to the United States [11:17] Overriding themes of the published protocols [15:41] Key advantages, challenges, and design solutions of these programs [20:15] Overview of what related studies are doing at other sites [21:35] A call to be bold in engaging with complex problems in mental health care [28:11] List of published Global Mental Health Implementation Science Protocols: Adaptation and Implementation of the Multiple-Family Group Intervention in Ghana The Sub-Saharan Africa Regional Partnership (SHARP) for Mental Health Capacity-Building Scale-Up Trial: Study Design and Protocol Technology-Assisted Teachers’ Training to Promote Socioemotional Well-Being of Children in Public Schools in Rural Pakistan Youth Functioning and Organizational Success for West African Regional Development (Youth FORWARD): Study Protocol Partnerships in Research to Implement and Disseminate Sustainable and Scalable Evidence-Based Practices (PRIDE) in Mozambique 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, 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

Addiction Treatment and Healthcare Information - Freedom Now Clinic
Psychiatric Doctor Deerfield Beach, FL - Addiction Treatment and Healthcare Information - Freedom Now

Addiction Treatment and Healthcare Information - Freedom Now Clinic

Play Episode Listen Later Feb 11, 2021 2:45


Psychologists have a doctoral degree in an area of psychology, the study of the mind and human behavior. They're not medical doctors. A psychologist can have a PhD in philosophy or a PsyD in clinical or counseling psychology. Typically, they do 1-2 years of internship - What is a psychiatric doctor called?. Unlike psychiatrists, psychologists are also trained in giving psychological tests (like IQ tests or personality tests).But a few states allow psychologists to prescribe a limited number of psychiatric medications if they've taken a course in psychopharmacology. Both psychiatrists and psychologists are typically trained to practice psychotherapy -- talking with their patients about their problems. But the differences in background and training translates into different approaches to solving your mental health problems.https://freedom-now-clinic.business.site/https://batchgeo.com/map/5b6b374a0283bf9eeb7bc1ff75569553https://batchgeo.com/map/f0730236435ca108599d6a8f7f270f19https://goo.gl/maps/xNcNRqn4wLEvSubd7https://goo.gl/maps/nbVL4QYuEwUvkfn89https://goo.gl/maps/PhoZVdkhtuHtpGge9https://t.co/HsIKV3d6mX#addiction-treatment-delrayhttps://t.co/KYtqoPT3Ww#psychologyhttps://t.co/21NLVKVKMD$mental-evaluationhttps://earth.google.com/web/data=Mj8KPQo7CiExZkFDQ0sxSVhQdGVWc25ldnRqeUZoX0MtZjNGWkdxVHASFgoUMEQ4QjVENDg4RTE4QzgwQzFEMEE“If you're depressed and can't get out of bed, there's a behavioral activation,” says C (telemedicine). Vaile Wright, PhD, a director at the American Psychological Association. Psychologists will track sleep patterns, eating patterns, and the negative thoughts that might be causing or contributing to the problem.“Psychiatrists have a stronger sense of biology and neurochemistry,” says Ranna Parekh, MD, a director at the American Psychiatric Association.For instance, before we call someone depressed, we're going to make sure they don't instead have some vitamin deficiency or thyroid problem.” Once they've made a mental health diagnosis, psychiatrists often prescribe you medicine. Freedom Now Clinic236 SE 23rd Ave, Boynton Beach, FL 33435GW4P+R9 Boynton Beach, Floridahttps://myfreedomnow.com/https://myfreedomnow.com/psychiatrist-services/Psychiatric Services in Deerfield Beach, FLFind Freedom Now on Google Maps!More information:https://freedomnowclinic.blogspot.com/2021/02/psychiatric-doctor-deerfield-beach-fl.htmlVideos:https://youtu.be/yuOpkOw6030https://vimeo.com/511285672Support the show (https://www.google.com/search?q=236+SE+23rd+ave+addiction+treatment+clinic+boynton+fl&kponly&kgmid=/g/11j20t35r_)

Behavioral Health Today
Pathway Home™: A Successful Transition with Mark Graham, LCSW - Episode 52

Behavioral Health Today

Play Episode Listen Later Feb 9, 2021 36:12


In this episode Dr. Graham Taylor talks with Mark Graham, LCSW, Vice President and manager of program services for Coordinated Behavioral Care (CBC). Mark has been instrumental in the creation of CBC’s innovative Pathway Home™ program, an evidence-based critical time intervention program that effectively transitions individuals from intensive behavioral health settings to the community. Together they discuss how the Pathway Home™ program addresses the issues and the core needs of their clients, creating a synergistic team of social workers, and how this relational model is creating stronger relationships by actively engaging their clients with conversational assessment and connects them to a program close to their home and meets their needs in a sustainable manner. Pathway Home™ has achieved an incredible 94% rate of participants staying out of the hospital after the first 30 days back into the community. If you would like to learn more and discuss a referral, please email PathwayHomeInfo@cbcare.org or call (646) 930-8841For more information about Pathway Home™, visit: http://www.cbcare.org/innovative-programs/pathway-home/For information about Coordinated Behavioral Care, visit: http://www.cbcare.org/For more information about the Psychiatric Services articles on Pathway Home™, view article here. 

MDedge Psychcast
Understanding and dismantling structural racism within organizations with Dr. Ruth S. Shim

MDedge Psychcast

Play Episode Listen Later Feb 3, 2021 41:10


Ruth S. Shim, MD, MPH, joins Carol A. Bernstein, MD, to discuss how to understand systemic racism within psychiatric institutions and the implications for patient care. Dr. Shim is the Luke & Grace Kim Professor in Cultural Psychiatry in the department of psychiatry and behavioral sciences at the University of California, Davis. She has no disclosures. Dr. Bernstein, a past president of the American Psychiatric Association, is vice chair for faculty development and well-being at Montefiore Medical Center/Albert Einstein College of Medicine, New York. She has no disclosures. Take-home points Dr. Shim discusses her editorial published by statnews about why she left the APA, and describes her frustration about what she sees as the APA’s failure to prioritize mental health inequity and structural racism within the organization. Dr. Shim describes systemic racism and oppression as generational traumas that must be recognized and processed if our professional organizations and country are to move forward with equity. Psychiatry plays a role in healing societal trauma, so psychiatrists need to understand and address the damage of structural racism in our own system. Summary After psychiatry training, Dr. Shim became faculty at Morehouse School of Medicine, one of the few historically Black medical schools. During her clinical work in Atlanta, Dr. Shim noted the difference in health outcomes of inpatients at Emory University Hospital, which treated majority White patients, compared with those of Grady Memorial Hospital, which treated majority Black patients. This observation propelled her research into health disparities, which continues to inform her academic work. Dr. Shim’s decision to leave the APA occurred during the presidential term of Altha J. Stewart, MD, who, even as the first African American president of the organization, was thwarted in her attempt to push the APA to focus attention and resources on addressing mental health disparities, inequity, and systemic racism within the organization and psychiatry, according to Dr. Shim. Dr. Shim observes that systemic racism occurs when the structures of an organization, not individuals, perpetuate the inequity. An example within the APA is the disconnect and power disparity between the group’s executive leadership structure and its elected officials. This disconnect and power disparity stymie progressive voices and interventions, Dr. Shim said. Addressing systemic racism within an organization is challenging because it may not be considered a problem by all members, and usually the leadership of an organization caters to its majority. As an example, Dr. Shim discussed the APA’s systematic attempt to reduce resources and cancel the Mental Health Services Conference (formerly Institute for Psychiatric Services, or IPS meeting), which focuses on health care delivery to the most vulnerable populations. As observed by Dr. Bernstein, the IPS meeting might have incurred financial losses, but investment in such a meeting demonstrated the APA’s concern for mental health equity. (The Mental Health Services Conference was not held in 2020 but is scheduled to be held virtually Oct. 7-8, 2021). References Shim RS and Vinson SY, eds. Social (In)Justice and Mental Health. Washington, D.C.: American Psychiatric Association Publishing, 2021. Shim RS. Structural racism is why I’m leaving organized psychiatry. Statnews.com. 2020 Jul 1. Marmot M et al.  Lancet. 2008 Nov 8;372(9650):1661-9. Okun T. White supremacy culture. Dismantlingracism.org. APA apologizes for its support of racism in psychiatry. psychiatry.org. 2021 Jan 18. *  *  * Show notes by Jacqueline Posada, MD, associate producer of the Psychcast; assistant clinical professor in the department of psychiatry and behavioral sciences at George Washington University in Washington; and staff physician at George Washington Medical Faculty Associates, also in Washington. Dr. Posada has no conflicts of interest. For more MDedge Podcasts, go to mdedge.com/podcasts Email the show: podcasts@mdedge.com

The Point is Recovery Podcast
E9: Which Came First, the Booze or the Blues? with Dr. Ryan Estevez

The Point is Recovery Podcast

Play Episode Listen Later Dec 23, 2020 40:07


Happy Holidays and welcome to our last episode of 2020. We hope you and your families stay safe and sober as we look forward to 2021. This is also the last episode of Season 1 of The Point is Recovery Podcast but we will be bringing you more great content in Season 2, which kicks off on January 6th!This week we ask the Chicken or the Egg question, in regards to Dual Diagnosis. Experts like today's guest,  Ryan Estevez, MD, PhD, MPH, have long studied this topic. Dual Diagnosis is the condition of suffering from a mental illness and a comorbid substance abuse problem. On today's episode we learn more about dual diagnosis from Dr. Estevez who is the Director of Psychiatric Services here at Turning Point of Tampa.  Dr. Ryan Estevez is a psychiatrist who has earned several Ivy League advanced degrees in the behavioral and health sciences, including a bachelor's degree in psychology, master's degrees in both social psychology & public health and a Ph.D. in experimental psychology. Dr. Estèvez is board certified in 5 subspecialties including adult, geriatric, and forensic psychiatry, as well as psychosomatic and addiction medicine. He is also an adjunct professor of psychiatry at the University of South Florida here in Tampa.  Let's just say he is more than qualified to speak on today's topic.This podcast was started to get the word out that recovery is possible, no matter what situation you may find yourself in. Whether you are struggling with addiction yourself or you are the family member/friend of someone who is suffering, please know that there is hope for recovery.www.therefugeofhope.orgwww.tpoftampa.comwww.thepointisrecoverypodcast.comwww.facebook.com/TurningPointofTampawww.twitter.com/TurningPointTPAwww.instagram.com/turningpointtpawww.youtube.com/user/TurningPointofTampawww.facebook.com/ThePointisRecoveryPodcastwww.instagram.com/thepointisrecoverypodcast

RTÉ - Drivetime
Psychiatric Services

RTÉ - Drivetime

Play Episode Listen Later Dec 17, 2020 6:15


Professor Matthew Sadlier, a member of the Consultants' Committee of the IMO, speaks to Sarah about the impact of Covid-19 on mental health services in Ireland.

EWTN NEWS NIGHTLY
EWTN News Nightly - 2020-12-09

EWTN NEWS NIGHTLY

Play Episode Listen Later Dec 9, 2020 30:00


On "EWTN News Nightly" tonight: Following the first day of the UK's massive vaccination rollout against the coronavirus, Britain's medical regulator says people with a history of serious allergic reactions should not receive the Pfizer vaccine. Education and Research Officer at Anscombe Bioethics Centre, Michael Wee, joins to discuss what is known about the Pfizer vaccine's effectiveness as it relates to the transmission of the coronavirus and how long people who take it are protected. Also, as President Donald Trump battles for re-election in the courts, one lawsuit is seeking to dismiss dozens of Electoral College votes. Presumptive President-Elect Joe Biden introduces the person he’d like to see running the Pentagon. One Christian school in Kentucky and the state's attorney general are asking the Supreme Court to allow in-person classes at faith-based schools. 38 U.S. Senators have joined them in support saying that the closing of religious institutions is unconstitutional. Clinical psychologist and director of clinical operations at Georgetown University Counseling and Psychiatric Services, Dr. Suzanne Nortier Hollman, joins to discuss mental health amidst the pandemic, especially in our youth. In Rome, Colm Flynn, joins to give his perspective on the main point Pope Francis made in his general audience about the power of prayer and the significance of praying the 'Our Father.' Don't miss out on the latest news and analysis from a Catholic perspective. Get EWTN News Nightly delivered to your email: https://ewtn.com/enn

Heart Forward Conversations from the Heart
The Power and Promise of Community Inclusion: What we can learn from Trieste. A conversation with Dr. Dave Pilon

Heart Forward Conversations from the Heart

Play Episode Listen Later Nov 6, 2020 45:25


Dr. Dave Pilon talks with Kerry about his journey through the world of community-based mental health. In talking with him, one gets a sense of how our life experiences, over decades, can come full circle to tie everything together. Most recently, Dr. Pilon was the author of the proposal outlining a bold five-year mental health pilot, submitted to the state of CA in 2019, inspired by the WHO-recognized community-based mental health system in Trieste, Italy and adapted to an American context. Not only was he inspired by Trieste, but his vision was also informed by his seminal work at The Village in Long Beach, the site of a fascinating study in the early 90s. That state-funded study documented how an integrated service system, geared to whole person care with a per-capita budget, led to noteworthy recovery outcomes for the participants. Topics to explore will include psychosocial rehabilitation, the elements of recovery, and how we all benefit by helping people with mental illnesses to find belonging, purpose and true inclusion in our community. Biography: Dave Pilon received his doctorate in Social Psychology from Harvard University in 1981. From 1989 until his retirement, he served in various roles at Mental Health America of Los Angeles, including as its CEO from 2009 until 2017. For over 35 years he has consulted in the design and transformation of mental health programs and systems throughout the United States, New Zealand and Japan. Most recently he has served as the lead consultant to the L.A. County Department of Mental Health for the TRIESTE Pilot. Dave has presented numerous workshops on ethics and leadership issues in psychosocial rehabilitation as well as on the development of performance measures for social rehabilitation programs. He is passionate about creating better ways to serve the most vulnerable among us, particularly people with serious mental illnesses. Resource guide:Chandler, D., Meisel, J., Hu, T.-w., McGowen, M., & Madison, K. (1996). Client outcomes in a three-year controlled study of an integrated service agency model. Psychiatric Services, 47(12), 1337–1343. https://doi.org/10.1176/ps.47.12.1337 Chandler D, Hu TW, Meisel J, McGowen M, Madison K. Mental health costs, other public costs, and family burden among mental health clients in capitated integrated service agencies. J Ment Health Adm. 1997;24(2):178–88. Crossref, Medline, Google Scholar Los Angeles County Department of Mental Health. The TRIESTE* project: *true recovery innovation embraces systems that empower [Internet]. Sacramento (CA): Mental Health Services Oversight and Accountability Commission; [updated 2019 Apr 30; cited 2020 Jan 29]. Available from: https://mhsoac.ca.gov/sites/default/files/documents/2019-05/1054552_TriesteConceptPaper-4-18-2019FINAL.pdf

Along the Gravel Road Podcast with Chelsea Borruano
My Journey with Postpartum Depression, with guest Meagan Simoneaux

Along the Gravel Road Podcast with Chelsea Borruano

Play Episode Play 30 sec Highlight Listen Later Sep 29, 2020 47:06


In her journey with postpartum depression, Meagan found solace in writing about her experience, and was able to help other moms to realize they were not alone (or crazy). Read more on her blog. Meagan also talks about how pivotal Dr. Bruno was for her healing. Dr. Bruno is in the private practice of Psychiatry specializing in Women’s Mental Health and Reproductive Psychiatry. She is Medical Director of selected Psychiatric Services at Woman’s Hospital in Baton Rouge, Clinical Professor of Psychiatry, and Behavioral Sciences at Tulane School of Medicine, and Gratis faculty at LSU School of Medicine.Additional ResourcesTherapists in BR with a focus on Pregnancy, Prenatal & PostpartumWhat is Postpartum Depression (PPD)?Facebook Support GroupWhen the Bough Breaks

cityCURRENT Radio Show
Radio Show: Alliance Healthcare Services

cityCURRENT Radio Show

Play Episode Listen Later Aug 2, 2020 16:21


Laurie Powell, CEO of Alliance Healthcare Services, who highlights their mission of promoting wellness in our community and how the nonprofit organization has grown to become the largest behavioral health provider in Shelby County. During the interview, Powell discusses their services, like alcohol and drug therapy, individual and group therapy, and intervention services, and she shares some of the pivots and lessons learned as a result of COVID-19. Powell also talks about the potential new crisis location on Summer and Broad. Our not-for-profit organization is the largest comprehensive behavioral health provider in Shelby County. We offer outpatient, intensive outpatient, home-based, and community based programs, including a continuum of crisis services to over 22,000 residents of Shelby County and the surrounding areas.Alliance Healthcare Services is available to serve anyone in need of mental health care services. Our licensed staff members provide the following services for our patients:ALCOHOL AND DRUG TREATMENTADVOCACY AND REFERRALCASE MANAGEMENT SERVICESCHILD AND ADOLESCENT SERVICESFAMILY THERAPYGROUP THERAPYINDIVIDUAL THERAPYINTENSIVE OUTPATIENT SERVICESOLDER ADULT SERVICEPEER SUPPORT SERVICESPSYCHIATRIC SERVICESSUPPORTED RESIDENTIAL HOUSING FACILITIESplus many more..................Learn more: http://www.alliance-hs.org/Facebook:  https://www.facebook.com/AllianceHealthCareServices901/Instagram:  https://www.instagram.com/ahsmh901/  

The Smart Sex Podcast
Empowering Our Teens - Relationships, Sex & Boundaries. _ Episode 20

The Smart Sex Podcast

Play Episode Listen Later Jul 3, 2020 40:54


Dr. Lea Lis, double board certified Adult and Child Psychiatrist and Author of the book, "No Shame - Real Talk with Your Kids About Sex, Self Confidence and Healthy Relationships" * joins Leslie to talk about all things teens, sexuality, relationship development, parenting and how to help teens navigate their boundaries confidently.Dr. Lis is a true expert in child psychology and sexuality and is changing the way we talk to our kids about sex which lends itself beautifully to this deep and open dialogue about what healthy teenand parent relationships need to look and sound like.If you are a parent of a child, this Episode 20 is not to be missed. You will be challenged, educated and encouraged. Perhaps more importantly, your eyes will be opened around the critical need for understanding your own journey through sex and relationships and how to help empower yourself and your children and teens through theirs.*Dr. Lea Lis is the Shameless Psychiatrist.Dr. Lis is a medical doctor who is a double board certified Adult and Child Psychiatrist. She has been working with families since the beginning of her psychiatric career. She is uniquely positioned to help parents and children face many mental health challenges and live healthy lives. During her training and residency at St. Vincent's Hospital in New York and New York University, and her private psychiatric practice (Mindful Kid), she has developed expertise in working with modern families of all types. Psychiatry and medicine is Dr. Lis' calling since age 15 when she started working at Hillside Psychiatric Hospital. She has a thriving clinical practice where she sees adults and children with all types of mental health issues in Southampton, New York. She has a well received column on Psychology Today and Thrive Global, and has appeared as an expert on parenting in programming by ABC, CBS and NBC. She has been featured in numerous media outlets such as The Chicago Tribune, The Washington Post, and in niche publications like Good Housekeeping, Purist Magazine and Psychiatric News. She has been interviewed as an expert on multiple podcasts. Dr. Lea is active in the American Psychiatric Association, having served as a member of their National Ethics Committee and on the Board of Trustees. She served as Assistant Clinical Professor of Psychiatry at New York University Medical Center, and has presented numerous symposia and workshops at the annual APA meetings and at the meetings of the Institute of Psychiatric Services. Her Academic publications have appeared in the Journal of Psychiatric Practice and the Journal of Academic Psychiatry.Thank you for listening to The Smart Sex Podcast. Please SUBSCRIBE as doing so keeps this podcast alive.Leslie Gustafson, Sex & Relationship Therapist, Coach & Host can be found on all major social media platforms @LeslieGustafson1 of Leslie Gustafson.

MSU Today with Russ White
MSU CAPS Summer Care Kit supports well-being in uncertain times

MSU Today with Russ White

Play Episode Listen Later May 22, 2020 14:35


“If someone Googles MSU CAPS, they might see an advertisement to buy a baseball cap,” Patishnock quips. “Actually it's what we're commonly known as. Counseling and Psychiatric Services is the primary mental health service for all MSU students. We are charged with being accessible and providing quality care to all 50,000 plus enrolled students. We have a bevy of resources, and we're here for students and faculty.” Patishnock and the CAPS team have created a Summer Care Kit for our growth and well-being.  “It was in response to folks reaching out and asking for help in a variety of ways. “We've seen everybody struggle with trying to figure out how to manage in these unprecedented times. We first noticed signs of stress in our own staff. They were struggling with some of these transitions and we saw the same thing with our families at our homes and the students we're serving. The Summer Care Kit is five identified areas that we're finding to be fairly universal right now that all people could be benefiting from taking a look at and refocusing their energy. We chose these five areas as a way to create bite size snippets to focus on as opposed to a large document that would feel overwhelming. We broke it down to these five basic areas.”  The five areas are the basics, maintaining connections with ourselves and others, coping skills, dealing with loss and uncertainty, and meaning and motivation.  “In some ways you might look at our five areas and say, ‘Duh, that's not rocket science.' But when things go awry and we're stressed, these are the first things that go out the window - our sleep, our exercise, and our nutrition. We tend not to think about those things and often we'll get dehydrated or we'll be malnourished, or we just won't be as active as we've been. Those things have a pretty immediate impact in all of our areas. And so just like when we're working with students who are coming in for depression or anxiety, if you show me a student who generally has a good sleep hygiene, sleep routine, who is eating nutritiously every few hours and who's getting some activity throughout the day, I'm generally going to show you a student with less depression and anxiety than they otherwise would have.”  The CAPS team encourages us to be Spartan Fit through SMART goals. The idea is to make goals that are specific, measurable, achievable, realistic, and timely.“When you do that, you can feel a sense of accomplishment. It's really just a way to think about how we're setting goals and expectations. And those things are associated with whether we feel good or get frustrated. It's a way to refocus realistic expectations and goals for ourselves.”  And when is it time to seek professional help?  “Going to see a mental health professional is often not the first step that someone takes. Usually it's pretty common for people to try to manage on their own. They might talk to family or friends first. By the time someone does consider going to a mental health professional, it's usually been anywhere from months to years that someone has been struggling with an issue. I encourage people to think about not creating a high threshold to have to ask for help. Mental health professionals are trained to understand people's concerns in the context of their own individual identities, their culture, and their experiences in the context of our overall circumstances. We don't have to wait until things get really bad. And as a result, there might be different recommendations that come out of that. I would just have people have a low threshold to ask for help. I think we all can use help from time to time. It's perhaps time to seek professional help anytime something is going on where you notice that you're not enjoying life as much or something is impacting your relationships, your mood, your behaviors, your activity level, your diet, your sleep, your interest, and motivation.   Basically, if you're not living life the way that you want to be living it and you don't feel like you're interacting with the world and with people in a way that's happy or satisfactory to you, that might mean that there's something getting in the way. And that's what trained mental health professionals can help you figure out and overcome.”  May is Mental Health Awareness Month. What would Patishnock like us to be more aware of?  “I'd like people to realize just how normal it is to have a mental health concern. As a society, we're getting better at de-stigmatizing mental health. But many still believe that someone either does have a mental health problem or they don't have a mental health problem. And it's seen as black and white when that's just not the case. A lot of us see our physical health as fluid. I don't think any of us would say that we're 100 percent physically healthy. I have lower back pain from time to time. If all of us were honest, we would say there's something about us that's not 100 percent healthy, but it doesn't mean that we need to be at a doctor's office.  “It doesn't mean that we're not okay, but we tend to look at mental health as something where a person either has a mental health problem or they don't. I would like people to know that it's important to think about our mental health the same way as with our physical health' it's fluid. It's not black and white and therefore we don't have to categorize ourselves or others as either having a problem or not. It's actually better to see that we all have varying degrees of mental health and varying degrees of physical health. And at various times it might be important to seek help to address those problems just like we would for any physical issue.”  MSU Today airs Sunday mornings at 9:00 on 105.1 FM, AM 870, and your smart speaker and connected devices. 

Psychiatric Services From Pages to Practice
34: Mental Health Policy in the Era of COVID-19

Psychiatric Services From Pages to Practice

Play Episode Listen Later May 20, 2020 24:32


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 manuscript being discussed has been peer reviewed and accepted for publication but not copyedited or formatted for publication. It is freely available from the Psychiatric Services homepage (https://ps.psychiatryonline.org), in addition to other manuscripts pertaining to the COVID-19 pandemic. 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] Umbrella issues that affect policy [19:57] Dr. Goldman is a Public Psychiatry Fellow at the University of California, San Francisco, and is a clinical instructor in the Department of Psychiatry at UCSF. 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, 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

Wellbeing Wednesdays
Sleepy Time

Wellbeing Wednesdays

Play Episode Listen Later Apr 8, 2020 20:54


Courtney is joined by Brian Quigley from the Carruth Center for Psychological and Psychiatric Services to talk about everyone's favorite thing – SLEEP!

Wellbeing Wednesdays
Self-Care in the time of Self-Quarantine

Wellbeing Wednesdays

Play Episode Listen Later Mar 25, 2020 15:17


Courtney is joined by Jessica Johnston-York from the Carruth Center for Psychological and Psychiatric Services to talk about what self-care might look like in the time of coronavirus and social isolation. For the most updated information about the Carruth Center's current offerings, please visit: https://carruth.wvu.edu/covid-19

MSU Hubcast
Spartan Fireside Episode 1 – Mark Patishnock

MSU Hubcast

Play Episode Listen Later Mar 18, 2020 57:18


Jeff Grabil (Associate Provost for Teaching, Learning, and Technology) and Mark Largent  (Associate Provost For Undergraduate Education), welcome the Director of MSU Counseling and Psychiatric Services, Mark Ptishnock, to the first Spartan Fireside.

MSU Hubcast
Spartan Fireside Episode 1 – Mark Patishnock

MSU Hubcast

Play Episode Listen Later Mar 18, 2020 57:18


Jeff Grabil (Associate Provost for Teaching, Learning, and Technology) and Mark Largent  (Associate Provost For Undergraduate Education), welcome the Director of MSU Counseling and Psychiatric Services, Mark Ptishnock, to the first Spartan Fireside.

MSU Hubcast
Spartan Fireside Episode 1 – Mark Patishnock

MSU Hubcast

Play Episode Listen Later Mar 18, 2020 57:18


Jeff Grabil (Associate Provost for Teaching, Learning, and Technology) and Mark Largent  (Associate Provost For Undergraduate Education), welcome the Director of MSU Counseling and Psychiatric Services, Mark Ptishnock, to the first Spartan Fireside.

MSU Hubcast
Spartan Fireside Episode 1 – Mark Patishnock

MSU Hubcast

Play Episode Listen Later Mar 18, 2020 57:18


Jeff Grabil (Associate Provost for Teaching, Learning, and Technology) and Mark Largent  (Associate Provost For Undergraduate Education), welcome the Director of MSU Counseling and Psychiatric Services, Mark Ptishnock, to the first Spartan Fireside.

Ridgeview Podcast: CME Series
Live Friday CME Sessions: Overview of Specialized Psychiatric Services

Ridgeview Podcast: CME Series

Play Episode Listen Later Feb 21, 2020 72:32


In this podcast, Dr. Josh Stein, an adult and child psychiatrist with PrairieCare medical group, and Joe Waller, Operations Director and a licensed graduate social worker with PrairieCare medical group,  presented at Ridgeview Medical Center's Live Friday CME Series on January 10, 2020.  At this event, Dr. Stein and Joe discussed different treatment levels and modalities that PrairieCare medical group is able to offer.  While much of this talk deals specifically with the Ridgeview locale and PrairieCare, it is a good overview of where we are at in our day and age with child and adolescent psychiatric treatment.  Enjoy the podcast! OBJECTIVES:    Upon completion of this podcast, participants should be able to: Describe the various effects that trauma has on one's health. Identify current trends occurring in mental health. Explain at least 3 barriers/challenges to accessing mental health care. Identify a minimum of 3 treatment options available in Minnesota. CLICK ON THE FOLLOWING LINK FOR YOUR CME CREDIT: CME Evaluation: "Overview of Specialized Psychiatric Services" Note: CME credit is only offered to Ridgeview Providers for this podcast activity. Complete and submit the online evaluation form, after viewing the activity.  Upon successful completion of the evaluation, you will be e-mailed a certificate of completion within 2 weeks.  You may contact the accredited provider with questions regarding this program at  rmccredentialing@ridgeviewmedical.org. (**If you are listening to the podcasts through iTunes on your laptop or desktop, it is not possible to link directly with the CME Evaluation for unclear reasons. We are trying to remedy this. You can, however, link to the survey through the Podcasts app on your Apple and other smart devices, as well as through Spotify, Stitcher and other podcast directory apps and on your computer browser at these websites. We apologize for the inconvenience.)  The information provided through this and all Ridgeview podcasts as well as any and all accompanying files, images, videos and documents is/are for CME/CE and other institutional learning and communication purposes only and is/are not meant to substitute for the independent medical judgment of a physician, healthcare provider or other healthcare personnel relative to diagnostic and treatment options of a specific patient's medical condition.   FACULTY DISCLOSURE ANNOUNCEMENT  It is our intent that any potential conflict should be identified openly so that the listeners may form their own judgments about the presentation with the full disclosure of the facts. It is not assumed any potential conflicts will have an adverse impact on these presentations. It remains for the audience to determine whether the speaker’s outside interest may reflect a possible bias, either the exposition or the conclusions presented. Planning committee members and presenter(s) have disclosed they have no significant financial relationship with a pharmaceutical company and have disclosed that no conflict of interest exists with the presentation/educational event. SHOW NOTES: CHAPTER 1: Accessing psychiatric care for our pediatric patients presents a number of challenges. There are many acronyms for our patients receiving care or in need of care. We mention this because it is important to better define these services so that we can navigate the system more appropriately for our patients. With regard to PrairieCare, the first stage in care is the needs assessment, which really helps to define the level of care our patients will require. As mentioned, this process can be started simply by picking up the phone and calling PrairieCare's number to discuss cases and essentially immediately obtain a psychiatric consultation from Dr. Stein or his partner(s). The triage portion of this consultation is handled by a social worker, such as Joe Waller, who assesses the often complex needs of our child psychiatry patients. Dr. Stein discusses an average, fairly typical patient he treats in the child psychiatry world. While general psychiatry looks at biologic illness, in the child psychiatry world, much of the diagnoses are quite directly linked to exposure and environment these children are actively experiencing. This particular 9 yo patient he presents to us has experienced exposure in utero, violence at home and witnessing abuse, divorce, limited paternal relationship, differences in parenting, education challenges, living environment changes, and video game overuse to placate behaviors. To further complicate matters, the patient threatens to kill himself, but does demonstrate empathy for others as well. His step-father is of SE Asian descent and the patient experiences barriers to psychotropic medication use and care due to some first generation cultural beliefs. So does this sound like something you can properly manage in the primary care clinic, let alone in an emergency department without resources? Irritability and agitation tend to be fundamental qualities in child psychiatry. Bronfenbrenner's Ecological theory helps us understand the various systems that make us who we are. We are informed by a microsystem that spreads out from the self. the Chronosystem makes up the outer sphere and informs us based on the time and ear in which we accept things to be "the way they are". We are informed by what is happening in front of us, but also what we have experienced in the past. The Macrosystem is composed of overarching beliefs and values to help inform us as well. For instance, being gay is now accepted as who we are, as opposed to a psychiatric condition, as it was in the 1950s. The exosystem consists of economical, governmental, educational and political systems which tend to also inform us of who we are. For instance, the push for equality in these systems informs us that we are equally capable and worthy. The meso and microsystems involve family, school, peer, and religious affiliation. Finally we get to the "you" part of this system - that is defined by our biology and genetics. ACEs are adverse childhood events. Parental issues, abuse, assault, medical concerns, etc. all tend to lead to early death from all causes. Impairments increase when ACEs are present. Carious untoward behaviors ensue, such as addiction, promiscuity and eating disorders. Therefore, positive childhood experiences are remedies for these kids, such as participation in sports or activities, having other adult figures who offer positive experiences that an otherwise positive parent would ordinarily provide. As Dr. Stein alluded to in the CDC study, the more ACEs a child has, the more risks (factors) they will take on. Overcoming periodic markers of stress in our childhood helps us to have success in future life stressors or obstacles. From positive stressors like passing a spelling test, to one's first crush on a girl or boy, to writing college essays. Then we have tolerable stressors like job loss, health problems and loss of a loved one. Next are the more dysfunctional, toxic stressors like physical abuse, living with violence, etc. Our ability to maturely handle each of these more minor, typical as well as tolerable life stressors depends on our ability to handle previous lesser positive stressors and so on. In other words, kids who have never learned how to move past and cope with these more basic stressors because of continuous toxic stressors like neglect, poor support, abuse, chemical dependency, violence and a variety of other dysfunctions, will continue to struggle. Many of Dr. Stein's patients are living in a chronically stressed state and therefore agitation and aggression is easily triggered with minimal provocation. Medication often is implemented in order to get a child to a state of being able to learn to address these markers of stress. Stay tuned for the next chapter, where we will go through some statistics of childhood mental illness, and how we even begin to approach these issue in our patients. CHAPTER 2: 1/5 of all adults experience mental illness. 20% of all youth live with a mental health condition from ages 13 to18.  70% of kids in the juvenile justice system have at least one mental health condition. At least 20% live with a serious MHD. Less than half of these kids will receive treatment that they actually need. Over 1/3 of students served by special education end up dropping out of school. Suicide is the 2nd leading cause of death between ages 10 and 24.  Earlier diagnosis leads to earlier appropriate treatment for children. Approximately 160 people are directly affected by suicide, but a youth suicide will often directly affect hundreds or more. We are doing a better job than before in schools now of recognizing mental illness. The stigma is gradually being erased and remedied. While social media can and does affect emotional well being, there is ironically an almost therapeutic or empathetic aspect to it. Dr. Stein gives the example of "meme" culture, which offers emotional context and description that is easily recognized and identified with by patients. Kids are talking more about suicide, and there is evidence of influencing others to consider suicide as well, similar to couples experiencing divorce. Suicide will be of great concern in our suburbs and exurbs. The Native American population in particular will continue to see a rise in this for many of the reasons mentioned in chapter 1 relating to the microsystem discussed. So what is the goal? We need to connect kids and adults with care when it is needed. An important step is referring for evaluation when we've identified there may be a problem We in the primary care or emergency department setting often are even afraid to ask some of the questions to help identify if there is a mental illness problem, because we have limited time and resources. In general though, we're doing a much better job of screening for mental illness. For instance the schools are actually really doing a great job here. However, problems arise after we've identified an issue. The question is what do we do now? We all have experienced this, right? We want to help our patients but we are challenged by limited access to mental health resources, closed clinics, limitations on the part of the psychiatrist, etc. Sometimes kids are in a vicious cycle of crisis, and crisis aversion, which gets in the way of making progress or even getting them into the system. Stay tuned for chapter three, where we'll take a deeper dive into what we do next and what actual options we may have for our child and adolescent psych patients. And we'll immerse into the alphabet soup of acronyms in this field. So hold on and tune back in! CHAPTER 3: Acronyms are abundant in child psychology. CTSS or children's therapeutic services and supports are a great tool for helping to assess and deescalate in the home. But there are many other programs as mentioned by Dr. Stein. Outpatient treatment is of course for patients who are otherwise stable and sage, but need regular visits for therapy and support. Intensive outpatient programs (IOP) are group based therapy programs for ongoing support and transitioning. Partial hospitalization (PHP) is a service that provides care for patients who no longer need to be fully hospitalized (or inpatient care), but they receive during the day intensive therapy, and they're not actually attending their school either, but still doing classwork in the facility. PHP of course is staffed by nurses and physicians. These patients don't meet the safety needs or criteria for impatient care. And they do go home at night with self-support skills, and there is an emphasis on supporting families of the patient. Inpatient hospitalization is fairly self-explanatory and reserved for patients who are unsafe and not thriving  with the other mentioned modalities. Finally, residential treatment or RTC, is provided for patients who are well-regulated on medications but still need intensive therapy. PRTF, psychiatric residential treatment facility, is a place for patients to live while they're getting intensive outpatient therapy, but not a hospital, thereby allowing for a more independence and normalcy not found in the hospital. Residential treatment is actually very difficult to access. These are reserved for patients who are in the vicious cycle of crisis, crisis intervention by police, emergency department visits and repeating this experience over and again. Unfortunately, after inpatient care or partial hospitalization and stabilization patients can sometimes fall between the cracks and not have important outpatient ongoing care and follow-up, therefore the same dysfunctional responses to crises happen, leading the patient right back to where they were just a few weeks ago. Primary care providers must continue to advocate for their mental health patients, and this involves transparency with what was done and planned for regarding their most recent mental health hospitalization. Case management services through the county are also quite valuable for us. CHAPTER 4: So who are typical patients. Inpatient care's goal is to have a short stay, avert the crisis at hand, and deescalate to other care options. At PrairieCare, a typical inpatient stay is 7 to 10 days. Residential treatment is for children or adults with chronic suicidality, severe biologic illness sand general unsafe existence, and it offers and opportunity to build them up with better coping skills. Partial hospitalization duration of care varies, but remember it is a step down from inpatient care and often with the same physician. With intensive outpatient treatment, there aren't usually the same safety or morbidity concerns as with the aforementioned modalities. It tends to be more common in the adult population. eating disorders as an example are commonly addressed with IOP. IOPs are fairly specific services for patients. Outpatient services are classically 1 or 2 days per week. There may be resistance to this on the part of our patients, but it's important that we push for this. A lot of changes occur in teens' live on a weekly basis as opposed to an adults. 911 for crises is always available, especially when there is risk of harm to self or others. County crisis services are also helpful and available. Also, there is the option of walking in for an appointment. The medical aspect of this service at PrairieCare and Ridgeview is helpful, but so is the social work aspect. The needs assessment of patient care is paramount, and the social workers are instrumental in heading this up. They will often provide resources for specific parental and patient concerns, such as stressors from screen overuse, LGBTQ specific needs, etc. From a medical aspect, we will be supported by the psychiatrist dosing changes, titration, etc.  Fast tracker is an important tool that is sponsored by DHS that is updates and provides links and recommendations to services for some's specific locale. It is updated regularly by major and some smaller institutions. One of the issues of our day is bullying and it's abundance in society now. But it does present a unique challenge for caregivers and providers. In many cases, bullying does not represent toxic or ongoing dysfunctional stress, because many bullied kids have other healthy releases and coping mechanisms. Nonetheless, it can be quite traumatic, especially if not addressed. It is also important to understand the difference between teasing and bullying. Dr. Stein addresses the concern for access to the system. Essentially, the number is at our disposal, and there are many modalities available to our patients. While it is wonderful to have these options, driving distance must be considered, and we as referring providers have to advocate for our patients with regard to this. Driving 50 to 80 miles round trip for an appointment is not always desirable. How does the primary care provider address mental health during a well visit? Dr. Stein mentions screening options which will offer some talking points. Discussing social media and its inherent struggles within this subject is also important. Bottom line is that a follow-up appointment may be necessary to address lingering concerns.

The Medical Association of Georgia's 'Top Docs' Show

The latest edition of the Medical Association of Georgia's (MAG) ‘Top Docs' show addresses anxiety disorders – and it features Mark Hyman Rapaport, M.D. – the chair of the Department of Psychiatry and Behavioral Sciences and the Reunette W. Harris Professor at the Emory University School of Medicine and the chief of Psychiatric Services at Emory Healthcare in Atlanta.

NEI Podcast
Bonus Episode with Dr. Mary Moller

NEI Podcast

Play Episode Listen Later Oct 3, 2019 35:45


In this episode, we go behind the scenes of this year’s annual American Psychiatric Nurses Association (APNA) meeting and interview Dr. Mary Moller on a presentation she will be jointly delivering with Dr. Kate Wheeler, titled “A Third Nervous System? Lions and Tigers and Bears, Oh My!” We discuss how to incorporate the polyvagal theory of trauma into practice and how to effectively treat patients who have experienced trauma. Learn how a better understanding of the way the mammalian nervous system has evolved, may empower patients to transition from a more primitive freezing response, to becoming more active and socially engaged, thus resulting in enhanced healing. Dr. Mary D. Moller, DNP, ARNP, PMHCNS-BC, CPRP, FAAN is an advanced registered nurse practitioner who is dually certified as a clinical specialist in adult psychiatric-mental health nursing and a psychiatric rehabilitation practitioner. She is an Associate Professor at Pacific Lutheran University in Tacoma, WA where she is Lead Faculty for the Undergraduate Psychiatric Nursing Program and coordinator for the development of a Doctor of Nursing Practice program for psychiatric-mental health nursing. She is also the Director of Psychiatric Services for Northwest Center for Integrated Health in Tacoma, WA where she is in practice as a psychiatric ARNP treating patients in a triple integration agency: substance abuse, mental illness, and primary care. Resources: Book by Stephen W. Porges: “Clinical Applications of the Polyvagal Theory: The Emergence of Polyvagal Therapies”: https://www.amazon.com/Clinical-Applications-Polyvagal-Theory-Polyvagal-Informed/dp/1324000503/ref=sr_1_5?keywords=Stephen+Porges&qid=1570048266&sr=8-5  “The Pocket Guide to the Polyvagal Theory: The Transformative Power of Feeling Safe”: https://www.amazon.com/Pocket-Guide-Polyvagal-Theory-Transformative/dp/0393707873/ref=sr_1_3?keywords=Stephen+Porges&qid=1570048328&sr=8-3 Application of polyvagal theory in therapy: “The Polyvagal Theory in Therapy” by Deb Dana: https://www.amazon.com/Polyvagal-Theory-Therapy-Interpersonal-Neurobiology/dp/0393712370/ref=sr_1_1_sspa?keywords=Stephen+Porges&qid=1570048328&sr=8-1-spons&psc=1&spLa=ZW5jcnlwdGVkUXVhbGlmaWVyPUEzVlhPQUM4SkpSUDBCJmVuY3J5cHRlZElkPUEwMTc4MTU2MVBWUDJIWUNCSFNTMyZlbmNyeXB0ZWRBZElkPUEwODk5Nzk2MVVFR1FNVDJUM0tUUiZ3aWRnZXROYW1lPXNwX2F0ZiZhY3Rpb249Y2xpY2tSZWRpcmVjdCZkb05vdExvZ0NsaWNrPXRydWU=  Books by Joseph LeDoux: “Anxious” https://www.amazon.com/Anxious-Using-Brain-Understand-Anxiety/dp/0143109049/ref=sr_1_2?keywords=joseph+ledoux&qid=1570048552&sr=8-2 

American Journal of Psychiatry Residents' Journal Podcast
Overview of Psychiatry Podcasts with Badr Ratnakaran

American Journal of Psychiatry Residents' Journal Podcast

Play Episode Listen Later Aug 19, 2019 41:51


In this episode, Neal Christopher and Badr Raknakaran give an overview of other podcasts that may be of interest to psychiatrists. Links to some resources below: (Not all are discussed in the episode)   Psychopharmacology Updates Practical psychopharmacology updates for mental health clinicians. Useful for psychiatry / mental health professionals. Expert interviews and soundbites from CME presentations. Practical and free of commercial bias. Not sponsored by any pharmaceutical company. https://podcasts.apple.com/us/podcast/psychopharmacology-and-psychiatry-updates/id1425185370   MDedge https://podcasts.apple.com/us/podcast/mdedge-psychcast/id1382898254?mt=2 MDedge Psychcast is a weekly podcast from MDedge Psychiatry, online home of Clinical Psychiatry News and Current Psychiatry. Hosted by Editor in Chief Lorenzo Norris, MD, Psychcast features psychiatric clinicians discussing the issues and concerns that most affect their specialty. The information in this podcast is provided for informational and educational purposes only. The Medical Mind Podcast A podcast about innovation in mental health care from the APA Division of Education. APA Administration host Ann Thomas interviews APA members and other healthcare professionals about new initiatives in psychiatry. https://www.psychiatry.org/psychiatrists/education/podcasts/the-medical-mind-podcast   Psychiatric Services From Pages to Practice Psychiatric Services Editor Lisa Dixon, M.D., M.P.H., and Podcast Editor and co-host Josh Berezin, M.D., M.S., discuss key aspects of research recently published by Psychiatric Services. Tune in to Psychiatric Services From Pages to Practice to learn about the latest mental health services research and why it is relevant. Topics include community-based treatment programs, collaborative care, evidence-based treatment and service delivery, criminal and social justice, policy analysis, and more. https://ps.psychiatryonline.org/podcast   Psychiatry Unbound APA Publishing's Books podcast, hosted by APA Books Editor-in-Chief, Laura Roberts, M.D. Psychiatry Unbound offers the opportunity to hear the voices behind the most prominent psychiatric scholarship in the field today. Subscribe now to learn about important topics in the field of psychiatry and see how our authors are making an impact in clinical settings throughout the world. http://psychiatryunbound.apapublishing.libsynpro.com/   AJP Audio brings you highlights from each issue of The American Journal of Psychiatry. https://ajp.psychiatryonline.org/audio   The Journal of Clinical Psychiatry Publisher's Podcast includes monthly audio updates of the features in each issue of JCP, plus special features added from time to time. https://podcasts.apple.com/us/podcast/the-journal-of-clinical-psychiatry-publishers-podcast/id386299220   Concepts in Psychiatry The premiere podcast for psychiatrists, psychiatry residents, and other mental health professionals interested in strengthening their knowledge of the fundamental concepts of psychiatry and learning the latest news in the treatment of mental health disorders. Hosted by Sarah DeLeon, MD, a third year psychiatry resident. https://podcasts.apple.com/us/podcast/concepts-in-psychiatry/id1257416543   PsychEd: educational psychiatry podcast This podcast is written and produced by psychiatry residents at the University of Toronto and is aimed at medical students and residents. Listeners will learn about fundamental and more advanced topics in psychiatry as our resident team explore these topics with world-class psychiatrists at U of T and abroad. https://podcasts.apple.com/us/podcast/psyched-educational-psychiatry-podcast/id1215646896 Journal of the American Academy of Child and Adolescent Psychiatry Each month JAACAP highlights a selected article found within the pages of the Journal by providing a podcast interview with the author. Tune in regularly to this feature of JAACAP, where we strive for a relaxed 'fireside chat' atmosphere in which authors can share aspects of their science that we are less often privy to. Podcasts are typically 15 to 20 minutes in length. https://podcasts.apple.com/us/podcast/journal-american-academy-child-adolescent-psychiatry/id660778429   Focus on Neurology and Psychiatry by ReachMD New research and clinical trials yield frequent developments in neuroscience and mental health. ReachMD welcomes an array of leading thinkers who lend their focused expertise to these principles, central to human function and ability. https://podcasts.apple.com/us/podcast/focus-on-neurology-and-psychiatry/id913720346 Mad in America podcast Welcome to the Mad in America podcast, a new weekly discussion that searches for the truth about psychiatric prescription drugs and mental health care worldwide. This podcast is part of Mad in America's mission to serve as a catalyst for rethinking psychiatric care. We believe that the current drug-based paradigm of care has failed our society and that scientific research, as well as the lived experience of those who have been diagnosed with a psychiatric disorder, calls for profound change. On the podcast we have interviews with experts and those with lived experience of the psychiatric system. Thank you for joining us as we discuss the many issues around rethinking psychiatric care around the world.   https://podcasts.apple.com/us/podcast/focus-on-neurology-and-psychiatry/id913720346   SAGE Psychology & Psychiatry Welcome to the official free Podcast site from SAGE for Psychology & Psychiatry. SAGE is a leading international publisher of journals, books, and electronic media for academic, educational, and professional markets with principal offices in Los Angeles, London, New Delhi, and Singapore. https://podcasts.apple.com/us/podcast/sage-psychology-psychiatry/id871125966   Mental Health and Psychiatry (Video & Audio) Guest speakers, researchers and University of California faculty explore mental illness and mental health. https://podcasts.apple.com/us/podcast/mental-health-and-psychiatry-video/id522813934 https://podcasts.apple.com/us/podcast/mental-health-and-psychiatry-audio/id522813323 PeerView Neuroscience & Psychiatry CME/CNE/CPE Audio Podcast PeerView is an independent, professional medical publishing company focused on gathering and reporting information pertaining to clinically relevant advances and developments in the science and practice of medicine. As publishers of PeerView Publications, PeerView is solely responsible for the selection of publication topics, the preparation of editorial content and the distribution of all materials it publishes. https://podcasts.apple.com/us/podcast/peerview-neuroscience-psychiatry-cme-cne-cpe-audio/id179489480 Mental Health Book Club Podcast Sydney Timmins - a writer and Becky Lawrence - a secondary school teacher discuss books that contain mental health issues. Sydney and Becky will combine their love of reading and talking, working their way through anything from self-help, fiction and memoirs tackling a range of mental health issues. Trigger warning: this podcast discusses mental health topics that may cause distress to some listeners, we will give a full list of topics in each episodes show notes. https://podcasts.apple.com/us/podcast/mental-health-book-club-podcast/id1279210164 Mental - The Podcast to Destigmatise Mental Health Mental is the brain-child of Bobby Temps, who lives and thrives while managing his own mental health. Each week joined by a special guest Mental is intended to be a safe space to hear honest and open discussion about mental health in the hope listeners will feel more empowered to continue the conversation with others. This podcast is a chance for Bobby to give back for the support he has received and share what he continues to learn in the ongoing journey for optimum mental wellbeing. Covering many, many topics that influence mental health, we focus on identity and the sheer weight of being a human in our modern, technology-filled world. Learn about different conditions from first-hand experience, with statistics you can trust and inspiring guests. Mental health is something to be mindful of just as much as physical health, and Mental strives to let listeners know that they don't have to do so alone. Oh, and remember… you are enough! https://podcasts.apple.com/us/podcast/mental-the-podcast-to-destigmatise-mental-health/id1358920477   MQ Open Mind  MQ: Transforming Mental Health https://www.mqmentalhealth.org/ MQ Open Mind looks at the science behind mental health and its potential to transform lives. The show digs deep into the cutting-edge research taking on mental illness and speaks to the people it could help. Hear conversations on a range of different conditions, from depression and anxiety to schizophrenia and bipolar. Brought to you by MQ: Transforming Mental Health, the new major mental health research charity https://podcasts.apple.com/us/podcast/mq-open-mind/id1271690765 Piece of Mind: Mental Health & Psychiatry We bring you the latest on mental health research at Cardiff University's MRC Centre and the National Centre for Mental Health (NCMH), plus real-life experiences of people affected by mental health problems. We would love to hear your feedback or ideas for future episodes, either comment on our latest episode, message us at info@ncmh.info or Tweet/Insta with #POMpod. https://podcasts.apple.com/us/podcast/piece-of-mind-mental-health-psychiatry/id1326789920 Mental Health Foundation podcast https://podcasts.apple.com/us/podcast/mental-health-foundation-podcast/id665005881   JAMA Psychiatry Author Interviews Interviews with authors of articles from JAMA Psychiatry. JAMA Psychiatry is an international peer-reviewed journal for clinicians, scholars, and research scientists in psychiatry, mental health, behavioral science, and allied fields. JAMA Psychiatry strives to publish original, state-of-the-art studies and commentaries of general interest to clinicians, scholars, and research scientists in the field. The journal seeks to inform and to educate its readers as well as to stimulate debate and further exploration into the nature, causes, treatment, and public health importance of mental illness. https://podcasts.apple.com/us/podcast/jama-psychiatry-author-interviews/id1227007379   ADD Lancet NEI Podcast Neuroscience Education Institute The Neuroscience Education Institute (NEI) is committed to help raise the standard of mental health by providing imaginative medical education that focuses on the highest level of learning. Each episode offers an opportunity to learn about current issues in psychiatry from key opinion leaders in the medical field. NEI's Podcast would be of value to anyone with an interest in neuropsychiatric diseases and psychopharmacology. https://podcasts.apple.com/us/podcast/nei-podcast/id288425495 Therapy We All Wear It Differently A podcast for early career psychologists. If you're looking for inspiration and advice for your psychology career, you're in the right place. Amy Felman interviews working psychologists from diverse fields with all levels of experience as they share their journeys, challenges and career breakthroughs that have lead them to where they are today. Tune in and discover how we all wear it differently. https://podcasts.apple.com/us/podcast/we-all-wear-it-differently-podcast-for-early-career/id992827102 Psychologists Off The Clock: A Psychology Podcast About The Science And Practice Of Living Well Ever wonder what therapists talk about over coffee? We are three clinical psychologists who love to chat about the best ideas from psychology. In this podcast, we explore the psychological principles we use in our clinical work, and bring you ideas from psychology that can help you flourish in your work, parenting, relationships, and health. Thank you for listening to Psychologists Off The Clock! https://podcasts.apple.com/us/podcast/psychologists-off-clock-psychology-podcast-about-science/id1176171178 Shrink Rap Radio David Van Nuys, Ph.D. All the psychology you need to know and just enough to make you dangerous... This podcast features renowned psychologist,Dr. David Van Nuys , brining you in-depth interviews on a broad array of psychological topics including: psychotherapy, dreams, consciousness, depth psychology, business psychology, developmental psychology, mind/body psychology, personal growth, psychology and art, research psychology, social issues, and spirituality. The roster of world-class guests includes: Philip Zimbardo, Charles Tart, Irvin Yalom, Jonathan Haidt, Sara Lazar, Robert Altemeyer, Stanley Krippner, Arnold Mindell, Dacher Keltner, Michael Meade, and David Barlow among others. https://podcasts.apple.com/us/podcast/shrink-rap-radio/id79491957 Speaking of Psychology American Psychological Association "Speaking of Psychology" is an audio podcast series highlighting some of the latest, most important and relevant psychological research being conducted today. Produced by the American Psychological Association, these podcasts will help listeners apply the science of psychology to their everyday lives. https://podcasts.apple.com/us/podcast/speaking-of-psychology/id705934263 Counselor Toolbox Podcast  Dr. Dawn-Elise Snipes Counselors, coaches and sober companions help hundreds of thousands of people affected by Addictions and Mental Health issues each year. Learn about the current research and practical counseling tools to improve your skills and provide the best possible services. Counselor Toolbox targets counselors, coaches and companions, but can also provide useful counseling self-help tools for persons struggling with these issues and their loved ones. AllCEUs is an approved counseling continuing education provider for addiction and mental health counselors in most states. Counseling CEUs are available for each episode. https://podcasts.apple.com/us/podcast/counselor-toolbox-podcast/id1120947649 The Trauma Therapist Guy Macpherson, PhD This is a podcast about people helping people. Bruce Perry, Gabor Mate, Janina Fisher and many other of the world's leading master therapists, thought leaders and game-changers who specialize in PTSD, post-traumatic stress disorder, trauma, complex trauma and related fields join Guy Macpherson, PhD at thetraumatherapistpodcast.com for inspiring interviews about what it takes and what it means to sit with those who've been impacted by trauma. https://podcasts.apple.com/us/podcast/the-trauma-therapist/id899009517 The Thoughtful Counselor The Thoughful Counselor Team The Thoughtful Counselor is a podcast that is dedicated to producing great conversations around current topics in counseling and psychotherapy. We view counseling and psychotherapy as a deeply beautiful and complex process, and strive to incorporate both the art and science of the field in each episode. https://podcasts.apple.com/us/podcast/the-thoughtful-counselor/id1152853871 Between Us: A Psychotherapy Podcast    Psychotherapists John Totten and Mason Neely bring you this psychotherapy podcast that explores what is happening between therapists and patients, from both sides of the relationship. https://podcasts.apple.com/us/podcast/between-us-a-psychotherapy-podcast/id1152775317 The Modern Therapist's Survival Guide with Curt Widhalm and Katie Vernoy Curt Widhalm, LMFT and Katie Vernoy, LMFT The Modern Therapist's Survival Guide: Where Therapists Live, Breathe, and Practice as Human Beings It's time to reimagine therapy and what it means to be a therapist. We are human beings who can now present ourselves as whole people, with authenticity, purpose, and connection. Especially now, when clinicians must develop a personal brand to market their private practices, and are connecting over social media, engaging in social activism, pushing back against mental health stigma, and facing a whole new style of entrepreneurship. To support you as a whole person, a business owner, and a therapist, your hosts, Curt Widhalm and Katie Vernoy talk about how to approach the role of therapist in the modern age. https://podcasts.apple.com/us/podcast/modern-therapists-survival-guide-curt-widhalm-katie/id1310770477   ACT in Context Association for Contextual Behavioral Science ACT in Context is freely available to anyone, and its episodes will take listeners on a journey from the history and development of ACT through its clinical application and the future of the work. This podcast will primarily focus on ACT, but it will often touch upon several related issues such as behavioral principles, the underlying theory of language (Relational Frame Theory) and philosophy of science. We hope that informal learners, potential consumers, researchers and clinicians alike find it useful. https://podcasts.apple.com/us/podcast/act-in-context/id748513885   The Learn Psych Podcast is a monthly educational podcast on topics in psychiatry. It is targeted towards students and trainees, though it is often relevant to a wide variety of healthcare providers. https://podcasts.apple.com/us/podcast/learn-psych-podcast/id1118809594   Psychiatry Today Join Dr. Scot Bay every Wednesday night at 7PM while he discusses Psychiatry and mental health with guests. https://podcasts.apple.com/us/podcast/psychiatry-today/id279601313   Psychiatric videos for teaching Psychiatric interviews created for teaching purposes. https://podcasts.apple.com/us/podcast/psychiatric-videos-for-teaching/id670271700   Psyched??! We answer your call for psychiatry and mental health topics with our new upcoming podcast. We are two psychiatrists, David Carreon, 100%-nerd with a side of philosophy, and Jessi Gold, down-to-earth, empathic and, at times, sarcastic. We're starting a podcast called "Psyched!" aimed to communicate stories in neuroscience and psychiatry to a wider audience. We're targeting psychiatrists as our primary listeners, but hope to have a program that's accessible, entertaining and informative for a broader audience. Basically, we want to be the Economist for psychiatry. We'll cover everything from the foundational to the cutting-edge, from the popular to the weird. We hope to capture and communicate the excitement of psychiatry, and have fun while doing it. https://podcasts.apple.com/us/podcast/psyched-a-psychiatry-blog-episodes/id1299266826   Let's Talk about Borderline Personality Disorder A podcast about Borderline Personality Disorder by the National Education Alliance for Borderline Personality Disorder (NEABPD) https://podcasts.apple.com/us/podcast/lets-talk-about-borderline-personality-disorder/id1310234795   Psychiatry from University of Oxford Psychiatry is a medical discipline seeking to understand and treat mental illness. These podcasts provide an introduction to core topics in psychiatry, and to research undertaken in the Oxford University Department of Psychiatry. This series is relevant to health-care professionals and members of the public. The topic podcasts are particularly relevant to medical students studying psychiatry. https://podcasts.apple.com/us/podcast/psychiatry/id796432735   MGH Psychiatry Academy Podcasts https://player.fm/series/mgh-psychiatry-academy-podcasts  

Radio1190
Virtual reality therapy at CU Boulder's counseling centers

Radio1190

Play Episode Listen Later Mar 20, 2019 18:12


News Correspondent John Boughey spoke with Monica Ng, director of Counseling and Psychiatric Services at CU Boulder, about the recently debuted virtual reality therapy on campus. Students who are in CAPS counseling can consider using VR as part of their therapy program, depending on what they need therapy for. More on VR at CAPS: https://www.colorado.edu/counseling/services/vr SilverCloud: https://www.colorado.edu/health/silvercloud

Psychiatric Services From Pages to Practice
22: Paul Appelbaum on Responsibility for Suicide or Violence on Campus

Psychiatric Services From Pages to Practice

Play Episode Listen Later Mar 15, 2019 30:55


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 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

PsychEd: educational psychiatry podcast
PsychEd Episode 11: Treatment of Schizophrenia Part III CTOs and ACTT with Dr. Arash Nakhost

PsychEd: educational psychiatry podcast

Play Episode Listen Later Mar 6, 2019 42:17


Welcome to PsychEd, the psychiatry podcast for medical learners, by medical learners. This episode covers community treatment orders (CTOs) and assertive community treatment (ACT) teams in the context of schizophrenia treatment with Dr. Arash Nakhost a staff psychiatrist who works on the FOCUS ACT team at St. Michael’s Hospital. The learning objectives for this episode are as follows: By the end of this episode, the listener will be able to… Provide a brief description of the history of ACT teams and CTOs, as well as the challenges in establishing evidence for their use Compare and contrast ACT teams with intensive case management teams in terms of their composition, methods, and respective strengths and weaknesses Describe the array of services that an ACT team can help provide to its clients as well as some of the challenges and drawbacks of ACT teams Outline the major reasons someone might be put on a community treatment order and describe how a CTO is applied and enforced Outline the major challenges in using CTOs as a treatment tool Guest staff psychiatrist: Dr. Arash Nakhost (St. Michael’s Hospital, Toronto) References: Ontario Hospital Association. (2016). A practical guide to mental health and the law in Ontario. Government of Ontario, Health Care Consent Act. Kisely, S. R., Campbell, L. A., & O'Reilly, R. (2017). Compulsory community and involuntary outpatient treatment for people with severe mental disorders. Cochrane database of systematic reviews, (3). Maughan, D., Molodynski, A., Rugkåsa, J., & Burns, T. (2014). A systematic review of the effect of community treatment orders on service use. Social psychiatry and psychiatric epidemiology, 49(4), 651-663. Aubry, T., Goering, P., Veldhuizen, S., Adair, C. E., Bourque, J., Distasio, J., ... & Tsemberis, S. (2015). A multiple-city RCT of housing first with assertive community treatment for homeless Canadians with serious mental illness. Psychiatric Services, 67(3), 275-281. Bromley, E., Mikesell, L., Whelan, F., Hellemann, G., Hunt, M., Cuddeback, G., ... & Young, A. S. (2017). Clinical factors associated with successful discharge from assertive community treatment. Community mental health journal, 53(8), 916-921. CPA Note: The views expressed in this podcast do not necessarily reflect those of the Canadian Psychiatric Association. For more PsychEd, follow us on Twitter (@psychedpodcast) and Facebook. You can provide feedback by email at psychedpodcast@gmail.com For more information visit our website: psychedpodcast.org.

Radio1190
Dream Delivery Service, Bears Ears, mental health for the holidays

Radio1190

Play Episode Listen Later Dec 11, 2018 47:24


First, News Director Lucy Haggard speaks with Mathias Svalina, who hand-delivers dreams by bike to folks for a month at a time. Svalina used to work at CU and reflected on his time since becoming a dream deliverer. His webpage: http://www.dreamdeliveryservice.com/site-main.html Next, hear a portion of the interview Lucy did with Rebecca Robinson and Stephen E. Strom on their book, "Voices From Bears Ears," about the debate on public lands. The full interview: https://soundcloud.com/radio-1190/rebecca-robinson-stephen-strom-bears-ears Finally, News Correspondent John Boughey talks with Rachel LaHoda from CU's Counseling and Psychiatric Services about the stress of finals, holidays and how students can effectively cope. Originally aired on Radio 1190 KVCU November 14, 2018.

Forensic InService
Mental Illness & Violence

Forensic InService

Play Episode Listen Later Oct 4, 2018 42:05


In this in service Dr. Stephen Price and I discuss the relationship between mental illness and violence and delve into our experiences with this population. According to the Department of Justice violent crime has been decreasing since the early 1990s. Although there is a statistical relationship between mental illness and violence, only 4% of all violent crimes are committed by persons with mental illness. Conversely, persons with mental illness are at high risk for violent victimization. Despite this violent crimes involving persons with mental illness are over-reported. Research indicates that mental illness only needs to be mentioned in news stories for people to infer that there is a causal relationship between the two. References for this in service are listed below.   If you enjoy our podcast please consider liking us in Apple podcast. You can also find our podcast in Google, Spotify, and at https://forensicinservice.com   The music for our podcast was composed and performed by Adam Price. The artwork "Blocked Thoughts" was hand painted by Jenn Koonz, Ph.D. Both are used with permission. Forensic InService podcast by Stephen Koonz & Stephen Price is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.   References: Alia-Klein, N, O’Rourke, TM, et al. (2007). Insight into illness and adherence to psychotropic medications are separately associated with violence severity in a forensic sample. Aggressive Behavior, 33(1), 86-96. Chan, G, & Yanos, PT. (2018). Media depictions and the priming of mental illness stigma. Stigma and Health, 3(3), 253-264. Choe, JY, Teplin, LA, & Abram, KM. (2008). Perpetration of violence, violent victimization, and severe mental illness: Balancing public health outcomes. Psychiatr Serv, 59, 153-164. da Cunha-Bang, S, Hjordt LV, et al. (2017). Serotonin 1B receptor binding is associated with trait anger and level of psychopathy in violent offenders. Biological Psychiatry, 82(4), 267-274. George, DT, Umhau, JC, et al. (2001). Serotonin, testosterone and alcohol in the etiology of domestic violence. Psychiatry Research, 104(1), 27-37. Hein, S, Barbot, B, et al. (2017). Violent offending among juveniles: A 7-year longitudinal study of recidivism, desistance, and associations with mental health. Law and Human Behavior, 41(3), 273-283. Hodgins, S. (2008). Violent behavior amongst people with schizophrenia: A framework for investigation of causes and effective treatment, and prevention. Philos Trans R Soc Lond B Biol Sci, 363, 2505-2518. inSocialWork Podcast #135 - Chris Veeh: Traumatic Brain Injury and Incarcerated Youths: A Role for Social Work. (2014). Retrieved 23 September 2018, from http://www.insocialwork.org/episode.asp?ep=135. Kuehn, BM. (2012). Evidence suggests complex links between violence and schizophrenia. Journal of the American Medical Association, 308(7), 658-659. Latalova, K, Kamaradova, D, & Prasko J. (2014). Violent victimization of adult patients with severe mental illness: A systematic review. Neuropsychiatr Dis Treat, 10, 1925-1939. Lee, AMR, & Galynker, II, (2010). Violence in bipolar disorder. Psychiatric Times. Retrieved 23 Septemer 2018 from: http://go.galegroup.com/ps/anonymous?id=GALE%7CA392573273&sid=googleScholar&v=2.1&it=r&linkaccess=abs&issn=08932905&p=AONE&sw=w Maio HA. (2004). Stigma and public education about mental illness: Comment. Psychiatric Services, 55(7), pp. 834. Newman, JM, Turnbull, A, Berman, BA, et al. (2010). Impact of traumatic and viiolent victimization experiences in individuals with schizoprenia and schizoaffective disorder. J. Nerv Ment Dis, 198, 708-714. Robbins, PC, Monahan, J, & Silver, E. (2003). Mental disorder, violence, and gender. Law and Human Behavior, 27(6), 561-571. Sirotich, F. (2008). Correlates of crime and violence among persons with mental disorder: An evidence-based review. Brief Treatment and Crisis Intervention, 8(2), 171-194. Swanson, JW, Holzer, CE III., Ganju, VK, et al. (1990). Violence and psychiatric disorder in the community: Evidence from epidemiologic catchment area surveys. Hops Community Psychiatry, 41, 761-770. The Lobotomist | American Experience | PBS. (2018). Pbs.org. Retrieved 28 September 2018, from https://www.pbs.org/wgbh/americanexperience/films/lobotomist/ Varney, KH. (2014). By the numbers: Mental illness behind bars. PBS News Hour. Retrieved 21 September 2018, from https://www.pbs.org/newshour/health/mental-illness-behind-bars. Varshney, M, Mahapatra, A, Krishnan, V, Gupta, R, & Debs, KS. (2015). Violence and mental illness: What is the true story? Journal of Epidemiology and Community Health, 70(3), 223-225. Weierstall, R, Moran, J, Giebel, G, & Elbert, T. (2014). Testosterone reactivity and identification with perpetrator or a victim in a story are associated with attraction to violence-related cues. International Journal of Law and Psychiatry, 37(3), 304-312.

NEI Podcast
A Wellness Approach to the Treatment of Post-Traumatic Stress Disorder: Q& A with DPN Mary Moller

NEI Podcast

Play Episode Listen Later Jun 26, 2018 7:38


In this episode, Dr. Mary Moller addresses questions about a wellness approach to treating Post-Traumatic Stress Disorder (PTSD).  Dr. Mary D. Moller is an internationally known psychiatric mental health nurse clinician, researcher, educator, and presenter. She is an advanced registered nurse practitioner who is dually certified as a clinical specialist in adult psychiatric-mental health nursing and a psychiatric rehabilitation practitioner. She is an Associate Professor at Pacific Lutheran University in Tacoma, WA where she is coordinator of the psychiatric nurse practitioner Doctor of Nursing Practice program. She is also the Director of Psychiatric Services for Northwest Center for Integrated Health in Tacoma. For access to the Wellness Assessment Tool click HERE.

Futility Closet
202-The Rosenhan Experiment

Futility Closet

Play Episode Listen Later May 28, 2018 31:50


In the 1970s psychologist David Rosenhan sent healthy volunteers to 12 psychiatric hospitals, where they claimed to be hearing voices. Once they were admitted, they behaved normally, but the hospitals diagnosed all of them as seriously mentally ill. In this week's episode of the Futility Closet podcast we'll describe the Rosenhan experiment, which challenged the validity of psychiatric diagnosis and set off a furor in the field. We'll also spot hawks at Wimbledon and puzzle over a finicky payment processor. Intro: In 2002, Burkard Polster investigated the mathematics of shoelaces. A raindrop that lands on Montana's Triple Divide Peak might arrive at any of three oceans. Sources for our feature on the Rosenhan experiment: Roger R. Hock, Forty Studies That Changed Psychology, 2009. Dusan Kecmanovic, Controversies and Dilemmas in Contemporary Psychiatry, 2017. Donald O. Granberg and John F. Galliher, A Most Human Enterprise, 2010. David Rosenhan, "On Being Sane in Insane Places," Science 179:4070 (Jan. 19, 1973), 250–258. Paul R. Fleischman et al., "Psychiatric Diagnosis," Science, New Series 180:4084 (April 27, 1973), 356+358+360-369. Robert L. Spitzer, "On Pseudoscience in Science, Logic in Remission, and Psychiatric Diagnosis: A Critique of Rosenhan's 'On Being Sane in Insane Places,'" Journal of Abnormal Psychology 84:5, 442–452. Ulric Neisser, "Reversibility of Psychiatric Diagnoses," Science, New Series 180:4091 (June 15, 1973), 1116. Martin Bulmer, "Are Pseudo-Patient Studies Justified?," Journal of Medical Ethics 8:2 (June 1982), 65-71. Peter C. Gaughwin, "On Being Insane in Medico-Legal Places: The Importance of Taking a Complete History in Forensic Mental Health Assessment," Psychiatry, Psychology and Law 12:2 (2005), 298-310. Theodore Millon, "Reflections on Rosenhan's 'On Being Sane in Insane Places,'" Journal of Abnormal Psychology 84:5 (October 1975), 456-461. Maurice K. Temerlin, "Suggestion Effects in Psychiatric Diagnosis," Journal of Nervous and Mental Disease 147:4 (October 1968), 349–353. Murray J. Goddard, "Personal Accounts: On Being Possibly Sane in Possibly Insane Places," Psychiatric Services 62:8 (August 2011), 831-832. Jared M. Bartels and Daniel Peters, "Coverage of Rosenhan's 'On Being Sane in Insane Places' in Abnormal Psychology Textbooks," Teaching of Psychology 44:2 (2017), 169-173. Marti Loring and Brian Powell, "Gender, Race, and DSM-III: A Study of the Objectivity of Psychiatric Diagnostic Behavior," Journal of Health and Social Behavior 29:1 (March 1988), 1–22. Jim Schnabel, "Puck in the Laboratory: The Construction and Deconstruction of Hoaxlike Deception in Science," Science, Technology, & Human Values 19:4 (October 1, 1994), 459-492. Michael Fontaine, "On Being Sane in an Insane Place -- The Rosenhan Experiment in the Laboratory of Plautus' Epidamnus," Current Psychology: Research and Reviews 32:4 (December 2013), 348-365. Mark Moran, "Writer Ignites Firestorm With Misdiagnosis Claims," Psychiatric News 41:7 (April 7, 2006), 10–12. Sandra Blakeslee, "8 Feign Insanity in Test and Are Termed Insane," New York Times, Jan. 21, 1973. Nathaniel Morris, "This Secret Experiment Tricked Psychiatrists Into Diagnosing Sane People as Having Schizophrenia," Washington Post, Dec. 29, 2017. Claudia Hammond, "One Flew Into the Cuckoo's Nest," Times, July 27, 2009, 8. Richard M. Restak, "Medicine of the Mind," Wilson Quarterly 7:4 (Autumn 1983), 112-118. Listener mail: Pierre Bertrand, "Feral Parakeets Taking Over London, Prompting Concerns They'll Push Out Native Birds," CBC News, Feb. 14, 2016. Wikipedia, "Feral Parakeets in Great Britain," (accessed May 23, 2018). James Owen, "Feral Parrot Population Soars in U.K., Study Says," National Geographic News, July 8, 2004. Hazel Jackson, "Move Aside, Pigeons: Wild Parakeets Poised for World Domination," CNN, Aug. 17, 2016. Oliver Pickup, "Introducing Rufus the Hawk: The Official Bird Scarer of the Wimbledon Championships," Telegraph, July 3, 2017. Wikipedia, "Rufus the Hawk" (accessed May 23, 2018). "Rufus the Hawk Back at Work," BT, June 25, 2013. Bryony Gordon, "Rufus the Hawk: Quails, Baths And Me-Time -- Meet Wimbledon's Biggest Diva," Telegraph, July 2, 2012. "Nosy Neighbour," finalist, 2016 Natural History Museum Wildlife Photographer of the Year, 2016. Sam Hobson's photography. This week's lateral thinking puzzle was contributed by listener Tommy Honton, who sent this corroborating link (warning -- this spoils the puzzle). You can listen using the player above, download this episode directly, or subscribe on Apple Podcasts or Google Play Music or via the RSS feed at http://feedpress.me/futilitycloset. Please consider becoming a patron of Futility Closet -- you can choose the amount you want to pledge, and we've set up some rewards to help thank you for your support. You can also make a one-time donation on the Support Us page of the Futility Closet website. Many thanks to Doug Ross for the music in this episode. If you have any questions or comments you can reach us at podcast@futilitycloset.com. Thanks for listening!

Psychiatric Services From Pages to Practice
11: A Lifestyle Intervention, High Hospital Use, Medicaid Work Requirements

Psychiatric Services From Pages to Practice

Play Episode Listen Later Apr 16, 2018 25:44


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.

Next Generation Behavioral Health
Ep 6 Research part II; Randomized Controlled Trials (RCTs)

Next Generation Behavioral Health

Play Episode Listen Later Apr 4, 2018 8:55


In this episode, Dr. Christina Armstrong and Dr. Julie Kinn continue their conversation from Episode 5 on mobile health research and provide a few great examples of randomized controlled trials recently published about mobile health apps. DHA Connected Health Defense Health Agency https://health.mil/podcasts dha.connected-health@mail.mil Twitter: @DHAConnected (https://twitter.com/DHAConnected) Facebook: https://www.facebook.com/DHAConnectedHealth To view captions for this podcast, please access this episode via our YouTube channel (https://www.youtube.com/watch?v=LWWXQ4DVGkw) Next Generation Behavioral Health is produced by the Defense Health Agency (https://health.mil/). Learn more about Military Health Podcasts at http://t2health.dcoe.mil/military-health-podcasts. Music by BenSound (http://bensound.com). Research discussed in this episode: Bush, N. E., Smolenski, D., Denneson, L. M., Williams, H. B., Thomas, E., & Dobscha, S. K. A. (2017). Virtual Hope Box Smartphone App for Emotional Regulation and Coping with Distress: A Randomized Controlled Trial. Psychiatric Services, 68, 330-336. doi: 10.1176/appi.ps.201600283 Kuhn, E., Kanuri, N., Hoffman, J. E., Garvert, D. W., Ruzek, J. I., & Taylor, C. B. (2017). A randomized controlled trial of a smartphone app for posttraumatic stress disorder symptoms. Journal of Consulting and Clinical Psychology, 85(3), 267-273. doi:10.1037/ccp0000163

Mad in America: Science, Psychiatry and Social Justice
Jim van Os - Rethinking Biological Psychiatry

Mad in America: Science, Psychiatry and Social Justice

Play Episode Listen Later Aug 11, 2017 54:45


 This week, we interview Professor Jim van Os. Professor van Os is Chairman of the Department of Psychiatry and Psychology at Maastricht University Medical Centre, Maastricht, The Netherlands, and Visiting Professor of Psychiatric Epidemiology at King’s College, Institute of Psychiatry, London.  He trained in Psychiatry in Casablanca, Bordeaux and the Institute of Psychiatry and the Maudsley Royal Hospital in London. In 2011, he was elected member of the Royal Netherlands Academy of Arts and Sciences (KNAW); he appears on the 2014 Thomson-Reuter Web of Science list of the world’s most influential scientific minds of our time. He is Director of Psychiatric Services at Maastricht University Medical Centre and runs a service for treatment-resistant depression and first episode psychosis. I was keen to ask professor van Os about his views on biological psychiatry, why we should sometimes challenge schizophrenia, psychosis and other diagnostic terminology and how he sees the future of mental healthcare. In this episode, we discuss: How Jim became interested in Psychology and Psychiatry, partly because of the experiences of family members That Jim felt that training in many parts of the world allowed him to see variations in psychiatric models and this led to him questioning the biological model That Jim also saw how dominant the prescribing of medication but noticed the wide variation in practices How Jim observed in France a willingness by the treating doctors to accept that they didn’t know what the root cause of a mental health difficulty That some of the diagnoses that psychiatrists rely on are actually cultural agreements between professionals and that if a patient accepts the idea that they have a diseased brain, it can be limiting for that patient That we should be able to admit that we don’t know causes but we can still help and support people who struggle with their mental health That there is a 25% yearly prevalence of mental disorders, but many nations have a capacity for only 4% to 6% of the general population That selection criteria to get help and support with their mental health just don’t work because we cannot precept outcomes for people That there are interesting developments in eCommunities where people can participate in online communities to share experiences, for example ‘Proud to be Me’ in the Netherlands. That diagnoses are starting to function as an economic measurement of mental illness and treatment and some cannot access treatment without a diagnosis, which perpetuate the diagnostic paradigm That there were attempts in the most recent Diagnostic and Statistical Manual (DSM V) discussions to adopt ranges or dimensions of disorders, but the proposal was shot down That it would have been historic if dimensions were adopted in the DSM because then the discussion between the clinician and the patient would have had to change That there is some dimensionality in DSM V, represented as ‘spectrum disorders’ which are the first step towards acknowledging the variations inherent in human experiences That Jim saw in his own family that the initial ‘relief’ of receiving a diagnosis was undone when more and more diagnoses were added That a label of Schizophrenia can mean that other people do not know what to expect and find it difficult to relate psychologically to that person and their experiences That the Maastricht User Research Centre has been discussing the language used in psychiatry, in particular the terms psychosis and schizophrenia and trying to find more helpful terms, for example hyper-meaning That sometimes terms such as ‘susceptibility’ and ‘syndrome’ are far more helpful than giving someone the message that they have a brain disease   That biological psychiatry has been trying to reverse engineer and validate the concept of schizophrenia by investigating case control differences That there is more awareness developing about the critical appraisal of diagnostic terminology That the mental health sector should not be viewed as a separate entity, but should reinvent itself as an inclusive local community that is there to connect with people and their range of experiences That patients often indicate that what got them better was community and connection and meaning and empowerment That the User Research Centre, led by Dr. Peter Groot, have developed a solution to help patients withdraw slowly and gradually from their psychiatric medications That when prescribing medication, we should encourage people to monitor their experiences to allow a better discussion about treatment continuing or stopping based on evidence That if we suppress difficulties with medication, it can make it more difficult for the person to build up coping mechanisms To listen on Mad in America: https://goo.gl/tyyLmt Podcast show notes: https://goo.gl/h1CHc5 To get in touch with us email: podcasts@madinamerica.com © Mad in America 2017  

Mad in America: Science, Psychiatry and Social Justice
Will Hall - A Harm Reduction Approach to Mental Health and Wellbeing

Mad in America: Science, Psychiatry and Social Justice

Play Episode Listen Later Jul 15, 2017 31:58


This week, we have an interview with Will Hall. Will is a mental health advocate, counsellor, writer, and teacher. Will advocates the recovery approach to mental illness and is recognised internationally as an innovator in the treatment and social response to psychosis. In 2001, he co-founded the Freedom Center and from 2004-2009 was a co-coordinator for The Icarus Project. He has consulted for Mental Disability Rights International, the Family Outreach and Response Program,  and the Office on Violence Against Women, and in 2012 presented to the American Psychiatric Association‘s Institute on Psychiatric Services. As an author, Will has written extensively on mental health, social justice, and environmental issues, he is well known for the excellent Harm Reduction Guide to Coming Off Psychiatric Medications which is one of the first places that listeners should look to for help and support when considering taking or withdrawing from psychiatric medications.  Will’s latest book is Outside Mental Health: Voices and Visions of Madness, released in 2016 it presents interviews with more than 60 psychiatric patients, scientists, journalists, doctors, activists, and artists to create a vital new conversation about empowering the human spirit. Outside Mental Health invites us to rethink what we know about bipolar, psychosis, schizophrenia, depression, medications, and mental illness in society. Will also hosts Madness Radio which broadcasts on FM and is also available as a podcast. For listeners, I recommend that you listen in and subscribe to the Madness radio podcast, particularly as the Harm reduction guide to coming off psychiatric medications can be heard in full here. In this episode, we discuss: ▪How Will became involved with the psychiatric system while living in the San Francisco Bay area ▪His experiences of being treated with a wide range of psychiatric drugs ▪How he came to meet with other psychiatric survivors and take control of his own recovery ▪The setting up of the Freedom Centre in Western Massachusetts ▪The creation of the ‘Harm reduction guide to coming off psychiatric drugs’ ▪How this led to Will’s work in counselling, training and education around psychiatric drugs ▪How Will approached collaborating with a wide range of contributors to develop the Harm reduction guide ▪That Will wanted to adopt a careful, non judgemental approach to his work to support people with their medications ▪How Will feels he reached more people because they knew that they weren’t going to be judged ▪That the research and evidence does not support the idea that psychiatric drugs are treating some brain disease or correcting an underlying brain chemical imbalance ▪The fear that exists around these kind of mental health difficulties ▪The dangers of psychiatric drugs ▪That people with lived experience of psychiatric medications need to share their experiences, particularly where withdrawal is concerned ▪That sometimes passivity can contribute to reliance on medications but people need to take their health into their own hands ▪That we should really be looking to a community based approach to supporting people with emotional distress or trauma ▪That we need to create healthy communities that support each other ▪That if people are considering stopping their psychiatric drugs they should make use of the Harm reduction guide because there is no single answer ▪That people should also make sure that they have a support network in place because stopping the drugs can become an isolating experience ▪That drug withdrawal is a life change process not just a chemical change in your brain ▪That psychiatry can make not claim to have answered the mind/body question ▪That fear is a big factor when considering not relying on medication ▪That where withdrawal is concerned, time tends to be on your side if you can get through the discomfort and difficulty   To listen on Mad in America: https://goo.gl/tyyLmt Podcast show notes: https://goo.gl/18cg4L To get in touch with us email: podcasts@madinamerica.com  

Life Coach Radio Network
IN DEPTH w/Jann Jaffe:The Opioid Epidemic w/Addiction Expert Kent Robertshaw, MD

Life Coach Radio Network

Play Episode Listen Later Jun 14, 2017 83:00


Today's show is a replay covering a topic very much in the news right now: the opioid epidemic with special guest, addiction specialist psychiatrist Kent Robertshaw, MD.  Jann Jaffe (Northwestern University, BA,MA) is an iPEC Certified Professional Success and Performance Coach, ELI-MP, and a Certified COR.E Leadership, Performance, and Wellbeing Dynamics Specialist. Traumatic brain injuries cut short her successful career as an international opera/concert singer, and master class teacher, and drastically altered her life. Jann is dedicated to helping professionals and performing artists, especially opera singers, achieve optimal success, realization of their potential, and life and career transitions. For more information: www.forwardtosuccess.com and contact Jann at info@forwardtosuccess.com Kent Robertshaw, a graduate of Cornell Medical School, currently teaches pharmacology classes at Columbia Medical School about substance abuse. Having appeared on numerous television shows including CNN, he is a world-renowned expert in addiction. While director of Psychiatric Services at the Smithers Alcohol Treatment Center,  Dr. Robertshaw was the featured guest on the Oprah Winfrey show. Quoted in numerous magazine and newspaper articles, he has been featured over 20 times on the radio show “The Positive Mind.” Kent Robertshaw has an eclectic approach to psychiatry with expertise in various forms of therapy as well as psychopharmacology. He also believes in a “Whole Body approach” to treating individuals with the sensitivity to Mind Body connection (Meditation, Exercise, Nutrition…) and has a warm, humanistic, caring approach to his patients.

Life Coach Radio Network
IN DEPTH w/Jann Jaffe:The Opioid Epidemic w/Addiction Expert Kent Robertshaw, MD

Life Coach Radio Network

Play Episode Listen Later May 10, 2017 81:00


In this episode of IN DEPTH w/ Jann Jaffe, we cover a topic very much in the news right now: the opioid epidemic with special guest, addiction specialist psychiatrist Kent Robertshaw, MD.  Jann Jaffe (Northwestern University, BA,MA) is an iPEC Certified Professional Success and Performance Coach, ELI-MP, and a Certified COR.E Leadership, Performance, and Wellbeing Dynamics Specialist. Traumatic brain injuries cut short her successful career as an international opera/concert singer, and master class teacher, and drastically altered her life. Jann is dedicated to helping professionals and performing artists, especially opera singers, achieve optimal success, realization of their potential, and life and career transitions. For more information: www.forwardtosuccess.com and contact Jann at info@forwardtosuccess.com Kent Robertshaw, a graduate of Cornell Medical School, currently teaches pharmacology classes at Columbia Medical School about substance abuse. Having appeared on numerous television shows including CNN, he is a world-renowned expert in addiction. While director of Psychiatric Services at the Smithers Alcohol Treatment Center,  Dr. Robertshaw was the featured guest on the Oprah Winfrey show. Quoted in numerous magazine and newspaper articles, he has been featured over 20 times on the radio show “The Positive Mind.” Kent Robertshaw has an eclectic approach to psychiatry with expertise in various forms of therapy as well as psychopharmacology. He also believes in a “Whole Body approach” to treating individuals with the sensitivity to Mind Body connection (Meditation, Exercise, Nutrition…) and has a warm, humanistic, caring approach to his patients.

Top Docs Radio
Talking Depression With Dr. Mark Rappaport

Top Docs Radio

Play Episode Listen Later Mar 14, 2017


Talking Depression With Dr. Mark Rappaport Mark Hyman Rapaport, M.D., the chair of the Department of Psychiatry and Behavioral Sciences and the Reunette W. Harris Professor at the Emory University School of Medicine and the chief of Psychiatric Services at Emory Healthcare, will discuss depressive disorder when he appears on the Medical Association of Georgia s […] The post Talking Depression With Dr. Mark Rappaport appeared first on Business RadioX ®.

HealthLeaderForge
Karen F. Clements, RN, FACHE, Associate Chief Nursing Officer, Dartmouth-Hitchcock Health System

HealthLeaderForge

Play Episode Listen Later Dec 31, 2015 72:08


Today’s guest is Karen Clements, the Associate Chief Nurse for Ambulatory and Primary Care Nursing, Emergency and Patient Placement Services, and Care Management and Psychiatric Services for the Dartmouth-Hitchcock Health System, or as her staff tell her, she is the Associate Chief Nurse for Team Awesome. Despite its rural location, Dartmouth-Hitchcock Medical Center is the largest hospital in New Hampshire, taking referrals from over forty other hospitals in New England. It is also a major teaching hospital associated with Dartmouth College’s Geisel School of Medicine. Karen is also the President of the Northern New England Association of Healthcare Executives, one of the sponsors of this podcast. Karen is a nurse-executive whose roots are in emergency and trauma nursing. Her career began with an active duty tour in the Army’s Nurse Corps, then she returned home to Bangor, Maine where she progressed through the nursing ranks to become the Chief Nursing Officer of Acadia Hospital, a 100 bed freestanding psychiatric hospital. After 23 years with the Eastern Maine Healthcare System, she followed professional and personal opportunity to Dartmouth-Hitchcock, where her leadership skills quickly led her to the Associate Chief Nurse position. In this podcast we talk about Karen’s career leading up to her current position at Dartmouth-Hitchcock, how Dartmouth-Hitchcock is changing to meet the challenges of an evolving health system, and how nursing is playing a role in that transition. We then talk about leadership, and Karen’s role in the Northern New England Association of Healthcare Executives and conclude with Karen’s recommendations for early careerists.

EBN podcast
Self-harm within inpatient psychiatric services

EBN podcast

Play Episode Listen Later Jun 24, 2013 9:28


Welcome to the latest in a series of podcast from EBN, where we take a closer look at commentaries from the journal. These discussions are designed to help you think about issues raised in the article, as well as the clinical applicability of the original research paper. For the first time this month the EBN journal club is linked to the podcast. Go to http://blogs.bmj.com/ebn/ebn-online-journal-club to find out how to join in and discuss this issue further.In this podcast you hear what Dr Peter Mills, 
of the VA National Center for Patient Safety in Vermont, has to say about self-harm among inpatients in psychiatric hospitals in the UK. As an expert in the field, Peter reflects on the findings of a study that has explored this area for the first time, and offers insightful comments and ideas that can be used to improve practice.

NHS South Central E-learning
Managing Induction for Doctors in Training

NHS South Central E-learning

Play Episode Listen Later May 14, 2008


Last Thursday I attended the first of two sessions 'Managing Induction for Doctors in Training' led by Dr Ray Vieweg, Clinical Tutor and Consultant Psychiatrist at Portsmouth City PCT.The aim of the first session was to explore the potential for a shared approach to induction for doctors in training in the Psychiatric Services across the Wessex School with a view to developing a shared programme for induction.In attendance were colleagues from NESC, a number of Consultants, medical personnel, trainee and HR personnel.There was a consensus that certain essential training modules could be standardised and made available centrally to avoid duplication of training and to achieve transferability of learning cross-organisationally throughout the Wessex School. In fact, the focus of most discussion centred around learning that was not specific to Psychiatry but to all doctors in training, and in some cases, across other professions.A starting point at least is to begin somewhere: and psychiatry are a keen group.The deanery was seen as the key enabler to this piece of work and in fact work has already begun to look at training matrices and standardising the approach to induction. A meeting between myself, Karen Nugent and Kerry Brown at the deanery is taking place on 7 May to look at the matrices, identify topics that are suitable for a shared approach (topics for the orange bit! see Ray's presentation) and whether any of these could be met through the use of e-learning.Click here to view Ray's presentation