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.
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Editor Lisa Dixon discusses the podcast:
November 19, 2024
Dr. Mette Ødegaard Nielsen (Unit for Complicated Schizophrenia, Glostrup, Denmark) joins Dr. Dixon and Dr. Berezin to discuss patient motivations and experiences of antipsychotic medication tapering at a clinic in Denmark.
Transcript
September 16, 2024
Maggi A. Price, Ph.D., M.A. (School of Social Work, Boston College) joins Dr. Dixon and Dr. Berezin to discuss gender-affirming psychotherapy (GAP), a comprehensive, evidence-informed, and human-centered set of practices focusing on the treatment of transgender youth developed by Dr. Price and colleagues.
Transcript
July 31, 2024
Dr. Sharon Hoover (University of Maryland School of Medicine, Baltimore) joins Dr. Dixon and Dr. Berezin to discuss the provision of mental health services in schools: why it matters, who it touches, how it’s funded, and how it’s doing.
Transcript
May 14, 2024
Simon Graham, M.B.Ch.B., M.R.C.Psych., and Kathy Curtis (Spring House Psychotherapy and Personality Disorder Service) join Dr. Dixon and Dr. Berezin to discuss the use of a local case management team and a combined day treatment and crisis service for patients with borderline personality disorder in Liverpool, United Kingdom.
Transcript
April 17, 2024
Elizabeth Bromley, M.D., Ph.D. (University of California, Los Angeles) joins Dr. Dixon and Dr. Berezin to discuss the use of outpatient conservatorship in the effort to address mental health disability among unsheltered homeless persons in Los Angeles County, California.
Transcript
February 21, 2024
Gregory E. Simon, M.D., M.P.H. (Kaiser Permanente Washington Health Research Institute, Seattle) join Dr. Dixon and Dr. Berezin to discuss the use of machine learning models to analyze electronic health records to predict antidepressant treatment response.
Transcript
January 16, 2024
Misty C. Richards, M.D., M.S. (University of California, Los Angeles), and Nicole Kozloff, M.D. (University of Toronto), join Dr. Dixon and Dr. Berezin to discuss the need to remodel our systems and provision of mental health services for children and adolescents.
Transcript
December 4, 2023
Andrew D. Carlo, M.D., M.P.H. (Northwestern University Feinberg School of Medicine, Chicago) joins Dr. Dixon and Dr. Berezin to discuss the insurance acceptance rates of psychiatric practitioners compared with other medical disciplines.
Transcript
September 15, 2023
Eliza Hallett, M.S., (Oregon Health & Science University, Portland, Oregon) joins Dr. Dixon and Dr. Berezin to discuss the challenges faced by staff and behavioral health service providers, including low wages, traumatic work environments, low wages, and physical and administrative infrastructure.
Transcript
August 4, 2023
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.
Transcript
June 28, 2023
Joseph Parks, M.D., joins Dr. Dixon and Dr. Berezin to discuss guidelines for clinicians in how to deal with the increased prevalence of drugs adulterated with fentanyl and similar potent fentanyl analogs.
Transcript
May 12, 2023
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.
Transcript
April 11, 2023
Lauren Southwick, M.P.H., and Sharath Guntuku, Ph.D., join Dr. Dixon and Dr. Berezin 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.
Transcript
February 27, 2023
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.
Transcript
January 24, 2023
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.
Transcript
December 20, 2022
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
November 22, 2022
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.
Transcript
October 20, 2022
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.
Transcript
July 26, 2022
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.
Transcript
June 27, 2022
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.
May 16, 2022
Courtney von Hippel, Ph.D., joins Dr. Dixon and Dr. Berezin to discuss burnout and negative job attitudes, and how lived experience might help provide a buffer in mental health workers. Dr. von Hippel is an Associate Professor of Health and Behavioural Sciences at the University of Queensland in Brisbane, Australia.
March 29, 2022
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.
February 28, 2022
Daniel M. Blonigen, Ph.D. joins Dr. Dixon and Dr. Berezin to discuss implementing moral reconation therapy (MRT) in a noncorrectional setting among justice-involved veterans receiving residential mental health treatment in the U.S. Veterans Health Administration with an aim towards reducing criminal recidivism. Dr. Blonigen is an Associate Director at the Center for Innovation to Implementation, VA Palo Alto Health Care System, in Palo Alto, California.
January 10, 2022
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.
November 9, 2021
Cameron Schilling, M.P.H, joins Dr. Dixon and Dr. Berezin to discuss the effects of high deductible health insurance plans on enrollees with mental health conditions and substance use disorder. Mr. Schilling is a programmer and data analyst from the Center for Mental Health and Addiction Policy at the Johns Hopkins School of Public Health, and an author of an article in the journal.
October 12, 2021
Deborah K. Padgett, Ph.D., M.P.H., and Daniel Herman, M.S.W., Ph.D., join Dr. Dixon and Dr. Berezin to discuss a potentially effective and affordable approach to ending homelessness for many Americans by extending the authorization that U.S. health authorities gave to shelter providers to move residents into hotels. Dr. Padgett is a Professor at New York University’s Silver School of Social Work. Dr. Herman is a Professor at Hunter College’s Silberman School of Social Work and Director of the Center for the Advancement of Critical Time Intervention.
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.
August 25, 2021
Deborah K. Padgett, Ph.D., M.P.H., and Daniel Herman, M.S.W., Ph.D., join Dr. Dixon and Dr. Berezin to discuss a potentially effective and affordable approach to ending homelessness for many Americans by extending the authorization that U.S. health authorities gave to shelter providers to move residents into hotels. Dr. Padgett is a Professor at New York University’s Silver School of Social Work. Dr. Herman is a Professor at Hunter College’s Silberman School of Social Work and Director of the Center for the Advancement of Critical Time Intervention.
July 15, 2021
Sidney H. Hankerson, M.D., M.B.A., joins Dr. Dixon and Dr. Berezin to discuss efforts to train African American clergy interested in interpersonal counseling in managing major depression among community members, as they are positioned to curb the cultural mistrust and depression stigma that impedes the use of traditional psychiatric services among African Americans.
June 3, 2021
Benjamin G. Druss, M.D., M.P.H., joins Dr. Dixon and Dr. Berezin to discuss two articles:
- A Qualitative Study of Barriers and Facilitators to Transitions From the Emergency Department to Outpatient Mental Health Care
- Supporting the Mental Health Workforce During and After COVID-19
April 7, 2021
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.
February 24, 2021
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.
January 21, 2021
Leopoldo J. Cabassa, Ph.D., M.S.W., and Ana Stefancic, Ph.D., join Dr. Dixon to discuss the effectiveness of the Peer-led Group Lifestyle Balance intervention, a 12-month manualized healthy lifestyle intervention delivered by peer specialists, in a sample of persons with serious mental illness who were overweight or obese and living in supportive housing.
December 14, 2020
Wanda G. Wright, D.D.S., M.S.D., joins Dr. Dixon and Dr. Berezin to explore barriers and facilitators in addressing the oral health needs of individuals with mental illness from the perspectives of patients, psychiatrists, and dentists.
November 9, 2020
Michael F. Hogan, Ph.D., joins Dr. Dixon and Dr. Berezin to discuss the challenges and opportunities for nationwide reform in systems of care for individuals in psychiatric crisis in the United States.
October 5, 2020
John Torous, M.D., M.B.I., joins Dr. Dixon and Dr. Berezin to discuss the expanded access to smartphone apps for mental health on college campuses as well as issues regarding the privacy, efficacy, and quality of mental health apps.
August 5, 2020
Ayana Jordan, M.D., Ph.D., joins Dr. Dixon and Dr. Berezin to discuss disparities in initiation of and engagement in mental health care among persons from racial-ethnic minority groups. This topic formed the basis of an Editor's Choice collection assembled by Dr. Jordan.
July 2, 2020
Erik Messamore, M.D., Ph.D., joins Dr. Dixon and Dr. Berezin to discuss suggestions for informing the public more effectively about the potential benefits and risks of marijuana in state medical marijuana programs.
May 20, 2020
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.
March 17, 2020
Mark Munetz, M.D., and Elizabeth Ford, M.D., join Dr. Dixon and Dr. Berezin to discuss their work in the field of providing services to individuals who have criminal justice contact and serious mental illness.
February 14, 2020
Delbert G. Robinson, M.D., joins Dr. Dixon and Dr. Berezin to discuss barriers to the use of long-acting injectable antipsychotic medication.
January 17, 2020
Patricia E. Deegan, Ph.D., joins Dr. Dixon and Dr. Berezin to discuss the dynamic journey that is learning to use psychiatric medicine optimally to support recovery. It requires more than learning to take pills on schedule. As people recover, as they learn and grow, as they age, and as their concerns and interests evolve, the use of medication as a tool in recovery also evolves.
December 13, 2019
Natalie Bonfine, Ph.D., joins Dr. Dixon and Dr. Berezin to discuss the reasons why people with serious mental illness are overrepresented in the criminal justice system. Dr. Bonfine also outlines ways to address the multiple factors that contribute to justice involvement for this population.
November 19, 2019
Dr. Dixon and Dr. Berezin discuss substance use among LGBTQ young adults with probable substance use disorders, and characteristics and job stressors associated with turnover and turnover intention among community mental health providers.
October 18, 2019
Nev Jones, Ph.D., and Christina Mangurian, M.D., M.A.S., join Dr. Dixon and Dr. Berezin to discuss the significant ethical, political, and procedural challenges that affect recruitment and retention of the peer specialist workforce.
September 6, 2019
Dr. Dixon and Dr. Berezin discuss an innovative model to integrate medication-assisted treatment in rural primary care settings for patients with opioid use disorders, and how mental health professionals can prepare and respond to the mental health consequences of increasingly dangerous storms.
July 26, 2019
Jonathan Purtle, Dr.P.H., M.Sc., joins Dr. Dixon and Dr. Berezin to discuss state legislators’ opinions about adverse childhood experiences as risk factors for adult behavioral health conditions, as well as how opinions vary between legislators with different characteristics.
June 28, 2019
Dr. Dixon and Dr. Berezin discuss psychiatric hospitalization of youths with autism spectrum disorder and whether increasing spending on home and community-based care lowers that risk, reducing hospitalization through court-ordered assisted outpatient treatment with or without assertive community treatment, and use of behavioral economics to enhance medication adherence.
May 31, 2019
Dr. Dixon and Dr. Berezin discuss an innovative community program to engage patients with early psychosis after hospitalization, two essays on marijuana legalization and public health issues for state policy makers to consider, and an article on the impact of a celebrity suicide on suicide rates and suicide prevention call centers.
April 16, 2019
Dr. Dixon and Dr. Berezin discuss a new model of inpatient care in England and improving clinician practices when sharing notes with patients.
March 15, 2019
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.
February 15, 2019
Dr. Dixon and Dr. Berezin discuss the use of text messaging to detect postpartum depression, the use of telemedicine to improve medication adherence, and ethical considerations regarding Internet searches for patient information.
January 15, 2019
Dr. Dixon and Dr. Berezin discuss benzodiazepine use and misuse among adults in the United States, child protective service disparities and serious mental illnesses, and mental health self-directed care financing.
19: Malingering, 13 Reasons Why, and Predicting Suicidal Behavior
Dr. Dixon and Dr. Berezin discuss malingering in the psychiatric emergency department, the Netflix series 13 Reasons Why, and whether responses to item 9 of the Patient Health Questionnaire (PHQ-9) predict suicidal behavior among outpatients with diagnoses of psychotic disorders.
18: Leadership, Measurement-Based Care, and a Reward Policy for Family Care
Dr. Dixon and Dr. Berezin discuss the effects of transformational leadership on mental health practitioners’ attitudes toward feedback, provider attitudes and experience with measurement-based mental health care, and China’s reward policy for family care of persons with serious mental illness.
17: Web-Based Shared Decision Making With Molly Finnerty
Molly T. Finnerty, M.D., joins Dr. Dixon and Dr. Berezin to discuss the use of a Web-based shared decision-making application for ongoing outpatient mental health treatment engagement and antipsychotic medication adherence.
16: First-Episode Psychosis Care and Recovery Colleges
Dr. Dixon and Dr. Berezin discuss racial and ethnic differences in treatment outcomes among participants in a randomized controlled trial of an intervention for first-episode psychosis; psychosis literacy among Latinos with first-episode psychosis and their caregivers; and recovery colleges, which involve supporting people living with mental health problems through adult education.
15: Integrated Care
Dr. Dixon and Dr. Berezin discuss a collaborative practice model with pediatrics; continuity of information sharing between mental health care and primary care providers; and impacts on service utilization and expenditures of a whole health model at a community mental health center.
14: Social Determinants of Mental Health With Ruth Shim
Ruth S. Shim, M.D., M.P.H., joins Dr. Dixon and Dr. Berezin to discuss how addressing the social determinants of mental health may help influence public policy and change social norms in an effort to eliminate inequities in care and improve outcomes.
13: Mobile Health With Dror Ben-Zeev
Dror Ben-Zeev, Ph.D., joins Dr. Dixon and Dr. Berezin to discuss a mobile health intervention for people with serious mental illness.
12: Self-Directed Care, First-Episode Psychosis Care, and a Personal Account of Mental Illness
Dr. Dixon and Dr. Berezin discuss housing and employment outcomes for mental health self-direction participants; results of OnTrackNY, a coordinated specialty care program for early psychosis; and a first-person account on the disabling effects of mental illness on education.
11: A Lifestyle Intervention, High Hospital Use, and Medicaid Work Requirements
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, important current topics. Our first Viewpoint touches on work requirements in Medicaid.
10: Psychiatric Workforce Issues, Depression Awareness in Schools, and Implicit Bias
Lloyd Sederer, M.D., Chief Medical Officer of the New York State Office of Mental Health and adjunct professor at the Columbia University Mailman School of Public Health, joins host Josh Berezin, M.D., M.S., to discuss psychiatric workforce issues, a depression-prevention program in high schools, and how implicit bias affects mental health care services.
09: Electroconvulsive Therapy, Peer Support of Medical Conditions, and Disparities in Access to Care
Dr. Dixon and Dr. Berezin discuss recipients of electroconvulsive therapy, or ECT; peer-led self-management of general medical conditions for patients with serious mental illnesses; and racial, ethnic, and gender disparities in health care access and use among U.S. adults with serious psychological distress.
08: Supported Employment, Constant Observation, and Three Ways to Improve Mental Health Care
Dr. Dixon and Dr. Berezin discuss discharge practices in individual placement and support programs, a quality improvement approach to improving use of constant observation in a general hospital, and three nontraditional approaches to improving psychiatric care.
07: Person-Oriented Recovery, Managing Medical Conditions, and the ACA and Behavioral Health
Dr. Dixon and Dr. Berezin discuss person-oriented recovery of individuals with serious mental illnesses, the management of common medical conditions by office-based psychiatrists, and behavioral health care coverage under the Affordable Care Act.
06: Child Abuse, Smoking Cessation, and Crisis Intervention Teams
Dr. Dixon and Dr. Berezin examine the links between mental illness and child abuse, explore the effects of a police-based crisis intervention program, and look at whether financial incentives promote smoking cessation in a Medicaid population.
05: Fentanyl and the Opioid Epidemic, Strategies to Counter Stigma, and the Concept of Multimorbidity
Dr. Dixon and Dr. Berezin discuss what policy makers can do regarding fentanyl and the evolving opioid epidemic, explore communication strategies to counter stigma and improve mental illness and substance use disorder policy, and document how the concept of multimorbidity is making its way into clinical practice.
04: Mental Health Programming in Religious Congregations, Effects of Direct-to-Consumer Advertising on Medication Adherence, and Suicide Prevention Strategies in Emergency Departments
Dr. Dixon and Dr. Berezin discuss mental health programs offered in religious congregations, explore the association between direct-to-consumer advertising and medication adherence, and review strategies to prevent suicide in hospital emergency departments.
03: Outpatient Commitment, ECHO for Primary Care Providers, and Mental Health Courts
Dr. Dixon and Dr. Berezin discuss the controversial practice of outpatient commitment (community treatment orders or assisted outpatient treatment) and its effect on mortality, the use of the ECHO model (Extension for Community Healthcare Outcomes) in providing case-based training for health care providers via videoconferencing with a team of specialists, and whether mental health courts affect rates of recidivism.
02: Perinatal Depression Care, Involuntary Admissions, and Psychotherapy
Editor Lisa B. Dixon, M.D., M.P.H., and co-host Josh Berezin, M.D., M.S., discuss the dollars and cents behind a collaborative care intervention for perinatal depression, how individuals experience involuntary admissions to psychiatric hospitals, and how the use of psychotherapy relates to polypharmacy.
01: Medication Management, Forensic ACT Teams, and Autonomy in First-Episode Psychosis
In the inaugural episode of Psychiatric Services From Pages to Practice, Editor Lisa B. Dixon, M.D., M.P.H., and Podcast Editor and Co-Host Josh Berezin, M.D., M.S., discuss researchers’ inside look into medication management visits, discuss outcomes for forensic assertive community treatment (ACT) teams, and explore the issue of patients’ autonomy with first-episode psychosis treatment.
This podcast is subject to the Terms of Use at www.psychiatry.org. The views and opinions expressed in this podcast are those of the individual speakers only and do not necessarily represent the views of the American Psychiatric Association, its officers, trustees, or members. The content of this podcast is provided for general informational purposes only and is not intended as, and shall not be understood or construed as, medical or any other type of professional advice nor does it represent any statement of the standard of care. We strongly recommend that any listener follow the advice of physicians directly involved in their care and contact their local emergency response number for any medical emergency. The information within this podcast is provided as-is and is not guaranteed to be correct, complete, or accurate.