Psychiatric Services From Pages to Practice

Patricia E. Deegan, Ph.D., joins Dr. Dixon and Dr. Berezin to discuss the dynamic journey that is learning to use psychiatric medicine optimally to support recovery. It requires more than learning to take pills on schedule. As people recover, as they learn and grow, as they age, and as their concerns and interests evolve, the use of medication as a tool in recovery also evolves.

• What is Pat Deegan, Ph.D., & Associates? [1:15]
• Dr. Deegan's personal experience with mental illness [2:48]
• Recovery as a journey [5:06]
• Challenges people face when using medication [9:53]
• The clinician-patient relationship [14:04]
• Using analogy to understand the use of medication [17:25]
• Personal motivation for using medication [18:32]
• The context from which this Personal Accounts column emerged [22:44]

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Natalie Bonfine, Ph.D., joins Dr. Dixon and Dr. Berezin to discuss the reasons why people with serious mental illness are overrepresented in the criminal justice system. Dr. Bonfine also outlines ways to address the multiple factors that contribute to justice involvement for this population.

• Dr. Bonfine's professional background and research interests [2:05]
• Development of Dr. Bonfine's article [3:20]
• What is the criminalization hypothesis? [5:06]
• What is the criminogenic risk perspective? [10:13]
• How can the community mental health system address this issue? [12:48]
• Discussion of the sequential intercept model [17:50]
• What changes are necessary for the community mental health system to become "intercept 0" [20:41]
• A counterargument [26:50]
• Final thoughts [28:55]

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Dr. Dixon and Dr. Berezin discuss substance use among LGBTQ young adults with probable substance use disorders and characteristics and job stressors associated with turnover and turnover intention among community mental health providers.

• Introduction to article on substance use among LGBTQ populations [1:00]
• Study design [2:12]
• Study results [6:32]
• Introduction to article on turnover at community mental health centers [15:16]
• Study design [16:06]
• Study results [18:16]

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Nev Jones, Ph.D., and Christina Mangurian, M.D., M.A.S., join Dr. Dixon and Dr. Berezin to discuss the significant ethical, political, and procedural challenges that affect recruitment and retention of the peer specialist workforce.

• Introduction to the topic [1:05]
• Outline of the case study described in the column [6:20]
• Challenges involved in hiring peer staff [11:28]
• Tips for helping clients [14:42]
• Challenges dealing with microaggressions [17:54]
• What progress has been made? [23:19]

Check out Editor's Choice, a new set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections.

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Dr. Dixon and Dr. Berezin discuss an innovative model to integrate medication-assisted treatment (MAT) in rural primary care settings for patients with opioid use disorders, and how mental health professionals can prepare and respond to the mental health consequences of increasingly dangerous storms.

• The barriers and facilitators that affect engagement with Project ECHO (Extension for Community Healthcare Outcomes) to implement MAT in primary care settings [0:58]
• How mental health professionals can help individuals affected by hurricanes [12:24]

We encourage listeners to donate to any trusted charity serving communities affected by Hurricane Dorian.

Check out Editor's Choice, a new set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections.

Other articles may be viewed at our web site.

Be sure to let your colleagues know about the podcast, and please rate and review it wherever you listen to it.

Listen to other podcasts produced by the American Psychiatric Association.

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Jonathan Purtle, Dr.P.H., M.Sc., joins Dr. Dixon and Dr. Berezin to discuss state legislators' opinions about adverse childhood experiences as risk factors for adult behavioral health conditions, as well as how opinions vary between legislators with different characteristics.

• Dr. Purtle's research interests [1:35]
• What are adverse childhood experiences (ACEs)? [3:50]
• How do the opinions of state legislators align with the body of evidence on ACEs? [6:57]
• Description of study methods [8:18]
• Characteristics of the surveyed legislators [13:00]
• Major findings of the study [14:54]
• What's next in this line of research [25:36]

Check out Editor's Choice, a new set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections.

Other articles may be viewed at our web site.

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Dr. Dixon and Dr. Berezin discuss psychiatric hospitalization of youths with autism spectrum disorder and whether increasing spending on home and community-based care lowers that risk [1:13], reducing hospitalization through court-ordered assisted outpatient treatment with or without assertive community treatment [11:20], and use of behavioral economics to enhance medication adherence [20:47].

Check out Editor's Choice, a new set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections.

Other articles may be viewed at our web site.

Be sure to let your colleagues know about the podcast, and please rate and review it wherever you listen to it. The podcast is now on Spotify.

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Dr. Dixon and Dr. Berezin discuss an innovative program to engage patients with early psychosis [1:12], two essays on the legalization of marijuana [11:25], and the aftermath of celebrity suicide [22:30].

Check out Editor's Choice, a new set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections.

Other articles may be viewed at our web site.

Be sure to let your colleagues know about the podcast, and please rate and review it wherever you listen to it. The podcast is now on Spotify.

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Dr. Dixon and Dr. Berezin discuss a new model of inpatient care in England [1:23] and improving clinician practices when sharing notes with patients [14:42].

Check out Editor's Choice, a new set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections.

Other articles may be viewed at our web site.

Be sure to let your colleagues know about the podcast, and please rate and review it wherever you listen to it. The podcast is now on Spotify.

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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.

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E-mail us at [email protected]