Psychiatric Services From Pages to Practice

Rachel Oblath, Ph.D., joins Dr. Dixon and Dr. Berezin, with guest host Dr. Matt Hirschtritt, to discuss repeated utilization of emergency psychiatric services among youths in both emergency department and alternative settings.
Transcript
01:10   Emergency psychiatric services utilization
03:57   Previous studies and unanswered questions
07:01   Emergency room and urgent care
08:39   BEST program
10:53   Findings and considerations
13:46   Results
15:56   Repeat utilization
19:03   Effectiveness of inpatient care
20:06   Non-ED settings
21:46   Implications
25:52   If you could change one thing …
27:56   Stones left unturned
29:12   Variables
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Katherine Koh, M.D., M.Sc., joins Dr. Dixon and Dr. Berezin, along with guest host Dr. Matt Hirschtritt, to discuss street psychiatry: what it is, its history, and what it means for the treatment of unhoused patients in often adverse settings.
Transcript
01:08     What is street psychiatry?
05:03     Path into street psychiatry
08:24     Purpose of the article
09:22     What makes street psychiatry unique
14:09     "A long walk"
15:45     When does a person become a patient?
18:36     Rewards and challenges
26:14     Recovery and relationships
30:37     A philosophy of working with highly complex cases
35:14     Uncertainty and instability

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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.
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Ruth S. Shim, M.D., M.P.H., and Alex Shevrin Venet, M.Ed., join Dr. Dixon and Dr. Berezin, along with guest host Dr. Matt Hirschtritt to discuss equity-centered trauma-informed education (ECTIE), a model that can be applied across the educational spectrum.
04:15     Expanding equity-centered trauma-informed education (ECTIE) beyond K–12
05:59    Five core components
10:25    Reception from teachers and school administrators to ECTIE
12:41    Unconditional positive regard
14:22    How did your collaboration begin?
17:29    Medical school and TIE
19:42    Bidirectional nature of ECTIE
22:00    "Asset-based lens instead of a lens of saviorism"
24:45    Take home points on ECTIE
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.
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Dr. Kathyrn Ridout (Kaiser Permanente Northern California) joins Dr. Dixon and Dr. Berezin to discuss implementing measurement-based care for solo and small-group practitioners.
Transcript
00:33     Ridout interview
00:57     Background
02:56     Measurement-based care
04:32     Large integrated systems versus small group and solo practitioners
06:25     Evidence for the utility of measurement-based care
07:37     Communication and engagement between clinicians and patients
10:22     Edge cases that don't quite fit
13:44     Beyond just the PHQ-9
15:00     Moving beyond the measurement of just symptoms
16:04     What should providers be looking for in measurements?
17:27     Computerized adaptive testing
19:08     Artificial intelligence
22:23     When the measurement doesn't match
26:31     "Base truth"
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Dr. Robert Drake (Columbia University, New York) joins Dr. Dixon and Dr. Berezin to discuss a personal reflection looking back at research conducted at Dartmouth in the 1990s looking at mental health, employment, individual placement, and support.
Transcript
00:49     Dartmouth in the 1990s
01:59     Failures and successes
04:01     "This was really the greatest serendipity of my life"
07:05     Employment versus day centers
09:11     A pivot point
11:07     Assertive Community Treatment (ACT)
12:53     Finding a job, and a path
16:03     Too sick to work?
18:47     Individual Placement and Support (IPS)
21:00     Wanting to share this experience
22:36     Replicating this program in other environments
24:43     The reflection
29:36     Building relationships
31:17     Building IPS
33:35     Advice for employers
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.
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E-mail us at psjournal@psych.org