47 min
EP31: Mental Health and Older Adults: Important Concerns and Future Directions This Is Getting Old Podcast with Melissa B PhD
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Mental Health and Older Adults: Important Concerns and Future Directions
“Both older adults and younger folks die by suicide, which is why mental health is a big public health issue that is often underfunded.” — Luming Li, M.D.
One of the top leading causes of death in America is suicide - making mental health a critical topic. In this week's episode, we are joined by Luming Li, M.D., and Michael Schoenbaum, Ph.D., who are helping to advance the work of prevention of mental health conditions.
Part One of ‘Mental Health and Older Adults: Important Concerns and Future Directions’
Luming Li, M.D. is an Assistant Professor at the Yale School of Medicine, Department of Psychiatry, and currently serves as the Associate Medical Director of Quality Improvement of the Yale New Haven Psychiatric Hospital. Her clinical focus is on patients with severe psychiatric conditions that require complex systems of care.
She works clinically as an inpatient psychiatrist at the transitional age, dual-diagnosis psychiatric/substance disorder units at the Yale New Haven Psychiatric Hospital, and serves as a consultant psychiatrist in the Nathan Smith Clinic for patients with HIV. She has research and educational interests in healthcare policy, hospital management, clinical redesign, leadership development, operational efficiency, and quality improvement.
Dr. Li completed a 7-year B.A./M.D. program at Rutgers/Robert Wood Johnson Medical School and residency training at the Yale School of Medicine, Department of Psychiatry. She has also served on national committees within the American Psychiatric Association (APA), including the Health Systems and Financing Committee (2017-2018), and was an APA Public Psychiatry Fellowship recipient. She is a 2019-2020 Health and Aging Policy Fellow and American Political Science Association Congressional Fellow.
Michael Schoenbaum (PhD in Economics, University of Michigan, 1995) is Senior Advisor for Mental Health Services, Epidemiology, and Economics in the NIMH's Division of Services and Intervention Research. He conducts analyses of public health and mental health service issues in support of Institute decision-making. He works to strengthen NIMH's relationships with public and private stakeholders to increase the public health impact of NIMH-supported research. He has worked extensively on expanding and improving identification and treatment of suicide risk; on improving treatment for behavioral health issues in general medical settings, and on broader implementation of the evidence-based Collaborative Care model to do so, and on facilitating the adoption of coordinated specialty care for early psychosis. Before joining NIMH in 2006, Dr. Schoenbaum was a Robert Wood Johnson Scholar in health policy at the University of California, Berkeley, from 1995-1997, and an economist at the RAND Corporation from 1997-2014 (adjunct 2006-2014).
Part Two of ‘Mental Health and Older Adults: Important Concerns and Future Directions’
Many suicides are associated with mental health and/or substance use conditions; we might all wish for better treatments. But for now, from public health or a clinical care perspective, we have to work with the treatments that exist.
There's a national conversation about the need for better mental health and substance use care because everybody is concerned that the pandemic might be increasing risk. However, the conversation may also represent an opportunity to do better in ways that we could or should have pursued before the pandemic. There are different steps and components to zero suicide, but how do we measure that it's being implemented? Everything must be aligned with the evidence.
Due to science development, there are now many ways to find people with suicide risk, which is essential because we can't help them if we can't find them. There are approaches to use evidence-based tools to accomplish what the goals are for the different steps. For example, one of
Mental Health and Older Adults: Important Concerns and Future Directions
“Both older adults and younger folks die by suicide, which is why mental health is a big public health issue that is often underfunded.” — Luming Li, M.D.
One of the top leading causes of death in America is suicide - making mental health a critical topic. In this week's episode, we are joined by Luming Li, M.D., and Michael Schoenbaum, Ph.D., who are helping to advance the work of prevention of mental health conditions.
Part One of ‘Mental Health and Older Adults: Important Concerns and Future Directions’
Luming Li, M.D. is an Assistant Professor at the Yale School of Medicine, Department of Psychiatry, and currently serves as the Associate Medical Director of Quality Improvement of the Yale New Haven Psychiatric Hospital. Her clinical focus is on patients with severe psychiatric conditions that require complex systems of care.
She works clinically as an inpatient psychiatrist at the transitional age, dual-diagnosis psychiatric/substance disorder units at the Yale New Haven Psychiatric Hospital, and serves as a consultant psychiatrist in the Nathan Smith Clinic for patients with HIV. She has research and educational interests in healthcare policy, hospital management, clinical redesign, leadership development, operational efficiency, and quality improvement.
Dr. Li completed a 7-year B.A./M.D. program at Rutgers/Robert Wood Johnson Medical School and residency training at the Yale School of Medicine, Department of Psychiatry. She has also served on national committees within the American Psychiatric Association (APA), including the Health Systems and Financing Committee (2017-2018), and was an APA Public Psychiatry Fellowship recipient. She is a 2019-2020 Health and Aging Policy Fellow and American Political Science Association Congressional Fellow.
Michael Schoenbaum (PhD in Economics, University of Michigan, 1995) is Senior Advisor for Mental Health Services, Epidemiology, and Economics in the NIMH's Division of Services and Intervention Research. He conducts analyses of public health and mental health service issues in support of Institute decision-making. He works to strengthen NIMH's relationships with public and private stakeholders to increase the public health impact of NIMH-supported research. He has worked extensively on expanding and improving identification and treatment of suicide risk; on improving treatment for behavioral health issues in general medical settings, and on broader implementation of the evidence-based Collaborative Care model to do so, and on facilitating the adoption of coordinated specialty care for early psychosis. Before joining NIMH in 2006, Dr. Schoenbaum was a Robert Wood Johnson Scholar in health policy at the University of California, Berkeley, from 1995-1997, and an economist at the RAND Corporation from 1997-2014 (adjunct 2006-2014).
Part Two of ‘Mental Health and Older Adults: Important Concerns and Future Directions’
Many suicides are associated with mental health and/or substance use conditions; we might all wish for better treatments. But for now, from public health or a clinical care perspective, we have to work with the treatments that exist.
There's a national conversation about the need for better mental health and substance use care because everybody is concerned that the pandemic might be increasing risk. However, the conversation may also represent an opportunity to do better in ways that we could or should have pursued before the pandemic. There are different steps and components to zero suicide, but how do we measure that it's being implemented? Everything must be aligned with the evidence.
Due to science development, there are now many ways to find people with suicide risk, which is essential because we can't help them if we can't find them. There are approaches to use evidence-based tools to accomplish what the goals are for the different steps. For example, one of
47 min
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