Changing Crisis Care: The Psych Crisis Podcast

Jessica Ocean

psychcrisis.org is working to change the system that responds when someone has a mental health crisis so it actually helps. On this podcast, we interview people with deep knowledge about some part of the system to ask 'what needs to change?' and 'what is in the way?' psychcrisis.substack.com

Episodes

  1. 04/18/2023

    Jackie leads the emergency psychiatry team in a busy Sydney emergency department

    The main place people go currently for help when they are in a mental health crisis is the emergency department of their local hospital. If psychiatric crisis care is going to improve, either the care people get at EDs will improve, or people will go somewhere else that is better suited to their situation. What changes need to happen in EDs to make them more helpful, and what changes -can- happen? Our guest today is Dr. Jacqueline Huber, a crisis psychiatrist at a major hospital in Sydney, Australia. She treats patients at the emergency department with the highest volume of patients with mental health concerns in the biggest city in Australia. She has introduced changes in the department with the goal of making patients feel calmer and safer when they come in to the ED with a mental health concern. She's also a PhD student in emergency psychiatry and has done a systematic review of the data on inpatient stays. On the psychcrisis.org podcast we're hunting for ways to change mental health crisis care, and the system that provides it. We're asking our guests, with their expertise from different parts of the process, to help us figure out what to do. I want to know what it's like to do Jackie's job, what is hard about it, and what gets in the way. I also want to know what changes she would like to see to improve crisis care! The Lived Expertise Project Get full access to psychcrisis.org at psychcrisis.substack.com/subscribe

    Jackie leads the emergency psychiatry team in a busy Sydney emergency department
  2. 04/17/2023

    Pablo led the introduction of a relational psychosis crisis response service in the NYC public health system

    Parachute NYC was a project that aimed to introduce mobile dialogic therapy teams and a set of other crisis response services into the busy New York City public medical system in 2012-2015, and through these services introduce a new paradigm for understanding psychiatric crisis and mental illness into the mainstream medical system. The main dialogic teams service did not continue after its pilot period but some other parts are still operating. dr. Pablo Sadler was the co-director of the Parachute project, and is also the Medical Director at the NYC Bureau of Mental Health. Funded by a federal Medicare innovation grant. On the psychcrisis.org podcast we're hunting for ways to change mental health crisis care, and the system that provides it. We're asking our guests, with their expertise from different parts of the process, to help us figure out what to do. What I want to know: What factors would have had to be different for the Parachute NYC project to be able to stay fully, permanently open at the end of its grant-funded period? What factors would have had to be different in order for the project to meet its original goal of serving only people experiencing first-episode psychosis or who had never taken antipsychotic medication? What specific improvements has the federal Medicaid/Medicare’s innovation grant program created in mental health crisis care? What is in the way of it making more effective change, more quickly? The Parachute White Paper Dr. Sadler's bio Get full access to psychcrisis.org at psychcrisis.substack.com/subscribe

    Pablo led the introduction of a relational psychosis crisis response service in the NYC public health system

About

psychcrisis.org is working to change the system that responds when someone has a mental health crisis so it actually helps. On this podcast, we interview people with deep knowledge about some part of the system to ask 'what needs to change?' and 'what is in the way?' psychcrisis.substack.com