Psychiatric Services From Pages to Practice Psychiatric Services

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.
Workforce crisis in behavioral health care [01:33] How representative of the country is Oregon? [03:45] Who were you talking to? [05:32] A figure on radio [06:30] Generating a theoretical framework from the responses [08:01] Qualitative methods [09:30] The five factors [10:33] Wages [14:05] Infrastructure [14:40] Are these issues unique to behavioral health services? [19:11] Legislative changes in Oregon [21:25] Feeling supported matters [23:39] Did the pandemic exacerbate the problem? [27:04] Take home [29:08] Access the complete Behavioral Health Workforce Report to the Oregon Health Authority and State Legislature here.
Transcript
 
Figure 1.  Factors influencing turnover and attrition in the public behavioral health system workforce in Oregona
a Interviewees identified factors across three levels—system, organizational, and individual—that contribute to the direct drivers of workforce turnover and attrition.
 
https://ps.psychiatryonline.org/pb-assets/podcasts/transcripts/PS/PS_Chung_August_2023_transcript.pdf
 
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.
Follow the journal on Twitter.

E-mail us at psjournal@psych.org

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.
Chung interview [00:58] A bridge between clinical and research work [02:32] The colocation model and the collaborative care model [03:44] What populations are you working with? [07:21] Differences in service utilization and cost [10:25] Methodology [10:47] Concentration on depression instead of other psychiatric disorders [13:59] Findings [15:11] Choosing between models [20:21] Impact of COVID [24:06] Final thoughts [28:21] 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.
Listen to other podcasts produced by the American Psychiatric Association.
Follow the journal on Twitter.

E-mail us at psjournal@psych.org

Joseph Parks, M.D., joins Dr. Dixon and Dr. Berezin to discuss guidelines for clinicians on how to deal with the increased prevalence of drugs adulterated with fentanyl and similar potent fentanyl analogs.
MDI publications can be found here.
Parks interview [00:53] The National Council for Mental Wellbeing [01:21] Guidelines [03:50] Contemplation [05:02] A back-to-basics approach [07:13] Fentanyl test strips and harm reduction [08:37] Spillover [10:06] Issues with fentanyl [12:05] Incremental behavioral changes [13:44] Things people should know about fentanyl [16:29] Training for professionals [18:03] How things are moving [19:55] See the Psychiatric Services Editor's Choice collection, "Responding to the Opioid Crisis."
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.
Listen to other podcasts produced by the American Psychiatric Association.
Follow the journal on Twitter.

E-mail us at psjournal@psych.org

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.
 

Slade interview [00:59] Medicare and Medicaid [02:24] Eligibility for each, and both [06:36] Dual eligibility [08:09] Who pays for care? [09:51] Managed care [11:13] Trade offs between traditional insurance and HMO plans [15:47] Medicare Advantage [18:17] Dual Eligible Special Needs Plans (D-SNPs) [19:06] D-SNPs from the perspective of consumers [21:34] Provider networks [24:50] Findings [27:07] Why do D-SNPs not have larger psychiatrist networks than traditional Medicare? [30:02] Mental health care and insurance coverage [33:47] What should policymakers take from this? [36:37] What should clinicians take from this? [39:56]  
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.
 
Listen to other podcasts produced by the American Psychiatric Association.
 
Follow the journal on Twitter.

E-mail us at psjournal@psych.org

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.
•    Southwick and Guntuku interview [01:37]
•    What led you to this study design? [03:06]
•    What did you think this would look like in a therapy setting? [08:00]
•    Amount of data patients contributed varied widely [09:39]
•    The dashboard [10:12]
•    What were the effects of sharing digital data with therapists? [12:31]
•    The Hawthorne effect [15:25]
•    What’s next for your research? [18:23]
•    Recruitment [20:46]
•    COVID and people’s interactions with digital media and mental health [23:29]
•    ChatGPT [26:50]
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.
Listen to other podcasts produced by the American Psychiatric Association.
Follow the journal on Twitter.

E-mail us at psjournal@psych.org
 

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.
•    Keepers and Bhalla interview [00:50]
•    Incentivizing provider behavior changes [03:01]
•    Measurement instruments [05:30]
•    Measurement-based care from the care recipient’s perspective [06:27]
•    Study design [09:16]
•    Clinical utility and measurement-based care [11:31]
•    Are we using the right measure? [14:45]
•    Heterogeneity in provider perceptions of measurement-based care [16:08]
•    Training providers [17:25]
•    Providing care is hard [19:36]
•    What’s next for your research? [22:10]
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.
Listen to other podcasts produced by the American Psychiatric Association.
Follow the journal on Twitter.

E-mail us at psjournal@psych.org