77: Considerations for Implementation of Measurement-Based Care: Focus on Solo and Small-Group Practitioners

Dr. Kathyrn Ridout (Kaiser Permanente Northern California) joins Dr. Dixon and Dr. Berezin to discuss implanting 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" 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.

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. Follow the journal on Twitter. E-mail us at [email protected]

Dr. Benjamin Brody (Weill Cornell Medicine, New York) joins Dr. Dixon and Dr. Berezin to discuss how Joint Commission accreditation can be evolved to ensure that it is aligned with best incentives to for high-quality behavioral health care. Transcript 00:52     Brody background 02:51     Inpatient work 03:42     The tension of inpatient psychiatric care 05:28     The Joint Commission 07:39     What the Joint Commission is doing well 09:04     Best practices 11:02     Who ordered what, when, and where 13:33     Including the patient as a stakeholder 20:23     Comprehensive treatment plans 22:25     What would you do if you were CEO? 24:34     Ensuring that the things the Joint Commission focuses on are the things that improve patients' lives. 25:14     A vision for quality improvement that engages stakeholders 30:12     Shared decision making 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 [email protected]

Dr. Judith Cook (University of Illinois Chicago) joins Dr. Dixon and Dr. Berezin to discuss an intervention designed to help improve financial literacy and competency and reduce economic strain for people receiving services for psychiatric disorders. Transcript 00:57     Psychiatric services research 02:05     Clinical work and Thresholds 03:46     Current role 04:23     Why does financial wellness matter for this population? 06:43     Psych rehab 08:05     Spending triggers 10:59     A psych rehab framework 12:53     Financial wellness 14:10     Beyond trans-diagnostic 16:24     The curriculum 20:10     Receiving a good financial education 21:32     Top line findings of the trial 25:07     The emotional context of financial wellness 25:55     Trained peer instructors 27:34     Policymaker takeaways 30:30     Financial literacy does not imply financial wellness 32:07     Small goals towards financial wellness  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 [email protected]

Dr. Kevin Simon (Harvard Medical School and Boston Public Health Commission) joins Dr. Dixon and Dr. Berezin to discuss the processes behind and concerns surrounding involuntary psychiatric hospitalization. Transcript 01:03     Career path 03:42     Boston Public Health Commission 09:28     Collaborators 13:09     Section 12 16:14     Transportation 17:17     Rates of involuntary transport 22:29     Requests that don't end in transport 23:42     Police involvement 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 [email protected]

Eunice Wong, Ph.D., (RAND, Santa Monica, Calif.) joins Dr. Dixon and Dr. Berezin to discuss a review taking a look at the interactions of faith communities and the mental health sector in the provision of mental health care. Transcript 00:56     How did you arrive at this field of study? 02:58     What is RAND and what do they do? 04:11     How are works for a think tank evaluated? 05:21     The interaction of faith communities and mental health service provision 07:38     Types of collaboration – PSFPTP Hankerson episode 09:57     Why look at the literature now? 11:12     What kinds of questions are you asking? 12:57     The complexity of different faiths, and different organizations 15:56     Topline findings 18:12     Does the research paradigm work in situations like this? 22:03     Discussing a patient and provider's religiosity 23:20     Assumptions and characterizations of faith-based organizations 24:55     Destigmatizing conversations about mental health and behavioral health in faith-based communities 27:39     The multilayered nature of faith-based community participation 28:53     Future research 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 [email protected]

Dr. Mette Ødegaard Nielsen (Unit for Complicated Schizophrenia, Glostrup, Denmark) joins Dr. Dixon and Dr. Berezin to discuss patient motivations and experiences of antipsychotic medication tapering at a clinic in Denmark. Transcript 01:02     Nielsen interview 02:22     Tapering medication 04:09     Controversies around tapering 07:07     Debilitating effects of side effects 09:09     The tension between medication and side effects for the clinician 12:47     Top line findings 15:28     Psychotic symptom relapse 17:38     Differences by medication 19:43     Expectations from patients 21:47     Shared decision making 24:44     Mixed expectations and reality 27:20     Relapse 29:50     Close contact between patients and clinic staff 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 [email protected]

Maggi A. Price, Ph.D., M.A. (School of Social Work, Boston College) joins Dr. Dixon and Dr. Berezin to discuss gender-affirming psychotherapy (GAP), a comprehensive, evidence-informed, and human-centered set of practices focusing on the treatment of transgender youth developed by Dr. Price and colleagues. The training discussed in the podcast is available to the public at a reduced cost at https://www.affirmlab.org/gaptraining with the discount code "psychserv50." Transcript 01:27     How did you end up on this project? 04:20     Gaps in care for transgender youths 05:47     Methods 08:47     Human-centered design 09:28     Stakeholders and focus groups 12:32     Domains 15:22     Key themes 18:17     Can you separate out gender identity from other goals of therapy? 20:38     Bringing in providers who are less supportive of potentially hostile 23:40     Providers who work in areas of transgender discrimination 26:03     First steps 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 [email protected]

Dr. Sharon Hoover (University of Maryland School of Medicine, Baltimore) joins Dr. Dixon and Dr. Berezin to discuss the provision of mental health services in schools: why it matters, who it touches, how it's funded, and how it's doing. 01:15     Background 02:46     Provision of school mental health 09:56     How mental health services differ between ages and grades 11:08     COVID pandemic and youth mental health 15:29     Federal funding mechanisms 18:39     Using the funding while it's still available 22:10     Partnerships in school mental health 23:00     Medicaid 27:11     Medicaid billing and complications for school systems 28:47     Technical assistance for schools 30:07     Data systems 33:49     Temperature check 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 [email protected]

Simon Graham, M.B.Ch.B., M.R.C.Psych., and Kathy Curtis (Spring House Psychotherapy and Personality Disorder Service) join Dr. Dixon and Dr. Berezin to discuss the use of a local case management team and a combined day treatment and crisis service for patients with borderline personality disorder in Liverpool, United Kingdom. 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 [email protected]