Psychiatric Services From Pages to Practice

Dr. Michael Compton (Columbia University) joins Dr. Dixon and Dr. Berezin, with guest host Dr. Matt Hirschtritt, to discuss two recent articles describing how states employ federal funds to expand crisis services via Medicare and Medicaid, and SAMHSA. Transcript 02:06   Motivations 02:52   988 implementation 04:44   How states are leveraging federal funding 05:39   State level variations in implementation 10:35   Enduring bipartisan support for crisis services 12:07   Differing roles for CMS and SAMHSA 14:47   1115 waivers 17:48   Momentum for crisis services 18:21   Coordinating braided funding streams 21:21   Certified Community Behavioral Health Clinics (CCBHCs) 23:37   Mental Health Block Grants 26:34   Mental health crisis response and law enforcement 29:39   The overarching framework of crisis response 31:59   The funding landscape 34:18   Further 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]

Amandeep Jutla, M.D., joins Dr. Dixon and Dr. Berezin, with guest host Dr. Matt Hirschtritt, to discuss concerns surrounding the use of large language model chatbots and psychiatric risk. 01:08   Introduction 04:03   Language models in 2019 05:18   The appeal of chat-based AI for autistic adults 07:34   Do you use chat-based AI models personally? 09:44   Specific concerns of interacting with AI chat bots 11:07   The illusion of speaking with a person 13:34   Suggestions for clinicians and researchers 16:17   Questions a clinician should ask 18:29   Uses for AI models 20:11   Can chat bots get good at providing advice? 21:30   Regulations? 24:12   Motivational interviewing   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]  

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 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]

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 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]  

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. Listen to other podcasts produced by the American Psychiatric Association. Follow the journal on Twitter. E-mail us at [email protected]