Elizabeth Bromley, M.D., Ph.D. (University of California, Los Angeles) joins Dr. Dixon and Dr. Berezin to discuss the use of outpatient conservatorship in the effort to address mental health disability among unsheltered homeless persons in Los Angeles County, California.

• 00:00 Introduction
• 03:04 Homelessness in Los Angeles County, California
• 09:04 The paper and services
• 11:39 Lanterman-Petris-Short (LPS) conservatorship
• 13:44 Outpatient conservatorship (OPC) pilot program
• 15:54 Skepticism
• 18:48 Beyond conservatorship: other aspects of the program
• 22:34 Initial evaluation
• 25:21 Quantitative measures
• 28:33 Coordination

Transcript

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Gregory E. Simon, M.D., M.P.H. (Kaiser Permanente Washington Health Research Institute, Seattle) join Dr. Dixon and Dr. Berezin to discuss the use of machine learning models to analyze electronic health records to predict antidepressant treatment response.

00:00     Introduction
02:31    Focus on practical research
04:55    Population studied
05:57    Predicting outcomes
07:20    Using diagnostic codes, not personalized notes
08:04    What three data items might be more helpful?
08:49    What key indicators are we missing in clinical care?
11:35    A billing tool, not a clinical tool
12:57    Is suicide a predictable event based on electronic health record data?
14:48    “Machine learning and artificial intelligence” 
16:15    Methods
18:59     Can we do a better job clarifying what we mean by depression?
22:32    How can we use a predictive model in clinical practice?
28:20    Predictive models, probability, the weather, and communicating 

Transcript

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Misty C. Richards, M.D., M.S. (University of California, Los Angeles), and Nicole Kozloff, M.D. (University of Toronto), join Dr. Dixon and Dr. Berezin to discuss the need to remodel our systems and provision of mental health services for children and adolescents.

• 00:00     Introduction
• 01:18     Impetus
• 05:45     What constitutes a mental health crisis?
• 11:14     “Remodeling”
• 16:21     Differences by location
• 18:28     Remodeling primary care
• 21:25     Virtual care
• 27:19     New service models
• 32:19     Are we moving in the right direction?

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.

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E-mail us at psjournal@psych.org