Episode Description:

Dr. Margie Balfour and Dr. Rob Gadomski discuss key takeaways from the Crisis and Emergency Services chapter of the Textbook of Community Psychiatry including the 988 Suicide and Crisis Lifeline, differences in crisis response by state, the role of law enforcement in managing mental health crises, and more!

Timestamps:

00:10 Introductions

01:49 988 Suicide and Crisis Lifeline

08:30 Components of the Ideal Mental Health Crisis System

14:31 Differences of Mental Health Crisis System by State

17:19 Law Enforcement Involvement in Mental Health Crisis

23:54 Measuring Success in Crisis Systems

33:29 Final Thoughts

Roadmap to the Ideal Crisis System

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Created by the American Association for Community Psychiatry (AACP).

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Guest:

Margie Balfour, MD, PhD is a psychiatrist and national leader in crisis care, quality improvement, and law enforcement responses to behavioral health emergencies. She is Chief of Quality and Clinical Innovation at Connections Health Solutions and an Associate Professor of Psychiatry at the University of Arizona. Dr. Balfour was named Doctor of the Year by the National Council for Mental Wellbeing for her leadership at the Crisis Response Center in Tucson, Arizona, and received the Sam Cochran Criminal Justice award from the National Alliance on Mental Illness for her work to help law enforcement better serve people with behavioral health needs. She co-authored Roadmap to the Ideal Crisis System: Essential Elements, Measurable Standards, and Best Practices, and her work on crisis outcome measurement has been cited as a national standard. Dr. Balfour is a Distinguished Fellow of the American Psychiatric Association and serves on the APA Council on Quality of Care. She has also served on the boards of the American Association for Community Psychiatry, American Association for Emergency Psychiatry, and numerous expert panels for SAMHSA, the DOJ, and others. A native of Monroe, Louisiana, Dr. Balfour received a BA in Biology at Johns Hopkins University and then her MD and PhD in Neuroscience from the University of Cincinnati. She completed residency and fellowship in Community Psychiatry at the University of Texas Southwestern Medical Center in Dallas.

Host:

Rob Gadomski, DO is the Deputy Medical Director of Psychiatric Services at Project Renewal, Inc and a graduate of the Columbia Public Psychiatry Fellowship in June 2022. He works primarily with homeless and marginalized individuals in the New York City area. He went to the Philadelphia College of Osteopathic Medicine for medical school and completed his psychiatry residency training at Einstein Medical Center in Philadelphia before moving to NYC, where he gathered an interest in working with homeless populations and individuals interacting with the criminal legal system.

Editor:

Daniel E. Carvallo-Ruiz, M.D.

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