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

Purchase the Textbook of Community Psychiatry

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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Dr. Joanna Fried and Dr. Brice Reynolds discuss Janian Medical Care, the Manhattan Outreach Consortium, the NYC311 app, their roles as homeless outreach psychiatrists in New York City, and more!

Timestamps:

00:10 Introductions

00:46 Janian Medical Care

01:46 ACT and IMT Teams

03:02 Manhattan Outreach Consortium

10:20 Typical Week of a Homeless Outreach Psychiatrist

23:50 Advice for Trainees

Janian Medical Care

NYC311 App

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

Free AACP Membership for Medical Students, Residents, and Fellows | Instagram | Twitter | Listener Survey | Follow, review, and share!

Guests:

Joanna Fried, MD earned her M.D. at the Columbia University College of Physicians and Surgeons and completed residency training at New York University Medical Center where she was a Chief Resident. She completed fellowship training at Columbia University Public Psychiatry Fellowship and did her clinical placement with Janian/PPOH before joining PPOH as a staff psychiatrist in July 2010. She is a Medical Director for PPOH as well as Medical Director for the Manhattan Outreach Consortium. Dr. Fried is a Clinical Instructor at New York University Medical School. She provides psychiatric care to clients of street outreach teams in Manhattan.

Brice Reynolds, MD is the Assistant Medical Director for Psychiatry at Janian, an NYC-based nonprofit group practice for psychiatry for the homeless. Through Janian, he practices psychiatry on the Harlem-based Goddard ACT team, shelter psychiatry based in Seafarers Safe Haven near Union Square, and street outreach with Breaking Ground as part of the Manhattan Outreach Consortium. He also leads residency recruitment, billing, and is part of the Janian leadership team. Dr. Reynolds was previously a Columbia Public Psychiatry Fellow and served as chief resident at The Mount Sinai Hospital. When he's not biking around the boroughs to meet with patients, he sometimes finds time to learn piano, practice improv comedy, and care for his family’s chickens.

Host:

Angela Liu, MD is a third-year psychiatry resident and Chair of the APA Public Psychiatry Fellowship.

Editor:

Zoe Wyse is a third-year medical student.

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Judge Steve Leifman discusses the intersection of the criminal-legal system and mental health, advocates for systemic changes to reduce the criminalization of severe mental illness, and highlights diversion and treatment programs, including the Miami Center for Mental Health and Recovery.

Timestamps:

00:10 Introductions

03:11 Mental Healthcare and the Criminal System

06:18 Crisis Intervention Teams

09:15 Diversion Programs

13:35 Miami Center for Mental Health and Recovery

22:40 Final Thoughts

Miami Center for Mental Health and Recovery

Judges and Psychiatrists Leadership Initiative

Mental Health Professionals’ Guide to Their Role in the Criminal Justice System

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

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Guest:

Judge Steve Leifman is the Associate Administrative Judge of the Miami-Dade County Court Criminal Division. He previously served as Special Advisor on Criminal Justice and Mental Health for the Supreme Court of Florida and currently chairs the Florida Supreme Court’s Steering Committee on Problem Solving Courts. Judge Leifman is the co-chair of the American Bar Association Criminal Justice Mental Health Committee and co-chair of the Judges and Psychiatrists Leadership Initiative. He serves on the Florida Statewide Task Force on Opioid Abuse, the Florida Drug Policy Advisory Council, and the National Institute on Drug Addiction’s (NIDA) Justice Community Opioid Innovation Network. Judge Leifman is a member of the Group for the Advancement of Psychiatry (GAP), a Lecturer in Psychiatry at Columbia University Vagelos College of Physicians and Surgeons and a Voluntary Assistant Professor of Psychiatry and Behavioral Sciences at the University of Miami School of Medicine. Judge Leifman was appointed to serve on the Conference of Chief Justices and Conference of State Court Administrators National Judicial Task Force to Examine State Courts Response to Mental Illness and the Interdepartmental Serious Mental Illness Coordinating Committee (ISMICC) established by the 21st Century Cures Act. In 2015, Judge Leifman received the William H. Rehnquist Award for Judicial Excellence. One of the nation’s highest judicial honors presented by Chief Justice John G. Roberts Jr., the Rehnquist Award is presented annually to a state court judge who exemplifies judicial excellence, integrity, fairness, and professional ethics. Judge Leifman is also the first recipient to receive the Florida Supreme Court Chief Justice Award for Judicial Excellence (2015). He was named a 2016 Governing Magazine Public Official of the Year. More recently, Judge Leifman was awarded the 2020 Dade County Bar Association (DCBA) David W. Dyer Professionalism Award, the 2018 Pardes Humanitarian Prize in Mental Health, the 2019 Yale-NAMI Mental Health Advocacy Award and a 2019 Presidential Commendation by the American Psychiatric Association. On October 22, 2023, Judge Leifman was bestowed the Papal Medal Benemerenti from Pope Francis by Archbishop Thomas Wenski for his work in the judicial system on behalf of people with mental illnesses. Judge Leifman has authored and published numerous articles and has been featured in many national and local television programs, radio programs, and articles regarding mental health and the criminal justice system. His most recent co-authored article was published in the Atlantic Magazine on May 30, 2022. Judge Leifman is the subject of the Documentary, The Definition of Insanity which aired nationally on PBS on April 14, 2020 - https://doifilm.com/

Host:

Angela Liu, MD is a second-year psychiatry resident and APA Public Psychiatry Fellow.

Editor:

Gabriel Allaf is a fourth-year medical student.

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Dr. Sarah Vinson discusses interpersonal and structural adultism, explores the implications of adultism on the social determinants of mental health and population mental health, and provides recommendations for community psychiatrists to help address the youth mental health crisis.

Timestamps:

00:10 Introductions

01:25 Overview of Adultism

03:51 Interpersonal vs Structural Adultism

08:44 Impacts on Youth Mental Health

13:40 Recommendations for Community Psychiatrists

17:42 Final Thoughts

Social (In)Justice and Mental Health

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

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Guest:

Sarah Y. Vinson, MD is a Triple Board Certified Child & Adolescent, Adult, and Forensic Psychiatrist and currently serves as the Chair of Psychiatry and Behavioral Sciences Morehouse School of Medicine. She is the founder of the Lorio Psych Group, an Atlanta, GA based mental health practice providing expert care and consultation. Dr. Vinson is also the founder of Lorio Forensics, which provides consultation in a wide variety of cases in criminal, civil and family court cases. After graduating from medical school at the University of Florida with Research Honors and as an Inductee in the Chapman Humanism Honors Society, she completed her general psychiatry training at Cambridge Health Alliance/Harvard Medical School. While there, she also received specialized training in trauma through the Victims of Violence Program. She then returned to the South to complete fellowships in both child & adolescent and forensic psychiatry at Emory University School of Medicine. She has been elected and/or appointed to national and statewide office by her professional peers. She is the Past President of the Georgia Council on Child and Adolescent Psychiatry, and the Treasurer of the Georgia Psychiatric Physicians Association. Additionally, she is an Advisor for the Judges Psychiatry Leadership Initiative. She has been a speaker at national conferences including the American Psychiatric Association Annual Meeting, the American Academy of Child and Adolescent Psychiatry Annual Meeting and The National Urban League Annual Meeting.. Dr. Vinson has received numerous awards in recognition of her service and leadership including the University of Florida College of Medicine Outstanding Young Alumna Award and the APA Jeanne Spurlock Minority Fellowship Alumna Achievement Award.

Host:

Angela Liu, MD is a second-year psychiatry resident and APA Public Psychiatry Fellow.

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Dr. Rob Gadomski and Dr. Van Yu discuss key takeaways from the Housing First and the Role of Psychiatry in Supported Housing chapter of the Textbook of Community Psychiatry and more!

Timestamps:

00:10 Introductions

02:00 Supportive Housing and Housing First

19:25 Experience Working in Supportive Housing

25:30 Managing Boundaries as a Community Psychiatrist

33:15 Final Thoughts

Purchase the Textbook of Community Psychiatry

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

Free AACP Membership for Medical Students, Residents, and Fellows | Instagram | Twitter | Listener Survey | Follow, review, and share!

Guest:

Van Yu, MD is Chief Medical Officer of the Center Urban Community Services (CUCS) and its healthcare affiliate Janian Medical Care, which provides on-site psychiatric and primary care to people with lived experience of homelessness at outreach programs, drop-in centers, shelters, safe havens and supportive housing programs. Dr. Yu earned his medical degree from the State University of New York at Stony Brook in 1995 and completed residency training in psychiatry in 1999, including serving as a chief resident, at the New York University Medical Center. After completing residency, Dr. Yu was an Attending Psychiatrist in the Bellevue Hospital Center Comprehensive Psychiatric Emergency Program (CPEP) for two years before becoming Assistant Director from April 2001 to March 2003. He joined the Project for Psychiatric Outreach to the Homeless, the precursor of Janian Medical Care, as a Staff Psychiatrist in April 2003. He also served as Medical Director of the Manhattan Outreach Consortium from 2007 to 2013. Dr. Yu is a Clinical Assistant Professor at the New York University School of Medicine where he has had a faculty appointment since 1998.

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:

Zoe Wyse is a second-year medical student.

Credit Attribution: Stock Media provided by StockAudios / Pond5

Dr. Atasha Jordan discusses her journey in establishing the Christian Mental Health Initiative, her passion for improving mental health education in faith-based communities, and her recommendations for community psychiatrists to ask patients about their religious and spiritual preferences.

Timestamps:

00:10 Introductions

01:58 Overview of the Christian Mental Health Initiative

08:34 Collaborating with Church Leaders

16:58 Future Directions

23:57 Discussing Faith with Patients

28:34 Key Takeaways

Christian Mental Health Initiative:

- Website: www.christianmentalhealthinitiative.org

- Social media: @CMHIConnect (Facebook, Instagram, Twitter, Pinterest, TikTok)

Dr. Atasha Jordan:

- Website: www.atashajordan.com

- Social media: @atashajordan (Instagram, Twitter, Pinterest)

- Social media: @dr.atasha (TikTok)

FICA and HOPE Assessment, Cultural Formulation Interview

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

Free AACP Membership for Medical Students, Residents, and Fellows | Other AACP Membership | Instagram | Twitter | Listener Survey | Follow, review, and share!

Guest:

Dr. Atasha Jordan, MD, MBA is passionate about serving patients with mental health illnesses in the U.S. and the Caribbean. Dr. Jordan aims to highlight the important intersection of faith and mental health. Dr. Jordan is frequently featured at national and international academic conferences, Grand Rounds, Christian conferences, international news and radio, and more. She studies Mental Health First Aid as an evidence-based psychoeducation intervention for Black church attendees in Philadelphia. Dr. Jordan recently founded the 501(c)(3) non-profit Christian Mental Health Initiative to help churches address the mental health needs of their congregants. Dr. Jordan is an attending psychiatrist at Cooper University Health Care in Camden, NJ, where she splits her time between clinical psychiatry, medical school student teaching, and community-based participatory research in faith-based communities.

Host:

Angela Liu, MD is a second-year psychiatry resident and APA Public Psychiatry Fellow.

Editor:

Aldwin Soumare, DO, MS

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Dr. Rob Gadomski and Dr. Monica Taylor-Desir discuss key takeaways from the Social and Political Determinants of Health and Mental Health chapter of the Textbook of Community Psychiatry and more!

Timestamps:

00:10   Introductions

02:15   Social Determinants of Mental Health 

12:05   Political Determinants of Mental Health 

18:37   Different Forms of Advocacy

21:51   Advice for Trainees and Community Psychiatrists

Purchase the Textbook of Community Psychiatry

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

Free AACP Membership for Medical Students, Residents, and Fellows | Other AACP Membership | Instagram | Twitter | Listener Survey | Follow, review, and share!

Guest:

Monica Taylor-Desir, MD, MPH is a psychiatrist with the Department of Psychiatry and Psychology at the Mayo Clinic in Rochester, MN where she serves as a community psychiatrist for the Olmsted County Assertive Community Treatment Team, at the Southeast Regional Crisis Center and as the co-chair for the Equity, Inclusion and Diversity Committee for the Mayo Midwest Department of Psychiatry and Psychology. Prior to joining Mayo Clinic Dr. Taylor-Desir served as a community psychiatrist for tribal communities for 16 years. Dr. Taylor-Desir graduated from the University of Cincinnati College Of Medicine. She completed her psychiatry residency and a fellowship in community psychiatry at Emory University. Dr. Taylor-Desir is a member of the Health Equity and Racial Justice Committee of the Minnesota Psychiatric Society and also serves on the National Network of Depression Centers Diversity, Equity and Inclusion Workgroup. Dr. Taylor-Desir also has the pleasure of serving as the secretary for the American Psychiatric Association Foundation Board.

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:

Gabriel Allaf is a fourth-year medical student.

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Dr. Jeff Eisen describes his career path from a background in Business and Healthcare Operations to becoming the Chief Medical and Operating Officer for Behavioral Health at a large health system in Washington state and lessons learned along the way!

Timestamps:

00:10 Introductions

03:00 Business and Healthcare Operations Training

09:40 Prior Careers in Community Psychiatry

16:47 Current Role as a Chief Medical and Operating Officer for Behavioral Health

28:10 Final Words of Advice

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

Free AACP Membership for Medical Students, Residents, and Fellows | Other AACP Membership | Instagram | Twitter | Listener Survey | Follow, review, and share!

Guest:

Jeffrey Eisen, MD, MBA currently serves as the Chief Medical Officer of the Behavioral Health Network and Chief Operating Officer of Outpatient Services for the MultiCare Health System. In this role, Dr. Eisen leads the system-wide delivery of psychiatric services, which includes the development of a collaborative, coordinated system of behavioral healthcare across the region. In addition, Dr. Eisen holds a faculty position in the Department of Psychiatry at Oregon Health and Science University. Prior to MultiCare, Dr. Eisen served as the Chief Medical and Health Integration Officer of Cascadia Behavioral Healthcare, the largest provider of community-based mental health and substance use treatment services in the state of Oregon. Prior to these appointments, Dr. Eisen served as a full-time faculty member in the Department of Psychiatry at Harvard Medical School. Dr. Eisen sat on the mental health advisory team and the opioid overdose epidemic task force for former Oregon Governor Kate Brown and was a consulting advisor to the mental health transformation team of California Governor Gavin Newsom. He is also the Past President of the Oregon Psychiatric Physicians Association, the state branch of the American Psychiatric Association. Dr. Eisen received his MD from the University of Chicago Pritzker School of Medicine and completed his postdoctoral residency in adult psychiatry at Cambridge Health Alliance and Harvard Medical School. He was a fellow in forensic psychiatry at the University of Massachusetts, affiliated with the Massachusetts Department of Mental Health.  Dr. Eisen also holds an MBA from the Stanford University Graduate School of Business, with certification in Public Management.

Host:

Angela Liu, MD is a second-year psychiatry resident and APA Public Psychiatry Fellow. 

Editor:

Zoe Wyse is a second-year medical student.

Credit Attribution: Stock Media provided by StockAudios / Pond5