Kate K.的动态

It can be hard to explain exactly what value-based care (VBC) looks like.?That's especially true in psychiatry. VBC is all the rage now, but the concept has been around for decades.?Think of it as incentivizing medical providers?to do?the right thing for patients at the right time in a cost-effective way. The EmPATH unit has been the most striking example of psychiatric care unlocking value for the healthcare system that I have witnessed. EmPATH is short for "emergency psychiatric assessment, treatment, and healing".??Dr. Scott Zeller pioneered the model in Alameda, CA around 2010. After ruling out any serious or life-threatening physical problems, ER doctors transfer patients with?mental health- or substance-related crises to the EmPATH unit for immediate specialty care. Only months after the introduction of Montana's first unit in 2018, the quality of care improved dramatically while its?cost decreased by 20%.?It's rare to witness this in vivo. ER wait times for psychiatric patients dropped by more than?60% to an average of about 4 hours and the frequency of physical restraints plunged. Since they were receiving timely specialty care, fewer patients needed admission to the psychiatric hospital.?In fact, hospitalization rates dropped to 35% from 55% and 30-day readmissions decreased to 12% from 19%. Primary care is responsible for the bulk of VBC contracts with payers so far.?Let's not forget that true value can be found in some unlikely places along the entire continuum of care. Our team at Frontier Psychiatry is committed to demonstrating that timely, evidence-based psychiatric- and addiction treatment is a source of value that has thus far been largely untapped.

It can be hard to explain exactly what value-based care (VBC) looks like.?That's especially true in psychiatry. VBC is all the rage now, but the concept has been around for decades.?Think of it as incentivizing medical providers?to do?the right thing for patients at the right time in a cost-effective way. The EmPATH unit has been the most striking example of psychiatric care unlocking value for the healthcare system that I have witnessed. EmPATH is short for "emergency psychiatric assessment, treatment, and healing".??Dr. Scott Zeller pioneered the model in Alameda, CA around 2010. After ruling out any serious or life-threatening physical problems, ER doctors transfer patients with?mental health- or substance-related crises to the EmPATH unit for immediate specialty care. Only months after the introduction of Montana's first unit in 2018, the quality of care improved dramatically while its?cost decreased by 20%.?It's rare to witness this in vivo. ER wait times for psychiatric patients dropped by more than?60% to an average of about 4 hours and the frequency of physical restraints plunged. Since they were receiving timely specialty care, fewer patients needed admission to the psychiatric hospital.?In fact, hospitalization rates dropped to 35% from 55% and 30-day readmissions decreased to 12% from 19%. Primary care is responsible for the bulk of VBC contracts with payers so far.?Let's not forget that true value can be found in some unlikely places along the entire continuum of care. Our team at Frontier Psychiatry is committed to demonstrating that timely, evidence-based psychiatric- and addiction treatment is a source of value that has thus far been largely untapped.

#OpenAccess paper from the CAMH journal Differences in body mass index trajectories of adolescent psychiatric inpatients by sex, age, diagnosis and medication: an exploratory longitudinal, mixed effects analysis https://bit.ly/3vo3zFV Adolescents in secure psychiatric care typically report high obesity rates. However, longitudinal research exploring the rate and extent of change is sparse. This study aimed to analyse sex differences in longitudinal body mass index (BMI) change for adolescents receiving treatment in a secure psychiatric hospital. Authors: Justine Anthony, William Johnson, Anthony Papathomas, Kieran Breen, Florence-Emilie Kinnafick #MentalHealth #MentalHealthMatters #MentalHealthAwareness #Science #Evidence #Research #Wellbeing #Psychology #Psychiatry #EatingDisorders

New Research just published online and #openaccess in our #ECAP journal: Adult mental health outcomes of adolescent depression and co-occurring alcohol use disorder: a longitudinal cohort study by Bohman et al. The aim of this study was to explore the risk for adult depression, anxiety disorders, suicidality, and alcohol use disorder?(AUD) in adolescents with concurrent depression and AUD. The study was based on the Uppsala Longitudinal Adolescent Depression Study (ULADS), a Swedish prospective cohort study. https://lnkd.in/e4EqcWXj #adolescentpsychiatry #psychiatryresearch #ESCAP #anxietydisorder

??Check out this insightful resource on The Case for Palliative Psychiatric Treatment: https://zurl.co/vT41 Explore the benefits of a palliative psychiatry framework and how "the best model for coordinating palliative and behavioral health care involves integrating a palliative care clinician into a behavioral health clinic." #BehavioralHealth #PalliativeCare #PracticeManagement #MentalHealthLeadership #BreezyBilling

?? Hallucinogens might not be for everyone..... just saying The recent JAMA Psychiatry study,?Emergency Department Visits Involving Hallucinogen Use and Risk of Schizophrenia Spectrum Disorder, explored a notable increase in emergency department (ED) visits related to hallucinogen use, with a focus on potential links to the onset of schizophrenia spectrum disorders. Key Findings: ?? Rise in Hallucinogen-Related ED Visits: The number of ED visits due to hallucinogens, including LSD, psilocybin, and MDMA, has significantly risen, particularly among younger populations. This aligns with changing perceptions of these substances in some parts of society. ?? Connection to Schizophrenia Spectrum Disorders: Individuals who presented at EDs for hallucinogen-related issues were found to have a higher risk of later developing schizophrenia spectrum disorders. The study suggests a potential association between hallucinogen use and triggering or exacerbating underlying psychiatric vulnerabilities. ?? Demographic Insights: The rise in hallucinogen use and related health complications appears to disproportionately affect young adults and men. These groups may face greater risks due to higher consumption rates and potential genetic predispositions to mental health disorders. ?? Clinical Implications: Emergency physicians and mental health professionals are encouraged to screen for hallucinogen use during ED visits, particularly in individuals showing early signs of psychosis. Early identification and intervention may help mitigate long-term mental health outcomes. https://lnkd.in/e47JgdhD #psychiatry #psychiatrist #psilocybin #Hallucinogen #hallucinogens #psychedelic #psychedelicmedicine #wakeup #psychosis #schizophrenia #Medicalresearch #medicalschool #medicalstudents

Self harm in ASD is such an important topic

The mistake we make is considering treatment failure to be treatment resistance. Second opinions see viable remaining treatment options for over two-thirds of these cases. Significant hope remains when initial treatment efforts fail. #psychiatry #psychiatrists #psychology #medicine #primarycare #familymedicine #treamentresistance #treatmentfailure #psychopharmacology #psychiatrictreatment #psychiatriceducation #medicalpractice

Excited to be featured in this Medscape Psychiatry article discussing the adoption of TMS as treatment for psychiatric disorders in Europe. As a pioneer in the field of TMS in the UK, I believe it’s crucial for more countries to embrace this effective treatment. While UK has made strides, there is still progress to be made in the UK and across Europe. Let’s work towards ensuring rTMS is readily available for those in need. #MentalHealth #rTMS #TMS #DepressionTreatment #depresison #CTMSS #FACTMS

?? Transdiagnostic Approaches in Psychiatry ?? Paradigm Shift in Treatment Transdiagnostic approaches are transforming the management of psychiatric disorders, focusing on emotion regulation difficulties. ?? DBT Skills Training Originally developed for borderline personality disorder, Dialectical Behavioural Therapy Skills Training (DBT-ST) is effective across diverse psychiatric conditions. ?? Online Intervention In resource-limited settings, online delivery of DBT-ST bridges treatment gaps, making evidence-based interventions accessible. ?? Study Highlights Participants: 24 referred, 18 started, 12 completed Demographics: 66% female, ages 18-35, 5 on medication Assessments: Significant reductions in emotion regulation difficulties, depression, and anxiety symptoms Retention Rate: 66.7% found the intervention beneficial ?? Future Directions These findings highlight the potential of DBT-ST for broader applications, with further research needed in larger samples.