The mental health system is beset by delays, inefficiencies, and shortages, resulting in untreated psychic pain. We need a paradigm shift in thinking about the system, argues zombieautopsies
We need to get way outside the box to solve the mental health crisis.
from Massachusetts show that adult patients waited in emergency rooms or boarded on non-psychiatric medical floors for an average of 53 hours. Children and teens waited a whopping 59 hours on average.These kinds of problems have been around for a very long time. As a psychiatrist, I’ve watched this situation remain stubbornly and ludicrously dysfunctional for the entirety of my
. I keep asking myselfwhy? It’s not as if we’re not aware. If we know things are so bad, then why haven't we seen truly meaningful improvement?I thought for a while thatbiasagainst psychiatric illness was the culprit. If we just could get more people to accept and believe in the existence of psychiatric suffering, then things would automatically get better. However, while it’s true that pervasive stigma persists, we have enjoyed a steady, impressive, and laudable lessening of this stigma. Clearly, these improvements have not been accompanied by a commensurate change in access to quality mental health care. Things are better, but only slightly, and in some parts of the country, things are a whole lot worse. This is especially the case in socio-economically challenged urban and rural settings, but not exclusively.
Even wealthy universitieshave struggled to improve their mental health services.We also know that if we did invest more in the prevention of psychiatric illnesses – that is, if we enacted community programs to stem the development of psychiatric problems in the first place – then we would stand to save literally millions and millions of dollars and countless lives. If people have better access to food, shelter, security, and community, then people will suffer less psychological problems. This might seem obvious, but it’s nice to know that we have headtopics.com
all sorts of datain support of these endeavors.To be sure, the infrastructure for mental health care is sorely in need of an overhaul, but increasingly I wonder whether the lack of change forces us to ask tough questions about mental health care itself. Is it possible that the ways we practice, and the ways we train others to practice, are simply not viable in light of the current need? To put it another way, I’m confident that when I care for patients the way that I was trained, I can deliver quality treatment. But I am not nearly as confident that this style of practice can meet the needs of the nation. This leads to a whole new set of sometimes uncomfortable questions:
1. Is the ongoing lack of access to quality mental health care asystems issue, we can’t get patients connected with clinicians, or anumbers issue,the number of clinicians fall far short of existing epidemiological demands despite any improvements we could make to the system.
2. If we suffer from both a systemsanda numbers issue (as I suspect we do), then which of these issues is worth addressing most aggressively?From a systems standpoint, let's consider the classic 50-minutepsychotherapysession. Why is that number so immutable? It is certainly the case that sometimes people need 50 minutes. But sometimes they need more, and other times they need less. How could we change things to better match the allotted time to the need? After all, varying the amount of time would potentially make more time available. The same could be said for the 20-minute
managementvisit. Sometimes we need way more than 20 minutes, and other times we need less than 10. Read more: Psychology Today »
Amid high security, small pro-Trump crowd rallies at U.S. Capitol
Police and media vastly outnumbered protesters around the U.S. Capitol on Saturday at a sparsely attended rally by supporters of the people who breached the building on Jan. 6, trying to overturn former President Donald Trump's election defeat.
zombieautopsies Great topic/question, bad anslysis. If you want to think outside the box for a solution, you have to get out of the medical model.
Anxious about the return to 'normal'? Here are 5 tips to help post-pandemic anxietyAnxious about the return to 'normal'? Here are five tips to help post-pandemic anxiety: POST?!!!!!! NY TIMES ‘as contagious as chickenpox’ and more severe infection!!!!! Get with the info folks! Also, vaccinated pass it as easily as unvaccinated! FIX THIS NOW! 😡 Delta is surging, idiots. We are NOT POST PANDEMIC. horrible
5 Ways Parents Can Help Their Kids With Reemergence AnxietyExperts share their advice for supporting children's mental health in this transitional time. We are hardly re-emerging. Cases are going up and it’s only going to get worse. yea, take the fuckn masks off their face. good
Simone Biles Withdraws From Floor Event FinalsSimone Biles has taken time for her mental health and to recover from the 'twisties.' thanks Good for her! Wow.. you lads seem to be fully obsessed that requires a psychiatric involvement.
'I Have PCOS And Hypothyroidism And Lost 110 Pounds With This Healthy Eating Plan''It is possible, even if health care professionals, social media, and the internet tell you otherwise.'
Olympian Alexi Pappas On Reframing Mental Health As An InjuryOlympic Runner Alexi Pappas was surrounded by mental health growing up. But, that did not mean she had the vocabulary to describe it. It was not until she had her own experience with depression and her doctor explained that the brain, like a bone, could get injured, that she began to understand.
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