When Paranoia Meets Reality: Your Medicine Snitching On You
Medication non-compliance is a problem: patients don't take their pills.  We hear about it all the time in psychiatry: people don't take their medications and they relapse.  Sometimes they decide they don't need them when they do, sometimes they don't like the side effects or risks of the medications, but mostly, they just forget.  You may hear about this problem as if it belongs to psychiatry, but it doesn't. Patients don't take their cardiac medications, either; in fact humans are only randomly compliant with all types of meds.Swoop in technology, here to solve the problem.  Now sensors placed in...
Source: Shrink Rap - November 14, 2017 Category: Psychiatry Authors: Dinah Source Type: blogs

Let's Talk About Jails and Mental Health
Really, this is a post for ClinkShrink, but she ' s been busy with other things.  Do you miss her? Let me invite you to listen to Clink ' s interview on Tier Talk/Corrections One, where she was interviewed aboutAre Prisons Turning Into Mental Health Hospitals? Yesterday, I heard Dominic Sisti talk at Sheppard Pratt Hospital about mental health and incarceration: Dr. Sisti is the director of the Scattergood program for the Applied Ethics of Behavioral Health Care at the University of Pennsylvania, where I was an undergraduate just a few (hmmm) years ago.  I tweeted the lecture, as best as I could, along with ...
Source: Shrink Rap - October 12, 2017 Category: Psychiatry Authors: Unknown Source Type: blogs

Let's Talk About Jails and Mental Health
Really, this is a post for ClinkShrink, but she's been busy with other things.  Do you miss her? Let me invite you to listen to Clink's interview on Tier Talk/Corrections One, where she was interviewed aboutAre Prisons Turning Into Mental Health Hospitals? Yesterday, I heard Dominic Sisti talk at Sheppard Pratt Hospital about mental health and incarceration: Dr. Sisti is the director of the Scattergood program for the Applied Ethics of Behavioral Health Care at the University of Pennsylvania, where I was an undergraduate just a few (hmmm) years ago.  I tweeted the lecture, as best as I could, along with phot...
Source: Shrink Rap - October 12, 2017 Category: Psychiatry Authors: Unknown Source Type: blogs

The Chronically Suicidal Patient and Stigma from Within the Mental Health System
There's an on-line psychiatrist discussion group where docs exchange information, ideas and resources.  As in all things on-line, it's sometime is invaluable, and it sometimes makes me shake my head.  Today, I was tagged in a post that discussed an article in Psychiatric Times calledWe Need to Talk About Stigma in the Mental Health System.  Louise Harvey writes about her hospitalizations in the UK.   Here is an excerpt so that you get the idea, and in the UK the term "sectioned" means involuntarily hospitalized.Quickly it became clear that I was considered to be a histrionic, attention-seeking youn...
Source: Shrink Rap - September 23, 2017 Category: Psychiatry Authors: Unknown Source Type: blogs

My Friends in High Places on the HHS's Interdepartmental Serious Mental Illness Coordinating Committee
Move over, there ' s a new federal mental health committee in town.  The department of Health and Human Services has formed theInterdepartmental Serious Mental Illness Coordinating Committee.  My friends Pete Earley and Elyn Saks are both on the committee, and Pete has beenbloggingabout the committee for a couple of weeks now-- the good, the bad, the ranting, and the missed opportunities after the first day of meetings last week.  You ' ll be pleased to know that I didn ' t miss the opportunity to put in one of my concerns: I emailed Pete and Elyn to tell them how pre-authorization for medications is having ...
Source: Shrink Rap - September 5, 2017 Category: Psychiatry Authors: Unknown Source Type: blogs

My Friends in High Places on the HHS's Interdepartmental Serious Mental Illness Coordinating Committee
Move over, there's a new federal mental health committee in town.  The department of Health and Human Services has formed theInterdepartmental Serious Mental Illness Coordinating Committee.  My friends Pete Earley and Elyn Saks are both on the committee, and Pete has beenbloggingabout the committee for a couple of weeks now-- the good, the bad, the ranting, and the missed opportunities after the first day of meetings last week.  You'll be pleased to know that I didn't miss the opportunity to put in one of my concerns: I emailed Pete and Elyn to tell them how pre-authorization for medications is having a nega...
Source: Shrink Rap - September 5, 2017 Category: Psychiatry Authors: Unknown Source Type: blogs

Inpatient Psychiatry: Not All Bad
I'm going to send you over to theWashington Postfor an article that was published last week, written by Stanford psychiatry resident Dr. Nathanial Morris:  please check out'Psych Wards' aren't what you think. Morris makes the point that the inpatient psychiatry units is portrayed something out of a horror show,  when really it is a place of healing.  He writes:These are places where patients put their lives back together, picking up the pieces torn apart by such illnesses as depression, bipolar disorder and schizophrenia. Caregivers from doctors and nurses, to social workers and psychologists work to he...
Source: Shrink Rap - August 1, 2017 Category: Psychiatry Authors: Unknown Source Type: blogs