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Rethinking Mental Health in Ireland: Why Not a Trieste-Style Approach?

Mad in America

Key features of the Trieste model include: No Closed Psychiatric Hospitals: Traditional psychiatric hospitals were dismantled, replaced with open-door community mental health centres (CMHCs) operating 24/7. Triestes approach has been globally lauded, influencing mental health reforms in several countries. The result?

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Is Dialogue the Best Medicine? A Conversation With Jaakko Seikkula

Mad in America

Jaakko is a psychologist who helped develop the Open Dialogue practice at Keropudas Hospital in Tornio, Finland, in the 1990s, and he is the person who has conducted the research that told of remarkable longer-term outcomes with this form of care. Was that developed at Keropudas Hospital? W elcome to MIA Radio.

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A Reflection on “Unshrunk: A Story of Psychiatric Treatment Resistance”

Mad in America

We observe this in Lauras story where, in retrospect, some of the psychiatrists claimed (and even documented at the time) their diagnostic uncertainty. Laura does not generalize to the person with chronic mental illness and has a clear chance of ending up homeless or in the hospital.

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Tardive Dyskinesia: Treat Functional Impairment, Not the AIMS Score

Psychiatric Times

This 60-year gap likely contributed to the progressive decrease in screening, documenting, and discussing the cause and course of TD with patients. Case 2 “Mr Jones” is 45 years old and works the night shift as a security guard at a large office complex.

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Exploding Myths About Schizophrenia: An Interview with Courtenay Harding

Mad in America

T he Vermont Longitudinal Study, which was led by Courtenay Harding, reported on the long-term outcomes of patients discharged from Vermont State Hospital in the late 1950s and early 1960. Robert Whitaker: Your longitudinal study of outcomes for chronic patients discharged from Vermont State Hospital wasand isof landmark importance.

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The 6 Steps to Catalyze CBT and DBT With Young Patients

Psychiatric Times

The diary card is a core DBT tool that prompts patients to document daily ratings of emotions, skills use, medication adherence, and other behavioral metrics. Dr Thordarson is a psychologist and manager of the Outpatient Acute Mental Health Service at the Children’s Hospital of Orange County in California.

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Using Serum Drug Levels

Psychiatric Times

Finally, it provides documentation to justify why the medication was stopped or increased to off-label dosages, or to explain the clinical appropriateness of the treatment plan to an insurance company or colleague. The Rx Journey and Serum Drug Levels TABLE 2.