Director’s Blog Despite careful monitoring and daily insulin, many people with type I diabetes experience emergencies like diabetic coma that require hospital care. Imagine a dystopic world where this care was not given in hospitals but in jails alongside inmates convicted of violent crimes.

Read >

Director’s Blog *Dr. Insel was one of several innovative leaders invited to present at the 2014 National Council for Behavioral Health Conference. Download his presentation: Quest for the Cure: Scientific Breakthroughs in Treating Mental Illness

Read >

Director’s Blog When the Mental Health Parity and Addiction Equity Act was signed into law in 2008, after decades of debate, advocates for mental health celebrated what was arguably their most important legislative achievement in 50 years. The new law, with the cumbersome acronym of MHPAEA, had a simple, ambitious goal: treatment for mental illness and substance abuse disorders would be on a par with treatment for all other medical disorders. If insurance companies covered treatments for depression and diabetes, they could not have different requirements or different deductibles or different reimbursement schedules for the two conditions.

Read >

Director’s Blog Released today, the World Health Organization (WHO)'s report, ” Preventing Suicide: A global imperative ,” provides the first global view of how often suicide attempts and deaths occur, and how suicide-related behaviors affect all ages, nationalities, economic levels, and cultures. Every year around the world more than 800,000 people die by suicide. Globally, suicide is the second leading cause of death in 15- to 20-year-olds.

Read >

Abstract: Objective: Primary care screening programs for mental health disorders are designed to detect patients who might benefit from treatment. As such, the utility of these programs is predicated on the actions that take place in response to a positive screen.

Read >

Abstract: Background: The psychopathological and clinical characteristics of adult patients with epilepsy attending our neurology clinic was evaluated to determine prevalence of psychopathology and its associated factors towards improving services and initiating collaborative care which is currently non-existent.Methods: The study was a 2 stage procedure conducted over one year using the General Health Questionnaire (GHQ-12) in the first stage and Schedule for Clinical Assessment in Neuropsychiatry (SCAN) in the second stage. Diagnosis of psychiatric disorders was based on ICD-10 criteria.Results: Sixty-three patients were interviewed. Mean age was 34.43±13.7 years; more than half of the patients had less than one seizure episode per month

Read >

Abstract: Objective: The aims of this study were 1) to assess the long-term effects of a collaborative care intervention for patients with depression on process of care outcomes, and 2) to describe whether case management was continued after the end of the original one-year intervention.Methods: This 24-month follow-up of a randomized controlled trial took place 12months after the end of the 1-year intervention. Data collection occurred by means of self-rating questionnaires and from medical records.

Read >

Importance There is a paucity of controlled treatment trials for the treatment of conversion disorder, seizures type, also known as psychogenic nonepileptic seizures (PNES). Psychogenic nonepileptic seizures, the most common conversion disorder, are as disabling as epilepsy and are not adequately addressed or treated by mental health clinicians.

Read >

Abstract: Objective: Project TEACH provides training, consultation and referral support to build child and adolescent mental health (MH) expertise among primary care providers (PCPs) . This study describes how TEACH engages PCP, how program components lead to changes in practice, and how contextual factors influence sustainability.Method: 30 PCPs randomly selected from 139 trained PCPs and 10 PCPs from 143 registered with TEACH but not yet trained completed semi-structured interviews.

Read >

One of the upsides of so many snowstorms this winter has been the chance to catch up on reading. I’ve been enjoying Erik Brynjolfsson and Andrew McAfee’s book the Second Machine Age about the social revolution instigated by the digital revolution.

Read >