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Building the Missing Middle: How Advocacy Helped Create a New Behavioral Health Intervention for New Yorkers With Serious Mental Illness
For decades, our behavioral health systems have faced the growing challenge of meeting the needs of people with serious mental illness (SMI). In New York, where the Institute for Community Living (ICL) operates, and most places in the country, demand for services far exceeds supply. Furthermore,...
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Bridge to Home: Creating an Innovative Pathway From Psychiatric Inpatient Care to Permanent Housing and Longer-Term Wellbeing
For many New Yorkers living with serious mental illness, leaving the hospital does not mean they will find stability. Instead, discharge often marks the beginning of another unfortunate cycle — from psychiatric units to shelters, from shelters back to emergency rooms, and sometimes back to the...
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Centered in Lived Experiences: Peers Reshape Engagement in California’s CARE Court
Living with the symptoms of a serious mental illness can feel isolating and debilitating. It can also breed distrust, which makes it difficult to accept services and support. These challenges were top of mind when the CARE Act launched in Los Angeles in December 2023, establishing a civil court...
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The Invisible Adverse Childhood Experience (ACE): Parental Mental Illness
Children rely on their parents for so many things, such as learning how to tie your shoes, respect your elders, and navigate relationships with friends. Parents are often the first to celebrate their kids’ joys and support them with the challenges of life. Parents teach and role model through...
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I Wish My Brother Had Been Diagnosed With Schizophrenia Before He Turned 18
Do you ever walk past a person on the streets exhibiting mental health issues and wonder what happened to their family? I have a brother—or at least, I used to. I worry about where he is and hope he is safe. He hasn’t taken my call since 2014. When I was 13, I had a very bad day. I was...
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No One Forgotten: Sharing Love with Hospitalized Mental Health Patients
The psych ward can be an unbearably lonely place. We’re often alone with our thoughts and reflections on relapses, struggles, disappointments, and hopelessness. I know. I’ve been there. I’ve suffered from severe bipolar I disorder with psychosis for over 25 years. Mental health crises landed...
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Voice and Identity: Daughters and Sons of Parents with Psychiatric Experiences
Parenting with a mental health condition is common, yet widely unsupported. The following statistics may surprise you: according to Joanne Nicholson of Brandeis and Kate Beibel at the University of Massachusetts Medical School, 68% of women and 57% of men with diagnosed psychiatric disorders are...
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The Impact of Childhood Separation: Parallels Between Children of Parents with Mental Illness and Children of Incarcerated Parents
Family separation is a traumatic experience for children, regardless of the cause. When separation occurs due to parental mental illness or incarceration, children face unique psychological and systemic challenges that are often overlooked. Both groups experience disenfranchised grief, attachment...
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Lost in the Margins: The Death Sentence of Misdiagnosing Borderline Personality Disorder
The true stigma in mental healthcare today lies not in immorality, as Erving Goffman argued, but rather in the misdiagnosis that condemns countless individuals, perpetuating cycles of ineffective treatment and amplified distress. Twelve million adults are misdiagnosed annually in the United...
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How to Approach Treating Older Adults with Complex Mental and Physical Care Needs
Roughly 14% of adults over age 60 (WHO, 2023) live with a mental health condition. As the geriatric population continues to grow (Urban Institute, n.d.), so do its rates of mental distress, depression, and drug deaths (Wilson, 2024). The behavioral health industry must prepare for treating more...
