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Helping the Most Vulnerable Among Vulnerable Populations
Our client, LM felt guilty when she wasn’t able to make it to her weekly counseling session. She felt like the therapist she was working with became disappointed with her and that added guilt made her not motivated to go to the next counseling session as well. The therapist wasn’t necessarily...
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Have Some CLAS: What Leading Organizations Are Doing to Address Population Health
Adherence with the National Standards on Culturally and Linguistically Appropriate Services (CLAS) is a common expectation for healthcare organizations of all types. Many providers assume that their efforts are sufficient as long as they hire staff who reflect the racial, ethnic, cultural, and...
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Commentary on Treating Vulnerable, Mentally Ill Patients
Dr. Falconer effectively drives home the travesty of the disproportionate representation of those with serious behavioral health issues behind bars. Alarming, but not new, the “trans-institutionalization” of the 80’s and 90’s continues unabated to its tragic conclusion. She cogently...
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Collaboration for People with MI/IDD: System Failures and Promising Practices
Individuals who have both mental illness (MI) and intellectual/developmental disabilities (IDD) present unique challenges to both mental health and developmental disability service structures. The group comprises a complex population whose needs are often poorly identified and who are often...
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Care Coordination Enhances the Medical Model for Individuals with Substance Abuse Disorder
WellLife Network recently launched the Substance Abuse Care Coordination Team, a specialized program within their Long Island Care Management Division, designed to address the needs of the Medicaid Substance Use Disorder (SUD) population. Care Management is a comprehensive person-centered...
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Stopping the Hospital Revolving Door: A Pathway Home to Stable Community Life
A not-for-profit organization formed by behavioral health (BH) community agencies, Coordinated Behavioral Care (CBC) operates one of NYS’s largest Health Homes (HH) and has formed an IPA to deliver integrated outcomes-oriented care. The many care managers who work with our HH members often face...
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Treating Vulnerable, Mentally Ill Patients Who Are Navigating the U.S. Criminal Justice System
It is an alarming statistic that more people with serious mental illness are housed in America’s jails than in the nation’s hospitals (Torrey, E. F., Kennard, A. D., Eslinger, D., et al. 2010. More mentally ill persons are in jails and prisons than hospitals: a survey of the states....
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System Transformation in Substance Use Disorder Care: New York State Progress and Priorities
The Surgeon General’s Report on Alcohol, Drugs, and Health (https://addiction.surgeongeneral.gov), issued in November 2016, is a landmark report for the substance use disorder (SUD) care system. This report makes clear the importance of identifying and treating substance use disorders and places...
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Supervision: Paying Attention to the Soul, Not the Technique
Although I’ve never been a psychoanalyst, I did spend a year in analysis and took classes at the Columbia Psychoanalytic Institute. I left at the end of a year because being in practice at that time I came to realize that my own style of work was much more realistic, confrontational and time...
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An Integrated Model of Care and Education: Wellspring and the Arch Bridge School
Residential Treatment” has been under assault for some time, as you may know. Critics have made claims about its shortcomings, many of which are absolutely true. But residential treatment is not just one model. There have been several models available to families that have been successful, time...
