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How Do Bipolar Disorder Type I & Type II Differ?

Traditionally, bipolar disorder type II (BDII) has been thought to be less severe—and less disabling—than bipolar disorder type I (BDI). Experts believe this characterization might be attributed to the fact… Read More

Major Depressive Disorder In Chronic Kidney Disease

Major Depressive Disorder affects more than 260 million people worldwide1. The reported prevalence of depression in patients with Chronic Kidney Disease (CKD) ranges from 20-65%2. This webinar provides an overview… Read More

Crossing The Social Determinants Divide

A recent report from the U.S. Government Accountability Office (GAO) found that social determinants are a major impediment to managing care for high-cost Medicaid beneficiaries. The biggest impediments include a… Read More

The Neurobiology Of Endocannabinoids

Hear from Chloe Liu, Ph.D., a Medical Science Liaison with Otsuka Pharmaceutical Development & Commercialization, Inc., as she examines the historical research discoveries and underlying neurobiological mechanisms of the endocannabinoid… Read More

The Neurobiology Of Opioids

Hear from Chip Meyer, Ph.D., a Medical Science Liaison with Otsuka Pharmaceutical Development & Commercialization, Inc., as he examines the historic medical utilization and underlying neurobiological mechanisms of opioids. Explore… Read More

Introduction To Opioid Use Disorder

Dr. Elizabeth DiNapoli provides a brief overview of opioid use disorder (OUD). Key points discussed include: what symptoms may be present if a person is struggling with OUD; how common… Read More

Pain Medication Questionnaire (PMQ)

The Pain Medication Questionnaire (PMQ) is a 26-item instrument designed to identify patients on a continuum from low to high risk for opioid misuse. The original study which validated the… Read More

Brief Risk Interview© (BRI)

The Brief Risk Interview© (BRI) was developed as a protocol to determine potential patient risk of violating a treatment agreement related to prescription opioids and risk of future opioid misuse.… Read More

Brief Risk Questionnaire© (BRQ)

The Brief Risk Questionnaire© (BRQ) is an opioid risk screening tool found to offer a good alternative to doing a clinical interview (see Brief Risk Interview© (BRI) https://psychu.org/brief-risk-interview-bri/). The tool… Read More

Hamilton Depression Rating Scale (HAM-D)

The Hamilton Depression Rating Scale (HAM-D; HRSD; HDRS), designed in 1960, has become one of the most widely utilized rating scales intended to assess depression disorder symptom severity and change.… Read More

Mental Health Awareness Month 2019 Toolkit

Throughout May each year, we celebrate Mental Health Awareness Month (MHAM). For 2019, Mental Health America (MHA) is celebrating 70 years of celebrating MHAM by sharing their MHAM Toolkit. They… Read More

Gender Differences In Depression

The prevalence of depressive disorders is higher in women than men. Why? Many factors are thought to contribute to the divergence, including biological and clinical presentations. Understanding these variances may… Read More

Meet The Treatment Team: Psychiatrists

In this interview Sanjai Rao, MD, sits down with Monica Kim, PharmD, MBA, Medical Science Liaison at Otsuka Pharmaceutical Development & Commercialization, Inc., to discuss the role a psychiatrist may… Read More

Meet The Treatment Team: Social Workers

In this interview Tania Hammock, LCSW, sits down with Nicole Meade, PhD, Senior Medical Science Liaison at Otsuka Pharmaceutical Development & Commercialization, Inc. to discuss the role a social worker… Read More

My Recovery Goals

This worksheet is designed to help consumers prepare for appointments with providers. It encourages them to think about and record their current goals and concerns. The back side addresses between-appointment… Read More

Meet The Treatment Team: Psychologists

In this interview, Elizabeth DiNapoli, PhD, Medical Science Liaison, sat down to discuss the role a psychologist may play on the treatment team of individuals with mental illness. Meet the other… Read More

Workforce Shortages As A Strategy Issue

For organizations delivering health and human services, there is the often-discussed behavioral health workforce shortage. Health plan managers are continuously looking for expanded capacity for psychiatric services. Provider organization executives… Read More

High Turnover, The Other Staffing Issue

The average turnover rate among health care workers was 20.6% in 2017, up dramatically from 15.6% in 2010. Health care was second only to hospitality in its turnover (see the… Read More

Nutrition For Better Health & Lower Costs

In recent months we’ve written about the importance of good nutrition for improving consumer outcomes and lowering the cost of care. For example, adults who are food insecure have health… Read More

Crawl, Walk, Run To VBR

Payers and health plans are pushing for reimbursement models that move away from fee-for-service and move to paying for “value.” At a recent institute, our health plan faculty members reiterated… Read More

Get Your Price List Ready!

Comparison shopping, common in every other field, has been a long time coming to health care. But recent news from the Centers for Medicare & Medicaid Services (CMS) may signal… Read More

Oh, Those Consumer Reviews

Do you use crowdsourced consumer reviews? TripAdvisor has “collective” reviews of restaurants and tourist sites. Rotten Tomatoes brings us the collective wisdom of the crowds on movies. Yelp reviews just… Read More

The Innovation Conundrum

Strategy and innovation. Right now in the health and human service market, these two concepts go hand-in-hand. For most organizations in the field, building a strategy for sustainability requires innovation.… Read More

The Balloon Effect

The ‘balloon effect’ is most often an analogy used in drug policy. When you squeeze a balloon, you displace air, which bulges out elsewhere. When policy makers and law enforcement… Read More

82% Of Consumers Use Online Physician Reviews

Approximately 82% of health care consumers use online physician reviews for care decisions and treatment options. About 57% report using online reviews “often” or “sometimes”. In 2013, about 25% of… Read More

Getting More From Your EHR

Do electronic health record systems (EHRs) reduce costs? It depends on who you ask. In a recent survey, 1,100 health care professionals were asked to assess the digital return on… Read More

The ACO ‘Savings Confusion’

Reading through our past coverage of the Medicare accountable care organization (ACO) program can produce a lot of confusion—like these two seemingly conflicting headlines: Medicare ACOs – The Enrollment &… Read More

Can Uber & Lyft Answer The No-Show Problem?

A couple weeks ago, I looked at the pending revolution in non-emergency health care transportation (NEMT). It’s an important revolution because Medicaid alone spent an estimated $2.9 billion on NEMT… Read More

When & How To ‘Sell’ Being Acquired

Over the past four months, during my many daily conversations with executives in the health and human service field, I’ve been struck by a common “blind spot” in strategic thinking.… Read More

How Far Does $3.3 Billion Go?

The omnibus spending bill, approved by Congress in March, included an allocation of $3.3 billion to address the opioid and mental health crisis in fiscal year 2018. This appropriation builds… Read More

Washington Medicaid Moving To Integrated Care

The Washington Health Care Authority (HCA) recently issued two requests for proposals (RFPs) that will effectively move the state Medicaid plan to integrated care and end the state’s Medicaid behavioral… Read More

Task Shifting To Bend The Cost Curve

The subject of how best to “bend the cost curve” in our recent coverage got a lot of attention—including observations on adopting “public health” models, and putting consumers at the… Read More

It Gets Down To The Dollars

Today, Humana released the annual performance results for their Bold Goal initiative in the report, Health Happens Where You Are. I first heard about their “Bold Goal” when Jeff Reid,… Read More

Practice Makes Perfect

It is not surprising that when it comes to value-based reimbursement (VBR), like many pursuits, “practice makes perfect” is an adage that applies. We’ve seen that in the performance of… Read More

Value = ‘Whole Person’ Approach

“Value-based reimbursement and ‘whole person care’ are inseparable.” That statement, delivered by Carole Matyas, Vice President of Behavioral Health Operations for WellCare Health, during her keynote, Overcoming The Impediments To… Read More

Coordination, Care & Value-Based Contracting

What is top of mind with thought leaders who are focused on the behavioral health/physical health integration? Four words— engagement, access, availability, and partnership. That was my takeaway from the… Read More

What’s The Window To Value-Based Care?

I’m still putting together my thoughts about the transition to value-based reimbursement for the specialty provider organizations serving complex consumers. I went to an event last week not quite sure… Read More

Does Paying For Value ‘Work’?

I had a recent discussion with a community hospital chief executive officer (CEO) who said that value-based reimbursement (VBR) isn’t working. At least, VBR isn’t working for her hospital. Her… Read More

Is ‘Financial Accreditation’ The Answer?

Our recent articles on the financial solvency of community-based provider organizations—If 1 In 8 Community-Based Organizations Are Insolvent, The Answer Is?—drew many comments and suggestions from our readers. But one… Read More

CIT Model Of Police Response In OKC

Get a taste of PsychU’s upcoming two-part interview series with Master Sergeant Corey Nooner of the Oklahoma City Police Department on crisis intervention team (CIT) models of police response to… Read More

What’s In A Name?

“Integrated” is a word that has lost much of its meaning. Same location? Same clinical team members? Same medical record? Shared medical information? Shared financing? When planning strategy (and doing… Read More

The Top News Stories Of 2017—A Preview Of 2018?

“The reason the enlightened prince and the wise general conquer the enemy whenever they move, and their achievements surpass those of ordinary men, is foreknowledge”- (Sun Tzu) “Market intelligence” was… Read More

The Trauma Quandary

Last week, my colleague Tressell Carter took a look at how the court system is evolving to consider trauma and other behavioral health issues through the use of “trauma- informed”… Read More

Centerstone & Uspiritus To Merge

On November 15, 2017, Centerstone Kentucky and Uspiritus released a letter of intent to merge, combining the at-risk youth services of both organizations. The organizations intend to advance specialized care… Read More

David Versus Goliath?

Last week, I wrote about the need for creativity and innovation in health and human service development—with the caveat that great ideas were not enough for long-term sustainability (see Innovation… Read More

38% Of ACOs Preparing For Capitated Contracts

About 38% of accountable care organizations (ACOs) are preparing for capitated models. About 47% of ACOs are considering or have firm plans to participate in shared savings/shared risk models. The… Read More

Where Have All The Psychiatrists Gone?

I wrote recently about how the rise in the number of consumers who have health insurance hasn’t translated directly into access to care in mental health. I realize that there… Read More

3 Steps To Competing On Performance

Yesterday, Ken Carr discussed the challenges facing organizations shifting to a more data-driven culture that embraces metrics-based management tools (Making Your Clinical Team Data Driven). When faced with this challenge,… Read More

Making Your Clinical Team Data Driven

Sustainability requires improved organizational performance and improved value to our customer. But shifting organizational culture to one that is data driven and can use metrics-based management tools is a challenge… Read More

Suicide Awareness In Primary Care

In this short interview, Marla Moses, FNP, PMHNP, PsychU Primary Care Providers’ Corner Section Editor and Owner of IN Moses Mental Health in Indianapolis, IN, shared her perspective on suicide… Read More

Payer, Provider, Partner

We’re at the stage where the field is moving from talk to action on value-based reimbursement (VBR) and health plan/provider partnerships. While our January survey found only 40% of specialty… Read More

Be Ethical Or Be Regulated

While everyone complains about regulation, many times the purpose of regulation makes perfect sense. I think this is the case with new regulations in Florida focused on addiction treatment providers.… Read More

In Integrated Care, One Size Does Not Fit All

Background & Purpose Integrated care is the systematic coordination of general and behavioral health care, encompassing primary care, substance abuse, and mental/behavioral health services.1 In a new study, “Outcomes of… Read More

The Top Priorities For Innovation Are…

In a time of disruption – both financial and technological – the ability to innovate is key to the sustainability of health and human service organizations. Typically, these innovations are… Read More

The Medicaid Spending Mosaic

Our new analysis of average per person Medicaid spending found that the U.S. spent $7,492 per person for the 68+ million enrollees in 2015. But our analysis also found there… Read More

Health Plan Strategy Meets The Opioid Crisis

You can’t look at the news without seeing something about the opioid crisis. The data supports the headlines. Across the country, deaths are up 200%, opioid-related inpatient stays are up… Read More

The Golden Rule Of Payer Marketing

Greetings from sunny California. Throughout the day, I’ve had a lot of interesting conversations with attendees – everything from new strategies for combating the opioid epidemic, to new models for integration… Read More

Lifestyle Changes Are Effective For Preventing Dementia

Healthier lifestyles are associated with declining prevalence of cognitive impairment and dementia. Furthermore, specific lifestyle changes are effective for preventing dementia, including increasing education in early life, increasing physical activity… Read More

Improving The State Of Collaborative Care

There is a lot of discussion about “collaborative care” – generally referring to integrating behavioral health and primary care services. We’ve certainly written about it a lot in recent months… Read More

Opinions On The Treatment Of MDD

As part of PsychU’s growth and prominence in the mental health community, three large panel presentations were conducted in New York City, Raleigh, NC, and the Los Angeles area discussing… Read More

CMS Announces Two New ACO Models

In December 2016, the Centers for Medicare & Medicaid Services (CMS) announced two new accountable care organization (ACO) models under the Medicare Shared Savings Program (MSSP). Under the Medicare-Medicaid ACO… Read More

What Makes Integrated Health Care Work?

An interview with Dennis Freeman, PhD, CEO of Cherokee Health Systems, a Federally Qualified Health Center, Community Mental Health Center, and Migrant Health Center serving the needs of people across… Read More

MACRA: The Big Picture

Within the past two weeks, the Centers for Medicare & Medicaid Services (CMS) released the final rules for the Medicare Access and CHIP Reauthorization Act of 2015 or MACRA (see… Read More

Integration Is All About The ‘Flow’

“We can’t hire our way out of access problems.” I have been thinking about this quote by Dennis Freeman, Ph.D., chief executive officer for Cherokee Health Systems, from The 2016… Read More

What Makes A Health Home Successful?

Last week at The 2016 OPEN MINDS Strategy & Innovation Institute, we explored health homes from every angle – from different states, different financing structures, different populations served, different care… Read More

Elements Of Successful CMHC-FQHC Partnerships

Both federally qualified health centers (FQHCs) and community mental health centers (CMHC) play an important role in serving the population of consumers with complex needs. The payer push for integrated… Read More

All Integration Is Not The Same

Greetings from sunny San Diego! Today we launched the 2015 OPEN MINDS California Management Best Practices Institute with a pre-institute workshop “Succeeding In A World Of Integrated Care: Options For Behavioral Health… Read More

Keep In Mind The “Why” Of Integration

In the past, I’ve covered the presentation by Arthur Evans, the Commissioner of Philadelphia’s Department of Behavioral Health and Intellectual disAbility Services (DBHIDS), “What’s The Future Of Behavioral Health In… Read More