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You are viewing 6 posts with the tag dominic sisti

How health technology can reinforce biases against the mentally ill

Imagine it is 2 a.m. in the ER at High Tech University Hospital. The charge nurse turns to his computer monitor to see who waits in triage. Three new patients. Alongside one of their names sits the dreaded red airplane icon. This means the patient has visited the ER more than…

The Ethics of Behavioral Health Information Technology

A subpopulation of individuals with serious mental health conditions makes repeated and frequent visits to emergency departments and psychiatric crisis centers. These so-called super utilizers often have financial problems and present with chronic or untreated comorbid psychiatric and substance use disorders. These patients are often well known to clinical staff and…

A mental health model of incarceration

Thomas J. Dart, sheriff of Cook County, Ill.—and overseer of what he says is the  nation’s largest jail—believes that posterity will gaze back 100 years from now and know that we were “horrible people.” This is because our country incarcerates mentally ill individuals in overwhelming numbers for minor violations instead…

'We're at a point of historic reckoning' on standards for behavioral health care

We've come a long way from the days when mental hospitals, like England's notorious "Bedlam", doubled as carnival sideshows, where the public paid good money to gawk at the antics of the patients chained to their walls. But even in the U.S., Pennsylvania Hospital, a main place for treating people with…

Psychosis Risk: What Is It and How Should We Talk About It?

Abstract: Schizophrenia and other psychosis spectrum disorders do not develop de novo but emerge from prodromal stages that are named and operationalized differently depending on the research group or consortium and its theoretical orientation. As a result, a complex lexicon now exists for characterizing individuals’ risk of subclinical symptoms converting to…

Psychiatric Institutions Are A Necessity

Behind the bars of prisons and jails in the United States exists a shadow mental health care system where nearly half a million inmates have a serious mental illness like schizophrenia. In hospitals, severely mentally ill patients languish for months in acute care units, which are designed to stabilize patients, not…