GeriPal

DECEMBER 19, 2024

We invited Dani Chammas , a palliative care physician and psychiatrist at UCSF (and a frequent guest to the GeriPal podcast), as well as Brent Kious , a psychiatrist at the Huntsman Mental Health Institute, focusing on the management of severe persistent mental illnesses. Eric 00:51 And Alex, who do we have with us today?

Illness 101

Illness Mental Health IT Patient-Centered 101

GeriPal

JUNE 22, 2023

It’s like a long, I don’t know, almost like a quarter-mile centipede with legs, and the legs are the housing units, the medical units, inpatient mental health. We have about 450 inpatient mental health beds. In many cases, the families were the victims of the crime. They suffered from it.

Families 132

Families Family IT Community 132

GeriPal

JUNE 19, 2025

And I think a big part of that journey was just having that right time, that right moment, with the right network and support groups of individuals, including my family, to really lift me up and allow me to celebrate my authentic self. Jace 29:36 We see higher rates of mental health challenges that I think are due to overcoming adversity.

Individual 85

Individual Community IT Chronic Condition 85

GeriPal

JULY 11, 2024

We get a bit of, in the veteran population, kind of a mix of a lot of mental health issues thrown into these comorbid illnesses, including cirrhosis, but it’s usually the decompensated cirrhotics or the folks with liver cancer and cirrhosis, or one of both. We know what’s going to happen.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

APRIL 14, 2022

But that just didn’t really resonate with what I saw clinically which was that there was lots of suffering both in the patient, their family and on the clinical team and just felt it was really this space where I didn’t have a lot of evidence to guide me. And sometimes you can make a use disorder of diagnosis in hindsight.

Illness 102

Illness Patient-Centered IT Patients 102

GeriPal

JANUARY 11, 2024

What happened is that firstly, in terms of my clinical background, my background is psycho-oncology, so that’s working with patients with cancer and their families, including when they’re going through periods. Alex: Self-administer and psychiatric illness is not considered a qualifying diagnosis. Eric: Yeah. Eric: Yeah.

Illness 144

Illness IT Medical Provider 144

GeriPal

JANUARY 18, 2024

Our field really lacks specificity in the terms that we use, and I think we really don’t know how chronic cancer pain, let’s say, a few years out from that initial diagnosis differs from, let’s say, chronic low back pain. Have you had a family history of substance use disorder? Most of our population has trauma.

Illness 136

Illness Patient-Centered Screening IT 136

GeriPal

OCTOBER 24, 2024

I mean, I think, you know, people talk about withdrawal syndrome and it is an official DSM for diagnosis, but I’m not sure it’s. Eric 45:00 And then mental health disorders, schizophrenia, like, how do you think about that? But you really should be looking at family history, personal history.

Medical 98

Medical IT Patient-Centered Healthcare 98

GeriPal

AUGUST 31, 2023

He studies the mental health system in the ways in which it has failed children and adolescents, and he writes about his experience with cancer in a blog, the Billgardner.substack.com, Billgardner, one word. I was asking about what was going to be special about the trip or if they were going to do things with their family.

Illness 128

Illness IT Diagnose Medical 128

Vida Family Medicine

MARCH 1, 2023

Eating disorders are considered mental health conditions but they affect every aspect of a person's health. Eating disorders are some of the most deadly of mental health conditions, second only to opiate addiction. Eating disorders affect people of all ages, races, and genders.

Mental Health 52

Mental Health Physicals Family Medicine DO 52

GeriPal

APRIL 20, 2023

We would drill down on the tenth differential diagnosis of medium vessel vasculitis, and then we would discharge them back out to the streets. Why was I spending all this time figuring out the detailed differential diagnosis of these obscure diseases when we weren’t actually attending to what people really needed?

Mental Health 123

Mental Health IT Community Individual 123

GeriPal

JULY 6, 2023

Administration on Aging connecting you to services for older adults and their families California’s Master Plan for Aging New York’s Master Plan for Aging Transcript Eric: Welcome to the GeriPal Podcast. I have 24,500 veterans on our caseload, 14,000 individuals with diagnosed mental health issue, 8,500 with an alcohol and substance abuse.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

SEPTEMBER 19, 2024

Within eight weeks of diagnosis of advanced disease. They had access to the cancer center resources, but they didn’t have access to sort of regular contact with palliative care mental health professionals. So I don’t know how clinically meaningful that week difference was to families.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

FEBRUARY 24, 2022

And it was really good for my mental and physical… Physical health, obviously, but mental health really. We see our patients and our families throughout the illness trajectory into the hospital. It’s hard for your family to know. That this is iterative from diagnosis to end-of-life, right?

Illness 98

Illness Patient-Centered IT Patients 98

GeriPal

DECEMBER 21, 2023

Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.” Malaz: I love it.

Patient-Centered 125

Patient-Centered IT Families Family 125

Pamela Wible MD

JUNE 19, 2025

And now what we have all been waiting for, our keynote speaker on today’s theme of mental health. Born into a family of physicians who warned her not to pursue medicine. I think it’s a label that people turn to because of mental health stigma. I give you Dr. Pamela Wible. Doesn’t make any sense.

Clinic 246

Clinic Nurse Practitioner IT Medical 246

Physician's Weekly

JUNE 25, 2025

And it would end a strategic initiative to expand HIV services in minority communities, and another to support the mental health of people of color with HIV or at risk of infection. He kept his diagnosis hidden from friends and family because he knew how people talked about HIV.

Government 52

Government Community Families Family 52