Remove Diagnosis Remove Healthcare Professional Remove Mental Health Remove Utilities
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Palliative Care for Mental Illness: A Podcast with Dani Chammas and Brent Kious

GeriPal

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
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Buprenorphine Use in Serious Illness: A Podcast with Katie Fitzgerald Jones, Zachary Sager and Janet Ho

GeriPal

Janet: So as Julie Childers often says in the same way that as palliative care clinicians we can take a first pass to address distress from depression without being necessarily mental health counseling specialists or a psychiatrist. They have poor pain, they have poor function, but you also can’t clearly make a diagnosis.

Illness 102
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Stepped Palliative Care: A Podcast with Jennifer Temel, Chris Jones, and Pallavi Kumar

GeriPal

So, basically, with a stepped care model, the goal is to tailor care delivery to the patient’s needs while at the same time utilizing less clinician resources. Within eight weeks of diagnosis of advanced disease. There was a difference, though, in hospice utilization, right? Jennifer 04:25 I can take that on.

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How State and Local Agencies on Aging Help Older Adults: Susan DeMarois, Greg Olsen, and Lindsey Yourman

GeriPal

I have 24,500 veterans on our caseload, 14,000 individuals with diagnosed mental health issue, 8,500 with an alcohol and substance abuse. 60% of all medical costs have nothing to do with your health diagnosis. This is reaching the highest utilizers with a wraparound suite of services. To Susan’s point.

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Should We Shift from Advance Care Planning to Serious Illness Communication?

GeriPal

And it was really good for my mental and physical… Physical health, obviously, but mental health really. So one that the primary outcome was supposed to be documentation, which it improved documentation, it wasn’t powered to actually look at any utilization or hard outcomes. Juliet: Sure. Eric: Yeah.

Illness 98
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Guiding an Improved Dementia Experience (GUIDE) Model: A Podcast with Malaz Boustani and Diane Ty

GeriPal

But what happened when we finally… When he did get the diagnosis, it all fell into place. So if you think about dementia, it’s on the intersection of aging stigma and mental health stigma. The typical utilization of inappropriate hospitalization and emergency room and total cost of care. You get double whammy.