The Motivated MD

NOVEMBER 19, 2024

Because of this, carving out the time for family remains a top priority, and as our family grows, more and more time is needed to make that goal a reality. Publishing post after post, week after week, while juggling my clinical burdens, family life, personal goals, my health… it just became too much.

Finance 52

Finance Education Family Families 52

GeriPal

JULY 27, 2023

And then you get the call from the family, they can’t sleep at night. But in the clinic, through mental health, I’m able to get CBTI pretty readily for my patients. And I’m not a mental health professional, but this is not psychoanalysis. Brienne: Same for us.

Illness 85

Illness IT Clinic Medical 85

My Green Doctor

JULY 2, 2025

Green Practice News The Climate Issue June 2025 In This Issue : Once a year, Green Practice News focuses on the health consequences of global climate change. Here we suggest steps that healthcare managers and clinicians can take to protect their patents. We hope you will discover resources to share with your family as well!

Healthcare 52

Healthcare Healthcare Professional Management Community 52

GeriPal

FEBRUARY 22, 2024

Eric: So you could probably tell we’re going to be talking about mental health issues. In particular, mental health integration and issues in pain and in palliative care. So how we screen for mental health distress is really important. Des, welcome to the GeriPal podcast. Eric: Yeah.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

JANUARY 25, 2024

And so, three years of seeing over and over people having really difficult end of life experiences in the ICU, not being able to advocate for themselves, a lot of trauma for their families, I just thought, we have to do better than this. I was really passionate about helping the people and also their families.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

FEBRUARY 8, 2024

Our guests are BJ Miller, palliative care physician and c-founder of Mettle Health , and Naomi Saks, chaplain at UCSF. The more we can notice that, the more we can actually be present for that family and actually see how they’re experiencing it. Family member, and with some chagrin- Eric: Powerful nudge. Naomi: Yeah.

IT 137

IT Family Families Physicals 137

GeriPal

NOVEMBER 17, 2022

But why I decided to look at medical and mental health care and assisted living. So, we’ve been seeing that there’s this increasing need for attending to the medical and mental health wellbeing of people in assisted living more so than before, because it’s not really just a social model of care.

Community 97

Community IT Mental Health Medical 97

BMJ

FEBRUARY 8, 2021

It is imperative for policy makers, school administrators, healthcare professionals, and parents to become aware of these emerging dangers and take appropriate steps, like what has been done for the opioid epidemic. We also need to expand barrier-free access to mental health services, including behavioral interventions.

Medical 40

Medical Holistic Care Healthcare Healthcare Professional 40

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.

Family 132

Family Families IT Community 132

GeriPal

AUGUST 11, 2022

And then I immediately realized that I was fighting going into a mental health discipline because of my parents’ background in mental health as psychologists. There was no conversation with the patient or the family about this. And the families were part of it, which is not what it was like in the hospital.

Illness 109

Illness IT Family Families 109

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

MARCH 9, 2023

It’s broader than just psychedelic assisted psychotherapy because there’s non-psychotherapists often involved, and it’s different from what we do in conventional mental health. People experiencing homelessness, as I mentioned before, have a lot of trauma, mental health issues, substance use disorders.

Patient-Centered 91

Patient-Centered Community IT Medical 91

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

OCTOBER 24, 2024

Eloise is a palliative care NP at Stanford and co-founder of The Radicle Health Clinician Network. Eloise 10:29 Yeah, I think what we saw in California was, prior to legalization, there was curiosity, but also a lot of their healthcare professionals didn’t know enough about it, so they didn’t discuss it with them.

Medical 98

Medical IT Patient-Centered Healthcare 98

GeriPal

SEPTEMBER 7, 2023

So my family is from Maui and were impacted by the wildfires, so I really appreciate this. Alex: How is your family doing? My family’s also from Maui. And her dad’s family, the Makekaus family, which is based in Lahaina, and we actually visited their grave sites there, when we were there a few years ago.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

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. I could imagine that could lead to conflict.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

APRIL 6, 2023

That’s why we use the terms assessment and intervention and we think of assessment as a skill of a very advanced skill that chaplains have of doing an in-depth evaluation of a patient or family member, and then the interventions should certainly follow naturally from that. LaVera: I trained at UCSF in family medicine.

IT 99

IT Patient-Centered Family Families 99

GeriPal

APRIL 13, 2023

Summary Transcript Summary Social connections impact our health in profound ways, whether it is the support we receive from family and friends in navigating serious illness, the joy from shared social activities, or connecting with our community. They may have few family members, live alone.

IT 99

IT Community Patient-Centered Medical 99

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. Eric: And now is it including mental health, psychiatric disorders? But that was separate from MAID.

Illness 144

Illness IT Medical Provider 144

GeriPal

JANUARY 18, 2024

Have you had a family history of substance use disorder? When we take a mental health history, for example, I think we ask people, we do the PHQ, or whatever it is that we’re doing, asking people that mood. And they ask questions like, have you used substances? Most of our population has trauma. Katie: Yeah. Jessie: Right.

Illness 136

Illness Patient-Centered Screening Clinic 136

GeriPal

MARCH 30, 2023

Today we’re going to be talking about narrative writing specifically for healthcare professionals. Because, for example, we get a lot of pieces on wellness and mental health. ” I think that’s what I’m talking about with action, or it might be family leave policies. Liz: That’s right.

IT 95

IT Patient-Centered Patients Healthcare 95

GeriPal

FEBRUARY 13, 2025

And so it was really the patients, you know, the caregivers, the family members were the ones who were sort of the closest in observing. Later on, of course, we added health professionals to, you know, give us more information. And my community and about my family and those kinds of things. Our consultation.

Consulting 63

Consulting Community Patient-Centered Family 63

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. Don’t worry about their alcohol use or drug use. Give some pleasure.

Illness 102

Illness Patient-Centered IT Patients 102

GeriPal

MARCH 6, 2025

Michael’s Hospital in the Department of Family and Community Medicine. And this is really traumatic event for his street family and the street community that he knew. 80% died exactly where they wanted to and 83% were reconnected to family or friends through a psychosocial support system that we put into place.

Healthcare 100

Healthcare IT Community Illness 100

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

GeriPal

FEBRUARY 20, 2025

And so even being asked, you know, like, it’s very hard for an individual to feel, to say, yes, I’ve had recurrent trauma in my life and that’s affected my mental health, my physical health, my cognitive health, et cetera. Mariah 25:13 Substance Abuse Mental Health Services Administration, saa.

Patient-Centered 66

Patient-Centered IT Screening Patients 66

GeriPal

DECEMBER 7, 2023

So it’s just every single part of our life is affected and mental health issues. Eric: I guess, Ruth, the question for you is what’s the role of the healthcare system in all of this? Why is it up to the healthcare system? I mean, many people in their mid to older years are on certain medications.

Healthcare 129

Healthcare IT Education Community 129

GeriPal

AUGUST 15, 2024

And also, you know, do they know of anyone, friends, family, coworkers who’s been attacked, were assaulted as a part of these incidents? And that has an impact, as we’ve shown in the papers, on your social health, your mental health and physical health. How have they been hearing about these issues?

Mental Health 116

Mental Health Community Screening IT 116

GeriPal

APRIL 20, 2023

When they think about homelessness, their mind goes to what I would call the individual risk factors, things like having a substance use disability or mental health disability. It is completely disconnected, like a scatter plot, between things like rates of substance use and mental health. Those are structural factors.

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

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. Was that the same at MGH for. Here’s what I really want to know.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

BMJ

AUGUST 20, 2021

By John Scott Frazer, Glenn Ross Frazer Reference : Frazer JS , Frazer GR, Analysis of primary care prescription trends in England during the COVID-19 pandemic compared against a predictive model, Family Medicine and Community Health 2021; 9: e001143.

Primary Care 40

Primary Care Supply Chain General Practitioner Vaccination 40

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. It’s part of our family mythology. Is that 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 Family Families 125

GeriPal

DECEMBER 12, 2024

You basically don’t even ask the family, you just stop the bleeding. Are you encountering family members who are just, like, at a loss for what to do and tortured it? Patients who are sort of estranged from family members who then have to make these decisions for somebody that they don’t really know. You know, they.

Patient-Centered 108

Patient-Centered IT Patients Healthcare 108

GeriPal

JUNE 2, 2022

Our department chair is always tweeting, and I think there was a fourth shot and then a mild infection in a family member. And to be very fair, there was a study in 2013 in family practice, this would be important, I think for those who treat older patients. Part of our recovery is mental health and seeing each other’s faces.

Vaccination 100

Vaccination IT Hospital Management 100