Science in the Service of Furthering Mental Health - Dr. Joshua Gordon, Director of the National Institute of Mental Health
Sep 21, 2023
auto_awesome
Dr. Joshua Gordon, Director of the National Institute of Mental Health, discusses the importance of adopting evidence-based approaches in mental health care to improve patient outcomes and prevent provider burnout. He also highlights the shortage of mental health providers, health equity, social determinants of health, telemedicine, and the potential of psychedelics in treating mental health problems.
Adopting evidence-based approaches and making new treatments available can combat provider burnout and enhance patient outcomes.
Collaboration, increased funding, and the use of digital technologies offer potential solutions to address the mental health crisis.
Deep dives
The National Institute of Mental Health's Role in Mental Health Research
The National Institute of Mental Health (NIMH) is responsible for supporting and conducting mental health relevant research in the United States. With an annual budget of over two billion dollars, NIMH funds projects that seek to advance the understanding and treatment of mental illnesses. The institute focuses on promoting good science for public mental health, supporting researchers, and ensuring the best research is conducted to address the growing mental health crisis. NIMH also collaborates with other organizations and works on initiatives aimed at improving mental health in communities, addressing social determinants, and establishing evidence-based approaches for treatment.
The Challenges and Opportunities in Mental Health Treatment
One of the major challenges in mental health treatment is the existing burden of mental illnesses, which has been further exacerbated by the COVID-19 pandemic. This has particularly affected children, adolescents, and those on the front lines. The shortage of mental health professionals, including child and adolescent psychiatrists, psychologists, and social workers, poses another challenge, leading to long waiting times for patients. However, there are opportunities for improvement. Increased awareness and funding for mental health, along with the use of digital technologies and remote care delivery, offer potential solutions. Collaborations with community organizations and a focus on addressing social determinants of mental health are additional avenues for progress.
The Promise and Challenges of Psychedelic Therapy
Psychedelic therapy, such as the use of MDMA and psilocybin, shows promise in the treatment of mental health conditions. Research, including studies conducted by organizations like MAPS, has demonstrated potential effectiveness in addressing issues like PTSD. However, there are challenges in implementing psychedelic therapy. The hype surrounding these therapies needs to be balanced with realistic expectations. The need to follow rigorous protocols and ensure safety is crucial, as misusing these drugs or bypassing evidence-based practices can lead to potential dangers. Regulation and appropriate implementation of psychedelic therapy remain important considerations for the future.
Advice for Current and Future Healthcare Professionals
For current and future healthcare professionals, it is crucial to prioritize self-care and the care of patients. This extends beyond physical health to mental well-being. By taking care of themselves and their patients, healthcare professionals can contribute to improving mental health outcomes. Additionally, staying informed about the latest research, embracing evidence-based practices, and being open to collaboration with other professionals and organizations are key to meeting the challenges of this moment in healthcare.
On this episode of Raise the Line, we have the privilege of hearing from one of the nation's top healthcare leaders, Dr. Joshua Gordon, who is the director of the National Institute of Mental Health. In that role, he oversees an extensive portfolio of basic and clinical research that seeks to transform the understanding and treatment of mental illnesses, paving the way for prevention, recovery and cure. “Our main role is in trying to make sure that good science is conducted in the service of furthering public mental health,” he tells host Shiv Gaglani. One area of NIMH research that gets less attention than breakthrough medicines is how to make it easier for healthcare systems and practices to adopt best practices and proven treatments. This not only helps improve patient outcomes, but Gordon says it is one element in addressing feelings of a lack of effectiveness that contribute to provider burnout. “If we can increase individuals’ efficacy by ensuring that they are trained in evidence-based approaches, and continue to make new treatments available to help those who aren't responding to the old ones, that's one way we can do that.” This is a rare opportunity to hear from a federal agency executive on some of the most pressing and interesting issues in healthcare including the shortage of providers, health equity, social determinants of health, telemedicine and the potential for psychedelics to treat mental health problems.