MDI Publications
The Medical Director Institute works to ensure that all Americans have access to a comprehensive, integrated continuum of care with the expectation of recovery. View all publications from the MDI below.
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The Comprehensive Healthcare Integration FrameworkApr 22, 2022
This paper presents a new framework for guiding implementation of integration of physical and behavioral health.
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Psychiatric Leadership in Crisis SystemsDec 15, 2021
This brief guidance expands on the recommendations of the recently released report, Roadmap to the Ideal Crisis System and provides additional guidance.
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Guidance on Handling the Increasing Prevalence of Drugs Adulterated or Laced with FentanylSep 15, 2021
In this paper, we offer principles and recommendations for remediating the impacts of the rising rates of drugs adulterated or laced with fentanyl.
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Resilience-Oriented COVID-19 Navigation: Community Behavioral Health Reopening ConsiderationsMay 27, 2021
After a rapid transition to essential and virtual services over a year ago, we must acknowledge and learn from the impressive performance of most behavioral healthcare provider organizations in adapting to meet the ongoing challenges of the pandemic. We must look to the future and recognize that organizations are faced…
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Addendum: Medication Matters: Causes and Solutions to Medication Non-Adherence During Times of DisasterJan 25, 2021
The National Council for Mental Wellbeing (National Council) published a report on best practices guide on causes for non-adherence in September 2018 (National Council, 2018). Since then, the COVID-19 pandemic and response has created additional challenges with medication adherence. This addendum provides a brief review of challenges with adherence and…
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Optimizing the Psychiatric Workflow Within a Team-Based Care FrameworkJan 15, 2021
This paper describes a model of providing psychiatric care in the CBHC clinic setting that will improve patient outcomes and improve the work experiences of all members of the team providing care. It also clarifies the potential and often underutilized value to a CBHC of the fully deployed psychiatric provider.
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Making the Case for High-functioning, Team-based Care in Community Behavioral Health Care SettingsOct 1, 2020
Despite a wealth of data showing that team-based care leads to equal or better outcomes in efficiency, effectiveness, safety, cost savings and quality, the broad adoption of team-based care in CBHCs remains the exception rather than the rule. A high-functioning team-based model for the behavioral health clinic should be the…
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Medication Matters: Causes and Solutions to Medical Non-AdherenceSep 1, 2018
There is a medication gap in the United States that takes a toll on the quality of life and health of millions of people. Advances in medications have produced life-changing benefits for those with mental and substance use disorders, but too many people are not taking these medications as prescribed…
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Psychiatric Shortage: Causes and SolutionsMar 1, 2018
Today, more people are seeking mental health care than ever before, but there aren’t enough psychiatrists to meet the growing demand. Yet, few thought leaders acknowledge this “silent shortage.” We must step up before the silent shortage becomes a thunderous crisis that reverberates throughout the U.S. health care system leaving…
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