Scattergood Foundation

Advancing Innovative Strategies for Change in Behavioral Health

Grant Activity: Current Activity Impacting Communities

Scattergood Ethics' blog

Commentary: Is President Trump Causing Toxic Stress?

Dominic Sisti & Cynthia Baum-Baicker   “The presidency is supposed to age the president, not the public.” And with that Jon Stewart, former host of the Daily Show and comic genius, touched on an overlooked but very serious public health question.    Is Donald Trump, with his daily Twitter harangues, impulsive and outrageous executive orders, and all around nastiness harming the health of...

Recovering Inside? Ethical Challenges in Correctional Mental Health Care

Commissioner Charles Ramsey speaking at the Recovering Inside Conference held on October 20,2016 at the National Constitution Center  in Philadelphia, Pennsylvania. Agenda

8:00-8:45am | Registration & Continental Breakfast

8:45-9:00am | Dominic Sisti: Welcome & Business

9:00-9:15am | Arthur Evans: Opening Comments & Introduction of Commissioner Ramsey

...

Psychosis Risk: What Is It and How Should We Talk About It?

By: Dominic A. Sisti, PhD, and Monica E. Calkins, PhD Abstract Schizophrenia and other psychosis spectrum disorders do not develop de novo but emerge from prodromal stages that are named and operationalized differently depending on the research group or consortium and its theoretical orientation. As a result, a complex lexicon now exists for characterizing individuals’ risk of subclinical...

Giving Asylum? The Ethics of Long-Term, Structured Care for People with Severe, Refractory Mental Illness

There are hundreds of thousands of individuals in the US who have serious mental illness. Most of these individuals thrive in the community, but there remains a population who do not. Because the number of long-term psychiatric hospital beds has largely evaporated over the past 50 years, they often cycle between homelessness, acute care, and prison. Of the 2.5 million individuals incarcerated in...

Diagnosing, Disclosing, and Documenting Borderline Personality Disorder: A Survey of Psychiatrists' Practices

Dominic Sisti, PhD1; Andrea G. Segal, MS1; Andrew M. Siegel, MD2; Rebecca Johnson, MA3; John Gunderson, MD4   1 Department of Medical Ethics & Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia. 2 Department of Psychiatry, Perelman School of Medicine. 3 Department of Sociology, Princeton University, Princeton, New Jersey. 4 Harvard Medical School, Boston,...

From Alienism to ACOs: Integrating Psychiatry, Again

By: Dominic A. Sisti, Ph.D., Chethan Ramamurthy, M.D. View Author and Article Information at http://dx.doi.org/10.1176/appi.ps.201500400 Abstract This column describes the gradual integration of psychiatrists into mainstream general medical care, from their exile as “alienists” in isolated asylums to their current roles in accountable care...

Halloween attraction dishonors mentally ill who lived at hospital

DOMINIC SISTI AND ANDREA SEGAL   The earliest psychiatric hospitals date back to 15th-century Spain, where they were conceived and constructed to give poor, homeless individuals with mental illness a safe place to live and, it was hoped, recover.   The next two centuries saw the degradation of asylums essentially into dungeons where mentally ill people were confined, living in chains and squalor...

A Debate on Treating Mental Illness: Should We Bring Back Asylums?

Wed, Jul 22 2015 Dominic Sisti, Ph.D., Assistant Professor of Medical Ethics/Health Policy and Psychiatry, University of Pennsylvania; Principal Author, “Improving Long-term Psychiatric Care: Bring Back the Asylum,” Journal of the American Medical Association Renee Binder, M.D., Psychiatrist, University of California, San Francisco; Incoming President, American Psychiatric Association Dr. Gloria...

Bill a good start in reforming mental-health care

Posted: Thursday, July 2, 2015, 1:08 AM By Dominic A. Sisti and Arthur Caplan   The mental-health-care system in the United States too often neglects the needs of Americans living with serious mental-health conditions and addiction. The system is fragmented and underfunded, and treatment is often provided in nontherapeutic places like jails and prisons.

U.S. Rep. Tim Murphy (R., Pa.) is ready...

Pages