New pub out today on public attitudes towards expanding community-based and peer-led MH services versus involuntary interventions Takeaway: strong bipartisan support for expansions in voluntary services, with lower support for expanding forced interventions Takeaway

Sharing our recent pub out today in JAMA Psychiatry looking at trends in private equity investment in psychiatric hospitals and its association with geography, staffing, utilization, quality performance, and other characteristics. jamanetwork.com/journals/jam...

A conversation with Morgan Shields, PhD, an assistant professor at the Brown School and the new Dean of the School of Public Health at #WashU discussing two papers she co-authored on patient-centered inpatient psychiatry youtu.be/bAhsoyxMG9s?...

It was a pleasure speaking with Hetal for the Global Health Pursuit podcast about my work. This will be published in two parts. The first part focuses on some of my lived experiences and motivation and the second part will focus on my research. youtu.be/sg0moq1aLjQ

MEDICAID Basics Over 50% of the spending for Medicaid goes to cover those with DISABILITIES and the AGED 38% of those on Medicaid are CHILDREN. /1

Odd having to self promote as the world burns…AND my research IS advocacy. Here is a new piece entitled “If you’re asking for my diversity, you’re asking for all of me”: Challenging experiences of neurodivergent higher education faculty in the United States. psycnet.apa.org/record/2025-...

For those who want to know more about what happens when a large percentage of a state's adult population loses #Medicaid enrollment all of a sudden, go read about #TennCare disenrollment: #HealthPolicy scholar.google.com/scholar?hl=e...

From an op-ed I wrote for Newsweek on the role elite schools played in creating people like Vance by promoting the meritocracy myth. www.newsweek.com/time-america...

For those looking for the primary source of the studies about — among other things — the 44.3% admin. burden of externally funded research: thefdp.org/demonstratio... - reports & slide decks - data from 2005, 2012, 2018 (These data show *many* more results — more valuable than the PNAS paper, IMO.)

"A study of federally funded research projects in the United States estimated that principal investigators spend on average about 45% of their time on administrative activities related to applying for and managing projects rather than conducting active research" www.pnas.org/doi/10.1073/...

So I'm not surprised this is happening, but I'm waiting to see what the order actually says before drawing conclusions. If you'd like to learn more about how conversion therapy is still happening, the Trevor Project has been tracking providers for years: www.thetrevorproject.org/wp-content/u...

Look what my wife made me 🥰

SCOTUS’s 1999 Olmstead v. L.C. decision found that "unnecessary institutional segregation" of people with disabilities violates the ADA. Here's my essay w/ Michael Stein and Lisa Iezzoni at Harvard Law Review Blog on what the last term meant for the Olmstead integration mandate: shorturl.at/1uVro.

Pharmacy benefit managers play a significant role in drug utilization — nice overview of PBMs with a cameo of my friend Andrew www.nytimes.com/2024/12/17/b...

Alicia Lewis, Hyein S. Lee, Sasha Zabelski, and Morgan Shields, recently published "Institutional Betrayal in Inpatient Psychiatry: Effects on Trust and Engagement With Care." @morgancshields.bsky.social psychiatryonline.org/doi/10.1176/...

It is misguided to denigrate ideology in “science” or research. In social science research, almost always we are guided by values. Values (self, societal) often guide variable selection & research questions (eg professional treatment guidelines).

I am also skeptical of “evidence-based policy.” The idea is often predicated on indifference to the reality that the production and use of evidence is endogenous to political processes. Evidence is important. But it is fundamentally political. So, whether & how it gets used is a matter of power.

This connects to my concern over valuing “impact.” I value impact, too — yes. But unfortunately there are now incentives to get broad attention & to contribute to polarized discourse in a way that is provocative We need scholars & thinkers to be motivated by the pursuit of knowledge, not fame

Your purpose on earth is not to argue with people who intentionally want to misunderstand you

I’m concerned about the role of social media in creating an incentive for grifters to leverage a veneer of legitimacy We see it all over, including the mental health services space Very defensive clinicians strategically diminishing survivors. I hope someone is researching this dynamic

Come train with us under our T32 health services research program! Fellowships are two years along and may be for PhD post-docs or clinical residents doing two years of research. Applications due Dec 31st. Details here: medicine.umich.edu/dept/chop/tr... #SurgSky #MedSky #healthpolicy

Thank you, St. John’s, for organizing a beautiful prayer vigil for Trans Day of Remembrance. We remember all trans people who died and were murdered this year. I send love to all people who experience rejection and violence on the basis of how they present in the world. #tdor #lgbtq

Sending out a prayer to all trans people who lost their lives. I’m upset that trans people have been both politically weaponized & scapegoated. Praying that all trans people have loving community in their lives.

really gotta get bookmarks on here so i can scrupulously compile a large collection of shit i will never look at again

TW: death, transphobia Thinking of all the trans people let down by mental health services this Trans Day of Remembrance. Suicide and homicide rates are devastatingly high for #trans people, especially autistic trans folk. Mental health services have contributed by pathologising, not affirming🏳️‍⚧️.

My response to anyone asking me to give a scholarly opinion on anything outside my dime-thin area of expertise.

Dr.Oz and RFK are going to force a lot of people to spend a lot of time defending an existing healthcare infrastructure that we all know is broken. But pulling the rug out from people who rely on Medicare and Medicaid is not the answer. The answer is improved Medicare for all. #M4A

We don’t have to trade our lives for efficiency. What is the point in being efficient if it makes us hate the experience of living?

Wish we had a bookmark feature on Bluesky. Do we have it and I just don’t see it?

I am trying my best to add all the social work academics from twitter into this list so we have a curated feed. Please let me know if you’d like to be added! And also don’t forget to pin the list to your feed! bsky.app/profile/did:...

Everything @viscidula.bsky.social says here, yes! Wake up, please. There is something deeply out of sync when I see a simultaneous push for researching “equity” and “justice” but also only when fixed within a completely unjust, harmful, discriminatory system and culture

And this pervasive cognitive dissonance — that we constantly invoke values we disregard in practice, is perhaps one of the most harmful “accomplishments” of the contemporary era (at least in the U.S.). 5/x

In case we do, I put together a social work academic Starter Pack. I’m sure I’ve unintentionally omitted folks who are already here, but I’ll keep updating.

I would like to speak up today for the trans community. You see, I know a bit of what it’s like to be politically scapegoated. When Japan attacked Pearl Harbor in 1941, suddenly anyone in America who had any amount of Japanese ancestry became suspect. Politicians preyed upon ignorance and fear. /1

In this pub, we describe associations between experiences of institutional betrayal in US inpatient psychiatric facilities & participant characteristics, facility ownership, and outcomes of trust and engagement with care psychiatryonline.org/doi/10.1176/... #academicsky #disability #mentalhealth