The Community Psychiatry Podcast

Host: Rob Gadomski, DO is the Deputy Medical Director of Psychiatric Services at Project Renewal, Inc and a graduate of the Columbia Public Psychiatry Fellowship. He works primarily with homeless and marginalized individuals in the New York City area. He went to the Philadelphia College of Osteopathic Medicine for medical school and completed his psychiatry residency training at Einstein Medical Center in Philadelphia before moving to NYC, where he gathered an interest in working with homeless populations and individuals interacting with the criminal legal system.Editor: Mike Zhang, a fourth-year medical student, is drawn to community psychiatry because it bridges clinical care with public health and social support, allowing him to work directly with underserved populations. Having lived in diverse places and seen how community context shapes well-being, he values psychiatry’s potential to address mental health through connection and collaboration. He is especially interested in how preventive and rehabilitative services can improve long-term outcomes for individuals and families.Social Media Content Creator: Julia Kooser, a resident at Penn Highlands DuBois, believes that addressing social drivers of health is imperative for maintaining psychological and mental health. During medical school, she was able to take part in initiatives to distribute naloxone to people within the community, and also took part in hosting voter registration events to mobilize individuals within the local community. Julia believes that when people have the ability to meet their basic needs, such as having access to housing and access to medical care and voting for individuals that represent their best interests, individuals are empowered to live happy and fulfilled lives. She feels that community psychiatry is the best vehicle for understanding these social drivers of health, and to enact change that makes the world more equitable and just. Created by the American Association for Community Psychiatry (AACP).Free AACP Membership for Medical Students, Residents, and Fellows | Instagram | Twitter | Listener Survey | Follow, review, and share!Credit Attribution: Stock Media provided by StockAudios / Pond5Disclaimer “The views and opinions expressed in this podcast are those of the hosts and guest speakers and are not representative of their employers or affiliated organizations. This is not intended as personal medical advice, but intended for educational purposes only.””

Guest:Dr. Alexander McClanahan is a psychiatrist and mental health advocate specializing in community psychiatry, currently completing residency at the Medical University of South Carolina (MUSC). As the Advocacy Chair for the South Carolina Psychiatric Association, Alex has advocated for a wide range of issues, including expanding access to mental healthcare and supporting evidence-informed policies for opioid use disorder. At MUSC, Alex has served as president of the housestaff, collaborating with administrators to enhance the resident training experience, and previously served on the institution's Medical Executive Committee. During his senior year, he established a clinic dedicated to treating individuals with treatment-resistant psychosis. He was recognized as MUSC’s "Resident of the Year" for the 2022-2023 academic year. Alex will continue his training next year as a public psychiatry fellow at Yale University.Host:Rob Gadomski, DO is the Deputy Medical Director of Psychiatric Services at Project Renewal, Inc and a graduate of the Columbia Public Psychiatry Fellowship. He works primarily with homeless and marginalized individuals in the New York City area. He went to the Philadelphia College of Osteopathic Medicine for medical school and completed his psychiatry residency training at Einstein Medical Center in Philadelphia before moving to NYC, where he gathered an interest in working with homeless populations and individuals interacting with the criminal legal system.Created by the American Association for Community Psychiatry (AACP).Free AACP Membership for Medical Students, Residents, and Fellows | Instagram | Twitter | Listener Survey | Follow, review, and share!Credit Attribution: Stock Media provided by StockAudios / Pond5

Dr. Sosunmolu Shoyinka is an award-winning psychiatrist, speaker and author, trained at Yale, Columbia, and NYU. Dr Shoyinka is Triple Board certified and holds an MBA from the Kelley School of Business. He is a Clinical Associate Professor of Psychiatry at the University of Pennsylvania and a Fellow of the Philadelphia College of Physicians. He serves on the Board of the American Association for Community Psychiatry. Dr Shoyinka led the redesign of Philadelphia’s crisis system. This effort resulted in Philadelphia’s recognition by the Biden Administration as a model city for 988 implementation. Dr Shoyinka is the co-creator of the SMART Tool, which facilitates self-directed antiracism work within organizations. Dr Shoyinka is also co-creator of a patent-pending risk-stratification analytic software that facilitates population addiction treatment. Dr Shoyinka’s leadership expertise has been nationally recognized. In May 2022, he received a Special Presidential Commendation from the American Psychiatric Association. He has been recognized as Black Leader shaping the Future of Psychiatry and is a regular guest speaker at state and national conferences. Dr Shoyinka is married to Dr. Kemi Shoyinka. They live in the Greater Philadelphia area and are blessed with 3 wonderful children: Nimi, Nife and Nisimi.Purchase the Textbook of Community PsychiatryHost:Rob Gadomski, DO is the Deputy Medical Director of Psychiatric Services at Project Renewal, Inc and a graduate of the Columbia Public Psychiatry Fellowship. He works primarily with homeless and marginalized individuals in the New York City area. He went to the Philadelphia College of Osteopathic Medicine for medical school and completed his psychiatry residency training at Einstein Medical Center in Philadelphia before moving to NYC, where he gathered an interest in working with homeless populations and individuals interacting with the criminal legal system.Editor:Chelsea Mathews is a third-year medical student.Created by the American Association for Community Psychiatry (AACP).Free AACP Membership for Medical Students, Residents, and Fellows | Instagram | Twitter | Listener Survey | Follow, review, and share!Credit Attribution: Stock Media provided by StockAudios / Pond5

Dr. Altha Jeanne Stewart is the Senior Associate Dean for Community Health Engagement, and Director of the Center for Youth Advocacy and Well-Being, and Director of the Division of Public and Community Psychiatry at University of Tennessee Health Science Center (UTHSC). In her role as Senior Associate Dean for Community Health Engagement, she serves as PI/co-PI overseeing grants funded by HHS (SAMHSA, NIH, CDC and OMH), DOJ (OJJDP), Robert Wood Johnson and Annie E. Casey Foundations, local philanthropy, and the state of Tennessee totaling over $10 million in annual funding. She is also responsible for developing services related to outreach efforts in critical health areas facing the local community, including primary care and mental health service access, integrated health/behavioral health, chronic medical conditions (diabetes, hypertension and cancer), and COVID-19 identified health disparities. As a native Memphian and longstanding leader in Community Engagement, she has established working relationships with community organizations serving children and families, and strong ties with community health, behavioral health, and social and human service providers across the county to assist with referrals for needed services. She is President of the American Association for Community Psychiatry and a past President of the American Psychiatric Association, Association of Women Psychiatrists, the Black Psychiatrists of America and the American Psychiatric Foundation. Through these positions and others, she has long taken a leading national role on issues of diversity, equity, and inclusion in medicine and how discrimination and other social determinants affect a community’s health and wellbeing. At UTHSC she currently leads research initiatives to identify and address issues related to lack of knowledge and awareness about access to treatment for behavioral health and chronic medical conditions in persistent poverty populations and long-standing systemic health inequities which contribute to the poor health outcomes in these groups. She has co-edited two volumes of Psychiatric Clinics of North America: Workforce and Diversity in Psychiatry (2022) and Achieving Mental Health Equity (2020), as well as the book, Black Mental Health: Patients, Providers and Systems (2018). She co-authored a chapter in the 2022 edition of Textbook of Community Psychiatry titled “The Role of the Psychiatrist in Community Consultation and Collaboration”. Host: Angela Liu, MD is a third-year psychiatry resident and Chair of the APA Public Psychiatry Fellowship. Editor: Zoe Wyse is a third-year medical student Created by the American Association for Community Psychiatry (AACP). Free AACP Membership for Medical Students, Residents, and Fellows | Instagram | Twitter | Listener Survey | Follow, review, and share! Credit Attribution: Stock Media provided by StockAudios / Pond5

Episode Description: Dr. Kim Gordon-Achebe and Dr. Rob Gadomski discuss challenges faced by women of color. The discussion highlights the social determinants of health, resilience, and the inequities in professional settings that contribute to burnout among women of color. Dr. Gordon-Achebe outlines her current work as a health equity coach, emphasizing her healing-centered approach to overcoming burnout and fostering empowerment. Time Stamps: 00:10 Introductions 06:16 Impact of Social Determinants of Health on Women of Color 09:03 The Concept of Resilience 16:31 Burnout and Emotional Exhaustion 27:41 Advice for Future Community Psychiatrists 30:19 Conclusion and Final Thoughts Created by the American Association for Community Psychiatry (AACP). Free AACP Membership for Medical Students, Residents, and Fellows | Instagram | Twitter | Listener Survey | Follow, review, and share! Guest: Dr. Kimberly Gordon-Achebe is a visionary leader, acclaimed community psychiatrist, and passionate advocate for health equity and social justice. As a double board-certified psychiatrist, specializing in child and adolescent psychiatry and CEO and Founder of BHETC (Bringing Health Equity Training and Consulting) to Communities of Color, she serves as a health equity consultant for community mental health and behavioral health organizations, and mindset coach, empowering Black, Indigenous, and Women of Color (BIWOC) leaders to redefine success and create healthier, more fulfilling lives. Her pioneering work has earned her prestigious awards and recognition, including the Jeanne Spurlock, M.D. Minority Fellowship Achievement Award, Distinguished Fellow designation from the American Psychiatric Association, and the Women’s Wellness through Equity and Leadership (WEL) Award. Through her dynamic leadership roles, transformative e-learning programs, engaging workshops, and personalized coaching, Dr. Gordon-Achebe equips BIWOC leaders with the tools and strategies to break free from societal barriers, overcome burnout and impostor syndrome, and unleash their full potential. Her extensive research and publications on the impact of discrimination on health disparities have significantly contributed to the discourse on mental health equity, shaping policies and practices in the field. With her unparalleled expertise, visionary leadership, and unwavering commitment to empowerment, Dr. Kimberly Gordon-Achebe serves as an inspirational guide and mentor for BIWOC leaders seeking to redefine success, dismantle systemic barriers, and live with true freedom and abundance. Her transformative approach combines cutting-edge psychological insights, cultural competence, and a deep understanding of the unique challenges faced by BIWOC leaders, making her a sought-after expert in the field of mental health equity and leadership development. Learn more at https://drkimanswers.org/. Host: Rob Gadomski, DO is the Deputy Medical Director of Psychiatric Services at Project Renewal, Inc and a graduate of the Columbia Public Psychiatry Fellowship in June 2022. He works primarily with homeless and marginalized individuals in the New York City area. He went to the Philadelphia College of Osteopathic Medicine for medical school and completed his psychiatry residency training at Einstein Medical Center in Philadelphia before moving to NYC, where he gathered an interest in working with homeless populations and individuals interacting with the criminal legal system. Editor: Chelsea Mathews is a third-year medical student. Credit Attribution: Stock Media provided by StockAudios / Pond5

Episode Description: Dr. Matt Goldman and Dr. Rob Gadomski discuss key takeaways from the Crisis and Emergency Services chapter of the Textbook of Community Psychiatry including the role of crisis services, different roles that community psychiatrists can have in crisis services, and more! Timestamps: 00:10 Introductions 01:26 Definition of Crisis and Role of Crisis Services 08:10 Different Roles that Community Psychiatrists can have in Crisis Services 12:40 Variability of Crisis Services in Community Psychiatry 28:07 Final Thoughts Roadmap to the Ideal Crisis System Purchase the Textbook of Community Psychiatry Created by the American Association for Community Psychiatry (AACP). Free AACP Membership for Medical Students, Residents, and Fellows | Instagram | Twitter | Listener Survey | Follow, review, and share! Guest: Matthew L. Goldman, MD, MS, FAPA, is the Medical Director for the King County Crisis Care Centers Levy Implementation Plan, a voter-approved initiative to create five crisis centers, new residential treatment facilities, and workforce development programs across Seattle/King County. Prior to joining King County, he was the Medical Director for Comprehensive Crisis Services in the San Francisco Department of Public Health where he had direct clinical and administrative oversight of a crisis call center and adult and child mobile crisis teams, led planning for 988 implementation, and advised on the development of a new crisis stabilization unit. Dr. Goldman is a Clinical Assistant Professor in the University of Washington Department of Psychiatry and Behavioral Sciences, he serves as a board member of the American Association of Community Psychiatry, and he serves on the National Council for Mental Wellbeing’s Medical Director Institute where he co-chairs a committee on crisis services. He is also a physician scientist, with over 40 academic publications, 3 book chapters, and multiple presentations at national meetings. He is currently studying mental health and substance use crisis services and suicide prevention in California, Arizona, Georgia, and Ohio, with grant funding from the National Institute of Mental Health (PI: R03) and others. From 2018-2019 he was a Policy Fellow in the Substance Abuse and Mental Health Services Administration through the Health and Aging Policy Fellowship. He graduated from Pomona College and the UC Berkeley - UCSF Joint Medical Program, and he completed his residency and chief residency in psychiatry at Columbia University and the New York State Psychiatric Institute as well as the Public Psychiatry Fellowship at UCSF. Host: Rob Gadomski, DO is the Deputy Medical Director of Psychiatric Services at Project Renewal, Inc and a graduate of the Columbia Public Psychiatry Fellowship in June 2022. He works primarily with homeless and marginalized individuals in the New York City area. He went to the Philadelphia College of Osteopathic Medicine for medical school and completed his psychiatry residency training at Einstein Medical Center in Philadelphia before moving to NYC, where he gathered an interest in working with homeless populations and individuals interacting with the criminal legal system. Editors: Daniel E. Carvallo-Ruiz, MD and Aldwin Soumare, DO Credit Attribution: Stock Media provided by StockAudios / Pond5

Dr. Joanna Fried and Dr. Brice Reynolds discuss Janian Medical Care, the Manhattan Outreach Consortium, the NYC311 app, their roles as homeless outreach psychiatrists in New York City, and more! Timestamps: 00:10 Introductions 00:46 Janian Medical Care 01:46 ACT and IMT Teams 03:02 Manhattan Outreach Consortium 10:20 Typical Week of a Homeless Outreach Psychiatrist 23:50 Advice for Trainees Janian Medical Care NYC311 App Created by the American Association for Community Psychiatry (AACP). Free AACP Membership for Medical Students, Residents, and Fellows | Instagram | Twitter | Listener Survey | Follow, review, and share! Guests: Joanna Fried, MD earned her M.D. at the Columbia University College of Physicians and Surgeons and completed residency training at New York University Medical Center where she was a Chief Resident. She completed fellowship training at Columbia University Public Psychiatry Fellowship and did her clinical placement with Janian/PPOH before joining PPOH as a staff psychiatrist in July 2010. She is a Medical Director for PPOH as well as Medical Director for the Manhattan Outreach Consortium. Dr. Fried is a Clinical Instructor at New York University Medical School. She provides psychiatric care to clients of street outreach teams in Manhattan. Brice Reynolds, MD is the Assistant Medical Director for Psychiatry at Janian, an NYC-based nonprofit group practice for psychiatry for the homeless. Through Janian, he practices psychiatry on the Harlem-based Goddard ACT team, shelter psychiatry based in Seafarers Safe Haven near Union Square, and street outreach with Breaking Ground as part of the Manhattan Outreach Consortium. He also leads residency recruitment, billing, and is part of the Janian leadership team. Dr. Reynolds was previously a Columbia Public Psychiatry Fellow and served as chief resident at The Mount Sinai Hospital. When he's not biking around the boroughs to meet with patients, he sometimes finds time to learn piano, practice improv comedy, and care for his family’s chickens. Host: Angela Liu, MD is a third-year psychiatry resident and Chair of the APA Public Psychiatry Fellowship. Editor: Zoe Wyse is a third-year medical student. Credit Attribution: Stock Media provided by StockAudios / Pond5

Dr. Sarah Vinson discusses interpersonal and structural adultism, explores the implications of adultism on the social determinants of mental health and population mental health, and provides recommendations for community psychiatrists to help address the youth mental health crisis. Timestamps: 00:10 Introductions 01:25 Overview of Adultism 03:51 Interpersonal vs Structural Adultism 08:44 Impacts on Youth Mental Health 13:40 Recommendations for Community Psychiatrists 17:42 Final Thoughts Social (In)Justice and Mental Health Created by the American Association for Community Psychiatry (AACP). Free AACP Membership for Medical Students, Residents, and Fellows | Instagram | Twitter | Listener Survey | Follow, review, and share! Guest: Sarah Y. Vinson, MD is a Triple Board Certified Child & Adolescent, Adult, and Forensic Psychiatrist and currently serves as the Chair of Psychiatry and Behavioral Sciences Morehouse School of Medicine. She is the founder of the Lorio Psych Group, an Atlanta, GA based mental health practice providing expert care and consultation. Dr. Vinson is also the founder of Lorio Forensics, which provides consultation in a wide variety of cases in criminal, civil and family court cases. After graduating from medical school at the University of Florida with Research Honors and as an Inductee in the Chapman Humanism Honors Society, she completed her general psychiatry training at Cambridge Health Alliance/Harvard Medical School. While there, she also received specialized training in trauma through the Victims of Violence Program. She then returned to the South to complete fellowships in both child & adolescent and forensic psychiatry at Emory University School of Medicine. She has been elected and/or appointed to national and statewide office by her professional peers. She is the Past President of the Georgia Council on Child and Adolescent Psychiatry, and the Treasurer of the Georgia Psychiatric Physicians Association. Additionally, she is an Advisor for the Judges Psychiatry Leadership Initiative. She has been a speaker at national conferences including the American Psychiatric Association Annual Meeting, the American Academy of Child and Adolescent Psychiatry Annual Meeting and The National Urban League Annual Meeting.. Dr. Vinson has received numerous awards in recognition of her service and leadership including the University of Florida College of Medicine Outstanding Young Alumna Award and the APA Jeanne Spurlock Minority Fellowship Alumna Achievement Award. Host: Angela Liu, MD is a second-year psychiatry resident and APA Public Psychiatry Fellow. Credit Attribution: Stock Media provided by StockAudios / Pond5