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​Creating a Mentally Healthy Nation for All: the APA Foundation

(Ep. 137)

A discussion with Dr. Vedrana Hodzic, Director of Fellowships and Medical Education for the American Psychiatric Association Foundation, and Dr. Brendan Ross a psychiatry resident at Mount Sinai Hospital in New York City.

The conversation focused on:

• the APA Foundation's mission to create a mentally healthy nation, with particular emphasis on their community-based mental health programs.
• Brendan shared his experience working with intensive mobile treatment teams in New York City, which provide mobile psychiatric care to people with severe mental illness in their homes and apartments.
• Dr. Hodzic discussed the Foundation's work integrating mental health services with faith communities through the Mother Cabrini grant program, which includes training peer navigators and increasing access to mental health care in religious settings.
• Challenges in psychiatry, including the need for better reimbursement rates for mental health services and strategies for working with families of people with serious mental illness.
• The guests emphasized the importance of relationship-building and patience in treating individuals with severe mental illness, noting that successful outcomes often require extended periods of trust-building with patients.

Links

https://www.apaf.org/

https://smilrc.org/

https://www.smart911.com/

    link: https://www.psychiatryonline.org/doi/10.1176/appi.pn.2026.02.2.3

Mindy and her book: https://mindygreiling.com/

Randye and her book: https://randyekaye.com/

Miriam and her book: https://www.miriam-feldman.com/

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Randye Kaye
Mindy Greiling
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Guest: (returning) Jerri Niebaum Clark

(Episodes 85 and 32 - Ambiguous Loss and Advocacy)

In Gone Before Gone, Clark describes her son’s “death by degrees” during a young adulthood wrecked by severe mental illness.

Surviving a parent’s nightmare led to Clark’s memoir of self-help—a toolkit for living with “ambiguous loss,” a term coined by Pauline Boss, PhD, an academic, author, and long-time family therapist. Trained by Boss herself, Clark has blended Boss’ concepts with her own experiences and the coping skills she’s cultivated as a long-time yoga teacher.

The result is a book like none other. Part memoir, part survival guide, complete with practical exercises .

Quick recap

Jerri Clark explained how she transformed her grief into a practical guide using ambiguous loss theory, applying these concepts specifically to families dealing with severe mental illness, emphasizing that families can heal while still experiencing pain, and challenging common platitudes about grief and strength.

Jerri shared insights about the importance of proper treatment, including clozapine and assisted outpatient treatment, and how families should not be defined solely by their caregiving roles. The episode concluded with all 3 Moms' (Mimi was not able to be there, Jerri is Mom #3) message that families can live fulfilling lives alongside ongoing grief and advocacy work.

Gone Before Gone book:

https://a.co/d/0gQFqukA

Johns Hopkins Symposium:

https://events.jhu.edu/form/schizophrenia-center-annual-symp

Mindy and her book: https://mindygreiling.com/

Randye and her book: https://randyekaye.com/

Miriam and her book: https://www.miriam-feldman.com/

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Our websites:
Randye Kaye
Mindy Greiling
Miriam (Mimi) Feldman

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We’ve discussed FDA barriers to clozapine and side effects of all antipsychotics. Tonight we’ll zero in on Risperdal its producer, Johnson and Johnson, and the FDA.

First, we’d like to say that for those listeners who are benefitting from Risperdal, the best antipsychotic is one that’s working for you. We’ll be talking about people for whom it’s not working so well.

Our guest for this discussion is Gardiner Harris, author of the NYT bestselling book “No More Tears: The Dark Secrets of Johnson and Johnson.” Mr. Harris, a Yale graduate, is a freelance investigative journalist who was previously an reporter for the WSJ and NYT covering public health and the pharmaceutical industry.

Most book chapters are exposes of trusted Johnson and Johnson products, from Baby Powder to cancer drugs, and are getting media attention, but we shine a light on the section about Risperdal.

Questions:

1. First let’s talk about Risperdal benefit. Tell us about efficacy studies, including the CATIE trial and what they showed about Risperdal. (Dr. Jeffrey Lieberman of Columbia University who led CATIE was a recent guest).
2. How do atypicals compare in price to older drugs like Haldol?
3. What role did J& J and the FDA play in selling them to cash-strapped states?
4. What are state budget trade-offs?
5. What role did NAMI play?
6. In this podcast, we mostly focus on adults with schizophrenia and psychosis-spectrum illnesses, but briefly, what was the off-label market (seniors and kids) for Risperdal and why did it take over sales?
7. What role did psychiatrists play?
8. Please talk about gynecomastia. (breasts, lactation)
9. How did whistleblowers and lawyers help to change J & J practices? Why were no executives convicted?
10. Do you have advice for consumers who seek the best medication for themselves or their loved ones?

Links:

book: https://www.amazon.com/No-More-Tears-Secrets-Johnson/dp/0593229878/ref=tmm_pap_swatch_0

author: https://gardinerharris.com/

CMS website/Physicians Payment Sunshine act:

https://openpaymentsdata.cms.gov/

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Our websites:
Randye Kaye
Mindy Greiling
Miriam (Mimi) Feldman