What's "REASONABLE" when the system(S) to address Neuro-developmental & Psychiatric Disorders are already OVERWHELMED & RElying on A scientifically invalid DSM

Val's Take/Conjecture

"University Teaching Hospitals"  are an important connection between RESEARCHERS and CLINICIANS.

One of the scariest things to observe in Mental Health is the LARGE DIVIDE that has grown up between the RESEARCHERS and the CLINICIANS.

Generative AI in Healthcare

• Is this an Olmstead Issue?

So Olmstead is about preventing the unnecessary institutionalization of people with disabilities.

Further, it is currently understood to include the risk of institutionalization of people with disabilities that is inherent in HOMELESSNESS.

OVER10 Years After the National Institute of Mental Health Called Out the DSM 5 --- Where Are We?

• NIMH's idea which sounded good at the time and probably is still good in many respects was the RDoC Program.
  • The DSM was not tied to the underlying biology BUT
  • The RDoC Program and its "MATRIX" would be.
    

In the intervening 10 years, we've learned a lot more and seen the emergence of:

• The Microbiome
• Immuno-Psychiatry
• Metabolic Psychiatry
• Neuro-Endocrine Psychiatry
• Maternal Immune Activation
• A Neuro-Developmental-Psychiatric Continuum

The number of variables is staggering.

I do think we are reaching our limits to process information.  There is a need to expand those limits to achieve more effective individualized medicine.

AND

The largest institutions for people with mental illness are JAILS & PRISONS.

Even if we don't readily have available the absolute answer --- If we had a mental health profession that was MORE AWARE of its knowledge limitations ---

• we might have the INTELLECTUAL MATURITY to get more people out of jails and prisons.
• and provide the ALTERNATIVES currently necessary.
  

Insanity

Science Up