• Telepsychiatry, blossoming even before COVID-19, is quickly becoming commonplace.
• Enhanced understanding of the impairments that render patients with serious mental illness unable to acknowledge their own illness are lending support to the judicious use of involuntary treatment in inpatient and outpatient settings.
• Significant strides are being made in assisting people with serious mental illness to become employed, particularly through clubhouses.
• The success of long-acting injectable medications is helping to “make a significant dent in the prevalence of nonadherence to psychiatric medications.”
• Innovative integrated care strategies are extending psychiatric expertise to more people in need.
• Advocacy is steadily chipping away at the arcane institutions for mental disease (IMD) exclusion, a requirement that excludes most Medicaid beneficiaries with mental illness from coverage in psychiatric hospitals.
• Regulatory changes are allowing expansion of the number of buprenorphine prescribers, and Narcan is being made more widely available for emergency treatment of people who have overdosed.
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