Fixing the system that fails psychiatric patients episode artwork

EPISODE · Nov 11, 2025 · 14 MIN

Fixing the system that fails psychiatric patients

from The Podcast by KevinMD

Psychiatrist, internist, and addiction medicine specialist Muhamad Aly Rifai discusses his article "The crisis in inpatient psychiatric care." In this episode, Muhamad examines the growing dysfunction within the nation's psychiatric hospital system, where patients in crisis are too often turned away or kept too long because of policy failures, financial pressures, and insurance algorithms that override clinical judgment. Drawing from two decades on the front lines, he describes the moral tension faced by psychiatrists navigating laws that punish both over- and under-admission, and insurers that cut coverage precisely when patients begin to improve. Muhamad calls for a new social contract for crisis care grounded in fairness, transparency, and dignity, where hospitals, insurers, and clinicians are all accountable to the patients they serve. Viewers will gain a clear and compassionate understanding of how reform can make psychiatric care humane, accessible, and just. Our presenting sponsor is Microsoft Dragon Copilot. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click. Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise, and it's built on a foundation of trust. It's time to ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

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Fixing the system that fails psychiatric patients

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This episode was published on November 11, 2025.

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Psychiatrist, internist, and addiction medicine specialist Muhamad Aly Rifai discusses his article "The crisis in inpatient psychiatric care." In this episode, Muhamad examines the growing dysfunction within the nation's psychiatric hospital system,...

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