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Leading Minds

Leading Minds

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August 19th 2013:A View from the Psych ER: Is Our Society Abandoning the Seriously Mentally Ill?

Speaking as a frontline clinician with 20 years of experience in the psychiatric emergency room at San Francisco General Hospital, Dr. Paul Linde believes that people with chronic and serious psychiatric illness, politically powerless and voiceless, are being further marginalized by our society. As President Obama's health care reform package is due to roll out in 2014, will the changes in it further abandon the care of the seriously mentally ill? Already, cuts to public health budgets have adversely impacted this population. And, with organized psychiatry casting an even wider diagnostic net

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Paul R. Linde, M.D.

Paul R. Linde, M.D. is a clinical professor of psychiatry in the UCSF School of Medicine whose latest book, Danger to Self: On the Front Line with an ER Psychiatrist, was published by the University of California Press in 2010. Dr. Linde, who has practiced in a variety of high-intensity psychiatric settings, has worked consistently in the psych ER at San Francisco General Hospital since 1992. He has expertise in crisis assessment, psychopharmacology, addiction medicine, consultation-liaison psychiatry, and cross-cultural issues. His first book, Of Spirits and Madness: An American Psychiatrist in Africa (McGraw-Hill, 2000), chronicled his experience working in Zimbabwe in the mid-1990s. Dr
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