Volume
59, Number 3Summer 2008
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INTERVIEW
SCMA President Kirk Pappas, MD
“The thing that I would ask every physician to do is to sign on at
www.exerciseismedicine.org and begin to experiment with having more conversations around exercise with their patients.”
By Steve Osborn
FEATURE
ARTICLES
Mental Health
Editorial: Where Do We Go From Here?
“Though treatment is increasingly outpatient-based, the statistic is still sobering: Sonoma County now has as many acute inpatient psychiatric beds as it did in 1902—none.”
By Mark Sloan, MD
Does Sonoma County Need an Inpatient Psychiatric Unit?
“Sonoma County is big enough to provide inpatient psychiatric services within its borders. But what kind of facility and how large?”
By Edward L. Merrin, MD
Integrating Mental Health and Primary Care
“A cutting-edge trend in public mental health systems is the integration and collaboration of mental health services with primary care, primarily in community clinics.”
By Gary Bravo, MD
Integrated Care at the Santa Rosa Free Clinic
“Not only are medical and mental health services offered in a one-stop format, but all physicians in the clinic (including the psychiatrist) provide both primary care and mental health services.”
By Michael Kozart, MD, PhD
A Family Physician’s Perspective on Integrated Behavioral Health
“About one-third of Sonoma County’s primary care physicians already practice in environments that embrace Integrated Behavioral Health.”
By Walt Mills, MD
Child and Adolescent Mental Health Services in Sonoma County
“The need for child and adolescent psychiatrists has always been high, with a service demand beyond the capacity of the available workforce.”
By John Leipsic, MD
DEPARTMENTS
Local Frontiers: The North Bay Melanoma Program
“We evaluate 5-10 newly diagnosed melanoma patients each month, so we believe we’re seeing most of the non-Kaiser patients in the region.”
By Peter Brett, MD
International Medicine: At Home in Guatemala
“I work in a three-room clinic in Las Cruces, a small town in northern Guatemala. We have dirt roads and draw our water from a well, and we usually have electricity.”
By Julie Kiser, MD
Practical Concerns: Collective Health
“Ever since residency, I’ve had the sense of holding my breath,
waiting for the medical system to collapse entirely, so that it can
rise anew and become a viable system that truly cares for the health of our nation.”
By Anne French, MD
Medical Arts: One Doc, Two Doc, Red Doc, Blue Doc
“On Thursday evening, April 24, all local physicians and their families
are invited to Hidden Talents, the second annual art exhibit
sponsored by the SCMA Alliance.”
By James Devore, MD
Medical Arts: Singing With Your Heart
“Slowly, my mind wrapped itself around an altogether different sound, foreign to the ward. I believe it was the melody of ‘Cielito Lindo.’”
Colleen Foy Sterling, MD
Current Books: Doctors as Patients
“[Klitzman’s] subjects describe the transition from their vision of themselves as God-like beings to the uncomfortable and often
degrading experiences they endured in hospitals and emergency rooms, even in their own institutions.”
By Allan Bernstein, MD
