On Demand Grand Rounds: Healing: Our Path from Mental Illness to Mental Health


This presentation was originally reviewed on March 21, 2022, and broadcast live online on March 23, 2022, from 11:30 AM – 1:00 PM ET. 

The views and opinions expressed by this presenter in this lecture are their own, and do not represent the views of Sheppard Pratt.

This talk begins with a simple question: why with so much progress in science have we made so little progress in outcomes for people with mental illness, especially those with serious mental illness?  Why have we failed to reduce death and disability?  I will suggest that our usual explanations (lack of treatments, lack of knowledge, lack of providers, stigma) are not sufficient answers to this question.  A different set of explanations (lack of engagement, lack of quality, lack of accountability) provides more immediate solutions, including some that can be delivered via technology.  But there is a broader context that needs to be considered if we are to close the outcome gap.  To reduce death and disability we will need to aim for recovery, not just immediate symptom relief.  Recovery requires the 3 P’s: people, place, and purpose.  The 3 P’s, essential for recovery, are not currently part of healthcare, but they are critical for mental health.  Psychiatric care needs to expand beyond a narrow medical model if we are going to close the outcome gap.  The problem of mental illness is unequivocally medical, but the solutions are broader, including people, place, and purpose.  This presentation will reframe the mental health crisis as more than a healthcare crisis.

Target Audience

This activity is intended for physicians, nurses, psychologists, social workers, counselors and other mental health professionals. 

Learning Objectives

At the conclusion of this activity, attendees will be able to:

  1. Recognize that progress in research has not translated to progress in outcomes for people with serious mental illness (SMI).
  2. Identify the reasons for lack of progress in outcomes for people with SMI.
  3. Define the critical elements (the three P’s) of recovery.


Course summary
Available credit: 
  • 1.50 ACEP NBCC clock hours
  • 1.50 Category II credits for Social Workers
  • 1.50 Psychologists
  • 1.50 Participation
Course opens: 
Course expires: 

Sheppard Pratt is dedicated to improving quality of life through mental health, special education, and addiction services for children, adolescents, adults and older adults.  Our patient-centered treatment approach, combined with our legacy of clinical excellence, sets us apart from other health systems on both a local and national level.  We have been ranked among the nation’s top psychiatric hospitals for 24 consecutive years by U. S. News & World Report.  Founded in 1853 by philanthropist Moses Sheppard, Sheppard Pratt Health System still abides by its Quaker traditions and values.

Sheppard Pratt regularly hosts renowned speakers from across the country at our headquarters in Towson. We provide educational opportunities on subjects including psychiatric disorders, issues of behavioral health, systems-based change, mental and somatic co-morbidities, psychiatric effects on health and health outcomes, advances in neurobiology, and clinical developments in concepts underlying drug treatment of psychiatric disorders. We are accredited by the Accreditation Council of Continuing Medical Education, the Maryland Nurses’ Association, the Maryland Board of Psychology, the Maryland Board of Social Work, and the National Board of Certified Counselors.

Sheppard Pratt’s Professional Education Program is pleased to provide Wednesdays at Sheppard Pratt free of charge as a public service to the mental health community.  Your tax-deductible donations will help maintain the outstanding quality of this service. 

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There is no commercial support for this activity.

About the speaker

Tom lnsel, M.D., a psychiatrist and neuroscientist, has been a national leader in mental health research, policy, and technology.  From 2002-2015, Dr. Insel served as Director of the National Institute of Mental Health (NIMH). More recently (2015 – 2017), he led the Mental Health Team at Verily (formerly Google Life Sciences) in South San Francisco, CA.  In 2017 he co-founded Mindstrong Health, a Silicon Valley start-up building tools for people with serious mental illness.  In 2020, he co-founded Humanest Care, a therapeutic online community for recovery.   Since May of 2019, Dr. Insel has been a special advisor to California Governor Gavin Newsom. Chair of the Board of the Steinberg Institute in Sacramento, California; and serves on the Board of Fountain House.   He is the author of the newly-published book Healing: Our Path from Mental Illness to Mental Health, published by Penguin Random House.  With journalist co-founders, he recently launched MindSite News (www.mindsitenews.org), a non-profit digital publication focused on mental health issues.  Dr. Insel is a member of the National Academy of Medicine and has received numerous national and international awards including honorary degrees in the U.S. and Europe.

Disclosure Statements

Sheppard Pratt holds the standard that its continuing medical education programs should be free of commercial bias and conflict of interest. In accord with Sheppard Pratt's Disclosure Policy, as well as standards of the Accreditation Council for Continuing Medical Education (ACCME) and the American Medical Association (AMA), all planners, reviewers, speakers and persons in control of content have been asked to disclose any relationship he /she has with any entity producing, marketing, selling, re-selling, or distributing health care goods or services consumed by, or used on, patients, during the past 24 months. All planners, reviewers and speakers have also been asked to disclose any payments accepted for this lecture from any entity besides Sheppard Pratt, and if there will be discussion of any products, services or off-label uses of product(s) during this presentation.

Thomas R. Insel, MDreports that he has the following relationships with commercial interests: Dr. Insel is a co-founder of Mindstrong Health, NeuraWell Therapeutics and Humanest Care. He is a shareholder in publicly traded Alphabet, Apple, Compass Pathways, Karuna and Microsoft and holds private equity positions in Alto Neuroscience, Mindstrong Health, NeuraWell Therapeutics, Owl Insights, Uplift and Valera Health. He is a board member of the Foundation for NIH, HealthCare Capital, Schaeffer Center for Health Policy (USC), Valera Health (observer status) and the Steinberg Institute, where he serves as board chair. He is also a member of the scientific advisory boards of Alto Neuroscience, Embodied, Koa Health, NeuraWell Therapeutics, Owl Insights, PsychHub and Cerebral. All relationships have been mitigated. He will not discuss any products, services, or off-label uses in this presentation.

Event Planners/Reviewers Disclosures: The following event planners and/or reviewers are reported as having no financial interest, arrangement or affiliation with any entity producing, marketing, selling, re-selling, or distributing health care goods or services consumed by, or used on, patients, during the past 24 months: Todd Peters, MD, Deepak Prabhakar, MD, Briana Riemer, MD, Louis Marino, MD, Ehsan Syed, MD, Devi Bhuyan, PsyD, Faith Dickerson, PhD, Carrie Etheridge, LCSW-C, Tom Flis, LCPC, Laura Webb, RN-BC, MSN, Bruce Boxer, PhD, MBA, MA, MSN, RN, NPD-BC, NEA-BC, MCHES, CPHQ, Stacey Garnett, RN, MSN, Heather Billings, RN, and Jennifer Tornabene.

Psychologist Statement: Sheppard Pratt is authorized by the State Board of Examiners of Psychologists as a sponsor of continuing education. Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this CE activity.  Sheppard Pratt designates this educational activity for a maximum of 1.5 contact hours for Psychologists.

Social Worker Statement: Sheppard Pratt is authorized by the Board of Social Work Examiners of Maryland to offer continuing education for Social Workers.  Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this CE activity. This activity is approved for 1.5 contact hours in Category II credits for Social Workers.

Counselor Statement:  Sheppard Pratt has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 5098.  Programs that do not qualify for NBCC credit are clearly identified.  Sheppard Pratt is solely responsible for all aspects of the program.  This activity is available for 1.5 NBCC clock hours.

Available Credit

  • 1.50 ACEP NBCC clock hours
  • 1.50 Category II credits for Social Workers
  • 1.50 Psychologists
  • 1.50 Participation
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Grand Rounds: Healing: Our Path from Mental Illness to Mental Health

Thomas R. Insel, MD

Co-Founder, Mindstrong Health

Mountain View, CA

Originally reviewed March 21, 2022.
Originally broadcast live March 23, 2022, from 11:30 AM – 1:00 PM ET
Enduring Activity Credit Expiration Date: December 25, 2025.

Activity Time: Ninety-minute webinar lecture with a 15-minute evaluation process. Total Time: 1:45.

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