Psych Debate 15 | Why I Left the NIMH: People, Place, and Purpose | Thomas R. Insel, MD
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Psych Debate 15 | Why I Left the NIMH: People, Place, and Purpose | Thomas R. Insel, MD
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Tom Insel ran the National Institute of Mental Health for 13 years. He left in 2015 after concluding that despite billions in research spending and major scientific breakthroughs, the actual outcomes for people with serious mental illness had gotten worse — suicide rates up 30%, more incarceration, more homelessness. In this conversation, Insel walks through why he walked away from one of the most powerful positions in American psychiatry, why healthcare explains only 10% of health outcomes, and why recovery from serious mental illness comes down to what one street psychiatrist in LA called the three Ps: people, place, and purpose.
Topics: the failure of the medical model, community mental health, ACT teams and clubhouses, why $4 trillion in US health spending hasn't moved mental health outcomes, recovery-oriented care, the role of social determinants, and what psychiatric residency training is missing.
Thomas Insel, MD is the former director of the National Institute of Mental Health and author of Healing: Our Path from Mental Illness to Mental Health. He co-founded Mindsite News and serves on the board of Fountain House