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Updated: Jan 27, 2026
Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
Published on: May 15, 2020
My Struggle To Access Lifesaving Mental Health Care
1This essay is dedicated to my husband, Stephen Thomas, and to my dear friends Asha Evans and Linda Mayes-thank you for carrying me all the way through; to Juno Pinder, for championing this essay and endless patience and generosity; to my colleagues William Sledge, Phil Corlett, and Al Powers for helping me navigate this mess and incredible support along the way; to my nurses, especially Stephen Majoros and Herty Lawson, for caring for me with such love and kindness; and to Robert Ostroff, Gerard Sanacora, and Samuel Wilkinson, thank you for saving my life-all words fall short. Ashley R. Clayton ( ashley.clayton@yale.edu ) is director of research and evaluation at the Center for Wellbeing of Women and Mothers in the Department of Psychiatry at the Yale School of Medicine, in New Haven, Connecticut.
Systemic barriers impede access to ketamine, an effective depression treatment. Overcoming these challenges is crucial for patients to continue this vital therapy.
Area of Science:
- Psychiatry
- Pharmacology
Background:
- Ketamine is an effective treatment for treatment-resistant depression.
- Systemic barriers can hinder patient access to essential medications.
Observation:
- A patient faces significant challenges in continuing ketamine treatment for depression.
- These hurdles are systemic, impacting treatment adherence.
Findings:
- The patient's journey highlights the difficulties in accessing and maintaining ketamine therapy.
- Navigating insurance, cost, and regulatory issues are key obstacles.
Implications:
- Addressing systemic barriers is vital for equitable access to effective depression treatments like ketamine.
- Policy and healthcare system improvements are needed to support patients on critical therapies.
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