Jul 20, 2010 6
Technology as the missing link to enable a brain-based model of brain care: interview with Dr. John Docherty
Dr. John Docherty is an Adjunct Professor of Psychiatry at the Weill Medical College, Cornell University, Director of Post Graduate Education there, and Chief Medical Officer of Brain Resource. Trained as a clinical research fellow in neuropsychopharmacology at NIMH, he later returned as Chief of the Psychosocial Treatments Research Branch, responsible for all federally supported psychosocial treatment research in mental health nationwide. He oversaw the landmark National Collaborative Study of the Treatment of Depression and served as a member and Chairman for over 10 years on the NIMH and then NIDA Treatment Research IRGs. Dr. Docherty has wide experience in successfully implementing innovation in both clinical operations and managed health care. He founded Northeast Psychiatric Associates in 1985. As National Medical Director for National Medical Enterprises, he oversaw medical control and quality improvement in 74 hospitals in 34 states. He was the Executive Vice-President and Chief Medical Officer for Merit Behavioral Care, which then covered 30 million people. In 1998, he founded Comprehensive NeuroScience (CNS). Its Care Management Technologies are currently implemented in 17 state Medicaid plans. Dr Docherty has received numerous honors and awards and has authored over 100 scientific publications.
(Editor’s note: this interview with Dr. John Docherty was originally published in SharpBrains’ market report Transforming Brain Health with Digital Tools to Assess, Enhance and Treat Cognition across the Lifespan, published in July 2010)
Alvaro Fernandez: Dr. Docherty, it is a pleasure to be with you today to discuss the main theme of SharpBrains’ 2010 market report – how the convergence of scientific findings and technology platforms and tools is reshaping how as a society and as individuals we will take care of cognition and mental wellness along the lifecourse, giving birth to the emerging digital brain health and fitness market. Can you first briefly discuss your career trajectory and your current role at Brain Resource?
Dr. John Docherty: Sure. The main theme of my work since the 1960s has remained the same, “How do we put knowledge into effective use to improve mental health?” Over the last century, medicine made tremendous progress in generating scientific and clinical knowledge. Basic research discovery science and clinical treatment development science have made great progress. Within Psychiatry there was standard setting advance in the 1960’s through the NIMH-VA cooperative studies to the methodology of assessing the efficacy of psychopharmacological drugs. This work established principles adopted for the study of medications in the other areas of medicine. The study of psychotherapy, however, lagged in development. In my role of Chief of the Psychosocial Treatments Branch of the NIMH , I helped contribute to the advance of that work by supporting the efforts of an extraordinary group of individuals led by Irene Waskow who carried out the TDCRP. This study established the methodologies that made possible the effective scientific study of the efficacy of psychotherapies. The evidence base and of such treatments as CBT, DBT, Motivational Enhancement Treatment and other evidence-based psychotherapies derives directly from this study and its seminal influence. This was a contribution to the science of Clinical Treatment Development research.
I would say that my major interest, however, has been in the next step, the science of knowledge transfer. There has been and remains a long and costly (in terms particularly of unnecessary suffering) lag between the development of new knowledge and its common and effective use in practice.
In order the help the field moved forward, I have worked for the last 20 years in the development and implementation of methods to effectively transfer knowledge into practice. Read the rest of this entry »