Behavioral Health
Behavioral health is a major public health issue in the District of Columbia. Sadly, many of the legislative and regulatory initiatives around behavioral health are tied to other public health concerns, such as opioid addiction, maternal mortality, and health equity.
In partnership with the Washington Psychiatric Society, AMA, and American Psychiatric Association (APA), MSDC works to ensure that patients receive appropriate support for behavioral health issues, that the practice of psychiatry is supported in the District, and that psychiatrists are available to patients in the District.
MSDC was a proud supporter of the Behavioral Health Parity Act of 2017, which enshrined into law that all health plans offered by an insurance carrier meet federal requirements of the Wellstone/Domenici Mental Health Parity and Addiction Equity Act of 2008.
MSDC Statements and Testimony of Behavioral Health Issues
25th Council period information coming soon
Dr. Schott Uses Her Superpower to Help Others
Jul 5, 2022, 08:19 AM
by
Aimee O'Grady
Meet MSDC member and volunteer Dr. Meghan Schott
Dr. Schott has a superpower, although she didn’t officially realize it until she was an adult when as a medical student, she was diagnosed with ADHD.
Formally recognized by the Americans with Disabilities Act (ADA) as a disability, Dr. Schott sees it as her strongest attribute and perhaps the reason for her ability to keep steady in the fast-paced world of pediatric emergency medicine.
“Sometimes I am a patient’s last resort and other times I am their first stop,” she said of the wide array of cases she sees. “Oftentimes I am contacted by schools when student behavior is observed, and teachers and nurses want to ensure wellbeing. Other times, if an adolescent wants to commit suicide, I realize that if I let them go, they may kill themselves and I am trying to buy time.”
In addition to suicide ideation, she sees uncontrolled psychosis, aggression, and addiction in her older patients, to name just a few issues that her patients present. Dr. Schott has had patients stalk her and she’s been assaulted in the emergency room but it’s what she has wanted to do since she was in 7th grade. “At the time, I wanted to become a math teacher, but I became so frustrated with my brother when I tried to help him with his math work that I realized teaching wasn’t for me.” She credits the Dewey decimal system for steering her towards psychiatry. “I was in the library looking at New Age (things like palmistry and handwriting analysis) books and the psychiatry books were just further down the shelf,” she said.
Dr. Schott was a well-rounded student who maintained good grades, played sports, and did community service so it came as a shock when she failed her first year of medical school. “I couldn’t believe it. Medicine was my goal for so long, I didn’t know what to do,” she said.
The next year, she concentrated her efforts, and her grades improved, only for her to be accused of cheating. “I needed to hire a lawyer. It was just before this that I was diagnosed with ADHD. I realized that throughout my undergraduate students, I was stimulating myself with overactivity. I graduated college in three years, played three sports, did over 900 hours of community service, had 3 jobs during college, and studied during the remaining time. After the failed year, I became very depressed and sought the help of a doctor who made the official diagnosis,” she said.
Her diagnosis helped her to better understand her behavior. During litigation on the accusation of cheating, with the help of her lawyer, she learned how to navigate ADA laws. This “disability” did not affect her ability to care for patients and to mentor high school, college, and medical students towards a career in health care. his past year, “I was nominated for a mentorship award. I wasn’t the most successful person in the class, but sometimes you don’t want that person. You want the person who understands,” she said.
Today she knows she is in the right place. “I am sometimes the first person to speak frankly to a patient. When I see they are doing something that may get them in trouble, I speak up. I’m a white, female and I’m the one warning them that they could be hurt or shot if they don’t make drastic behavioral changes.”
It’s the challenging patients that keep Dr. Schott going. “We had one patient who would come in twice a week for a year. He was severely traumatized, and we were the only place that would take him. He had learned that being aggressive got him what he wanted. I saw him one and half years later after residential placement and he was doing well. He’s one of my success stories.”
By age 18, her patients move on to other emergency departments and Dr. Schott welcomes new ones. “I rarely get to see how my patients are doing. If I never see them again that is a good thing. It means they never had another crisis needing emergency psychiatric care.”
Even though the cases are challenging and often lead to disappointed and angry patients and their families, she copes with the challenges of often “saying no” by advocating in D.C. to change things slowly. This is accomplished by things like speaking to lawmakers about how police work with mental health patients and being a mayor-appointed member of the DC Citizen Review Panel that looks at how the Child and Family Services Agency (CFSA) is servicing abused and neglected youth.
Originally from Texas, Dr. Schott was in Colorado when a job became available in D.C. “I was at a conference when an email came through to a listserv I belong to about a job opening for a child psychiatry job in an E.R. in D.C. I emailed my mom in Texas telling her 'I was thinking of applying.' She was always encouraging me to come home to Texas, this time she told me, “Thinking? You better (apply).”
She joined MSDC practically by accident. “I was involved in advocacy and psychiatry when someone sent me an email about partnering with MSDC about DC minor consent laws. I did and it wasn’t long until I realized that I need to be more involved with this organization. Ever since I’ve been involved in psychiatry advocacy, other doors have opened like being on the Wellbeing Task Force."
Dr. Schott maintains her own mental health through recreational soccer. “I grew up playing soccer and play up to four nights each week. Sometimes it’s the only thing that gets me out of the hospital.” She’s a defender and likes the challenge of outsmarting her opponent. “I’m quick on my feet,” she said both literally and figuratively of a talent useful off the field as well.
One of her less active hobbies is brewing beer. “I had a Groupon for it and did this while I waited for my D.C. medical license to be issued.” Brewing beer also gave her something to focus on during the pandemic.
This avid volunteer also renewed her passion for volunteerism during COVID. “I reached out to a few food kitchens and began volunteering again. I do about 80 hours of volunteer service each month,” she said.
At the end of her busy days, Dr. Schott feels that her ADHD has served her well and made her into the empathetic physician that she is today.
Do you know a physician who should be profiled in the MSDC Spotlight Series? Submit a nomination to Robert Hay, hay@msdc.org, for a future story. MSDC membership is encouraged for featured physicians.
Sample of Legislation MSDC is Tracking in Behavioral Health
(see the whole list of bills here)
Suicide Prevention Continuing Education Amendment Act of 2019 (B23-543)
What does it do? The bill requires licensed health providers to complete 2 hours of CME on suicide prevention, assessment, and screening.
MSDC position: MSDC opposes the bill as written as the language does not encourage physician wellbeing or sufficient awareness of suicide prevention.
Current status: The bill had a hearing with the Committee on Health on June 10.