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Friday, November 6
 

1:30pm EST

Beyond Coercion: Reimagining Legal Responses to Psychosis (Hybrid)
Friday November 6, 2026 1:30pm - 3:00pm EST
Beyond Coercion: Reimagining Legal Responses to Psychosis
  • 1:30-2:30 Everyday Coercion: Interrogating the Economic, Social, and Procedural Costs of Assisted Outpatient Treatment - Nev Jones PhD, Todd Wittenberg, Melissa Uehling MD PhD, Lauren Fowler, Shannon Pagdon MSW
  • 2:30-3pm INSTEAD Mental Health Diversion: An Off-ramp to Care and Support for Individuals Arrested While in "Psychosis" or Extreme States - Allie Dougharty, LCSW

Everyday Coercion: Interrogating the Economic, Social, and Procedural Costs of Assisted Outpatient Treatment - Nev Jones PhD, Todd Wittenberg, Melissa Uehling MD PhD, Lauren Fowler, Shannon Pagdon MSW
This panel brings together findings from rigorous, co-produced qualitative research examining the impacts of Assisted Outpatient Treatment (AOT) and psychiatric coercion across multiple domains. Panelists will drawing on interviews with AOT clients in New York (n = 47), outside of NY (n = 20) and community psychiatrists across the United States (n = 35). The first speaker will interrogate failures of judicial due process within AOT proceedings in New York, examining how procedural protections break down in practice and what this means for the rights of people subject to commitment orders. The second panelist will then explain how court-ordered community treatment can disrupt economic participation, including employment, education, and financial stability. The third panelist will consider AOT's disruption of social relationships and everyday social processes, unpacking relational costs of AOT that are rarely captured through quantitative metrics. Finally, the last panelist will present an analysis of psychiatrists' own accounts—both those critiquing and those rationalizing the profession's role in AOT specifically and coercion more broadly—with attention to the complexity and stakes of the moral, epistemic, and institutional tensions providers regularly navigate.

INSTEAD Mental Health Diversion: An Off-ramp to Care and Support for Individuals Arrested While in "Psychosis" or Extreme States - Allie Dougharty, LCSW
INSTEAD Mental Health Diversion offers holistic, non-punitive, in-community case management and legal system navigation for individuals experiencing psychosis and other mental health crises at their time of their arrest in New Orleans, Louisiana. The INSTEAD program helps facilitate participants' release from jail, re-entry into the community, and collaborates with legal system actors to have their legal cases dismissed after three months of participation. While program participants are required to engage in some form of mental health treatment and/or assessment, they are not mandated to attend inpatient treatment or take medication. This presentation will explain the ethical and clinical foundations of the program, highlight the difference between our diversion model and other available diversion options in Orleans Parish, share qualitative data about participant experiences, and highlight the issues inherent in operating a progressive, person-centered program in a conservative legal system.
Speakers
avatar for Nev Jones PhD

Nev Jones PhD

Associate Professor, University of Pittsburgh
Nev Jones, PhD, is Associate Professor at the University of Pittsburgh School of Social Work, Director of PathLab, and affiliate faculty in the Department of Psychiatry and Institute for Bioethics. Her research examines coercive psychiatric treatment, early psychosis services, and... Read More →
avatar for Allie Dougharty, LCSW

Allie Dougharty, LCSW

INSTEAD Program Director, Ubuntu Village NOLA
Allie has been living in New Orleans for the 10 years and working as social worker for the past 5 years.  She has background in building mutual aid networks, harm reduction outreach for PWID, and tenants’ rights organizing.  She approaches social work with a focus on genuine relationships... Read More →
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Lauren Fowler

Research Coordinator, University of Pittsburgh
Lauren earned her Bachelor of Science in Neuroscience from Washington and Lee University in Lexington, VA. After graduating, she worked in a clinical neurophysiology research lab in Pittsburgh studying first-episode psychosis. Through this experience, along with her own lived experience... Read More →
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Todd Wittenberg

Peer Trainer, Greater Mental Health
Todd Wittenberg is a native New Yorker who has been working in the Peer Specialist Field for 10 years. He has served in many capacities include one-on-one field work, group facilitation in a jail, OnTrack NY, Crisis intervention, research, and he is now co-leader of a Peer Training... Read More →
avatar for Melissa Uehling MD, PhD

Melissa Uehling MD, PhD

PGY-1; Psychiatry Resident, Yale University School of Medicine
Melissa Uehling, MD, PhD is a PGY-1 in the Yale Psychiatry Residency Program and NRTP. She received her bachelor’s degree in Biology from the University of Alabama, and went on to complete her MD and PhD in sociology at Emory University. Her doctoral work focused on subjectivity... Read More →
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Shannon Pagdon MSW

Doctoral Student, University of Pittsburgh
Shannon Pagdon, MSW, is a doctoral student at the University of Pittsburgh School of Social Work. Her work brings together early psychosis services, peer support, lived experience co-production, stigma, and the phenomenology of psychosis. Grounded in lived experience and a background... Read More →
Friday November 6, 2026 1:30pm - 3:00pm EST
Student Dining Hall, John Jay College of Criminal Justice 524 West 59th Street, New York, NY 10019

3:30pm EST

Young People, Families, and Recovery in Early Psychosis (Hybrid)
Friday November 6, 2026 3:30pm - 5:00pm EST
Young People, Families, and Recovery in Early Psychosis

  • 3:30-4:15pm Family Recovery in First Episode Psychosis: Perspective from Georgia’s Peer Workforce and Team Leads - Beth Broussard, MPH CHES, Emily Griner, MPH, Sophie Pollack-Milgate, BA, Angie S. Williams
  • 4:15pm-5pm Negotiating Identities: Supporting Recovery During the Transition to Adulthood - Michaela I. Fissel, MA

Family Recovery in First Episode Psychosis: Perspective from Georgia’s Peer Workforce and Team Leads - Beth Broussard, MPH CHES, Emily Griner, MPH, Sophie Pollack-Milgate, BA, Angie S. Williams
While the dominant model in mental health recovery focuses on the individual, personal recovery cannot be separated from the functioning of the family unit (Price-Robertson, 2016). Families frequently face emotional distress and confusion following a diagnosis, yet they often play a central role in supporting individuals' recovery, highlighting the need for services that address the wellbeing and recovery of the family unit (Mueser et al., 2015; Sharony & Josman, 2022; Estradé et al., 2023; Brunette et al., 2018; Gordon et al., 2016). In the state of Georgia, Certified Peer Specialist Parents (CPS-P) have been incorporated into psychosis care through first episode psychosis (FEP) programs to provide support to family members by using their own lived experience (Georgia Parent Support Network). Drawing from qualitative work with CPS-Ps, CPSs, and Team Leads working in FEP programs in the state of Georgia, this panel will explore the multiple ways in which peers conceptualize family recovery: through the holistic recovery of the family unit, the recovery and wellbeing of individual family members, and family recovery as a means of strengthening the family’s ability to support their loved one’s recovery. The panel will also discuss ways the peer workforce in Georgia has fostered greater connection not only within family units, but also across broader communities through shared lived experience, extending beyond the traditional Certified Peer Specialist model.

Negotiating Identities: Supporting Recovery During the Transition to Adulthood - Michaela I. Fissel, MA
This session is designed for people working with transition-aged youth and young adults seeking to enhance their ability to promote recovery during the transition to adulthood through a developmentally appropriate and generationally relevant perspective. For young people who experience psychosis and altered states of consciousness, the transition into adulthood can seem unattainable. With a 15% growth in the rate of mental health challenges experienced by young adults in the last decade there is a greater likelihood that the current generation of young adults will experience the highest rates of life-long and chronic illness than any other generation before. Despite more than two decades of research and tailored services, the impact of mental health challenges continues to derail young adults and miff policy makers and treatment providers. This interactive training offers a dynamic process to encourage attendees to explore approaches for promoting self-exploration and personal growth as young folks negotiate identities towards recovering a sense of self beyond a psychiatric diagnosis.
Speakers
avatar for Beth Broussard, MPH, CHES

Beth Broussard, MPH, CHES

Academic Research Scientist, Emory University, School of Medicine, Department of Psychiatry and Behavioral Sciences
Beth Broussard, MPH, CHES, is an Academic Research Scientist at Emory University School of Medicine in the Department of Psychiatry and Behavioral Sciences. She is the Director of Early Intervention for the Clinical and Research Program for Psychosis at Grady Health System. She completed... Read More →
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Emily Griner, MPH

Research Projects Manager, Emory University, School of Medicine, Department of Psychiatry and Behavioral Sciences
Emily Griner, MPH, is a Research Projects Manager at Emory University School of Medicine in the Department of Psychiatry and Behavioral Sciences. She assists with the execution and analysis of a variety of clinical and socio-behavioral research conducted within the Clinical and Research... Read More →
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Sophie Pollack-Milgate, BA

Graduate Research Assistant, Emory University, Rollins School of Public Health, Laney Graduate School
Sophie Pollack-Milgate, BA, is a master’s student in Public Health and Bioethics at Emory University's Rollins School of Public Health and Laney Graduate School. Before coming to Emory, she earned her bachelor’s degree in Contemplative Studies from Brown University and worked... Read More →
avatar for Angie S. Williams

Angie S. Williams

Youth & Young Adult Peer Coordinator, Aspire Behavioral Health and Developmental Disability Services
Angie S. Williams is a behavioral health professional with over 16 years of experience at Aspire Behavioral Health and Developmental Disability Services. She serves as Youth and Young Adult Peer Support Coordinator and LIPT Chairperson, where she promotes collaboration, advocacy... Read More →
avatar for Michaela I. Fissel, MA,

Michaela I. Fissel, MA,

Executive Director, Advocacy Unlimited, Inc.
Michaela holds a masters in conscious studies and transpersonal psychology with a concentration in supporting recovery during the transition to adulthood through a generationally relevant and developmentally appropriate approach. Bringing 18 years of research, practice, and instruction... Read More →
Friday November 6, 2026 3:30pm - 5:00pm EST
Student Dining Hall, John Jay College of Criminal Justice 524 West 59th Street, New York, NY 10019
 
Saturday, November 7
 

1:30pm EST

Madness and the Social Link: Forty Years of Our Paris Seminar (Hybrid)
Saturday November 7, 2026 1:30pm - 2:30pm EST
For forty years, Francoise Davoine and Jean-Max Gaudilliere co-led a weekly seminar at the Ecole des Hautes Etudes en Sciences Sociales in Paris, alternating leadership annually.  The Seminar was wide-ranging, focusing on literary and historical themes and on the social context of madness, with an ongoing focus on war trauma as seen through the lives of writers and the characters they created.  Francoise will offer an overview of the issues discussed there, including her personal reflections on this multiple-decades-long exploration of madness and the social link.  
Speakers
avatar for Francoise Davoine, PhD

Francoise Davoine, PhD

Françoise Davoine is a psychoanalyst, author, and researcher whose pioneering work has shaped contemporary understandings of psychosis, trauma, and the social dimensions of mental suffering. She practiced for more than 30 years in a public psychiatric hospital in France, alongside... Read More →
Saturday November 7, 2026 1:30pm - 2:30pm EST
Student Dining Hall, John Jay College of Criminal Justice 524 West 59th Street, New York, NY 10019

3:00pm EST

Transforming Mental Health Systems Through Lived Experience Knowledge (Hybrid)
Saturday November 7, 2026 3:00pm - 4:30pm EST
Transforming Mental Health Systems Through Lived Experience Knowledge
  • 3-4pm Can an Alternative Become an Addition? Implementing Hearing Voices in Health Systems - Alison Branitzky PhD, Cindy Marty Hadge, BS, IPS, Sahastri Hercules BS, Erica Hua Fletcher PhD, Ippolytos Kalofonos MD PhD MPH
  • 4-4:30pm What We Bring to the Table: Lived Experience, Co-Creation, and Resisting Stigma in Research - Rosalba Perez, Laura López-Aybar, PhD

Can an Alternative Become an Addition? Implementing Hearing Voices in Health Systems - Alison Branitzky PhD, Cindy Marty Hadge, BS, IPS, Sahastri Hercules BS, Erica Hua Fletcher PhD, Ippolytos Kalofonos MD PhD MPH
The Hearing Voices Movement has developed as a survivor-led initiative, advocating for the reform of mental health services, promoting the rights of voice-hearers, and working collaboratively with individuals to explore the meaning of their voices and work towards recovery (Corstens et al 2014). Clinical services traditionally position voice hearing as a marker of pathology and strive to eliminate and suppress voices. Researchers, clinicians, and advocates interested in bringing interventions – such as Hearing Voices groups – to health systems must validate these approaches within the “evidence-based practice” paradigm, using traditional research methods of the medical and social sciences, which tend to favor clinical outcomes over personal experiences of transformation. The Hearing Voices Movement has had an “uneasy” tension with the potential for clinical outcomes superseding personal accounts of recovery and growth from participation in the Hearing Voices movement. This panel brings together service users, peer specialists, activists, researchers, and clinicians to share their experiences implementing Hearing Voices groups in the US, within the context of the Veterans Affairs health system, and in the UK, within the context of the National Health Service.

What We Bring to the Table: Lived Experience, Co-Creation, and Resisting Stigma in Research - Rosalba Perez, Laura López-Aybar, PhD
How are we turning lived experience knowledge of psychosis and mental health systems into meaningful research and collaborations? This presentation will cover the role of co-creation within a suicide prevention program evaluation and at an early intervention program for psychosis (OnTrackNY). The two presenters are people with varied lived experiences of psychosis who have crossed paths at different points in their careers and recovery journeys. One works as a doctoral-level lived experience researcher at the Center of Excellence for Cultural Competence, researching suicide prevention, psychiatric coercion, and structural stigma. The other works as a co-creation specialist and lived experience consultant for OnTrackNY on projects related to anti-stigma efforts, shared decision-making, and suicide prevention. This presentation would integrate the experiences of both and how it informs their research on mental health while navigating societal, professional, and personal barriers (e.g., stigma, capacity building, and accessibility). Through the presentation, we will define what co-creation is, its importance, and how it shapes our work. Guidance and subtle ways to resist stigma will also be addressed, specifically through sharing our experiences of co-facilitating a youth advisory council. Additionally, we will discuss how engaging in this collaboration has supported our recovery journeys and professional goals.
Speakers
avatar for Ippolytos Kalofonos MD, PhD, MPH

Ippolytos Kalofonos MD, PhD, MPH

Associate Professor and Staff Psychiatrist, UCLA Center for Social Medicine & Greater Los Angeles VA Healthcare System, Center for the Study of Healthcare Innovation, Implementation and Policy & Desert Pacific 22 Mental Illness Research, Education and Clinical Center
Ippolytos Kalofonos MD, PhD, MPH, is a medical anthropologist, practicing psychiatrist, and health services researcher in the Greater Los Angeles Veteran Affairs Health System, where he works in the Thoughts and Perceptions clinic and in the Psychiatric Emergency Service. He is Associate... Read More →
avatar for Sahastri Hercules, BS

Sahastri Hercules, BS

Peer Specialist, Veteran Voices & Visions Facilitator, VA Greater Los Angeles
Sahastri Hercules, born in Brooklyn, NY, is a 38-year-old veteran with a diverse and impactful background. He served in the US Army for eight years, from 2004 to 2012, where he held various clinical laboratory positions. His military career included critical roles in criminal investigation... Read More →
avatar for Alison Branitzky PhD

Alison Branitzky PhD

Researcher, University of Manchester; Greater Manchester Mental Health NHS Foundation Trust
Alison Branitsky is a lived experience researcher at the University of Manchester/Greater Manchester Mental Health NHS Foundation Trust in Manchester, UK. Her work spans several areas, including (1) deconstructing traditional understandings of mental health and distress; (2) researching... Read More →
avatar for Cindy Marty Hadge, BS, IPS

Cindy Marty Hadge, BS, IPS

HVN USA National Hearing Voices Trainer, Intentional Peer Support Trainer, Hearing Voices Network USA Board Member, Co-Founder, Roots-Up
Cindy Hadge is a person who experienced physical, emotional, sexual trauma as a child. She experienced voices and visions (some comforting and some distressing). As a young adult she turned to alcohol and street drugs in an effort to make life livable. Eventually she ended up in mental... Read More →
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Rosalba Perez

Co-Creation Specialist, OnTrackNY
Rosalba S. Perez is a Co-Creation Specialist and a graduate of Howie the Harp, holding a New York State Provisional Peer Specialist certificate. She has previously served as a Lived Experience Consultant at OnTrackNY Amplify, where she leveraged her lived expertise to act as an active... Read More →
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Laura López-Aybar, PhD

Research Scientist, New York State Psychiatric Institute
Laura López-Aybar is a critical psychology psychiatric survivor, lived experience researcher, and professor with a PhD from Adelphi University. Her work is propelled by a critical, decolonial, and feminist perspective on psychology. She is a survivor of childhood abuse and trauma and... Read More →
Saturday November 7, 2026 3:00pm - 4:30pm EST
Student Dining Hall, John Jay College of Criminal Justice 524 West 59th Street, New York, NY 10019

5:00pm EST

From Homelessness to Home: Housing, Relationships, and Recovery (Hybrid)
Saturday November 7, 2026 5:00pm - 6:00pm EST
From Homelessness to Home: Housing, Relationships, and Recovery
  •  5-5:30pm Twenty Years of INSIGHT FOR ALL: Long Term Psychotherapy with Homeless Adults - Deborah Luepnitz, PhD
  • 5:30-6pm Housing as an Anchor in Psychosis: From Intensive Mobile Treatment to Supportive Housing, Providing Treatment Across the Housing Spectrum - Judith Katz, MD, Sadie Heald, LMSW                

Twenty Years of INSIGHT FOR ALL: Long Term Psychotherapy with Homeless Adults - Deborah Luepnitz, PhD
Unhoused adults who choose to move into supportive housing often continue to struggle with what has been called "an unhoused mind." This talk will summarize 20+ years of pro bono treatment offered by a group of psychoanalytically oriented clinicians. Concepts about social factors from Frantz Fanon as well as analysts who worked closely with patients designated "psychotic" such as Donald Winnicott will be explored. Clinical vignettes will illustrate the promise and challenges of this work.

Housing as an Anchor in Psychosis: From Intensive Mobile Treatment to Supportive Housing, Providing Treatment Across the Housing Spectrum - Judith Katz, MD, Sadie Heald, LMSW    
Mark Ragins has described a model of psychosis that proposes that changes in experiencing reality (cognitive processes) alone are not sufficient to create psychotic illness. Psychotic illness also requires a breakdown in self identity, and relationships (Ragins, 2021). Having a home can act as an anchor for cognitive processes, self identity and relationships. The Center for Urban Community Services (CUCS) is a social services agency in New York City that provides social services across a full spectrum of housing, from street outreach to permanent supportive housing. CUCS partners with Janian Medical Care to provide psychiatry, primary care, and social services in non-traditional settings with a goal of getting and keeping a home. In this panel, we describe two models of care at CUCS: Intensive Mobile Treatment (IMT) and Permanent Supportive Housing. Intensive Mobile Treatment is a model of care unique to NYC. A multidisciplinary team of peer specialists, case managers, psychiatrists, social workers and nurses work together to engage participants who have not thrived with other care models (Colton, 2023). Their difficulty with other care models is often partly related to unstable housing. IMT provides flexible engagement in an office setting or in the community and allows for continuity of relationships in situations that cause disruptions in other models, including long hospitalizations and incarcerations. Stable relationships with IMT act as a transitional anchor that stabilizes and improves the experiencing of reality, relationships and self identity and increase the likelihood of success in housing. Housing then acts as an additional anchor. CUCS Permanent Supportive Housing provides social services within buildings that have independent apartments. The services include groups that connect residents with one another and community resources, support with benefits, and employment services. Psychiatry and primary care services are also available onsite. Team members and a participant will share their experiences with these models including how these models have strengthened relationship networks, a sense of belonging in a community, a positive self identity and reduced negative effects of psychosis.
Speakers
avatar for Deborah Luepnitz, PhD

Deborah Luepnitz, PhD

Core Faculty, Institute for Relational Psychoanalysis of Philadelphia
Deborah Anna Luepnitz, PhD is on the core faculty of the Institute for Relational Psychoanalysis of Philadelphia. She is the author of The Family Interpreted: Psychoanalysis, Feminism and Family Therapy (Basic Books, 1992) and Schopenhauer's Porcupines: 5 Stories of Psychotherapy... Read More →
avatar for Judith Katz, MD

Judith Katz, MD

Psychiatrist, Janian Medical Care
Judith Katz, MD completed psychiatry residency and a fellowship in community psychiatry at the University of Pennsylvania. Jusith has worked as a psychiatrist on an Assertive Community Treatment team in Westchester County, NY. Over the last 4 years, Judith has been a psychiatrist... Read More →
avatar for Sadie Heald, LMSW

Sadie Heald, LMSW

Peer Specialist Supervisor, Center for Urban Community Services
Sadie Heald, LMSW has been a Peer Specialist Supervisor on an Intensive Mobile Treatment team at the Center for Urban Community Services (CUCS) for over 4 years and just recently accepted a position as a Clinical Supervisor at a Supportive Housing site. Sadie is thankful to have also... Read More →
Saturday November 7, 2026 5:00pm - 6:00pm EST
Student Dining Hall, John Jay College of Criminal Justice 524 West 59th Street, New York, NY 10019
 
Sunday, November 8
 

11:00am EST

Women and Psychosis: Trauma, Testimony, and Structural Violence (Hybrid)
Sunday November 8, 2026 11:00am - 12:00pm EST
Women's experiences of altered states, crisis, and recovery are profoundly shaped by social, institutional, and gendered contexts. This interdisciplinary panel brings together professional and lived experience, clinical critique, feminist analysis, and trauma-informed perspectives to examine how systems of care can both respond to and reproduce psychological distress. The first panelist explores common electronic medical record notation of Black women as "poor historians," examining how clinical documentation can undermine testimony, suspend recognition of suffering, and determine whose accounts are deemed credible. Drawing from her personal psychiatric records and poetic inquiry, this presentation interrogates what is lost when institutions control the narrative of distress. The second panelist offers a feminist and trauma-informed framework for understanding psychosis, informed by both her lived experience and work in the domestic and sexual violence field. This presentation argues that experiences commonly labeled as "paranoia" may emerge within contexts of genuine threat, while gendered violence, socioeconomic inequality, and the dismissal of women's emotions contribute to both suffering and misrecognition. The third panelist examines the discourse around postpartum psychosis through the lenses of sexism and sanism, exploring how gender bias can exaggerate perceptions of risk, shape clinical decision-making, and contribute to coercive or carceral approaches to care. The fourth panelist addresses the cumulative impact of trauma and traumatic systems on women's mental health, highlighting how institutional responses to psychosis can reinforce cycles of harm when left unchallenged. Together, the panel invites critical reflection on testimony, trauma, power, and the possibilities for more just and humane approaches to understanding psychosis in women. 
Speakers
avatar for Marie Brown, PhD, ABPP

Marie Brown, PhD, ABPP

Program Director, Northwell Health Lenox Hill Hospital
Marie Brown, PhD, ABPP is a licensed clinical psychologist and the Program Director & Team Leader at the Lenox Hill OnTrack and Early Treatment Program. She is President of the US Chapter of the International Society for the Psychological and Social Approaches to Psychosis (ISPS-US... Read More →
avatar for Leah Giorgini, MS

Leah Giorgini, MS

Executive Director, ISPS-US
Leah is a British-Indonesian immigrant who moved from England to the United States in 2016. As a psychiatric survivor, childhood domestic violence survivor, former foster youth, and a person who has previously experienced homelessness, Leah is working towards a world free of oppression... Read More →
avatar for Nadia Naomi Mbonde, PhD

Nadia Naomi Mbonde, PhD

Implemetation Specialist, Crisis Response Engagement and Skills Training New York (CRESTNY)
Dr. Nadia Naomi Mbonde is a sociocultural anthropologist, multimedia artist, and Mad Black mother based in Brooklyn, New York. Her research centers Black reproductive mental health, tracing how psychiatric governance, obstetric management, and family regulation accumulate harm across... Read More →
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Erika Carr, PhD

Associate Professor / Director of Inpatient Psychology Service / Director of Behavioral Intervention Service, Yale University School of Medicine
Erika R. Carr, PhD, is an Associate Professor at Yale School of Medicine and is also the Director of the Inpatient Psychology Service and Director of the Behavioral Intervention Service at Connecticut Mental Health Center in New Haven, Connecticut. Dr. Carr’s primary research and... Read More →
Sunday November 8, 2026 11:00am - 12:00pm EST
Student Dining Hall, John Jay College of Criminal Justice 524 West 59th Street, New York, NY 10019

1:30pm EST

The Uninvited Guest: Psychosis, Pedagogical Failure, and the Analyst who is Unprepared (Hybrid)
Sunday November 8, 2026 1:30pm - 2:30pm EST
When a patient presents with psychotic symptoms, most clinically trained therapists are at a loss—they refer out, pursue hospitalization, refuse treatment, or misapply techniques meant for other patients—not because of individual failure but because doctoral programs and psychoanalytic institutes have progressively ceded psychosis to psychiatry, leaving a generation equipped with theoretical sophistication but without the foundational clinical experience this work uniquely provides. Drawing on my concept of unconscious literacy, I argue that psychosis renders the unconscious not latent but transparent: primary process becomes directly visible, projective identification operates at primitive intensity, and the failure of Bion's alpha function makes its ordinary workings suddenly legible. The analyst trained in this encounter develops capacities—tolerance for non-symbolic communication, containment, attunement to pre-verbal distress—that are difficult to acquire any other way and that constitute core rather than specialized analytic competencies. I further argue that relational and intersubjective frameworks, which position the patient as co-equal subject in a mutually constructed field, may be not merely insufficient but actively disorienting in psychotic process, since the patient does not yet have stable access to the subjectivity these approaches presuppose: what psychosis requires first is containment, not encounter—holding before meeting. The paper concludes with a call for structural reform: supervised clinical exposure to psychosis, theoretical grounding in its psychoanalytic understanding, and the integration of existing resources into standard curricula.
Speakers
avatar for Danielle Knafo, PhD

Danielle Knafo, PhD

professor, psychologist/psychoanalyst, NYU Postdoctoral program in psychotherapy and psychoanalysis, private practice
Danielle Knafo, PhD is a professor, clinical psychologist, psychoanalyst, and author. She chaired a concentration on the treatment of serious mental illness at LIU-Post's doctoral program for 22 years. She has treated persons with SMI for 40 years. Her most recent book (with Michael... Read More →
Sunday November 8, 2026 1:30pm - 2:30pm EST
Student Dining Hall, John Jay College of Criminal Justice 524 West 59th Street, New York, NY 10019

3:00pm EST

Decarcerating Crisis Responses (Hybrid)
Sunday November 8, 2026 3:00pm - 4:30pm EST
Decarcerating Crisis Responses
  • 3:30-4:15pm Decarcerating Care: Building Community Responses Beyond Police and Psychiatry - Kimberlee Kristel Lalane, MA, Evan Auguste, PhD, Jessie Roth, Coreena Forstner, MSW
  • 4:15-5pm Crisis Alternatives in a Carceral World - Alexander Campanario Araica, Keith Scott, Sera Davidow

Decarcerating Care: Building Community Responses Beyond Police and Psychiatry - Kimberlee Kristel Lalane, MA, Evan Auguste, PhD, Jessie Roth, Coreena Forstner, MSW
As states and cities expand involuntary commitment and police-involved mental health crisis responses, mainstream rhetoric and policy responses increasingly frame coercive interventions as necessary or compassionate – even as these approaches are shown to deepen harm and criminalization. This workshop shares findings from a community-based research study grounded in interviews with people directly impacted by psychiatric coercion, clinicians, and organizers exploring alternatives to police- and institution-led crisis response. The research is rooted in IDHA’s Decarcerating Care program, a discussion series that critiques control- and surveillance-focused mental health systems and advances lived experience-rooted visions of care and crisis response.Participants will explore how coercion is normalized through dominant policy, clinical, and media narratives, as well as current community-based, peer-led alternatives being practiced outside formal systems. The workshop emphasizes practical tools for resisting coercive frameworks to strengthen voluntary, relational, and rights-based approaches to care. Participants will leave with strategies to adapt and share in their own communities, workplaces, and organizing spaces.

Crisis Alternatives in a Carceral World - Alexander Campanario Araica, Keith Scott, Sera Davidow
Although there are many people seeking to expand the way society responds to ‘crisis’ in the ISPS community and beyond, conventional clinical approaches continue to dominate. This remains true in spite of growing evidence that many of these approaches can actually increase risk of suicide and violence, decrease longevity and contribute to chronicity and stuckness.At the same time, there are a growing number of alternative crisis responses including policing alternatives, Soteria projects, Living Room models, Open Dialogue, peer respites, mobile supports and more. Presenters of this workshop will have expertise in peer respites, mobile supports, the Living Room model and a new non-carceral alternative to Involuntary Outpatient Commitment, Enduring Commitments. They will share lessons learned from each of these approaches, as well as information about other alternatives. They will discuss some of the reasons that these alternatives come and go so quickly, in spite of good outcomes, and what it might take for alternatives to stop being ‘alternative’ and become the norm.
Speakers
avatar for Jessie Roth

Jessie Roth

Former Executive Director, IDHA
Jessie Roth (she/her) is a writer, activist, and strategist with more than a decade of experience at the intersections of transformative mental health and human rights. She is the former Executive Director and a longtime member of the Institute for the Development of Human Arts (IDHA... Read More →
avatar for Evan Auguste, PhD

Evan Auguste, PhD

Assistant Professor, John Jay College of Criminal Justice
Evan Auguste, PhD, is an Assistant Professor of Psychology at John Jay College of Criminal Justice. He completed his PhD in clinical psychology with a major area of focus in forensic psychology at Fordham University in 2022. Auguste is a 2014 graduate of Middlebury College. He identities... Read More →
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Kimberlee Kristel Lalane, MA

Indiana University of Pennsylvania
Holding a dual bachelor's and master’s (BA/MA) degree in Forensic Psychology and a second master’s in Clinical Psychology, Kimberlee Lalane is a rising 5th year Doctorate Candidate in Clinical Psychology. They serve as a graduate research assistant for the A.S.I.LI. Collective... Read More →
avatar for Coreena Forstner, MSW

Coreena Forstner, MSW

University of Michigan - Ann Arbor
Coreena Forstner, MSW (she/they) is a social worker and PhD student in Social Work and Clinical Psychology at the University of Michigan, working under the mentorship of Dr. Shanna Kattari in the [Sexuality | Relationships | Gender] Research Collective. Her research examines psychosis... Read More →
avatar for Keith Scott

Keith Scott

Vice President of Peer Support & Self-Advocacy, Advocates
Keith Scott is currently the Vice President of Peer Support and Self-Advocacy at Advocates, a private, non-profit human services agency in eastern Massachusetts. Keith has worked at Advocates since 1989 in a variety of positions including:  direct care counselor, group home manager... Read More →
avatar for Alexander Campanario Araica

Alexander Campanario Araica

Peer Respite Outcomes Specialist, Roots Up
Alexander Campanario Araica has worked in multiple peer and related roles including group facilitator (online and in-person), offering housing supports with our local Housing Consumer Education Center (HCEC), and Community Bridging. Today he serves as a trainer, Co-Coorindator of... Read More →
avatar for Roots Up

Roots Up

Roots Up
Roots Up operates within an explicitly anti-force, anti-oppressive framework to raise up voice, choice, harm reduction and the wisdom we've gained through surviving and thriving as we strive to dismantle systems and build the knowledge sharing opportunities and supports we wish were... Read More →
Sunday November 8, 2026 3:00pm - 4:30pm EST
Student Dining Hall, John Jay College of Criminal Justice 524 West 59th Street, New York, NY 10019
 
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ISPS-US Annual Conference 2026
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