Description

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The inspiring true story of how a small group of dedicated leaders led radical and relentless change to save McLean, Harvard's historic psychiatric hospital.

Lloyd I. Sederer, MD, recounts the unfettered story of how McLean survived impending closure or sale to once again prosper and regain its international stature as the hospital where you would want a loved one to be treated for a psychiatric or substance use disorder.

Only growth and innovation can reverse an institutional fiscal crisis. Dr. Sederer describes how, over five years of hemorrhaging money, McLean eluded the now pervasive corporatization of American healthcare and was clinically and financially rebuilt despite the odds, all while serving with integrity and soul more patients than ever before.

Caught in the Crosshairs of American Healthcare offers leaders and aspiring leaders in healthcare and other complex organizations a candid look behind the curtain of McLean's transformation into a hospital open to all, no longer only the rich and famous. Dr. Sederer also finely details

- the corporatization of medicine putting profits before patients,
- endless insurance hurdles,
- how to prove clinical improvements, and
- our broken and inequitable health and mental health systems of care.

​Caught in the Crosshairs of American Healthcare shows readers that, with grit, brains, and support, we can still change our world.

About the Author

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Lloyd I. Sederer, MD, is a psychiatrist, public health doctor, and non-fiction writer. He is an adjunct professor at the Columbia University School of Public Health, who has served as Chief Medical Officer and EVP of McLean Hospital, Mental Health Commissioner of NYC (in the Bloomberg administration), and Chief Medical Officer of the NYS Office of Mental Health. He has published fourteen books and approximately 500 articles for print and online publications, including the New York Times, the Wall Street Journal, Scientific American, The Atlantic, Psychology Today, and US News and World Report (where he wrote an opinion column for three years).