{"id":43579,"date":"2018-06-12T12:57:18","date_gmt":"2018-06-12T16:57:18","guid":{"rendered":"https:\/\/hitconsultant.net\/?p=43579"},"modified":"2021-05-27T17:52:25","modified_gmt":"2021-05-27T21:52:25","slug":"specialization-mental-health-care","status":"publish","type":"post","link":"https:\/\/hitconsultant.net\/2018\/06\/12\/specialization-mental-health-care\/","title":{"rendered":"Is Specialization a Contributing Factor to Deteriorating Mental Health Care?"},"content":{"rendered":"

\"An<\/p>\n

\n

“A human being should be able to change a diaper, plan an invasion, butcher a hog, conn\u00a0a ship, design a building, write a sonnet, balance accounts, build a wall, set a bone, comfort the dying, take orders, give orders, cooperate, act alone, solve equations, analyze a new problem, pitch manure, program a computer, cook a tasty meal, fight efficiently, die gallantly. Specialization is for insects.”<\/p>\n

\u00a0– Robert A. Heinlein<\/p>\n<\/blockquote>\n

In almost every walk of life, we worship at the altar of specific expertise. It makes sense. Who, after all, doesn\u2019t want a brilliant legal defense, a witty and erudite professor, a perfectly chewy bagel?<\/p>\n

The division of labor drives how we pursue education, get paid and find professional and personal satisfaction. Sometimes, however, it also creates blinders that make it hard to see challenges lurking just off stage.<\/p>\n

Take healthcare, for example, and the myriad things that can go wrong with the human body. Is American healthcare<\/a> treating individual problems or the whole person?<\/p>\n

\u201cAfter decades of fragmenting medicine into specialties and subspecialties, it\u2019s perhaps not surprising that a siloed system often fails those in need of whole-person care,\u201d writes Druv Khular, MD, in a recent\u00a0New York Times\u00a0article<\/a>. \u201cI still sometimes wonder if I had let my patient\u2019s mental illness overshadow his physical needs. Did I overlook some subtle cue?\u201d<\/p>\n

Khular isn\u2019t concerned about missing something because he\u2019s ambivalent. Rather, he was trained and works in a system that promotes specialization over generalization, even though he\u2019s not an insect. (Perhaps Heinlein could have written something about a physician being able to \u201cset a bone,\u201d bind a wound, manage hypertension and navigate bipolar disorder.)<\/p>\n

Among the challenges for physicians these days, Khular argues, are \u201ctherapeutic pessimism\u201d\u2014the tendency to think patients with mental illness can\u2019t get better\u2014and \u201cdiagnostic overshadowing\u201d in which a patient\u2019s physical problems are attributed to mental illness and not properly treated.<\/p>\n

It\u2019s not that specialization was or is necessarily a detrimental approach to healthcare. If I have a heart problem, I want my cardiologist to know as much about the heart as anyone on earth. It\u2019s that the necessary approach is not always the optimal approach.<\/p>\n

\u201cOnly 37 percent of doctors serve in primary care, yet 56 percent of the office visits are completed by that particular group of physicians,\u201d\u00a0writes Niran S. Al-Agba<\/a>, a third-generation primary care physician. \u201cIn my grandfathers\u2019 time, primary care physicians made up 70 to 80 percent of the physician workforce.\u201d<\/p>\n

Over the last few decades, as primary care doctors have become a smaller slice of the labor pool,\u00a0the mortality ratio<\/a>\u00a0for people with schizophrenia versus the general population has steadily risen, from 1.8 in the 70s to 3.7 now. Yes, many other aspects of mental healthcare\u2014a\u00a0massive reduction<\/a>\u00a0in available psychiatric beds, for example\u2014have changed in that time frame, but that still doesn\u2019t let increased specialization and fewer primary care physicians off the hook.<\/p>\n

The thing is, those with chronic mental illness don\u2019t die of a mental illness. Their lives are shortened by the same diseases that end most lives\u2014heart disease, diabetes, heart attack, cancer\u2014exacerbated by a stronger tendency to abuse drugs, alcohol and tobacco.<\/p>\n

\u201cPeople with serious mental illness are often our toughest patients\u2026\u201d writes Lisa Rosenbaum, MD, in the\u00a0New England Journal of Medicine<\/a>\u00a0(NEJM). \u201cTo meaningfully improve care for the mentally ill, we must recognize that, as Massachusetts General Hospital psychiatrist Oliver Freudenreich puts it, \u2018Care integration is an attitude.\u2019\u201d<\/p>\n

If so, it\u2019s an attitude we\u2019ve mostly failed to embrace.<\/p>\n

\u201cOnce they find out you have a mental illness \u2026 it\u2019s like the lights go out,\u201d said Kenneth Reilly to his brother, Brendan Reilly, MD, author of a\u00a0searing NEJM piece<\/a>\u00a0detailing his late brother\u2019s experience. \u201cMany doctors and nurses seethe about the profit-driven dis-integration of our health care market yet insist they can\u2019t fix this mess themselves. Kenneth, no stranger to cognitive dissonance, said,\u00a0\u2018Well, if they can\u2019t fix it, who the hell can?\u2019\u201d<\/p>\n

The question hangs in the air and calls to mind all that we\u2019ve learned of late about how behavioral health is the canary in the coal mind of our healthcare system. Opioid addiction ravages many parts of the country. Suicide rates have risen 25 percent nationwide since 1999. The mentally ill homeless aimlessly wander our cities.<\/p>\n

And yet, despite heartbreaking stories and periods of hopelessness, the system is evolving in ways that better protect patients.<\/p>\n

Khular points to the use of a transitional clinic by UT Health San Antonio that gives the mentally ill more support in getting back to life after discharge. While historically 7 percent of psychiatric patients transition back to the hospital within a month of being released, only 1 percent have returned after using the UT Health San Antonio program.<\/p>\n

Last month the U.S. Senate\u00a0passed legislation<\/a>\u00a0that offers incentives to behavioral health facilities for electronic health record (EHR) adoption and moves the entire healthcare industry one small step closer to giving clinicians complete patient records at the point of care.<\/p>\n

Can the ability to see a history of both diabetes and bipolar disorder help overcome diagnostic overshadowing and improve treatment of the entire patient? Not by itself, no. But when paired with programs like the one at UT Health San Antonio, change is quite possible, if never easy.<\/p>\n

It\u2019s not just that emergency care for the mentally ill is the most expensive approach. It\u2019s not just that specialization fails to recognize that each person is an integrated system. It\u2019s that not caring for those literally incapable of caring for themselves undermines our humanity.<\/p>\n

After all, we\u2019re not insects, are we?<\/p>\n

Irv Lichtenwald is president and CEO of\u00a0\u00a0Medsphere Systems Corporation<\/a>, the solution provider for the\u00a0CareVue electronic health record<\/a>.<\/em><\/p>\n

Further Reading:\u00a0<\/strong><\/p>\n

– Why The Mental Health Industry is Ripe for Innovation<\/a><\/strong><\/p>\n

– Can Telemedicine Transform the Mental Health Care Delivery Model?<\/a><\/strong><\/p>\n

– Parity Not Apparent: Mental Health Still Not Receiving Equal Attention<\/a><\/strong><\/p>\n

– 5 Key Issues Plaguing The American Mental Healthcare System<\/a><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

“A human being should be able to change a diaper, plan an invasion, butcher a hog, conn\u00a0a ship, design a building, write a sonnet, balance accounts, build a wall, set a bone, comfort the dying, take orders, give orders, cooperate, act alone, solve equations, analyze a new problem, pitch manure, program a computer, cook a … Read More<\/a><\/p>\n","protected":false},"author":74,"featured_media":39048,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":""},"categories":[1986],"tags":[2696,2442,2492],"yoast_head":"\nIs Specialization a Contributing Factor to Deteriorating Mental Health?<\/title>\n<meta name=\"description\" content=\"It\u2019s not just that specialization fails to recognize that each person is an integrated system. It\u2019s that not caring for those literally incapable of caring\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/hitconsultant.net\/2018\/06\/12\/specialization-mental-health-care\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Is Specialization a Contributing Factor to Deteriorating Mental Health Care?\" \/>\n<meta property=\"og:description\" content=\"It\u2019s not just that specialization fails to recognize that each person is an integrated system. It\u2019s that not caring for those literally incapable of caring\" \/>\n<meta property=\"og:url\" content=\"https:\/\/hitconsultant.net\/2018\/06\/12\/specialization-mental-health-care\/\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/pages\/HIT-Consultant-Media\/302199219847409\" \/>\n<meta property=\"article:published_time\" content=\"2018-06-12T16:57:18+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2021-05-27T21:52:25+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/hitconsultant.net\/wp-content\/uploads\/2017\/06\/Mental-Health.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"640\" \/>\n\t<meta property=\"og:image:height\" content=\"427\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Irv Lichtenwald , CEO of Medsphere Systems Corporation\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@hitconsultant\" \/>\n<meta name=\"twitter:site\" content=\"@hitconsultant\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Irv Lichtenwald , CEO of Medsphere Systems Corporation\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/hitconsultant.net\/2018\/06\/12\/specialization-mental-health-care\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/hitconsultant.net\/2018\/06\/12\/specialization-mental-health-care\/\"},\"author\":{\"name\":\"Irv Lichtenwald , CEO of Medsphere Systems Corporation\",\"@id\":\"https:\/\/hitconsultant.net\/#\/schema\/person\/0a6839b5a87c63022e6417cedc84025a\"},\"headline\":\"Is Specialization a Contributing Factor to Deteriorating Mental Health Care?\",\"datePublished\":\"2018-06-12T16:57:18+00:00\",\"dateModified\":\"2021-05-27T21:52:25+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/hitconsultant.net\/2018\/06\/12\/specialization-mental-health-care\/\"},\"wordCount\":1024,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/hitconsultant.net\/#organization\"},\"keywords\":[\"Behavioral Health\",\"Mental Health\",\"Mental Healthcare\"],\"articleSection\":[\"Opinion\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/hitconsultant.net\/2018\/06\/12\/specialization-mental-health-care\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/hitconsultant.net\/2018\/06\/12\/specialization-mental-health-care\/\",\"url\":\"https:\/\/hitconsultant.net\/2018\/06\/12\/specialization-mental-health-care\/\",\"name\":\"Is Specialization a Contributing Factor to Deteriorating Mental Health?\",\"isPartOf\":{\"@id\":\"https:\/\/hitconsultant.net\/#website\"},\"datePublished\":\"2018-06-12T16:57:18+00:00\",\"dateModified\":\"2021-05-27T21:52:25+00:00\",\"description\":\"It\u2019s not just that specialization fails to recognize that each person is an integrated system. It\u2019s that not caring for those literally incapable of caring\",\"breadcrumb\":{\"@id\":\"https:\/\/hitconsultant.net\/2018\/06\/12\/specialization-mental-health-care\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/hitconsultant.net\/2018\/06\/12\/specialization-mental-health-care\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/hitconsultant.net\/2018\/06\/12\/specialization-mental-health-care\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/hitconsultant.net\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Opinion\",\"item\":\"https:\/\/hitconsultant.net\/category\/opinion\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Is Specialization a Contributing Factor to Deteriorating Mental Health Care?\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/hitconsultant.net\/#website\",\"url\":\"https:\/\/hitconsultant.net\/\",\"name\":\"\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\/\/hitconsultant.net\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/hitconsultant.net\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/hitconsultant.net\/#organization\",\"name\":\"HIT Consultant Media\",\"url\":\"https:\/\/hitconsultant.net\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/hitconsultant.net\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/hitconsultant.net\/wp-content\/uploads\/2012\/08\/hit_consultant_logo.png\",\"contentUrl\":\"https:\/\/hitconsultant.net\/wp-content\/uploads\/2012\/08\/hit_consultant_logo.png\",\"width\":\"1024\",\"height\":\"772\",\"caption\":\"HIT Consultant Media\"},\"image\":{\"@id\":\"https:\/\/hitconsultant.net\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"https:\/\/www.facebook.com\/pages\/HIT-Consultant-Media\/302199219847409\",\"https:\/\/twitter.com\/hitconsultant\",\"http:\/\/www.linkedin.com\/company\/2489253\",\"https:\/\/www.pinterest.com\/hitconsultant\/\"]},{\"@type\":\"Person\",\"@id\":\"https:\/\/hitconsultant.net\/#\/schema\/person\/0a6839b5a87c63022e6417cedc84025a\",\"name\":\"Irv Lichtenwald , CEO of Medsphere Systems Corporation\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/hitconsultant.net\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/d3253995e52a67d6118a4f4ff0f00bda?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/d3253995e52a67d6118a4f4ff0f00bda?s=96&d=mm&r=g\",\"caption\":\"Irv Lichtenwald , CEO of Medsphere Systems Corporation\"},\"url\":\"https:\/\/hitconsultant.net\/author\/irv_medsphere\/\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Is Specialization a Contributing Factor to Deteriorating Mental Health?","description":"It\u2019s not just that specialization fails to recognize that each person is an integrated system. It\u2019s that not caring for those literally incapable of caring","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/hitconsultant.net\/2018\/06\/12\/specialization-mental-health-care\/","og_locale":"en_US","og_type":"article","og_title":"Is Specialization a Contributing Factor to Deteriorating Mental Health Care?","og_description":"It\u2019s not just that specialization fails to recognize that each person is an integrated system. It\u2019s that not caring for those literally incapable of caring","og_url":"https:\/\/hitconsultant.net\/2018\/06\/12\/specialization-mental-health-care\/","article_publisher":"https:\/\/www.facebook.com\/pages\/HIT-Consultant-Media\/302199219847409","article_published_time":"2018-06-12T16:57:18+00:00","article_modified_time":"2021-05-27T21:52:25+00:00","og_image":[{"width":640,"height":427,"url":"https:\/\/hitconsultant.net\/wp-content\/uploads\/2017\/06\/Mental-Health.jpg","type":"image\/jpeg"}],"author":"Irv Lichtenwald , CEO of Medsphere Systems Corporation","twitter_card":"summary_large_image","twitter_creator":"@hitconsultant","twitter_site":"@hitconsultant","twitter_misc":{"Written by":"Irv Lichtenwald , CEO of Medsphere Systems Corporation","Est. reading time":"5 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/hitconsultant.net\/2018\/06\/12\/specialization-mental-health-care\/#article","isPartOf":{"@id":"https:\/\/hitconsultant.net\/2018\/06\/12\/specialization-mental-health-care\/"},"author":{"name":"Irv Lichtenwald , CEO of Medsphere Systems Corporation","@id":"https:\/\/hitconsultant.net\/#\/schema\/person\/0a6839b5a87c63022e6417cedc84025a"},"headline":"Is Specialization a Contributing Factor to Deteriorating Mental Health Care?","datePublished":"2018-06-12T16:57:18+00:00","dateModified":"2021-05-27T21:52:25+00:00","mainEntityOfPage":{"@id":"https:\/\/hitconsultant.net\/2018\/06\/12\/specialization-mental-health-care\/"},"wordCount":1024,"commentCount":0,"publisher":{"@id":"https:\/\/hitconsultant.net\/#organization"},"keywords":["Behavioral Health","Mental Health","Mental Healthcare"],"articleSection":["Opinion"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/hitconsultant.net\/2018\/06\/12\/specialization-mental-health-care\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/hitconsultant.net\/2018\/06\/12\/specialization-mental-health-care\/","url":"https:\/\/hitconsultant.net\/2018\/06\/12\/specialization-mental-health-care\/","name":"Is Specialization a Contributing Factor to Deteriorating Mental Health?","isPartOf":{"@id":"https:\/\/hitconsultant.net\/#website"},"datePublished":"2018-06-12T16:57:18+00:00","dateModified":"2021-05-27T21:52:25+00:00","description":"It\u2019s not just that specialization fails to recognize that each person is an integrated system. It\u2019s that not caring for those literally incapable of caring","breadcrumb":{"@id":"https:\/\/hitconsultant.net\/2018\/06\/12\/specialization-mental-health-care\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/hitconsultant.net\/2018\/06\/12\/specialization-mental-health-care\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/hitconsultant.net\/2018\/06\/12\/specialization-mental-health-care\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/hitconsultant.net\/"},{"@type":"ListItem","position":2,"name":"Opinion","item":"https:\/\/hitconsultant.net\/category\/opinion\/"},{"@type":"ListItem","position":3,"name":"Is Specialization a Contributing Factor to Deteriorating Mental Health Care?"}]},{"@type":"WebSite","@id":"https:\/\/hitconsultant.net\/#website","url":"https:\/\/hitconsultant.net\/","name":"","description":"","publisher":{"@id":"https:\/\/hitconsultant.net\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/hitconsultant.net\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/hitconsultant.net\/#organization","name":"HIT Consultant Media","url":"https:\/\/hitconsultant.net\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/hitconsultant.net\/#\/schema\/logo\/image\/","url":"https:\/\/hitconsultant.net\/wp-content\/uploads\/2012\/08\/hit_consultant_logo.png","contentUrl":"https:\/\/hitconsultant.net\/wp-content\/uploads\/2012\/08\/hit_consultant_logo.png","width":"1024","height":"772","caption":"HIT Consultant Media"},"image":{"@id":"https:\/\/hitconsultant.net\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/pages\/HIT-Consultant-Media\/302199219847409","https:\/\/twitter.com\/hitconsultant","http:\/\/www.linkedin.com\/company\/2489253","https:\/\/www.pinterest.com\/hitconsultant\/"]},{"@type":"Person","@id":"https:\/\/hitconsultant.net\/#\/schema\/person\/0a6839b5a87c63022e6417cedc84025a","name":"Irv Lichtenwald , CEO of Medsphere Systems Corporation","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/hitconsultant.net\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/d3253995e52a67d6118a4f4ff0f00bda?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/d3253995e52a67d6118a4f4ff0f00bda?s=96&d=mm&r=g","caption":"Irv Lichtenwald , CEO of Medsphere Systems Corporation"},"url":"https:\/\/hitconsultant.net\/author\/irv_medsphere\/"}]}},"_links":{"self":[{"href":"https:\/\/hitconsultant.net\/wp-json\/wp\/v2\/posts\/43579"}],"collection":[{"href":"https:\/\/hitconsultant.net\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/hitconsultant.net\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/hitconsultant.net\/wp-json\/wp\/v2\/users\/74"}],"replies":[{"embeddable":true,"href":"https:\/\/hitconsultant.net\/wp-json\/wp\/v2\/comments?post=43579"}],"version-history":[{"count":0,"href":"https:\/\/hitconsultant.net\/wp-json\/wp\/v2\/posts\/43579\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/hitconsultant.net\/wp-json\/wp\/v2\/media\/39048"}],"wp:attachment":[{"href":"https:\/\/hitconsultant.net\/wp-json\/wp\/v2\/media?parent=43579"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/hitconsultant.net\/wp-json\/wp\/v2\/categories?post=43579"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/hitconsultant.net\/wp-json\/wp\/v2\/tags?post=43579"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}