The Stepping In It Podcast with Renee Schulte & Jason Haglund

In this episode, we unpack key insights from the VitAL Alabama Conference in collaboration with the National Association of Rural Mental Health (NARMH) held in Tuscaloosa. From Johnny Manziel’s story of resilience to Dr. Ashley Norwood Strickland’s approach to ensuring mental health access in rural areas, we explore the diversity of rural America and the unique mental health challenges faced by first responders, farmers, and justice-involved individuals. With discussions on rural 988 implementation, suicide prevention, and maternal health, this episode highlights innovative approaches to building stronger, healthier rural communities.

In this episode, you will be able to:

• Discover effective strategies for navigating behavioral health systems and advocating for improved access to mental health services.
• Explore the unique impact of rural settings on mental health access and gain insights into overcoming these challenges.
• Uncover innovative strategies for improving mental health services in rural areas, empowering you to make a difference in your community.
• Embrace the role of technology in behavioral health and learn how it can revolutionize mental health care in rural settings.
• Gain a deep understanding of the challenges in rural healthcare infrastructure and unlock potential solutions for better mental health support in these areas.

The key moments in this episode are:
00:00:02 - Introduction to Behavioral Health
00:02:32 - Defining Rural Communities
00:05:59 - Trauma-Informed Approaches in Rural Communities
00:07:04 - Mental Health First Aid for Law Enforcement
00:11:10 - Delivering a Justice-Involved Message
00:12:13 - Breaking Down Silos in Mental Health Services
00:13:21 - Lack of Representation in Law Enforcement
00:15:45 - Challenges of Implementing 988 Crisis Response
00:17:53 - Diversity and Cultural Competency
00:23:35 - Impactful Collaboration and Community Engagement
00:24:19 - Impact of Conferences
00:25:03 - Networking and Helping Others
00:26:11 - Projects in Focus
00:27:31 - Importance of Self-Care
00:29:04 - Future Conference and Involvement

Links:

• https://clinicalpsychauburn.com/staff/dr-ashley-norwood-strickland/
• https://www.agrisafe.org/healthcare/mental-health/
• https://988ga.org/resource/988-in-georgia-overview-updated-overview-sheet
• https://dbhdd.georgia.gov/georgia-suicide-prevention-plan
• https://vitalalabama.com/
• https://www.narmh.org/
• https://www.narmh.org/index.php/conferences/

Connect with us: 

https://ruralpolicypartners.com/ 

https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ 

https://www.facebook.com/facebook.com/ruralpolicypartners

https://www.youtube.com/@ruralpolicypartners

Watch this episode on YouTube: https://youtu.be/cD4lV5-ZbHM

In this episode, we take a deep dive into the rise and fall of Johnny Manziel, the former football phenom whose fame skyrocketed after leading Texas A&M to a historic victory over Alabama in 2012. From becoming the youngest Heisman Trophy winner to the eventual collapse of his career due to substance use and mental health struggles, Manziel’s story is a cautionary tale for young athletes. We explore his journey through addiction, his attempts at recovery, and the lessons he now shares with college students across the country. His message? Fame and fortune aren’t enough—what happens when the game ends?

In this episode, you will be able to:

• Mastering the Behavioral Health System Challenge: Learn how to overcome barriers to mental health support.
• Elevating Athlete Well-being: Discover the crucial role of mental health in achieving peak athletic performance.
• Johnny Manziel's Path to Recovery: Uncover the inspiring journey of a high-profile athlete overcoming personal struggles.
• Navigating the Social Media Impact: Explore the influence of social platforms on the mental well-being of athletes.
• Harnessing the Power of Journaling: Uncover the benefits of journaling for improving mental wellness in athletes.

The key moments in this episode are:
00:00:02 - Introduction to Behavioral Health and Johnny Manziel's Background
00:03:10 - Johnny's Rise to Fame and Struggles
00:09:18 - Johnny's Mental Health Journey
00:10:40 - Impact of Social Media on Young Athletes
00:11:29 - Managing Public Image and Pressure
00:12:41 - Background of College Football Players
00:13:40 - Pressure on Young Athletes
00:16:13 - Impact of Johnny's Story
00:18:50 - Therapist as a Coach
00:22:31 - Personal Motto and Gratitude
00:23:56 - Managing Mood Disorders
00:24:40 - Importance of Tracking Wins
00:25:33 - Journaling as an Option
00:26:09 - Impact of Johnny Manziel's Story
00:27:22 - Conclusion and Call to Action

Links:

• https://en.wikipedia.org/wiki/Johnny_Manziel
• https://www.netflix.com/title/81582385

Connect with us: 

https://ruralpolicypartners.com/ 

https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ 

https://www.facebook.com/facebook.com/ruralpolicypartners

https://www.youtube.com/@ruralpolicypartners

Watch this episode on YouTube: https://youtu.be/6J6Evi64Wvc

In this episode, we explore the growing use of cannabis and psychedelics, particularly in the form of vaping. With vaping devices now a common method for consuming THC and other substances, is it truly a safer option? We break down what vaping does to the lungs, the harmful chemicals found in e-liquids, and the rising popularity of psychoactive Delta-8 THC. Join us as we analyze the health risks, share the latest data on vaping trends, and discuss how legalization policies impact workplaces across the country.

In this episode, you will be able to:

• Navigate the behavioral health system with confidence and ease.
• Discover the surprising health effects of vaping compared to smoking.
• Uncover the potential risks of cannabis use and its link to psychosis.
• Understand the latest workplace policies on vaping and how they impact you.
• Explore the significant influence of e-cigarettes on youth and public health.

The key moments in this episode are:
00:00:02 - Introduction to the episode and discussion of behavioral health.
00:03:52 - Discussion on vaping and its potential health risks.
00:07:17 - Analysis of popular vape flavors and their implications.
00:09:13 - Concerns about the use of psychedelics and cannabis in vaping products.
00:10:29 - Consideration of the efficiency of delivering substances through vaping.
00:12:19 - Marijuana classification and criminalization
00:13:29 - Impact on youth and substance abuse
00:14:15 - THC and CBD components
00:16:55 - Lack of long-term data and industry influence
00:19:54 - Workplace impact and legal conflicts
00:24:49 - The Importance of Self-Care
00:25:35 - Impact of Light on Sleep Habits
00:26:07 - Concerns About Vaping and E-Cigarettes
00:26:39 - Workplace Considerations for Vaping
00:27:11 - Conclusion and Call to Action

Links:

• https://keck.usc.edu/news/more-than-11-of-u-s-12th-graders-used-psychoactive-delta-8-thc-last-year-study-finds/
• https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5260817/
• https://www.fda.gov/consumers/consumer-updates/what-you-need-know-and-what-were-working-find-out-about-products-containing-cannabis-or-cannabis
• https://www.mcglinchey.com/insights/cbd-the-workplace-a-word-to-the-wise/
• https://www.brickergraydon.com/insights/publications/employers-and-delta-8-thc
• https://www.fsis.usda.gov/policy/fsis-notice/59-23

Connect with us: 

https://ruralpolicypartners.com/ 

https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ 

https://www.facebook.com/facebook.com/ruralpolicypartners

https://www.youtube.com/@ruralpolicypartners

Watch this episode on YouTube: https://youtu.be/LGfi59eRRyQ 

In this episode, we tackle the often-overlooked issue of alcohol use in rural communities, where drinking is not only prevalent but socially accepted. From "Farmer Water" at tailgates to tables of empty beer cans at agricultural conferences, alcohol is a fixture of rural life. We explore the stigma around substance use disorder in rural areas and how it impacts those struggling with addiction. With data showing high alcohol use among rural youth and a lack of treatment facilities, we discuss the challenges of sobriety, the role of prevention, and the growing movement for non-alcoholic options.

In this episode, you will be able to:

• Understand the unique challenges of navigating behavioral health systems in rural America.
• Explore the impact of alcohol culture and stigma in rural communities.
• Discover effective prevention strategies for substance use disorders in rural areas.
• Learn about the specific impact of alcohol on rural community health.
• Find out about the support available for sobriety and recovery in rural areas.

The key moments in this episode are:
00:00:02 - Introduction to Behavioral Health in Rural America
00:05:09 - Alcohol Culture in Rural America
00:08:55 - Impact on Youth and Access to Care
00:10:55 - Pervasiveness of Alcohol in Social Events
00:11:21 - Challenges in Accessing Care
00:11:45 - Access to Treatment in Rural Areas
00:12:30 - Impact on Rural Communities
00:13:29 - Challenges of Staying Sober in Rural Areas
00:15:30 - Lack of Focus on Prevention
00:20:02 - Personal Stress Management 

Links:

• https://www.ruralminds.org/rural-minds-blog/confronting-alcohol-and-drug-addiction-in-rural-america
• https://www.samhsa.gov/data/report/2021-nsduh-detailed-tables 
• https://aspe.hhs.gov/sites/default/files/private/pdf/263216/ChallengesIssueBrief.pdf 
• https://www.ruralhealthinfo.org/toolkits/substance-abuse

Connect with us: 

https://ruralpolicypartners.com/ 

https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ 

https://www.facebook.com/facebook.com/ruralpolicypartners

https://www.youtube.com/@ruralpolicypartners

Watch this episode on YouTube: https://youtu.be/PnOoV651oRw

The opioid crisis continues to claim lives, but why isn't the situation improving? In this episode, we take a closer look at the ongoing issues with opioids, fentanyl, and prescription drug misuse, exploring recent news like the charges against Matthew Perry’s physicians. We’ll dive into the alarming data on overdose death rates, state-specific trends, and the escalating impact of fentanyl. Finally, we discuss how individuals and organizations can take action through education, access to naloxone kits, and advocating for policy changes to curb the distribution of these dangerous substances.

In this episode, you will be able to:

• Understand how to navigate behavioral health systems for better access to support and resources.
• Gain awareness and knowledge about opioid and prescription drug misuse to protect yourself and your loved ones.
• Learn effective fentanyl overdose prevention strategies to stay safe in the face of the opioid crisis.
• Stay informed about policy changes for drug distribution and understand their impact on communities and individuals.
• Educate yourself on Narcan and overdose treatment to be prepared to help in emergency situations.

The key moments in this episode are:
00:00:02 - Introducing the Podcast
00:02:05 - Overdose Deaths and Prescription Medications
00:05:48 - Alarming Data on Overdose Deaths
00:09:54 - Mitigating Risk with Narcan
00:11:53 - Public Policy and Penalties
00:13:04 - The Causal Connection and Nexus in Drug Cases
00:14:24 - Balancing Accountability and Treatment
00:15:17 - Crackdown on Wrongly Distributed Prescription Medications
00:16:33 - Policy Perspectives on Alcohol and Substance Accessibility
00:20:08 - Call to Action for a Better Behavioral Health System

Links:

• https://www.hhs.gov/sites/default/files/OC_SpotlightOnOpioids.pdf
• https://nida.nih.gov/research-topics/trends-statistics/overdose-death-rates
• Drug Overdose Mortality by State

Connect with us: 

https://ruralpolicypartners.com/ 

https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ 

https://www.facebook.com/facebook.com/ruralpolicypartners

https://www.youtube.com/@ruralpolicypartners

Watch this episode on YouTube: https://youtu.be/ii8PWtv4Um8

In this episode, we break down the American Society of Addiction Medicine (ASAM) Levels of Care, a crucial framework for understanding the continuum of addiction treatment services. From residential treatment programs to detox facilities, we’ll explore how different levels of care are defined, why they matter, and where the system often falls short. With real-life stories of treatment in unexpected settings—like prisons and jails—we’ll discuss the importance of providing appropriate care and how many organizations attempt to treat beyond their scope.

In this episode, you will be able to:

• Mastering ASAM Levels of Care: Unlock the key to effective treatment planning and understanding the right level of care for your clients.
• Overcoming Substance Abuse Treatment Challenges: Discover how to navigate barriers and access the treatment your clients need for recovery.
• Navigating the Behavioral Health System: Gain insights into navigating the complex behavioral health system to provide the best care for your clients.
• Implementing ASAM Criteria in States: Learn how to apply ASAM criteria effectively within your state's treatment planning processes.
• Winterizing Farm Equipment Maintenance: Ensure your farm equipment is in top shape for the winter season with expert maintenance tips.

The key moments in this episode are:
00:00:02 - Introduction to the ASAM Levels of Care
00:03:07 - What is ASAM and its History
00:08:22 - Benefits of ASAM
00:10:56 - Misunderstanding and Data on ASAM
00:11:38 - Implementation and Challenges of ASAM
00:12:40 - Disparity in Accessing Care
00:13:11 - Objective Criteria for Level of Care
00:14:36 - Lack of Standard in Mental Health Care
00:16:39 - Inappropriate Use of Treatment Resources
00:22:07 - Impact of Creating New Treatment Systems
00:25:09 - Embracing Fall Opportunities
00:25:39 - Staying Active in the Fall
00:26:03 - Understanding Asam
00:26:29 - Wrapping Up the Podcast
00:27:26 - Closing Remarks

Connect with us: 

https://ruralpolicypartners.com/ 

https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ 

https://www.facebook.com/facebook.com/ruralpolicypartners

https://www.youtube.com/@ruralpolicypartners

Watch this episode on YouTube: https://youtu.be/UeI-613bmTM

In this episode, we dive into the controversial topic of medications for treating substance use disorders. Are we simply trading one dependency for another? We’ll explore the loose prescribing practices that contributed to the opioid crisis, and the complex reality of now using FDA-approved medications like Methadone, Buprenorphine, and Naltrexone to manage addiction. With data highlighting the staggering rates of prescription drug misuse and addiction in America, we’ll examine the role of physicians, current treatment options, and how communities can educate themselves on alternatives such as therapy.

In this episode, you will be able to:

• Understand the latest strategies for navigating behavioral health systems.
• Discover effective approaches to treating substance use with medication.
• Learn alternative methods for managing pain without relying on opioids.
• Gain insights into preventing the misuse of prescription drugs.
• Explore the profound impact of addiction on families.

The key moments in this episode are:
00:00:02 - Introduction to Behavioral Health Systems
00:03:07 - The Opioid Epidemic and Overprescription
00:07:01 - Challenges of Substance Use Medications
00:09:23 - Stigma and Medication-Assisted Treatment
00:11:30 - Prescription Drug Misuse and Addiction
00:13:24 - The Prevalence of Prescription Drug Addiction
00:14:30 - Over-Prescription of Medications
00:15:59 - Recognizing Addiction in Loved Ones
00:17:23 - Impairment in the Workplace
00:22:38 - The Benefits of Reading for Stress Relief
00:25:44 - Working Towards Better Behavioral Health System
00:26:11 - Conclusion and Thanks
00:25:44 - Connect with Rural Policy Parties
00:25:44 - The Power of Collaboration

Links:

• https://drugabusestatistics.org/prescription-drug-abuse-statistics/
• https://www.fda.gov/drugs/drug-safety-and-availability/prescribe-confidence
• https://www.samhsa.gov/medications-substance-use-disorders

Connect with us: 

https://ruralpolicypartners.com/ 

https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ 

https://www.facebook.com/facebook.com/ruralpolicypartners

https://www.youtube.com/@ruralpolicypartners

Watch this episode on YouTube: https://youtu.be/X0ek6_ttIAE

In this episode, we continue our deep dive into the Illinois Rural Health Conference, held in Champaign, IL. Join us as we explore the latest trends and critical topics discussed at the conference, from how Millennials are shaping the future of healthcare to the evolving role of peer support in the workforce. We’ll also cover comprehensive chronic care management, the challenges of rural health clinic care coordination, and the ongoing struggle with the stigma of behavioral health needs in rural areas. Plus, we’ll discuss the importance of attending these conferences for networking, staying informed, and bringing back valuable insights to improve healthcare delivery in your own communities. Whether you’re a healthcare professional, a policy maker, or simply interested in rural health, this episode is packed with information you won’t want to miss.

In this episode, you will be able to:

• Discover effective strategies for navigating behavioral health systems to improve patient care and access to mental health services.
• Gain insights into the impact of weather on agriculture and how it influences food production and distribution, affecting global health and nutrition.
• Explore how millennials are transforming healthcare and driving innovation to make healthcare more accessible and personalized for all generations.
• Learn about the power of peer recovery in rural communities and its impact on improving mental health support and addiction treatment accessibility.
• Uncover effective methods for managing medication donation programs to ensure safe and equitable distribution of medications to those in need.

The key moments in this episode are:
00:00:02 - Millennials in Healthcare
00:08:03 - Peer Recovery in Rural Communities
00:10:14 - Chronic Care Management
00:11:24 - Medication Donation and Safe Disposal
00:12:13 - Safenetrx Program
00:13:43 - Medication Management and Disposal
00:15:21 - Healthcare Security and Workplace Violence
00:19:24 - Federal Rural Health Update
00:21:55 - Networking Opportunities
00:24:31 - Data Integrity and Selective Reporting
00:25:23 - Value of Conferences
00:26:12 - Networking and Implementation
00:28:08 - Self-Care Tip: Rain Plans
00:29:29 - Practicing Flexibility 

Links:

• https://peoplecentric.com/ 
• https://www.siumed.edu/center-rural-health-and-social-service-development/certified-recovery-support-specialist-training 
• https://safenetrx.org/ 
• Conference Schedule

Connect with us: 

https://ruralpolicypartners.com/ 

https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ 

https://www.facebook.com/facebook.com/ruralpolicypartners

https://www.youtube.com/@ruralpolicypartners

Watch this episode on YouTube: https://youtu.be/BuSVmDIEBgw

In this special episode recorded on the road in Champaign, IL, we kick off National Recovery Month by exploring "The Art of Recovery 2024." We discuss how recovery is a holistic journey that involves not just the individual, but also their families, caregivers, and communities. From the unique challenges faced by families to the importance of culturally tailored care, this episode highlights the diverse and personal nature of recovery. We also delve into the latest data on mental health and substance use disorders in America and explore the crucial role of peer support and re-entry programs in helping individuals regain their lives and contribute meaningfully to their communities.

In this episode, you will be able to:

• Discover strategies for navigating behavioral health systems with ease.
• Explore the profound impact of Recovery Month on mental health and well-being.
• Embrace the significance of cultural values in providing effective recovery care.
• Uncover the unique challenges in accessing mental health support in rural areas.
• Recognize the vital importance of peer support in the journey of recovery.

The key moments in this episode are:
00:00:02 - Introduction to Recovery Month
00:04:03 - Recovery Month Themes and Proclamations
00:06:49 - Family and Cultural Support in Recovery
00:09:18 - Holistic Wellness in Recovery
00:11:15 - Power of Shared Stories in Recovery
00:12:16 - Breaking down the stigma around mental health in rural areas
00:13:02 - The prevalence of mental health conditions
00:14:00 - Mental health and substance use in incarcerated populations
00:15:56 - NAMI Provider program
00:22:08 - Self-care and medical appointments
00:24:27 - Importance of Health Checkups
00:25:15 - Humorous Incident at the Doctor's Office
00:25:36 - Recap of Recovery Month
00:26:11 - Recap and Gratitude
00:26:41 - Call to Action

Links:

• https://mhanational.org/sites/default/files/2024-State-of-Mental-Health-in-America-Report.pdf

Connect with us: 

https://ruralpolicypartners.com/ 

https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ 

https://www.facebook.com/facebook.com/ruralpolicypartners

https://www.youtube.com/@ruralpolicypartners

Watch this episode on YouTube: https://youtu.be/-LgoNvgppd4

In this episode, we kick off our Substance Use Series with a comprehensive overview of the pressing substance use issues facing the United States today. From the growing concerns around drugs, alcohol, and marijuana to the broader societal impacts, we’ll explore the challenges and statistics that illustrate the scope of the problem. We delve into recent data from trusted sources like the National Institute on Drug Abuse and SAMHSA, shedding light on trends and implications for mental health. Additionally, we’ll discuss how substance use complicates mental health conditions and contributes to rising incarceration rates, particularly in rural communities. Join us for an eye-opening discussion that sets the stage for deeper dives into each substance in future episodes!

In this episode, you will be able to:

• Learn effective strategies for navigating the challenges of the behavioral health system.
• Discover the impact of climate change on mental health and ways to address it.
• Explore innovative approaches to addressing substance use in rural communities.
• Uncover powerful strategies for managing stress effectively and improving mental well-being.
• Understand the effects of both legal and illegal substance misuse on mental health.

The key moments in this episode are:
00:00:02 - Introduction to Behavioral Health and Substance Use
00:02:59 - Overview of Substance Use Challenges
00:07:54 - Increase in Potency and Availability of Fentanyl
00:10:48 - Changing Perception of Marijuana and Risks
00:11:43 - Risks and Impact of Drug-Induced Psychosis
00:12:53 - The Dangers of Substance Misuse
00:14:05 - Impact of Substance Use on Healthcare
00:15:43 - Alarming Overdose Statistics
00:16:07 - Rural Communities and Mental Health
00:21:58 - Managing Stress and Self-Care
00:24:54 - Sleep Disturbance and Substance Use
00:25:05 - Substance Use Series Introduction
00:25:37 - Conclusion and Call to Action
00:26:00 - Contact Information and Future Episodes
00:26:33 - Closing Remarks 

Links:

• https://drugabusestatistics.org/
• https://nida.nih.gov/research-topics/trends-statistics
• https://www.hhs.gov/about/news/2023/11/13/hhs-samhsa-release-2022-national-survey-drug-use-health-data.html
• https://hhs.iowa.gov/media/9302/download?inline=
• https://www.dea.gov/sites/default/files/2022-12/2022_DOA_eBook_File_Final.pdf

Connect with us: 

https://ruralpolicypartners.com/ 

https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ 

https://www.facebook.com/facebook.com/ruralpolicypartners

https://www.youtube.com/@ruralpolicypartners

Watch this episode on YouTube: https://youtu.be/wvAJEcpJF7o