The Stepping In It Podcast with Renee Schulte & Jason Haglund

In this episode, we explore the evolving landscape of telemedicine and its impact on the healthcare workforce. Join us as we delve into the challenges and successes of integrating telehealth services, from managing providers to overcoming insurance and licensure barriers. We'll examine compelling data on telemedicine usage and highlight innovative telepsychiatry solutions that are transforming patient care in rural and underserved communities. Plus, don’t miss our self-care policy of the week, emphasizing the importance of asking for help. Tune in for an insightful discussion on optimizing telemedicine through innovative partnerships and strategic solutions.

In this episode, you will be able to:

• Discover how telehealth can address healthcare disparities and improve access to care for underserved communities.
• Explore the policy implications of telemedicine and its impact on healthcare workforce development.
• Uncover the complexities of telehealth billing and insurance, and how it affects healthcare delivery.
• Learn about innovative telemedicine models transforming the way healthcare is delivered and experienced.
• Understand the critical role of broadband access in ensuring equitable telehealth services for all.

The key moments in this episode are:
00:00:02 - Introduction to Behavioral Health and Telehealth

 00:03:25 - Considerations for Telehealth

 00:05:33 - Policy Issues and Non-Compete Contracts

 00:10:49 - Crisis Response and Telehealth

 00:26:04 - The Versatility of Broadband Sites

 00:27:02 - Access and Care for Underserved Communities

 00:27:32 - Overcoming Language Barriers

 00:28:51 - Self-Care Tip: Asking for Help

 00:29:34 - The Future of Telemedicine and Telehealth 

Links:

• https://www.cdc.gov/nchs/products/databriefs/db445.htm

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/4yrM444Ry4Q 

In this insightful episode, Renee and Jason dive deep into the pressing issues facing the healthcare workforce in the wake of the pandemic. From chronic stress and burnout to the evolving expectations of flexibility and work-life balance, the discussion sheds light on the multifaceted challenges confronting healthcare professionals. Through a data-driven lens, the episode explores the stark realities of workforce shortages, particularly in behavioral health care, with a focus on rural and underserved communities. Solutions are proposed, ranging from equitable reimbursement policies and streamlined paperwork to incentives like loan forgiveness and scholarships. As the conversation unfolds, listeners gain valuable insights into the steps needed to bolster the healthcare workforce and ensure access to quality care for all. Tune in for a compelling dialogue on navigating the complexities of post-pandemic healthcare.

In this episode, you will be able to:

• Mastering retention strategies for behavioral health professionals can transform your practice.
• Discover the untapped benefits of telebehavioral health services for your patients and your business.
• Uncover powerful strategies for improving the mental health system and delivering better care.
• Learn how to address behavioral health workforce shortages and create a more sustainable future.
• Explore the seamless integration of primary care and behavioral health services for improved patient outcomes.

The key moments in this episode are:
00:00:02 - Introducing the Podcast and Setting the Scene

 00:03:10 - Impact of Chronic Stress and Burnout

 00:06:38 - Factors Contributing to Workforce Shortage

 00:09:52 - Behavioral Health Workforce Shortage

 00:12:23 - Importance of Primary Care in Behavioral Health

 00:12:47 - Embracing Behavioral Health in the Healthcare System

 00:13:18 - Consolidating Healthcare Systems

 00:14:28 - Leveraging the Public Health Workforce

 00:15:39 - Reorganization and Legislation in Behavioral Health

 00:16:49 - Rethinking the Behavioral Health Workforce

 00:26:38 - Addressing the Disconnect in Higher Education and Training

 00:27:53 - Training and Supervision Challenges

 00:28:44 - Missing Chunks of Training

 00:29:48 - Leveraging Telebehavioral Health and Innovative Partnerships

 00:30:50 - Self-Care and Rest Time 

Links:

• https://www.commonwealthfund.org/publications/explainer/2023/may/understanding-us-behavioral-health-workforce-shortage
• https://bhw.hrsa.gov/sites/default/files/bureau-health-workforce/Behavioral-Health-Workforce-Brief-2023.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/fvfdW8FLDrw 

In this compelling episode, join hosts Jason and Renee as they welcome special guest Leslie Carpenter, the Legislative Advocacy Manager for the Treatment Advocacy Center and a passionate advocate for mental health reform. Leslie shares her wealth of experience and expertise, shedding light on crucial topics such as the importance of Assisted Outpatient Treatment (AOT) Programs, the need for decriminalizing treatment for individuals with severe mental illness, and the imperative for long-term hospitalization and permanent supportive housing options. Through thoughtful discussion and data analysis, Leslie paints a vivid picture of the challenges facing the mental health care system, emphasizing the critical need for collaboration, community engagement, and systemic change. Don't miss this enlightening conversation that delves deep into the heart of mental health advocacy and reform efforts.

In this episode, you will be able to:

• Discover the benefits of Assisted Outpatient Treatment and how it can positively impact mental health care.
• Learn effective strategies for navigating the complex behavioral health systems and accessing the support you or your loved ones need.
• Explore innovative housing solutions designed to meet the unique needs of individuals with mental health challenges.
• Understand the importance and potential impact of decriminalizing mental health treatment for improved access and care.
• Raise awareness and gain insight into anosognosia and its impact on mental illness, fostering a better understanding of this complex issue.

The key moments in this episode are:
00:00:02 - Introduction to Behavioral Health Advocacy

 00:04:34 - Anosognosia and its Impact on Mental Illness

 00:08:56 - Collaboration and Learned Helplessness in Mental Health Care

 00:09:49 - Advocating for Additional Levels of Care

 00:12:10 - Transition to the Treatment Advocacy Center

 00:12:27 - Improving Access to Treatment

 00:14:03 - Improving Legislation

 00:15:14 - Research and Underrepresentation

 00:16:40 - Anosognosia and Individualized Treatment

 00:20:32 - Housing that Heals

 00:25:51 - The Need for More Institutional Beds in Iowa

 00:26:31 - Housing that Heals and White Paper Credit

 00:27:16 - Importance of Comprehensive Treatment

 00:28:09 - System Mobilization and Long-term Care

 00:33:05 - Assisted Outpatient Treatment

Links:

• https://www.desmoinesregister.com/story/news/health/2024/01/24/new-report-shows-iowas-critical-shortage-of-state-psychiatric-beds-legislature-reynolds/72312936007/#:~:text=Iowa%20has%20a%20total%20of,of%20Health%20and%20Human%20Services.
• https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8625568/
• https://www.treatmentadvocacycenter.org/reports_publications/grading-the-states-an-analysis-of-involuntary-psychiatric-treatment-laws-2020/

Connect with Leslie:

@lesliecarpent15 Twitter, Facebook and Linkedin simply: Leslie Carpenter or for FB: Iowa Mental Health Advocates

Connect with us: 

https://ruralpolicypartners.com/ 

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

In this episode, we delve into the evolving landscape of substance use in rural America. Starting with a historical overview, we explore how remedies like whiskey were once commonplace treatments for various ailments. We'll discuss the cultural significance of alcohol in rural communities, particularly among veterans. Transitioning to the present, we analyze current data on binge drinking and other substance use trends, highlighting significant regional differences. Finally, we examine the far-reaching impacts on healthcare, employment, and recovery efforts, including innovative community programs like the Recovery Night at the Iowa Wild game. Join us as we unpack the past and present of substance use in rural America.

In this episode, you will be able to:

• Understand the complexities of navigating behavioral health systems for better support and resources.
• Discover the unique impact of alcohol on rural communities and its implications for workplace and society.
• Learn effective strategies for improving behavioral health systems and fostering a healthier workplace culture.
• Explore the role of alcohol in American culture and celebrations, gaining insights for a more inclusive workplace environment.
• Uncover the effects of alcohol on sleep and productivity, optimizing well-being in the workplace.

The key moments in this episode are:
00:00:02 - Introduction to Behavioral Health and Alcohol Use

 00:02:16 - Historical Perspective on Alcohol Use

 00:07:51 - Marketing and Alcohol Use

 00:10:10 - Impact of COVID-19 on Alcohol Sales

 00:11:34 - Observations on Alcohol Use

 00:12:34 - Impact of Binge Drinking Culture

 00:13:46 - Remote Work and Substance Misuse

 00:16:00 - Workplace Impact of Substance Misuse

 00:19:01 - Narcan in the Workplace

 00:21:34 - Impact on Healthcare and Employees

 00:25:04 - Balancing Alcohol Promotion and Recovery Events

 00:27:00 - Supporting Co-workers in Recovery

 00:27:22 - Alcohol and Sleep

 00:29:17 - Personal Health Goals and Moderation

 00:30:11 - Impact of Alcohol Sales on Community 

Links:

• https://www.cdc.gov/alcohol/fact-sheets/binge-drinking.htm
• https://hhs.iowa.gov/media/9302/download?inline=
• https://www.ruralhealthinfo.org/topics/substance-use

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/YWdO9RuaEuM 

In this episode, join us as we welcome our first guest, Barb Ranck, a seasoned Certified Life and Leadership Coach with over 25 years of experience. Renee engages in a rich conversation with Barb, exploring her journey from a farmer's daughter to an Enneagram extraordinaire dedicated to helping individuals thrive. Barb shares insights on developing self-awareness, building personal networks, and navigating the complexities of work-life balance and burnout. Through practical advice and personal anecdotes, Barb illuminates the importance of emotional intelligence, mental health awareness, and change management in both personal and professional spheres. This episode promises to inspire self-reflection, growth, and resilience for listeners seeking to thrive amidst change and cultivate a deeper sense of self-awareness.

In this episode, you will be able to:

• Enhance leadership effectiveness through self-awareness.
• Improve workplace performance by understanding the importance of self-awareness in leadership.
• Overcome workplace burnout with effective strategies.
• Discover the benefits of professional coaching for personal and professional growth.
• Manage stress and enhance well-being through self-awareness.

The key moments in this episode are:
00:00:02 - Introduction to the stepping in it podcast

 00:01:00 - Excitement about starting interviews

 00:03:51 - Barb's background and experience

 00:05:30 - Importance of culture and individual execution

 00:09:16 - Importance of self-awareness in healthy relationships

 00:12:28 - Importance of Self-Awareness

 00:13:31 - Leveraging Strengths and Weaknesses

 00:15:18 - Balancing Efficiency and Communication

 00:18:40 - Addressing Burnout and Work-Life Balance

 00:24:24 - Cultivating Self-Awareness and Mental Health

 00:25:23 - Life Alignment and Integrity

 00:26:03 - Balance vs. Blend vs. Alignment

 00:27:05 - Self-Awareness and Office Culture

 00:28:28 - Value of Self-Awareness

 00:33:59 - The Importance of Seeking a Coach or Mentor

 00:36:57 - The Natural Process of Growth and Change

 00:37:24 - Overcoming Fear of Introspection

 00:38:01 - Value of Research and Resources

 00:38:42 - Barb's Offer and Final Thoughts

 00:39:01 - Importance of Self-Awareness

Connect with Barb:

• Facebook: https://www.facebook.com/cilifecoach
• LinkedIn: https://www.linkedin.com/in/barb-ranck-acc-ieq9-enneagram-practitioner-8a6294/ 

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/iP7nxAURRjM 

In Episode 39, join us as we delve into the post-pandemic conference circuit, where speaking engagements serve as platforms for discussing crucial topics like mental health. Reflecting on our journey from Covid Recovery Iowa, we analyze the surge in anxiety and depression rates since 2020, exploring workplace dynamics and the challenges of conveying evolving data to business leaders. Emphasizing the importance of equipping our audience with tools and resources, we aim to navigate the complexities of post-pandemic mental health in the workplace together.

In this episode, you will be able to:

• Overcome the challenges of navigating the behavioral health system and improve support for employees.
• Understand the profound impact of COVID-19 on mental health in the workplace and how to address it effectively.
• Enhance your understanding of strategies for improving rural healthcare and mental health support in the workplace.
• Discover the benefits of mental health first aid training and its positive impact on workplace well-being.
• Learn effective coping strategies for post-pandemic anxiety and depression to support employees' mental health.

The key moments in this episode are:
00:00:02 - Introduction to the Podcast

 00:03:22 - On the Road Again: Starting a New Series

 00:08:03 - Impact of the Pandemic: Long-term Anxiety and Depression

 00:09:35 - Managing Mental Health Boundaries in Workplaces

 00:11:00 - Rebound Effect and Reactive Responses

 00:12:24 - Impact of Teenager Leave on Workplace

 00:14:29 - Negative Effects of Lockdown on Children

 00:15:53 - Redefining "Normal" in the Workplace

 00:17:50 - The Importance of Training and Common Language

 00:21:29 - Supporting Mental Health in the Workplace

 00:24:01 - The Impact of Mental Health and Anxiety Post-Pandemic

 00:24:28 - Importance of Training for Mental Health

 00:24:59 - Closing Remarks and Call to Action

 00:25:31 - Stay Tuned for More Thought-Provoking Conversations

 00:25:53 - Conclusion and Host Sign-Off 

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/DcIzwcpFW6s 

In this episode, we delve into the crucial but often overlooked role of jails in the behavioral healthcare system. We explore how jails have become default mental health treatment centers, discussing issues like medication management, counseling, and ensuring consistent care. Challenges such as completing treatment, competency to stand trial, and managing violent behavior are examined. We also consider solutions like diversion programs, increased services, and early interventions. Additionally, we analyze data and research findings on the intersection of behavioral healthcare and the criminal justice system, touching on real-world examples such as Omaha's new jail with a behavioral health wing and Oregon's drug decriminalization plan. Join us as we navigate this complex issue and explore avenues for improvement.

In this episode, you will be able to:

• Grasp systemic challenges in behavioral health and their effects on individuals.
• Uncover how jails become default mental health care hubs, affecting inmates and society.
• Explore creative diversion programs supporting those with mental health issues.
• Examine the mental health repercussions of incarceration and ways to enhance support.
• Discover the importance of community-based aid for a comprehensive mental health approach.

The key moments in this episode are:
00:00:02 - Introduction to the podcast

 00:02:18 - Deinstitutionalization and the rise of incarceration

 00:05:18 - Benefits of mental health care in jails

 00:08:15 - Challenges in jail mental health care

 00:10:45 - The impact of drug use on mental health and incarceration

 00:12:40 - Framing the Conversation with Data and Solutions

 00:13:14 - Importance of Differentiation and Community-based Support

 00:14:08 - Role in Parole and Reentry

 00:15:34 - Housing that Heals and Community Supervision

 00:20:47 - Diversion Programs and Legislative Impact

 00:24:54 - Incarceration and Mental Health

 00:25:32 - Intersect of Crime and Behavioral Health

 00:27:14 - Consequences of Decriminalization

 00:29:15 - Importance of Partnerships

 00:31:30 - Self-Care and Seasonal Changes

Links:

• https://namica.org/community-voices/team-nami-spotlight-housing-that-heals-project-report
• https://www.samhsa.gov/criminal-juvenile-justice/about
• https://cops.usdoj.gov/html/dispatch/05-2022/mental_health_reentry.html
• https://bjs.ojp.gov/content/pub/pdf/mhppji.pdf
• https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9578298/
• https://www.mhanational.org/issues/access-mental-health-care-and-incarceration
• https://www.pewtrusts.org/en/trend/archive/fall-2023/for-too-many-with-mental-illness-incarceration-is-the-default

Connect with us:
https://ruralpolicypartners.com/
https://www.linkedin.com/linkedin.com/company/rural-policy-partners/

Watch this episode on Youtube: https://youtu.be/In_l086021A 

In this episode, we delve into the complexities of the children's mental health system, exploring its structure, challenges, and impact. We hear Renee's story, who ran to create a children's mental health system in 2005 and faced obstacles upon being elected in 2008, shedding light on the struggle to establish a cohesive system in Iowa. We provide a data-focused examination, highlighting concerning statistics revealing the prevalence of mental health issues among Iowa's youth and the increasing demand for crisis services. We discuss sobering facts such as the high rates of suicidal ideation and the early onset of mental illness. We also share stories of real-life challenges faced by children in need of mental health support, from inadequate shelter options to inappropriate housing arrangements. Join us as we navigate the complexities of the children's mental health system and explore strategies for improvement and support.

In this episode, you will be able to:

• Understand the importance of navigating the behavioral health system for your child's well-being.
• Discover effective strategies for improving children's mental health services in your community.
• Learn about the significant impact of early intervention on your child's overall development.
• Uncover common challenges in accessing mental health treatment for children.
• Explore the ways to advocate for a dedicated children's mental health system and make a difference.

The key moments in this episode are:
00:00:02 - Introduction to the Children's Mental Health System

 00:03:31 - The Need for a Distinct Children's System

 00:08:12 - The Evolution of Shelters for Children

 00:11:32 - Importance of Prevention and Early Intervention

 00:12:44 - Personality and Mental Health in Children

 00:13:09 - Predicting Personality Traits

 00:14:18 - Early Intervention for Children

 00:15:42 - Importance of Screening and Treatment

 00:19:27 - Disturbing Mental Health Data for Kids

 00:23:50 - Advocating for Change

 00:25:47 - The importance of early intervention in children's mental health

 00:27:01 - The need for state intervention and collaboration

 00:28:40 - Advocacy and organizational involvement

 00:29:31 - Self-care and personal interests

 00:32:49 - The power of prevention and a preview of the next episode

Links:

• https://www.unitedwaydm.org/camhi4kids

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/W3jAwbh5MpE 

In this episode, we delve into acute psychiatric care, focusing on the vital role of state psychiatric hospitals and Mental Health Institutes (MHIs). We discuss the importance of crisis care and integrated services in avoiding acute treatment whenever possible, highlighting specific facilities such as the Independence Mental Health Institute and the Cherokee Mental Health Institute, which provide specialized services for adults and youth in need of acute psychiatric care. Drawing from research and reports, we analyze trends in psychiatric inpatient capacity and explore the challenges faced by advocates working to address the need for additional psychiatric beds within state systems, amidst societal issues like incarceration rates and homelessness. Join us as we navigate the landscape of acute psychiatric care and its impact on individuals and communities.

In this episode, you will be able to:

• Gain insights into navigating the complexities of behavioral health systems.
• Discover the challenges and solutions for accessing vital mental health care.
• Understand the pivotal role of state hospitals in supporting mental health care.
• Explore the transition process from state hospitals to community care for individuals.
• Uncover the impact of policy changes on mental health services in communities.

The key moments in this episode are:
00:00:02 - Introduction to Behavioral Health Systems

 00:03:30 - The Purpose of State Hospitals

 00:08:14 - Services Provided in State Hospitals

 00:11:44 - Varied Functions of State Hospitals

 00:12:47 - Challenges of State Hospitals

 00:13:38 - Minnesota's Approach to State Hospitals

 00:15:31 - Changing Perspectives on State Hospitals

 00:19:21 - Trends in Psychiatric Inpatient Capacity

 00:24:29 - Advocacy and Incremental Change

 00:25:27 - Prioritizing Tasks for Planting Season

 00:26:11 - Removing Distractions

 00:26:50 - Time Wasters

 00:27:49 - Importance of State Hospitals

 00:28:32 - Looking Ahead: Children's Mental Health System 

Links:

• https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9077613/
• https://hhs.iowa.gov/programs/mental-health/inpatient-facilities
• https://hhs.iowa.gov/programs/mental-health/inpatient-facilities/independence
• https://hhs.iowa.gov/programs/mental-health/inpatient-facilities/cherokee
• https://www.nasmhpd.org/sites/default/files/The%20Vital%20Role%20of%20State%20Psychiatric%20HospitalsTechnical%20Report_July_2014(2).pdf
• https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9077627/
• National Association of State Mental health program directors report

Connect with us: 

https://ruralpolicypartners.com/ 

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

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

In this episode, we embark on a journey through the myriad options available in residential services for mental health and substance use disorders. We offer a comprehensive breakdown of what "residential" care entails, exploring various types of facilities ranging from Crisis Stabilization Residential Services to Psychiatric Medical Institutions for Children (PMICs), providing clarity on the diverse spectrum of care available. We also examine insights from the National Library of Health, emphasizing the importance of best practices and continuity of care for optimal outcomes. Additionally, we delve into the role of technology as a support system in residential services, discussing how it can streamline processes, reduce costs, and enhance independence for individuals receiving care. Join us as we navigate the complexities and innovations within the realm of residential services. 

In this episode, you will be able to:

• Learn how to navigate the complexities of behavioral health systems for improved patient care.
• Discover the key aspects and benefits of residential services within the behavioral health context.
• Understand the impact of insurance on the quality and accessibility of behavioral health care.
• Explore the integration of technology in residential care facilities and its potential to enhance treatment outcomes.
• Gain insights into the process of transitioning individuals from residential care to community-based support for sustained wellness.

The key moments in this episode are:
00:00:02 - Introduction to Residential Services

 00:05:04 - Substance Use Disorder Levels of Care

 00:07:48 - Mental Health Levels of Care

 00:10:53 - Importance of Residential Care

 00:11:46 - Challenges in Behavioral Health Systems

 00:12:41 - The Need for Supportive Housing

 00:14:15 - Importance of Space and Support

 00:15:24 - Understanding Residential Care Facilities

 00:18:39 - Effectiveness of Residential Care

 00:23:11 - PMIC for Children and Family Involvement

 00:25:25 - Recap of Research Articles

 00:26:06 - Innovative Use of Smart Home Technology

 00:30:28 - Self-Care through Delegation

 00:33:34 - Acute Services and State Hospitals

Links:

• https://hhs.iowa.gov/media/10502/download?inline=
• https://pubmed.ncbi.nlm.nih.gov/31254749/
• https://www.mhanational.org/bipoc-mental-health/community-care

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/wfiHiFlE3nM