The Mental Health Evolution

Rachel speaks with Dr. Linda Michaels, PsyD, MBA, a psychologist in private practice in Chicago and co-founder of the Psychotherapy Action Network (PsiAN). Founded in 2017, PsiAN was built to provide a unified voice for psychotherapists across all disciplines and theoretical orientations, advocating for access to quality care and pushing back against the forces reshaping the field. Dr. Michaels brings a rare combination of clinical training and a prior career in business, marketing, and organizational consulting, and that background is evident in how she analyzes the systems bearing down on the profession. The conversation opens with the origins of PsiAN, the research they have conducted with both the public and therapists, and why the organization has made it a priority to cut across the silos that limit collective professional power. The second half of the conversation takes a direct look at practice management companies and what therapists need to know before working with them. Dr. Michaels walks through PsiAN's research with nearly 700 therapists, revealing that despite promises of higher earnings, half reported making the same or less. She details the near-total insurance company ownership of these platforms, the data privacy concerns including a class action suit against Headway for sharing patient data with Google, and the growing use of therapy session transcripts to train proprietary AI language models. Dr. Michaels closes with a clear message for therapists: every business decision is ultimately a clinical one, and the profession's greatest asset in the face of corporate consolidation is knowledge, standards, and solidarity. RESOURCES MENTIONED Articles Referenced: They Thought They Were Doing Good, But It Made People Worse: Why Mental Health Apps Are Under Scrutiny — The Guardian: https://www.theguardian.com/society/2024/feb/04/they-thought-they-were-doing-good-but-it-made-people-worse-why-mental-health-apps-are-under-scrutiny Chatbots and AI Therapy Are Filling Gaps in Mental Health Care, but Regulation is Lagging — Washington Post: https://www.washingtonpost.com/health/2026/04/19/chatbot-therapy-mental-health-regulations/ Practice Management Companies: What Therapists Need to Know — PsiAN: https://www.psian.org/practice-management-companies Connect with Dr. Linda Michaels and PsiAN: Website: https://www.psian.org/ Instagram: https://www.instagram.com/psianofficial/ LinkedIn: https://www.linkedin.com/company/psian/ Connect with The Mental Health Evolution: Website: https://www.traumaspecialiststraining.com/mental-health-evolution-podcast Instagram: /thementalhealthevolution LinkedIn: /the-mental-health-evolution Facebook: /TheMentalHealthEvolution Music Credit: Music by Zach Harrison

In this episode, Rachel Harrison speaks with Naveen Raman, a PhD student at Carnegie Mellon University whose research focuses on sequential decision making and the integration of human feedback into AI systems. Naveen is a developer behind PeerCoPilot, an AI powered assistant being tested in real behavioral health settings to support peer support workers in their day to day sessions. The conversation explores how PeerCoPilot works, from its curated database of vetted local resources to its built in tools for benefits navigation, web search, and structured wellness planning, and why the decision to avoid drawing from the open internet was central to its design.   The second half of the conversation digs into the safeguards built into PeerCoPilot, including what Naveen describes as a Swiss cheese model of defense where no single layer of protection carries the full responsibility for catching errors. Rachel and Naveen explore the question of whether tools like this could eventually be used directly by service users, the practical and ethical complexities that come with that, and the broader vision for expanding PeerCoPilot to other peer organizations, county level resource hubs, and systems like 211. Naveen closes with a clear message for anyone thinking about AI in the mental health space: powerful tools still need to be carefully tailored to their specific context to truly serve the people within them.   RESOURCES MENTIONED   Articles Referenced:   AI Use in Mental Health Help Seeking and Support — PubMed Central: https://pmc.ncbi.nlm.nih.gov/articles/PMC12595529/   Human in the Loop, AI in Healthcare Systems — Frontiers in Psychiatry: https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2024.1505024/full   PeerCoPilot: AI Assistant for Behavioral Health Navigation — Carnegie Mellon University: https://www.cs.cmu.edu/news/2026/peer-copilot   Connect with Naveen Raman:   Website: http://naveenraman.com   Connect with The Mental Health Evolution:   Website: https://www.traumaspecialiststraining.com/mental-health-evolution-podcast Instagram: /thementalhealthevolution/ LinkedIn: /the-mental-health-evolution Facebook: /TheMentalHealthEvolution   Music Credit: Music by Zach Harrison

EPISODE SUMMARY In this solo episode, Rachel Harrison explores the reality of mental health parity enforcement through the lens of a recent case involving Aetna. She breaks down what mental health parity is intended to achieve under the Mental Health Parity and Addiction Equity Act and why, despite being in place for nearly two decades, the gap between policy and practice remains significant. Using the Pennsylvania fine against Aetna as a case study, Rachel walks through the specific violations uncovered, including claim delays, improper denials, and lack of transparency, and explains how these issues directly impact patients, providers, and access to care. The episode then broadens to examine the larger enforcement landscape, highlighting similar actions across states and the growing importance of state-level oversight as federal enforcement becomes less certain. Rachel also reflects on broader policy conversations happening at the state level, including efforts in places like Maryland to improve transparency and accountability in insurance reimbursement practices. The conversation raises important questions about accountability, the effectiveness of financial penalties, and what meaningful enforcement should look like moving forward. It ultimately offers a grounded, forward-looking perspective for clinicians, practice owners, and mental health leaders navigating insurance systems today. RESOURCES MENTIONED Articles Referenced: Shapiro Administration Protects Consumers, Fines Aetna for Violations of Mental Health Parity Laws — Pennsylvania Insurance Department: https://www.pa.gov/agencies/insurance/newsroom/shapiro-admin-protects-consumers-fines-aetna-violation-mental-health-parity-laws Pennsylvania Insurance Regulators Fine Aetna for Violations of Mental Health Parity Regulations — Philadelphia Inquirer: https://www.inquirer.com/health/aetna-fine-pennsylania-mental-health-parity-20260303.html Health Insurers Pay Penalty for Mental Health Parity Compliance Failures — HIPAA Journal: https://www.hipaajournal.com/health-insurers-penalty-mental-health-parity-compliance/ Departments Announce Non-Enforcement of 2024 Mental Health Parity Rule — APA Services: https://www.apaservices.org/practice/news/nonenforcement-2024-mental-health-parity-rule Related Episode: Mental Health Parity Advocacy and Policy with Deborah Steinberg https://pod.link/1724750091/episode/OWQ5YmYzMzMtZmQ5ZS00ZjUyLWFkMDEtZmFiZDdlNmVmNzZh CONNECT WITH THE MENTAL HEALTH EVOLUTION Website: https://www.traumaspecialiststraining.com/mental-health-evolution-podcast Instagram: https://www.instagram.com/thementalhealthevolution/ LinkedIn: https://www.linkedin.com/company/the-mental-health-evolution Facebook: https://www.facebook.com/TheMentalHealthEvolution Music Credit: Music by Zach Harrison

EPISODE SUMMARY In this episode, Rachel is joined by Adrienne Wilkerson, founder and CEO of Beacon Media and Marketing and author of Digital Marketing for Mental Health. Adrienne brings a deeply informed perspective shaped by her experience growing up in a therapy practice and working closely with behavioral health organizations. Together, they explore how the mental health landscape is rapidly evolving as private equity backed organizations, larger systems, and AI driven tools reshape how practices compete for visibility. Adrienne shares what makes marketing in mental health fundamentally different, emphasizing the importance of empathy, ethical responsibility, and true human connection when reaching individuals in vulnerable moments. As the conversation continues, Rachel and Adrienne dig into the growing influence of AI in marketing and the broader mental health space. They unpack both the opportunities and risks, including the rise of AI generated content, the erosion of trust online, and concerning trends such as individuals turning to AI for support. Adrienne highlights the increasing difficulty of tracking marketing effectiveness, the return to less predictable attribution models, and the pressure this places on small practice owners. The episode closes with a forward looking perspective on how clinicians and organizations can adapt by staying grounded in authenticity, maintaining ethical standards, and prioritizing meaningful connection in an increasingly complex digital environment. RESOURCES MENTIONED Articles Referenced: Inside the Consolidation Renaissance Across Digital Behavioral Health — Behavioral Health Business: https://bhbusiness.com/2026/03/25/inside-the-consolidation-renaissance-across-digital-behavioral-health/ How AI Is Changing Online Marketing for Small Businesses — Forbes: https://www.forbes.com/sites/nishacharya/2025/10/14/how-ai-is-changing-online-marketing-for-small-businlesses/ Ethical Principles of Psychologists and Code of Conduct — American Psychological Association: https://www.apa.org/ethics/code/index Connect with Adrienne Wilkerson: Beacon Media and Marketing: https://www.beaconmm.com/ Digital Marketing for Mental Health (Book): https://digitalmarketingbook.beaconmm.com/ Connect with The Mental Health Evolution: Website: https://www.traumaspecialiststraining.com/mental-health-evolution-podcast Instagram: /thementalhealthevolution/ LinkedIn: /the-mental-health-evolution Facebook: /TheMentalHealthEvolution Music Credit: Music by Zach Harrison

🎧 Show Notes – Episode 34 Mental Health Access, Telehealth Policy & the Future of Behavioral Health Care with Andrea Fox In this episode of Mental Health Evolution, host Rachel Harrison speaks with Andrea Fox, Senior Editor at Healthcare IT News, about the evolving landscape of mental health access in the United States. Andrea brings more than two decades of experience covering healthcare technology, public health, and government policy, offering a grounded perspective on how telehealth expansion, regulatory uncertainty, and system-level barriers are shaping behavioral health care delivery today. Together, they explore what has meaningfully improved in access to mental health services since the rise of telehealth, where gaps still exist—particularly in rural and underserved communities—and why policy uncertainty continues to affect both providers and patients. The conversation also dives into the ongoing challenges surrounding telehealth prescribing regulations for controlled substances, the impact of insurance reimbursement structures on access to care, and how emerging efforts to integrate social determinants of health data could reshape behavioral health systems in the future. Finally, Andrea and Rachel discuss broader structural barriers—including provider shortages, cost, fragmented systems of care, and uneven access—and reflect on what a truly integrated, patient-centered mental health system could look like if policy and technology evolve in alignment. 🧠 Key Topics Covered Major shifts in mental health access driven by telehealth Persistent rural and underserved community access gaps Federal policy uncertainty around telehealth prescribing rules Insurance reimbursement and its impact on care delivery Provider shortages and systemic behavioral health barriers Social determinants of health data and care coordination The future of integrated, patient-centered mental health systems 📰 Resources Mentioned https://www.healthcareitnews.com/news/where-telehealth-stands-shutdown-every-day-goes-its-worse https://www.healthcareitnews.com/news/telehealth-prescribers-urge-feds-act-quickly-virtual-rx https://www.healthcareitnews.com/news/stakeholders-ask-new-dea-administrator-resolve-telehealth-prescribing-rules https://www.healthcareitnews.com/news/addressing-behavioral-health-resources-and-costs-ohio 🎙 About the Guest Andrea Fox is Senior Editor at Healthcare IT News. She has spent more than two decades covering healthcare technology, public health, and government policy, with a focus on telehealth, digital health infrastructure, and behavioral health access. Her reporting highlights how policy decisions and technological systems shape real-world access to care, particularly in rural and underserved communities. Recent work: https://www.healthcareitnews.com/news/telepsychiatry-may-still-be-out-reach-low-access-areas https://www.healthcareitnews.com/news/how-rural-mississippi-plans-put-federal-funds-work-addressing-health-it-needs 🔗 Connect with Mental Health Evolution Website: https://www.traumaspecialiststraining.com/mental-health-evolution-podcast Instagram: https://www.instagram.com/thementalhealthevolution/ LinkedIn: https://www.linkedin.com/company/the-mental-health-evolution Facebook: https://www.facebook.com/TheMentalHealthEvolution 🎶 Music Credit Music by Zach Harrison 💬 Closing Reflection This episode highlights a central tension in modern mental health care: while telehealth and digital tools have expanded access, structural challenges—including funding, regulation, and system fragmentation—continue to limit equitable care. The future of behavioral health will depend on how effectively policy, technology, and care delivery systems evolve together.

Episode Summary In this solo episode, Rachel takes an honest look at where the 988 Suicide and Crisis Lifeline stands nearly three years after its July 2022 launch. She grounds listeners in how the system is structured, what changed in the transition from the old ten-digit lifeline number, and why that shift mattered more than it might seem. Drawing on recent data, Rachel walks through what is genuinely working, including dramatic growth in contact volume, faster answer times, and rising public awareness, while being equally clear-eyed about where the system is still falling short. Rachel digs into the gaps that data is making harder to ignore: uneven awareness across racial and language groups, wide variation in in-state answer rates, inconsistent follow-up practices, and a funding patchwork that is not holding equally in every state. She also addresses the recent discontinuation of the specialized LGBTQ+ line and what that loss means for a population already at elevated risk. This episode is intentional groundwork for an upcoming conversation on virtual crisis teams, and Rachel closes with a direct message to clinicians and practice owners about the role they play in what comes after the call. Resources Mentioned About 988 — The official overview of how 988 came to be, what changed in the transition from the National Suicide Prevention Lifeline, and how the current system is structured New Data Expose Critical Care Gaps in 988 Crisis Lifeline — Coverage of a 2025 JAMA Network Open study examining all 988 contacts since launch, including regional disparities and lower-than-expected usage in the South 988 Mental Health Crisis Line Evolves Nationally, States Seek Stable Funding — Covers recent developments including the rollout of georouting, the discontinuation of the LGBTQ+ specialized line, and how states are working toward more sustainable funding structures 988's Evolution: The Next Chapter in Crisis Care — Written by a founding leader of the National Suicide Prevention Lifeline, this piece focuses on the critical gap between the crisis call and what happens after Connect with The Mental Health Evolution Website: https://www.traumaspecialiststraining.com/mental-health-evolution-podcast Instagram: /thementalhealthevolution/ LinkedIn: /the-mental-health-evolution Facebook: /TheMentalHealthEvolution Music Credit: Music by Zach Harrison

Episode Summary This week, Rachel brings listeners one of her favorite conversations from her previous podcast, The Mental Health Entrepreneur, featuring Dr. Kryn McClain, founder and CEO of CatapalloVR. Dr. McClain is a therapist turned entrepreneur whose work sits at the intersection of clinical expertise and emerging technology. She built CatapalloVR to give mental health providers, autism specialists, and educators a virtual reality platform designed to help clients build real world life skills in a safe, immersive, and measurable environment. In this conversation, Rachel and Dr. McClain explore how VR is being used to teach daily living skills, emotion regulation, and occupational readiness to transition age youth and others who need a structured space to practice before stepping into the real world. Dr. McClain shares how CatapalloVR developed its robust library of hundreds of modules through direct feedback from therapists, parents, and clients, and how therapists can integrate the platform using standard CPT codes. She also speaks candidly about the entrepreneurial journey, the importance of finding a peer community as a clinician turned business owner, and her vision for expanding VR access across hospital systems, schools, and beyond. Connect with Dr. Kryn McClain CatapalloVR Connect with The Mental Health Evolution Website: https://www.traumaspecialiststraining.com/mental-health-evolution-podcast Instagram: /thementalhealthevolution/ LinkedIn: /the-mental-health-evolution Facebook: /TheMentalHealthEvolution Music Credit: Music by Zach Harrison

Episode Summary This episode brings one of our favorite conversations from Rachel's previous podcast, The Mental Health Entrepreneur, to the Mental Health Evolution audience. Dr. James Cordova is a researcher and clinician who has spent over two decades studying relationship health, and Matt Rubin is the entrepreneur who helped bring that research to life through Arammu, a company built around a checkup and maintenance-based model of care for couples. Together, they join Rachel to make the case for something the mental health field has long overlooked: treating relationships as a health system that deserves proactive, preventative care rather than crisis-only intervention. Dr. Cordova traces the origins of this work back to his time volunteering at a crisis center, where he noticed month after month that relationship issues were the leading reason people called in for help. The conversation explores how Arammu's relationship checkup works in practice, what it looks like across the full spectrum of couples from newly married to severely distressed, how it fits into existing clinical workflows, and why brief, evidence-based tools like this one may be key to addressing the mental health access crisis. Rachel and her guests also discuss insurance billing, the surprising uptake from the military, and the broader vision of shifting mental health care toward a primary care model where early and frequent support becomes the norm rather than the exception. Connect with Dr. James Cordova and Matt Rubin Arammu: The Proactive Relationship Checkup Connect with The Mental Health Evolution Website: https://www.traumaspecialiststraining.com/mental-health-evolution-podcast Instagram: https://www.instagram.com/thementalhealthevolution/ LinkedIn: https://www.linkedin.com/showcase/the-mental-health-evolution Facebook: https://www.facebook.com/TheMentalHealthEvolution Music Credit: Music by Zach Harrison

Episode Summary Jason Youngblood is the Senior Director at Cigna U.S. Markets Behavioral Center of Excellence and Sales Operations and a licensed professional counselor whose path to the insurance industry was anything but planned. After discovering his passion for the therapeutic relationship early in his career, Jason spent years in clinical work before joining Cigna, where he has spent over two decades focused on removing barriers to care and improving behavioral health access at scale. His work sits at the intersection of employer-sponsored benefits, systems design, and a genuine commitment to reaching people who need support before a crisis brings them in. In this conversation, Rachel and Jason explore what it looks like to build a care continuum that reaches beyond the therapy office. Jason shares a striking data point: roughly 55% of people who need behavioral health support will never seek it, and he describes how Cigna is using data, digital tools, and partnerships like Headspace for Cigna Healthcare to engage that population earlier. They discuss what guardrails responsible digital partnerships require, why navigation has become one of the most pressing challenges in a crowded mental health marketplace, and how tools like coaching and self-guided apps might ultimately free up therapists to work with the people who need them most. Resources Mentioned First Therapy Chatbot Trial Yields Mental Health Benefits — Dartmouth research reporting early clinical trial results showing measurable mental health benefits for some users of therapy chatbots, along with a look at where these tools may and may not be appropriate. A Scoping Review of AI-Driven Digital Interventions in Mental Health Care — A peer-reviewed review of how mental health chatbots are currently being studied and deployed, covering benefits such as accessibility and symptom monitoring alongside challenges related to safety and clinical oversight. Headspace for Cigna Healthcare Enhances Everyday Mental Health Support Through Self-Guided, Science-Backed Resources — Announcement describing Cigna's collaboration with Headspace Health to offer self-guided mental health resources as part of employer benefits, positioning digital tools as early support and care navigation. Connect with Jason Youngblood The Rise of the Anxious Worker Connect with The Mental Health Evolution Website: https://www.traumaspecialiststraining.com/mental-health-evolution-podcast Instagram: /thementalhealthevolution/ LinkedIn: /the-mental-health-evolution Facebook: /TheMentalHealthEvolution Music Credit: Music by Zach Harrison

EPISODE SUMMARY In this episode, Rachel sits down with Shirali Nigam and Arul Nigam, sibling co-founders of Circuit Breaker Labs, a company built around a simple but urgent idea: AI mental health tools should be rigorously tested for safety before they ever reach a real user. Shirali brings a background in AI safety, psychology, and technology, along with an MBA from the Wharton School at the University of Pennsylvania. Arul contributes expertise in AI applications for healthcare and studied operations, analytics, and global business at Georgetown University's McDonough School of Business. Together, they walk Rachel through their framework for agentic red-teaming, a method of sending AI-powered simulated patients into conversations with mental health chatbots to find the vulnerabilities before vulnerable people do. The conversation covers how they got here personally, why the probabilistic nature of large language models makes exhaustive testing so essential, and what they are actually finding in the field, including how something as small as a misspelled word can be enough to bypass a safety guardrail. The second half of the conversation turns to the bigger picture: who is using Circuit Breaker Labs, what clinicians and parents should look for when evaluating AI tools, and what good policy in this space could actually look like. Rachel and the Nigams explore the tension between moving fast in the startup world and the high stakes of getting things wrong in mental health. Shirali and Arul make the case for independent, third-party safety validation before products launch, rather than enforcement after harm has already occurred, drawing a comparison to food and automobile safety standards. They also push back on the idea of banning AI in mental health altogether, arguing that with a 320-to-one patient-to-provider ratio and growing wait times for care, AI used responsibly has real potential to bridge the access gap. The episode closes with a look at what is next for Circuit Breaker Labs and why they see this work as only growing more urgent over time. RESOURCES MENTIONED Articles Referenced New study: AI chatbots systematically violate mental health ethics standards | Brown University New study warns of risks in AI mental health tools | Stanford Report https://www.circuitbreakerlabs.ai/Whitepaper.pdf Connect with Shirali and Arul Nigam Website: https://www.circuitbreakerlabs.ai Connect with The Mental Health Evolution Website: https://www.traumaspecialiststraining.com/mental-health-evolution-podcast Instagram: /thementalhealthevolution/ LinkedIn: /the-mental-health-evolution Facebook: /TheMentalHealthEvolution Music Credit: Music by Zach Harrison

Got it! Here are the final show notes: Mental Health Evolution Podcast — Show Notes Episode Title: Community Health, Local Solutions with Malcolm Furgol Episode Summary In this episode, Rachel Harrison sits down in person with Malcolm Furgol, Executive Director of the Coalition for a Healthier Frederick County, for a grounded conversation about what it actually takes to improve mental health access at the community level. Malcolm walks us through how local health improvement coalitions collect data, identify root causes, and bring together healthcare providers, government, nonprofits, and businesses to work toward real solutions — including the Coalition's most recent Community Health Needs Assessment, which found that social isolation and mental health challenges are growing since the pandemic, and that stigma remains a significant barrier, particularly for men and immigrant communities. Rachel and Malcolm also dig into one of the most pressing questions facing mental health providers today: how can more clinicians afford to accept Medicaid and Medicare? They explore the realities of low reimbursement rates, insurance clawbacks, and the administrative burden that pushes providers out of insurance networks — and discuss the systems-level solutions that could change the equation, from collective advocacy to state-level insurance regulation levers. Resources Mentioned Articles Referenced Affordable Therapy is Hard to Find, Even with Insurance — New York Times: https://www.nytimes.com/2024/09/15/business/affordable-therapy-costs.html New Policies Affecting Access to Mental Health Care — APA: https://updates.apaservices.org/new-policies-affecting-access-to-mental-health-care Health Equity Framework — Coalition for a Healthier Frederick County: https://static1.squarespace.com/static/6435982bd0e669659a59352f/t/690cd050d51f6413512b56d3/1762447440408/Health+Equity+Framework+Final.pdf Connect with Malcolm Furgol Coalition for a Healthier Frederick County: https://healthierfrederick.org/events-and-meetings/419u6v9q4uunxtu8xv5j37iv0kug3v Connect with The Mental Health Evolution Website: https://www.traumaspecialiststraining.com/mental-health-evolution-podcast Instagram: /thementalhealthevolution/ LinkedIn: /the-mental-health-evolution Facebook: /TheMentalHealthEvolution Music Credit: Music by Zach Harrison

EPISODE INTRODUCTION: In this solo episode, Rachel  steps back from guest conversations to share her own observations and questions about one of the most pressing topics in the field: where does technology fit in mental health care, and where does it fall short? Drawing from six recent research articles and peer-reviewed publications, Rachel explores an emerging tiered model of care that blends technology, human connection, and escalation across levels of need — and invites listeners to consider what it means for their corner of the mental health ecosystem. KEY TOPICS DISCUSSED: The technology debate in mental health — full replacement vs. full avoidance vs. integration Overview of six key articles framing the episode's discussion The five stages of mental health care where AI and digital tools are being applied: pretreatment and screening, active treatment, post-treatment monitoring, general support and prevention, and clinical education The emerging tiered or stepped care model — from wellness apps to inpatient care Implications for clients, clinicians, and businesses/systems within the mental health ecosystem MAIN TAKEAWAYS: Technology is most useful at the edges of care — pretreatment screening, post-treatment monitoring, and general wellness support — where it can expand access without replacing the clinical relationship. A tiered stepped care model is already emerging in research and practice, where clients might first engage with low-intensity tools (sleep apps, meditation, mood tracking) before escalating to coaching, group therapy, individual therapy, and higher levels of care as needed. Clinician oversight remains non-negotiable. Rachel emphasizes that AI-assisted notes, treatment plans, and clinical decision support tools are only as safe as the licensed clinician who reviews and edits them. Safety access must be built into any technology that touches mental health. Any tool that asks someone about their mental health must have a clear, reliable pathway to a live person in the event of a crisis. This shift raises important identity questions for clinicians — particularly generalists — about where their expertise fits in a system where technology may address lower-level needs. NOTABLE QUOTES: "I'm not predicting the future. I'm not taking a hard stance, but exploring a model that is already emerging. It's right out there in the research." — Rachel Harrison "If we ever lose the part where a clinician reviews the notes, reviews the treatment plan, reviews the diagnoses, reviews the suggestions — I think we're going to see a lot of problems." — Rachel Harrison "Anytime we are asking technology to ask someone questions about their mental health, that safety planning piece, I believe, absolutely needs to be in place. That is one of the biggest gaps that I see currently." — Rachel Harrison RESOURCES MENTIONED: of them are linked in the show notes. ARTICLE 1: The Evolving Field of Digital Mental Health This peer-reviewed review outlines how AI and digital tools are currently being used across multiple stages of mental health care, from prevention to post-treatment monitoring. Link: https://pmc.ncbi.nlm.nih.gov/articles/PMC12110772/ ARTICLE 2: Health Advisory on AI Chatbots and Wellness Apps (American Psychological Association) This article discusses where AI-based tools may be helpful — and where limitations, risks, and ethical concerns remain. Link: https://www.apa.org/topics/artificial-intelligence-machine-learning/health-advisory-chatbots-wellness-apps ARTICLE 3: First Therapy Chatbot Trial Yields Mental Health Benefits (Dartmouth) This study looks at outcomes from one of the first controlled trials of a therapy chatbot and what it suggests about early-stage support. Link: https://home.dartmouth.edu/news/2025/03/first-therapy-chatbot-trial-yields-mental-health-benefits ARTICLE 4: AI Is Providing Emotional Support for Employees — But Is It a Valuable Tool or a Privacy Threat? Explores workplace use of AI support tools and the tension between access, effectiveness, and privacy. Link: https://theconversation.com/ai-is-providing-emotional-support-for-employees-but-is-it-a-valuable-tool-or-privacy-threat-266570 ARTICLE 5: AI Mental Health Tools: Breakthrough or Band-Aid? Examines whether digital tools meaningfully expand access or risk becoming substitutes for care when systems are under strain. Link: https://hrzone.com/ai-mental-health-tools-breakthrough-or-band-aid-for-employee-wellbeing/ ARTICLE 6: From Clinical Judgment to Machine Learning Looks at how AI is beginning to influence clinical decision-making and what that may mean for professional roles. Link: https://societyforpsychotherapy.org/from-clinical-judgment-to-machine-learning-rethinking-psychotherapeutic-decision-making-with-artificial-intelligence/ Connect with The Mental Health Evolution Website: https://www.traumaspecialiststraining.com/mental-health-evolution-podcast Instagram: /thementalhealthevolution/ LinkedIn: /the-mental-health-evolution Facebook: /TheMentalHealthEvolution Music Credit: Music by Zach Harrison

Episode Description: In this episode, Rachel sits down with Becky Stoll, Vice President for Crisis and Disaster Management at Centerstone, to explore how crisis mental health systems can be intentionally designed to support staff well-being, retention, and long-term sustainability. Becky draws on nearly four decades of experience to challenge the industry's historic approach to workforce wellness, arguing that organizations must fix broken systems before asking staff to simply be resilient. Listeners will come away with a practical framework for building crisis systems that take care of the people delivering care, from recruitment and hiring all the way through career development and leadership training. Key Topics Discussed: What crisis services actually are and the range of roles within the field How the industry has historically failed staff by prioritizing wellness perks over systemic change A continuum-based framework for sustainable hiring, onboarding, and retention Why being a good clinician does not automatically make someone a good manager Career pathing as an underused retention and development strategy What Centerstone's research on the brain in crisis revealed about how we should approach people post-crisis The responsibilities that come with organizational scale through mergers and acquisitions Why crisis services remains an invisible career track for students entering behavioral health Main Takeaways: Organizations must audit and fix their own systems before offering staff wellness resources. A broken system is itself a source of harm. Sustainable staffing starts at recruitment. Transparent job postings, scenario-based interviews, and intentional onboarding reduce attrition and set staff up for success. Career pathing is an organizational responsibility. Whether staff want to grow as clinicians or move into leadership, it is up to leaders to build real pathways and prepare people for what those roles actually require. Scale only matters if it is used well. Larger organizations have a responsibility to share research, tools, and training broadly rather than keeping them internal. The field is losing potential workforce by not educating students about crisis services as a legitimate and diverse career track. Notable Quotes: "The very first thing we have to do is take care of your own house. We shouldn't even be talking about how to make sure staff are well until we make sure they're operating in a system that is the best it can be." "How dare us to have a system that's not set up well, and then wonder why the staff aren't well, and then just say, well, here's the EAP number out there." "I wonder what it does to your brain to be in a mental health crisis. And I went, whoa." Resources Mentioned: Health Care Worker Burnout — A Call for System-Level Solutions The Effectiveness of EMDR Therapy in Treating PTSD Among ICU Healthcare Professionals Organizational and System-Level Approaches to Supporting the Health Workforce Connect with Becky Stoll: Organization: https://www.centerstone.org Connect with The Mental Health Evolution Website: https://www.traumaspecialiststraining.com/mental-health-evolution-podcast Instagram: /thementalhealthevolution/ LinkedIn: /the-mental-health-evolution Facebook: /TheMentalHealthEvolution Music Credit: Music by Zach Harrison

EPISODE SUMMARY This solo episode features Rachel Harrison, host of Mental Health Evolution, exploring how rising out-of-pocket health care costs are reshaping access to therapy and mental health care in 2026. Rachel examines national data, insights from practitioners, and lived experiences from clients to explain why costs and coverage patterns have shifted so dramatically—and what this means for the future of affordable, sustainable mental health care. KEY TOPICS DISCUSSED 00:00 – Introduction and context 01:00 – Why 2026 is different 02:04 – Key articles and data sources 05:00 – Provider experiences and referral changes 07:40 – Deductibles, premiums, and co-pay increases 09:30 – Medicaid cuts and coverage loss 10:30 – Who gains and who loses 12:00 – APA recommendations and practical responses 13:00 – Creative solutions for access and affordability 14:30 – Closing reflections MAIN TAKEAWAYS p]:inline" data-streamdown="list-item"> Out-of-pocket costs are changing mental health access nationwide. Even insured clients are leaving therapy due to financial constraints. p]:inline" data-streamdown="list-item"> Insurance structures are compounding affordability gaps. Deductible and co-pay increases are eroding real coverage value. p]:inline" data-streamdown="list-item"> Clinicians are navigating new referral and revenue challenges. Practices are adapting to maintain viability amid shrinking access. p]:inline" data-streamdown="list-item"> Documenting financial impact is critical for advocacy. Gathering data about cost-related care terminations supports system-level reform. p]:inline" data-streamdown="list-item"> Creative, local solutions can help bridge care gaps. Partnerships, flexible scheduling, and funding programs can sustain access during economic strain. RESOURCES MENTIONED Articles and Reports: p]:inline" data-streamdown="list-item"> The High Costs of Mental Health Care: A Barrier, a Burden, and a Call to Action — Access Institute https://pmc.ncbi.nlm.nih.gov/articles/PMC11786981/ p]:inline" data-streamdown="list-item"> Insurance Design Can Create Co-Pay Barriers to Mental Health Care — RWJF https://www.rwjf.org/en/insights/our-research/2024/02/marketplace-pulse-differences-in-cost-sharing-create-barriers-to-mental-healthcare-in-medicare-advantage.html p]:inline" data-streamdown="list-item"> New Policies Affecting Access to Mental Health Care — APA Services 2026 Summary https://updates.apaservices.org/new-policies-affecting-access-to-mental-health-care p]:inline" data-streamdown="list-item"> High Out-of-Pocket Cost Burden for Mental Health Care — PMC Report (2024) https://pmc.ncbi.nlm.nih.gov/articles/PMC11786981/ CONNECT WITH THE MENTAL HEALTH EVOLUTION Website: The Mental Health Evolution Podcast Instagram: @mentalhealthevolution LinkedIn: Mental Health Evolution Facebook: Mental Health Evolution MUSICAL CREDIT Music by Zach Harrison

EPISODE OVERVIEW In this solo episode of the Mental Health Evolution, Rachel explores one of the most promising—and complicated—policy shifts in mental health care today: interstate licensure compacts. As telehealth becomes a permanent part of service delivery, clinicians are increasingly navigating challenges related to cross-state licensure, insurance reimbursement, and legal compliance. Rachel breaks down the current status of licensure compacts for counselors, social workers, and psychologists, and discusses what these changes could mean for access to care, clinician mobility, and the broader mental health landscape. KEY TOPICS DISCUSSED (0:36–1:04) Why interstate licensure compacts matter now more than ever (1:04–1:54) The mismatch between where clinicians are licensed and where clients need care (2:11–2:36) What an interstate licensure compact is and how it works (2:44–3:20) The Counseling Compact: current implementation and participating states (3:20–3:35) The Social Work Licensure Compact and where it stands (3:35–3:57) PSYPACT and why psychologists are ahead of the curve (4:00–4:18) How compacts could reduce administrative burden and expand access to care (4:22–5:55) Insurance reimbursement challenges, parity laws, and telehealth payment uncertainty (6:09–7:19) Potential impacts on rural access and workforce distribution (7:22–7:55) Scope-of-practice laws, consent requirements, and privacy considerations (8:05–9:00) How licensure compacts may reshape competition and national mental health markets (9:06–10:27) Why compacts are promising—but not a complete solution MAIN TAKEAWAYS Interstate licensure compacts allow clinicians to practice across participating states without holding multiple licenses, but implementation varies by profession and state. The Counseling Compact is live in a limited number of states, PSYPACT is already operational for psychologists, and the Social Work Compact is still in development. Licensure compacts do not guarantee insurance reimbursement, which remains one of the biggest barriers to cross-state telehealth care. Telehealth parity laws and Medicaid reimbursement policies differ widely by state and payer. While compacts could significantly expand access to care, clinicians must still navigate legal, ethical, and financial complexities. RESOURCES MENTIONED Counseling Compact: http://counselingcompact.gov PSYPACT: https://psypact.gov/ Social Work Compact: https://swcompact.org/ HHS Telehealth Licensure Overview: https://telehealth.hhs.gov/licensure/licensing-across-state-lines Telehealth & Private Insurance Laws: https://www.ncsl.org/health/the-telehealth-explainer-series/telehealth-private-insurance-laws Medicaid Telehealth Reimbursement Guidelines: https://www.medicaid.gov/medicaid/benefits/telehealth/reimbursement-for-telehealth-and-provider-and-facility-guidelines Federal & State Telehealth Policy Tracker (Manatt): https://www.manatt.com/insights/white-papers/2025/manatt-telehealth-policy-tracker-tracking-ongoing-federal-and-state-telehealth-policy-changes CONNECT WITH THE MENTAL HEALTH EVOLUTION Website: https://www.traumaspecialiststraining.com/mental-health-evolution-podcast Instagram: /thementalhealthevolution/ LinkedIn: /the-mental-health-evolution Facebook: /TheMentalHealthEvolution Music Credit: Music by Zach Harrison

EPISODE SUMMARY In this episode of Mental Health Evolution, host Rachel Harrison welcomes Sue Abderholden, a national leader with over 40 years of experience in disability advocacy, mental health policy, and nonprofit leadership. Sue served as Executive Director of NAMI Minnesota (National Alliance on Mental Illness), where she led systems advocacy by engaging grassroots members, shaping legislation, educating policymakers, and shifting public attitudes about mental health. Her work spanned adult and children's mental health, education, criminal justice, housing, employment, healthcare, and insurance reform. Sue joins Rachel to unpack a powerful reframing: the mental health system isn't "broken" — it's still being built. Drawing on her extensive experience, Sue reflects on systemic improvements over the past decades, practical lessons from school-linked care, workforce development, parity enforcement, and crisis response — and offers thoughtful insights about what's still needed to build a more coordinated and functional system. KEY TOPICS DISCUSSED (IN ORDER) Sue's background: 40+ years advocating for people with mental illnesses and disabilities Why the system isn't "broken"—it's evolving and still being built Shifts in funding and coverage: the impact of Medicaid benefit expansion Early intervention and school-linked mental health services Workforce challenges: diversity, supervision, loan forgiveness, and compensation Mental health parity and the importance of enforcing network adequacy Crisis care systems: 988, mobile teams, voluntary engagement, and upstream intervention How coordinated residential and emergency services can improve outcomes One key message for listeners: You can create change MAIN TAKEAWAYS Reframing the system from "broken" to "still being built" can create momentum for solutions. Early screening matters most when paired with clear pathways to follow-up care. Workforce development and diversity require intentional investment and practical policy solutions. True parity includes enforcing non-quantitative treatment limits and adequate reimbursement. Crisis response works best when it intervenes before an emergency and connects to supports. RESOURCES MENTIONED / REFERENCED Sue's Minnesota Reformer article — Here's How to Move Forward on a Stronger, Functioning Mental Health Care System https://minnesotareformer.com/2025/12/01/heres-how-to-move-forward-on-a-stronger-functioning-mental-health-care-system/ KFF — The Landscape of School-Based Mental Health Services https://www.kff.org/mental-health/the-landscape-of-school-based-mental-health-services/ NASHP — Trends in State Strategies to Improve the Behavioral Health Workforce https://nashp.org/trends-in-state-strategies-to-improve-the-behavioral-health-workforce/ Milliman — Mental Health Parity & Medicaid Implementation for State Agencies https://www.milliman.com/en/insight/mental-health-parity-medicaid-implementation-state-agencies SAMHSA — National Guidelines for a Behavioral Health Coordinated Crisis System https://988crisissystemshelp.samhsa.gov/sites/default/files/2025-04/national-guidelines-crisis-care-pep24-01-037.pdf CONNECT WITH THE GUEST Sue Abderholden LinkedIn: https://www.linkedin.com/in/sue-abderholden-474b047/ Music Credit: Music by Zach Harrison

In Episode 22 of Mental Health Evolution, host Rachel Harrison is joined by Ryan Dewey Smith, Founder and President of Inperium, to explore what it takes to scale mental health and human service organizations in a sustainable way—without sacrificing culture, staff well-being, or quality of care. Ryan shares how his career in behavioral health and community-based services led him to develop Inperium's strategic affiliation model, designed to help nonprofit and for-profit organizations retain their mission while gaining back-office efficiencies. Together, Rachel and Ryan discuss workforce pressure, funding uncertainty, rising administrative costs, and why the future of behavioral health may depend on stronger collaboration, shared services, and smarter systems behind the scenes. KEY TOPICS DISCUSSED (CHRONOLOGICAL) Why many behavioral health organizations are turning to mergers, partnerships, and affiliations The workforce crisis: burnout, vacancies, recruitment barriers, and retention pressure Why Inperium was created—and how strategic affiliation differs from a traditional merger What "shared services" looks like (and what it protects on the clinical side) The cost drivers that strain small and mid-sized agencies (insurance, IT, audits, staffing, benefits) The tension between growth and culture—and how leadership can avoid breaking teams Why behavioral health is still highly fragmented (and what consolidation could mean) Using technology and data systems to support operational sustainability "Asking for help" as a leadership strategy, not a weakness MAIN TAKEAWAYS Workforce challenges in behavioral health are often driven by systems-level strain—not individual failure. Strategic affiliations may help organizations scale while preserving local culture and mission. Consolidating back-office operations can reduce costs without interfering with clinical autonomy. Rising operational expenses (insurance, cybersecurity, utilities, staffing) are outpacing reimbursement. Sustainability requires creative operational leadership so organizations can reinvest in people and care quality. NOTABLE QUOTES "Putting your hand up and asking for help…is a strategy, not a weakness." "In an affiliation, all that remains intact—your history, legacy, and relationships in the community." "We're behind the curtain as a supporting organization…providing all those backbone essential services." RESOURCES MENTIONED (ARTICLES & READINGS) Strategic Growth: A Critical Imperative for Community Behavioral Health Providers https://www.behavioralhealthtech.com/insights/strategic-growth-a-critical-imperative-for-community-behavioral-health-providers The Nonprofit Workforce Is in Crisis https://johnsoncenter.org/blog/the-nonprofit-workforce-is-in-crisis/ Navigating Workforce Challenges: 2025 Trends and Solutions for the Social Sector https://www.social-current.org/2025/02/navigating-workforce-challenges-2025-trends-and-solutions-for-the-social-sector/ CONNECT WITH THE GUEST Ryan Dewey Smith Website: https://ryandeweysmith.com/ LinkedIn: https://www.linkedin.com/in/ryan-dewey-smith

Episode Description In this solo episode, host Rachel Harrison explores one of the most pressing and complex issues shaping mental health care today: the mental health provider shortage — and how technology and AI-driven tools are increasingly positioned as solutions to it. Rachel unpacks what the data actually shows about workforce shortages, clinician burnout, insurance barriers, and access gaps, while also examining what counts as mental health treatment in the first place. Drawing on research from the American Psychological Association, Mental Health America, and peer-reviewed literature, she distinguishes between symptom relief, skill-based supports, and deeper relational healing work. The episode closes by exploring hybrid care models, where technology supports — rather than replaces — highly trained clinicians, and why this approach may offer the most ethical and effective path forward. Key Topics Discussed The documented mental health provider shortage and its impact on access to care Clinician burnout, administrative burden, and insurance reimbursement challenges What qualifies as mental health treatment — and what does not Differences between symptom management tools and psychotherapy The rise of AI-driven mental health tools and wellness apps Evidence limitations and safety concerns around AI as standalone therapy Hybrid models that integrate technology to support, not replace, clinicians Privacy, data ownership, and clinical judgment in AI-assisted care Main Takeaways The mental health provider shortage is real, documented, and unevenly distributed. Mental health care exists on a spectrum, from self-help tools to intensive clinical treatment. AI and app-based tools may help with symptom support but are limited without human involvement. Psychotherapy is inherently relational and grounded in empathy, trust, and clinical judgment. Hybrid care models that reduce administrative burden while preserving human connection show the most promise. Resources & Articles Mentioned Foundational Definitions & Workforce Data American Psychological Association — Mental Health (definition & overview) https://www.apa.org/topics/mental-health Commonwealth Fund — Understanding the U.S. Behavioral Health Workforce Shortage (2023) https://www.commonwealthfund.org/publications/explainer/2023/may/understanding-us-behavioral-health-workforce-shortage American Counseling Association — A Closer Look at the Mental Health Provider Shortage A closer look at the mental health provider shortage Digital Mental Health & AI The Evolving Field of Digital Mental Health (peer-reviewed review) https://pmc.ncbi.nlm.nih.gov/articles/PMC12079407/ American Psychological Association — Artificial intelligence, wellness apps alone cannot solve the mental health crisis Artificial intelligence, wellness apps alone cannot solve mental health crisis Society for Psychotherapy — From Clinical Judgment to Machine Learning: Rethinking Psychotherapeutic Decision-Making with Artificial Intelligence https://societyforpsychotherapy.org/from-clinical-judgment-to-machine-learning-rethinking-psychotherapeutic-decision-making-with-artificial-intelligence/ Types of Mental Health Treatment Mental Health America — Mental Health Treatments (treatment spectrum & types) https://mhanational.org/resources/mental-health-treatments Referenced Podcast Episodes (Hybrid & Tech-Assisted Models) Dr. Ajita Robinson https://pod.link/1724750091/episode/ZjljYzJlOTEtZDIxZS00NjRhLTkyNzMtOWJhZGVjMTk4Nzcw Jordan Harris https://pod.link/1724750091/episode/MzJlOTc2YTgtN2UxMS00Y2ExLWEzMGEtMDMzODJjYzFlNTAy Dr. Dylan Ross https://pod.link/1724750091/episode/Y2EwODM3NmItYTExMS00M2Q5LTk4ZTMtNzJmMzdjZDZkMTUx Uriah Guilford https://pod.link/1724750091/episode/YTc5MzU3NDYtNmU5Mi00ZDhhLTg2NzAtYzNkZTlhZjNmNzY4 Jeremy Zug https://pod.link/1724750091/episode/MmM0YjUzNDEtMTZkOS00MzlmLThhZTYtMzgxMDhiYzEyY2I3 Connect with The Mental Health Evolution Website: https://www.traumaspecialiststraining.com/mental-health-evolution-podcast Instagram: /thementalhealthevolution/ LinkedIn: /the-mental-health-evolution Facebook: /TheMentalHealthEvolution Music Credit: Music by Zach Harrison

Episode Description In this episode, Rachel speaks with Cathy Gilbert — Founder and Principal Consultant at CEG Health — about what's happening inside today's behavioral health systems from both the payer and provider perspectives. Earlier this year, Rachel and Cathy spoke about the Big Beautiful Bill, and that conversation opened up so many rich threads around contracting, payer relations, and system design that they kept going. They recorded a second conversation to dive deeper into those broader themes — and this episode is Part Two of that discussion. Cathy shares how value-based care is unfolding in behavioral health, the data and measurement challenges that make it harder to implement, the impact of insurer-owned clinics, and practical strategies for patients navigating access barriers in a system already stretched by workforce shortages. Key Topics Discussed The current state of value-based care in behavioral health and why implementation is still slow Challenges of measuring mental health outcomes and reliance on PHQ-9 and GAD-7 How eliminating prior authorization changed payer visibility into outpatient care Small-practice dominance in behavioral health and inherent capacity limits Operational ways technology can genuinely support small practices (online scheduling, integrated EHR tools, measurement automation) Insurer-owned clinics in pharmacies and big-box settings: access benefits vs. workforce limitations Workforce pipeline issues, provider retirements, and psychiatry shortages Cultural expectations in the U.S. around speed, cost, and "the best care" Practical strategies for patients to access care within a constrained system Articles Mentioned Evernorth Study on Behavioral Health Value-Based Care https://www.fiercehealthcare.com/payers/evernorth-study-look-progress-toward-value-based-care-behavioral-health Times Union — Congressman Pat Ryan Releases Optum Health Survey Results https://www.timesunion.com/health/article/optum-survey-results-pat-ryan-20255087.php Connect with the Guest Cathy Gilbert Founder & Principal Consultant — CEG Health Website: https://ceghealth.com/ LinkedIn: https://www.linkedin.com/in/cathy-gilbert-29648421/ Connect with The Mental Health Evolution Connect with The Mental Health Evolution Website: The Mental Health Evolution Podcast Instagram: @mentalhealthevolution LinkedIn: Mental Health Evolution Facebook: Mental Health Evolution Music credit: Music by Zach Harrison

Episode Description In this solo episode, Rachel reviews the major mental health stories and trends she anticipates will shape 2026. Covering topics from the growing behavioral health market to hybrid human-AI care, policy developments, digital platform growth, affordability pressures, point-solution fatigue, and global workforce gaps, this episode provides a comprehensive overview of what to watch in the year ahead. Listeners will gain context on opportunities, risks, and emerging challenges in the mental health field. Key Topics Discussed Expanding behavioral health market: growth, opportunities, and challenges for clinicians and practices Human-AI hybrid models: integrating technology without losing the human touch AI in government and public health: potential improvements and privacy concerns Scaling digital mental health platforms and evolving business models Affordability and insurance pressures impacting patients and practices Point-solution fatigue in AI tools and the need for better integration Global mental health demand, workforce shortages, and gaps in care delivery Main Takeaways Rapid market growth brings both opportunity for innovation and risk for small practices Hybrid care models can improve access and efficiency but must preserve human connection Government adoption of AI requires careful attention to privacy, security, and equity Digital platforms are transforming patient access, but competition and consolidation create challenges Mental health workforce gaps remain global; strategic planning is needed to meet demand Notable Quotes "Even if you choose not to use AI tools in your practice, AI is likely coming for you anyway." "The human-AI blend offers the best of both worlds: accessibility from technology and empathy from humans." "Point-solution fatigue is slowing adoption and creating skepticism about whether AI is truly helping." Resources Mentioned Behavioral Health Market to Reach USD 172.61 Billion by 2034 AI and Mental Health Care Tools: Dangers and Risks HHS Announces AI Strategy for Health and Human Services Operations US employee health insurance premiums to rise 6% next year, Mercer says  Over a Billion People Living with Mental Health Conditions – Services Require Urgent Scale-Up Connect with The Mental Health Evolution Website: mentalhealthevolution.com Instagram: @mentalhealthevolution LinkedIn: Mental Health Evolution Facebook: Mental Health Evolution Music Credit: Music by Zach Harrison

Episode Description In this special end-of-year episode of the Mental Health Evolution Podcast, Rachel looks back on some of her favorite moments from the first few months of the podcast's relaunch. Since September, the show has featured wide-ranging conversations about the evolving mental health landscape—from AI and technology to insurance reform, private equity, and value-based care. This episode brings together powerful clips and reflections from guests across the season, highlighting the ideas, tensions, and questions shaping mental health care today. Whether you've listened to every episode or you're joining us for the first time, this "best of" conversation offers a snapshot of where the field is headed—and what's at stake as we move into 2026. Episode Highlights & Segments AI and the Human Core of Therapy — Real Change Initiative A conversation with Aaron Vander Meer, Melissa Ward, and Allison Bomba explores the risks of losing human connection as AI and app-based care expand, and why preserving trust, safety, and expertise is essential. Why People Turn to AI — Ajita Robinson Ajita Robinson unpacks the systemic barriers—insurance gaps, access issues, and licensing restrictions—that drive people toward AI tools when traditional care feels out of reach. AI's Potential Strengths in Therapy — Dr. Jordan Harris Dr. Harris offers a nuanced view of AI's role, highlighting how consistent validation—when used carefully—can reduce resistance and support therapeutic progress. Policy Shifts and Mental Health Coverage — Cathy Gilbert Insurance expert Cathy Gilbert discusses the potential long-term impacts of the "Big Beautiful Bill," including coverage losses and disproportionate effects on vulnerable populations. Private Equity and the Human Equation — Dan King Dan King of Fireside Strategic shares a perspective on how clinician well-being and humane workplace culture can align with sustainable, long-term profitability. Structural Forces Shaping Care — Dr. Jane Zhu Dr. Jane Zhu emphasizes why clinicians must understand ownership structures, financing, and revenue pressures as private equity and MSOs continue to expand. Measurement-Based & Value-Based Care — Dr. Dylan Ross Dr. Ross explains why actionable, real-time data is essential for understanding whether care is truly helping patients—and why claims data alone falls short. Data, Partnerships, and Reality — Josephine Wilton Josephine Wilton highlights how value-based care efforts stall when organizations lack solid data and early operational alignment, leaving progress stuck in theory. Key Topics Discussed AI in mental health: risks, benefits, and boundaries Access barriers and systemic gaps in care Healthcare policy changes and coverage implications Private equity and investment in behavioral health Measurement-based and value-based care Data, outcomes, and decision-making in practice Main Takeaways AI can reduce burden and increase access, but it cannot replace the human connection at the core of therapy. Many people turn to AI tools not by choice, but because of deep systemic failures in access and affordability. Policy and payment changes will have long-term consequences for the most vulnerable mental health populations. Investment and growth models matter—how care is financed shapes clinician autonomy and patient outcomes. Data is essential to moving value-based care from theory into everyday clinical practice. Notable Quotes "AI isn't just a tech issue—it's a mirror reflecting the gaps in our mental health system." "Profitability and humanity don't have to be at odds in mental health care." "Without actionable data, it's incredibly hard to answer a simple question: did our patients get better?" Connect with Mental Health Evolution Website: Instagram: LinkedIn: Facebook: 🎵 Music by Zach Harrison

Episode Description: In this episode, Rachel sits down with Dr. Scott Feers, Chief Medical Officer at Amae Health and a leading psychiatrist and neuroscientist, to explore the evolving landscape of severe mental illness (SMI) care. They discuss the innovative integration of technology, AI, and wearable devices into clinical practice to improve outcomes and prevent hospitalizations for individuals living with SMI. Dr. Feers shares insights from his decades of research and clinical experience, highlighting how Amae Health combines conventional in-person care with digital tools for monitoring, early intervention, and precision treatment. Listeners will gain a clear understanding of how mental health care is being transformed to focus on both mental and physical health, emphasizing the importance of human connection alongside technology. Key Topics Discussed: Challenges of traditional SMI care and repeated hospitalizations The role of AI in supporting clinicians without replacing human interaction Wearable devices and data-driven insights for sleep, activity, and heart health Early detection of relapse to prevent full decompensation Integration of primary care, nutrition, and movement into mental health treatment Translating neuroscience and genetics research into real-world clinical applications Cost efficiencies through early intervention and improved treatment tracking Main Takeaways: Technology and AI can augment care, but human connection remains central to mental health treatment. Wearables and digital phenotyping provide objective insights that enhance clinical decision-making. Early intervention can prevent hospitalizations, reducing human suffering and healthcare costs. Addressing physical health is essential for improving overall outcomes for people with SMI. Integrating research-based tools into routine care makes treatment more precise and effective. Notable Quotes: "I have a very strong belief that humans and connections to humans is the core of mental health treatment." "If we can catch relapse early, see if we can do low risk, simpler intervention to prevent the more complicated treatment interventions." "We know that folks with serious mental illness often have reduced lifespans… a lot of the causes of mortality are basic things like cardiovascular health." Resources Mentioned: For-profit companies open psychiatric hospitals in areas clamoring for care — CBS News Private Equity Among US Psychiatric Hospitals — JAMA Psychiatry Amae Health Announces $25 Million Series B — Business Wire Connect with Dr. Scott Feers: Website: https://www.amaehealth.com/team/scott-fears Connect with The Mental Health Evolution: Website: https://www.mentalhealthevolution.com Instagram: @mentalhealthevolution LinkedIn: Mental Health Evolution Facebook: Mental Health Evolution Music Credit: Music by Zach Harrison

Episode Description: In this second part of her conversation with Josephine Wilton, Chief Strategy Officer at Hullanta Consulting, Rachel dives deeper into the complexities of value-based care. Josephine draws on decades of experience in managed care strategy, population health, and contract design to explore why these models often feel difficult to implement. This episode examines the operational realities behind value-based care, including the importance of utilization data, the impact of contracts on organizational performance, and the necessity of interdisciplinary collaboration. Listeners will gain actionable insights on how to navigate these challenges, advocate for their teams, and optimize care delivery in a system that is constantly evolving. Key Topics Discussed: Understanding the impact of value-based payment measures on provider organizations Why utilization data is critical for telling your organization's story Contract design and its influence on revenue, operations, and organizational outcomes Engaging specialists and ancillary providers in value-based care The role of social determinants of health in patient outcomes and reimbursement Strategies for data-driven decision-making and negotiating with health plans Main Takeaways: Ownership of your data is essential — know your utilization metrics and communicate your story clearly Value-based care cannot succeed with primary care alone; specialists and ancillary providers must be included Contracts influence all parts of an organization, not just payment; thorough review is critical Collaboration across disciplines and sharing actionable data drives better outcomes Advocating for your organization requires persistence and strategic negotiation with health plans Notable Quotes: "So it's very incumbent upon you to tell your story in your way. Don't let someone else tell your story." — Josephine Wilton "Primary care cannot do it alone. You need cardiology, endocrinology, podiatry, everyone involved, and they typically haven't so they're contributing to the total cost. They're seeing different needs of the patients than the other providers." — Josephine Wilton Resources Mentioned: National Committee for Quality Assurance (NCQA) Centers for Medicare & Medicaid Services (CMS) National Academy for State Health Policy Milliman Connect with the Guest: Josephine Wilton, MHA Chief Strategy Officer, Hullanta Consulting hullantaconsulting.com Connect with The Mental Health Evolution: Website: mentalhealthevolution.com Instagram: @mentalhealthevolution LinkedIn: Mental Health Evolution Podcast Facebook: Mental Health Evolution Podcast Music Credit: Music by Zach Harrison

Episode Description: In this episode, Rachel sits down with Josephine Wilton, Principal Consultant at Hullanta Consulting, to dive deep into the operational realities of implementing value-based care. They discuss the challenges organizations face in aligning data, staff, and financial models, and how smaller practices and solo practitioners navigate these complex systems. Josephine shares actionable strategies for bridging the gap between theoretical value-based models and real-world execution. Rachel and Josephine had so much to cover that they'll be back next week to continue the conversation, exploring even more practical solutions and lessons learned from both providers and payers. Timestamped Highlights: 0:52–4:28 – Introduction of Josephine Wilton and her expertise in operationalizing value-based care. 5:04–7:40 – Early contracting stages and the importance of communication between providers and payers. 10:15–12:27 – Why operational and clinical teams must be involved early in negotiations. 13:30–16:23 – Challenges faced by solo practitioners and smaller organizations in value-based care. 18:32–21:36 – Importance of real-time data and the delays that can impact value-based programs. 26:25–28:24 – Friction points in attribution, performance metrics, and total cost of care. Key Topics Discussed: Value-based care models vs. fee-for-service systems Operational and clinical alignment during contract negotiation The critical role of real-time data in decision-making Challenges for small and solo practices Understanding total cost of care and outcomes measurement Main Takeaways: Early involvement of clinical and operations teams is crucial to success. Real-time data access is necessary to track performance and guide decisions. Smaller organizations may have agility but require support with modeling and analytics. Clear communication between providers and payers prevents misalignment and frustration. Understanding both baseline and value-based payment structures is essential before execution. Resources Mentioned: Implementing Value-Based Care, a Scoping Review Value-Based State-Directed Payments in Medicaid, Feb 2023–May 2024 Why Primary Care Practitioners Aren't Joining Value-Based Care Payment Models Connect with the Guest: Josephine Wilton, Hullanta Consulting Connect with The Mental Health Evolution: Website: https://www.traumaspecialiststraining.com/mental-health-evolution-podcast Instagram: @mentalhealthevolution LinkedIn: Mental Health Evolution Facebook: Mental Health Evolution Music by Zach Harrison

In this episode, Matthew Stone, assistant managing editor at Education Week, joins the Mental Health Evolution Podcast to discuss recent shifts in school mental health policy. Matthew shares insights on federal grant changes, the focus on school psychologists, and how districts are adapting to meet the growing mental health needs of students. He explains the evolution of funding programs, challenges schools face when funding priorities shift, and practical strategies districts are using to provide more effective mental health support. Listeners will gain a clear understanding of how policy impacts schools, educators, and students alike. Timestamped Highlights: 00:03 – Introduction to Matthew Stone and overview of episode 06:10 – Discussion on the increase in student mental health needs post-COVID 11:03 – Overview of federal grant shifts and funding uncertainty 14:07 – Impact of grant terminations on hiring and staffing 19:01 – Focus on school psychologists and narrowing of grants 25:38 – Implications for districts trying to fulfill local needs Key Topics Discussed: COVID's impact on student mental health Federal grant programs for school mental health Policy changes and administrative priorities Workforce challenges: counselors, social workers, and psychologists Local district strategies for sustaining services Main Takeaways: Student mental health needs have increased, exacerbated by COVID Policy changes and grant terminations create uncertainty for districts Narrowing grants to school psychologists may limit local flexibility States and districts are developing innovative strategies to meet needs Sustaining mental health services requires planning beyond federal funding Notable Quotes: "I think the focus on school psychologists has stumped a lot of people in the mental health world." "Schools are navigating unprecedented changes while trying to provide consistent support to students." Resources Mentioned: KFF: The Landscape of School-Based Mental Health Services US House Press Release: Fitzpatrick Leads Bipartisan Coalition Education Week: Trump Admin Relaunches School Mental Health Grants Connect with Matthew Stone: Website: Matthew Stone – Education Week Connect with The Mental Health Evolution: Website: Mental Health Evolution Podcast Instagram: @thementalhealthevolution LinkedIn: The Mental Health Evolution Facebook: The Mental Health Evolution   Music by Zach Harrison

Episode Summary For this week's episode, I was excited to welcome Dr. Dylan Ross, PhD, LMFT, LPCC, Head of Clinical at Blueprint AI and a nationally recognized leader in behavioral healthcare, clinical innovation, and measurement-based care. Dr. Ross brings a wealth of experience from his leadership roles at Optum, Rogers Behavioral Health, and Kaiser Permanente, where he shaped clinical strategy, digital innovation, and measurement-informed care frameworks. He currently chairs the American Psychological Association's National Advisory Committee for Measurement-Based Care, guiding national strategy on standardized clinical measurement protocols. In this conversation, Dr. Ross shares insights on measurement-based care (MBC), value-based care, and how AI can support clinicians without replacing clinical judgment. We discuss how integrating patient-reported outcomes into routine practice improves clinical efficiency, therapeutic alliance, and outcomes, while also addressing workforce challenges and administrative burden. He also highlights Blueprint's AI-driven tools that save clinicians time, enhance care delivery, and enable real-time insights to support patient care. Episode Highlights 0:03 – Introduction to Dr. Dylan Ross, his background in behavioral health, and his current role at Blueprint AI 4:08 – Dr. Ross shares his career journey from Kaiser Permanente to Optum, Rogers Behavioral Health, and Blueprint AI 9:27 – Explaining measurement-based care (MBC): definition, benefits, and impact on treatment outcomes 16:02 – Adoption rates and challenges of MBC in behavioral health, including clinician and patient engagement 17:42 – Value-based care: evolution, payer perspectives, and how outcomes drive reimbursement 27:17 – How AI supports clinicians: reducing administrative burden, increasing MBC adoption, and providing real-time session insights 34:25 – Call to action for the behavioral health system: workforce preparedness, aligned incentives, and systemic improvements Articles & Resources Value-Based Care: What It Is, and Why It's Needed — Commonwealth Fund Getting on Board with Measurement: Implementing Measurement-Informed Mental Health Care — Institute for Healthcare Improvement (IHI) AI in Behavioral Health Documentation: Ethical Considerations for Mental Health Clinicians — Blueprint AI Blog Connect with Dr. Dylan Ross Website: Blueprint AI LinkedIn: Dylan Ross Connect with The Mental Health Evolution Website: The Mental Health Evolution Instagram: @thementalhealthevolution LinkedIn: The Mental Health Evolution Facebook: The Mental Health Entrepreneur Music by Zach Harrison

Episode Summary In this episode, Rachel talks to Dr. Jane Zhu, an internal medicine physician, health services researcher, and Associate Professor of Medicine at Oregon Health & Science University. Dr. Zhu's work focuses on how ownership and financial structures shape healthcare delivery and equity — an increasingly important lens as private equity investment grows in behavioral health. Rachel and Dr. Zhu explore her research on the geographic penetration of private equity ownership in outpatient and residential behavioral health, discussing the implications for access, quality, and clinician autonomy. They also dive into the broader trends of consolidation, policy oversight, and the transparency challenges that affect both patients and providers. Episode Highlights 0:34 – Introduction to Dr. Zhu and her research focus 1:22 – Why private equity is expanding into behavioral health 3:08 – Key findings from Dr. Zhu's JAMA Psychiatry study 6:27 – Impacts on care quality, clinician autonomy, and patient access 9:52 – Policy and transparency implications for healthcare ownership 13:10 – Dr. Zhu's takeaway: balancing investment with public accountability Articles & Resources Private Equity's Inroads into Mental Health Bring Concern – Psychiatry Online Geographic Penetration of Private Equity Ownership in Outpatient and Residential Behavioral Health – JAMA Psychiatry Connect with Dr. Jane Zhu Website: OHSU – Jane M. Zhu, MD, MPP, MSHP LinkedIn: linkedin.com/in/janemzhu Connect with The Mental Health Evolution Website: The Mental Health Evolution Instagram: @thementalhealthevolution LinkedIn: The Mental Health Evolution Facebook: The Mental Health Entrepreneur Music by Zach Harrison

What does it take to grow a mental health practice sustainably—without burning out the people who make it work? In this episode, host Rachel Harrison talks with Dan King, Co-Founder of Fireside Strategic, about how to align profitability with purpose in behavioral health. Dan shares lessons from years advising investors and business leaders on building organizations where clinicians thrive, culture drives retention, and long-term success balances both human and financial outcomes. Listeners will hear practical advice on finding the right investment partners, understanding private equity and venture capital dynamics, and leading with values in a changing behavioral health market. Whether you're a clinician, practice owner, or investor, this conversation offers a blueprint for growth without burnout. Guest & Transcript Information Full Transcript: Provided Guest Name: Dan King Title / Role / Credentials: Co-Founder, Fireside Strategic Bio / Expertise: Dan King is the Co-Founder of Fireside Strategic, helping companies scale sustainably by focusing on human-centered growth. With experience in organizational psychology, M&A strategy, and executive coaching, Dan aligns profitability with purpose to build organizations that thrive without burnout. Website: https://www.firesidestrategic.com/ LinkedIn: https://www.linkedin.com/in/danmking/ Episode Highlights 0:32 – Introduction to Dan King and Fireside Strategic 1:08 – Why aligning business growth with human well-being matters 2:12 – Lessons from scaling companies that grew too fast 3:40 – The link between culture, retention, and sustainable success 5:05 – How private equity and venture capital differ in behavioral health 7:14 – Finding the right investment partner for your mission 9:48 – Balancing profitability with clinician satisfaction 12:22 – The future of integrated behavioral health services 14:36 – Measuring both financial and human outcomes 16:18 – Practical advice for practice owners considering investors 18:07 – Key traits of leaders who build without burnout Articles & Resources Mental Health's Investment Resurgence: A Market Ripe for Innovation – Galen Growth Venture Capital's Priorities Are Evolving as Behavioral Health Market Matures – Behavioral Health Business Fireside Strategic – Dan King Connect with Dan King Website: firesidestrategic.com LinkedIn: linkedin.com/in/danmking Connect with Us Website: The Mental Health Evolution Instagram: @thementalhealthevolution LinkedIn: The Mental Health Evolution Facebook: The Mental Health Entrepreneur Music by Zach Harrison

Episode Recap In this episode, Rachel speaks with Becky DeGrossa, founder of CounselingWise, about the evolving landscape of mental health marketing. Becky shares her insights on how private practice therapists can leverage local marketing and AI to thrive, even in a market crowded with venture-backed platforms. She discusses practical strategies for mapping the client search journey, creating visibility online, and building sustainable practices that attract the right clients. Episode Highlights Becky's unique blend of tech, psychology, and marketing experience Local clinicians' advantage over large therapy platforms Combining local marketing with AI as a competitive equalizer Key strategies for Search Everywhere Optimization Common mistakes therapists make in local search ranking Becky's top advice: do the work to create lasting visibility Articles & Resources Is This the End of the Private Practice Therapist? – Mental Health Match The Marketing Formula That's Fueling Small Business Success – Entrepreneur Connect with Becky DeGrossa Website: counselingwise.com | skool.com/private-practice-builders LinkedIn: Becky DeGrossa Connect with Us Website: https://www.traumaspecialiststraining.com/mental-health-evolution-podcast Instagram: @thementalhealthevolution LinkedIn: www.linkedin.com/showcase/the-mental-health-evolution/ Facebook: /TheMentalHealthEvolution Music by Zach Harrison

In this episode, Rachel talks with Deborah Steinberg, Senior Health Policy Attorney at the Legal Action Center, about the current state of mental health parity in the U.S. Deborah explains what parity means, why it matters, and how gaps in enforcement continue to affect patients and providers. They also discuss the recent HHS rule reversal and its impact on insurance coverage, including disparities in reimbursement and network adequacy. Listeners will learn about key barriers in mental health and substance use disorder care, as well as practical steps for advocacy and holding plans accountable. Episode Highlights Introduction to Deborah Steinberg and her policy work Overview of mental health parity laws and importance Discussion on HHS rule reversal and its impact Disparities between mental and physical health coverage Enforcement gaps at federal and state levels Role of data collection in identifying parity violations Network adequacy challenges for providers and patients Aligning health plan coverage criteria with standards of care Steps consumers can take to report parity violations Ways to engage in state-based advocacy and reforms Advocacy benefits for patients, providers, and systemic change Articles & Resources Mental Health Care May Be Harder to Obtain After HHS Rule Reversal – STAT News New Tool Brings Mental Health Parity Problems to Light – AMA Commissioner King Fines Insurers Over $20 Million for Parity Violations – Georgia OCI Mental Health Parity Enforcement Updates – Congressman Tonko Connect with Deborah Steinberg Website: https://www.lac.org LinkedIn: https://www.linkedin.com/in/deborah-steinberg-b4822536/ Instagram: @deborahgwen Connect with Us Website: The Mental Health Evolution Instagram: @thementalhealthevolution LinkedIn: The Mental Health Evolution Facebook: The Mental Health Entrepreneur Music by Zach Harrison

Episode Summary This week, we have a solo episode in which Rachel explores the mental health system through a family systems lens. She examines how different players—including clients, providers, insurers, tech companies, and advocacy organizations—interact and influence access to care, reimbursement, and overall system outcomes. Listeners will gain insight into systemic disparities, the role of new disruptors, and how ongoing dialogue and advocacy can help create a healthier mental health ecosystem. Episode Highlights 0:30 – Rachel introduces solo episode exploring the mental health system 1:06 – Discusses therapist income disparities and systemic influences 2:56 – Explains using a family systems lens to view the industry 3:48 – Highlights relevant articles on barriers to mental health care 7:28 – Role of clients/patients and access challenges in the system 9:52 – Income and influence of individual providers in insurance networks 13:14 – Tech companies and managed service organizations as system disruptors 17:08 – Insurance companies' influence on reimbursement, coverage, and policy 19:01 – Advocacy groups shaping regulations, standards, and systemic improvements 20:05 – Importance of dialogue among all system players for better outcomes Articles & Resources Exploring Barriers to Mental Health Care in the U.S. – AAMC Therapist Salaries in 2025 – Twofold Connect with Us Website: The Mental Health Evolution Instagram: @thementalhealthevolution LinkedIn: The Mental Health Evolution Facebook: The Mental Health Entrepreneur Music by Zach Harrison

In this episode of Mental Health Evolution, host Rachel Harrison sits down with Cathy Gilbert, a seasoned consultant and former insurance executive, to unpack how new and proposed health care policies are reshaping the future of mental health services. Cathy brings a wealth of expertise from her work in provider network development, operations, and policy analysis, offering both a big-picture perspective and practical strategies for navigating change. Together, Rachel and Cathy dive into the Big Beautiful Bill and other recent federal actions affecting Medicaid, ACA coverage, telehealth, and funding for crisis services. Listeners will gain valuable insight into how these shifts impact providers and patients alike, from reimbursement rates to eligibility requirements. Cathy also shares concrete advice for solo and group practice owners on what to watch for and how to prepare. This episode will help you better understand the fast-moving policy environment and make informed decisions for your practice. Episode Highlights 0:37 – Guest introduction: Cathy Gilbert's career in insurance and consulting 1:11 – Overview of the Big Beautiful Bill and major policy shifts 3:23 – Why policy changes feel faster in behavioral health 4:35 – Impact on vulnerable populations losing health coverage 6:20 – Provider challenges: reimbursement cuts and sustainability concerns 10:16 – A rare positive: permanent telehealth coverage provisions 12:59 – Unresolved concerns: in-person visit requirements for telehealth 13:54 – Key advice for solo and group practice owners 14:33 – Medicaid retroactive coverage shortened and what it means 15:19 – How often providers should check eligibility 17:03 – Why monitoring payer notices is critical during rapid change 18:35 – Closing reflections and key takeaways Articles & Resources New Policies Affecting Access to Mental Health Care NAMI Statement on Final Passage of Bill Cutting Medicaid for Millions of Americans | National Alliance on Mental Illness (NAMI) Connect with Cathy Gilbert Website: https://ceghealth.com/ LinkedIn: https://www.linkedin.com/in/cathy-gilbert-29648421/ Connect with Us Website: The Mental Health Evolution Instagram: @thementalhealthevolution LinkedIn: The Mental Health Evolution Facebook: The Mental Health Entrepreneur Music by Zach Harrison  

In this episode, Rachel sits down with Uriah Guilford, licensed therapist, group practice owner, author of The Productive Practice, and founder of Productive Therapist, to discuss how technology and AI are transforming private mental health practices. They explore practical strategies for integrating AI into both the clinical and business sides of therapy, while maintaining ethical care, client privacy, and the human connection that makes therapy effective. Uriah shares his insights on the latest mental health tech trends, including AI avatars, virtual receptionists, and AI tools for practice operations. He also discusses predictions for the future of mental health care, how therapists can thoughtfully adopt technology, and ways to enhance efficiency without losing the personal touch that clients value. Time-Stamped Highlights 0:24 – 1:34 – Key mental health tech trends and news shaping the conversation 4:18 – 4:57 – Guest introduction: Uriah Guilford 4:57 – 10:31 – AI mindset shifts, integration in practice operations, and predictions for clinical and business use 14:12 – 17:05 – Recommended systems and tools for private practice 19:18 – 22:48 – Using AI to augment operations: virtual assistants, AI receptionists, and human handoffs 22:48 – 24:35 – Key takeaways: ethical adoption, mindful use, and enhancing client support Articles & Resources 27 Top Mental Health Startups to Watch in 2025 – Startup Savant Why Psychiatry May Be the Last Frontier for AI Disruption – Forbes Mental Health Tech in 2025: Consolidation, Personalization, and the Uneven Reality of Access – BeeKey Connect with Uriah Guilford Website: Productive Therapist Website: Intune Family Facebook: Productive Therapist Instagram: @productivetherapist Connect with Us Website: Trauma Specialists Training Instagram: @thementalhealthevolution LinkedIn: The Mental Health Evolution Facebook: The Mental Health Entrepreneur Music by Zach Harrison

In this episode of The Mental Health Evolution Podcast, Rachel sits down with Dr. Jordan Harris to explore the rapidly evolving role of AI in therapy and mental health care. They discuss the ethical, practical, and professional implications of AI tools, including large language models and autonomous systems, and what therapists and clients need to know to navigate this shifting landscape. Jordan shares his insights as a therapist, coach, and researcher, offering guidance on how the mental health field can adapt, responsibly use AI, and maintain high-quality care. Key Topics Covered: The emerging use of AI in therapy, including note-taking and co-pilot tools Ethical considerations around client data, privacy, and informed consent How AI may enhance or challenge traditional therapeutic expertise Industry developments, including tech startups and insurance collaborations shaping care Practical steps for therapists to responsibly integrate AI into practice Articles Mentioned: Telehealth.org: Amazon Health Services and Talkspace Partner for Virtual Therapy Fortune: In a showdown of psychotherapists vs ChatGPT, the latter wins — New study finds Dr. Jordan Harris: AI is Reshaping Psychotherapy: We Have Two Years to Get Ready Connect with Us: Website: https://www.traumaspecialiststraining.com Instagram: @thementalhealthevolution LinkedIn: The Mental Health Evolution Facebook: The Mental Health Entrepreneur Connect with Dr. Jordan Harris: Website: https://www.jordanthecounselor.com LinkedIn: Jordan Harris Music by Zach Harrison  

In this episode of The Mental Health Evolution Podcast, Rachel sits down with Dr. Ajita Robinson to explore the rapidly evolving role of AI in mental health care. They discuss the ethical, legal, and practical challenges of AI chatbots, the risks of unregulated technology, and what it means for both therapists and clients. Ajita shares her insights as a therapist, coach, and advocate, offering guidance on how the mental health field can protect both its professionals and the people they serve. Key Topics Covered: The emerging use of AI in therapy and its potential risks Legislative developments around AI in mental health Advocacy for protecting the professional identity of therapists How tech startups and insurance collaborations are reshaping access to care Practical steps for therapists to advocate for the field and their clients Articles Mentioned: Manatt Health: Health AI Policy Tracker — Keeping track of federal and state AI policy developments Axios: Tech firms and states look to rein in AI chatbots' mental health advice — The growing push to regulate chatbot therapy apps Behavioral Health Business: CareFirst + Headway collaboration — How insurers and startups are reshaping access to care Connect with Us: Website: https://www.traumaspecialiststraining.com Instagram: @thementalhealthevolution LinkedIn: The Mental Health Evolution Facebook: The Mental Health Entrepreneur Connect with Dr. Ajita Robinson: Instagram: @dr.ajitarobinson Facebook: Dr. Ajita LinkedIn: Ajita Robinson Website: ajitarobinson.com Music by Zach Harrison

In this episode, we explore the changing landscape of mental health, focusing on insurance trends, private practice growth, and the impact of tech and venture capital. Jeremy Zug shares his insights from over a decade in healthcare, helping mental health professionals optimize revenue and operational efficiency. Whether you're a clinician, practice owner, or industry observer, this conversation provides actionable strategies and a big-picture view of the market. Key Topics Covered: Insurance trends and payer changes affecting private practices The rise of independent providers and network expansion Value-based care, tech companies, and future predictions for mental health services Timestamps: (0:00) Intro (0:32) Industry trends and insurance landscape overview (3:33) Jeremy Zug bio and Practice Solutions background (5:43) Independent practice growth and adding providers to networks (7:14) Insurance leverage and provider options (9:08) Impact of tech companies and prior authorization trends (18:16) Value-based care challenges and opportunities (22:05) How Practice Solutions supports private practices Links & Resources Mentioned in this Episode: Becker's Behavioral Health: Flurry of Behavioral M&A Continues – 12 Deals to Know https://www.beckersbehavioralhealth.com/behavioral-health-capital-investment/flurry-of-behavioral-ma-continues-12-deals-to-know/ Fierce Healthcare: Octave Nabs $52 Million to Expand Network Therapy Services https://www.fiercehealthcare.com/digital-health/octave-nabs-52-million-expand-network-therapy-services Guest Information and Links: Jeremy Zug has over a decade of experience in the healthcare industry. He is known for his expertise in insurance billing and frequently writes and speaks on topics that support mental health professionals in achieving financial health and operational excellence. He co-founded Practice Solutions with his wife Kathryn in 2017, relying on their combined knowledge from private practices they had worked at while in college. Practice Solutions is an expanded medical billing company offering billing services, professional services, and educational resources to thousands of mental and behavioral healthcare providers for optimal revenue cycle management. LinkedIn: https://www.linkedin.com/in/jeremy-zug-9811626b/ Instagram: https://www.instagram.com/practicesolutionsbillingllc/ Practice Solutions: https://www.practicesol.com/ Connect with Us: Website: https://www.traumaspecialiststraining.com/mental-health-entrepreneur-podcast Instagram: https://www.instagram.com/thementalhealthevolution/ LinkedIn: https://www.linkedin.com/showcase/the-mental-health-evolution Facebook: https://www.facebook.com/TheMentalHealthEntrepreneur/ Takeaway Quote: "Understanding insurance trends and the evolving mental health landscape is critical for clinicians and private practices looking to thrive in today's market." Music credit: Zach Harrison

In this episode, Rachel Harrison highlights a local grassroots effort to address the evolving mental health landscape. The Real Change Initiative brings together local leaders in mental health to educate the community, advocate for ethical standards, and preserve the human connection in therapy. The conversation covers how technology is shaping care, the importance of licensed practitioners, and the need for transparency in mental health platforms. Key Topics: The Real Change Initiative and its goals Preserving human connection in mental health care Ethical and privacy considerations in tech-driven therapy Educating consumers about their choices in mental health services The role of research, advocacy, and community unity Key Timestamps: (0:05) Podcast introduction and network info (0:45) Overview of a local community effort: Real Change Initiative (4:00) Creation of the Real Therapy, Real Change video (6:20) Importance of relationship and human connection in therapy (23:00) Key takeaways: real therapy, education, and client choice Links and Resources: Real Therapy, Real Change video: https://traumaspecialistsofmd.com/real-therapy-real-change-initiative/ Articles Discussed: Mental Health Care Innovation: Startups Shaping the Future of Mental Health Care – Insights and Trends Full URL: https://fastercapital.com/content/Mental-health-care-innovation--Startups-Shaping-the-Future-of-Mental-Health-Care--Insights-and-Trends.html UnitedHealth Group, University of Minnesota Partner to Launch Course on Value-Based Care Full URL: https://www.fiercehealthcare.com/payers/unitedhealth-group-university-minnesota-partner-launch-course-value-based-care Federal Judge Says Class Privacy Claims May Proceed Against an Online Mental Health Platform Full URL: https://www.courthousenews.com/federal-judge-says-class-privacy-claims-may-proceed-against-online-mental-health-platform/ CVS Health, UnitedHealth Group, and the U.S. Health Care System Mergers Full URL: https://fortune.com/longform/cvs-health-unitedhealth-group-us-health-care-system-mergers/?tpcc=mag-issue-blast Guest Details: Dr. Alison Bomba – Psychologist, author, speaker, consultant, and active community member. Provides grief therapy and exposure-based CBT for children, teens, and young adults. Recognized in 2024 as one of Maryland's Top 100 Women and awarded the Leadership Frederick County Alumni Emergent Leader Award. LinkedIn: www.linkedin.com/in/alisonbomba/ Facebook: www.facebook.com/drbomba Instagram: www.instagram.com/dralisonbomba/ Aaron Vander Meer, LCSW-C – Clinical social worker with over 17 years of experience in mental health and addictions. Specializes in serious mental illness, psychotic disorders, and solutions-focused therapy. Serves as the Program Director at ClearView Communities in Frederick, MD. Holds advanced clinical licensure, national certifications in employment services, and has led person-centered programs both nationally and internationally. Passionate about empowering individuals through mental health advocacy, program development, and community partnership. LinkedIn: www.linkedin.com/in/aaron-vander-meer-876b4766/ Website: clearviewcommunities.org Melissa Ward, LCPC, NCC – Maryland-licensed clinical professional counselor and National Certified Counselor. Works with adolescents, adults, and families, creating a therapeutic environment that addresses challenges and explores possibilities. Offers both in-person and telehealth therapy, focusing on communication, anxiety reduction, transitions, relationship improvement, and coping skills. Holds a B.S. in Communications from Florida International University and an M.S. in Counselor Education from McDaniel College. Formerly worked as a social worker and community relations manager for the National MS Society, Maryland Chapter. Website: www.melissawardcounselingservices.com Connect with Us: Website: https://www.traumaspecialiststraining.com/mental-health-entrepreneur-podcast Instagram: https://www.instagram.com/thementalhealthevolution/ LinkedIn: https://www.linkedin.com/showcase/the-mental-health-evolution Facebook: https://www.facebook.com/TheMentalHealthEntrepreneur/ Takeaway Quote: "We need to move beyond just providing services and focus on promoting independence, purpose, and belonging." – Aaron Vander Meer Music by Zach Harrison

Welcome to the new chapter of the Mental Health Evolution podcast. In this inaugural episode, host Rachel Harrison explores the rapid changes happening in the mental health industry. She discusses the impact of larger players entering the field, how insurance and tech companies are reshaping care, and what this means for consumers and providers alike. Drawing on lessons from the pharmaceutical industry, Rachel highlights the influence of business practices on access, pricing, and sustainability in mental health care. Key Topics: Evolution of the mental health industry post-COVID Opportunities and challenges for independent providers Insurance and tech companies' influence on care delivery Lessons from the pharmaceutical industry Key Timestamps: (0:05) Podcast introduction and network information (0:11) Welcome and purpose of Mental Health Evolution (1:24) Rebrand from Mental Health Entrepreneur to Mental Health Evolution (5:29) Episode format and approach (6:14) Historical perspective: Independent pharmacies article Links and Resources: Article referenced: https://www.mercurynews.com/2024/09/01/independent-pharmacies-say-theyre-being-squeezed-by-shadowy-middlemen-tied-to-big-health-chains/ Connect with Us: Website: https://www.traumaspecialiststraining.com/mental-health-entrepreneur-podcast Instagram: https://www.instagram.com/thementalhealthevolution/ LinkedIn: https://www.linkedin.com/showcase/the-mental-health-evolution Facebook: https://www.facebook.com/TheMentalHealthEntrepreneur/ Takeaway Quote: "Funding in the billions can change an industry and decide what it will look like because money talks." – Rachel Harrison Music by Zach Harrison

In this final episode of 2024, Rachel reflects on an incredible year of The Mental Health Entrepreneur Podcast. From inspiring stories to innovative ideas, she highlights the episodes and conversations that left a lasting impact. She explores the evolving concept of mental wellness, showing how it extends far beyond traditional mental health care. Looking ahead, Rachel announces an exciting new chapter for the podcast. After a brief hiatus in January and February to "winter" and nurture fresh ideas, the show will return in March with a rebrand and renewed vision. To keep the conversation going, Rachel is also launching a newsletter, so listeners can stay connected and inspired during the break.   Tune in to celebrate the journey so far, and get a sneak peek at what's coming next! Don't forget to subscribe to the newsletter for updates and exclusive content.   [email protected]     Episode Timestamps: (002:10) A look back at the 2024 episodes (04:00) Broadening the concept of mental wellness (05:40) Looking ahead; future plans and ideas (08:00) Newsletter announcement and taking a break     A Closer Look at Complex Trauma and Dissociation Register Now for the January 2025 Training!   Watch this episode on YouTube: youtube.com/@TheMentalHealthEntrepreneurPod     Connect with Rachel: Facebook Group: The Mental Health Entrepreneur Website: traumaspecialiststraining.com Instagram: instagram.com/trauma_specialist LinkedIn: linkedin.com/in/rachel-harrison-81a4796  

Dr. Sujata Ives gives valuable insights into creating harmony in professional settings and understanding the intercultural movement. She discusses the importance of peaceful workplaces, adapting to different leadership styles, and the significant changes in work dynamics due to the pandemic. She also explains the benefits of remote work for work-life balance and advocates for non-verbal communication during virtual meetings. Dr. Sujata also touches on the topic of interculturalism, emphasizing the importance of dialogues and storytelling to bridge cultural gaps.   Connect with Dr. Sujata Ives:  Dr. Sujata Ives is a workplace global consultant and leader in the field of career development and employment counseling. She is a sought-after international speaker and international best-selling author of the book and workbook "Activate Success" available on Amazon. Sujata is the 2023 recipient of the National Career Development Association's Diversity Initiative Award. She was chosen to participate in the 2024 NCDA Leadership Academy class, where she conducted a national and international study through a needs analysis on intercultural leadership.    Sujata is the current Chair of the Leadership Academy of the NCDA; the Chair of the Program Committee of the APCDA; Community Coordinator of the World Council on Global & Intercultural Competency. Sujata has an earned Ph.D. in Educational Psychology and is a Harvard trained Mediator. She believes in autonomy to change, evolving and adapting career development in revolutionary times, needed to equip the human brain with competencies that can enable us to think critically and act inclusively on the competitive global stage.    drsujataives.com [email protected] Linkedin.com/in/drsujataivesphd Amazon Book: "Activate Success: Tips, Tools, & Insights to be a Leader in Your Niche"      Episode Timestamps: (03:20) Dr. Sujata's background and work as a career counselor (05:20) The role leadership plays in workplace harmony (10:30) Remote work post-COVID (15:00) The right balance between remote and physical interaction (20:45) The intercultural shift (24:25) Connecting the dots to bridge diverse cultural and emotional needs     A Closer Look at Complex Trauma and Dissociation Register Now for the January 2025 Training!   Watch this episode on YouTube: youtube.com/@TheMentalHealthEntrepreneurPod     Connect with Rachel: Facebook Group: The Mental Health Entrepreneur Website: traumaspecialiststraining.com Instagram: instagram.com/trauma_specialist LinkedIn: linkedin.com/in/rachel-harrison-81a4796

Falyn Morningstar and Ian Morris share their transformative journeys from personal health struggles to becoming trailblazers in holistic healing. Falyn opens up about how her health challenges led her to Functional Diagnostic Nutrition, where she now helps others find balance through functional lab testing and personalized wellness plans. Ian recounts his path from baseball star to sound healing, using music to nurture the mind, body, and soul after facing his own health crisis. Together, they dive into the role of self-awareness, intuition, and nontraditional methods in achieving physical, mental, and emotional health. They aim to raise awareness about unconventional healing methods and encourage entrepreneurship through intuitive practices.   Connect with Falyn Morningstar and Ian Morris:  Falyn and Ian are trailblazing entrepreneurs whose dedication to innovation and global wellness has made them influential leaders in the industry. Falyn's Radiant Balance System, seamlessly integrating Functional Diagnostic Nutrition, clinical testing, somatic practices, sound healing, and meditation, is a testament to her revolutionary approach to women's health and well-being. Ian Morris, an acclaimed artist known for his Frequency Minded Music™ and LTS Method from Listening to Smile, has pushed the boundaries of sound therapy and stress reduction, garnering global recognition.    Together, they have multiple companies and continue to redefine the wellness landscape through Listening to Smile's recently expanded networks: Frequency Minded Magazine, LTS Podcast, and LTS Records. Their commitment to fostering connections within the art, music, and well-being communities solidifies their status as pioneers in this new world of holistic wellness and innovation.    listeningtosmile.com falynmorningstar.com instagram.com/listeningtosmile instagram.com/falynhuntermorningstar youtube.com/@listeningtosmilemusic     Episode Timestamps: (02:20) Falyn's journey from personal trainer to Functional Diagnostic Nutrition (06:45) Ian's journey from baseball star to sound therapy (13:40) The mechanics and science of sound healing (19:15) Lab diagnostic testing, stress reduction practices, somatic exercises and sound therapy (20:50) Using organic, drug-free solutions to improve health; the fusion of western and eastern medical philosophies (25:30) The power of persistence, creativity, and continuous learning     A Closer Look at Complex Trauma and Dissociation Register Now for the January 2025 Training!   Watch this episode on YouTube: youtube.com/@TheMentalHealthEntrepreneurPod     Connect with Rachel: Facebook Group: The Mental Health Entrepreneur Website: traumaspecialiststraining.com Instagram: instagram.com/trauma_specialist LinkedIn: linkedin.com/in/rachel-harrison-81a4796

Trigger warning: This episode contains brief mentions of teen trauma, sexual assault, and sexual abuse.   Chea Weltchek shares her journey of starting a nonprofit, Teens with Trauma, which provides free therapy to teenagers who have experienced trauma but cannot afford care. Chea talks about her background as a therapist, the challenges of running both a private practice and a nonprofit, and the importance of addressing trauma early. She gives insights into Teens with Trauma: the types of teens served, the therapeutic approaches used, and the complexities involved in balancing fundraising and volunteer work. Chea also shares her vision for the future, including a dream of providing efficient, retreat-style trauma therapy for teens.   Connect with Chea Weltchek:  Chea is a passionate Licensed Clinical Professional Counselor, educator, and advocate for equity in mental health care. As the founder of Counseling & Wellness Collective, she specializes in child and adolescent mental health with extensive trauma training. Dedicated to teaching and promoting trauma-informed care. Chea also founded Teens with Trauma, a nonprofit providing free therapy to teen survivors of sexual abuse. As a survivor herself, Chea's personal experience fuels her mission to break barriers in mental health access, empowering young survivors and shaping brighter futures through transformative care.    counselingandwellnessco.com teenswithtrauma.com     Episode Timestamps: (01:30) Trauma with Teens; starting a nonprofit (03:40) Challenges of running a nonprofit (05:20) Serving under-resourced teens (08:20) Therapist recruitment and training (09:20) Future goals and a retreat model (13:05) Addressing trauma early (18:45) Balancing business and nonprofit (20:15) Advice for aspiring nonprofit founders     EMDR Basic Training Register Now for the January/March 2025 Training!   Watch this episode on YouTube: youtube.com/@TheMentalHealthEntrepreneurPod     Connect with Rachel: Facebook Group: The Mental Health Entrepreneur Website: traumaspecialiststraining.com Instagram: instagram.com/trauma_specialist LinkedIn: linkedin.com/in/rachel-harrison-81a4796

Dive into the transformative world of Qigong with trauma-informed trainer and breath coach Kathy Jankowski. Discover how chronic stress impacts your wellness journey and learn the pivotal role the nervous system plays in managing stress. Kathy shares how Qigong, a practice combining movement, regulated breathing, and visualization, can help balance the nervous system, foster emotional resilience, and improve mental and physical health. She also covers polyvagal theory, explaining the importance of creating safety within the nervous system for optimal mental health. Whether you're new to Qigong or looking to deepen your practice, this episode provides tips for integrating Qigong into your routine and explains the importance of consistency in achieving a calmer, more receptive state.    Connect with Adrienne Kathy Jankowski:  Kathy Jankowski has been a human potential and consciousness consultant for 35 years, working at the intersection of philanthropy promotion, workforce development, business, and capacity building for nonprofit organizations. She works with leaders, teams, and individuals who want to create a more humane world. Over the course of her career, the stress people are under has increased exponentially. This is why Kathy looked for effective solutions to stress management and now shares polyvagal-informed skills for nervous system balancing through movement and breathwork.    Kathy is a certified Robert Peng Qigong trainer. She is an experienced trauma-sensitive, nervous system balancing coach, studying with Stephen Porges and Amelia Barilli; a Level 3 certified breath coach with Breath-Body-Mind; and an integrative breath worker. Over the last 11 years, Kathy has taught thousands of people how to live with more vitality, love, and wisdom by integrating Qigong, polyvagal theory, and breathwork — working with hospital staff, coaches, social workers, schools, neighborhood groups, nonprofit staff/clients, children and families, nurses, doctors, breast cancer survivors, teachers, the unemployed, and collective-impact initiatives.    https://www.kathyjankowski.com/service-page/seven-skills-to-build-resilience     Episode Timestamps: (02:05) The importance of managing stress (03:05) Qigong and the nervous system (05:20) Polyvagal theory and stress responses (09:40) Qigong practices for overall wellness (17:15) How to get started with Qigong (19:50) The benefits of Qigong     EMDR Basic Training Register Now for the January/March 2025 Training!     Watch this episode on YouTube: youtube.com/@TheMentalHealthEntrepreneurPod     Connect with Rachel: Facebook Group: The Mental Health Entrepreneur Website: traumaspecialiststraining.com Instagram: instagram.com/trauma_specialist LinkedIn: linkedin.com/in/rachel-harrison-81a4796

Adrienne Griffen, MPP, takes us on an insightful journey into the world of maternal mental health. She discusses the prevalence and wide range of mental health conditions that can arise during pregnancy and postpartum, including anxiety, OCD, PTSD, and, in some cases, psychosis. Adrienne opens up about her personal experience with postpartum depression, emphasizing the importance of education, advocacy, and access to resources for mothers facing similar challenges. She also highlights new treatment options, including revolutionary medications, and underscores the critical role of self-care, social support, and therapy. Adrienne explains the urgent need for widespread education and routine screening, as well as the importance of equipping families with tools to offer effective support.    Connect with Adrienne Griffen:  Adrienne Griffen, MPP, is an advocate and nationally recognized expert in the field of maternal mental health. She is a sought-after speaker and educator, using her lived experience (laced with humor) to engage audiences on issues surrounding the mental health and wellbeing of our nation's mothers. Adrienne is the Executive Director of Maternal Mental Health Leadership Alliance, a nonpartisan nonprofit organization dedicated to promoting the mental health of mothers and childbearing people in the United States with a focus on national policy and health equity. Adrienne serves on the National Maternal Mental Health Task Force, and on the Boards of Directors of the Marce Society of North America and the Mental Health Liaison Group. She also founded Postpartum Support Virginia, which she led for ten years. She lives in Arlington, VA with her husband and three young adult children.    mmhla.org/fact-sheets postpartumva.org     Episode Timestamps: (01:30) Defining maternal mental health (03:15) Adrienne's personal experience with PPD (05:30) Current trends and interventions; Postpartum Support International (10:50) Innovative treatments and medications; mental health screenings (17:00) Supporting new moms and families (19:45) Advocating for yourself and others     EMDR Basic Training Register Now for the January/March 2025 Training!     Watch this episode on YouTube: youtube.com/@TheMentalHealthEntrepreneurPod     Connect with Rachel: Facebook Group: The Mental Health Entrepreneur Website: traumaspecialiststraining.com Instagram: instagram.com/trauma_specialist LinkedIn: linkedin.com/in/rachel-harrison-81a4796

Kerri Brady, VP of Educational Practice at Huckabee and board member of the Texas School Safety Center, explores how architectural design influences student mental wellness and emotional regulation in schools. Kerri dives into the concept of trauma-informed design, discussing how purposeful layouts and thoughtful spaces can help manage emotional dysregulation in high-stress areas like cafeterias. She also introduces the five phases of emergency management and advocates for the design community to play a more active role in preventive measures against school violence. Tune in to learn how intentional design fosters human connection, comfort, and emotional support for students and staff alike, ultimately contributing to a more resilient school environment.   Connect with Kerri Brady:  huckabee-inc.com/leadership/kerri-ranney     Episode Timestamps: (03:00) Architectural design and school safety  (04:00) Five phases of emergency management (08:15) Designing trauma-informed spaces (12:20) Emotional dysregulation; creating a calmer nervous system (19:35) Designing spaces that foster human connection  (26:45) Advocating for the design process of a school facility     EMDR Basic Training Register Now for the January/March 2025 Training!     Watch this episode on YouTube: youtube.com/@TheMentalHealthEntrepreneurPod     Connect with Rachel: Facebook Group: The Mental Health Entrepreneur Website: traumaspecialiststraining.com Instagram: instagram.com/trauma_specialist LinkedIn: linkedin.com/in/rachel-harrison-81a4796

Jamie Sedgwick shares her insights on the stigma surrounding Borderline Personality Disorder (BPD) and discusses how it is often misunderstood and wrongly believed to be untreatable. She emphasizes the effectiveness of therapies like Eye Movement Desensitization and Reprocessing (EMDR) and Dialectical Behavior Therapy (DBT) in treating BPD. Jamie also talks about the importance of therapists taking care of themselves to avoid burnout and advocates for de-stigmatizing BPD by understanding the behaviors as former adaptive skills for getting needs met. This conversation aims to inspire mental health professionals and advocates to challenge existing stigmas and approaches to BPD treatment.   About Jamie Sedgwick:  Jamie is a Licensed Clinical Professional Counselor and National Certified Counselor. She has worked in the mental health field for over 10 years and has been trained in EMDR since 2017. Jamie credits EMDR with changing her practice as a therapist and helping her be more effective in assisting clients in healing from a wide range of presenting problems. Jamie has a passion for working with Complex Trauma and a Special Interest in Personality Disorders. In addition to her clinical work, she is an EMDR Consultant and acts as the Training Director for Trauma Specialists Training Institute. Jamie has experience in leading EMDR Basic Training as well as creating and facilitating EMDR Advanced Trainings. She enjoys her roles as a consultant and trainer because it allows her the opportunity to meet like-minded clinicians and assist them in learning how to implement EMDR into their own clinical practice in a way that makes the most sense to the clinician and the client.    traumaspecialiststraining.com     Episode Timestamps: (02:20) Stigma and misconceptions about BPD (04:15) The role of EMDR in treating BPD (06:20) Behaviors and symptoms of BPD (11:20) Jamie's passion to destigmatize the BPD population (13:10) Developing effective treatment plans (16:00) Messages of hope and advocacy     Borderline Personality Disorder Through A Trauma Lens Destigmatize BPD, Gain Skills and Reduce Your Fear Register Now for the December 12th Virtual Training!     Watch this episode on YouTube: youtube.com/@TheMentalHealthEntrepreneurPod     Connect with Rachel: Facebook Group: The Mental Health Entrepreneur Website: traumaspecialiststraining.com Instagram: instagram.com/trauma_specialist LinkedIn: linkedin.com/in/rachel-harrison-81a4796

Lohelani Furtardo-Gaspar, Director of Cultural Education at Ka`ehu in Maui, gives insight into the deep-rooted intergenerational trauma tied to the Hawaiian language and traditions, and how Ka`ehu is working to heal these wounds by integrating cultural education with environmental awareness. She shares how Ka`ehu has evolved from a conservation-focused organization into a vibrant hub for kids and families, offering programs like Hanano'o and Kilo to strengthen connections with nature. She also explains the creative ways Ka`ehu teaches essential life skills, with hands-on activities that promote problem-solving and communication among parents and children. In addition, Lohelani reflects on her work at Lahaina High School and her vision to expand these impactful programs across more schools and islands, despite the challenges. This episode offers an inspiring look at how reclaiming culture and caring for the environment can empower future generations in Hawaii.   About Lohe Furtardo-Gaspar:  Lohelani grew up in Kalihi on the island of Hawaii, where she was immersed in the rich culture and traditions of the community. She attended the University of Hawaiʻi at Mānoa, where she earned both a Bachelor of Social Work (BSW) and Master of Social Work (MSW). Since 2016, she has been part of the Ka`ehu community, and transitioned to the Director of Cultural Education in 2020. In this position, she coordinates and facilitates workshops, events, and field trips at Kaehu Bay, aiming to enrich the cultural experiences of the community. She is dedicated to advancing her career in social work and is actively working towards obtaining her Licensed Clinical Social Worker (LCSW) certification. Her goal is to create a positive impact in the lives of those she serves, drawing on her experiences and cultural background to inform her practice.  kaehu.org   Episode Timestamps: (02:15) Ka`ehu's mission and community programs (05:00) Instilling pride and overcoming shame as a Hawaiian native (08:55) Kilo; environmental connection (13:45) Strengthening parent-child relationships (17:40) The impact of Ka`ehu's cultural programs (19:30) Lohelani's personal journey and involvement with Ka`ehu (23:50) Proverb of encouragement; having an open heart and mind     Borderline Personality Disorder Through A Trauma Lens Destigmatize BPD, Gain Skills and Reduce Your Fear Register Now for the December 12th Virtual Training!     Watch this episode on YouTube: youtube.com/@TheMentalHealthEntrepreneurPod     Connect with Rachel: Facebook Group: The Mental Health Entrepreneur Website: traumaspecialiststraining.com Instagram: instagram.com/trauma_specialist LinkedIn: linkedin.com/in/rachel-harrison-81a4796

Alison Pidgeon dives into the challenges faced by the ALICE (Asset Limited, Income Constrained, Employed individuals) population. Despite being employed and insured, these individuals often struggle to afford therapy. Alison shares her journey from community mental health to establishing her own large group practice, Move Forward Counseling, and her mission to break down systemic barriers and reduce stigma in mental health. She highlights legislative wins in Pennsylvania, like provisional licensure for professional counselors to increase available therapists and initiatives to further integrate coaching with therapy. She also discusses the need for systemic improvements and innovative approaches in mental health care, including the potential future use of psilocybin in therapy and leveraging technology and community resources to improve accessibility and reduce stigma.   About Alison Pidgeon:  Alison Pidgeon is the Founder and CEO of Move Forward Counseling LLC, a mental health outpatient private practice spanning the state of Pennsylvania. Her training and education is as a licensed professional counselor, but now she is the visionary for her business of 80 employees. Alison also works as a business consultant, started and successfully sold a virtual assistant company, and is a real estate investor. In her spare time, she chases after her 3 boys and drives a minivan to soccer practice.    moveforwardpa.com linkedin.com/in/alison-pidgeon     Episode Timestamps: (02:05) Alison's journey to advocacy (05:00) Current challenges in the mental health system (09:45) The ALICE community (12:00) Collaborating with United Way of Pennsylvania (13:55) Legislative efforts; provisional licensure for LPCs (17:00) Ideas for the future of therapy; psilocybin (18:05) Integrating therapy and coaching     Borderline Personality Disorder Through A Trauma Lens Destigmatize BPD, Gain Skills and Reduce Your Fear Register Now for the December 12th Virtual Training!     Watch this episode on YouTube: youtube.com/@TheMentalHealthEntrepreneurPod     Connect with Rachel: Facebook Group: The Mental Health Entrepreneur Website: traumaspecialiststraining.com Instagram: instagram.com/trauma_specialist LinkedIn: linkedin.com/in/rachel-harrison-81a4796  

Julie Kliegman dives into the often overlooked mental health challenges faced by athletes. She discusses her book, 'Mind Games', and her journey into exploring mental wellness in sports. The conversation highlights the public's often unrealistic expectations of athletes, the stigma around mental health, and the pressures arising from a high-profile sports career. Notable mentions include athletes like Simone Biles, Naomi Osaka, Renee Richards, and the impact of race, gender, and identity on the perception of mental health issues. Julie also discusses the role of sports psychology, the need for better support systems, and the importance of recognizing athletes as regular people despite their exceptional public performances.   About Julie Kliegman:  Julie Kliegman is a writer and editor in New York whose work has appeared in outlets including The New York Times, The Washington Post, Sports Illustrated, Slate, Vulture, The Ringer, Texas Monthly, and more. Their first book, Mind Game: An Inside Look at the Mental Health Playbook of Elite Athletes, was published in 2024.    juliekliegman.com Purchase Mind Game Here / Signed copies      Episode Timestamps: (01:35) Julie's interest in mental wellness for athletes (02:20) Athletes speaking out; breaking the stigma (04:10) Challenges faced by athletes: race, gender, and identity (06:45) The role of coaches and teams; financial inequities (08:40) The progress being made and future needs (11:20) Confidentiality concerns in team environments (16:15) Sports psychology; creative approaches to mental wellness for athletes (19:30) Julie's upcoming book about Renee Richards (20:45) It's ok to not be ok     Watch this episode on YouTube: youtube.com/@TheMentalHealthEntrepreneurPod     Connect with Rachel: Facebook Group: The Mental Health Entrepreneur Website: traumaspecialiststraining.com Instagram: instagram.com/trauma_specialist LinkedIn: linkedin.com/in/rachel-harrison-81a4796

Lisa R. Savage, the founder and lead therapist at the Center for Child Development in Delaware, shares her entrepreneurial journey and candidly discusses the challenges and triumphs she faced along the way; from credentialing nightmares to insurance audits, and her relentless commitment to providing excellent care for children and adolescents in schools. The conversation also extends into the pressing need for advocacy in the field of mental health. Lisa addresses the predatory practices of tech companies and the complicated dynamics of working with insurance companies, particularly in an era of shifting landscapes marked by increased audits and value-based care models. Lisa also dives into her grassroots advocacy efforts in Delaware, highlighting her work to rally local mental health professionals and engage with policymakers for much-needed reforms.   About Lisa R. Savage:  Lisa R. Savage, LCSW, is a seasoned mental health professional with over two decades of experience in clinical practice and mental health advocacy. As the founder and lead therapist at the Center for Child Development in Delaware, Lisa is dedicated to providing compassionate, evidence-based care to children, adolescents, and families. Her expertise encompasses a wide range of therapeutic approaches tailored to each client's unique needs. Lisa's commitment to improving mental health access and active involvement in community outreach have made her a respected figure in the mental health field. She is also a passionate advocate for diversity and inclusion, striving to ensure all individuals receive the support and resources needed to thrive.    The national advocacy Facebook group: facebook.com/groups/unitedtochangehealthcare  A very eye-opening article.     Episode Timestamps: (02:30) From group practice to entrepreneurship (07:25) Importance of having a support network (10:00) Changes and challenges in modern mental healthcare (15:40) Challenges with insurance and tech companies (19:00) Grassroots efforts for mental health advocacy in delaware (24:05) Advocating for mental health amidst corporate challenges     Watch this episode on YouTube: youtube.com/@TheMentalHealthEntrepreneurPod     Connect with Rachel: Facebook Group: The Mental Health Entrepreneur Website: traumaspecialiststraining.com Instagram: instagram.com/trauma_specialist LinkedIn: linkedin.com/in/rachel-harrison-81a4796