The Stepping In It Podcast with Renee Schulte & Jason Haglund

In this episode, we break down how to actually get value out of conferences—beyond just showing up. From setting intentional goals to making meaningful connections and following up effectively, we share practical strategies to help you maximize your time, energy, and investment. We also explore the scale and impact of conferences across the country and highlight some of the unexpected benefits—from networking socials to local experiences—that make these events worth attending (when done right).In this episode, you will be able to:How to set clear goals before attending a conference so you leave with real outcomesWhy intentional networking (and actually following up) is the biggest ROI driverHow to stay present and avoid common conference distractionsTips for packing, presenting yourself professionally, and protecting your workThe importance of maintaining your routine and energy during multi-day eventsHow to leverage social media and conference apps to deepen connectionsWhat the data says about the scale and impact of conferences across the U.S.The hidden benefits of conferences—from social events to local experiences and relationship buildingThe key moments in this episode are:00:00:00 - Introduction & Whiny Farmer Intro00:02:00 - Why Conferences Matter & Setting Intentions00:04:30 - Networking with Purpose (and Actually Meaning It)00:07:15 - Staying Present & Avoiding Common Pitfalls00:09:45 - Smart Packing, Professional Presence & Protecting Your Work00:12:30 - Maintaining Routine, Energy & Self-Care During Conferences00:14:50 - Leveraging Social Media & Conference Apps00:17:10 - Conference Industry Data & What It Tells Us00:19:45 - The Unexpected Perks: Socials, Local Experiences & Fun00:22:30 - Final Tips & Closing ThoughtsConnect with us: https://ruralpolicypartners.com/ https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartnersWatch this episode on YouTube: https://youtu.be/NTAVtixOeis

In this episode, we explore the critical intersection of 911 and 988 and what it means for the future of crisis response systems across the country. With millions of calls flowing through both systems each year, the conversation goes beyond awareness and into action—highlighting the need for alignment, shared language, and system redesign. We unpack the realities of current response structures, the data driving change, and the opportunity to build a more effective, human-centered approach to crisis care that better serves communities, responders, and individuals in need.In this episode, you will be able to:Understand the key differences and connections between 911 and 988 crisis response systems.Explore why many 911 calls fall outside traditional emergency response needs.Learn how alignment, shared terminology, and facilitation can strengthen crisis response efforts.Review key data points shaping national conversations around emergency and behavioral health response.Discover practical ways to engage in and influence local and state-level system change.The key moments in this episode are:00:00:00 - Introduction & Opening Story00:02:10 - Why 911 and 988 Are Both Critical (and Confusing)00:06:45 - The Reality of 911 Call Volume & System Strain00:10:30 - What 988 Is—and How It’s Growing00:14:15 - The Case for System Alignment & Shared Language00:18:40 - Data Driving the Need for Change00:22:05 - Rethinking Response: What Should Happen Instead?00:25:30 - What You Can Do at the State & Local Level00:28:00 - Opportunities for Engagement & Closing ThoughtsLinks:http://Transform911.orghttps://www.samhsa.gov/mental-health/988/performance-metricshttps://alumniandfriends.uchicago.edu/s/uchicago-review-story/a4X1U0000009gQUUAY/reimagining-crisis-responsehttps://urbanlabs.uchicago.edu/attachments/f245b687ea00b9e61794dcba5e5937f3451aa6e4/store/8c61d792e209a352a81298a621188987628b280c2d03a600a7efb3c995d9/CARE+Eval+Report+-+FINAL_REL.pdf Connect with us: https://ruralpolicypartners.com/ https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartnersWatch this episode on YouTube: https://youtu.be/7S3OBP-0Itg

In this episode, we dive into the realities of rural life and mental health with guests Lauren Van Ewyk and Bridgette Readel. From the unique pressures facing farmers to the concept of “coerced resilience,” this conversation explores what it really takes for rural communities to thrive. With perspectives grounded in agriculture, counseling, and lived experience, Lauren and Bridgette share insights on the gaps in rural mental health support, the evolving conversation around seeking help, and the importance of building systems that truly understand rural life.In this episode, you will be able to:Understand the unique mental health challenges faced by farmers and rural communities.Explore the concept of “coerced resilience” and its impact on wellbeing.Learn why rural-informed care and agriculture-informed therapy matter.Discover who is least likely to seek help—and why.Gain insight into the gaps in rural mental health resources and what’s improving.Hear how storytelling and connection through platforms like The Rural Well are supporting rural wellness.The key moments in this episode are:00:00:09 - Introduction & Whiny Farmer Intro00:02:10 - Meet Lauren Van Ewyk & Bridgette Readel00:06:45 - Agriculture, Mental Health & Rural Advocacy00:11:20 - Barriers to Rural Wellness & Access to Care00:15:05 - Coerced Resilience Explained00:18:40 - Who Is (and Isn’t) Seeking Help00:22:10 - Rural Mental Health Data & Population Insights00:25:30 - What Rural Communities Need to Thrive00:29:15 - The Rural Well Podcast & Building Connection00:33:00 - Passion for Rural Wellness & Closing ThoughtsLinks:https://linktr.ee/theruralwell Connect with us: https://ruralpolicypartners.com/ https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartnersWatch this episode on YouTube: https://youtu.be/EsCdc2qEy_0 

In this episode, we break down a question many rural leaders and providers are asking: where do you actually find funding for technical support, innovation, and system change? From foundations and state agencies to local service clubs and unexpected funding streams, we explore how thinking broadly—and strategically—can unlock dollars that fuel long-term impact. We also discuss why starting small matters, how projects can grow over time, and the critical role data plays in sustaining and expanding your work.In this episode, you will be able to:How to identify diverse funding sources for behavioral health and community initiatives.Why thinking beyond traditional grants can open doors to innovation.The role of partnerships, foundations, and local organizations in funding projects.How to use data to demonstrate impact and connect outcomes to financial sustainability.Practical next steps to start securing funding in your own community.The key moments in this episode are:00:00:00 - Introduction & Opening Segment (Whiny Farmer Intro + Welcome)00:02:00 - Framing the Question: Where Do You Find Funding?00:04:30 - Thinking Broadly About Funding Innovation & Technical Support00:07:15 - Key Funding Sources: State Agencies, Associations & Foundations00:11:20 - Leveraging Community Connections & Local Funders00:14:45 - Real-World Examples of Grant-Funded Collaboration00:17:30 - Why Data Matters: Measuring Impact & Telling the Story00:20:10 - Connecting Outcomes to Dollars & Sustainability00:22:40 - Starting Small: Local Resources & First Steps00:25:00 - Closing Thoughts & EncouragementConnect with us: https://ruralpolicypartners.com/ https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartners Watch this episode on YouTube: https://youtu.be/gh9jnt2EX58

In this episode, we sit down with Paula Yost—attorney, licensed mental health clinician, and advocate—to explore what it truly means to advocate for children and families navigating complex systems. Paula shares how her lived experiences, from parenting to surviving medical trauma, have shaped her approach to advocacy, storytelling, and support. Together, we unpack the realities behind IEPs and 504 plans, the gaps families face in education and healthcare systems, and how storytelling can transform grief into growth. This conversation offers both practical insight and a powerful reminder that advocacy is as much about human connection as it is about systems change.In this episode, you will be able to:Discover how lived experience shapes advocacy in education, healthcare, and foster systems.Learn what every parent should know before walking into an IEP or 504 meeting.Understand the gaps in support for families navigating special needs, trauma, and medical systems.Gain insight into how storytelling can create healing, connection, and meaningful change.The key moments in this episode are:00:00:00 - Introduction & Whiny Farmer Intro00:02:00 - Meet Paula Yost: Legal and Clinical Perspectives00:06:30 - Parenting, Creativity, and Critical Thinking00:10:15 - From Grief to Growth: The Power of Storytelling00:14:40 - Advocacy for Special Needs Children & IEP Insights00:18:55 - Understanding IEPs vs. 504 Plans (Data Breakdown)00:22:10 - Navigating Medical Dismissal & Preeclampsia Experience00:26:35 - Foster Care, Trauma, and Education Gaps00:30:50 - What Parents Actually Need (But Rarely Receive)00:34:20 - Using Storytelling to Heal and Advocate00:38:00 - Final Thoughts & ClosingLinks:https://paulayost.com/ Connect with us: https://ruralpolicypartners.com/ https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartners Watch this episode on YouTube: https://youtu.be/u97cuFUg2Us

In this episode of Stepping In It, we explore the difference between peer ambassadors and peer support—and why both are critical in rural communities. From informal community connectors like volunteers and “the guy in the golf cart” at a Critical Access Hospital to trained peer support specialists, we break down how trust, relationships, and lived experience help bridge gaps in access to care. We also dig into the data behind rural mental health and substance use challenges, and why underfunded roles and systemic barriers continue to limit impact despite strong community-driven solutions.In this episode, you will be able to:The difference between peer ambassadors and formal peer support roles in rural communitiesHow community connection and trust influence access to healthcare and resourcesWhy rural areas rely on informal support systems to fill gaps in careKey data points on rural suicide and substance use disparitiesThe impact of underfunding and workforce challenges in behavioral healthHow roles like pharmacists, volunteers, and local ambassadors support community wellbeingThe key moments in this episode are:00:00:08 - Introduction & Whiny Farmer Intro00:01:45 - How Rural Communities Naturally Support Each Other00:04:30 - From Chicken Dances to Community Connection00:06:55 - Peer Ambassadors vs. Peer Support Explained00:10:20 - Real-Life Examples: Volunteers, Front Desk, and “Golf Cart Guy”00:13:40 - Building Trust to Connect People to Care00:16:05 - Data on Rural Suicide & Substance Use Rates00:19:10 - Barriers to Access: Insurance, Workforce, and Geography00:22:30 - Underfunded & Undervalued Roles (Including Pharmacists)00:25:15 - Why Community-Based Solutions Still Matter Most00:27:00 - Closing Thoughts & Call to ActionLinks:https://www.ruralhealthinfo.org/topics/substance-usehttps://www.cdc.gov/rural-health/php/public-health-strategy/public-health-considerations-for-drug-overdose-in-rural-america.htmlhttps://www.air.org/resource/field/exploring-urban-rural-disparities-accessing-treatment-opioid-use-disorderConnect with us: https://ruralpolicypartners.com/ https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartners Watch this episode on YouTube: https://youtu.be/Y4HWK-gO1GA 

In this episode of the Peer Support Series, the hosts explore what peer support looks like in rural communities and why it is becoming an increasingly important strategy to address social isolation and behavioral health challenges. Drawing from recent research and on-the-ground experiences in places like southern Illinois and northwest Colorado, they discuss how rural culture, geography, and community infrastructure shape the way support systems develop. From neighbor-to-neighbor relationships to formal peer workforce roles, the conversation highlights how rural communities can strengthen connection, improve mental health outcomes, and build resilience through intentional social networks.In this episode, you will be able to:Why social isolation is a major risk factor for behavioral health challenges in rural communitiesHow peer support and “neighboring” can strengthen social infrastructure and community healthWhat makes rural communities unique when designing behavioral health and peer support systemsHow everyday gathering spaces—from churches to libraries to local bars—play a role in social connectionWhy cultural traditions and community events can both strengthen relationships and present behavioral health risksThe key moments in this episode are:00:00:00 - Introduction to the Peer Support Series00:00:45 - Defining “rural” and why it matters for behavioral health00:03:00 - Rural communities, agriculture culture, and geographic isolation00:06:30 - Why the team began researching rural peer support models00:09:15 - Social isolation as a driver of behavioral health challenges00:12:40 - Using peer support and neighboring to strengthen social infrastructure00:15:10 - Data insights on rural social infrastructure and community connection00:18:20 - Where people actually gather in rural communities00:20:45 - Cultural events, alcohol use, and rural social dynamics00:23:30 - Community institutions that shape rural life (churches, hospitals, libraries, and local businesses)00:26:00 - Closing reflections on building stronger rural support networksLinks:https://www.ruralhealthinfo.org/rural-monitor/social-infrastructure Connect with us: https://ruralpolicypartners.com/ https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartners Watch this episode on YouTube: https://youtu.be/eQ8JreYPOH8

In this episode, the hosts kick off a new series exploring the role of peer support in behavioral health and rural communities. They unpack what “peer support” really means, the many different models that exist across North America, and how peers show up in settings ranging from mental health and substance use recovery to agriculture, first responders, and community organizations. Drawing on experiences from their travels and research, they explore how neighbors helping neighbors has evolved into a growing workforce of certified peer specialists while also remaining rooted in informal community support. The conversation highlights why peer programs matter, the expanding roles peers play, and the opportunities—and challenges—of strengthening these supports in rural systems of care.In this episode, you will be able to:What peer support and peer recovery mean and how these roles vary across programs and communities.The different types of peer models, including recovery coaches, family support programs, first responder teams, and agricultural mental health initiatives.How peer support programs are structured, trained, and funded across the United States and Canada.Why peer support plays such an important role in rural communities where neighbors helping neighbors is often the first line of support.The key moments in this episode are:00:00:09 - Introduction to the Peer Support Series00:01:20 - Rural life, travel, and launching the conversation on peers00:03:45 - What “peer support” actually means00:07:30 - Different peer models: recovery coaches, family support, and community programs00:11:15 - Peer programs in law enforcement and first responder communities00:14:40 - National organizations and structured peer programs (NAMI and others)00:18:05 - Agricultural mental health initiatives and rural peer networks00:21:10 - Data on the peer support workforce in the United States00:24:30 - Why peer support matters for rural behavioral health systems00:27:00 - Looking ahead to future episodes in the seriesLinks:https://www.guardiannetwork.ca/https://www.center4healthandsdc.org/map-of-national-peer-training-programs.htmlhttps://pmc.ncbi.nlm.nih.gov/articles/PMC11922078/ Connect with us: https://ruralpolicypartners.com/ https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartnersWatch this episode on YouTube: https://youtu.be/V2ewcxWQs-g

In this episode, we’re digging into what it really takes to care for ourselves when life—and work—feel like too much and not enough all at once. From waiting on contracts to managing uncertainty, we get real about the emotional toll of the in-between. We explore clinically-backed benefits of self-care and why it matters more than ever during busy seasons. Plus, we share the biggest barriers to self-care (time, guilt, and good old decision paralysis) and offer practical ways to start small, stay consistent, and give yourself grace. Of course, we kick things off with a whiny farmer intro—because yes, the grass is growing in the driveway again.In this episode, you will be able to:Discover refreshing self-care strategies for a fulfilling summer.Navigate and overcome challenges within the behavioral health system.Explore the impact of weather on mental health and well-being.Implement practical solutions for improving behavioral health.Overcome barriers to self-care and prioritize your well-being.The key moments in this episode are:00:00:02 - Introduction to Behavioral Health Challenges00:01:50 - Summer Challenges and Self-Care00:04:38 - Workload and Seasonal Stress00:08:48 - Managing Self-Expectations00:10:20 - Navigating Contractual Challenges00:11:29 - Understanding the Importance of Self-Care00:13:11 - Benefits of Self-Care00:15:13 - Overcoming Barriers to Self-Care00:18:22 - The Role of Diet in Self-Care00:21:48 - Sustaining Change and Decision Fatigue00:22:42 - Importance of Communication and Support in Relationships00:23:43 - Self-Care and Change of Perspective00:25:09 - Self-Care Looks Different for Everyone00:26:20 - Finding Calm in NatureLinks:https://www.mentalhealthfirstaid.org/2022/03/how-and-why-to-practice-self-care/https://cbtprofessionals.com.au/overcoming-barriers-to-self-care/https://www.snhu.edu/about-us/newsroom/health/what-is-self-carehttps://news.vagaro.com/press-release/survey-finds-three-quarters-of-americans-believe-self-care-activities-provide-stress-reliefConnect with us: https://ruralpolicypartners.com/ https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartners Watch this episode on YouTube: https://youtu.be/RycY0rQzB2o 

Welcome back, and thanks for joining us—yep, it’s that time again: planting season, fixing everything for it just to break again… and that’s not just on the farm. In this episode, we’re digging into the escalating issue of workplace violence in hospitals. From chaotic emergency room scenes to underreported assaults on staff, we uncover what workplace violence really looks like and why it’s often swept under the rug. Backed by startling statistics—like healthcare workers being five times more likely to experience violence—we explore the emotional toll it takes on frontline staff and why anxiety, burnout, and depression are all too common. But there’s hope. We’ll share evidence-based strategies and training programs that can prevent violence before it starts, strengthen organizational culture, and create safer, more supportive healthcare environments.In this episode, you will be able to:Discover effective strategies for preventing workplace violence in hospitals and safeguarding the well-being of healthcare staff.Master de-escalation techniques tailored for behavioral health situations to ensure the safety of both patients and healthcare workers.Uncover the essential training methods for healthcare workers to effectively prevent and respond to workplace violence incidents.Explore innovative approaches to designing safe and secure spaces within healthcare settings to minimize the risk of violence.Understand the profound impact of workplace violence on healthcare staff and learn how to address and mitigate its effects.The key moments in this episode are:00:00:02 - Introduction to Behavioral Health and Workplace Violence00:01:17 - Challenges in Workplace Violence00:03:38 - Underreporting and Data on Workplace Violence00:08:11 - Impact of Workplace Violence on Healthcare Workers00:10:50 - Shift in Training Approaches00:12:25 - Importance of Training and Accreditation00:13:09 - Impact of Training on Workplace Violence00:14:07 - Culture and Training00:17:08 - Importance of De-escalation Training00:20:25 - Diversity of Training Programs00:24:54 - The Stressful Job of Healthcare Workers00:25:49 - Self Care Policy: Asking for Help00:26:26 - Finding Support from Others00:27:01 - Preventing Workplace Violence00:27:59 - Wrapping Up and Call to Action Links:https://www.aha.org/hospitals-against-violence-havhopeCDCConnect with us: https://ruralpolicypartners.com/ https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartnersWatch this episode on YouTube: https://youtu.be/VecY1C5sVTw

In this episode, we continue our deep dive into the Illinois Rural Health Conference, held in Champaign, IL. Join us as we explore the latest trends and critical topics discussed at the conference, from how Millennials are shaping the future of healthcare to the evolving role of peer support in the workforce. We’ll also cover comprehensive chronic care management, the challenges of rural health clinic care coordination, and the ongoing struggle with the stigma of behavioral health needs in rural areas. Plus, we’ll discuss the importance of attending these conferences for networking, staying informed, and bringing back valuable insights to improve healthcare delivery in your own communities. Whether you’re a healthcare professional, a policy maker, or simply interested in rural health, this episode is packed with information you won’t want to miss.In this episode, you will be able to:Discover effective strategies for navigating behavioral health systems to improve patient care and access to mental health services.Gain insights into the impact of weather on agriculture and how it influences food production and distribution, affecting global health and nutrition.Explore how millennials are transforming healthcare and driving innovation to make healthcare more accessible and personalized for all generations.Learn about the power of peer recovery in rural communities and its impact on improving mental health support and addiction treatment accessibility.Uncover effective methods for managing medication donation programs to ensure safe and equitable distribution of medications to those in need.The key moments in this episode are:00:00:02 - Millennials in Healthcare00:08:03 - Peer Recovery in Rural Communities00:10:14 - Chronic Care Management00:11:24 - Medication Donation and Safe Disposal00:12:13 - Safenetrx Program00:13:43 - Medication Management and Disposal00:15:21 - Healthcare Security and Workplace Violence00:19:24 - Federal Rural Health Update00:21:55 - Networking Opportunities00:24:31 - Data Integrity and Selective Reporting00:25:23 - Value of Conferences00:26:12 - Networking and Implementation00:28:08 - Self-Care Tip: Rain Plans00:29:29 - Practicing Flexibility Links:https://peoplecentric.com/ https://www.siumed.edu/center-rural-health-and-social-service-development/certified-recovery-support-specialist-training https://safenetrx.org/ Conference ScheduleConnect with us: https://ruralpolicypartners.com/ https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartners Watch this episode on YouTube: https://youtu.be/hhwWEgFFjd8 

In the final installment of our On the Ground Impact Series—after traveling 3,500 miles across Iowa—we tackle one of the most talked about, yet least understood concepts in behavioral health: “No Wrong Door.” On paper, it promises seamless access, coordinated entry, and person-centered care. But on the ground in rural and underserved communities, the reality is far more complicated. From fragmented systems and workforce shortages to 30-page “resource guides” that don’t translate into real access, we explore whether a true no wrong door approach is achievable—and what would actually have to change to make it real.In this episode, you will be able to:Discover what the “No Wrong Door” concept is designed to accomplish in behavioral health systems.Understand why rural communities struggle to implement coordinated, person-centered access points.Learn how long-term services and supports (LTSS) have advanced nationally—while mental health and substance use systems lag behind.Explore what a true “no refusal” crisis response model looks like and whether it could work in rural settings.The key moments in this episode are:00:00:09 - Introduction & Final Installment of the On the Ground Series00:02:10 - 3,500 Miles Across Iowa: What We’re Seeing on the Ground00:05:42 - What “No Wrong Door” Is Supposed to Mean00:09:18 - The Gap Between Policy Language and Rural Reality00:13:07 - Care Collaboration & the Myth of System Alignment00:16:55 - LTSS Investment vs. Mental Health & SUD Gaps00:20:44 - Why Resource Guides Aren’t the Same as Access00:23:30 - Crisis Response Models & the “No Refusal” Standard00:27:12 - Is System Change Possible Without Pain?00:30:05 - What It Would Take to Make No Wrong Door Real in Rural AmericaLinks:https://www.advancingstates.org/sites/default/files/FINAL%20-%20NWD%20Systems%20-%20Guide%20for%20Community%20Organizations%2011-04-2022.pdfhttps://www.ncbi.nlm.nih.gov/sites/books/NBK571016/https://connectionshs.com/Connect with us: https://ruralpolicypartners.com/ https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartnersWatch this episode on YouTube: https://youtu.be/aqzUgENCyA0

Change is rarely comfortable—especially in complex systems like healthcare, policy, and large organizations—but that doesn’t mean it isn’t necessary. In this episode of the On the Ground Impact Series, we dig into the reality of system change: why it often feels exhausting, where resistance really comes from, and how leaders can move change forward without losing momentum or people along the way. From change fatigue and tribal knowledge to data challenges and decision overload, this conversation explores what actually gets in the way of sustainable transformation—and how to keep going even when the process feels hard.In this episode, you will be able to:Why meaningful system change is almost always painful—and why that doesn’t mean it’s failingHow change fatigue impacts teams, productivity, and moraleThe hidden role of tribal knowledge in slowing or blocking transformationWhat the data says about why so many transformation efforts failPractical insights on sustaining focus, reducing overwhelm, and moving change forward intentionallyThe key moments in this episode are:00:00:00 – Welcome & episode introduction00:02:05 – Why all meaningful change comes with discomfort00:04:10 – Change fatigue and its impact on teams00:06:45 – Data management challenges and system complexity00:09:20 – Tribal knowledge and resistance to documentation00:12:05 – Productivity loss during system transitions00:14:30 – The statistic: why 70% of transformation efforts fail00:16:10 – Losing focus and momentum during long-term change00:18:40 – Sustainability, overwhelm, and decision fatigue00:21:15 – When leaders don’t know what to do next00:23:30 – Closing reflections: continuing change even when it’s hardConnect with us: https://ruralpolicypartners.com/ https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartners Watch this episode on YouTube: https://youtu.be/sMOzL9gq4UY 

In this episode of the On the Ground Impact Series, we go behind the scenes of what care collaboration really means—and why it’s so often talked about but rarely done well. Moving beyond buzzwords, we unpack how true collaboration requires trust, shared vision, clear roles, and accountability across organizations and disciplines. Using real-world examples from healthcare and behavioral health systems, this conversation explores why collaboration efforts fail, what the data tells us about team-based care, and what it will actually take to break down silos so patients don’t fall through the cracks.In this episode, you will be able to:What care collaboration truly is (and why it’s more than internal teamwork).The most common reasons collaboration fails across healthcare systems.How leadership, culture, and incentives impact collaboration success.What the data shows about team-based and collaborative care models.Practical steps organizations can take to improve care coordination and information sharing.The key moments in this episode are:00:00:00 – Introduction & On the Ground Impact Series overview00:02:00 – Setting the stage for collaboration00:04:10 – Defining true collaboration vs. simple cooperation00:07:45 – Why collaboration is rarely done well in healthcare00:11:30 – Leadership, silos, and cultural barriers that derail collaboration00:15:40 – What the data says about collaborative care models00:19:10 – Team-based care explained: roles, structure, and shared plans00:23:50 – Benefits of collaboration for patients, providers, and systems00:27:30 – Practical fixes: communication, coordination, and data sharing00:31:10 – Final thoughts: crossing the street and starting the conversationLinks:https://www.forbes.com/sites/cherylsnappconner/2014/02/17/why-most-collaborations-still-fail-and-5-ideas-for-turning-the-equation-around/https://aims.uw.edu/evidence-base-for-cocm/Connect with us: https://ruralpolicypartners.com/ https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartners Watch this episode on YouTube: https://youtu.be/E3PGCSKzRu0

In this On the Ground Impact Series episode, the hosts move beyond the “big three” behavioral health challenges—funding, workforce, and crisis response—to name the deeper, often unspoken barriers that stall real system change. From policy decisions made far from lived experience, to lack of champions and collaboration, to culture and communication breakdowns, this conversation explores why well-intended initiatives fail and what rural and behavioral health leaders must address to create lasting, people-centered change. Grounded in data and real-world stories from the field, this episode challenges listeners to rethink how change is led, communicated, and sustained.In this episode, you will be able to:Why legislation and policy decisions often drive costs without understanding system realitiesHow the absence of champions and collaboration creates silos and stalled progressWhat data shows about why nearly 70% of change initiatives failHow people, culture, and leadership—not technology—are often the biggest barriersReal-world examples of system failures and missed opportunities for alignmentThe key moments in this episode are:00:00:10 – Welcome & Opening (On the Ground Impact Series intro)00:02:05 – The “Big Three” Challenges in Behavioral Health00:04:12 – Naming the Unspoken Barriers to System Change00:06:40 – Policy & Legislation: Decisions Without Lived Experience00:09:05 – The Cost of No Champion and Lack of Collaboration00:12:18 – Why 70% of Change Initiatives Fail: What the Data Tells Us00:15:30 – People, Culture, and Change Fatigue00:18:42 – Leadership, Communication, and Follow-Through Gaps00:21:55 – Stories from the Field: When Systems Get It Wrong00:25:10 – Why Alignment and Local Awareness Matter00:27:40 – Closing Reflections: What It Really Takes to Create Lasting ChangeConnect with us: https://ruralpolicypartners.com/ https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartners Watch this episode on YouTube: https://youtu.be/wm5G88x9PNI

This episode kicks off our On the Ground series, sharing real-world insights from building behavioral health systems across the Midwest. We name the common challenges showing up across states—workforce shortages, inconsistent mobile crisis response, and one-time funding—while grounding the conversation in key 2025 data that reinforces why this work matters. We also preview the next four episodes, where we’ll dive deeper into system barriers, care collaboration, sustainable change, and whether a true “no wrong door” approach is possible.In this episode, you will be able to:The shared behavioral health system challenges are emerging across rural Midwest statesWhat 2025 mental health data reveals about students, young adults, and low-income communitiesWhy untreated behavioral health carries a major human and economic costWhat to expect in the upcoming On the Ground seriesThe key moments in this episode are:00:00 – Conference season reflections00:03 – Lessons learned from system-building across the Midwest00:06 – Common challenges: workforce, funding, and mobile crisis gaps00:10 – 2025 behavioral health data and societal stress trends00:18 – The economic cost of untreated behavioral health00:22 – Preview of the next four episodes and closing thoughtsLinks:University of MichiganAHA News and Gallup state reportsThe American Psychological Association's 2025 reporthttps://news.gallup.com/poll/693362/drinking-rate-new-low-alcohol-concerns-surge.aspx https://www.forbes.com/sites/sorensonimpact/2025/12/11/the-high-cost-of-low-funding-for-behavioral-healthcare/ Connect with us: https://ruralpolicypartners.com/ https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartners Watch this episode on YouTube: https://youtu.be/6-g8K4Kfwhw 

In this episode, we dive into what coaching and innovation can look like in the rural Midwest when traditional mental health systems fall short. Joined by Jessica, a longtime healthcare leader and nonprofit founder, we explore the realities of rural mental health access, workforce shortages, and the disproportionate impact on youth and marginalized communities. Through lived experience, data, and practical examples, this conversation challenges the “waitlist-only” model of care and highlights why rural communities need more flexible, integrative, and community-driven approaches to mental health support.In this episode, you will be able to:How coaching and integrative models can complement traditional mental health services in rural communitiesWhy nearly 90% of counties in Iowa are designated Mental Health Professional Shortage Areas and what that means for access to careHow workforce shortages disproportionately impact youth and minority populationsWhy innovation, prevention, and appropriately matched interventions are critical in rural mental health systemsHow communities can move beyond “just wait to see a therapist” toward more responsive support modelsThe key moments in this episode are:00:00:00 – Introduction, hosts, and the classic “whiny farmer” rural Midwest intro00:02:10 – Jessica’s background and 20+ years in healthcare and community health00:05:40 – From clinical care to coaching: expanding how we think about mental health support00:08:30 – The data: Iowa’s mental health workforce shortages and rural disparities00:12:15 – Impact on youth, families, and underserved populations00:15:10 – Funding challenges and structural barriers in rural mental health systems00:18:20 – Innovative, integrative approaches that actually meet people where they are00:22:10 – Moving beyond waitlists: reimagining access and intervention in rural communities00:25:00 – Closing reflections and what needs to change nextLinks:https://data.hrsa.gov/topics/health-workforce/shortage-areas/hpsa-findhttps://hhs.iowa.gov/media/14237/download?inlinehttps://www.ruralhealthinfo.org/charts/7Connect with us: https://ruralpolicypartners.com/ https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartners Watch this episode on YouTube: https://youtu.be/C3dRhZY11Wo

In this episode, recorded live from Houston at the Bridge Think Tank, Renee and Jason dive into the complex intersection of economics, human behavior, and the real-world challenges facing behavioral health systems across the country. From the limits of academia and evidence-based models to the nationwide implications of data gaps across parole boards and community reintegration, this conversation explores what truly matters when building policies that work. Together, they unpack how behavioral health shows up everywhere, why narrow niche solutions often miss the mark, and what it will take to design policy and practice that supports communities nationwide.In this episode, you will be able to:Why traditional academic research often misses the lived realities driving human behaviorHow economics and societal cost shape conversations around evidence-based careWhy “data-driven” sounds good—but is incredibly hard to establish in behavioral healthHow behavioral health intersects with systems across the country, including 400+ parole boardsThe challenges of managing release, reentry, and community impactWhat new policy and practice could look like as behavioral health evolves nationwideThe key moments in this episode are:00:00:07 – Introduction & Live From Houston Setup00:02:14 – Academia, Economics & The Cost of Understanding Human Behavior00:07:42 – Evidence-Based Models & What Actually Matters00:11:25 – The Data Problem: Behavioral Health Touches Every System00:14:38 – Parole Boards, Reentry, and Real-World Impact00:18:03 – Narrow Niches vs. Holistic Community Needs00:21:16 – Where Do We Go From Here? Policy & Practice Innovations00:25:10 – Closing Thoughts & What’s NextConnect with us: https://ruralpolicypartners.com/ https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartners Watch this episode on YouTube: https://youtu.be/4sNh0gB5Nbc

As the new year approaches—and yes, in the middle of tax season—this episode takes a grounded, practical look at goal setting and why it truly matters. From the neuroscience behind writing goals down to the data showing how few people actually do it, the hosts unpack what separates vague intentions from real momentum. The conversation also zooms out to share Rural Policy Partners’ own focus areas for the year ahead, including podcast growth, expanded contracts, and leaning into speaking strengths. Equal parts research-backed and real-world, this episode is an invitation to be more intentional about how—and why—you set goals in the new year.In this episode, you will be able to:Why the why behind your goals matters more than the goal itselfThe neuroscience of writing goals down versus typing themSurprising statistics about how few people set goals—and what that meansHow accountability and time-bound goals dramatically increase successThe key goal focus areas for Rural Policy Partners in the year aheadThe key moments in this episode are:00:00:00 – Welcome, introductions, and the classic whiny farmer intro00:02:10 – Why goal setting matters (especially during busy seasons)00:05:15 – The neuroscience of writing goals down vs. typing them00:08:30 – Goal-setting statistics that may surprise you00:12:05 – Why accountability and time-bound goals increase success00:16:20 – Translating data into practical, achievable action00:19:10 – Rural Policy Partners’ goal focus areas for the new year00:23:00 – Speaking, strengths, and looking ahead to what’s next00:25:10 – Closing reflections and encouragement for intentional planningLinks:https://www.zippia.com/advice/goal-setting-statistics/https://positivepsychology.com/benefits-goal-setting/https://hscnews.unm.edu/news/setting-successful-goals https://pmc.ncbi.nlm.nih.gov/articles/PMC11943480/https://www.nsls.org/goal-setting-techniques Connect with us: https://ruralpolicypartners.com/ https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartners Watch this episode on YouTube: https://youtu.be/MoZE7rSiPpM 

In this energetic year-in-review episode, Renee and Jason look back on a whirlwind 2025 filled with travel, conferences, chaotic weather, unexpected wildlife encounters, and powerful moments with rural communities across the country. From Alaska to Texas, North Dakota to Georgia, and everywhere in between, they share what they learned on the road—highlighting innovative “hero programs,” persistent gaps in coordination, and the systems-level challenges shaping behavioral health in rural America. With humor, candor, and their signature “whiny farmer intro,” they unpack the biggest surprises, opportunities, and insights that will shape their work heading into 2026.In this episode, you’ll learn:Where 2025 took us—from Alaska to Texas and 15+ rural health conferencesThe “hero programs” across states that are breaking the mold with creativity and resultsHow drones, autonomous vehicles, telehealth, and mobile crisis innovation are reshaping careWhy collaboration is still the missing ingredient in most rural systemsHow BBB requirements and access barriers continue to impact care deliveryWhy hospitals adding programs (instead of partnering) creates community-level strainThe behind-the-scenes challenges, surprises, and travel mishaps that defined the yearWhat we’re taking forward into 2026 to strengthen rural behavioral healthThe key moments in this episode are:00:00:09 – New Year Welcome & Whiny Farmer Intro00:02:18 – 2025 Travel Highlights: Alaska to Texas, Ohio to Montana00:05:52 – Conferences & Communities That Shaped the Year00:09:14 – Hero Programs: Drones, Telehealth, 4-Wheelers & Real Innovation00:12:40 – What States Get Wrong: Collaboration, Insight & System Alignment00:15:08 – BBB Impact & Access Barriers Across Rural America00:17:26 – Hospitals vs. Community Partnerships: A Tension Point00:19:44 – On-the-Road Adventures: Downpours, Bat Bridges & Surprise Moose00:22:30 – Lessons Learned & Opportunities Ahead in 202600:24:55 – Closing Thoughts & New Year ReflectionsConnect with us: https://ruralpolicypartners.com/ https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartners Watch this episode on YouTube: https://youtu.be/QT7tfO_qe9M 

This week, we’re stepping in it—live from Indiana! After a chaotic detour through CMA Fest (yes, we accidentally ran into Blake Shelton and Rascal Flatts on Broadway), we’re back with crop scouting updates and a deep dive into a powerful conversation from the Hoosier State. Chief Justice Loretta Rush shares Indiana’s bold efforts to reform how the judiciary addresses substance use and behavioral health, moving away from punishment toward person-centered justice. We explore how the state is embedding behavioral health expertise in its highest court, equipping judges with practical tools, and driving collaborative change. Plus, highlights from two standout plenaries: an SEC referee’s playbook on teamwork and a live Glaucomflecken performance that hilariously yet pointedly unpacks our broken healthcare system.In this episode, you will be able to:Discover effective strategies for navigating the behavioral health system and accessing the support you need.Explore the intersection of substance use and juvenile courts, uncovering insights into effective interventions for young people.Gain valuable insights into Indiana's innovative judicial approach to addressing behavioral health challenges.Uncover the potential of diversion programs in behavioral health, and their impact on improving outcomes for individuals.Understand the crucial role of rural health in addressing behavioral issues, and the unique challenges and opportunities it presents.The key moments in this episode are:00:00:02 - Introducing the Stepping in It Podcast00:03:19 - Justice System and Restorative Justice00:05:38 - Challenges in the Justice System00:09:08 - Second Chances and Stigma00:11:03 - Collaboration and Data in Behavioral Health00:12:46 - Data and Resources for Judicial Response to Substance Use Disorders00:13:34 - Courts Leading Change and Available Briefs00:14:30 - Hidden Resources in the National Center for State Courts00:15:50 - Inconsistent Diagnosis and Treatment in Correctional Facilities00:20:30 - Unique Perspectives in Healthcare and Trauma00:25:01 - Working Together for a Better Behavioral Health System00:25:30 - Call to Action00:25:55 - Signing Off00:26:15 - Next Steps00:26:40 - ConclusionLinks:https://documents.ncsl.org/wwwncsl/Summit/2023/Session-Resources/Courts-As-Leaders-in-the-Crisis-of-Addiction.pdfhttps://www.pacourts.us/Storage/media/pdfs/20240819/162643-finalreport.statecourtsleadingchange.pdfhttps://www.ncsc.org/resources-courts/behavioral-healthConnect with us: https://ruralpolicypartners.com/ https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartners Watch this episode on YouTube: https://youtu.be/3ljhwLvnToY

We’re on the road in Flagstaff for the Arizona Rural Health Conference, diving into the unique challenges and opportunities facing rural healthcare in the Southwest. From a whiny farmer update about Arizona’s never-ending dry spell (and Iowa’s surprise rain) to on-the-ground conversations about provider recruitment, mobile crisis units spanning multiple states, and age-friendly system goals by 2026, this episode covers it all. We also unpack the state’s hospital dashboard data, the complexities of healthcare on native lands, and the chaos that ensues when your doctor changes EHR platforms—cue the acronym soup. Join us for insights, laughs, and a look at what might actually be working in the desert.In this episode, you will be able to:Mastering rural healthcare access for behavioral health challenges.Transforming healthcare systems to meet the needs of an aging population.Unveiling the secrets to successful healthcare provider recruitment and retention.Revolutionizing crisis response through mobile interventions.Unraveling the impact of Medicaid on rural healthcare.The key moments in this episode are:00:00:02 - Introduction to Behavioral Health Systems00:03:19 - Changing Systems and Policy Implications00:06:04 - Age-Friendly Health Systems and Medicare00:07:57 - Recruiting Providers and Retention Challenges00:11:17 - Mobile Crisis Response in Arizona00:11:57 - Mobile Crisis Services00:13:35 - Challenges in Mental Health Care00:14:55 - Transparency in Hospital Data00:18:27 - Medicaid Funding00:21:04 - Electronic Health Record Challenges00:24:08 - Taking a Mental Health Day00:25:33 - Balancing Work and Play00:26:47 - Arizona Rural Health Conference00:27:50 - Wrapping Up and Call to Action00:28:19 - Signing OffLinks:https://www.azahcccs.gov/Resources/Reports/AHCCCS-InpatientAdmissionsDashboard.htmlhttps://www.fsg.org/resource/water_of_systems_change/https://crh.arizona.edu/events/51st-annual-arizona-rural-health-conferencehttps://public.tableau.com/app/profile/crisis.network/viz/CRN600-ContactCenterOverallDashboard/CRN600Connect with us: https://ruralpolicypartners.com/ https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartners Watch this episode on YouTube: https://youtu.be/q9fcq75HAMY 

In this special on-the-ground episode, we’re coming to you live from Anchorage, Alaska at the National Association of Rural Mental Health Conference—moose sightings, state fair stories, and all. From the icy beauty of Chickaloon overlooking the Matanuska Glacier to villages with no roads along the Bering Strait, rural takes on a whole new meaning here. We unpack what true community orientation looks like in some of the most remote areas of the country, where resilience is culture and connection is survival. We’ll explore the difference between research done on versus with Indigenous communities, reflect on alarming youth mental health data, and share powerful insights from the Alaska Native Collaborative Hub on protective factors that actually work. Don’t miss this rich conversation on what it really means to build systems with rural communities, not just for them.In this episode, you will be able to:Discover effective strategies for navigating behavioral health systems to better support your community.Overcome challenges in rural mental health access by learning innovative solutions and approaches.Explore the resilience of indigenous communities and gain insights into effective suicide prevention methods.Understand the profound impact of community and culture on mental health and well-being.Learn how to implement mobile crisis services in remote areas to provide timely support and intervention.The key moments in this episode are:00:00:44 - Introduction to the Behavioral Health System00:03:23 - Understanding Rural and Frontier Communities00:09:34 - Youth Suicide and Mental Health Services00:12:44 - Building Resilience in Indigenous Communities00:13:06 - Challenges of Telehealth in Remote Areas00:15:24 - Community-Centered Research00:18:27 - Protective Factors for Youth00:19:41 - Focus on Positive Protective Factors00:23:34 - Community Orientation and Workforce Integration00:25:19 - The Importance of Community in Workplaces00:25:49 - Soft Skills vs. Hard Skills00:26:40 - Self Care and Travel Challenges00:27:32 - Insight from Alaska's Rural Mental Health ConferenceLinks:Book-Research is Ceremony-Indigenous research methods https://www.adn.com/alaska-news/anchorage/2025/05/01/providence-to-close-alaskas-only-short-term-adolescent-mental-health-crisis-center/https://health.alaska.gov/en/education/suicide-facts/https://www.anchrr.orgConnect with us:https://ruralpolicypartners.com/https://www.linkedin.com/linkedin.com/company/rural-policy-partners/https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartners Watch this episode on YouTube: https://youtu.be/B9TAnwrRnWM

In this episode, we take you inside the Louisiana Rural Health Conference, where Renee and Jason delivered the morning keynote focused on the continuum of care and the persistent gaps between high-level inpatient treatment and traditional outpatient services. From powerful conversations about silos, workforce shortages, jail data, and telemedicine reimbursement to unexpected innovations—like a futuristic real-time consultation headset—you’ll hear what rural providers are facing and what opportunities are emerging. This episode captures the pulse of rural health challenges and showcases the impact of convening as a tool for system transformation.In this episode, you will be able to:Why the continuum of care remains fragmented—and how convening breaks down silos.How Louisiana’s jail and competency data highlight gaps in crisis and behavioral health systems.The real challenges providers face around telemedicine reimbursement.Insights into workforce development issues, especially in corrections and re-entry.How innovative technology could shape the future of rural medicine.What happened behind the scenes after the keynote, including key follow-up conversations and policy opportunities.The key moments in this episode are:00:00:09 – Introduction & Whiny Farmer Intro00:01:52 – Keynote Overview & The Continuum of Care Gap00:05:44 – Feedback & The Power of Convening00:08:27 – Louisiana Jail Data & Competency Concerns00:11:56 – Telemedicine Reimbursement Challenges00:14:22 – ED Boarding: Behavioral Health vs. Elderly Needs00:16:48 – The Future-Tech Headset for Real-Time Clinical Support00:19:31 – Workforce Development & Corrections Medical00:22:40 – Telemedicine Policy & Legislative Solutions00:25:12 – Closing Reflections from the ConferenceLinks:https://myhippo.life/ https://lrha27.wildapricot.org/Rural-Health-Summithttps://myhippo.life/https://www.workforcedelivered.com/https://www.lsuhsc.edu/ Connect with us: https://ruralpolicypartners.com/ https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartnersWatch this episode on YouTube: https://youtu.be/Jp-CyfAzcjM 

In this episode, Renee and Jason dive into the science and practice of gratitude—what it is, why it matters, and how it impacts resilience, mental health, and daily life. Through personal stories, practical strategies, and a look at how gratitude shapes mindset and behavior, they explore how small intentional shifts can create meaningful change, especially during challenging seasons. Whether you're heading into the holidays or simply looking for ways to cultivate more emotional well-being, this conversation offers a hopeful, grounded approach to living with more awareness, presence, and gratitude.In this episode, you will be able to:Understand the connection between gratitude and emotional resilience.Learn why gratitude practices improve physical, mental, and relational health.Explore practical ways to build gratitude into daily routines.Hear how mindset, perspective, and intentional actions influence well-being.Discover the role of hope theory and positive psychology in gratitude-based change.The key moments in this episode are:00:00:09 – Introduction & Episode Theme: Gratitude00:00:19 – Thanksgiving Reflections & Why Gratitude Matters00:01:26 – Farming Stories, Humor & Real-Life Challenges00:03:44 – What Gratitude Really Means Beyond Positivity00:04:30 – The Science: Emotional & Physical Benefits of Gratitude00:04:56 – Gratitude as a Tool for Building Resilience00:06:45 – How Gratitude Changes Perspective During Hard Times00:09:54 – The Science of Hope & Pathways to Change00:12:08 – Acknowledging Control vs. Letting Go00:14:20 – Daily Practices that Build a Gratitude Mindset00:16:25 – Using Gratitude to Reduce Stress & Reframe Experiences00:20:47 – How Gratitude Influences Relationships & Community00:23:00 – Jason’s Daily Gratitude Approach00:23:29 – Recommended Reads & Closing ReflectionsLinks:https://hopescore.com/https://www.amazon.com/stores/author/B07D1TH4WB?ccs_id=2e42bee9-d6c4-4196-ab2d-acb9e6f7b9f0https://www.porchlightbooks.com/products/gratitude-project-jeremy-adam-smith-9781684034611Connect with us: https://ruralpolicypartners.com/ https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartners Watch this episode on YouTube: https://youtu.be/o-49Azk0rJ8 

In this episode, hosts Renee Schulte and Jason Haglund sit down with Daryn Nelsen-Soza from NAMI National to explore how the NAMI Provider Program bridges understanding between mental health professionals and the people they serve. Together, they discuss how empathy, education, and lived experience can transform behavioral health care. Daryn shares insights into provider training, NAMI’s mission to close gaps in communication, and how these initiatives are reshaping the culture of care across the country.In this episode, you’ll learn:How the NAMI Provider Program strengthens relationships between clinicians and communities.Why incorporating lived experience in professional training leads to better outcomes.What NAMI is doing nationally to address workforce burnout and compassion fatigue.Ways providers can integrate empathy and self-reflection into their daily practice.The key moments in this episode are:00:00:06 – Introduction & Episode Overview00:00:59 – The Whiny Farmer Intro: November on the Farm00:02:15 – Meet Guest Daryn Nelsen-Soza from NAMI National00:03:40 – How the NAMI Provider Program Started00:06:25 – Bridging Gaps Between Providers and Lived Experience00:09:10 – Common Barriers in Provider Training00:12:00 – Why Empathy and Education Go Hand in Hand00:14:35 – The Role of NAMI in Behavioral Health Workforce Development00:17:50 – Stories of Connection & Impact00:21:20 – Addressing Burnout and Compassion Fatigue00:24:10 – How Providers Can Get Involved00:26:45 – Closing Thoughts & Key TakeawaysLinks:https://www.nami.org/support-education/mental-health-education/nami-provider/https://www.nami.org/wp-content/uploads/2023/08/NAMI_2020MH_ByTheNumbers_Adults-r.pdfhttps://www.statnews.com/2022/04/01/mental-illness-primary-care-research/https://pubmed.ncbi.nlm.nih.gov/36420940/Connect with us: https://ruralpolicypartners.com/ https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartners Watch this episode on YouTube: https://youtu.be/gb8Z5NqMzn0 

In this on-the-road episode, Renee and Jason broadcast live from the Wisconsin Mental Health and Substance Use Recovery Conference, reflecting on how community-driven solutions, workforce realities, and systemic challenges continue to shape behavioral health in rural America. From their trademark “whiny farmer” intro to honest conversations about burnout, access, and innovation, this episode captures the authentic pulse of recovery work in the Midwest — where collaboration meets resilience.In this episode, you’ll learn:How rural recovery conferences build bridges between systems and communities.Why workforce shortages and funding gaps continue to challenge behavioral health access.What lessons from the farm field reveal about balance and burnout in helping professions.How collaboration across counties and care levels is driving innovation in Wisconsin and beyond.The key moments in this episode are:00:00:09 – Introduction & “Whiny Farmer” Returns00:02:15 – Live from Wisconsin: Setting the Scene00:05:40 – Rural Workforce and System Gaps00:10:05 – Community Collaboration and Conference Insights00:14:30 – Lessons from the Field: Burnout, Balance, and Boundaries00:18:45 – Looking Ahead: Recovery, Policy, and HopeLinks:https://bja.ojp.gov/program/jmhcp/overviewhttps://www3.uwsp.edu/conted/Pages/Mental-Health-and-Substance-Use-Recovery-Conference.aspx Connect with us: https://ruralpolicypartners.com/ https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartners Watch this episode on YouTube: https://youtu.be/s1hJQ1OcNmw 

In this episode of Stepping In It, Renee and Jason return to their annual collaboration with Lead DSM to explore one powerful truth: the solutions are in the systems. From the fields to the frontlines of healthcare, they examine how integrated systems can solve some of our most persistent challenges in behavioral health. The conversation opens with a collective check-in—how are we really doing?—before diving into data on isolation, loneliness, and changing social habits. With insights as striking as the fact that loneliness can impact health as severely as smoking 15 cigarettes a day, this episode is a candid, creative, and collaborative look at why behavioral healthcare is healthcare—and how systems-level solutions can lead the way forward.In this episode, you will be able to:Discover how systems thinking creates sustainable solutions in behavioral healthcare.Learn about the impact of isolation and lifestyle behaviors on community health.Understand the value of collaboration and creativity in addressing systemic challenges.Explore how data and real-world examples guide change at every level of care.The key moments in this episode are: 00:00:03 - Introduction & Episode Overview 00:00:57 - Whiny Farmer Intro: Harvest Updates 00:02:30 - Lead Des Moines Partnership: Systems in Action 00:05:45 - Why Systems Provide Sustainable Solutions 00:08:10 - Isolation and Loneliness Data 00:10:35 - Drinking, Smoking, and Behavioral Trends 00:13:00 - Collaborative and Creative Problem Solving 00:15:50 - Closing Reflections on Systemic ChangeLinks:https://pubmed.ncbi.nlm.nih.gov/25910392/ https://ph.ucla.edu/news/press-release/2021/oct/ucla-led-research-finds-americans-drank-more-smoked-more-and-exercised Connect with us: https://ruralpolicypartners.com/ https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartners Watch this episode on YouTube: https://youtu.be/3GvCLT6-ij8 

In this special “Scary” episode of Stepping In It, we dive into the top 10 most frightening challenges confronting behavioral health in 2025. From looming Medicaid cuts and crushing rural healthcare debt to the persistent stigma, workforce shortages, and the rise of AI in care, we uncover the realities keeping providers, patients, and policymakers up at night. Alongside hard-hitting issues like transportation barriers, lack of evidence-based practices, and growing isolation in rural communities, we also tackle the unexpected—Bigfoot. Yes, you heard that right. If researchers can track Sasquatch sightings across the country, why is it still so hard to connect people with a therapist? Join us for a mix of data, dark humor, and serious conversation on the scariest realities shaping behavioral health today.In this episode, you will be able to:Explore the top scariest issues facing behavioral health in 2025.Hear how funding challenges, stigma, and technology are shaping care.Learn about rural healthcare struggles from the frontlines.Discover how policy, workforce, and community voices intersect in reform.The key moments in this episode are:00:00:06 - Introduction to Episode 113: Scariest Issues in Behavioral Health 202500:01:08 - Family Costumes, Soup Holiday, and Traditions00:01:24 - Balancing Harvest with Halloween Parties00:02:00 - Coyotes, Full Moons, and Spooky Farm Nights00:02:53 - Transition into the Top 10 Scariest Issues00:03:44 - #10: Federal Funding Cuts & Medicaid Uncertainty00:04:38 - #9: Stigma Blocking Access to Care & Housing00:05:47 - #8: Cannabis & THC Policy Challenges (Texas Example)00:06:53 - THC Risks: Link to Psychosis and Psychiatric Disorders00:07:15 - #7: Technology & AI in Behavioral Health00:07:50 - #6: Transportation Barriers to Accessing Services00:08:15 - #5: Data Gaps and Research Limitations00:08:40 - #4: Evidence-Based Practices and Implementation Challenges00:09:10 - #3: Workforce Shortages Across Rural Behavioral Health00:09:45 - #2: Isolation and Its Mental Health Impact00:10:15 - #1: Bigfoot (Sasquatch) – A Lighthearted Wrap-Up00:23:05 - Closing Reflections & Bigfoot Crowned as Scariest of All00:23:15 - Self-Care Policy of the Week: Removing Hidden Triggers from Environments00:24:35 - Holiday Season Guidance: Making Sobriety an Easier Choice00:24:49 - Episode Wrap-Up & Preview of What’s NextLinks:https://www.bfro.net/gdb/ Connect with us: https://ruralpolicypartners.com/ https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartners Watch this episode on YouTube: https://youtu.be/4bdFqc50DMM 

In this episode of Stepping In It, we dive into the often-overlooked reality of vicarious trauma—the emotional residue left behind when professionals are repeatedly exposed to the pain, fear, and trauma of others. Sometimes called “secondary traumatization,” this phenomenon is distinct from burnout and is now recognized in the DSM-5 as a trauma- and stressor-related disorder. We explore the data behind its prevalence, unpack how it shows up in the lives of helping professionals, and share strategies for building resilience through awareness, balance, and connection. Whether you’re a clinician, advocate, or community leader, this conversation offers tools to navigate the weight of the stories you carry and sustain your own well-being.In this episode, you will be able to:Understand what vicarious trauma is and how it differs from burnout.Explore the impact of secondary exposure to trauma on professionals in corrections, healthcare, and counseling.Learn how constant exposure to traumatic stories can lead to emotional exhaustion and compassion fatigue.Discover strategies for awareness, balance, and connection to protect helpers from secondary stress.The key moments in this episode are:00:00:02 - Introduction to Episode 112: Vicarious Trauma00:04:29 - Shifting from Trauma in Individuals to Secondary Trauma in Professionals00:05:18 - The Role of Media and Global Events in Amplifying Vicarious Trauma00:06:05 - Experiences from the Parole Board and Layers of Trauma in Stories00:07:44 - Defining Vicarious Trauma: Emotional Residue and Compassion Fatigue00:09:08 - Controlled Empathy: The Exhaustion of Managing Reactions00:10:00 - Mobile Crisis Experiences and Coping with Intense Situations00:11:26 - Leadership Layers: Supporting Teams Exposed to Trauma00:13:00 - Impact on Relationships: When Both Partners Work in Trauma Fields00:13:53 - Confidentiality and the Challenge of Processing Trauma Stories at Home00:22:31 - Mindset and Reframing: Choosing Positivity Amid Stress00:24:24 - Gratitude Practice and Daily Habits for Balance00:25:44 - Recovering Politician Self-Care Policy of the Week: Bubble Breaks00:27:30 - Normalizing Breaks and Playfulness in the WorkplaceLinks:https://www.cdcr.ca.gov/bph/wp-content/uploads/sites/161/2021/10/Trauma-Fact-Sheets-October-2021.pdfConnect with us: https://ruralpolicypartners.com/ https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartners Watch this episode on YouTube: https://youtu.be/0-nj0f41l8Q

In this episode of Stepping In It, we go live from the Missouri Rural Mental Health Conference to explore how technology is reshaping rural healthcare. From drones buzzing the farm fields to AI transforming patient care, we unpack innovations that spark both hope and hesitation. We also take a closer look at Missouri’s latest Rural Health Needs Assessment, spotlighting alarming increases in drug overdoses and suicide, alongside the critical shortage of primary care providers and broadband access. Plus, hear the inside scoop on the launch of Causeway, a new initiative tackling system-wide change. It’s a mix of data, policy, and a little good-natured farmer grumbling you won’t want to miss.In this episode, you will be able to:Discover how system changes in healthcare impact everyone in rural communities.Learn about Missouri’s Rural Health Needs Assessment and what the data reveals.Explore the introduction of the Causeway and its role in connecting healthcare leaders.Understand how drones, technology, and AI are reshaping rural health and farming.Hear about ongoing challenges with IT, broadband, and provider shortages in Missouri.The key moments in this episode are:00:00:04 - Introduction, Live from Missouri Rural Mental Health Conference00:02:05 - How System Changes Impact Everyone00:02:42 - Introducing the Causeway: A New Connectivity Tool00:03:15 - Exploring AI in Healthcare and Rural Systems00:09:25 - Missouri Rural Health Needs Assessment Findings00:12:48 - Data: 127% Increase in Overdose Deaths00:14:10 - Suicide Deaths Rising & Rural Mortality Trends00:15:22 - Primary Care Shortages vs Metro Areas00:16:05 - Broadband Access Gaps for Telehealth00:21:00 - Complaining about IT & Tech Limitations00:23:10 - Closing Thoughts & Reflections from MissouriLinks:https://mrhassociation.org/healthneeds/https://mrhassociation.org/annualconference2025/https://mrhassociation.org/healthneeds/Connect with us: https://ruralpolicypartners.com/ https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartners Watch this episode on YouTube: https://youtu.be/PeBKWsMLX08 

In this special live episode from the Texas Organization of Rural and Community Hospitals (TORCH) Conference, we dive into breaking policy news and its impact on rural healthcare. Governor Abbott’s recent signing of HB 18 brings $5 billion toward mental health service infrastructure, but looming federal Medicaid cuts could cost Texas $39 billion over the next decade—threatening access for rural communities. We unpack the numbers, the politics, and the implications for hospitals and patients alike, while also bringing you the lighter side of Austin with stories of bat bridges, honky-tonks, driverless Ubers, and even a donut-and-beer run.In this episode, you will be able to:Hear highlights from the TORCH Conference and Governor Abbott’s signing of major healthcare legislation.Understand how HB 18 and new funding streams aim to expand Texas’ mental health infrastructure.Learn about the projected $39B Medicaid cuts and their implications for rural hospitals.Explore the challenges and opportunities facing rural healthcare leaders in Texas.Enjoy lighter moments from Austin, including bats, honky-tonks, driverless Ubers, and a donut-and-beer run.The key moments in this episode are: 00:00:07 - Introduction & Live from TORCH Conference 00:01:10 - Governor Abbott’s Visit & Legislative Signing 00:02:20 - HB 18 and $5B for Mental Health Infrastructure 00:07:49 - Medicaid Cuts: $39B Losses Over 10 Years 00:10:15 - Impact on Rural Hospitals & Communities 00:12:45 - Conference Stories and Networking Highlights 00:14:07 - Austin Adventures: Bats, Honky-Tonks & Driverless Ubers 00:16:30 - Donut & Beer Run Tradition 00:18:00 - Closing Reflections & TakeawaysLinks:https://legiscan.com/TX/bill/HB18/2025https://www.texaspolicyresearch.com/bills/89th-legislature-hb-18/https://www.dallasobserver.com/news/texans-who-might-lose-medicaid-after-trump-cuts-are-very-worried-22679500https://www.houstonchronicle.com/health/article/texas-medicaid-cuts-big-beautiful-bill-20774741.phphttps://www.kff.org/medicaid/allocating-cbos-estimates-of-federal-medicaid-spending-reductions-across-the-states-enacted-reconciliation-package/ https://kffhealthnews.org/news/article/state-budget-fallout-trump-health-funding-cuts-obbba/ Connect with us: https://ruralpolicypartners.com/ https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartners Watch this episode on YouTube: https://youtu.be/jC_dRDo6F4k

In this episode of Stepping In It, we sit down with Jerry Fu, a career and leadership coach who helps leaders become more visible, vocal, and valuable. With a background in pharmacy leadership and certifications in Emotional Intelligence, Talent Optimization, and Life Design, Jerry brings unique insight into how coaching can bridge the gap between providers and patients to improve compliance. We explore the real challenges behind medication adherence—where long-term compliance often falls below 50%—and discuss how collaboration, coaching, and true engagement can transform both healthcare outcomes and leadership effectiveness.In this episode, you will be able to:Discover how leadership coaching can improve engagement between healthcare providers and patients.Learn why collaboration is a key factor in increasing patient compliance.Explore the barriers that keep patients from following treatment plans and what really motivates adherence.Understand how pharmacy leadership experience connects to coaching and healthcare outcomes.Uncover data-driven insights into medication adherence and what it means for the future of healthcare.The key moments in this episode are:00:00:00 - Introduction to Episode 110 with Guest Jerry Fu00:01:04 - Jerry’s Background in Pharmacy and Leadership Coaching00:01:20 - Jason’s Whiny Farmer Intro: Southern Rust and Harvest Challenges00:02:15 - Jerry’s Path from Pharmacist to Leadership Coach00:05:10 - Using Coaching to Improve Engagement with Providers and Patients00:07:45 - Collaboration as a Strategy to Increase Patient Compliance00:10:22 - Medication Adherence Data and Compliance Challenges00:13:40 - Why Patients Struggle with Following Long-Term Therapies00:16:05 - Motivations that Drive True Patient Compliance00:19:15 - How Coaching Fits into Healthcare and Leadership Development00:22:00 - Practical Lessons from Jerry’s Work with Leaders and Teams00:25:30 - Wrapping Up and Where to Learn More from Jerry FuLinks:https://www.adaptingleaders.comhttps://pmc.ncbi.nlm.nih.gov/articles/PMC2503662/Connect with us: https://ruralpolicypartners.com/ https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartners Watch this episode on YouTube: https://youtu.be/SEinKABdaDY

In this episode of Stepping In It, we sit down with Kaila Anderson, licensed social worker, professor, and creator of The LandLogic Model℠, a groundbreaking framework designed to meet farmers where they are in their mental health journey. Drawing from her family’s experience during the 1980s Farm Crisis and a decade of service in rural Kansas, Kaila shares how LandLogic uniquely leverages the agrarian imperative—faith, family, legacy, sensory experience, and connection to the land—to break down barriers between farmers and behavioral health professionals. We explore practical tools like Barbed Wire Thinking and the FARM Tool, new research on provider training, and how small but powerful shifts can transform the way rural communities approach mental health.In this episode, you will be able to:Learn how Kayla Anderson’s Land Logic model supports farmer behavioral health.Hear how lived experience from the Farm Crisis shaped her research and passion.Explore the unique barriers farmers face in accessing mental health services.Discover how rural clinicians and communities can use practical interventions.Reflect on the cultural importance of farming traditions and identity in behavioral health.The key moments in this episode are: 00:00:00 - Introduction to Episode 108 with Kayla Anderson and Land Logic 00:00:25 - Kayla Anderson’s background and passion for farmer mental health 00:00:42 - Whiny farmer intro: Jason’s farm auctions and collecting tools 00:02:00 - Challenges and stressors farmers face across generations 00:04:15 - Kayla shares her family’s 5th generation farm experience and the 1980s Farm Crisis 00:06:20 - Barriers to accessing behavioral health services in rural communities 00:09:05 - How Land Logic was developed to support farmer mental health 00:12:30 - Examples of interventions tailored to farmers’ needs 00:15:40 - Importance of cultural understanding in rural clinical practice 00:18:25 - Farmers’ reluctance to seek mental health help and stigma issues 00:21:10 - Kayla’s vision for improving behavioral health outcomes in farming communities 00:24:00 - Adjunct professor role and bridging academia with lived rural experience 00:26:30 - Closing thoughts and continuing the conversation on rural behavioral healthLinks:https://www.ruralhealthinfo.org/topics/rural-health-disparitieshttps://www.thelandlogicmodel.com/https://farmstress.us/land-logic-behavioral-health-training/Connect with us: https://ruralpolicypartners.com/ https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartners Watch this episode on YouTube: https://youtu.be/CT1DNTkjfMo

In this episode of Stepping In It, we talk with Kimberly Johnson, CEO of Arch Collaborative and founder of the Children’s Legacy Center. Kimberly shares her journey as a mother of five navigating a broken behavioral health system and her work leading reform. We explore rural challenges—from crisis care gaps to lack of infrastructure—and the power of trauma-informed, community-driven solutions to transform care in California’s North State and beyond.In this episode, you will be able to:Discover how lived experience shapes leadership in behavioral health reform.Learn about federal initiatives and workforce development challenges.Understand the role of advocacy in advancing rural and underserved communities.Gain insights from Kimberly Johnson’s impact at both state and national levels.The key moments in this episode are:00:00:09 - Introduction & Guest Kimberly Johnson00:02:15 - Kimberly’s Background & Lived Experience00:06:05 - Federal Perspective on Behavioral Health00:08:27 - Workforce Challenges00:12:16 - Building Systems of Care for Rural Communities00:15:40 - Lessons from the Farm Crisis00:19:05 - Advocacy in Policy Change00:22:11 - Future Directions for Behavioral Health00:25:22 - Closing ThoughtsLinks:https://www.najeralawgroup.com/blog/california-domestic-violence-rate/https://openjustice.doj.ca.gov/exploration/crime-statistics/domestic-violence-related-calls-assistancehttps://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/Crisis-Care-Continuum.aspxhttps://healthpolicy.ucla.edu/our-work/publications/building-californias-comprehensive-988-crisis-system-strategic-blueprint-draft?language=enhttps://www.archcollaborative.org/https://www.dhcs.ca.gov/BHT/Pages/FAQ-Prop1.aspxConnect with Kimberly:https://www.instagram.com/ospshasta/?hl=enhttps://www.instagram.com/childrenslegacycenter/?hl=enhttps://www.instagram.com/kimberlylanelle/?hl=enhttps://www.linkedin.com/in/kimberly-l-johnson-7803a374/https://www.linkedin.com/company/archcollaborative/https://www.facebook.com/OneSafePlaceShasta/https://www.facebook.com/childrenslegacycenter/Connect with us: https://ruralpolicypartners.com/ https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartnersWatch this episode on YouTube: https://youtu.be/nWSxR1f3f8I

In this episode of Stepping In It, we’re fresh off the Ohio Rural Health Conference and digging into the biggest takeaways. From telehealth becoming the new standard for specialty and psychiatric care to the rise of telehospitalists improving patient outcomes in rural hospitals, we explore what these shifts mean for behavioral health access. We also unpack ongoing confusion around B3 and OBBBA definitions, highlighting how unclear policy impacts care delivery. Plus, pharmacist and coach Jerry Fu shares the AGES model for learning and leadership—offering practical ways to break through barriers, connect to what people value, and create lasting change.In this episode, you will be able to:Discover highlights from the Ohio Rural Health Conference and what they mean for rural healthcare.Explore the intersection of farming life and behavioral health in real conversations.Learn how rural communities are addressing workforce shortages and innovative care solutions.Uncover surprising challenges and opportunities in behavioral health access across states.Hear firsthand reflections on travel, conferences, and the realities of rural health advocacy.The key moments in this episode are:00:00:08 - September 9th, Episode 106: Ohio Rural Health Conference Review00:00:17 - Kicking off the podcast and today’s topic00:00:21 - Reflections on Ohio trip and rural conference experiences00:00:48 - Road trip stories and setting the stage00:01:05 - Observations from farming fields and weed control00:01:37 - Extra moisture and its impact on crops00:02:13 - Conference location in Oxford, Ohio00:02:22 - Surprising reflections on Miami University memories00:02:46 - College culture and local atmosphere00:03:22 - Small-town quirks and social traditions00:04:10 - Transition into rural health conference sessions00:05:02 - Keynote highlights and national updates on rural health00:06:28 - Rural workforce challenges and opportunities00:08:15 - Behavioral health stigma in rural Iowa communities00:09:50 - Federal perspectives on rural healthcare access00:11:30 - Suicide prevention discussions and next steps00:13:05 - Wrapping up with reflections and call for continued advocacyLinks:https://www.ohioruralhealth.org/upload/25finalconferencebook.pdfhippocampusConnect with us: https://ruralpolicypartners.com/ https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartners Watch this episode on YouTube: https://youtu.be/pG-dBcOyu-A

In this episode, we’re diving into the urgent realities of crisis care in rural and remote communities with the brilliant Dr. Jess Spohn (they/them), a neurosparkly public health social worker and national voice for equitable mental health and substance use services. From their home in Southern New Mexico, Dr. Jess shares what crisis really looks like in underserved areas, how the state’s Crisis Now model is making a difference, and why culturally-inclusive, strengths-based approaches matter — especially for marginalized populations like 2SLGBTQIA+ folks. We talk water pressure, Legos, and what it takes to build crisis systems that actually work in the places that need them most.In this episode, you will be able to:Identify the roadblocks rural communities face in accessing crisis care.Explore innovative models like mobile crisis teams and youth response systems.Learn key steps to establish crisis centers tailored to rural needs.See how culturally relevant and tech-driven solutions expand access to care.Discover strategies to break barriers and build fair, effective mental health systems.The key moments in this episode are: 00:00:00 - Podcast Intro and Hosts’ Water Woes 00:02:39 - Meet Dr. Jess Spone: Crisis Care Expert 00:05:16 - Rural vs Urban Crisis Challenges in New Mexico 00:08:12 - Crisis Centers & Mobile Crisis Models 00:11:20 - Partnerships & MRSS Youth Teams 00:13:23 - Accessibility in Rural & Remote Areas 00:16:40 - Innovations in Mobile Response & Telehealth 00:17:58 - Culturally Relevant Care for Indigenous & Spanish-Speaking Populations 00:20:25 - Crisis Centers as Community Hubs 00:25:58 - National Tools & Resources for Crisis Systems 00:27:15 - Federal Guidance & Rural Challenges 00:29:02 - Overcoming Barriers with Creativity 00:30:10 - Empowering Communities Through Collaboration 00:30:39 - Life Lessons from Weather 00:31:54 - Tech & Innovation in Rural LifeLinks:https://yes.nm.gov/nmhr/s/new-mexicos-crisis-now-continuum-of-car?language=en_UShttps://988crisissystemshelp.samhsa.gov/ (has links to all kinds of great reports, guidance documents, and toolkits)https://www.ruralhealthinfo.org/toolkits/mental-health/2/access/crisis-response https://yes.nm.gov/nmhr/s/new-mexicos-crisis-now-continuum-of-car?language=en_UShttps://nmrecovery.org/Connect with us: https://ruralpolicypartners.com/ https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartners Watch this episode on YouTube: https://youtu.be/uTbiTUz3rKo 

In this episode, we’re back in Champaign, Illinois, recapping key takeaways from the Illinois Rural Health Association Conference — and this one’s all about Artificial Intelligence. We’re talking workflow algorithms, predictive modeling, and using AI to actually improve patient-provider relationships (yes, really). Dr. Kayur Patel challenges the status quo, reminding us that better outcomes start with better systems. We dig into staggering data on medical errors — the third leading cause of death in the U.S. — and explore how AI tools can analyze entire medical records, reduce diagnostic mistakes, and personalize care in real time. Plus, why 95% of the data we collect never gets used — and what it’ll take to change that.In this episode, you will be able to:Discover how to simplify the behavioral health system to better support patients in rural communities.Explore the game-changing impact AI has on improving healthcare diagnostics accuracy and speed.Learn how integrating technology can unlock the power of precision medicine for personalized patient care.Uncover the ways AI is revolutionizing mental health treatment to offer more tailored and effective solutions.Experience the benefits of personalized healthcare screenings that can catch issues earlier and improve outcomes.The key moments in this episode are:00:00:00 - Introduction to Behavioral Health System Challenges and Podcast Overview00:02:15 - Illinois Rural Health Conference Insights and Lyme Disease Awareness00:04:30 - Exploring Artificial Intelligence in Healthcare and Behavioral Health00:06:45 - Personalized Medicine and AI’s Potential to Revolutionize Health Records00:11:00 - Medical Errors, Data Utilization, and the Need for Precision Medicine00:12:45 - Personalized Medical Screening and Its Cost Benefits00:14:01 - Ownership and Accessibility of Medical Records in Modern Healthcare00:16:46 - AI’s Role in Behavioral Health and Diagnostic Accuracy00:18:16 - Balancing HIPAA Compliance with AI Integration in Healthcare00:21:30 - Integrating Wearables and AI for Holistic Health Monitoring00:25:25 - Overcoming FOMO with Intentional Self-Care00:26:19 - Balancing Travel and Self-Care in a Busy Life00:26:41 - Engaging with Listeners and Growing the Community00:26:58 - Navigating Behavioral Health Challenges in Rural Communities00:27:30 - Continuing the Conversation for Better Behavioral Health Systems Links:https://www.fuchsberg.com/blog/leading-medical-errors-cause-of-death-in-usConnect with us: https://ruralpolicypartners.com/ https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartners Watch this episode on YouTube: https://youtu.be/CBXRJ421zss 

In this episode of Stepping In It, Jason talks with Will Humble, former director of the Arizona Department of Health Services and now executive director of the Arizona Public Health Association. They dig into Arizona’s behavioral health challenges—from justice-related initiatives to the state’s 49th-place ranking in adult mental health care access. Will shares why mid-level treatment options could be the missing link, the political and advocacy hurdles slowing progress, and how new funding and legislation might help. Tune in for a candid look at what’s happening, what’s needed, and what it will take to build a better system in Arizona.In this episode, you will be able to:Identify barriers to care in Arizona’s behavioral health system.See why mid-level psychiatric care could improve outcomes.Understand how advocacy shapes mental health services.Learn how politics impact funding and programs.Explore strategies to address workforce shortages.The key moments in this episode are:00:00:02 - Introduction to Behavioral Health System Challenges and Podcast Goals00:01:11 - Identifying the Missing Intermediate Behavioral Health Care Level in Arizona00:03:58 - Comparing Climate and Behavioral Health Issues Across Regions00:05:30 - Arizona’s Low Ranking in Inpatient Psychiatric Care and System Strengths00:08:17 - The Obstacles to Establishing Behavioral Health Facilities in Arizona00:14:34 - Navigating State Health Department Regulations for Behavioral Health Facilities00:19:36 - Timeline and Challenges for Implementing Behavioral Health Pilots00:21:25 - Balancing Civil Liberties and Pragmatic Care in Behavioral Health Policy00:23:34 - Importance of Grassroots Advocacy in Advancing Behavioral Health Reform00:27:23 - Addressing Workforce Shortages in Behavioral Health Across Arizona00:28:51 - Strategies for Expanding Behavioral Healthcare Workforce00:29:26 - Personalized Caffeine Use and Self-Care Insights00:30:56 - Navigating Behavioral Health Challenges in Rural Arizona00:31:21 - Importance of Intermediate Behavioral Health Care Access00:32:12 - Engaging Listeners to Improve Behavioral Health SystemsLinks:https://www.kff.org/statedata/mental-health-and-substance-use-state-fact-sheets/arizona/https://www.nami.org/wp-content/uploads/2023/07/ArizonaStateFactSheet.pdfhttps://cronkitenews.azpbs.org/2024/04/30/arizona-ranks-49th-nation-for-access-adult-mental-health-care/https://arizonamadmoms.com/Helping Loved Ones Get the Care They Need: Navigating Arizona’s Court-Ordered Treatment Process for Persons with Mental Illness (Part I of III) – AZ Public Health AssociationConnect with us: https://ruralpolicypartners.com/ https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartnersWatch this episode on YouTube: https://youtu.be/jz9KMnawOqE

Change is coming, fast and furious, and in this episode, we’re talking about how to stay sane and strategic while the world around you evolves. After a whiny farmer moment (new equipment shopping blues, anyone?), we’ll dig into today’s rapid pace of change, from back-to-office shifts and layoffs to funding cuts and digital disruption. We’ll also unpack the numbers: why most change initiatives fail, how burnout is sabotaging transformation, and why proactive planning isn’t optional anymore. Plus, a look ahead at what’s coming, from healthcare privatization to hopping in a Robotaxi in Austin. Change isn’t slowing down, are you ready to manage it?In this episode, you will be able to:Discover how to skillfully navigate behavioral health system changes without feeling overwhelmed or lost.Understand the hidden impact rapid system changes have on your team’s mental health and well-being.Learn effective ways to manage stress during organizational change that actually stick and reduce burnout.Uncover unique opportunities that mental health system reforms bring to improve your organization and care delivery.Recognize why strong policies and procedures are the backbone of successful change management in behavioral health.The key moments in this episode are:00:00:00 - Introduction to Behavioral Health Systems and Change Management00:01:30 - Personal Insights and Perspectives on Change in Agriculture and Life00:03:30 - The Impact of Rapid System Changes on Behavioral Health Leadership00:05:45 - Navigating Organizational Change: Reacting vs. Responding00:07:15 - Anchoring Behavioral Health Work Through Policies and Mission00:12:12 - Embracing Change in Integrated Health Systems for Children00:14:48 - Funding Challenges and Policy Trade-offs in Medicaid Waivers00:16:50 - The Low Success Rate of Change Initiatives and the Importance of Leadership00:19:36 - Managing Stress and Burnout Through Stable Communication and Policies00:22:02 - Effective Leadership Communication During Large-Scale Changes00:24:51 - Managing Emotions and Focusing on Practical Change00:26:07 - Utilizing Resources and Asking Questions During Change00:28:31 - Breaking Down Change with Timelines and Measured Responses00:30:05 - Identifying Opportunities Amidst Change and Risk Tolerance00:34:15 - Embracing Change with Leadership Wisdom and Self-Care00:36:25 - Leadership Challenges and Seeking Support00:36:40 - Introduction to the Bravery System and Its Challenges00:37:09 - Community Engagement and Resource Sharing00:37:20 - Commitment to Behavioral Health System Improvement00:37:35 - Closing Remarks and Host IntroductionsLinks:https://www.walkme.com/blog/change-management-statistics/https://www.processexcellencenetwork.com/change-management/articles/the-evolving-nature-of-change-management-a-new-approach-for-the-age-of-disruptionConnect with us: https://ruralpolicypartners.com/ https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartners Watch this episode on YouTube: https://youtu.be/4E5yz0DLbFY

In this episode, we’re digging into the heart of what makes a health system truly age-friendly. After a classic whiny farmer intro (spraying before the rain, you know the drill), we’ll break down the 4Ms framework—What Matters, Medication, Mentation, and Mobility—and explore how these evidence-based practices are helping older adults receive safer, more personalized care. We’ll also take a look at recent data and research that show why aligning care with the needs of older adults and their caregivers isn’t just good medicine, it’s essential. Whether you’re a clinician, caregiver, or just aging (aren’t we all?), you’ll want to hear this one.In this episode, you will be able to:Discover how mastering behavioral health systems can transform care coordination and improve outcomes for older adults.Explore the steps to implement Age Friendly Health Systems that truly put seniors’ unique needs at the center of care.Unlock the secrets to effective medication management that can prevent complications and enhance quality of life for seniors.Learn proven strategies to prevent falls and keep elderly loved ones safe and independent longer.Integrate mental health seamlessly into age-friendly care to boost overall well-being and resilience in older adults.The key moments in this episode are:00:00:00 - Introduction to Behavioral Health Systems and Podcast Overview00:01:00 - Personal Challenges with Agriculture and Workplace Humidity00:03:00 - Exploring Age-Friendly Health Systems and Senior Care Needs00:06:00 - Understanding the Four M’s Framework for Senior Care00:11:30 - Challenges and Implementation of Age-Friendly Systems in Real Life00:13:30 - Integrating Behavioral Health in Falls Prevention for Older Adults00:15:01 - Medication Management Challenges and Pharmacy Support for Seniors00:18:26 - Expanding Brain Health Beyond Mental Health for Aging Populations00:19:19 - Designing Age-Friendly Healthcare Spaces and Coordinated Care Hubs00:23:36 - The Future of Age-Friendly Care: Research, Implementation, and Cost Savings00:26:40 - Utilizing Support Tools and Seeking Help in Challenging Times00:28:30 - Modeling Help-Seeking Behavior and Community Support in Farming00:29:11 - Preventative Health and Building Resilience for Long-Term Wellbeing00:30:17 - Age-Friendly Health Systems and the Value of Prevention00:31:13 - Engaging with the Stepping In It Podcast CommunityLinks:https://www.ihi.org/partner/initiatives/age-friendly-health-systemshttps://pmc.ncbi.nlm.nih.gov/articles/PMC11579577/https://afhsresearchnetwork.ucsf.edu/age-friendly-health-systems-research-networkConnect with us: https://ruralpolicypartners.com/ https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartners Watch this episode on YouTube: https://youtu.be/hl486rnGjbk  

Ever wonder what it really takes to keep a podcast going for 100 episodes? In this special behind-the-scenes look, we’re sharing the bloopers, the breakthroughs, and the barriers we’ve faced along the way—from loud hotel lobbies and microphone mishaps to internet outages and cleaning lady cameos. We revisit the top 10 most-played episodes, the conversations that made an impact, and the YouTube Shorts that sparked new dialogue. Plus, we reflect on what we’ve loved most about the journey—and what’s next as we double down on rural mental health, policy change, and the powerful stories at the intersection of healthcare and criminal justice. And yes, it starts with a whiny farmer intro, naturally.In this episode, you will be able to:Discover how mastering behavioral health systems can transform the way you support clients and navigate complex care pathways.Understand the hidden barriers in mental health access that often go unnoticed but deeply impact patient outcomes.Explore the surprising behind-the-scenes elements of podcasting that make conversations about behavioral health truly resonate.Uncover how recent policy changes are reshaping behavioral health services and what that means for your work on the ground.Learn effective strategies to captivate and engage audiences during conferences, making your behavioral health message unforgettable.The key moments in this episode are:00:00:02 - Introduction to the Stepping In It Podcast and Hosts’ Mission00:02:10 - Behind the Scenes of Podcasting: Equipment, Locations, and Challenges00:04:52 - Memorable Podcasting Moments on the Road00:07:33 - Podcasting Setup and Logistics: Angles, Technology, and Home Environment00:08:37 - Conference Experiences and Lessons Learned from the Road00:13:04 - Challenges and Frustrations with Conference Planning and Execution00:17:36 - Top Podcast Episodes and Themes in Mental Health and Advocacy00:20:25 - The Popularity of Podcast Shorts and Engaging Content00:22:14 - Benefits of Podcasting for Education and Engagement00:23:44 - Potential Expansion into Mental Health Topics and Clinical Insights00:24:43 - Expanding Podcast Topics with Guest Stories and Simplified Policy Updates00:27:46 - Growing Reach Through Speaking Engagements and Multi-State Impact00:30:15 - Exploring the Intersection of Healthcare, Criminal Justice, and Rural Mental Health00:31:42 - Prioritizing Self-Care and Engaging Listeners Through Social Media Shorts00:34:34 - Celebrating Podcast Milestones and Encouraging Listener InteractionConnect with us: https://ruralpolicypartners.com/ https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartnersWatch this episode on YouTube: https://youtu.be/ibzYKVlRRvE 

In this episode, we’re digging into what it really takes to care for ourselves when life—and work—feel like too much and not enough all at once. From waiting on contracts to managing uncertainty, we get real about the emotional toll of the in-between. We explore clinically-backed benefits of self-care and why it matters more than ever during busy seasons. Plus, we share the biggest barriers to self-care (time, guilt, and good old decision paralysis) and offer practical ways to start small, stay consistent, and give yourself grace. Of course, we kick things off with a whiny farmer intro—because yes, the grass is growing in the driveway again.In this episode, you will be able to:Discover refreshing self-care strategies for a fulfilling summer.Navigate and overcome challenges within the behavioral health system.Explore the impact of weather on mental health and well-being.Implement practical solutions for improving behavioral health.Overcome barriers to self-care and prioritize your well-being.The key moments in this episode are:00:00:02 - Introduction to Behavioral Health Challenges00:01:50 - Summer Challenges and Self-Care00:04:38 - Workload and Seasonal Stress00:08:48 - Managing Self-Expectations00:10:20 - Navigating Contractual Challenges00:11:29 - Understanding the Importance of Self-Care00:13:11 - Benefits of Self-Care00:15:13 - Overcoming Barriers to Self-Care00:18:22 - The Role of Diet in Self-Care00:21:48 - Sustaining Change and Decision Fatigue00:22:42 - Importance of Communication and Support in Relationships00:23:43 - Self-Care and Change of Perspective00:25:09 - Self-Care Looks Different for Everyone00:26:20 - Finding Calm in NatureLinks:https://www.mentalhealthfirstaid.org/2022/03/how-and-why-to-practice-self-care/https://cbtprofessionals.com.au/overcoming-barriers-to-self-care/https://www.snhu.edu/about-us/newsroom/health/what-is-self-carehttps://news.vagaro.com/press-release/survey-finds-three-quarters-of-americans-believe-self-care-activities-provide-stress-reliefConnect with us: https://ruralpolicypartners.com/ https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartnersWatch this episode on YouTube: https://youtu.be/8HejLdHahFI

In this episode, we dig into how physical spaces can foster emotional wellbeing, strengthen communities, and serve as true social hubs—not just buildings. From healthcare clinics tucked along the interstate to state hospitals undergoing transformation, we explore how intentional design can either isolate or invite connection. Join us as we talk with Zach from MKM in Indianapolis and Todd from JLG in Fargo about trauma-informed architecture, sunlight and color’s impact on mood, and the growing need for spaces that promote interaction in a world where more people than ever are living—and dining—alone. Plus, we revisit the “barbershop model” and how communities can flourish in the most unexpected places.In this episode, you will be able to:Master strategies to navigate behavioral health system challenges.Uncover the keys to improving access to vital mental health services.Design healthcare facilities tailored to meet the unique needs of your community.Understand the profound impact of social isolation on mental health.Break down barriers within the healthcare system to enhance community wellness.The key moments in this episode are:00:00:15 - Navigating Behavioral Health Systems00:04:14 - Designing Behavioral Health Buildings00:08:00 - Challenges in Rural Behavioral Health Projects00:10:53 - Building Social Hubs for Community Well-being00:12:03 - Importance of Location in Healthcare00:15:33 - Effects of Social Isolation00:18:26 - Designing Hospitals as Community Hubs00:20:07 - Inclusivity in Healthcare Design00:21:12 - Creating Community-Centered Healthcare Spaces00:23:51 - Importance of Community Planning for Health00:24:57 - Role of Environment in Health00:25:20 - Importance of Socialization in Fitness Activities00:26:36 - Embracing Community Activities for Health00:27:56 - Designing Community for Social Connection Links:https://traumainformedhousing.poah.org/sites/default/files/rkdl/files/What_is_Trauma-Informed_Design.pdfhttp://bowlingalone.com/https://www.cnn.com/2024/08/31/business/solo-dining-restaurants-reservationshttps://www.hhs.gov/sites/default/files/surgeon-general-social-connection-advisory.pdfhttps://www.healthpopuli.com/2025/03/25/from-bowling-alone-to-eating-alone-what-the-shift-to-take-out-food-means-for-our-social-well-being-and-mental-health/Connect with us: https://ruralpolicypartners.com/ https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartnersWatch this episode on YouTube: https://youtu.be/d_s6JZvOArk

In this episode of Stepping In It, we head north to check in on the bold system changes underway in North Dakota. From a $300 million investment in a new state hospital to expanding pediatric and acute care beds across the state, it’s clear the momentum is building. Governor Armstrong has declared behavioral health a statewide priority—backed by creative partnerships, smart policy, and a vision to become the healthiest state in the nation once again. We hear from longtime senator Tim Mathern, dive into the state’s behavioral health data, and explore how foundations, insurers, and public agencies are working together to redefine how we measure and support community wellness. Oh, and yes—there’s a whiny farmer, some unexpected yoga mats, and a few gift cards along the way.In this episode, you will be able to:Discover effective strategies for navigating behavioral health systems to better support your clients' needs.Learn how to improve access to behavioral health services in rural areas, making a positive impact in underserved communities.Overcome the challenges of rural health travel and find innovative solutions to ensure individuals can access the care they need.Explore the impact of VRBO on rural travel and its potential influence on behavioral health access in remote areas.Gain insights into developing state behavioral health plans that address the unique needs of diverse populations, fostering more inclusive support systems.The key moments in this episode are:00:00:02 - Introducing the Stepping in It Podcast00:00:15 - Navigating Behavioral Health Challenges00:00:44 - Jason's Rural Travel Adventures00:06:18 - Governor Armstrong's Advocacy for Behavioral Health00:10:18 - Progress in North Dakota's Behavioral Health Initiatives00:12:10 - Challenges with the State Hospital00:13:37 - Challenges of Moving the State Hospital00:14:50 - Impact of Term Limits00:16:23 - North Dakota's Health Initiative00:20:30 - Utilizing Data for Improvement00:23:49 - Reconnecting Communities and Behavioral Health00:24:07 - State Health Improvement Plan00:25:35 - Advocating for Community Safety00:28:46 - Importance of Civic Engagement Links:https://www.hhs.nd.gov/behavioral-health/datahttps://www.hhs.nd.gov/sites/www/files/documents/BH/Data/SU%20and%20MI%20Adult%202023%20-WEB.pdfhttps://www.hhs.nd.gov/sites/www/files/documents/BH/Data/2025%20BH%20DataBook.pdfConnect with us: https://ruralpolicypartners.com/ https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartners Watch this episode on YouTube: https://youtu.be/Xd3vnSxK6tA

This week, we’re stepping in it—live from Indiana! After a chaotic detour through CMA Fest (yes, we accidentally ran into Blake Shelton and Rascal Flatts on Broadway), we’re back with crop scouting updates and a deep dive into a powerful conversation from the Hoosier State. Chief Justice Loretta Rush shares Indiana’s bold efforts to reform how the judiciary addresses substance use and behavioral health, moving away from punishment toward person-centered justice. We explore how the state is embedding behavioral health expertise in its highest court, equipping judges with practical tools, and driving collaborative change. Plus, highlights from two standout plenaries: an SEC referee’s playbook on teamwork and a live Glaucomflecken performance that hilariously yet pointedly unpacks our broken healthcare system.In this episode, you will be able to:Discover effective strategies for navigating the behavioral health system and accessing the support you need.Explore the intersection of substance use and juvenile courts, uncovering insights into effective interventions for young people.Gain valuable insights into Indiana's innovative judicial approach to addressing behavioral health challenges.Uncover the potential of diversion programs in behavioral health, and their impact on improving outcomes for individuals.Understand the crucial role of rural health in addressing behavioral issues, and the unique challenges and opportunities it presents.The key moments in this episode are:00:00:02 - Introducing the Stepping in It Podcast00:03:19 - Justice System and Restorative Justice00:05:38 - Challenges in the Justice System00:09:08 - Second Chances and Stigma00:11:03 - Collaboration and Data in Behavioral Health00:12:46 - Data and Resources for Judicial Response to Substance Use Disorders00:13:34 - Courts Leading Change and Available Briefs00:14:30 - Hidden Resources in the National Center for State Courts00:15:50 - Inconsistent Diagnosis and Treatment in Correctional Facilities00:20:30 - Unique Perspectives in Healthcare and Trauma00:25:01 - Working Together for a Better Behavioral Health System00:25:30 - Call to Action00:25:55 - Signing Off00:26:15 - Next Steps00:26:40 - ConclusionLinks:https://documents.ncsl.org/wwwncsl/Summit/2023/Session-Resources/Courts-As-Leaders-in-the-Crisis-of-Addiction.pdfhttps://www.pacourts.us/Storage/media/pdfs/20240819/162643-finalreport.statecourtsleadingchange.pdfhttps://www.ncsc.org/resources-courts/behavioral-healthConnect with us: https://ruralpolicypartners.com/ https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartners Watch this episode on YouTube: https://youtu.be/RvJhQ2p0cz8

We’re on the road in Flagstaff for the Arizona Rural Health Conference, diving into the unique challenges and opportunities facing rural healthcare in the Southwest. From a whiny farmer update about Arizona’s never-ending dry spell (and Iowa’s surprise rain) to on-the-ground conversations about provider recruitment, mobile crisis units spanning multiple states, and age-friendly system goals by 2026, this episode covers it all. We also unpack the state’s hospital dashboard data, the complexities of healthcare on native lands, and the chaos that ensues when your doctor changes EHR platforms—cue the acronym soup. Join us for insights, laughs, and a look at what might actually be working in the desert.In this episode, you will be able to:Mastering rural healthcare access for behavioral health challenges.Transforming healthcare systems to meet the needs of an aging population.Unveiling the secrets to successful healthcare provider recruitment and retention.Revolutionizing crisis response through mobile interventions.Unraveling the impact of Medicaid on rural healthcare.The key moments in this episode are:00:00:02 - Introduction to Behavioral Health Systems00:03:19 - Changing Systems and Policy Implications00:06:04 - Age-Friendly Health Systems and Medicare00:07:57 - Recruiting Providers and Retention Challenges00:11:17 - Mobile Crisis Response in Arizona00:11:57 - Mobile Crisis Services00:13:35 - Challenges in Mental Health Care00:14:55 - Transparency in Hospital Data00:18:27 - Medicaid Funding00:21:04 - Electronic Health Record Challenges00:24:08 - Taking a Mental Health Day00:25:33 - Balancing Work and Play00:26:47 - Arizona Rural Health Conference00:27:50 - Wrapping Up and Call to Action00:28:19 - Signing OffLinks:https://www.azahcccs.gov/Resources/Reports/AHCCCS-InpatientAdmissionsDashboard.htmlhttps://www.fsg.org/resource/water_of_systems_change/https://crh.arizona.edu/events/51st-annual-arizona-rural-health-conferencehttps://public.tableau.com/app/profile/crisis.network/viz/CRN600-ContactCenterOverallDashboard/CRN600Connect with us: https://ruralpolicypartners.com/ https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartners Watch this episode on YouTube: https://youtu.be/eC1CiWux4X8

In this powerful episode, we sit down with Nina Richtman, Director of Policy and Advocacy at the Treatment Advocacy Center, to explore what happens when behavioral health needs go unmet and youth fall through the cracks—landing in the justice system instead. Nina shares her unique journey from agriculture scientist to nonprofit advocate, and how her data-driven mindset and experience at NAMI and the CSG-Justice Center have shaped her work at the intersection of health and justice. We dive into the increasing mental health challenges facing children in Iowa, what’s working (and what’s not) in the current system, and what families truly need for support. Plus, we close out with our "Recovering Politician Self-Care Policy of the Week" to help you declutter your life and your mindset.In this episode, you will be able to:Mastering the Maze: Navigating Behavioral Health Systems to support children with complex needs.Unveiling the Realities: Shedding Light on the Challenges in the Foster Care System.Beyond the Transition: Understanding the Journey from Foster Care to Juvenile Justice.Unlocking Access: Strategies for accessing Mental Health Services for Youth in need.Balancing Act: Exploring the Impact of Legal System on Behavioral Health Treatment.The key moments in this episode are:00:00:02 - Introduction to Behavioral Health Systems and Structures00:01:09 - Navigating Mental Health and Juvenile Justice Systems00:02:34 - Transition from Agriculture to Behavioral Health00:09:16 - Challenges of Foster Care and Mental Health00:13:59 - Gaps in Mental Health Support for Children00:14:28 - Lack of Intensive Day Programs for Kids with Complex Behavior Issues00:15:31 - Testing the Environment and Safety Perception00:17:39 - Gaps in Mental Health System00:20:30 - Colliding with the Juvenile Justice System00:27:52 - Long-Term Impact on Youth Offenders00:28:24 - Challenges in the Behavioral Health System00:29:54 - Lawsuit Settlement and Future Plans00:30:50 - Importance of Case Coordination00:32:36 - Fragmentation and Integration in Healthcare00:36:39 - Self-Care Policy of the Week - KISS Links:https://www.americashealthrankings.org/explore/measures/mentalhealthconditions_overall/IAhttps://hhs.iowa.gov/media/13217/download?inlinehttps://hhs.iowa.gov/performance-and-reports/iowa-youth-surveyhttps://www.americashealthrankings.org/explore/measures/mentalhealthconditions_overall/IAhttps://hicsiowa.org/blog/what-percentage-of-children-suffer-from-mental-health-conditions/Parents are giving up custody of kids to get them mental health helpConnect with us: https://ruralpolicypartners.com/ https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartnersWatch this episode on YouTube: https://youtu.be/aEUnpVqFXxo

Reporting live from the Association of Parole Authorities International conference in Atlanta—right after finally getting that dryer delivered—we're digging into the surprising overlap between mental health and the parole system. From a panel discussion that bridged the worlds of corrections and behavioral health to staggering data on incarceration and supervision, this episode challenges the way we think about justice and support. With over 25,000 people under probation in Iowa alone, and 6,200 on parole, it’s clear we need upstream solutions. We explore the role of specialty courts, diversion programs, and community reintegration, and shine a light on the work of ICAN in advocating for incarcerated youth. This conversation is about systems—but even more, it’s about second chances.In this episode, you will be able to:Understand the complexities of the behavioral health system and its impact on reentry success.Explore the crucial connection between parole and mental health to support successful reintegration into society.Learn effective strategies for conducting risk assessments in corrections to enhance support for individuals reentering society.Discover the valuable benefits of peer support in reentry programs for individuals with a history of involvement in the criminal justice system.Explore the significance of implementing diversion programs in behavioral health to support successful reentry and reduce recidivism.The key moments in this episode are:00:00:02 - Introduction to the Stepping in it Podcast00:00:15 - Challenges in Accessing Behavioral Health System00:00:44 - The Intersection of Parole and Mental Health00:01:54 - Global Themes in Behavioral Health00:06:18 - Challenges with Risk Assessments00:12:58 - Criminal Justice System Engagement00:13:46 - State Comparison00:16:23 - High Incarceration Rates00:19:52 - Pretrial Policies00:21:48 - Implementing Changes00:25:44 - Challenges with Policies and Procedures00:27:19 - Impact of Felon Association Condition00:29:25 - Effective Support and Cost Savings00:31:06 - Rethinking Recidivism Measurement00:33:02 - Importance of Self-Care Routine Links: https://www.prisonpolicy.org/https://cfsy.org/what-we-do/ican-stories/Connect with us: https://ruralpolicypartners.com/ https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartnersWatch this episode on YouTube: https://youtu.be/-eGx_VID4e0

Today’s episode takes a raw and relatable look at what it means to live with mental illness—and why peer support is more than just a feel-good idea. We’re joined by Josh, a certified peer support specialist, NAMI program leader, and unapologetic gamer navigating home ownership (with the help of a clueless cat). From personal experience to public policy, Josh shares how his journey shapes the work he does across Iowa. We dive into national mental health statistics, explore the intersection of mental illness and the criminal justice system, and unpack what it would take to truly center lived experience in the systems meant to serve. Come for the driveway-gravel woes, stay for the conversation that might just change how you see peer support.In this episode, you will be able to:Discover how NAMI provider training enhances support for reentry programs.Explore the invaluable benefits of peer support in improving behavioral health.Uncover the unique challenges of mental health care within incarceration facilities.Learn about the pivotal role peers play in driving criminal justice reform.Understand the significant impact of peer support specialists on reentry success.The key moments in this episode are:00:04:26 - Josh Hubbell’s Introduction to NAMI00:08:05 - Challenges in Mental Health Education in Corrections00:10:56 - Gaps in Reentering the Community00:12:19 - Speaking to Law Enforcement and Mental Health Advocacy00:12:39 - NAMI's Training Component with Law Enforcement Academy00:14:18 - Treatment Options in Prisons00:16:20 - Overrepresentation of Mental Illness in Criminal Justice Settings00:20:33 - Utilizing Peers in Mental Health Support00:24:43 - Employment Barriers for Felons00:25:11 - Stigma and Labels00:31:25 - Addressing Policy Issues00:34:42 - Self-Care and Advocacy00:36:52 - The Importance of Unity Links: https://www.nami.org/about-mental-illness/mental-health-by-the-numbers/1 in 5 U.S. adults experience mental illness each year1 in 20 U.S. adults experience serious mental illness each year1 in 6 U.S. youth aged 6-17 experience a mental health disorder each year50% of all lifetime mental illness begins by age 14, and 75% by age 24Suicide is the 2nd leading cause of death among people aged 10-14https://pmc.ncbi.nlm.nih.gov/articles/PMC4182175/#:~:text=Introduction,health%2C%20and%20social%20services%20intersect.Connect with us: https://ruralpolicypartners.com/ https://www.linkedin.com/linkedin.com/company/rural-policy-partners/ https://www.facebook.com/facebook.com/ruralpolicypartnershttps://www.youtube.com/@ruralpolicypartnersWatch this episode on YouTube: https://youtu.be/jPggZkuPxSU