Health Hats, the Podcast

Danny & Oscar muse about tension between thumbnails & descriptions, superconductors & the environment, health hats origin, life & bad habits, like snarkiness. About the Show Welcome to Health Hats, learning on the journey toward best health. I am Danny van Leeuwen, a two-legged, old, cisgender, white man with privilege, living in a food oasis, who can afford many hats and knows a little about a lot of healthcare and a lot about very little. Most people wear hats one at a time, but I wear them all at once. I'm the Rosetta Stone of Healthcare. We will listen and learn about what it takes to adjust to life's realities in the awesome circus of healthcare. Let's make some sense of all this. We respect Listeners, Watchers, and Readers. Show Notes at the end. Watch on YouTube None today. Check back later Read Newsletter The same content as the podcast, but not a verbatim transcript. Could be a book chapter with images. download the printable transcript here Contents Table of Contents Toggle About the ShowWatch on YouTubeRead NewsletterContentsEpisodePodcast introProemTitles, ThumbnailsDescriptionsClick-throughWho opens, downloadsSuperconductors, trains, speedEnvironmental impactEnvironmental sustainabilityHow does it benefit people?Why do you enjoy hats?PlugLife, the Universe, and EverythingSnarkinessCall to actionReflectionPodcast OutroEpisode NotesProduction TeamOther CreditsDisclaimerRelated podcastsCreative Commons Licensing Episode Podcast intro Welcome to Health Hats, the Podcast. I'm Danny van Leeuwen, a two-legged cisgender old white man of privilege who knows a little bit about a lot of healthcare and a lot about very little. We will listen and learn about what it takes to adjust to life's realities in the awesome circus of healthcare. Let's make some sense of all of this. Proem Welcome to this third bonus episode. We’re busy producing the next Emerging Adults with Mental Illness episode about Cultural Humility. It’s taking longer than expected because we’re combining three 30–40-minute dynamite interviews into one episode, and my team has new school semester obligations. So, Oscar and I chatted, sitting on his couch. I asked him to ask me anything, and he did. No video today. We might put one up in the future. What a hoot. Here goes. Health Hats: Oscar first asked me about how people find my material, whether via the web, podcast platforms, or YouTube. We talked about titles, thumbnails, descriptions, click-through rates. Titles, Thumbnails Health Hats: Titles are hard. Oscar: Titles? In what way are titles hard? Health Hats: For example, in my series on Emerging Adults with Mental Illness, I have 15 episodes or so. I have a few words in the title and then the number in the Emerging Adults with Mental Illness series. The unique thing is those few words. I did that because I wanted people to know it's part of a series. But Emerging Adults with Mental Illness has so many characters that I'm trying to keep it to 60 characters. Okay. Then, it doesn't leave that many characters for something to be unique. Oscar: So, then what if you put the emerging adults with mental illness, and you put it in the thumbnail. You put those like words, like text, in the thumbnail. Descriptions Health Hats: Or in the description. Oscar: When a viewer looks at the video, they'll see the, maybe, the thumbnail for a brief second, they'll see the title, and then they'll, it'll probably like autoplay. They won't see the description until they click on it, and if you want to know, if you wanted them to know that it's part of a series, then you could do it in the thumbnail. Of course, that could mess up your captivating thumbnail. Health Hats: That's a lot of words for a thumbnail. It is hard. So, I try to pay attention to the title and the headings of the description. There's a tension between being descriptive of what's in the section or catchy. Oscar: Okay. Interesting,

Rodney Elliott discusses the PATIENTS Program, a community-research partnership for health equity. The podcast explores authenticity, engagement, & growth. About the Show Welcome to Health Hats, learning on the journey toward best health. I am Danny van Leeuwen, a two-legged, old, cisgender, white man with privilege, living in a food oasis, who can afford many hats and knows a little about a lot of healthcare and a lot about very little. Most people wear hats one at a time, but I wear them all at once. I'm the Rosetta Stone of Healthcare. We will listen and learn about what it takes to adjust to life's realities in the awesome circus of healthcare. Let's make some sense of all this. We respect Listeners, Watchers, and Readers. Show Notes at the end. Watch on YouTube Read Newsletter The same content as the podcast but not a verbatim transcript. Could be a book chapter with images. download the printable transcript here Contents Table of Contents Toggle About the ShowWatch on YouTubeRead NewsletterContentsEpisodeProemPodcast introHealth is fragile: sports injury.Health is fragile: caregiverThe table setter for the PATIENTS Program through the Bridge podcastHenrietta LacksRelationship between academics and the communityListening first wherever we canInternal marketingPlugPeer into the future – a yearGenuine, authentic, transparent, humbleNext play mentalityPodcasting communitiesInternReflection Podcast OutroProduction TeamOther CreditsLinks and referencesDisclaimerRelated podcastsCreative Commons Licensing Episode Proem I specialize in patient/ caregiver/ clinician/ community partnerships and the intersection between research, technology, and the health journey. This sentence describes the nut of what Health Hats offers. The key word is partnerships. My antennae quiver when I sense a mature, evolving community-research partnership. So, I readily agreed when my friends and colleagues, Janice Tufte and Sneha Dave, invited me to attend the SHining the SpOtlight Wide (SHOW) Conference. The PATIENTS Program sponsored the SHOW Conference. The PATIENTS Program envisions a world in which patients and stakeholders are heard, inspired, and empowered to co-develop patient-centered outcomes research (PCOR). The PATIENTS Program is an interdisciplinary research team of community partners and researchers housed at the University of Maryland School of Pharmacy that works to change the way we think about research by creating a path for health equity in West Baltimore. Our guest, Rodney Elliott, and his production partner, Eric Kettering, reached out to me after the virtual conference. They host a podcast, The Bridge: Your Health Your Voice, at the PATIENTS Program. We decided to interview each other for our respective podcasts. Here’s the link to Rodney and Eric’s version. Stay tuned for mine. Same raw footage, very different output. Podcast intro Welcome to Health Hats, the Podcast. I'm Danny van Leeuwen, a two-legged cisgender old white man of privilege who knows a little bit about a lot of healthcare and a lot about very little. We will listen and learn about what it takes to adjust to life's realities in the awesome circus of healthcare. Let's make some sense of all of this. Health is fragile: sports injury. Health Hats: When did you first realize health was fragile? Rodney Elliott: I realized health was fragile at two distinct times. Back to that part when I said I was playing basketball overseas in Europe, I had a significant injury for one year in Italy. I was playing, and it was the start of the game. It was a jump ball. I jumped the ball to start the game. A referee didn't move out of the way like they usually do. And I came down on his foot and fractured my ankle. I was out for the rest of the season. It was playoff time, just horrible. I rehabbed all summer, started that next year, and still had issues, so much so that I had surgery the following year. Up until that point, a sprained finger,

Journey in adlibbed speaking, video editing, business growth strategies, & the ups/downs of personal life, including music & health challenges. Bobbleheads, too About the Show Welcome to Health Hats, learning on the journey toward best health. I am Danny van Leeuwen, a two-legged, old, cisgender, white man with privilege, living in a food oasis, who can afford many hats and knows a little about a lot of healthcare and a lot about very little. Most people wear hats one at a time, but I wear them all at once. I'm the Rosetta Stone of Healthcare. We will listen and learn about what it takes to adjust to life's realities in the awesome circus of healthcare. Let's make some sense of all this. We respect Listeners, Watchers, and Readers. Show Notes at the end. Watch on YouTube Read Newsletter The same content as the podcast, but not a verbatim transcript. Could be a book chapter with images. download the printable transcript here Contents Table of Contents Toggle About the ShowWatch on YouTubeRead NewsletterContentsEpisodePodcast introOn-micSeeking consultationMastermind communitiesBeehiveMusic, of courseDouble visionEpisode NotesProduction TeamOther CreditsDisclaimerSponsored by AbridgeLinksBusiness PlanRelated podcastsCreative Commons Licensing Episode Podcast intro Welcome to Health Hats, the Podcast. I'm Danny van Leeuwen, a two-legged cisgender old white man of privilege who knows a little bit about a lot of healthcare and a lot about very little. We will listen and learn about what it takes to adjust to life's realities in the awesome circus of healthcare. Let's make some sense of all of this. On-mic Welcome to this second bonus episode for Health Hats, the Podcast subscribers and patrons. These on-mic bonus episodes reflect on my writing, recording, and producing adventures. On-mic means just me extemporaneously. On-mic is challenging for me as I prefer to write and read a script, but then it looks like I’m reading. I’ve gotten anti-glare glasses, so my glasses don’t reflect. I’m trying out a new feature today with this bonus episode where the app rejiggers my eyes, so it looks like I’m looking at the camera. How does it look? Seeking consultation Lately, I have focused on improving my video editing skills, like transitions between scenes, use of images when I don’t have or don’t want to use video, and settling on the fewest possible video editing apps. A couple of months ago, I used six apps, Zoom (to record the call), Descript (for transcription), Shotcut and DaVinci Resolve (for video editing), and Audacity and Auphonic (for audio editing). Steve Heatherington, of The Alpaca Tribe Podcast fame, counsels me on efficient audio and video editing workflow. Last episode, I used three, Descript, Audacity, and Auphonic. Progress. I just engaged Julia Higgins, a freelance marketing professional, to help me integrate my business plan, website, and use of social media. I’ll put a copy of my business in the show notes. I’ve never really cared about how many followers I have, but now I want to grow my paid subscribers and patrons to build my production team. Also, my wife retired, so I’d like the podcast to be more self-supporting. Reviewing my mission, vision, and audience periodically helps me stay fresh, engaged, and relevant. I can’t overstate the joy of working with my grandsons on this podcast. One coaches me in video editing; the other takes the first pass at editing audio transcripts into newsletters. We have several years of mutual warm criticism that greases the process considerably. Mastermind communities I still participate in a weekly Sunday call with other podcasters. We’ve Zoomed since 2018 as a team at Seth Godin and Alex DePalma’s second Podcasting course. Steve Heatherington teaches that course now. I host a couple of mastermind groups. Reckoning with various podcasts with different subjects (Alpacas, Hansel, and Gretel fairytale, secondary education, environmental educator,

Dive into the intricate web of conflicting healthcare incentives. Dr. Wang explains how health economics guides resource allocation for better outcomes. About the Show Welcome to Health Hats, learning on the journey toward best health. I am Danny van Leeuwen, a two-legged, old, cisgender, white man with privilege, living in a food oasis, who can afford many hats and knows a little about a lot of healthcare and a lot about very little. Most people wear hats one at a time, but I wear them all at once. I'm the Rosetta Stone of Healthcare. We will listen and learn about what it takes to adjust to life's realities in the awesome circus of healthcare. Let's make some sense of all this. We respect Listeners, Watchers, and Readers. Show Notes at the end. Watch on YouTube Read Newsletter The same content as the podcast but not a verbatim transcript. Could be a book chapter with images. download the printable transcript here Contents Table of Contents Toggle About the ShowWatch on YouTubeRead NewsletterContentsEpisodeProemIntroducing Dr. Yun (Sherry) WangPodcast introMental health research-it’s complicatedHealth Economics – How is money spent?From whose point of view? Different reasons to spend moneyDirect and indirect costsSchizophrenia, for exampleUnder- and over-utilizationMedicare and MedicaidHealth Economics for decision makingHealth economics for policymakersThe time frame for economic analysis – years or lifetime?A word from our sponsor, AbridgePlugHealth Economics for advocatesHealth economics and homelessnessIncarcerationCrystal ball gazing far into a lifetimeA more comprehensive viewBuprenorphineStigma and BuprenorphineHome value disparities as an indicatorMapping disparitiesReflectionPodcast OutroProduction TeamOther CreditsLinks and referencesDisclaimerSponsored by AbridgeRelated podcastsCreative Commons Licensing Episode Proem Photo by Rodion Kutsaiev on UnSplash Several guests in this Emerging Adults with Mental Illness series discussed conflicting incentives. What does that even mean? Do incentives mean motivation? Why we do what we do? Are we talking about incentives for patients and caregivers, insurance companies, consultants, vendors, policymakers, clinicians, drug companies, pharmacy benefit companies, employers, or communities? In the last episode with Dr. Amanda Chue, we examined dynamic tensions. Incentives certainly cause tensions. Health Image created in DALL.E care is big business, with massive amounts of money involved, extremely fragmented systems within systems, and much power at stake. No wonder we think of conflicting incentives. The first health economist I knew personally was Jane Sarasohn-Kahn, of Health Populi fame. Full disclosure, Jane introduced me to blogging and suggested my name and brand, Health Hats. Introducing Dr. Yun (Sherry) Wang Photo by Francesco Gallarotti on UnSplash Our guest today is Dr. Yun Wang, who prefers Sherry. Dr. Wang is Assistant Professor in Health Economics and Outcomes Research at Chapman University School of Pharmacy. Before joining Chapman, she worked in global health, epidemiology, social science, clinical pharmacy, health economics, and health service research in Asia, Australia, and America. She is also an Alumni Affiliate at the Center for the Study of Race, Ethnicity & Equity, Washington University in St Louis. Her research interests lie in pharmacoepidemiology and health service research for substance users and chronic disease patients—a perfect guest for us. Podcast intro Welcome to Health Hats, the Podcast. I'm Danny van Leeuwen, a two-legged cisgender old white man of privilege who knows a little bit about a lot of healthcare and a lot about very little. We will listen and learn about what it takes to adjust to life's realities in the awesome circus of healthcare. Let's make some sense of all of this. Health Hats: Sherry, thank you so much for joining us today. I'm excited about this. We met a month or two ago,

PCORI’s Dr. Chue brings to light the complexities & challenges of conducting research, engaging stakeholders, and implementing findings in real-world settings. About the Show Welcome to Health Hats, learning on the journey toward best health. I am Danny van Leeuwen, a two-legged, old, cisgender, white man with privilege, living in a food oasis, who can afford many hats and knows a little about a lot of healthcare and a lot about very little. Most people wear hats one at a time, but I wear them all at once. I'm the Rosetta Stone of Healthcare. We will listen and learn about what it takes to adjust to life's realities in the awesome circus of healthcare. Let's make some sense of all this. We respect Listeners, Watchers, and Readers. Show Notes at the end. Watch on YouTube Read Newsletter The same content as the podcast but not a verbatim transcript. Could be a book chapter with images. download the printable transcript here Contents Executive Summary. 1 Proem.. 2 Introducing Dr. Amanda Chue 01:37. 2 Podcast intro 02:22. 2 Health is fragile 03:14. 2 Path to young adult mental health research 03:48. 3 Evidence gaps 05:22. 3 Do comparators exist? 08:17. 4 Efficacy versus efficiency 11:29. 4 Dynamic tension - Parent engagement in research 12:52. 4 A word from our sponsor, Abridge 13:38. 5 Call to action 14:41. 5 Dissemination to those with lived experience 15:51. 5 Research results impacting clinical work or decisions 19:07. 6 Dynamic tension – CER and innovation 20:04. 6 Dissemination – sharing results 21:36. 6 Community implementation 22:51. 7 Stakeholder Advisory Panels 27:06. 7 Dynamic tensions in public engagement, dissemination, and implementation 30:09. 8 PCORI and public engagement 30:53. 8 Policy making 34:17. 9 Reflection 37:18. 10 Podcast Outro 39:26. 10 Episode Executive Summary PCORI’s Dr. Chue brings to light the complexities and challenges involved in conducting research, engaging stakeholders, and implementing findings in real-world settings. It emphasizes the need for long-term partnerships with community organizations and the importance of addressing disparities in research representation. The dynamic tensions in various research and implementation aspects underscore the need for thoughtful and creative approaches to address complex healthcare issues effectively. Proem Image created in DALL.E I treasure the dynamic tensions in life—for example, privacy and community, pathological optimism and catastrophizing, early adopter and skeptic. While not a researcher, I am personally and professionally neck-deep in research. Yet, despite my commitment to research, I’m a skeptic. Who’s it for? How can it aid decision-making? Who’s included in the research question, process, analysis, and dissemination? Where are the vested interests? Do we already have evidence yet have little will to implement, or does the bureaucracy or culture impede action? I will step in and highlight some dynamic tensions as the conversation flows. What about research funding sources? What’s their perspective? What are the dynamic tensions? I asked my cronies at PCORI (Patient-Centered Outcomes Research Institute) to introduce me to a staff scientist specializing in comparative effectiveness research funding for emerging adults with mental illness. Dr. Amanda Chue kindly agreed to speak with us. Image created on DALL.E Introducing Dr. Amanda Chue Dr. Amanda Chue received a BS in human development from Cornell University and a Ph.D. in clinical psychology from American University. She is a Program Officer for the Clinical Effectiveness and Decision Science program at the Patient-Centered Outcomes Research Institute (PCORI). In this role, she manages a portfolio of comparative clinical effectiveness research awards focused on meaningful outcomes for patients. Her portfolio includes several studies on clinical strategies for managing and reducing lo...

Dr. Motley studies emerging black males & females with mental illness compounded by racism & violence. They need support systems & a chance for upward mobility. About the Show Welcome to Health Hats, learning on the journey toward best health. I am Danny van Leeuwen, a two-legged, old, cisgender, white man with privilege, living in a food oasis, who can afford many hats and knows a little about a lot of healthcare and a lot about very little. Most people wear hats one at a time, but I wear them all at once. I'm the Rosetta Stone of Healthcare. We will listen and learn about what it takes to adjust to life's realities in the awesome circus of healthcare. Let's make some sense of all this. We respect Listeners, Watchers, and Readers. Show Notes at the end. Watch on YouTube Read Newsletter The same content as the podcast, but not a verbatim transcript. Could be a book chapter with images. download the printable transcript here Contents Proem.. 2 Podcast intro 01:07. 2 Exposure to community violence 03:54. 2 Emerging adults 2 Emerging and experiencing violence and mental illness 06:12. 3 Breaking the cycle – support systems 08:05. 3 Breaking the cycle – transportation 08:44. 3 Breaking the cycle – belonging 10:51. 4 Breaking the cycle – upward social mobility. 4 A word from our sponsor, Abridge 11:40. 4 Call to action 12:22. 4 Identifying the research question 13:54. 5 Gaps in research 15:27. 5 Staying in touch, up to date 16:06. 5 Think, read, write, talk 18:10. 6 Measuring police violence 18:49. 6 Vacuum-filler, gap filler 20:55. 6 Community Advisory Board 23:00. 7 People with lived experience analyzing study results 25:31. 7 Research without implementation – ink on paper 26:22. 8 Strategies for Youth 28:47. 8 Community uptake of research 29:49. 8 Social media 33:11. 9 Reflection 35:40. 10 Podcast Outro 38:34. 10 Episode Proem Image by Susan Wilkenson on Unsplash Trauma and mental illness seem inexorably linked with racism and homelessness contributing to severity and complexity. How do we know? Does evidence exist? Do we even need proof? Isn’t it obvious? I think I need to speak with a social worker, researcher. Fortunately, I met Whitney Irie, Ph.D., MSW, Assistant Professor at Boston College School of Social Work, who introduced me to Robert Motley, Ph.D., MSW, also at Boston College. Robert examines the intersection of racism, violence, and trauma for emerging black adult men and women ages 18-29 and associated mental and behavioral outcomes. Eureka, a match! Image by Stefano Pollio on Unsplash Podcast intro Welcome to Health Hats, the Podcast. I'm Danny van Leeuwen, a two-legged cisgender old white man of privilege who knows a little bit about a lot of healthcare and a lot about very little. We will listen and learn about what it takes to adjust to life's realities in the awesome circus of healthcare. Let's make some sense of all of this. Exposure to community violence Robert Motley: During my doctoral studies, my research focused on exposure to community violence among black emerging adults. I conducted a systematic literature review on trauma. What was the prevalence of trauma among black males? What were some barriers or facilitators to using mental health services? Looking at the literature, we found high levels of trauma exposure for black men: 50% to 60% had experienced trauma, some of them seven or eight times during their lifetime. They also had high rates of mental health illnesses such as anxiety, generalized anxiety, psychotic disorders, etc. But the most critical finding was that roughly 56% to 74% of the black males across these studies may have had an unmet need for mental health services. So, you're talking about a large population of black men walking around what I like to call ticking time bombs because they are experiencing a lot of traumas. And we know the adverse effects of trauma on one's mental...

Exploring the world of podcasting and the challenges we face in storytelling, sound editing, & decision-making. We reflect on the evolution of our journeys. About the Show Welcome to Health Hats, learning on the journey toward best health. I am Danny van Leeuwen, a two-legged, old, cisgender, white man with privilege, living in a food oasis, who can afford many hats and knows a little about a lot of healthcare and a lot about very little. Most people wear hats one at a time, but I wear them all at once. I'm the Rosetta Stone of Healthcare. We will listen and learn about what it takes to adjust to life's realities in the awesome circus of healthcare. Let's make some sense of all this. We respect Listeners, Watchers, and Readers. Show Notes at the end. Watch on YouTube Read Newsletter The same content as the podcast, but not a verbatim transcript. Could be a book chapter with images. download the printable transcript here Contents Proem.. 1 Podcast intro. 1 Introducing Steve Heatherington, Alpaca Shephard. 2 Virtual podcasting friends. Yes, friends. 2 Podcasting and writing. 3 Sound editing. 3 What’s the story?. 4 Unexpected engagement 5 A word from our sponsor, Abridge. 5 Call to action. 6 So much to do. Music! 6 Many Decisions to Make. 6 Decisions in disability. 7 Podcast workshop. 8 Reflection. 9 Podcast Outro. 9 Episode Proem Photo by Frugal Flyer on Unsplash Welcome subscribers and patrons to this first exclusive bonus episode #200 (egads, #200). If you could look around the room, you’d see 275 long-standing subscribers, 12 monthly Patrons, and ten one-time supporters who contributed almost $300 in May and nearly $675 in June. Beyond my wildest expectations! I have an advisory call scheduled in early July with some experts who work with emerging adult interns. My colleague and friend Fatima has agreed to help me manage the initiative. I’m burning with excitement to get going. Thanks to you, I can afford it. My friend and crony in podcasting, Steve Heatherington, of Alpaca Tribe fame, joins me in today’s bonus episode as we muse about this intriguing podcasting world. I love that I can still learn with my Swiss cheese brain. Check out the quilt in Steve’s background if you’re watching the video. Very cool. Image from https://fineartamerica.com/featured/7-mri-of-multiple-sclerosis-medical-body-scans.html Podcast intro Welcome to Health Hats, the Podcast. I'm Danny van Leeuwen, a two-legged cisgender old white man of privilege who knows a little bit about a lot of healthcare and a lot about very little. We will listen and learn about what it takes to adjust to life's realities in the awesome circus of healthcare. Let's make some sense of all of this. Introducing Steve Heatherington, Alpaca Shephard Health Hats: Steve. Thank you so much for doing this with me. So, you know that this is for me. This is going to be my first bonus episode. Nice. In my new Patreon world that I'm setting up. I'm excited to talk about all things podcasting with you since we've been buddies for four and a half, five years, and four and a half. Yeah. Four and a half years. And we've been podcasting, and we meet weekly to discuss anything about podcasting and life—the six or seven of us who, however many, it changes from time to time. So anyway, thank you. Why don't you introduce yourself? Steve Heatherington: It's a pleasure and a privilege to meet up like this, and Wow. Honor to be part of the first bonus episode. Wow, that's so exciting. Yeah. How did this happen? It happened by mistake almost. I'm based in Swansea in the UK. And we have a farm, and I'm an alpaca shepherd. So, we got currently got 36 alpacas that I care for. Most of the time, it's straightforward, but occasionally you turn a corner, and there's something new and challenging. I used the alpacas to learn to podcast, and it's kept going. So I've been going over four years now.

Dr Herndon, former Medicaid CMO: challenges faced to improve mental health care for emerging adults. Better support systems for their transition to independence About the Show Welcome to Health Hats, learning on the journey toward best health. I am Danny van Leeuwen, a two-legged, old, cisgender, white man with privilege, living in a food oasis, who can afford many hats and knows a little about a lot of healthcare and a lot about very little. Most people wear hats one at a time, but I wear them all at once. I'm the Rosetta Stone of Healthcare. We will listen and learn about what it takes to adjust to life's realities in the awesome circus of healthcare. Let's make some sense of all this. We respect Listeners, Watchers, and Readers. Show Notes at the end. Watch on YouTube Read Newsletter The same content as the podcast, but not a verbatim transcript. Could be a book chapter with images. download the printable transcript here Contents Proem.. 2 Podcast intro. 3 Meet Dr. Mike Herndon. 3 Health is Fragile. 3 Mental Illness in family practice. 3 Readiness to manage mental illness in practice. 4 State Medicaid Director 5 Levers of power 6 Aligning incentives 6 Minor success, at best 7 A word from our sponsor, Abridge. 8 Call to action. 8 Family Advocacy. 9 Not easy being an emerging adult 10 Reflection. 11 Podcast Outro. 11 Episode Proem According to the Commonwealth Fund, in 2016, spending in the US on behavioral healthcare was almost $160 billion, with 58 percent of all behavioral health spending being paid for by Medicare and Medicaid. According to SAMHSA, The Substance Abuse and Mental Health Services Administration, Medicaid is the largest payer in the United States for behavioral health services. Medicaid accounted for 26 percent of all behavioral health spending in 2009. Behavioral health is a term for mental health and substance use disorder conditions to differentiate from physical health. As a clinician, I seldom met a person with chronic physical health issues who didn’t also have behavioral health issues. I don’t know how meaningful statistics are, except to say a lot of people have behavioral health diagnoses in their records. It costs them, their families, and communities a fortune, and government health insurance pays a significant proportion of those direct costs. Podcast intro Welcome to Health Hats, the Podcast. I'm Danny van Leeuwen, a two-legged cisgender old white man of privilege who knows a little bit about a lot of healthcare and a lot about very little. We will listen and learn about what it takes to adjust to life's realities in the awesome circus of healthcare. Let's make some sense of all of this. Meet Dr. Mike Herndon Health Hats: I invited my friend and colleague, Dr. Mike Herndon, recently retired Chief Medical Officer for the Oklahoma Healthcare Authority, Medicaid, to chat with us about Emerging Adults with Mental Illness. Mike, thank you so much for joining me. Mike Herndon: You bet, Danny. Happy to be here. Health Hats: Thank you. My friend, Dr. Mike Herndon, and I have done quite a bit together over the years, mainly through PCORI, the Patient-Centered Outcomes Research Institute. We sat on an advisory panel together, then you were appointed to the PCORI Board of Governors, and I came on the board a few years later. You were my Board orientation buddy and helped me navigate and reduce the shock of the experience. I appreciate it. Let's just jump right in. Mike, when did you first realize that health was fragile? Health is Fragile Mike Herndon: That's an easy answer for me. I grew up in rural Oklahoma. In the summer between my sixth and seventh-grade years, I was 12 years old, and my mom had a pituitary tumor. That hormonal gland in the brain had gotten so large it caused terrific headaches. She had double and blurred vision and had to have a craniotomy, and brain surgery, to remove the tumor.

About McLean Hospital. Referrals, COVID impact, capacity, stigma. Still need more resources & shift towards treating mental health on par with physical health. About the Show Welcome to Health Hats, learning on the journey toward best health. I am Danny van Leeuwen, a two-legged, old, cisgender, white man with privilege, living in a food oasis, who can afford many hats and knows a little about a lot of healthcare and a lot about very little. Most people wear hats one at a time, but I wear them all at once. I'm the Rosetta Stone of Healthcare. We will listen and learn about what it takes to adjust to life's realities in the awesome circus of healthcare. Let's make some sense of all this. We respect Listeners, Watchers, and Readers. Show Notes at the end. Watch on YouTube Read The same content as the podcast, but not a verbatim transcript. A newsletter-like version with images. Could be a book chapter. download the printable transcript here Contents Proem.. 1 Podcast intro 01:49. 2 Health is fragile 02:41. 2 Leadership at McLean’s Hospital 04:08. 2 Levels of care 05:12. 2 Massachusetts Child Psychiatry Access Project (MCPAP) 07:04. 3 Supporting Primary Care 09:41. 3 Mental illness and Covid 11:59. 4 Capacity – space, and staff 13:28. 4 Using Peer Experts – lived experience 16:12. 5 A word from our sponsor, Abridge 17:56. 5 Call to action 18:39. 5 Coalitions and partnerships 20:26. 5 Academics, research, advisory panels 24:43. 7 Stigma 27:13. 7 Level the playing field between physical and mental health 30:07. 8 Reflection. 8 Podcast Outro 33:49 9 Episode Proem Photo by razvan-mirel-xhYhjMIfsq8-unsplash Continuing the series spiral with emerging adults with mental illness at the center, along the outbound curve, we experienced a parent, a high school teacher, primary care and emergency doctors, and community services. Now we arrive at mental health providers in the person of Michael Macht Greenberg, who administers an integrated system of mental health medical services, McLean Hospital, of the preeminent healthcare system, Mass General Brigham’s Hospital. I met Michael working together at Boston Children’s Hospital. Michael was the administrative director of the Department of Medicine, and I led the patient/family experience initiative. We both left Boston Children’s more than ten years ago. As circumstances allow, we still meet for coffee at least quarterly, in person or virtually. Michael’s low-key presentation belies his passion and compassion for emerging adults and people with mental illness. Podcast intro 01:49 Photo by Diana Feil on Unsplash Welcome to Health Hats, the Podcast. I'm Danny van Leeuwen, a two-legged cisgender old white man of privilege who knows a little bit about a lot of healthcare and a lot about very little. We will listen and learn about what it takes to adjust to life's realities in the awesome circus of healthcare. Let's make some sense of all of this. Like what you're reading, hearing, or watching? Go to my web page https://health-hats.com/support to choose a method of support that suits you. Thank you. Health is fragile 02:41 Health Hats: Michael, thank you so much for joining us. I appreciate it. I love seeing you. This is different from our usual coffee at Pete's. Michael Macht Greenberg: Always good to be with you. Thanks for asking to chat. Health Hats: Yeah. When did you first realize health was fragile? Michael Macht Greenberg: Wow. As a kid growing up, when you start losing people, grandparents, and great-grandparents, you start realizing you can lose people. Those people who have been important in your life aren't around anymore. Fortunately, I am a healthy guy, and my experience with fragile health is limited. I'm fortunate that, with limited exception, that hasn't been too dramatic or traumatic. But while growing up and realizing the people you love aren't around forever,

Exploring Youth Clubhouses, drop-in centers for youth in recovery from/at risk for substance use disorders, focusing on access, partnerships, & peer support. About the Show Welcome to Health Hats, learning on the journey toward best health. I am Danny van Leeuwen, a two-legged, old, cisgender, white man with privilege, living in a food oasis, who can afford many hats and knows a little about a lot of healthcare and a lot about very little. Most people wear hats one at a time, but I wear them all at once. I'm the Rosetta Stone of Healthcare. We will listen and learn about what it takes to adjust to life's realities in the awesome circus of healthcare. Let's make some sense of all this. We respect Listeners, Watchers, and Readers. Show Notes at the end. Watch on YouTube Read The same content as the podcast, but not a verbatim transcript. A newsletter-like version with images. Could be a book chapter. download the printable transcript here Contents Proem.. 1 Podcast intro 02:45. 2 Health is fragile 04:08. 2 Youth Clubhouses, safe places 07:27. 3 Access to the Clubhouse 10:23. 4 Community partnership and collaboration 13:22. 4 Youth program engagement and leadership 17:03. 5 A word from our sponsor, Abridge 19:03. 6 Coping tools in your toolbox 19:48. 6 Continual learning. 6 Hopeful, hopeless 25:03. 7 Policy change, harm reduction 28:23. 7 OASAS: Office of Addiction Supports and Services 31:01. 8 Clubhouse Radio 31:45. 8 Narcan and Harm reduction 34:36. 9 Reflection 38:16. 10 Tribute to Casey Quinlan 39:53. 10 Tribute to Michael Funk 43:46. 11 Podcast Outro 44:33. 11 Episode Proem Figure 1: DALL.E image of Sculpture of community-based research in style of Yoshitoshi Kanemaki I gravitate toward, am attracted to, community-based programs that build partnerships with their participants. The programs serve well, plant seeds, build capacity, and inspire copying. Medical, professional, or larger companies have a more challenging time serving, planting, building, and inspiring. Perhaps it’s a function of community-based and partnerships with lived-experience experts. I thank Dorothy Cucinelli, last episode’s guest, for introducing Paul Taylor and the Youth Clubhouses at the Mental Health Association of Columbia Greene Counties. Youth Clubhouses are drop-in centers for youth and young adults in recovery from or at risk of developing a substance use disorder. These programs provide recovery supports – including peer support – as well as skill-building and community engagement opportunities, educational and vocational support, recreational and prosocial activities, family engagement activities, and sessions on health and wellness. Youth and Young Adults | Office of Addiction Services and Supports (ny.gov) Youth Clubhouses are programs of NY State OASAS. The New York State Office of Addiction Services and Supports (OASAS) oversees one of the nation’s largest Substance Use Disorder systems of care. Approximately 1,700 prevention, treatment, and recovery programs serve over 680,000 individuals per year. About Us | Office of Addiction Services and Supports (ny.gov) Kai Hellman invited Paul Taylor and Phoebs Potter to join us. We spoke about youth access to the Clubhouse, Clubhouse partnerships in their communities, youth engagement and leadership, peer support, and harm reduction. We will end the episode with two tributes, one of Mighty Casey Quinlan who died a couple of weeks ago and to my son, Mike Funk who would have been 47 on May 17th. Podcast intro 02:45 Welcome to Health Hats, the Podcast. I'm Danny van Leeuwen, a two-legged cisgender old white man of privilege who knows a little bit about a lot of healthcare and a lot about very little. We will listen and learn about what it takes to adjust to life's realities in the awesome circus of healthcare. Let's make some sense of all of this. Like what you’re reading, hearing,

COAST, a 24/7/365 access program in upstate NY, offers access to med-assisted treatment & wraparound services for substance use & mental health concerns About the Show Welcome to Health Hats, learning on the journey toward best health. I am Danny van Leeuwen, a two-legged, old, cisgender, white man with privilege, living in a food oasis, who can afford many hats and knows a little about a lot of healthcare and a lot about very little. Most people wear hats one at a time, but I wear them all at once. I'm the Rosetta Stone of Healthcare. We will listen and learn about what it takes to adjust to life's realities in the awesome circus of healthcare. Let's make some sense of all this. We respect Listeners, Watchers, and Readers. Show Notes at the end. Watch on YouTube Read The same content as the podcast, but not a verbatim transcript. A newsletter-like version with images. Could be a book chapter. download the printable transcript here Contents Proem.. 1 Podcast intro 01:13. 2 Access through a single number 1:50. 2 Wraparound services 04:16. 2 The behavioral health network collaborative 05:52. 3 Doing something right 08:40. 4 Substance use and mental health 09:32. 4 Warm hand-off 11:52. 4 Partnership with families 12:33. 4 Residential and inpatient? 13:28. 5 A word from our sponsor, Abridge 14:20. 5 Collaboration over competition 15:03. 5 Networking coordination 16:52. 5 Emerging adult priorities 18:07. 6 Matching resources to demand 21:36. 6 Maximize access 25:19. 7 Prevention 28:59. 8 Marketing programs 29:49. 8 Reflection 33:34. 9 Podcast Outro 25:39 9 Episode Proem Photo by Nima Ara on Unsplash, reference not found When I’m in trouble or have a question, I need help when I need it, preferably from a warm person, not an app or a bot. Is this even possible today? One of the health systems I use just shifted the patient portal inquiry responses to a central department, open Monday through Friday, 8 am to 5 pm. No more replies to non-emergent questions from my doctor or nurse within two days as I’m used to. Not a warm person when I need it. I called my dear friend Dorothy Cucinelli as I planned this Emerging Adult with Mental Illness series. Dorothy, CEO of the Capital Behavioral Health Network (CBHN), sponsors COAST (Coordinated Opioid and Stimulant Treatment) 24/7/365 person-answered hotline for people in need. Kelly Lane joins Dorothy to tell us more. Podcast intro 01:13 Welcome to Health Hats, the Podcast. I'm Danny van Leeuwen, a two-legged cisgender old white man of privilege who knows a little bit about a lot of healthcare and a lot about very little. We will listen and learn about what it takes to adjust to life's realities in the awesome circus of healthcare. Let's make some sense of all of this. Access through a single number 1:50 Health Hats: Dorothy and Kelly, thank you for joining us today. I look forward to discussing the COAST program (Coordinated Opioid and Stimulant Treatment). And as we've talked about previously, I'm focused on young adults and their families with mental illness and the services they need and can get. So, I was very excited when Dorothy and I were just catching up to hear about the COAST program. I'm wondering if you could tell us a little about how people access COAST referrals, supportive services, young adults, and families. Kelly Lane: Sure. It's easy. We've designed this project with a single number that connects you to services anywhere in our eight-county region, south to Columbia Green County, north to Warren, and Washington. Health Hats: In upstate New York? Kelly Lane: Yes, the Capitol District, Warren, Washington, and Columbia Green. Dorothy Cucinelli: For those listeners who might not know this area, the Capitol District is Albany, about three hours' drive north of New York City. We cover the eight counties in that region, to the Massachusetts border and West,

Dr. Joel Hudgins muses on up and downstream changes to Peds ED for emerging adults with mental illness. Higher numbers & acuity, too few beds, services, & staff About the Show Welcome to Health Hats, learning on the journey toward best health. I am Danny van Leeuwen, a two-legged, old, cisgender, white man with privilege, living in a food oasis, who can afford many hats and knows a little about a lot of healthcare and a lot about very little. Most people wear hats one at a time, but I wear them all at once. I'm the Rosetta Stone of Healthcare. We will listen and learn about what it takes to adjust to life's realities in the awesome circus of healthcare. Let's make some sense of all this. We respect Listeners, Watchers, and Readers. Show Notes at the end. Watch on YouTube Read The same content as the podcast, but not a verbatim transcript. A newsletter-like version with images. Could be a book chapter. download the printable transcript here Contents Proem.. 1 Update on Mighty Mouth Casey Quinlan. 2 Podcast intro. 2 Health is fragile. 2 Crossing the threshold into the ED. 2 How can we help up front?. 3 Upstream and downstream issues 4 Can we really help? It takes a toll. 4 A word from our sponsor, Abridge. 5 System interventions/solutions. 5 Hopeful, hopeless 6 Real people all around. 6 Profound knowledge. 7 Academic medical center versus critical access hospital 7 Reflection. 8 Next: Episode #8: COAST. 8 Podcast Outro. 9 Proem In this series we’ve met Emeka and Annie, two emerging adults with mental illness and Emeka’s mom, Erika. We learned about their ‘something’s wrong’ experience, finding treatment, family dynamics, and recovery. We met Matt, a high school teacher leading a student-run welcoming Ambassador program, and Dr. Bonnie, a primary care doc, managing the care of emerging adults with developing and full-blown illness with limited resources. You can see that I’m starting in the center with lived experience and spiraling out. Photo by razvan-mirel-xhYhjMIfsq8-unsplash Welcome to today’s episode, #7 in the series, of the lived experience of another professional, Dr Joel Hudgins, pediatric emergency physician at Boston Children’s Hospital. Full disclosure, I worked from 2002 to 2008 at Boston Children’s leading their patient family experience initiative and I worked as a nurse/paramedic at two rural hospitals in West Virginia in the late eighties, early nineties. Despite my experience in pediatrics and emergency services, I feel out-of-touch with the dynamics of treating an increasing proportion of youth with mental illness while also faced with exploding infectious disease incidence, COVID, RSV, and flu. Emergency care and pediatrics are near and dear to my heart. Let’s see what we can learn with Dr. Joel Hudgins. Update on Mighty Mouth Casey Quinlan Before we begin, I published my last episode on April 1, 2023, the mashup of my chats with Casey Quinlan. Many subscribers reached out to me. Is Casey alive or has she passed? I purposefully left it ambiguous because I didn’t know when people would be reading, listening, or watching. Besides, Casey told me several times over the years when I called her about various deaths in my family, why do funerals and memorial services need to come after death? Anyway, as of today, April 12, 2023, Casey lives in a hospice, with several visitors a day, alert for short periods of time, still snarky. Go to CaringBridge.com, for up-to-date information from Jan Oldenburg. From Health Hats, the Podcast https://health-hats.com/pod193/ Podcast intro Welcome to Health Hats, the Podcast. I'm Danny van Leeuwen, a two-legged cisgender old white man of privilege who knows a little bit about a lot of healthcare and a lot about very little. We will listen and learn about what it takes to adjust to life's realities in the awesome circus of healthcare. Let's make some sense of all of this. Health is fragile

Mid-March,Casey didn’t often sound lucid or humorous. She spun a yarn and offered wisdom sporadically. Grateful for her impact on the patient-caregiver movement About the Show Welcome to Health Hats, learning on the journey toward best health. I am Danny van Leeuwen, a two-legged, old, cisgender, white man with privilege, living in a food oasis, who can afford many hats and knows a little about a lot of healthcare and a lot about very little. Most people wear hats one at a time, but I wear them all at once. I'm the Rosetta Stone of Healthcare. We will listen and learn about what it takes to adjust to life's realities in the awesome circus of healthcare. Let's make some sense of all this. We respect Listeners, Watchers, and Readers. Show Notes at the end. Watch on YouTube Read The same content as the podcast, but not a verbatim transcript. A newsletter-like version with images. Could be a book chapter. If you don't see the embedded newsletter download the printable transcript here Loading... Taking too long? Reload document | Open in new tab Episode Notes Please comment and ask questions at the comment section at the bottom of the show notes on LinkedIn via email YouTube channel DM on Instagram, Twitter, to @healthhats Credits Music on intro and outro by permission from Joey van Leeuwen, Drummer, Composer, and Arranger including Moe's Blues for Proem and Reflection Web and Social Media Coach, Dissemination Kayla Nelson @lifeoflesion Leon van Leeuwen edits the article-grade transcript. Intro photo of Vulture Couple by Rich Rieger used with permission Photo of fire by Ani Kolleshi on Unsplash Photo of fist by Dan Burton on Unsplash Photo of silos by Ricardo Gomez Angel on Unsplash Photo of ice cream by Food Photographer | Jennifer Pallian on Unsplash The views and opinions presented in this podcast and publication are solely my responsibility and do not necessarily represent the views of the Patient-Centered Outcomes Research Institute® (PCORI®), its Board of Governors, or Methodology Committee. Danny van Leeuwen (Health Hats) Sponsored by Abridge Inspired by and grateful to Jan Oldenberg, Geri Lynn Baumblatt, Fred Trotter, Claire Sachs, Lygeia Ricciardia, and hundreds of others Links In hospice, Mighty Casey receives SPM’s “Doc Tom” Award Related podcasts https://health-hats.com/pod127/ https://health-hats.com/pod132/ https://health-hats.com/pod139/ https://health-hats.com/pod181/ Creative Commons Licensing The material found on this website created by me is Open Source and licensed under Creative Commons Attribution. Anyone may use the material (written, audio, or video) freely at no charge. Please cite the source as: ‘From Danny van Leeuwen, Health Hats. (including the link to my website). I welcome edits and improvements. Please let me know. danny@health-hats.com. The material on this site created by others is theirs and use follows their guidelines.

Discover how PCP Dr. Bonnie Engelbart manages the referral maze & limited resources when caring for emerging adults with mental illness. Blog subscribers: Listen to the podcast here. Scroll down through show notes to read the post. Subscribe to Health Hats, the Podcast, on your favorite podcast player This episode can be watched on YouTube Episode Notes Prefer to read, experience impaired hearing or deafness? Find FULL TRANSCRIPT at the end of the other show notes or download the printable transcript here Contents with Time-Stamped Headings to listen where you want to listen or read where you want to read (heading. time on podcast xx:xx. page # on the transcript) Proem.. 1 Podcast intro 01:26. 2 Health is fragile 02:00. 2 Primary care practice at Cambridge Health Alliance 05:31. 3 Screening for mental illness 06:29. 3 The referral maze 08:10. 3 Team building 11:40. 4 Toll on staff 14:02. 4 The burden of stigma, lack of resources, barriers to continuity 14:41. 5 Need more bodies 17:00. 5 Care partners 18:31. 5 A word from our sponsor, Abridge 19:27. 6 Complex time 20:09. 6 Changes over the past twenty years 21:27. 6 Self-medication 22:56. 7 Questions for emerging adults 24:03. 7 Questions for administrators 25:27. 7 The burden of cost to families 27:19. 7 Culture and language 28:09. 8 Reflection 30:35. 8 Next #7 Emergency medicine: We’re not trained for this 32:25. 9 Podcast Outro 33:02. 9 Please comment and ask questions at the comment section at the bottom of the show notes on LinkedIn via email YouTube channel DM on Instagram, Twitter, Mastadon to @healthhats Credits Music on intro and outro by permission from Joey van Leeuwen, Drummer, Composer, Arranger including Moe's Blues for Proem and Reflection Web and Social Media Coach, Dissemination Kayla Nelson @lifeoflesion Intro photo of Vulture Couple by Rich Rieger used with permission Photo of Swaziland by Ndumiso Silindza on Unsplash Images of emerging adult with mental illness and community collaboration from DALL.E The views and opinions presented in this podcast and publication are solely my responsibility and do not necessarily represent the views of the Patient-Centered Outcomes Research Institute® (PCORI®), its Board of Governors, or Methodology Committee. Danny van Leeuwen (Health Hats) Sponsored by Abridge Inspired by and grateful to Laura Zucker, Mike Herndon, Sue Donnelley, Luc Pelletier Links World Health Organization (WHO) Adolescent Mental Health Most mental health concerns, especially for emerging adults, first present in primary care, placing them in a critical role for addressing these concerns. The PSC-17 Pediatric System Checklist is a brief questionnaire that helps identify and assess changes in emotional and behavioral problems in children When kids turn 18, we transition to a form called the AWQ, Cambridge Health Alliance Adult Wellbeing Scale, which screens for depression, anxiety, and substance use. National Alliance of Mental Health: Kids, Teens, and Young Adults, White House Fact Sheet: Improving Access and Care for Youth Mental Health and Substance Abuse Conditions, American Academy of Family Practice (AAFP) article, Managing Behavioral Health Issues in Primary Care: Six Five-Minute Tools. Related podcasts Series: Emerging Adults with Mental Illness Pediatric Transition to Adult Care | Danny van Leeuwen Health Hats (health-hats.com) About the Show Welcome to Health Hats, learning on the journey toward best health. I am Danny van Leeuwen, a two-legged, old, cisgender, white man with privilege, living in a food oasis, who can afford many hats and knows a little about a lot of healthcare and a lot about very little. Most people wear hats one at a time, but I wear them all at once. I'm the Rosetta Stone of Healthcare. We will listen and learn about what it takes to adjust to life's reali...

Costa Rica welcomes travelers with disabilities. Juve Acuna, travel guide, spent a week with us sharing his expertise in flora, fauna, history, & disabilities. Blog subscribers: Listen to the podcast here. Scroll down through the show notes to read the post. Subscribe to Health Hats, the Podcast, on your favorite podcast player This episode is best watched on YouTube Please support my blog and podcast. CONTRIBUTE HERE Episode Notes Prefer to read, experience impaired hearing or deafness? Find FULL TRANSCRIPT at the end of the other show notes or download the printable transcript here Contents with Time-Stamped Headings to listen where you want to listen or read where you want to read (heading. time on podcast xx:xx. page # on the transcript) Proem.. 1 Podcast intro 03:58. 2 Grandfather of disability travel 04:33. 2 Capabilities and preferences 07:07. 3 Building a network 08:30. 3 Preparation 10:51. 4 National Tourism Board 12:48. 4 Building infrastructure for accessibility 13:44. 5 The network for accessibility 16:39. 5 Pride 17:30. 5 Possibilities, safety 19:42. 6 A word from our sponsor, Abridge 21:14. 6 Photo highlights of the trip 21:57. 7 Swimming in the Pacific Ocean 22:16. 7 Howler and white-faced monkeys 23:17. 8 Reflection 24:02. 8 Podcast Outro 24:53 8 Please comment and ask questions at the comment section at the bottom of the show notes on LinkedIn via email YouTube channel DM on Instagram, Twitter, Mastadon to @healthhats Credits Music on intro and outro by permission from Joey van Leeuwen, Drummer, Composer, Arranger Web and Social Media Coach, Dissemination Kayla Nelson @lifeoflesion Intro photo of Vulture Couple by Rich Rieger used with permission Photo by Iswanto Arif on Unsplash Photos taken by Ann Boland, Paul Boland, Juve Acuna, and Danny van Leeuwen The views and opinions presented in this podcast and publication are solely my responsibility and do not necessarily represent the views of the Patient-Centered Outcomes Research Institute® (PCORI®), its Board of Governors or Methodology Committee. Danny van Leeuwen (Health Hats) Sponsored by Abridge Inspired by and grateful to Ann Boland, Linda and Mike DeRosa, Kate Higgins, Mary Lawler Links Il Viaggio Travel Costa Rica - Plan your trip to Costa Rica with us (ilviaggiocr.com) Where to Go Bird-Watching in Costa Rica - Tripadvisor Arenal Hanging Bridges | Experiencing Costa Rica From The Treetops (parenthoodandpassports.com) Related podcasts Camino | Danny van Leeuwen Health Hats (health-hats.com) About the Show Welcome to Health Hats, learning on the journey toward best health. I am Danny van Leeuwen, a two-legged, old, cisgender, white man with privilege, living in a food oasis, who can afford many hats and knows a little about a lot of healthcare and a lot about very little. Most people wear hats one at a time, but I wear them all at once. I'm the Rosetta Stone of Healthcare. We will listen and learn about what it takes to adjust to life's realities in the awesome circus of healthcare. Let's make some sense of all this. To subscribe go to https://health-hats.com/ Creative Commons Licensing The material found on this website created by me is Open Source and licensed under Creative Commons Attribution. Anyone may use the material (written, audio, or video) freely at no charge. Please cite the source as: ‘From Danny van Leeuwen, Health Hats. (including the link to my website). I welcome edits and improvements. Please let me know. danny@health-hats.com. The material on this site created by others is theirs and use follows their guidelines. The Show To see the transcript with images download the printable transcript here Proem Figure 1: Skywalk hanging bridge in Arenal National Park, Costa Rica Figure 2: Danny in his chair with our guide, Juve Just stay in the middle.

Matt Neil, teacher, offers a hopeful story. Not focusing on mental health per se but on belonging and inclusion in a typically lonely time – high school. Blog subscribers: Listen to the podcast here. Scroll down through show notes to read the post. Subscribe to Health Hats, the Podcast, on your favorite podcast player This episode is best watched on YouTube Please support my blog and podcast. CONTRIBUTE HERE Episode Notes Prefer to read, experience impaired hearing or deafness? Find FULL TRANSCRIPT at the end of the other show notes or download the printable transcript here Contents with Time-Stamped Headings Proem Podcast intro 01:46 Health is fragile 02:20 Health class 03:35 Introducing Ambassadors 04:53 Sustaining the Ambassadors program 06:42 Three points of contact 07:52 New student defined 08:27 Back to school after a life-changing event 09:30 Kathy’s table 13:50 Prevention is invisible 15:26 A word from our sponsor, Abridge 18:18 Support and continuity 19:00 Continuity and diversity 21:23 Team leadership 22:42 Ninth grade 23:55 Perhaps they don’t want help 25:04 A lesson from failure 25:51 Standardization, data 27:53 Social health, a safe place 29:21 Loneliness, belonging, hope 30:50 Captain, CEO of your health team 32:48 What can we do to help young people? 33:42 Wisdom shared 36:06 Reflection 39:53 Nuggets from the Mine 40:42 What’s next? 41:18 Dr. Bonnie Engelbart, Primary Care 41:38 Podcast Outro 43:44 to listen where you want to listen or read where you want to read (heading. time on podcast xx:xx. page # on the transcript) Please comment and ask questions at the comment section at the bottom of the show notes on LinkedIn via email YouTube channel DM on Instagram, Twitter, Mastadon to @healthhats Credits Music on intro and outro by permission from Joey van Leeuwen, Drummer, Composer, Arranger including Moe's Blues for Proem and Reflection Web and Social Media Coach, Dissemination Kayla Nelson @lifeoflesion Intro photo of Vulture Couple by Rich Rieger used with permission Image of emerging adult with mental illness and community collaboration from DALL.E Photo by Alex Simpson on unsplash Photo by Trung Thanh on Unsplash High school The views and opinions presented in this podcast and publication are solely my responsibility and do not necessarily represent the views of the Patient-Centered Outcomes Research Institute® (PCORI®), its Board of Governors or Methodology Committee. Danny van Leeuwen (Health Hats) Sponsored by Abridge Inspired by and grateful to Karl Madeo, Marc Lefebvre, Bonnie Engelbart, Ruben van Leeuwen, Kathy Bloom Links Related podcasts Series: Emerging Adults with Mental Illness https://health-hats.com/a-learning-community-for-ceos-of-your-health/ About the Show Welcome to Health Hats, learning on the journey toward best health. I am Danny van Leeuwen, a two-legged, old, cisgender, white man with privilege, living in a food oasis, who can afford many hats and knows a little about a lot of healthcare and a lot about very little. Most people wear hats one at a time, but I wear them all at once. I'm the Rosetta Stone of Healthcare. We will listen and learn about what it takes to adjust to life's realities in the awesome circus of healthcare. Let's make some sense of all this. To subscribe go to https://health-hats.com/ Creative Commons Licensing The material found on this website created by me is Open Source and licensed under Creative Commons Attribution. Anyone may use the material (written, audio, or video) freely at no charge. Please cite the source as: ‘From Danny van Leeuwen, Health Hats. (including the link to my website). I welcome edits and improvements. Please let me know. danny@health-hats.com. The material on this site created by others is theirs and use follows their guidelines. The Show Proem

Annie Schneider with Bipolar II, experiencing abrupt and slow simmering transitions from home, hospital, school. Develops agency, control, and trust. Powerful! Blog subscribers: Listen to the podcast here. Scroll down through show notes to read the post. Subscribe to Health Hats, the Podcast, on your favorite podcast player This episode is best watched on YouTube Please support my blog and podcast. CONTRIBUTE HERE Episode Notes Prefer to read, experience impaired hearing or deafness? Find FULL TRANSCRIPT at the end of the other show notes or download the printable transcript here Contents with Time-Stamped Headings Proem Introducing Annie Schneider 02:18 Podcast intro 03:18 Something’s wrong 04:07 Self-reflection 06:49 Something helps! 07:47 Diagnosis 09:32 Who is ‘we’? 11:31 Underwater 13:15 Friends 14:43 Hospital friends/peers 16:17 Not a medical hospitalization 16:47 Abruptly in 17:21 Survivor’s guilt 21:45 Abrupt hospital exit – discharge 22:46 Abrupt re-entry back to school 24:21 Familiar with what others may be experiencing 26:06 Just get over it 27:07 A word from our sponsor, Abridge 30:15 Toolbox 30:58 Physical tools – medications 32:56 Tools: sunshine, friends, and pets 34:26 Alcohol 35:29 Apps 36:27 What change would you make for best life? 37:57 Reflection 43:03 Next episode: Matt Neil 43:46 Podcast Outro 45:09 to listen where you want to listen or read where you want to read (heading. time on podcast xx:xx. page # on the transcript) Please comment and ask questions at the comment section at the bottom of the show notes on LinkedIn via email YouTube channel DM on Instagram, Twitter, Mastadon to @healthhats Credits Music on intro and outro by permission from Joey van Leeuwen, Drummer, Composer, Arranger including Moe's Blues for Reflection Web and Social Media Coach, Dissemination Kayla Nelson @lifeoflesion Intro photo of Vulture Couple by Rich Rieger used with permission Image of emerging adult with mental illness from DALL.E Photo by Stormseeker on Unsplash underwater Photo by Khamkéo Vilaysing on Unsplash reentry Photo by Colton Sturgeon on Unsplash Meditation Photo by Trung Thanh on Unsplash High school The views and opinions presented in this podcast and publication are solely my responsibility and do not necessarily represent the views of the Patient-Centered Outcomes Research Institute® (PCORI®), its Board of Governors or Methodology Committee. Danny van Leeuwen (Health Hats) Sponsored by Abridge Inspired by and grateful to Emeka Chima, Erika Blair, Sue Donnelly, Matt Neil, Bonnie Englebart Links Bipolar II Headspace's website: https://www.headspace.com/ Related podcasts Young Adults with Complex Conditions Transitioning from Pediatric to Adult Medical Care Series: Emerging Adults with Mental Illness About the Show Welcome to Health Hats, learning on the journey toward best health. I am Danny van Leeuwen, a two-legged, old, cisgender, white man with privilege, living in a food oasis, who can afford many hats and knows a little about a lot of healthcare and a lot about very little. Most people wear hats one at a time, but I wear them all at once. I'm the Rosetta Stone of Healthcare. We will listen and learn about what it takes to adjust to life's realities in the awesome circus of healthcare. Let's make some sense of all this. To subscribe go to https://health-hats.com/ Creative Commons Licensing The material found on this website created by me is Open Source and licensed under Creative Commons Attribution. Anyone may use the material (written, audio, or video) freely at no charge. Please cite the source as: ‘From Danny van Leeuwen, Health Hats. (including the link to my website). I welcome edits and improvements. Please let me know. danny@health-hats.com. The material on this site created by others is theirs and use follows their guidelines. The Show

#3: Erika Blair, proud of son, Emeka Chima. Found professionals with lived experience, integrated teams, positive support & a sense of hope from other parents. Blog subscribers: Listen to the podcast here. Scroll down through show notes to read the post. Subscribe to Health Hats, the Podcast, on your favorite podcast player This episode is best watched on YouTube Please support my blog and podcast. CONTRIBUTE HERE Episode Notes Prefer to read, experience impaired hearing or deafness? Find FULL TRANSCRIPT at the end of the other show notes or download the printable transcript here Contents with Time-Stamped Headings to listen where you want to listen or read where you want to read (heading. time on podcast xx:xx. page # on the transcript) Proem Challenges of multi-media. A note to followers. 01:14 Podcast intro 02:48 Health is fragile 03:22 Proud of your son 04:19 Getting to diagnosis 04:50 Help in school 06:33 First psychotic break 07:36 Finding integrated help for the family 09:03 Goal-based care 10:44 IEP finally 11:18 Transitioning back 12:17 A word from our sponsor, Abridge 13:00 Freaking out together 13:44 Questions for professional helpers 14:51 Do professionals have lived experience? 16:19 Giving back 17:14 Hope 18:10 Family on the team 18:49 Early intervention 20:15 Students with Psychosis 22:29 Positive support for parents 25:02 Reflection 27:09 Annie Schneider 29:19 Matt Neil 30:23 Podcast Outro 32:13 Please comment and ask questions at the comment section at the bottom of the show notes on LinkedIn via email YouTube channel DM on Instagram, Twitter, Mastadon to @healthhats Credits Music on intro and outro by permission from Joey van Leeuwen, Drummer, Composer, Arranger including Moe's Blues for Reflection Web and Social Media Coach, Dissemination Kayla Nelson @lifeoflesion Intro photo of Vulture Couple by Rich Rieger used with permission Photo by Nick Fewings on Unsplash The views and opinions presented in this podcast and publication are solely my responsibility and do not necessarily represent the views of the Patient-Centered Outcomes Research Institute® (PCORI®), its Board of Governors or Methodology Committee. Danny van Leeuwen (Health Hats) Sponsored by Abridge Inspired by and grateful to Matt Neil, Annie Schneider, Links IEP (Individualized Education Plan) Asperger's Syndrome DSM V Johns Hopkins Bayview Johns Hopkins' Early Psychosis program National Association of Mental Illness Students with Psychosis Related podcasts Young Adults with Complex Conditions Transitioning from Pediatric to Adult Medical Care Series: Emerging Adults with Mental Illness About the Show Welcome to Health Hats, learning on the journey toward best health. I am Danny van Leeuwen, a two-legged, old, cisgender, white man with privilege, living in a food oasis, who can afford many hats and knows a little about a lot of healthcare and a lot about very little. Most people wear hats one at a time, but I wear them all at once. I'm the Rosetta Stone of Healthcare. We will listen and learn about what it takes to adjust to life's realities in the awesome circus of healthcare. Let's make some sense of all this. To subscribe go to https://health-hats.com/ Creative Commons Licensing The material found on this website created by me is Open Source and licensed under Creative Commons Attribution. Anyone may use the material (written, audio, or video) freely at no charge. Please cite the source as: ‘From Danny van Leeuwen, Health Hats. (including the link to my website). I welcome edits and improvements. Please let me know. danny@health-hats.com. The material on this site created by others is theirs and use follows their guidelines. The Show Proem My privilege offers little experience with the loneliness of severe illness without reliable support.

Since AI dissemination exploded in 2022, I wanted to create my holiday letter using a variety of AI apps. May you all have adventures, rest, and inspiration. Love ya. Blog subscribers: Listen to the podcast here. Scroll down through show notes to read the post. Subscribe to Health Hats, the Podcast, on your favorite podcast player Better to watch than listen Please support my blog and podcast. CONTRIBUTE HERE Episode Notes Prefer to read, experience impaired hearing or deafness? Find FULL TRANSCRIPT at the end of the other show notes or download the printable transcript here Contents with Time-Stamped Headings to listen where you want to listen or read where you want to read (heading. time on podcast xx:xx. page # on the transcript) Proem Podcast intro 00:43 Or as CHAT GPT translated as a Shakespearean sonnet 01:19 Boland van Leeuwen family 02:16 Health 02:43 Music, my life 02:54 Multimedia publishing 03:27 A word from our sponsor, Abridge a la ee cummings 04:00 Advocacy 04:36 Reflection 04:36 Podcast Outro 05:53 Please comment and ask questions at the comment section at the bottom of the show notes on LinkedIn via email YouTube channel DM on Instagram or Twitter to @healthhats Credits Intro and outro music by permission from Joey van Leeuwen, Drummer, Composer, Arranger Photo by Rich Rieger Photo by Diane Feil on Unsplash Images by DALL.E https://labs.openai.com/e/qK0AYWzbfbstxmhUIXpDUNXu/CUf17lDwAbvALkZwa9zuHi2M https://labs.openai.com/e/sgimC5lsgZBWobq2ZIgFQD1i/aDAs9Tgmuk4yfhdAk0aBtkLh https://labs.openai.com/e/v8iDSCzKlD13AVPPwjiAQ7v2/0YGebq0qdijNJTcxXHgQbggz https://labs.openai.com/e/rrb28KfkM47oki5Ju9BQnwAN/kDDr4QrrDO1GnXH16T6QXSpk Web and Social Media Coach Kayla Nelson @lifeoflesion The views and opinions presented in this podcast and publication are solely the responsibility of the author, Danny van Leeuwen, and do not necessarily represent the views of the Patient-Centered Outcomes Research Institute® (PCORI®), its Board of Governors or Methodology Committee. Sponsored by Abridge Inspired by and grateful to all of you Links I’ll be using two versions of Descript’s AI created overdubs of my voice, reading scripts created by CHAT CPG(2020), with images drawn by DALL.E, and my avatar done in Remini. Related podcasts https://health-hats.com/pod105/ https://health-hats.com/engaging-with-sax-good-as-i-am-merry-holidays/ About the Show Welcome to Health Hats, learning on the journey toward best health. I am Danny van Leeuwen, a two-legged, old, cisgender, white man with privilege, living in a food oasis, who can afford many hats and knows a little about a lot of healthcare and a lot about very little. Most people wear hats one at a time, but I wear them all at once. I'm the Rosetta Stone of Healthcare. We will listen and learn about what it takes to adjust to life's realities in the awesome circus of healthcare. Let's make some sense of all this. To subscribe go to https://health-hats.com/ Creative Commons Licensing The material found on this website created by me is Open Source and licensed under Creative Commons Attribution. Anyone may use the material (written, audio, or video) freely at no charge. Please cite the source as: ‘From Danny van Leeuwen, Health Hats. (including the link to my website). I welcome edits and improvements. Please let me know. danny@health-hats.com. The material on this site created by others is theirs and use follows their guidelines. The Show Proem May the New Year surround you with empathy, equanimity, spirit, and gratitude. You’re hearing me speak in my own voice. Since AI dissemination exploded in 2022, I wanted to create the rest of my holiday letter using a variety of the AI apps out there I’ll be using two versions of Descript’s AI created overdubs of my voice, reading scripts created by CHAT GPT(2020), with images drawn by DALL.E,

Episode #2: Emerging Adult living with Schizophrenia, finding help, using a toolbox to cope, giving back as peer specialist, leading with Students with Psychosis Blog subscribers: Listen to the podcast here. Scroll down through show notes to read the post. Subscribe to Health Hats, the Podcast, on your favorite podcast player This episode is best watched on YouTube Please support my blog and podcast. CONTRIBUTE HERE Episode Notes Prefer to read, experience impaired hearing or deafness? Find FULL TRANSCRIPT at the end of the other show notes or download the printable transcript here Contents with Time-Stamped Headings to listen where you want to listen or read where you want to read (heading. time on podcast xx:xx. page # on the transcript) Proem Podcast intro 01:53 When did you realize health is fragile? 02:27 How did mental illness feel? 03:15 Loneliness 05:54 Get treatment sooner 06:52 My parents, my chosen family 07:26 More than medication – empathy 09:19 Re-entry, relearning 10:15 Finding the right medication 11:57 Hospital to school 12:40 Finding the right therapist 13:52 Remission, cured? 15:05 A word from our sponsor, Abridge 16:59 Never too early to ask for help 17:41 Keep your coping skills in your toolbox 20:10 I wish health professionals… 21:01 Need, capacity, staff, recovery coaches 22:05 Reciprocating as a peer specialist 23:32 Students with Psychosis 24:20 Reflection 28:19 Clip -Erika Blair, Emeka’s Mom 28:35 Nugget from the Mine – Ciel Coffee 29:58 Podcast Outro 32:02 Please comment and ask questions at the comment section at the bottom of the show notes on LinkedIn via email DM on Instagram, Twitter, Mastadon to @healthhats Credits Music on intro and outro by permission from Joey van Leeuwen, Drummer, Composer, Arranger including Moe's Blues for Reflection Web and Social Media Coach, Dissemination Kayla Nelson @lifeoflesion Intro photo of Vulture Couple by Rich Rieger used with permission Photo by Nick Fewings on Unsplash The views and opinions presented in this podcast and publication are solely my responsibility and do not necessarily represent the views of the Patient-Centered Outcomes Research Institute® (PCORI®), its Board of Governors or Methodology Committee. Danny van Leeuwen (Health Hats) Sponsored by Abridge Inspired by and grateful to Jimmy Clare, Jason Stewart, Keith Scott Links Johns Hopkins Bayview Students with Psychosis Nuggets from the Mine (Unfunded Recommendation) Ciel Coffee Roasters FOR COFFEE CONNOISSEURS. Nothing but the best. For me, the best reflects a coffee product of time, attention, and care from the Coffee Producer and the Coffee Roaster. Each bean is a reflection of its best potential Related podcasts https://health-hats.com/peer-support-patience-and-kindness/ https://health-hats.com/pod117/ https://health-hats.com/pod114/ Young Adults with Complex Conditions Transitioning from Pediatric to Adult Medical Care Young Adults, Parents, alone, together. High school, college, professionals, parent. Plus physician, teacher Series: Emerging Adults with Mental Illness About the Show Welcome to Health Hats, learning on the journey toward best health. I am Danny van Leeuwen, a two-legged, old, cisgender, white man with privilege, living in a food oasis, who can afford many hats and knows a little about a lot of healthcare and a lot about very little. Most people wear hats one at a time, but I wear them all at once. I'm the Rosetta Stone of Healthcare. We will listen and learn about what it takes to adjust to life's realities in the awesome circus of healthcare. Let's make some sense of all this. To subscribe go to https://health-hats.com/ Creative Commons Licensing The material found on this website created by me is Open Source and licensed under Creative Commons Attribution. Anyone may use the material (written, audio,