Latest / Becker's Healthcare Behavioral Health / Transforming Trauma Care: Aimee McCann on Rethinking Mental Health Treatment
Transcript
- 0:00Welcome everyone to the Becker's Healthcare podcast. I'm
- 0:02Mariah Muhammad, writer and moderator with Becker's Healthcare.
- 0:05And I'm thrilled to have with me today
- 0:07Amy McCann, CEO and founder of Banyan Mental
- 0:10Health Solutions.
- 0:11Amy, welcome to the podcast. We're very excited
- 0:13to have you join us today, especially for
- 0:14the first
- 0:15time. But to get us started, would you
- 0:17mind please introducing yourself and telling us a
- 0:18bit about your background?
- 0:20Sure.
- 0:21I'm Amy McCann. Like she said, I have
- 0:23a bachelor's and a master's degree in social
- 0:25work. I finished my master's thirty four years
- 0:28ago and have been in all kinds of
- 0:30levels of care throughout, you know, PHP,
- 0:33IOP, inpatient.
- 0:34I have not done residential. But in addition
- 0:37to all that, I've had lots of other
- 0:38experiences,
- 0:39like, with children,
- 0:41in therapy.
- 0:43And so currently, I have a private practice
- 0:46that focuses on trauma,
- 0:49especially complex trauma, which is attachment
- 0:53trauma, wounding,
- 0:55dissociative disorders, and the co occurring disorders that
- 0:58that occur.
- 1:00So in my private practice, I have found
- 1:03a lot of difficulties in obtaining higher levels
- 1:05of care for some of my folks because
- 1:08most of them do have insurance, and they
- 1:09need to use insurance
- 1:11in order to access higher levels of care
- 1:13like inpatient, even PHP, IOP.
- 1:17And I found that there was a gap
- 1:18in services. And so I decided to create
- 1:22Banyan Mental Health.
- 1:23We use Banyan Mental Health as the the
- 1:26shorter
- 1:26name for Banyan Health Mental Health Solutions.
- 1:30In order to
- 1:32compound some of the problems I've noticed, not
- 1:35only through professional experiences, but personal
- 1:38lived experiences
- 1:40throughout
- 1:40the treatment that I received.
- 1:43So practicing vulnerability is something that I'm trying
- 1:45very hard to do because I want to
- 1:47normalize emotions for everybody, and I would like
- 1:50to change our language in terms of
- 1:53you know, we are
- 1:54diagnosing disorders in order to obtain insurance reimbursements.
- 1:58However, I believe that it's better for all
- 2:00of us to acknowledge
- 2:02that trauma or just chronic stress that we
- 2:06have in our lives, in our daily lives,
- 2:08can lead to
- 2:10the adaptations that we're making and the symptoms
- 2:12that we're saying are
- 2:14pathological.
- 2:16So
- 2:17I just finished
- 2:18completing a study for Purdue,
- 2:21University
- 2:22as a part of a team,
- 2:24And we hope to
- 2:26I'll be coauthoring that paper, and we hope
- 2:28to submit it for publishing this summer.
- 2:31I was also serving as the acute care
- 2:34special interest group
- 2:36secretary for the International Society of the Study
- 2:38of Trauma and Dissociation.
- 2:40So I'll be talking a little bit about
- 2:41that as to, you know, how
- 2:44that group and the research that I've done
- 2:46has influenced
- 2:48the reasons that I've decided to create Banyan.
- 2:52Yeah. Yeah. Absolutely. That that's definitely amazing. Thank
- 2:54you so much for sharing. Mental health has
- 2:56definitely been a topic that's getting more shine,
- 2:59and it's become a lot more comfortable to
- 3:01talk about in society, which is great.
- 3:03But what opportunities and headwinds do you kinda
- 3:06have your eye on right now?
- 3:08Well, because there are so many people that
- 3:11are
- 3:12lacking
- 3:14access to higher levels of care, the opportunity
- 3:16is to make a change in how we
- 3:20how we conduct our business.
- 3:23So Banyan Mental Health is a nonprofit,
- 3:26and we have absolutely no intention
- 3:28of
- 3:29simply making
- 3:30treatment decisions because we need to keep somebody
- 3:33there. We hope to find
- 3:36funding to
- 3:38make up the difference for what insurance reimbursements
- 3:41aren't making.
- 3:43So,
- 3:43we're looking at providing trauma focused care.
- 3:47And trauma focused, meaning we are gonna do
- 3:49things that are very different. We want to
- 3:51be innovators
- 3:53and using the most recent research based
- 3:57approaches that we can that will
- 4:00not only treat the symptoms, but the underlying
- 4:04original traumas that these folks have experienced.
- 4:07So
- 4:09we hope to provide
- 4:11an option for people that have chronic suicide
- 4:14ideation. So that includes
- 4:16folks with complex trauma,
- 4:19dissociative disorders,
- 4:20things like treatment resistant depression. You'll see borderline
- 4:24personality disorder pretty frequently.
- 4:26We will be treating eating disorders, which is
- 4:28very different because right now, it's I think
- 4:31it's almost impossible to find
- 4:33eating disorder treatment that will treat somebody with
- 4:37eating disorder and a dissociative disorder.
- 4:39And in and of themselves, eating disorders are
- 4:42dissociatives
- 4:43to some extent.
- 4:44So I'm hoping to bring something very new,
- 4:47bottom up. You know, it's based in the
- 4:49body,
- 4:50and nobody else is doing that,
- 4:53at least not that's taking insurance. So I
- 4:55think that we have that great opportunity to
- 4:57make a change,
- 4:59and I'm pretty excited about all that.
- 5:01And the other thing is is that I
- 5:03absolutely want to have an option
- 5:05that is not inpatient
- 5:07treatment for folks. Treatment
- 5:10added an inpatient level
- 5:12for trauma focused care has decreased significantly in
- 5:16The US. And there are only a few
- 5:19places that I can refer to, and all
- 5:22of them are out of state, in Ohio,
- 5:24by the way.
- 5:25So by giving an option so that people
- 5:27don't have to go inpatient, so they don't
- 5:29have to have the trauma that people experience
- 5:32on inpatient units because
- 5:35decreased reimbursements mean less staffing,
- 5:38less staff training.
- 5:41And so we want to prevent the traumas
- 5:44that people
- 5:45experience during those inpatient stays.
- 5:48As much as up to sixty seven percent
- 5:50of people
- 5:51have PTSD
- 5:52symptoms from their admission.
- 5:55And that study was just done in '26
- 5:572016 or 2018.
- 6:00So
- 6:01that's another reason. I think it's a huge
- 6:03opportunity to do something different.
- 6:06Yeah. Yeah. Absolutely. I do not know that
- 6:08statistic,
- 6:09which that's very shocking,
- 6:11and very unfortunate to hear. So I definitely
- 6:14agree with you there.
- 6:16You talked a lot about,
- 6:18your future plans and what you're doing right
- 6:19now within your organization. How are you thinking
- 6:22about growth and adding value to your organization,
- 6:25for the remainder of the year or or
- 6:26the next five years even?
- 6:28We have to prove ourselves first. We are
- 6:31not open yet, and the issue is is
- 6:33that we don't have enough funding to open.
- 6:35I've been working on this for over two
- 6:37and a half years,
- 6:38and we're just now to the point where
- 6:41we're ready to do you know, we're ready
- 6:42to move, but we don't have funding.
- 6:44So we're seeking funding.
- 6:46But the growth, you know, part of it
- 6:49is we wanna be very, very careful to
- 6:51create a culture,
- 6:53for our employees,
- 6:55slow, careful hiring.
- 6:58We wanna focus on innovation.
- 7:00And if we can prove ourselves and if
- 7:02we can be financially sustainable, I think that
- 7:04there's a great opportunity
- 7:06to
- 7:07replicate this in other areas.
- 7:09Because one of the barriers to care for
- 7:12a lot of people in states that have
- 7:14Medicaid,
- 7:15those Medicaid folks have a really hard time
- 7:19obtaining
- 7:19higher levels of care outside of their state.
- 7:22So I think the opportunity is is to
- 7:25plant them in other states so that more
- 7:27access can be, can be had for folks.
- 7:31And, also, I definitely wanna be a research
- 7:33site.
- 7:34I'm collaborating
- 7:36with trying to build collaborations with universities,
- 7:39and I definitely have some connections to some
- 7:42great,
- 7:43people that are doing
- 7:45really
- 7:46groundbreaking,
- 7:48research.
- 7:49But the problem is is that
- 7:51we need to have a university to kinda
- 7:54collaborate with.
- 7:55So that's one of my big goals that,
- 7:58you know, maybe we can make a change
- 8:00as to how we are going to approach
- 8:03treatment now.
- 8:05Yeah. Yeah. Definitely. That makes a lot of
- 8:07sense. And I guess adding on to that,
- 8:09is there one risk or investment
- 8:12that you think is worth making this year
- 8:13for your organization? Or I guess, advice for
- 8:17other people,
- 8:18that kinda are doing the same thing?
- 8:21Well, the risk is doing it differently.
- 8:23I think that,
- 8:24currently, we've got a lot of
- 8:27providers
- 8:28who are doing the same thing that they've
- 8:31done for the last
- 8:33fifteen years, twenty years even.
- 8:35So the risk is doing this differently,
- 8:38convincing
- 8:39people that, you know, this is the way
- 8:41to go because the idea is to reduce
- 8:43shame. And there are a lot of practices
- 8:45out there that shame people into believing that
- 8:48they should just change their behavior. They should
- 8:51just change their cognitions
- 8:53so that they can, you know, behave and
- 8:55fit in with, you know, the system that
- 8:57they're living in, whatever that is, the family
- 9:00or,
- 9:01school system, whatever.
- 9:03And
- 9:04for goodness sakes, I think that, you know,
- 9:06they're stagnant,
- 9:08these other providers, and we need to be
- 9:10innovative. We need to keep trying. So
- 9:13the biggest risk is trying to find people
- 9:16to, you know, buy into this. So it's
- 9:18gonna take some time. Does that make sense?
- 9:21Yeah. Yeah. No. That definitely makes sense. And
- 9:23you talked a lot about growth and
- 9:26other opportunities and headwinds.
- 9:29For my last question, is there any other
- 9:31places,
- 9:32where you see the best opportunities for growth
- 9:34in the future within the mental health space?
- 9:37And I think that's it, is doing something
- 9:39different and actually treating the underlying problem so
- 9:42that we're reducing recidivism.
- 9:44And I'm really targeting
- 9:46overall health outcomes. I'm not just looking at
- 9:49mental health symptoms. I'm looking at long term
- 9:52physical health outcomes so that we can reduce
- 9:55things like
- 9:56the incidences
- 9:58of cancer,
- 9:59diabetes,
- 10:00and cardiovascular
- 10:01disease.
- 10:02There's a lot of things that I think
- 10:04that if we do it right the first
- 10:06time,
- 10:07if we actually spend the money on doing
- 10:10correctly,
- 10:11then later, we're not gonna be wasting all
- 10:13that money.
- 10:14And we have to change to a a
- 10:17nonprofit
- 10:18format. I think that for profit capitalism
- 10:22creates a conflict of interest, especially if there's
- 10:25a vertical in a an integration model
- 10:28in which the insurer is the provider.
- 10:31And I don't want anything to do with
- 10:33that. I I think that we would be,
- 10:35you know, mistreating
- 10:37people
- 10:38if we continue to just try to fill
- 10:40beds and try to get them through the
- 10:42system instead of dealing with the underlying problem
- 10:45to begin with.
- 10:47Yeah. Yeah. Absolutely. Thank you so much for
- 10:48those final thoughts. This has definitely been a
- 10:51very informative discussion. I know I've learned something.
- 10:54So, again, I wanna thank you so much
- 10:55for coming on Pecos HealthCare, especially for the
- 10:57first time, and I look forward to connecting
- 10:59with you again soon. Sure. Thanks, Mariah. Appreciate
- 11:02it.