Latest / OneLegUpAlex Media / American Psychiatric Association Foundation and OneLegUpAlex Media Discuss Mental Health to Kick Off ADA Week 7-20-26
Transcript
- 0:04Speaker 1: Here's your host, Alex Garrett.
- 0:07Speaker 2: Well, it was quite a weekend here at One leg
- 0:09Speaker 2: of Ballex Media at Fanatics Best, but we're going to
- 0:12Speaker 2: put that aside for the moment because now a bigger
- 0:15Speaker 2: cause is happening. It's the Americans with Disabilities Act Anniversary Week,
- 0:20Speaker 2: which is Sunday, July twenty six, twenty twenty six, and
- 0:23Speaker 2: I thought addressing mental health is one of the perfect
- 0:26Speaker 2: ways to start it. And I have with me the
- 0:29Speaker 2: and I'm very honored to having me. By the way,
- 0:32Speaker 2: the executive director of the American Psychiatric Association Foundation, Raoul
- 0:38Speaker 2: Andrews Junior, esquire to talk about some interesting pilot programs
- 0:44Speaker 2: going on in the city right now to address mental health. Firstly, Raoul,
- 0:48Speaker 2: thanks for joining me at the One League of Alex
- 0:50Speaker 2: Media podcast today.
- 0:53Speaker 1: A thank you for having us. It's a privilege to
- 0:55Speaker 1: be here.
- 0:56Speaker 2: So tell me about this pilot program because I'm very intrigued.
- 0:59Speaker 2: You know, I've seen homeless outreach teams do their best
- 1:02Speaker 2: to try and make the homeless more comfortable, and I'm
- 1:05Speaker 2: sure this goes beyond homeless, but I want to start there.
- 1:08Speaker 2: But they don't really say yes to the outreach programs
- 1:10Speaker 2: how will this program help those mental health is use
- 1:14Speaker 2: on our streets. I want to start there totally.
- 1:18Speaker 1: So one of the things that the APA Foundation does
- 1:21Speaker 1: as the affiliated charity of the American Psychiatric Association is
- 1:26Speaker 1: try to link psychiatry, science and community together so that
- 1:32Speaker 1: we can get better outcomes. And so our Health and
- 1:36Speaker 1: Healing Collaborative, which is funded by the Mother Cabrini Health
- 1:40Speaker 1: Foundation right there in New York, paired us with Elevate
- 1:44Speaker 1: Health so that we have a three pronged or three
- 1:47Speaker 1: legged approach to doing something different that's been tried before.
- 1:53Speaker 1: First of all, we have a bilingual outreach program, and
- 1:57Speaker 1: so we're coming to audience's since and family caregivers in
- 2:02Speaker 1: English and in Spanish. Second, instead of just saying we're
- 2:05Speaker 1: going to meet people where they are, we actually are
- 2:08Speaker 1: hosting or co hosting community events, mostly in houses of worship.
- 2:13Speaker 1: And third, and most significantly, we have badged some of
- 2:18Speaker 1: our psychiatry residents. These are young early physicians studying training
- 2:24Speaker 1: to be psychiatrists. Were they going to actually be deployed
- 2:28Speaker 1: across the Bronx in this pilot program to add capacity
- 2:32Speaker 1: to work with faith leaders and peer navigators so that
- 2:36Speaker 1: we're bringing all of the resources we have to bear
- 2:39Speaker 1: on this very serious problem.
- 2:41Speaker 2: Oh, it is serious, and you know, you look at
- 2:43Speaker 2: the news today. There was a firearm, there was a
- 2:46Speaker 2: smoke bomb with the FBI. I mean, there's a lot
- 2:49Speaker 2: going on there and you look at that could be
- 2:51Speaker 2: a mental health thing. So do you think your program
- 2:53Speaker 2: could reduce crime?
- 2:56Speaker 1: When we talk about serious mental illness, things that typically
- 3:01Speaker 1: come up. You have overrun or over crowded emergency rooms.
- 3:06Speaker 1: You have housing issues, particularly homelessness, and things like that
- 3:12Speaker 1: that are attached to serious mental illness. And then in
- 3:15Speaker 1: some instances we see justice involved. And while we're careful
- 3:19Speaker 1: working with the APA not to automatically assume that every
- 3:25Speaker 1: crime is a mental health thing behind it. As a
- 3:28Speaker 1: matter of fact, we're working very hard to say, don't
- 3:31Speaker 1: automatically criminalize somebody with serious mental illness because that helps
- 3:36Speaker 1: feed and perpetuate stigma. But we do believe working with
- 3:40Speaker 1: these faith leaders in the churches and other houses of
- 3:44Speaker 1: worship that we've selected, that they're already talking to folks
- 3:49Speaker 1: who are at life's edge, are losing hope. And we
- 3:52Speaker 1: think by going to those trusted leaders and those trusted communities,
- 3:57Speaker 1: we have a better chance to bridge those who want
- 4:00Speaker 1: to help with those who need them.
- 4:04Speaker 2: All right, well, I like that bridge. And obviously, you
- 4:08Speaker 2: know some people are not wanting to help anymore because
- 4:12Speaker 2: you go to someone and you offer some food or
- 4:15Speaker 2: something like that and they say no. I mean, how
- 4:18Speaker 2: do you feel this program is going to really get people?
- 4:24Speaker 2: You know, I don't want going to say off the streets,
- 4:26Speaker 2: but how do you get how do you get them
- 4:27Speaker 2: going in the right direction. I guess what I want
- 4:29Speaker 2: to say is some people do say no to programs
- 4:32Speaker 2: like this.
- 4:33Speaker 1: Well they do. And before we came to New York
- 4:37Speaker 1: with the Health and Healing Collaborative, we already had some
- 4:40Speaker 1: background experience with some testing we had done in Flint, Michigan,
- 4:45Speaker 1: some testing we had done in Alexandria, Virginia, and some
- 4:49Speaker 1: testing we had done in Memphis, Tennessee. And what we
- 4:52Speaker 1: saw was faith leaders who were either privately or publicly
- 4:57Speaker 1: begging for help from the medical community because they were
- 5:01Speaker 1: taken on increasingly complex mental health concerns and they did
- 5:06Speaker 1: not feel like they were equipped to do it. So
- 5:09Speaker 1: the first thing we did alex we took a faith
- 5:12Speaker 1: guide that we had before the pandemic and we updated
- 5:15Speaker 1: it and made it bilingual, so we published a faith
- 5:19Speaker 1: guide for faith leaders in English and in Spanish. Then
- 5:24Speaker 1: the other thing we did was to get these trainees,
- 5:27Speaker 1: these vanguard residents who are in our fellowship program, and said,
- 5:32Speaker 1: we got a unique opportunity where you can actually give
- 5:35Speaker 1: back while you're studying to be a psychiatrist, and if
- 5:38Speaker 1: you would deploy with us, then what happens is they're
- 5:43Speaker 1: working with faith leaders who the congregants already know, or
- 5:46Speaker 1: the parishioners already know, or community members who may be
- 5:50Speaker 1: around these communities but not truly a member of the house.
- 5:54Speaker 1: They're working with peer navigators who actually are members of
- 5:58Speaker 1: these congregations or pair uh. And then we're saying, again,
- 6:03Speaker 1: we're not diagnosing on the spot, but we are trying
- 6:07Speaker 1: to bring you some greater awareness of what the problems are.
- 6:11Speaker 1: We're trying to increase your literacy around mental health issues.
- 6:16Speaker 1: So it's not just some scary topic that we don't
- 6:19Speaker 1: want to talk about or we don't talk about correctly.
- 6:22Speaker 1: But more importantly, what are the culturally appropriate, geographic, accessible
- 6:28Speaker 1: and affordable sometimes no costs tools, tips and resources that
- 6:33Speaker 1: can help somebody or a family caregiver when crisis strikes.
- 6:37Speaker 1: What we hope that's going to look like, Alex is
- 6:39Speaker 1: start moving us out of the crisis management business and
- 6:43Speaker 1: being in the everyday whole health business.
- 6:47Speaker 2: Well, this is this is very intriguing. Now, the the
- 6:52Speaker 2: the all these different community out you know, members and
- 6:55Speaker 2: all that, and especially the psychiatrists. What's their approach like,
- 6:59Speaker 2: how do they approach it? I feel like they're not
- 7:01Speaker 2: the tough guy, they're the more softer, gentler approach. And
- 7:05Speaker 2: does that work almost all the time? Do you find.
- 7:10Speaker 1: Well, there's no one size fits off for any health situation,
- 7:13Speaker 1: and mental health is no different. And so I have
- 7:16Speaker 1: been on the ground in the Bronx in Flint, in Alexandria,
- 7:20Speaker 1: in Memphis and actually seeing how our doctors working with
- 7:24Speaker 1: faith leaders actually take that trust and start translating it
- 7:29Speaker 1: into some meaningful help. Now, mental health issues are a spectrum,
- 7:34Speaker 1: Alex and your audience should appreciate that. So you're gonna
- 7:37Speaker 1: have some good days, you're gonna have some bad days,
- 7:40Speaker 1: and you're gonna have a lot of blow days. And
- 7:42Speaker 1: how do we navigate the yellow, the red, and the green.
- 7:45Speaker 1: The way we do it is to try to break
- 7:48Speaker 1: it down into our Notice Talk Act framework. This is
- 7:54Speaker 1: a clinician supported but non clinician implemented framework that I
- 8:00Speaker 1: call the stop, drop and Roll of mental health. So
- 8:04Speaker 1: you don't have to become an expert in mental health
- 8:07Speaker 1: in order to notice signs and symptoms of distress. In
- 8:11Speaker 1: another you don't have to be a doctor to understand
- 8:14Speaker 1: how to be a better active listener. So you can
- 8:17Speaker 1: talk about a mental health concern that creates an invitation
- 8:21Speaker 1: to take the first step to that bridge. And then
- 8:23Speaker 1: most again, most importantly, a lot of times cost and
- 8:28Speaker 1: awareness of where the locations of help are. We've already
- 8:30Speaker 1: done a heat map already in the Bronx through our
- 8:35Speaker 1: partners with Elevate Health there, and I would hazard to
- 8:39Speaker 1: guess based on the last time I was in the Bronx,
- 8:42Speaker 1: we probably rode by a walk by four or five
- 8:47Speaker 1: clinics on the way to Manner of Life, on the
- 8:50Speaker 1: way to Bronx Bethany, on the way to uc JC
- 8:54Speaker 1: United Church of Jesus Christ, we probably walked by some
- 8:56Speaker 1: of these very same facilities that can provide help, but
- 9:01Speaker 1: people don't know what the building is or they're afraid
- 9:04Speaker 1: to go in either because of their concern about mental
- 9:07Speaker 1: health or because they're concerned about cost and they don't
- 9:10Speaker 1: think they can afford it. We try to explain these
- 9:13Speaker 1: things in a better way in English and in Spanish.
- 9:16Speaker 1: When you're at those super sites in.
- 9:18Speaker 2: The role, I want to ask you, I want to
- 9:20Speaker 2: ask you the realest the difference between what we see
- 9:23Speaker 2: and perceive is mental health issues, like someone randomly screaming
- 9:27Speaker 2: a pensation or whatever. Like that 's the invisible mental
- 9:31Speaker 2: health issues. I mean, there's a real difference there. And
- 9:33Speaker 2: how do you how do you work with both? And
- 9:37Speaker 2: what should we and what should the public look out for? Like,
- 9:40Speaker 2: you know, we see the outside, but what warning signs
- 9:42Speaker 2: should we say, Hey, this person might have a mental
- 9:44Speaker 2: health thing, we should get them help, Like how can
- 9:46Speaker 2: we find that if it's not right in front of
- 9:48Speaker 2: our face?
- 9:50Speaker 1: So the the easiest way to do that is to
- 9:53Speaker 1: try to get those folks to one of our supersites. Again,
- 9:57Speaker 1: that's Manner of Life Ministries Bethany or the UCJC community.
- 10:04Speaker 1: But if you go to our website, Alex again, we're
- 10:07Speaker 1: trying to demystify and destigmatize some of these issues. There's
- 10:11Speaker 1: a lot of learning at APAF dot org. Slash faith,
- 10:15Speaker 1: and I think if you go to the website on
- 10:18Speaker 1: or off your handheld device, you can do it if
- 10:22Speaker 1: a person really looks like they're in crisis. However, the
- 10:25Speaker 1: easiest thing to do, particularly if you don't want to
- 10:27Speaker 1: personally intervene, is to just call it text nine eight eight.
- 10:31Speaker 1: The nine eight eight National Crisis Helpline actually connects you
- 10:36Speaker 1: to a real person who's in community. So if you
- 10:39Speaker 1: call nine eight eight right now about a situation, the
- 10:42Speaker 1: person who you're going to be connected with is actually
- 10:44Speaker 1: going to be a New Yorker.
- 10:48Speaker 2: I want to ask you about the APA and the
- 10:50Speaker 2: APA Foundation and how it helps, you know, suicide rates reduce.
- 10:56Speaker 2: I don't know that that's part of this, but I
- 10:58Speaker 2: feel like it can help the intervention. The work you
- 11:01Speaker 2: guys are doing are helping people save lives.
- 11:04Speaker 1: Really right, transform and save lives is absolutely correct. We
- 11:09Speaker 1: are working with, among others, the American Foundation for Suicide
- 11:12Speaker 1: Prevention in these programs, and so as a convener, we're
- 11:17Speaker 1: trying to bring the resources to bear under the House
- 11:21Speaker 1: of Worship so people don't have to have the scattershot approach.
- 11:25Speaker 1: And while we don't have numbers on persons who've been saved.
- 11:29Speaker 1: I am aware of at least one real time story
- 11:32Speaker 1: last week where a person came to one of our
- 11:35Speaker 1: super sites and they mentioned that they had been thinking
- 11:38Speaker 1: about self harm, and over about a sixteen hour period,
- 11:43Speaker 1: we were able to get that person some help. If
- 11:46Speaker 1: we had not been there, I don't know whether or
- 11:49Speaker 1: not they would have thought there was a safe place
- 11:52Speaker 1: to reach out to bear their soul and try to
- 11:55Speaker 1: get that help. So thank god we were there, but
- 11:57Speaker 1: more importantly, thank god that the mother could any health
- 12:00Speaker 1: foundation made it possible for us to be here, and
- 12:03Speaker 1: that Elevate Health and our supersite partner were on the
- 12:08Speaker 1: spot to provide the resources in real time.
- 12:12Speaker 2: I really like that you're in the underserved communities because
- 12:14Speaker 2: obviously those communities also may not be able to afford healthcare.
- 12:18Speaker 2: So do you guys coming up with a free approach,
- 12:22Speaker 2: a least expensive approach, because obviously the healthcare world is
- 12:25Speaker 2: challenging as is, how do you guys differentiate it and
- 12:28Speaker 2: make sure these people and people around the city get
- 12:30Speaker 2: the help they need.
- 12:32Speaker 1: The Health and Healing Collaborative that the APA Foundation run
- 12:36Speaker 1: is a free resource. It comes to patients and family
- 12:39Speaker 1: caregivers at no cost. And that is because the Mother
- 12:43Speaker 1: Cabrini Health Foundation, which is based in New York, has
- 12:47Speaker 1: provided the funding for us to provide these services. More
- 12:51Speaker 1: importantly than that, though, because of the heat map that
- 12:54Speaker 1: our team has put together, they actually can tell you
- 12:57Speaker 1: if you come to one of those intakes scenarios, whether
- 13:01Speaker 1: that's at a super site or one of our healing circles,
- 13:04Speaker 1: where is the heat map? Tell you resources are that
- 13:07Speaker 1: are free, where are the resources that are low cost?
- 13:12Speaker 1: And if you have more resources, where can I go
- 13:16Speaker 1: and get immediate help? And cost is no object. So
- 13:19Speaker 1: all of that information is available because again not one
- 13:22Speaker 1: size fits all approach, but it is like stop, drop
- 13:26Speaker 1: and roll. The more we know, the more we're going
- 13:29Speaker 1: to be able to get a better tomorrow.
- 13:31Speaker 2: This foundation is very interesting because obviously psychiatrists and those
- 13:34Speaker 2: of the medical fields face burnout. So how do you
- 13:37Speaker 2: guys help support the psychiatrists that are going into the
- 13:39Speaker 2: battlefields if you will, and helping all these people.
- 13:45Speaker 1: One of the programs that the foundation run is called
- 13:48Speaker 1: the Center for Workplace Mental Health, and we have a
- 13:51Speaker 1: program called Frontline and Connect that directly addresses clinician burnout.
- 13:57Speaker 1: Particularly since the pandemic. Again, our framework around burnout, like
- 14:03Speaker 1: everything else, comes under the umbrella of our Notice Talk
- 14:06Speaker 1: Act framework. Obviously, the steps to employ for clinician burnout
- 14:12Speaker 1: are different than they might be for somebody who's struggling
- 14:15Speaker 1: with a mental health concern outside the profession. But we
- 14:19Speaker 1: are the reason why we have our Vanguard training program
- 14:22Speaker 1: is because where we see the most need, particularly on
- 14:27Speaker 1: the burnout spectrum, seems to be medical students and early
- 14:31Speaker 1: career psychiatrists. They've gotten in, they know that they want
- 14:36Speaker 1: to help save lives, but they didn't realize how burdensome
- 14:40Speaker 1: sometimes the practice of medicine would be, and so we
- 14:44Speaker 1: are providing them through our Frontline connect platform, Notice Talk
- 14:50Speaker 1: Act resources that are appropriate for a doctor. Amen to that?
- 14:57Speaker 2: All right, I'm sure you're going to agree with this.
- 14:59Speaker 2: There are some where people just want to video someone
- 15:02Speaker 2: out there who looks troubled, and I'm sure you're like,
- 15:03Speaker 2: put the video away and help people, right. I mean,
- 15:05Speaker 2: I feel like we got to stare away from like
- 15:08Speaker 2: videoing all these people and just saying, hey, you need help,
- 15:10Speaker 2: let me get you the right resource.
- 15:15Speaker 1: I'm not judging anybody, but I'm aware of the scenario
- 15:18Speaker 1: you described, and it would be easier to call or
- 15:22Speaker 1: text nine eight eight in those situations than to make
- 15:26Speaker 1: light of those situations by thinking that a picture or
- 15:29Speaker 1: a video alone is going to provide some help. Because
- 15:33Speaker 1: sometimes people are in crisis, we have no idea why,
- 15:37Speaker 1: and taking a video or a screenshot of them isn't
- 15:40Speaker 1: getting them any closer to care. Nine eight eight. It
- 15:43Speaker 1: took years to put nine eight eight together. It would
- 15:46Speaker 1: be a shame to have that opportunity and not use
- 15:49Speaker 1: it again. Because of the Mother Cabrini Health Foundation, we've
- 15:53Speaker 1: been able to bring these additional resources on top of
- 15:56Speaker 1: nine eight eight to pilot in the Bronx with plans
- 15:59Speaker 1: to expand beyond the rocks. But the reality of it is,
- 16:03Speaker 1: if people don't use the resource, as you mentioned at
- 16:07Speaker 1: the outset, it becomes harder to get the help they need.
- 16:11Speaker 1: But you can still go to APAAF dot org, APAF
- 16:15Speaker 1: dot org, slash faith and it puts you on the
- 16:18Speaker 1: first step to the bridge to a better tomorrow.
- 16:21Speaker 2: Now, I don't know politics is involved, but obviously you
- 16:24Speaker 2: might need some kind of help from that side. So
- 16:28Speaker 2: and you know everything out I might disroom him on
- 16:31Speaker 2: Donnie and he's very big on mental health. Do you
- 16:33Speaker 2: find support from the inmittration. Are you looking for support
- 16:36Speaker 2: for the inmitistration on this or are you privately mainasure
- 16:39Speaker 2: there's a private entity here.
- 16:42Speaker 1: Well, the good news is we have already started working
- 16:45Speaker 1: with the Mayor's Office of Public Engagement and the New
- 16:49Speaker 1: York State Division of Human Rights and the New York
- 16:53Speaker 1: State Office of Mental Health on this. So while it
- 16:56Speaker 1: is a private enterprise through a nonprofit to bring the
- 17:02Speaker 1: Health and Healing Collaborative to New York, we are bringing
- 17:05Speaker 1: all of the resources that are available. And one of
- 17:08Speaker 1: the things we learned since we started this pilot about
- 17:11Speaker 1: six seven months ago, eighty percent of the patients that
- 17:15Speaker 1: are being cared for by the New York Office and
- 17:19Speaker 1: Mental Health suffer from a serious mental illness. So we're
- 17:23Speaker 1: already talking about the same communities. And what we're trying
- 17:27Speaker 1: to do is bring together alex what we refer to
- 17:31Speaker 1: as silos of excellence because one of the reasons why
- 17:34Speaker 1: you think, and you might be true, that we're not
- 17:37Speaker 1: as effective when we try these programs in the past,
- 17:40Speaker 1: because we haven't acknowledged that we built silos. We haven't
- 17:44Speaker 1: acknowledged that sometimes those silos are operating at the highest level,
- 17:49Speaker 1: but then when they reach a fork in the road
- 17:51Speaker 1: or a dead end, they don't know how to do
- 17:54Speaker 1: a soft pass or a warm handoff to another program
- 17:58Speaker 1: or affiliate. We're trying to be that hub through the
- 18:01Speaker 1: Health and Healing Collaborative, so that if it's a resource
- 18:05Speaker 1: that you need that helps a patient or a family caregiver,
- 18:09Speaker 1: we can provide that honor offline in English and in Spanish.
- 18:14Speaker 2: All right, one more thing, because he's gotten a lot
- 18:16Speaker 2: of heat about this encampment, whether to stop it or not.
- 18:18Speaker 2: I mean, are guys involved, but being sure those ten cities,
- 18:22Speaker 2: if you will, can come down that those people can
- 18:24Speaker 2: get the right help. Are you being asked to help
- 18:26Speaker 2: in those regards.
- 18:28Speaker 1: We have not been asked to help, so I won't
- 18:30Speaker 1: speak to it. Obviously, we're aware of it. But New
- 18:32Speaker 1: York made Housing First a model for the nation, and
- 18:38Speaker 1: we know that the Office of Mental Health and many
- 18:40Speaker 1: others were behind that movement. So we pray and hope
- 18:44Speaker 1: that there'll be a equitable resolution to that situation. But no,
- 18:49Speaker 1: the APA and the APA Foundation have not been asked
- 18:52Speaker 1: to help.
- 18:53Speaker 2: Well, I'm so appreciative this update because we do want
- 18:56Speaker 2: to help the mental health in the city. And you
- 18:58Speaker 2: know we always have these awareness months. This is the
- 19:00Speaker 2: AD month, but there is mental health Awareness Month I
- 19:02Speaker 2: believe in March, but it never ends. The awareness cannot end.
- 19:06Speaker 2: And I always stress that we have to continue with
- 19:08Speaker 2: the conversation twelve months of the year, not just one
- 19:10Speaker 2: month of the year.
- 19:14Speaker 1: Every time we see here or tell a story about
- 19:18Speaker 1: the human condition, we're talking about a mental health journey.
- 19:22Speaker 1: And I think if we keep that in mind, it
- 19:25Speaker 1: will allow us to fully appreciate there is no health
- 19:28Speaker 1: without mental health and if we need help, there's no
- 19:31Speaker 1: harm and there's no sin and asking for it.
- 19:37Speaker 2: Well, we appreciate you taking the time here at one
- 19:39Speaker 2: look at alex Media to kick off ADA week to
- 19:41Speaker 2: discuss this program. And I really want to see how
- 19:44Speaker 2: this grows. And I love that back on six months
- 19:46Speaker 2: from now and say hey, how is the program going.
- 19:48Speaker 2: I love to get an update from you.
- 19:50Speaker 1: We would love to give you an annual report and
- 19:53Speaker 1: then talk to you a little bit about how year
- 19:56Speaker 1: two is going to shake out. But I know that
- 19:58Speaker 1: we wouldn't have the ability to get this word out
- 20:01Speaker 1: without folks like you Alex. So We just want to
- 20:04Speaker 1: thank you for making the time and the space so
- 20:07Speaker 1: that we could get some more people from help.
- 20:09Speaker 2: And you know what yared about smashing stigmas, I'm about
- 20:12Speaker 2: that here at the podcast. So thank you for highlighting
- 20:15Speaker 2: that you guys are trying to smash stigmas right alongside
- 20:18Speaker 2: all of us here in the adaptive community.
- 20:22Speaker 1: Thank you, sir.
- 20:23Speaker 2: That was Rol Andrews Junior, the executive director of the
- 20:27Speaker 2: American Psychiatric Association Foundation, here at one leg of alex
- 20:31Speaker 2: Media to kick off eighty eight thirty six week Thanks
- 20:34Speaker 2: so much, sir for joining us today. ROO.
- 20:37Speaker 1: Thank you. God bless you, brother, God bless you