Dr. Mike Trangle

But we're worse than dermatology. At the same time, at the same time, we've been proposing that we sort of in a supervised safe way, expand the workforce so that we're including nurse practitioners. physicians assistants that have specialized training in, in psychiatric behavioral health issues, both mental health and substance abuse issues.

But we're worse than dermatology. At the same time, at the same time, we've been proposing that we sort of in a supervised safe way, expand the workforce so that we're including nurse practitioners. physicians assistants that have specialized training in, in psychiatric behavioral health issues, both mental health and substance abuse issues.

And that we measure that and compare them to nurse practitioners in medical surgical kinds of places. We're proposing your measure. If you break your leg, how long does it take in to get into a rehab or a transitional care unit? We should do the same thing that people are now sitting on inpatient psych units waiting to get out, but they're not safe to go home.

And that we measure that and compare them to nurse practitioners in medical surgical kinds of places. We're proposing your measure. If you break your leg, how long does it take in to get into a rehab or a transitional care unit? We should do the same thing that people are now sitting on inpatient psych units waiting to get out, but they're not safe to go home.

How long they're waiting to get into a foster home, how many they're waiting into a residential treatment center, those kinds of things and compare those. And I think doing that, that expecting the health plans to improve, we said by 25 percent each year until they're within 10 percent of what it takes to get into the medical surgical would really go a long way.

How long they're waiting to get into a foster home, how many they're waiting into a residential treatment center, those kinds of things and compare those. And I think doing that, that expecting the health plans to improve, we said by 25 percent each year until they're within 10 percent of what it takes to get into the medical surgical would really go a long way.

You know, so let me ask you, get in. You're not going to get help. You're not going to get better.

You know, so let me ask you, get in. You're not going to get help. You're not going to get better.

Yeah, I mean, more and more people are dying for lack of getting in and getting what they need.

Yeah, I mean, more and more people are dying for lack of getting in and getting what they need.

And like we talked about earlier, we're sort of in a period where the percentage of people with anxiety, worsening anxiety and depression is skyrocketing. Suicides are going up. We know that deaths of despair from sometimes intentional, sometimes accidental opiate overdoses are increasing majorly. I think the urgency is there. It really is a crisis.

And like we talked about earlier, we're sort of in a period where the percentage of people with anxiety, worsening anxiety and depression is skyrocketing. Suicides are going up. We know that deaths of despair from sometimes intentional, sometimes accidental opiate overdoses are increasing majorly. I think the urgency is there. It really is a crisis.

Yeah. How do I want to say this? I mean, COVID... isolated people, remove them from their normal habits, less exercise, less going to work and getting whatever social supports you might from colleagues there, as well as more pressures. One of the things that showed, though, was that for mental health and for substance abuse disorders, video or just telephone, audio only, can be a lifeline.

Yeah. How do I want to say this? I mean, COVID... isolated people, remove them from their normal habits, less exercise, less going to work and getting whatever social supports you might from colleagues there, as well as more pressures. One of the things that showed, though, was that for mental health and for substance abuse disorders, video or just telephone, audio only, can be a lifeline.

You know, there was a surge in kind of telehealth, both audio only and televideo. And the surge has sort of gone down and it waxed and then it kind of waned, except for behavioral health, where it stayed right up there. I was the immediate, unlike for the psych society, the immediate past chair of the Governor's Mental Health Advisory Council. And we heard in spades there, it just...

You know, there was a surge in kind of telehealth, both audio only and televideo. And the surge has sort of gone down and it waxed and then it kind of waned, except for behavioral health, where it stayed right up there. I was the immediate, unlike for the psych society, the immediate past chair of the Governor's Mental Health Advisory Council. And we heard in spades there, it just...

how crucial it was, especially for people that had substance use disorders and their group stopped because of COVID, but being able to talk to somebody, whether it's televideo video or audio only was a lifeline for many of them. And it just kept them alive. They, they didn't relapse as much. They didn't overdose. Uh,

how crucial it was, especially for people that had substance use disorders and their group stopped because of COVID, but being able to talk to somebody, whether it's televideo video or audio only was a lifeline for many of them. And it just kept them alive. They, they didn't relapse as much. They didn't overdose. Uh,

And it was the same thing for people that were rural or old people that aren't technologically sophisticated and couldn't get televideo stuff going or didn't have good internet. That really is hugely important. It doesn't replace, it's not an either or, but your internet is on the fritz. If you can talk to somebody on the telephone, it can, it could just be so helpful, you know?

And it was the same thing for people that were rural or old people that aren't technologically sophisticated and couldn't get televideo stuff going or didn't have good internet. That really is hugely important. It doesn't replace, it's not an either or, but your internet is on the fritz. If you can talk to somebody on the telephone, it can, it could just be so helpful, you know?