Dr. Mike Trangle

Because of the economics of it, there are less inpatient beds, there are less clinicians out there, but the population continues to grow, the need continues to grow. People are beginning to do some stuff in the legislature about putting some money into maybe increasing resources for training programs.

Because of the economics of it, there are less inpatient beds, there are less clinicians out there, but the population continues to grow, the need continues to grow. People are beginning to do some stuff in the legislature about putting some money into maybe increasing resources for training programs.

increasing resources for training programs so we can get people from diverse communities trained and supervisors to train other people from those communities. That'll take a while. And they still they've done some token things, but the rates haven't gone up to really attract people to the field as much as other areas.

increasing resources for training programs so we can get people from diverse communities trained and supervisors to train other people from those communities. That'll take a while. And they still they've done some token things, but the rates haven't gone up to really attract people to the field as much as other areas.

but it's been sort of neglected and underfunded and increased the amount, the degree the underfunding has kind of accumulated over the years. That's a long way to go. So it's starting to change, but unlike Virginia Slims, we have not come a long way, baby.

but it's been sort of neglected and underfunded and increased the amount, the degree the underfunding has kind of accumulated over the years. That's a long way to go. So it's starting to change, but unlike Virginia Slims, we have not come a long way, baby.

You know, and I think that whoever's listening, if you think about, if you know who you're legislatures are in the Senate, in the Minnesota Senate and House. And if you have any communication or if you don't, maybe you should strike up some and say, we need to better fund mental health and substance use resources. You know, please do so as issues come up in the legislature.

You know, and I think that whoever's listening, if you think about, if you know who you're legislatures are in the Senate, in the Minnesota Senate and House. And if you have any communication or if you don't, maybe you should strike up some and say, we need to better fund mental health and substance use resources. You know, please do so as issues come up in the legislature.

Isn't there a song like that, You Are Always On My Mind? You Are Always On My Mind, exactly.

Isn't there a song like that, You Are Always On My Mind? You Are Always On My Mind, exactly.

My perspective is a little bit twofold or color. Yeah. When anyone starts their chronic career, and I started as a clinician, through psychiatric residency, seeing patients, both adolescents and adults, and doing a combination of inpatient and outpatient work, and then adding substance use disorder work.

My perspective is a little bit twofold or color. Yeah. When anyone starts their chronic career, and I started as a clinician, through psychiatric residency, seeing patients, both adolescents and adults, and doing a combination of inpatient and outpatient work, and then adding substance use disorder work.

And early on in anybody's career, you want to sort of master your trade, you know, perspective and competencies. So as I went along my career, I sort of knew more and got better, get experience, you know, so you're loving by knowing more patients and your own life experiences. At the same time, it's been very apparent to me that early in my career, you know, Nobody talked about mental health.

And early on in anybody's career, you want to sort of master your trade, you know, perspective and competencies. So as I went along my career, I sort of knew more and got better, get experience, you know, so you're loving by knowing more patients and your own life experiences. At the same time, it's been very apparent to me that early in my career, you know, Nobody talked about mental health.

You know, if you think about it, somebody got sick, got hospitalized. You know, they never got cards. A lot of people visiting letters. You know, I don't know if they got cakes or dinners left over. You know, one of the spouses was in the hospital and stuff. It just wasn't done. It was like it was like a dirty word almost. Yeah. So much shame. and avoidance about it.

You know, if you think about it, somebody got sick, got hospitalized. You know, they never got cards. A lot of people visiting letters. You know, I don't know if they got cakes or dinners left over. You know, one of the spouses was in the hospital and stuff. It just wasn't done. It was like it was like a dirty word almost. Yeah. So much shame. and avoidance about it.

And I would say over the decades, I think both families first, and then patients to a lesser extent started realizing there's stigma involved here, and it's totally unwarranted. People don't choose to have mental illnesses. People really don't choose to have substance abuse disorders, but they still have to deal with the fallout coming from that.

And I would say over the decades, I think both families first, and then patients to a lesser extent started realizing there's stigma involved here, and it's totally unwarranted. People don't choose to have mental illnesses. People really don't choose to have substance abuse disorders, but they still have to deal with the fallout coming from that.

And as that has gotten more acceptance by the advocacy groups that it's OK, and maybe we need to fight for our slice of the pie, things have changed. It still has a long, long way to go if you look at the statistics. But I think in some sense, the core, one of the core issues is this is not my fault. I shouldn't need to be ashamed or hide, you know, that kind of stuff.

And as that has gotten more acceptance by the advocacy groups that it's OK, and maybe we need to fight for our slice of the pie, things have changed. It still has a long, long way to go if you look at the statistics. But I think in some sense, the core, one of the core issues is this is not my fault. I shouldn't need to be ashamed or hide, you know, that kind of stuff.