Dr. Mike Trangle

I don't do my daily hygiene. I just don't have the energy. I don't have the initiative. I don't care. I know it's not going to help. Nothing's going to get better. What's the use? And for me to get up and call a doc and say I'm not doing well is way more than I can handle. And so you're taking people that are at their worst and they're not functioning well.

I don't do my daily hygiene. I just don't have the energy. I don't have the initiative. I don't care. I know it's not going to help. Nothing's going to get better. What's the use? And for me to get up and call a doc and say I'm not doing well is way more than I can handle. And so you're taking people that are at their worst and they're not functioning well.

And you're asking them to sort of like fight the system, which is stacked against you to get in. And it's too much.

And you're asking them to sort of like fight the system, which is stacked against you to get in. And it's too much.

You know, and it's funny because ideally the system, if you talk to people that say it needs to be designed so there's no long door and that people will get you in. and get you in a timely way. But each agency has their own way to protect themselves. And there are sociologists that have done studies looking at therapy

You know, and it's funny because ideally the system, if you talk to people that say it needs to be designed so there's no long door and that people will get you in. and get you in a timely way. But each agency has their own way to protect themselves. And there are sociologists that have done studies looking at therapy

patients and it's like uh in the old days this might have been the 60s or 70s they would say that the kind of patients that therapists like to see are young verbal uh attractive and i don't know what the obvious i don't remember what the uh intelligent and i don't know what the s was but yeah uh it's not your disheveled schizophrenic who's homeless and wants to do something about it you know um and those people somehow don't seem to make it in

patients and it's like uh in the old days this might have been the 60s or 70s they would say that the kind of patients that therapists like to see are young verbal uh attractive and i don't know what the obvious i don't remember what the uh intelligent and i don't know what the s was but yeah uh it's not your disheveled schizophrenic who's homeless and wants to do something about it you know um and those people somehow don't seem to make it in

One, they're not as competent and two, David Mechanic did some of the studies looking at how institutional barriers sort of creep up to make it a little nicer workplace for some people.

One, they're not as competent and two, David Mechanic did some of the studies looking at how institutional barriers sort of creep up to make it a little nicer workplace for some people.

And everybody got way isolated.

And everybody got way isolated.

You know, um, Uh, I've been a leadership vice chair and chair of the governor's mental health advisory council for a while. And we heard from a lot of people during COVID, especially people with substance abuse, um, they couldn't go to groups.

You know, um, Uh, I've been a leadership vice chair and chair of the governor's mental health advisory council for a while. And we heard from a lot of people during COVID, especially people with substance abuse, um, they couldn't go to groups.

You know, they couldn't stay so clean and then say when they started using again, you know, and, um, um, what turned out to be a huge lifeline for them was just a telephone, you know? Uh, yeah. And there was a huge fight going on in those days about what people are going to pay or not pay for audio only, you know, but you got a lot of people in rural areas, a lot of people in

You know, they couldn't stay so clean and then say when they started using again, you know, and, um, um, what turned out to be a huge lifeline for them was just a telephone, you know? Uh, yeah. And there was a huge fight going on in those days about what people are going to pay or not pay for audio only, you know, but you got a lot of people in rural areas, a lot of people in

in the inner rings where they don't have, you know, it's not just a rural, but it's also if you don't have money or a good network in the city, there are a lot of people that didn't have good internet access, couldn't do the video or it was in and out. And they found that just calling and talking to your CD counselor or your shrink on the phone was the lifeline.

in the inner rings where they don't have, you know, it's not just a rural, but it's also if you don't have money or a good network in the city, there are a lot of people that didn't have good internet access, couldn't do the video or it was in and out. And they found that just calling and talking to your CD counselor or your shrink on the phone was the lifeline.

And they said, that's what kept them alive. Wow. And we argue vociferously that, one, it got added to the pandemic exemptions. And then just recently, they extended the study. Instead of just saying we should pay for audio only for CD and mental health, they just extended the study for a year or two. It's not going to come up again in a year.

And they said, that's what kept them alive. Wow. And we argue vociferously that, one, it got added to the pandemic exemptions. And then just recently, they extended the study. Instead of just saying we should pay for audio only for CD and mental health, they just extended the study for a year or two. It's not going to come up again in a year.