Netsmart CareThreads
Netsmart CareThreads

Episode · 2 months ago

Passion for Prevention: How one community’s actions impacts mental wellness

ABOUT THIS EPISODE

Law enforcement often comes in contact with individuals who need behavioral health care rather than lawful arrest or incarceration. To provide immediate and appropriate care in these situations, more communities are pairing behavioral health professionals with police officers when responding to a crisis situation. This collaboration works to reduce unnecessary incarceration and emergency department visits by connecting the individual in need to the appropriate support and resources, benefitting and protecting all who are involved. It’s about the right intervention, at the right time, by the right person. 

 

In this episode, I speak with Tim DeWeese, Director at Johnson County Mental Health, about Mobile Crisis Response to assist first responders. We’ll also talk about the “Zero Reasons Why” campaign designed to disrupt youth suicide, and how community engagement can impact our culture’s ongoing mental health conversation.

 

In this episode, plan to hear:

- Tim’s professional passion in providing immediate access to care

- Details about the co-responder program and how to start one

- The youth-led campaign that has reduced youth suicide, even during the pandemic

- How a positive community response about mental health should look

As promised, here are the links to resources Tim described during the podcast:

- Mental Health Moments - weekly emails  

- “Front Line Support” - an emergency crisis c ounseling initiative supporting the front-lines

- #ZeroReasonsWhy Campaign - to disrupt teen suicide t hrough expanded story-telling and social media content

- The Johnson County Suicide Prevention Coalition - a community coalition with nearly 500 members, r epresenting dozens of sucide prevention inittiatives

- It's Okay if You're not Okay Podcast 

- Mindfulness and Emotion Regulation - information on anxiety and self-car e resources

- Whole Healthy You (WHY) - The Mental Health Cent er joined the Kansas Department of Health and Environment (KDHE) in launching the WHY campaign with the goal to capture the attention of adolescents and young adults and direct them to the State’s new Youth Health Guide.

- Elevate for Educators - Elevate for Educators covers seven important topics, including Mental Well-Being for Educators, Managing Mental Health Challenges, Mindful Living, Developing Coping Skills, Supporting a Friend or Loved One, Building Strengths and Motivation, and Strategies for Stress Management.

- Racial Trauma - information and resources on racism and racial trauma

This discussion was taken from our show Netsmart CareThreads. If you want to hear more episodes like this one, check us out on Apple Podcasts. 

If you don’t use Apple Podcasts, you can find every episode here. 

Listening on a desktop & can’t see the links? Just search for Netsmart CareThreads in your favorite podcast player.

Welcome in that smart care, threads, apodcast were human services and post acute leaders across the health carecontinuum, come together to discuss industry trends, challenges andopportunities. Listen as we uncover real stories about how to innovate andimprove the quality of care to the communities we serve. Let's get intothe show. My name is Tom Herzog and I'm your host. Today I serve as ChiefOperating Officer from Asmar and I'm excited to introduce our guests today.Tim Dewes, director of Johnson County Middle O, for those of you across thenation who may not know Johnson County, is in the Kansas City metropolitan areaon the Kansas side. Right there on the state line with over six hundredthousand residents in home of the net smart headquarters, Tim has been withJohnson County Mental Hell for the past twenty years and provides a uniqueperspective as a leader of an organization who joined as an entrylevel coniton and has held the roles of the CSS Director Clinical Director, anorganizational director since two thousand and ten tim is a graduate ofMissouri Southern State University and the Bachelor of Science and psychologyand as a master of social work, public administration and Social ServicesProfessions from the University of Kansas. Personally, I've had theopportunity serve with Tim in various capacities, most recently on theoverland park, mental o Tas Force, which we're going to talk about today,and I cannot be more excited to have him with me and we're going to talkabout topics that he and I are both passionate about Tim. Did I missanything in that introduction. I tried not to do too much, but I wanted peopleto know more about you. No I appreciate it was. All very nice makes me a littlebit uncomfortable. Well. Anyone who knows you you're avery humble guy, and if I'm not going to brag about you, I know you won't doit. So, on a personal note Tim, I just want tothank you for everything that you do for our community, that near and faracross our country, here, Nobert and me personally and I'll talk about some ofthose things today has, if we jump into this, to have been doing some amazingthings to turn the tide on the collective mission of mental health andMental Health Awareness, which I've had the privilege to see first hand, andthose are some of the topics that we're going to get into and really there'sthree topics that we're going to talk about today. Three kind of court topics,but we'll go where this leads is just like any good podcast and we're goingto hit on something that is specific to his organization. Something that'shappened in the community, specifically with students and something that hasbeen an initiative and probably a topic over the last eighteen months of ourcountry is rustled with how to deal with community engagement, specificallywith our first responders. But teme, if you don't mind I'll, let you kind ofjust give a little bit of Intra on yourself and then I'm going to jumpright into the cover spotter program...

...right right after that perfect again,so I don't know that I could add anything to the intro. I think that youknow in regards to the cover spotter program or even zero reasons why or thework that we've done together on the mental health task force. I think thethe number one thing: If people ask me you know, what's the number one thingthat you are most proud of since becoming the director of the Mill HouseCenter and honestly, I think that it that has to do with providing immediateaccess and I'll talk a little bit about access to care throughout all thethings that we talk about. But over the years, access to care has beensomething that has been very difficult and what I mean by that is that whenpeople have the courage to call and ask for help, historically mental health,centers or mental health providers will then schedule and intake, and that cantake anywhere between two or three days to a week. And the fact is is thatpeople needed help in a week. They would call in a week so being able toprovide access to care immediately having an open access model so thatpeople can get access to care the same day. That is probably the single mostthing that I'm a that I'm most proud of that we've been able to accomplish atJohnson County Mile Health Center, and what you see is that Ben it impactsyour community across the board. If you provide access to carry you do in thequality way, it contains cost across the systems of care, not just at themental health center. But you see all kinds of rebate cost, and I know thatwe'll talk more about that. When we talk about Coopon, Ers Yeah- and Ithink sometimes him- that's the thing that people miss and some of the debateis lost in the conversation that's out there is this really is we all wanthealthy, thriving communities and there's an opportunity, and I wouldcontend an obligation that we all have to work together to be able to makethat happen. Access to care is fundamental that we are able to givesomebody the right care at the right time in the right way can be life,transforming for that person, their immediate family or friends and networkand the community as a whole, and unfortunately, we've seen when thatdoesn't play out well and when we're not contention around evolving- and youknow, I think, sometimes the conversations get lost in what we needto totally disrupt everything. We're doing- and I know you've been verymindful of now- we need to build upon that. We need to work together aseighteen, one of the best things. I remember you tell me, Hey Tom, we don'tneed more entities doing more of the same things. We need to come togetherand figure out how we can deliver that service and to your specific message,access in a way that is life, transforming, and I think, with thatTim I'm going to bridge that to the CO responder program a few years ago. Thisprobably wasn't even a word or a buzz people were talking about, but you andyour organization were already going down this path. Do you mind sharingwhat co responded program means to you...

...what the results have been and thenmaybe what the next steps are? You look forward absolutely so it takes a steppretty far back and actually moves into or starts with when I first joinedJohnson County Mental Health Center, and that was to create what back thenwas called prices case management services. Later we changed the name,and it's called mobile crisis response now, and the fact was is that we feltlike we needed to be able to respond to law enforcement and be able to provideservices and support to them because they were coming in. So they had somuch contact with individuals that were having mental health issues, and so wedid that and over time what we learned was that it was really effective and weprovided twenty four hours a day seven days a week. But one of the things thatofficers always said was this is great. But what? If we had your boots on theground with us? And so that's really what burns the whole notion of a Coresponder is that we would embed a license mental health, professionalwith a police officer so that they could respond collectively in asituation and be able to assess the situation, determine with the bestcourse of action and kind of dispose of that situation, so that officers couldget back to the streets. And so, when I mentioned earlier, access to carecorrespondest bring access immediately, and so what you see is that it not onlyprovides the right service at the right time at the right level for theindividual in need. But what happens then is, like I said earlier, access tocare. You do a quality, a way it contains cost. You reduce the amount ofpolice time with an individual. You reduce the number of bookings into yourlocal jail. You reduce the number of unnecessary er visits, so there's awhole multitude of impacts that by doing and providing access immediatelyto the individual, that not only are you serving that individual, better andhopefully not maybe even traumatizing them any further you're doing that in away that it's not only good for the individual, but it's good for yourcommunity yeah. I think you know in when you when you talked about evenquality of life, to not just for that person in need or a person in crisis,but also for those first responders. I mean I remember, and you you help methrough this. I had gotten pulled in to help with with the need in ourcommunity. Even I remember talking with the first responders who were out there.I happened to ask them about the fray about the cars Fonterra and these werepolice officers and they couldn't say enough good things about it. They werelike this is game, changing for how we connect and are able to do the thingsand- and I think sometimes we get lost- that this needs to be less about adebate of who isn't or who needs to be...

...doing something and more about how wecan do exactly what you just said provide that optimal outcome for thatperson in need, which also impacts our first responders as well. What are someof the positive you've seen? You guys have been doing this for a while nowit's starting to take off nationally, but everyone's having this conversation.What are some of the positives? Well, I think the positives have been primarilythat we've developed a really good working relationship with our lawenforcement partners. It also has created avenue for four cities,municipalities to actually see the benefit of having mental health workersalong their first responders, and I think that's the next step, and maybeI'll talk about that here in a minute. The other positive is is that itactually gets people to care, they need immediately yeah, and that is, I think,that's the the number one thing. So we can look at this and I think that thenext step for us is, since we have been doing this for for a while, is begin tolook from more of a kind of a research perspective. Of what kinds of thingsare we seeing? Are we seeing a decrease in maybe death by suicide, or we seenan in or decrease in the number of Bul jail bookings? Are we seen a decreasein the number of Er runs those kinds of things, and so I think that again, it'sprobably a something that we need to do and take a little bit further. Look atin regards to the data, the outcomes that we've been able to produce so time.There's a community out there that wants to do this they're, like T, wedon't have this in our community and we need to make this happen. What guidanceor suggestions would you give them to go begin that journey to have coresponders, be a part of their community engagement or as far as theteam of first responders? I think the first step is to have the conversationwith a law enforcement officers, the officers on the street their sergeantsand work the way you work your way up the ladder or the the hierarchy tillyou get to the chief and then have that conversation. The bottom line is is ifyou demonstrate that you're providing a service that provides them something ofvalue. If you're able to do that, then they're going to find a way to engageyou and support you in that endeavor, and so it's really about developingthat relationship from the bottom. Up From my perspective and then being ableto show the value that you that you provide and then not only do you getthe chief to support that, then you get them manicatis themselves to support it,and I think that's where we've been able to see the benefit. I think thenext step is for us to continue to look at how we can do that and even eat.Maybe move further up strain that maybe we're you know. Maybe we are employingor embedding social workers or license...

...mental health professionals,professionals at the nine hundred and one call center, so that now we evenare able to help the call center determine who is the best firstresponder to set out because in a lot of communities, including ours, when acall comes in typically everything gets dispatched and that's pretty costly toa community yeah and it's pretty costly to the individual when they have firepolice and an ambulance show up to their home and if we're able to figureout what is the best service to provide? What is the right response and are ableto provide that right response? I think we even wrote move further up stream.The helping people access the care they need well well said I mean, I think there is many threads in our communitythat we can do to make a difference. One of the things that I learned fromyou from afar is it's not just one thing that's going to in both change orevolution. It's going to be a multi threat approach or multi work trains.If you will- and I think with that- I want to use this to Segue to our nexttopic around your reasons, and this has been an amazing success in my mind, inour community specifically targeted at our use and really you let an I know,you're going to point that out, but they were the ones who said way. Wethink there's a better way and we want to find that way. Do you mind sharingyour perspective, I know you play a key roll unior team play a big role in thisand educating our audience to day. What is your reasons and why is it differentso zero reasons? Why is a youth led campaign to disrupt you suicides and itstarted because of the fore side of six superintendents. The six districts ofPublic School districts within our community realized that there was anissue at hand that too many young people were dying as a result ofsuicide, and they wanted to do something about it, and so theyconveyed a group of folks that were made up of community members, theschool school staff themselves. They invited the mental health center andother mental health providers, and we came up with the plan and one of thethings that we that we wanted to make sure of is that we weren't just doing aone and done kind of thing is that we wanted to develop a campaign that couldsustain itself and so we're basically in in year five of this campaign, andit really starts with the students, the young people themselves. We getvolunteers from all the school districts and, right now we havevolunteers, student volunteers from all six public school districts, but alsofrom some of the private schools within our community and even some home schoolfolks that have joined, and then they create the team council and this teamcouncil really moves the issue forward and I think one of the things thatreally resonated with me early on is...

...that, as I was speaking with students,you know one of the students shared with me and said. You know. Weappreciate everything that you do tim and in our community, but you're old,and I don't have time to have. One of my other friends die by suicide and youknow she was right. I think the smartest thing that we did was simplylisten to what they wanted to do. Listen to what they wanted to say andthen help them make it happen, and because of that, we've seen a reductionand use suicide over the last four years, even during the pandemic ofyouth suicide. Now suicide in general within our community. That's somethingthat we need to continue to work towards, because I think the pandemicsbeen rough on everyone, but in particular with young people. They havedone an amazing job to Destinat ize into health conditions and make it okayfor people to talk about and ask for help and, honestly, that's. What givesme hope about. All of this is that you see these young people in action andsome of the young people that have gone on to college. They, you know we havenow. We have zero reasons. Why a Butler is her reasons why at Crayton, becauseyoung people have taken what they started at their high schools here inJohnson County and taking it to their colleges, their local colleges, and sowe see it continually not only across the state of Kansas, but withinuniversities and colleges across the United States. Well, I think you knowTim, you so much information that I'm trying I want to repaces or red cap itin a good way and because I think in there is the answers for that thatpeople are looking for again. This is another one. How do I go start? This inmy community- and I think the very first thing you said it was done incollaboration- maybe one of the hardest things to do these days, but the schooldistrict contingents were involved, students who were involved- and I I hesaid it Sados- had to listen- that we weren't necessarily there to say this-how it had to be done. We took a collaborative role, O working with themand then very intentional. I've had the opportunity to be part of the walksthat the group is done, the time that when they bring people together to beable to speak in here- and I know you've spoken at those things- and Ijust sit there and I'm a student at that point, because I'm listening tothese, these US teach us things that we didn't necessarily learn growing up.Well, I know I didn't and how to unpack things, how to take those emotions andfigure out how to manage them well, and then I think most of all is just, asyou said, continue to press in, and I love the fact that I don't know ifeveryone in the aldine picked up on that. We have seen results from it.We've seen our huge, we seem more, you...

...feel more comfortable and asking forhelp and also around the reductions of some of the impacts that can be causedby a student that finds himself in crisis during really challenging times,and is it all way there yet no isis going to be something we're going tohave to iterate through on and get better. So I guess him same thing. I'mgoing to ask you regard to cod responded program, someone sitting outthere and saying I like this idea. What would be the first thing for them tobegin starting their own? The reasons why in their community, how might theydo that? So get ask that question a lot, and so because of that we developed azero reasons. Why play book and that playbook is downloadable at the zeroreasons? Why website? So if you go to zero reasons, why dot, I believe, it'so,then you can download that play book and it walks you step by step throughhow you can do that. It gives you all of the e the things that you need tokind of move that forward. None of it is trademark. We didn't want to do that.We wanted to make sure that that it was able to be used anywhere, and so that'sthe way to do it. I think the the other thing is that again, it's not a one anddone thing. It's about building a culture. I about building a culturethat supports one another that promotes or destinavit ize is mental health,promotes mental wellness and makes it okay for young people to talk aboutwhat they're experiencing and- and so, i think, all of the kind of formalthings we did are really exciting the walks and things like that. What i'vebeen mo more impressed about is that it's developed that culture, and sothen you see things just naturally happen like at a basketball game.Everybody mean at the center court before the game and giving one another.You know zero reasons why train zero ragons, why bracelets or whatever itmight be or having a wide out at one of the games where they all wear zeroreasons? Why both sides, where your regions, why shirts those things arenot things that any of us did or even talked about? They were just thingsthat the kids made happen on their own, and so, when you're able to build thatculture when you're able to set that up to that, kids can just make thingshappen for themselves. It's pretty amazing! Well, i contend i'm as excitedas i've ever been about this generation coming up. They've been challenged witha lot, especially over this last year, and i've seen them press in and find away and teach us how we can go collaborate, connect andcommunicate in healthy ways, and i can't think of a time more in mylifetime that we need that. We need this kind of inspiration and i thinkthat's that's exactly the point that i like to make all the time tom is thatthey have experienced adversity, and the fact is: is that adversity andovercoming those situations or those barriers make us more resilient. So iwould argue that this generation coming...

...out of this pandemic is the mostresilient generation that we've had because they have experienced a wholelot, not just a pandemic, but the hate that the premature communities thesedays, the divisiveness, the political and communities strife that goes onthey have been experiencing all of this and, despite that, have found ways tobe productive and to move things forward, and that builds character andit builds resilience and- and quite frankly, that's what provides me hope.That's what motivates me to continue to do what i do, and i know things aregoing to be better yeah. You get me excited man. I couldn't agree with youmore. We need that kind of optimism in our community right now. We need morepointing towards what we can do versus not so i'm going to replay that segmenta few times that may be my new sunday night beginning of the work weekmessage tim love it so on that same same thread, you know this is our lastof three topics around community engagement and it's something you and ihad the opportunity to do together and it was the over one part: mental outtask force that was really initiated out of a community looking within andsaid out of tragedy out of some tragic things, and we got to do a better wayand that tragedy was really arriving at at a place to provide help to a youthin need and not ending in a great outcome and saying we. What can we dobetter? We must do better tim i'll, be candid when we brought this over anapartment out as force, and i had the opportunity to be a part of it and fulltransparency was asked to be the vice chair of it. I was learying. These arehard things to do and we brought a lot diversifies together and we're hittingon subjects. This is pre pandemic. That wert necessary has emotion, has abecame during the pandemic, and i think, even during the time we could have saidwe're going to pause and not do this right now we'll come back and i love it.The group said no we're going to can if we ever need to do something it's nowmore than ever, and we had elected officials a part of this, we had cityofficials a part of this. We had community leaders. A part of this. Wecommunity members are part of this i'd love to hear tim. What you thoughtabout the mental hal task force your experience from it and just share yourthoughts and will give and take just a little bit on this one as well sureabsolutely well. You know, i think everything that we've talked about upto this point has really led to this whole notion that that mental healthand mental wellness- it's not an individual issue, it's not a mentalhealth center issue. It's not a faith based organization issue. It is acommunity issue that needs a community response and unfortunately, there havebeen a lot of things. What i would call the underbelly of our community inregards to mental health and how you...

...know things have not whether it beunderage drinking or increase, drug use or bullying or all of those thingsexisted before the pandemic. In the pandemic itself, i think drawn light tomental health and everything that was maybe not causing it, but that had aimpact on it, and you know i can remember right before the pandemicactually coming to net mark and sharing with your staff there, the ten thingsthat worried me most and those ten things didn't change, because thepandemic, they actually probably got a little bit worse, but the ability totalk about them got better yeah and people were more open about doing that,and i think that's. What intrigued me about the mental health task force wasthat he here is a community, that's willing to say we have issues yeah h,we have issues but we're going to do something about it right, and so, if mehe's going to step up- and when i say community, i mean community membersthat have different opinions. You have elected officials, you have policymakers participating and- and they say we want to do something about this,then i have to be involved in that, because that is what i've been sayingall along. A community response is what it's going to take to address thiscommunity issue. So tim, i couldn't agree more in i mean i learned a lotthrough it as i shared transparently. I went in with some hesitation becausethat kind of engagement is not easy and then you throw everything else that wasgoing on in the world during that time, and we just recently landed it. It'sgoing to take its next phase and we made recommendations to the communityand now those are being brought forth in the community and we're an electioncycle. Those are bro. It's amazing that work that we, if everyone wonders is itgoing to matter, is that kind of volunteering, and this was allvolunteer going to make any difference. It is the theme of every conversationright now. An e is, and it's sobering, because you don't you don't you're likei didn't know that that was going to happen, but it's also encouragingbecause, like you calculated so well, we pressed into that conversation as acommunity in a way that reached new levels, and i didn't think we weregoing to go. Do i thought yeah we'll do this well? Well, you know hit the stick,my piece and instead we made recommendations. We had organizationsfrom across the communities crisis in er, our schools, our police or firstresponders, come and share. This is what we're doing and every one of thoseconversations to ended with hey. Thank you guys. This means a lot that you'redoing it he had along. We didn't go into with tatini, but i think theopportunity to hear stories there is so much happening community that peopleoften don't understand. I didn't and...

...when you're exposed to that, it'sencouraging and it's motivating to go, take it to the next level, so thoserecommendations have been put forth. They were voted on by the city counciland now they're in that dreaded funded word. How do you go fun? Those whichthose of us who serve are cause community? We know that that's always achallenge, but i see it moving forward and it's happening faster than ithought it would so tim as you look forward and you and people out therethinking task ports. I wonder if we should be doing a task force. Whatwould you say, people why they should do it and what do you hope for our owntash force as it goes forward? Well, i think that again it gets back toactually making a difference and coming together and again not everybody's,going to agree one hundred percent, but there's going to be more. That bringsus together, then push us as a part and what we need to focus and again. Ithink this is where some of the work that i recently done with young peoplehas just reinforced this, for me is that we shouldn't focus on what pushesapart. But what brings us together and if we focus on what brings us together,then we're able to accomplish those kinds of things, i'm an agreement. Ithink this moved much faster than than i expected and you're right. I thinkthat that it was a good combination of people that that allowed us to be ableto share, and it kind of gets back to what you mentioned earlier- that ichare with you before. Sometimes it's not about reinventing in the wheel, itsa understanding, everything that exists in your community and how to bring itall together again we're much more powerful together than we are apart andas individual entities. So for me what the group did was really begin to findout that they first sought to understand. You know- and i thinkthat's a under underestimated or under appreciated thing within our culturetoday and that's listening, and so the group listened. They sought tounderstand what was happening in their community and then they based a groupof recommendations off of what they heard about and to me that's the way itshould go and i would encourage any other community that wants to make adifference to first seek to understand, what's happening and what's what'sgoing on in their communities? Well tim. I think it those three topics. He justgave a great kind of encouragement, chowne, challenge or charted to us,which is how we go get involved in our community, and you know we looked at coresponders. We looked at joe reasons why we looked at the overland park,mental, how task force and our community only works when we engage,but we engage in healthy ways. So i want to move to one last topic tim. Sowe covered the community engagement piece, and this is a little bit on apersonal note and- and i shared that with you as well- i don't know if youdo this intetonally or not, but every...

...now and then i see your fishingpictures. I see you out there hiking. I see you out there and in nature doingdoing your thing, and i said you know what: why am i not doing that? Well, igo do that and in a weird way, you you're mentoring, me youri's, a emental piece of i'm not doing, because i don't find the time to go. Do thatwhen we talked about sale, self care, we talk about finding that balance andpeace like that, and so you actually got me to start fishing again. It waskind of fun going out there. We got great bypass going on the bike path andthose those types of things, and i would just ask you for some insight ofleadership there for all of us. On a personal note, we've all been walkingand dealing with a lot, and we still are it's not gone away and it's notgoing to go anyway time soon. I don't think it's any normal. I think we'llget to a new normal, but this challenge and friction that we see out. There isimportant that i know that if we don't take care of ourselves we're going tohave a hard time in managing that forward. Do you mind sharing some dogstools, resources even kind of your own practice is that we could all benefitfrom so from a standpoint of just tools, and i always like to offer tools up.You can go to our johnson county mental hole center website and there is a jcc tool. Community tool box link andin that link, is linked to a ton of self care tools and ideas both forindividuals and families. And so that's the that's. The one thing i think. Thesecond thing is is that you got to make time. You got to make sure that you doit, and i think that also as leaders we have to demonstrate- and we have tomodel that so it's easy for us to talk about it. But we have to take care ofourselves, and i learned early on in the world of social work that, ifyou're not taking care of yourself, then you can't take care of anyone else.And so, if you are wanting to help others from atra an alteris motivation-and i think that's a whole other topic of making sure that that you're tryingto help others out of wanting to help them not to gain or to help advanceyour interests but to advance others interest than i think, that's the placeto start, and you have to take care of yourself first. So no, i didn'toriginally set out to kind of just do that, but the more feedback that i gotfrom people the more i realized that i was actually modeling good behavior andfrankly, i think that we can learn from kids and we can learn from one anotherand there probably is a lot more modelling than we that each of us cando for one another, because right now, unfortunately, i think a lot of badbehaviors or negative bavier necessarily get modeled. So let's focuson modeling some positive behaviors and...

...be thoughtful and intentional about howwe approach things. Well, i couldn't agree more and just so you know i'venot posted any pictures because they can't compete with what you catch. So igot work to do or you need to give me some lessons, but nonetheless i enjoythe time, and you almost forget you forget till you get there, and you saywhy don't i do this more often and we got to go, be intentional, well im tocoke to close us out before i take a couple thoughts, one last word orthought that you would share with our audience it kind of got into that justa little bit. I think that we all can make a difference and we all have to beintentional and thoughtful about why we want to make a difference. What is thereasons that we are wanting to help, and i think if we think about that andwe commit to that, then we can help our communities be a healthier place ingeneral, not just mental mental, healthy but physically healthy. On thatnote, i also say i have seen some of your social media post your car karaokeand it your family and those are those aregood, modeling, those that's good, modeling behavior as well. So i thinkagain, you may be learning a few things for me, but i'm learning stuff from youand that's the beauty of all of this is that we can come to gather as acommunity, despite probably have in differences, and i say probably becausewe don't actually talk about our differences. A whole lot. We've alwaysfocused on on what we have in common, but the fact is is if you come togetherand you focus on on what you have what your strengths are. What yourcommonalities are: there's not a whole lot that you can't accomplish, and so ithink that's what i would encourage people to do. I think we can also learna lot from this. This younger generation that shown us how to manageand overcome a global pandemic. O tim, i couldn't agree more and you said itwell, so i'm not even going to recap that piece of it, because i thinkthat's a charging challenge to us all and if i were to put it in a half tag,it would be better together and we're all more alike than not in the pursuitsthat find us wanting to be our best selves to make a difference, to knowthat we can contribute and positively impact our homes in the communities inthis world that we live in, and today we heard some great things from tempthings that he's doing in his various persones. As you were talking you as wetalked about the corresponded program, as we talked about the zero reasons.Why and the orlan park mental hell task, force and kind of these multiplethreads be able to go out there and make a difference, but then, mostimportantly, around what we need to be doing do in order for us to give. Wegot to believe that for ourselves as well and to be intentional around thearound those pieces. So i walk away from this podcast encourage motivatedexcited to him. I'm grateful for your work, local near and far grateful orhow you constantly are willing to have...

...conversations and collaborate and showus the good ways forward. Thank you for taking the time with us today into ouraudience right feedback. You know, give reviews we're trying to disrupt thenarrative in a positive way, we're trying to say hey. Let's have thisconversation and really encourage and challenge us all on how we can go makethat happen. So we look forward to hearing from you forward to youparticipating tim. Thank you. Oh i didn't get say this. I e, i always wantto say this. Jim you gave many notes and links and all that stuff willinclude that in the show notes, i've always wanted to be won emesa. Thethings that you say will put into the show now today and we'll look forwardto connecting with you again and until next time. Let's all remember remindourselves we're always better together at net smart. We understand thechallenges facing provider organizations. Our team will help younavigate changing value, based care models with solutions and services thatmake person centered care or reality will equip you with technology andservices that provide holistic, real time. Views of care histories thatinform better decision they can and better outcomes visit us today, anintson net smart serving you, so you can serve others thanks for listeningto the net smart care, threads podcast through collaboration and conversation,we can work together to make health care more connected than ever beforeand better support the communities we serve to ensure you never miss anepisode. Please subscribe to the show in your favorite podcast player, if youuse apple, podcast, we'd love for you to give us a quick rating for the show.Just have the number of stars that you think the podcast deserves. Until nexttime e t.

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