The Mental Health Evolution Podcast Por Rachel Harrison arte de portada

The Mental Health Evolution

The Mental Health Evolution

De: Rachel Harrison
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The Mental Health Entrepreneur podcast is back—with a slightly new name and an expanded focus. We're excited to introduce The Mental Health Evolution, where we'll continue the journey of exploring what's changing in the mental health field, and we're so glad to have you with us as a listener. Explore the rapidly changing world of mental health with The Mental Health Evolution, hosted by Rachel Harrison. Each episode brings honest conversations with clinicians, tech founders, investors, insurance companies, and other key voices shaping the industry. We dive into what's working, what's not, and what's next—from innovative startups and ethical considerations in tech-driven therapy to policy changes, access to care, and the human connections that remain at the heart of mental health services. Whether you're a professional in the field, someone seeking care, or simply curious about the evolution of mental health, this podcast provides insights, perspectives, and practical information to help you navigate a complex and fast-moving landscape. Join us to stay informed, challenge assumptions, and be part of the conversation shaping the future of mental health.2024 Economía Gestión y Liderazgo Higiene y Vida Saludable Liderazgo Psicología Psicología y Salud Mental
Episodios
  • Ep 27: Tiered Care, Technology, and the Future of Mental Health

    Ep 27: Tiered Care, Technology, and the Future of Mental Health
    Feb 26 2026
    EPISODE INTRODUCTION: In this solo episode, Rachel steps back from guest conversations to share her own observations and questions about one of the most pressing topics in the field: where does technology fit in mental health care, and where does it fall short? Drawing from six recent research articles and peer-reviewed publications, Rachel explores an emerging tiered model of care that blends technology, human connection, and escalation across levels of need — and invites listeners to consider what it means for their corner of the mental health ecosystem. KEY TOPICS DISCUSSED: The technology debate in mental health — full replacement vs. full avoidance vs. integrationOverview of six key articles framing the episode's discussionThe five stages of mental health care where AI and digital tools are being applied: pretreatment and screening, active treatment, post-treatment monitoring, general support and prevention, and clinical educationThe emerging tiered or stepped care model — from wellness apps to inpatient careImplications for clients, clinicians, and businesses/systems within the mental health ecosystem MAIN TAKEAWAYS: Technology is most useful at the edges of care — pretreatment screening, post-treatment monitoring, and general wellness support — where it can expand access without replacing the clinical relationship. A tiered stepped care model is already emerging in research and practice, where clients might first engage with low-intensity tools (sleep apps, meditation, mood tracking) before escalating to coaching, group therapy, individual therapy, and higher levels of care as needed. Clinician oversight remains non-negotiable. Rachel emphasizes that AI-assisted notes, treatment plans, and clinical decision support tools are only as safe as the licensed clinician who reviews and edits them. Safety access must be built into any technology that touches mental health. Any tool that asks someone about their mental health must have a clear, reliable pathway to a live person in the event of a crisis. This shift raises important identity questions for clinicians — particularly generalists — about where their expertise fits in a system where technology may address lower-level needs. NOTABLE QUOTES: "I'm not predicting the future. I'm not taking a hard stance, but exploring a model that is already emerging. It's right out there in the research." — Rachel Harrison "If we ever lose the part where a clinician reviews the notes, reviews the treatment plan, reviews the diagnoses, reviews the suggestions — I think we're going to see a lot of problems." — Rachel Harrison "Anytime we are asking technology to ask someone questions about their mental health, that safety planning piece, I believe, absolutely needs to be in place. That is one of the biggest gaps that I see currently." — Rachel Harrison RESOURCES MENTIONED: of them are linked in the show notes. ARTICLE 1: The Evolving Field of Digital Mental Health This peer-reviewed review outlines how AI and digital tools are currently being used across multiple stages of mental health care, from prevention to post-treatment monitoring. Link: https://pmc.ncbi.nlm.nih.gov/articles/PMC12110772/ ARTICLE 2: Health Advisory on AI Chatbots and Wellness Apps (American Psychological Association) This article discusses where AI-based tools may be helpful — and where limitations, risks, and ethical concerns remain. Link: https://www.apa.org/topics/artificial-intelligence-machine-learning/health-advisory-chatbots-wellness-apps ARTICLE 3: First Therapy Chatbot Trial Yields Mental Health Benefits (Dartmouth) This study looks at outcomes from one of the first controlled trials of a therapy chatbot and what it suggests about early-stage support. Link: https://home.dartmouth.edu/news/2025/03/first-therapy-chatbot-trial-yields-mental-health-benefits ARTICLE 4: AI Is Providing Emotional Support for Employees — But Is It a Valuable Tool or a Privacy Threat? Explores workplace use of AI support tools and the tension between access, effectiveness, and privacy. Link: https://theconversation.com/ai-is-providing-emotional-support-for-employees-but-is-it-a-valuable-tool-or-privacy-threat-266570 ARTICLE 5: AI Mental Health Tools: Breakthrough or Band-Aid? Examines whether digital tools meaningfully expand access or risk becoming substitutes for care when systems are under strain. Link: https://hrzone.com/ai-mental-health-tools-breakthrough-or-band-aid-for-employee-wellbeing/ ARTICLE 6: From Clinical Judgment to Machine Learning Looks at how AI is beginning to influence clinical decision-making and what that may mean for professional roles. Link: https://societyforpsychotherapy.org/from-clinical-judgment-to-machine-learning-rethinking-psychotherapeutic-decision-making-with-artificial-intelligence/ Connect with The Mental Health Evolution Website: https://www.traumaspecialiststraining.com/mental-health-evolution-podcast Instagram: /...
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    22 m
  • Ep 26: Who Supports the Crisis Workers with Becky Stoll

    Ep 26: Who Supports the Crisis Workers with Becky Stoll
    Feb 18 2026
    Episode Description: In this episode, Rachel sits down with Becky Stoll, Vice President for Crisis and Disaster Management at Centerstone, to explore how crisis mental health systems can be intentionally designed to support staff well-being, retention, and long-term sustainability. Becky draws on nearly four decades of experience to challenge the industry's historic approach to workforce wellness, arguing that organizations must fix broken systems before asking staff to simply be resilient. Listeners will come away with a practical framework for building crisis systems that take care of the people delivering care, from recruitment and hiring all the way through career development and leadership training. Key Topics Discussed: What crisis services actually are and the range of roles within the fieldHow the industry has historically failed staff by prioritizing wellness perks over systemic changeA continuum-based framework for sustainable hiring, onboarding, and retentionWhy being a good clinician does not automatically make someone a good managerCareer pathing as an underused retention and development strategyWhat Centerstone's research on the brain in crisis revealed about how we should approach people post-crisisThe responsibilities that come with organizational scale through mergers and acquisitionsWhy crisis services remains an invisible career track for students entering behavioral health Main Takeaways: Organizations must audit and fix their own systems before offering staff wellness resources. A broken system is itself a source of harm.Sustainable staffing starts at recruitment. Transparent job postings, scenario-based interviews, and intentional onboarding reduce attrition and set staff up for success.Career pathing is an organizational responsibility. Whether staff want to grow as clinicians or move into leadership, it is up to leaders to build real pathways and prepare people for what those roles actually require.Scale only matters if it is used well. Larger organizations have a responsibility to share research, tools, and training broadly rather than keeping them internal.The field is losing potential workforce by not educating students about crisis services as a legitimate and diverse career track. Notable Quotes: "The very first thing we have to do is take care of your own house. We shouldn't even be talking about how to make sure staff are well until we make sure they're operating in a system that is the best it can be.""How dare us to have a system that's not set up well, and then wonder why the staff aren't well, and then just say, well, here's the EAP number out there.""I wonder what it does to your brain to be in a mental health crisis. And I went, whoa." Resources Mentioned: Health Care Worker Burnout — A Call for System-Level Solutions The Effectiveness of EMDR Therapy in Treating PTSD Among ICU Healthcare ProfessionalsOrganizational and System-Level Approaches to Supporting the Health Workforce Connect with Becky Stoll: Organization: https://www.centerstone.org Connect with The Mental Health Evolution Website: https://www.traumaspecialiststraining.com/mental-health-evolution-podcast Instagram: /thementalhealthevolution/ LinkedIn: /the-mental-health-evolution Facebook: /TheMentalHealthEvolution Music Credit: Music by Zach Harrison
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    28 m
  • Ep 25: Out‑of‑Pocket and Out of Reach

    Ep 25: Out‑of‑Pocket and Out of Reach
    Feb 11 2026
    EPISODE SUMMARY

    This solo episode features Rachel Harrison, host of Mental Health Evolution, exploring how rising out-of-pocket health care costs are reshaping access to therapy and mental health care in 2026.

    Rachel examines national data, insights from practitioners, and lived experiences from clients to explain why costs and coverage patterns have shifted so dramatically—and what this means for the future of affordable, sustainable mental health care.

    KEY TOPICS DISCUSSED

    00:00 – Introduction and context
    01:00 – Why 2026 is different
    02:04 – Key articles and data sources
    05:00 – Provider experiences and referral changes
    07:40 – Deductibles, premiums, and co-pay increases
    09:30 – Medicaid cuts and coverage loss
    10:30 – Who gains and who loses
    12:00 – APA recommendations and practical responses
    13:00 – Creative solutions for access and affordability
    14:30 – Closing reflections

    MAIN TAKEAWAYS
    1. Out-of-pocket costs are changing mental health access nationwide. Even insured clients are leaving therapy due to financial constraints.
    2. Insurance structures are compounding affordability gaps. Deductible and co-pay increases are eroding real coverage value.
    3. Clinicians are navigating new referral and revenue challenges. Practices are adapting to maintain viability amid shrinking access.
    4. Documenting financial impact is critical for advocacy. Gathering data about cost-related care terminations supports system-level reform.
    5. Creative, local solutions can help bridge care gaps. Partnerships, flexible scheduling, and funding programs can sustain access during economic strain.
    RESOURCES MENTIONED

    Articles and Reports:

    • The High Costs of Mental Health Care: A Barrier, a Burden, and a Call to Action — Access Institute
      https://pmc.ncbi.nlm.nih.gov/articles/PMC11786981/

    • Insurance Design Can Create Co-Pay Barriers to Mental Health Care — RWJF
      https://www.rwjf.org/en/insights/our-research/2024/02/marketplace-pulse-differences-in-cost-sharing-create-barriers-to-mental-healthcare-in-medicare-advantage.html

    • New Policies Affecting Access to Mental Health Care — APA Services 2026 Summary
      https://updates.apaservices.org/new-policies-affecting-access-to-mental-health-care

    • High Out-of-Pocket Cost Burden for Mental Health Care — PMC Report (2024)
      https://pmc.ncbi.nlm.nih.gov/articles/PMC11786981/

    CONNECT WITH THE MENTAL HEALTH EVOLUTION

    Website: The Mental Health Evolution Podcast
    Instagram: @mentalhealthevolution
    LinkedIn: Mental Health Evolution
    Facebook: Mental Health Evolution

    MUSICAL CREDIT

    Music by Zach Harrison
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    15 m
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