Podcasts about carver county

Jon gives his opinions on recent comments from Carver County about Walz's budget proposal and Jon continues coverage of the local Tesla vandalism and yet another allegation of political vandalism this time out of New Mexico. Jon goes back to the hot-button issue of deportation and recent comments from Democrats and Rep. Tom Emmer related to the El Salvador saga.

All Minnesota GOP lawmakers in Congress joined their fellow Republicans in voting for a budget framework that includes $2 trillion in spending cuts. While it doesn't specify the programs, Republicans have targeted Medicaid and food aid programs.Tribal leaders are asking members of Congress to address funding concerns and uphold federal government's treaty obligations to tribes. Leech Lake Band of Ojibwe Secretary-Treasurer Leonard Fineday testified to a House Appropriations subcommittee Tuesday afternoon.A new report released Wednesday by the Minnesota Chamber Foundation found that nearly 60 percent of the state's total labor force and employment growth came from foreign-born workers from 2019 to 2023.Those stories and more in today's morning update. Hosted by Gracie Stockton.

This Day in Legal History: Lincoln Signs Legal Tender ActOn February 25, 1862, President Abraham Lincoln signed the Legal Tender Act into law, allowing the U.S. government to issue paper money not backed by gold or silver. These new notes, called "greenbacks" due to their color, became the first widely circulated fiat currency in American history. The Civil War had placed enormous financial strain on the Union, and the government needed a way to fund its war effort without relying solely on borrowing or taxation. By making greenbacks legal tender for all debts except customs duties, the law ensured their widespread use. However, the move was controversial, as some feared it would cause inflation and undermine public confidence in the currency. Despite this, the greenbacks helped stabilize the wartime economy and ensured that soldiers and suppliers were paid. After the war, legal battles arose over whether the government could require creditors to accept paper money instead of gold or silver. The Supreme Court initially ruled against the policy in Hepburn v. Griswold (1870) but reversed its decision in The Legal Tender Cases (1871), upholding the government's power to issue fiat currency. The Legal Tender Act set a precedent for the federal government's control over the monetary system, paving the way for modern U.S. currency.A federal judge has temporarily blocked Elon Musk's Department of Government Efficiency (DGE) from accessing sensitive data held by the U.S. Education Department and the Office of Personnel Management. The ruling, issued by Judge Deborah Boardman in Maryland, came in response to a lawsuit from labor unions arguing that granting DGE access to personal records violated the Privacy Act of 1974. The data in question includes Social Security numbers, addresses, income details, and citizenship status of federal employees and student aid recipients. The Trump administration contended that restricting DGE's access would hinder its government downsizing efforts, but the judge determined that the agency had no legitimate need for such information. The White House has not commented on the decision. Since Trump's return to office, DGE, led by Musk, has pursued aggressive cost-cutting measures, including mass layoffs. The ruling follows another court decision in New York that blocked DGE from accessing Treasury Department systems, amid multiple lawsuits challenging its authority.US judge blocks Musk's DOGE team from accessing Education Department, OPM data | ReutersPresident Donald Trump is set to appoint Kash Patel, the newly confirmed FBI director, as the acting head of the Bureau of Alcohol, Tobacco, Firearms and Explosives (ATF), according to a source. Patel, a staunch Trump ally, will oversee both agencies simultaneously, a move that has sparked concerns among Democrats and moderate Republicans who previously opposed his FBI nomination due to his history of targeting Trump's critics. Patel has strong backing from pro-gun groups and is expected to shift the ATF's focus away from firearm regulation. The decision aligns with Trump's campaign rhetoric criticizing the ATF for being overly aggressive toward gun owners. Attorney General Pam Bondi recently fired the agency's top legal counsel, Pamela Hicks, claiming ATF officials had unfairly targeted gun owners. Bondi has also redirected the ATF's priorities toward immigration enforcement. Patel's dual appointment is part of a broader Trump administration strategy, with multiple officials holding multiple roles, including Marco Rubio at the State Department and Russ Vought at the Consumer Financial Protection Bureau.Trump to name FBI chief Patel as acting ATF director, source says | ReutersFrom a great piece written by Karl Bode for Techdirt, the American Rescue Plan Act (ARPA) is funding affordable, community-owned broadband networks in underserved areas, challenging monopoly control by major telecom companies. In New York, Oswego County received a $26 million grant to build an open-access fiber network, allowing multiple internet providers to compete over shared infrastructure. The network's primary provider, Empire Access, is offering 500 Mbps service for $50 a month and 1 Gbps for $65, significantly undercutting industry giants like Charter and Verizon.Similarly, Minnesota's Carver County has used ARPA funds to build dark fiber infrastructure, leasing it to MetroNet in a public-private partnership. MetroNet now provides residents with gigabit fiber for $50 and 5 Gbps for $110, far cheaper than traditional providers. This strategy contrasts with other states that continue to funnel broadband subsidies to large telecoms with a history of neglecting rural and low-income areas.Some states—Vermont, Maine, California, and New York—are using federal funds to expand community-owned broadband, treating internet access as an essential utility. However, with an additional $42.5 billion in broadband grants from the 2021 infrastructure bill set to be distributed, the Trump administration and the Department of Government Efficiency (DGE) will likely attempt to redirect these funds toward corporate-backed projects instead of community-driven initiatives.ARPA Is Quietly Funding Cheap ($50-$65 A Month) Community-Owned Gigabit Fiber Access To Long Neglected Neighborhoods | Techdirt This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit www.minimumcomp.com/subscribe

- SKOR North's Phil Mackey talks a little "inside baseball" with Tom about podcasting and doing shows in this day and age. Mackey asks Tom if he's ever thought about how he'd want his final show, whenever it may happen, to sound. Plus a chat about the Kansas City Chiefs and whether or not the refs are clearly on their side and giving them calls or if the game just happens to go that way.- KSTP's Chris Egert shares news on a 17-year old that escaped Carver County authorities during a transfer, initial reports are that there is no imminent threat to the public. A Minnesota native died while skydiving down in Arizona over the weekend, Egert shares a story about the time he went skydiving, and an ICE arrest in Minnesota over the weekend.- Bob Sansevere weighs in on the big NFL weekend seeing the Philadelphia Eagles and Kansas City Chiefs win their respective games to cash their ticket to the Super Bowl. Bob shares the narratives you'll hear for both teams leading up to the big game, and shares some other anecdotes from the sports world this weekend.- The Flash Light King himself and Mayor of Garage Logic Joe Soucheray joins the show to catch up with Tom and chat about their careers and how radio and podcasting has evolved over the years as colleagues in the industry.- Kristyn Burtt tells the crew about the new trailer for "The Baldwins" and when viewers can expect to see it air on tv plus what sort of controversy and scandals are addressed in the show. The latest shows airing and streaming on tv and apps, plus an update on her nightmare commute in LA over the weekend!Stream the show LIVE on the Tom Barnard Show app M-F from 8-9:30AM or get the show on-demand on Apple Podcasts, Spotify or wherever you get your podcasts! Learn more about your ad choices. Visit podcastchoices.com/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

- SKOR North's Phil Mackey talks a little "inside baseball" with Tom about podcasting and doing shows in this day and age. Mackey asks Tom if he's ever thought about how he'd want his final show, whenever it may happen, to sound. Plus a chat about the Kansas City Chiefs and whether or not the refs are clearly on their side and giving them calls or if the game just happens to go that way. - KSTP's Chris Egert shares news on a 17-year old that escaped Carver County authorities during a transfer, initial reports are that there is no imminent threat to the public. A Minnesota native died while skydiving down in Arizona over the weekend, Egert shares a story about the time he went skydiving, and an ICE arrest in Minnesota over the weekend. - Bob Sansevere weighs in on the big NFL weekend seeing the Philadelphia Eagles and Kansas City Chiefs win their respective games to cash their ticket to the Super Bowl. Bob shares the narratives you'll hear for both teams leading up to the big game, and shares some other anecdotes from the sports world this weekend. - The Flash Light King himself and Mayor of Garage Logic Joe Soucheray joins the show to catch up with Tom and chat about their careers and how radio and podcasting has evolved over the years as colleagues in the industry. - Kristyn Burtt tells the crew about the new trailer for "The Baldwins" and when viewers can expect to see it air on tv plus what sort of controversy and scandals are addressed in the show. The latest shows airing and streaming on tv and apps, plus an update on her nightmare commute in LA over the weekend! Stream the show LIVE on the Tom Barnard Show app M-F from 8-9:30AM or get the show on-demand on Apple Podcasts, Spotify or wherever you get your podcasts! Learn more about your ad choices. Visit podcastchoices.com/adchoices

Hillary Clinton called Pres. Donald Trump's NY event a “reenactment” of the infamous 1939 American Nazi Party Rally because it was held at the same Madison Square Garden venue – a criticism that was echoed by CNN, MSN, Daily Kos, The New Republic, and VP Candidate Tim Walz. Strangely, they were silent about their opposition to the venue when it hosted the Democratic National Convention with Pres. Bill Clinton in 1992, Pres. Franklin D. Roosevelt in 1936, or Marilyn Monroe in 1962. David Freiheit AKA Viva Frei is an attorney and host of “Viva Frei” on Rumble and Locals. He also cohosts the legal podcast “Viva and Barnes Live” at https://VivaBarnes.Locals.com. Follow Viva Frei at https://x.com/thevivafrei and https://vivafrei.com/ Dr. Scott Jensen served in the Minnesota Senate (2017-2021) and was vice-chair of the Health and Human Services Committee. He taught at the University of Minnesota Medical School for 30+ years, retiring as Adjunct Associate Professor-2020. He was the Republican candidate for Governor in the 2022 election. Dr. Jensen has practiced family medicine in Carver County, Minnesota for 35 years, and this is where he and his wife, Mary, a small animal veterinarian, raised their three children – Cristy, an anesthesiologist, Matt, an estate attorney, and Jackie, a family doctor. Follow Dr. Jensen at https://x.com/drscottjensen 「 SUPPORT OUR SPONSORS 」 Find out more about the brands that make this show possible and get special discounts on Dr. Drew's favorite products at https://drdrew.com/sponsors  • COZY EARTH - Susan and Drew love Cozy Earth's sheets & clothing made with super-soft viscose from bamboo! Use code DREW to save up to 40% at https://drdrew.com/cozy • FATTY15 – The future of essential fatty acids is here! Strengthen your cells against age-related breakdown with Fatty15. Get 15% off a 90-day Starter Kit Subscription at https://drdrew.com/fatty15 • CAPSADYN - Get pain relief with the power of capsaicin from chili peppers – without the burning! Capsadyn's proprietary formulation for joint & muscle pain contains no NSAIDs, opioids, anesthetics, or steroids. Try it for 15% off at https://drdrew.com/capsadyn • CHECK GENETICS - Your DNA is the key to discovering the RIGHT medication for you. Escape the big pharma cycle and understand your genetic medication blueprint with pharmacogenetic testing. Save $200 with code DRDREW at https://drdrew.com/check • PALEOVALLEY - "Paleovalley has a wide variety of extraordinary products that are both healthful and delicious,” says Dr. Drew. "I am a huge fan of this brand and know you'll love it too!” Get 15% off your first order at https://drdrew.com/paleovalley • THE WELLNESS COMPANY - Counteract harmful spike proteins with TWC's Signature Series Spike Support Formula containing nattokinase and selenium. Learn more about TWC's supplements at https://twc.health/drew 「 MEDICAL NOTE 」 Portions of this program may examine countervailing views on important medical issues. Always consult your physician before making any decisions about your health. 「 ABOUT THE SHOW 」 Ask Dr. Drew is produced by Kaleb Nation (https://kalebnation.com) and Susan Pinsky (https://twitter.com/firstladyoflove). This show is for entertainment and/or informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment. Learn more about your ad choices. Visit megaphone.fm/adchoices

Pet Evolution is a fast-growing pet supply chain that started with one locally owned store in Woodbury, Minn. back in 2012 and has really picked up steam in the last couple of years since it started franchising. There are now seven stores in the Twin Cities and St. Cloud, and 15 nationally. By the end of the year, 24 are expected to be open, from New York to Oregon. In the $147 billion dollar pet industry, Rian Thiele saw a space between big box stores and mom and pop shops to create a chain focused on premium food and services. What's perhaps most interesting about Thiele as an entrepreneur, is that he didn't grow up thinking about business. He always dreamed of being a police officer, and worked for the Carver County sheriff's department. He talks about the decision to leave his dream job to pursue a passion project and why he believes Pet Evolution can scale to 500 locations. Following our conversation with Thiele we go back to the classroom with the University of St. Thomas Opus College of Business where Erica Diehn is an associate professor of management and faculty director for the undergraduate program. She talks about the growing frequency of career transitions, especially among younger professionals, and offers advice for managers whose employees are more likely than ever before to leave for a passion project. “Understand what motivates that employee, what kinds of opportunities for learning and growth and challenges at work could keep them really excited.”

We are back for our 30th episode here at The Public Works Nerds! Here is the AI Generated Description. I have to call it out because I can't take credit for this prose:Unlock the secrets to transforming public perception and securing project funding through masterful communication with our esteemed guest, Sara Renney, Carver County's communications guru. Her rich tapestry of experiences, from corporate corridors to the heartwarming chapters of motherhood, culminates in a pivotal role where her voice shapes the future of public works. Bond with us over tales of strategic outreach that bridges the divide between government entities and the communities they serve, and learn how Sara's journey has equipped her to navigate the complexities of conveying the right message to varied audiences.Witness the evolution of social media's role in the dynamic landscape of public works as we dissect its influence alongside Sara. We're trading perspectives on why Facebook clicks for Public Works while Instagram paints a vibrant scene for Parks departments, all the while circumventing the challenges of curating content sans a dedicated coordinator. Our conversation goes visual as we spotlight the emotive power of video storytelling, a tool that's proving to be both a heart-tugger and a catalyst in rallying support for projects that pave the way to a better tomorrow.Lastly, wade into the murky waters of online discourse where the First Amendment meets the digital age. I'll share my mantra for professional poise in the click-happy world of social media as Sarah and I muse on the future's horizon, scanning it for signs of new platforms and AI's role in our sector. Every word and click matters in this dance of democracy and development, and we're here to guide you through it—step by intricate step.Show Notes:Carver County Highway 5 Project Information Videohttps://youtu.be/fd25TyZuAiQHighway 5 Project Funding information https://www.carvercountymn.gov/departments/public-works/projects-studies/highway-5-improvements/highway-5-funding20 Tips to Up Your Social Media Game https://lrrb.org/20-tips-to-up-your-social-media-game/

As transportation officials in Maryland gear up to rebuild the collapsed Francis Scott Key Bridge, they're looking to Minnesota's experience replacing the I-35W bridge for guidance. And a Bloomington woman has been charged with assaulting two police officers, after a car chase and gunfire in Carver County earlier this week.Those stories and more in today's evening update from MPR News. Hosted by Jeff Jones. Music by Gary Meister.

Policing has changed radically over the past several years. Bad policing makes the news and affects public opinion, making a hard job, even harder to do and a challenge to recruit new officers. Given the fact that the Carver County Sheriff's Department are responsible for policing everywhere in Carver County except Chaska, we thought an update from Carver County Sherriff Jason Kamerud was due. Jason is a lifelong Carver County resident and is fully invested in the community. He talks about recent challenges and the proactive way the department is addressing those issues. As our area continues to grow, the spotlight will get even brighter. Innovations and strategic thinking will make all the difference. We hope you enjoy this fast paced conversations with Sherriff Jason Kamerud. (This episode was recorded before the Burnsville shootings. Our hearts go out to everyone affected by this terrible and senseless tragedy) --- Send in a voice message: https://podcasters.spotify.com/pod/show/greg-anderson29/message

Back for another visit is long time Chaska community advocate Bob Roepke to discuss happenings in Chaska and broader Carver County Minnesota. Bob has a great deal to be thankful for and we discuss that in detail and as always, Bob drops a ton of wisdom for anyone wanting to make a difference in their community. We also talk about some important changes happening downtown Chaska with Cooper's Grocery store and Bob graciously acknowledges the decades of contribution the Coopers have made to Chaska and Carver County. Please enjoy this conversation with one of my very favorite people! --- Send in a voice message: https://podcasters.spotify.com/pod/show/greg-anderson29/message

Thank you for your interest in Living In Carver County Minnesota and our hyper-local podcast. What started as a bit of a lark is now in season 6 and we've been humbled by your feedback and inspired by your feedback and guest recommendations. Our lofty objectives are to educate listeners about local events, happenings and introduce them to the people who make them happen. We try to do that in an informal and hopefully entertaining way, we are not "60 Minutes" so we don't try and trip people up to make them look bad, but we do try and go beyond a Facebook Meme or a bumper sticker and ask the questions you would ask if you were sitting down for coffee. Lastly, we hope to inspire you to get engaged and maybe even involved in Carver County organizations, activities and for you to make your difference. This season we have some wonderful guests who have already agreed to talk and of course we are always looking for interesting people, stories and causes, so please reach out to me with YOUR ideas. Greg :-) --- Send in a voice message: https://podcasters.spotify.com/pod/show/greg-anderson29/message

Bill Maher announces his show will return without writers; SROs; Jessica Chastain goes to Target; state incomes; Carver County rejects book ban request; looking at attendance issues in Minnesota schools.

The Carver County book controversy takes over the first portion of our second hour before the lovely Liz Collin joins us in studio with the latest from Alpha News and multiple local issues that matter to you.

Jon dives deeper into the attack on the local DFL leader then welcomes in lawyer extraordinaire Jeff O'Brien in to discuss the book controversy out of Carver County as we took your calls and play your talkbacks all morning long.

Welcome to a bonus episode of the podcast! We don't do these very often, but we wanted to give you a little extra surprise content that we hope is an encouragement to you this week. It's always special when we get to share the work of our TFI Advocates, volunteer leaders across the nation who are working to support their local foster care community by bridging the gap between the needs of foster care agencies and the people and resources to meet those needs in local churches. At our TFI Advocate Retreat last year, we got to share an interview between Lisa Jacobsen, an Advocate in Carver County, MN, and a local pastor as well as a local agency worker to share how they have built trust and started working together to meet needs in their community. In this bonus episode, we get to share that same interview with you! This conversation will give you such a great look into some of the work we're doing here at TFI, and it brings us so much joy to hear stories just like this one. (By the way, if you want to make ministry like this possible, we have a matching grant up to $20,000 through the end of July, so your gift can be doubled right now! Double your gift today.) Show Notes: https://theforgotteninitiative.org/bonus-lisa-jacobsen/

This week, some students at Carver County schools urged the district to relocate their graduation venue from Grace Church in Eden Prairie, arguing that the church is not friendly to "LGBTQ students." Grace and Moses also share a new poll that shows most Americans believe there are only two genders. Then you'll hear about Target's next act of virtue signaling: “Queer Bingo Night." Finally, we discuss how churches who participate in "Pride Month" show themselves to be preaching a false gospel. Get the facts, stand for truth!

Dr. Jordan B. Peterson and Dr. Scott Jensen walk through his accomplished professional life in family medicine, as well as his successful run as a Minnesota senator, all before having his reputation in both fields dismantled for what may be purely political reasons. Six investigations across nearly five years and numerous allegations without cohesion, proof, or relation have amounted to nothing, save for the clarification of Dr. Jensen's newest goal: to take on the medical board that had no justification for its actions. Given the parallels between Dr. Jensen and Dr. Peterson's experiences, this interview was not only inevitable but paramount. Dr. Scott Jensen has practiced family medicine in Carver County, Minnesota, for 35 years. Jensen then served in the Minnesota Senate (2017-2021) and was vice-chair of the Health and Human Services Committee, as well as the Republican Governor candidate in the 2022 election. He has served many organizations as a board member or chair including the Waconia School Board, numerous Rotary and Lions clubs, several Chambers of Commerce, and bank boards. He is an avid pilot and writer, publishing his first book in 2015, “Relationship Matters” and his second book, “We've Been Played” in 2022. In 2001, he founded Catalyst Medical Clinic which now has offices located in Watertown and Chaska. Dr. Peterson's extensive catalog is available now on DailyWire+: https://bit.ly/3KrWbS8  - Links - For Dr. Scott Jensen: Website: https://drscottjensen.com/Twitter: https://twitter.com/drscottjensenFacebook: https://www.facebook.com/DrScottJensenYouTube: https://www.youtube.com/c/ScottJensenInstagram: https://www.instagram.com/drscottjensenmn/Rumble: https://rumble.com/c/DrScottJensen Read these books by Dr. Scott Jensen “We've Been Played: Exposing the Triad of Terror” https://drscottjensenbook.com/ “Relationship Matters” https://www.amazon.com/RELATIONSHIP-MATTERS-FOUNDATION-MEDICAL-FRACTURING-ebook/dp/B014JX46H6/ref=tmm_kin_swatch_0?_encoding=UTF8&qid=1681494801&sr=8-1 

In his book “We've Been Played” Dr. Scott Jensen exposes the astonishing level of power that has fallen into the hands of a “triad of tyranny” – Big Pharma, Big Tech, and Big Government. A former Minnesota State Senator (2017-2021) and vice-chair of the Health and Human Services Committee, Dr. Jensen has an insider's view of the corrupt power grabs that occurred in the fog-of-war of the COVID-19 pandemic. In apparent retaliation, the Minnesota Board of Medical Practice threatened to take away his medical license… FIVE TIMES. Read his book at https://drscottjensenbook.com Dr. Scott Jensen served in the Minnesota Senate (2017-2021) and was vice-chair of the Health and Human Services Committee. He was the Republican Governor candidate in the 2022 election. Dr. Jensen has practiced family medicine in Carver County, Minnesota for 35 years, and this is where he and his wife, Mary, a small animal veterinarian, raised their three children – Cristy, an anesthesiologist, Matt, an estate attorney, and Jackie, a family doctor. Follow Dr. Jensen at https://twitter.com/drscottjensen 「 SPONSORED BY 」 • BIRCH GOLD - Don't let your savings lose value. You can own physical gold and silver in a tax-sheltered retirement account, and Birch Gold will help you do it. Claim your free, no obligation info kit from Birch Gold at https://birchgold.com/drew • GENUCEL - Using a proprietary base formulated by a pharmacist, Genucel has created skincare that can dramatically improve the appearance of facial redness and under-eye puffiness. Genucel uses clinical levels of botanical extracts in their cruelty-free, natural, made-in-the-USA line of products. Get 10% off with promo code DREW at https://genucel.com/drew 「 MEDICAL NOTE 」 The CDC states that COVID-19 vaccines are safe, effective, and reduce your risk of severe illness. Hundreds of millions of people have received a COVID-19 vaccine, and serious adverse reactions are uncommon. Dr. Drew is a board-certified physician and Dr. Kelly Victory is a board-certified emergency specialist. Portions of this program will examine countervailing views on important medical issues. You should always consult your personal physician before making any decisions about your health.  「 ABOUT the SHOW 」 Ask Dr. Drew is produced by Kaleb Nation (https://kalebnation.com) and Susan Pinsky (https://twitter.com/firstladyoflove). This show is for entertainment and/or informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment. 「 WITH DR. KELLY VICTORY 」 Dr. Kelly Victory MD is a board-certified trauma and emergency specialist with over 30 years of clinical experience. She served as CMO for Whole Health Management, delivering on-site healthcare services for Fortune 500 companies. She holds a BS from Duke University and her MD from the University of North Carolina. Follow her at https://earlycovidcare.org and https://twitter.com/DrKellyVictory. 「 GEAR PROVIDED BY 」 • BLUE MICS - Find your best sound at https://drdrew.com/blue • ELGATO - See how Elgato's lights transformed Dr. Drew's set: https://drdrew.com/sponsors/elgato/ 「 ABOUT DR. DREW 」 For over 30 years, Dr. Drew has answered questions and offered guidance to millions through popular shows like Celebrity Rehab (VH1), Dr. Drew On Call (HLN), Teen Mom OG (MTV), and the iconic radio show Loveline. Now, Dr. Drew is opening his phone lines to the world by streaming LIVE from his home studio. Watch all of Dr. Drew's latest shows at https://drdrew.tv Learn more about your ad choices. Visit megaphone.fm/adchoices

Grecia is the Executive Director of Latino Voices, an organization formed in 2019 with a mission to connect and inform the Latino Community in Carver County with resources, news, events, and activities that will improve their livelihoods and give them opportunities to thrive and succeed. Grecia and her team also help people in our local communities and organizations learn about the Hispanic Culture and are committed to recognize the contributions of Latinos to Carver County. VOICES= Voice, Organize, Inspire, Connect, Equip, Serve. To find out more about Latino Voices, visit or reach out to- Email: betzygf@gmail.com Web: www.LatinoVoicesMN.org --- Send in a voice message: https://anchor.fm/greg-anderson29/message

"Elections matter" seems to be plastered all over the media these days.  The elections that have the most direct impact on the day to day lives of voters are arguably the local races such as city council, school board seats and county commissioners.  You get taxed, you get services.  In Eastern Carver County, one of the commissioner seats on this year's ballot is for District 1 between incumbent Gayle Degler and challenger Lisa Anderson.  Both graciously agreed to be on the podcast together in a Q & A format to discuss their respective visions and objectives for running.  We had some challenges with the recording as Gayle was heading to a funeral in South Dakota and did the interview from his car in a gas station parking lot so occasionally the audio falls off.  I appreciated both candidates patience and good nature muddling through and I had some editing help smoothing out the rough edges as best we could.   Please take some time and research the candidates for all the positions on this year's ballot.  Vision, leadership and courage are in short supply and without it, our elected officials will fail us.  Many large organizations continue to profit by sowing the seeds of discontent and we can no longer afford to simply be disengaged or uniformed about our communities.  The stakes are too high.  --- Send in a voice message: https://anchor.fm/greg-anderson29/message

Ellie Krug, host of Ellie 2.0 Radio on AM950, joins Brett to discuss her candidacy for school board in Carver County.

Ellie Krug, host of Ellie 2.0 Radio on AM950, joins Brett to discuss her candidacy for school board in Carver County.

Ellie Krug, host of Ellie 2.0 Radio on AM950, joins Brett to discuss her candidacy for school board in Carver County.

Amanda Bloomgren loves llamas and promises if you are nice to llamas, llamas will be nice to you. In addition to llamas, Amanda has a soft spot for supporting causes that build support networks for young adults in crisis. She's tying the two together at the Carver County Fairground on October 8th. Join Amanda at Llama Rama, a fall festival where you can not only walk a llama, have a drink, shop and enjoy other activities, but will help raise money for Launch Ministry, a local organization that supports homeless young adults in Carver County.  Be sure and check out www.LlamaRamaMN.com  --- Send in a voice message: https://anchor.fm/greg-anderson29/message

Have you ever thought about being a foster parent? Good :-) Carver County Foster Care Supervisor Clint Mack explains what the needs are here and how you can be a foster parent so you can support kids and families. Opportunities beyond being a host family include being a "respite care" family who helps out when a break is needed. One other very cool way to help is through "Forgotten Initiative" where you can support families with gifts of meals and gift cards to help offset the stress of a family transitioning to sometimes a multiple child family all at once. We also discuss how kids end up in the program and what the objectives are for reuniting families going through tough times. There's real need here and we want to be on the solution side of things. Visit www.co.carver.mn.us/foster care for details about how your family can help. --- Send in a voice message: https://anchor.fm/greg-anderson29/message

Welcome to Season 5. I wanted to thank everyone who has been a guest, a listener, a talent scout, a encouraging voice and of course a few critics. You all matter to me and I'm grateful. Also, I wanted to share a little thing we did for my son to establish a credit rating before he headed off to CO to be on his own. It's works pretty well if it is an option for your family. --- Send in a voice message: https://anchor.fm/greg-anderson29/message

Khai Tran is a busy man.  (Especially for a guy who is supposedly retired.)  He is the Executive Director of the Community Foundation for Carver County.  He is also the founder and board chair for A Better Society organization.  Khai helps explain what a Community Foundation does and what it makes sense for charitable giving and what types of opportunities are available for citizens to give to things they care about in a efficient and effective manner.  www.communitygiving.org We also had a chance to discuss his organization he and his crazy talented wife Heather started called A Better Society to help individuals and small endeavors become effective right out of the gate by being organizationally solid. www.abettersociety.org If that wasn't enough, Khai shared some startling statistics about housing needs in our county.  There's a tendency given our obvious affluence, that we shouldn't have any housing issues and that is a mistake that will cost us all in the long and near run.   Khai is a thoughtful, talented, and committed guy and I hope you enjoy our conversation notwithstanding my tech challenges today.  (5G my @#%) --- Send in a voice message: https://anchor.fm/greg-anderson29/message

Panel of experts, Dr. Scott Jensen, Ivor Cummins, and Bobby Bounds, join the program to discuss the tragedy of the last few years. We openly address some of the more difficult issues and address the urgent need for major reform. Learn more about Dr. Scott Jensen and support his campaign for MN Governor at DrScottJensen.com Learn more about Ivor Cummins at TheFatEmperor.com Learn more about Bobby Bounds at DemandEvidence.us Please help us fight for Freedom of Speech, consider donating @ givesendgo.com/DefendingFreeSpeech Solutions to keep from getting sick and to reverse mRNA damage - Dr. Joe Nieusma ControlYourHealth.com coupon codes good thru the end of March 2022: Spring5 - Spend up to $99.99 save 5% Spring10 - Spend $100 to $299.99 save 10% Spring15 - Spend $300 to $499.99 save 15% Sprint 20 - Spend over $500 save 20%   MUSIC CREDITS: "Do You Trust Me" by Michael Vignola, licensed for broad internet media use, including video and audio       See on Bastyon | Bitchute | Odysee | Rumble | Freedom.Social | SarahWestall.TV     Dr. Scott Jensen Biography Scott Jensen is a lifelong Minnesotan and moved to Carver County 30 years ago to raise a family and practice medicine. He published his first book in 2015, Relationship Matters, The Foundation of Medical Care Is Fracturing, which utilizes real life patient stories to emphasize the critical value of patient-doctor relationships and the absolute need for patients to be encouraged to be their own best “champion” for their health care decisions and desires. In 2016 Dr. Scott Jensen received the prestigious annual statewide award, Minnesota Family Physician of the Year, from the Minnesota Academy of Family Physicians. In November 2016, Jensen was elected to the Minnesota State Senate receiving more votes than any other Republican state senator. In 2019 Senator Jensen chief authored and presented seven unique bills on the senate floor, including a groundbreaking Pharmacy Benefit Manager bill representing an entirely new chapter of state statute, and all seven bills were passed by the senate unanimously. In 2020 Senator Jensen was asked by the Senate Majority Leadership to be chief author of the Insulin Safety Net Bill.  After more than a year of gridlock, Senator Jensen brought the bill to the Senate floor after being chief author for 28 days – it passed unanimously.  Subsequently the bill passed unanimously from the conference committee and was signed into law by Governor Walz less than a week later. You can support Dr. Scott Jensen's campaign at DrScottJensen.com   Ivor Cummins Biography Ivor Cummins BE(Chem) CEng MIEI completed a Biochemical Engineering degree in 1990. He has since spent 30 years in corporate technical leadership positions. His career specialty has been leading large worldwide teams in complex problem-solving activity.   Since 2012 Ivor has been intensively researching the root causes of modern chronic disease. A particular focus has been on cardiovascular disease, diabetes and obesity. He shares his research insights at public speaking engagements around the world, revealing the key nutritional and lifestyle interventions which will deliver excellent health and personal productivity. He has recently presented at the British Association of Cardiovascular Prevention and Rehabilitation (BACPR) and also at the Irish National Institute of Preventative Cardiology (NIPC) annual conferences.  Ivor's 2018 book “Eat Rich, Live Long” (co-authored with preventative medicine expert Jeffry Gerber MD, FAAFP), details the conclusions of their shared research: https://www.amazon.com/Eat-Rich-Live-Long-Mastering/dp/1628602732/   Bobby Bounds Biography Bobby Bounds is an independent Covid mortality analyst with decades of experience working in major hospitals in New Mexico as well as in the private sector. He has been analyzing New Mexico Death Certificate data and has made some i...

Dr. Scott Jensen, Minnesota Governor Candidate, and independent researcher and tech analyst Bobby Bounds, join the program to discuss the whistleblower covid data and what that really means. We discuss the broken systems and why it's urgent we make reforms or construct new systems without system wide corruption that puts people first. You can support Dr. Scott Jensen's campaign at DrScottJensen.com and see more of Bobby Bounds and his work at DemandEvidence.us Solutions to keep from getting sick and to reverse mRNA damage - Dr. Joe Nieusma (New solutions for reversing mRNA damage has been added - including Quantum Energy and Frequency) Be prepared: Contact info@MilesFranklin - receive the best service & prices in the country on Silver & Gold Guaranteed! MUSIC CREDITS: Motivation Underscore by Media Music Group & "Do You Trust Me" by Michael Vignola, licensed for broad internet media use, including video and audio     See on Bastyon | Bitchute | Odysee | Rumble | Freedom.Social | SarahWestall.TV   Dr. Scott Jensen Biography Scott Jensen is a lifelong Minnesotan and moved to Carver County 30 years ago to raise a family and practice medicine. He published his first book in 2015, Relationship Matters, The Foundation of Medical Care Is Fracturing, which utilizes real life patient stories to emphasize the critical value of patient-doctor relationships and the absolute need for patients to be encouraged to be their own best “champion” for their health care decisions and desires. In 2016 Dr. Scott Jensen received the prestigious annual statewide award, Minnesota Family Physician of the Year, from the Minnesota Academy of Family Physicians. In November 2016, Jensen was elected to the Minnesota State Senate receiving more votes than any other Republican state senator. In 2019 Senator Jensen chief authored and presented seven unique bills on the senate floor, including a groundbreaking Pharmacy Benefit Manager bill representing an entirely new chapter of state statute, and all seven bills were passed by the senate unanimously. In 2020 Senator Jensen was asked by the Senate Majority Leadership to be chief author of the Insulin Safety Net Bill.  After more than a year of gridlock, Senator Jensen brought the bill to the Senate floor after being chief author for 28 days – it passed unanimously.  Subsequently the bill passed unanimously from the conference committee and was signed into law by Governor Walz less than a week later. You can support Dr. Scott Jensen's campaign at DrScottJensen.com   Bobby Bounds Biography Bobby Bounds is an independent Covid mortality analyst with decades of experience working in major hospitals in New Mexico as well as in the private sector. He has been analyzing New Mexico Death Certificate data and has made some interesting discoveries as to the extent of the exaggeration of Covid deaths by the Medical Establishment and the State Governmental apparatus. You can see more of this data and research at DemandEvidence.US    

Pastor Greg Snow has been the pastor at St Johns in Chaska since coming out of the seminary, first as a Vickers and then as Pastor. He is heavily involved in community outreach programs and was one of the original leaders that were involve with starting Love Inc here in Carver County. St Johns is one of the three historic churches in town and the only one with an elementary school. We talk about legacy faith communities and some of the changes brought about by changing times, Covid-19 and the emergence of a whole group of people not choosing to engage with a faith community. Greg has a passion for the community and a calling to lead people to faith. I enjoyed our talk and although he has a South Dakotan sense of understatement, we covered loads of ground. To find out more about St John's Parish, visit- https://www.stjohnschaska.org/ --- Send in a voice message: https://anchor.fm/greg-anderson29/message

Tina Stofferahn of MRCI discusses the many services they offer for people in the community with special needs get trained, develop interpersonal skills, find employment, and continually get educated about a myriad of things. They do amazing work. I have several friends who have family members as clients of MRCI and the work they do changes lives. (I know that can be an overused description but, in this case, it is completely warranted) One thing we discussed is how much work means to all people for dignity and purpose regardless of what limitations one might have. MRCI has been around since the 1950's and started by helping Polio victims and returning veterans. Today they serve individuals with disabilities and disadvantages throughout the state. Tina is a local who grew up here in Eastern Carver County, received her degree in Psychology from Crown College in Waconia and lives here in Chaska. She is a real asset to Carver County. To find out more about MRCI, visit www.mymrci.org --- Send in a voice message: https://anchor.fm/greg-anderson29/message

Len Simich Chief Executive Officer Len Simich has served as the Chief Executive Officer of the Southwest Transit Commission since 1997. He has received numerous awards for his personal and academic achievements including being selected as the Minnesota Transit Professional of the year, and one of the top 40 business leaders in the Twin Cities by the Minneapolis – St. Paul Magazine. Under his leadership SW has grown into a thriving enterprise beyond just a bus company branching into real estate development, short trip ride providers and a leader in green innovation. Len is passing the torch at the end of Feb but will remain a leader in the community. Len describes SW Prime is one of those innovative services that allow eastern Carver County to be a place for everyone regardless of what stage of life there are in currently. Please enjoy this loaded conversation. Also- be sure and download the SW Prime app if you or anyone you care about needs transportation to shopping or Dr appts. --- Send in a voice message: https://anchor.fm/greg-anderson29/message

I'm filled with gratitude for all the guests who have agreed to spend their valuable time visiting with me to discuss things happening here in Carver County. I've learned something from every guest and really enjoyed each conversation. I want to also thank everyone who has called, texted, emailed or just walked over to me at the grocery store to give me their thoughts about the show, I appreciate the feedback and suggestions. I have some more incredible people lined up for this season but if you have ideas, please let me know and I will reach out to them. We've added some cool podcast swag now as well. :-) --- Send in a voice message: https://anchor.fm/greg-anderson29/message

The Donald Jeffries Show as Proudly Presented by OCHELLI.COM The Donald Jeffries Show 10-6-2021 Dr. Scott Jensen Doctor Jensen American Health Dr. Scott Jensen has practiced family medicine in Carver County, Minnesota for 35 years. Dr. Jensen served in the Minnesota Senate (2017-2021) and was vice-chair of the Health and Human Services Committee. He has served many organizations as a board member or chair including the Waconia School Board, numerous Rotary and Lions clubs, several Chambers of Commerce, and bank boards. He is an avid pilot and writer, publishing his first book in 2015, “Relationship Matters.” In 2016 Dr. Scott Jensen received the prestigious award, Minnesota Family Physician of the Year, from the Minnesota Academy of Family Physicians. Dr. Jensen began speaking out boldly against financial incentives to hospitals to inflate COVID numbers and the devastating lockdown measures. He is for vaccine choice and is currently running for governor in Minnesota. DONALD JEFFRIES ONLINE: Blog: https://donaldjeffries.wordpress.com/ “I Protest” https://donaldjeffries.substack.com/ Twitter page: https://twitter.com/DonJeffries Amazon Author Page: https://www.amazon.com/Donald-Jeffries/e/B004T6NFAS%3Fref=dbs_a_mng_rwt_scns_share Facebook: https://www.facebook.com/donald.jeffries OCHELLI LINKS: YOUR HELP TO KEEP US GOING IS CRITICAL AT THIS TIME: https://ochelli.com/donate/ Ochelli Effect – Uncle – Age of Transitions – T-shirts and MORE: https://theageoftransitions.com/category/support-the-podcasts/ If you wish to be added to our supporters' page, let us know. https://ochelli.com/about/supporters/ Doctor Jensen American Health

Gubernatorial candidate Dr. Scott Jensen has practiced family medicine in Carver County, Minnesota for 35 years.  This is where he and his wife, Mary, a small animal veterinarian, raised their three children – Cristy, anesthesiologist, Matt, an estate attorney, and Jackie, a family doctor.  Dr. Jensen served in the Minnesota Senate (2017-2021) and was vice-chair of the Health and Human Services Committee. He has served many organizations as a board member or chair including Waconia School Board, numerous Rotary and Lions clubs, several Chambers of Commerce, and bank boards.  He is an avid pilot and writer, publishing his first book in 2015, “Relationship Matters.”  In 2001 he founded Catalyst Medical Clinic which now has offices located in Watertown and Chaska.

Clark's bio on his Facebook page gives a brief sneak peak of what's behind the Front man for the popular local music group Traveled Ground. ( Singer, Songwriter, Multi-Instrumentalist, Teacher, Farmer and Traveler. Founder of Traveled Ground)   Clark is a long time teacher at Waconia High School, (although not music) a maple syrup farmer, a talented songwriter (which we get a look behind the curtain on that process in this interview) and the founder and lead signer.  He has toured nationally with Crystal Gayle as well as numerous other performers before coming back home to Waconia to marry and settle  down and raise a family.  He went back and got a teaching certificate and has been teaching young minds for over 30 years.  His main passion is music and he and the band played over 50 gigs in 2020 despite being hampered by the pandemic.   Clark is smart, funny and a fantastic story teller.  Please enjoy this wide ranging discussion with one of Carver County's originals. Clark was exactly the type of person I had in mind when we started this podcast experiment about giving a voice not just to elected officials and business people but also to ordinary people who just happen to be extraordinary.  --- Send in a voice message: https://anchor.fm/greg-anderson29/message

Dr. Scott Jensen has practiced family medicine in Carver County, Minnesota for 35 years, and this iswhere he and his wife, Mary, a small animal veterinarian, raised their three children – Cristy, ananesthesiologist, Matt, an estate attorney, and Jackie, a family doctor.Dr. Jensen served in the Minnesota Senate (2017-2021) and was vice-chair of the Health and HumanServices Committee.He has served many organizations as a board member or chair including Waconia School Board,numerous Rotary and Lions clubs, several Chambers of Commerce, and bank boards.He is an avid pilot and writer, publishing his first book in 2015, “Relationship Matters.”In 2001 he founded Catalyst Medical Clinic which now has offices located in Watertown and Chaska.In 2016 Dr. Scott Jensen received the prestigious award, Minnesota Family Physician of the Year,from the Minnesota Academy of Family Physicians.He taught at the U of MN Medical School for 30+ years and retired as an Associate Professor in 2020. Website: https://drscottjensen.com/

This season we are moving through the state of Minnesota, looking at an interesting fact about each county and giving you a book prompt from that fact. We will share six book suggestions to meet that prompt, to get you started on reading new books. You can also take that prompt and find any other book to meet the challenge! Today our prompt is inspired by Carver County! This county is located to the west of Minneapolis. It's named after Jonathan Carver (1710–1790), early explorer and cartographer of the Mississippi river; read a book with a map on the cover or in the plot. We give you links to each of these books on our show notes page, taking you to Amazon.com. If you click on any of them, and buy anything at all - including a nice book - Amazon will send us a small percent of the profits they made on these sales. Thank you for supporting CMLE!

This season we are moving through the state of Minnesota, looking at an interesting fact about each county and giving you a book prompt from that fact. We will share six book suggestions to meet that prompt, to get you started on reading new books. You can also take that prompt and find any other book to meet the challenge! Today our prompt is inspired by Carver County! This county is located to the west of Minneapolis. It's named after Jonathan Carver (1710–1790), early explorer and cartographer of the Mississippi river; read a book with a map on the cover or in the plot. We give you links to each of these books on our show notes page, taking you to Amazon.com. If you click on any of them, and buy anything at all - including a nice book - Amazon will send us a small percent of the profits they made on these sales. Thank you for supporting CMLE!

The investigation continues into a Saturday plane crash that killed three people in Carver County. The plane crashed and burst into flames at about 5:40 p.m. Saturday near a home in Victoria, Minn. All three people aboard the plane died; no one on the ground was injured. This is an MPR News morning update for Monday, August 9, 2021. Hosted by Cathy Wurzer. Our theme music is by Gary Meister.

Linda Laura Hazzard (née Burfield; December 18, 1867 – June 24, 1938), nicknamed the "Starvation Doctor"[1] was an American quack, fraud, swindler and serial killer noted for her promotion of fasting as a treatment. She was imprisoned by the state of Washington for a number of deaths at a sanitarium she operated there in the early 20th century. Her treatments were responsible for at least 15 deaths. Born 1867 in Carver County, Minnesota, she died during a fast in 1938. Our theme song was written and performed by Anna Bosnick. If you'd like to support the show on a per episode basis, you can find our Patreon page here.  Be sure to check our website for more details.

Linda Laura Hazzard (née Burfield; December 18, 1867 – June 24, 1938), nicknamed the "Starvation Doctor"[1] was an American quack, fraud, swindler and serial killer noted for her promotion of fasting as a treatment. She was imprisoned by the state of Washington for a number of deaths at a sanitarium she operated there in the early 20th century. Her treatments were responsible for at least 15 deaths. Born 1867 in Carver County, Minnesota, she died during a fast in 1938. Our theme song was written and performed by Anna Bosnick. If you'd like to support the show on a per episode basis, you can find our Patreon page here.  Be sure to check our website for more details.

Tom Workman- Tom is the Carver County Commissioner for most of Chanhassen and Victoria. (See S3, E3) He is back for a wide ranging conversation on a variety of topics including; property taxes, the 2022 county budget, school district spending, vaccinations, policing, and the value proposition of Carver County.  Some people will agree, others will oppose, but Tom stands firm in his positions and has the strength of conviction to back it up.  I always really enjoy talking with Tom and it is fun to try and challenge him a little because he takes it all in stride and he has no trouble explaining his thought process.  Please enjoy this winding conversation with a Carver County original. --- Send in a voice message: https://anchor.fm/greg-anderson29/message

Psychiatric Crises in the Emergency Room Continuing our series on Fixing Mental Healthcare in America. An interview with Kesy Yoon, LMHC and James McMahill, LMFT, two Modern Therapists with work experience in the United States hospital mental health system. Curt and Katie talk with Kesy and James about their perspective on the emergency room as an entry point (and revolving door) for mental health treatment. We look at the bureaucracy, the funding issues, and the difficulty in providing adequate care in these settings. We also discuss the ideal of a psychiatric ER, to improve mental health treatment for those in crisis.   It's time to reimagine therapy and what it means to be a therapist. To support you as a whole person and a therapist, your hosts, Curt Widhalm and Katie Vernoy talk about how to approach the role of therapist in the modern age. Interview with Kesy Yoon, LMHC and James McMahill, LMFT Kesy Yoon, LMHC: As a Licensed Mental Health Counselor (LMHC), I am dedicated to helping my clients understand who they are and how they fit into the world around them. Over the past six years, I have worked in a variety of mental health settings with individuals from all walks of life. Currently, I work with clients struggling with anxiety, perfectionism, trauma, and major life transitions. Over the course of my career, I have developed a specialty in working with the Asian American Pacific Islander (AAPI) 1st generation population. My work in this area is informed by my own personal experience with navigating the differences between an American upbringing and traditional Asian values. I enjoy working with AAPI clients to identify solutions to improve quality of life while honoring important cultural values and needs. Therapy is dynamic and my style is centered upon empowerment and hope. I show up as a human first, therapist second. As a counselor, I believe that every individual is a unique and complicated being; therefore, I do not have one uniform approach. I draw inspiration from several evidence-based modalities such as EMDR, Solution Focused Therapy and Cognitive Behavioral Therapy. I am also trained in the EMDR modality and I am currently in the process of EMDR Certification. James McMahill, LMFT: I am an LMFT in CA and MN specializing in crisis care for those struggling with psychosis, severe depression, PTSD and suicidality. The majority of my clinical experience has been in crisis work and includes all ages, from children and adolescents in inpatient, TAY and adults in county outpatient clinics, and as a member of a Geri Psyche urgent response team. While in San Diego, I was the Program Director for Heartland Wellness Recovery Center, a county outpatient program serving SPMI clients in East County, San Diego. Currently, I am a team member for a CRT (Crisis Response Team) in Carver County, MN, and spend much of my clinical time in Emergency Rooms or responding to community or Law Enforcement mental health crises. I may also be commonly found co moderating Therapists in Private Practice (TIPP) on Facebook, with my wife Namrata. In this episode we talk about: Continuing our special series on Fixing Mental Healthcare in America How emergency rooms become a part of the mental health system The role of emergency rooms as the first door for folks with a mental health crisis It can be a catchall and revolving door for some with longer term mental health concerns The challenges and overwhelm when someone comes into the ER The goals that emergency rooms can have when someone comes in with a psychiatric crisis The differences in ERs (whether they have psychiatric facilities or whether they transfer to other facilities) The challenges in placing clients in psychiatric inpatient care The revolving door – developing relationships and losing hope Potential legislation changes that could increase time for care Conflicting goals at different levels of the hospital and the hot potato syndrome Training of the emergency room staff, medical staff, law enforcement, fire services The criminogenic interpretation of behavior that can hinder law enforcement and seeing a patient as someone needing help The importance of patience in managing psychiatric crises Interacting with Law Enforcement in these situations Responses to the “mental health” being touted as the solution for mass shootings Challenges with reimbursement and insurance coverage Some solutions for smoother processes during psychiatric emergencies, ideas for ideal planning and training   Our Generous Sponsor: The Healthcasters The Healthcasters is a podcasting course and community designed for therapists in private practice and therapists turned coaches + consultants that's supported the successful launch of over 270 podcasts. Wanted to tell you guys a little bit what's included in the Healthcasters podcasting course. It includes simple step by step videos to take your podcast from idea to one that generates income when it launches. Also includes cheatsheets and templates Melvin uses for the Selling The Couch podcast whether its scripts to reach out to guests or templates to let guests know a podcast is live.  We recently released the Podcast Episode Tracker.  This simple sheet helps you keep your podcast episodes organized whether you want to reference them later or re-purpose the content in the future.  You can also choose to upgrade after purchasing the course to a community of over 250 other therapist podcasts.  This also includes monthly group and 1 on 1 coaching calls with Melvin.  You can learn more about Healthcasters at sellingthecouch.com/jointhehealthcasters (enter the promo code "therapyreimagined" at checkout for $100 off the listed price).   Resources mentioned: We've pulled together resources mentioned in this episode and put together some handy-dandy links. Please note that some of the links below may be affiliate links, so if you purchase after clicking below, we may get a little bit of cash in our pockets. We thank you in advance! RAND Report: How to Transform the US Mental Health System Los Angeles Times Op-Ed: Our mental health laws are failing Laura's Law LPS: Lanterman-Petris-Short Law   Relevant Episodes: Fixing Mental Healthcare in America Serious Mental Illness and Homelessness   Connect with us! Our Facebook Group – The Modern Therapists Group Join us for Therapy Reimagined 2021   Our consultation services: The Fifty-Minute Hour Who we are: Curt Widhalm is in private practice in the Los Angeles area. He is the cofounder of the Therapy Reimagined conference, an Adjunct Professor at Pepperdine University and CSUN, a former Subject Matter Expert for the California Board of Behavioral Sciences, former CFO of the California Association of Marriage and Family Therapists, and a loving husband and father. He is 1/2 great person, 1/2 provocateur, and 1/2 geek, in that order. He dabbles in the dark art of making "dad jokes" and usually has a half-empty cup of coffee somewhere nearby. Learn more at: www.curtwidhalm.com Katie Vernoy is a Licensed Marriage and Family Therapist, coach, and consultant supporting leaders, visionaries, executives, and helping professionals to create sustainable careers. Katie, with Curt, has developed workshops and a conference, Therapy Reimagined, to support therapists navigating through the modern challenges of this profession. In her spare time, Katie is secretly siphoning off Curt's youthful energy, so that she can take over the world. Learn more at: www.katievernoy.com A Quick Note: Our opinions are our own. We are only speaking for ourselves – except when we speak for each other, or over each other. We're working on it. Our guests are also only speaking for themselves and have their own opinions. We aren't trying to take their voice, and no one speaks for us either. Mostly because they don't want to, but hey.   Stay in Touch: www.mtsgpodcast.com www.therapyreimagined.com Our Facebook Group – The Modern Therapist's Group https://www.facebook.com/therapyreimagined/ https://twitter.com/therapymovement https://www.instagram.com/therapyreimagined/   Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano http://www.crystalmangano.com/   Transcripts (autogenerated)   Curt Widhalm  00:00 This episode of the Modern Therapist's Survival Guide is brought to you by Healthcasters.   Katie Vernoy  00:04 The health casters is a podcasting course and community designed for therapists in private practice and therapists turned coaches and consultants that supported the successful launch of over 270 podcasts. Learn more about the health casters at sellingthecouch.com/jointhehealthcasters and enter the promo code therapy reimagined at checkout for $100 off the listed price.   Curt Widhalm  00:26 Listen at the end of the episode for more information about healthcasters.   Announcer  00:29 You're listening to the Modern Therapist's Survival Guide where therapists live, breathe and practice as human beings to support you as a whole person and a therapist. Here are your hosts, Curt Widhalm and Katie Vernoy.   Curt Widhalm  00:45 Welcome back modern therapists This is the modern therapist Survival Guide. I'm Curt Widhalm with Katie Vernoy. And this is part three of our special series fixing mental health care in America. And if you have not yet listened to parts one and two, please go back and listen to those and we'll include links to those in our show notes over at mtsgpodcast.com. When we look at mental health care in America, part of what Katie and I were looking at is the various ways that people needing mental health services interact with all the various systems and today's episode we're focusing on psychiatric emergencies and the ways that clients, patients, people in general in psychiatric emergency situations and up in the emergency room. And so our guest today, once again, interviewed separately spliced together so our guests are James with me Hill, who works in Minnesota and Casey Yoon, who formerly worked in an emergency room in Los Angeles, California. We are joined by James McMahill, Licensed Marriage and Family Therapist.   James McMahill  02:04 Currently I'm in Crisis Response Team in Carver county in Minnesota, what's up Western suburb just right outside of the Twin Cities,   Katie Vernoy  02:11 how do emergency rooms end up being a part of the mental health system   James McMahill  02:17 I have such as arranged experience from having conversations like these about emergency rooms or about law enforcement, you know, because each system is such a fingerprint from one another one er is so distinctly different from another er my experience when I was a director of an outpatient program in San Diego is so different from what I experienced on a day to day basis in the Midwest, for the most part of what I experienced as a clinician, it is a it's essentially a holding place for someone who has usually come in for a medical issue. And then is witnessed by the attending MD or nurse to also be endorsing an issue that's synonymous with a mental health concern. And in the two ers in particular that I work with, they have become so used to referring out to the crisis team that even if someone is coming in and stating that they're experiencing depression or anxiety in any way, generally will lead to a mental health assessment by the crisis team. Once that's completed, and we've made a recommendation, then the ER becomes much more of a complicated place, because then they're kind of, particularly if we're recommending an inpatient like treatment program, then the client is just kind of hanging out we are until we are able to secure a program for their ongoing mental health care. And so there's this kind of tension following a disposition between the crisis teams and other hospitals who have short term residential or short term behavioral health units, and the two ers that we serve and who do not have behavioral health units in trying to get them to an appropriate level of care kind of as soon as possible. Because the ER is always concerned about how many beds are available, who's coming in what the tenor and the mood of the unit is. And so it's kind of a holding place for that moment.   Curt Widhalm  04:12 We're also joined by Kesy Yoon lpcc, talking about some of the experiences of working in emergency departments when it comes to mental health. So thank you very much for joining us and spending some time tell us how mergency rooms work as part of the mental health system.   Kesy Yoon  04:30 My experience, the emergency room is often the first kind of net or door into a line of resources for mental health in the community. It can be kind of the first step that patients and their families or people take when someone's having a mental health crisis. But on the other hand, I've also seen the ER function as a dead catch all net for individuals whom the system doesn't know what to do with. And so sometimes it's the first door that First kind of introduction to mental health and resources. But then it also becomes kind of this catch all, though, the person that's in transition or can't utilize their resources or in between resources, they also begin to use the emergency room as well.   Curt Widhalm  05:16 So what do you see when it comes to? There's somebody brought in by law enforcement, it's typically under a 5150 type situation. Walk me through what that might look like, if we were observing this from somebody entering the door, working through the emergency department staffing, tell the psych staff gets there. What is this experience like for somebody going through this kind of a crisis?   Kesy Yoon  05:43 That's a great question. I have often wondered that how alarming it must be depending on what symptoms have been presented. But there was a lot of noise and a lot of chaos when you come into the ER, depending on the day, but most of the time, that's what's going on. So you're coming in, usually, with law enforcement or fire, you're coming to the double doors, you're not coming to the waiting room, you're not being triage the traditional way. You're coming in, and everyone's looking at you, right, because the tension is shifting. It's just busy. And on top of that, you know, you're getting rushed through triage. And I think things are happening so fast. And I've often wondered how it must feel to be someone who's experiencing a mental health crises, to then be to be in a situation, it's difficult for a person who's not experiencing a mental health crisis.   Katie Vernoy  06:31 I was thinking that exactly. And even if somebody is coming in with some sort of an injury or a severe illness, they might also be having a mental health crisis as well. But when the primary symptoms are psychosis, or suicidality, or homicide, ality, like, it seems like it would be hugely disorienting,   Kesy Yoon  06:49 yes. And then your, your triage, you're put into a bed, and they tell you a bunch of commands, you know, change into a gown, they go for shoes, your stuff is taken away, and then you're maybe left alone. And then the doctor takes however much time to come see you. They're asking you a bunch of questions. And then sometimes you might get visited by a social worker, if you're lucky, you'll get a kind nurse who has some idea of what you're going through. And then after all of that, all the questions, all the stuff, all your stuff has been taken away, you're essentially told that you're on this 5150 dennis is quiet, you know, the only people that come in to check in US shift change. If you're in restraints, maybe someone comes every 15 minutes to check on you, and then kneels and then you're just waiting, like, after all of that barrage of communication, then it's just quiet for however, the rest of the time you're in the ER.   Katie Vernoy  07:43 So that sounds really overwhelming. I could especially imagine for folks who are having psychosis or other psychotic symptoms, like it would just seem like, especially I just your stuff getting taken, you know, like, Yeah, wow, you know, just such a, I don't even though the right word, just very evolved a very vulnerable time. Right. You're, you're rushed in, you've got all this stuff happening. What is the goal? I mean, obviously, there's an assessment to get to the 5050. But what's the stated goal for the next 72 hours? For these folks?   Kesy Yoon  08:19 I think it depends on the hospital. So if you're a designated LPS facility, which means essentially, you have a locked inpatient unit, your goal is to wait until a bed becomes available, if you meet the criteria, which is you know, this whole other broad maze of things. If you're not at an LPs designated hospital that hasn't locked psychiatric unit, then you're waiting to be transferred. And even those kind of progress updates are very few and far between. But I just wonder about that, too. Right? You come in or your stuff is taken, you're told that you're waiting for a bed somewhere else? I mean, what if you have no idea where you even are, right? You wandered somewhere in a psychotic, just mess, and then now you're kind of coming to and then they're telling you Oh, we're going to ship you to some hospital that's 40 miles away, you don't know anyone. So just wait for that you can deal with   Curt Widhalm  09:10 on this piece about trying to get people placed when somebody has entered into an emergency room. There's a whole bunch of different departments who are either responding on the emergency side waiting for psychiatric to come in? What's the turnaround to getting somebody into one of these programs that you're talking about?   James McMahill  09:30 I mean, that really waxes and wanes? It depends on kind of that bell curve of utilization. You know, usually as you approach the weekend, the ability to get someone into a short term bhcu goes, maybe it goes way, way down, it's a lot more difficult. So it really just depends on what's going on out in the system. You know, we have a database that shows all the available hospitals, all the available programs and all of the available beds. And so once we've made that determination, a recommendation for an inpatient program and the attending physician agrees with that decision. Then it still rests on the crisis team to do quote unquote, a bed search, which is to page the different programs within the region to try to find someone availability, we will do our behavioral health assessment in that moment. And until we get that completed in a way that's representative about what's going on with the client and his best way as possible, the clients just going to be kind of hanging out there in the ER, and then we make that presentation of the behavioral health assessment, to the different programs to review, then it is completely up to the whims in the mood of the different behavioral health units that we are sending that packet to for review, to determine whether or not facing that that client would be a good fit, or not a good fit. And so there's this odd kind of back and forth between, oh, my goodness, you know, this person has got a lot of severe issues versus and this isn't as big of a problem for me as maybe some of the other clinicians have, do I try to write this in a scalable way? So we don't get the person who's reviewing the client to be like, no, we're not, we're not going to be taken someone who's physically aggressive and struggling with schizophrenia, or any kind of psychosis. So it is really difficult to kind of find that balance between Okay, we've we've addressed the emergency situation, we've got backing by the attending physician. And now our job is essentially to find a place that will accept that client. And that's completely based upon our write up, it's based upon our ability to communicate with the behavioral health unit in a friendly and charismatic way to kind of get them in the mood to like to, to accept the client, and also just what the complications of the system are at that time.   Katie Vernoy  11:46 What has been your experience with the kind of revolving door I think all of us have kind of heard about the ER being used, both for medical, but it also sounds like mental health crises, like that's where care happens. You know, the people just that revolving door, this is the catch all the lending? Yeah. For folks. What has been your experience of that? What does that actually look like?   Kesy Yoon  12:06 I think it depends on the relationship with the client has with the staff, to be honest, you know, I think there's some clients who utilize the revolving door of the ER, and it's almost like, it's a homecoming every month, like, oh, they're back. Like, they know the system, right? That's the kind of client that's not going to complain, they're gonna give up their possessions willingly, they'll do all the labs, they get it, you know, but some clients are more difficult, more aggressive. And it just, it almost becomes not this mentality of Oh, we can treat them like crap, because they they come here all the time, you know, versus the kind of clown comes in, and they get treated a little bit better, because they might treat the staff better. For me, it's difficult because it almost compels this sense of defeat, like, they're back again, I thought they got connected with services. So I'm torn. There's some clients where I did, it's almost like you don't mind when they come back, because they know how to operate and you almost enjoy seeing them and catching up with them, right. But there's also a large majority where it's difficult, and it's difficult not to become resentful and think, Oh, well, this patient's just abusing the system and abusing our resources. It's not that you don't want to help. But I think when certain clients come in every month, you assume that they either don't want the help, or yet you assume they don't want the hope. And so you don't advocate for them, really, you're just trying to, you're waiting for them also to get transferred upstairs, because you just think to yourself, oh, you'll be back anyways, you're not really going to change, you're not really going to get help or seek treatment.   James McMahill  13:42 Yeah, absolutely. I think that that's a much larger issue, or at least it was for me in Southern California than it is in Minnesota. It really impacts those who are unable to advocate for themselves who are homeless, who are untreated, in a much different way than it does the western suburbs of Minnesota, there isn't a ton of homelessness in the suburbs of Minnesota, the response of those who would be picking folks up and doing emergency transports, for example. It's just a lot different depending on what kind of er system that you're working with. So when I was in San Diego, it was a much bigger issue. We had folks who would be picked up by perks or who would be picked up by law enforcement on a weekly basis to the point where they would become regulars in the ER and regulars in the short term, bH USD in the area. And that in itself also creates kind of this interesting relationship because when when people become known in ers and their high acuity, but also like presenting with the high degree of affability there's almost a lower bar for those folks to be admitted into the ER and there's this kind of friendship relationship. Oh, so and so was here again, come on in Yeah, don't worry about it get up all taken care of. And yet there's nothing after that, really, for those folks who unpaired to long term services, regardless if that's because just voluntarily they feel better once they get out of the ER, and they've had their immediate needs met, and they don't want to engage in any kind of outpatient programming or act level programming. And so I know that there's a lot of discussion, a lot of work going on right now with quote, unquote, involuntary outpatient programs or mandated outpatient programs, particularly in Southern California. I don't see that as much in Minnesota, as I did in Southern California.   Curt Widhalm  15:38 In an earlier part of this series, Senator Henry stern was talking about expanding the 50 to 50 part of the law and being able to hold some of these clients longer and beyond freedom and freedom of being able to essentially add a week a couple of weeks that would have assuming under his system would be reimbursed for the hospital. With more time and some of this treatment, do you think that that would help to alleviate some of the revolving door aspects that we see that if so much of this priority seems to be patch them up and ship them off? Right, right. What is treatment in these situations, some of these repeat customers that you've seen, just in some of your experience? Is there just that little bit more of stability that would alter their lives?   Kesy Yoon  16:32 Yeah, I think the time, I definitely think it would help with stability and stabilizing the symptoms, or maybe just getting the right mix of medications for certain patients. And then they could also be watching monitor, see if they have side effects. I think the other part too, is that it gives a chance for the case manager or the discharge planner, to try and work out Bible placement for some of these folks, you know, I think it's difficult to try to find someone a place to live, if they're only in the hospital for let's just say 72 hour whole three days to to have them interviewed assessed by someone from a home and then for them to be accepted. Yes, I know, it's there waiting, essentially, in the inpatient unit. But at least they have some time, you know, it's not so hurried, and the case manager can really work on, let's find his personal home that they're not going to get kicked out of, or that we can hopefully pay for rent for a little bit longer than a week or so.   Curt Widhalm  17:29 There can be a bunch of different goals, depending on who's working within the mental health system, you kind of have a hot potato syndrome of this particular client is too difficult where for estimate our program or funding goals, this can happen between administration and treatment. How do you in your experience, how have you seen this kind of stuff played out?   James McMahill  17:55 It's a constant battle against the idea of Yes, I see that they need help. But no, this isn't the appropriate place for them to get that. And so you see that across modalities, you see that across presentations, you see that across programs, who have identified as having a specific scope. I know I experienced that on a daily basis as a administrator of an outpatient program when dealing with someone who, at the time we were wrangling with the idea of is this person substance primary, or is this person mental health primary? And so there was often kind of that passing back and forth between programs of Yes, I understand. But that person doesn't feel appropriate to our program. From an emergency room standpoint, some similar things go on, but it's much more about the folks who are providing services in that moment, the nurses, the doctors, the the aides, the watchers, who are concerned with what someone who is potentially coming to their bhcu, or how that person who will disrupt their familiar or how that person will disrupt their system. And so the folks who are high acuity, the folks who are really struggling, and really the most vulnerable are those who end up spending the most time in the least therapeutic of spaces. Because we often have such a hard time finding them, or finding a program was like, Yeah, absolutely. We are well equipped to deal with that. And we can absolutely provide them with services. I mean, I don't get that response. When I'm when I'm letting folks know that person is really struggling. They, they've been sober from methamphetamine after a year on and they're struggling hallucinations and paranoia and school aggression. Like I know immediately, that I'm more than likely going to have a very difficult time finding that person services and meanwhile, they're languishing in the ER in a in a box room. And so that's really the tension. That's where the hot potato for me lies in the ER of who is willing to accept this person and serve this person and give them the help they need.   Curt Widhalm  20:00 So when you're talking about this cross training between emergency staff and psych staff, and part of this even gets into the training of the people who are bringing people in, like law enforcement or ambulance, paramedic type services, what kinds of training inadequacies from the sake perspective? Are you hoping that some of these other services would be able to have or what do you see as deficits that they have when they are working with patients who are coming in under these kinds of circumstances?   Kesy Yoon  20:31 I saw that quite a lot. Unfortunately. You know, I think it's one of those things where again, it's it's very much about how do we not take responsibility for this person, this human being that we're bringing into the emergency room for law enforcement, if they're not criminal enough, or if it's not just if it doesn't fit into the standard or protocol for them to take them into their custody, they got to bring them into the ER. And then for fire, I mean, fire is even more broad. Right. So the Natalie's I saw a lot. We're just a very loose interpretation of LPs, and that's the lanterman Petris short, I always forget the what it stands for, but just very loose interpretation of what it means to be danger to yourself or danger, others gravely disabled, that's a, I mean, you can take all kinds of license with that, right. And I think with fire, it was also difficult, because I think oftentimes, the intention is good, like, if we give them to an ER, then they're going to get set up, they'll at least have a bed, they'll have some meals, and then the ER will take care of it. But, you know, there were so many times, even with fire, where even just bringing someone's wheelchair, that will be forgotten. I don't know if that's necessarily a deficiency in training, but the ER doesn't have an abundance of wheelchairs at them they could give to this patient once they're discharged. Right? So I think, even things like that, how do we see a patient as a whole person who has a life outside of the ER? And yes, who may need help. But that doesn't necessarily mean the right should be taken away? And then they're just left on the street, essentially, afterwards?   Katie Vernoy  22:09 How does the lack of substantial Mental Health Training by law enforcement, fire etc. So the the lack of knowledge and training for the folks that typically work with you, how does that affect clients?   James McMahill  22:24 I alluded to that image of impatience. And I think that that is what occurs the most when I'm dealing with law enforcement or emergency responders who are untrained in issues of mental health, because part of what law enforcement goes through on a daily basis is to address a criminal genic narrative, right. And it's really easy to get lost in the the who, what, where when of that narrative. And so I often see on train law enforcement trying to apply that same structure to a mental health emergency. And that doesn't mix well with someone who's having an incongruent, internalized process to what it is that they're also trying to communicate their words or with their actions. And so when that messaging is mixed, or is affected or impacted by what experiences someone's going through, there's that impatience and there's that tension. And there's a dismissal that says, Well, what you're talking about is not a big deal, right? Or there's that immediate kind of sense of, we've got bigger fish to fry. And so Meanwhile, I am seeing someone who is potentially responding to stimuli, who is exhibiting severe negative symptoms who might be having a dissociative event because of the trauma history. And it's so it's difficult to have to have a conversation with someone who hasn't had training in that regard. Like, hey, there's more going on here, than what's on the surface. And I think we need to kind of slow the pace down and really explore what it is that's going on. And so it's that time and impatience thing that really, I think creates a rift between the practitioners who are out there as first responders and law enforcement or fire who are out there trying to do the same thing.   Curt Widhalm  24:11 So not only is there needs differences, but to this bottleneck that you're talking about. It's there's policy implications into creating this bottleneck and California where Katie and I are a lot more familiar with things. You bring up George Floyd, you're talking about this much more intertwined relationship between law enforcement and mental health where you're practicing now, with the current environment, the current changes, the defunding the police sort of discussions, how do you see that being implemented with the kinds of systems that you're interacting with now and is there really as much of a push for that where you're working compared to some of the experiences that we're seeing here? California.   James McMahill  25:01 I was stunned at the difference in working with law enforcement in the suburbs of Minnesota. As I was working in East County, San Diego, my outpatient clinic was in El Cajon, California. And to be frank, that police department was fairly well known for a quick temper and quick decisions and a lot of impatience. You know, even when they were coming into the clinic on those rare occasions that we did need to call law enforcement and perked was not available. I had some really poor experiences with law enforcement. And so I don't know what the current climate is back in Southern California. But you know, when I came here, and I don't know whether or not this has been a change due to what happened in Minneapolis, but I started a couple of months before the George florid murder. And since then there has been kind of a combination of things is one, law enforcement. And again, depending on what officer you're dealing with, depending on what deputy you're dealing with, or Sheriff you're dealing with Sergeant you're dealing with, and, and depending on what their mood or what their experiences it has been on that day. But overall, the amount of collaboration and the amount of requests for me to come out and participate in a law enforcement event with someone that's struggling with mental health is way above what I experienced in Southern California, we're getting calls quite often to come out. And you know, all arrive on scene and and the the officers deputies will kind of tell me what the situation is. And they're always kind of waiting to see whether or not this is something that I can take care of on my own and give them the clear or whether or not I will stick around because there's concerns about violence. But there is a surprising level of patience that I'm seeing in dealing with law enforcement in Minnesota. And for me that patience has always been the most crucial element in those those crisis bubbles, right? Because if you have an increased amount of tension with law enforcement, and you can feel the resentment about having to be there in that moment, it makes for a really difficult situation. And it's very rarely results in a positive outcome for the client or positive outcome for the therapist, or for law enforcement. But there have been a couple of episodes here where where law enforcement was willing to work for hours with a client's trying to figure out levels of safety trying to figure out levels of cooperation. And I've yet to have a situation devolve into something worse than it was when I had arrived. You know, I've I've had positive outcomes with law enforcement in in Minnesota. Now. There's a lot of problems here. That is not to say that that's not the case. Obviously, that's the case. I mean, so far in my personal experience, of working with law enforcement, as it pertains to them wanting us to join and potentially give them space to remove themselves from a mental health situation. I've had pretty positive experiences. Now whether or not that's driven by altruism or driven by their desire to depart.   Katie Vernoy  28:13 There's a number of times, especially if there's mass shootings or other things, whether it's this public outcry for more funding for mental health programs. Sure. And it's usually during some sort of a tragedy. What are your thoughts on those, those outcries?   James McMahill  28:30 You know, usually, the expectations for me in those times is to fully understand that in that, in that month in that bubble, whatever that is, is that there's going to be the least amount of potential progress on actual mental health change than any other time, because it is used as such a such a red herring argument by folks who are looking for a distraction away from something but they don't want to talk about someone, you know, if someone wants to make sure that they don't have to talk about gun control, they'll say this isn't a gun issue. This is a mental health issue, and yet have very little desire to actually change anything within the mental health world. And then on the flip side of that, you have folks who may actually care about there being fundamental changes in mental health. But there needs to be this prioritization to having a conversation about gun control. And so they're kind of stuck in this space of saying, Well, yes, I mean, we should talk about mental health. But let's not get away from the issue that that dude in 30 seconds just mowed down 20 people with an assault rifle. And so I always cringe in that moment, because I know that there's going to be the least amount of productive conversation about mental health, as of any time outside of that window of a tragedy like that.   Curt Widhalm  29:50 Part of the administration process is around this LPs designation of hospitals and you've had an experience For a hospital kind of walk this line that contributes to some of this placement process, especially for longer term treatment, from your perspective of working in these kinds of departments, there's some of these admin kind of decisions that then end up affecting even some of these clients ability to reliably even have the emergency room be part of their safety plan. Give us a little peek behind the scenes, as far as what you've seen is some of these kinds of policy level decisions that affects even just the accessibility of care for people going through situations where they need to end up in the emergency room for psychiatric reasons.   Kesy Yoon  30:44 I wish I could be a fly on the wall and those meetings. In my experience, the first three years I worked in the ER, we worked with an inpatient unit that was opiates as needed, so it was locked. So if a patient did come in on a hold, there was almost an immediate transfer, or at least pending bed placement upstairs. So they had somewhere where they could really be stabilized and treated by psychiatric staff. Somewhere in between that time, I'm not quite sure all i knows there were very many audits, because when your LPs, Department of Mental Health, obviously there, they want to make sure things are running, they want to keep people accountable. But it would be it seemed like a very big burden of responsibility on the psychiatric staff. I felt like it was every quarter there the audited because we were designated. There was that reason, there was also a higher number of patients with admin days when we were locked, because we're waiting for higher levels of placement. And afterwards, we decided to forego the placement, the LPS designation, and we became a strictly volunteer voluntary psychiatric hospital, we still had beds, but we could no longer take patients that were on 5150 holds unless psychiatrists came to the ER, discharged the hole and then had the patient sign voluntary. And I think that made it it's hard to say because then at that point that the 5050 patients were either wait, they waited the 72 hours, er, and then they just got discharged with some paperwork, or we transfer them to a locked unit, where I don't know how long they would stay there. But it did become difficult because it's almost, it almost feels as though there's very little you can do at that point. If someone comes in, you either transfer them or you wait, and then you discharge them or they go upstairs, you almost want them to sign voluntarily. But sometimes if they don't have the cognitive abilities to understand what's going on, or they're in such a state where they can't sign voluntarily, then you're just either again, waiting it out or waiting to transfer them, which can be difficult.   Katie Vernoy  32:48 So due to the bureaucratic, not, you know, nightmare, as well as it sounds like some of the really hard requirements, this smoother system, have they come into the ER we have a place for them became this weird convoluted, maybe we can take them but right somehow they have to not be eligible for 5150. Right?   Kesy Yoon  33:20 Yes, they can't be too acute. They have to be acute enough where there's criteria. So you know, they're suicidal enough or homicidal enough or psychotic enough, but not so much worse than their video on picking material because then we have to call a pet team from a different hospital,   Katie Vernoy  33:37 or then that's when they end up like 40 miles away   Kesy Yoon  33:40 not knowing anyone. Yes, yes, exactly. And the hospital pays for those contracts as well. with certain lock it once you're an unlocked hospital, you can pay for contracts with locked hospitals, so that they will then take your patients, especially the ones that are uninsured, you know, with County Medical.   Katie Vernoy  34:01 Yeah, it just seems like it becomes these silos again, when it was integrated in the hospital when you first started, right?   Curt Widhalm  34:11 This whole reimbursement aspects, like you're talking about medical or uninsured people, but even for some of the insured people, what are some of the difficulties as far as a program of getting reimbursed, that essentially even contributes to this whole fiasco?   Kesy Yoon  34:30 I think one of the difficulties I experienced in emergency room was the emergency room is technically outpatient. So then to have a psychiatrists, let's say from the inpatient unit, come in and do a consultation every 24 hours for a 72 hour hold, you know, depending on the psychiatry so it was difficult to get them to come down there because it's an outpatient service. And I want to say it gets a little confusing with billing and then how do they get reimbursed as an inpatient provider for an hour patient's service, which is also some of the barriers I experienced when we were in meetings about creating a psychiatric emergency room, because our hospital was in talks about that for a while. But I think again, there was just too much red tape, bureaucracy stuff. And a psychiatric emergency room is the fine line between outpatient and inpatient. Right, because they're not they're not they're getting treated, but they're not inpatient, or the waiting for a bed. And I think eventually administration didn't really want to go through with the idea.   Katie Vernoy  35:31 It's so interesting that er is are considered outpatient when right, especially recently, I'm assuming a lot of people were staying in beds for days. Absolutely, absolutely.   Curt Widhalm  35:43 It's almost like psychiatric illness shouldn't be treated entirely like a medical problem. Yeah, I want to go back to this question. You know, since we're talking about, you know, some of us idealize care, and we asked at the beginning, but even when it comes to the way that administration and reimbursement happens, or is there more that you think needs to go into this idealized care sort of answer?   Kesy Yoon  36:12 I think so. I mean, I don't, I don't even know what that would look like, sometimes I have these, you said, these daydreams, or maybe are, what it would look like if we just had psychiatric staff and there wasn't this revolving door. But it's such a, it's a part of a system that needs help, you know, the actual episode with the senator, and then the medical director of gmh was, I was so enlightened. And I was also given so much hope by that episode, because I was thinking, yes, this is like, it needs to be a system thing, the ers part of that system. I don't know, obviously, it could start with policy, but it's sometimes I feel like it's just a smaller part of a much larger problem.   Curt Widhalm  36:50 And so part of the system being that places like the ER, places like the prison, the jails that end up serving as de facto parts of the community care that has lost its funding over the last several decades that proper reimbursement, as I'm hearing, you say it is actually funding some of these community places to take care of people before and after some of these crisis. So that way, they're not sitting around waiting three days for a placement when there's no placements that can be found.   Kesy Yoon  37:25 Exactly. I think that's very true. You know, I don't have that much experience with either, but even a psychiatric urgent care, there's not that many. I think the main one I know about is the line of Exodus, or who cares for mental health. And then there's a new one that was recently built Long Beach, but even having that and they also have their time constraints. Suppose the patients can only stay for 23 hours, I don't know who came up with that number. And then they get Yeah, or they get transferred. And long before I started in the ER, they told me stories of there was an exodus connected to our emergency room. So they would discharge a patient from the Exodus, urgent care, transfer them on a gurney, basically down the street to our er, and they will kind of just ping pong them around, because they didn't know what to do with these patients. And so yes, I think proactive care before and then actually having sustainable and viable trend plans after would be immensely helpful.   Katie Vernoy  38:25 Well, I'm also hearing having some way to be comprehensive and how people can do services where the billing isn't, by the minute, yeah, based on type of service, and I even think the whole issue of inpatient versus outpatient. And can you bill for both services on the same day? Right. Seems like there's also insurance bureaucracy that needs to be addressed, because people are not doing the best care they can, because they won't get reimbursed for it. And they're being incentivized to treat and St. Hmm.   Kesy Yoon  39:03 I agree with that. And I was actually talking to a psychiatrist the other day, what did I ask? I was thinking was asking about, you know, what was his experience like working in the emergency room? And it's difficult, because I think a lot of them are inpatient. psychiatrists are usually, I don't know, one group that's seeing inpatient psych and a detox unit, if they have that, which was the case of my hospital. And so getting someone to come down, just to see a patient out of 50 or 50. It was never fast enough for the ER doctors First of all, and it was difficult for them because, you know, they're, they're either going to discharge a patient or they're going to treat are they going to come every day, the patient's there, and I think that was difficult, as well.   Katie Vernoy  39:48 It is very patchwork.   Kesy Yoon  39:50 That's a great way to put it very patchwork. I felt like I was always scrambling to put pieces together and it within a very finite amount of time and everyone was always asking administration was always asking why? Why is the station here for so long? And what are you not doing to either get them upstairs? And it's, you know, it can be very frustrating.   Katie Vernoy  40:10 I guess the question ties to the reverse, which is, how hopeful did you feel when someone came in with a mental health crisis that they would stabilize, get back to their life? And things would be good going forward? Like how Sure, were you that they were going to get the care that they needed? Honestly,   Kesy Yoon  40:30 I think it would depend on some factors. I think if they came in with a family member, or a friend or roommate who was concerned, and I could tell that they could get connected after I would have, my hope would increase, if they came alone, there are no resources, no family, no social support, then I would almost think, well, there's a good chance they're going to be bad. But there's, there's some hope in that too, right. Like, I think when I first started working in the emergency room, I was so shocked by how much the ER becomes a part of some patient's treatment plan. They just know where they know, I don't know, in the middle of the month, I'm probably gonna have some kind of psychotic breakdown, and I'm going to come to the ER, I think that would affect how much   Katie Vernoy  41:16 What do you see as an ideal for how er services would be working with in relationships, how they fit in the larger mental health system, because it sounds like as a, as a catch all, or sometimes even the first first door, it may be really the wrong match. So how do you think it should fit in to the mental health system?   Kesy Yoon  41:36 You know, ideally, I would, I think the ER should operate, similar to how it should operate for just medical patients, which is for mental health crises and emergencies. Ideally, there would also be things like more psychiatric urgent care centers, where there's kind of this other level before they get triage as an emergency or a crises. And I think to be great in the ER staff, maybe nurses or whatnot, were cross trained on how to deal with mental health crises and mental health patients, every single er is dealing with mental health, right. And so I understand you don't need an extensive amount of training, but it's always divided between the ER staff, and then the site staff that comes in to help and support. So it's almost like this, oh, the psych nurse will take care of it. And so the ER staff, whatever training, they got nursing school, let's say, that's kind of it. So that would be another ideal if there was just more cross training involved, to deal with mental health crises, if that's what the ER was, in, of course, in my ideal if that's what was being used for.   James McMahill  42:42 I think, in an in an ideal space, and I always dream about this, whenever I'm at the ER, and I'm really struggling with that tension of freeing up the ER bed, is that I would love to see a mirrored space, a space that is identical in, in every way to the ER, but is staffed with nurses who are trained specifically in mental health that is staffed with psychiatrists, as much as it is PhDs, or medical Doc's and a place that's really conducive to that moment of stabilization until you can get someone to a program that will better serve their needs than the ER, because, you know, the ER, fundamentally is about stabilization and about creation of, of safety. And so in particular, when you're dealing with a psychiatric crisis, a lot of times the moments of sad occurs, the environment in which we're going and seeing that the rooms for clients that we're going and doing Christ assessment, it's a, it is a safe room, you know, quote, unquote, and so it's a, it's a bed, and it is four walls, and it's a locked door. And so, there's so many incongruencies, to what it is that I'm trying to offer in that moment, which is real human connection, which is true visibility, which is, you know, making sure that that moment, or that person in that moment knows that they're being heard, and they're being seen, they're being treated by someone who has their best interests at heart. And meanwhile, I'm doing it in this hermetically sealed cube. And so, I'd like to see a psychiatric er, that's where that's where I would like to be treating the clients when I'm doing the assessment, but   Katie Vernoy  44:22 How would the job for a clinician change in the ER, if this system were, quote unquote, fixed? If people actually were able to that it really was crisis or first door? Not rotten, not revolving door? Not, you know, casual? How would that change? how it feels to be a clinician in the ER?   Kesy Yoon  44:49 That's I really liked that question. I always have never thought about that. I mean, I in moments, because you're just there's so everything is timed. And so you're just like, Oh my I just have to go out and assess this patient and get them out of here. or have a plan for the doctor because he doesn't want to deal with it? How would it change? I think there would be more care. I mean, I'll speak from my own experience. I think when I saw patients who were truly in a mental health crisis, maybe even some of those are revolving door when they would come in, and they were really having a hard time. I think it would just allow for more care, even in that kind of chaotic setting. If we're the first door, the first, the first learning for these kinds of patients, maybe wouldn't have to be so chaotic and so hurried, maybe they could feel like this was the right decision they made and it's safe. For me, that would be one way you could change. But I had to think about that a little bit more in terms of, I guess, I've just never thought about what it would be like if we weren't responsible for just getting them out as soon as possible.   Katie Vernoy  45:55 So now it's our turn to reflect a little bit on what we heard, close it out. But I was very struck by how similar the perspective was, even though we've got folks that are working in two different areas in the country. I think that the desire for a psychiatric emergency room with the training the resources, that person to person connection, that could be possible. I really liked that vision. But I think as as you and I've talked about a number of times, it's huge systemic changes that are going to need to happen for that to really be the case.   Curt Widhalm  46:31 And it's often with a part of society that gets overlooked as far as being a worthwhile investment. And that's part of why Katie and I are putting this whole series together is it's something where looking at one particular space in the system, as it's being isolated away from everything else doesn't do it justice, as far as how we look at fitting everything together. In our interviews and some of the stuff that got left on the cutting room floor, especially James was talking about some of the stark differences that he had seen between his work in Southern California and his work in Minnesota. But despite all that, there just seem to be more similarities than not, especially when it comes to where the shortcomings of the system is. And through the remainder of this series and our continued advocacy work of improving mental health in America. I'm hoping that by putting all of this in the context, we've got a really good opportunity for some calls to action for some good systemic change.   Katie Vernoy  47:42 So keep listening. We've got more episodes that'll be coming out soon. And by soon it could be in a month or it could be in three months. We're trying our best to put together really solid interviews so that we're putting together a nice hole. But if you have ideas to share for our fixing mental health care in the United States series, please let us know.   Curt Widhalm  48:02 Check out our show notes at mcsg podcast calm and for could links to the previous episodes as well as some information on James and Casey and also a welcome to our growing team of Alyssa Davis who helps make some editorial contributions on this episode as well. Till next time, I'm Kurt Woodham Katie Vernoy   Katie Vernoy  48:27 Thanks again to our sponsor, the Healthcasters   Curt Widhalm  48:30 wanted to tell you guys a little bit of what's included in the health casters podcasting course it includes simple step by step videos to take your podcast from idea to one that generates income when it launches also includes cheat sheets and templates Dr. Melvin Varghese uses for the selling the couch podcast, whether it's scripts to reach out to guests templates to let guests know that a podcast is live. The recently released the podcast episode tracker the simple sheet helps keep your podcast episodes organized, whether you want to reference them later or repurpose them for content in the future. You can also choose to upgrade the purchase of course the community of over 250 other therapists podcasts. This includes monthly group one on one coaching calls with Melvin and you can learn more about health casters, it's sellingthecouch.com/jointhe healthcasters   Katie Vernoy  49:20 into the promo code therapy reimagined at checkout for $100 off the listed price. And just a reminder that sellingthecouch.com/jointhehealthcasters.   Announcer  49:30 Thank you for listening to the modern therapist Survival Guide. Learn more about who we are and what we do at mtsgpodcast.com. You can also join us on Facebook and Twitter. And please don't forget to subscribe so you don't miss any of our episodes.

My guest this episode is Victoria resident Ellie Krug.  Ellie is a former trial attorney, book author, public speaker, podcaster, radio show host and transgender woman.  After making the difficult decision to live as her true, authentic self, she had to re-invent herself in almost every aspect of life.  She moved to Minnesota to start over dedicating her life to one of service.  Recent political changes in Iowa made moving back problematic and so Ellie decided to establish roots in Minnesota and she recently moved to Carver County to have a more rural type of surrounding.  Her life is now devoted to sharing her story and life lessons about what she calls "Gray Area Thinking" with service groups, churches, and both large and small corporations.  Her message is one of acceptance of self, compassion for others and for oneself, and that we are all much more alike than different. She believes in the power of human familiarity--that by really getting to know each other on a personal, human to human level, we can be a better community for everyone. To find out more about Ellie's work and or to book her for a speaking engagement, visit- https://elliekrug.com/ Her memoir, Getting to Ellen: A Memoir about Love, Honesty and Gender Change, is available on Amazon, Kindle Nook, and Apple iBook. If your book club reads Ellie's book, she will speak to the club (either in-person or virtually) at no charge. --- Send in a voice message: https://anchor.fm/greg-anderson29/message

Dean Hilgers is a life long Waconia resident.  He started off working part time at the local Ford dealership while in school and then became a sales associate and within a very short period of time, one of Ford's youngest dealership owners.  He ran Waconia Ford for 25 years and grew it to over 150 employees.  I suspect a big part of his success was his humility and willingness to give recognition to mentors and team members as he did often in this interview. After selling the dealership, Dean made a major life decision and went back to graduate school. He also started developing land and dove head first into serving the community through his involvement with various organizations.  He and his wife both have a passion for Waconia, Carver County and are committed to leaving a legacy of making things better for all who follow.  Please enjoy this wonderful conversation with a great guy. Also, be sure and visit: www.https://www.carvercountyhistoricalsociety.org/peterson_farm.php --- Send in a voice message: https://anchor.fm/greg-anderson29/message

Tom Workman is a long time political guy who served on Chanhassen City Council, at the state legislature and for the past several years as a Carver County Commissioner.  (District 2 includes Chan 1a, 1b, 2a and 3 plus Victoria ward 1.)  Tom is a fun guy to talk to because he doesn't hedge about what he is thinking.  He's pretty outspoken on lots of topics, so no matter if you agree with him or not, you will know where he stands.  He is also passionate about transportation, mental health and something really important given all the recent rainy days; Mosquito Control. This is part 1 of our discussion. We ran out of time so he will be on another episode to finish up but in the meantime, enjoy our conversation.   --- Send in a voice message: https://anchor.fm/greg-anderson29/message

Carla Struble is a formidable presence on local charitable boards. She brings a wealth of business experience ranging from personally working for large corporations to a starting an electrical company with her husband, to running a 1200 acre large scale hog operation.  In this interview, she shares some of the insights she has gained from a lifetime of hard work and well thought out decisions.  She talks about some of the mindsets that helped a small husband and wife electrical start up become a community pillar with over 70 employees today and that recently moved into a new corporate headquarters here in Carver County.  Carla is funny, thoughtful and smart as a whip.  I hope you enjoy our wide ranging discussion. --- Send in a voice message: https://anchor.fm/greg-anderson29/message

Watch this episode on YouTube: https://youtu.be/yDtZkfII0ncGet this episode on your favourite podcast player here: https://christianyordanov.com/25-dr-scott-jensen/ On this episode of Connecting Minds, we welcome Dr Scott Jensen - a long-time family physician who was also former Minnesota State Senator for Carver County and is now running for Governor of Minnesota.Dr Jensen has impressed me with his fearless calling out of the corruption and lies surrounding the COVID-19 situation, so I am glad to share with you some of his perspectives!Links to Dr Jensen's website and social media:Website: https://drscottjensen.com/Facebook: https://www.facebook.com/DrScottJensenTwitter: https://twitter.com/drscottjensenInstagram: https://www.instagram.com/drscottjensenmn/TikTok: https://vm.tiktok.com/ZMe6xNLps/YouTube: https://www.youtube.com/c/ScottJensenLinks to Christian's book and social media:My first book Autism Wellbeing Plan: How to Get Your Child Healthy: https://www.amazon.com/gp/product/B084GBBDL9Website: https://christianyordanov.com/Twitter: https://twitter.com/christian_yordaYouTube: https://www.youtube.com/channel/UCBu5V9XLVnr-Mlh8etxiG4wFacebook: https://www.facebook.com/ChristianYordanovCoachInstagram: https://www.instagram.com/christian_yordanov/

Linda Hazzard aka "Starvation Doctor was an American swindler and serial killer noted for her promotion of fasting as a treatment. She was imprisoned for a number of deaths at a sanitarium she operated in the early 1900. She was responsible for between 20-40 deaths. Born 1867 in Carver County, Minnesota, she died during a fast in 1938. #LindaHazzard​ #TheStarvationDoctor​ #Truecrime​

This week's installment of our Senate Series brings you a chat with Addie Miller, a horse trainer-turned-lawyer seeking to represent Chaska, Chanhassen, Carver, Victoria, and Watertown in the Minnesota State Senate. Addie shares how politics got personal for her, how she's staying true to herself during the campaign, and some of the good work she's looking forward to doing in the Senate. Then, your favorite feminist hosts take a deeper dive into the state of rural mental health care in Minnesota and bring you your weekly COVID corner. Plus, obviously, your usual dose of witchy fun. Show Notes Meet the Guest - Addie Miller Addie Miller is a lifelong Carver County resident, a lawyer, a horse trainer, a Committee Administrator at the Minnesota House of Representatives and a first-time candidate running for an open seat in the Minnesota State Senate, District 47. Addie has always been a "do something about it" kind of woman, and plans to bring that attitude to the Capitol to get stuff done for the people of Minnesota. Addie was driven into public service after the 2016 election brought to light some very glaring injustices in our healthcare system that affected her mom. In addition to her passion for advocacy and justice, she really enjoys yoga, travel, paddleboarding with her dog, and all kinds of music in her little spare time. Links Addie Miller - Campaign Website MN's free Farm & Rural Helpline: 833-600-2670, extension 1 Minnesota Rural Mental Health Specialists Ted Matthews: 320-266-2390 Monica McConkey: 218-280-7785 MN SafeTalk Program - MN Dept of Health --- Send in a voice message: https://anchor.fm/renegadefeminist/message Support this podcast: https://anchor.fm/renegadefeminist/support

Get ready for a grab-bag episode full of local political bananas: the latest in candidate filings, plenty of white male mediocrity, and a plug to convince your favorite south metro feminist to run for a newly open seat. Then, to combat the onslaught of newly minted internet experts out there spouting plague nonsense, we chat with a badass medical doctor, who busts coronavirus myths in a way only a doctor can: with data. And the tarot card of the week is surprisingly relevant. Show Notes Meet Our Guest - Dr. Kaisa Schmitz Dr. Kaisa Schmitz is a Minnesota-born and -raised Doctor of Osteopathic Medicine, originally hailing from Carver County. She got her undergraduate degree from Augustana College, and studied medicine at the University of Minnesota. She completed her residency at the Kirksville College of Osteopathic Medicine. Dr. Schmitz lives in Prior Lake with her husband and their four children. Links House District 51B Map - Ballotpedia Run For Office - Women Winning --- Send in a voice message: https://anchor.fm/renegadefeminist/message Support this podcast: https://anchor.fm/renegadefeminist/support

Hour 1 Matt Dunn the owner of Scream Town in Chaska joins the show amid Carver County shutting down his operation. Joe also discussed a group of witches in Brooklyn gathering to put a hex on Brett Kavanaugh, and he boasts about his feats with technology in the past couple of days.

Lori's bowling season is finally over. Carver County attorney announces no charges will be filed in the death of Prince. We play the previously unreleased version of “Nothing Compares to U”. Guest is Jenna Bans. She is a Twin Cities native who is the screen writer for NBC's “Good Girls”. Tristan Thompson is not living with Khloe.

Carver County Sheriff Jim Olson spoke briefly about his working relationship with Prince within the Chanhassen, Minn., community.