Looking Ahead to the New Academic Year: Bringing our Community Together

Transcript

• 00:03Okay. Good afternoon.
• 00:06I'm mostly concerned with our
• 00:07friends in Zoom. Darren, can
• 00:09you hear me?
• 00:10Yes. We can hear you
• 00:11now. Oh, good. Alright. So
• 00:13thank you for the magic
• 00:15of AV. I,
• 00:17I will certainly not do,
• 00:18an introduction of, of our
• 00:20chair who everybody knows.
• 00:22But I do wanna tell
• 00:23you that, we have a
• 00:25a really rich series of
• 00:26grand rounds ahead, this year.
• 00:29And next week, we're gonna
• 00:30be welcoming,
• 00:31Jenny Havens.
• 00:33Jenny is a good friend,
• 00:34and she is the chair
• 00:36of the NYU Child Study
• 00:38Center.
• 00:39She's an expert in trauma,
• 00:40and we'll be talking about
• 00:41trauma based care, both in
• 00:43inpatient, outpatient, all settings. So
• 00:45we hope to see you
• 00:46then. And now without further
• 00:47ado, Linda Mays. Thanks so
• 00:49much, Andres.
• 00:54Thank you. So great to
• 00:55see all of you in
• 00:56the room.
• 00:57I post COVID every year.
• 00:59Having people in is really,
• 01:01really great. So I'm delighted
• 01:03to see you. And welcome
• 01:05back.
• 01:06This is our opening meeting
• 01:07of the academic year.
• 01:10And I want really to
• 01:11welcome you back, but I
• 01:13want to take a moment
• 01:14to pause and ask what
• 01:15images from the summer
• 01:17that you had would you
• 01:18like to hold on to?
• 01:20I know some of you
• 01:20have been in some actually
• 01:21quite beautiful places.
• 01:23Some of you took family
• 01:24vacations. Some of you moved
• 01:26here from other places,
• 01:28but what images would you
• 01:30like to hold onto
• 01:31as we try to hold
• 01:32on to these last few
• 01:34days of summer?
• 01:35And indeed, I'd actually like
• 01:37to show you that there
• 01:38was in the New York
• 01:38Times on September first,
• 01:42a lovely piece that you
• 01:43actually should should look at.
• 01:44It's called, as you can
• 01:45read, How Should We Mourn
• 01:46the End of Summer.
• 01:49We all say, Oh gosh,
• 01:50I can't believe that summer's
• 01:52over. What happened? It went
• 01:53so fast.
• 01:54But this article actually makes
• 01:56the point
• 01:57that we need to pause
• 01:59and we need to pause
• 02:00and reflect on that time
• 02:01of year when we typically
• 02:03go and we do things
• 02:04more with families, we do
• 02:05things on holidays, but, but
• 02:07this is really a time
• 02:08when we really pause and
• 02:09reflect.
• 02:10And it asks us to
• 02:11take that and hold that
• 02:13in mind,
• 02:14read it if you have
• 02:14a chance.
• 02:16So I hope you've got
• 02:17those images in your mind
• 02:18of what you would like
• 02:19to remember of summer and
• 02:20just in the spirit of
• 02:21sharing, I'd like to give
• 02:22you just a personal sampling
• 02:24for me.
• 02:25So many of you know
• 02:26that I am obsessed with
• 02:27Shakespeare,
• 02:29absolutely obsessed.
• 02:31So I had some opportunities
• 02:32to take in some summer
• 02:33Shakespeare.
• 02:34But what was most meaningful
• 02:36to me was a chance
• 02:37to be a part of
• 02:38a Habitat for Humanity team
• 02:40here in New Haven
• 02:42and also to actually be
• 02:43a part of land conservation
• 02:45and a land trust in
• 02:46Tennessee in my farm.
• 02:48And then I actually learned
• 02:50a little bit about falconry.
• 02:52So those are some of
• 02:53the images that that I'm
• 02:54holding onto,
• 02:56for the summer.
• 02:57But even in the spirit
• 02:59of the New York Times,
• 03:00it is September
• 03:02and we're back.
• 03:03So welcome to the new
• 03:05academic year and I'm really
• 03:06glad you're here.
• 03:08And the purpose of what
• 03:09we do today
• 03:11is really different from what
• 03:12we will do in January,
• 03:14even though January is not
• 03:15that far away.
• 03:17Today, I really want both
• 03:18to pause and reflect,
• 03:20to welcome those of you
• 03:21who have joined us over
• 03:23this year and to look
• 03:24ahead. And that's our purpose.
• 03:28And we have a tradition
• 03:29of opening this meeting with
• 03:31themes.
• 03:33And so you can see
• 03:34the very first theme in
• 03:35twenty sixteen was quite playful
• 03:37with the Australian word spine
• 03:38bash. And even in twenty
• 03:40nineteen, we talked about us
• 03:42holding on to a summer
• 03:43frame of mind,
• 03:45but sadly COVID happened.
• 03:47So from twenty twenty on,
• 03:49our themes became a bit
• 03:51more sobering,
• 03:53Matters of the heart,
• 03:55change,
• 03:56generativity,
• 03:57staying grounded,
• 03:59and as last year, staying
• 04:00grounded amidst change.
• 04:03And there is absolutely no
• 04:04doubt that change and upheaval
• 04:06continues in our world.
• 04:09Our local world,
• 04:11our New Haven world, our
• 04:13national world, our international.
• 04:15From the uncertainty of the
• 04:16election
• 04:17and all the turmoil around
• 04:19it, from the increasing continued
• 04:21conflict in
• 04:23Ukraine,
• 04:24the continued
• 04:25conflict in Israel Gaza,
• 04:28from the demonstrations around that,
• 04:30from from the fact that
• 04:31COVID is still with us,
• 04:33COVID is up upticking again,
• 04:35from the fact that this
• 04:36was the warmest summer ever
• 04:38recorded in history.
• 04:41Change is still with us.
• 04:43So we need to stay
• 04:44grounded
• 04:45amidst uncertain times and there
• 04:46would be a there would
• 04:47be a temptation to continue
• 04:49the same theme,
• 04:50but I want to continue,
• 04:51I want you to read
• 04:52that our relationships ground us
• 04:54in our commitments to each
• 04:55other, even as our circumstances
• 04:58become uncertain or quickly change.
• 05:00And I would suggest and
• 05:01in relationships
• 05:02is the word community.
• 05:04And so here's the theme
• 05:05for this year.
• 05:07This year's theme is restoring
• 05:09community.
• 05:11Restoring community, building understanding.
• 05:14And what is the origin
• 05:15of the word community?
• 05:17My other obsession, origins of
• 05:19words.
• 05:21The Latin, hamonitatum,
• 05:23means a fellowship of relations
• 05:24or feelings,
• 05:26but it actually comes from
• 05:27joining two words together.
• 05:29It joins from the root
• 05:30of con, which means together,
• 05:32and the root munis, which
• 05:34means service.
• 05:35So actually the original meaning
• 05:38of the word was to
• 05:39come together in service.
• 05:41By the fourteen hundreds,
• 05:42it came to have the
• 05:43meaning of a common a
• 05:45common people coming together with
• 05:47common interest.
• 05:49And other associations include coming
• 05:51together for the common good
• 05:54or like like entities coming
• 05:56together.
• 05:58One theme that you're gonna
• 05:59hear is I wanna restore
• 06:01the original meaning of community.
• 06:03I want to restore service
• 06:04into that. And I want
• 06:06to talk about how that
• 06:07is relevant to us.
• 06:09And there's no doubt that
• 06:11community, the idea of community
• 06:13has enormous strength.
• 06:15We talk about the whole
• 06:16being greater than the sum
• 06:17of its parts,
• 06:19individuals supported by the group.
• 06:22The group together
• 06:23has a greater purpose.
• 06:26But on the other hand,
• 06:27communities have risk.
• 06:30Communities with risk can be
• 06:32tribalism,
• 06:33isolationism.
• 06:35They can be fragmented. They
• 06:37can others.
• 06:38They can actually be fixed
• 06:40in narrow world view
• 06:42and can, in their most
• 06:43extremes,
• 06:44be things that we abhor
• 06:47of segregation
• 06:48or Nazi Germany.
• 06:51What distinguishes those kinds of
• 06:53communities is their emphasis on
• 06:54inclusion or exclusion.
• 06:57And how we include
• 06:59brings us to the community
• 07:00that is more generative
• 07:02and more open.
• 07:04Or as Dwight Eisenhower said,
• 07:06the world of ours
• 07:07must avoid becoming a community
• 07:09of dreadful fear and hate
• 07:11and instead a proud confederation
• 07:14of mutual trust and respect.
• 07:17So
• 07:18why do I talk about
• 07:19restoring community? Why don't I
• 07:21just say our theme for
• 07:22this year is community?
• 07:24We talk about restoring
• 07:26because we are seeing a
• 07:27tremendous change in societal cohesion.
• 07:31We're seeing far less engagement,
• 07:33not just here,
• 07:34but across society
• 07:37and greater isolation. Indeed, the
• 07:39surgeon general called attention to
• 07:40our epidemic of loneliness
• 07:42and isolation
• 07:43in our society.
• 07:45We're seeing a shift toward
• 07:46communities as camps.
• 07:49So I want, as I've
• 07:51said, and then in the
• 07:52midst of these headwinds,
• 07:54these are tremendous
• 07:55social headwinds.
• 07:57I want to actually for
• 07:58us as a group,
• 08:00for us as a community
• 08:02to restore service and support
• 08:04to the meaning of that
• 08:05when we talk about ourselves
• 08:06as the Child Study Center
• 08:07community.
• 08:09And so what have you
• 08:11said that you value
• 08:13about being a part of
• 08:14the Child Study Center community?
• 08:16Because we've had meetings and
• 08:17you've commented on that.
• 08:19First, you talked about your
• 08:20colleagues
• 08:21and I would agree by
• 08:22the way. You've talked about
• 08:24the intelligence,
• 08:25creativity,
• 08:26innovation.
• 08:27You've talked about the shared
• 08:28work that we do together,
• 08:30how we bring applied and
• 08:32basic science together, how we
• 08:33bring clinical and science together,
• 08:36how we put patients and
• 08:37families first.
• 08:39You've talked about all our
• 08:40work on culture
• 08:42and climate
• 08:44and how we're emphasizing
• 08:45respect
• 08:46and belonging.
• 08:47And you've even talked about
• 08:49being a part of this
• 08:49larger system of Yale and
• 08:51how it affords the networking
• 08:54and it affords more resources.
• 08:56At the same time,
• 08:58coming from all of you,
• 09:00as if you identified
• 09:02these challenges to our community
• 09:04cohesion,
• 09:05you've identified that we have
• 09:07divides across our missions with
• 09:08difficulty know what all of
• 09:10us are doing. We've gotten
• 09:11very big.
• 09:13That we have difficulty connecting
• 09:15with others, especially when we
• 09:16are primarily virtual, but I'm
• 09:18delighted to have so many
• 09:20of you on virtually.
• 09:22So it is a it
• 09:23is a dialectic.
• 09:25You have talked about that
• 09:26despite all our efforts, we
• 09:28remain siloed and fractured into
• 09:30groups and most concerning to
• 09:32me,
• 09:33as you've talked about, some
• 09:34of you, feeling disengaged
• 09:37from the community.
• 09:40So is this a symptom
• 09:42of the first three,
• 09:44and how do we restore
• 09:45it? We are in the
• 09:46process we are in the
• 09:48business of helping people.
• 09:51How do we help our
• 09:52community feel more engaged and
• 09:54come back together?
• 09:55So I'm gonna suggest these
• 09:57things and then I'm gonna
• 09:58come back to them.
• 09:59First, I'm going to suggest
• 10:01that we need to relearn
• 10:02how to be together.
• 10:04And stay tuned because at
• 10:06the end, I'm gonna suggest
• 10:07some ways.
• 10:09Suggest that we intentionally intentionally
• 10:12need to come together more
• 10:13often in person
• 10:14as we are now, but
• 10:16also have the opportunity for
• 10:17people to join if they
• 10:19cannot be in person.
• 10:21We need to provide more
• 10:23opportunities,
• 10:23varied and intentionally planned to
• 10:26learn about each other's and
• 10:27we need to do what
• 10:28communities do
• 10:30to balance what is good
• 10:31for the group and what
• 10:33is good for the individual
• 10:35and to be very intentional
• 10:37about that.
• 10:39So I'll come back.
• 10:42But now what I want
• 10:43to do in the next
• 10:44forty minutes
• 10:46is to look ahead
• 10:48and first to welcome new
• 10:49fellows, staff and faculty.
• 10:51And I would say that
• 10:52the slides I'm going to
• 10:53show you think of them
• 10:54as a resource as well
• 10:55because everyone and so many
• 10:57people have helped me gather
• 10:59to be sure that I
• 11:00hope we haven't missed anybody
• 11:02who joined us over this
• 11:04year.
• 11:05I wanna talk about strategic
• 11:06thinking and planning and why
• 11:08I think that we are
• 11:09at the stage that we
• 11:11must now refresh and do
• 11:12that
• 11:13And then give you some
• 11:14goals for the new academic
• 11:15year and then return
• 11:17to sustaining our community
• 11:19for not just for the
• 11:21next year, but for the
• 11:23years ahead.
• 11:26Welcome to our
• 11:29fellows. If you can read
• 11:30the print
• 11:31and remember these are resources
• 11:33as well. This is a
• 11:35remarkably
• 11:36diverse group,
• 11:38diverse and where they come
• 11:39from,
• 11:40diverse in their education,
• 11:43and the perspectives they bring.
• 11:45I am so pleased to
• 11:46see our group growing and
• 11:48becoming more and more diverse
• 11:50in all that they bring.
• 11:52This is just delightful.
• 11:58And so welcome to those
• 11:59of you who are aligned,
• 12:00to those of you who
• 12:01are in the room.
• 12:04We also have an extraordinary
• 12:06group of Child Study Center
• 12:08incoming intern and practicum students
• 12:10From our masters prepared interns
• 12:12to our psychology practicum students
• 12:15to our APRN from the
• 12:16school of nursing.
• 12:18Again, look at where they
• 12:19come from and the diversity
• 12:21they bring.
• 12:23Healthy
• 12:24communities, healthy communities
• 12:26have a range of perspectives
• 12:27that they bring in.
• 12:30We have two new fellows
• 12:31in our research training program
• 12:33that has been directed or
• 12:34has been in with the
• 12:35Child Study Center for forty
• 12:36years, currently being directed by
• 12:38Mike Crowley and Michael Block.
• 12:40Forty years
• 12:41of a t thirty two
• 12:43and these two fellows and
• 12:44their mentors joining.
• 12:46This year for the UCL
• 12:48masters, Yale UCL masters program,
• 12:50we have the biggest group
• 12:51we've ever had, fourteen.
• 12:54Now sometimes you don't celebrate
• 12:56large size, but in this
• 12:58case, it's actually really very
• 12:59good and directed by Helena.
• 13:01And they come from China,
• 13:04Hong Kong, Greece, Japan, Korea,
• 13:07the UK. It's an amazing
• 13:09group,
• 13:10fourteen.
• 13:11And I look forward to
• 13:12your hearing about their work.
• 13:14We've welcomed forty eight
• 13:17postgraduate and postdoctoral trainees this
• 13:19year, our biggest group.
• 13:23We have a new faculty
• 13:24member, the first recruit jointly
• 13:26with the Center for Brain
• 13:27and Mind Health that Jamie
• 13:29is involved with. Christine Shaw
• 13:31has joined us actually. Hi,
• 13:32Christine.
• 13:34Joined us literally,
• 13:39literally last week.
• 13:41So of seven days, I
• 13:43think now, and brings some
• 13:45remarkably innovative work and youth
• 13:47suicidality
• 13:48that already connects to so
• 13:49much of what we do
• 13:50and comes from Columbia.
• 13:52Columbia's lost our game.
• 13:56And we have actually
• 13:57twelve other faculty who have
• 13:59joined us. Our psychiatric psychology
• 14:01group is growing with five
• 14:03new faculty,
• 14:04a new faculty member in
• 14:06speech and language,
• 14:07social work counseling family therapy,
• 14:09you can see five new
• 14:11faculty, new associate research scientists,
• 14:14twelve new faculty plus Christine,
• 14:16thirteen new faculty.
• 14:18It's remarkable how we're growing.
• 14:20And we have new staff
• 14:21because we have that many
• 14:22faculty, we have new staff
• 14:24to actually work and be
• 14:25a part of this community.
• 14:28And then to think about
• 14:29the transitions that we've had,
• 14:30we've had Jessica Hoffman go
• 14:32from an associate research scientist
• 14:34to assistant professor.
• 14:35Great.
• 14:37Chris Cipriano and Nancy Close
• 14:38have become associate professors.
• 14:41Great.
• 14:42Michael Block has become a
• 14:43full professor.
• 14:45Great.
• 14:51And then other transitions,
• 14:54as you can see, Angelina
• 14:55Bernetti
• 14:56gone from ARS to research
• 14:58scientist,
• 14:59two promotions to senior research
• 15:01scientist with David and Suzanne
• 15:03and Suzanne and Kasia's lab,
• 15:05And then two promotions in
• 15:07our adjunct faculty,
• 15:09both of whom I hope
• 15:10you hear more from.
• 15:12Those are the comings, those
• 15:13are the developmental transitions.
• 15:16And here are the we
• 15:17have new roles as well.
• 15:20Julie Wolf appointed as vice
• 15:21chair professional development and has
• 15:24been in her role since
• 15:25July one, but already actually
• 15:27working before that.
• 15:29And the other thing about
• 15:30Julie's role is that it
• 15:32also allowed us to initiate
• 15:33a new process for appointing
• 15:35vice chairs, a process that
• 15:36all of you inputted to.
• 15:39And I'm really grateful for
• 15:40that because it becomes more
• 15:42transparent.
• 15:43It becomes more something we
• 15:44do together in contrast actually,
• 15:46frankly, to every other department
• 15:48in the school. So thank
• 15:49you for that.
• 15:53Delighted to also welcome
• 15:56delighted to welcome
• 16:00thank you. Delighted to welcome
• 16:02Melissa,
• 16:03who has joined us and
• 16:04the senior, as you can
• 16:05see, senior director of finance
• 16:07and administration in our integrated
• 16:09business office. It's so great
• 16:10to have you, Melissa.
• 16:12And Amanda's delighted as well.
• 16:16And then next week, next
• 16:18week, Beth Hines joins from
• 16:20Minnesota
• 16:22as the new senior VP
• 16:24of the Children's Hospital.
• 16:26Why am I so enthusiastic?
• 16:28Beth is a social worker
• 16:29trained in behavioral health, and
• 16:31then she became a hospital
• 16:33administrator and she gets what
• 16:35we do.
• 16:37I don't have to translate.
• 16:39We don't have to translate.
• 16:40And so she'll be here
• 16:41and she'll be here next
• 16:42week when we do our
• 16:43open house. So I will
• 16:44introduce as many of you
• 16:46who would like to meet
• 16:46Beth and please welcome
• 16:49her. Then on the other
• 16:50end of the developmental spectrum,
• 16:52we've had retirements.
• 16:54Fred Volkmar,
• 16:56previous chair,
• 16:58long colleague of so many
• 16:59of us will be celebrating
• 17:00on October twenty fifth with
• 17:02an afternoon symposium.
• 17:04So please join. You'll get
• 17:06an invitation about that.
• 17:08Joe Wolston, we had a
• 17:09lovely celebration mid June for
• 17:11Joe's retirement.
• 17:12And thanks to all his
• 17:13in home colleagues for arranging
• 17:15that. Belinda Oliver, just last
• 17:17week, we celebrated with Belinda.
• 17:20And just on Friday, Kaye
• 17:22Lammy, who has been a
• 17:23long, long term colleague in
• 17:24the inpatient unit, had a
• 17:26lovely celebration about her retirement.
• 17:29We mark beginnings and we
• 17:30mark transitions. Notice I didn't
• 17:32call it retirement. We mark
• 17:34beginnings and we mark transitions,
• 17:36and I want us to
• 17:37continue to do that.
• 17:39And then
• 17:40part of being a part
• 17:41of a community
• 17:44is to hold not just
• 17:45beginnings and transitions in mind,
• 17:48but to hold all the
• 17:49other things that happen.
• 17:51So there are many of
• 17:52you who are taking care
• 17:53of elderly parents
• 17:55who might be ill or
• 17:57increasingly
• 17:57needing your attention.
• 17:59You're taking care of children
• 18:01who might have illnesses.
• 18:03You are yourself struggling with
• 18:05an illness
• 18:06or we've also had losses
• 18:08through our community.
• 18:10Part of being a part
• 18:11of this community is also
• 18:13to take care of ourselves,
• 18:14to take care of each
• 18:15other, to know about those
• 18:17transitions as well.
• 18:18So I just always want
• 18:20to hold that in mind.
• 18:23So now
• 18:25it's kind of an abrupt
• 18:26transition on that point.
• 18:28Let's go to strategic thinking
• 18:29and planning.
• 18:31And you're gonna ask, why
• 18:33are we talking about strategy?
• 18:35Strategy, strategy. Why are we
• 18:37talking about strategy?
• 18:39Well, there's a tremendous amount
• 18:40of change happening around us.
• 18:42And when there's change, there's
• 18:43a pool to be reactive.
• 18:46There's a pool to fire
• 18:47over here, fire over here.
• 18:50We have an opportunity,
• 18:51given the tremendous creativity,
• 18:53to be proactive.
• 18:55And community comes in as
• 18:56a theme because when we
• 18:58think about strategy, we thoughtfully
• 19:00consider
• 19:01what kind of community we
• 19:03want
• 19:04for those who have just
• 19:05joined us or those who
• 19:06will join us,
• 19:07that we're planning for those
• 19:09who come, that is we're
• 19:10planning for our community.
• 19:13So what does it mean
• 19:14to think strategically?
• 19:16What it means to think
• 19:18strategically is to anticipate
• 19:20where a field is going,
• 19:23to analyze the trends,
• 19:25to actually take a step
• 19:27back and take a big
• 19:28picture to imagine the possibilities
• 19:31of what it could be,
• 19:33and to embrace change rather
• 19:35than saying, oh god, we've
• 19:36gotta change this.
• 19:37To embrace it because change
• 19:39gets you to where you
• 19:40want to go.
• 19:42And you have to actually
• 19:44think both strategically and tactically,
• 19:46that is if this is
• 19:47where we wanna go, how
• 19:48do we get there? But
• 19:50that's what thinking strategically is.
• 19:53There are many, many, many
• 19:54classic texts now in the
• 19:56operational world about thinking strategically,
• 19:59but I have a personal
• 20:00favorite that I would like
• 20:01to bring you into and
• 20:02it is the movie,
• 20:04Butch Cassidy and the Sundance
• 20:05Kid.
• 20:07Now in this particular movie,
• 20:10Butch
• 20:11has realized that robbing trains
• 20:14while they're moving
• 20:15is actually a vanishing
• 20:17it's a vanishing activity.
• 20:19And the trend is
• 20:21that money is being moved
• 20:23in different ways.
• 20:24So how are you going
• 20:25to adapt? How are you
• 20:27going to think ahead and
• 20:28change your clinical
• 20:30or your criminal
• 20:32your criminal enterprise? So let's
• 20:34see if we can get
• 20:35this to play.
• 20:37And you can hear it.
• 20:38I can't hear it. Well,
• 20:40that's a problem.
• 20:43Stole the punchline.
• 20:46So the okay. I can
• 20:47tell you we're not replaying
• 20:48it.
• 20:50So let me just tell
• 20:51you what it is. So
• 20:52Butch tells Sundance this, and
• 20:54Sundance says,
• 20:56you just keep thinking, Butch,
• 20:57that's what you do best
• 20:58at.
• 20:59And his response to thinking
• 21:01strategically is, I've got bifocals
• 21:04and the rest of the
• 21:05I've I've got vision and
• 21:06the rest of the world
• 21:07wears bifocals.
• 21:09So we don't wear bifocals
• 21:11here, we have vision.
• 21:13That was supposed to be
• 21:13the transition.
• 21:15So
• 21:16so here are the the
• 21:17big things that are nice
• 21:19to think is happening actually
• 21:21in child and adolescent behavioral
• 21:23health.
• 21:24And I would offer that
• 21:25you should bring also your
• 21:27other thoughts about the trends.
• 21:30But I think some of
• 21:30the things that are happening
• 21:32is first, there's the growing
• 21:34use of digital platforms for
• 21:35delivering at least first level
• 21:37care.
• 21:39It's really, it's upon us.
• 21:41The second is a growing
• 21:42reliance on artificial intelligence to
• 21:45optimize care and how we
• 21:46do it.
• 21:48A third is there are
• 21:49networks now
• 21:51of multidisciplinary
• 21:52care providers who are coming
• 21:54together and providing service primarily
• 21:56virtually outside of the academy,
• 21:59but they need the academy,
• 22:01which is the blue box
• 22:02to provide professional development and
• 22:04keep them at the state
• 22:05of the art.
• 22:08The green box is I
• 22:09think there's a tremendous stronger
• 22:10push for evidence based for
• 22:13the evidence that what we
• 22:14do is effective and reliable
• 22:15metrics.
• 22:16Value based care
• 22:18already in internal medicine and
• 22:20oncology and other places is
• 22:21coming to behavioral health,
• 22:23but we don't have the
• 22:24metrics yet.
• 22:27Second the
• 22:28second orange box is there's
• 22:30an increasing awareness in our
• 22:32field of inequities and how
• 22:33people get to care. COVID
• 22:35pushed that tremendously.
• 22:37There's more multidisciplinary
• 22:39research teams that are working
• 22:40across
• 22:41domains rather than the disorder
• 22:43specific, but working across domains.
• 22:46And you will think of
• 22:47others.
• 22:49But think about trends. If
• 22:50you're thinking strategically,
• 22:52think how a field is
• 22:53shifting, and that's what this
• 22:54is about.
• 22:56And then once we do
• 22:57that,
• 22:58these trends then will inform
• 23:00our strategic planning across our
• 23:02missions, our education, I would
• 23:03say, no, no worry, it
• 23:04always happens. They start mowing
• 23:06the yard.
• 23:08Our research, our clinical and
• 23:09our education.
• 23:11And those three missions occur
• 23:13against a backdrop of our
• 23:14culture climate work, which I'm
• 23:16going to talk about.
• 23:18But those trends inform everything
• 23:20that's happening there.
• 23:22And then once you decide
• 23:24where we're headed, then we
• 23:25plan strategically what goals if
• 23:27it's a trend, what what's
• 23:28our goal?
• 23:30How are we going to
• 23:31address the increasing reliance on
• 23:33digital
• 23:34interventions?
• 23:36How why would we want
• 23:37to do that?
• 23:39How will we get there?
• 23:41And how will we know
• 23:42we've succeeded?
• 23:44So I'm gonna give you
• 23:45some examples in each of
• 23:46our areas, just a few,
• 23:47not not gonna go deep,
• 23:49deep, deep,
• 23:50but give you some examples
• 23:52of this kind of thinking.
• 23:54And so to that, I'm
• 23:56going to turn then to
• 23:57looking at our goals for
• 23:58the new year in these
• 23:59areas.
• 24:00But I also
• 24:01want you at every point
• 24:04to listen for community in
• 24:06this.
• 24:07Because the theme of community
• 24:09and how we work together
• 24:11to reach these goals is
• 24:13inherently woven in.
• 24:16So first to turn to
• 24:17climate and culture.
• 24:19I've showed you this slide
• 24:20before, but just to remind
• 24:21us that culture is what
• 24:23we believe, and we all
• 24:24deeply believe in a culture
• 24:26of respect and inclusion
• 24:28and fairness and where everyone
• 24:30should have a place and
• 24:31a valued voice. That's what
• 24:33we believe,
• 24:34I think.
• 24:36But climate is what we
• 24:38do.
• 24:40Climate is how we evidence
• 24:41that belief.
• 24:43And that's where we're working
• 24:44and doing a ton of
• 24:45work.
• 24:46Do our actions reflect the
• 24:48culture we want?
• 24:50And thanks to Tara and
• 24:52her team, there's been a
• 24:53tremendous amount that's happened over
• 24:55this year.
• 24:56For one, it's now just
• 24:58tradition, just like having a
• 24:59theme, but it's just like
• 25:01tradition
• 25:02that we honor
• 25:04we honor,
• 25:05Hispanic Heritage Month, we honor
• 25:07Juneteenth, we honor Social Work
• 25:09Month, we celebrate Black History
• 25:11Month. It's just now woven
• 25:13in. It's what we do.
• 25:16Second, we continue to actually
• 25:17work with Deborah Stanley McAuley
• 25:19and our colleagues at CERC
• 25:20around,
• 25:22curriculum
• 25:23for respect, inclusion.
• 25:25We continue to bring in
• 25:26those sorts of trainings.
• 25:28With a number of people,
• 25:30working together, we have refined
• 25:32and made more transparent our
• 25:34process for searches.
• 25:36So now you can go
• 25:37online and read what that
• 25:38process is
• 25:40on hiring,
• 25:41And I hope have now
• 25:42a very, very uniform and
• 25:44welcoming onboarding so that people
• 25:46come and they don't feel
• 25:48lost.
• 25:49I wouldn't put you on
• 25:50the spot, Christine, but hopefully
• 25:51it worked.
• 25:53At the same time, we
• 25:55also honor now professional progression
• 25:57and recognition.
• 25:59Team has been working to
• 26:00be sure that everyone gets
• 26:01the continuing education credits they
• 26:03need for progressing.
• 26:05That's all a part of
• 26:06this work.
• 26:07Our Grand Rounds series intentionally
• 26:09has
• 26:10DEI or DEIB,
• 26:13sessions in it.
• 26:14And Cecilia's work on the
• 26:16racially informed,
• 26:18racially informed clinical formulation, the
• 26:20RICE is starting to permeate
• 26:22the clinic. That's a huge
• 26:23amount of work.
• 26:25Let me also introduce you
• 26:26to our, or not introduce
• 26:28you, but to celebrate the
• 26:30progress
• 26:31of our Viola Bernard Fellows
• 26:32from last year.
• 26:34Amanda Lowell and her Critical
• 26:36Case Conference of Black Youth,
• 26:38Christian Edwards did wonderful work
• 26:40with the Q House
• 26:41with adolescent boy, adolescent, adolescents
• 26:45and young men,
• 26:47around what he called Brothers
• 26:48for Change.
• 26:50And Doctor. Almasawi
• 26:51created materials that are much
• 26:53more diverse for families around
• 26:55parenting.
• 26:56These are these are projects
• 26:57that emphasize health equity.
• 27:00And then the diversity action
• 27:02action group working with Tara,
• 27:03we very much need to
• 27:05celebrate that this is a
• 27:06work of a community of
• 27:08people. And if you wanna
• 27:09join that group, I am
• 27:11sure Tara will take as
• 27:12many names as as you
• 27:14would want to come by.
• 27:16So where are we going?
• 27:17So let me just give
• 27:18you exam two examples of
• 27:20strategic goals,
• 27:22why those would be important
• 27:24and what we would do.
• 27:26So one strategic goal
• 27:28is to strengthen our community
• 27:30engagement involvement.
• 27:31That's why I picked the
• 27:32theme of community for this
• 27:34talk.
• 27:35Why would we do that?
• 27:37Sounds like a good thing
• 27:38to do, but but but
• 27:39why would you do it?
• 27:41And the idea is to
• 27:42foster collaboration and respect, which
• 27:44in turn makes people helps
• 27:46people work together better.
• 27:48And how we would do
• 27:50it, one action,
• 27:52would be to increase the
• 27:53opportunity
• 27:54for in person events.
• 27:56A second goal would be
• 27:57to integrate the principles and
• 27:59practice of equity and inclusion
• 28:00across our missions. Why would
• 28:02we do that?
• 28:04To increase the diversity of
• 28:05the candidates coming and wanting
• 28:07to be trained at the
• 28:08trial study center.
• 28:10And Tara will be bringing
• 28:11together some working groups to
• 28:13best define some guidelines and
• 28:14best practices.
• 28:17Other things too, just on
• 28:18the horizon is we have
• 28:20now a new group of
• 28:21Viola Benard fellows just appointed
• 28:23and just just generating their
• 28:25ideas.
• 28:27Exciting two lecturers coming for
• 28:29the Viola Benard lecture series.
• 28:31Doctor. Donald Warren from the
• 28:33Hopkins Center for Indigenous Health
• 28:35and also Doctor. Puchenkus will
• 28:37join us again in December
• 28:38to revisit this talk that
• 28:40was earlier interrupted by a
• 28:41Zoom crash.
• 28:43And then we have two
• 28:44new,
• 28:45Viola Bernard Awards with Uche
• 28:47looking at using digital media
• 28:52for Black youth
• 28:54and Amanda Lowell looking at
• 28:55adapting an evidence based parenting
• 28:57program
• 28:58for Black and Latina mothers.
• 29:01So
• 29:02health equity.
• 29:05We're all we will continue
• 29:06working
• 29:08with Yasmin,
• 29:09Yasmin Davis, who has been
• 29:10so helpful to our community.
• 29:12But we will have sessions
• 29:14in October, December, January with
• 29:16some previews in September.
• 29:18Yasmeen again to talk about
• 29:20how we continue to intentionally
• 29:22intentionally
• 29:22restore and build this community.
• 29:25And the other activity under
• 29:27culture and climate that I'm
• 29:29really excited about,
• 29:30for a whole host of
• 29:32reasons. I'm mainly excited about
• 29:33how it how it got
• 29:34generated.
• 29:36Carla Stover
• 29:38read Other Side of Prospect.
• 29:39Carla says to Tara, this
• 29:41is a pretty interesting book.
• 29:43Tara takes it to Dean
• 29:44Lanimore,
• 29:46and to the and to
• 29:47the,
• 29:49diversity champions in Dean Lanimore's
• 29:51group. They start to brainstorm
• 29:53and think about having a
• 29:55series of book discussions around
• 29:57books that are about inclusion
• 29:58and about community
• 30:00and inviting the authors to
• 30:02facilitate those discussions.
• 30:04So the Child Study Center
• 30:05is the sponsor
• 30:06with the School of Medicine
• 30:08now of this series.
• 30:10We will begin, in September
• 30:12with David Blight
• 30:14and his book on Yale,
• 30:15the Yale Slavery Project, and
• 30:17you can see the others
• 30:18across October fourth
• 30:21with the book for Brown
• 30:22Girls. We're also cosponsoring
• 30:24on the empowering,
• 30:26Latino faculty and staff at
• 30:28Yale.
• 30:29So this is good for
• 30:30us. It gets the Child
• 30:32Study Center visibility,
• 30:34but it also speaks to
• 30:35community building.
• 30:38So now I wanna turn
• 30:39to education and professional development
• 30:42and some of the accomplishments
• 30:44and ongoing work there. You
• 30:45see our training directors for
• 30:48professional development are professions.
• 30:52As I told you, we've
• 30:53appointed a vice chair of
• 30:54professional development with Julie. We
• 30:56have diverse groups of fellows.
• 30:58We're working with the fellows
• 30:59to improve the climate of
• 31:00the training programs.
• 31:02We now have professional development
• 31:04on the science of reading
• 31:05with our Haskins colleagues in
• 31:07Scholastic.
• 31:08We are now we are
• 31:09now, thanks to Jan and
• 31:11a lot of people, the
• 31:12official training site for behavioral
• 31:14health for pediatricians
• 31:16and the REACH program.
• 31:18And there's a lot of
• 31:19workshops that you as faculty
• 31:21do individually
• 31:22for state of the art
• 31:23research and community. Kasha, you
• 31:25do that.
• 31:26Wendy does, Ellie does. And
• 31:28so there's a chance that
• 31:29we can bring all of
• 31:30this together, but it's a
• 31:31lot going on.
• 31:33And in May, in May
• 31:34mental health month, we actually
• 31:36gave four sessions for our
• 31:38colleagues in the health system
• 31:39about child behavioral health, got
• 31:41our reputation
• 31:43further out there.
• 31:44And we have the grief
• 31:45sensitive health care project also
• 31:47for health care professionals
• 31:49to help them with loss
• 31:50and bereavement.
• 31:53So
• 31:54and I need to celebrate
• 31:55actually Andres
• 31:56because there's so much work
• 31:57going on with medical students
• 31:59if you think about a
• 32:00developmental continuum,
• 32:02let's get them earlier and
• 32:03earlier.
• 32:04And Andres, with many of
• 32:05his colleagues,
• 32:07has work starting in year
• 32:08one through year four for
• 32:10the medical students. So we're
• 32:11doing a lot of professional
• 32:13development. A lot.
• 32:16What would be our goals?
• 32:18Why would we pick goals
• 32:19around professional development?
• 32:21Well, the first one
• 32:23would be establishing the child
• 32:24study center as the place
• 32:27in North America.
• 32:29It's just a small small
• 32:30goal,
• 32:31where if you want to
• 32:32learn about state of the
• 32:33art or behavioral child and
• 32:35adolescent behavioral health,
• 32:37you come to us
• 32:39because we have this host
• 32:41of professional development programs.
• 32:45Why would we do that?
• 32:46Because we can drive the
• 32:47standards of care in the
• 32:49field.
• 32:51And so, Julie, you'll be
• 32:52hearing from, will be working
• 32:53to develop a professional development
• 32:55brand. We'll be working to
• 32:56standardize that process to have
• 32:59a much clearer range of
• 33:01offerings.
• 33:02The other goal would be
• 33:03how do we establish a
• 33:05common education
• 33:06signature across our training programs?
• 33:09Why would we do that?
• 33:10Because we can inform the
• 33:12standards for the field of
• 33:14how fellows across disciplines should
• 33:16be trained.
• 33:17And so stay tuned, but
• 33:19we'll be
• 33:21trying to create standards for
• 33:23for our trainees and faculty.
• 33:26I wanna make one point
• 33:27and that is that the
• 33:28School of Medicine has actually
• 33:29been also engaged in its
• 33:30own strategic planning
• 33:32and our goals are fairly
• 33:34aligned, not intentionally, but it
• 33:36just happened to work out
• 33:37that way.
• 33:39So there's faculty participation in
• 33:41the educational mission, student engagement
• 33:43and attaining competency, our school
• 33:45of medicine goals. We're aligned.
• 33:48So there's some upcoming professional
• 33:50development events that
• 33:53I hope you will all
• 33:54attend.
• 33:55So we're continuing our leadership
• 33:57lecture series with Sherrell Bellamy
• 33:59in December of twenty twenty
• 34:01four.
• 34:02And then Catherine Sandler will
• 34:04come in April of twenty
• 34:05twenty five.
• 34:07All thanks to the organizing
• 34:08of Darren. So thank you
• 34:09so much, Darren, for doing
• 34:10this.
• 34:12We also, with Darren's work,
• 34:14starting a peer coaching, continuing
• 34:16our peer coaching, but now
• 34:17in collaboration with pediatrics,
• 34:19and that started yesterday.
• 34:21So it's great.
• 34:23And Darren has developed a
• 34:24new program again in collaboration
• 34:26with pediatrics
• 34:28about coaching
• 34:29around in academic medicine.
• 34:32And then also Darren will
• 34:33continue her leadership blog.
• 34:35We wanna continue to think
• 34:37about leadership as service,
• 34:39leadership as building community,
• 34:41and the leadership that we
• 34:42all have, the
• 34:44responsibilities
• 34:45that we all have.
• 34:48Turning to research,
• 34:50this is a graphic that
• 34:51we've used a number of
• 34:52times showing the various research
• 34:54areas that are part of
• 34:55our portfolio,
• 34:57neurodevelopmental
• 34:58movement, mood emotion, trauma, stress,
• 35:01health equity,
• 35:03But how those areas of
• 35:04research are reflected both in
• 35:06in all of our missions
• 35:08and then also carry the,
• 35:10characteristics that we value here,
• 35:12community implementation,
• 35:14normative development, multidisciplinary,
• 35:16etcetera.
• 35:18There's a lot going on
• 35:19in the research world with
• 35:21Tom's leadership,
• 35:23building research, bringing researchers together
• 35:25for shared goals.
• 35:27There's regular research in progress.
• 35:30There's regular seminars now. I
• 35:32can't please volunteer for crosstalk
• 35:34section sessions for the faculty
• 35:36meetings. The calendar is starting
• 35:37to fill up, so please.
• 35:40And then this is great.
• 35:42Tom and Young Sun
• 35:44brought together
• 35:45a website for recruitment,
• 35:48into the studies across studies.
• 35:51So families have enough clinicians
• 35:53have an opportunity to see
• 35:54the studies going on.
• 35:56And it's a way now
• 35:57to really work on that
• 35:58clinical research interface.
• 36:01I know it took a
• 36:02lot of work. Tom and
• 36:03Young Sun, thank you for
• 36:04doing it.
• 36:05And it's just a great
• 36:06step forward.
• 36:09We have also now new
• 36:10departmental research support for postdoctoral
• 36:13scholar travel awards with Kareem
• 36:15and Soraya leading that.
• 36:17Child Study Center Trainee Pilot
• 36:18Research Award, Tom leading that.
• 36:20And we have increased the
• 36:21professional development opportunities
• 36:24in the faculty development award
• 36:26with now nine professional development
• 36:28awards possible over the year.
• 36:31So it's great.
• 36:34So what are our research
• 36:36goals?
• 36:38One is to grow the
• 36:39capacity for clinical trials.
• 36:42That is a goal of
• 36:43the school of medicine.
• 36:44It should be a goal
• 36:45for us.
• 36:47We need to advance data
• 36:48science and technology that includes
• 36:50AI applications,
• 36:52not only AI applications to
• 36:54help our operations,
• 36:55but help us refine our
• 36:57diagnostic processes.
• 36:59We need to continue strengthening
• 37:01research in the biology of
• 37:02trauma and stress,
• 37:04broaden our research in neurodevelopmental
• 37:06disorders, and expand their focus
• 37:08on health equity,
• 37:10and behavioral health interventions.
• 37:13And the school of medicine
• 37:14goals are extraordinarily well aligned.
• 37:16The school of medicine goals
• 37:17speak about developmental brain disorders,
• 37:19clinical trials, data science, and
• 37:22health equity.
• 37:23So we're very well aligned,
• 37:25and this is where we
• 37:27need to be.
• 37:29Some things to stay tuned
• 37:30in the research world, our
• 37:32ongoing research community meetings. There'll
• 37:34be a research day that
• 37:35that Tom is going to
• 37:36bring together
• 37:37with presentations from faculty and
• 37:39trainees to celebrate the scholarship
• 37:41happening in the center.
• 37:43And the next generation of
• 37:45that website for recruitment is
• 37:47to improve clinical trial trial
• 37:49eligibility matching using AI.
• 37:54So then our clinical mission.
• 37:57It's a lot to say.
• 38:00We think about a continuum
• 38:02of care in this department.
• 38:04I hope I hope every
• 38:05department of behavioral health does,
• 38:07but but we think about
• 38:08a continuum of care that
• 38:10begins in the pediatrician's
• 38:11office
• 38:12or the family practitioner's office.
• 38:15And that child who starts
• 38:16a child or adolescent who
• 38:18starts their mental health journey
• 38:19in that place, we think
• 38:21about how to move them
• 38:22through in a seamless way
• 38:24and a clinically patient friendly
• 38:26way. From our inpatient services,
• 38:28our day hospital, our consultation
• 38:31in pediatrics,
• 38:33the emergency room, how do
• 38:34you help families move through
• 38:36a continuum of care?
• 38:38We have sixty thousand plus
• 38:39scheduled appointments and are now
• 38:41seeing about three thousand unique
• 38:43youth and families a year.
• 38:45If you add the children
• 38:46who come to the emergency
• 38:48room, who come to Winchester
• 38:49One, who aren't necessarily
• 38:51in ongoing care, that number
• 38:54is probably closer to four
• 38:55thousand
• 38:57of families that we touch
• 38:59their lives.
• 39:01And I never want to
• 39:02actually miss the moment to
• 39:04thank everyone on the front
• 39:05lines
• 39:06who every day try to
• 39:08make families' lives better and
• 39:10children's lives better. It is
• 39:12remarkably difficult work
• 39:14and I can't tell you
• 39:16how much I respect and
• 39:17admire
• 39:18everyone that is doing that.
• 39:19So thank you. Thank you
• 39:21for all you do.
• 39:23So where do we go?
• 39:27A number of you who
• 39:28have seen this are probably,
• 39:29oh, no. She's gonna show
• 39:30the system slide again.
• 39:32She's gonna talk about this
• 39:33again.
• 39:35But I have to talk
• 39:36about this again because because
• 39:37we are a part of
• 39:38a system.
• 39:40We are a part of
• 39:40Yale Medicine.
• 39:42Yale Medicine is in turn
• 39:43a part of the medical
• 39:44school. The medical school is
• 39:46in turn a part of
• 39:46the university.
• 39:47And
• 39:48we have this relationship with
• 39:50the Yale New Haven Health,
• 39:52not just that building across
• 39:53the street,
• 39:55but Greenwich Hospital, Bridgeport Hospital,
• 39:57Lawrence and Memorial Hospital, the
• 39:59Yale New Haven Delivery System.
• 40:02And within that is Yale
• 40:03New Haven Children's Hospital.
• 40:06You will hear more and
• 40:08more
• 40:09about the increasing alignment
• 40:11between the Yale New Haven
• 40:12Health System and the Yale
• 40:13School of Medicine.
• 40:14This is a theme,
• 40:16aligning,
• 40:17aligning,
• 40:18doing it together.
• 40:20Hasn't ever been done by
• 40:22the way. So it is
• 40:23a pretty remarkable enterprise.
• 40:26And the components of that
• 40:29most relevant to us are
• 40:30the new funds flow. How
• 40:31does money flow from the
• 40:32health system to the school
• 40:34to support clinical care?
• 40:36That's what the magic word
• 40:38funds flow means.
• 40:40It's really fundamental.
• 40:42There's also a clinically integrated
• 40:44network of practices now coming
• 40:46together between Yale Medicine and
• 40:47the hospital.
• 40:49Behavioral health is yet to
• 40:50enter it, but we're knocking
• 40:52at the door.
• 40:54Joint strategic planning.
• 40:57For the very first time
• 40:59in the existence of both
• 41:01institutions
• 41:02this year,
• 41:03we jointly planned strategically
• 41:06the next year
• 41:07for the very first time.
• 41:10And then the Access three
• 41:11sixty five initiative is about
• 41:13improving patient access to care,
• 41:15improving patient experience.
• 41:17Again, behavioral health will enter
• 41:19it this year.
• 41:21So if you've had a
• 41:22chance to actually watch television,
• 41:26you will actually see that
• 41:28some of the that now
• 41:29when they talk about Yale
• 41:30New Haven Health,
• 41:31they're actually talking about us
• 41:34and the hospital together. So
• 41:36I'm just gonna play one,
• 41:37I hope,
• 41:40and see if it plays.
• 41:42Oh, come on, mouse.
• 41:45This is a coordination activity
• 41:47here.
• 41:48Got it.
• 41:51Okay. I can't hear it.
• 41:52Okay. No worries.
• 41:55Don't worry.
• 41:56Basically, what that in essence
• 41:58says,
• 42:03Go back. Yeah. What that
• 42:05in essence those two say,
• 42:06and I would recommend you
• 42:07watch them actually,
• 42:09as they talk about the
• 42:10science helping happening in the
• 42:12school,
• 42:13and we should be putting
• 42:15our science forward.
• 42:16And then how that science
• 42:18informs the care
• 42:20delivered at Yale New Haven
• 42:21Health.
• 42:22So that that one with
• 42:23the child in the pool
• 42:24was about fetal surgery
• 42:26and how that child was
• 42:28operated on for spina bifida
• 42:30in utero
• 42:31is now swimming.
• 42:33But the care delivered in
• 42:34the children's hospital
• 42:36informed by the work done
• 42:38in the school.
• 42:39So that's the bridge.
• 42:40We also have a behavioral
• 42:42health partnerships that we haven't
• 42:43had before. This is the
• 42:45most the most time
• 42:47working together across that we
• 42:48now have partnerships in so
• 42:50many areas.
• 42:51We are, for example, with
• 42:53Visiant here, we are now
• 42:55the consultants to a nationwide
• 42:57network talking about behavioral health.
• 42:59We are one of several
• 43:00consultants,
• 43:02but we are now our
• 43:03voice, the Child Study Center's
• 43:05voice, the Child Study Center's
• 43:07expertise
• 43:08is out there and needs
• 43:09a variety of consultations.
• 43:12I am not going to
• 43:13dwell on funds flow,
• 43:15but I am going to
• 43:16say one thing two things.
• 43:17Two things.
• 43:19First, the idea of funds
• 43:20flow
• 43:22is again, how does money,
• 43:24funds come from the health
• 43:25system to support the clinical
• 43:27care we do?
• 43:29And what makes it so
• 43:30important
• 43:31is that heretofore,
• 43:33we really haven't been paid
• 43:34for the clinical care that
• 43:35we do.
• 43:37We really haven't. We haven't
• 43:39it hasn't been see a
• 43:40patient paid for that work.
• 43:43And so now with funds
• 43:44flow, it is.
• 43:45And so we're actually paid
• 43:47based on patients we see.
• 43:49How unique.
• 43:51And we actually then get
• 43:52additional funding for graduate medical
• 43:54education
• 43:55and for medical directorships
• 43:57and on call coverage,
• 44:00and we get funding coming
• 44:01for clinical overhead.
• 44:03If the health system does
• 44:04well,
• 44:06which we all hope, there
• 44:07will be additional funding to
• 44:09support the academic mission.
• 44:10But what's most important is
• 44:12what I put in the
• 44:13red box and the message
• 44:15is most important for us
• 44:17are the funds now are
• 44:18provided directly on patients seen.
• 44:21We no longer have the
• 44:22space cost. Thank heavens.
• 44:25It's now covered centrally.
• 44:27Our clinical revenue is no
• 44:29longer assessed,
• 44:30so that's great.
• 44:32And the bottom line is
• 44:33our clinical unfunded clinical gap,
• 44:36which was six point six
• 44:37million
• 44:38because
• 44:39not because nobody everybody's not
• 44:41working hard, but because behavioral
• 44:43health is not well reimbursed,
• 44:46has now dropped to two
• 44:47point four.
• 44:49That is remarkable.
• 44:50And there's still some other
• 44:51things that we're negotiating, which
• 44:53will pull that down even
• 44:54more.
• 44:55We can close
• 44:56the remaining gap
• 44:58by being in the various
• 44:59ways of being innovative, but
• 45:01funds flow, this new alignment
• 45:04has been really good for
• 45:05behavioral health
• 45:07and for us.
• 45:10We have a new Westport
• 45:11office,
• 45:12opening in October with those
• 45:14new faculty there that you
• 45:15see. I'll be in the
• 45:17room right here.
• 45:19And that just gives you
• 45:20some images of what it
• 45:21looks like. This is a
• 45:22self pay practice in Westport
• 45:24with the idea of alternative
• 45:26revenue stream
• 45:27to come and actually help
• 45:29close that remaining gap here.
• 45:31So, but we're excited about
• 45:33the, also, most importantly, the
• 45:35opportunity to serve families
• 45:37who need service in Fairfield
• 45:39County.
• 45:41We are growing the pediatric
• 45:42psychology program where we actually
• 45:44embed pediatric psychologists and pediatric
• 45:47specialty areas.
• 45:49You can see this list
• 45:50continues to grow.
• 45:52There will be others,
• 45:53within the year.
• 45:54And here's just four people
• 45:56that and we have open
• 45:58searches going on.
• 46:00I was just in a
• 46:00meeting on Friday with our
• 46:02pediatric colleagues and actually, I
• 46:04think three people around the
• 46:05table representing different subspecialties
• 46:07spoke about working with the
• 46:08trial study center and the
• 46:10pediatric psychologist
• 46:12and how it had changed
• 46:13their practice. And then another
• 46:14person raised their hand and
• 46:15said, how could they get
• 46:17one?
• 46:18So,
• 46:19so this embedding is actually
• 46:20working.
• 46:22We have an urgent crisis
• 46:24center that's getting ready to
• 46:25come online in twenty twenty
• 46:27five because there's physical space
• 46:29that the York Street campus
• 46:31has committed to that.
• 46:33We'll remodel that new space
• 46:35and it will then be
• 46:36a dedicated child behavioral health
• 46:38space.
• 46:39It'll allow us to start
• 46:40treatment in the emergency room.
• 46:43It's really important because it'll
• 46:45address the challenge of boarding
• 46:46time, which has just gone
• 46:48sky high in the emergency
• 46:49room.
• 46:50As you can see in
• 46:51these numbers, boarding hours in
• 46:53one time was six thousand
• 46:55boarding hours in a month.
• 46:57Staggering.
• 46:59And then here are our
• 47:00clinical goals for twenty twenty
• 47:02four.
• 47:04Check time.
• 47:05So the first is we
• 47:07will be the child and
• 47:08adolescent behavioral health provider across
• 47:10the Yale New Haven delivery
• 47:12network.
• 47:13We're well on our way.
• 47:14By embedding pediatric psychologists,
• 47:17by the Westport practice, we
• 47:18are well on our way,
• 47:20but there's much to be
• 47:21done.
• 47:22We need to improve access
• 47:24to mental health services across
• 47:26the delivery network. So that
• 47:27doesn't mean having a clinician
• 47:29in every office.
• 47:31It means being smart about
• 47:33how we use virtual and
• 47:34digital
• 47:35approaches.
• 47:36The third
• 47:37is to ensure the sustainability
• 47:40of behavioral health services.
• 47:42Behavioral health services continue to
• 47:44be poorly reimbursed by commercial
• 47:45payers. That's we could spend
• 47:47a whole hour on that
• 47:48as to why and the
• 47:49sociology of it, but we
• 47:51need to work within that,
• 47:53advocate with our legislative colleagues,
• 47:55but improve the sustainability.
• 47:57So the Westport practice is
• 47:59one example of that.
• 48:01Thinking out of the box,
• 48:02if you will, to increase
• 48:04alternative revenue streams to improve
• 48:06the sustainability.
• 48:08And then I really feel
• 48:09strongly, and we're on our
• 48:10way on this too, but
• 48:11to strengthen the clinical research
• 48:13integration
• 48:14across
• 48:15so that we're we're doing
• 48:16what we talk about. We
• 48:18talk about translational work,
• 48:20but we're really doing it,
• 48:22and we're showing how we
• 48:23can do it in a
• 48:24most effective way. So the
• 48:25recruitment website is a great
• 48:27start.
• 48:28Other things we need to
• 48:29do.
• 48:31Just to show you that
• 48:32these goals are very well
• 48:34aligned with the school of
• 48:35medicine and New Haven Health
• 48:36System.
• 48:37Health System's language is destination
• 48:40program.
• 48:41I would argue we've been
• 48:42a destination program for a
• 48:43long time, but to build
• 48:45them.
• 48:46Access to the right service,
• 48:48a world class care signature,
• 48:50I think that's we have
• 48:52that. We need to refine
• 48:53it and talk more about
• 48:54it.
• 48:55Clinical translational
• 48:57and then clinical trials.
• 49:01And then just to stay
• 49:03tuned, we have two current
• 49:04work groups that are working
• 49:06on professional development. How do
• 49:07we make more opportunities for
• 49:09professional development internal to our
• 49:11community?
• 49:12How do we revisit our
• 49:13clinical incentive plan?
• 49:16Future work groups will be,
• 49:17as I show here, the
• 49:18clinical research
• 49:20interface and integrating better our
• 49:22health system hospital services and
• 49:24outpatient services.
• 49:27Next Thursday,
• 49:28September the nineteenth
• 49:30at three fifty George, there
• 49:32will be an open house.
• 49:34This time, we have invited
• 49:35members of the broader community.
• 49:37We've invited our health system
• 49:39colleagues. We've invited Yale Medicine.
• 49:41We've invited our colleagues more
• 49:43broadly in New Haven.
• 49:44Last year, we did it.
• 49:45It was a family affair.
• 49:48This this year, this year,
• 49:50we want people to come
• 49:51and hear about us and
• 49:52we want their input as
• 49:53well. So it should be
• 49:54a great time.
• 49:55Come,
• 49:56snacks, but most importantly, come
• 49:58and talk and hear.
• 50:01Okay.
• 50:02And then behind all of
• 50:04this, this none of this
• 50:05could absolutely happen without this
• 50:08person,
• 50:09without Christa.
• 50:16And you can see that
• 50:17Christa's list continues to grow
• 50:19with the things that she's
• 50:20added.
• 50:21So we have our
• 50:23annual year end review now
• 50:24in January. We have the
• 50:26external newsletter. There's a picture
• 50:27of that newsletter
• 50:29there. We have the internal
• 50:31newsletter. We're getting much greater
• 50:33presence on social media.
• 50:35I hope that you do
• 50:36go to the SharePoint site
• 50:37to see the various documents
• 50:39and things that are there.
• 50:41We regularly report
• 50:43faculty meeting notes, the strategy
• 50:44stewardship committee, what we're talking
• 50:46about. We're trying to get
• 50:48everything out there. And I
• 50:49do recognize that it may
• 50:51be a lot to read,
• 50:53but it's available in there,
• 50:55and give us suggestions for
• 50:57how to improve.
• 50:58And one of your suggestion
• 50:59oh, I don't have any
• 51:00idea what happened. One of
• 51:02your suggestions has been to
• 51:03that our clinical website needs
• 51:05work.
• 51:06Grant that. It does.
• 51:08So that's actively underway.
• 51:10We are refreshing that and
• 51:12stay tuned.
• 51:15Last three minutes, I wanna
• 51:16come back to this.
• 51:18So sustaining this community for
• 51:20years to come.
• 51:22And we'll come back to
• 51:23these points, which I said
• 51:25to you earlier were the
• 51:26points that I thought a
• 51:27lot about and think that
• 51:29this is what we need
• 51:30to do.
• 51:32But I especially wanna focus
• 51:33on these two.
• 51:35How do we relearn how
• 51:36to be together
• 51:38and how do we intentionally
• 51:40come together more often in
• 51:41person?
• 51:43Because I really do feel
• 51:45I take so seriously
• 51:46that feeling when people say
• 51:48that they don't feel engaged,
• 51:50that I really think that
• 51:52we need all of us
• 51:53to take that seriously and
• 51:54think about what do we
• 51:55do.
• 51:56So I have some really,
• 51:58really concrete suggestions on the
• 52:00next slide.
• 52:02I hope some of them
• 52:04will take hold.
• 52:05So the first one is
• 52:07I would suggest that whatever
• 52:09your meetings are,
• 52:10that you have at least
• 52:12half of them in person.
• 52:14Whatever you have.
• 52:16Faculty meetings,
• 52:18that we have at least
• 52:19half in person.
• 52:21And maybe even think about
• 52:23does the hybrid work or
• 52:24not for us? Now it's
• 52:26working great today because there's
• 52:27more people online as well
• 52:29as here, and I grant
• 52:30that. But let's try to
• 52:32get more people in person
• 52:34in the room.
• 52:36We'll continue our drop in
• 52:38opportunities for in person get
• 52:39togethers, our bagel breakfast, our
• 52:41kind of community tea breaks,
• 52:43and then I have the
• 52:44word jamming because one suggestion
• 52:46I would like to make
• 52:48is that we have a
• 52:49lot of creativity in this
• 52:50department.
• 52:51We have violinist, we have
• 52:53guitarists, we have drum
• 52:55are they drumists?
• 52:56We have drumists.
• 52:57We have all sorts of
• 52:59people in this department. And
• 53:00I would suggest
• 53:01that we have a month
• 53:03every month, we get together
• 53:04and we jam.
• 53:06Play whatever kind of music
• 53:07we want, but we get
• 53:09together with the idea
• 53:11of being together.
• 53:14More seriously,
• 53:16I think we need to
• 53:17come together to help others.
• 53:19Now we help others every
• 53:20day,
• 53:22but to restore the service
• 53:23and community. So I would
• 53:24like to make a suggestion
• 53:25that we have a child
• 53:26study through their team, for
• 53:27example, for Habitat,
• 53:29or there's a walk coming
• 53:31up right now to support
• 53:32the free clinic that the
• 53:33medical students run. Let's get
• 53:35a team together
• 53:37and do that walk.
• 53:39There's the week of caring.
• 53:40There were there's a number
• 53:41of opportunities
• 53:42where we it doesn't have
• 53:43to be everyone,
• 53:45but we come together
• 53:46in these ways and we
• 53:48get to relearn how to
• 53:49be together
• 53:51and in the service of
• 53:52others, because sometimes that helps
• 53:55people cohere even better.
• 53:58So to that point, I'm
• 53:59actually gonna leave you
• 54:01then with this quote,
• 54:04that there is immense power,
• 54:06immense power
• 54:08when a group of people
• 54:09with similar interests
• 54:11and I would say values
• 54:13get together
• 54:14to work toward the same
• 54:15goals.
• 54:16And we are that
• 54:19we are that group that
• 54:20can come and do this,
• 54:21not just on behalf of
• 54:23children and families, so that
• 54:24is our priority,
• 54:26but on behalf of all
• 54:27of us
• 54:28because we are a very
• 54:29important and strong community.
• 54:32Thank you for the opportunity
• 54:33to be with you, to
• 54:34lead you, to hear from
• 54:36you, and I'm really grateful
• 54:37for the new academic year.
• 54:39Thank you.