YCSC Welcome Back & State of the Department

Transcript

• 00:00Good afternoon, everyone.
• 00:02Welcome. It's great to hear this,
• 00:06this, this, this noise.
• 00:09It's great to see everyone here in person,
• 00:11so please, I hope you've all had a chance
• 00:13to enjoy some coffee and some of the food.
• 00:16And I'd like to start with a
• 00:19heartfelt thanks to Rosemary Serra.
• 00:21Rosemary has been just a tremendous support
• 00:24and she's responsible for the food and
• 00:26the drinks that we're sharing today.
• 00:28So thank you, Rosemary,
• 00:29who's joining us from afar and
• 00:31supporting us even though you're
• 00:32supposed to be resting at home.
• 00:34And so welcome to the first
• 00:36of our new series,
• 00:37our new Grand Round series.
• 00:39The pleasure to be with you here
• 00:41today and to see so many people
• 00:42here in the Cohen and to see and
• 00:44those of you joining us via zoom.
• 00:46And I'd like to start by thanking
• 00:49the Grand Rounds committee.
• 00:51My Co-chair Andres Martin,
• 00:53Laurie Cordona,
• 00:54Julie Chilton and Michael
• 00:57Crowley and Amanda Lowell,
• 00:59Tara Davila and Krystal Finch.
• 01:02And we have put together what
• 01:04I think is a very exciting
• 01:06grand rounds program and we're
• 01:08looking forward to sharing that
• 01:10with you.
• 01:10And next week we'll hear from Hector Chaidez,
• 01:14Ruacho and Anna Maria Orozco on
• 01:17culturally informed treatment approaches
• 01:20and using dichos with Latinos.
• 01:22And now this will be a fully
• 01:24virtual event next week.
• 01:26So please do join us on zoom.
• 01:28And then following that we'll
• 01:30have Doctor Nicholas Allen,
• 01:31who will be joining us in person here
• 01:33in the Child Study Center to talk
• 01:36about digital mental health and its
• 01:38application to understanding adolescent
• 01:40depression,
• 01:40and that will be followed by compassionate
• 01:43care rounds and a whole series of
• 01:46very interesting talks in October,
• 01:47November and December that will be
• 01:49occurring here in the Cohen Auditorium.
• 01:52I'd also like to thank Crista for keeping
• 01:54us well informed of our grand rounds program.
• 01:57And so you can see the calendar
• 01:59of events on each of our weekly
• 02:02e-mail updates from Crista.
• 02:04And just a reminder,
• 02:06please do send on your suggested speakers,
• 02:09many of the faculty.
• 02:10Trainees have already sent on
• 02:11some wonderful suggestions.
• 02:13We really want grand rounds to reflect
• 02:17the Child Study Center's mission
• 02:19to showcase cutting edge research,
• 02:22best clinical practice,
• 02:23and best practices in clinical education.
• 02:26So if there's anyone that's
• 02:28influencing your practice you
• 02:29think is doing fantastic research,
• 02:31please do send suggestions our
• 02:32way and we'd be delighted to add
• 02:35them to the program.
• 02:36So without any further ado,
• 02:37please join me in welcoming our chair, Doctor
• 02:39Linda Mayes.
• 02:45Are we unmuted up here?
• 02:50Can you hear me OK in the back?
• 02:53And may I ask your permission?
• 02:55May I take mask off? Unveiled.
• 03:00So thanks so much for everyone being here.
• 03:03It's really, really lovely.
• 03:05Do we need to adjust anything?
• 03:08Sorry, is your microphone on?
• 03:10I hope so. Yes, it is OK. One second.
• 03:18You're good. I think we're good.
• 03:19All right. Please check.
• 03:23All right, try again. Excellent.
• 03:26OK, great. So. So again,
• 03:28thank you so much for being here in
• 03:30person and for being here on zoom.
• 03:32We're already doing something somewhat
• 03:35disruptive that I gather it's
• 03:37better if I stand behind the podium.
• 03:39But as you know,
• 03:41I much prefer to be out and present.
• 03:43And so we're going to give this a try.
• 03:46And Kieran, if it is not working,
• 03:48you'll let me know.
• 03:49OK, good, great.
• 03:50So let me just move ahead.
• 03:53The purposes of opening meetings - and we
• 03:55always have one in September and then
• 03:58we always have a meeting in January.
• 04:00And so for this meeting,
• 04:02for our getting together in
• 04:04September following a summer,
• 04:06we often think about pausing and
• 04:08reflecting of where we've been and
• 04:10where we're going, to welcome new people -
• 04:13and now we welcome on Zoom as well
• 04:16as welcome in person - and to look ahead.
• 04:19And in January,
• 04:20what I will do just as a preview
• 04:22is to get more detailed about
• 04:24the state of the department.
• 04:26But today I really want to talk
• 04:28about the goals of the department
• 04:30for this new academic year because
• 04:32we're welcoming a new academic year.
• 04:35And sometimes New Years start in January,
• 04:38sometimes they start in September.
• 04:39As you'll hear, there's fiscal years,
• 04:42but this is our new academic year
• 04:45and one of the traditions of our
• 04:47department over the last six,
• 04:49now seven years.
• 04:51Has been in September to open
• 04:54up this meeting.
• 04:55With a series of themes or
• 04:57a theme for the year.
• 04:59And as you can see,
• 05:00beginning in 2016,
• 05:02the themes began to be somewhat playful.
• 05:06Our vacations and sojourns and
• 05:09summer frames of mind,
• 05:11and even the original one.
• 05:14But actually, COVID interrupted that.
• 05:18And COVID, by 2020,
• 05:19when we had no idea actually in
• 05:23September of 2020 of what was coming,
• 05:26we still had a bit of a not so playful theme,
• 05:29but a bit of a theme about rejuvenation.
• 05:32And then last year was very much
• 05:34about matters of the heart.
• 05:35And the loss and the change and
• 05:38all that was before us.
• 05:40So this year there's a number of
• 05:42things that we need to think about.
• 05:44And we've been talking a lot
• 05:46about returning to a new normal,
• 05:49to a changed and changing world and
• 05:51what that world looks like and that
• 05:53we're in the middle of that world.
• 05:56Not to be down,
• 05:57but I just want to remind you that it's
• 06:00been 912 days since March the 12th, 2020.
• 06:06912 days since we have been in
• 06:09this changing world of COVID,
• 06:10that we continue to be in this changing
• 06:13world of COVID with new more peaks,
• 06:15more ups and downs of new variants.
• 06:18There's a new vaccine.
• 06:19I hope you all will get it.
• 06:20I hope you got the communication
• 06:22of the new bivalent vaccine.
• 06:25Do we wear a mask?
• 06:26Do we not,
• 06:27do we ask permission,
• 06:28do we not,
• 06:29are we working virtually,
• 06:31are we working hybrid,
• 06:33how are we seeing our patients?
• 06:35And then the tremendous also and very
• 06:38productive and much overdue social unrest.
• 06:41But our world is continuing dramatically to
• 06:44change and even as we're back in person.
• 06:47Sorry, even as we're here in person,
• 06:50we have to actually learn now how to
• 06:53again to work together in person.
• 06:57It would be amazing to think that as humans
• 06:59we would have to relearn it as human adults,
• 07:02but we do. And as you can see
• 07:04on the bottom of this slide,
• 07:05if you actually survey people and ask them,
• 07:09does the digital world do the
• 07:11same as the in person world,
• 07:13well, majority, well,
• 07:14more than a majority say no.
• 07:17That you miss the things they they the
• 07:20socializing over coffee in the back,
• 07:22the beginnings,
• 07:23the inter interstices of meetings
• 07:25that you don't get on zoom.
• 07:27But we're still needing to learn how
• 07:29to come back together and how to work
• 07:32in this virtual and hybrid world.
• 07:34And I'm very well recognized that we
• 07:37will not only be sitting in this room
• 07:39or online, but we need to get much,
• 07:41much better about the hybrid world.
• 07:44And I'm also recognizing and
• 07:46want to call out.
• 07:48And also I'm aware,
• 07:49Kieran,
• 07:49that I'm starting to move,
• 07:52but but I want to call out that
• 07:55we are at this point still living
• 07:58learning how to find certainty.
• 08:01While still surrounded by tremendous
• 08:04uncertainty and a sense of loss.
• 08:07And that's going to continue to be a theme.
• 08:10Our country continues to be
• 08:13divided into red and and blue.
• 08:17There are new variants that we don't
• 08:19even know yet what the names will be,
• 08:21but they continue to come.
• 08:24The war in Ukraine has left
• 08:26an uncertainty for all of us,
• 08:28as well as a tremendous sadness.
• 08:32Unbelievably, there have been over 200
• 08:36mass shootings since the beginning of 2022.
• 08:41Defined as four or more people, over 200.
• 08:46And if you actually look
• 08:48at the rate of inflation,
• 08:50the economy is not so stable.
• 08:53So we are actually living in a very
• 08:56changed and changing world and we
• 08:58are needing to actually still,
• 09:00as we look ahead, the dealing with the
• 09:03tremendous uncertainty of that world.
• 09:05And actually one good thing that's come
• 09:07out of COVID is it has spurred a huge
• 09:10amount of scholarship on coping with
• 09:12uncertainty and living in uncertainty.
• 09:15That is what's before us as the department.
• 09:18So I'm about to introduce the
• 09:20theme for this next year,
• 09:22and it's going to actually
• 09:24sound like a clanging symbol,
• 09:26having just laid that that groundwork.
• 09:30And this is what I think this
• 09:32year's theme should be.
• 09:33Generativity, imagination, and grace.
• 09:36Because what we had before
• 09:39us is to look ahead.
• 09:41Look ahead to those people.
• 09:44That we might not ever meet.
• 09:47To be thinking about the department,
• 09:49the community that we want to create,
• 09:52not only for those of you
• 09:54who have just joined us.
• 09:56But those who will join years later,
• 09:59whose names we don't know.
• 10:02Who we will still create a place for them,
• 10:05and that is a tremendous amount of
• 10:08trust that they place in us and the
• 10:12responsibility that they give to us.
• 10:14Now, why do I think that should be the theme?
• 10:17But first, what in the world is generativity?
• 10:20I'm assuming that in this
• 10:22audience everyone knows,
• 10:24but I actually had an experience a bit
• 10:25over a year ago of presenting this,
• 10:27and people were on their iPhone
• 10:29searching what the definition was,
• 10:31so I just want to be sure.
• 10:33That generativity is the idea.
• 10:36That you think about the next generation.
• 10:40And beyond and obviously for
• 10:42the survival of the species,
• 10:44but but really for the survival
• 10:46of the family,
• 10:47the sustainability of the community,
• 10:49a town, a society.
• 10:51And Eric Erickson coined the term.
• 10:54And he coined the term with this definition
• 10:57that you have to read several times.
• 10:59The one thing that can save us as
• 11:02a species is seeing how we're not
• 11:05thinking about future generations
• 11:07in a way in the way we live.
• 11:10He could have written it in the positive,
• 11:12but he wrote it in the negative,
• 11:14so that that's the definition.
• 11:17That we actually invest in ourselves
• 11:20by investing in the next generation.
• 11:24So what then is the role of grace?
• 11:26Now,
• 11:27I don't mean grace in the spiritual sense,
• 11:29though there may be a spirituality in it,
• 11:32but I really mean in these tremendous,
• 11:34uncertain times that grace is
• 11:37about compassion.
• 11:38It's about compassion and stressful times.
• 11:41It's about compassion in the midst of change,
• 11:44of offering to help when you
• 11:46see things that need to be done.
• 11:48About actively trying to understand.
• 11:51Why something is as it is and
• 11:53how we can make it better?
• 11:56Forgiving because we're all making mistakes.
• 11:58Because remember, most of us,
• 12:00I don't think anybody has been
• 12:02in this kind of post COVID world.
• 12:05So we're trying to learn it,
• 12:07we're learning it together and then
• 12:10regularly expressing gratitude.
• 12:11Last year, when it was matters of the heart,
• 12:14we did talk about gratitude and
• 12:16actually the science behind gratitude
• 12:18that gratitude improves health.
• 12:20But that is a tremendous,
• 12:22important part of grace.
• 12:25And then why to bring this theme and this
• 12:29particular time in this particular year?
• 12:32The first point to say.
• 12:34Is that in imagining the world for
• 12:36those whom we will never know, perhaps,
• 12:39or those who will come after us?
• 12:41We cultivate grace among us
• 12:44all as a shared goal.
• 12:46That brings us together.
• 12:49The second goal,
• 12:49the second point, though,
• 12:51is that COVID has seriously challenged our
• 12:54cohesion as community and has presented
• 12:56us with a developmental challenge.
• 12:57And I'm going to say more
• 12:59about that in just a second.
• 13:013rd is that generativity and grace?
• 13:03Actually, there's a science to this.
• 13:06Build stronger,
• 13:07healthier teams.
• 13:08If you're thinking about others,
• 13:10those who come after you,
• 13:12your team works better.
• 13:16It's also very consonant with our ongoing
• 13:19focus in this department on inclusion,
• 13:22belonging and service leadership.
• 13:26And finally, it actually pushes us to
• 13:29focus not just on the uncertainty,
• 13:31not just on all the things that
• 13:33COVID has caused us to lose.
• 13:35But it actually focuses on what we
• 13:38are nurturing and building together
• 13:40that we will then pass on to all
• 13:43of you who have just joined us.
• 13:46And then two other points about this
• 13:48is what is our developmental challenge.
• 13:50COVID. Dastardly little virus that it is.
• 13:56Has has really brought us to focus
• 13:58on what we've lost, on what we need,
• 14:02crisis, fear, loss,
• 14:03separation is naturally pulled
• 14:05this to an inward focusing stance
• 14:09of how do we preserve what we had.
• 14:13Rather than what we will be.
• 14:15And actually there is a very
• 14:17well recognized human response to
• 14:19the change cycle.
• 14:20And I think that not just we here,
• 14:22but I think the country,
• 14:24I think the medical school,
• 14:25we're all kind of in the trough.
• 14:28We're in the trough of looking back
• 14:30to what we've lost and now we need
• 14:32to go up or another way to put it
• 14:35that Ericsson put it actually was
• 14:37embracing how what embracing generativity.
• 14:39You know,
• 14:40Ericsson talked a lot about contrast,
• 14:42so he contrasted generativity
• 14:45with stagnation.
• 14:46It's a very negative contrast,
• 14:49but I would imagine that it's the COVID
• 14:51virus that's pulling us back to stagnation.
• 14:54But look at what generativity is.
• 14:57It's open to experience.
• 14:59It's open to difference.
• 15:01It's open to being inclusive,
• 15:03a broad scope of concern,
• 15:05conscious of being a guide for others
• 15:09and focusing on interpersonal values,
• 15:12encouraging others to lead, to be a mentor.
• 15:15And look what COVID pulls us back to.
• 15:18It pulls us back to really
• 15:22being conservative.
• 15:23Focusing on what we've lost,
• 15:26being more self absorbed.
• 15:28Being as a as a group more self-interest.
• 15:32Focused on an emphasis on Transactional Ness.
• 15:37Rather than on restoring
• 15:39community and building community.
• 15:43Then the other point, just to be science,
• 15:47is that generativity actually does
• 15:48make stronger more productive teams,
• 15:50and I can give you a whole
• 15:52host of references on this.
• 15:54And then finally that actually
• 15:56it echoes everything we're
• 15:58trying to do in this department.
• 16:00We have a tremendous agenda on diversity,
• 16:02equity and inclusion.
• 16:03As you'll hear, we're focusing on
• 16:06building a larger mentoring program,
• 16:07focusing on welcoming individuals into
• 16:09our community and on service leadership.
• 16:12That is, how do leaders serve the community.
• 16:15And how do we make that better?
• 16:19The justification for the thing.
• 16:22So here's what we're going to
• 16:24do in the next bit of time.
• 16:26Is going to welcome everyone and in the
• 16:29past when we could all be in this room
• 16:32rather than virtually and scattered
• 16:34around and then and also in this room.
• 16:37We had this tradition
• 16:38which COVID has changed.
• 16:40I've asking everyone who was new to
• 16:42stand up and then everyone greet them
• 16:44and shake hands and no masks could be
• 16:47really close together and standing over each,
• 16:49so we'll never go back to them.
• 16:51So we're gonna do something
• 16:53different about that.
• 16:54And then I'm going to focus on challenges
• 16:57and goals and these particular areas,
• 16:59those particular 6 areas.
• 17:00And in at the very end,
• 17:03I want to return back to remind you of
• 17:05the theme for this year of generativity,
• 17:08imagination and grace.
• 17:10So first, to welcome everyone.
• 17:14And this is a challenge to welcome everyone.
• 17:17But first let me welcome then
• 17:18the one those of you who have
• 17:20joined us most recently.
• 17:22Our new fellows across psychology,
• 17:24social work and our child psychiatry track.
• 17:27You see the New Haven track,
• 17:29you see the Solnit S track to put a map
• 17:32so that you know everybody is welcome,
• 17:35welcome.
• 17:39So glad that you're here.
• 17:40I want you to everyone to notice
• 17:42on the pictures, the diversity of
• 17:44places that our new fellows are from,
• 17:47the diversity overall and and we really
• 17:50look forward to learning from you as
• 17:53much as you will be learning from us.
• 17:56And perhaps we will learn more
• 17:58from you than you will from us.
• 18:00But really glad you're here.
• 18:02Want also to welcome we have a number
• 18:04of interns and practicum students
• 18:06that come to our clinical settings
• 18:09working as social work interns and
• 18:12psychology and nursing and counseling
• 18:14and again coming from really diverse
• 18:17places and once again really
• 18:19wanting to learn as much from you.
• 18:22Our research training program
• 18:24from MM and Michael,
• 18:26we have 4 new fellows that you can see.
• 18:30And on this slide,
• 18:31we showed their mentors just to recognize
• 18:33that this is really a generative program.
• 18:36It is a heavily mentored
• 18:39program of Elizabeth Bennett,
• 18:41Allen and Yelena.
• 18:43Very glad that they're there.
• 18:45And this is a long standing program
• 18:47and thanks to Mike and his team
• 18:49for getting it re, you know,
• 18:51re upped.
• 18:51We also have 15 master students
• 18:53from the Yale University College
• 18:56London program this year under the
• 18:58direction of Helena Rutherford,
• 19:00coming from all over the world and
• 19:03many of you are mentoring them.
• 19:05You'll get a chance to hear their
• 19:07work through the years but or
• 19:08through the year and but really
• 19:11delighted to welcome them.
• 19:13And we've also welcomed into the
• 19:16department over 30 new postgrad and
• 19:19postdoctoral fellows over this year,
• 19:22many of them having come just
• 19:24this just in the last month.
• 19:26So we're really glad to have you.
• 19:28And we welcome the number of new
• 19:30staff in both clinically and
• 19:33clinically and in the research world.
• 19:36I would love to pause on every
• 19:37one of these and have everyone
• 19:39talk about what they're doing,
• 19:41but at least wanting you to know
• 19:42that you are welcome into this,
• 19:44into this place and this community.
• 19:48And we're growing our physician
• 19:50scientist in the center with the
• 19:52Emily and Kartik and Uche who have
• 19:55joined us as assistant professors
• 19:57now in the research tracts.
• 19:59So very, very glad to have both.
• 20:02Their work is tremendously
• 20:03synergistic as well as very different.
• 20:06And I look forward to your hearing
• 20:09very much from them.
• 20:10And then we've added a number of
• 20:13clinical and research faculty
• 20:15from child circuitry.
• 20:16Jose probably has had the most
• 20:19difficult transition as a new faculty
• 20:21member with fracturing one ankle and
• 20:24spraining another in his first month.
• 20:27So Jose,
• 20:27I hope the rest of your faculty
• 20:30career is much less difficult,
• 20:32but really, really glad.
• 20:34And you see adjoining the vaccarino
• 20:37labs across our outpatient
• 20:39services in home services.
• 20:40In our psychology program and
• 20:43Center for emotional intelligence.
• 20:44So things were growing and it
• 20:47really is a generative thing.
• 20:50And then we've had a number of
• 20:53faculty transitions to celebrate.
• 20:54Adam and Carla and Sharon have
• 20:57gone from associate research
• 20:59scientist to assistant professor,
• 21:01so pleased to celebrate Laurie Cardona
• 21:04becoming an associate professor.
• 21:09Megan Gosselin actually, literally
• 21:11just last week the promotion official
• 21:14of becoming an associate professor.
• 21:19And similarly, last week was a
• 21:21really good week. Ellen Hoffman,
• 21:22also promoted to associate professor.
• 21:28Dorothy was became a professor over
• 21:30this last year, so we really need
• 21:32to continue to celebrate that.
• 21:34And then Jamie just this just within
• 21:37the last couple of months named
• 21:40to a new endowed professorship.
• 21:42There's many more transitions here.
• 21:44I know a number of you have been
• 21:46entered leadership positions and
• 21:48there's many more to highlight,
• 21:50but just wanted to at least call out those.
• 21:53And then as you've heard in previous times,
• 21:55we've been building a with following
• 21:58on the great work that Laurie and
• 22:01understood and pediatric oncology
• 22:03building and behavioral health and
• 22:05pediatric oncology welcome Nancy
• 22:07Vorstellen in February of this year.
• 22:10And just last week I welcomed
• 22:13Justin Gardner from Saint Judes
• 22:15around education special education
• 22:18for children in oncology.
• 22:20And then finally,
• 22:21in the terms of the welcome things
• 22:23I've we've I've told you about
• 22:26Sherlane McRae over the last few
• 22:28months that the former First Lady
• 22:30of New York joining us here as a
• 22:34Yale presidential visiting fellow.
• 22:36But Chirlane will be offering
• 22:37a number of seminars,
• 22:38and so please stay tuned so that you
• 22:41get to know more about Sherlane's work
• 22:43and her work can thrive New York.
• 22:47And finally, and well, not finally,
• 22:50but in the spirit of gratitude,
• 22:52Michelle Matta is leaving to
• 22:54go to another position at Yale.
• 22:57Michelle has done so much for us and
• 23:00welcoming everyone and bringing us
• 23:01to a whole new level of onboarding
• 23:04and faculty promotion and transition,
• 23:06and we're just so grateful to Michelle.
• 23:09And then also Tanya Cologne,
• 23:12who has worked for Dorothy and worked
• 23:13with so many of you over so many
• 23:16years and brought all of our training
• 23:17programs together in this lovely wife,
• 23:20brought us to a whole new level.
• 23:21A Tanya is also going to
• 23:24another physician at Yale.
• 23:25What I think neither of them really
• 23:27know is that when they leave,
• 23:28we actually plant little tracking
• 23:31device so that they're actually
• 23:32always a part of the CHILD Study
• 23:34Center and community and family.
• 23:36And I do hope they'll take that very
• 23:38seriously and we owe them a tremendous
• 23:41gratitude for all they've done.
• 23:43So now turning to our goals and
• 23:46challenges for 2022 to 2023 in these
• 23:49particular areas that I I highlighted.
• 23:54I'm not going to speak.
• 23:55I am going to speak about challenges,
• 23:56but I'm not going to go Pedantically
• 23:59area by area and say the challenges.
• 24:01I'm actually going to go area
• 24:03by area and say the goals and
• 24:06talk about challenges overall.
• 24:09We really want to also bring you
• 24:11into this idea of a smart goal.
• 24:14What is a smart goal? We all have goals.
• 24:18New Year's resolutions are
• 24:20notorious for being. Uneatable.
• 24:24We have smartphones and so they
• 24:26should be highly specific.
• 24:27They should be measurable.
• 24:30We should be able to attain
• 24:31them in this year, and that,
• 24:33perhaps,
• 24:33is the point I want you most to hold in mind.
• 24:36It should be relevant to the mission
• 24:38and the values of this department and
• 24:41they should be time bound that we give
• 24:43ourselves a disciplined year to meet them.
• 24:46So hold it in mind,
• 24:47because that's what I'm proposing of these
• 24:50various goals that we can actually do.
• 24:53And then here are what I think are the
• 24:56challenging areas before our department,
• 24:57no surprise talked about these before
• 25:01defining our post COVID world.
• 25:03What is that world?
• 25:06I've already said that it's a world
• 25:08that's filled with uncertainty,
• 25:09but what will it look like?
• 25:12What is the world we want to
• 25:14give to those coming after us?
• 25:17Continuing to improve our culture.
• 25:20High priority dealing with this
• 25:22incredible behavioral health surge
• 25:24and what I would say is not just
• 25:27dealing with it and we'll talk
• 25:29about how we're dealing with it,
• 25:32but how we think about how that has
• 25:35never should revise how we think
• 25:37about behavioral healthcare delivery.
• 25:39Then filling in gaps in our
• 25:41research portfolio,
• 25:42continuing to grow and diversify our
• 25:45community with an emphasis on diversify
• 25:48and then continuing to improve and
• 25:50broaden our communications and we have,
• 25:52I'll talk about it,
• 25:53but we have made light years
• 25:55change with christo's input.
• 25:57All of these areas,
• 25:58I'm not going to go area
• 26:00by area, but these are the challenges
• 26:02that in one way or another cut
• 26:05across all of these different areas.
• 26:07So first, turning to climate and culture.
• 26:11And 1st to to bring us into this
• 26:13idea of how these two are related.
• 26:16Culture is what we say we want.
• 26:19Culture is what we say we the
• 26:21values that we want to espouse.
• 26:23So we want to be an equitable,
• 26:25inclusive culture where everyone feels
• 26:27they have a place and a valued voice.
• 26:31Can anyone disagree with that?
• 26:34That's what we want. Climate, however.
• 26:38That's how people feel.
• 26:42And climate is do what we is do
• 26:45our actions reflect the culture
• 26:47we want and the values we set?
• 26:50So I think we can agree on
• 26:52the culture we want,
• 26:53but we have a lot of work
• 26:55on the climate we set.
• 26:56And I think we've made tremendous progress,
• 26:59thanks to Tara and her team,
• 27:01but we have a lot of work to do.
• 27:04So you've seen this slide before,
• 27:06thanks again to Terra creating
• 27:08it really the continuous circle
• 27:11over history of learning that we
• 27:13all need to do beginning with
• 27:15restorative practices and I would,
• 27:18I would actually equate
• 27:20restorative practices.
• 27:22As with grace.
• 27:23That beginning with restorative
• 27:25practices that we acknowledge and
• 27:27we repair when there is that need,
• 27:30we learn how to do that.
• 27:31We've come together as a community,
• 27:33we build more trust as a community.
• 27:36And we've been doing that,
• 27:37as you know,
• 27:39with Yasmine Davis and her team
• 27:42and then going to racial equity
• 27:44training that we understand bias.
• 27:46We don't just just say,
• 27:47yeah,
• 27:48there's bias,
• 27:49but we actually understand bias and we
• 27:51understand how we how we deal with it and.
• 27:54That it is a lifelong process and
• 27:56we are continually learning and
• 27:58we've been doing this with Ingrid
• 28:01Cassidy and her team at Cirque.
• 28:03And Ingrid and her team will
• 28:05continue to be much more involved
• 28:06with us over this year as well.
• 28:08Yasmin.
• 28:10And perhaps it's the pink box that
• 28:12they're well, they're all important.
• 28:14But the pink box is especially important,
• 28:17again, in this spirit of grace and that
• 28:19we're actually constantly learning.
• 28:21We're learning for what worked,
• 28:23what didn't work,
• 28:24how we do it better,
• 28:25being forgiving,
• 28:26and it moves us to a transformative
• 28:29change and to transformational
• 28:31change and how we do it.
• 28:33Transformational change in our climate.
• 28:36So what's really been happening
• 28:38and again this is from Tara
• 28:41and what's happened so far,
• 28:43it's hard to fit it into one slide actually.
• 28:47But going around that circle in
• 28:49those boxes has been a lot of
• 28:51work on restorative practices,
• 28:53beginning very,
• 28:54very early in our initial
• 28:56association with another group,
• 28:57not Yasmine, on leveraging
• 29:00conflict for constructive change.
• 29:03With Jasmine,
• 29:03we started introductions to
• 29:05restorative practices all
• 29:06the way back to last summer,
• 29:08even before this meeting last summer,
• 29:13office hours with Tara and Yasmine,
• 29:15Community building workshops,
• 29:16and then this summer.
• 29:18I hope that a number of you have been able
• 29:21to join the restorative practices
• 29:23for leadership some seminar series.
• 29:25Under the DIB learning again a
• 29:28series of workshops that have
• 29:30been really quite powerful,
• 29:32but I would say even after that the
• 29:35reflection sessions offered so that
• 29:36people can come together and talk.
• 29:39And that Tara's restarting her Monday,
• 29:42Friday focus meetings and then
• 29:43doing a lot of work clinically
• 29:46of how do we actually think about
• 29:49culturally appropriate sensitive care?
• 29:52Community learning has been just
• 29:54absolutely wonderful over this last
• 29:57year of celebrating Black History Month,
• 29:59celebrating Hispanic Heritage Month.
• 30:02Returning to work conversations,
• 30:04even though I know we have a lot more
• 30:06work to do on returning to work in person,
• 30:08but still having those conversations.
• 30:10Juneteenth was a great
• 30:12event about Juneteenth.
• 30:13Hope you saw those pictures.
• 30:15And then continuing to create
• 30:18reflection spaces.
• 30:20And then transformative change where
• 30:21you may be actually thinking, yeah,
• 30:24that's all great, that's all wonderful,
• 30:25but what's the result?
• 30:28We've revised our clinical job
• 30:30search process, so it's very clear.
• 30:33I hope transparent or more transparent.
• 30:36We've now expanded where we post
• 30:38our jobs so that we can reach
• 30:41a more diverse group.
• 30:42Now we've established the DE IB Action Group,
• 30:45which I'll show you in a minute.
• 30:47We are really working incredibly
• 30:49hard on masters level clinician,
• 30:52both salary equity but also
• 30:54holding meetings to hear what our
• 30:56Masters level clinicians most need.
• 30:59And as you can see,
• 31:00I'm very grateful actually for
• 31:02the last point.
• 31:03Around how do we are more transparent
• 31:06about naming vice chairs and that
• 31:08process and that all came out
• 31:10of this TV EIB Action Group.
• 31:12What they thought, what they fed back,
• 31:14how we listened. It really is important.
• 31:18So where are we going?
• 31:19And here's the goals for 2022 to 2023.
• 31:24Tara's group and Tom.
• 31:27See, this is the the hybrid thing.
• 31:28I point that way,
• 31:30but they're hybrid in the hybrid space.
• 31:33So terrorist group and Tom are
• 31:35working on a mentoring effort that
• 31:37cuts across all of our missions.
• 31:40How do we better on board and those
• 31:42of you who have just come probably
• 31:44can tell us something we do that
• 31:46better and let you know we're
• 31:48continuing to refine the search
• 31:50with which also will include bias
• 31:52training for for as many people who
• 31:54would want to do it so that then
• 31:57we have a cadre of people who are
• 31:59trained and and unconscious bias
• 32:01and can join search processes.
• 32:03Accountability,
• 32:04a word that often sends shivers.
• 32:08But we should embrace it as a positive
• 32:11learning work of what can we do better?
• 32:14Have we met the goals for this year?
• 32:16Have we met our individual goals?
• 32:18Have we met our department goals?
• 32:19So we will be doing more annual
• 32:23assessments about climate,
• 32:24doing exit interviews to find out?
• 32:26What could we have done better if
• 32:29then someone decides to leave?
• 32:31The workshops and learning will continue,
• 32:34and it's really important for us to
• 32:36build the pipeline for Fellows and
• 32:38postdocs and staff so that we can
• 32:40actually build a pipeline of
• 32:42individuals who would like to stay,
• 32:44who would like to be with us.
• 32:46But we can cultivate a more
• 32:48diverse pipeline and then how do
• 32:50we engage our Community better,
• 32:51not just this Community?
• 32:54People sitting in this room and virtually,
• 32:56but the the New Haven community,
• 32:58where we work, where we are,
• 33:00how do we engage them better?
• 33:03And I should have also said when I
• 33:05started this particular section on DEID.
• 33:09That I hope that everyone feels
• 33:11and sees that this is a tremendous
• 33:13priority for this department.
• 33:15We are a very diverse department,
• 33:17both discipline wise,
• 33:19age wise, gender wise,
• 33:22and in certain pockets,
• 33:24race and ethnicity wise.
• 33:26This is incredibly important to
• 33:28us and something that we need to
• 33:30get not only right but continue
• 33:32to do because it will sustain
• 33:35the health of this department.
• 33:37A few things just to call out,
• 33:39but first to call out the D EIB Action Group.
• 33:42Here are the individuals who have set,
• 33:44who have stepped off,
• 33:45stepped up and said that they will help
• 33:48and they've been helping a huge amount.
• 33:50Thank you.
• 33:51But anyone else, I'm assuming Tara,
• 33:54you would welcome.
• 33:56Just a few other things around this
• 33:58particular theme as the Viola Bernard
• 34:00years ago feels like years ago,
• 34:02I think it was 2016,
• 34:04we got an endowment from the
• 34:07Viola Bernard Foundation to create
• 34:09a Viola Bernard program and
• 34:11HealthEquity and social justice.
• 34:13Two things have emerged from that
• 34:15has been a lecture series and we've
• 34:18already had some really wonderful speakers,
• 34:20Carolyn Roberts from the
• 34:21Department of History,
• 34:22just extraordinary speakers,
• 34:24but more to come on that.
• 34:26But now there's an innovation
• 34:28fund that focuses on projects
• 34:30that will impact the Community.
• 34:32To deal with that last goal
• 34:35of community engagement,
• 34:36there's 4 letters of intent,
• 34:383 proposals under review and
• 34:40we would very much encourage
• 34:42we'll present about those.
• 34:44But this is really important.
• 34:46And then finally,
• 34:47in this area,
• 34:48I know I've already said that
• 34:49we need to learn how to be
• 34:51together in person and all that.
• 34:53I think actually a part of climate
• 34:56change is learning how to be
• 34:58flexible and think together about
• 35:00how we work in this hybrid world
• 35:03and this new new post COVID world.
• 35:05That's why it's cited here simply to
• 35:08say that I think it's an incredibly
• 35:12important part of our climate as well.
• 35:15Turning to organizational operations,
• 35:16and this can often sound like both
• 35:19going into organizational numbers.
• 35:24Really important,
• 35:25because organizational operations
• 35:26address that top of the iceberg.
• 35:30They address the climate.
• 35:32How we do things addresses
• 35:34how it reflects our values.
• 35:37So let me just show a few things about
• 35:39what we're trying to do and what's happened
• 35:41so far and how we run this department,
• 35:44how we think about this department,
• 35:46how we manage this department,
• 35:47which is by the way, over 500 people now.
• 35:50So a lot of people.
• 35:53So here are some of the things
• 35:55that have happened so far.
• 35:56Our ongoing we clarified the organizational
• 36:00structure for department governance
• 36:02especially around clinical mission,
• 36:04but clarifying notice it's
• 36:07clarifying and not clarified,
• 36:09it means that it's an ongoing process.
• 36:13Also doing the same for job responsibilities,
• 36:15how do we match what someone's doing
• 36:19with their description of their job
• 36:20so that we can be sure that people
• 36:23have enough support for what they
• 36:24need to do if we can be sure that
• 36:26they're also is a clear who do you
• 36:29go to when you need to ask X or Y?
• 36:32We've installed or I'm beginning
• 36:34a series of leadership workshops
• 36:36and learning around leadership and
• 36:39Darren David's been leading that.
• 36:41Very grateful to Darren for doing that,
• 36:43introduce this concept of service leadership,
• 36:46which we will continue to do.
• 36:49And then I would just say that
• 36:51we've actually increased,
• 36:52really remarkably increased our attendance
• 36:54at faculty meetings by having a clear agenda.
• 36:58It's kind of 1 on one I know about meetings,
• 37:00but a clear agenda and then having
• 37:03incredibly detailed notes created by
• 37:05Krista so that if you aren't able to attend,
• 37:07you can come and read what happened.
• 37:10Goal of that.
• 37:11Goal of all of that.
• 37:13Is to make the organizational structure
• 37:16of this department accessible.
• 37:18Transparent in a much overused word,
• 37:20but transparent and I know we
• 37:23have a lot more work to do.
• 37:26Just to say that Krista is also updated
• 37:30the intranet so you can get a lot of
• 37:32this information on the intranet,
• 37:33and this is meant to drive traffic to
• 37:36the intranet go there's a lot there.
• 37:38It's not dusty,
• 37:39it's not virtually dusty.
• 37:41There's a lot of good stuff there.
• 37:44And then the organizational chart
• 37:46too small for you to see,
• 37:48but importantly to call out the stewardship
• 37:51and strategy team that is helping me.
• 37:54This is not a one person job very
• 37:57much helping me and guiding guiding
• 37:59us as a department and where we
• 38:01will continue to add positions to.
• 38:04And then these blue boxes are a number of
• 38:06director roles in our clinical mission.
• 38:09This does not reflect the whole department.
• 38:11But again,
• 38:12this is a work in progress.
• 38:15So where are we going organizationally?
• 38:19The vice chair I want to add a vice
• 38:21chair for professional development,
• 38:23education, and professional development.
• 38:26Talk about that more in education.
• 38:29To clarify, continue to clarify the
• 38:31organizational chart across all missions,
• 38:33not just for the purpose of doing it,
• 38:36but actually for the purpose of making clear.
• 38:38Who do you go to?
• 38:39What are the, what are the potentials?
• 38:41What's the structure of the department?
• 38:43Updating all of our committees.
• 38:45We have so many committees.
• 38:46You could populate a small city with
• 38:48a number of committees we have.
• 38:50So clarifying. What are they doing?
• 38:52How long did they stand?
• 38:53What are the charges?
• 38:54Would you like to join?
• 38:56Refining all leadership job descriptions,
• 38:59continuing our leadership
• 39:00skills workshops with Darren,
• 39:02and then regular assessments
• 39:04of how we're doing,
• 39:05which gets to the accountability
• 39:08and the DI goal.
• 39:10For research turning to research.
• 39:15Our research mission is core to what we do.
• 39:18It's absolutely core.
• 39:19And we've had this circular diagram
• 39:21for a long time and it's intended
• 39:24to be circles rather than boxes.
• 39:26It's intended to show how each
• 39:27bills and nest on the other.
• 39:29But we are a department really
• 39:32based around developmental research,
• 39:34whether it's clinical or basic.
• 39:36And that things flow from that.
• 39:38Now we could do a lot better job on
• 39:40the bridges between our research and
• 39:42our other missions, a lot better job.
• 39:45But that's the intent.
• 39:47And so what's happened today has
• 39:49been the vice chair and you know
• 39:52that Tom has been doing just an
• 39:54outstanding job of Vice Chair of
• 39:56research and bringing people together.
• 39:59You may be surprised that we have 30.6
• 40:01million of grant or grant portfolio
• 40:05that's nearly a little about 65% of
• 40:10our total budget revenue on the center.
• 40:13And that's divided across that number
• 40:15of grants and contracts of 295?
• 40:19Tom has brought us together around
• 40:22researchers for shared goals,
• 40:23building a regular research
• 40:25internal communication.
• 40:26We have new recruits that you saw
• 40:29as clinical and basic scientists.
• 40:32I'm very grateful to Kareem Kareem.
• 40:37Pointing to cream.
• 40:38Ohh cream, great, wonderful.
• 40:39Thank you.
• 40:40Very grateful to Kareem for build
• 40:42building the research and progress
• 40:44session with others in your Group 3.
• 40:47And then we've had the cross talk
• 40:49sessions at faculty meetings that
• 40:51are really intended to start making
• 40:53this bridge across the missions.
• 40:56So where do we wanna go?
• 40:57What are the goals?
• 40:59Tom is going to be trying to help us
• 41:02update our strategic goals for our research.
• 41:05We've had strategic goals in these
• 41:08areas of stress and adversity,
• 41:10innovation and clinical practice,
• 41:12social policy,
• 41:13but it's time to ask where are the
• 41:16gaps and where are the opportunities?
• 41:19The enhanced mentoring approach
• 41:20with Tara's team trying to
• 41:22bring all this together.
• 41:23One mentoring effort for the center.
• 41:26A plan for sharing common
• 41:28resources across lands.
• 41:29Why can't we do that?
• 41:31Why does every lab have to be its
• 41:34own ship when there are common needs
• 41:37across and Tom will be leading that?
• 41:40Guidelines for space allocation.
• 41:42We should probably put blinking
• 41:43neon lights around that.
• 41:45There are a lot of guidelines from
• 41:47the medical school about that.
• 41:48And how do we take those
• 41:50and make it local as well.
• 41:52And then two others to guidelines for
• 41:54applying for a K part of generativity.
• 41:56How do we help people apply
• 41:58for K Awards career awards?
• 42:01And finally,
• 42:01I think we need more center
• 42:03and training grants.
• 42:05Not for the whole purpose of getting grants,
• 42:07but actually to unite us with other
• 42:10departments in the medical school.
• 42:15Clinical services.
• 42:18Of all of our missions and of all
• 42:21of our sections, clinical services,
• 42:23because of a number of things,
• 42:26are the things where we actually have
• 42:28the perhaps not most work to do,
• 42:31but the work that is perhaps
• 42:33the most challenging.
• 42:34And it is the most challenging because
• 42:37of exactly what's on this slide.
• 42:39That there is a mental health
• 42:41crisis in this country.
• 42:43There is a surge in mental health
• 42:45needs post pandemic that usually
• 42:47follows the economic crisis,
• 42:48as that's intended to show.
• 42:50But we are in the middle of an
• 42:53unprecedented crisis in this country
• 42:55and children's mental health.
• 42:57And that has caused a lot of stress
• 43:00and strain and cracks in our process.
• 43:02So what I'm going to do in the next
• 43:05few minutes won't in any way capture
• 43:07the total complexity and all the
• 43:09work that's being done in this area,
• 43:12but only meant to highlight it for
• 43:14you and also meant to say roll
• 43:16up your sleeves and be with us.
• 43:18Remember grace. Remember forgiving.
• 43:22So here we are just to remind you of
• 43:25the range of our clinical services
• 43:27that go from outpatient use where
• 43:30we provide assessments and a range
• 43:33of evidence based interventions.
• 43:34We also provide the same for
• 43:37adults or parents.
• 43:39We have a range of hospital
• 43:41based services from emergency
• 43:42room to inpatient units today,
• 43:44hospitals to consultation liaison.
• 43:48And we've been building a lot of
• 43:50pediatric that is in the Department
• 43:52of Pediatric based Services where
• 43:55we embed in pediatric clinics.
• 43:57Our clinical portfolio is big,
• 44:00it is very big and it crosses
• 44:03these various domains.
• 44:04It's not just outpatient,
• 44:06it's not just asked or why, it's very big.
• 44:09The other piece to remind you is
• 44:12that we're part of a larger system.
• 44:15We're part of Yale New Haven
• 44:17Hospital right across the street,
• 44:18the Children's Hospital.
• 44:19We're invested as a practice within Yale.
• 44:22Madison.
• 44:23Yale Medicine is the practice
• 44:24within the School of Medicine,
• 44:26and the School of Medicine
• 44:29lives within Yale University.
• 44:30So we are part of a very complex system.
• 44:34And where we managing this
• 44:36practice just on our own,
• 44:38it would be different from it how it
• 44:40is and managing it in the system.
• 44:42There's opportunities and there's challenges.
• 44:48So here's our current state,
• 44:50and thanks to Aaron for pulling these data.
• 44:53And these data right now on the
• 44:55graph go through December 2021.
• 44:58But the trends continued from
• 45:00January to the present in 2022.
• 45:02So you can see that just extraordinary
• 45:05increase in referrals across really the
• 45:08two as you can see across the two areas,
• 45:12the very top our Youth Services.
• 45:15And but there's there's a
• 45:18general increase across.
• 45:19What I must want to perhaps
• 45:21call your attention to,
• 45:22not just with the increase,
• 45:23but the fact that because of this surge,
• 45:26we have 500 children right now
• 45:29on our current waiting list.
• 45:32Now that's that's impractical.
• 45:33We can't do that.
• 45:35But it means that there's 500 individuals
• 45:38out there seeking services from
• 45:40somewhere that we need to figure out.
• 45:43Or at some point they'll
• 45:44find services somewhere.
• 45:45Some of it will be with us,
• 45:46someone will be with someone else.
• 45:48But there's 500 people that are seeking
• 45:51mental health services for their children.
• 45:55And I don't say that for everyone to feel.
• 45:59Say it for us to start thinking, think, OK.
• 46:02We can't do business as usual.
• 46:05What are the ways to start thinking
• 46:07about this that are different?
• 46:08How do we design services in a different way?
• 46:12And then here are just some more,
• 46:13again thanks to Aaron, to see that
• 46:16there's 102% increase in referrals,
• 46:1960,000 scheduled appointments
• 46:21just over this last year,
• 46:2482,000 scheduled video visits.
• 46:28Greater than 2500 unique families.
• 46:31And then there's a little footnote for
• 46:33me to put here to say that this number.
• 46:37If I can manage backwards.
• 46:40That this number, sorry.
• 46:43This number actually the
• 46:452500 would be greater,
• 46:47but we have fewer clinicians now.
• 46:49So that number is modulated by the number,
• 46:52just the sheer volume of clinicians.
• 46:54You can see the average age,
• 46:56you can see the distribution of
• 46:58racial identity, and you can see
• 47:00the distribution across gender.
• 47:02And we actually need to be more fine
• 47:04grained about that distribution across
• 47:05gender and not just female, male.
• 47:08And then that just for your interest,
• 47:10is the distribution across the various
• 47:13racial, race, racial identity.
• 47:16Let me show you also.
• 47:19Then where these kids come from?
• 47:22OK, come on, arrow.
• 47:23There we go.
• 47:27So this is actually our current emergency
• 47:30room inpatient unit and day hospital.
• 47:32The things to call your attention
• 47:34to on the first one on the
• 47:37behavioral health emergency room,
• 47:38it's not that the number of the
• 47:40volume of kids is increased.
• 47:41It has increased,
• 47:42but it hasn't increased exponentially.
• 47:45What's increased is look
• 47:46at the number of borders.
• 47:51So the number of borders from FY21 or FY20
• 47:56at 328 has gone to 524 to date in FY22.
• 48:04That's kids sitting in the emergency
• 48:06room waiting for some disposition.
• 48:09Waiting to go to our inpatient unit,
• 48:11waiting to go to some other place
• 48:13sitting in our emergency room
• 48:15and look at the border hours,
• 48:18the literal hours that they're sitting there.
• 48:21Has gone from 9000 in FY20
• 48:25to 32,000 projected for FY22.
• 48:30It's a fractured system.
• 48:32That's a system that needs
• 48:34some innovative thinking.
• 48:35It's a fractured system.
• 48:37It's not just putting more people in there.
• 48:40It's got we've got to rethink it.
• 48:42And then look at the children's.
• 48:45The eating disorders,
• 48:46look how those have dramatically changed
• 48:48something that Laurie has talked about
• 48:51and Rebecca talked about tremendously.
• 48:52But you can see it's it's a near doubling.
• 48:56Just over this time.
• 48:57And we could go more and
• 48:59more into those data,
• 49:00but basically I think you get the picture.
• 49:03We have a stressed delivery system.
• 49:06So what are we trying?
• 49:07What are we actually seeing
• 49:09that referrals are increasing,
• 49:11there's an increase in those disorders.
• 49:13There's greater severity,
• 49:14fewer programs are available
• 49:16in this continuum of care,
• 49:18which is why you have so many borders.
• 49:21And there's a workforce shortage.
• 49:25Right now, there are not enough
• 49:27mental health clinicians out there
• 49:29of any discipline to meet this need.
• 49:31There is a tremendous workforce shortage,
• 49:34not just for us, but for the whole country.
• 49:37So you've got actually a perfect storm.
• 49:40With all of this leading into every,
• 49:43it's feeding on each other.
• 49:46So everybody's sufficiently depressed.
• 49:52So what have we been trying to do?
• 49:54So one other thing to the financial reality.
• 49:57So all of our lines of
• 49:59business in the department,
• 50:00the research and education
• 50:01lines of business are balanced.
• 50:03Our clinical line of business has about
• 50:06a 6.6 million deficit in fiscal year 22.
• 50:10That is not because people are
• 50:12not working hard.
• 50:14That is because actually of a tremendous
• 50:16structural issue and how behavioral health
• 50:18is reimbursed and paid for in this country.
• 50:21So 91% of our clinical expenses
• 50:24are salaries and benefits,
• 50:26reimbursement rates do not cover
• 50:28the cost and our patient population
• 50:30actually now is down to 40% Medicaid.
• 50:33So what did that tell you that commercial
• 50:36payers don't cover the cost either?
• 50:39That's what it tells you.
• 50:41So if you want to go out and
• 50:43make a change in the world.
• 50:45Actually,
• 50:46importantly to note is that mental
• 50:49health is inadequately supported
• 50:51across all payers in this country.
• 50:53So what are we doing?
• 50:55First off,
• 50:55I just want to thank the Clinical Vice
• 50:58Chair Group of Yan and Michelle and Aaron.
• 51:01And here are some of the
• 51:03things that we're trying to do.
• 51:04And it cannot be one thing.
• 51:06This is not a single solution issue.
• 51:09We're working with the health
• 51:11system to increase funding.
• 51:13We're working to increase the salary
• 51:15support for our masters level clinicians.
• 51:17A number of you emit involved with a
• 51:20consultation with Doctor Ken Kraft,
• 51:21who is an organizational psychologist,
• 51:23about how do we run this practice better,
• 51:26what's the interface of research
• 51:28and practice.
• 51:29Beginning to start to fill
• 51:30some of these vacant positions,
• 51:32but remember there's a workforce shortage,
• 51:35so it's really hard to find people.
• 51:38And then we're growing that bought
• 51:39that box which was hospital based
• 51:42services where we're embedding pediatric
• 51:44psychology into the practice into
• 51:46pediatric subspecialty clinics as
• 51:49a way of improving access to care.
• 51:53And what's on the horizon are
• 51:55a number of these things.
• 51:58To clarify and enhance the
• 52:00clinical research interface,
• 52:02we have to and we are working now
• 52:06and I know I've said this last year.
• 52:08So I feel really quite mixed about
• 52:10saying it with this strength that
• 52:11we need to adjust our salaries to
• 52:14meet market rate and we are trying
• 52:15to find the funding to do that.
• 52:19To increase the number of clinical
• 52:21contracts to add teleconsultations services
• 52:23to develop an eating disorder program,
• 52:26establish a self pay practice
• 52:28and also improve measurement
• 52:30based care in our services.
• 52:32All of this will work.
• 52:34All of this will have an impact,
• 52:37but most importantly.
• 52:38Really need people to think.
• 52:41How do we rethink behavioral
• 52:45healthcare delivery?
• 52:46How do we do some things that are very
• 52:48different and that and that we can do it.
• 52:50We can do it because we're a department
• 52:53where research is embedded in so.
• 52:57Thank.
• 52:59Let me just go to the last two missions.
• 53:01But first,
• 53:01before I do that,
• 53:02I want to actually express
• 53:04gratitude to everyone who's been
• 53:06dealing with this tremendous
• 53:08behavioral health surge.
• 53:10All of you who are working
• 53:12on the clinical front lines,
• 53:13seeing more children than you
• 53:15ever thought you would see.
• 53:16Seeing children that are sicker
• 53:18than you ever thought you would see.
• 53:20That tax you that you take home
• 53:23at night and your thoughts?
• 53:24I want to thank you for all that
• 53:26you're doing for those families.
• 53:34So let me go to education
• 53:36and professional development,
• 53:37and that is the new vice Chair role
• 53:40that I we have a job description,
• 53:42we'll post it, we'll get our nominations.
• 53:46But what are we doing now is we've had,
• 53:48you saw, you saw the slides.
• 53:49We have a diverse group of fellows.
• 53:51It's wonderful.
• 53:52We have very strong
• 53:54professional training programs.
• 53:55We have incredibly well subscribed
• 53:57with Kasha and Wendy and others
• 54:00professional development efforts.
• 54:02We just just in the last couple
• 54:05of months initiated a reach
• 54:07training for pediatricians to help
• 54:09them learn about mental health.
• 54:11And we are reaching many,
• 54:13many schools through the Yale
• 54:15Center for Emotional Intelligence.
• 54:17What else can we do, though,
• 54:19in the education mission?
• 54:22And so and also to thank all of
• 54:25our training directors and to just
• 54:28note that Carolina is the new
• 54:30training Director for social work.
• 54:32I'm very grateful to all of them
• 54:34and the vice chair role is not
• 54:36to in any way supplant that,
• 54:37but to add this lens of
• 54:41professional development.
• 54:42And just to say.
• 54:43But here's what I think we can do
• 54:46for professional development that
• 54:48we need to develop a professional
• 54:50development program where we're
• 54:52actually uniformly branded,
• 54:53so reaches reaches one effort.
• 54:56And perhaps a certificate program in
• 54:59child and family behavioral health policy.
• 55:01And reinvigorate relationships.
• 55:03We had those schools.
• 55:05But to really think how do
• 55:08we consistently across have
• 55:10a professional label?
• 55:11So that everyone who sees all,
• 55:13there's a training at the Child Study Center.
• 55:15I know that's going to be good
• 55:17because I went to one on anxiety,
• 55:19I went to one on autism.
• 55:21I know exactly what I'm going to get.
• 55:24So that we really develop a professional
• 55:27training effort not for revenue,
• 55:29although it could be revenue,
• 55:31but but that really gets our word out
• 55:34there and that we impact the Community.
• 55:36That, I think,
• 55:38is an attainable goal for
• 55:40this year and we should do.
• 55:42In the last few minutes.
• 55:44Communication is the glue
• 55:47that holds us together.
• 55:49And Krista is, I think,
• 55:51of another metaphor besides glue.
• 55:52Krista the uniter.
• 55:55Krista has done so much,
• 55:58has brought us to another level of
• 56:00communication that we just didn't see.
• 56:08You can see since Christa joined in November,
• 56:11it's not even a year yet.
• 56:13All the things that she has done,
• 56:16including not only the
• 56:18insider but a new newsletter,
• 56:20a new virtual bulletin board,
• 56:22those two notes from faculty
• 56:25meetings are unbelievable.
• 56:27This is all christo's work.
• 56:29And communication is really unites across
• 56:32all the things I've been talking about.
• 56:35And where I think that we will
• 56:37be going with Krista again,
• 56:38guidance is refreshing the website
• 56:40that has turned out to be herculean
• 56:43in the most sense of the metaphor
• 56:46pushing things up the hill.
• 56:47Expanding our social media
• 56:49presence and again,
• 56:50did I mention go to the intranet?
• 56:52Because there's a lot on the intranet
• 56:55and Krista is making the intranet
• 56:56a place where we really can go
• 56:58and you can get what you need.
• 57:02So the last minute I want to
• 57:05return then to generativity,
• 57:06imagination and brace.
• 57:09And only to conclude with these
• 57:11particular with these these points.
• 57:15To make the point that I think
• 57:17if we can bring ourselves.
• 57:20To have the focus on those who will
• 57:22come after us, it will unite us.
• 57:25And remember, we've been divided,
• 57:27not divided like the country.
• 57:30But divided just because
• 57:31we've all been at home,
• 57:33we've all been in our offices,
• 57:34we've all been working virtually,
• 57:36we've not been present and we are present
• 57:39now, both in person and and and online.
• 57:42But we need to come together and we need
• 57:44to come together in this goal for others.
• 57:47And imagining a future.
• 57:50Imagining what we can be and what we
• 57:53could be and who we will be for the
• 57:56next people actually tempers loss.
• 57:58It tempers also the uncertainty
• 58:00that COVID remains with us.
• 58:03And I would just finally argue that
• 58:05building it for those who come
• 58:07after us and ensures that all the
• 58:09work we're doing as hard as it is,
• 58:11will have a lasting value and we'll
• 58:14feel like it is something that is deeply
• 58:16within us that we are giving beyond us.
• 58:19So thank you very much.
• 58:21I appreciate your coming.
• 58:34If those of you who want to stay,
• 58:36we can have some time for questions,
• 58:37there's also still coffee and
• 58:39food in the back. And Karen,
• 58:41will you monitor anything online?
• 58:44Thank you for coming.
• 58:47Thank you so much, Linda,
• 58:48for getting us off to such an
• 58:50inspiring and hopeful start.
• 58:51Are there any questions for Linda?
• 58:56Anything online I always do this by the way.
• 59:01Well, that was my fault for taking
• 59:03up five minutes at the start.
• 59:06Thanks again.