Description

The Mental Health Entrepreneur podcast is back—with a slightly new name and an expanded focus. We're excited to introduce The Mental Health Evolution, where we'll continue the journey of exploring what's changing in the mental health field, and we're so glad to have you with us as a listener. Explore the rapidly changing world of mental health with The Mental Health Evolution, hosted by Rachel Harrison. Each episode brings honest conversations with clinicians, tech founders, investors, insurance companies, and other key voices shaping the industry. We dive into what's working, what's not, and what's next—from innovative startups and ethical considerations in tech-driven therapy to policy changes, access to care, and the human connections that remain at the heart of mental health services. Whether you're a professional in the field, someone seeking care, or simply curious about the evolution of mental health, this podcast provides insights, perspectives, and practical information to help you navigate a complex and fast-moving landscape. Join us to stay informed, challenge assumptions, and be part of the conversation shaping the future of mental health.
2024
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    Épisodes
    • Ep 26: Who Supports the Crisis Workers with Becky Stoll

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

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

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

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

      KEY TOPICS DISCUSSED

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

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

      Articles and Reports:

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

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

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

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

      CONNECT WITH THE MENTAL HEALTH EVOLUTION

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

      MUSICAL CREDIT

      Music by Zach Harrison
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      15 min
    • Ep 24: Interstate Licensure Compacts

      Ep 24: Interstate Licensure Compacts
      Feb 4 2026
      EPISODE OVERVIEW In this solo episode of the Mental Health Evolution, Rachel explores one of the most promising—and complicated—policy shifts in mental health care today: interstate licensure compacts. As telehealth becomes a permanent part of service delivery, clinicians are increasingly navigating challenges related to cross-state licensure, insurance reimbursement, and legal compliance. Rachel breaks down the current status of licensure compacts for counselors, social workers, and psychologists, and discusses what these changes could mean for access to care, clinician mobility, and the broader mental health landscape. KEY TOPICS DISCUSSED (0:36–1:04) Why interstate licensure compacts matter now more than ever (1:04–1:54) The mismatch between where clinicians are licensed and where clients need care (2:11–2:36) What an interstate licensure compact is and how it works (2:44–3:20) The Counseling Compact: current implementation and participating states (3:20–3:35) The Social Work Licensure Compact and where it stands (3:35–3:57) PSYPACT and why psychologists are ahead of the curve (4:00–4:18) How compacts could reduce administrative burden and expand access to care (4:22–5:55) Insurance reimbursement challenges, parity laws, and telehealth payment uncertainty (6:09–7:19) Potential impacts on rural access and workforce distribution (7:22–7:55) Scope-of-practice laws, consent requirements, and privacy considerations (8:05–9:00) How licensure compacts may reshape competition and national mental health markets (9:06–10:27) Why compacts are promising—but not a complete solution MAIN TAKEAWAYS Interstate licensure compacts allow clinicians to practice across participating states without holding multiple licenses, but implementation varies by profession and state. The Counseling Compact is live in a limited number of states, PSYPACT is already operational for psychologists, and the Social Work Compact is still in development. Licensure compacts do not guarantee insurance reimbursement, which remains one of the biggest barriers to cross-state telehealth care. Telehealth parity laws and Medicaid reimbursement policies differ widely by state and payer. While compacts could significantly expand access to care, clinicians must still navigate legal, ethical, and financial complexities. RESOURCES MENTIONED Counseling Compact: http://counselingcompact.gov PSYPACT: https://psypact.gov/ Social Work Compact: https://swcompact.org/ HHS Telehealth Licensure Overview: https://telehealth.hhs.gov/licensure/licensing-across-state-lines Telehealth & Private Insurance Laws: https://www.ncsl.org/health/the-telehealth-explainer-series/telehealth-private-insurance-laws Medicaid Telehealth Reimbursement Guidelines: https://www.medicaid.gov/medicaid/benefits/telehealth/reimbursement-for-telehealth-and-provider-and-facility-guidelines Federal & State Telehealth Policy Tracker (Manatt): https://www.manatt.com/insights/white-papers/2025/manatt-telehealth-policy-tracker-tracking-ongoing-federal-and-state-telehealth-policy-changes CONNECT WITH THE MENTAL HEALTH EVOLUTION Website: https://www.traumaspecialiststraining.com/mental-health-evolution-podcast Instagram: /thementalhealthevolution/ LinkedIn: /the-mental-health-evolution Facebook: /TheMentalHealthEvolution Music Credit: Music by Zach Harrison
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      11 min
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