Podcasts > All About Change > Phillip Schermer: bringing mental health care to the masses

Phillip Schermer: bringing mental health care to the masses

By Jay Ruderman

In this episode of All About Change, Phillip Schermer discusses his work as leader of Project Healthy Minds, a nonprofit startup working to improve access to mental health services. The organization operates as a digital marketplace connecting people to various mental health resources, from therapy and psychiatry to meditation, while accommodating different financial situations including Medicare and Medicaid recipients.

The episode explores current challenges in mental health care delivery, including provider shortages and data management issues in the United States. Schermer also addresses how 24/7 news cycles and social media affect mental health, particularly for those under 35 and parents. The discussion includes perspectives on AI's role in mental health care, examining both potential applications and risks while considering various regulatory approaches.

Phillip Schermer: bringing mental health care to the masses

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Phillip Schermer: bringing mental health care to the masses

1-Page Summary

Project Healthy Minds' Mission to Improve Mental Health

Project Healthy Minds, a nonprofit startup led by Phillip Schermer, aims to democratize access to mental health services while working to destigmatize mental health issues. Schermer shares how the profound impact of Logic's song "1-800-273-8255" on suicide hotline calls demonstrates culture's power to influence mental health awareness.

Operating as a nonprofit to prioritize outcomes over profit, Project Healthy Minds serves as a comprehensive digital marketplace for mental health services. The platform offers various options, from therapy and psychiatry to meditation, accommodating different financial situations including Medicaid and Medicare recipients, and providing specialized support like free therapy sessions for specific demographics.

Systemic Challenges in the Mental Health Landscape

The United States faces significant challenges in mental health care delivery. Low reimbursement rates have led to a critical shortage of mental health providers, making it difficult for Americans to access care. Schermer points out that mental health data management compounds these issues, with information often being outdated by over a year and too narrowly focused on suicide data.

Impact of Events and Technologies on Mental Health

Phillip Schermer, referencing Jonathan Haidt's work, expresses concern about how 24/7 news cycles and social media amplify the psychological impact of events like extreme weather, mass shootings, and other crises. This constant exposure to tragic events particularly affects those under 35 and parents.

Regarding technological advancement, Schermer warns about the "Wild West" phase of AI in mental health care. Following findings from a Stanford study about chatbots giving dangerous advice, Project Healthy Minds deliberately avoids incorporating AI chatbots. Schermer discusses various regulatory approaches being explored, including Illinois's ban on AI therapy, though the optimal level of regulation—state or federal—remains unclear.

1-Page Summary

Additional Materials

Clarifications

  • Logic's song "1-800-273-8255" is named after the phone number of the U.S. National Suicide Prevention Lifeline. After its release in 2017, the song led to a measurable increase in calls to the hotline, indicating more people sought help. The song's lyrics and music video promote hope and encourage those struggling with suicidal thoughts to reach out. This demonstrated how popular culture can positively influence mental health awareness and behavior.
  • Medicaid is a joint federal and state program providing health coverage to low-income individuals, including mental health services. Medicare is a federal program offering health insurance primarily to people aged 65 and older, also covering some mental health care. Both programs help reduce the cost barrier to accessing therapy, psychiatry, and other mental health treatments. Eligibility and covered services vary by state and program rules.
  • Low reimbursement rates refer to the relatively small amounts of money insurance companies or government programs pay providers for mental health services. When payments are low, fewer professionals find it financially viable to offer these services. This leads to a shortage of available mental health providers. Consequently, patients face longer wait times and reduced access to care.
  • Mental health data management involves collecting, storing, and analyzing information about individuals' mental health conditions and treatment outcomes. Outdated data can lead to ineffective policies and resource allocation because it does not reflect current needs or trends. Narrowly focused data, such as only tracking suicide rates, misses broader mental health issues like anxiety or depression, limiting comprehensive care strategies. Accurate, timely, and diverse data is essential for improving mental health services and addressing systemic challenges.
  • Jonathan Haidt is a social psychologist known for studying morality, politics, and social behavior. He has researched how social media and constant news exposure can increase anxiety and polarization, especially among young people. Haidt argues that these platforms often amplify negative emotions by focusing on outrage and fear. His work highlights the need to understand and mitigate these psychological effects in modern society.
  • The "Wild West" phase refers to the early, unregulated period of AI use in mental health, where standards and safeguards are lacking. Risks include AI chatbots providing incorrect, harmful, or unsafe advice due to limited understanding of complex human emotions. This can lead to worsening mental health or delayed professional treatment. Regulatory efforts aim to ensure AI tools are safe, effective, and ethically used.
  • Illinois's ban on AI therapy prohibits the use of artificial intelligence systems to provide mental health treatment without human oversight. The law aims to protect patients from potential harm caused by unregulated or inaccurate AI advice. It requires that licensed professionals remain involved in any therapeutic process involving AI tools. This ban reflects growing concerns about the safety and ethics of AI in sensitive healthcare areas.
  • The debate over state versus federal regulation of AI in mental health care centers on who should set and enforce rules to ensure safety and effectiveness. States may act faster and tailor laws to local needs, but this can create a patchwork of different rules across the country. Federal regulation offers uniform standards and broader oversight but can be slower to implement and less flexible. Balancing innovation, patient protection, and consistent care quality drives this ongoing discussion.

Counterarguments

  • While democratizing access to mental health services is crucial, there may be concerns about the quality of care in a digital marketplace model, as it might prioritize quantity over quality.
  • The impact of Logic's song on suicide hotline calls is a positive example of cultural influence, but it may not reflect a sustained or long-term engagement with mental health services.
  • Operating as a nonprofit is commendable, but it may face sustainability challenges and could struggle with scaling services to meet demand without sufficient funding.
  • A digital marketplace for mental health services could inadvertently create disparities if not all populations have equal access to or familiarity with digital technology.
  • Accommodating different financial situations is important, but systemic issues in healthcare funding and insurance may still leave gaps in coverage and access for some individuals.
  • Specialized support for specific demographics is valuable, but it's important to ensure that such services are evidence-based and do not inadvertently exclude or stigmatize other groups.
  • The shortage of mental health providers is a complex issue that may require more than just addressing reimbursement rates, including educational pathways, licensing, and broader systemic healthcare reforms.
  • While the psychological impact of 24/7 news cycles is a concern, it's also important to consider the role of individual media consumption choices and mental resilience strategies.
  • The potential dangers of AI in mental health care are valid, but there may also be benefits to AI that could be overlooked if the technology is banned or heavily regulated without thorough investigation.
  • The debate over state versus federal regulation of AI in mental health care is important, but it may also be necessary to consider the role of professional bodies and international standards in guiding the safe and ethical use of AI.

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Phillip Schermer: bringing mental health care to the masses

Project Healthy Minds' Mission to Improve Mental Health

Phillip Schermer and Project Healthy Minds are dedicated to democratizing access to mental health services and destigmatizing mental health issues in society, inspired by the cultural influence of music.

Project Healthy Minds: A Nonprofit Marketplace for Mental Health Access

The nonprofit startup Project Healthy Minds builds upon the momentum created by popular culture to provide life-changing mental health services to those in need, focusing on accessibility and diverse care options.

Song by Logic Boosts Suicide Hotline Calls, Shows Culture's Power to Destigmatize Mental Health

Phillip Schermer shared the profound impact the song "1-800-273-8255" by hip hop artist Logic had on mental health awareness and support. The song, born from Logic's personal struggles with depression and biracial identity, led to a significant increase in calls to the suicide hotline each time it was performed or highlighted. When the song was publicly released, the hotline experienced its second-highest call volume ever, showcasing the potent role that culture can play in destigmatizing mental health.

Project Healthy Minds, a Nonprofit, Prioritizes Mental Health Over Profit

Schermer discusses Project Healthy Minds' decision to operate as a nonprofit, prioritizing mental health outcomes and public trust above profit. By doing so, the organization strives to improve social outcomes in an environment where trust is typically low.

The Platform Provides Diverse Mental Health Services, Including Medicaid/Medicare and Nonprofit Options, to Meet Users' Varied Needs and Budgets

Project Healthy Minds functions as a comprehensive digital marketplace offering a wide array of mental health services, from ...

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Project Healthy Minds' Mission to Improve Mental Health

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Counterarguments

  • While leveraging popular culture can be effective in raising awareness, it may not always translate into long-term engagement or commitment to mental health advocacy.
  • Operating as a nonprofit can limit the resources available for scaling up services, potentially impacting the number of people Project Healthy Minds can reach and help.
  • A digital marketplace for mental health services may inadvertently exclude individuals without access to technology or the internet, particularly in rural or impoverished areas.
  • Accepting Medicaid and Medicare is beneficial, but navigating these systems can be complex and may still present barriers to access for some users.
  • Specialized support for specific communities, such as free therapy sessions for black men, is commendable, but it's important to ensure that such initiatives are sustainable and do not unintentionally exclude other groups in need.
  • The focus on a digital platform may not fully address the preference or need for in-person mental health services amon ...

Actionables

  • You can create a playlist of songs that address mental health issues and share it on social media to raise awareness and encourage open conversations about mental health. By selecting music from various artists who have spoken about their mental health struggles, you can help destigmatize the topic and provide comfort to those who might feel alone in their experiences.
  • Start a virtual book club focused on mental health literature to foster a supportive community and promote mental wellness education. Choose books that explore mental health from different perspectives, including memoirs, self-help, and fiction, and organize regular online meetings to discuss insights and personal reflections, which can help normalize mental health discussions in your social circles.
  • Volunteer your time to support local men ...

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Phillip Schermer: bringing mental health care to the masses

Systemic Challenges in the Mental Health Landscape

There are significant systemic issues facing the mental health landscape in the United States, including a shortage of mental health providers and challenges Americans face in accessing care.

US Mental Health Care Faces Provider Shortage

Low Reimbursement Rates Contribute To Shortage of Mental Health Providers

The podcast discusses a crisis in the supply of mental health providers in the United States, which struggles to meet the ever-increasing demand for services. One of the fundamental reasons for this shortage is related to compensation. Mental health providers face low reimbursement rates, which disincentivizes new professionals from entering the field and makes it difficult for existing providers to sustain their practices. This has a direct impact on the amount of mental health services available to the public.

Many Americans Struggle to Navigate Mental Health Care Resources

The podcast also notes that it is difficult for people to schedule appointments with therapists in America, despite a rising mental health crisis and increasing general awareness of the need for mental health care. The compensation challenge is not something every American contends with daily, but the shortage of providers makes finding care expensive and complicated, indicating larger issues i ...

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Systemic Challenges in the Mental Health Landscape

Additional Materials

Clarifications

  • Low reimbursement rates mean that insurance companies and government programs pay mental health providers relatively little for their services. This limits providers' income, making it financially challenging to maintain or start a practice. As a result, fewer professionals choose mental health careers, worsening the shortage. It also reduces the availability of affordable care for patients.
  • Low reimbursement rates mean mental health providers earn less money for their services compared to other medical fields. This lower income can make it financially unsustainable to start or maintain a practice. High student loan debt and the cost of running a practice further discourage new professionals. As a result, fewer people choose mental health careers, worsening the provider shortage.
  • A shortage of mental health providers means fewer professionals are available to see patients. This limits the number of appointments and services offered, causing longer wait times. Reduced availability can lead to unmet mental health needs in the population. Consequently, overall access to care diminishes as demand outpaces supply.
  • Navigating mental health care resources means finding and accessing appropriate mental health services, such as therapists or support programs. It is challenging because the system is complex, with many providers, insurance rules, and varying service quality. Additionally, limited provider availability and unclear information make it hard for individuals to know where to turn. This complexity often leads to delays and frustration in getting timely care.
  • Mental health data management involves collecting, storing, and analyzing information about mental health conditions and services. It helps identify trends, allocate resources, and improve care quality. Accurate, timely data enables policymakers and providers to address gaps and plan effective interventions. Poor data management limits understanding of mental health needs and hinders access to appropriate care.
  • Mental health data is often outdated by over a year due to slow data collection and reporting processes. Agencies rely on surveys and administrative records that take time to compile and verify. Limited funding and resources also delay data processing and publication. Additionally, privacy regulations can slow data sharing b ...

Counterarguments

  • While low reimbursement rates are a significant factor, the shortage of mental health providers may also be influenced by other factors such as the lengthy and expensive education and training required to become a licensed mental health professional.
  • The complexity of mental health issues and the individualized nature of treatment can contribute to the difficulty in scheduling appointments, not just the shortage of providers.
  • There may be alternative models of care, such as telehealth or group therapy, that can help alleviate the strain on the system and improve access without solely relying on increasing the number of providers.
  • The focus on suicide data in mental health data management might be due to its severity and the potential for prevention strategies to have a significant impact, even if it affects a small percentage of the population.
  • Some regions or communities may have more efficient mental health data management systems or innovative approaches to care that are not reflected in the general critique of the US mental health system.
  • The increasing awareness of mental health issues could be leading to a higher reported demand for services, which might not necessarily reflect an actual increase in mental health conditions but rather a reduction in ...

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Phillip Schermer: bringing mental health care to the masses

Impact of Events and Technologies on Mental Health

The influence of both major events and technological advancements on mental health requires public attention, with experts like Phillip Schermer and Jay Ruderman highlighting the widespread psychological impacts and the risks posed by AI-driven mental health tools.

Extreme Weather, Mass Shootings, and Crises Impact Public Psychology

Experts are raising concerns regarding how events such as extreme weather, mass shootings, and crises can affect the mental well-being of individuals who are not even directly involved.

24/7 News and Social Media Amplify Emotional Toll as People Constantly Consume Tragic Images and Narratives

Phillip Schermer, referencing Jonathan Haidt, the author of "The Anxious Generation," indicates a particular concern for the impact of constant access to information on mental health, especially among those under 35 or with children. He shares his personal experience with the Tree of Life mass shooting, which had a traumatic effect on him despite his absence, demonstrating the potential psychological impact of crises. Schermer elaborates on how the 24/7 news cycle and social media contribute to heightened anxiety, with people continuously exposed to imagery of catastrophic events like hurricanes, wildfires, and mass shootings.

Ai-driven Mental Health Tools Pose Risks, With Chatbots Giving Dangerous Advice

Concerns are raised over AI-driven mental health tools, as a Stanford study warns about chatbots giving dangerous advice, like instructing someone on how to harm themselves. Schermer emphasizes the "Wild West" phase of AI chatbots in therapy, acknowledging the potential risks involved in integrating AI into mental health services without adequate safeguards.

Regulation N ...

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Impact of Events and Technologies on Mental Health

Additional Materials

Clarifications

  • Phillip Schermer is a mental health expert and advocate known for his work on the psychological effects of trauma and crises. Jay Ruderman is a disability rights advocate and leader involved in ethical issues related to technology and healthcare. Both are relevant because they provide informed perspectives on the mental health impacts of current events and the ethical challenges of AI in therapy. Their insights help highlight the need for careful regulation and awareness in mental health care.
  • Jonathan Haidt is a social psychologist known for studying morality, politics, and mental health. "The Anxious Generation" refers to his analysis of how younger people face increased anxiety due to social and cultural changes. He links constant exposure to negative news and social media with rising mental health issues. His work highlights the psychological impact of modern information environments on youth.
  • The Tree of Life mass shooting occurred on October 27, 2018, at the Tree of Life synagogue in Pittsburgh, Pennsylvania. It was the deadliest attack on the Jewish community in the United States, resulting in 11 deaths and multiple injuries. The shooter targeted worshippers during a religious service, motivated by anti-Semitic beliefs. This event deeply affected many people nationwide, including those not directly involved.
  • The "Wild West" phase refers to a period of rapid, unregulated development and experimentation with AI chatbots. During this time, there are few rules or standards governing their use, leading to unpredictable and sometimes harmful outcomes. It implies a lack of oversight, similar to the lawlessness historically associated with the American frontier. This phase highlights the urgent need for clear regulations to ensure safety and ethical use.
  • Project Healthy Minds is a nonprofit organization focused on improving mental health through digital tools and resources. It aims to provide accessible, evidence-based mental health support without relying on AI chatbots. The project emphasizes safety and ethical standards in mental health care technology. It collaborates with experts to develop trustworthy digital interventi ...

Counterarguments

  • While major events and technological advancements can influence public mental health, it's also important to recognize the resilience of many individuals and communities in the face of adversity.
  • Some research suggests that exposure to certain types of news and social media can also foster community, resilience, and informed action rather than just anxiety and emotional distress.
  • The impact of tragic images and narratives on mental health can vary greatly among individuals, with some being more susceptible than others, and some potentially benefiting from increased awareness and engagement.
  • AI-driven mental health tools have the potential to provide accessible support to those who may not have access to traditional mental health services, and not all AI applications pose the same level of risk.
  • The "Wild West" phase of AI in therapy could be seen as a necessary period of innovation and experimentation that, with proper oversight, could lead to significant advancements in mental health care.
  • Regulation is important, but over-regulation could stifle innovation and the development of beneficial AI-driven mental health tools.
  • While some platforms choose not to use AI chatbots, others may implement ...

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