A flagship moment on this theme
"It has been so difficult to get people to listen to him because they feel like you've gotta wait till you have a quiet office, one to one, one therapist to one client. Wait till the dust settles before you intervene."
Names a real institutional norm that slows adoption -- the belief that mental health intervention requires settled circumstances and a private room -- and the resistance is recognizable to any clinician who has tried to do something differently.
Where this is a central topic
3 episodes
Rethinking Behavioral Health Access with Jason Youngblood
Jason identified navigation, helping people figure out where to start in an overwhelming marketplace of options, as the next critical frontier in behavioral health access and the primary call he is hearing from employers.
Tiered Care, Technology, and the Future of Mental Health
Rachel structures the entire episode around the emergence of a tiered model where technology handles lower-intensity needs and escalates to human clinicians for higher-acuity work, drawing directly from current peer-reviewed literature.
Expanding EMDR Therapy To A Group Setting | Regina Morrow Robinson of The Book, EMDR Group Therapy
Regina explicitly names the stepped-care framework as the organizing logic for group EMDR deployment, with protocols tiered by intensity and provider credential level throughout the episode.
Where this comes up substantially
2 episodes
The Human Side of Elite Athletes | Julie Kliegman of the book, Mind Game
Julie describes sports psychology as a 'Trojan horse': framing support around performance rather than mental illness can open the door for athletes who would not otherwise seek help.
Proactive Relationship Healthcare | Dr James Cordova and Matt Rubin of Arammu
Dr. Cordova describes the checkup as equivalent to a primary care visit that triages couples to brief care, longer-term care, or referral, explicitly mapping the product to stepped-care logic.
Looking to go deeper in your own work?
These TSTI trainings build on conversations from the episodes above.