EP53: Top 10 Personal Growth Podcasts

Welcome to Success Insider, a podcast for
emerging leaders and anyone seeking motivation, inspiration and business
or career advancement. Brought to
you by Success Magazine. Listen. Learn. Grow. Learning is the beginning of
wealth. Learning is the beginning of health. Learning is the beginning of
spirituality. Searching and learning is where the miracle
process begins. Those
are the wise words of the incomparable speaker and author, Jim Rohn. On this
week’s episode, Josh and Shelby discuss the power of learning on the go and
why podcasts are the future of personal growth. We hear from a few of the
leading podcasters about why they feel the same and Josh and Shelby share
their favorite podcasts for you to listen to while you commute, clean or whenever
you have time to spare. And now our hosts, Shelby Skrhak and Josh
Ellis. JE: S-H-E-L-B-Y. Shelby. S-H-E-L-B-Y. Shelby. SS: Hi Josh, how are you? JE: Whew, good. SS: Good peppy start to the morning, huh? JE: Yeah just got out of a peppy meeting. SS: Yeah? JE: I’m, I’m uh pepped up on coffee and-. SS: You’re ready to go. JE: It’s um, it’s incredibly bright outside
as, as uh, as we sit in here. So I’m-. SS: It’s a little bit of a change for us. We’re recording this in the morning, so. JE: I’m wide awake. SS: Yeah, we’re gonna wipe the sleep from
our eyes and-. JE: I haven’t had my two-thirds pound gut-buster
burger yet, which is-. What
do you listen to on your drive in to work? SS: Well thankfully it’s short. But I will typically crank on my Pandora or
my Amazon music app and-. JE: People still use Pandora? SS: Yeah, it’s. So I’m in that in between, because I know
everyone’s using Spotify right now, but I had subscribed for
the year for like six months ago, so I’m gonna squeeze every bit out of it. So, yes. How ’bout you? JE: Well I can either carry a tune or judge
what is good music. I have terrible
taste in music. Famously terrible. SS: Really? JE: So most of the time. I like listening to other people talk instead. And
sometimes I listen to- if I just wanna like zone out and relax, then I’ll listen
to sports talk radio, ya know? My friends who called my boxing match. SS: Yeah. JE: Listen to them sometimes. Um, but most of the time I really prefer this
ever-revolving, ever-improving curated list of podcasts that I really like. And not just this one because if you’ve ever
heard it, then you know that the sound of your own voice on recording is,
is terrible to listen to. So I
don’t listen to this one much. SS: Right. JE: But I love listening to other people who
can, ya know, with their topics and discussions, can really kind of inform my
growth and fuel my mind. SS: Well that’s probably a good, a good way
to definitely fill your time. I mean
I know that the average travel time to work in the U.S. is like 25 minutes. So I mean that’s 50 minutes a day, it’s four
hours a week. Ya know it’s a
lot of time wasted. JE: Shelby, that’s a good day, 25 minutes. SS: Yeah. JE: For me, because- I don’t know what it
is. People just like to get in wrecks
on the tollway and I was the victim of that recently. You know that. But
it’s not the most infuriating thing because I do feel like it’s not time wasted. SS: Yeah. JE: I’m learning something. I’m growing. I’m becoming a better person
because I devote that spare time to the noble pursuit, or whatever you
wanna call it, of self-improvement, of self-growth. SS: Right and that’s- I think we’re probably
preaching to the choir here, but yeah there’s no better way to use that time
when you’re in your car, when you’ve got basically your captive audience. You’ve either got the drone of
road sounds or you can turn on something that really gets your mind
going. So I think that’s a great way to use that
time to grow your brain, grow your personal development I guess. JE: Yeah. And I don’t just do it in the car . I mean
I do it at the grocery store. I
love to listen to podcasts when I’m cooking, cleaning the house, of course. Ya know I’m an overgrown baby. So I still play videogames. SS: Yeah. JE: And that’s a self-indulgent pursuit. Ya know it’s- it is a waste of time. Except I turn down the volume and turn up
the podcast. SS: Really? JE: Yeah, so-. SS: So how many are you listening to a week? JE: Um ya know different ones of different
lengths every week. I’m subscribed
to about 30 podcasts. SS: Wow. JE: And it, ya know, it just depends on where
the mood strikes me. I’ll learn
about everything from- ya know I follow the news, politics and things like
that. But also really instructive podcasts that
are great for getting more out of myself too. And so that time is really not wasted . It’s
basically the same as reading a book. SS: Right. JE: Reading an audiobook. I’m growing. And, ya know, Zig Ziglar, guy that
we love. He said once that when you finish school you
don’t finish your education. It’s a lifetime matter. And ya know I think that we get so
caught up in this idea that learning has to be done in a classroom setting,
or a book ’cause that’s just more traditional. That we forget we have all
throughout our day, every day, these like wisps of time, ya know that-
even if it’s just five minutes that we can take to boost ourselves with- it
may just be a little tidbit or a powerful tidbit. Or an audiobook. Audiobooks work the same way as podcast on
personal growth or leadership or any topic that we really need. SS: But what about some of these denser podcasts? I mean you’re not
exactly able to take notes if you’re driving or you’re in the grocery store, ya
know. So isn’t being able to write those things
down, as Jim Rohn would say, in a journal to not rely on your memory. Isn’t that kind of a part in
learning? JE: Yeah it is. And you can take mental notes if you’re focused
on it enough. But also you can kinda tell while you’re listening
if you’re really enjoying it or not, ya know? SS: Yeah, if it’s clicking, yeah. JE: So those are the ones that you go back
and listen to again when you are a little bit more focused and are able to scribble
some things down. SS: Right and that’s true. I mean it’s not that you’re absorbing every
single piece of information in the podcast, but you
know when something is really clicking. When you have that kind of light bulb moment
or that a-ha moment, like yeah that makes sense. That’s the thing that I was looking
for. And there can be plenty of really dense podcasts,
and we’re gonna talk about some of those today that have lots
of information. But really the
best podcasts are the ones that even inspire just one great idea, one thing
that really turns your day around and kinda breathes new life into your
efforts of what you’re doing that day, what you’re trying to accomplish. JE: Yeah and obviously we’re preaching to
the choir here. SS: Yeah, yeah. JE: Because the folks listening to this – you
get the memo. We know that. You like to learn, you like to improve yourself
and you like to learn and improve yourself on the go. You are a Success Insider listener. But that
doesn’t mean that we can be your only brand. You can branch out and I
think that a rising tide lifts all ships and it certainly would lift the ships of
our listeners. So let’s hear from some others who know the
value of audio, in particular podcasts, because these
are the hosts of some of the most popular podcasts out there. LH: My name is Lewis Howes. I’m the host of “The School of Greatness”
podcast, on the top 100 podcasts in the world with 1.5 million downloads a
month, and I’m a New York Times Best-Selling Author. And I believe
podcasts are such a powerful medium for helping people to learn and
grow. I started my podcast four years ago, doing
one episode a week, and it took off because of the nature of podcasts
and how they’re done. Most of the time people are listening while
they’re working out, while they’re waking up, starting their day, when
they’re commuting. So they’re
activating their mind and they wanna learn something on their time, on
demand. They don’t have to wait for it. They can press play and listen to
it at any time. And you’re activated in their ears. Usually people are
wearing headphones, and you are being so present and informational
during this time for 30 to 60 minutes or however long your podcasts are. Mine are an hour. And, therefore, you’re activating someone’s
mind and learning and growing during this time of day
when they wanna learn the most. So it’s a powerful way. You just gotta make sure you’re consistent
with it. That you are diligent in the production value
you are trying to optimize, you’re teaching and you’re not giving
fluff and that’ll really support you in increasing your business but
also helping other people learn and grow as well. JF: Hey there, it’s Jonathan Fields, producer
and host of “Good Life Project” podcast. So why do I think podcasts are a really powerful
medium? You
know this really came to me a couple of years back when I was having
conversation with a well-known public radio producer and we were
producing video at the time and I was considering a move to audio and I
wasn’t sure it would be podcast or public radio. And I kinda said her, ya
know I was really interested in public radio and she asked me why. And I
said well the reach- I mean there’s tremendous reach on public radio. And
she kind of titled her head to the side and raised an eyebrow like I wasn’t
getting it. And I said, what am I missing here? And she said, well yeah
there is a lot of really great reach in public radio and truth is, these days
podcasting is exploding reach-wise too. But that’s not the big benefit. The
big difference is that audio is an incredibly intimate medium. It’s different
than video. It’s different than print. Because essentially it’s your voice just
entering the ears and the brain and the intellect and the wisdom of the
person listening. It’s like you’re having a conversation with
them. And
then they get to form the visual around that. And in that moment I really
awakened to the power of audio and we started to produce stand-alone
audio content and eventually made the shift entirely from video to audio
and decided to focus entirely on podcasting. And I found her words to be
incredibly resonant and true. Audio is an incredibly intimate medium. You’re hearing my voice and you hear us very
likely right now through headphones. Ya know literally channeling straight into
you. And it
develops a sense of knowing, a sense of rapport, a sense of comfort, trust
and ease that’s really hard to replicate in another medium. And because
of that, it creates an opportunity for transmission and change in a really
different shape and way. So those are my thoughts on how podcasting
can become a really powerful medium and really have the ability to help
people change their lives in a meaningful way that is different than any
other form of medium. Signing off, this is Jonathan Fields. Again, from
“Good Life Project” podcast. JLD: Hey this is John Lee Dumas, the founder
and host of the Award-winning podcast, EOFire, where I interview today’s
most inspiring and successful entrepreneurs seven days a week. I’ve interviewed over 1,600
entrepreneurs to date to include Darren Hardy, Tim Ferris,
Gary Vaynerchuk, Tony Robbins, Daymond John, Barbara Corcoran and
many, many more. We talk about their failures, their successes,
their a-ha moments and really pull out their lessons
learned. I’m personally really
excited to see Success Magazine continue to rock the podcasting world
because this medium is special. It’s free. It’s on-demand. It’s targeted
content that allows you, the listener, to consume it when and where and
how you want – whether you’re driving in your car, whether you’re running
on the beach, whether you’re folding laundry, walking your dog – whatever
it might be, you can listen and you can learn. It’s a very intimate form of
communication as well. Like you feel like you get to know the host. It
really seems like you can live the story and the lessons that come from
this great medium of podcasting. So 2017 is an amazing year for the
podcasting world. I’m honored and touched that Success Magazine
reached out for me to contribute to today’s episode. So I hope that you
have a wonderful year and prepare to ignite. SS: All right Josh so as promised we put together
our own list, our must-listen list of the top ten podcasts to help you live
a full, successful, happy life. We’re gonna go over some of those now. JE: Yeah and we should note these are not
ranked in any particular order. We just chose our favorite ten to share. So the order doesn’t mean a
thing. In fact imagine that we wrote them all out
on a deck of cards and shuffled it up real good. SS: Right. All right Josh so to kick off this not countdown
of top ten podcasts, I’m gonna start with one particular one. It’s “Happier” with Gretchen
Rubin. JE: Happier. SS: So, as you know, Gretchen Ruben, she’s
the author of “The Happiness Project.” Also a book named “Better than Before.” But so on this
particular podcast she and her sister, Elizabeth Craft, they sit down and
they talk- they kinda just have some real fresh, “real talk” about a lot of the
happiness movements out there. I think one of my favorite pieces of that
is the “try this at home” segment. I think that is certainly a popular thing
with their readers, but it’s a great, great listen. JE: Gretchen obviously has had a lot of success
as an author yeah, number one best-seller, and we featured her in Success
before. But the podcast
is one that I know you really love and what is it about her in the audio
format that you particular enjoy? SS: I just like that she’s very endearing
and maybe it’s just the funny relationship between she and her sister. I think that lends an interesting
dynamic that, I think especially with some of the dual host podcasts,
hopefully present company included, it brings another level of depth, a
level of discussion and really kind of brings open the topic, instead of just
a monologue, if you will. JE: Right. You can kind of play ideas off of each other
and-. SS: Yeah. JE: Even pretend that you really like one
another. SS: Ha ha ha. Fake laugh. JE: Yes, good acting. Okay so next up on the list, how about “The
School of Greatness” with Lewis Howes. SS: Yeah so he’s also got a book by the same
title. “School of Greatness.” JE: And a lot of interviews with authors and
experts and people who are just living the life they want, no matter what. SS: Yeah he’s a charismatic guy. I know that the episodes are pretty meaty. They’re mostly about an hour long and he-
when he sits down and does these interviews, ya know, he does have a
lot of conversation back and forth with these thought leaders. But ya know it’s something that’s really,
really grown him quite an audience, quite a following. He’s doin’ some
great stuff. JE: Next up is a guy that I know well. I wrote a Success cover story on him. I’ve interviewed him a couple times for Success
Talks. Don’t be surprised
if he turns up here at some point down the line. It’s Tim Ferris. Tim Ferris
is a self-experimenter. He’s multi-, multi- Time Best-Seller. The first book
was the biggest hit, “The Four-Hour Workweek,” but his latest one is really
a huge hit too and it might end up surpassing it. It’s “Tools of Titans”
where he kind of did what we do, which is basically gather all the best
methods and mantras of the most successful people and compile them
together and ya know the New York Times famously called him a cross
between Jack Welch, the old General Electric boss and a Buddhist Monk. SS: Wow. JE: And I think that’s probably pretty appropriate. Tim’s show is really
interesting. It’s mostly interview-based, although he will
do frequently, ya know questions back and forth. But he gets so deep with the people he’s
interviewing and I am interested in becoming as devoted to being my
personal best as he is. And I think that that’s really infectious
with his podcast. SS: Yeah great stuff. So next up on the list is “The Art of Charm.” This is
somebody that we’ve had on the show recently, Jordan Harbinger. This is
a favorite of yours, right? JE: Uh I’ve, ya know of everything on this
list, I’ve probably listened to Jordan’s show the most, “The Art of Charm.” And it really, for me, huh- he
started as- and “The Art of Charm” started as like a dating school for
dudes, right? SS: Yeah. JE: But I was actually turned on to the podcast
by an old friend of mine who happens to be a woman. So it’s not just that anymore. He’s way evolved
to be for- applicable for all audiences and it’s totally G-rated. And it’s not in
any way like slimy, like you think of dating schools. It’s actually about like
helping people be more confident and when I picked it up I was getting out
of a long-term relationship and so I didn’t like remember how to date or
remember how to be like open to meeting new people and stuff like that. SS: Yeah. JE: So charm, I think, as he defines it, is
really just about how to put the people around you- to make them feel comfortable. That’s charm. Your
own confidence is a big part of that, so for me, when I started listening to
it, I was really interested in all the guests and the methods that Jordan
teaches about growing your confidence. And that’s what we had him on
Success Insider for recently. SS: So this isn’t the old seduce and destroy,
how to make women fall for you madly and get them to wield to your ways. Like this is true confidence and
how- and learning how to be comfortable in your own skin. JE: Yeah. SS: And how to put your best foot forward
for other people. JE: And I think basically the ultimate, where
he arrives on dating- the seduce and destroy thing is ridiculous. Of course, but you wanna know how to be
appealing to women or men? SS: Right. JE: Is just be a good person. SS: Yeah. JE: And you will attract people. SS: Right. JE: And that’s basically what he arrives on. It’s a really interesting show week
after week. SS: Next on the list is the “Entreleadership”
podcast. Say that five times fast. This is hosted by Ken Coleman. Now we- I met Ken Coleman, gosh at
least five years ago. He was just about to start a new show. He had a
book coming out and he’s really just a really dynamic guy. I need to- Ken
we’re gonna let you know that you’re on this list and we’re gonna give you
a call and ask ya to come on the show because I forgot what an engaging
guy Ken really is. He’s a great interviewer and he’s had some
of the- some top names certainly within our industry. Mark Cuban, Seth Godin,
Jim Collins, Simon Sinek- ya know, big, good names that are really
thought leaders out there. JE: Yeah one of my first stories when I got
to Success, maybe my first was- I was interviewing Ken Coleman. He had a new book coming out where he
asked a lot of really impactful people one question. He only gave himself
one question to ask them. And a real test to see if he could come up
with the one perfect question. If you could ask John McCain, like P.O.W. War
Hero, Statesman one question that would be beneficial to yourself or your
reader, what would you ask him? And a fascinating book. All right, next is
Marie Forleo, “The Marie Forleo” podcast. She was named by Oprah as a
thought leader for the next generation. She was one of Inc.’s 500
fastest-growing companies, her company. And the goal for Marie is to
help you become the person that you most wanna be. The show is, along
with the guests, Marie shares strategies for happiness and success and
creativity, motivation, productivity – everything. SS: Yeah and she’s got such an engaging personality
to her. I mean she
really seems just warm and genuine and I think that’s infectious certainly
when she speaks to her guests, and she’s just a likeable person to listen
to and to follow then. JE: Next up, “The Tony Robbins” podcast. Ya know I’ve heard sometimes
when people are voting for like the Pro Football Hall of Fame, if
somebody’s like an obvious Hall-of-Famer, ya know instead of debating it
they’ll just get up on the stage and the presenter will say, Jerry Rice, and
then he’ll walk off the stage. In other cases where it’s more debatable,
they’ll talk for 45 minutes about the person or three hours or whatever. But I think that we can just say, “Tony Robbins.” He is the Rockstar in sort
of our industry. Ya know you’re always gonna get good impactful
and maybe even if it catches you in the right
mood, life-changing stuff from Tony Robbins. SS: All right so next on the list of the top
ten podcasts, “Motley Fool Money.” So Motley Fool is- actually they’ve been around
a while. It’s a financial
site that was started by analysts that really kind of gave some of, at first
some contrary advice, but it was really advice for real people. And so then
this, I guess franchise has developed into a podcast and really it’s, truly
it’s a radio show. I mean it’s weekly across several top-ten
markets; I think L.A., San Francisco, Boston, D.C., but
this show dives into a lot of the top business stories and investing stories
and it’s really engaging, dive into markets from a different take. JE: Well I know that- I mean they do stock
tips right? I’m always a little leery
of taking stock tips from anyone that’s on TV or on the radio, ya know. I
feel like if everybody knows about it- like I don’t know. I just feel like if
you’re broadcasting stock tips that it’s manipulative in a way to the stock
itself. It’s almost like Schroedinger’s cat, ya know-
we start looking at the stock and because we say it’s gonna be bad
then it starts to be bad, or because we say it’s gonna be good, then it
starts to be good. SS: And that can definitely happen. And I think though they’ve been around
so long. It’s not that they got their start on TV and
just all of a sudden started picking stocks out of a hat. I think their big thing was based in
research and then really just trying to make the research usable for
everyday people. And so because they had done this for so long
on their website. I followed them for a while. I haven’t kept up a lot lately, but they
really do give some great advice, and it doesn’t feel schwarmy or
disingenuine at all because they know their stuff. JE: Next up is a former Success cover gal. A lot of people that we’ve covered
on the magazine turn up on this list. But it’s the “Jillian Michael Show.” Jillian Michaels is America’s health and wellness
guru, I would say. The
show is entertaining. It’s inspirational, informative. It just give tools to find
health and happiness in all areas of your life. SS: So rounding out this top ten list is EOFire
with John Lee Dumas. He’s got
quite the cast of guests. JE: Yeah, some of the brightest minds. SS: Tim Ferris, Tony Robbins, Gary Vaynerchuk. JE: Josh Ellis. SS: Josh Ellis, yeah. JE: I was a guest on EOFire. SS: And what did you say? JE: What did I say? I don’t know we talked for like 30 minutes. I said a lot of
things SS: All right, what was your best nugget? JE: Well you don’t remember that. You remember the worst. SS: Okay what was the worst thing you said? JE: And so, he totally caught me off guard
with one question. He’s like what is
one thing that you do that no one else does? And I was just stumped. And ya know it’s dead air so you gotta hurry
up and something, and so I was like I- I always work with a pencil. Which is true. SS: Yeah that’s true. JE: I do, I don’t like pens. SS: As you’ve got a pencil in your hair right
now. JE: In my ear. It’s not in my hair. There’s a big difference. SS: Okay, is that a girl thing, to have it
in your hair? JE: Yeah it’s behind my ear, not in my ear. There’s a big difference in that
too. SS: Yeah. JE: But like and then I tried to fumble for
some explanation of- that way you can make up for your mistakes and as a magazine
editor I always-. SS: See you tried to round that out in some
wisdom. JE: Yeah. It really showed me that he keeps his guests
on their toes. And so
you can get some really good stuff from some people who think a lot faster
than I do. It’s worth listening to. SS: Yeah so certainly podcasts are a huge,
huge genre and so it’s hard to really nail down just ten. When we were compiling the podcasts that we
really liked and felt like our audience would most enjoy, it really was hard
to nail it down to just that number. So I wanted to mention just a few
others that I’m particularly fond of. JE: Yeah, yeah. SS: All right so “The Jocko” podcast. JE: Yeah if you aren’t familiar with Jocko
Willenk, I think you’re gonna hear a lot more about him soon. SS: Have a feeling. JE: Maybe from Success Magazine and Success
Insider and Success Talks. We got Jocko on the cover of our April issue. Former Navy Seal and just
really like motivating guy. This guy like, I mean he’s the typical like
eats lead and spits out bullets kind of dude. Um “Girl Boss Radio” is another
great one with Sophia Amoruso, another former cover gal of ours, and that
show is particularly geared toward women, women entrepreneurs, women
working their way up in their careers. How about some other ones like
“Ten Percent Happier” with Dan Harris is great. Seth Godin’s “Start Up
School.” “The Side Hustle School,” “Smart Passive Income
On-Line,” “This is Your Life” with Michael Hyatt and
oh I love this one too, “The Charged Life” with Brendon Burchard. SS: Yeah, Brendon’s a good friend of Success. JE: Really inspiring guy too with his story
of just where he was in his life after a terrible car wreck, goin’ through the worst
breakup of his life and how he pulled himself out of that sort of misery. SS: Yeah. JE: Which we all go through from time to time. How he did it with- by really
zeroing in on personal development lessons and-. SS: The three things that mattered most to
him. JE: Yeah inspiring guy. So we definitely suggest that you add some
of these to your morning or evening commute or your
videogame time or whatever it is where you have extra brain space, you
can learn a lot from these podcasts. SS: All right, well that wraps things up for
this week, but before we let you go, I wanted to discuss a letter that we got from
one of our loyal subscribers. JE: This one is from Meredith Eddons from
Ft. Smith, Arkansas. She writes,
and loyal is the right word I think, Shelby. She writes, “Success is such an
amazing magazine. I always look forward to it. My kids and I listen to the
interviews on road trips. While on a recent trip two of my sons and
I were listening to the interview with Tony Robbins. He had some valuable things
to say. However, I was incredibly disappointed by
his use of profanity throughout the interview. I’ve taught my kids that vulgar language is
lazy, uneducated and just plain stupid. So the fact that Mr. Robbins chose to
use such inappropriate language was very disappointing. Your magazine
can do better. We all can do better. This audio provided a teachable
moment to my children, just not the one we were expecting. I will continue
to read the magazine and listen to the podcasts, I just never thought I
would have to screen it before sharing it with my kids.” Thank you
Meredith. Ya know obviously we’re aware when Tony Robbins
cusses that not everyone wants to hear that. But we make that call for a reason,
to leave that in, because he makes that call for a reason. It’s not that he’s
just some lout who can’t control himself and he is like the most
well-respected and most-proven inspirational leader in the game. And he
decided long ago that he can get people’s attention that way and if you’re
having a hard time in your life, then you do need to give him your
attention. If that’s what it takes- obviously you listen
to it, Meredith. And I
am sorry that your kids picked up on it, but I do think that not all curse
words, if they’re not meant to be derogatory or to be hurtful, if he’s using
them for effect. Then I think that they serve just that purpose. They are for
effect. And I do thank you for writing in. I will consider things again the
next time we interview Tony. SS: I do have to say though that you don’t
expect to have to sensor or screen content. I mean ya know for the most part, if you read
anything on success.com or listen to anything, it’s gonna
be clean because it’s- that’s not our- our brand isn’t salacious. So you’re right and actually that’s
something that I don’t think a lot of people realize is just how much Tony
cusses. I didn’t know that before I watched the documentary
and I was shocked honestly. And other people that I talk to that like
know of Tony Robbins but like didn’t- like they’d never
been to one of his events or anything, so when they see him talk, he’s
usually on like live television or something and he’s not dropping F-bombs. But he cusses a lot. So I can
see what she’s saying that if you don’t know that that is part of his brand,
his real brand, I guess, ya know in person type of thing. It can kinda catch
ya off guard. So I see what she’s saying. JE: And I will say Meredith that we again
do apologize for exposing your kids to that. I do hope that they learned something and
I hope that Tony got their attention and that they can be inspired
and grow themselves based on the, ya know the actual substance of what
he said. So we do
appreciate your feedback, positive and negative. We don’t shy away from
the negative things. But we always do appreciate the positive,
so share that stuff too. We just love hearing from you. So please always tell us
what you think by emailing us at [email protected] SS: Until next week, I’m Shelby. JE: And I’m Josh, and here is to learning
on the go.

2017 Engaged Learning Showcase: Service-Learning – Heather

[ Music ]>>When I started here I didn’t
really know what it was I wanted to do. I ended up just doing general
courses trying to figure out where it was I wanted to be. I ended up taking a break when I had my son who’s now
three, and so, I came back. So, right now I’m just working
towards a degree in social work. A big part of what I do
is community service. That’s a huge focus. When I began Sociology 1020, that’s when my first
project began, and that was with the Reach Program. What the Reach Program
is, is a program that goes into the holding
place where children who are waiting either
a foster care home or a safe environment
are housed. These children have been
pulled out of abusive and neglectful homes, and
so, they obviously have a lot of issues stemming from that
and need a lot more attention, and that’s really the
goal that Reach had was to positively impact these
kids in a way that helped them to know that even
though they had been through this huge struggle,
this very unfair situation, that there were still people
that cared about them. And the project with them
lasted for two semesters. So, there was two
different projects. The first one was small because
it was probably the first service work I had
ever really done just because I wanted to do it. Because it was something
that I believed in. I did a raffle. So, everyone who donated
put their name and number in with their donation. When the project
continued the next semester, I did what we called
a benefit concert. We had four different bands that
volunteered to play for us free of charge, and that was awesome. And then because the donations, raffle from the semester
prior was so successful, I thought that it
would be a good idea to do something similar. So, I went around to lots of
businesses, lots of people, lots of restaurants
and just asked them for gift certificates,
merchandise, anything that they
would be willing to give us to use in our raffle. It was really successful. It was really just a
positive experience, I think, for me and for everyone
involved. A huge part of sociology is
learning about the community that you live in or communities
that you don’t live in. Specifically, we were
focusing on our community. It taught me and
the other students about the realities of abuse. We looked up the statistics on
abuse and why those kids were in the places that they were in. I myself was kind
of a troubled teen. I got into a lot of trouble. I just wasn’t really
following a good path in life and that continued on
into adulthood for me. After getting my life straight,
I still had very little purpose. I really didn’t feel good
about what I was doing. Even though I was
living a productive life, I still just was confused about what it was I was
supposed to do with my life. Being able to do things for others really
gave me that purpose. It made me feel good
about myself. It made me feel like I did
have purpose and it helped me to continue living that life. Social work is so broad, but the
focus is the same in every area. It’s improving the
lives of the people that they’re working with. Unless you are at least
somewhat emotionally invested, you’re not going to
be as a good of a help to the people you’re
working with as you could be. [ Music ] [ Silence ]

Community Engaged Research Creative Works Initiative

Hi. Welcome very much to
our forum on Access to Health Care in
Mecosta County. I was hoping you could
please introduce yourselves and where you’re from and
what your specialty is and get it started. Well, my name is Diane Long. And I’m the Executive
Director of Project Starburst. We are the largest food
pantry in Mecosta County. We also serve Osceola. So I have a lot of clients
that have health care issues. I’m Danielle Marek. I’m the Director of the
Department of Health and Human Services, the former
DHS or FIA, or DHH. You know, we’ve changed names
over the years a few times. And we provide an array
of Medicaid services, about 42 to 46 Medicaid programs
at any given time, HFP, which is our Michigan version of ACA,
food benefits, other benefits as well as child welfare, adult
services, and juvenile justice. I’m Lisa Buckingham, counselor
at Big Rapids High School. And I’m not sure that
I have a specialty. I’ve worked with kids. That’s something. [INTERPOSING VOICES] I’m [? John ?] [? Benny. ?]
I work with the Committee of Mental Health. I work with the
Clubhouse program, which is a psycho-social rehab model. I’ve worked in mental health
care for the last 30 years. I’m [? Casey ?] [? Grabinski. ?]
I’m a medical social worker for Spectrum Health in Big
Rapids and Reed City campuses. We have the questions up? [INAUDIBLE] Can you take over
when you’re done? Yeah, I’ll take over as
soon as I get this up. Where within Mecosta county
and the surrounding counties do your clients come from? Mecosta and Osceola. We cover Mecosta and
Osceola Counties as well. Ours are mainly Mecosta County. Mine are Mecosta and Osceola. I’m Osceola, Lake County,
Wexford County, Mecosta County. So you go clear
as far as Wexford? Yeah. We do get people
from Cadillac too, at the Reed City campus, a lot
from Lake County and Reed City campus, since it’s
right on the boarder. But in Big Rapids
hospital, there’s some [? Montcalm ?]
County, but mostly Mecosta. OK. We’re making a map. We are making a map. And I’ve got map,
I just need to– And I don’t think that the– There it is. [INAUDIBLE] I finally
got– Oh, my god. You have to go through so
many steps with this thing. [INAUDIBLE] map, then– [INTERPOSING VOICES] So we have this map
that we’re going to put up here in a second. So you guys will be
able to look at it. And it’s color coded. And the map is the uninsured
people, people with no health insurance, in Mecosta County
between the ages of 18 to 64. So these are people who don’t
have any regular insurance and are not covered by
either anything that’s for kids that comes from the
government or anything that’s from seniors that comes
from the government. So these are people
that are adults. Are we seeing the whole thing? Yeah, we were seeing the
whole thing, or almost the whole thing. I was trying to make
some of this go away. So those are pretty
expansive areas. Is there an indication that
somewhere within those areas there are individuals or
there’s a high population within [INAUDIBLE] So if you look at
the color code here– I don’t know why I can’t get
this to just come up as a– You have to download it. Can you download it and
open it up as an image? Yeah. You hit the Download
button on the left. So– I might have to step out to see. Yeah. Come on back. Yeah, it’s hard to see
from where you’re at. It’s like being in the front
row in the movie theater. [? Penny, ?] does
that [? zoom in ?] [? higher at all? ?] Nope. OK. So now you can see– can
we change the lights here? Wrong [INAUDIBLE], won’t do it. That’s helpful. So the dark blue is– 2% to 8%
of the population is uninsured, which means every place you
see these dark blue areas, these are people that
mostly have insurance. Most of the population
there has insurance. When you get down into the
yellow, orange, and red, those are areas where
the uninsured rates are really high. So in the red area, it’s
as much as 33%, 29% to 33%. The orange areas are
around 25% uninsured. And the yellow areas are
around 22% to 23% uninsured. And then we get in
the greens and blues. And it’s going down to,
like, 15% and what not. So what we’re kind
of wondering is how your client bases
map onto these areas that we’re seeing here. Because part of what
we’re trying to do here is get a feel for who has
access to health care and who doesn’t have access. And is it tied to whether
or not you’re uninsured. Can I ask a clarifying question? It notes at the bottom of this
it’s 2010 through 2014 census. So this is census data. So we really haven’t
had applicability for ACA, which really rolled
out and became available really subsequent to that time. So that– Right. –not taking into
consideration necessarily. Exactly. And that’s one of the
thing’s what we’re looking at is whether it’s changed. Oh, I– –from the Affordable Care Act. I mean, I can share some
of our data that we have. [INTERPOSING VOICES] There are– go ahead. No, we would love it– Oh, OK. –if you shared [INAUDIBLE]. So there are about 43,000
people in Mecosta County. And we serve at DHHS
roughly 18,197 individuals. And of those, 12,181
are Medicaid cases. Of all the those–
so when you figure, too, your population that we’re
looking at, like from 18 to 65, so you’re really uninsured. Ruling out the elderly who
might be eligible for Medicare potentially as well
as those under 18 that would be eligible
potentially for your children’s programs, your children
special health care, your different Medicaid,
and those who are pregnant. So And you’re figuring into
that about 23% in poverty as you indicated and
I have seen as well. So it’s about 93,000
of 43,000 people. So we have 18,197
that are receiving assistance and Medicaid
being about 12,000. We have roughly 4,000
on HMP right now. So about a quarter
of that group is receiving HMP, which
normally wouldn’t have received any kind of health
care coverage prior to ACA. Because HMP is ACA. We have family Medicaid around
2,290, child or pregnant 2,463. So, roughly serving 14% of
the population of that 28,810 which would be your 18 to 65. And again, we’re looking
at would have HMP. That’s a really small
percentage, 14%. How many of those may have
alternative health programs through their employers
or have other access? I certainly think we’re
still seeing these things. We don’t know at
the level of what we are seeing in 2010 to
2014 based on the numbers that you showed me. So in 2010, 2014,
you think that you were seeing more people
from these red, yellow, and orange areas? Or you will see fewer people
from those areas at that time? No. I think this is accurate. Obviously, it’s based on the
census, so it’s accurate. And so I would say hopefully
our numbers have decreased. Particularly based on the number
of– if we’re serving 18,000– and that’s unduplicated
clients in Mecosta alone– then that’s just less than
half of that overall population with some type of assistance
at 12,000 with Medicaid alone. So hopefully, we
have greater access to Medicaid, HMP, other
programs that individuals could be eligible for. I think this is a
demonstration of one of out problematic areas,
which is rural access, so transportation. Or, I don’t have
transportation, so I’ve missed three appointments. And so now I’m– The services [INAUDIBLE]. –not going to– yes,
have a service anymore. And I think that particularly
impacts our indigent community. Because a more affluent
person can call the doctor and say, oh, gosh, sorry, I
missed, because I had work. Or, I was called to testify
or something came up. And there’s even at
a personal basis. You know, my son plays hockey. And so he’s missed–
I think we’ve had to reschedule three
appointment recently with the doctor, no [INAUDIBLE]. I didn’t even receive a
letter until the third time. We have client that
are being discharged from medical services after
their first missed appointment. And access, rural access,
I think, is problematic. And I think as well,
Danielle, what happens is they may have a cell phone. But whether or not they
actually have minutes on it. And that or service. Service. Exactly. So if you look at–
was it Chippewa? Yeah. So Chippewa, where you
don’t have [INAUDIBLE], where you don’t have coverage. So out near Barryton,
Chippewa, Grant, Green, there’s no cell phone coverage. And so you don’t have access
necessarily to the internet either. And so we are, as a department,
moving toward an integrated service delivery system,
which is anticipated to roll out in 2017, 2018. where someone can sit
at their computer, enter information to apply for
what they believe is Medicaid, the system will pull together
all the information and say, oh, you’re not only
eligible for Medicaid. Maybe you will be eligible for
WIC or her Project Starburst. Because you said
that you’re hungry, and you don’t have enough food. And then it’ll populate
that information into different areas,
where right now that’s not accessible. And so they have to drive. So you guys are actually
creating like a brokerage. Yes. That’s great. Is there any work on getting
people access to the Internet that we don’t know about? I mean, they’ve tried
several different programs to be able to have internet
coverage all throughout Mecosta County. But personally, I think we
live in one of those areas in [INAUDIBLE] But
unless you have a dish or something like that,
you can’t get the internet. So there isn’t any county
projects working towards that? There are. And I don’t know if you have
any installations out- we have pilot offices
within schools, so families can access within. So we have Barryton, Reed
City, Evart, and Morley schools right now where we have
what’s called a P2P, Pathway to Potential worker
where they’re actually an assisted payments worker. And families can walk in. So now, I can go
into school, and I have asked access to Medicaid,
and cash, and food benefits. Danielle, can I ask you
something really quickly? I believe it’s something
you mentioned a moment ago. In terms of transportation,
you’re at the DHHS, right? Are there services
that are provided to quote unquote “meet
folks” in their service areas regarding transportation itself? Or, is it just sort of aligning
with the [INAUDIBLE] ride? Or, I mean, what– You’re talking motive
for the most part. [INAUDIBLE] medical. You know, that’s
the Elk County runs. Yeah. Yeah. Yeah. One of the issues
you get to there– we’ve experienced it at
our program for years and CMH in general–
our therapists had quotas that
they needed to hit. And if people didn’t show up
for their therapy appointment, that’s a ding. If you don’t show up two
in a row, that’s two dings. So therapists were actually
taking personal time off, so they wouldn’t have
their stats damaged. Wow. Now, if you’re getting
on the bus in Evart, you’ve got a two plus hour
drive to get to our clinic. Yes. Now, that’s the
[INAUDIBLE] stop. And we are in the process
of seeing accreditation, all the clubhouses of Michigan
are seeking accreditation by the international standards. And one of the
standards emphasizes help people get to the program. So we get help from DHS with
bus tickets for Dial-a-Ride. We take care of tokens for MOTA. So our folks, when
they come in, they get one to get home and one to
come back the next time they want to come in. Not every program
at CMH has that. But that’s a mandate
within our model that we help with
transportation. And we were still losing people. Because if you’re
going to spend 4 and 1/2 to 5 hours on the bus– For a one hour appointment. –just come to [INAUDIBLE]
for three hours maybe or a 15 minutes
medical appointment, where’s the disincentive? It’s huge. I know when I worked
case management, I would go get people
and bring them in. Because I could use that
time one to one with them in the car both ways. Maybe you could get the
doctor’s [INAUDIBLE] and get the meds picked
up and take them home. But otherwise, they
wouldnt’ve come in. What about home visits? So for example, CMH might
have a behavior technician working with people out in their
rural areas, most rural areas. I mean, are they
taking home visits? [INAUDIBLE] don’t
have to [INAUDIBLE]. Yeah. I worked Assertive Community
Treatment for about 15 years. And I’m used to
going to the home. Because, as one of my
clients used to refer to it, I don’t like coming into
your sterile environment. He wants to be able to sit
back with his cup of coffee and his pipe. And I can get information. And I can observe in that
home what’s been going on. And you get a much– It facilitates what [INAUDIBLE]. Yeah, more open dynamic. When you’re coming in, if
you’ve heard of the white coat syndrome, people
shut up when they come into the doctor’s office. They don’t want to tell
the doctor what’s going on. So if you’re not out there in
that environment, how the heck can you really tell
what’s going on? What about DHS? So in relationship
to transportation, so if anyone looks at the
back of their Medicaid card, it has an 800 number on it. And that really is to access
transportation services, call about their
access to health care. And then the department
receives those requests and provides transportation. So I will assign and authorize
probably $30,000 a month in transportation requests
for volunteer drives. So we train all
of our volunteers. They provide the drives. And we build the specific
Medicaid or HMP program that is offering that service. Danielle, how far in
advance does someone need to call to get
one of those drivers? Well, last night I had a kid
that was sitting at my office. And they showed up
in five minutes. But that’s not typical. [INTERPOSING VOICES] Usually, five to seven days– Right. –to have a driver available. So in the event, for
example, a mother with a very ill child and
is dependent upon Medicaid and driving services through
DHHS or Grand Rapids, you know, children’s special health care
does cover some expenditures. WIC will cover some
expenditures for transportation when parents have a
signature form completed indicating that they’ve
made those appointments and have signed off. But, again, for the
sick child, that’s not necessarily
going to be an area that we can quickly address. So that leaves that person
not only with a health need, but an immediate health
need that could progressively– Get worse. So in years past,
CMH used to get dollars for funding
transportation to medical appointments. You know, helping
people, case managers go and help somebody get
to an appointment. The dollars were then
switched to DHHS. So they had to manage
the [? bonds. ?] So they had to get the drivers. And yet, I’m tracking
somebody’s medical care. And I’m not supposed
to drive them to the medical appointment. I’m supposed to call DHHS. Or it might have
been in a family of dependency [INAUDIBLE]. Sure, probably. But to me it was silly. You know, the pot is the pot. And the money’s got to be spent. Why would I arrange for a driver
to pick them up, take them to the appointment when I’m
going to gave to meet them at the appointment. OK. So I learned creative
ways to document. On the way to have coffee, we
stopped at the doctor’s office. Just [INAUDIBLE] at the doctor’s
office until we get back. Yeah. Oh, by the way, Joe needed
to fill his prescription. And he needed to get
some lab work done. I’d report that, but
leave all the fact. You know, when you’re
fudging paperwork– So you had to spend
you time circumventing. Right. I had a question asked of
me on time training, what is the essence of
being a case manager? The essence of
being a case manager is knowing how to
circumvent the system to make it do what it should
have done in the first place. Right. And we are not
necessarily– and that’s the difficult thing about DHHS. It’s a large bureaucracy that
really doesn’t [INAUDIBLE] that level of compromise,
which would be nice. And so I think that’s
a significant barrier. Because they’re
introducing things that will have a
very negative impact on those that are in poverty. For example, no load miles. So driver is not
even being paid now to go to the person’s
house to pick them up. So if I have to drive
to Grant or if I have to drive to Marion
and Osceola County, and I’m not getting paid
as a volunteer driver, only for the time that that
person’s sitting in the car, that’s going to significantly
impact access to services. And those are strategies
that legislature is implementing to reduce costs. Yes. And so circumventing,
not anymore. MapQuests have to be attached. You know, I get emails
almost every other day about how did this drive occur. If you account for these
miles from here and there and where did you go in between? I bet you lose drivers,
because of that, too. Sure. Sure. I was meeting– I met
with EMS yesterday. And they are getting a
lot of the transportation that you’re now doing. Yes. Now, that’s actually
costing more money. Much more. Yeah. It’s expensive. [INAUDIBLE] the drivers. But those are county funds. Yeah. And so people making those
decisions [INAUDIBLE]. I didn’t know that it only
comes from the county. [INTERPOSING VOICES] But I think that those are
completely different line items as well. So Medicare and Medicaid
isn’t from the state? Well, yes. Because that’s what
they’re getting paid for. We draw down from
Medicaid dollars when we have an
expenditure like that. No, I mean that EMS is– EMS? –giving [INAUDIBLE]
Medicaid and Medicare. That’s what they said. Most of their drives are that. And they say only
10% of their drives are actually for emergencies. And the rest of it is for
people who don’t have a ride. That ride costs $600. But they’re only
getting reimbursed $212. So– Yeah, that’s an unfortunate
use of the system. Because– But that’s what’s
happening, because of what’s happening in your inability
to get volunteer drivers. Sure. I think we’re
still– like I said, you know, there’s a significant
amount of money still being afforded to volunteer drives
and transportation for Medicaid. But it’s not meeting
the need, obviously. It’s no addressing. And do people who are
on Social Security, do they have access
to volunteer drivers? I believe that’s RSVP. [INAUDIBLE] hired some volunteer
program and still do that. And it depends if they
have RSDI or SSDA. Social Security Disability is
different than [INAUDIBLE], most, yes. [INAUDIBLE]. But paramedics do not know what
the resources are available. And they requested that
when I met with you that I let you know that. And they would like to know. They would like a pamphlet. About drives. They see people who are hungry. They see people who are
living in conditions– Absolutely. –that scary. They see people that need cribs, Sure. –all kinds of things. Well, we do have a crib
program through them. They’re all trained, actually. So not sure that– So want the list or a
pamphlet that they can have with all of their drivers. So when they see
things, that they can tell people what they can do. They feel underinformed. Sure. –at the ground level. They could also
access the 211 system. Yeah, that’s what I
was going to say, too. And it can provide a
lot of information. Yeah. They didn’t ask me about that. They just said could
you give me a pamphlet. Actually, I just want
to say that I had just written a small grant from
the Community Foundation. And I heard that we’re
going to receive it for $25 gift cards for gas. We also have, through
ESS and DSS funds, which are department funds,
[? Meyer’s ?] gas cards. We also will work
with [? Curry’s. ?] They’re the ones that will
locally take a purchase order. And we provide
those with frequency to clients needing
transportation. Do you have a pamphlet? I don’t have a pamphlet. Not with you, but I mean is
there one already created? We do have a pamphlet
with all the services. It’s got lots of
services listed on it. Yeah. I’ll pick it up then. And I’ll take it there. Was it 211? 211. 211 has a pamphlet
or a [INAUDIBLE]. OK. Then I’ll take
that to them, too. Thanks. That would surprise me that
EMS doesn’t know about 211. Yeah. Right. Yeah, I don’t know [INAUDIBLE]. I mean, that’s the
non-emergency number to get– All kinds of area resources. Yeah. Yeah I don’t know. They just asked me for– yeah. Yeah, participating. I was like, what
can I do to help? And that was their request. Sure. So I had another
follow up question I wanted to ask the folks that
are representing the school district as well
as the health care. So for example, you’re thinking
about providing services as a medical social worker. In terms of
transportation, are you seeing that as the
major obstacle? And if so, are there
things in place where you’re doing
site business? No. We don’t do site. But we have social workers
for our home care agencies that can reach out
to people’s homes. They have to be
referred to them. But as far as ours go, we
use a lot of the Medicaid. But we at the hospital,
we don’t actually have to have that five
to three day notice. Because someone to
the hospital via EMS, we can get them
transportation that day. There’s a three
hour wait or usually up to a three hour rate. But we use the Medicaid
[INAUDIBLE] most of the time. We use the Dial-a-Ride and the
MOTA a lot to get people home. And we use commission
on the [INAUDIBLE] and the RSVP programs
a lot of the time. And, yeah, we do
use the ambulances. It’s very, very rare. And it’s because
Mecosta in particular is being extremely picky with
who they choose to pick up now. And half the time,
they want families to sign a pay those
fees if they have them and refuse to pick people
up for non-emergent cases. So we’ve been having
difficulties with that. And then psych patients, as
well, going to facilities. Yeah. We have very big challenges. We usually have to go
outside of the county to [INAUDIBLE] methods to
transport our psych patients. EMS said that– I think they’re not dangerous
to anybody but themselves. Correct. Yeah, involuntary,
voluntary, it doesn’t matter. And the other issue
there is a lot of the psychiatric
hospitals are closed. [INAUDIBLE] Gerber Memorial
had one of the best psych units in the state. And they closed up about
six, seven years ago. Carson City hospital is closed. Mt. Pleasant closed its
psych hospital back around 2000, 2001. So now, you’re looking at going
to Midland, Bay Area, Saginaw. Grand Rapids. Grand Rapids. Hadley just closed in Ludington. Yeah, I forgot about
Hadley closing. So this kind of feeds into one
of our question which was we wanted to ask you what you
saw as the biggest unmet need. So am I hearing this right– Psych wards. –that mental health care– Psych wards. –might be the single
biggest element you need? Yes. That’s what I wanted
to follow up as. Because, as a school
counselor [INAUDIBLE] school psychologist as
well and offering services to children from [INAUDIBLE]. Are they doing any
sort of psych visits? Or, I mean, what is the school? Is who doing a psych visit? So for example, a
school psychologist. And I’m not sure
if you have them on staff at the high school
or at least in the school district. We do have school psychologists
and school social workers. They don’t necessarily deal
with mental health issues per se, because
they’re doing a lot of individual educational
development plans, IEPs for students that have cognitive
or learning disabilities. And so they’re doing
psych evaluations to determine what sort of
services that they might need, some special education services. And then they might link
up with CHM, for example, to provide those services. No, no. This is just to have a classroom
resource lab for a school that gets extra help. So we do have a
school social worker that only works with
special-ed students that have some behavioral issues. And so she meets
with them once a week on some structure and
organization or behavioral, even some small groups. So she’ll work with them. Do any of the students
actually receive any kind of like mental
health care at school? Do the psychologists
or the social workers ever identify students
and say this student needs some serious medical care? Well, I occasionally have
students come in and say, I’m really depressed. I need some help. And, you know, I am not
a licensed psychologist. And I don’t pretend to be one. And our first direction
then is to call the parent and say this child needs help. We would recommend taking
them here, or there, or somewhere else. We give them resources. We certainly suggest,
depending on the severity of the disclosure, coming
to get them immediately whether it’s a suicide or
a student is self-harming. But we don’t have the
resources in our buildings to take care those. So we count on the parents
coming and then following through. We don’t ask them if
they have insurance. So we don’t know if
that’s a barrier. What if the parents
have problems? Pardon? What if the parents
have a problem, and then you call the parents? Sometimes that happens. But we have to let them
know that we don’t. Sometimes we have to
do a CPS referral. And sometimes things get
worse before they get better. So in the cases where
you have a child who’s parents you are calling,
transportation, also, does that turn out to be a
big issue in those cases, too? Like, the parent can’t
come and get the kid. Sometimes, not often. They might send
somebody else that’s on their emergency
list, a grandparent. [INAUDIBLE] [? doesn’t ?]
require an emergency contact. Right. Right. You know, there
have been instances where a student has a seizure. We call EMS. So it’s not necessarily
a mental health issue. But it’s definitely
a medical issue. Yeah. So it’s very
difficult, you know. And when they’re 18, I
do also deal with some of our homeless students. I am the homeless liaison. So I can make the call. If they’re 18, some
of them have signed a waiver that says that they
can sign themselves in and out. I think mental health
services for youth an epidemic proportion
at this point. Yeah. We have kindergartners,
preschoolers, being suspended and expelled from school. And it’s not just us. It’s at a national level. I was reading a study that said
African American boys comprise 18% of the preschool population. And they’re expelled at 48%. The preschool expulsions or
suspensions or three times as high as all of K-12
in a national study. We are experiencing
that significantly. Why are they being expelled? Behaviors. Like what? Throwing chairs,
[INAUDIBLE] and anger. So what we’ve been doing is
just really fixating, frankly, on trauma, looking
at the ACES study and what Kaiser have to offer
and looking at the reality that most adults have
had some trauma exposure and educating our staff. I think, frankly, that’s one
of our most significant health barriers right now in our county
and in Osceola County as well. Because we have an opportunity
for some prevention, rather than we get to
all these services, like declining health. Well, you know, the
ACES study shows it. People are much more
likely to experience cardiovascular disease,
diabetes, cancer, smoking, earlier pregnancy, when exposed
to multiple or complex trauma. We’re doing a trauma
screener for every one of our kids in a CPS ongoing
case and a foster case now. And our average
number of traumas for kids even in open CPS
cases is five or more. Five or more? I mean, it’s pretty
astronomical. So we have a community that we
work with that has one of he highest suspension
and dropout rates and highest levels of
truancy in the state. And the teachers probably
have all those traumas, too. They’re overwrought. [INTERPOSING VOICES] A lot of secondary trauma. [INAUDIBLE] going into– Right, a lot of
secondary traumas. You have people
with traumas dealing with children with trauma. Sure. So we send out a travel
letter for a training that we do collectively with CMH. And we sent it out. And within one week, we received
five responses for requests for the training. Trauma in schools
is the content. So do you think that there
is an increase awareness or an increase in trauma? Yes. I think it’s more– Both. Both. I would say both. –the increase in awareness,
because we’re more acutely aware of it. And this might be an off stat. But it’s been estimated in Evart
area, about 95% of the children have some level of trauma. Well, we have trauma assessment
permits now through Ferris. Frankly, you know, the
social work department has graciously taken that on in
collaboration with the nursing department. And they’ve assessed
collectively as a team a community
of 29 youth. And initially, when we were
completing evaluations, we’re about at 22 when
we gathered out data. And 85% of our youth
were from Evart schools. So that’s the area I
was referring to, too. Well, I’m [INAUDIBLE]. And I look back at my
family from generations– Right. –to great-grandparents,
there’s trauma that the young
people experienced. Sure, absolutely. I mean, my great-grandfather
was an indentured servant. I’m sure he experienced
a lot of trauma. Absolutely. Sure. It’s recognition. Well, and it’s not just people
in the military or anything like that. Yeah. My father spent three
and a half years in a Japanese prison
camp, PTSD, My mother was hit by a car
when she was 18. The pregnant friend
that was walking her already had one child, killed. OK. There’s trauma,
plus survivor guilt. My eldest brother
died in a hunting accident as my other brother
shot at a deer and missed. Yeah. I was five when
that was happening. So that’s why you’re
thinking we’re becoming more aware of it. Going becoming more aware. Because in the ’60s,
there was no treatment up in the UP for that family. Right. We were screwed. You know, mom
would go to church. Dad would go to the bottle. Suck it up. Yeah, that’s right. Suck it up and– Right. Well, but you didn’t
understand what was happening. Right. You just reacted and responded. And now, while we continue
to do those things with self-medication and
behavioral things that we do, certainly the identification of
it, but also the realization, oh, that’s why. So do you think that the
rates are higher here in the Mecosta-Osceola area? Or, do you think that they’re
just indicative of what’s going across the country? [INAUDIBLE] I think they’re
indicative of what’s going on across the country. I don’t think that ours are
any higher proportionally than other places. And I think, what you
alluded to earlier and we talked,
recognition– you know, as you said, Lisa, I
think we chalked it up as these are naughty kids. So we kicked them out,
because they were naughty. Or, they went to
juvenile facilities. Or, now they’re in prison. Now, we recognize that– wait. So again, that’s why I
think it’s a health need. Because we have such
an opportunity here to address these needs,
particularly in school. You know, research
shows that most youth receive mental health
services in school. So what if we don’t have those
services, like Lisa was saying? Nursing services, it
was only two months ago where Spectrum added
nurses back to– Back to school, yes. Reed City. [INTERPOSING VOICES] Reed City, Evart, we didn’t
have nurses in schools. [INTERPOSING VOICES] Now we have [? OSET ?]
nurses in school. Right. We were in school. Well, I did. But she only gave us shots. That’s not [INAUDIBLE] shot, so. I did, too. But I’m old. So with making a
relevant comparison as I was asked a
moment ago about do you think we’re anymore
susceptible to the sort of stuff in this county? But what about the other side of
it, making relevant comparisons to other counties? And I know this is very
presumptuous and good of you to say this or to
speak on this, in terms of the access to “mental health
care,” quote unquote, what would you say in terms of
Mecosta County versus perhaps– I can tell you from
the school aspect that we have many
families that do not like to access local
mental health care, because of the stigma. And they are embarrassed
to be seen going in or out of said facility. Or a parent that receives
minimal employment as is no longer eligible for
Medicaid based on that and won’t be accepted
CMH, because they’re only able to accept Medicaid. And then the co-pays are so
significant. $20 seems minimum. But it’s a pretty
significant once a week. Yeah. It’s a– we have workers who are
experiencing secondary trauma who say, $20 is too much. What if you have three kids? Right. [INAUDIBLE] That’s $60. Right. Then the parents might
need that [INAUDIBLE]. Absolutely. [INTERPOSING VOICES] –at right now in
terms of just a third– in terms of median
household income, is it the third poorest county
in the state of Michigan? Because that’s the last I heard. That Mecosta is? Mecosta. And Lake, I’ve heard
Lake is the poorest. We have 23%– Then Clare would
be the next one. And then it gets really low. Wayne, I think. Wayne drops right out there. Per capita– [INAUDIBLE] some stats
on this [INAUDIBLE]. –we’re at 23% poverty. I was talking
[INAUDIBLE] EMS and they said that this county has the
second highest infant death. Yes. So what happened,
you know– and so we have sought out
grants for, too. Because that’s per
capita as well. So some of that is older data
from I think, 2010 to 2014. So the difficulty, though,
is comparable to other areas, the number of
deaths are smaller. So despite the per
capita, we’re not eligible for any of the
funds or grants that would be afforded to
communities that are much larger and have child deaths
at a rate that high. So we have a work group
that addressing that. Because that’s pretty startling. It’s alarming. I think the issue there is that
we have fixated for years on don’t bring your child to bed. And, frankly, there was a
broadcast recently that said– Said to bring [INAUDIBLE]. –bring your child to bed. Bring your child to bed. It’s a great idea. It’s a wonderful thing. And many of our
consumers saw that. Well so here’s the
thing about that data. The reason the
data is conflicting is because there’s actually a
lot of psychological research and sociological
cross-cultural studies that actually
showed that children who sleep with their families
actually have higher compliance rates, and better obedience,
better behavior, fewer behavior problems, fewer mental health
issues, better overall health, stronger attachment,
all these things. Sure. And we know that’s true. Americans have this weird habit
of locking their children away in rooms all by
themselves all night, which you wouldn’t even
do that to a kitten. Why would you do it
to a human being? So now what they’re saying is
actually bring those babies into the bedroom. The problem is Americans
have bedding that is soft, lots of soft bedding. Sure. And we have a lot
of obese parents. Right. And those two factors combined
is is a prospective for SIDS. So what we need to do is
get parents to go back to sleeping the way
our grandparents did, with not so much bedding and
padding, firmer mattresses, mattresses that are
not so soft, and not having obese people
sleeping in beds that have a lot of soft
bedding with small babies. Because if you’re laying
on a mat on the floor, you’re not going to roll over
on an infant without knowing it. But if you’re laying in
a lot of soft bedding, and especially if
you’re obese, now you could inadvertently suffocate
an infant and never realize it. Well, each of our cases,
too, that we experienced in that period largely
involved auxiliary issues, such as domestic violence
and substance abuse, too. Yup. Those aren’t isolated
necessarily to bedding. Another huge component, I think,
that needs to be addressed is people are exhausted. So, you know, countries
like Australia have fantastic programs that are
afforded to every individual, regardless of your
economic status, your parental
status, where there is someone who goes
and teaches you how to put your child to sleep. They have sleeping bags
that they give to everybody. And they talk about being tired. We don’t talk to parents
about when you’re exhausted, what backup plan you have. Who can you call? Or, if you’re in poverty,
can you even call anybody? And so we encourage parents
particularly to nurse through child welfare. And so then they nurse. And they’re exhausted. Because we have them running
to 20 different services. Besides from that,
nursing makes you tired. Right. There’s a chemical that goes
off that makes you sit still. Sure. And so now we’re exhausted
and sleepy and not responding. [INAUDIBLE] nurse
in public anymore. And what? That you nurse in
public anymore, so. Oh, yes. There’s very limited
programs that would empathize when you have new moms. With Medicaid, they have
Mother Infant Health Program. But if you have
private insurance or if you have Medicare
or anything like that, you don’t have access
to programs like that. And there’s still
younger populations that don’t have Medicaid that
have private insurance that work full-time that aren’t
offered any programs like that. And there’s some education
in the OB department at the hospital that
the nurses give. And we are consulted
down pretty regularly. But it’s very limited. I mean, the videos
are 10 minutes. And you have to
watch three of them, and then you’re out of there. I was told that if there’s
even a bumper in the crib, that it’s ruled suffocation. We ask clients to
take bumpers out. Yes. You know, it’s based
on national standards. And this is what surprised me. When I heard it, it was
if there’s a bumper. It wasn’t told, oh,
we did an autopsy and found that there
was suffocation. It’s just if there’s a
baby bumper in the crib, it’s ruled as suffocation. Did I hear that wrong? That’s what I’m thinking,
I must’ve heard it wrong. I’ve never heard it. We’ve never [INAUDIBLE]– Do they do an autopsy? –autopsy back. Every one of our cases of
child death we have an autopsy. And I’ve never heard– now,
every one of our workers would advise parents to
take bumpers out– Yes. –for the same reason
that you’re saying. It’s just an opportunity
for suffocation. We had a bean bag death. We had cribs filled
with stuffed animals that fluffy blankets death,
parent rolled over on a coach death, like you’re saying,
environments where a baby can’t at that point lift their head. Can’t move. Doesn’t have the mobility. They can’t even turn their heads
to [INAUDIBLE] get to that. Right. But what about being cold? You’re not supposed
to have blankets or– Again, they’ve been doing
it in Australia for years– Sleep sacks. –and using sleep sacks. Yeah, the sleep sacks. They use a blanket, too,
as long as it’s tucked. Oh, OK. I didn’t understand that. Because I thought
they weren’t supposed to have a blanket
in the crib either. Not like a fluffy
blanket bed untucked or– [INAUDIBLE] OK. This is all new to me. I’m old. And we didn’t have these
kinds of teachings. It was new to me, too. Because I had a grand child
in the last few years. And it was a whole
new education. So it’s something that a whole
generation doesn’t understand. Yet Yeah. So it’s a cultural disconnect. Yeah. Well, in terms of disseminating
this type of information to people in, for
example, Mecosta County, do you think there’s a big
barrier there in getting exposed to that type of
literature, information generally speaking, whether it
be because of limited access to online resources, et cetera? I mean, what would
you think of that? All of our staff is
trained and follow policy relating to safe sleep. And it’s supposed to
be [INAUDIBLE] policy any child under one. We’re performing for any child
under three in our county, in Mecosta. So we’re really discussing
that any time we go to a house with
a child under three. EMT is actually
trained in safe sleep in a special program that
came from Florida, actually, that they are allowed to
access our Pack ‘n Plays. We have a Pack ‘n Play
program that we purchased. That’s a lot of money. [INTERPOSING VOICES] That’s probably ideal. Yes. Because it is firm. And it’s not fluffy. Yeah, it is. Yes. What about the new mothers
leaving the hospital? Yeah. They’ll get basic information. On Each new mom goes
home with a huge packet of information on safe sleep. And postpartum
depression’s a big one that they’re focusing
on right now. Sleep sack. It’s also limited. And they [INAUDIBLE]
know where that goes. The sleep sack? Yeah. That’s also given out
at the hospital as well. Yeah. They have a huge packet of
information that they give. But it’s just very,
very basic information. And the nurse has kind of
talked to them about it before they leave. But they have to read it in
order for it to be useful. Right. Well, that’s what
I was going to say is that while we’re a
very poor county and area, there’s a lot of illiteracy. And so for them
to get a packet– It’s not helpful. It’s not helpful. Does a nurse go to visit a woman
after she’s left the hospital after a couple weeks? With Mother Infant Health
Program, they can, yeah. They have home visits. So it’s a choice? [INAUDIBLE], too. But it’s a choice
for the new mom. And it’s only offered
to Medicaid patients. But any private insurance
would keep a record. What about high school females? As far as? Becoming pregnant, are
there special resources available to them
through the school? No. Every semester, I have students
in my child development class and my lifespan
development class. I want to know why they’re
required to take Algebra II, but they’re not required to take
a basic course in child care. Right. Well, we’ve gone away from that. We’re all going to have kids. How many of us are ever
going to use Algebra II? Some at 17 will say I’m
never having children, so. [INTERPOSING VOICES] But that’s not the case. Put Our programs have changed. In Big Rapids, some of the
other schools in our district, we don’t offer health as
a classroom class anymore. It’s online. They read the material. They take the
quiz, they move on. That kind of thing. So any kind of child development
that was offered, long ago there was a parenting class When the teacher graduated–
I’m sorry, when she retired, she was also the DECA
advisor, the food and– I forget what
the acronym stands for. But it was through 4H
and that type of thing. So when she retired, they
just never replaced her. And you know, then you go
back to your English, math, social studies, science,
and other things. So the state mandates
so many other things. Yeah. So we’ve identified that
access to mental health is a big issue. And across the board, it
seems like transportation is a huge issue for
these rural counties. And we don’t seem to have
a good solution for that. We don’t have good internet. Although, we’ve had
rural telephonication and rural electrification
and rural free delivery, we have not yet had
rural internetification. And that’s probably not
happening any time soon under the circumstances. So I’m wondering if you guys
have ever thought of a solution that, oh, if they
would just do this, it would solve this problem. Have you guys ever– because a
lot of times, people do that. Well, you know, if they
just have– I don’t know– good internet access. If we just had– That would be nice, except
for those that do not know how to use the internet. And that’s what we find a lot
is, like, oh, that’s great. But I don’t know how to do this. A lot of utility
applications, if they want help with their utilities,
are also the same thing, besides, DHS, other agencies. They have to fill
out an online form. And they don’t know how. Or they just– They can’t get online. Yeah. They can’t get online. And if they do– Or, they don’t
have the equipment. –they don’t know exactly what
to do in order to complete it. If I could wish for
anything, it would be that the pathway
to potential position was supported by
the legislators. But you know, it’s a position
that’s in the schools. It gives you that
internet access. [INAUDIBLE] They can understand it. Pathway to Potential,
so that P2P– What’s that mean? So they’re the workers
through out office that I referenced
earlier that can provide Medicaid, health benefits– OK, so it’s like an
agent in an office. Food. They’re an agent
from our office. But they’re all at the school. Yes, OK. And they have a
reduced case load, so that they can
look at truancy. They have family support. I got an email the other
day from one who said, there’s a mom who had
to work midnight’s now. And so she’s not sending
her child to school. You know, maybe
transportation’s an issue, but really having
the child home. So they create an
incentive program where they provide
the child with letters from her mother every
day saying, I love you, you’re going to do great. I’m proud of you. You’re going to make
it through the day. The child color’s them,
takes them home to mom. She’s been at school every day. So it’s the P2P
workers doing that. So she’s making sure they
have access to health care, that they come right
into the school. But these positions are not
supported by the legislature. Because they’re coming
out of our general budget. Our workers right now handling
Medicaid cases, cash, food, benefits, have an
average of 720 cases. That’s not people,
cases in their loads that they’re trying to process. So this reduced load in the
schools with internet access focusing on in-school attendance
is an asset to every community. And they’re scarce,
because directors don’t want to pull and add cases
to their worker who already has 720 just to make sure
somebody’s out of the school [? provide this. ?]
If it was supported, we wouldn’t have to
worry about that. Yeah. It gets problems with
internet and transportation. Right, yup. And then training for the
internet, though even it would be a step before
people got internet that they could at least get this first. Sure, someone sitting next to
the, talking them through it. Yeah. It’s like what
Danielle’s saying. Think of the absurdity
of one individual trying to handle over 700 cases. Yes. It’s absolutely absurd. There’s no physical way a
human being can do that. The burnout load is horrendous. I know we’ve lost 10 staff
in these two counties in the last year and
a half to [INAUDIBLE]. Because of those quotas that
I was mentioned earlier. The director finally heard
from the program directors in the county, we’ve
got to problem. We’re dropping staff like flies. Now, you’ve got to retrain,
retool, get new people in. Now, the part that
bugs me the most, think about the patients– Yes. –the people that were being
served by those workers that they being
worked with for five, fix, years and had a
working relationship. Now, you’ve got to come in
and tell your story all over again to a new person
who has to relearn you. Yeah. That’s annoying. A lot of people say,
I don’t want to do it. And 719 other people. Yeah. Well, and back about 18 years
ago, there was a big issue. Because Muskegon was carrying
600 cases to a person. And there were suits,
federal suits, saying, state, you can’t be doing this. You need to start
backing these people. I don’t know how
long that lasted. There was a worker
in Ohio sewing the state of Ohio in just passed
the appellate process for case load. But that’s in child welfare. We have two workers who
are being prosecuted right now in Wayne County for
a child death due to, again, being faced with the same
challenges, high case loads. And it’s daunting. Didn’t catch the risk. We think as a department
that they did their jobs. As best they possibly could. I have members of
my program, I’ve had clients that I’ve
server over the years that are just furious. My DHS worker never
calls me back. Yes. And I said, excuse me a second. Do you know how many cases that
person is handling right now? Cut them some slack. Maybe you need to be
better at following through with your paperwork, too. Maybe you need to make sure
you get it turned in on time. Well, that’s where, again,
mental health workers try to help that process. Because we have so
many cases in common. We’re all very understaffed
at probably all of our respective places. You know, at our high school,
they have 660 students. And there are only
two counselors. You know, we deal
with all the kids. So I see more kids
in a day or as many as like the doctor’s office
every 5, 10, 15 minutes. And it’s always, well, it’ll
just take one [INAUDIBLE], just take one [INAUDIBLE]. Right. Right. I’ll just take a minute. And then can I ask
you another question? So some of those
mental health issues it could take up my whole
day with one person. And then I just drop the
ball on how many others. So any time I spend
them, I have to just be present in the moment and. Whether it’s 3 minutes or 13
minutes, it’s just really hard. It’s really hard, So definitely
a barrier, not enough staff. So understaffed seems to
be another [INAUDIBLE]. Understaffing is huge. That’s not necessarily
surprising to hear. I used to wonder where
the money’s coming from. Because people in
the legislature aren’t paying for things. We’re paying for things. We’ve released about $1
million in Mecosta County in benefits in every month. It didn’t seem like it’s
enough from what you’re saying. You can hire enough people– Right. –to put people
in enough offices. Not necessarily staffing. You can’t afford to give
people enough transportation. Staffing would be
different than benefits. So benefits, food assistance
program, you know, cash assistance. But how can you give benefits
if you have no staff? No, I’m saying
benefits to clients. So $1 million a month given to
residents of this community. But how do you do that– To support them. –if you don’t have
the staff to manage it? Right. They’re still doing it. They’re still doing it. I don’t know how
they’re surviving. It’s pretty impressive. It’s pretty impressive manning
the needs of 660 students with two people. It still gets done. Could we do it at the level
that we want to do it? We’re not. So what about
Spectrum, for example? I mean in terms of staffing for
mental health social workers. We’re actually pretty
well-staffed now. It wasn’t so. All of our staff is fairly new. One of our ladies has been
there about eight years. But everybody else is
new within the last year. And what was the
impetus for that hiring? Burn out. Realizing the needs? Or, what is burn out? We had burnout, yeah. We had people working
on call just 24/7 and working 17, 18 hour shifts
and sleeping at the hospital, because they had
gotten called in. They had three people
for two hospitals. Now, we have nine. So like said, we are all new
within the last year or so. Because they had
people just leave. They had one person at one point
covering both hospitals and all of our psych patients, all
of our med search patients. We had no nurse case managers. We know have two for
the region, because we have United in Greenville,
Kelsey in Lakeview, Big Rapids in Reed City. So we have two nurse
case managers now on top of our nine
social workers. And our EDs are now not
covered from midnight to 7:00. But we have somebody come in. For those six hours, they
would just sit and [? eat ?] until we came in. But it helped, because
people were so burnt out. And people were leaving,
and then they had no staff. I was told that if a patient
comes in with the EMS, that if that patient
comes back in within 30 days that the hospital
is fined, is that true? I never heard such a thing. I don’t think it’s that short
a period– or that long a– Oh, you’re talking about
readmissions probably. Yeah. You’re talking
about readmissions. Yeah. I don’t understand it. Well, we track readmissions. The hospital is not– it depends
on the situation, really. They track readmissions. So we see patients that are
revisited after 30 days, not necessarily in
the emergency room. You can have multiple
emergency room visits, which we also track. But you can be inpatient. And, yes, if you go home
and then within 30 days are back inpatient for whatever
reason, we all track that. And then we have
special assessments that we have to do
with those patients to find out why they
had those readmissions. Is there a big problem
with that for the hospital? And if so, what is it that needs
to be done so that people can get the treatment they need, so
the hospital doesn’t have that? They’re working on a couple
different things right now. Besides the fact that we see
everybody with readmissions, we have a big problem with COPD. So respiratory and
cardiopulmonary therapies are all working on
making follow-up phone calls with those
COPD patients, so we can avoid those readmissions. Because that’s a very big
part of our remissions. On Some of them are psych cases. We have a big problem
with Medicare, Medicaid secondary patients, who
used to be part of CMH, and then hit that either
disability or 65, got Medicare. And now, they are
not case managed, but they really would
benefit from it. And they just can’t. So we have a big
problem with that. We see a lot of surgeries. But now we have MedNow, which
has gone a couple months ago I think. That’s the mobile– Yup. Yup. It’s a mobile specialty. So And then they’re working
on getting– right now, we have pediatrics
and orthopedics that are hiring new positions now. And they’re hiring new family
practice physicians as well, to hire [INAUDIBLE]. I still don’t understand
two things, first, how much money’s lost. And second, is there are
some solution to this? So first, how much
money is lost? By? By the hospital? It depends on if there– In general, like in
the average per month. I couldn’t tell you. It just depends on if
they’re liable or not. Because someone could
be at Butterworth. They could be transferred. They’d be in Butterworth. And they’re not technically
our readmission. So even though they’re
all part of spectrum, and they would have come
back into our hospital, they’re considered
a readmission. But we would not get fined. And Butterworth
might not either. It just depends on what was the
reason behind the readmission, which the insurance companies
and our utilization review have to go over. So who do I call
to find that out? What would be their job title? Probably– I’d have to either
say financial services. OK. And do you have any
suggestions about that problem, any solution? Just trying to work
on it right now. They’re just trying to come
with different programs on how to reach
people afterwards. Well, like you were
saying, the care management model is becoming more of a
patterns, where hospitals have, you know, OK, this
person’s got out with COPD. And they’ve been a frequent
flier over the years. Why? OK. Maybe they’re scared, because
their heart’s fluttering. And maybe they think, I’m
having a heart attack. Well, if you have
somebody that’s contacting them regularly
saying, how are you doing? Are you following your
breathing treatments? And walk them through using
your motivational interviewing, how do you do? How are taking care
of– an example. A friend of mine worked for
a while as a care manager. And this doctor asked
a patient, how are you doing with your glucometer? Oh, that thing? No problem. Well, actually, [INAUDIBLE]
how’s your blood sugars going? Oh, my blood sugar’s been fine. My nurse friend
said, uh, how do you go about using your glucometer? Oh, I can never
figure that thing out. The doctor walked out
of the office and said, I should bang my
head on the wall. Because I’ve been asking the
wrong question all the time. I’ve had numerous
patients that doctors have asked how their blood sugar is. Have you been taking your
blood sugar medication? Oh, yeah. I take it all the time. I check my sugars. I said, your glucometer’s
been in storage shed for the last six months. I set up meds with
you every week. And you’re taking about
half of your diabetic meds. So if he’d actually
started taking full dose, he might’ve dropped his
blood sugar into his toes. So there’s a lot of tracking
of it that needs to go on. OK. I have a couple
of questions here that we were trying
to, just in my mind, validate that we’ve kind
of covered these things. So you said at one point
that a lot of people are embarrassed to go
access mental health care in their community. Are there other points of
access for that kind of stuff that people either
don’t know about or aren’t using for
some other reason? So, I mean, that’s
one point of access that people are not using
for a specific reason. Are there other things like
that people could be accessing, but for some reason they’re not? Some of my experiences have
been that while the parent may think the child
needs to see someone, the child refuses to go. Or, the child wants
to go, and the parent refuses to take them. They’re fine. So we have both of those. And I’m not sure which
one is worse, truly. Truly, you know, the parent
wants the child to go. And the child says,
no, I’m not going. And they’re bigger
than the parent. Or, suddenly, now, the
kid’s running the show. The parent doesn’t
know what to do. Yeah. Well, how do you
force a teenager to go see a mental health
professional if they refuse to? Well, I know how I
would have done it. But, you know, you’re going. Get in the car. Yeah, but some kids wouldn’t. That wouldn’t– I understand that. But I think that’s part of the
problem is that the parent is not the parent. They’re not being a parent. They’re being a friend. They’re being an ally. I think about what
would have happened if I told my parents no. You know, that just never
would have happened. Of course, in a situation
where there’s domestic violence and the mother’s
actually a victim, it’s kind of hard to be
powerful with your children. Absolutely. Yup. Well, as Lisa said, stigma
is the single biggest issue. The average person, as they’re
developing the first symptoms of mental illness, between the
time that it gets identified and the time they get treatment
is on average 10 years. So you start identifying
it, say, by 17, 18. They’re in their mid to late
20s before they actually get treatment in a lot of cases. That’s interesting. I just read some
data, too, that said 20% of youth 13
to 18 years of age have some sort of mental health
either diagnosis or issue. 50% of the drop
out of high school. So if we’re looking at access
in school or easy access or barriers to access
and not catching them, maybe that’s why we’re
not catching them. Now, they’re not
in an environment where they’re being caught. Where anybody [INAUDIBLE]. They’re admitting [INAUDIBLE]. Yeah. Well, there’s a large
national initiative right now, the Mental Health
First Aid Program. I’ve worked with some
of Danielle’s folks. And I’ve done a presentation
at Lisa’s school. The idea there is to try to
train more of quote, unquote “laypersons” in the world
about the basic mental health symptoms. So if somebody saw
something, they could maybe interject
some aid to get them connected to some services. It’s not a silver bullet. But they’re looking at trying
to make mental health first aid as common in the vernacular
as first aid and CPR, so that people would
have some idea. And a lot of it is to try to
educate people about stigma, you know, how you
get people beyond it. I’ll ask the
question what is one of the single biggest
perpetrators of stigma in our society? Our media. That crazy person
just killed somebody. The vast majority
of violent crime is not completed by
mentally ill people. They’re more likely to
be victims of crime. Now, mental ill people
make up at any given time about 20% to 25% of the
population in any given year. And they complete about
18% of violent crime in that population. Now, the healthy, say, 75% of
population in that group, 18% commit violent crimes. So there’s a statistic
margin of error. So people saying all people
that do violent things are crazy is wrong. And yet, 25% or more of
our prison population are mentally ill. Because once they closed
the state hospitals and there wasn’t enough
services in the communities, where did they end up? The next warehouse. And unfortunately, it
starts in the schools. As you said so often, our
kids are being expelled when what they need is help. They do. Right, they do. And I talk to my students
about that all the time, how we really are very quick
to jump to, oh, this kid’s got conduct problems. And we never ask, is this
kid in fight or flight? Right. Right. Not why are you
behaving this way? What happened to you? Does this kid got
anxiety or depression? Right. It’s always like, no, the
kid’s got a behavior problem. But why does he have
a behavior problem. But I had a student come to
me to say they were depressed. And I asked if it
was OK if I called home and talk to a parent. And I talked to the mom. And then the next day, the
dad called me and said, how dare you tell my daughter
that she’s depressed. And I went, but she told
me she was depressed. And he’s like, don’t
speak to her again. We don’t want her to
speak to you again. So– Yeah. It’s a lot more cheerful
talking to the doctors. Because they aren’t
as knowledgeable about the depths of the problem. Well, and we mind of need that. Yeah. But when you’re talking to
the health professionals, what they’re seeing are the
patients who are getting there. We figure you guys would know
more about the patients who aren’t getting there. That’s exactly why we
wanted to talk to you guys. Or, are the doctor’s
only hearing the things that people want them to hear
when they aren’t showing up? Sure. They very much agree,
like Lisa’s saying. What exposure do I have
to protect our services? [INAUDIBLE] foster
care, if I admit to you I’m really depressed. I’m having some very
frightening thoughts. And I have a child
sitting next to me. Yes. Or, a child, you know. And then there’s a risk of the
parent not following through. And what does that
mean for the parent? And is the conversation on the
way in, don’t say anything, like that? So I think some of the
individuals that are being seen at doctor’s offices– I read
as psychological the other day that indicated that we cannot
determine with accuracy whether or not this child’s
behaviors, and demeanor, status are due to psychotropic
medication and the impact of it over an extended period of
time since he was very young, or organic in nature. And then you throw those kids
into the doctor’s offices– But where’d the kid get
psychotropic medicine? What’s that? You said psychotropic. Yeah. But how did they get that? A doctor. Oh. Our doctors are
prescribing, you know. And then there’s no monitoring. And, you know, there’s
a parent passing that out instead of
taking them to counseling or talking about it. Right. And all the data
clearly shows that cognitive behavioral therapy
and things like that work way better than– They work. Even placebos work better
than the actual drugs. Sure. I just read that
today to my students. And they were, like, what, what? 60% of them respond
to a placebo. What? I they work better if
it’s an oval blue pill. Yeah. Because a lot of
times it’s trauma. It’s just being
someone recognized. Someone cared. Someone gave me something. Someone responded. So whether it’s voo-doo or
not, it’s just at least getting there and getting
that interaction– Getting interaction. –is more beneficial than not
having access to a [INAUDIBLE]. We can’t believe the discussions
we’re having people regarding their own familial trauma,
and their child’s trauma, their personal trauma,
and leaps and bounds from where we were doing
child welfare 10 years ago. Homes that we’re not going to
every month now, because of a– If there were one or
two or three things that you could get or get
changed, what would they be? I would take technology
out of their hands and take their phones
away, so that they had to look someone and
have conversation and– Yeah. –you know, touch someone. And get outside, exercise. Research is showing now that
rigorous cardio exercise four to five days a week for
about a half hour, 45 minutes, is as effective if not more
so than an anti-depressant. Yeah. I tell my students that. It keeps kids out of trouble
if they’re playing sports. But they don’t know
how to interact. They can’t have conversation. Oh, it’s horrible Even within their family, within
their peer group at that lunch time, they don’t– But i guess, let me
clarify my question. I totally agree with the
things that you were saying. But if there was
something that we could do to change the
system in terms of access to mental health care, access
to physical, just general medical care, what would be
the things that you think would really make
the big difference in making sure that
everybody’s getting not only the regular medical
care, but the mental health care that they need? Trauma, trauma screeners.
at every appointment with every one of our youth. Because the data showed that
from Kaiser, a huge study over numerous years
that has real outcomes. And I understand the risk of
being a doctor and saying, oh, you have to check five of those. And your 15 minutes is done. Now, I’m not following up. Then let’s put some follow
up in place for individuals. Yeah, what do you do after
you do the trauma thing? We continue to work with
them throughout the duration of their case, so they
have that dialogue. So I understand the risk to
saying physicians– well, but they’re [INAUDIBLE] So
the ESPDT– right– when they’re doing the
[INAUDIBLE] child, they went into that
whole, you know, scope of assessing development
and well-being, well-being that we’re just kind of
ignoring as a nation. And like you said, we’re
just becoming a little more narcissistic, detached. And so if we ignore it, we
continue down that path, they’re going to see their
doctor more frequently, like at least the same that
they’re going to see them a mental health professional. Ultimately, at some
point, whether it’s the hospital or a
provider, I would like an ACE or a
screener of some sort to be done and have some
resources available for follow up for people to access. Do you think that people should
have annual mental health check up the way they have a physical? Yeah. I think if they did it every
time they went in for anything it would be really helpful. Yeah, so if it was annual. People [INAUDIBLE]
physicals though either, so. Right. Right. Even going to the dentist
or things like that. I think there’s just
too many people. A lot of the people that
I see end up saying, do you know any place– my wife
has insurance, but I don’t. Because I lost my job. And we have no way to
pay for my insurance. And I’ve been without
my blood pressure medicine for three months now. Yours does have
that [INAUDIBLE]. What’s the church that has the– Well, I referred them–
yes, to [? Pope ?] House. To [? Pope ?] House. Yeah, [? Pope ?] House
is right next door. [INTERPOSING VOICES] So has the Affordable Care
Act helped that at all? Are you seeing less of
that than you did before? Or is it the same or more, or? There’s this hole of people. And they’re between– People who are working. People that are
working, exactly. That can’t afford
their benefits. And it’s awful to think
we are not providing for those individuals. And you want to be
real, some people are staying in the low
income job in order to keep their Medicaid. Because if they
don’t, they won’t be able to afford their medicine. Right. I mean, that’s a shame to me. That’s going backwards,
not forwards. That’s why I’ve been trying
to move health care out of being tied to a job
in the first place. Because it forces people to stay
in jobs where they don’t belong just to hold onto health
care, whether it’s to hold onto health care that’s
being provided through the job. Or, because it allows them
to qualify for health care that they know if
they take a promotion, if they take a
better job, now they won’t get health
care in that job. And they won’t qualify
for the assistance either. As well as
[INAUDIBLE] the person that was the spouse,
who had no coverage. The person that was working
did, but not the spouse. Yeah. I know a lot of
jobs are like that. They only cover
the employee now. They could pay more, but
they can’t afford that. ACA was made more competitive. We have narrowed down
the playing field so much with the
number of providers that will accept and utilize
and provide the program. Because as Medicaid, you know,
$600 to transport that person. But we’re going to pay you
$200 for a medical transport. We need good and
healthy competition with insurance
providers that are really invested and
interested to make it affordable to everybody with
really comprehensive services. I don’t they were
anticipating the number of individuals that needed care
with really extensive health needs. And so now, the companies
that took on that burden were so overwhelmed and
not getting the recruitment that they needed to sustain,
that they’ve just bailed out. We’ll work with employers now. Well, when the ACA
came in, the state pulled– I can’t
remember exactly. It was over $500 million
from the general fund budget for mental health across
the state of Michigan. And our six counties, we go
from Big Rapids to Midland with our agency Committee
of Mental Health for Central Michigan. So OK, let’s say I have $6
million from that budget. That was how we took care
of the uninsured people. We couldn’t take everybody. But we took a lot of
people that were uninsured, and provided them with care. We also had the people
that, prior to that change, had the spend down Medicaid. And Danielle will
know about that. I’ll give an example. I had one lady. She retired from a job at
a little local hospital plus a Social Security
in her pension. She had $1,400 in
income per month. Her spend down was $1,100. She was supposed to generate
$1,100 in medical billing of some kind, whether it was
meds or doctor’s appointments or what before her
Medicaid would kick in. Now, how could she pay for
rent, food, anything else? So general fund
dollars at the time were being used
to pay that cost. The agency would eat the
cost of the appointments up until the time we could
get her Medicaid covered. Then she could get her
prescriptions filled. This is another disingenuous
way of keeping people from having insurance. Because most of the time,
they couldn’t meet it. And so she would not
have her Medicaid. And the unfortunately thing
is the same is true with HMP. More of our individuals in
our community that I think would fall in that map are those
who worked their entire lives or are working who the
insurance is too much or the HMP is too much, because
of no veteran’s benefits, or Social Security of
one of the spouses. So their payment for HMP
would be $400 a month. So access, true
access, it’s not. It hasn’t improved then for
those people in the middle. For that population. It’s shifted it around. It has improved, though, for
the people at the bottom. Yes. Yes. Because I know a
number of people that have gotten
insurance that didn’t have insurance in the past. And that was good. But I also know a lot of
people in that middle income bracket, anybody above $50,000. They’re getting hosed badly. Or even those that are
in [INAUDIBLE] you know, manufacturing companies. You know, yes. We do have roughly 4,000
people receiving HMP. It’s been a beneficial
program, obviously, to those individuals. I think there’s
still a lot of gaps. There’s a lot of gaps at the
HMP and some [INAUDIBLE]. What [INAUDIBLE]? HMP and psych facilities–
HMP only let’s you go to so many facilities
for psych placements. So if someone needs to
be in an institution or hospitalized for psychiatric
reasons and treatment, they can only go to certain
facilities in Michigan. And the list is very slim. What is it, like 10 or under? It’s probably getting smaller. Yeah. And it gets smaller every time. So those patients sometimes
sit in hospitals longer, too, waiting for beds and things. So that’s a problem as well. Something I can never
really understand is how is a person who has
a mental illness that’s full blown able to
manipulate a system and move through
it when you have to have a really cool head and
a lot of patience to do that. When you’re in a breakdown,
that’s not happening. Yup. And with the dollars
tightening and the hospitals less available, I have not
been doing inpatient admissions for the last six years. Because I’m working
at the Clubhouse. But I worked very
intensive case management with certain community
treatment teams when we were dealing with the
toughest cases in the system as far as mental health. We were able to get
hospital beds 7,8 years ago. Because a lot of
them hadn’t closed. And that’s problematic. Say, if we look at
Carson City, Hadley, now, and Fremont’s hospital,
all good units. But where does anybody go now on
this Western side of the state? You’re going to
have to go to GR. Well, now it used
to be that you could get into a mental
hospital, because you made a mental health call. But now, you can’t get in
unless you’re [INAUDIBLE] harm to yourself or others. Yes. And that’s so extreme. And then as soon as you’re
not a harm to yourself or others, which is pretty
quickly, then you’re out. Well, and sometimes
discharged too quickly. Right. Because they have to do that. Oh, I’ve seen hospitals,
they’ll take a quiet neurotic with Medicaid and keep
them for a good week. But I put a young guy in with
his first psychiatric break who was floridly psychotic. Game I told his mother,
I’m worried about this unit he’s being sent to. Because he’s notorious
for discharging too soon. In on Friday, out on Monday. I put him in New
Focus in Fremont the same day he got out. Because he was curled up
in the fetal position, uncommunicative. And you take a young
person like that and put him in a ring
with a bunch of old people who’s telling their stories. And then they have to
recover from the trauma of the mental hospital. Yeah. It’s no fun being inpatient. The average length
of stay in the ERs to try to find a
place [INAUDIBLE] is usually over 15 hours
sometimes sitting in the ER. Oh, OK. With, like you were
saying, [INAUDIBLE] diagnosis and potential risk. And so that health care
staff are responsible. Our recent placement
was two days with a suicidal
youth who was 15 who had attempted four
times in the last month, attempted, actively
attempted, two days. And child and [INAUDIBLE]
units are closing, too. And that’s not helpful either
when there’s less than 10 of those in the state as well. The other piece, though,
is residential programs, so where we are housing,
frankly, unfortunately, some of our youth who
really need access to good extensive
medical health treatment. There is a good right now
through the Department of Health and Human
Services called the Residential Transformation. So even though out residential
population of youth is below 6%, which is really
the federal cut off where, OK, you’re doing all right, we
took the initiative as a state to say even though we’re below
6%, that’s not acceptable. We’re very close. And we don’t want to
tip over that amount. So this Transformation
group is meeting to collectively
determine new contract verbiage and extension. So rather than just
hospitalization or residential, there’s a gradual phasing
out of residential, so youth receive the treatment
and services that they need. There’s discussion about trauma. And so if there’s anything
that could be done, that would be an area, to
really push or challenge the legislators, or private
agencies to really step up and be involved
in that planning, so that we developed the
services that we really need and that these youth deserve. Right now, we’re kind
of just housing them. About 20% of our
residential placements are called general care. which is really we’re
just keeping you here in a room in a bed. And both of the things that
you mentioned as possible help requires policy change. A lot of social work students
don’t want to deal with policy. And that’s the most
important thing, isn’t it? It is. I know my students in my
lifespan and child development classes, they just
think that I’m talking about politics, because
I like to talk about politics. They really can’t
see how politics is impacting lifespan
development from before you’re born till after you’re dead. They’re just like, no, no. I’m like, yes, yes. And we think it’s bad right now. What? If we think it’s bad right now– OK, I’m listening. We’re looking at
2017 is probably going to be about status quo. Maybe 2018 will be
about status quo. After 2018, baby’s out
with the bath water. What are you talking about? Nationally. Our health care system, is
going to go down the tubes if we don’t get a handle
on insurance costs and get total access, a
nationalized health plan. Because when we’re doing
this piecemeal stuff, our current President-elect
is talking about block grants to the states. The states don’t
necessarily have to use those block grants
to cover everything that might be recommended,
because there would be no form federal oversight. That And if they’re already
taking $600,000 from your general
fund for mental health services for HMP– $600 Million. –whatever you’ve going to
do with– or $600 million. I’m sorry. What are we going to
do with block grants? Yeah. Yeah. [INTERPOSING VOICES] –outside the bathwater? Aren’t you glad you invited us? No, we are. [INTERPOSING VOICES] We’re full of sunshine. [INTERPOSING VOICES] We need to have optimism really. I think there’s a lot of hope. I think that with
some advocacy– I love that you talk
to students about it. Yes. Because four years ago, we had
a year and a half wait list for kids for trauma assessment. So this community got
together and said, we’re not going to
wait a year and a half. Let’s create our
own program here. And so 29 kids got
trauma assessments that would never have through
this community pulling together Ferris and the nursing, and
social work, and Spectrum Health, and our Domestic
Balance Program, and schools. It’s been impressive. So it’s doable. But yeah, it’s [INAUDIBLE]. Yeah, this is an
outside the box thing. And that’s what I was thinking. To me, all this policy
stuff is inside the box. And as you mentioned with
out new President-elect, we’re in trouble with the
inside the box thinking. And so how did you
get people together to do the trauma care
for those young people? And how can we do something
like that for other people in the county with their issues? How can we work and create
new boxes, so to speak? Well, one, I think we have the
fantastic benefit of Ferris. So we have a student
population, who’s eager and excited and wanting
to learn and are interns or have experiential learning
opportunities. And so I’m a strong
supporter of data. You know, data is what it–
story [INAUDIBLE], right? So it’s gathering the data. I think there’s plenty of data
out there that supports that. There’s plenty of information
from what you were saying and everybody at this table
relative to trauma and access to care and particularly
mental health services. So we just pulled
together the data and presented it to
a community group and said our kids are
waiting 18 months. Do you want them to wait? Everybody said, no. And then we said, will you help? Well– well, you know,
and so each of them just took a little piece,
basically, and said, we can commit to this or this. One, I think we’ve demonstrated
success, so that’s helpful. So we already have one program. We’re in the process
of another one to look at the youth in the
juvenile justice department systems in Osceola right now. Because they’re quickly growing. Again, I think you
have good collaboration in this community. I think you have
people who really want to make a difference,
organizations that work really well together. You have Osceola, CMH, that
just went through a trauma audit through a federal program
that passed that with– Flying colors. –flying colors. And so there’s that. There’s a good momentum here. There was some
discussion at one point about Ferris and the nursing
program or– I get confused. Because they’re changing very
much like we are all the time. One of the programs talked
about a rural health clinic or community. I know that our P2P
worker in Morley was talking about those are
the [? excellent ?] programs. Those would provide access
to a lot of individuals. And then you could tailor it. You could say, well, if you’re
going to come into our clinic, we’re going to
talk about trauma. Because it’s our clinic. And we can have a student
do your trauma screener. And then they can sit
and explain it to you. The experiential learning that
Ferris offers is astronomical. It gives students an opportunity
to learn what they’re really going into with some direction
from excellent faculty. And it’s a free resource. And, you know, I think– Where would think the
Ferris departments and such, what group would they need
first to coordinate efforts with the community? Would it be DHS? Would it be a different group? Yeah, the DHS, and
CMH, and Spectrum. They’ve been– They can pull a
panel [INAUDIBLE] –partners that have
sat in previously. Because our whole system is
heavily focused on trauma informed care. Every staff is hammered
with this idea you need to pay attention to it. And in mental health, I
have interns from Ferris every semester. And I talk about these
issues with them. And I identify you
need to recognize, when you’re working in the
mental health field, anybody that walks through the
door if she’s a female, expect that 95% of the females
have some history of trauma and about 80% to 85%
of all the males. So if you go to thinking
like automatically, it changes your view
of how people are. And then what do you do when
you find they have trauma? Well, that’s when
we start working on how to handle the trauma,
how to work through it. If somebody’s got to
queue trauma or PTSD, there are ways that you can
work them through revisualizing and working through it. You don’t just let it sit. But you also have to have
trauma informed staff. And as get in new staff, then
you’ve got to train them up. I think you have a
willing community, again. You know, I think
of years ago, we had residential programs
that said, no way, CMH. You’re not coming on our campus. We have probably
six youth working with community mental
health therapist at residential
facilities locally right now spending DHHS
dollars out of a contract that we initiated because of it
to received trauma focused CBT. Because it, frankly, works. You know? And so that initiative is there. It’s present, that
Interest in really meeting the needs of the community. I don’t think we’re
as siloed as we were years ago which really helps. So we’re kind of ripe
for those discussions. We are reaching out to–
I know Spectrum’s had community discussions. They had all of our
social workers talk about depression in the elderly. And they had a big
community discussion that had a pretty good turn out
for two different locations, one in Big Rapids,
one in Reed City, where they had discussions
about durable medical power of attorneys and
guardianships and depression and dementia in the elderly. And then I think they’re
doing a lot of those forms pretty regularly. We also just added a
wellness advocate from Ten16 to address all substance abuse
in the ED from Friday nights, Saturday nights, and
I think Monday nights. He’s in the ED from
4:00 to midnight. And he sees anybody
for smoking sensation, or cessation, alcohol
abuse, and substance abuse. I have heard that there
are a lot of elderly who are isolated. And they aren’t incompetent,
but they’re not competent. Well, there’s a lot of
simple reasons for that, too. I mean, a urinary
tract infection can cause an elderly person
to look like they’re full blown psychotic. And I’ve experienced
with my own family. I’ve known that our
higher ups in our agency were shocked when
a couple people got admitted to Midland psych unit. And there was nothing wrong
with them other than get that infection under control. All Simple things like that
that people aren’t aware of– Hypothermia, too. Yeah. Elderly people often get
diagnosed with dementia. But what they really
have is hypothermia, Or the combination
of meds that their own that no competent geropsych
doctor or geriatric specialist is tracking. I had a friend. His mother was put
into a nursing home, because she was demented. Well, she was elderly. And she was acting
kind of wacky. Got her in, and pulled
a bunch of meds. And hey, Flo’s back. She didn’t recognize her
sons two days before, but got her off a bunch of
the stuff that she was on. Get her to the barest
minimum that she needed. She was fine. Well, there are people
who are isolated. And they can pass
a competency test. They don’t have urinary
tract infections. And they still aren’t able
to take care of themselves But you can’t take
away their rights. Because they don’t
fail the test. Sure. But still, they can’t
take care of their homes. They can’t take care of their
clothing, all those things. Paying their bills is difficult. It’s definitely limited
in the community. So now you’ve just run the
gamut from we’re at school. And now, we’re going
to the elderly. And I’m just afraid
that we’re going to be here for many more hours. Well, I wanted to ask you– I need to get up. [INAUDIBLE] Have you spoken to [INAUDIBLE]? No. Oh, OK. Yes. It’s passed 8:00. All right. Sorry. Sorry. I just wanted to get
up and stretch my legs. I can climb on several
soap boxes if you want. Because I’ve got a
few, opiate addiction, doctor’s Pez dispensing that. We’re just going to
let John stay after. [INAUDIBLE] the other one. We really appreciate everything. Absolutely. We knew you guys would be– Absolutely. –full of information. You can’t give us too
much information, sorry. [INTERPOSING VOICES] We’ll have to meet
with you again and talk about the elderly now. My question is so now,
what are you going to do with the information? So– 30 Seconds. So what we’re going to
do with this information is we are going to design
a list of questions based on what we’ve
learned from you and from the medical people. And we’re going to go talk
to some community groups, so that we can sort
of start getting some access into the community,
so advocates who will give us some access into the community. So we’ll be doing some focus
groups with those people. And then eventually, this
will all build into a survey that we’ll be taking door to
door in a stratified random sampling across Mecosta County. And, actually, we’re
going to go door to door and talk to people, like some
of these isolated elderly people and see– Well, I have a
potential solution for the isolated elderly people. I proposed it
about 20 years ago. It worked with Assertive
Community Treatment. Are you familiar
with that model? It’s It’s a small team
of 7 to 10 staff usually. And they have case
loads of 8 to maybe 15. If you’re in a rural,
they’re 8 to 1, 1 staff to 8
patients or clients. And you’re mobile. But then they it’s assertive. You’re going out
in the community. You’re providing the treatment
in vivo, in the community, in the homes, in the
grocery stores, whatever. You’ve got that
person that’s shut in and maybe has some
health issues. Nobody’s tracking theirs
meds or maybe making sure they have heat
in the house or food. An ACT team could go
there three times a week for maybe a half hour, maybe
an hour, maybe 15 minutes, whatever it was that the
need was, and then move onto the next person and
have that regular rotation. And you mix the staff in, so
that it’s not the same staff person every time. I proposed the idea of
gero-ACT at least 20 years ago. And I was at a planning
meeting for an ACT conference. And, OK, again, we weren’t
dealing with just medical stuff there. But I’m looking at the idea,
we could keep people out of nursing homes. We could keep people
out of hospitals, out of maybe wards for being
incompetent with dementia. There’s a lot of
things that we could do if the will of the people
and the money followed it. So if you’re going to take a
survey out to people and say, if we could put a service
like this into your community, what would you be
willing to put into it? Would you be willing to put
half a [INAUDIBLE] into it? I heard the same
proposal from the EMS. They said that there should
be community paramedics and that they should
be doing that. Yeah. Going out? Why would you want
to send an ambulance? They should have an increase– That’s even a good name,
a community paramedic. Yeah. And then they wouldn’t
just be in the EMS vehicle. But they would go out and
do the community work. Because they already
have the transportation. Right? Think of how much money– You could do the elderly. Think how much money you’d save. They could check
out the [INAUDIBLE]. They would be like a human
mediary between social services and the hospital and between
the hospital and the patient and so on. Well, and they’re a helped. They’re not as frightening as– Right. –a CMH or DHHS. You develop relationships
with these people. Yes. The ACT model came out
of the Madison, Wisconsin with Leonard Stein. And I can’t think of
the g other gal’s name that was working
with him at the time. But they developed the
model to get people out of psychiatric units, get them
into their own apartments, see them there, get
them into the community to normalize their lives. That’s how I started
in mental health care was getting people out of
Traverse City State hospital. I was working up at Cadillac. You guys did a great job,
because now it’s closed. Yeah. Well, and right
now, if anybody’s ever been to Traverse
City Hospital and thought that one
was bad, take a visit to Caro Regional Center some. The terms snake pit applies. The buildings are dilapidated,
falling apart, windows hanging loose, paint peeling. And this is one of the last
major inpatient psych units in the state level that’s left. You got that one and the one
in Ypsilanti and Kalamazoo. Folks, thank you so
much for your time. Really. We really appreciate your input. And if you’d like to know
about how this all turns out and what we end up doing, we’ll
be happy to keep you informed. Yeah. Yes, please. Yeah, please send it forward. [INTERPOSING VOICES] You know, if you’re
just like wondering, what happened with that? It’s going to be a
couple year project. Yeah. This is a plan to [INAUDIBLE]. Excellent. [INAUDIBLE]

Banking 13: Open Market Operations

In the last video, I hinted
that this was leading to a discussion of an elastic money
supply– or a supply of money that can change depending on
the needs for the money. So before we go there– and I
took a little hiatus and told you a little bit about
treasuries because that’s a critical component– let’s
review what the money supply even is. So there were two definitions. When we had originally talked
about kind of an M0, I talked about just the gold reserves,
but now we’re going to expand that definition a little bit
and I think you can tell– I’ve got a lot of questions
about this– eventually getting off the gold reserve
system and we will get there and we’re kind of already there,
but now I’ll consider the base money supply
as Federal Reserve deposits and notes. So in this reality that I just
created, all of the Federal Reserve deposits have
essentially been turned into notes, but if this bank didn’t
want all cash, it could have had some of this as just a
checking account with the Federal Reserve bank. So a Federal Reserve note and
a Federal Reserve deposit account is essentially
the same thing. A note is just a little
bit more fungible. You can hand it to someone and
then they can hand it to someone else, while a checking
account or demand account with the Federal Reserve bank, you
have to kind of do a wire transfer or write a check, et
cetera, but that is the base money supply. You could call that
base money. And that’s essentially the size
of the liabilities of the Federal Reserve, in very broad
terms. We’ll go into detail on the actual Federal
Reserve’s balance sheet in the near future. So in this example right now,
our base money supply is 200– let’s call it dollars now. Let’s move away from
gold pieces. Let’s just say a dollar equals
a gold piece for the sake of our instruction right now. So our base money supply–
and I’ll call that M0. And that’s the cash out there,
which are the Federal Reserve notes plus the Federal Reserve
demand deposits. So for example, this could have
been just 100, like a checking account at the reserve
bank and then this over here would have been a
checking account instead. But it would still be considered
part of the base money supply because if this
bank, who had a checking account, says, I just want that
in terms of notes, then the Federal Reserve bank will
just issue notes and cancel out this checking account and it
would turn back into notes. So they’re equivalent. They’re just a different way
of keeping track of it. So that’s the base
money supply. Now, a slightly broader
definition of the money supply. We could call this bank money. It’s sometimes referred to as
that and the formal definition is M1– and that’s essentially
that notion that I went over I think almost 10 videos ago–
how much money do people think they have? And that’s the amount of money
in demand deposit accounts. So that in this case,
that’s this. So all the people in this bank,
they think they have $100 there, right? That’s $100 that they think that
they have that they can write checks against.
And then this bank also has another $100. And so the base money supply–
no, that’s not right. No, no, sorry. They don’t have $100. Why am I saying $100? Let’s see. This bank had $100 in gold and
it could lend out up to $200 in– or it could put
out up to $200 in checking deposit accounts. So it has $200. Right, that’s what I was–
because we talked about earlier in the last video that
we have a 50% reserve ratio, which tells us that if this
bank has $100 in reserves, that it can essentially manage–
or it can issue $200 in demand deposit accounts. And we went over that many times
on how that happens. And then this bank
can do the same. It’ll have $200 in demand
deposit accounts. And so the total amount of money
that people think they have, either in demand deposit
accounts– in this situation, I’m assuming that all of the
cash is sitting in the reserve bank, although we do know that
some of this is going to be sitting around circulating. But let’s just say we live in
a world where everyone uses debit cards all the time
and no-one uses cash. And I think we’re heading to
that world very quickly. And as we’ll see soon, that
actually increases the money supply when you do that. But anyway, I don’t want to
go too technical just yet. But the M1, which is the total
amount of demand deposit accounts in our universe,
is $400. And this relationship makes
a lot of sense because our reserve requirements are 50%. So we can kind of assume that
banks tend to get as close to their reserve requirement as
they can because they don’t get interest on reserves. They make interest on the loans
that they make against demand accounts. So if the reserve requirement
were 10% and our base money was $200, we would probably see
$2,000 in the M1 supply. So my question to you is– and
maybe you want to pause and think about this is– how can
the government or the central bank or, how can the economy,
increase or decrease the money supply? And I guess the first question
is, why would you want to increase or decrease
the money supply? Well, let’s say we’re in this
world already and we only have these two banks. And we have an M1
supply of $400. But let’s say the
economy expands. We have more goods
and services that we’re able to produce. Maybe we have immigrants come
in so we have more labor. Maybe we have some innovative
technology. Or maybe it’s just seasonal. Maybe it’s the crop planting
season so a lot of farmers need their cash in order
to hire people to plant the crops. So that’s another time where
you’d want more money. If you don’t increase the money
supply at those times when you have economic expansion
or there’s just more demand because of some type of
seasonal fluctuaction– if you don’t increase the money, then
what you’re going to do is money’s going to become
more expensive. And I’ll do a whole video
on that so don’t get too confused, but money getting
more expensive means that interest rates will go up. And if money becomes too
expensive, then some good projects, maybe some farmers who
might have planted seeds, wouldn’t be able to– and so
you would kind of restrict economic expansion. But we’ll have a whole other
discussion on when does it make sense to expand
or contract money. Let’s just talk now about how
you would actually do it. So there’s two ways. I just said if this reserve
requirement were 10%, then these banks could create more
checking accounts, right? They could lend out more money
and create more checking accounts if the reserve
requirement were 10%. If it was 10%, then you would
have an M1 of $2,000, right? It would be 10 times this
instead of two times this. And that is considered one of
the tools of the Federal Reserve bank. Because we’ve said in the past
that the Federal Reserve bank actually sets these reserve
requirements. But the problem with that tool,
if you think about it, is, if we made a reserve
requirement 10%, right? And all of a sudden all of these
banks started lending a lot more money and they
only had 10%. The ratio of reserves to
checking accounts were 10%. Think about what would happen
if we wanted to raise the reserve requirement
back to 50%. Then all of the banks– they’d
only have 10% reserves. How would they get
back to 50%? All of these banks would have to
either start selling assets or unwinding loans. It would be a very
messy situation. If you were to lower the reserve
requirement and then wanted to actually increase it
again, you would actually make a lot of banks become
undercapitalized, because most banks just operate right
at where they need to. So you really don’t want to mess
around with this reserve requirement much. So the question is, if you’re
not going to change the reserve requirement, which is
the ratio of the reserves to checking accounts, if you’re not
going to mess with that, the only other way that you
can actually increase the number of checking accounts is
if somehow you can increase the reserves. If you can somehow add some
actual reserves over here. So my question is, how
can you do that? Well, let’s just say that–
we’re hopefully already reasonably familiar with
fractional reserve banking. So you might have seen it
coming, that that also applies to the central bank. So the central bank right now,
all of its deposits were directly backed by gold, 1:1. But there’s nothing to stop
this bank from also doing fractional reserve lending. And actually, the central bank
has no reserve requirement. And that’s because to some
degree, it can always provide the liquidity because its notes
are obligations of the government. So it can always tax more people
to back up its loans. So what essentially the Federal
Reserve can do is– and this is the printing press
of the base money supply that people talk about. But there’s two printing
presses. There’s the base money printing
press and then there’s the leverage
printing press. So if this increases– well,
I’ll do a whole video on that another– I don’t want to get
too technical because I realize I’m running
out of time. So what the Federal Reserve
could do in this situation is it can print some notes. So let’s say it prints 100 of
the notes, right, and those are just– it literally just
prints those dollars. It pays the treasury to print
it for them, but it creates these notes and then of course,
offsetting that is a liability, right? Notes outstanding,
100 liability. And then what it does is, it
takes these $100– I mean, these are literally dollar bills
although it could be some type of demand account or
whatever, but take these $100 bills that it printed and
then it can buy treasury securities. So what happens if it takes
these $100 bills and buys treasuries? And the treasuries don’t
have to be issued by the government anymore. Because whenever the government
does issue treasuries, it’s bought
by just a bunch of people in the world. There’s always a bunch of
treasuries sitting out there as long as the treasury
has some debt. So I was holding the treasuries
and let’s say that this is the central bank. I was holding some some of these
government IOUs, right, that I had bought from
the government. And the Federal Reserve,
they have this $100. Let me draw that in green. So they just buy the
treasury from me. Maybe I don’t want to sell it
at the current price so they have to pay me a little bit more
than the current price in order for me to part with it–
and I’ll do a whole other video on what that means and
how that changes the yield curve and all of that, but I
just want to get you to that base notion that the treasury
essentially creates a notes outstanding liability and has
an offsetting $100 of dollar bills that it just created or
prints– and then it can use those $100 bills to buy
treasuries, or government IOUs, in the open market. And now what happens here? Well, these $100 bills, these
are now treasuries. And my question to you
is, what am I– I was holding a treasury. It was sitting in my mattress. What am I now going– now
I don’t have a treasury. I have $100. What am I going to do
with that $100? Well, I’m going to deposit
it in the bank. I’m going to deposit
it in the bank. So this is me depositing
my $100. Maybe I deposited it up here,
but– and my checking account grows a little bit, but
what’s the net effect? Now all of a sudden the banking
system, the national banking system, has more
currency, more dollar reserves, that apply to
its reserve ratio. So now it got my $100 deposit. Now it can also do another
$100 of lending. So I would have essentially
increased the base– so now the M0 goes from $200 to $300
right, because I have $300 in notes outstanding. And now my M1– I took that $100
bill that the treasury gave me, deposited it
in a bank account. Now I have a bank account that
says $100 and then because of a 50% reserve requirement, the
bank can issue another loan. I know it’s getting messy. $400– so essentially
our M1 is now $600. So just like that, just by
printing money and issuing treasuries, the central
bank was able to increase the M1 by $200. I’ll do more videos on this. I don’t want to confuse
you too much. See you soon.

Higher Education in Focus: Engaged Scholarship

>>Support for Higher
Education in Focus comes from the Penn State
Alumni Association. Serving Alumni and alma mater
for more than 145 years. On the web at alumni.psu.edu. Penn State bookstore. Now in an expanded location
in the Hub Robeson Center. Improving the student
experience at Penn State with philanthropic support of student causes
throughout the university. PSECU. A credit union
providing financial services to its members throughout
Pennsylvania since 1934. More at psecu.com. And from viewers like you. Thank you. [ Music ]>>Since the concept of engaged
scholarship was first introduced in the 1990s, we’ve seen
outreach and service grow in importance in
American higher ed. Today, engaged scholarship
encompasses a full range of out-of-classroom experiences. From study abroad. To service learning. To community-based research. And it brings the vast knowledge
of colleges and universities to help solve the
world’s problems. What is engaged scholarship
in practice? How is this work
funded and sustained? And what does it mean
for students, faculty, and the community at large? In this edition of
Higher Education in Focus, Penn State President
Eric Barron will focus on how this so-called engaged
scholarship is evolving. Here to talk with him are
two university presidents from the state of Virginia. Both are leaders in the
engagement movement. Jonathan Alger became
sixth president of James Madison
University in 2012. And Timothy Sands
joined Virginia Tech as its new president in 2014. Now, here’s President
Eric Barron.>>I thank both of
you for being here. It’s great to have
you at the end of a successful conference
here, and we’re talking about an engaged scholarship. Now I often think about this as
going way beyond the classroom. You’re not going to class. And leaving class. And getting a grade. You’re looking for
all those things that really make a
difference in extending that classroom experience. And learning more. And having a greater impact. And so if you think about
that as the definition, why is this so important
to student success?>>When we think about
the concept of engagement in higher education,
we’re really talking about a very active learning
process; not a passive one. At James Madison
University, for example, we talk about engaged learning. Community engagement. And civic engagement as
cornerstones of what we do and what we provide
for our students. And really it helps them
to apply the concepts that they’re learning inside the
classroom to real-world problems and challenges outside the
classroom all around them. And I think that makes it much
more relevant and exciting for them, to see how their
learning can make a real difference in the world.>>I agree. When we talked to our alums, and asked them what was most
important about their experience at Virginia Tech, a common theme
is an experiential learning opportunity that they had. And often these are engaged
learning in the community. Could be an internship
where they’re engaged with a startup company. All sorts of options
there and possibilities. But it’s this environment where they can practice what
they’ve learned in the classroom in a real-life environment. And so from the student
perspective — and of course there are
many other perspectives. But from the student
perspective, it’s absolutely critical
to a, I think, successful experience
at the university.>>So you put the
suggestion there that an internship is one
form of engaged scholarship. What do you put on your list? What are the types of activities
that you would include, and say okay, that’s an example of engaged scholarship
at a university?>>Well I think there are a lot
of different types of practices. And it’ll be different things
in different disciplines. So for example, I
think internships and experiential learning
are a great example. Service learning
in the community. Especially where there’s some
supervision and reflection, can be a very powerful
form of engaged learning. There are other things. Study abroad is a very
high-impact experience that 25% of our students engage in. Working in teams. Working with people from diverse
backgrounds in very active ways. I think there are quite a few
ways in which we can do things that are active, and
really get students relating with one another.>>Yeah, I think the
more we can guide that as faculty or
staff, the better. So that they have a chance to
reflect on, as you said Jon, on what they’re experiencing. I think that’s a trend
that we need to solidify, because we need to make sure that they’re actually
getting something out of it. And that guiding is part — that mentoring is part of what
makes it a special experience. One of the things
I would just add, is that I think another
dimension we’re trying at Virginia Tech to
figure out how to do. It’s not that easy. Is to make sure that when
our students are involved in engaged learning, that
they have a chance to reflect. So hopefully if they’re
off-campus they’re living together. They’re not spread off
and commuting to back home or whatever it might be. But they’re coming together
and having those conversations around the dinner
table, just randomly when they run into each other. That’s the part that I
think we need to get to. But there are challenges. Some of them are cost.>>You know; I try to
connect engagement activity to an outcome. You can’t always do it. But, you know, internship;
real-world experience, and it’s a ticket to a job. Over and over again,
we’ve seen people hired.>>Right. Right.>>One-on-one research creative
activity with a faculty member; huge correlation with
getting an advanced degree. Study abroad? How many companies want you to
have a world view out there. But the list actually
ends up to be quite long. Would you put student
leadership on the list?>>Yeah. I think so. When we talk to employers about
the skillsets that they want to see, it’s actually
less, in many cases, about a particular major. And more about things like
leadership and teamwork. Problem solving. Resilience. Overcoming obstacles. Critical thinking and
analytical skills. Communication skills. Those are the things that the
employers tell us are really important to them. And these engaged learning
activities provide a great way to develop a lot
of those skills.>>So an incredibly
important point. And I often sit there and hear
people say, okay history major. What kind of job are
you going to get?>>Right.>>But yet, history majors
can be incredibly successful. Because they learn a
lot of those skills that you’ve just described. So it really becomes
an advantage.>>And we also know that
students are deeply engaged in — student organizations
on campus — are engaged as employees
when they leave. There’s a very strong
association with that. You can ask whether
— what was first? Was it the student who was
just naturally inclined to be engaged? Or did they learn some of the
benefits of being engaged, and some of the skills
associated with that in student leadership
opportunities that then carried over. And, you know, I always
reflect on — we have four kids, so they were each an experiment for us [laughter] intentionally
and unintentionally. And I’ve seen both. I’ve seen some of our kids
being just naturally engaged. But others, one or two of
them came out of their shell, if you will, when they
became engaged and realized that they had these talents. And then they carry
on into the workplace.>>And there’s an opportunity.>>Yeah.>>And it carries over
even beyond the workplace. When we talk about
engaged citizens. People that are going
to be involved in volunteer organizations
and opportunities to better their communities. People who are going to
be specifically involved with the important
policy issues of our time. So we’re preparing
students, I think, for a life. Not just a career, but
also for a satisfying life where they can make a
difference with their education.>>And if you really
want to be blunt, and just say okay, service. You’re making a difference. But my suspicion also
is — to be blunt — there’s a lot of companies
out there that look at that and says, okay, this is a person that would treat
customers different. This is a person that
would treat fellow employees different. Because they’re giving back. They care about more
than just themselves. So there are a lot of signals
that come out of these types of engagement, I think, that
make a difference to employees. Would you put entrepreneurial
activities as an engagement topic?>>Absolutely.>>Oh, I think so. A student who’s involved in
an entrepreneurial venture of some sort, whatever scale, has got to engage
their future customer. They’ve got to engage
their partners. They’ve got to work as a team. They can’t do it on their own. They’ve got to go out
and find resources. And ultimately, they
get involved in hopefully making an
impact in their community, or whatever that may be. So it’s a very — I
think a very strong, and almost pure form
of engagement.>>And really follows through
on what they’re learning in the classroom potentially.>>Absolutely. And it gets students
involved with taking risks with working with other people. Very few entrepreneurs
are going to be successful without finding ways to
work with other people. A lot of these are
really relationship skills that are incredibly valuable
in any sort of workplace.>>You know there are a lot
of people that are starting to do assessments of this. And they look at it and say,
you know, you’re engaged in worthwhile activities;
so is your peer group. These are your friends. If you’re engaged 10 to 20
hours a week in activities, you have to manage
your time better. So you’re a little bit
healthier and happier, because you’re getting this
positive reinforcement. And you’re paying attention. And you’re probably
not as involved in some adverse behavior. And you’re building your resume. And so this creates a
tremendous success cycle. And they — engaged students
tend to have even higher grades than others because of all
those different factors. So if we know this is
such an important area for student success, what do you
do at a university — yours — to help promote student
engagement? Active programs? You know, philosophical bent? What are you sitting there
looking at that you’re saying, okay we’ve got to drive students
to go in this direction?>>Well I think there
are various approaches. We just launched a program
called a Keystone Experience. So we’re essentially creating
a co-curricular transcript. And I think most of our institutions have gone
somewhere along that spectrum where the students
create a portfolio. And they get essentially,
you might call it badges, for various forms of leadership
of community engagement. And we’re trying to build
that into, and have it merge with the academic transcript. Because I think we’ve
gotten to this point where it’s so obvious. As you said, based on the
research that’s been done, that this is an important part
of our student’s experience. And so we have to figure
out a way to recognize it. We need to be a part
of the resume. And when the employers or
the graduate schools look at the students, and they see that they’ve been
actively engaged. Not superficially, but deeply –>>Yeah.>>They’re going
to rise to the top.>>So I really like that
idea to think about badges. Do you — and having it
connect to their transcript. So that not only
are you recognizing, but they’re taking
something else with them. So would you go so far as to
say you’re a service scholar? Is that a badge that you
could have, for example, in trying to see exactly
what a badge means?>>I think so. But you’ve got to
validate it somehow.>>Yeah.>>You’ve got to have some
— you can’t just say, well, I did that activity
so I get the badge.>>Yeah.>>It’s got to be guided. There’s got to be some evidence
of some outcomes being reached. And if the partners — sometimes
it’s not a professor — maybe it’s an employer — buys
into this, then they could help, essentially be part
of the guidance; the mentoring for that student. But there’s got to
be some criteria. And we have to set the criteria.>>You’ve got to
be able to count. You’ve got to have
realistic criteria.>>Right.>>It has to be real.>>Yeah.>>And I think that’s where the
role of assessment comes in. One of the big challenges we
have in higher education today, is a lot of people are
questioning the value proposition for higher
education. You say that you’re
promoting all of these great learning
outcomes. Prove it to us. And I think that’s
one of the challenges that we currently face. We have a very strong
center for assessment at James Madison University,
that works with our faculty and all the academic
departments. To try to actually look at
the student learning outcomes that they say that
they’re trying to achieve. And finding ways to
measure them to see if it’s actually happening. And more and more we’re
looking at that also with things like community engagement
and civic engagement. And trying to come up
with meaningful measures for those types of outcomes. And that also involves
working with alumni sometimes. Because the impact is not
just while they’re on campus. But hopefully it’s
something that will continue to occur well after
they graduate.>>So John do you feel
like that’s a hard sell, when people want
education to be cheaper and cheaper, and more efficient. And you’re sitting there saying, I need to have my
students have a world view. I need them to be out there
in their communities working on projects that really
extend their education. Is that a hard sell?>>It is. I think in the
current environment we hear so much about, you know,
we should just get people through school and check
off the boxes in terms of different classes
or coursework. But it’s about much more than
just subject matter content. What we say is that
we’re preparing students to be life-long learners. And that there are
tremendous public good — public benefits to having
students who are going to be more engaged citizens. Who are going to be more
likely to participate actively in volunteer organizations. That that benefits the entire
society; not just themselves. And so part of it is
getting the public to realize that what we’re doing
is to prepare people to be active and
engaged citizens. Who in turn will be
of service to a lot of other people in society.>>If it’s a hard
sell for the state, is it a hard cell for alumni? Can we convince people that this
is a great fundraising topic? This is the cream that will
distinguish a Virginia Tech from other institutions
because you’re providing that level of experience?>>I think so. But we’ve just completed
our Gallup Purdue Index, applied to Virginia Tech. Looking at wellbeing in later
life, and the five dimension that Gallup and their partners
have developed over the years. And there’s, of course the
physical dimension or health. There’s financial communities. Social and purpose. Those are the five dimensions
that we study in wellbeing. And I think they — the
more we talk about that, and talk to our alums about this
broader view of what it means to have had a successful college
experience that prepare you for a meaningful — that prepared you for a
meaningful life of service to humanity, or however
you want to word it. The more that our
alums recognize that in their own experience
and start to value it. Because if you look back, one
thing that we learned is looking at our graduates in the 40s, the
50s, the 60s, the 70s, the 80s. The current students and the
most recently graduated students have had a much more
engaged experience. And when I think
— when I was in — a student in the 70s,
I was not engaged. I look at — I don’t think
I could have gotten away with that in this decade.>>You — probably not.>>So you have to convince
the alums, yeah that was — this is really important. We know it’s important. But it’s not a hard
sell at that point.>>And I –>>And –>>Oh sorry, go ahead.>>I was going to say that
also leads to the idea of intergenerational
connections. Part of what we’re trying
to do as a university, is to really encourage
the alumni to engage with our current students. To be a resource to them. To see why these things
are so important both in and outside the workplace. I think a lot of our alumni
have realized with hindsight, oh I wish I had had more of those engaged
learning experiences. I can see how valuable
they are now. And I appreciate
what I am seeing from the students
coming out today. But the more we can create those
intergenerational conversations, I think, the better.>>Well, you know,
it’s interesting. I don’t know how many people
in the audience have heard about the Gallup Education Poll. But there’s a direct correlation
between how satisfied you are with life, and your
engagement activities, and your level engagement
at college. Which, did that surprise you?>>Well, not really. But it was interesting
to see the degree to which that is true. And how many of our alums will
say, yes, that’s something that they very strongly
agree with. And — but it’s not
completely surprising. I think, one thing I learned when I first became
university president was, I could learn a lot by
talking to our alums. And every time you talk —
every time I got engaged, or my wife got engaged in
conversations with alums — it didn’t matter
what generation. And you asked them, well
what about your experience at Virginia Tech
do you remember? There are two things
they always talk about. Engaged learning — they
don’t use those terms, but they always talk
about an internship or an experience they had with
a faculty member in the lab, or whatever it may be. And the other thing
they talk about — getting back to your
point John — is they talk about mentorship. Somehow those are so
important to their development.>>Mm-hm. They do.>>So I’m not surprised, but on the other hand I think
it’s not widely [inaudible]. And there’s certainly — the
public discourse doesn’t talk about the value of that. As you said, they talk about how
cheap can you offer a degree? How cheaply can you get
our student through? And that’s the wrong
conversation.>>And when you think
about what inspired people, so often what I hear, talking
to alumni, is the names of individual faculty members. And sometimes –>>That inspired them.>>Yeah. And sometimes the names
of fellow students as well. But it’s those relationships
that really inspire people to better themselves
to dream big. And I think that’s
something we can’t forget. That we are in a
business that is actually about relationship
building as much as it is about sharing content.>>Now my feeling is, and I don’t know whether you
feel this way [laughter], we’re really good at bragging
about our institution. You can’t be a president
without being really good about bragging. So we can go find those students
that are incredibly engaged. But who are we missing? Who’s not? Because we can go find
the perfect examples and highlight them. But we have a lot of
people being left out.>>There’s very stark
disparities. I — we just finished a study of
— our own study abroad program, and discovered — it’s
not too surprising — but about 14% of the students who do study abroad
have financial need. So what that tells you is that this is an opportunity
for the wealthy. And who isn’t — and if you
talk to the students who come from a lower family income,
they want to study abroad just as much as the wealthier
student, they just can’t afford it.>>Yeah.>>Or think they
can’t afford it.>>Yeah.>>And so that’s a huge
hurdle for us going forward.>>And the same is going
to be true with things like internships and other
forms of experiential learning. If students don’t
have the resources. You know, they may not
be getting a salary for that internship.>>Yeah.>>So these things
do require resources.>>You’re working a whole
series of minim wage jobs –>>Yeah.>>You don’t get to have
the types of experience that can really make
a difference and enhance your education. Which I also think focuses
our attention on the degree to which we can fundraise. To be able to have students do
things that are very different. Okay, now I see this huge
arena of things we can do. How do you prioritize? How do you figure out where
to make that investment to have the biggest impact in student engagement
and the value it has?>>Well, you know, I
think first all the — all the different
academic units need to be involved and participate. And it will be different things. You know, different forms
of engagement perhaps in the biology department. The history department. The music department. And they will know best what
works in their particular areas. And then, of course, you want to have interdisciplinary
opportunities as well. I think what can be
really helpful in terms of priorities is to
have some resources that will help faculty,
in particular. That want to provide
this kind of engagement for their students, but
maybe they don’t know how. Maybe they didn’t have that
experience, like Tim said, when they were in school. So we have a center for faculty
innovation that helps faculty to know how to use some of these
engaged learning practices. We have an office that focuses
on community service learning. That will work with faculty
that want to incorporate that into their classes. So I think having some resources
like that really will help you in terms of priorities. And making sure that
things are wide-spread.>>Do we have to recognize and
reward faculty for engagement? I think of all those
faculty that are working on one-on-one with students. Is this their love and we
shouldn’t worry about it? Or do we have to consciously –>>Well, at the very least we
shouldn’t punish them for it. Sometimes I think our
traditional policies do punish them in some ways, because
there’s an opportunity cost associated with it. They could have been
doing something else. But I feel like there’s so much
momentum behind not only the students wanting this,
but a large number of our faculty wanting
to be engaged. Especially the — I don’t
know if you’ve seen this on your campuses, but the
faculty we’re bringing on board now, early
career, are all about this. About being engaged faculty. And working with students. So I think the tide’s
turning, and they’re the ones who will populate the
tenure promotion committees. So I feel very optimistic. But there’s a lot of work
we have to do to figure out how to measure it. How to value it. So that we don’t have this
constant, up-hill battle.>>And I think that’s where, as presidents we can use the
bully pulpit of our position to really celebrate engagement and good role models
who do this. One of the things we did at JMU
to try to support these kinds of efforts, we developed a
faculty mini-grant program to support different engagement
projects that faculty wanted to do, but required a little
bit of extra resources. So I provided funding
to our faculty senate. They developed a competitive
process, and had a committee that vetted all of
these proposals from faculty across the campus. It was a great success,
and we celebrated that across the university. So people could say,
this is something that we value as an institution.>>Our faculty at Penn State
all said, we need to set up the curriculum so
that every student has an engaged experience.>>But that’s also not an
inexpensive undertaking. How do you get as many
faculty involved as possible?>>I actually think the
way that you’re doing it at Penn State makes sense to me. That we’ve been talking
to our department heads, and those who lead
our academic programs. About the concept
that every track; every degree program ought
to have a parallel sidecar in experiential learning. Either an internship
that’s built in, that our alums maybe
come back and support. Or if it’s study abroad,
there ought to be a way to spend a semester in another
country, or maybe another part of the US, and to
have that not slow you down toward your degree. So we’re challenging
our faculty. But we’re not at the
point where I could say that every program has
experiential learning built in, where it doesn’t slow
the student down. And we need to get there.>>And we have created an
engaged university council to try to provide some
leadership to work with all the academic units. Because I think what many of us find is there are a
thousand flowers blooming on our campus. There’s a lot of engagement
probably happening everywhere over all the units.>>Everywhere, yeah.>>But is everybody really
getting that opportunity?>>Yeah.>>And so part of the idea of our Engaged University
Council is to try to look at that systematically. To make sure that we could
ensure that every student who comes into the
university will have that kind of experience.>>Well I think another
interesting thing — because I also have a campus in which a thousand
flowers are burning — [background laughter] blooming. Yeah –>>And I think we lose a sense
of best practices in there too. Of what really works, and
has a level of impact. Will this have staying power?>>I think so. I mean, one thing — I
reflect on that a lot because I often note
— to myself usually — that this generation of students
is a lot like the generation that I came from in the 70s. I kind of identify with their
world view and orientation. It was a little different
time, but they seem to be very oriented
towards service. Towards being engaged. And being part of the community. Will that pass? Maybe another generation
will come, and then we’ll be
fighting uphill again. But I just don’t think
that will happen. I think we’re in a long period of increasingly valuing
the engaged university. One thing that I think
we all recognize, especially in public
universities, is that the public
good/private good shift. Well this is a way to get
back, that this concept of the public is to
be thoroughly engaged.>>I think one of the reasons
that it may very well last now, is that we’re preparing
life-long learners. We know that our students are
not likely to just have one job or one career in
the 21st Century. And so we have to give them
skillsets that will allow them to take on new challenges
and opportunities. And I think that’s what
engaged learning does.>>Go out 20 years. What will universities —
residential universities look like in terms of
engaged scholarship?>>Well I can say an
aspiration would be that people in the community — and I’m
not just talking about the town that the college is based in. But people in the
larger community; maybe the state that you’re in. Will all know about
your university, and how it did something to
engage that community and help that community develop. And if we get to that point, I think we’ve really
come a long way.>>The level of impact
will change.>>It won’t be the ivory tower. It will be the engaged
university. I’d say –>>I absolutely agree with Tim.>>Exactly.>>That’s perfect. We’re out of time. I so much appreciate your
time being here with us today. Thank you so much.>>Thank you.>>Thank you.>>On behalf of Penn State
President Eric Barron, I’d like to thank our guests, President Timothy
Sands of Virginia Tech. And President Jonathan Alger,
of James Madison University. For Higher Education in
Focus, I’m Patty Satalia. Thanks for joining us.>>Support for Higher
Education in Focus comes from the Penn State
Alumni Association. Serving alumni and alma mater
for more than 145 years. On the web at alumni.psu.edu. Penn State bookstore, now
in an expanded location in the Hub Robeson Center. Improving the student
experience at Penn State with Philanthropic support of student causes
throughout the university. PSECU. A credit union
providing financial services to its members throughout
Pennsylvania since 1934. More at psecu.com. And from viewers like you. Thank you.

What to Eat at Taiwan’s Most Famous Night Market — Travel Eat Repeat

– [Iz] Night markets. They’re everywhere. Night markets are perhaps
the best expression of Taiwan’s local food culture. Chinese is in its origin, but
totally unique to this place. In this city alone, there
are 30 such markets. Each brimming with a certain energy. Locals perusing the hundreds
of stalls for whatever they’re craving that night. And you don’t have to
choose just one stall. Choose five or ten! Wander, sample, mingle. Wow, that is a long line! I hope it’s worth it. We landed in Taiwan last night
and let me tell you, there is nothing I love more than 14 hours on a plane with a three-year-old. We’re gonna go to one of the
city’s oldest night markets tonight which I’ve been
told is a can’t-miss food opportunity, but before
that we are going to explore the city starting with
some scallion pancakes. So first of all, scallion
pancakes are savory. They’re pan fried dough
that are served with a bunch of different
sauces and toppings like ham, cheese, egg, basil. They first flatten the dough,
throw it onto the skillet, and then they start to
smack it around with their spatula to puff it up to
create a light and fluffy almost pastry-like texture. So good! These look amazing! It’s almost between
like a pastry and naan. Henry’s too hungry. This is real trouble with kids. For you, mister man.
– Oh my gosh. – The scallion pancakes are a must-try. They’re almost like a breakfast sandwich meets a croissant meets chapati. – [Johnny] Meets heaven! – Meets heaven. – Meets heaven. I mean it’s so good. – We have about four hours ’til nightfall, so we’re gonna go explore the city. If you’re in Taiwan you have to wander through the Longshan Temple. Showered with ornamental
design and symbolism, the temple is bustling with both
tourists and locals alike. We’re here at the night
market and it is so busy. There’s so much to see! There are two things that
I know that I want to try. One is stinky tofu. I’m not really sure that I
want to try it, but I was told that I should so I am going to. Okay? Okay. The other is the pork pepper bun. This was mentioned in
the Taipei Eater Guide as one of the top foods to try. The queues are super, super long so that has to mean something. I’m really, really
excited to eat it finally. This is unlike anything I’ve ever seen. It is super, super busy. There’s so many options. We have to be strategic. – Quail eggs. – Give me those! I actually have never had a quail egg. This is a first. Cheers! Wow, that is really good. Really creamy inside. It’s just undercooked enough, the yolk, and then it has that
crispy outer and the really flavorful seasoning and sauce. Yum! This is the moment we’ve
all been waiting for. The stinky tofu. The smell is extreme. There’s flavors that
like, if you grow up to, they’re acquired tastes, like
cheese and fermented foods, and stinky tofu I think is one of those. I don’t hate it. It’s actually really good if
I don’t think about the smell, but if I start to think about
the smell as I’m eating it, the struggle is very real. The texture is really good. It’s crispy on the outside
and really like, chewy on the inside and it has
this pickled cabbage which goes really nicely with it. It’s not my favorite, only
because I have to keep my mind very focused on not thinking
about the smell, but I’m very surprised by how much I do like it. I wouldn’t have expected that. This is pure organized chaos. It is so chaotic, but like,
there’s this energy that is just so fun. – It’s amazing. Here we have what I think are
some of the most beautiful buns I’ve ever seen. That preparation was insane. – Here goes it! That is so good. So we’ve made it through
almost all of the market and I have to say like the
overwhelming-ness of so many good options is just
part of the experience. We’re gonna finish off with
the pork pepper bun which I’ve been waiting all day to try. I read about it in the
Eater Guide and I think I’ve just been dreaming about it
since and I’m pretty sure I’m gonna be dreaming about it after. The pork pepper bun is
made with minced pork, green onions, black pepper, and what they say is their secret blend of spices. It’s then wrapped in dough,
thrown into a tandoor-style oven, and cooked until golden brown. – [Cashier] Hello! – Hi! Three. – Thank you.
– Thank you. Oh I’m so excited! Really good! Really peppery. The meat has like a sweet-salty
and then the crust is like crispy, but then really
nice and chewy on the inside. You can see how it’s like nice
and charred on the bottom. It has that good crunch, but then also the chewiness of like a bun. That is incredibly flavorful
and really delicious. I am 100% sold on the night market thing. I wish we had them at home,
but I guess it just means that I’m gonna have to come back. Make sure to tune into next
week’s episode where we explore one of Taiwan’s most loved, most common dishes: beef noodle.

deku meaning | deku growth in boku no hero academia | 緑谷 出久

Deku is a person that’s so real and lovable
that you would have to be a straight up bitch to be mean to him or wanna do harm to him. He has the look of a typical shonen character
with the same type of motivations but his path is quite different. I think we all agree as fans of the anime
and manga that Deku ignites this spark in all of us that makes us want to be better
and help others. There’s some things that we can learn from
the shy Detroit smashing green haired superhero. The next symbol of peace. Deku was born without a quirk(superpower)
in a society where more than half of the population has one. All he wanted to be was a hero just like his
idol “All Might” the number one hero in the world. He sees his peers acquire their quirks over
time while he doesn’t and he finds out he will be quirkless. You see his world shatter into pieces. Then to make matters worse his mother and
his idol All Might tell him he will never be a hero. Not only does IDeku get a quirk but he becomes
the greatest hero of all time. In a situation where no one believed, he was
the only one that did. Remember the episode of “Boy Meets World”
Where Topanga broke up with Cory and she went out on this great date with another guy and
Angela told Shawn that the relationship had no chance of happening again? Shawn told Cory what Angela said and Cory
said something interesting in response to Shawn. He said “It’s weird” and Shawn replied
“It’s weird that it’s over?” And Cory replied “It’s weird being the
only one that knows that it’s not.” Izuku was the only one who believed it wasn’t
over for his dream. Fuck limitations. If you look for excuses you always find them. Deku didn’t look for an excuse he looked for
his destiny instead. The power of “One For All” takes a serious
toll on Deku’s body when he uses it. He doesn’t know how to control the quirk
yet. Physically as the series goes on Deku’s
body changes. He’s in super muscular shape but that isn’t
enough. Although his body can withstand the punishment
of overusing the quirk it’s only so long he can keep that up. Deku is an intelligent kid so he turns to
his intellect to get through the obstacles in front of him instead of relying just on
the quirk itself. You can have all the talent in the world but
if you don’t have the work ethic, discipline, or intellect to add to the talent then you
will limit yourself and never reach your true potential. I can workout at the gym 5 days a week and
have the talent to lift everything in it but if I eat poorly 4 outta 7 days a week I’m
limiting myself and none of the work I do in the gym matters. The results I want won’t show. I’ll still be outta shape. My weightlifting talent wouldn’t be enough
to get the body I want. It’s a mental workout also. Your mind has to accompany your talent also. Deku had a mentor out the gate. All Might just didn’t know he was that mentor
yet. I tell creatives all the time that they don’t
need a mentor in front of them to have a mentor. Pharrell Williams is my mentor he just don’t
know it yet but until that day comes I’m learning from him from a distance because
it’s the only option I have. Deku did the same thing with All Might. All might was always his mentor even before
they met. Izuku embraced apprenticeship. He enjoys being the student. All Might brought Izuku to his calling which
is being a superhero. We all need help in finding our calling which
is why it’s important to embrace apprenticeship. Don’t just admire people. Go out and practice what they do and preach
if you feel it’s right. The people who put their independence and
ego to the side are the ones who achieve greatness. Nothing timeless is built alone. Izuku didn’t get to where he’s at alone. Embrace apprenticeship. Deku is very polite and helpful. He was constantly bullied as a child and instead
of trying to get revenge he always would come back around and still try to hang out. Bakugou was a little bitch towards Izuku and
Izuku STILL considers that asshole as his friend. He has greater powers than Bakugou now and
could literally knock his face off but he doesn’t. He kills him with kindness. Midoriya goes out his way to help everyone
even people who are mean to him. All that shows us is that he’s the most
mature kid out of the group. I love taking notes. I cannot function or write anything without
notes. It’s a habit of mine. Deku note taking is probably his most underrated
power because the note taking allows him to analyze his opponents and have a strategy
before the battle is even fought. He knows the pros and cons of hundreds maybe
even thousands of heroes quirks. It shows that he loves what he does. It’s that kind of discipline that will take
him far. He’s ahead of his peers and it’s mainly
because he studies the game. You probably hear this everyday in some way,
shape, or form. No risk. No reward. If you don’t take a risk then nothing is
going to change. Opportunity not coming to you. You have to go to it. Izuku took a huge risk by attempting to save
Bakugou despite not having a quirk. If Izuku never did this then All Might would
have never saw him and give him “One For All.” The risk Midoriya took was huge because he
put his life on the line and that risk changed his life and helped him start his dream. He knew that there would be pain involved
but he took the risk anyway and it paid off. Izuku is unsure of himself. It’s why he’s the most relatable anime
character. Even though he has this amazing quirk he still
has doubts, fears, and insecurities. He’s not a headstrong guy. He’s timid and sometimes has very poor self
esteem issues despite being the strongest. We all have insecurities but it’s how we
confront and deal with them that makes the difference. Midoriya is different from all the other Shonen
main characters. The big difference is that he’s not making
a declaration every episode. Luffy said he will be King of The Pirates. Naruto said he will be Hokage. Midoriya just wanted to be a hero just like
All Might. He never talks about how great he will be
or he will be the best. He’s a quiet dude. If he talks about being the best it’s always
on the battlefield while in action. He let his actions speak. Talk is cheap. Declarations can be shackles. Don’t declare anything if you’re not disciplined
enough to hold yourself to it. Stop telling everyone your goals and dreams. Tell yourself those things and work towards
them. The people who constantly make declarations
publicly are the ones who are always full of shit. They’re all talk. I see the same cycle. Person makes a declaration on social media,
then they don’t deliver and people hold them to that declaration and now they feel like
a failure because they didn’t keep their word, they get inspired again from their idols and
then make another public declaration, fail again and the cycle continues. The reason they’re failing because they’re
doing it for the wrong reasons. Shut the fuck up and make the declaration
to yourself. Stop trying to prove shit to people who wouldn’t
bail you out of jail. Set the goal in your mind and start working. No one needs to know your progress. No one needs to know your happiness or sadness. It’s YOUR journey. Not ours. You’re not obligated to share anything with
anyone but yourself. I’m sure everyone was cutting onions in their
house after Episode 4 in Season 3 where Deku fought Muscular. It gave us all the feels and the soundtrack
to the moment definitely helped also but that moment is why Izuku Midoriya is so inspiring. He put his life on the line for a kid that
hated him. Izuku cared just as much about Kota’s feelings
about his parents as if they were his parents too. Izuku took that emotion along with his beliefs
into battle with him and that’s how he was able to overcome that battle. He simply cared more than his opponent did. He fought with a purpose versus fighting just
for the sake of fighting. Izuku greatest strength is that he cares more
than anyone that’s in front of him and he cares about the right shit. That’s why he will be the greatest hero. He’s selfless. He wouldn’t get to where he is now without
caring. The villain “Stain” respected him because
of this. He seen that Izuku cares about the right things
and is not about attention or recognition. He saw that he genuinely cares. It’s cool to care about things I promise. Care as much as possible because that’s where
our strength resides. That’s where you can find your version of
your Detroit or Delaware smash at 1,000,000,000%

DIY Growth Chart with Hand Carved Numbers

Hi everybody I’m Mike McCrory and this is Wood U Make It. I know somebody that lives in Austria and she’s a mutual friend of our friends who have baby Leo. She’s asked me if I could make something for him for Easter, so what she’d like me to make is a growth ruler or a growth chart out of wood and I’ve got a few ideas on how I’m going to do that. So… let’s get started! I’m going to make the growth chart out of two pieces. of wood. I’ve got a piece of walnut and a piece of cherry and I’ll joint the face of each board — just one face — and the edge and then I’ll run up through the the planer get an equal thickness for both pieces. There’s not a specific thickness that I need but I want them both to be the same. I’ve tested the edges to make sure that the glue line is nice and even and now I’m marking that edge on both pieces with a piece of tape so that I don’t get them mixed up. Then I’ll run the jointed edge along the fence and trim down each board to be the same width. I’ll save that piece of walnut that I’ve trimmed off to be used for the next step. The piece of cherry is not thick enough so I will have to cut another piece for that. Now I’m drawing a line at one end that’s going to be the line that I use to line the two pieces back up together. I’m now marking all the increments for feet and inches on the walnut and then I’ll do same on the cherry side but I’ll use the metric system on that side.x On the Imperial side, I’m marking every inch and on the metric side (on the cherry) I’m marking every five centimeters. Now for each of the increments that I’ve marked, I’m using my dado set — the two outside dado blades to cut a 1/4″ slot in each piece for each mark for the minor increments that correspond to every inch or every five centimeters. I’m cutting those to be 3/4″ high and then for the next set of increments — so for every ten centimeters or for every half foot, or every six inches — I’m cutting those to be 1 1/4″ high and then for the major increment, which correspond to the feet or 100 centimeters or one meter, those are being cut to be 2″ high. When I get to about halfway across the board I’m going to switch the miter gauge to be on the other side of the blade. I’ll just adjust it so that it’s not going to run into the blade and then I will make the remaining cuts. After making several cuts I realized that the board may be drifting just a little bit as I’m pushing it through the blade, so I decided to start clamping it for each cut. This was even more important for some of the taller cuts because it was easier for it to get out of kilter and then the pieces that I’m going to insert into these slots would not fit as well. I’m cutting one of the major increments for the feet and these cuts are about 2″ high. Now I need to cut some cherry into a thin strip that I can insert into the slots that I just cut because i didn’t have enough left over from the piece that I cut on the table saw. So, I’m cutting that on the bandsaw to be just a little bit more than 1/4″ so that after sanding down to the final size, it will fit perfectly into the slot. Now back at the table saw I need to cut these into individual lengths to fit into the slots so I’m cutting these to be a little bit oversized probably about one inch and I’ll do the same for the larger increments by cutting those oversized as well. I’m using a stop block against the fence to set the length that I’m cutting and it’s important to do it that way so that you don’t risk having a piece bind between the fence and the blade and risk having a kick back at you. Here I’m cutting the 2-inch pieces for in the major increments. Now with all the pieces cut it’s time to insert them into the boards and I’ll do that just by gluing them in place. After putting this together I remembered when my mother was measuring my height (many many years ago) she would put a book on top of my head. So I thought it would be kind of a cool idea to have some kind of a sliding mechanism that could slide up and down and rest on the head. I hadn’t really thought about that in the beginning. If I had, I might have made the piece thicker so that I could put some kind of a channel for the slider to slide along, but I hadn’t done that so I had to think of another solution. I decided to use rare earth magnets so that I can have the slider stick to the board and be moved up and down. Now I’m starting to cut the pieces for the slider. This piece of padauk I cutting to have points on each end. I’ll explain that when we get closer to the assembly. I have this piece of Spanish cedar that I had leftover from another project and I thought that would be a good choice because the theater is much less dense and much lighter than an equivalent sized piece of hardwood. It’s important to have something light when you’re using a magnet otherwise i’m going to need a lot of magnets to make sure this thing sticks and doesn’t slide down because of its own weight. Now into the end of the piece that’s going to sit on the head I’m cutting some dado slots for pieces of wood to be inserted. Now I will drill recesses into the padauk so that there’s a place for the magnets to sit. The magnets are 1/8″ thick so I’m cutting a recess that’s 1/8″ deep. That way, the magnets will be flush to the surface of the wood. Now I’ll use epoxy to secure the magnets in place. I had to be careful when placing the magnets into the recesses because they have such a strong magnetic attraction that there was a risk that they would pull themselves out and stick to each other so I had to carefully hold them down with my hand to make sure they didn’t pop out. I have two pieces of wood to glue into the slider one is the padauk with the magnets and the other is a horizontal bar so that you can see where this lines up with the increments on both the imperial side and on the metric side. I’ll just clamp this and let it sit for a few hours. While the slider is gluing up I can go back to the growth chart and run it through the drum sander so that it’s nice and flush. Then I’ll clean up the edges on the table saw. The rare earth magnets need to be able to stick to something so I’m going to cut a slot into the wood along the glue line and that will give me enough room to insert a steel bar that is one inch wide and an eighth of an inch thick. I bought a six foot steel bar but I only need about five feet so I’m marking the appropriate length and then I cut it off using a Dremel saw-max. This worked pretty well for this application. I put glue along the edge on both pieces and then I will be able to insert the steel bar and then glue them up together. I had a couple of leftover pieces of wood that I used to make the increment marks and I’m inserting those into the ends so the steel bar doesn’t fall out and then I’ll clamp it up and let it sit overnight. I have the growth clamped into the workbench and I printed some letters using a laser printer. Originally I had thought that I could print them in a mirror image and then transfer the ink to the wood, and that would be easy. But I tried everything. I tried acetone, I tried xylene, I tried paint thinner, I tried alcohol, and nothing worked. I don’t know what I was doing wrong. It is a laser printer and I know that’s important but I just couldn’t get it to work. So, I’m going to do it the old-fashioned way. I’m going to use my pounce wheel and I’m going to trace around the letters and then I will start carving them out. After tracing around the laser printed letters, I use a pencil to trace the outline just to make sure that it was easy to see and then I drew a line down the center of each of the numbers and this is where i’m going to use a V-chisel to mark out the center line. Notice at the corners I’m also marking some angles to help me to figure out where to cu. This center line is important because when I’m carving from the sides using a straight chisel or a curved chisel it will help for the wood to break away cleanly. Now I take the V parting tool only up as far as I’ve marked where the line intersects with the angled pieces coming from the corners and then I proceed in from the corners. Now I’m using a straight chisel. It’s fairly easy to cut out these pieces that are straight; it’s a little trickier — not that difficult — but it’s a little trickier to cut out the curved pieces. I’m just taking it out bit by bit. It’s important to be patient and try not to carve out too much material and be overly aggressive. Here on the outside of the curve i’m using a larger sized gouge and then on the inside I’m using a straight chisel. I should mention that I’ve never carved before. This is my first time doing it so you should take everything that I’m telling you with a grain of salt. I did watch a couple of YouTube videos so that helped me to figure out the best approach. The reason I decided to do the carving was because I won this set of carving tools from Instructables.com. The only thing I purchased was this larger gouge that I thought I would need for some of the larger curves and it turned out to be a very useful tool to have for that. If I used a smaller gouge, it would be more difficult to get the curves nice and clean without having kind of a scallped look. It took me about 10 to 15 minutes to carve each digit and there were 42 digits total so that translated into about eight to ten hours of effort. This will be a pretty long video if I show me carving each of the numbers but I thought you might want to see just some of the highlights. I think my favorite number to carve was the number four because it was the easiest. Everything is pretty straight although every number was pretty rewarding when you got it completed it because it looked so nice and so clean. When I was over on the metric side it was a lot more difficult because the numbers were that much smaller. They were probably about half the size of the numbers that I’m using to mark the feet so it was a lot more tedious and I almost thought my chisels were a little bit too large for what I was trying to carve and that made it that much more difficult so I just had to be very patient and eventually I got it all done. I’ve got a router bit installed to cut a keyhole slot and unfortunately the battery on my other camera died while I was recording this so all you really get to see is the back of my hand. After I remove the router you can see the keyhole slot. Now the growth chart is ready for a finish and the first step is I’m applying a dewaxed shellac just to seal the wood. One of the nice things about having magnets in this slider is that I was able to just stick it on the column that I have in the center of my garage because I have a metal wire raceway running down it and that made it easy to just stick on the wall and apply the finish. Then on all of the pieces I’m applying a spray lacquer. I don’t have an HVLP sprayer so I’m just spraying out of a can and it worked fine. Here again the magnet worked well because I could just stick it on the chain that I’m using to hold the board up and it was really easy to spray on the lacquer. Well, here’s the growth chart all put together and I just wanted to point out a few features so here’s the slider that goes up and down and it’s magnetic so it just sticks to the wood wherever you put it and when you’re measuring a little child you probably want to mark it on the wood and then slide it up higher to be out of the way. I talked about having the padauk that was pointed top and bottom. The reason for that is I have these horizontal bars where you can align the bar with the increment on the scale and you want to make sure that it’s horizontal so when you align the points top and bottom to the center line, that will assure that it’s horizontal. One thing I think I’ve proven, at least to myself, is how superior the Imperial system is compared with the metric system. Just a look at the precision on the Imperial side and how close these measurement increments are. You get a lot more precision on this side than you do the metric side so that’s one point for the Imperial system. The other thing that was a lot better for me is the amount of carving that I had to do on the Imperial side. It was way less. I have five digits that I had to carve on the Imperial side; I had 37 digits that I had to carve on the metric side so it was way more work. Then, lastly, the Imperial side is way better for your brain because when you’re building things you to go through all kinds of mental gymnastics and exercising your brain to do fractional math adding 1/8″ to 3/16″. Easy, because we do it all the time and we practice. When you’re using the metric system your brain gets lazy because it’s just so easy. So, 3 points for the Imperial system and that’s why the U.S. is never going to change. So now the only thing left to do is to install it. We’ll let Leo warm up to it for a minute and now it’s Now it’s time to give it a try. Well there you have it. So I gotta ask… Would YOU make it? [theme music playing]

6 Reasons You Can’t Miss Marketing Symposium/Xpo

We are most excited about the depth and breadth of data insights, benchmarking tools and actionable advice that we are able to bring to our attendees like never before. Senior marketing leaders can really commiserate, collaborate and network with other leaders who are in their same position and face the same challenges that they do. We try to separate the hype from the reality and tell marketers about what’s really important for them to know about and consider for the future. The ability to interact one on one with our Gartner experts while at the same time all the networking opportunities that we have through roundtables and peer meet-ups. There’s so much diversity in terms of towns and villages and places to visit. The Mexican food, obviously, amazing and you’d definitely want to partake in that. The sun is always shining and the surf is always bounding and it’s a lot of fun to be in that part of the country. The combination of Gartner experts, proprietary data and research and actionable advice and tools, I don’t think you can really find anywhere else.

Short on Time? How to Work Smarter Not Harder | MarieTV Live Call-In Show

Hey, it’s Marie Forleo and you are watching
MarieTV, the place to be to create a business and life you love. This is my friend Gregory Patterson. Well hello there. We are here to answer some questions. So we’re going to have some live callers. We’re going to offer some insight and guidance. Let’s have some fun and get to it. Hello. Hello. This is Marie. Who is this? This is Ewa. Hi Ewa. Welcome to the show. You’re here with Gregory and Team Forleo. We’re so excited to talk with you today. What’s your question and how can we help? First of all, thank you so much for taking
my question, Marie. Thank you. I am a big fan of yours since ages. I love you and thank you so much for your
great work. Thank you, darling. So well, recently I went through two cancers. I’m healed now, so it’s okay. I would like to reboot my business coaching
because it took some time and I stopped everything for more than one year. But I’m afraid that I can only work now few
hours for at least a year or more. In wherever I look, everyone says, “Oh,
you have to work for your success 24/7.” I’m simply afraid that I will not make it
because I have to really be strict and not work too much. Yes. So first of all, I just want to congratulate
you on your recovery and your healing journey. I love the enthusiasm that you have for this
next chapter in your life. I want to first start off with telling you
something. The number one tip I have for where you are
right now in life, based on what you’re about to embrace, I really do actually want you
to embrace the fact that you’re in this situation. I’ve done a lot of research on this topic
and most studies show that people don’t even work a full eight hours a day. If you really break it down and pay attention,
most people are only productive for a max two hours a day. Then the other six hours, we’re distracted. We’re on social media, we’re looking at email,
we’re doing all kinds of things except being productive. So what you have in front of you is this beautiful
gift where you get to focus your time and your energy on what matters most. The second thing I want to say, all the messages
that you hear that you have to work and hustle 24/7, I think that’s bullshit. Really. I embrace hard work. I certainly work hard myself. But I don’t work 24/7 and I’ve been building
my business for 20 years. I think a big fact, the reason that I am still
around is because I don’t work 24/7, because I’m not burnt out, because I’ve built these
structures into my life so that I can rest and rejuvenate and have joy and have time
and space away from my work, so I have something to bring back to it. The whole culture of working nonstop, personally,
I believe it’s toxic. I believe it’s counterproductive. I don’t believe it’s the way of the future. So you have this opportunity right now to
really work smarter and not harder. You have to detoxify yourself from all of
those ideas about working nonstop, because you don’t have to. I think the most important thing for you to
do is to really decide for you what’s most important. When it comes to those hours that you have,
whether it’s per day or per week, to start building back up your coaching practice. It’s going take a little bit of self-awareness
and introspection. Is it writing your email newsletter? Is it reaching back out to clients? Is it being on podcasts? Is it creating content? There are certain things that I’m sure you
did in the previous era of your business that helped you to be successful. If you can drill down to exactly what those
things are and choose what you feel is going to be the best use of your time and energy,
that’s what’s going to help you build back this business. In a way that’s going to be sustainable and
honor your health. Yes. Just a small comment on the last part, but
why I am also a little bit afraid of, because what in the past brought my success was, yes,
I was working like crazy and because I love it. That was also the thing. Yeah, one of the things I have to now figure
out is how to honor my health more and not to go crazy with the work. So yeah. I really appreciate that you said that for
yourself, you also have something that you nourish yourself in order to bring that back
to your work. If I understood well. You did, you understood perfectly. That comes back to what I call non-negotiable
time. Right? We talked about this on some MarieTV episodes
before, where you have certain practices, certain rituals, certain things that are non-negotiable
in your day and in your week that are prioritized around your own self-care. Some of mine have to do with meditation. It has to do with movement. There’s like a little green drink that I have
every day that is filled with vitamins and nutrients. It just helps me make sure that I’m getting
the nutrition I need. So it doesn’t have to be complex. It doesn’t have to take tons of time. But for you to establish those non-negotiable
rituals and that non-negotiable time around your health and wellbeing, put that first. Then you can really plan out and schedule
out what is going to get you the most bang for the buck in those hours that you are working
on your business. So much of this is an internal game, right? Not comparing yourself to other people, not
consuming other people’s media that tells you that you should be working 24/7. It’s not healthy and it’s not sustainable. So this whole journey for you, you’re going
to have to master your internal game to really master creating results on the external game. Does that make sense? Very much. Really. Yeah. I’m excited for you. The other thing I wanted to let you know too,
you should look up, we did a great MarieTV about the most important four minutes of your
day. This is something that helps me, especially
when I’m tight on time. I don’t close up shop for the day unless I’ve
spent four minutes looking at my calendar and then outlining what are the most important
things that I need to get done the next day. This way when I wake up and I start work,
I’m not looking at my email, I’m not scanning social media. I’m looking precisely at my list of what I’ve
deemed is most important and hitting that first. This way, as the day goes on, if someone calls
or there’s a fire I need to put out or something unexpected happens, like my dog starts throwing
up on the floor, that I can actually go handle those things and I know I’ve taken care of
what’s most important first. Yeah, that’s true. Very good tip. Yeah. Yeah, so Greg, anything that you want to share
with our lovely friend? Mine is more of a question to you because
I can really relate to that. Do you think that people trying to start a
business or run their business that are just grinding 24/7, the big word fear jumps out
as well. Do you think the fear comes just from simple
burnout? Not being able to follow through because of
health because of… you know what I mean? Well, I think part of it too, all of us need
to have a strategy that we’re working and feel confident in it. I think a lot of fear comes up for many of
us, if we don’t feel confident in the strategy that we’re using to grow our business and
if we haven’t established metrics that matter. What do I mean by that? A lot of people are chasing numbers like Instagram
followers or views on YouTube or views on Facebook or whatever it is, right? So they’re chasing these vanity metrics rather
than paying attention to, well, how many clients did I book this week? How many people’s lives did I change? What are my profit margins? What’s my revenue? These different metrics that can matter way
more than things that are kind of shiny on the surface that don’t really equal anything
that’s satisfying or that’s going to give you a return in the long run. So for me, money is a metrics that matter
in terms of a business, because it’s a business, right? What’s the revenue? What’s the profit? What’s that looking like on a weekly, monthly,
yearly basis? Those numbers are way more important to me
than how many likes I get on any post. So when you establish your own metrics that
matter for you in this particular stage in your business, you’re able to be a lot more
intentional about that time that you do have. It’ll prevent you from getting sucked off
into these little cesspools of just, “Aaah!” where you just feel like you’re spinning your
wheels, but you’re not accomplishing anything that really is important. So there’s one other phrase that I like to
say that I’ll remind you of now: If you want to be responsible, keep your promises to others. But if you want to be successful, keep your
promises to yourself, especially in the stage that you’re at right now. When you set up your daily plan of what you’re
going to focus on and what you’re going to do, you have to honor that with your full
integrity. Just like if someone else, a doctor, was telling
you this is the protocol that you must follow in order to continue to heal, you have to
honor your own word with you at that high level. That’s what’s going to help you build this
business back up and do so in a way that is sustainable. Yeah. That really is a lot of sense. I really love that phrase that you just mentioned,
to keeping the promise to yourself to be successful and healthy and alive. That’s right. That’s right. Remember, too, I want to mention one more
thing about work. When it’s really joyful, when it’s truly joyful
and you’re having a really good time and you’re lit up by it, you can actually go much longer
and there’s much less stress that comes along with it. But when you’re pushing, right? And you’re grinding and you’re forcing yourself
to do things… By the way, all of those energies are completely
within your control to decide how you’re approaching or engaging in something. But when you put all that force behind it
and you’re gritting your teeth and getting through it, that’s what creates a lot of stress
in the body. That’s what gets you exhausted and tired. But when you create joyfully and you’re having
a good time, and you’re treating it like something that you actually want to do, and you’re making
it a bit of fun and it’s play, and you’re letting yourself be creative, listen to music,
dance around, whatever you do, you actually can be a lot more productive for longer because
there’s not that resistance. Does that make sense? A lot. A lot. Yeah. Yeah. Yeah, definitely. So hopefully this is helpful to you, my love. Thank you so much for your question and keep
us posted on how it goes. I absolutely know you can do this. Again, you do not have to prescribe to the
work 24/7/365, all the time until you’re basically done. Thank you so much. You really calmed me down or with your answers,
because it’s now looks like I can do it. Yes? You absolutely can do it. We believe in you and you are your most important
asset in this life, my love. You must take care of you first. It’s that tired, but true old metaphor about
when you’re on an airplane, right? That oxygen mask drops down. We’ve heard it a million times, but it really
is the truth. You have to put it on first before you can
take care of others, including your beautiful family, your clients, and anyone else in your
life. Yes. Thank you so much. You’re so welcome. Thank you. Keep us posted and we love you, girl. I love you too. Bye-bye. Bye. Hello. Hi, is this Alex? This is Alex. Hey, it’s Marie. You’re on the MarieTV Live Call-In Show. How are you darling? I’m good. How are you? So good. You’re here with Gregory and all of Team Forleo. We are really excited to talk with you. So let us know your question and we will do
our best to help you out. Okay. My question will probably become a story,
but I left my 10-year long career as a makeup artist in January to pursue a career in freelance
illustration from my social media page. I’ve been managing to stay afloat because
I’m kind of a multi-passionate human. I’ve got a bunch of things going on. So for the past four months, I’ve been doing
okay. I’m having one of those slow weeks, though. It kind of comes in waves. I was just kind of wondering how do you stay
focused and optimistic during those lower times in your new business? Because I tend to kind of be like, “Oh,
I got to go apply for my old job back” and run away whenever it gets quiet. Yeah. I want to keep the self doubt from taking
over. Absolutely. This is a great question. It’s something I think many of us have experienced
and will experience again anytime we enter a new chapter in our lives. We’re starting a new career, we’re starting
a new business. We’re entering a new phase where things are
unknown and we’re not as established as we once were. So normal. I also want to congratulate you for following
your heart and doing something new that takes a lot of courage. It’s so scary. It is so scary, but that’s amazing. You’re actually doing it. I’ve talked to so many people on this show
and have worked with so many folks who get paralyzed in that fear position and never
actually move. So give yourself credit. Oh, it’s real. Yeah. For actually doing it. So one thing that I want to tell you, no one,
and I know you know this, but sometimes it’s helpful to hear a reminder, no one is an overnight
success, especially when they’re starting something new. So you have to cultivate that patience muscle
inside of you. Yes, there will be those highs and lows, right? There will be those peaks where you’re busy
and some of those valleys. I know the valleys are what we’re talking
about. One thing that really helped me when I was
starting my business was a little thing I like to call it ABM: always be marketing. You know I’m a big fan, passionate advocate
of marketing, especially for small business owners, because what it does is it gets you
in the habit of sharing value and also gets you practice at reaching out to folks who
could hire you or who could be a source of income or jobs or connections. So if you don’t have a little ritual set up
for yourself, whether it’s daily or maybe two or three times a week, but at least weekly,
where you are proactively doing whatever is appropriate for your business in order to
drum up more business, you’ve got to put that habit in place. It could be making phone calls, sending emails,
asking for testimonials, reaching out, right? Anything that you’ve been doing in your business
so far that’s been working, we want to do more of that. If there’s some ideas that you’ve had about
how to expand your business, let’s try some of those ideas out too. I’m assuming, my love, you’re not a B-Schooler
yet, right? I’m not. Okay, well, I’m going to put out a little
hope for you that you will join us at some point in the future, because it’s one of the
things I’m most passionate about teaching. That’s kind of what we go deep into there,
but the point is still valid: always be marketing. So develop that habit with yourself. What that does is whenever your mind starts
to go to, “Well wait, ain’t nothing happening. It’s all slow. Did I make a mistake?” Which again, that’s a natural place any mind
would go to. If you’ve got this beautiful list of things
that you could do, proactive steps you could take, making that call, sending that email,
putting up another post, requesting a testimonial, and you dive into action. You’re going to train yourself to just kind
of slide right through that self-doubt and get into that always be marketing place, which
does drum up more business. The other thing I want to say to you is this. You know, in my own journey took me over seven
years before I was able to provide for myself and for my family, at that time, solely from
my coaching income. So I had side gigs. So let’s say you find yourself at a makeup
counter again, that’s fine. That doesn’t mean you failed. Whatever you need to do to keep the lights
on and to have food on your table while you continue to build this new chapter in your
life. There ain’t no shame in that game, honey,
right? Honest work is honest work. The other thing I want to tell you, and this
is kind of a layer underneath it. This is something that I recommend to everyone
because I just don’t think we talk about it enough, is to handle your money. What do I mean by that? I don’t know how much work you’ve done on
your own personal financial wellbeing in terms of understanding money in your own life. Do you have savings? Do you have any debt? Do you have a plan to pay that down? Are you investing for your future? Just really diving into the topic of money. We of course have many MarieTVs that can get
you started on this topic because again, I love it so much. But separately, investing in your own financial
wellbeing as you’re building out this new career is a really important thing to do. You can’t just stick your head in the sand. I’m not saying that you’re doing that. We’ll find out in a minute. But what sometimes people do is they scramble,
scramble, scramble about their business or their new creative project, but they spend
zero time looking at personal finance on a big global level. It does them a disservice. Because chances are when you’re multi-passionate,
your career is going to have several evolutions, several more. So you can look forward to chapters like this
again and again. When your financial house is really solid
underneath you, it allows you to make wise decisions about your pricing, about what jobs
to say yes to about maybe saying yes to working at a makeup counter again because you’re like,
“You know what? This is going to be my little savings account. I’m going to do that and I’m going to bless
those jobs and that time that I’m there. Not that I’m a failure, but because I’m building
my financial wealth slowly over time while I continue to build this new illustration
business.” Does that make sense? That makes sense. Absolutely. Yeah. It gives your entire career landscape a whole
fresh lens. This way, when you say yes to something, you
know why you’re doing it. It’s for a higher, greater, deeper purpose
that’s serving you over the long run, not just about the short term win or the ego thing
about, “Oh, I can’t make it,” or, “Oh, I’m not doing good enough right now.” Screw all that bullshit. That’ll screw you up. Nobody needs that. Such bullshit. When you take that. That’s right. You want to take that long view. Then you really make wise, intelligent, long
term decisions that allow you to weather these little valleys when they come up, because
that really is the nature of life. Think about the four seasons. There’s winter, there’s spring, there’s summer
and there’s fall. It’s impossible for any of us to be in the
stage of spring incessantly where things are just bursting and growing and they’re popping
up. That’s just not nature. It’s not reality. So that’s why I’m such a huge fan of handling
the personal financial piece, because it allows you to weather the natural seasons of life
without so much panic. You can make wiser, more heart-centered decisions
without going into a place of lack. Yeah, that’s true. Greg’s here. Well, first of all, let me ask you, how does
this resonate for you? Is this working for you, love? Yeah, it’s working. It’s making sense. I’m from Montreal, I’m living in Montreal. We know about winter here. It’s a lesson in itself. So yeah, and I’m working through understanding
more about financial beliefs, because I noticed that when I left my job and went completely
freelance, my income has stayed identical to what it was when I was working at my job. I think I might have some limiting beliefs
around what I need to earn each week. Yeah. Well, here’s what’s exciting about what you’re
sharing with us right now. Just the fact that you’re asking these questions
and you’re willing to take an objective look and you’re looking at the numbers and you’re
kind of bouncing that against what you might believe about money, what you might believe
that you can earn, what you deserve, what you’re capable of. This awareness piece is the beginning of it
all shifting. So I’m really, really excited for you. I also want to mention we have a vintage MarieTV
episode. If you search Marie Forleo, How to Prevent
a Business Dry Spell. It’s one that I did all the way back in 2011. Ideas, still valid. Search that one up. I think it will really support you in addition
to this, but diving in, investing in your financial wellbeing, including the beliefs
that you have about money. This is perfect for where you’re at right
now. Super, super perfect. I’m tossing it over to Greg to see if you
have anything you’d like to share. Yes. First of all, I’m a hairstylist, so girl,
I get you. Right? One super cool thing that we have is we have
a recession-proof gift that we get to always share and always make money wherever we go. If I have a dry spell in my business, which
I absolutely do, I can always do a blowout. I can always go to somebody’s house to style
them for an occasion or something. I just need to reach out to them. So the beautiful thing about us is we always
have a recession-proof gift, a trade, that we can take wherever we go. So we don’t need an office, we don’t need
a space. You have those gifted little hands, brushes
and some pigment. You could paint the world wherever you go,
if you need to. Yeah, it’s true. I traveled the world for seven years and I
worked as a makeup artist all over it. It’s very true. It’s a good thing to have in your back pocket. Absolutely. That’s right. Your artistry is coming with you everywhere. It lets go of a lot of that fear. It kind of lets you sit back and be like,
“Okay, well maybe I can take on two more clients to do the wedding coming down the road.” Then you could take the week off to focus
on your business. I don’t know. Yeah. You’re right. That’s true. Love it. I should use it. Well, we’re really excited for you. Hopefully this was helpful. Please keep us posted because we want to hear
how it goes. Of course. I will. Thank you guys so much for having me on. Absolutely. Thank you. Okay. Bye. Hello. Hi, this is Marie Forleo. Tell us your name and where you’re from. Hi Marie. I’m Geraldine. Beautiful. Where are you calling from today? I’m from Santiago, Chile. Beautiful. Yay. Well, what’s your question, my love. We want to do our best to help you out. Okay, thank you. Well, is it possible that I have too many
offers going on and they compete with themselves? You see, I’m a mechanical artist and I do
university courses, online courses. I’m creating my school now. Also, I offer in-person workshops that aren’t
going very well and I’m feeling I’m doing too much. My competition is getting fiercer every time. They are charging less and less every day. So I’d love to stay only with the university
and online courses, but I don’t dare really much. I know the economy is kind of tough. So I would like to paint more also, because
I’m teaching all the time, so I just can’t do my art anymore. So that’s about my question. Okay. My love, clarify for me. Have you done B-School yet or no? I’m in B-School now. Yay! Okay, awesome. You just got some confetti. This is great. The reason why I wanted to ask that is so
that I can redirect you to some resources that are at your fingertips that can really
help you, because this is a great question. So top line, I believe yes, that it is too
possible for us to have too many things going at once. I’m not saying that you do. But just generally speaking, I’ve seen a lot
of us make a mistake of trying to spin too many plates in the air, have too many projects,
too many revenue streams. We feel scattered and we don’t feel like we’re
getting the results that are really possible and we feel stretched and over-committed. Then our bank account isn’t really reflecting
how hard we’re working. So yes, it is possible to do too many things
at once. I want to encourage you to consider a philosophy
of less is more, simplify to amplify. It is a mantra that has served me so well
over the two decades of my business, where what I strive to do is a few things really,
really well and then kind of let all the static and the noise go away. In B-School, since you have access to this,
I want to encourage you to revisit profit clarity, module number one and to take just
a fresh look at all of your different revenue streams, what you’re doing, how much is coming
in, what’s the profit margin. But also, most importantly, how you feel about
it. So is that particular revenue stream, on a
scale of 1 to 10, where 10 is like, “Oh,” you want to stick a fork in your eye and 1’s
like, “Oh that’s pretty good. I love it.” Rate them so that you know what’s super stressful
and what’s really a joy, so that you can get a better, fresher perspective on what’s really
making you money and what’s not. That would be a diagnostic tool for anybody
to go through when you feel like you’re all over the place so you can do more of what
works and less of what hasn’t. I have done this several times in my business. It’s always so eye-opening. Whenever we’ve taken a fresh look at our revenue
streams, whenever I’ve felt too over-committed and I feel like I’m doing too much, I put
it all down on a piece of paper. I attach numbers to it. I rate it in terms of it’s joy, it’s stress. Then it always gives me insight about where
I can cut back, where I can let things go. Is it scary to do that sometimes? Absolutely. Is it worth it? Yes. So that’s tip number one, just to give yourself
that opportunity. The second thing I want to talk to you about,
and this is what most people don’t realize, don’t worry about what a lot of the competition
is doing. I’ve been around long enough to know this. There is always a segment of every market
who is happy to pay more when you deliver more value and have better customer service. So even if your competitors are continuing
to cut their rates, that’s fine. There’s more than enough to go round. But if you position yourself as a premium
brand and you over deliver on that, meaning that you’re delivering tons more value, the
customer experience is extraordinary, you’re doing things that no one else is doing in
a way that could only come from your soul. People will line up to pay those prices. It’s a race to the bottom when you compete
on price. Yeah. I see. That makes sense, yeah. Yeah. So there is an advantage to being ExpensiveButWorthIt.Com. There really, really is. It’s not the right philosophy for everyone. Some people like to be in the low price business,
God bless. That’s awesome. Knowing that you’re a B-Schooler though,
you have all of the tools at your fingertips to be able to re-look at your offerings and
say, “I’m really going to focus on one or two, I’m not just gonna make them good. I’m not just going to make them excellent. I’m going to make them fricking outstanding. So that when you put me in context with the
competition, it’s just like, ‘Whoa, here’s a five-star hotel version, and here’s a hostel.'” Does that make sense? Yeah, it does. It does. Yes. I love it. Thank you. Absolutely. You have that capability within you. I know you can do this. So dip back into some of that B-School magic,
get connected to the community, take a fresh look at everything. And stand and be really proud to be ExpensiveButWorthIt.com
Yeah, I love that. I love to be expensive.com. Yeah. Expensive, but worth it, baby. Thank you so much. Gregory, do you have anything to share before
we let our dear friend go? I’m taking a look at my finances, too. I want to be expensive.com ButWorthIt/edu,
too. Great. Awesome. Thank you so much, Marie. I really love your work. We love you too. Thank you, darling. Well, there you have it. We’ve had some amazing callers. So I’m curious, what is the insight that you’re
taking away. You can have more than one. Leave a comment below and let us know now. As always, the best conversations really do
happen over at the magical land of marieforleo.com. So head on over there and leave a comment
now. Now while you’re there, if you’re not yet
already, be sure to subscribe to our email list and become an MF Insider. You’re going to get instant access to an audio
I created called How to Get Anything You Want. It’s really damn good. You’re also going to get some exclusive content,
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maybe for Greg. Only through text. Yes. And emojis. Stay on your game and keep going for your
dreams, because the world really does need that special gift that only you have. Thank you so much for watching. We’ll catch you next time on MarieTV. Hey, you having trouble bringing your dreams
to life? Well, guess what. The problem isn’t you. It’s not that you’re not hard working
or intelligent or deserving. It’s that you haven’t yet installed the
one key belief that will change it all: Everything is Figureoutable. It’s my new book and you can order it now
at everythingisfigureoutable.com. Opener. Are you ready for the opener? Say it. I’m ready for the opener. Everyone. This is Peggy, also known as Gregory Patterson. Greggy. Oh yeah.