The Catalyst Podcast

The Catalyst

Conversations with scientists, clinicians, thought leaders, end users (business leaders, agency heads, practitioners) and people (“profiles in resilience”) on real-world integrated health solutions and their impact on recovery, resilience and the realization of human/organizational potential.  thecatalyst2.substack.com

  1. Value-Based Care: Transforming Lives Through Connection, Community and Innovation

    6D AGO

    Value-Based Care: Transforming Lives Through Connection, Community and Innovation

    Value-based care is about connection, community, and innovation – the true metrics of success, as evidenced by the lives this approach is transforming across Illinois. Joining us to discuss this important topic is:  Gilbert Lichstein is the CEO of the Illinois Health Practice Alliance, a behavioral-health-based Independent Practice Association operating throughout the state of Illinois Molly McVey is the Integrated Behavioral Healthcare Director at Chestnut Health Systems Annette Frawley is a  Certified Alcohol and Other Drug Counselor and Certified Peer Support Specialist in the State of Illinois. She currently serves as an IHPA Outreach and Engagement Specialist for Chestnut Health System’s IHPA team In this episode, discover how value-based care goes beyond invoices to prioritize real results—like reducing emergency room visits by over 80%, helping unhoused individuals access primary care for the first time, and increasing engagement through community-driven, relationship-rich approaches. We discuss how a trauma-informed, Lived Experience-driven model is changing the entire narrative in behavioral health, empowering providers to break down barriers and build genuine trust with clients. Annette shares how simple acts, like sharing a bag of chips or being physically present in the moment, forge bonds that make a profound difference. Molly explains how strategic use of data systems aligns payer and provider goals to improve patient outcomes without adding burden, while innovative tools like just-in-time scheduling lower access barriers for transient, high-need populations. Embracing a future-proof, flexible, and compassionate model offers community organizations the opportunity to not only meet the growing demand for mental and physical health integration but to truly revolutionize care at the grassroots level. Perfect for healthcare providers, policymakers, and community leaders eager to turn data into lives transformed, this episode is packed with strategies to drive meaningful change now—and redefine what “value” really means in healthcare. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit thecatalyst2.substack.com

    39 min
  2. Bridging the Gap Between the Business of Treatment and the Treatment Business: In the Field with Jamelia Hand

    MAY 14

    Bridging the Gap Between the Business of Treatment and the Treatment Business: In the Field with Jamelia Hand

    Jamelia Hand, CEO of Vantage Clinical Consulting, advises healthcare systems, corporate organizations, and advocacy groups in their efforts to reduce the national emergencies of opioid addiction and drug overdose via strategy consulting, training, technical assistance, and Program Development. Her areas of expertise encompass behavioral Health, digital health and AI integration, compliance, and health equity. Among the topics we discussed:     1.   Her remarkable career trajectory, taking her though through just about every sector of substance use treatment—from direct clinical services, to corporate/private organizations, compliance, to digital health.  2.   Her “secret shopper approach” in evaluating treatment organizations before formal engagement.  3.   The critical gaps between the treatment business and the business of treatment (billing, regulatory compliance, revenue operations) and how treatment organizations can fill those gaps.   4.   Why organizations struggle with digital and AI adoption, and what leaders can do to promote tech/AI literacy and adoption.  5.   Her weekly LinkedIn “In the Field” posts – what she covers and why it’s been so well-received by people in the field.  Whether you're a healthcare executive, clinician, or policy advocate, this episode is your essential guide to navigating the complex world of behavioral health, digital transformation, and organizational resilience. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit thecatalyst2.substack.com

    30 min
  3. How Community Health Navigators Bridge the Gap for Vulnerable Populations

    MAY 5

    How Community Health Navigators Bridge the Gap for Vulnerable Populations

    Karen Sours and Angela Marinas-Mackenzie are Community Health Navigators with Chestnut Health Systems, whose persistent community outreach bridges gaps in housing, healthcare, and social support.  In this episode, they discuss how they help individuals navigate complex systems for disability and housing, tackling issues like food insecurity and transportation that prevent access to care, and they turn dire circumstances around with small, meaningful wins. You'll discover:   How community health workers serve as vital connectors, stepping into the community instead of waiting for people to come through clinic doors The specific day-to-day activities that make an immediate impact—like helping people get into housing or acquire necessary IDs—leading to tangible outcomes such as stability and hope The challenges of emotional toll and resource limitations, and how these frontline heroes stay motivated through small wins and deep community bonds Common misconceptions about their roles—clarifying that community health navigators are advocates and guides, not medical providers—and why understanding this distinction matters The surprising ways these workers build trust, overcome systemic barriers, and keep their community resilient Angela and Karen share stories of how persistent, compassionate outreach help overcome systemic barriers, change lives…one at a time, and at scale.    This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit thecatalyst2.substack.com

    29 min
  4. A Vital Conversation on Building Workforce Sustainability for Healthcare Organizations

    APR 14

    A Vital Conversation on Building Workforce Sustainability for Healthcare Organizations

    Most healthcare leaders overlook one of the most critical factors threatening their workforce’s sustainability: burnout is escalating, and traditional solutions aren’t enough.  We’re joined by two industry veterans who have dedicated their careers to transforming healthcare work culture: Mitchell Best, CEO of Vital Work Life, and Derek Bell, Vice President of Solutions. Mitch and Derek reveal how the healthcare sector has evolved over the past 25 years, and why we’re now at a pivotal crossroads. You'll discover how the shift from reactive to proactive wellbeing strategies, driven by data and COVID-19’s stark realities, has reshaped organizational priorities. They share concrete frameworks like the 'Flourishing Scale' and discuss the profound impact of integrating wellbeing into everyday leadership—beyond benefits and check-box initiatives—to foster genuine resilience and engagement. We break down:   The key inflection points that have made mental health and wellbeing a top C-suite concern How data-driven approaches uncover the unseen costs of burnout, including turnover and patient safety Practical strategies for embedding wellbeing within organizational culture, leadership training, and daily workflows The transformative potential of AI to reduce administrative burdens while amplifying personalized support for healthcare workers Why traditional wellness programs fall short, and how holistic, interconnected solutions can revolutionize workforce health How this approach enables healthcare organizations to retain top talent, improve care quality, and build resilient organizations ready for future challenges This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit thecatalyst2.substack.com

    50 min
  5. Inside the Rise of Sports Betting: America's “Hidden” Epidemic

    MAR 31

    Inside the Rise of Sports Betting: America's “Hidden” Epidemic

    Most people underestimate the rapid rise of sports gambling addiction—until it hits close to home. Amanda Arrowsmith, Associate Director of Residential Programs with Chestnut Health Systems,  exposes the “hidden epidemic,” fueled by mobile betting apps, aggressive marketing, and the normalization of in-game wagers. This is a particularly timely topic as sports gambling is very much in the news, as we recorded this during the NCAA basketball tournament, when offices around the country are obsessed with betting pools –  a far more benign manifestation of the broad, rapid, and alarming rise of sports gambling that’s going on in our country right now.      Amanda breaks down how sports betting has exploded from $400 million in revenue in 2018 to over $13 billion today, with nearly 40 states now legalizing it. She discusses the subtle signs that indicate someone is developing a gambling problem—like obsessive score-checking, mood swings, and secrecy—and why these behaviors often go unnoticed because sports betting lacks the physical cues of substance abuse.   You’ll discover how the brain’s reward system is hijacked, making recovery even more complex. We delve into practical steps to help loved ones -why simply offering money often worsens the problem -and what supportive interventions like professional therapy, family counseling, and behavioral health programs look like. Amanda highlights Chestnut’s proactive approach: universal screening for gambling disorder and community education about recognizing and addressing risky behaviors. She warns that without proper regulation and awareness, we risk amplifying a crisis that can lead to devastating consequences, including higher suicide rates among compulsive gamblers. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit thecatalyst2.substack.com

    25 min
  6. What We Get Wrong - and Why - About Public Health and Social Justice: a Wide-Ranging Conversation with Dr. Harold Pollack

    MAR 12

    What We Get Wrong - and Why - About Public Health and Social Justice: a Wide-Ranging Conversation with Dr. Harold Pollack

    "Meeting our current challenges requires that we reform and strengthen criminal justice systems, following where the evidence leads to promote public safety, and to integrate such measures within the broader portfolio of economic development, health, and social services to address the causes and consequences of crime.  Meeting these challenges also requires active collaboration among the public health, social work, and law enforcement communities."  Engaging the Victim’s Voice in Public Safety Research Dr. Harold Pollack, one of the foremost authorities on public health and social justice, joins us to share insights from his decades of work on harm reduction, restorative justice, and community engagement. We discuss: How his training as an electrical engineer applies to his work. Why public policy experts must improve how they communicate - clear, relatable messages are far more effective at building public support. His collaboration with Chestnut Health Systems (calling them “the best at what they do,” with special praise for their exceptional communication skills. Thank you, Dr. Pollack). The critical importance of listening to victims' voices.  Harsh treatment serves no useful purpose—a more meaningful way to honor crime victims is to truly listen to them, address their needs, and respect their values. The persistent resistance to harm reduction strategies, in contrast with their proven effectiveness (such as syringe exchange programs in preventing HIV transmission and reducing overdose deaths). What both the political right and left often get wrong on these issues—with thoughtful prescriptions for bridging the divide, at least in the realms of public health and social justice. How his book "The Index Card: Why Personal Finance Doesn't Have to Be Complicated" (2016) connects to his public health work.  How the rise of AI intersects with public health and social work.   Dr. Harold Pollack is the Helen Ross Distinguished Service Professor at the University of Chicago and the faculty codirector of the University of Chicago Health Lab. In addition to his academic work, Dr. Pollack’s writing has appeared in the New Republic, the Atlantic, the Washington Post, Politico, Vox, among other leading publications.  This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit thecatalyst2.substack.com

    1h 10m

About

Conversations with scientists, clinicians, thought leaders, end users (business leaders, agency heads, practitioners) and people (“profiles in resilience”) on real-world integrated health solutions and their impact on recovery, resilience and the realization of human/organizational potential.  thecatalyst2.substack.com