『The Mental Health Evolution』のカバーアート

The Mental Health Evolution

The Mental Health Evolution

著者： Rachel Harrison
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The Mental Health Entrepreneur podcast is back—with a slightly new name and an expanded focus. We're excited to introduce The Mental Health Evolution, where we'll continue the journey of exploring what's changing in the mental health field, and we're so glad to have you with us as a listener. Explore the rapidly changing world of mental health with The Mental Health Evolution, hosted by Rachel Harrison. Each episode brings honest conversations with clinicians, tech founders, investors, insurance companies, and other key voices shaping the industry. We dive into what's working, what's not, and what's next—from innovative startups and ethical considerations in tech-driven therapy to policy changes, access to care, and the human connections that remain at the heart of mental health services. Whether you're a professional in the field, someone seeking care, or simply curious about the evolution of mental health, this podcast provides insights, perspectives, and practical information to help you navigate a complex and fast-moving landscape. Join us to stay informed, challenge assumptions, and be part of the conversation shaping the future of mental health.2024 マネジメント・リーダーシップ リーダーシップ 心理学 心理学・心の健康 経済学 衛生・健康的な生活
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  • EP 47: What the Research Actually Shows About AI Therapy with Dr. Nick Jacobson

    EP 47: What the Research Actually Shows About AI Therapy with Dr. Nick Jacobson
    2026/07/16
    Rachel speaks with Dr. Nick Jacobson, associate professor of biomedical data science, psychiatry, and computer science at Dartmouth's Geisel School of Medicine and director of the AIM HIGH Laboratory, about the first clinical trial of a fully generative AI therapy chatbot — and what the results actually show. The access crisis in mental health care is the starting point for understanding why Dr. Jacobson's team built Therabot. In the most well-resourced mental health settings in the United States, there are approximately 35 providers per 100,000 people. In any given year, roughly one in three people will experience a mental health disorder. That means 35 people trying to treat 33,000 — and that is the best case scenario. In low-resource settings and rural areas, the numbers are worse. The result is wait lists that stretch for months, people seeking care at 2am with nowhere to turn, and millions of people who simply go without. Therabot was built over six years by a team of more than 100 people, involving over 100,000 hours of human effort, to deliver evidence-based therapy in a clinically rigorous way. The trial, published in NEJM AI, found significant reductions in symptoms of depression, anxiety, and eating disorders — with effect sizes that mirror what you would see in the best evidence-based trials of human-delivered psychotherapy. Participants also formed a genuine therapeutic alliance with the software, a finding that surprised even the research team. Dr. Jacobson walks Rachel through what that means clinically, how Therabot differs from general-purpose AI tools like ChatGPT, and how the team continuously stress-tests the system to identify and eliminate harmful responses before they reach users. The conversation also covers the policy landscape — specifically a New Hampshire bill that Dr. Jacobson testified against, which he argues would regulate the wrong targets entirely. The bill would impose burdensome review requirements on clinically validated AI tools while leaving general-purpose chatbots — which have no crisis protocols, no outcome tracking, and no accountability — completely untouched. He and Rachel discuss what thoughtful AI regulation in mental health should actually look like, and what clinicians and practice owners should be thinking about as these tools become more widely available. Resources Mentioned Articles Referenced: Many People Now Trust AI with Their Feelings, and Therapists Want to Talk About It — WBUR (May 2026): https://www.wbur.org/news/2026/05/07/artificial-intelligence-therapy-mental-health-careBill Doesn't Protect NH from AI Harm, It Assures It — Union Leader (January 2026): https://www.unionleader.com/opinion/op-eds/nicholas-c-jacobson-michael-v-heinz-bill-doesnt-protect-nh-from-ai-harm-it-assures/article_b2c5bdf4-aca7-413a-a218-35e6a09de06f.html First Therapy Chatbot Trial Yields Mental Health Benefits — Dartmouth News (March 2025): https://home.dartmouth.edu/news/2025/03/first-therapy-chatbot-trial-yields-mental-health-benefits Connect with Dr. Nick Jacobson / Additional Resources: This Therapist Helped Clients Feel Better. It Was A.I. — New York Times (syndicated): https://onehealthsociety.com/this-therapist-helped-clients-feel-better-it-was-a-i/How to Build a Therapeutic Chatbot — Psychiatric News: https://psychiatryonline.org/doi/10.1176/appi.pn.2025.09.9.23AI, Neuroscience, and Data Are Fueling Personalized Mental Health Care — APA Monitor on Psychology: https://www.apa.org/monitor/2026/01-02/trends-personalized-mental-health-careCan 'AI Therapists' Help Save LGBTQ+ People? — Out Magazine: https://www.out.com/health/ai-therapy-for-queer-peopleAIM High Laboratory at Dartmouth: https://www.nicholasjacobson.com Connect with The Mental Health Evolution: Website: https://www.traumaspecialiststraining.com/mental-health-evolution-podcast Instagram: /thementalhealthevolution/ LinkedIn: /the-mental-health-evolution Facebook: /TheMentalHealthEvolution Music by Zach Harrison
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    21 分
  • Ep 46: The Crisis Text Line with Dr. Shairi Turner

    Ep 46: The Crisis Text Line with Dr. Shairi Turner
    2026/07/09
    Rachel speaks with Dr. Shairi Turner, Chief Health Officer at Crisis Text Line, a nonprofit that provides free, 24/7 text-based mental health support and crisis intervention through a community of trained volunteer counselors. In 2025, Crisis Text Line had more conversations than any year since its founding — over 1.5 million — and the data from those conversations tells a story that every clinician and practice owner needs to hear. Dr. Turner walks Rachel through how Crisis Text Line actually works: what happens from the moment someone texts HOME to 741741, how volunteer counselors are trained and supervised, and how the organization handles the rare cases — just one percent — where a conversation cannot be de-escalated. She also shares the founding story of Crisis Text Line, born from a moment when a young person reached out for help through a volunteer platform with nowhere else to turn. The conversation covers what the 2025 data reveals about who is reaching out — rural communities, young people, and boys under 14 reporting suicidal thoughts at striking rates — and ends with a direct call to action for clinicians: ask young men and boys how they are doing, and ask clearly. If you or someone you know needs support, text HOME to 741741 to connect with a live volunteer Crisis Counselor. Resources Mentioned: Articles Referenced: 988 Mental Health Help Lifeline Helps Five Million in First Year — NPR (July 2023): https://www.npr.org/sections/health-shots/2023/07/15/1187862144/988-mental-health-crisis-line-gets-5-million-calls-texts-and-chats-in-first-year Why Depression Goes Undetected in Teen Boys — NBC News (June 2024): https://www.nbcnews.com/health/health-news/depression-anxiety-teen-boys-diagnosis-undetected-rcna141649 Annual Trends 2025 — Crisis Text Line: https://www.crisistextline.org/annual-trends/ Additional resource - Crisis Text line Terms and Conditions: https://www.crisistextline.org/terms-of-service/ Connect with Dr. Shairi Turner: Crisis Text Line: https://www.crisistextline.org Text HOME to 741741 Connect with The Mental Health Evolution: Website: https://www.traumaspecialiststraining.com/mental-health-evolution-podcast Instagram: /thementalhealthevolution/ LinkedIn: /the-mental-health-evolution Facebook: /TheMentalHealthEvolution Music by Zach Harrison
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    27 分
  • Ep 45: Stop Doing What Worked Ten Years Ago with Dr. Elizabeth Carr

    Ep 45: Stop Doing What Worked Ten Years Ago with Dr. Elizabeth Carr
    2026/07/02
    Rachel speaks with Dr. Elizabeth Carr, a clinical psychologist and the founder and CEO of Kentlands Psychotherapy in Gaithersburg, Maryland. Elizabeth leads a team of 20 doctoral and master's-level clinicians and has spent over two decades building a community-focused, financially sustainable practice through some of the most disruptive periods in the history of mental health care. A former Navy psychologist and sought-after speaker on practice management, she recently published a piece on strategic positioning during industry upheaval that is the centerpiece of this conversation. The mental health practice landscape is shifting in ways that are affecting practices at every size — but not all in the same direction. Elizabeth describes what she calls the barbell effect: solo practitioners, particularly those operating fully virtual, are being squeezed out by venture capital-backed platforms with enormous marketing budgets and SEO dominance, while large practices that over-expanded during the COVID telehealth boom are now sitting on overhead they cannot fill. Mid-sized, community-rooted practices that stayed nimble are finding themselves in a stronger position — but only if their leaders are paying attention to what's actually happening in the market and willing to respond. Elizabeth and Rachel dig into what that looks like in practice: how to read referral data, when to pivot your service offerings, what AI can and cannot replace in clinical work, and why hyperlocal, in-person, relationship-based care may be the most durable competitive advantage a practice owner has right now. Resources Mentioned Articles Referenced: A Workforce Under Pressure: Preparing the Behavioral Health Workforce for Today and Tomorrow — National Council for Mental Wellbeing (2025): https://www.thenationalcouncil.org/behavioral-health-workforce-under-pressure-preparing-today-tomorrow/ Telehealth and Hybrid Practice Are Here to Stay — APA Monitor on Psychology (2024): https://www.apa.org/monitor/2024/09/telehealth-hybrid-practice Strategic Positioning During Industry Upheaval — Dr. Elizabeth Carr, Kentlands Psychotherapy (January 2026): https://www.kentlandspsychotherapy.com/mental-health-professional/strategic-positioning-during-industry-upheaval/ Connect with Dr. Elizabeth Carr: Kentlands Psychotherapy: https://www.kentlandspsychotherapy.com Connect with The Mental Health Evolution: Website: https://www.traumaspecialiststraining.com/mental-health-evolution-podcast Instagram: /thementalhealthevolution/ LinkedIn: /the-mental-health-evolution Facebook: /TheMentalHealthEvolution Music by Zach Harrison
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    26 分
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