After The Fact

Access to mental health care is a rising concern in communities throughout the country—especially for groups already experiencing challenges connecting with primary care providers. In this episode, Mimi Narayan from Pew’s Health Impact Project outlines the factors that contribute to health disparities and how to make care more equitable. We also hear how immigrant and Indigenous community leaders—Orfelina Feliz Payne from Puentes de Salud and Tahlia Natachu from the Zuni Youth Enrichment Project—are addressing the growing demand for behavioral health services and educating their communities about healthy lifestyles.

Personnel from America’s emergency response systems are on the front lines answering calls from individuals experiencing mental health crises. In this episode of “Mental Health in America,” Julie Wertheimer, project director for Pew’s work on mental health and justice partnerships, discusses the current state of these response systems and their impact on our criminal justice system. Joseph Getch, CEO of PRS, a Virginia nonprofit that provides behavioral health services, and B.J. Wagner, senior vice president of health and public safety with the Meadows Mental Health Policy Institute share how 988 and local 911 efforts are working to protect public safety while connecting people to the care they need.

The conversation on acknowledging, identifying, and treating mental health challenges has shifted during the pandemic as a growing number of Americans experience high levels of psychological distress. In this episode we speak to Alec Tyson from The Pew Research Center about how Americans are managing their mental health during difficult times. We’ll also hear from Laura Marques Brown, an ecotherapist, and Chelsey Luger, wellness advocate and author, about their work breaking down stigmas associated with therapy and prioritizing wellness. Luger will also speak about what indigenous knowledge can teach us about maintaining good mental health.

Stigma surrounds two growing public health problems in the United States: substance use disorder and suicide. In this episode of “Mental Health in America,” Sheri Doyle, who leads Pew’s substance use prevention and treatment initiative, and Allison Corr, from Pew’s suicide risk reduction project, discuss the rise in these disorders. We also hear from Dr. Rahul Gupta, director of the Office of National Drug Control Policy, who explains how stigma limits access to treatment, and from Abby Coulter, who shares her personal journey to receive methadone treatment. And Dr. Kimberly Roaten, a clinical psychologist at Parkland Health in Dallas, describes how the hospital is expanding access to care through universal suicide screening.

The pandemic increased concerns about mental health in America and exposed a lack of access to treatment and a growing demand for services—all issues that existed before the COVID-19 outbreak. In this episode of “Mental Health in America,” NPR health correspondent Rhitu Chatterjee and Catherine Ettman, a researcher at Johns Hopkins Bloomberg School of Public Health, explore challenges facing the mental health care system. They’ll also explain the factors that contribute to poor mental health and how investments in the mental health care system can improve access to care.

The COVID-19 pandemic has taken a considerable toll on the nation’s mental health: The percentage of Americans experiencing symptoms of depression has tripled since 2020, and many of these people lack access to mental health care. In a new season, we speak with experts about how the national conversation on mental health is changing, and with people working in communities to find meaningful solutions to this burgeoning crisis.

Stat: $2.5 trillion—The estimated GDP of the ocean, according to a 2015 report by the World Wildlife Fund, making it the seventh-largest economy in the world. Story: In this episode, we speak with Ashlan Cousteau and Philippe Cousteau Jr., who, inspired by the legacy of Philippe’s grandfather, undersea explorer Jacques Cousteau, have dedicated their careers to ocean conservation. They discuss how they’re continuing that legacy through their work with EarthEcho International and educating the next generation about the vital role that the ocean plays in our planet’s health and the global economy. We also hear from a member of EarthEcho’s OceanEcho 30x30 fellowship, Salma Macías Torres, from Bahía de Los Ángeles, Mexico, about her efforts to engage youth to build a sustainable future for our ocean.

Stat: 680 million—According to the United Nations, about 680 million people live in low-lying coastal zones around the world, a number expected to increase to 1 billion by 2050.  Story: In this episode, we explore how communities that rely on a healthy ocean are working to create marine protected areas (MPAs) to preserve biodiversity—and their livelihoods. In addition to hearing from Ludovic Burns Tuki, a community leader on Easter Island, home to the Rapa Nui MPA, we speak with Johnny Briggs from the Pew Bertarelli Ocean Legacy about the role of MPAs in restoring the ocean and safeguarding cultural traditions tied to the seas.

Stat: 2.1 feet—Scientists have forecast an increase of as much as 2.1 feet in the Chesapeake Bay by 2050. Story: In this episode, we travel to Blackwater National Wildlife Refuge on the Chesapeake Bay in Maryland, where the refuge is losing ground to climate change and rising sea levels. Through interviews with experts—including Joseph Gordon, who directs Pew’s work on coastal marine life in the U.S.; Marcia Pradines Long, manager of Blackwater National Wildlife Refuge; Kristin Thomasgard,  program director with the Department of Defense; Julie M. Schablitsky, chief archaeologist at the Maryland Department of Transportation; and Kate Larson, a historian and author—we explore the threats facing this refuge because of the changing climate, and the path ahead for its environmental, cultural, and economic future.

Stat: 51% of Americans say the U.S. is doing a very bad or somewhat bad job of addressing climate change. Story: Amid growing public concern about rising seas, extreme weather, and disappearing biodiversity, we speak with Michael Oppenheimer, the Albert G. Milbank professor of geosciences and international affairs at Princeton University and a longtime participant in the Intergovernmental Panel on Climate Change, the United Nations body for assessing the science related to climate change. He explains the science behind the planet’s changing environment, its effects on the ocean, and possible solutions to avoid “the climate danger zone.”

Stat: 11 million metric tons—the amount of plastic that enters the ocean each year. Story: We continue our “Ocean, People, Planet” season with a discussion of one of the largest threats facing the ocean: plastic pollution. Winnie Lau, who is the project director of Pew’s preventing ocean plastics project, and Richard Bailey, professor of environmental systems at Oxford University, discuss ways to reduce the amount of plastic entering the ocean and highlight a new analytical tool that nations can use to take action.

Story: “Crisis and Change: Conversations With Leaders” is produced in partnership by The Pew Charitable Trusts and the Stanford Social Innovation Review. In the series, leaders from across the social sector share insights about how they are innovating during challenging times. The COVID-19 pandemic shook the world, challenging public health systems and communities. In this final episode of this special series, Dr. Rajiv J. Shah, president of the Rockefeller Foundation, and Mark Suzman, CEO of the Bill & Melinda Gates Foundation, share how they’re redefining the role of philanthropy in addressing public health crises and preparing for future pandemics.  

Story: “Crisis and Change: Conversations With Leaders” is produced in partnership by The Pew Charitable Trusts and the Stanford Social Innovation Review. In the series, leaders from across the social sector share insights about how they are innovating during challenging times. The increasing wealth gap is a symptom of larger inequities facing Americans today. And 61% of Americans say there’s too much economic inequality in the U.S., according to a 2020 Pew Research Center survey. In this episode, Larry Kramer, president of the William and Flora Hewlett Foundation, and La June Montgomery Tabron, president and CEO of the W.K. Kellogg Foundation, discuss the origins of wealth inequality and its impact on American democracy. They also share how their institutions are creating new pathways for all communities to access secure and vibrant futures.

Story: “Crisis and Change: Conversations With Leaders” is produced in partnership by The Pew Charitable Trusts and the Stanford Social Innovation Review. In the series, leaders from across the social sector share insights about how they are innovating during challenging times. In this episode, Tonya Allen, president of the McKnight Foundation, and John Palfrey, president of the John D. and Catherine T. MacArthur Foundation, address the growing threat of a changing climate. They discuss how they’re answering the global call for solutions that promote equity and protect vulnerable communities, and encourage others in the philanthropic sector to act at this critical time.   

Stat: 3 times: The Arctic is warming three times faster than the planet as a whole. Story: The ocean is important for the health of the planet, and coastal communities around the world rely on it for their way of life. In Part II of “The State of Our Ocean,” we speak with Sheila (Siila) Watt-Cloutier, an environmental, cultural, and human rights advocate, about the value of the ocean to the Inuit in the Arctic and how challenges such as climate change and rising tides affect her community and its traditional ways of life. “What happens in the Arctic doesn’t stay in the Arctic,” says Watt-Cloutier. Many of the threats emerging in her people’s culture from climate change are reflected across the world in other coastal towns.

Stat: 30%—More than 70 countries support the call to protect and conserve at least 30% of the global ocean by 2030. Story: The ocean is central to all life, providing oxygen, nutrition, and recreation, and supporting economic livelihoods for coastal communities around the globe. But this essential resource is facing multiple threats, including climate change, overfishing and illegal fishing, and plastics pollution. In this new series, “Ocean, People, Planet,” we focus on the connection between the health of the ocean and the health of the planet. We’ll examine the state of the ocean, the challenges it faces, and offer potential solutions based on data, science, and traditional ways of knowing. In this first episode, we speak with Callum Roberts, marine biologist and oceanographer, about our human history with these waters and how we might chart a better course for our collective future.

Story: “Crisis and Change: Conversations With Leaders” is produced in partnership by The Pew Charitable Trusts and the Stanford Social Innovation Review. In the series, leaders from across the social sector share insights about how they are innovating during challenging times. In this episode, Crystal Hayling, executive director of The Libra Foundation, and Sonal Shah, founding president of The Asian American Foundation, discuss their organizations’ work toward transforming the way race is discussed in America and how to improve understanding about racial concerns to lead to a more inclusive society.

Story: “Crisis and Change: Conversations With Leaders” is produced in partnership by The Pew Charitable Trusts and the Stanford Social Innovation Review. In the series, leaders from across the social sector share insights about how they contend with challenging times and societal division. In this episode, Susan Urahn, Pew’s president and CEO, and Sarah Rosen Wartell, president of the Urban Institute, discuss the deepening political polarization, increasing misinformation, and growing mistrust that has affected public debate—and how they find common ground to forge meaningful change for the good.

Political polarization. Climate change. Racial reckoning. Income inequality. A global pandemic. Since 2020, all five of these immense challenges have emerged or deepened, commanding our attention and prompting major societal and cultural shifts. In this special series produced in partnership by The Pew Charitable Trusts and the Stanford Social Innovation Review, we talk with leaders from across the social sector. They take us behind the scenes, sharing approaches and case studies of innovation and resilience during these unprecedented times. 

Stat: 4 in 10: U.S. Census data from 2020 shows that 4 in 10 Americans identify with a race other than White. Story: The demographic landscape in the United States is changing rapidly. In this virtual event rebroadcast, guests from our “Race and Research” season discuss how the country’s growing diversity is driving a new national conversation about race and ethnicity. The event panelists also highlight the challenges and opportunities researchers face when applying a racial and equity lens to data.