Where values and trust become key ingredients; and where high performance and breakthrough results become natural outcomes

When organizations set out to achieve lofty goals, whether they are record breaking profits, client satisfaction indexes or the achievement of record-breaking organ transplants, what are essential elements that must exist within their culture in order to achieve success?

This episode examines how effective Executive Leadership has the potential to create the deep sense of purpose and commitment to an organization’s values and mission, and how this can ultimately lead that organization to breakthrough outcomes.

TOWARD MENTAL HEALTH LITERACY

What we need to talk about we we talk about mental wellness.

When organizations set out to achieve lofty goals, whether they are record breaking profits, client satisfaction indexes or the achievement of record-breaking organ transplants, what are essential elements that must exist within their culture in order to achieve success?

This episode examines how effective Executive Leadership has the potential to create the deep sense of purpose and commitment to an organization’s values and mission, and how this can ultimately lead that organization to breakthrough outcomes.

Today’s conversationalists are Joe Ferreira and Greg Satell, and conductor of conversations Joia Jefferson Nuri.

The opioid epidemic refers to the enormous surge in opioid addiction and overdose over the last several decades in the United States. Much of the epidemic has its origins in medical practice.

Episode VI will explore the less than obvious connections between mental illness and substance abuse. We would like to assert that one, often overlooked foundational connection is, the unhealthy need that leads to the opioid use, which completely destabilizes a Healthy Mental decision-making process. Are we still in an epidemic in 2022? What are harm reduction policies and what have been their outcomes? Which populations are currently most affected? What can individuals, neighborhoods, communities, cities actively do to assist in solving this epidemic? What are good Samaritan laws? Are their signs that the tide is changing? What are the Trust factors in need of transforming that will lead to satisfactory resolutions?

The overriding opinion within the medical community of practice is that caregivers should attempt to reduce psychiatric barriers to successful transplantation. However certain questions remain after years of debate: (i) are current evaluations uniform throughout transplant centers throughout the country? How should we view transplant eligibility criteria that exclude patients with affective and psychotic disorders from transplantation on the basis of their psychiatric diagnosis? These and other questions will be explored during this in depth hour of Profound Conversations with our esteemed guests from the medical community.

How do we ‘re-imagine trust’ such that we effectively engage the hearts and minds in communities throughout America? What is our responsibility as professionals within Public Health? What are the things the we need to talk about when we talk about 21st century community engagement?

Our efforts to Re-Imagining Trust: Engaging Hearts and Minds in Communities Throughout America
must create more practical and effective solutions, drawing on the listening of diverse groups. Our efforts should improve citizens' knowledge and skills through immersive experiences. Our task is to begin the conversation that generates these outcomes.

“To overcome the challenge of special interests that work against the conditions that create health, we need to extend the sphere of what we talk about when we talk about health so that our conversation includes factors like money, power, love, hate, culture, the environment, and politics.”

  - Sandro Galea.

As the United States faces unparalleled challenges due to COVID-19, racial disparities in health and healthcare have once again taken center stage. If effective interventions to address racial disparities in transplantation, including those magnified by COVID-19, are to be designed and implemented at the national level, it is first critical to understand the complex mechanisms by which structural, institutional, interpersonal, and internalized racism influence the presence of racial disparities in healthcare and transplantation.

As the world faces unparalleled challenges due to the COVID-19 pandemic and high-profile, racist acts of violence, racial inequalities in health and safety for people of color living in America have once again taken center stage. The factors that make up the root causes of health inequity are diverse, complex, evolving, and interdependent in nature. It is important to understand the underlying causes and conditions of health inequities to inform equally complex and effective interventions to promote health equity.

Part of the huge job in successfully building healthy communities lies in accurately identifying behaviors that lead to breakdowns which impede progress. Episode II will explore co-work processes which enable organizations to effectively build and maintain internal trust; while also examining models of coalition development that map targeted, evaluative measures, which create effective collaborations and cultures of trust.

Trust is a two-way street. In reality each healthcare servant has the family trust and cooperation at stake. An unspoken perceived lack of trust creates a false narrative of inconsistency in the delivery of care and influences patient family choices. In many of these instances families often refuse donation authorization.

Episode one we will explore how profoundly medical ethics influences trust as well as govern patient and family rights; and to what extent does multicultural competency influence organizational approaches toward a more dynamic and inclusive culture. We will also seek to understand the underlying factors which erode trust and how to transform these dynamics at their inception and from breakdowns to breakthroughs.

Towards new models of human progress and development

Modern democracy requires people who can think critically, reason ethically, and participate effectively. Successful organizations must be populated by people who understand group processes and how to guide them while maintaining the proper respect for all participants.  Ethical leadership thrives when it is directed by respect for ethical beliefs and values and for the dignity and rights of all people.

As we move further into the twenty first century what will global leadership need to embody in order to effectively grapple with the vexing challenges of climate change, earth population density, biodiversity, science, technology and the social-political-economic realities of a post COVID-19 America?

This week we discuss the need for making informed decisions as we listen to politicians' campaign speeches or read news stories about the people running for office.  Part of being an informed voter is being familiar with down ballot candidates and understanding the referendums which impact local elections.  Has your family discussed a vote plan?  Are you an early voter intending to mail your ballot?  Have you checked to ensure you are registered to vote in your district?  These and other timely considerations will be part of the Profound Conversations.

Building Trust and Serving the Vulnerable: Organ Procurement and Transplantation in a COVID-19 and Diverse World

We are in the midst of events that highlight health disparities and inequities. Preliminary data has shown that African Americans are dying from COVID-19 at higher rates than whites, even though they make up a smaller percentage of the population. The pandemic is bringing to light health inequities that have existed for many years. Protest around the world are also calling attention to other inequities. These health disparities, as well as, existing and historical inequities are the foundation for distrust of American institutes, including those connected with healthcare systems. How do we build trust and the competencies to serve all?

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Protests that originated in Minneapolis after a white police officer killed George Floyd, a 46-year-old black man, quickly spread around the country. The reality of social inequality create anger and despair that is now playing out on the streets of cities throughout the country.  How did we get here and what is the way forward?   What are specific health impacts on individual, family and communities from both physical and mental perspectives?  What are effective pathways to breakthroughs in enforcement and judicial policies and civic engagement?  How do we begin to transform our social contract to include those who have been dehumanized, commoditized and underrepresented? 

 Last week we explored the impact of COVID 19 on inner city communities in and around Baltimore, Maryland. Some populations around the globe are being hit harder than others; globally our response to this pandemic has been less than adequate. We were especially unprepared to mitigate the impact the pandemic, that have devasted much of the world, had on the economically, socially and medically vulnerable. Slowing the spread depends, in large part, on how we respond to these populations. The Global Health Security Index: Building Collective Action and Accountability report, dated October 2019, articulates essential recommendations for global governments to consider as a means for the prevention, detection and rapid response to enormous public health threats. Are these recommendations the answer? Will they assist us with post pandemic preparedness?