Mental Health Awareness Month

May 4th, 2024. If it's 7 o'clock on Saturday morning, it's time for this week in

Waukesha. I'm your host, the Unsinkable Down Brown coming to you live and local from the

office of former Alderman, Don Paul Brown here in the WAUK studios in downtown Waukesha right

around the corner from Theodore Yeoman's park where we are proud to honor our suffragette

heritage here in the show. I am reunited for just one day and it feels so good with my old friend,

my old young friend Calvin producing Calvin. I'm proud to say cut his teeth here on this week

in Waukesha. Calvin, how are you? By the way, you know, I'm doing pretty good. This is earlier than

I have to get up from my show's during the week. That's right. Yes. And that's what I want to

say is Calvin's as we to use a baseball term. He's up in the show. He's producing big-time shows

like Earl Ingram from eight to 10 Monday through Friday. And then also Matt and Air and Air,

right, with Jane Matt and Air and Greg Bach. Is that correct? Calvin, did I get that right?

Yep, that's right. So you are, you know, talk about star power. So this is really the,

the, what do we say? The the bell of the ball, my good friend Calvin, really great to have you

back here for the day. It's the first day of the Waukesha farmers market and we could not have

asked for a nicer weather. It's sunny out there. It's I'm guessing it's in the 60s or 50s, you know,

good, you know, morning weather. And it's also May the 4th. So May the 4th be with you and we'll be

talking more about that later. The topic, the prime topic of today's show is that May is mental health

awareness month. And normally I have my good friend Mary Madden executive director for Namiyan.

And we still may have someone from Namiyan during the month. They had the big fundraiser last night.

So I thought it'd be, I'm sure they all want the morning off. They work very hard for those,

those events and for a wonderful cause. But we're also going to talk about some, what should we

say here? A lot of good, a very packed agenda, shall we say? We're going to talk about, again,

opening day of farmers market and the civic media crap report. Yes, we have on. We're going to

be talking local sports, local news, local culture, including a punk rock music festival,

Wakasha South auditorium last night. That I got to check out and and so much more Calvin,

do you like punk, punk rock? I'm not, I wouldn't say I'm a huge fan, but there's definitely songs that

I've heard that are popular that I enjoy. Sounds good. Sounds good. Yeah, this was fun. There was

actually a match pit, you know, in a high school auditorium, we were to thunk it, you know. So, but

anyway, again, as I mentioned, May is mental health awareness month. And my guests today are

dedicated professionals in this space. My first guest here is Mr. Jesus Ramirez of Trilogy Health

Group. Here in Wakasha and also in the same building as the new NAMI headquarters, as many of you

know, W a K, where we are is the old NAMI building. So, but Jesus, how are you today? I am living the

dream. Can you plan the sun shining, the birds are chirping and, you know, I'm still here. So,

I'm blessed and I'm grateful. Sounds great. So we'll be talking about his unique clinic,

practice, if you will. And then this, and you're the director of operations for clinic. And then

in the second hour, we have doctors Kelly Piazik and Brian May. Kelly is the executive vice president

of research for Rogers Behavioral Health. And Brian is the chief strategy officer for Rogers as

well. And, you know, for many of you don't know, Rogers is one of the leading, really one of the elite

behavioral and mental health hospitals in the nation. And they've got facilities all over the

country. But, of course, the mothership is here in the main account, kind of like practice.

And I want to just come right out and say for those of you, we're not taking any calls about Kelly's

role on the school board. She's here on behalf of her employer, Rogers Behavioral Health. And since

the focus is on mental health awareness, I want to, well, I'm going to share it through some stats.

But Kelly has agreed on a future show, you know, to have a conversation about our schools in any

capacity, and especially as it relates to students, mental health. And so that's something to be

continued. So you definitely put a pin in that. We're not ducking anything here. But again, I want

to focus on behavioral health and mental health because it's obviously something very personal to

me and my family experience. But here is some data from the mental health association

that I think will be staggering to many of you. 21% of adults are experiencing a mental illness.

That's equivalent to over 50 million Americans. 55% adults with a mental illness receive no

treatment. That's over 28 million individuals. 16% of youth reporting reports suffering from at

least one major depressive episode in the past year. More than 2.7 million youth are experiencing

severe major depression. And I'm going to bet, Jesus says, I bet you are that that's those

reporting. There may be very well be so many more. Oh, definitely, definitely. And yeah,

so we that's why we kind of started the business is to kind of help the community at walk

a shot and beyond to have access to that type of health care and mental health care. And we're

glad to offer it. We opened up in April of 2022. And it's been a fun ride to meet the people

watching them progress mentally and spiritually, if you will, as well. And I've become very close

friends with some of our patients and they'll come in and they drop off cookies and things of

that nature. So they really appreciate what we do for them. And we try to go all out and help

as much as we can and definitely try to accommodate even those people that don't have health care

and make it affordable for them. Yeah, I'm glad you mentioned that because

to finish up my data from the Mental Health Association, 60% of youth with major depression

do not receive mental health treatment. One in 10 youth with private health insurance do not

have mental health coverage. There is nationally one mental health provider for every 350

citizens. And now, the good news from this report as the 2023 report from the MHA Mental Health

Association is that Wisconsin ranks number one in the nation with the lowest number of mental

health cases and having the highest access to care. So, you know, pretty nice father in the

cap, but that's not to say that we still don't have an issue with mental health here in Wisconsin

as we do nationally. Oh, yeah, and all over the world, you know, and it's sometimes for people I

think it may be hard to admit that they have a mental health problem. And, you know, unfortunately

internalize that and later on in life could result in some very, you know, potential issues.

And so, you know, we want to try to mitigate that and help as much as possible. Sounds good.

So, tell us really quick about Earth. That's really quick. Take a take. Tell us about trilogy

health. Like, what are some of your unique offerings? Yeah. So, trilogy health group, again,

primarily it's a psychiatric facility. Our psychiatric nurse practitioners that we have

who are being who's being supervised by a MD. They offer psychotherapy. They prescribe meds. We

you know, have there's specialized in a different range of disorders, ADHD, depression,

things of that nature. But also we offer for major depression, depression. We offer a really cool

new, not new, but kind of cutting edge medication called spravato or eschatamine, which is a nasal

nasal spray that you can take. And it really is supposed to help with depression. And we've seen

a lot of cases where clients come in. They start treatment. And then you can see the progression

as the treatments continue, which is typically a month or more. And so, it's been really

cool that we became certified for that and are able to offer that because a lot of people don't

know about it. And don't know that how much it could help their life. And I've seen patients

that literally said you guys have saved my life. So, it's amazing. Sure. Sure.

You know, one there's one wrinkle of mental health and behavioral health that oftentimes is

overlooked. And that's also a treatment for drug addiction. Yeah. Oh, yeah. Yeah. We offer that as

well. Yeah. We definitely have nurse practice psychiatric nurse practitioners who have come from

addiction, the addiction background. And so we were able to offer those services. And then we also

work with Rogers behavior health to help facilitate that. So if we feel that patients need a higher

level of care, we'll send them to Rogers. And then in turn, Rogers will send us their patients

who have exited the residential community and back out into the world. And then we'll see them

for our patient treatment. Okay. That's terrific. And again, that's got to be something

you're clinic must be very proud of to have that kind of partnership. Yeah. Not only with Rogers,

but with many of the other behavioral health hospitals around here. So we've had the

opportunity to meet a lot of them. And we've been working very closely with Rogers. And it's been

it's been a fun fun experience. And they gave me a two of their campus. It was awesome. So

yeah. Sure. Amazing thing. Good deal. That's yeah. That means a lot. And if I could pause for a

quick second here, as I mentioned, it's opening day for Wakashav farmer's market. Our booth will not

be set up until May 18th. But we are we are taking your calls on the civic media app. That's right.

Download the civic media app. And then you can call in and that in that way too, especially if

you're going to the farmers market, you can catch this week in Wakashav as you enjoy what's going on.

And I'm hoping I can get some calls for anybody shopping there because we'd love to hear what's

what's going on and what what we can look forward to today. And in the coming weeks. And then

also if you recall from last year, you know, Johnny watermelon, who's been producing our show.

So he ran our booth at the farmers market and he used to call in with what we jokingly called

the crop report. And he would include some of the vendors in his call and in what are some of

the exciting offerings. And did you know that WAK and civic media has a real crop report now?

Our very own Pam Yankee broadcast every morning at 5 a.m. Monday through Friday.

Pam is the director of the Midwest farm report out of Madison. And highly recommend it.

It's even if you're not a farmer, there's just some great trends that you should be aware of.

And I think that's just a really neat offering that we have. So

but continuing our conversation with Hazus Vermeer is, you know, for those of you who for those

many of us who have not received, you know, sought mental health, treatment of any kind,

you know, what are some telltale signs that someone could use someone you love or perhaps

yourself. And you know, what is it you can do to kind of alleviate anxieties people have about,

you know, pursuing? Because there's still stigma out there, unfortunately, tragically.

Oh yeah, that's why we've all that, you know, we've come so far in many years.

Of course, yeah, there's definitely a stigma. And and a lot of people, like I was saying earlier,

we were talking prior to the show is that maybe they don't have, they feel weird of accepting or

saying that they need help, you know, mentally. And so, um, we just want to kind of break that stigma

and, you know, we're to have a clinic where people come in and they feel, you know, comfortable.

That's great. The conversation continues with Hazus Vermeer is here from Trilogy Health Group.

Here in this week and walk is, uh, don't go away.

Do you want the world is waiting for the sunrise every year listening to this week,

walk a show and as many of you regular listeners know, our, our second song in the first hour

comes from our favorite son, Les Paul with Mary Ford. And the world is waiting for the sunrise.

We don't have to wait. It's been a beautiful sunny morning. Has been for quite some time and, um,

could not be more grateful. So much going on today. And if you love baseball as much as I do,

the beloved, our beloved black shirts, watch us south play a double header against McGowan to go

at one o'clock today at Frame Park. And yours truly will be doing the PA broadcast if you will for

game two. So stop by. It's a beautiful day for some rounders. And I want to wish the North Star's

luck as they played O'Connor walk this morning. The North stars are looking to shake a two-game

losing streak after a tough four to one loss to Muskego last Monday. And a, um, it's actually,

I'm sorry, three game losing because they've lost twice to Muskego. They lost the previous. And

then a two to one loss to mock on Wednesday. That being said, the North stars are eight and four

this year with big wins against a fourth ranked arrowhead that's fourth in the state. And another

top ranked team Sussex Hamilton. So best elected down Radomsky and his, uh, North stars for continuing

success. It's really been a fun story to follow a great team out there. And, um,

Baka Shah North woman softball team beat the, the black shirts and softball on Tuesday at South

ninety three. South did manage to win handily against Milwaukee Lutheran last night at South when

I was leaving the score was 17 to two late in the game. And, um, North softball is having a great

year. You could say the kind of the, the darlings much like their baseball counterparts are. But,

hats off to South because they are heading in a much new direction and, um, not quite where they

are with Jimmy Mellor's North star softball team doing really well. But the goal for this year's

softball team under coach Mario nudie was to have at least one game that was not run ruled. That was

going to be kind of their goal for success. But they've won quite a few games this year,

including a come from behind victory against Waukshire West. They're trailing nine to three. This

is a couple of weeks back. They ended up winning 10 to 9, 11 to 9. But that was just amazing.

Especially in a conference game like that and against a, you know, bitter cross-town rival.

But they've also, they've cast in maybe close to four or five, six wins. I'm trying to get a

report on that. But again, it's a lot of exciting developments. We're really excited to have coach,

um, coach Mario, um, with the softball program and moving us in the right direction. And, um,

you know, I know I like to focus things on Waukeshaw. But, um, today and tomorrow at 1245,

our beloved Milwaukee Brewers are, um, heading down to their friendly confines to face a

world manager, Craig Council. It's already always a big deal when the Brewers play the Cubs.

Oh, yeah. But now with, uh, Mr. Council there, I'm sure it should be even more interesting

down there. So best-selective Brewers. And, um, again, if you download the Civic Media app,

you can have the best of all worlds, uh, taking the Brewers game with you, uh, to, um,

to watch the Blackshirts at Frame Park today. Or if tennis is your thing at Carroll University's

hosting the CCIW, um, tennis tournament, um, today. It was yesterday and today. So lots to do here,

sports wise. And speaking of Carroll in this Carroll Minute, uh, out of Naperville, Illinois,

the College Conference of Illinois and Wisconsin CCIW released this annual Women's Lacrosse

All Conference team on Tuesday with four Carroll players earning a spot on the all CCIW first team,

doing the honors for the pioneers are freshmen, sensation, Elizabeth Wang, sophomore,

Samantha herd, junior, grace, tumulti, uh, and senior, Ariana column,

tumulti was also named CCIW defensive player of the year while senior Zoe Asvelt was named, um,

Carroll CCIW respect award representative. So collective, these, these players have helped, uh,

the pioneers to a 14 and three overall record this year, which marks the most single season victories

in program history. So, um, congrats to them and just all the success that the Carroll women's

athletics programs has had you've heard in the show about, uh, what a great season the, uh,

the basketball team had underlid Lindsey Schultz, uh, winning the CCIW championship and, um,

and so much more. But so look forward to hearing more great things from our university partners

there. So, uh, continuing our conversation with Jesus Ramirez of Trilogy Health Group.

Um, so we're talking about access to care in terms of these invisible barriers that people have,

um, you know, and again, being Irish, there's an old adage of the, if you're not bleeding,

there's nothing wrong with you. Sure. And it's, that's just such a huge mistake that many

individuals and families make. And so, yeah, what, what recommendations do you have for those

people that are considering getting health or maybe not even aware that they, they have a,

a mental health or behavioral health issue? Yeah. Uh, I would definitely just say follow your

instincts. Uh, if you feel that you are starting to isolate or you're, you're feeling, uh, anxious,

uh, for no reason, uh, definitely try to stick help and figure out what the root of the problem is

because usually there's something underneath, uh, an underlying barrier that is kind of,

you know, making it hard to live a normal, healthy life. Um, and so, you know, we offer that.

And along with mental health care, uh, it comes kind of the beauty aspect of it as well,

where people feel good about themselves. Uh, they start to feel better, they look better,

and we're also able to offer them, you know, medical cosmetics, you know, botox, um, testosterone

injections for man lip fillers for women, um, uh, and, uh, some agglutide for Zepatide, uh,

you know, that could be used for all kinds of things, uh, weight loss, things of that nature. So,

a lot of happy clients, a lot of happy patients, um, and we're really excited to be able to help the

community, uh, and beyond, you know, the goal is here, the goal here is for, um, a trilogy health group

to, uh, provide access to people with no health care, definitely not waiting six to nine months,

you know, and we'll try to accommodate all as any budget, you know, so people can have access to

that. Yeah. So here's a question I have is someone who's, my family's kind of lived through, um,

a mental health journey with a loved one and, um, yeah, I, this, I have to, this may be the first

kind of practice I've heard of that's, that's added these, um, well, you know, we want to say

aesthetic treatments or botox or that and, um, does that sound kind of paradoxical to,

you know, um, giving someone good mental health therapy or is it a, it must be a compliment if

that's something you offer. How did that come about? Yeah. So, um, what came about it was that a lot

of our patients, um, you know, just weren't, weren't feeling right about themselves physically,

and, you know, how do we, how do we overcome that to make to help these patients feel better about

themselves and, um, to be able to offer these products has really, you know, all in one space

has really, you know, increased our, our patient base and has made our patients very happy

to be able to have access to that, um, you know, and in the coming months, you know, we're going to

be offering, uh, TMS, uh, as well. So what's TMS again? I'm sorry. A TMS is, is, uh, where they,

is where they put like, uh, electrodes on your brain and they kind of map out your brain.

And the can determine, you know, um, major depressive disorders, uh, and, and kind of

help with that. Yeah. So we'll be able to offer that. And it's, like I said, it's been an amazing

journey, uh, to be able to meet the patients, to meet the people of Waukesha, and to be able to

help them and see their progression is amazing. That's terrific. We continue this conversation with

Hey Zeus Ramirez of Trinity, uh, trilogy health group. And, uh, this, as we begin the mental

health we're in a month. And then also we're going to talk about may the fourth be with you in

what you're doing, uh, to recognize this day here. And this week in Waukesha, WK 540M 101.1 FM, the show.

I know because I'm going to be out there making it with my snow guns. I need it right. Okay.

And this one's on Nick Winners, if you would, Herbert. Thank you. Well great. There you have it. Hey,

everybody, snow to my, but let's all think powder and lots of it. Please. Who's a powder animal?

Everybody all right. Okay, Polly, you ready to play a little bit of music? No. That way.

This is the Nick Winners show and I do the entertaining. Thank you. Let's go out with something

really hot for these folks. A big hit out of 77.

A star wars, if they should bar wars, please let these star wars stay.

And hey, how about that bloody star wars bar? Can you forget all the creatures in there?

And hey, Darth Vader in that black and evil mask, did he scare you as much as he scared me?

Star Wars, those near and far war. My sevens winner up here. Star Wars.

Good morning for those of you just tuning in. You're listening to this week in

Lackasha. I'm your host Don Brown and reunited and it feels so good for one day with my good friend

Calvin on the board. And you can catch Calvin during the week on Earl Ingram and Matt and Air

that go from eight to 10, 10 to 12 respectively. And yes, it is May the fourth.

It may the fourth be with you. And I couldn't think of any better way to celebrate than with Bill

Murray's Nick Winters nightclub singer and star and sound at live. There are a couple of

those different clips and different venues. That one happens to be a ski lodge and very funny.

And yes, you know, Darth Vader scared me a lot. And I think it wasn't me here at the county

expel this week. Forget that. No, let's move on. It's our only kidding. Hey, what are you doing

anything for May the fourth be with you today? Hey, Zeus just kind of relaxed and man kind of

relaxed and enjoying the sunshine doing some yard work. Sure. It's kind of hanging with the

family. Yeah. How about you, Calvin? Anything special for May the fourth be with you? A little

Star Wars movie festival or anything? Are you not a Star Wars guy? I like Star Wars. You know,

I hadn't really thought about it. But you know, maybe I'll dive into one of the shows I haven't seen

yet. There you go. There you go. And if you're doing anything special, if there's anything

special going on a walk a show that I don't know about, we don't know about. Excuse me.

Call us using the Civic Media app. Yes, we are radio 101.1 FM 540 AM. But do yourself a

favor. Download the app if you haven't already. So you can take this show and so many other great

programming opportunities that we have here. It's throughout Civic Media. And you can also take

it with you when you travel. I know a lot of you have vacation places up north, hunting places

if not. And we have over 20 stations throughout the state and 12 different markets. So really great

opportunity to take local news, local sports. All things are important to you on the road as you

travel. So, but you know, I we at Civic Media actually have what I like to call Master Luke Luke

Mathers, our executive producer. Not that he's a master and we're slaves, but he's a master at his

craft. And Luke sends out these weekly reports for the different show hosts with some really great

nuggets of information to share. And one thing I'm really great before and regret that I didn't know

about it sooner is early May is typically National Small Business Week as honored by the Better

Business Bureau. And if you check out the Better Business Bureau website, there are some great

small business tips and a lot of other great small business resources for small business owners

out there and many of us are to check out as well as for us as consumers to take advantage of the

small business opportunities. But going back to small business tips, here's mine, advertise on

WUK and Civic Media. It gives you really great access to a lot of engaged listeners, people with

choice say some that are interested in supporting local business for one and to have that

disposable income. And with things like Mother's Day coming up and other graduation and all that,

it's so great when you can shop locally. I know my wife gets a lot of an Amazon and there's certainly

a mix a lot of sense. She's a very professional, very busy professional and mother and thank God

for those home delivery services. There are small businesses that do home delivery, but it is also nice

to get out there and support a local business in person. And this also came in from Luke Mathers

from the same data is that 45% of all Americans prefer in store shopping. And I know I do too,

especially when I can go shopping down here on Main Street or some of the other like down where you

are in Grandview, Hazusters, there's probably some really interesting concepts. So you owe it to

yourself to find some great things that people can't get anywhere else. And yes, maybe you spend

a few dollars, but those dollars recirculate back into the local economy. They help sponsor clubs,

teams or are purchased at other retailers or commercial business entities. So thank you Luke

for sharing that. And would you consider Trilogy Health a small business, Hazus?

Oh yeah, definitely. But it's a business where it's very needed and luckily we have the

opportunity to provide that to Walker Shaw and beyond. And so like I said, we are extremely

blessed to be here. We're grateful and you know, we owe it to everything to our patients and we

keep them, you know, a type of mind. Sure, sure. I like that. I like that. So and you impress me

as someone and you live here in Waukshire, you mentioned in Pebble Valley, you impress me as

someone that also supports, you know, local and small businesses. Oh, definitely, definitely.

I try to shop local as much as I can because I know the importance and the value of that.

And supporting the community where you live and trying to help out in any way you can is, you know,

very important. Yeah. Sure. Yeah. For sure. You know, speaking about close to you is there.

My wife and I, we got carry out one night from a Thai place. I want to say it's like mom's kitchen

or something. Mama's something's kitchen. It's good. I like that place. But yeah, inside looks

like like that would be a great date night place to have dinner. Like even sitting at the bar

is really neat, but they have tables. It's a really nice, it's a very nice scene. Yeah.

For, you know, I guess you'd say a smaller venue for a restaurant. Yeah, it's really good too.

I've had their, I recommend the drunken noodles. If you're listening up there is a very good

choice. I recommend it for sure. And I recommend the pad see you with tofu. Now, mind you,

I'm a huge carnivore. I love red meat. I had a couple breaths for dinner last night, but

something about pad see you with tofu. That may very well be my favorite Thai dish. If maybe

my favorite overall occasion dish. And that, what's it? Is it mom's kitchen or mama? There's

the name for it. Something kitchen. Yeah. I think you're right. I think it's called mom's kitchen.

I think it's just mom's kitchen. It's a Thai place, but they do a great job with that. Yeah,

right around the corner from Philly G Health Group there on Silvernail. So there you go.

Locking distance, you know, come get a, you know, come get a session with Jesus' team. And

Had I known for some mom's kitchen? That's right. Drunken noodles or some

They are open for lunch as far as we know. As far as we know. Yeah, sure. Yeah, that seems

like that would be a pretty crowded place at lunchtime with all the businesses nearby.

Oh, yeah, definitely. Yeah, we've carried it. We've carried out from there on a number of occasions.

So, sure, perfect. So I was checking out some of your reviews on Google and they mentioned a

couple of other members that they mentioned you, but they also mentioned other members of the team.

Yeah. Yeah, Lisa. Lisa, who's the owner? She's the primary psychiatric nurse practitioner.

And then we have Maggie, who's also a psychiatric nurse practitioner. She comes from addiction

as well. And so does Lisa. And then we have Dianne who does, you know, general care, the health,

the general health cold flu, you know, things of that nature. And as well as the, you know,

the Botox, the, you know, lip filler injections, testosterone, things of that nature. And, you know,

helps collaborate with the rest of the team. And it's been a great so far.

It's been a great team effort. And we're excited. Sure. Tell us your address again. You're on

Grandview. Yeah, 2717 North Grandview Boulevard, sweet 103 right and walk a shot Wisconsin

five three one eight eight definitely go to our website. You can find out all about

trilogy health group at www that trilogy health group.com. Or don't hesitate to call the office

and inquire 2625656202. Fantastic. Thanks. Hey, we may have you repeat that again before the

hour is out, Jesus. No problem at all. Love it. And you mentioned it. It might have been Maggie

that she had a journey with addiction or mental health. You had mentioned. Yeah. Yeah. Yeah.

So she comes from the addiction background and we're happy to, you know, provide those services

to people who, you know, may have an addiction problem. Sure. And, you know, if we feel that a higher

level of care is appropriate is when we will we will send them to more of an impatient setting.

You know, I mentioned about Maggie just again, not to pick on her, but there are many professionals

I've met that had an experience with behavioral or mental health or addiction health and got the

care that they needed and became champions or became advocates as well professional care providers

in that space. Yeah. Yeah. It's really cool to see. And, you know, to be able to be a part of that

is an amazing thing. Sure. We're really happy. Sure. That's terrific. What inspired you if I may

ask to go into mental and behavioral health? Yeah. So for me, it's personal. You know, I have,

I'm not afraid to admit, you know, I have had some addiction, you know, past the addiction past

is definitely there for me, as well as the mental health depression part of it because that, you

know, goes hand in hand. And so it became very personal for me because in 2018, I was diagnosed with

Necrotizing Pancreatitis, which is if you drink a lot that can happen. And I had 17 surgeries

spent, you know, eight months at UW-Madison and really got to know what it was like to be

severely, severely depressed and needed and I needed to change. And so, you know, I got the

help that I needed. And now my outlook on life is totally different, you know, sober. And it's

a great feeling to be able to have a provider or providers who can help with that. So, yeah, we're

happy to help. And, you know, we don't judge anybody and we're just really excited to be honest

with you. Yeah. I love it. You know, I'm really grateful to you for mentioning that you had, you

had a battle with depression and it's something that I think those that aren't familiar with it,

they struggle with understanding it. That's very hard, very hard to overcome. And really, it is a,

and again, I noticed from my own family's experience that it's a kind of pain. Unfortunately,

for me, I've only had to experience minor episodes of it, but even those minor episodes,

there is an excruciating pain that you're feeling that really feels physical. Yeah, yeah,

it's like you need it, but the thing that you have to remember is that kind of, it's just temporary,

you know, yeah. And that's good to know. And they said for these well-documented, I should say,

celebrity, you know, that loss or battle with mental health, right away, Robin Williams,

I think Anthony Bourdain, and that again, that pain is just so excruciating that for many people,

they feel that that's, you know, ending your life is really the only kind of cure or panacea.

And it's just sad. Again, knowing those, and it oftentimes affects people that are very acutely

intelligent or highly, the instances are higher for those types of individuals. Yeah. And so that's why,

you know, awareness is so important so we can, you know, kind of get out in front of people early on.

So which, my opening the door there for me, my next guy says, sure, you got it. That's Kelly.

So she's here a little early. That's great. My guest in the next hour. So, but I can't tell you

what's just what a beautiful day it is. Nice weather. And we do continue the conversation with,

yeah, so so Brian Kaye and Kelly Piazik from Rogers Behavioral Health have just walked in. So

there are guests in the next hour. And Jesus, thanks so much for doing that, my friend. So,

I'll use so much more. You're very welcome. Not a problem at all. So yeah, it's probably good,

because you said you do have some, some relationships there at Rogers. Yes, that we do that you

refer patients to and they refer back to you. So yeah, most definitely be a nice introduction for

you. Yeah, meet up, Brian and Kelly. For sure. So terrific. So we're going to continue this

conversation with Jesus Ramirez, Ramirez, excuse me, of Trilogy Health Group. Plus some

mother's day reminders. It's only a week away. Some other local business news and so much more

here on this week in Waukesha on WAUK 540 AM 101.1 FM. And don't forget to download the civic media

app and also Tyler Pudliner of Bobbleheads bring us together as my guest on Saturday, May 25th,

to talk about Friday Night Live, or he'll be exhibiting for the first time for his charity. So say

well, this is to bother you, to comfort you and get you through.

When your nights are lonely, through when your dreams are only blue, this is to bother you.

Here listening to this week in Waukesha, on Saturday, May 4th, be with you,

opening day of Farmers Market. And one of my favorites, Schneedle Conner, with a rare

ditty, this is to bother you. Beautiful song, like so many that she had put out in her life. And

that's also a friendlier reminder to all those husbands and children and grandchildren. Mother's

day is but a week away. And if you check out our Farmers Market today or next Saturday,

there may be some great little trinkets. It's there's obviously a lot of great produce and things

and flowers. So those are nice. So keep the Farmers Market in mind for that next week. But also

some really neat jewelry and other great gifts. And of course, very proud of our main street

and the many different offerings they have for mom, as well as the other great business districts

throughout Waukesha that have some nice things. And when in doubt, gift cards, you know, all the great

restaurants that we have here and other clubs. And if you want to do a shout out to your mother

on Mother's Day, call into the show this week in Waukesha next Saturday. And again, download

the Civic Media app because you can call the show directly from the app. Works really well. And

you know, a nice little early Mother's Day gift for mom. I'd certainly like to call her out and

her you can have her call in. So lots of fun we can have on the radio. So you know, Jesus,

you impress me as a as a young professional. And I'll be interested in knowing for you what is

radio meant in your life. You know, radio has been, radio has been a huge, a huge deal for me

because I love music. And so, you know, I love music. I play piano, a little bit of the guitar,

a sing a little bit. And so just being able to have, you know, the radio to be able to hear music

is cool. And so, and not only that, but I like to enjoy listening to the people just talk,

you know, and sometimes the people call in and it's funny. And, and there's some interesting

situations that arise in life. And so it's kind of cool and fun to hear and talk about that.

And, and to be able to have that opportunity. So this is a nice little segue into, you know,

good mental health is, is music therapy something that children's health has ever incorporated or

thought of incorporating as part of a, I've thought about it personally. We haven't talked about

it as a practice. I certainly would think that music therapy would be awesome for, for mental

health because it can definitely have a profound effect. And so, you know, I'll hear a song sometimes

and it'll make my, you know, my, the hairs on my skin go up, you know, you get that kind of weird

feeling. And so, it makes you kind of feel good and brings happiness and joy and it releases

endorphins and which in turn makes you happy and that's the goal, you know. Yeah, absolutely.

So Calvin, how are we doing on time here? I'm guessing it's four, yet four minutes. And so,

with the time we have left, Jose, what would you like to tell us about trilogy health that we

haven't talked about that you think our listeners should know? Yeah. So, you know, come and meet us.

And, you know, we're real laid back, really cool, calm and collected. We're not your typical clinic

where it's kind of, you know, very, I like to go out and meet people and talk to them and

and and meet the patients and engage with them and ask about their life. And if they're willing to

share with me, that's awesome. But I want to know how it's going. I want to know how they're

doing and how they're progressing because if we don't know that, though, that information,

we can't help. And when we do know that, we can facilitate that. So for sure, we're happy to be

here. trilogyhealthgroup.com. Check us out and and don't hesitate to come in. The one has

to take because you never know what could happen. Sounds good. And when did you say or

the like the patients you deal with, what are some of the leading diagnoses that you're

you're having to confront or helping them confront? Yeah. Depression, anxiety is huge. You know,

schizophrenia, ADHD, bipolar disorder, you know, our clinicians are able to diagnose and treat

all of that. So and like I said, not only the general health, not only psychiatric and psychotherapy,

but also, you know, the medical cosmetics as well. Does your practice also treat children or

you? Yeah. Yeah. Definitely. Youth all the way up to geriatric to geriatric care. So kids,

anybody, anybody can come in and me and me this and take part of our services. And it doesn't

matter who you are. Wow. Is there one age group in particular where you probably have the most

patients or customers? I think mainly adults, typically. But I am starting to see a lot of

parents be more concerned with their child's mental health. And so we are starting to see a lot

of kids come in with their parents and which is very great to see because, you know, what happens

with these kids in school and the information they have access to, you know, they need some

type of mental health for sure. Especially my kids. Yeah. Yeah. That's interesting to know.

So it's also fortunate you live real close to work. Do you ride your bike or walk?

I walk sometimes I walk. Yeah. It's like a 5-10 minute walk. Yeah. It's not far at all. It's like

a minute drive. So it's very cool to be really close to work and make it there on time.

In what are your hours? Yeah. We're open 8 a.m. to 8 p.m. Monday through Friday and then weekends

available upon request. Okay. And not only do we have in-person visits, but we also can do

virtual healthcare as well. Virtual remote care. Virtual remote care. And we can treat anybody

in Wisconsin. Okay. Yeah. Do you guys do house calls? We have had instances where we have gone

out to patients homes and we certainly can accommodate that. And so yeah, like I said, don't hesitate

to call, especially when it has to deal with mental health. We'll help you right away.

That is terrific. Yeah. Any final thoughts we might have missed here?

Just, you know, I appreciate the opportunity to be here to be able to talk about trilogy health

group and to have the shock kind of facilitate that is an amazing thing for me. And I look forward

to a partnership with you guys and thank you for the opportunity to be able to get the word out

about trilogy health group. Hey, Zeus Ramirez, director of operations for trilogy health group.

Thanks so much for joining us this morning and for the success of your practice and for all that

you're doing to promote good mental health here and in our walk-a-shot community and beyond.

Thank you very much. Stick around for the second hour. We have Kelly Piazik and Brian May

from my just behavioral health. I called him Brian K. It's Brian May and so much more in the second

hour. So this week in walk-a-shot W-A-U-K 540 AM 101.1 FM, let's shot and don't forget the civic media app.

May 4th, 2024. May the force be with you. Opening day of farmers market. If it's 8 o'clock

on Saturday morning, it's still time for this week in walk-a-shot hour number two. I am your host,

the unsinkable down Brown coming to live and local from the office of former alderman down Paul Brown

here in the W-A-U-K studios right around the corner from the Adora Yalman's park where we're

proud to honor our suffragette heritage here in the shop. I am joined for the day, reunited and it

feels so good with my good friend Calvin who cut his teeth on this very show before being brought

up in the show for U-Baseball fans now doing some serious producing for the oral Ingram show

Monday through Friday 8 to 10 and then Matt Nair and Eira Jane, Matt Nair and Greg Bach

10 to 12 and so again we're honored to have Calvin here even if it is just for the day. Calvin,

how are you doing here now number two? Are you hanging on? I'm doing well. I'm used to it.

All right. That's right. Yeah. You're up early Monday through Fridays. This is day six for you.

Really grateful for your extra efforts and so as I mentioned in the first hour,

my guess it is May is Mental Health Awareness Month and in the past years I've had

Mary Madden Executive Director for Namiyan and last night was her big fundraiser so I thought

to give Mary and the rest of the Nami team the the morning off to I'm sure to get some

well-deserved rest but we do hope to have someone from Nami here hopefully later on this month.

But in the meantime, I'm thrilled to have from Rogers Behavioral Health Dr. Kelly Piazik,

Executive Vice President of Research. Did I get the title right Kelly? Fantastic and I was wrong.

It's Brian K. I was right the first time. The Chief Strategy Officer, very cool title for

Rogers Behavioral Health. Brian, my apologies and welcome. Thank you for having us. And I

think because it is May and it is May the Force be with you. I have an excuse and I'm Brian.

I think it was a hockey player named Brian May or an athlete that I knew.

We're really glad you're here. As I mentioned in the first hour, we are not taking any calls

regarding Kelly's role on the school board. She is here in her capacity representing Rogers

Behavioral Health which is I wonder how many people really know this. It's one of the leading if not

maybe number one or two mental and behavioral health hospitals in America, not the world.

Is that a stretch Kelly? It's not a stretch. Brian can share some of the the background. It's

impressive. And Rogers has an amazing story throughout the years. So we're a relatively new

organization. We've only been around since 1907. So about 115 years in the walkship community.

And it started really as a health sanatorium out in Okonomowk. So this is people out there for

years that's continuing kind of transforming itself. And really in the last 10 years,

Rogers has gone through an amazing expansion. So where we stand today, we've got 21 locations

across 10 different states. As you referenced, we are the largest non-for-profit, non-affiliated

behavioral health organization in the United States. So in terms of scale, we see about 21,000

patients that come through our doors every single year. So amazing. Great scope,

great amount of services that we provide not only in Wisconsin, but also coast coast.

Sounds terrific. You know, and I wanted to, again, as I had that disclaimer earlier about

no calls regarding school board, I wonder if says why this topic is so important. We want to focus

on this topic. As I mentioned the first hour, there was data released from the Mental Health

Association. There are 21% of adults experiencing a mental illness. That's equivalent to over 50 million

Americans staggering, 50%, 55% of adults with a mental illness received no treatment, which means

over 28 million individuals. 16% of youth report suffering from at least one major depressive

episode in the past year. We have more than 2.7 million youth that are experiencing severe

major depression. 60% of youth with major depression do not receive mental health treatment.

One in 10 youth with private health insurance do not have mental health coverage.

And there is one mental health provider for every 350 citizens. So we have some gaps here.

And the good news from the same report, it was an annual report for 2023, is that Wisconsin

ranks number one in the nation with the lowest number of mental health cases and the highest access

to care. So I mean, that's amazing and we can pat ourselves in the back. But only for the moment

because that's not to say that there still aren't gaps here in this, excuse me, in this state and

even in our metro area for access to good mental health care. And I think it's the safe to say

Kelly Bryan, a lot of that comes from stigma still surrounding mental health as well as

anxieties people have about getting good mental health treatment.

I think there's no question that stigma continues to be one of the biggest barriers to people

seeking treatment. As Jesus mentioned earlier, the partnership between Rogers and a lot of the

local referral providers is really important and that continuum didn't exist decades ago. So I

think those pathways for people to seek care are becoming clear. They're easier to access.

Insurance providers are covering more of those services. But there's no question that stigma

continues to be the biggest challenge for any individual to raise their hand and say I actually

need some help here. Yeah. And that's got to be a good challenge for you or one to even get excited

about as chief strategy officer. What are we doing to normalize mental health,

depression, or kind of chip away at that stigma? I think you hit on it a little bit earlier.

It's how are we creating access in multiple ways now that reduces stigma? Some of the ways that

we're seeing out in the field and then what Rogers has also built is telehealth and using

digital as a platform. So it's breaking down some of the physical barriers, the geographic barriers

of accessing care. And at Rogers, we've done a really interesting play in terms of how we built

our telehealth platform. So we've optimized the experience for group therapy on it. So even though

you're in kind of a digital environment, you have the ability of connecting with people in a very

user centric way. So by providing tele out there, we're reaching so many more people than we

have ever been able to breaking down the barriers to access, reducing stigma in that way. And then also

when you come on to Rogers and look at our physical plant in our environments, they're beautiful.

I mean, beautiful non-stigmatizing facilities where people can heal and recover in an environment

that is very calming and a great place to heal. Terrific. Did you want to add to that, Kelly?

Well, Brian mentioned the facilities. And I think Rogers does just an incredible job of

focusing on the interior design, the exterior design, home-like environment. And we see that

in the outcomes and the research data that we're looking at too. We know that those environments

are not sterile environments. They're really about, you know, surrounding the person with comfort

and support and the resources that they need. So I feel very fortunate to work in the facilities

that we do. Waksha County is just a beautiful place, generally speaking, but surrounded by wildlife.

Yeah, it was a really pretty campus too. It'll kind of walk. And Kelvin, how are we doing that time,

sir? Okay, five minutes. Thank you, Kelvin. And he just want to cut in real quick.

It's a very important election year as many of us know. In fact, my guests on June 1st are

candidates for the State Assembly, challenging Scott Allen, as well as a candidate for the

State Senate. And then on June 8th, incumbent Scott Allen comes in. And that's going to be a pretty

interesting election. That one in particular for the State Assembly seat in what's now the 82nd

district, because I believe it's like 42% of the original base of Scott Allen's district has

gone away. And so it should make for an interesting, very interesting election. And again, very important

why people need to get out and vote and support your candidates. And so you can go to vote.org.

You can also sign up for an absentee ballot and research has shown a 30% increase in

participation with the absentee ballot. And if you haven't already, because there aren't many

people that are retired that don't drive anymore, go get your voter ID, get the picture ID,

whatever is required. Take advantage of that now. Any help with that, you know, call the City

Walkshall, the clerk's office is very proactive about that. They have a great team and I know that

from my own experience on the council. And then also you can also reach me here at the office

former Aldman, Don Paul Brown, very happy to help in that regard. And returning my conversation

here with doctors, Kelly Piazik and Brian K, not me, but it is me. So I'm sure you get a lot of

jokes about that. Brian K and a month of May. But you now, Kelly, you, as I just did, you started

kind of the research program. Is that right at Rogers? I did. I joined Rogers in January of 2020.

Right before a little thing. Yeah, for the little stuff. Yeah, that'll pick up in our. Yep.

Yep. I was employee number one for the Rogers Research Center. And so the the ask was to

establish that organization. We actually moved into a brand new facility in the fall of 2021. So

the Laddish co-foundation generously helped Rogers establish a beautiful facility that co-locates

the research center, the Ronald McDonald House family room, and then Rogers spiritual care

services. And it has just a beautiful conference area and meeting space that is accessible to

a lot of different groups around the area. So my department, which is about 20 folks now, is in the

garden level of the Laddish. Oh, nice. That's right. But we serve the entire system across the

nation. Wow. 50 research projects that are actively ongoing. Wow. And full disclosure, Ronald

McDonald House is a client of mine, but certainly very proud of the work that's being done at the

family room and being able to partner with Rogers. This is one of the first Ronald McDonald House

chapters, if you will, in their global system to partner with a mental and behavioral health

hospital. And so important works being done. I was giving you national data here earlier in the

show and in the beginning of this hour. But I can tell you from my own experiences that a lot of

that local day, the local data is very consistent. And since Ronald McDonald House serves children

ages birth to 21, you know, we've seen staggering rises and the number of families. We're serving

that are receiving treatment at Rogers behavioral health. So grateful that we have, we are top ranked

in the state or in the country Wisconsin is in terms of, uh, show you say quality of care and

access to care, but so much work needs to be done. And of course, many of those families that are

coming in to Rogers, whether they stay around the McDonald House or not, they're from all over the

nation and the world, correct? All over. I mean, so coming out into our account on campus,

we've got a level of care called residential. So residential is where people stay a little bit

more long term, typically 30 to 60 days. And they kind of live on site. So of that level of care

close to 85% come out of state. Wow. And then we have people all over the world as well too.

The conversation continues with Brian K and Kelly Piazic of Rogers behavioral health here.

And this week in Wachishan WK 540M 101.1 of them this shot.

Hey, talk about it. Talk about it. Give it up. Oh, oh, oh, yeah.

You know, this week in Wachishan, that is talked to me by Peter Gabriel.

So many great songs. He sings relating to mental health. And that digging in the dirt

another one I was thinking of playing. But anyway, I'm here with my esteemed guest,

Dr. Kelly Piazic, executive vice president of research, a Rogers behavioral health,

and her coworker, Dr. Brian K, chief strategy officer. And off air, Brian, if you could repeat

some of that data you're mentioning about, well, before we went to commercial, you were talking

85% of the Rogers patients are from out of state. And then I think you mentioned there's 21,000

patients that go through our system every single year. So we've got just the

account of what campus or is that nationally? That's nationally. And you know, the account

of what campus is actually hub internationally as well too. So we see patients from Europe,

from South America, from Asia. It's an amazing place that people are coming in to see care and

services. And then what else are we talking about? I think we're talking about like, what is the

average time in the state of Wisconsin? Again, consider number one in the nation for access to care.

What was the average waiting time to see a therapist? Yeah, average waiting time to see a provider

or psychiatrist for like medication, management, or psychiatric, evil is 60 days in the state of

Wisconsin. Despite us leading access to care, if someone wants to see a provider, it's typically

around 60 days. Rogers, we're trying to help reduce that time. So we've just opened up in the

last few months outpatient services in our West, West Alice campus. So we've got the ability of

if someone needs medication management or see a psychiatrist, those appointments are available. But

even despite great access in the state of Wisconsin, it's still a lengthy amount of time to see

someone. Sure. And there has to be troubling because I think when someone's at that point where

they finally recognize they need help, it is usually maybe not an emergency situation, but

certainly an urgent situation. Is that fair to say? Fair to say. And, you know, there's many

levels of care that can help with those urgent situations, like Decaloo, you're saying, if someone's

on outpatient, a psychiatrist or we offer levels of partial hospitalization or intensive outpatient,

which is more of that day treatment setting. So there's a lot of different access points to

utilize. It's just getting into the system and, you know, reaching out and letting know that

you do need help. Sure. Well, and again, lieu of that waiting time. I know if again, for my time

in the council that our police, our fire paramedics are all trained in dealing with some of these

situations that involve potential suicidal situation in terms of counseling and lay counseling to

be fair and giving life-saving treatment. And is there's Rogers interface with those different

like first responders in terms of that kind of training? Yeah. So Rogers, we work with our first

responders, police departments very closely in terms of how do they get access into our care

into our system? We've also provided over the years certain trainings in terms of

the dysbasic principles of who would need a particular level of care, but we've got close

partnerships with those individuals. And don't forget the fact that they also need

support and services. The experience that a lot of our first responders are seeing on the job.

We've had now a four-year partnership through our research center with the professional

firefighters of Wisconsin Charitable Foundation. So we are actually working with them also to

understand some of the needs of their members. I'm really glad you mentioned that Kelly because

my guest couple weeks back was outgoing fire chief Steve Howard and assistant fire chief Joe and

Steve's last day was May 1st. They had a really nice celebration for him and congratulations to

Steve on 36 years of faithful service to the city of Waukeshaw and to just do our community and

really enjoy your retirement. And I know his former next door neighbor Alfred Gorham was Wisconsin's

only Tuskegee Airmen would be extremely proud of the life he's led. So congrats again to

Steve. And so yeah, so we have firefighters, first responders. I imagine there's other types of

professions too, where you're dealing with, you know, like as violent situations or high level

stress situations that I imagine are part of the customer base or people you want to be more

proactive about reaching out to. Any frontline support professionals, you know, nursing physicians,

even folks serving in the mental health services capacity, educators, you know, there's just a lot

that folks who are acting are active all day working with and supporting others that we sometimes

forget about their personal needs. Right. And you know, mental health affects everybody in that

sense. So it affects all professions. And you know, Rogers has treated over the years many,

many different groups. We've had impaired professional programs. We actually treated clergy in the 1980s.

So, you know, it's, it's, we found ways of treating everybody.

Terrific. Calvin, how are we doing at time, my friend? Okay, about three minutes. Hey,

I just want to cut in real quick. Congratulations to Walkish on North staff members,

celebrating a milestone anniversary with the school district of Wakshaw. That's Sandra Vandrak

and Brian Schley. Again, celebrating 15 years with the district, congrats to them. And

how many years have you been with Rogers, Brian? I've been with Rogers for 12 years,

all in all years. I actually started out Rogers providing treatment in our residential facilities

and just had the opportunity to see a grow throughout the years. And you know, it's been a pleasure

working with Kelly on the research side and some of the things that we're doing from the data piece

and how we're looking at our treatments and qualifying it and applying artificial

intelligence is pretty cutting edge in terms of how we're helping out the quality of care

and reduce the burden for our staff members. You know, you hear AI everywhere and it certainly

is an interesting wrinkle in mental behavior health. You know, love to, if you have a moment to

maybe dig a little deeper on that. Yeah, absolutely. You know, AI, you could apply to many different

aspects. In the stance we've always taken as AI is not going to replace a clinician. You know,

humans are humans and you know, we do clinical care human to human, but is AI a great tool of being

able to augment our clinicians, either to reduce some of the tasks that a lot that they may be taken

away from interacting with patients or see things that they haven't been able to see in case

conceptualation or formulation. So we have a AI really in two different places. One, how are we

using it to affect better clinical care? So making treatment plans and interventions a little bit

more personalized and targeted. And then the other piece is how are we using AI to reduce

documentation burden? So that might be ambient listening of ensuring that we capture conversations

and distill it down or ensuring that we have the proper information in our notes. Interesting.

So it also brings a lot of efficiencies anyway too. It's oftentimes a very... Exactly. And you know,

the efficiency pieces really how do you get the tasks or the items off of individuals plates

that reduce their ability to interact with the patient in that way? So we formulated around that

that our clinicians could reach the top of their license and work with people. Sounds great.

Kelvin, how are we doing this time? Okay. Conversation continues with Brian K and Kelly Piazic

of Rajas' behavioral health. But first one, congratulate Mae Firth was the... I believe the third

signing day for Wakshan North athletes. Isabel Noak going to the cross for softball, Elijah Mead going

to St. Thomas for football, Hannah Michaels to rip in for volleyball, Jayden Miles,

Wahbanzi for basketball, Julian Hernandez, Whitewater for football, and we'll continue with the rest

of this list here on this week's WAK 540AM 101.1 FM, this Shaw. And don't forget to download the

Civic Media app if you haven't already.

So I want you, I want you ahead.

You're listening this week in Wakshan with your host Don Brown and my good friend Kelvin on the

board. And that was Elvis Costello with radio radio. And it's a question I'm going to ask my

guest Kelly Piazic and Brian K of Rajas' behavioral health, what radios meant to them. But first,

want to finish that list of signies from Wakshan North student athletes. And that's Joshua Noonan

who's going to the cross for football, not for golf, but for football. Joshua Noonan for any

of you, Katy check fans. Jacob Noll is going to rip in for football. Emma Noll is going to Southwest

Minnesota State for diving. Julianne Ludkey is going to UW La Crosse for diving. And Julia

Gatell is going to UW La Crosse for dance. And Kelly who's Wakshan North, North Mom, has informed me

that that's only the partial list. There were other previous signing days and I know one of them

is part of your family, right? Yes, I've actually had the honor of watching all these kids grow up

all the way from elementary school. So so proud to see all of them going off to college and play.

Sure. They did a signing day in February too. My oldest is going to be playing golf in college.

So we're excited about that. Can I ask where? He's going to Hillsdale College. Hillsdale,

Michigan. Yes. Yep. Excellent school. I know that being a Spartan. So congratulations. Fantastic.

And also wanted to mention this week, Wakshan South's Health and Engineering Academies had their

signing day and Wednesday night. That's a big deal. I like that, you know, for eighth graders,

there's a signing day to go on to these really these wonderful academies that are part of the

Wakshan School District and are housed at Wakshan South. And and one of mine will be entering the

engineering academy. So very proud of her and of all these these children becoming young adults

as they start their their high school career. And I also wanted to give a shout out to a young man

named Evan Bendix and who I first met in the Blazer program. Evan's one of the catchers of

Wakshan South baseball team, but he's also a talented musician and he has a band called the Nunchucks.

And they organized a music festival last night, a punk rock music festival, if you will. Anarchy

in the WAUK. And it was at Wakshan South last night and it was called Shaw Stock and the Nunchucks were

the opening act. I got to catch them was a lot of fun to see. And the proceeds from that event

went to the Jackson Sparks Foundation. So I thought that was wonderful. And it was really well

attended a lot of well. There was actually a mosh pit in the high school auditorium. So

congrats. And the Nunchucks as right now are my guests on June 15th, which is my birthday.

You know, we were supposed to have them on a few weeks back. But unfortunately there was a

post-ponents that we had to we had to postpone them. So but returning with our conversation here

with my my good friends from Rogers Behavioral Health, Dr. Brian K. Chief Strategy Officer

and Dr. Kelly Piazik, Executive Vice President of Research, who started the research program

at Rogers. And Kelly, I want to give you the floor. I imagine there's so many topics,

things I'm missing. And my focus maybe because of my own experiences dealing with depression,

but there's all these other issues that a lot of your patients are dealing with. Sometimes multiple

issues. Yeah. We do see complex patients, lots of different presentations and diagnoses that we're

working through. And so I'm an engineer by training. So I'm excited to hear your daughters

going to the engineering academy and very proud of those programs and love to see young women

choosing engineering as a career path or a career option. But I started in product development

and functional imaging. So really on the medical technology development, device development,

and got into research because I was really interested in getting products to market. And the more

time that I spent in research, I spent a lot of time in oncology and cardiology. And what

you don't see is how the neuroscience doesn't necessarily translate to the mental health space.

And that's some of the motivation behind why we're doing what we're doing with the Rogers Research

Center is, how do you bring physiology and biology and neuroscience into mental health? And so

there's a tremendous amount of opportunity. The mental health space I would argue is probably

a couple decades behind where some of the more traditional medicine is. So as Brian was talking

about artificial intelligence, I think you have to have intelligence in order to have artificial

intelligence. One of the things you have to start somewhere. Sure. One of the things that Rogers

is really a leader in is measurement-based care and has been doing it for over a decade.

And a lot of that is attributed to Brian and some of the work that he did to lay the groundwork

to collect information. There are clinically validated assessments that can quantify the

symptoms associated with various mental health diagnoses. And so Rogers does that on a very

rigorous and prescribed schedule. So add admissions and at least every two weeks,

while patients are in treatment with us and then at discharge. So we have a wealth of data.

We have, I think we assess over a million, I'm sorry, data points associated with patient

treatments that now we can utilize to build algorithms, predictive models, and really understand

what does a patient experience and how do those symptoms change over the course of treatment.

So from a research perspective, the three things that you really need to have to conduct great

research are you need to have a controlled environment so you can test things. You need to have

a large sample size, which Rogers does as Brian mentioned. And then you need to have a reliable

measurement system. And so we have that. And so Rogers was really uniquely positioned to be

exceptional at research. And so some of the things that we've brought in are looking at,

what do we know about a patient's genetics in terms of how they might respond to treatment,

how they might respond to certain medications. The field of oncology has been ahead of the gain

with genetic testing for quite some time. And so we're working on how can we bring some of that

actually into the psychiatric space as well. And then the neuroscience piece is all the activity

that's happening in our brains, right? Our brains are basically just a bag of water with a bunch

of electricity flowing through it. And so it does like my brain. We know a lot about those brain waves

and we can measure them and we can stimulate them. And there's a lot that can be done to complement some

of the therapy that's being delivered. And so really comprehensively looking at all of those

pieces. And you know, Jesus even mentioned a lot of new interventions that the people are

experimenting with in terms of brain stimulation and things. And for those of you tuning in,

Kelly's referring to Jesus Ramirez, director of operations of atrology health group here in

Waukeshaw. In the same building as the new building is for the Nami headquarters. And so it's great

that a lot of these great care facilities are in that same building as Nami. And it was wonderful

having Jesus and talking about his unique practice that he runs here in Waukeshaw.

And he talked about TMS, which is transcranial magnetic stimulation. There's there's just a lot

of different technologies available for different ways of delivering different levels of energy to

the brain to try to modify or influence how some of the neurons in the electricity are firing

within the brain. So those are all part of our research programs and clinical programs as well.

That's just Brian can comment. That's a technology that's available on the market today.

And we're offering TMS in our West Alice clinics as well as our O'Connell clinics. But as

Kelly said, you know, it's a great strategy to augment treatment in many ways and, you know,

blending what is the science with what is kind of best of breed and providing the best possible care.

In the clinical research world, a lot of times you'll see a product will come to market and

will have a very specific indication for use. So TMS was first launched within indication for

depression. So a lot of the research that we continue to do is understanding what are the other

indications that might actually be able to be served by the technology. How might you use it

differently? What different areas of the brain could you target with the same kind of technology?

Interesting. And for a lot of our listeners, I'm wondering, is

does Rogers or do you prefer the recommendations for best practices that the average citizen could

be engaged in that improves their mental health or helps them maybe identify if they have

a mental health crisis? I know so many of us are in denial about a lot of our mental and behavioral

health issues and addiction issues. I think the best practices out there is reach out when

you're struggling as well too. You know, as we were kind of talking a little bit off-air is,

you know, no one should be isolated to themselves. We're lucky that we are in an area in Wisconsin

that has a lot of treatment. If you're struggling, if you're feeling down, if you're having symptoms,

consistent with mental health issues, reach out to outpatient provider, reach out to Rogers,

reach out to care providers to get that help. You know, what you see in mental health is the

evidence base is continuing to grow. And what we have done at Rogers is we have infused our treatment

with the best evidence base practices that there is. And typically they're very simple

fundamentals using cognitive behavioral therapy. But you know, a lot of times it does take,

you know, interacting with someone to teach you to practice to get those skills integrated into

your daily routines. Interesting. And now you mentioned Brian too is that we've got a lot of

physical access. There's a lot of great care, you know, clinics, practices, organizations. So

what do I want to call it? But then the average person reaches into the wall and they check their

insurance they call and they they find out they're not covered. You know, some of the data I

release is that that's that is still an issue locally. It's getting better. I mean, when mental health

parity went into effect a few years ago, that has reduced that wall in that barrier. And, you know,

with the pandemic, you're seeing such high rates of mental health and illness. Every day we're seeing

it better and better and better to get coverage out there. So many of those barriers have been

decreasing throughout the years. Again, there's great resources out there as well too. You mentioned

NAMI. There's this many, many areas that that you could leverage in terms of that skill building and

getting access to the right care. Sure. And speaking of good mental health coverage this morning,

we're grateful to have here in the office of former alderman, Don Paul Brown, James Santel,

who show Atticus a lot of you as an ex. Jim does not is not therapy. It's not working the behavioral

health space, but he's he's graced us with these morning cannolis, the name of the previous name of

his show from Gloria Osos. I'm Brady Street, I believe you have a thumbs up. Thank you, Jim. And

always always honored to have you here and looking forward to your show at nine o'clock, covering the

latest legal issues of the day. And thanks on behalf of my guests too. It's always great when we can

grace them with with your presence in these tasty treats to get us in a good mood on this beautiful

sunny day, by the way. So and then don't forget opening day for farmers market. So we either

be heading over there after the show or have already been there. I have a long day following my

kids around the golf course today. So I probably want it. Yeah. He's on the links. Yeah. Now I'll be at

frame park at one self as a double header against Maglana go. And I'll be calling the second game.

And I'm going to be heading over. So I've got a barely one year old. So she turns one in about

two weeks. No, so we head to the farmer's market. It's going to be her first farmer's market

experience. Get some pictures. Yeah. It reminds me, you know, since the brewers play at Riggly Field

tomorrow against Craig Council's Cubs, I was I got tickets from one of our vendors to a years ago

in another life. It was a Cubs Red Sax game. The first game at Riggly since those two teams face

each other years ago in the world series. And a woman from Boston brought her 10 day old baby

in a car across country to Riggly Field to be part of this historic moment. And of course it was

blazing hot. So she hung out in those, you know, those kind of those little like kind of ramps

when you're going out into the concessions of the restroom. And those there's a huge wind tunnel

going through to keep them cool. So I thought that was pretty funny. So a couple of you got 30

two minutes. Okay. Fantastic. So returning to the discussion back on behavioral health.

Yeah, we mentioned the farmer's market is nutrition also probably has to be a part of the work

that you're doing in research and strategy. Is that fair to say? Nutrition is a big part of

mental health. We're learning a lot more about how the how gut health affects brain health so

that the gut brain connection and the microbiota in in the gut. And so a lot of research in that

area, there are a lot of conditions that from a genetics perspective, we can understand a little

bit better. That's, you know, perhaps certain people may respond differently to things like keto

diet or different types of nutritional strategies. But lots still to learn in that space. But

sure. It's it's it's bigger than I think any of us. Yeah, absolutely.

Imagine sure. Now I used to do a lot of writing for a health care client and their customer

base were type two diabetes patients. And a lot of it was on just nutrition. And

excuse me, simply two cups of vegetables or two cups of fruit, two and a half cups of

vegetables every day. And just really one of the that's so well known. I mean, it's one of the

secrets to good living. And I imagine that's got also impact behavioral health. So what?

The conversation continues with Kelly Piazik and Brian Kay of Roger's Behavioral Health

here in this beautiful Saturday morning and this week in Waka Shaw. And don't forget to download

the app so you can go to the farmers market and catch the rest of the show here.

You

You

He comes

You're listening this week and walk a shot and a double entendre in this beautiful sunny morning with

The Beatles this week and watch out with George Harrison and the lead vocal spot

And it's also a special event at the let it be

Nightclub the Beatles theme nightclub

We had a guest from their

Their consulting team here a few weeks back and tonight they have a special

Concert a fundraising event proceeds go to the parade memorial fund and it's um the esteemed Beatles cover band American English

Door's open at six thirty. I believe the show starts at seven

Two hundred fifty dollars a seat and there are still a few seats remaining and they are

They are taking guests at the door if you decide at the last second

So I know there will be quite a few people there or people I know like mayor Sean Riley will be there and um

I

You know depending on my schedule and uh

What's in my account?

But now I was a huge Beatles fan as a kid and excited to see things starting to happen there. It's been long awaited

Hasn't formally opened yet, but at least people get a sneak peek

I got to take a two or a few weeks back. It's really beautiful and um in the previous segment

We forgot to I forgot to ask my guest um we had the the walkouts on radio radio by Elvis Costello and I wanted to ask

What is radio meant in your lives

Brian you want to go first because you said you had for unique uh

So radio for me brings back

Ton of memories uh, so first off

It's listening to classical music on the radio all the way as a kid

But you know radio holds a kind of little bit of a special meaning to me

My father is a retired pilot for 34 years. So radio always brought the connection

In terms of where he would be but also you know all the dialogue and ontology is that

Pilots have with it. So when you retired going out with oh hair how he was

Navigating that that airport with lakeshore drive yeah all these different interesting

So radio brings back a lot of memories very neat. How about you Kelly?

I think it's just maybe a sign of the times that reminds me how old I am unfortunately because

When I started oh and I started driving um I inherited this old clunker car that had an eight track player

And I didn't have any eight tracks. So I just I just remember

Always having to listen to the radio and now it's like I want to listen to the radio

Battling the kids like I don't want to listen to to your spotify or whatever

I want to actually listen to like something that's live so

Um, but I was the kid that had like the

The the disc man with the cassette adapter that went into the eight track adapter that went into you know

So I had all the the connections

Um, but it was way too much work. So sure now I just kind of prefer to

Hear whatever's happening, you know locally. So much. Yeah. Yeah

Hey, and I have to ask since you're from Rogers, you know, for years or was Dr. Ruth

I don't think she's on anymore

But is there other any good kind of radio programming addressing mental behavioral health that you know of or would recommend or

Ah

Even at Spotify I know some podcasts. So, you know, I think one of great one out there is Brunei Brown

Oh, yes, yeah terms of you know how she's looking at in that side of things

There's a great amount of podcasts out there that are looking at mental health, but radio specifically

Nah, none is jacking my mind right now. That's good podcast kind of in the radio

I know could be a programming after me for civic media calvin and you taking notes so but um

What you know with the short time we have left what would you like to share about Rogers that we haven't talked about already

Now I guess what you start to is because I've been focusing on mental health. What are some of the other

ailment or issues out there that maybe among your biggest, you know patient base so or maybe aren't getting enough attention

Rogers, we're very fortunate. We've got a large scope of services

So we treat obsessive-compulsive disorder eating disorders

Post-traumatic stress disorder depression and mood substance use up with what it's coined dual diagnosis

So with a mood disorder where with a comorbid diagnosis

Emotional dysregulation and one of the different treatment arms that we're getting into is what we're kind of coining primary behavioral health

So think of when you go into your primary care doctor

It's a way of evaluating. It's a way of understanding where do you need to make change in integrating those changes

So our primary behavioral health treatment is really focusing on behavior change and uh really opening the doors to many many different diagnoses

So that's part of the area that Rogers is going is how are we continuing to open up access?

Not only from a physical plant location, but from our telehealth our digital side of things and then having our treatment strategies as being as general and broad as possible

So if people are struggling they've got the ability to come into our doors and get that high-quality care

Rogers is known for sounds great

How about you Kelly and I think just the focus on innovation

I mean the the research center is is there because the vision was to continue to innovate and while Rogers has been around for a really long time

The strategic priorities and the plans going forward are to continue to bring in new knowledge about

Technology and neuroscience and genetics and really just

Advanced mental health care like we're we're accustomed to seeing other areas of health care

Sure

So and so it is fair to say Rogers in your team you're you're essentially leading the mental health care market if you in terms of your best practices and

A lot of your developments is that fair to say we agree we agree

I love that it

You know, I would wonder like how

What what's a bet people just go to the website like locally to learn more about Rogers is that you so Rogers bh.org is our website

So you've got the ability to learn about all of our different treatments

Okay, and then there's also the ability if you are struggling to request a screen on there

And then if things are more of acute needs

Our admissions line is one eight hundred seven six seven four four one one

Ah, so could you repeat that Brian one eight hundred seven six seven four four one one

I love that and I like the fact that people can go online to get a screening

I highly recommend that for those of you that are if confidentiality is still important for you at the stigmas

That's still an issue that you know, it can't hurt

And I imagine that's very secure and confidential very secure

So I'm really I'm really glad we got to to mention that so

Any other last second thoughts or tips

On this beautiful Saturday

Just thanks for having us. It's um, it's so exciting to talk about the work that we're doing and

Kind of get into the technology and things and that and know that that's helping people so the more that we can

Share that the better in echoing Kelly does thank you for having us in allowing us to share the story at Rogers

As you mentioned, it's a unique place that's been here in walk shuff for

115 plus years and it's continuing to grow and offer great treatment. So thank you for letting us share a story

Dr. Brian Kaye

Dr. Kelly Piazek Rage's behavioral health. Thank you so much for joining us and

Promoting mental health awareness month

Don't forget mother's day is next weekend. We got the farmers market today

Atticus with James Santel is next. Please remember safety is everyone's responsibility and

Good mental health is everybody's right in obligation

Thank you again, Gormila Mahagav. Have a beautiful Saturday

Comes the sun

It comes the sun

It's all right