In this episode, Dr. Matt Biel speaks with Jay Chaudhary, former Director of Mental Health and Addiction for Indiana, about transforming an entire state's behavioral health system. Jay describes the mental health financing system he inherited as "a house of cards built on top of a shell game," where providers were locked into rigid financial formulas that made any deviation potentially catastrophic.

Jay's journey began as a civil rights lawyer launching medical-legal partnerships that placed attorneys directly in healthcare settings to address the social drivers that keep people sick. That experience taught him that clinicians' understanding of their work transforms when they see how much their clients' lives outside the clinic affect them, and more importantly, that "we can do something about it through collaboration."

As state director, Jay discovered that incremental changes were impossible in such a fragile system. His solution was comprehensive: implementing Certified Community Behavioral Health Clinics (CCBHCs) that use cost-based reimbursement, giving providers flexibility to actually respond to community needs. The transformation required not just policy change but alignment across stakeholders, from legislators to law enforcement to providers, all using the same language: "someone to call, someone to respond, somewhere to go."

In this episode, Dr. Matt Biel has a conversation with Shawn Hardness, Founder and CEO of Statesmen College Preparatory Academy for Boys in Washington, DC.

Shawn built a school that challenges everything we think we know about supporting students from high-need communities. At Statesman, 90% of students come from families engaged with public support systems, and the school serves three times the typical rate of students needing special education services. Yet these boys are thriving.

At the heart of Statesman's approach is a radical reframing: love and compassion aren't soft additions to "real" interventions. They are the intervention. This isn't about adding more services at the edges while leaving the daily lived experience of children unchanged. It's about building love and trust and relationships into the architecture of every day, protecting it in budgets and schedules with the same fierce commitment schools typically reserve for academic outcomes.

In this episode, Dr. Matt Biel speaks with Secretary Elizabeth Groginsky, who leads New Mexico's Early Childhood Education and Care Department, the first cabinet-level department of its kind in the country. When she arrived in New Mexico in 2019, the state ranked 50th in many national measures of child wellbeing. Now they're building what many see as a national model for early childhood systems change.Secretary Groginsky shares her journey from program evaluator to systems change leader, exploring how she launched a new department during the pandemic and how New Mexico uses population-level data to drive community action. At the heart of their approach is a fundamental insight: you can't expect different results when the people delivering care can barely support their own families.The conversation reveals how New Mexico has transformed its approach to early childhood through bold investments in workforce compensation, creating wage parity for pre-K teachers, establishing comprehensive wage scales across all early childhood programs, and providing free college for early childhood professionals. These aren't incremental improvements but represent a fundamental shift in how a state values its early childhood workforce.