After the Fact

In this bonus episode of our "Mental Health in America" season, Dr. Rahul Gupta, director of the White House's Office of National Drug Control Policy, talks about the intersection of mental health and substance use issues. Gupta, the first physician to lead the office, also explains how evidence-based treatments are curbing overdoses and discusses the importance of removing barriers such as stigma for those seeking treatment.

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

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

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

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

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

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

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

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

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