1 00:00:00,240 --> 00:00:02,399 This is Laura Dierda with the Beckley Healthcare 2 00:00:02,399 --> 00:00:04,559 podcast. I'm thrilled today to be joined by 3 00:00:04,559 --> 00:00:06,960 doctor Katie Hinderer, senior nurse scientist at the 4 00:00:06,960 --> 00:00:09,539 Institute of Nursing Research and Evidence Based Practice, 5 00:00:09,679 --> 00:00:11,679 as well as associate chair of nursing research 6 00:00:11,679 --> 00:00:14,355 at the Connecticut Children's Research Institute. Doctor Hinder, 7 00:00:14,355 --> 00:00:15,554 it's a pleasure to have you on the 8 00:00:15,554 --> 00:00:18,114 podcast today. Thanks. I'm really excited to be 9 00:00:18,114 --> 00:00:18,614 here. 10 00:00:19,154 --> 00:00:21,234 Absolutely. And I'm looking forward to connecting with 11 00:00:21,234 --> 00:00:22,434 you as well. I know we're gonna go 12 00:00:22,434 --> 00:00:25,654 over some really important, information here about pediatric 13 00:00:25,714 --> 00:00:26,614 mental health. 14 00:00:27,154 --> 00:00:29,094 So this is going to be a podcast 15 00:00:29,234 --> 00:00:29,850 that really 16 00:00:30,250 --> 00:00:32,729 touches on so many different aspects of care 17 00:00:32,729 --> 00:00:35,369 that are important to all communities. But before 18 00:00:35,369 --> 00:00:36,729 we dive in, I'm wondering, can you tell 19 00:00:36,729 --> 00:00:38,170 us a little bit more about yourself and 20 00:00:38,170 --> 00:00:39,070 your career journey? 21 00:00:39,929 --> 00:00:40,429 Sure. 22 00:00:41,369 --> 00:00:44,445 So I am currently a nurse scientist in 23 00:00:44,445 --> 00:00:45,905 a pediatric health center, 24 00:00:46,445 --> 00:00:48,945 at Connecticut Children's, which is in Hartford, Connecticut. 25 00:00:49,645 --> 00:00:52,765 I started out my career as a nurse 26 00:00:52,765 --> 00:00:54,865 in actually adult health ICU 27 00:00:55,245 --> 00:00:56,465 and worked at the bedside 28 00:00:57,005 --> 00:00:57,825 for a while, 29 00:00:58,445 --> 00:01:01,060 before I realized that there were other things 30 00:01:01,060 --> 00:01:03,640 in my future. I was always really interested 31 00:01:03,700 --> 00:01:05,400 in education and research. 32 00:01:05,939 --> 00:01:09,140 So I, shifted gears and went and taught 33 00:01:09,140 --> 00:01:11,879 at Salisbury University and their school of nursing 34 00:01:12,260 --> 00:01:14,359 at Salisbury, Maryland for a while. 35 00:01:14,695 --> 00:01:16,954 While I was there, I had the 36 00:01:17,495 --> 00:01:19,895 unique opportunity to work with some of the 37 00:01:19,895 --> 00:01:21,835 nurses at one of the local hospitals 38 00:01:22,215 --> 00:01:23,674 in Salisbury, and 39 00:01:24,615 --> 00:01:27,734 I really found myself enjoying that time connecting 40 00:01:27,734 --> 00:01:28,954 with the clinical nurses, 41 00:01:29,510 --> 00:01:31,189 talking to them about the real issues that 42 00:01:31,189 --> 00:01:32,409 were going on at the bedside, 43 00:01:33,030 --> 00:01:35,109 and just being able to spend time with 44 00:01:35,109 --> 00:01:37,989 them and actually support them in research and 45 00:01:37,989 --> 00:01:40,790 evidence based practice that they were interested in 46 00:01:40,790 --> 00:01:41,290 doing. 47 00:01:42,915 --> 00:01:45,155 So as a result, I ended up, 48 00:01:45,635 --> 00:01:47,334 transitioning my career again 49 00:01:47,875 --> 00:01:48,355 and, 50 00:01:49,075 --> 00:01:51,314 was able to accept this position as a 51 00:01:51,314 --> 00:01:54,034 nurse scientist at Connecticut Children's, and I've since 52 00:01:54,034 --> 00:01:55,635 been able to grow in that role as 53 00:01:55,635 --> 00:01:56,135 well. 54 00:01:57,209 --> 00:01:59,129 I think I like to say one of 55 00:01:59,129 --> 00:02:01,209 the best parts about my job is working 56 00:02:01,209 --> 00:02:02,109 with clinical 57 00:02:02,729 --> 00:02:05,450 teams and especially I love working with nurses, 58 00:02:05,450 --> 00:02:06,109 of course, 59 00:02:07,290 --> 00:02:10,489 to really support research questions that make a 60 00:02:10,489 --> 00:02:10,989 difference, 61 00:02:11,965 --> 00:02:14,305 in the care of children and their families 62 00:02:14,365 --> 00:02:15,105 at the bedside. 63 00:02:15,805 --> 00:02:16,045 So, 64 00:02:17,245 --> 00:02:18,764 that's kind of what got me to where 65 00:02:18,764 --> 00:02:20,865 I am now, and I really 66 00:02:21,165 --> 00:02:23,085 love being a nurse and love working with 67 00:02:23,085 --> 00:02:24,045 nurses and, 68 00:02:24,444 --> 00:02:26,810 particularly love being able to do research 69 00:02:27,269 --> 00:02:28,169 in the pediatric 70 00:02:28,629 --> 00:02:29,129 world. 71 00:02:30,310 --> 00:02:32,150 That's amazing to hear. And what a great 72 00:02:32,150 --> 00:02:34,870 journey that you've had over time within the 73 00:02:34,870 --> 00:02:37,030 clinical space as well as leadership and research 74 00:02:37,030 --> 00:02:38,789 and more. It just really makes a big 75 00:02:38,789 --> 00:02:41,165 difference on the type of care that we're 76 00:02:41,165 --> 00:02:44,145 able to provide to, especially, pediatric patients. 77 00:02:44,525 --> 00:02:45,805 Now I I know, 78 00:02:46,284 --> 00:02:47,425 we we've recently, 79 00:02:48,284 --> 00:02:50,784 done a lot of work around, some pediatric 80 00:02:50,844 --> 00:02:52,365 mental health and behavioral health. And so I 81 00:02:52,365 --> 00:02:53,564 was wondering if you could tell us a 82 00:02:53,564 --> 00:02:55,500 little bit about that and, you know, what 83 00:02:55,500 --> 00:02:57,580 really, you're seeing out there in the space. 84 00:02:57,580 --> 00:02:59,340 What's, you know, top of mind is some 85 00:02:59,340 --> 00:03:00,400 of the biggest challenges, 86 00:03:00,939 --> 00:03:01,759 that you're encountering. 87 00:03:02,780 --> 00:03:03,280 Absolutely. 88 00:03:04,139 --> 00:03:04,639 So 89 00:03:04,939 --> 00:03:07,840 we know that even before the COVID pandemic 90 00:03:07,979 --> 00:03:10,064 started, pediatric mental health 91 00:03:10,944 --> 00:03:13,985 was facing significant challenges in terms of not 92 00:03:13,985 --> 00:03:15,525 having enough resources 93 00:03:15,985 --> 00:03:16,645 to really 94 00:03:17,025 --> 00:03:19,824 adequately care for kids and families of kids 95 00:03:19,824 --> 00:03:20,564 that have 96 00:03:20,865 --> 00:03:23,044 mental health and behavioral health concerns. 97 00:03:23,700 --> 00:03:25,159 So leading up to the pandemic, 98 00:03:25,460 --> 00:03:27,960 we already were resource poor in this area 99 00:03:28,020 --> 00:03:28,340 as, 100 00:03:28,819 --> 00:03:30,120 a country in general. 101 00:03:30,659 --> 00:03:33,300 Once COVID hit, we started to see really 102 00:03:33,300 --> 00:03:36,659 significant impacts in the mental health of of 103 00:03:36,659 --> 00:03:37,159 everybody. 104 00:03:37,995 --> 00:03:40,235 But we were really specifically focused in on 105 00:03:40,235 --> 00:03:43,194 children and adolescents and even young adults that 106 00:03:43,194 --> 00:03:44,334 were presenting to, 107 00:03:44,955 --> 00:03:46,814 our medical center with different 108 00:03:47,194 --> 00:03:49,055 mental and behavioral health concerns. 109 00:03:50,199 --> 00:03:51,020 At the time, 110 00:03:51,400 --> 00:03:54,300 we were fortunate enough to receive some funding 111 00:03:54,919 --> 00:03:55,419 to 112 00:03:55,800 --> 00:03:58,599 start looking at better ways to be able 113 00:03:58,599 --> 00:04:01,080 to care for kids who are suffering from 114 00:04:01,080 --> 00:04:03,419 mental health and behavioral health concerns. 115 00:04:04,365 --> 00:04:08,284 So we initially wanted to look at how 116 00:04:08,284 --> 00:04:10,544 can the nurse at the bedside 117 00:04:11,245 --> 00:04:11,745 better 118 00:04:12,365 --> 00:04:15,185 assess a child that comes into the emergency 119 00:04:15,324 --> 00:04:15,824 department 120 00:04:16,285 --> 00:04:18,144 and better be able to 121 00:04:18,990 --> 00:04:20,910 tailor their care to make sure that the 122 00:04:20,910 --> 00:04:22,670 needs of that child and their family are 123 00:04:22,670 --> 00:04:23,410 being met, 124 00:04:24,029 --> 00:04:25,970 to the the best of our ability. 125 00:04:26,750 --> 00:04:29,870 Obviously, we don't want children to have to 126 00:04:29,870 --> 00:04:31,889 come to the ER for mental health, 127 00:04:32,294 --> 00:04:33,754 but sometimes this happens. 128 00:04:34,214 --> 00:04:36,375 And at the time during the pandemic, we 129 00:04:36,375 --> 00:04:38,134 were seeing a lot of kids coming in 130 00:04:38,134 --> 00:04:38,454 with, 131 00:04:38,935 --> 00:04:40,314 mental health chief complaints. 132 00:04:41,014 --> 00:04:44,074 As nurses, we really wanted to look at 133 00:04:44,449 --> 00:04:46,709 what we could do to improve the practice. 134 00:04:47,089 --> 00:04:49,250 The great thing about the team that was 135 00:04:49,250 --> 00:04:52,290 built at the time was that it was 136 00:04:52,290 --> 00:04:53,750 really led by our 137 00:04:54,290 --> 00:04:56,870 nurse manager of the emergency department 138 00:04:57,524 --> 00:04:59,705 and also our senior director of, 139 00:05:00,165 --> 00:05:02,805 emergency medicine. So we have a really nice 140 00:05:02,805 --> 00:05:04,904 interprofessional team that approached 141 00:05:05,205 --> 00:05:08,024 this care from a lot of different lenses. 142 00:05:08,644 --> 00:05:09,444 We also, 143 00:05:10,159 --> 00:05:12,000 were able to take this work and develop 144 00:05:12,000 --> 00:05:14,159 a tool, which is what we kind of 145 00:05:14,159 --> 00:05:15,599 came up with as a result of this 146 00:05:15,599 --> 00:05:18,000 initial study. And the tool that we developed 147 00:05:18,000 --> 00:05:20,979 is called the emergency behavioral health assessment tool. 148 00:05:21,519 --> 00:05:22,019 The 149 00:05:22,334 --> 00:05:24,814 nice thing about the emergency behavioral mental health 150 00:05:24,814 --> 00:05:26,654 assessment tool, or as we lovingly call it, 151 00:05:26,654 --> 00:05:29,394 the EBAT, is that it provides nurses 152 00:05:30,014 --> 00:05:32,194 with a nursing assessment instrument 153 00:05:32,654 --> 00:05:33,375 to help them, 154 00:05:35,069 --> 00:05:37,709 sort of best categorize where the needs of 155 00:05:37,709 --> 00:05:40,110 the child are at the time. And then 156 00:05:40,110 --> 00:05:41,970 it also helps direct nurses 157 00:05:42,349 --> 00:05:44,990 towards what kinds of nursing interventions we can 158 00:05:44,990 --> 00:05:47,714 do to help support those children. 159 00:05:48,414 --> 00:05:51,454 It also allows for our leadership team to 160 00:05:51,454 --> 00:05:54,654 have a real time capture of what's going 161 00:05:54,654 --> 00:05:56,254 on in the unit as far as the 162 00:05:56,254 --> 00:05:57,214 children that have, 163 00:05:57,774 --> 00:05:59,394 mental health concerns. 164 00:06:00,095 --> 00:06:02,754 And it also allows us an opportunity to 165 00:06:03,019 --> 00:06:04,779 help to make the case for resources we 166 00:06:04,779 --> 00:06:07,339 might need for the kids. So for example, 167 00:06:07,339 --> 00:06:08,879 if we have kids that need, 168 00:06:09,339 --> 00:06:11,580 one to one observation and you need to 169 00:06:11,580 --> 00:06:13,580 have staff there to be able to sit 170 00:06:13,580 --> 00:06:15,600 with the children and and watch them, 171 00:06:16,264 --> 00:06:19,485 this tool provides that kind of objective assessment 172 00:06:19,544 --> 00:06:21,384 of that so that they can really do 173 00:06:21,384 --> 00:06:23,564 those, get those things that they need. 174 00:06:24,024 --> 00:06:27,324 Our, physician provider, who's doctor Steve Rogers, 175 00:06:27,784 --> 00:06:29,784 likes to call it a vital science for 176 00:06:29,784 --> 00:06:31,689 mental health. And it is kind of like 177 00:06:31,689 --> 00:06:32,970 that, but I look at it as a 178 00:06:32,970 --> 00:06:34,889 little more than that. In that, it's giving 179 00:06:34,889 --> 00:06:37,449 our nurses tools to help quantify, you know, 180 00:06:37,449 --> 00:06:39,210 what's going on with their patients and then 181 00:06:39,210 --> 00:06:40,670 help guide them in their practice. 182 00:06:41,930 --> 00:06:44,089 That's amazing. And, you know, really helpful to 183 00:06:44,089 --> 00:06:46,035 understand impact of what a tool like this 184 00:06:46,035 --> 00:06:47,415 can do in order to, 185 00:06:47,875 --> 00:06:50,275 you know, deliver the right care and make 186 00:06:50,275 --> 00:06:52,035 sure that the nurses have what they need 187 00:06:52,035 --> 00:06:52,935 in order to, 188 00:06:53,395 --> 00:06:55,314 direct the patients and get them into the 189 00:06:55,314 --> 00:06:56,995 space that they need to get in, so 190 00:06:56,995 --> 00:06:58,535 that, you know, they're able 191 00:06:58,839 --> 00:07:01,419 to start whatever treatments they need or or, 192 00:07:01,879 --> 00:07:03,019 you know, really 193 00:07:03,560 --> 00:07:05,560 have that kind of, like, care that is 194 00:07:05,560 --> 00:07:06,699 so important to them. 195 00:07:07,079 --> 00:07:09,160 I'm curious, you know, in looking at this 196 00:07:09,160 --> 00:07:09,660 tool, 197 00:07:10,039 --> 00:07:12,120 how did you develop it? What was that 198 00:07:12,120 --> 00:07:13,319 process like? And then, 199 00:07:13,879 --> 00:07:14,654 are there any, 200 00:07:15,295 --> 00:07:17,055 results that you can share with us from 201 00:07:17,055 --> 00:07:18,675 how it's been working out so far? 202 00:07:19,694 --> 00:07:22,495 Sure. So, the tool was really as I 203 00:07:22,495 --> 00:07:24,915 said, it was actually the brainchild of our 204 00:07:25,134 --> 00:07:26,675 nurse leader at the time, 205 00:07:27,694 --> 00:07:28,675 Ryan O'Donnell, 206 00:07:29,110 --> 00:07:31,189 and also one of the clinical nurses who 207 00:07:31,189 --> 00:07:33,050 was working primarily with this population. 208 00:07:33,670 --> 00:07:34,490 And so 209 00:07:35,110 --> 00:07:37,430 they kind of decided we need to do 210 00:07:37,430 --> 00:07:39,189 this thing, and then this team sort of 211 00:07:39,189 --> 00:07:41,590 organically came together. We just sort of started 212 00:07:41,590 --> 00:07:43,370 plugging away at it during the pandemic. 213 00:07:44,264 --> 00:07:46,125 Fortunately or not fortunately, 214 00:07:46,584 --> 00:07:49,144 because things were escalating so quickly with pediatric 215 00:07:49,144 --> 00:07:51,225 mental health at that time, that enabled us 216 00:07:51,225 --> 00:07:52,285 to be able to really 217 00:07:52,745 --> 00:07:54,504 hone in and focus on this project and 218 00:07:54,504 --> 00:07:56,285 get it done relatively quickly. 219 00:07:57,330 --> 00:07:59,009 I think some of the things and the 220 00:07:59,009 --> 00:08:01,350 good outcomes that we've seen from this tool 221 00:08:01,810 --> 00:08:02,470 are that, 222 00:08:03,250 --> 00:08:04,790 it gives us a 223 00:08:05,170 --> 00:08:06,149 sort of ongoing 224 00:08:06,610 --> 00:08:09,009 ability to assess patients where they are at 225 00:08:09,009 --> 00:08:09,670 the very 226 00:08:10,050 --> 00:08:12,705 moment of care that you're with them. So, 227 00:08:12,705 --> 00:08:13,444 for example, 228 00:08:13,904 --> 00:08:17,444 when kids typically present to the emergency department 229 00:08:17,504 --> 00:08:19,925 or any patient presents the emergency department, 230 00:08:20,384 --> 00:08:22,645 they get a one time sort of assessment 231 00:08:22,865 --> 00:08:25,504 that gives the overall sort of level of 232 00:08:25,504 --> 00:08:26,805 acuity of the patient. 233 00:08:27,199 --> 00:08:29,279 But that is a static measure and it 234 00:08:29,279 --> 00:08:30,180 doesn't change. 235 00:08:31,040 --> 00:08:32,639 And we know with a lot of health 236 00:08:32,639 --> 00:08:36,179 conditions, but particularly with kids in mental health, 237 00:08:36,320 --> 00:08:38,879 that their condition can change a lot over 238 00:08:38,879 --> 00:08:40,480 the course of time that they're, you know, 239 00:08:40,480 --> 00:08:42,500 maybe being seen in the emergency department. 240 00:08:42,975 --> 00:08:45,375 So this tool allows us that flexibility to 241 00:08:45,375 --> 00:08:47,534 be able to continue to reassess the patient 242 00:08:47,534 --> 00:08:49,695 and say, okay, well now, you know, their 243 00:08:49,695 --> 00:08:51,615 acuity is a little bit lower. So maybe 244 00:08:51,615 --> 00:08:54,014 they don't need the intense interventions that we 245 00:08:54,014 --> 00:08:56,174 were doing a little bit earlier. Or maybe 246 00:08:56,174 --> 00:08:58,334 now their acuity is is going up and 247 00:08:58,334 --> 00:09:00,230 they're, you know, getting upset or other things 248 00:09:00,230 --> 00:09:01,910 are happening. So we need to kind of 249 00:09:01,910 --> 00:09:04,009 intervene a little bit more with those kids. 250 00:09:04,230 --> 00:09:05,750 And the other thing that we found in 251 00:09:05,750 --> 00:09:06,410 our own, 252 00:09:07,029 --> 00:09:09,929 practice was that we were able to significantly 253 00:09:10,230 --> 00:09:11,850 reduce the amount of 254 00:09:12,304 --> 00:09:14,704 restraint use and the amount of, 255 00:09:15,105 --> 00:09:16,004 other types 256 00:09:16,384 --> 00:09:17,524 of restraint devices 257 00:09:17,825 --> 00:09:19,424 on the kids who were in the mental 258 00:09:19,424 --> 00:09:21,825 health area. So what it did, I think, 259 00:09:21,825 --> 00:09:23,445 was allowed us to 260 00:09:23,904 --> 00:09:24,404 identify 261 00:09:24,865 --> 00:09:27,799 better ways to help kids who were struggling 262 00:09:27,799 --> 00:09:28,860 with mental health. 263 00:09:29,240 --> 00:09:32,039 And it allowed us more opportunity to be 264 00:09:32,039 --> 00:09:33,820 able to provide that one on one observation 265 00:09:34,440 --> 00:09:37,320 and allowed us to really back away from 266 00:09:37,320 --> 00:09:38,220 the use of, 267 00:09:38,759 --> 00:09:39,899 as many restraints, 268 00:09:40,519 --> 00:09:42,904 in the patients, which is always some like, 269 00:09:42,904 --> 00:09:44,745 a goal. We don't want to ever have 270 00:09:44,745 --> 00:09:47,065 to do that. And sometimes for safety, that's 271 00:09:47,065 --> 00:09:48,825 something that we have to do. But I 272 00:09:48,825 --> 00:09:50,424 think that that, to me, has been one 273 00:09:50,424 --> 00:09:53,065 of the most amazing outcomes of this project 274 00:09:53,065 --> 00:09:55,004 is that we were really able to significantly 275 00:09:55,304 --> 00:09:56,365 drop that number. 276 00:09:57,360 --> 00:09:59,600 That's amazing to hear. And, you know, what 277 00:09:59,600 --> 00:10:00,259 a significant, 278 00:10:01,519 --> 00:10:02,879 action to be able to take. And like 279 00:10:02,879 --> 00:10:05,120 you said, reducing that number of children in 280 00:10:05,120 --> 00:10:05,620 restraints, 281 00:10:05,920 --> 00:10:07,440 I I can imagine that makes a really 282 00:10:07,440 --> 00:10:09,600 big difference for those patients and their families 283 00:10:09,600 --> 00:10:11,360 as they're going through their care journeys with 284 00:10:11,360 --> 00:10:11,774 you. 285 00:10:12,335 --> 00:10:14,735 I am curious, you know, for other clinicians 286 00:10:14,735 --> 00:10:17,375 out there in hospitals or or systems that 287 00:10:17,375 --> 00:10:18,115 are experiencing 288 00:10:18,495 --> 00:10:20,654 similar challenges to what you have described at 289 00:10:20,654 --> 00:10:21,875 the beginning of our conversation, 290 00:10:22,654 --> 00:10:24,735 what can they do to develop something similar 291 00:10:24,735 --> 00:10:25,529 or or really, 292 00:10:26,009 --> 00:10:27,850 be able to start moving in this direction 293 00:10:27,850 --> 00:10:29,070 of being able to, 294 00:10:29,769 --> 00:10:32,190 understand patients better and then, you know, have 295 00:10:32,730 --> 00:10:34,410 a a a tool of their own that 296 00:10:34,410 --> 00:10:36,190 they can assess in real time? 297 00:10:37,129 --> 00:10:38,750 So I think there were 298 00:10:39,054 --> 00:10:41,235 many things that we did as an organization 299 00:10:41,295 --> 00:10:44,254 at Connecticut Children's to better support pediatric mental 300 00:10:44,254 --> 00:10:44,754 health 301 00:10:45,215 --> 00:10:47,695 that happened along with the development of the 302 00:10:47,695 --> 00:10:50,894 tool. As I said, with this tool, we 303 00:10:50,894 --> 00:10:53,820 were able to quantify getting more resources that 304 00:10:53,820 --> 00:10:56,220 were tailored towards mental health. So we were 305 00:10:56,220 --> 00:10:57,759 able to hire 306 00:10:58,299 --> 00:10:59,120 more individuals 307 00:10:59,580 --> 00:11:01,340 who could sit with the patients. We were 308 00:11:01,340 --> 00:11:04,379 able to hire more nurses with specialized training. 309 00:11:04,379 --> 00:11:06,059 We were able to bring in some different 310 00:11:06,059 --> 00:11:08,445 training programs for our teams, which really, I 311 00:11:08,445 --> 00:11:11,325 think, helped. So I think as organizations are 312 00:11:11,325 --> 00:11:12,304 looking at this, 313 00:11:12,845 --> 00:11:15,245 always focusing on, you know, what are the 314 00:11:15,245 --> 00:11:17,565 real resources you need and then trying to 315 00:11:17,565 --> 00:11:20,065 get get those resources. I think that this 316 00:11:20,629 --> 00:11:23,750 allowed our nursing leadership team to have the 317 00:11:23,750 --> 00:11:26,389 data to support the need for some of 318 00:11:26,389 --> 00:11:28,149 those things that they were able to to 319 00:11:28,149 --> 00:11:28,649 get. 320 00:11:29,429 --> 00:11:31,529 We are currently working 321 00:11:31,830 --> 00:11:34,454 now. We have some new funding, which is 322 00:11:34,454 --> 00:11:35,834 from the Heilbronner 323 00:11:36,294 --> 00:11:36,794 Scholar 324 00:11:37,174 --> 00:11:38,875 Award from Rockefeller University. 325 00:11:39,574 --> 00:11:42,454 And we're actually working to do some further 326 00:11:42,454 --> 00:11:44,394 validation testing of our tool. 327 00:11:45,174 --> 00:11:47,014 Over the course of the next year, we're 328 00:11:47,014 --> 00:11:49,095 gonna be doing a study that's gonna look 329 00:11:49,095 --> 00:11:49,595 at 330 00:11:50,230 --> 00:11:52,629 the tool itself. We're gonna be doing some 331 00:11:52,629 --> 00:11:55,210 different types of statistical tests to see, 332 00:11:55,830 --> 00:11:57,450 how well the tool is performing. 333 00:11:58,070 --> 00:11:59,750 And we hope to really be able to 334 00:11:59,750 --> 00:12:01,830 have a nice final product at the end 335 00:12:01,830 --> 00:12:03,975 of the year that we can share with 336 00:12:03,975 --> 00:12:04,875 other institutions. 337 00:12:06,134 --> 00:12:08,214 This to me is really exciting because there 338 00:12:08,214 --> 00:12:10,054 really aren't a lot of tools out there 339 00:12:10,054 --> 00:12:12,235 that are like what we're we're offering, 340 00:12:12,694 --> 00:12:15,014 in our tool. And I think it's gonna 341 00:12:15,014 --> 00:12:15,514 provide 342 00:12:15,815 --> 00:12:16,794 a nice way 343 00:12:17,370 --> 00:12:19,210 to, you know, say this is a good 344 00:12:19,210 --> 00:12:21,929 tool. It's reliable. It's valid. And it's something 345 00:12:21,929 --> 00:12:24,090 that can be used in other institutions as 346 00:12:24,090 --> 00:12:24,590 well. 347 00:12:25,370 --> 00:12:26,350 As a scientist, 348 00:12:26,649 --> 00:12:29,210 nobody ever likes to create their own measures 349 00:12:29,210 --> 00:12:31,690 and especially the homegrown measure thing isn't always 350 00:12:31,690 --> 00:12:32,830 the best approach, 351 00:12:33,384 --> 00:12:35,144 even though sometimes people have to do that. 352 00:12:35,144 --> 00:12:36,745 But I think the work that we're gonna 353 00:12:36,745 --> 00:12:38,904 be doing this year is even more exciting 354 00:12:38,904 --> 00:12:40,684 because we're gonna be really 355 00:12:41,304 --> 00:12:43,784 trying to further support and make the best 356 00:12:43,784 --> 00:12:47,039 tool possible so that other institutions across the 357 00:12:47,039 --> 00:12:48,339 country can use 358 00:12:48,799 --> 00:12:51,379 this tool to support their own nursing practice. 359 00:12:52,240 --> 00:12:54,339 I love that. Thank you so much for 360 00:12:54,399 --> 00:12:56,240 digging a little bit deeper there and explaining 361 00:12:56,240 --> 00:12:58,720 just everything that goes into developing a program 362 00:12:58,720 --> 00:13:00,454 and tool, that's transformative 363 00:13:00,834 --> 00:13:03,254 for those youth mental health patients. 364 00:13:03,954 --> 00:13:05,794 Before we wrap up here, I wanted to 365 00:13:05,794 --> 00:13:06,434 get your, 366 00:13:06,995 --> 00:13:08,995 your thoughts on what's next. Where do you 367 00:13:08,995 --> 00:13:11,714 see the space of youth mental health headed 368 00:13:11,714 --> 00:13:12,615 and especially 369 00:13:12,995 --> 00:13:15,095 how are things changing at Connecticut Children's? 370 00:13:16,490 --> 00:13:17,070 Of course. 371 00:13:17,610 --> 00:13:19,850 So as a a nurse, I'm always a 372 00:13:19,850 --> 00:13:21,950 nurse first, and then also as a scientist, 373 00:13:22,490 --> 00:13:24,649 my dream is that, you know, we don't 374 00:13:24,649 --> 00:13:26,410 have to treat as many children in the 375 00:13:26,410 --> 00:13:29,629 emergency department with, mental health concerns. 376 00:13:30,434 --> 00:13:32,595 I hope that in the future, the research 377 00:13:32,595 --> 00:13:34,914 we're doing and research that others are doing 378 00:13:34,914 --> 00:13:35,894 are gonna help 379 00:13:36,274 --> 00:13:38,995 to, you know, decrease the need for kids 380 00:13:38,995 --> 00:13:40,754 to come to the emergency department when they're 381 00:13:40,754 --> 00:13:41,894 having mental health 382 00:13:42,355 --> 00:13:44,820 concerns. And I'm hoping that, you know, we'll 383 00:13:44,820 --> 00:13:47,800 be able to strengthen our community based resources 384 00:13:48,180 --> 00:13:49,700 so that kids can get the care they 385 00:13:49,700 --> 00:13:51,540 need in their own communities, in their own 386 00:13:51,540 --> 00:13:52,040 homes. 387 00:13:52,899 --> 00:13:54,820 That's kind of my dream for where youth 388 00:13:54,820 --> 00:13:57,220 mental health is gonna go. It's probably gonna 389 00:13:57,220 --> 00:13:59,559 take a lifetime to finish that work, but, 390 00:14:00,195 --> 00:14:02,675 that's kind of what I think. At Connecticut 391 00:14:02,675 --> 00:14:05,154 Children's, I think we're continuing to really focus 392 00:14:05,154 --> 00:14:06,915 on a lot of different aspects of youth 393 00:14:06,915 --> 00:14:10,375 mental health. We've recently opened a suicide prevention 394 00:14:10,434 --> 00:14:12,269 center. We have a lot of other work 395 00:14:12,429 --> 00:14:14,509 being done in the mental health space, both 396 00:14:14,509 --> 00:14:15,970 in the emergency department, 397 00:14:16,750 --> 00:14:19,149 and also on our inpatient side of care 398 00:14:19,149 --> 00:14:19,809 as well, 399 00:14:20,429 --> 00:14:24,110 and partnering with other institutions and organizations across 400 00:14:24,110 --> 00:14:25,970 the state to really help promote, 401 00:14:26,590 --> 00:14:27,730 youth mental health. 402 00:14:28,245 --> 00:14:30,404 I'm hoping that, you know, as a nurse 403 00:14:30,404 --> 00:14:30,904 scientist, 404 00:14:31,284 --> 00:14:34,884 my impact on this research would be just 405 00:14:34,884 --> 00:14:37,205 to really improve the practice and the care 406 00:14:37,205 --> 00:14:38,504 that these kids receive. 407 00:14:39,125 --> 00:14:41,490 Because a lot of times, you know, kids 408 00:14:41,490 --> 00:14:44,129 can be very marginalized that have mental health 409 00:14:44,129 --> 00:14:46,129 conditions. Actually, anybody that has a mental health 410 00:14:46,129 --> 00:14:47,429 condition can be marginalized. 411 00:14:48,049 --> 00:14:49,509 A lot of people don't understand, 412 00:14:50,290 --> 00:14:52,450 mental health conditions or have empathy for folks 413 00:14:52,450 --> 00:14:53,990 that have mental health conditions. 414 00:14:54,495 --> 00:14:56,335 And I'm hoping that through the work that 415 00:14:56,335 --> 00:14:58,575 we're doing, we're just gonna help improve the 416 00:14:58,575 --> 00:15:00,654 care of those kids so that they can 417 00:15:00,654 --> 00:15:02,414 get, to where they need to be, so 418 00:15:02,414 --> 00:15:03,715 they can try to really 419 00:15:04,095 --> 00:15:05,554 get towards mental wellness, 420 00:15:06,095 --> 00:15:07,535 and to a place where they, you know, 421 00:15:07,535 --> 00:15:09,215 will be able to continue to function and 422 00:15:09,215 --> 00:15:10,970 live in their schools and their communities and 423 00:15:10,970 --> 00:15:13,210 and not have to visit us in the 424 00:15:13,210 --> 00:15:13,710 ER. 425 00:15:14,570 --> 00:15:16,250 I love that. Doctor Hinder, thank you so 426 00:15:16,250 --> 00:15:17,929 much for joining us on the podcast today. 427 00:15:17,929 --> 00:15:20,409 This has been such a fun conversation, really 428 00:15:20,409 --> 00:15:22,330 inspiring and informative, and I look forward to 429 00:15:22,330 --> 00:15:24,561 connecting with you again soon. Thank you so 430 00:15:24,561 --> 00:15:26,501 much. It was great being here too.