Chair's Address: Looking Ahead to 2026

Transcript

• 00:00So really thank you. Happy
• 00:02new year.
• 00:03And for everyone online,
• 00:05happy new year as well.
• 00:06Thank you for joining.
• 00:08I just wanna welcome you
• 00:10back from the winter break.
• 00:11I really hope that you've
• 00:13had a relaxing winter break.
• 00:14And this year we actually
• 00:15had snow on our winter
• 00:17break, which was a great
• 00:19thing.
• 00:21As we've talked about in
• 00:22September, we actually have two
• 00:24new years.
• 00:26We have our new year
• 00:27of the beginning of the
• 00:28academic year, and we have
• 00:30our beginning of the chronological
• 00:32year.
• 00:33And today, what I'd like
• 00:34to do is to talk
• 00:35a bit more about the
• 00:36state of the department.
• 00:38But I also want to
• 00:40bring you into something that
• 00:41I discovered over the new
• 00:42years, that there is some
• 00:43weather folklore about predicting the
• 00:46new year.
• 00:47So as you you may
• 00:48can read it, if new
• 00:49year's eve, the wind blows
• 00:50south, it betokens warm and
• 00:52growth. If west, much milk
• 00:54and fish in the sea.
• 00:56If north, cold and storms,
• 00:58there will be. If east,
• 00:59the trees will bear much
• 01:00fruit. If northeast, then flee
• 01:03it man and brute.
• 01:05So should you ask
• 01:07what direction was the wind
• 01:10on New Year's Eve in
• 01:11New Haven? It was in
• 01:12the west,
• 01:14meaning we have milk and
• 01:16fish in the sea.
• 01:17And what that actually means,
• 01:19what it actually stands for
• 01:20is not literally milk and
• 01:22fish, but it stands for
• 01:23bounty.
• 01:25Bounty and prosperity.
• 01:27So it was a good
• 01:28omen that the wind was
• 01:29from the west.
• 01:31And as I often want
• 01:32to remind you, because you
• 01:33may know that I'm a
• 01:34little obsessed with the winter
• 01:35solstice and the summer solstice,
• 01:38we have made progress
• 01:40since December twenty first.
• 01:42And by the end of
• 01:43January,
• 01:44we will have gained almost
• 01:46thirty minutes of light.
• 01:48Right now, we've got about
• 01:49ten more minutes and you
• 01:50may not have noticed that
• 01:51we've got about ten more
• 01:52minutes, but, but it's good.
• 01:55It's good.
• 01:57But more seriously,
• 01:59there are continued headwinds.
• 02:01And I certainly, while I
• 02:03want to bring us together,
• 02:04I don't want to be
• 02:05tone deaf to the fact
• 02:06that there are headwinds in
• 02:07twenty twenty six as there
• 02:09were in twenty twenty five.
• 02:12And the headwinds that we
• 02:13have in front of us
• 02:14are certainly the changes in
• 02:16NIH priorities,
• 02:18the increased tax rates on
• 02:20endowments,
• 02:21which will come into place
• 02:22a year from now.
• 02:25There's continued fiscal challenges for
• 02:27our colleagues at the health
• 02:28system that we are very,
• 02:29very linked to.
• 02:32And as you have heard
• 02:33from Provost Strobel's notes, there's
• 02:35a caution about hiring
• 02:38and being financially
• 02:39conservative.
• 02:41This is the environment that
• 02:42we're in.
• 02:43It's the environment that we
• 02:44need to take account of
• 02:46and one that I'll continue
• 02:48to refer to, but hopefully
• 02:49not in a down kind
• 02:51of way.
• 02:53We also have a broader
• 02:54social context.
• 02:57Twenty twenty six will be
• 02:58a challenging year for our
• 02:59country.
• 03:00It is the two hundred
• 03:01and fiftieth anniversary
• 03:03of our country.
• 03:04And on the other side,
• 03:05you see the graph from
• 03:07actually the Yale program on
• 03:08climate change who regularly survey,
• 03:10do surveys
• 03:12about what's on the mind
• 03:13of the American public.
• 03:16And you can see that
• 03:16there's a number of things
• 03:18that are most pressing that
• 03:20our colleagues off of us
• 03:21and the society are worried
• 03:23about.
• 03:24So it is a backdrop
• 03:26for what I hope will
• 03:27be the optimistic thoughts about
• 03:29how we move forward.
• 03:31With that in mind though,
• 03:33remember that I set theme
• 03:36in September
• 03:37about realistic optimism,
• 03:40that we actually
• 03:41have an optimistic view of
• 03:43moving forward, that is it
• 03:44is certainly tinged with a
• 03:47an awareness of reality,
• 03:50being able to manage emotions,
• 03:51all of those things, but
• 03:52that this is our theme.
• 03:54And with that in mind,
• 03:56here are the priorities that
• 03:57I really want us to
• 03:58keep in mind.
• 04:00The first is we want
• 04:01to protect
• 04:03our junior faculty and fellows.
• 04:05We want to continue to
• 04:06protect the pipeline even in
• 04:08this challenging environment. We want
• 04:10to do that.
• 04:12We want to continue our
• 04:14research with diversified funding, and
• 04:16I'm going to show you
• 04:16that we're actually doing quite
• 04:18well on diversified funding
• 04:20even in the climate
• 04:22to nurture diverse perspectives
• 04:24as much as we can
• 04:25and bring in continue to
• 04:27bring in talent to grow
• 04:28our clinical services and disseminate
• 04:31our expertise.
• 04:33Notice the words continuing,
• 04:34continuing and protecting.
• 04:37This is most important.
• 04:41So what lies ahead?
• 04:44And where I'd like to
• 04:45go is I wanna begin
• 04:46with a reflection more broadly
• 04:49then to give you some
• 04:50snapshots across our missions, across
• 04:53education,
• 04:54research, clinical,
• 04:56culture and climate, communication,
• 04:58to give you those some
• 04:59perspectives
• 05:00and some snapshots. I wanna
• 05:02give you some prompts that
• 05:04I hope then that we
• 05:05will address in future meetings
• 05:06that we will keep coming
• 05:08back to.
• 05:09And then I'll conclude with
• 05:11a reflection. And if time
• 05:12is with us, we will
• 05:14have a chance to do
• 05:15have some questions as well.
• 05:18But let me begin with
• 05:19this question.
• 05:21What is the overall state
• 05:22of the department?
• 05:24Maybe I could just we
• 05:25we could just stop right
• 05:27here and I could say,
• 05:28it's great.
• 05:29Because actually we are in
• 05:31very good shape,
• 05:32But here are some things
• 05:34that I want to highlight.
• 05:35The first is we continue
• 05:37to be respected.
• 05:38I was at just at
• 05:39a meeting between Christmas and
• 05:41New Year's and I heard
• 05:42a lot
• 05:43about how much we are
• 05:44respected
• 05:45for our contributions
• 05:46and research and training
• 05:48and in our clinical work.
• 05:51We continue to make significant
• 05:53contributions to the knowledge base
• 05:54about child and adolescent mental
• 05:56health developmental science. We are
• 05:58shaping the field.
• 06:01We're continuing to offer services
• 06:02that are actually viewed as
• 06:04unique and valuable to families.
• 06:05I get many of you
• 06:07as well get emails regularly.
• 06:09Can I bring my child
• 06:10here? Can you recommend someone
• 06:13here to see my child?
• 06:15We're a place where new
• 06:16professionals want to train. They
• 06:18want to come.
• 06:20We all also get emails
• 06:22about that regularly.
• 06:24And we have a very
• 06:25strong donor base, including just
• 06:26over the last few months,
• 06:28thanks to our help from
• 06:29our colleagues in development, we've
• 06:30had some we identified some
• 06:32new donors.
• 06:33We've had about a six
• 06:34million dollar gift from a
• 06:36particular donor to support individual
• 06:38faculty.
• 06:40So these are good things.
• 06:41These are really, really good.
• 06:44But I think we need
• 06:45to attend to these things.
• 06:48And the first is that
• 06:49we need to attend to
• 06:50opportunities
• 06:51to further collaborate and bridge
• 06:54out with other disciplines
• 06:56as our field of developmental
• 06:58science is growing and expanding
• 07:00and changing.
• 07:02We are the child study
• 07:04center,
• 07:05but we also can be
• 07:06the bridging department and going
• 07:09broadly and linking to others.
• 07:12The second is that we
• 07:13need to think about new
• 07:14models to support and sustain
• 07:17behavioral health services.
• 07:18And I'm going to talk
• 07:19about where we've gotten to,
• 07:21a remarkable progress
• 07:23in the sustainability
• 07:24of our services,
• 07:25but we need to think
• 07:26about how we do that
• 07:28going forward and what our
• 07:29new models
• 07:30to address not only the
• 07:32financial aspects but access to
• 07:34care.
• 07:36There are emerging technologies, including
• 07:38artificial intelligence,
• 07:40and we need to think
• 07:40about how those impact
• 07:42service delivery.
• 07:44We need to lead the
• 07:45way on that, not be
• 07:47reactive,
• 07:48but begin to embrace
• 07:50and also inform how to
• 07:52use these emerging technologies in
• 07:54mental health.
• 07:57What the current generation of
• 07:58professionals need,
• 08:00because the current generation of
• 08:02professionals are asking for different
• 08:04kinds of knowledge, different ways
• 08:06of delivering that knowledge
• 08:09to allow them to move
• 08:10forward in their careers.
• 08:13What kinds of services families
• 08:15are now expecting.
• 08:17Families are expecting different.
• 08:19They're expecting different kind of
• 08:20access. They're expecting delivered in
• 08:22different ways.
• 08:25And then interface with other
• 08:26systems that are serving children,
• 08:29pediatrics, school systems continuing to
• 08:31be anticipating that and linking
• 08:34out.
• 08:36So continuing
• 08:37how we are known for,
• 08:39but bridging
• 08:40and expanding and making our
• 08:42making our links.
• 08:44And I'm sure there are
• 08:45others.
• 08:46And truthfully, we could actually
• 08:47stop right now and that
• 08:49could be the end of
• 08:49this, well, the end of
• 08:51my talking and we would
• 08:52go back and forth. But
• 08:53I want you to hold
• 08:55that broad point of view
• 08:56in mind.
• 08:57And if you have things
• 08:58to add, please let's, let's
• 09:01do that.
• 09:02So I always want to
• 09:04celebrate us, but at the
• 09:05same time think, where do
• 09:07we need to go? What
• 09:08do we need to be
• 09:09aware of moving forward?
• 09:13So let me go into
• 09:14each of our missions.
• 09:16These are our three that
• 09:18are nested in communication and
• 09:19culture climate.
• 09:21And I'm first going to
• 09:22go research, but with a
• 09:24caveat.
• 09:25In the amount of time,
• 09:27this is a caveat I
• 09:28say all the time,
• 09:30I'm gonna miss some things.
• 09:31I'm not gonna touch on
• 09:32everything happening in this incredibly
• 09:35diverse department.
• 09:36That's one of our great
• 09:38strengths.
• 09:39And that's what I hear
• 09:40so often when I'm out
• 09:41and about, I hear my
• 09:43goodness, the child study center
• 09:45is diverse intellectually.
• 09:47So that's my caveat. Apologies
• 09:50if I miss something that
• 09:51is highest priority
• 09:53to you, tell me,
• 09:55but
• 09:56here we go.
• 09:57So turning to research.
• 10:00First, we've had a really
• 10:01productive year.
• 10:02Twenty twenty five was twenty
• 10:04one new research grants, research
• 10:06awards,
• 10:07totaling about ten million
• 10:09in direct cost. That is
• 10:10not total cost, that's direct
• 10:12cost.
• 10:13And that is
• 10:15we have a total of
• 10:16about twenty seven million
• 10:18that is a part of
• 10:19our overall budget.
• 10:21These are some of the
• 10:22PIs of those new grants
• 10:24just in twenty twenty five.
• 10:25These are new grants in
• 10:27twenty twenty five. There's a
• 10:28host of continuing awards in
• 10:30twenty twenty five.
• 10:33We also had nearly three
• 10:35hundred publications
• 10:36from the faculty of the
• 10:38Child Study Center.
• 10:39I think that's great
• 10:41and pretty remarkable,
• 10:43especially for a turbulent
• 10:45year.
• 10:47I just put some samples
• 10:48up.
• 10:50There's can't get all three
• 10:51hundred.
• 10:53But just to know that
• 10:54we've had that amount, we
• 10:56are influencing the fields,
• 10:58we are disseminating
• 11:00our expertise.
• 11:02And here are the strategic
• 11:03goals for the research mission.
• 11:05First, and I'm gonna go
• 11:07through each of these and
• 11:08just give you some examples
• 11:09of things happening.
• 11:11First is to enhance our
• 11:13departmental research infrastructure
• 11:15across all of our research
• 11:16programs.
• 11:17How do we continue to
• 11:19build an infrastructure that supports
• 11:21everybody's
• 11:22research?
• 11:24Facilitate collaborative research, both inside
• 11:27and outside our department.
• 11:30Translational research into practice prevention
• 11:32and impacting communities,
• 11:34diversify our funding portfolio
• 11:37and
• 11:38leveraging data science.
• 11:40So the first one,
• 11:42I showed you this actually
• 11:43in September.
• 11:44I want to just reemphasize
• 11:46that we actually have a
• 11:47very thanks to
• 11:49many of you in the
• 11:50room. We actually have a
• 11:52very active
• 11:53website that it informs
• 11:56parents about what's going on
• 11:59and
• 12:00invites subjects to recruit or
• 12:02subjects to participate.
• 12:04If you haven't,
• 12:05put your studies on this
• 12:07website, please do, because this
• 12:09is a great portal now
• 12:11for people to know.
• 12:14There are regular research updates,
• 12:16both through us and now
• 12:19through Yale, because again, we're
• 12:21twenty twenty five was a
• 12:22turbulent year for the NIH.
• 12:24It's going to continue to
• 12:25be a turbulent year and
• 12:27there will be regular updates.
• 12:30Additionally,
• 12:31please go to our intranet
• 12:32because there's a lot about
• 12:33research,
• 12:34a lot that will be
• 12:35very helpful on our intranet.
• 12:38And upcoming in twenty twenty
• 12:39six is we are going
• 12:40to have a center wide
• 12:42IRB protocol
• 12:44so that it'll make it
• 12:45easier for everyone to write
• 12:46those human subjects protocols.
• 12:49We'll have a center wide
• 12:50template and you can add
• 12:52whatever you need individualized
• 12:53for you
• 12:55and we'll have more resources
• 12:56to ensure
• 12:57a diverse representation
• 12:59in studies too.
• 13:03Collaborative science.
• 13:07The program, the points program,
• 13:09which I talked about earlier
• 13:10in the fall, but I
• 13:11want to encourage people to
• 13:13submit grants, submit a letter
• 13:14of intent to the points
• 13:16program. It's about collaborative research,
• 13:19working with someone in pediatrics,
• 13:20working with someone in psychiatry,
• 13:22in OB GYN, submit
• 13:25letters of intent
• 13:26and Darren has offered to
• 13:29give sessions on how to
• 13:30build interdisciplinary
• 13:32teams.
• 13:33I will make these slides
• 13:34available so you will have
• 13:35these links.
• 13:37The other thing about collaborative
• 13:39research though is this is
• 13:40just a sampling of the
• 13:42grants that we have internally
• 13:44that we are giving to
• 13:46try to foster again collaborative
• 13:48research.
• 13:49The Viola Bernard program actually
• 13:51has three
• 13:53grants. There's a fellowship
• 13:55and there's two prizes around
• 13:56health equity work.
• 13:58There are travel grants for
• 13:59postdoctoral and postgraduate
• 14:01fellows.
• 14:02And there for the faculty,
• 14:03there's a professional development grants
• 14:06and pilot research and intervention
• 14:07grants.
• 14:09Those are internal.
• 14:10There's a great internal review
• 14:12process that feedback and helping
• 14:14people develop them, but this
• 14:16is how we're trying to
• 14:17support this in the department.
• 14:21Translation and community impact.
• 14:23Social media is something that
• 14:25is constantly now in the
• 14:26news. There's constantly awareness of
• 14:28the impact of social media
• 14:30on children's mental health.
• 14:32And so you see some
• 14:35of the material on that,
• 14:37but through a generous gift
• 14:38of a donor, we actually
• 14:39have been able to
• 14:41launch four pilot grants.
• 14:44You see the, investigators
• 14:46and the titles of their
• 14:48grants.
• 14:50Is TikTok brain real? Very
• 14:52provocative title, Kareem. Thank you.
• 14:55But you see those. And
• 14:57then this then has allowed
• 14:58us to actually launch. Not
• 15:00only will we be getting
• 15:01data now from these grants
• 15:03and be able to follow
• 15:04the track of them,
• 15:06but now we have provostial
• 15:07approval
• 15:09to be able to present
• 15:10a larger proposal to a
• 15:12number of donors who have
• 15:13actually come to us
• 15:15and expressed interest in how
• 15:17the child study center can
• 15:20inform
• 15:21how social media is more
• 15:23appropriately used with children and
• 15:25what is the impact of
• 15:26social media use and more
• 15:28broadly digital technology use on
• 15:31children's mental health.
• 15:34So stay tuned. We have
• 15:35a number, we have several
• 15:37donors who are very interested
• 15:38and I'm reasonably sure that
• 15:40in the next few months
• 15:41we will have a broader
• 15:42program,
• 15:43but definitely stay tuned for
• 15:45the outcome of these pilot
• 15:47projects.
• 15:50Grant submission
• 15:51around diversifying our funding portfolio.
• 15:54I wanna walk you through
• 15:56this.
• 15:57At the very top in
• 15:58the bold line are the
• 16:00grand total of grants that
• 16:01were submitted in that particular
• 16:03fiscal year.
• 16:05So if you look down
• 16:06to fiscal year twenty six,
• 16:08which we are currently halfway
• 16:09through, we've had forty four
• 16:11grants submitted so far.
• 16:14On average, our faculty have
• 16:16been submitting around ninety grants
• 16:18per year,
• 16:19divided between federal and non
• 16:21federal.
• 16:23The first point to note
• 16:24is in terms of diversifying
• 16:27our funding
• 16:28portfolio,
• 16:29we've actually already been pretty
• 16:31diverse.
• 16:32We actually submit more non
• 16:34federal grants than we submit
• 16:35federal,
• 16:36which is good.
• 16:38And just to note that
• 16:39particular though, we may be
• 16:41seeing a shift in the
• 16:42trend.
• 16:43If this continues as it
• 16:44continues over the next six
• 16:46months,
• 16:47we may actually be seeing
• 16:48that we are predominantly
• 16:50submitting more nonfederal
• 16:52than we are federal.
• 16:55We would encourage you to
• 16:56still submit federal. But nonetheless,
• 16:58here's the other thing to
• 16:59know, that across the fiscal
• 17:01years, about a third of
• 17:03the grants, all grants we
• 17:05submit are funded.
• 17:07So we have about a
• 17:08third funding rate
• 17:10and about forty percent are
• 17:12not funded.
• 17:14So the hit rate, you
• 17:16can see.
• 17:17But I want to show
• 17:18you this even more,
• 17:21is that if you look
• 17:22at our hit rate for
• 17:23non federal,
• 17:25which is in bold
• 17:26or or rather in the
• 17:28salmon color,
• 17:29the non federal,
• 17:31we have a higher hit
• 17:32rate for non federal.
• 17:34We do better
• 17:36for a whole probably a
• 17:37whole host of reasons.
• 17:39And our federal hit rate
• 17:41or a funding rate is,
• 17:43you can see is around
• 17:45seven percent
• 17:46and one year, one year
• 17:47was better, twenty eight percent
• 17:50and right now in fiscal
• 17:52year twenty five,
• 17:53around three percent.
• 17:55Those reflect the realities
• 17:57of the NIH landscape,
• 18:00not particular to us, but
• 18:02the NIH
• 18:03landscape.
• 18:05The take home points of
• 18:06this
• 18:07is that federal grants are
• 18:09critical to our mission, but
• 18:10they certainly require more challenging.
• 18:12They require more effort. They
• 18:14require more work to get.
• 18:16We have a consistent record
• 18:18of success. In this department,
• 18:20we have a particularly strong
• 18:21record of success with non
• 18:23federal agencies.
• 18:25We should keep doing that.
• 18:27Our portfolio is already pretty
• 18:30diversified.
• 18:31We can do more
• 18:33and we are now probably
• 18:34shifting toward more non federal
• 18:36and we should be more
• 18:37nimble as much as possible
• 18:39to find those non federal
• 18:41sources and let other people
• 18:42know about them.
• 18:44And again, we still need
• 18:45to apply for federal funding.
• 18:48But that just gives you
• 18:49a sense of the landscape.
• 18:52You're reasking question there.
• 18:53Last slide? Yeah.
• 18:55So thirty percent is funded,
• 18:57forty percent isn't. Right. What's
• 18:59the other thirty percent? Oh,
• 19:00the other was was pending.
• 19:02Oh, okay. Okay. Thank you.
• 19:03In the fiscal year of
• 19:04twenty six.
• 19:08But there is also good
• 19:09news
• 19:11that actually in twenty twenty
• 19:13five, Yale moved up Yale
• 19:15University and the the School
• 19:17of Medicine is the predominant
• 19:18grant recipient
• 19:20of the of Yale University.
• 19:22School of Medicine or the
• 19:23Yale moved up to third
• 19:25in the United States for
• 19:27NIH funding.
• 19:28And we've actually had the
• 19:30best year
• 19:31that we've had.
• 19:32We've had a very good
• 19:34year in twenty twenty five
• 19:36despite
• 19:36actually the NIH changes, despite
• 19:39all the pressures.
• 19:40So it's it's an important
• 19:42point to hold in mind.
• 19:46And then to the last
• 19:47piece about leveraging technology,
• 19:50we have a number of
• 19:50things going on in our
• 19:52department. Uche
• 19:54and her access lab is
• 19:55really looking at how you
• 19:56can use
• 19:58virtual technology gaming
• 20:00to identify youth at risk.
• 20:03Tom is doing a clinical
• 20:05informatics data science track now,
• 20:07a master's degree to bring
• 20:09more of that understanding to
• 20:11the department.
• 20:12Pam Hoffman works in health
• 20:14informatics.
• 20:16But the future, I think,
• 20:17for us or one part
• 20:18of our future
• 20:20is we actually need to
• 20:21be thinking much more
• 20:23proactively
• 20:25about the role of artificial
• 20:26intelligence, AI, virtual technology,
• 20:29and mental health.
• 20:30Thinking about augmented therapies with
• 20:33generative
• 20:34AI, how do those apply
• 20:35to children and adolescents?
• 20:37I'm not saying that we
• 20:39should shift our outpatient services
• 20:41over to virtual, I'm not,
• 20:43to virtual technology
• 20:45But how do we embrace
• 20:46this? How do we provide
• 20:48the data to suggest effectiveness?
• 20:51Really that we begin to
• 20:52lead the field in thinking
• 20:54about the application of these
• 20:56technologies.
• 20:57I think this is what
• 20:58the next year is going
• 20:59to be a substantial amount
• 21:00of work for us.
• 21:04Turning to education and professional
• 21:06development.
• 21:09First off, we welcome some
• 21:11new fellows, which we are
• 21:12delighted for, and I I
• 21:14that picture is in the
• 21:15summer
• 21:16when there was no snow
• 21:18on the ground.
• 21:19There was no jackets.
• 21:21So we welcomed some new
• 21:23fellows and just delighted to
• 21:24continue our professional training.
• 21:27But we're doing training in
• 21:28not and, not but, and
• 21:31we are doing training in
• 21:32a lot of other ways.
• 21:35So we have a developmental
• 21:36pediatrics three year fellowship,
• 21:39which is wonderful that we're
• 21:40doing in collaboration
• 21:42with our colleagues in pediatrics.
• 21:45You can see the fellow
• 21:46for twenty twenty five, the
• 21:47fellow for twenty twenty six
• 21:49has already been identified
• 21:50and then they will recruit
• 21:52a fellow for twenty twenty
• 21:53seven and thus every year
• 21:54we'll have a cohort of
• 21:55three
• 21:56with Abba and Veronica meeting
• 21:58that effort.
• 22:01Carolina
• 22:03is
• 22:03starting a new training effort
• 22:05in collaboration with our colleagues
• 22:07in social work at Yale
• 22:08New Haven.
• 22:09So we will now have
• 22:10an enhanced track on social
• 22:12work, with Yale New Haven
• 22:15to really help
• 22:17well, I would say that
• 22:18we're actually helping our colleagues
• 22:20at Yale New Haven understand
• 22:22the breadth of social work,
• 22:25but at least we're doing
• 22:26something collaboratively and we can
• 22:28create then a pipeline,
• 22:30pipeline of individuals
• 22:32we have trained who will
• 22:33then work in child and
• 22:35adolescent services
• 22:36in the children's hospital.
• 22:38Good for us, good for
• 22:39those individuals.
• 22:42In collaboration with pediatrics
• 22:44and Doctor. Rowe, who has
• 22:45joined as the section chief
• 22:47in pediatric neurology,
• 22:49we're trying to revive
• 22:51actually
• 22:52a special track that we
• 22:53had for pediatric neurologists and
• 22:56neurodevelopmental
• 22:56disorders.
• 22:58We started
• 22:59it right before COVID
• 23:01and you know what happened
• 23:02with COVID.
• 23:03And so doctor Rowe is
• 23:04here and now we're working
• 23:06to get GME approval for
• 23:08this new track.
• 23:12Andres
• 23:13is hosting the twenty twenty
• 23:15six, Klingenstein
• 23:16medical student. How many years?
• 23:18It's the twentieth anniversary.
• 23:20How many years have we
• 23:21hosted it, Andres?
• 23:23Fourth?
• 23:25So we are hosting at
• 23:26Yale, the Klingenstein medical student
• 23:30games, right?
• 23:32And the wonderful
• 23:33thing about this
• 23:35is, and you should add,
• 23:36Angris, is that we it
• 23:38exposes medical students to child
• 23:40and adolescent behavioral health very
• 23:42early.
• 23:43Shows them how much fun
• 23:44we can be
• 23:45and what
• 23:47a great field it is.
• 23:49So thank you for doing
• 23:50that. And
• 23:52it's coming up in January.
• 23:55We also do the REACH
• 23:56training,
• 23:57for pediatricians.
• 23:58We are now a certified
• 24:00training site
• 24:01where we're in the REACH
• 24:03training is in basic frontline
• 24:05child and adolescent mental health
• 24:07assessment and basic basic interventions.
• 24:11We have now become an
• 24:12official training site for pediatricians
• 24:14around the community,
• 24:16but because it's virtual, we
• 24:17can be around the country.
• 24:20So we will launch the
• 24:21next training in the fall
• 24:23of twenty twenty six.
• 24:26And we're starting also to
• 24:27collaborate more broadly on that
• 24:29with, for example, colleagues in
• 24:30the school of nursing as
• 24:32well.
• 24:35We have an emerging collaboration,
• 24:37which you may not know
• 24:37about with the Museum of
• 24:39Modern Art
• 24:41and the Museum of Modern
• 24:42Art in New York is
• 24:44very interested in how do
• 24:46you present art
• 24:48to neurodiverse
• 24:49populations.
• 24:50How do you make the
• 24:51museum
• 24:52available to neurodiverse
• 24:54populations?
• 24:56Conversely,
• 24:57they would like their resident
• 24:58artist
• 25:00to learn more about how
• 25:01we think about neurodiversity
• 25:04so that they as resident
• 25:06artists can go into schools
• 25:07and other places
• 25:09and be much more informed
• 25:11and much more helpful.
• 25:12So Ahmet did,
• 25:15Ahmet did a wonderful training
• 25:16back where it was in
• 25:17the spring, that right here
• 25:20in there, right?
• 25:22Oh, right and Mary, thank
• 25:23you,
• 25:25for for a group of
• 25:26artists, and we're hoping to
• 25:27continue that. And then we'll
• 25:29also conversely
• 25:30hopefully have some MoMA,
• 25:33activities here in our outpatient
• 25:35services.
• 25:37The other good thing about
• 25:38this
• 25:40is how many people come
• 25:41to the Museum of Modern
• 25:42Art every year?
• 25:45Millions.
• 25:48And for them to walk
• 25:49through certain exhibits and see
• 25:51a collaboration
• 25:52with the Yale Child Study
• 25:53Center
• 25:54around children and adolescents and
• 25:56neurodevelopment
• 25:57is a great thing for
• 25:59us and hopefully a great
• 26:00thing for them,
• 26:01but it's a really good
• 26:03thing. And it also broadens
• 26:05our reach and broadens
• 26:08our our impact.
• 26:10They're also very cool to
• 26:12work with.
• 26:14And then there's a bridge,
• 26:15the bridge program that
• 26:17Tara and Darren and a
• 26:19number of others have put
• 26:21together around mentoring and mentorship,
• 26:24trying to think of different
• 26:25ways of offering mentoring
• 26:27to our faculty and our
• 26:28fellows and our whole community.
• 26:31There's one skill building workshop
• 26:33that was in December with
• 26:34Darren and Victoria is offering
• 26:36one in January.
• 26:39So we are doing a
• 26:40lot
• 26:41of education
• 26:42and professional development
• 26:44in addition to our professional
• 26:46development programs.
• 26:49The goals
• 26:50for our professional education professional
• 26:52development mission for twenty twenty
• 26:54six are these.
• 26:57To leverage our expertise
• 26:59to effectively
• 27:00disseminate disseminate
• 27:02education and professional development in
• 27:04child and adolescent behavioral health
• 27:07and to foster the development
• 27:08of future leaders,
• 27:10very broad goals.
• 27:12But how are we achieving
• 27:13that?
• 27:15So here's here's an aspiration,
• 27:18which some of you, I
• 27:19think, have heard me talk
• 27:20about,
• 27:22but that we create a
• 27:23professional development academy.
• 27:25We're doing a tremendous amount
• 27:27of training already. We're doing
• 27:29it. We're giving it away.
• 27:30We're we're impacting a ton
• 27:32of people. I just showed
• 27:33you just a small portion
• 27:35of what happened in twenty
• 27:36twenty five.
• 27:38But the idea of this
• 27:39is to create, if you
• 27:41will, a brand.
• 27:42The child study center is
• 27:44already known, but to actually
• 27:46create a place where you
• 27:48as a professional
• 27:50come to
• 27:51and you learn about science,
• 27:53informed,
• 27:54reliable
• 27:55information about the
• 27:57most recent developments
• 27:59and interventions, the most recent
• 28:01developments in developmental science.
• 28:05I hope I no longer
• 28:06have to use this metaphor
• 28:07much more
• 28:09that we get our own
• 28:10brand, but the metaphor is
• 28:12that we become the Mayo
• 28:13Clinic of Child and Adolescent
• 28:15Behavioral Health,
• 28:17where, you know, if you
• 28:18have a backache, I mean,
• 28:19I I do this all
• 28:20the
• 28:21time. I have, you know,
• 28:22something's
• 28:23hurting or whatever. I go
• 28:25to the Mayo Clinic newsletter
• 28:27because I trust the Mayo
• 28:28Clinic.
• 28:29I want
• 28:31every parent and every professional
• 28:33who works with children's mental
• 28:35health in the country
• 28:36to think about us.
• 28:39That you come to us
• 28:41to learn to know that
• 28:42you can get that training
• 28:44and that training is informed
• 28:45by cutting edge science.
• 28:47And so we become that
• 28:48place
• 28:49in collaboration with our colleagues
• 28:51at Yale New Haven Children's
• 28:52Hospital as well.
• 28:55But we're also, and I
• 28:57just wanna call out that
• 28:58we're already doing this. I've
• 29:00already showed you examples of
• 29:02our doing this. Ellie has
• 29:03a wonderful TED talk,
• 29:05Kasia host a annual
• 29:07autism conference for pediatricians.
• 29:11Chris Cipriano
• 29:13had the special educate or
• 29:14the spring education mini conference.
• 29:17We're doing this.
• 29:19We just don't have a
• 29:20single brand. We just don't
• 29:21have it under one umbrella
• 29:23called the Professional Development Academy,
• 29:25and maybe we'll come up
• 29:26with a more felicitous name
• 29:28than that.
• 29:30But that's what we need
• 29:31to do.
• 29:32We're already doing it. Let's
• 29:33just bring it together in
• 29:35a more coordinated way.
• 29:37And we have a renewed
• 29:39partnership
• 29:40that I touched on in
• 29:41September,
• 29:42but renewed partnership with our
• 29:44colleagues at the Anna Freud
• 29:45Centre
• 29:46in London.
• 29:48The Anna Freud Centre actually
• 29:50reaches professionals
• 29:52across the UK
• 29:54and are trying to do
• 29:55the very same thing. They're
• 29:57calling it the studio, not
• 29:58the academy, but they're calling
• 29:59it the studio.
• 30:01And so there's a number
• 30:02of ways that we can
• 30:03do this collaboratively.
• 30:05We can bring our expertise
• 30:07in neurodevelopment.
• 30:09They can bring their expertise,
• 30:11other aspects of children's development,
• 30:13and we can share. And
• 30:15since it will be virtual,
• 30:17we can appeal to audiences
• 30:19internationally.
• 30:22So I hope you'll have
• 30:23a chance to hear more
• 30:24from our colleagues at the
• 30:26Anna Freud Centre.
• 30:27I should just say that
• 30:29for those of you who
• 30:30are in,
• 30:31we've had a very long,
• 30:33long relationship
• 30:35with this institution in London
• 30:38going actually all the way
• 30:39back,
• 30:40until the nineteen fifties when
• 30:42Anna Freud herself
• 30:44visited and worked with colleagues
• 30:45at the Charles Study Center.
• 30:48This, the Ghana Ford Center
• 30:50now, is really our closest
• 30:52counterpart
• 30:53in the UK.
• 30:54They provide they do they
• 30:55do research, they do professional
• 30:57development,
• 30:58and they have clinical services.
• 31:00So they really are our
• 31:01sister institution.
• 31:03And the great news is
• 31:05that we have one first
• 31:06step is that we have
• 31:07a grant from the Poorvu
• 31:08Center
• 31:09to create a podcast series
• 31:11on children's mental health. So
• 31:13this is the first piece
• 31:14of building this academy.
• 31:16If you wanna do a
• 31:17podcast,
• 31:18just let Alex know because
• 31:20we are we are ready
• 31:21to go,
• 31:22and we just need to
• 31:23get it launched.
• 31:26So the goals for this
• 31:27academy is, as I've said,
• 31:28to establish it as a
• 31:30go to site for professionals
• 31:31in the field,
• 31:34to provide this trusted source.
• 31:36And in this current climate,
• 31:38I really should have underlined
• 31:40and bolded trusted
• 31:42because we are actually in
• 31:43a post truth era
• 31:46where it's really, really difficult
• 31:48to on to assess what's
• 31:50accurate, what's not accurate,
• 31:52where is the misinformation.
• 31:53So it's a trusted site.
• 31:55And then also to establish
• 31:57this as a source of
• 31:58revenue
• 31:59that will support our clinical
• 32:01services and support more broadly
• 32:03the center.
• 32:08I wanna turn to our
• 32:10clinical mission
• 32:12and give you some updates
• 32:14there.
• 32:15I often
• 32:17have started with the clinical
• 32:18mission
• 32:20and gone to then research
• 32:21and education. I wanted to
• 32:23flip it today,
• 32:25because I know that oftentimes
• 32:27there's a worry that we
• 32:28are spending so much time
• 32:29being worried about the clinical
• 32:31mission.
• 32:32But I so I wanted
• 32:33to turn it around, but
• 32:34I really want there's some
• 32:36great news in the clinical
• 32:37mission that I I want
• 32:38you to know.
• 32:40So first,
• 32:42congratulations to Winchester One fortieth
• 32:44anniversary.
• 32:45It's been forty years since
• 32:47the establishment. Laurie, thank you
• 32:48for the picture. I think
• 32:49this is the class of
• 32:50nineteen eighty six people who
• 32:53did not.
• 33:00And Michelle.
• 33:03Michelle. Oh, yeah.
• 33:06So and doctor Williston in
• 33:08the corner. So it's a
• 33:09wonderful fortieth anniversary
• 33:11for our colleagues.
• 33:15We also, this is the
• 33:16second year US News and
• 33:18World Report has rated child
• 33:20and adolescent behavioral health,
• 33:23among pediatric services. And we
• 33:25are ranked among the best
• 33:26child and adolescent mental health
• 33:27programs on US News and
• 33:29World Report. They are not
• 33:30giving ordinal rankings,
• 33:32so I can't tell you
• 33:33what number,
• 33:34but I know we're up
• 33:35there.
• 33:37But hopefully next year, they
• 33:38will give ordinal rankings.
• 33:40So but, anyway, it's great
• 33:42news.
• 33:44The other thing that's really
• 33:45important that I've talked about
• 33:46before
• 33:48is that we are we
• 33:49are a key part of
• 33:51the Children's Hospital strategic plan.
• 33:54This is really, really important.
• 33:57Remember, going back just a
• 33:58few minutes ago,
• 34:00my talking about we are
• 34:01a strong department, but we
• 34:03now are a department that
• 34:04we really need to bridge
• 34:06and link.
• 34:07And so we are very,
• 34:08very closely allied with our
• 34:10colleagues in pediatrics and the
• 34:11children's hospital
• 34:13so much so that we
• 34:14are actually included with the
• 34:16red arrows,
• 34:17included in fee aspects of
• 34:20the strategic plan.
• 34:23Thinking about infrastructure,
• 34:25the urgent care center that
• 34:26I'll talk about in a
• 34:27minute.
• 34:29Philanthropy,
• 34:30part of the in fact,
• 34:31I have a meeting later
• 34:32this afternoon
• 34:33on philanthropic
• 34:35efforts within the children's hospital
• 34:36devoted to children's behavioral health.
• 34:41Integrated behavioral health across all
• 34:43aspects of pediatric specialty, and
• 34:46I'll talk about that more
• 34:47in a minute too.
• 34:49We're a part now of
• 34:50the children's hospital.
• 34:52I am a regular member
• 34:53of the cabinet
• 34:54of Beth Hines who is
• 34:56senior VP of the children's
• 34:57hospital.
• 34:59We are very closely integrally
• 35:01integrated.
• 35:03And this is actually just
• 35:04an infographic
• 35:05that they regularly distribute about
• 35:07the Children's Hospital
• 35:09and you can see that
• 35:10they include behavioral health visits
• 35:13and continue to show even
• 35:15here about
• 35:18embedded mental health services across
• 35:21all of these.
• 35:22If it's a blue circle
• 35:23with a plus, that means
• 35:25we have embedded mental health
• 35:26services across the range, regional
• 35:29range of children's of the
• 35:30children's hospital services.
• 35:33And then the ones that
• 35:34are highlighted here in red
• 35:35again are us.
• 35:39The point about integrated behavioral
• 35:41health services though brings me
• 35:42to talk about pediatric psychology,
• 35:45which has grown pretty dramatically
• 35:47over this last twenty twenty
• 35:49five. We're now up to
• 35:50ten,
• 35:51ten members of this group,
• 35:54embedded in pediatric
• 35:56practice
• 35:57across again the the region,
• 36:00really delivering mental health services
• 36:03where kids come and when
• 36:04they come to see their
• 36:05pediatrician.
• 36:07And just as just an
• 36:08example of some growth of
• 36:09that program
• 36:11since twenty twenty,
• 36:13You can see it's been
• 36:14a steady uptick in growth
• 36:17as pediatricians
• 36:18become more
• 36:19aware of the benefit
• 36:21of actually having mental health
• 36:23services right in the clinical
• 36:25space
• 36:25and begin to think about
• 36:27mental health services.
• 36:29And this is not an
• 36:30increase that's just solely because
• 36:32there's more clinicians.
• 36:33It really reflects more awareness
• 36:36of the need and the
• 36:37advantages.
• 36:39The other important point
• 36:42is that if you refer
• 36:44if a pediatrician
• 36:45refers someone
• 36:47to a clinician
• 36:49who is embedded in the
• 36:50clinic,
• 36:52there's a much greater chance,
• 36:53a seventy two percent chance
• 36:55that the parent will complete
• 36:57that referral,
• 36:58will engage in those services
• 37:01compared to fifty four percent
• 37:03to a clinician who's not
• 37:05embedded.
• 37:06Embedding increases
• 37:08access, improves access,
• 37:10improves collaboration.
• 37:13We're also growing the Westport
• 37:15office,
• 37:18which is in Westport, as
• 37:19it says.
• 37:21And there's been an increase
• 37:23in the rate of referrals.
• 37:24There's some continued challenges about
• 37:26how do we make
• 37:28this this primarily
• 37:30self pay practice,
• 37:33more attractive and really trying
• 37:35to continue to encourage referrals.
• 37:36But the team has just
• 37:38done a remarkable job
• 37:39of going out and marketing
• 37:41themselves and getting contracts from
• 37:43schools.
• 37:44So stay tuned. This is
• 37:46another period of growth for
• 37:47twenty twenty six.
• 37:51And we now have the
• 37:53urgent care center
• 37:55or or crisis intervention center,
• 37:57which will now open in
• 37:58hopefully March.
• 38:00Their
• 38:02instruction is almost done.
• 38:04And this will be the
• 38:06as shown a pediatric impact
• 38:08unit, an open unit
• 38:10where children coming to the
• 38:11emergency room for mental health
• 38:13services will be in this
• 38:15dedicated unit.
• 38:16We can actually start services
• 38:18in the AD in this
• 38:20unit.
• 38:22And it is we're really
• 38:24very excited about
• 38:25it. It's also a joint
• 38:26collaboration, as we say, between
• 38:28the state and Yale New
• 38:29Haven. And
• 38:31by September,
• 38:32I hope everyone will have
• 38:34seen the new space, had
• 38:35a tour. It'll be fully
• 38:36operational.
• 38:39The financial profile.
• 38:42I spent a lot of
• 38:43time in September at your
• 38:44request
• 38:45talking about the finances of
• 38:47outpatient services or our general
• 38:49clinical services.
• 38:51So our clinical deficit is
• 38:53now at two million
• 38:55and has been reduced in
• 38:57the last six months by
• 38:58a million.
• 38:59That's remarkable.
• 39:01And here are the things
• 39:02that made that happen.
• 39:05Increased productivity,
• 39:06that is being able to
• 39:08fill slots and see children
• 39:10working on the waiting list.
• 39:14Everyone thinking very thoughtfully about
• 39:16administrative
• 39:16effort and how we can
• 39:17make it more efficient because
• 39:20every hour of administrative effort,
• 39:22we value supervision, we value
• 39:25all of that, but every
• 39:26hour of that is non
• 39:28reimbursable,
• 39:28but cost us.
• 39:31So how can we make
• 39:32it more efficient?
• 39:34And then working really closely
• 39:35with Yale Medicine and the
• 39:37Children's Hospital, we shifted our
• 39:38hospital based services to another
• 39:41reimbursement
• 39:41model or another financial model,
• 39:44which actually
• 39:45is more cost beneficial
• 39:47to us.
• 39:48So we're down to that.
• 39:51I want to
• 39:52really emphasize
• 39:54that the deficit is covered
• 39:56by the Yale School of
• 39:57Medicine.
• 39:58But we have an agreement.
• 39:59We We have an agreement
• 40:00that we will continue to
• 40:02work to try to get
• 40:03us budget neutral.
• 40:05And I can we can
• 40:06talk about how we'll continue
• 40:08to do that.
• 40:09But we have a very,
• 40:10very strong partnership with the
• 40:12School of Medicine,
• 40:14and they're very,
• 40:15well, they're very supportive.
• 40:18But I wanna dive just
• 40:19slightly deeper.
• 40:22And here's what happened in
• 40:23the last six months. This
• 40:25is year to date.
• 40:27Sixteen percent increase in arrived
• 40:30hours,
• 40:31just
• 40:32having more kids and families
• 40:34come through.
• 40:36Fourteen percent increase in incoming
• 40:38payments.
• 40:40And then sixteen percent as
• 40:42we track relative value units
• 40:43or RVUs.
• 40:46Those are the drier numbers,
• 40:47but those are really great.
• 40:49That is really great in
• 40:51six months to have made
• 40:52that kind of change.
• 40:54And I'd be glad to
• 40:55dive even deeper into it.
• 40:58I really would, any questions
• 41:00you have.
• 41:01But most importantly,
• 41:03this is what I need
• 41:03to say.
• 41:05And it is thank you
• 41:06for all that extraordinary
• 41:08effort
• 41:09that everyone touching the clinical
• 41:11services has done.
• 41:12That's just remarkable.
• 41:14In six months to make
• 41:15that amount of change
• 41:17and get us closer to
• 41:18the goal that we have.
• 41:20Thank you to everyone doing
• 41:22that.
• 41:23At the same time, you
• 41:24are delivering high quality,
• 41:26sophisticated
• 41:28care.
• 41:29We've increased without a compromise
• 41:31in the care that we
• 41:32are giving,
• 41:33and that will continue to
• 41:34be the value that we
• 41:36have.
• 41:37Again, I'm glad to dive
• 41:38as deep as you want
• 41:39to the numbers,
• 41:40but I just wanted to
• 41:41celebrate with you that progress
• 41:44in six
• 41:46months. But it isn't all
• 41:48about the finances. It really
• 41:50isn't,
• 41:51And I cannot say that
• 41:53enough.
• 41:55Here's what's ahead for us.
• 41:58Forecasting ahead,
• 42:01it is predicted
• 42:02that in the next
• 42:04ten years,
• 42:06in twenty twenty five to
• 42:07two thousand and thirty five,
• 42:08there will be a twenty
• 42:09five percent increase in the
• 42:10need for behavioral health services
• 42:12for children and adolescents.
• 42:15There will be a thirty
• 42:16four predicted thirty four percent
• 42:18increase
• 42:19in children's hospital days devoted
• 42:22to behavioral health.
• 42:25I don't want to be
• 42:26catastrophic
• 42:27or say that we have
• 42:28a tsunami on the way,
• 42:31but we do have an
• 42:32ongoing,
• 42:34an ongoing
• 42:35need for more children in
• 42:37that child and adolescent behavioral
• 42:39health service.
• 42:41That will
• 42:43be something we need to
• 42:44meet
• 42:45and something we need to
• 42:46think about. How do we
• 42:47do that?
• 42:49So the implications I would
• 42:50say
• 42:51is first off, we need
• 42:52to be very, very smart
• 42:54about how we deploy
• 42:55our resources and how we
• 42:57train a workforce. If it's
• 42:59not us,
• 43:00how do we train our
• 43:01workforce more broadly?
• 43:03Such as through our reach
• 43:05training for pediatricians,
• 43:06such as through our professional
• 43:08development academy.
• 43:10We need to optimize access
• 43:12to care in a variety
• 43:13of ways such as when
• 43:14you embed
• 43:15mental health clinicians in pediatric
• 43:17practice.
• 43:19We need much smarter approaches
• 43:21to triaging and adjusting the
• 43:23care models to what an
• 43:24individual person needs.
• 43:27To use smarter technology, which
• 43:29I've already mentioned,
• 43:31new research opportunities
• 43:32actually with this surge
• 43:35to address what truly works
• 43:37for whom. So again, that
• 43:38we can individualize
• 43:40and then there's continued opportunities
• 43:42to advocate for sustainable
• 43:44reimbursement models for mental health
• 43:46services.
• 43:47So while I see that
• 43:49as a challenge we really
• 43:50have to meet, I also
• 43:51see it as a number
• 43:52of opportunities
• 43:53for
• 43:55us. And the continued goals
• 43:57for the clinical practice
• 43:59are to continue to work
• 44:00very closely with the children's
• 44:01hospital to be a leader
• 44:04in child and adolescent behavioral
• 44:06health, such as growing our
• 44:08embedded
• 44:09pediatric services,
• 44:11to build this financially sustainable
• 44:13delivery model.
• 44:15So thinking about alternative revenue
• 44:17sources such as the Professional
• 44:19Development Academy
• 44:21and to continue to review
• 44:22the current model for additional
• 44:24efficiencies,
• 44:25improve access for care. And
• 44:28it's a part a key
• 44:29part of being in the
• 44:30child study center is to
• 44:32strengthen and continue to work
• 44:34on the clinical research
• 44:35bridging.
• 44:36We need to be studying
• 44:38everything we do, and we
• 44:39need to be in all
• 44:41the clinical work we do
• 44:42informing
• 44:43what works and informing the
• 44:45cutting edge of interventions.
• 44:49So culture climate,
• 44:50let me turn to that.
• 44:54Tara and her team have
• 44:56been doing a tremendous amount
• 44:57of work.
• 44:58We've renamed,
• 45:00to collaborative excellence now.
• 45:03And I've just highlighted in
• 45:04bold some of the things
• 45:05that are really important that
• 45:07we are sustaining. We remain
• 45:08committed deeply
• 45:10to working on the culture
• 45:11and climate of our department.
• 45:14Friday focus, the clinical education
• 45:16sessions,
• 45:17connection circles, and as you
• 45:19see some new things launching,
• 45:21the community advisory collaboration.
• 45:24And I mentioned earlier, but
• 45:26the collaboration with Tom Fernandez
• 45:28to improve access to services
• 45:31or research for all.
• 45:34The Biola Bernard Fund, which
• 45:35I showed you back under
• 45:37research,
• 45:39there here is a recipient
• 45:42of the Viola Bernard Prize,
• 45:44Sophie Limpeck, and you can
• 45:45see the title of her
• 45:47her project.
• 45:50And then a speaker coming
• 45:51up for the Viola Bernard
• 45:53lecture
• 45:54is Doctor Karnick.
• 45:55And we're really pleased to
• 45:57be bringing in scholars in
• 45:59the area of health equity
• 46:00to really think about inform
• 46:02us
• 46:03about how do we think
• 46:04about improving care for all.
• 46:07Just other upcoming
• 46:09opportunities
• 46:10under,
• 46:12over the next year, the
• 46:13January twenty seventh, Karen DuBois
• 46:16Walton,
• 46:17who is currently the president
• 46:18of the Community Foundation, a
• 46:20scholar again in community implementation
• 46:23and services will be speaking
• 46:24to us
• 46:25and you can see then
• 46:26on February tenth, we will
• 46:28be honoring Black History Month.
• 46:30But I wanna show you
• 46:31some data about culture climate
• 46:34because you remember,
• 46:36I hope it didn't feel
• 46:37like nagging, but when we
• 46:38sent out the email that
• 46:39please, please complete the university
• 46:42survey,
• 46:43thank you for doing it.
• 46:45Our response rate was forty
• 46:47percent. We went up this
• 46:48year,
• 46:49but
• 46:50more importantly,
• 46:52the culture climate work that
• 46:53we're all doing is having
• 46:55an impact.
• 46:56So we have gone up
• 46:58as a department
• 46:59on all the metrics
• 47:01on unit climate overall feeling
• 47:04about working in this environment.
• 47:08The sense of professional growth,
• 47:09that this is a department
• 47:11that contributes to your professional
• 47:13growth.
• 47:14The sense of being Yale
• 47:16climate, but it's also department
• 47:18climate.
• 47:19And then most importantly, I
• 47:21think is the sense of
• 47:22freedom from disrespect
• 47:24that in this department,
• 47:26you are respected.
• 47:28Your work is honored,
• 47:30whatever you bring.
• 47:32So thank you for completing
• 47:33the survey, but also really,
• 47:35really pleased
• 47:37to see that all of
• 47:38these efforts
• 47:40are having an impact,
• 47:42a really important impact for
• 47:43us.
• 47:45I want this to be
• 47:46a place that people want
• 47:48to come to work in,
• 47:50whatever
• 47:51whatever they bring.
• 47:53And I I think we're
• 47:54getting there.
• 47:57So just to conclude on
• 47:58communication,
• 48:00Christa's done a ton of
• 48:01work.
• 48:04Just a ton.
• 48:05You can see we have
• 48:06SharePoint sites now that allow
• 48:08for onboarding a variety of
• 48:10we're consolidating our intranet to
• 48:12make it easier.
• 48:14Krista has been aligning around
• 48:16first principles for communication,
• 48:18a process for submitting news.
• 48:20But here's some more updates
• 48:22on the next slide.
• 48:25We have the year in
• 48:26review that now
• 48:28Krista is working on. We'll
• 48:29have the twenty twenty five
• 48:30version out soon finished.
• 48:33We have or Krista has
• 48:34and all of you contributing
• 48:36overhaul the clinical website
• 48:39and there will be a
• 48:39soft launch,
• 48:40I think this afternoon
• 48:43or early tomorrow morning. Look
• 48:45closely because it will not
• 48:46be perfect, but we will
• 48:47need input.
• 48:48And it looks a ton
• 48:50better than what it has.
• 48:52We'll move to a quarterly
• 48:53newsletter and we're trying to
• 48:55have a much more consistent
• 48:56social media presence
• 48:58to let, again, people know.
• 49:00As we move into the
• 49:01professional academy,
• 49:03social media will be a
• 49:04remarkable
• 49:05way and an important way
• 49:06for us to market ourselves.
• 49:11So
• 49:13I wanna give you these
• 49:14questions.
• 49:16Not that we will answer
• 49:17them now,
• 49:19but I want these questions
• 49:21to guide
• 49:22our ongoing discussions
• 49:24over the next
• 49:25weeks and months.
• 49:28The first is what would
• 49:29you most want to see
• 49:30us achieve in the next
• 49:31year?
• 49:33I've given you some of
• 49:35the priorities
• 49:36and showed you some of
• 49:37the things that are really
• 49:38going to happen
• 49:40in the next year.
• 49:41But what else?
• 49:44What are we missing?
• 49:45And that and as I
• 49:47said in my caveat, there's
• 49:48a ton of things that
• 49:49I I mean, in fact,
• 49:50I actually took some slides
• 49:52out because there was so
• 49:53much that I wanted to
• 49:54tell you. I took some
• 49:55things out, but
• 49:57still think about that.
• 49:59In green is what most
• 50:01concerns you about our direction
• 50:02of travel. Are there things
• 50:04that you worry about? I
• 50:05know we're all worried about
• 50:07the
• 50:08the climate, the NIH,
• 50:10etcetera.
• 50:11Let's worry together about that.
• 50:13But are there things that
• 50:14more concern you?
• 50:16Let's talk about it.
• 50:19And for me,
• 50:22it's the last question
• 50:23that is to me the
• 50:25most important.
• 50:26How can we be a
• 50:27more effective steward
• 50:30for those who will join
• 50:31after us
• 50:33in the years ahead?
• 50:36What's the department
• 50:37that we want to be
• 50:39sure
• 50:40that individuals joining us come
• 50:42to?
• 50:45And what the first two
• 50:46questions inform the third,
• 50:48but really imagining
• 50:50what's the place we want
• 50:52people to come to.
• 50:54I'm not suggesting we answer
• 50:56those now. I really want
• 50:57you to think about them
• 50:59and we'll send them out
• 51:00and we'll keep talking about
• 51:02them, but I'd like these
• 51:03questions
• 51:14world
• 51:17I'm speaking of the life
• 51:18of persons who know that
• 51:19the world is not given
• 51:21to them, but borrowed from
• 51:22their children.
• 51:25We have undertaken to cherish
• 51:26that world and do it
• 51:27no damage,
• 51:29not because they are duty
• 51:30bound,
• 51:32but because they love that
• 51:34world and love their children.
• 51:37I would suggest
• 51:40that the child study center
• 51:41is borrowed
• 51:42from the children we serve
• 51:45and those colleagues who will
• 51:46come after us?
• 51:48That's
• 51:49the purpose of that third
• 51:51question.
• 51:53And we have a responsibility
• 51:56to steer in twenty twenty
• 51:57six this department through what
• 51:59may be turbulence.
• 52:01But I'm very, very
• 52:04pleased and honored
• 52:05to join you on that
• 52:07journey to steer together.
• 52:09And I know that we
• 52:10can do it because we
• 52:10had a remarkable year in
• 52:12twenty twenty five too.
• 52:14So let us let us
• 52:15go together. Thank you very
• 52:16much.
• 52:23Questions?
• 52:29Oh, there's something oh, I
• 52:30see. There was something floating
• 52:32on the screen, though.
• 52:34Oh, thank you. Okay.
• 52:37Okay.
• 52:38This is, thank you so
• 52:39much for,
• 52:41yeah, giving us hope.
• 52:43It's it's it's encouraging. Thank
• 52:44you.
• 52:47I wonder about social workers.
• 52:49Yeah. I wonder about
• 52:52the professionals
• 52:53who may not be able
• 52:55to access federal
• 52:56loans in the coming academic
• 52:58year because of the changes.
• 52:59And I wonder how places
• 53:01like the Child Study Center,
• 53:02Yale New Haven Hospital, how
• 53:04are we preparing
• 53:05to,
• 53:06not just prepare students once
• 53:08they've graduated, but also supports
• 53:10young people who are coming
• 53:11into the field,
• 53:13wanting to take out loans,
• 53:14wanting to study and become
• 53:15these professionals,
• 53:18on the front end of
• 53:18these things.
• 53:20I I really appreciate the
• 53:21question, Kath. I really do.
• 53:23So I think one of
• 53:24the things that I didn't
• 53:26I didn't include in this
• 53:27talk
• 53:29is the number of priorities
• 53:31that we are presenting to
• 53:32donors.
• 53:34Professional development is one of
• 53:35them.
• 53:36And we do have,
• 53:38we do have some donors
• 53:39who are very interested in
• 53:40the clinical practice and how
• 53:42you move people along.
• 53:44So
• 53:45we don't have a check
• 53:46yet,
• 53:47but but it is one
• 53:48of the things that we
• 53:48very much are highlighting that
• 53:50especially in these turbulent times,
• 53:53those are some of the
• 53:53things that are are threatened.
• 53:56Loan repayments,
• 53:57those kinds of things. And
• 53:58so how do we can
• 53:59we can we depend on
• 54:01philanthropy
• 54:02to actually help us with
• 54:03that?
• 54:04Beth Hines of the Children's
• 54:05Hospital is, of course, very
• 54:07aware as well,
• 54:08and devoted to not only
• 54:10building the pipeline, but sustaining
• 54:13sustaining
• 54:13those that are there. So
• 54:15I appreciate the question. I
• 54:17wish I could say donor
• 54:18a has just given x,
• 54:20but, but it is it
• 54:22is a priority for sure.
• 54:25Other questions?
• 54:27Anything online?
• 54:31From George Gammon saying thank
• 54:32you for an extraordinary update.
• 54:42Yes. K.
• 54:43Alright. Well, thank you very
• 54:44much. Thank you.