Show Me State of Mind: A Journey Through Behavioral Health

Twice the Director: Dr. Keith Schaefer on Missouri’s Mental Health Evolution

47 min · 13 jul 2026
aflevering Twice the Director: Dr. Keith Schaefer on Missouri’s Mental Health Evolution artwork

Beschrijving

Missouri’s two-time Department of Mental Health director, Dr. Keith Schaefer, joins the Show Me State of Mind podcast to reflect on his career, leadership lessons, and the people he mentored. The episode covers major policy shifts—Medicaid waivers, community-based services, liaison programs, and emergency response in Joplin—along with practical insights on governance, provider partnerships, and improving care for vulnerable Missourians.

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aflevering The Work Behind the Work: Dorn Shuffman & Rachelle Glavin on Health Homes, Data, and Doing It Right artwork

The Work Behind the Work: Dorn Shuffman & Rachelle Glavin on Health Homes, Data, and Doing It Right

In this episode, Brent sits down with Dorn Shuffman to revisit the people, decisions, and pressures that shaped the last two decades of mental health policy in Missouri. Dorn shares stories from the early days of state government, the importance of the Missouri Mental Health Commission, and the challenges of navigating political and budget headwinds while keeping the focus on Missourians served. Then Rachelle Glavin joins the conversation to highlight the behind-the-scenes work that built Health Homes: transitioning nurse liaisons, learning hard lessons about workload and data integrity, and evolving from Excel files to integrated reporting. The result is a candid look at how Missouri turned big ideas into real-world systems change.

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