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Mental Pain is Real Pain: Solving our Behavioral Healthcare Crisis

with Dr. Robert McCarron

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Stories to Solutions

Dr. Robert McCarron's passion for transforming mental health care isn't just professional—it's deeply personal. Growing up, he watched his mother struggle with depression during his childhood, not understanding what was happening or how to help.

"I grew up in a situation where my own mom struggled quite a bit with depression... for many many many years I saw that every day and I know that so many people struggle with that."

This early experience shaped his understanding that mental health and physical health are inextricably linked—a realization that would later drive him to create innovative solutions for communities facing similar struggles.

Innovative Solutions for a Critical Crisis

The numbers tell a stark story:

1- 40% of primary care visits involve mental health concerns
2- 1 in 3 people will have a substance use condition in their lifetime
3- 1,400 mental health professionals trained through TNT
4- 80% of TNT fellows work in underresourced areas



The TNT Fellowship Program addresses a fundamental problem: while we desperately need more mental health professionals, it takes 12 years to train a psychiatrist from undergraduate through residency. Dr. McCarron's solution? Train the healthcare providers who are already seeing these patients every day.

"We're taking folks who already have gone through that foundational medical training... We're going to now give you the mental health piece."



The Strategic Approach: Instead of starting from scratch, TNT builds on existing medical training. Primary care physicians, nurse practitioners, pediatricians, and other healthcare providers receive specialized training in recognizing, diagnosing, and treating common mental health conditions like depression, anxiety, and substance use disorders.



Community-Centered Impact: The program strategically focuses on providers like NP Nicolette Haug, a nurse practitioner in Pico Rivera who grew up in her community, speaks Spanish, and understands her patients' cultural context. By training providers who are already embedded in underserved communities, TNT ensures that training investments stay where they're needed most.



Comprehensive Support System: Beyond clinical training, TNT provides ongoing mentorship, addresses provider burnout, and even offers recovery support for healthcare professionals who face their own mental health and substance use challenges.


Looking Forward: A Vision of Hope

"I think the future is bright when it comes to this... we have to keep coming up with these innovative ideas, train early, train a little bit different."

The conversation reveals not just the scope of America's mental health crisis, but also the innovative, community-centered solutions that are beginning to bridge the gap. Dr. McCarron's work demonstrates that sometimes the most effective solutions come from understanding both the personal impact of mental health struggles and the practical realities of healthcare delivery—then finding creative ways to connect the two.


Dr. Robert McCarron's passion for transforming mental health care isn't just professional—it's deeply personal. Growing up, he watched his mother struggle with depression during his childhood, not understanding what was happening or how to help.

"I grew up in a situation where my own mom struggled quite a bit with depression... for many many many years I saw that every day and I know that so many people struggle with that."

This early experience shaped his understanding that mental health and physical health are inextricably linked—a realization that would later drive him to create innovative solutions for communities facing similar struggles.

Innovative Solutions for a Critical Crisis

The numbers tell a stark story:
1- 40% of primary care visits involve mental health concerns
2- 1 in 3 people will have a substance use condition in their lifetime
3- 1,400 mental health professionals trained through TNT
4- 80% of TNT fellows work in underresourced areas

The TNT Fellowship Program addresses a fundamental problem: while we desperately need more mental health professionals, it takes 12 years to train a psychiatrist from undergraduate through residency. Dr. McCarron's solution? Train the healthcare providers who are already seeing these patients every day.

"We're taking folks who already have gone through that foundational medical training... We're going to now give you the mental health piece."

The Strategic Approach: Instead of starting from scratch, TNT builds on existing medical training. Primary care physicians, nurse practitioners, pediatricians, and other healthcare providers receive specialized training in recognizing, diagnosing, and treating common mental health conditions like depression, anxiety, and substance use disorders.

Community-Centered Impact: The program strategically focuses on providers like NP Nicolette Haug, a nurse practitioner in Pico Rivera who grew up in her community, speaks Spanish, and understands her patients' cultural context. By training providers who are already embedded in underserved communities, TNT ensures that training investments stay where they're needed most.

Comprehensive Support System: Beyond clinical training, TNT provides ongoing mentorship, addresses provider burnout, and even offers recovery support for healthcare professionals who face their own mental health and substance use challenges.
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Meet Our Guest
Dr. Robert McCarron
Dr. Robert McCarron is a leading figure in the field of integrated healthcare, serving as the Director of Education at the Susan Samueli Integrative Health Institute and Associate Dean for Continuing Medical Education at the University of California, Irvine (UCI). He is the founding director of the Train New Trainers (TNT) Fellowships. These programs are designed to enhance the skills of primary care providers in psychiatry and substance use disorder treatment. Dr. McCarron has been recognized for his contributions to medical education and integrated care, notably receiving the 2024 Steinberg Institute Champion award for his efforts in expanding California’s behavioral healthcare workforce.