The Stepping In It Podcast with Renee Schulte & Jason Haglund

Most people spend years planning for retirement but very little time preparing for the possibility of needing care. In this episode of Stepping In It, Renee Schulte and Jason Haglund welcome extended care benefits advisor Raymond Lavine for a practical conversation about why every family needs a caregiving plan. From understanding the true costs of long-term care to creating environments that allow people to age with dignity, Raymond shares why planning isn't just about insurance—it's about protecting your independence, your family, and your legacy. Whether you're caring for aging parents, thinking about your own future, or hoping to pr...

Meetings have become a constant part of professional life, yet many participants leave wondering whether they accomplished anything at all. In this episode, Jason and Renee kick off a new series on meeting effectiveness by exploring why so many meetings feel unproductive, how poor planning wastes valuable time and resources, and what organizations can do to improve collaboration and decision-making. From meeting overload and unclear objectives to practical strategies for better agendas, follow-up, and accountability, this conversation offers a fresh look at one of the most common frustrations in the workplace.

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In this episode, Renee Schulte and Jason Haglund explore an often-overlooked aspect of wellness: actually using the time off you've earned. From the health risks of burnout to the surprising benefits of vacation on productivity and career growth, they discuss why Americans struggle to disconnect from work and what we can learn from cultures that prioritize rest. Along the way, they share practical strategies for using PTO effectively, preventing overwhelm before and after vacations, and finding creative ways to build self-care into both personal and professional travel.

In this episode, you will be able...

In this episode, Jason and Renee reflect on key takeaways from the Indiana Rural Health Conference in French Lick, Indiana. From conversations about rural culture and help-seeking behaviors to surprising data on Employee Assistance Program (EAP) utilization, they explore why access to care is only part of the equation. This discussion highlights the powerful role of culture, trusted relationships, and community influence in shaping behavioral health outcomes, especially in rural communities where asking for help is often easier said than done.

In this episode, you will learn:

As an estimated $124 trillion in wealth changes hands over the coming decades, many families are discovering that inheritance is about far more than money. In this episode, Renee and Jason explore the intersection of hoarding, aging, rural life, and the Great Wealth Transfer. Through personal stories, data, and practical reflections, they discuss how decades of accumulated possessions can create emotional, financial, and logistical challenges for families. From farmland and collectibles to safety risks and mental health concerns, this conversation sheds light on a growing issue that many families will face in the years ahead.

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In this episode, Jason shares insights from the Dakota Conference on Rural Health in North Dakota, reflecting on conference trends, healthcare innovation, and the realities of implementing system change in rural communities. From discussions about award banquets and conference logistics to promising presentations on care coordination, shared technology infrastructure, and emergency department transfers, Jason and Renee explore the gap between ambitious healthcare solutions and the hard work required to make them successful. They highlight lessons from the Rough Rider Network, the importance of honest reporting in healthcare improvement efforts, and why process, patient safety, and continuous improvement matter more...

In this episode, Renee Schulte reports from the Arizona Rural Health Conference in Flagstaff, sharing key insights from conversations happening across rural healthcare systems. Renee and Jason explore the challenges facing Medicaid programs, the impact of new federal work requirements, and the financial pressures rural providers are navigating. They also highlight innovative initiatives focused on substance use treatment, housing as healthcare, whole-person care, and preventative health strategies. Along the way, they unpack Arizona’s famous “acronym soup,” discuss what rural communities can learn from emerging models of care, and reflect on the importance of collaboration, innovation, and practical solutions in str...

In this episode, we dig into how physical spaces can foster emotional wellbeing, strengthen communities, and serve as true social hubs—not just buildings. From healthcare clinics tucked along the interstate to state hospitals undergoing transformation, we explore how intentional design can either isolate or invite connection. Join us as we talk with Zach from MKM in Indianapolis and Todd from JLG in Fargo about trauma-informed architecture, sunlight and color’s impact on mood, and the growing need for spaces that promote interaction in a world where more people than ever are living—and dining—alone. Plus, we revisit the “bar...

What does a Legislative Agricultural Summit have to do with rural mental health? In this episode, we share insights from the State Agriculture and Rural Leadership (SARL) summit, where the intersection of agricultural policy and rural well-being took center stage. Kicking off with a whiny farmer intro (featuring a custom crustbuster bin tool), we explore the summit’s key events—from the World Food Prize to enlightening sessions on trade and rural issues. With highlights from Senator Annette Sweeney’s leadership and a lively Canadian contingent, we reflect on the relationships built, lessons learned, and the unexpected ways this summit...

In this special on-the-ground episode, we’re coming to you live from Anchorage, Alaska at the National Association of Rural Mental Health Conference—moose sightings, state fair stories, and all. From the icy beauty of Chickaloon overlooking the Matanuska Glacier to villages with no roads along the Bering Strait, rural takes on a whole new meaning here. We unpack what true community orientation looks like in some of the most remote areas of the country, where resilience is culture and connection is survival. We’ll explore the difference between research done on versus with Indigenous communities, reflect on alarming youth...

In this episode, Renee and Jason record live reflections inspired by the National Council for Mental Wellbeing’s NATCON 2026 Conference, diving into the growing importance of mental health awareness trainings in workplaces and communities. From Mental Health First Aid (MHFA) to Question, Persuade, Refer (QPR), ASIST, Rural Watch, and other evidence-informed approaches, they explore how these trainings are shaping workplace culture, reducing stigma, and helping people feel more prepared to respond when someone is struggling. The conversation also highlights the rapid growth of mental health challenges across the workforce, the importance of proactive support, and how organizations can determine wh...

In this episode, Renee Schulte and Jason Haglund record live from New Orleans at the Associations of Paroling Authorities International conference, diving into conversations around evidence-based parole decision-making, implementation science, and organizational change. They explore why resistance to change is so common in healthcare, behavioral health, and justice systems, and how leaders can better navigate transformation efforts without losing sight of people, purpose, and outcomes. From productivity standards to questioning outdated systems, this episode highlights the importance of curiosity, adaptability, and focusing on what truly drives progress in complex organizations.

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In this episode, we explore a simple but often misunderstood question: What is a community? Broadcasting from rural Colorado—with a few connectivity challenges along the way—we unpack how community goes far beyond geography. It’s something built through action, relationships, and shared experiences. From the realities of isolation in frontier regions to the everyday moments that foster connection (yes, even over a good meal), we discuss how strong communities are intentionally created—and why they are essential to behavioral health, resilience, and the systems that support rural life.

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In this live episode from the Colorado Rural Health Conference, we unpack real-time insights on the evolution of the 988 mental health line, the structural and cultural challenges shaping access in rural communities, and what it actually takes to build systems people will use. From cross-state coordination issues and shifting liability in crisis response to surprising data trends and lessons in collaboration, this conversation highlights both the progress and the persistent gaps in behavioral health systems. We also reflect on how to make the most of conferences as a tool for learning, connection, and meaningful change.

In this episode, we break down how to actually get value out of conferences—beyond just showing up. From setting intentional goals to making meaningful connections and following up effectively, we share practical strategies to help you maximize your time, energy, and investment. We also explore the scale and impact of conferences across the country and highlight some of the unexpected benefits—from networking socials to local experiences—that make these events worth attending (when done right).

In this episode, you will be able to:

In this episode, we explore the critical intersection of 911 and 988 and what it means for the future of crisis response systems across the country. With millions of calls flowing through both systems each year, the conversation goes beyond awareness and into action—highlighting the need for alignment, shared language, and system redesign. We unpack the realities of current response structures, the data driving change, and the opportunity to build a more effective, human-centered approach to crisis care that better serves communities, responders, and individuals in need.

In this episode, you will be able to:

In this episode, we dive into the realities of rural life and mental health with guests Lauren Van Ewyk and Bridgette Readel. From the unique pressures facing farmers to the concept of “coerced resilience,” this conversation explores what it really takes for rural communities to thrive. With perspectives grounded in agriculture, counseling, and lived experience, Lauren and Bridgette share insights on the gaps in rural mental health support, the evolving conversation around seeking help, and the importance of building systems that truly understand rural life.

In this episode, you will be able to:

In this episode, we break down a question many rural leaders and providers are asking: where do you actually find funding for technical support, innovation, and system change? From foundations and state agencies to local service clubs and unexpected funding streams, we explore how thinking broadly—and strategically—can unlock dollars that fuel long-term impact. We also discuss why starting small matters, how projects can grow over time, and the critical role data plays in sustaining and expanding your work.

In this episode, you will be able to:

In this episode, we sit down with Paula Yost—attorney, licensed mental health clinician, and advocate—to explore what it truly means to advocate for children and families navigating complex systems. Paula shares how her lived experiences, from parenting to surviving medical trauma, have shaped her approach to advocacy, storytelling, and support. Together, we unpack the realities behind IEPs and 504 plans, the gaps families face in education and healthcare systems, and how storytelling can transform grief into growth. This conversation offers both practical insight and a powerful reminder that advocacy is as much about human connection as it is abou...

In this episode of Stepping In It, we explore the difference between peer ambassadors and peer support—and why both are critical in rural communities. From informal community connectors like volunteers and “the guy in the golf cart” at a Critical Access Hospital to trained peer support specialists, we break down how trust, relationships, and lived experience help bridge gaps in access to care. We also dig into the data behind rural mental health and substance use challenges, and why underfunded roles and systemic barriers continue to limit impact despite strong community-driven solutions.

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In this episode of the Peer Support Series, the hosts explore what peer support looks like in rural communities and why it is becoming an increasingly important strategy to address social isolation and behavioral health challenges. Drawing from recent research and on-the-ground experiences in places like southern Illinois and northwest Colorado, they discuss how rural culture, geography, and community infrastructure shape the way support systems develop. From neighbor-to-neighbor relationships to formal peer workforce roles, the conversation highlights how rural communities can strengthen connection, improve mental health outcomes, and build resilience through intentional social networks.

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In this episode, the hosts kick off a new series exploring the role of peer support in behavioral health and rural communities. They unpack what “peer support” really means, the many different models that exist across North America, and how peers show up in settings ranging from mental health and substance use recovery to agriculture, first responders, and community organizations. Drawing on experiences from their travels and research, they explore how neighbors helping neighbors has evolved into a growing workforce of certified peer specialists while also remaining rooted in informal community support. The conversation highlights why peer programs matter, the...

In this episode, we’re digging into what it really takes to care for ourselves when life—and work—feel like too much and not enough all at once. From waiting on contracts to managing uncertainty, we get real about the emotional toll of the in-between. We explore clinically-backed benefits of self-care and why it matters more than ever during busy seasons. Plus, we share the biggest barriers to self-care (time, guilt, and good old decision paralysis) and offer practical ways to start small, stay consistent, and give yourself grace. Of course, we kick things off with a whiny farmer...

Welcome back, and thanks for joining us—yep, it’s that time again: planting season, fixing everything for it just to break again… and that’s not just on the farm. In this episode, we’re digging into the escalating issue of workplace violence in hospitals. From chaotic emergency room scenes to underreported assaults on staff, we uncover what workplace violence really looks like and why it’s often swept under the rug. Backed by startling statistics—like healthcare workers being five times more likely to experience violence—we explore the emotional toll it takes on frontline staff and why anxiety, bur...

In this episode, we continue our deep dive into the Illinois Rural Health Conference, held in Champaign, IL. Join us as we explore the latest trends and critical topics discussed at the conference, from how Millennials are shaping the future of healthcare to the evolving role of peer support in the workforce. We’ll also cover comprehensive chronic care management, the challenges of rural health clinic care coordination, and the ongoing struggle with the stigma of behavioral health needs in rural areas. Plus, we’ll discuss the importance of attending these conferences for networking, staying informed, and bringing back valu...

In the final installment of our On the Ground Impact Series—after traveling 3,500 miles across Iowa—we tackle one of the most talked about, yet least understood concepts in behavioral health: “No Wrong Door.” On paper, it promises seamless access, coordinated entry, and person-centered care. But on the ground in rural and underserved communities, the reality is far more complicated. From fragmented systems and workforce shortages to 30-page “resource guides” that don’t translate into real access, we explore whether a true no wrong door approach is achievable—and what would actually have to change to make it real.

Change is rarely comfortable—especially in complex systems like healthcare, policy, and large organizations—but that doesn’t mean it isn’t necessary. In this episode of the On the Ground Impact Series, we dig into the reality of system change: why it often feels exhausting, where resistance really comes from, and how leaders can move change forward without losing momentum or people along the way. From change fatigue and tribal knowledge to data challenges and decision overload, this conversation explores what actually gets in the way of sustainable transformation—and how to keep going even when the process feels hard...

In this episode of the On the Ground Impact Series, we go behind the scenes of what care collaboration really means—and why it’s so often talked about but rarely done well. Moving beyond buzzwords, we unpack how true collaboration requires trust, shared vision, clear roles, and accountability across organizations and disciplines. Using real-world examples from healthcare and behavioral health systems, this conversation explores why collaboration efforts fail, what the data tells us about team-based care, and what it will actually take to break down silos so patients don’t fall through the cracks.

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In this On the Ground Impact Series episode, the hosts move beyond the “big three” behavioral health challenges—funding, workforce, and crisis response—to name the deeper, often unspoken barriers that stall real system change. From policy decisions made far from lived experience, to lack of champions and collaboration, to culture and communication breakdowns, this conversation explores why well-intended initiatives fail and what rural and behavioral health leaders must address to create lasting, people-centered change. Grounded in data and real-world stories from the field, this episode challenges listeners to rethink how change is led, communicated, and sustained.

This episode kicks off our On the Ground series, sharing real-world insights from building behavioral health systems across the Midwest. We name the common challenges showing up across states—workforce shortages, inconsistent mobile crisis response, and one-time funding—while grounding the conversation in key 2025 data that reinforces why this work matters. We also preview the next four episodes, where we’ll dive deeper into system barriers, care collaboration, sustainable change, and whether a true “no wrong door” approach is possible.

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In this episode, we dive into what coaching and innovation can look like in the rural Midwest when traditional mental health systems fall short. Joined by Jessica, a longtime healthcare leader and nonprofit founder, we explore the realities of rural mental health access, workforce shortages, and the disproportionate impact on youth and marginalized communities. Through lived experience, data, and practical examples, this conversation challenges the “waitlist-only” model of care and highlights why rural communities need more flexible, integrative, and community-driven approaches to mental health support.

In this episode, you will be able to:

In this episode, recorded live from Houston at the Bridge Think Tank, Renee and Jason dive into the complex intersection of economics, human behavior, and the real-world challenges facing behavioral health systems across the country. From the limits of academia and evidence-based models to the nationwide implications of data gaps across parole boards and community reintegration, this conversation explores what truly matters when building policies that work. Together, they unpack how behavioral health shows up everywhere, why narrow niche solutions often miss the mark, and what it will take to design policy and practice that supports communities nationwide.

As the new year approaches—and yes, in the middle of tax season—this episode takes a grounded, practical look at goal setting and why it truly matters. From the neuroscience behind writing goals down to the data showing how few people actually do it, the hosts unpack what separates vague intentions from real momentum. The conversation also zooms out to share Rural Policy Partners’ own focus areas for the year ahead, including podcast growth, expanded contracts, and leaning into speaking strengths. Equal parts research-backed and real-world, this episode is an invitation to be more intentional about how—and why—you...

In this energetic year-in-review episode, Renee and Jason look back on a whirlwind 2025 filled with travel, conferences, chaotic weather, unexpected wildlife encounters, and powerful moments with rural communities across the country. From Alaska to Texas, North Dakota to Georgia, and everywhere in between, they share what they learned on the road—highlighting innovative “hero programs,” persistent gaps in coordination, and the systems-level challenges shaping behavioral health in rural America. With humor, candor, and their signature “whiny farmer intro,” they unpack the biggest surprises, opportunities, and insights that will shape their work heading into 2026.

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This week, we’re stepping in it—live from Indiana! After a chaotic detour through CMA Fest (yes, we accidentally ran into Blake Shelton and Rascal Flatts on Broadway), we’re back with crop scouting updates and a deep dive into a powerful conversation from the Hoosier State. Chief Justice Loretta Rush shares Indiana’s bold efforts to reform how the judiciary addresses substance use and behavioral health, moving away from punishment toward person-centered justice. We explore how the state is embedding behavioral health expertise in its highest court, equipping judges with practical tools, and driving collaborative change. Plus, highligh...

We’re on the road in Flagstaff for the Arizona Rural Health Conference, diving into the unique challenges and opportunities facing rural healthcare in the Southwest. From a whiny farmer update about Arizona’s never-ending dry spell (and Iowa’s surprise rain) to on-the-ground conversations about provider recruitment, mobile crisis units spanning multiple states, and age-friendly system goals by 2026, this episode covers it all. We also unpack the state’s hospital dashboard data, the complexities of healthcare on native lands, and the chaos that ensues when your doctor changes EHR platforms—cue the acronym soup. Join us for insights, laughs, an...

In this special on-the-ground episode, we’re coming to you live from Anchorage, Alaska at the National Association of Rural Mental Health Conference—moose sightings, state fair stories, and all. From the icy beauty of Chickaloon overlooking the Matanuska Glacier to villages with no roads along the Bering Strait, rural takes on a whole new meaning here. We unpack what true community orientation looks like in some of the most remote areas of the country, where resilience is culture and connection is survival. We’ll explore the difference between research done on versus with Indigenous communities, reflect on alarming youth...

In this episode, we take you inside the Louisiana Rural Health Conference, where Renee and Jason delivered the morning keynote focused on the continuum of care and the persistent gaps between high-level inpatient treatment and traditional outpatient services. From powerful conversations about silos, workforce shortages, jail data, and telemedicine reimbursement to unexpected innovations—like a futuristic real-time consultation headset—you’ll hear what rural providers are facing and what opportunities are emerging. This episode captures the pulse of rural health challenges and showcases the impact of convening as a tool for system transformation.

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In this episode, Renee and Jason dive into the science and practice of gratitude—what it is, why it matters, and how it impacts resilience, mental health, and daily life. Through personal stories, practical strategies, and a look at how gratitude shapes mindset and behavior, they explore how small intentional shifts can create meaningful change, especially during challenging seasons. Whether you're heading into the holidays or simply looking for ways to cultivate more emotional well-being, this conversation offers a hopeful, grounded approach to living with more awareness, presence, and gratitude.

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In this episode, hosts Renee Schulte and Jason Haglund sit down with Daryn Nelsen-Soza from NAMI National to explore how the NAMI Provider Program bridges understanding between mental health professionals and the people they serve. Together, they discuss how empathy, education, and lived experience can transform behavioral health care. Daryn shares insights into provider training, NAMI’s mission to close gaps in communication, and how these initiatives are reshaping the culture of care across the country.

In this episode, you’ll learn: