Self Disclosed

What really moves the needle for transition-age youth (16–24)? It’s not another program list—it’s engagement. In this episode, Patrick sits down with Marc Fagan, President of YouthCare Illinois, to unpack a new playbook: put youth voice on the mic, design for discovery (not lectures), make peer support core infrastructure, and measure uptake instead of offerings. Who this is for: Medicaid leaders,...

What makes a teen mental health product worth opening every day? In this episode of Self Disclosed , Somethings’ design team walks through the choices behind our new brand and product: why we center connection before anything else, how we keep teens in the driver’s seat, and why our visual system embraces graffiti over clinical calm. We also share how we use AI as a quiet assist for mentors rather...

In this episode of Self Disclosed , we open up Somethings’ first clinical outcomes report from our statewide rollout in North Carolina and talk plainly about what changed for teens, how we measured it, and what it means for families, schools, payers, and states. What this episode covers - What Somethings is: a youth mental health app that pairs teens (13–26) with certified peer mentors for on-dema...

What if the system built to protect children is also the one traumatizing them? Nicole Six — VP of Product Development at Sentara Health and a licensed clinical social worker — has spent her career inside the child welfare and behavioral health systems. From her early days as a social worker in New York City to leading large-scale Medicaid and child welfare initiatives in North Carolina, Nicole ha...

Too many kids in crisis end up stuck in emergency rooms. Not because they need to be there, but because the system doesn’t know what else to do. Christine Beck, Executive Director of Behavioral Health at Optum UHC (NC Medicaid), has spent her career changing that reality. From her early days listening to foster youth no one else would hear, to launching pilots that reshaped North Carolina’s crisis...

In this episode, Patrick Gilligan sits down with Dr. Mary Wilson, CEO of the Alaska Mental Health Trust Authority for a powerful conversation on systems change, leadership, and upstream impact. They dive into:✅ How her experience as a pediatrician shaped her approach to policy✅ What she learned leading access reform at Kaiser Permanente✅ The unique mental health challenges Alaska faces and how...

What does it take to build a healthcare model that actually works for youth in foster care? In this episode of Self Disclosed, I sit down with Cheryl Fisher, Vice President of Business Development (Foster Care and Child Welfare Programs) at Centene Corporatio, to unpack what she’s learned from decades of work in child welfare. From her earliest days as a trauma counselor to now overseeing one of t...

Youth behavioral health is in crisis, and the way we’re addressing it isn’t working. In this episode, Patrick Gilligan sits down with Leslie Courtney, Chief Commercial Officer and 25-year health care veteran, to unpack why teens are still falling through the cracks and what it will take to truly make a dent. We cover: ✅ Why treating teen mental health like adult mental health is a major mistake...

In this episode of Self Disclosed, we sit down with Ellie Robinson of Rhode Island’s Executive Office of Health and Human Services to break down how a small state is making a big impact on youth mental health. We cover:✅ What Rhode Island’s youth behavioral health system looked like in 2021 and what had to change✅ Why mobile crisis response became a cornerstone of their care model✅ How Ellie’s...

Why is healthcare in the U.S. so broken, and why does every attempt to fix it seem to fail? In this episode of Self Disclosed, Patrick Gilligan sits down with Neil Carpenter, Health Care Innovator & Partner at North Gate Group, to unpack what really goes on inside hospitals, why value-based care still struggles, and what it's going to take to transform the system. Neil shares hard-won insi...

Most health tech founders avoid Medicaid because of the red tape, slow sales cycles, and tough margins. But Nikita Singareddy is proving that it can be done with clarity, focus, and a deep respect for the system's complexity. In this episode of Self Disclosed, Patrick sits down with Nikita, CEO of Fortuna Health, to unpack how her team is helping Medicaid plans retain members and stay compliant, w...

What happens if we don’t fix American healthcare? In this episode of Self Disclosed, Patrick Gilligan talks with Candace Richardson, Partner at General Catalyst and one of the leading voices in healthcare investing, about the looming macroeconomic, societal, and ethical consequences of a broken health system and why she still believes there’s time to turn it around. Candace unpacks why the stakes...

What does it take to transform a state’s mental health system, starting from the ground up? In this episode of Self Disclosed , Patrick Gilligan sits down with North Carolina Senator Jim Burgin, the man behind one of the most ambitious mental health investments in the country: an $835 million plan to address youth mental health, foster care, addiction, and systemic reform. Sen. Burgin shares the p...

In this episode of Self Disclosed , Patrick sits down with Sean Schreiber, Chief Operating Officer of Alliance Health to explain how Alliance is building a care system that’s faster, more community-centered, and deeply personal. Sean shares his unlikely journey from outpatient therapist to statewide innovator, and outlines the playbook Alliance uses to test, scale, and fund new mental health model...

What does it take to rebuild an entire state’s mental health system while staying grounded in lived experience, clinical insight, and community trust? In this episode, Patrick Gilligan sits down with Kelly Crosbie, Director of North Carolina’s Division of Mental Health, Developmental Disabilities, and Substance Use Services. Kelly shares how she’s helping lead an unprecedented $835M investment to...