WEBVTT - Global Health: A Fundamental Human Right 0:00:05.960 --> 0:00:09.879 Hello and welcome back. As you know, this show is 0:00:09.920 --> 0:00:13.520 all about deconstructing these big issues that affect all of us. 0:00:14.240 --> 0:00:18.040 We're highlighting ways we can work together to create positive change, 0:00:18.440 --> 0:00:21.680 and today we're taking on the absurdly massive issue of 0:00:22.239 --> 0:00:25.639 global health. It's complicated, as the kids used to say, 0:00:25.840 --> 0:00:29.000 and made even more so by the constraints of access, geography, 0:00:29.240 --> 0:00:32.600 even stigma. Health is one of those things that most 0:00:32.640 --> 0:00:35.800 of us don't think about until we don't have it. 0:00:36.640 --> 0:00:38.760 Like I think a lot about my health when I'm 0:00:38.800 --> 0:00:42.360 sick or injured. Otherwise it's not top of mind. And 0:00:42.400 --> 0:00:45.760 we're encouraged to think about health on an individualistic and 0:00:45.800 --> 0:00:50.440 personal basis. My health, my life expectancy, my step counts. 0:00:51.080 --> 0:00:54.279 All the apps encourage that individual self and not so 0:00:54.360 --> 0:00:59.600 much consideration of the collective self, our health. It's hard 0:00:59.680 --> 0:01:03.920 for me to be healthy when we aren't healthy. COVID 0:01:03.960 --> 0:01:06.000 seemed like it would have been the perfect place to 0:01:06.160 --> 0:01:09.320 jar us into this space of more collective consideration. But 0:01:09.760 --> 0:01:14.160 those individualistic tendencies, they are so hard to leave behind. 0:01:14.280 --> 0:01:17.479 I mean, just picture airline passengers cheering with the end 0:01:17.480 --> 0:01:21.039 of the mask mandate midflight, with no concern for the 0:01:21.080 --> 0:01:24.160 person sitting next to them. So what happens when we 0:01:24.200 --> 0:01:28.200 begin shifting conversations about health to a collective one, beyond 0:01:28.200 --> 0:01:32.880 the individual and beyond our own national borders. Today's guests 0:01:32.920 --> 0:01:37.200 they do just that, working with people both domestically and internationally, 0:01:37.760 --> 0:01:40.160 based on the belief that access to health care is 0:01:40.200 --> 0:01:46.080 a fundamental human right. Joining us today is Kim Goldsmith 0:01:46.080 --> 0:01:50.280 and Diet Director of Development at Doctors Without Borders. This 0:01:50.400 --> 0:01:53.480 organization is known for its efforts to bring medical humanitarian 0:01:53.480 --> 0:01:57.920 assistance to people based solely on need, regardless of race, religion, gender, 0:01:58.040 --> 0:02:01.720 or political affiliation. Kim has a huge task at hand, 0:02:02.160 --> 0:02:05.520 responsible for developing the many income streams within the nonprofit 0:02:06.080 --> 0:02:08.919 that allow more than sixty thou staff to provide over 0:02:09.000 --> 0:02:13.480 ten million medical consultations in more than seventy countries every 0:02:13.480 --> 0:02:17.320 single year. So what did you do last year? Our 0:02:17.320 --> 0:02:20.399 second guest also works in development as the Chief Development 0:02:20.400 --> 0:02:24.240 Officer for the Trevor Project. Amanda Ryan Smith is a 0:02:24.280 --> 0:02:28.239 part of the world's largest suicide prevention and crisis intervention 0:02:28.320 --> 0:02:32.920 for lgbt Q plus young people of whom have considered 0:02:32.960 --> 0:02:36.519 suicide in the last year alone. Amanda and her team 0:02:36.639 --> 0:02:39.440 take on this challenge through different programs that center around 0:02:39.440 --> 0:02:50.640 crisis services, education, and advocacy. Let's dive right in. Welcome 0:02:50.720 --> 0:02:53.960 Kim and Amanda. We're we're exploring a lot of issues 0:02:54.000 --> 0:02:57.440 with this series and in particular with your two organizations. 0:02:58.000 --> 0:03:01.760 And on the surface, there's a lot of uh cultural differences, 0:03:01.840 --> 0:03:06.240 you know, domestically and internationally with Doctors Without Borders with 0:03:06.280 --> 0:03:10.400 the Trevor Project, but you share this universal belief that 0:03:10.480 --> 0:03:14.080 access to health care is a human rights issue, Kim, 0:03:14.120 --> 0:03:17.960 Doctors Without Borders has been providing emergency relief to communities 0:03:18.000 --> 0:03:21.040 all over the world for more than fifty years, and 0:03:21.080 --> 0:03:26.480 y'all typically focus on war and conflict, climate disasters, epidemics, pandemics, 0:03:26.919 --> 0:03:30.600 refugee crisis, you know, the really chill stuff around the world. 0:03:31.320 --> 0:03:34.200 Right now, it seems like all of those things are 0:03:34.320 --> 0:03:38.760 happening everywhere at the same time, and more people need 0:03:38.800 --> 0:03:43.080 your help than ever before. So with that overlapping set 0:03:43.080 --> 0:03:47.280 of demands that are also increasing, how do you prioritize 0:03:47.680 --> 0:03:51.440 who gets your support and for how long. Doctors Without 0:03:51.440 --> 0:03:56.280 Borders is a medical humanitarian organization and we provide medical 0:03:56.320 --> 0:04:00.440 care on a basis of needs without discriminating. Sian and 0:04:00.520 --> 0:04:05.800 so our decision to respond to crises is based on 0:04:06.240 --> 0:04:11.160 our independent assessment of medical needs, and we currently work 0:04:11.200 --> 0:04:15.200 in more than seventy countries, and we are continually assessing 0:04:15.240 --> 0:04:18.880 where we're needed the most, both over the long term 0:04:19.360 --> 0:04:23.360 and in response to humanitarrity and crisis. So what I'd 0:04:23.400 --> 0:04:27.320 like to do is highlight three examples. One is Haiti, 0:04:27.360 --> 0:04:30.239 a country where we've worked in for thirty one years 0:04:30.279 --> 0:04:35.039 and we have unfortunately seen many disasters there. Last August, 0:04:35.080 --> 0:04:39.560 amazing earthquake struck in southern Haiti, but because of our 0:04:39.600 --> 0:04:44.479 longstanding work, our Haitian surgical team was already working in 0:04:44.560 --> 0:04:48.560 our hospitals in the capital of Porto Place and they 0:04:48.560 --> 0:04:53.640 departed for disaster zone. Within hours, local hospitals were overwhelmed 0:04:53.640 --> 0:04:57.919 with patients traumatic injuries from falling walls and roofs, and 0:04:58.000 --> 0:05:02.600 our team started doing worth ap surgery pretty immediately. The 0:05:02.680 --> 0:05:07.279 next example I would highlight is Ukraine, again where we've 0:05:07.320 --> 0:05:10.080 already been working in the country for many years, when 0:05:10.080 --> 0:05:13.440 the war broke out in February. Historically, we've worked on 0:05:13.560 --> 0:05:20.000 drug resistant tuberculous hepatitis C, advanced HIV, and just improving 0:05:20.000 --> 0:05:23.760 access to primary care. But when the war broke out, 0:05:24.080 --> 0:05:28.560 we had to really reorient our work to meeting the 0:05:28.640 --> 0:05:35.040 emergency needs now. As Ukraine medical facilities are dealing with 0:05:35.279 --> 0:05:38.480 large influx of wounded patients, we are they're providing them 0:05:38.480 --> 0:05:42.640 with medical services, medical supplies, especially training on how to 0:05:42.760 --> 0:05:48.760 treat large numbers of wounded patients at the same time. Lastly, 0:05:49.640 --> 0:05:52.320 is one that's not really in the headlines. A lot 0:05:52.560 --> 0:05:56.880 treating children for malnutrition, spiking during a lean period each year. 0:05:57.800 --> 0:06:02.640 The malnutrition is particularly harmful for children between six months 0:06:02.640 --> 0:06:07.960 and five years of age, who need highly nutritious foods 0:06:08.040 --> 0:06:14.919 and so malnourished children have severely weakened immune systems and 0:06:14.920 --> 0:06:20.000 are more susceptible to common childhood diseases, and their diets 0:06:20.040 --> 0:06:24.400 have a profound impact on their physical and mental development. 0:06:24.400 --> 0:06:27.280 As we know, Amanda, I want to give you a 0:06:27.360 --> 0:06:29.440 chance to jump in here as well. The Trevor Project. 0:06:29.520 --> 0:06:34.000 You all work seven. You've got this confidential crisis line, 0:06:34.040 --> 0:06:38.359 this crisis services, and you're starting to expand into territories 0:06:38.360 --> 0:06:42.279 beyond the US, starting with Mexico. So can you paint 0:06:42.320 --> 0:06:45.559 a high level view of the current state of mental 0:06:45.600 --> 0:06:47.600 health in the US. Here's what we know. We know 0:06:47.720 --> 0:06:51.760 one point eight million lgbt Q plus young people seriously 0:06:51.800 --> 0:06:55.440 contemplate suicide every year. We know it's the second leading 0:06:55.480 --> 0:06:58.599 cause of death for those aged twenty four and under. 0:06:59.480 --> 0:07:03.480 What's going whired things the way they are. Our mission 0:07:03.520 --> 0:07:07.839 at the Trevor Project is to end lgbt Q youth suicide, 0:07:08.400 --> 0:07:11.040 and what we're seeing right now is that the last 0:07:11.040 --> 0:07:14.520 few years have just been incredibly difficult for lgbt Q 0:07:14.720 --> 0:07:17.840 youth and taken a huge toll on their mental health. 0:07:18.400 --> 0:07:22.840 Between a hostile political climate, unique challenges amid the COVID 0:07:22.920 --> 0:07:28.920 nineteen pandemic, repeated acts of racist and transphobic violence, we 0:07:29.000 --> 0:07:32.560 have seen that lgbt Q young people are more than 0:07:32.680 --> 0:07:37.080 four times more likely to consider suicide than their peers. 0:07:38.360 --> 0:07:42.560 It's a staggering difference, but it's not due to anything inherent. 0:07:43.400 --> 0:07:50.000 It's because lgbt Q young people are faced with more stigma, discrimination, rejection, 0:07:50.520 --> 0:07:54.200 and violence, which can compound and then lead to really 0:07:54.240 --> 0:07:59.200 negative mental health outcomes. We just released our fourth national 0:07:59.240 --> 0:08:03.320 survey at Trevor and the largest survey of its kind 0:08:03.520 --> 0:08:08.880 with nearly thirty four thousand respondents and the most diverse survey, 0:08:08.960 --> 0:08:13.760 and what we found is that fort of LGBTQ young 0:08:13.840 --> 0:08:19.800 people seriously considered attempting suicide in the past year. Nearly 0:08:19.920 --> 0:08:24.960 one in five trans and non binary youth attempted suicide, 0:08:25.760 --> 0:08:28.840 and youth of color reported higher rates than white peers. 0:08:30.360 --> 0:08:34.520 All of this really is exacerbated for folks who have 0:08:34.960 --> 0:08:39.240 at least one marginalized identity, people of color, people with disabilities, 0:08:39.320 --> 0:08:43.400 people with the lower socioeconomic status. There are really unique 0:08:43.480 --> 0:08:49.040 challenges and stigma. There's very limited data on the mental 0:08:49.080 --> 0:08:52.120 health of LGBTQ young people, and we think it's so 0:08:52.160 --> 0:08:56.000 important for people to understand really what is happening from 0:08:56.040 --> 0:09:03.720 young people themselves. These are sobering statistics, um and uh um, 0:09:03.760 --> 0:09:06.280 and I think anyone hearing them for the first time 0:09:07.160 --> 0:09:10.120 might just, on the basis of the data be compelled 0:09:10.920 --> 0:09:13.360 to act, you know, to do something about that. Most 0:09:13.400 --> 0:09:16.679 of us don't carry those numbers around. You've done more 0:09:16.720 --> 0:09:19.160 than just act. You are part of this organization, You're 0:09:19.160 --> 0:09:21.760 committed to this work in a deeper way. Is there 0:09:21.880 --> 0:09:25.320 something more personal, you know, beyond the stats for you 0:09:25.840 --> 0:09:29.600 that motivates your continued commitment to the Trevor Project's mission. 0:09:30.600 --> 0:09:32.959 You know, I came to Trevor last year, and I 0:09:33.320 --> 0:09:36.360 really thought about myself growing up as a young queer 0:09:36.400 --> 0:09:39.440 person in Oklahoma. You know that I didn't have the 0:09:39.480 --> 0:09:42.520 support I really wanted and needed. And within a few 0:09:42.559 --> 0:09:46.240 months of joining Trevor, my own child came out as 0:09:46.320 --> 0:09:51.880 non binary. They are ten, and their pronouncer they them, 0:09:51.920 --> 0:09:55.440 and we have been working to make the world safe 0:09:55.559 --> 0:09:59.800 and supportive for them, and our research talks about the 0:10:00.000 --> 0:10:03.640 impacts of these attacks on young people. But what has 0:10:03.720 --> 0:10:07.320 happened in Texas in February? I saw what happened to 0:10:07.400 --> 0:10:12.840 my own child, and b was really a thriving fourth grader. 0:10:13.520 --> 0:10:16.960 Their teacher described them as everybody's very witty best friend, 0:10:17.640 --> 0:10:20.160 which is be they have never been a friend. They 0:10:20.200 --> 0:10:24.559 did not love. And in February, the Texas governor called 0:10:24.600 --> 0:10:27.520 parents like us child abusers and said we should be 0:10:27.559 --> 0:10:30.959 investigated for child abuse for supporting our trans or non 0:10:31.000 --> 0:10:35.040 binary children. And we had to create a safety plan 0:10:35.200 --> 0:10:38.480 with our ten year old. They had to practice what 0:10:38.559 --> 0:10:41.120 they would say if someone showed up at their school. 0:10:42.440 --> 0:10:46.400 We consulted with an attorney, We delayed a scheduled pediatrician 0:10:46.520 --> 0:10:50.560 visit for fear of what might happen, and we saw 0:10:50.679 --> 0:10:57.800 the struggle with nightmares, being more withdrawn, less confident, less 0:10:57.880 --> 0:11:02.520 Our witty fund B and we've been really working to 0:11:02.600 --> 0:11:06.640 support getting them back to Center, and we've ultimately made 0:11:06.640 --> 0:11:09.440 the decision to leave Texas because B does not feel 0:11:09.480 --> 0:11:14.720 safe here with what's happening. And I tell this story 0:11:14.840 --> 0:11:18.040 because this is a child that is surrounded by love 0:11:18.080 --> 0:11:22.040 and support in every part of their life. Their school 0:11:22.240 --> 0:11:25.280 is asking for our Trans and non Binary Youth Guide. 0:11:25.360 --> 0:11:28.320 They want to do the right thing, and this is 0:11:28.360 --> 0:11:32.240 what happens for them with these attacks. It is all 0:11:32.320 --> 0:11:35.520 the more challenging for the one in three trans and 0:11:35.600 --> 0:11:39.120 non binary young people who are not in supportive homes. 0:11:40.720 --> 0:11:42.760 And I think it's important for people to know that 0:11:42.880 --> 0:11:47.560 B is not struggling with their identity. B is so 0:11:47.720 --> 0:11:52.160 clear about who they are. They are struggling with a 0:11:52.240 --> 0:11:56.440 world that doesn't support them. And so I'm grateful to 0:11:56.480 --> 0:11:59.199 be at Trevor to help create that world for B 0:11:59.520 --> 0:12:03.679 and for all LGBTQ young people. It sounds like it's 0:12:03.720 --> 0:12:05.720 the rest of us who are having the hard time. 0:12:06.040 --> 0:12:10.960 Bees doing just fine, just being you know, Thank you 0:12:11.000 --> 0:12:15.320 so much for sharing that. That was incredibly heartwarming. I 0:12:15.360 --> 0:12:18.360 have no words behind that. It was just quite emotional 0:12:18.600 --> 0:12:22.360 and sad at the same time. Yeah, I want to 0:12:22.400 --> 0:12:27.080 talk about what y'all each do at your organizations. You're 0:12:27.160 --> 0:12:30.920 both in charge of raising money, keeping the lights on 0:12:31.480 --> 0:12:34.920 to be able to do the important, literally life saving 0:12:35.000 --> 0:12:38.400 work that each of your organizations do. Kim, I'll start 0:12:38.440 --> 0:12:41.640 with you, because so many of the challenges that Doctors 0:12:41.640 --> 0:12:45.680 Without Borders is focused on are literally a world away 0:12:45.840 --> 0:12:48.920 from your donors. They're far in space and far out 0:12:48.920 --> 0:12:52.559 of mind. So how do you make that empathetic connection? 0:12:53.240 --> 0:12:56.240 What messages are working to get people to care about 0:12:56.280 --> 0:13:00.520 folks in circumstances so different from their own. So I 0:13:00.559 --> 0:13:04.319 will say that, as everyone here knows, funding our work 0:13:04.520 --> 0:13:09.199 is an enormous effort that is clear, and we currently 0:13:09.240 --> 0:13:12.920 have more than a million donors in the US. Every 0:13:13.000 --> 0:13:15.920 single donor makes a difference. I don't care how small 0:13:16.080 --> 0:13:20.440 or how large the donation, and it's actually not hard 0:13:20.480 --> 0:13:24.880 to get people to care about international needs they already do. 0:13:25.559 --> 0:13:29.040 What's important to know is that our donors understand that 0:13:29.080 --> 0:13:34.199 their dollars enable us to be financially independent and operational independent. 0:13:34.280 --> 0:13:37.240 So what does that mean. That means that when there's 0:13:37.240 --> 0:13:40.320 a crisis that takes place we're able to respond rapidly 0:13:40.960 --> 0:13:44.000 using the resources that we already have. But that also 0:13:44.160 --> 0:13:49.080 means that when we take and stand on contentious issues 0:13:49.280 --> 0:13:52.520 or work in a conflict zone, it helps that our 0:13:52.559 --> 0:13:57.280 funding does not come from governments. We can say that 0:13:57.440 --> 0:14:00.800 funding comes from private donors like you and me and 0:14:00.920 --> 0:14:04.559 Amanda and its donors who care about the international work. 0:14:05.200 --> 0:14:08.080 Our donors don't get to visit our projects because they 0:14:08.080 --> 0:14:11.320 are in conflict zone. So the fact that they can 0:14:11.440 --> 0:14:17.360 imagine this is really incredible. Amanda, similar question for you, 0:14:17.440 --> 0:14:21.320 how do you connect with people who may not have 0:14:21.440 --> 0:14:25.720 a direct connection to the folks that the Trevor Project 0:14:25.880 --> 0:14:28.840 is serving. One of the things that has been so 0:14:29.000 --> 0:14:33.960 beautiful at Trevor is that the horrible attacks that have 0:14:34.120 --> 0:14:38.240 been happening, particularly on trans and non binary young people, 0:14:38.840 --> 0:14:43.080 have made so many people very angry and very upset 0:14:43.120 --> 0:14:47.880 and hurt and just furious at what's happening in our country. 0:14:48.040 --> 0:14:51.800 And to me, philanthropy is a tangible thing that you 0:14:51.880 --> 0:14:55.600 can do that you can turn that into a positive 0:14:55.680 --> 0:15:01.640 thing of really allowing us to exponentially grow our capacity 0:15:01.680 --> 0:15:04.960 to serve more LGBTQ young people. So I'll give you 0:15:05.000 --> 0:15:10.160 an example. We recently had our very first fifty mile 0:15:10.280 --> 0:15:13.800 challenge on Facebook for folks to fundraise for Trevor, not 0:15:13.920 --> 0:15:17.120 just to choose to give themselves, but to ask others 0:15:17.160 --> 0:15:20.600 to support us. And our goal was maybe a hundred 0:15:20.600 --> 0:15:27.680 new fundraisers. We had fifty seven hundred new fundraisers. We 0:15:27.760 --> 0:15:30.400 create a Facebook group for them to communicate their stories 0:15:30.400 --> 0:15:33.640 to each other. There were thirteen thousand people in the 0:15:33.680 --> 0:15:38.400 Facebook group telling their stories of why they were supporting Trevor, 0:15:38.400 --> 0:15:42.040 why they were walking fifty miles, and why they were fundraising. 0:15:42.760 --> 0:15:45.200 We will communicate the stories of the young people we serve. 0:15:45.280 --> 0:15:48.240 We will tell about our services, the importance of the research, 0:15:48.280 --> 0:15:50.680 and all the stats. But I think there's also something 0:15:50.720 --> 0:15:55.560 powerful for supporters connecting to each other to tell their 0:15:55.600 --> 0:15:58.480 story of what their struggle has been or who they 0:15:58.560 --> 0:16:02.600 love in their life that has inspired them to support Trevor. 0:16:02.600 --> 0:16:06.640 In this way, every dollar makes a difference at Trevor 0:16:07.080 --> 0:16:11.200 and supports a young person in crisis or helps create 0:16:11.640 --> 0:16:13.880 a world where they won't be in crisis in the future. 0:16:14.440 --> 0:16:18.280 Tell me about that world and that difference. The other 0:16:18.320 --> 0:16:22.120 side of the stats that we started with today, what's 0:16:23.000 --> 0:16:26.160 tangible progress? What does it feel like, what does it 0:16:26.200 --> 0:16:28.480 look like? Maybe it's a person, maybe it's a town, 0:16:28.480 --> 0:16:31.080 maybe it's a school. You know, there were more than 0:16:31.160 --> 0:16:38.480 two hundred harmful policies legislation targeting LGBTQ people proposed this 0:16:38.600 --> 0:16:43.560 year alone in the US, and for US, we have 0:16:43.880 --> 0:16:51.000 seen success in striking those down in sharing facts, research advocacy, 0:16:51.200 --> 0:16:55.000 working to give information to people on the ground to 0:16:55.160 --> 0:16:58.320 help advocate against those bills, and we have been successful 0:16:58.560 --> 0:17:01.360 in keeping some of that harmful gislation from moving forward. 0:17:01.720 --> 0:17:04.880 It's important that we win, but it's also no matter what, 0:17:05.040 --> 0:17:08.399 it's important for trans and non binary young people to 0:17:08.680 --> 0:17:13.080 see us fighting for them. Our crisis lenes have continued 0:17:13.119 --> 0:17:16.359 to increase, and it's not necessarily because there's more youth 0:17:16.880 --> 0:17:19.400 in crisis. They have seen that, but it's that youth 0:17:19.480 --> 0:17:23.080 know where to go if they need support. And we're 0:17:23.160 --> 0:17:26.880 making sure that young people know about us and can 0:17:26.920 --> 0:17:30.520 find us easily, and we're grateful to so many partners 0:17:30.520 --> 0:17:34.679 who help make that possible. Macy's will soon be running 0:17:34.880 --> 0:17:37.360 a round up at the register. And if you think 0:17:37.400 --> 0:17:42.160 about Macy's all across this country, in all the communities 0:17:42.200 --> 0:17:45.400 that they're in, they are asking people when they are 0:17:45.440 --> 0:17:48.399 shopping if they'd like to support the Trevor Project, and 0:17:48.440 --> 0:17:53.320 they are raising awareness about LGBTQ young people and asking 0:17:53.320 --> 0:17:56.680 people to do a tangible thing to support us. Kim, 0:17:56.760 --> 0:18:00.680 what does it look like for Doctors with Borders to 0:18:00.720 --> 0:18:03.600 be successful well and what does it feel like on 0:18:03.600 --> 0:18:06.080 the ground of the communities you serve. Paint that picture 0:18:06.119 --> 0:18:09.520 for me. I'd like to share a story which really 0:18:09.560 --> 0:18:12.800 shows the impact of what we do. A young man 0:18:13.119 --> 0:18:15.920 who was critically injured in a suicide bombing in two 0:18:15.960 --> 0:18:20.240 thousand and six. He was seventeen years old and he 0:18:20.280 --> 0:18:23.040 was playing volleyball with his friends at the time when 0:18:23.080 --> 0:18:27.159 the bomber struck the players and a crowd of spectators. 0:18:27.200 --> 0:18:29.720 You say was rushed to the hospital, but he suffered 0:18:29.760 --> 0:18:35.920 severe damage to his face and he lost his sight forever. Um. 0:18:35.920 --> 0:18:39.359 He struggled for years to live with his injuries until 0:18:39.440 --> 0:18:42.760 one day he heard an advertisement for Doctors Without Borders 0:18:42.760 --> 0:18:48.480 program in neighboring Jordan's and that provides reconstructive surgery for 0:18:48.560 --> 0:18:53.680 patients with traumatic injuries from war zones throughout the region. 0:18:54.440 --> 0:18:56.840 He spoke to one of our doctors by phone, and 0:18:56.880 --> 0:19:00.159 within two weeks he was accepted into the program. It 0:19:00.280 --> 0:19:04.720 took three years of surgeries at our hospital to repair 0:19:04.960 --> 0:19:09.280 and rehabilitate the injuries to his face from his nose 0:19:09.359 --> 0:19:13.919 so he could breathe. He became an independent person again, 0:19:14.720 --> 0:19:18.480 able to take care of himself, and began to dream 0:19:18.520 --> 0:19:21.919 again about his future. He was accepted for a refugee 0:19:21.960 --> 0:19:26.119 resettlement program here in the US. He moved to Texas 0:19:27.119 --> 0:19:32.919 Inner Tire Education and has become a motivational speaker. And 0:19:33.000 --> 0:19:36.840 he really is an inspiration to us all in showing 0:19:36.880 --> 0:19:41.600 how wounds and hardships can be overcome, what our services 0:19:41.800 --> 0:19:46.040 can provide and really just change the life of one person. 0:19:59.520 --> 0:20:04.840 Your listen into a podcast called Force Multiplier, Action meets Impact. Now, 0:20:04.880 --> 0:20:08.320 I'm sure you've grown to expect ads baked into your podcast, 0:20:08.400 --> 0:20:11.879 but we're gonna do something a little different to walk 0:20:11.920 --> 0:20:15.160 the walk. We've donated our ad space to the organizations 0:20:15.200 --> 0:20:20.040 that need it, most organizations directly tackling today's greatest challenges. 0:20:20.600 --> 0:20:24.359 Be right back. The biggest threat to global health isn't 0:20:24.359 --> 0:20:29.520 a virus, it's injustice. The same scenario the ones denied 0:20:29.560 --> 0:20:33.280 life saving HIV medication to the world's poorest countries is 0:20:33.280 --> 0:20:36.760 now on repeat with access to COVID relief. We must 0:20:36.800 --> 0:20:39.080 act now to get doctors and nurses on the front 0:20:39.080 --> 0:20:42.600 lines to help they need to save lives. Join Red 0:20:42.800 --> 0:20:45.240 and learn how every dollar raised for the Global Fund 0:20:45.400 --> 0:20:48.800 results in thirty one dollars in health gains and economic returns. 0:20:49.440 --> 0:20:51.600 Visit Red dot org for the many ways your money 0:20:51.600 --> 0:20:54.200 and support can become a force multiplier in the fight 0:20:54.240 --> 0:20:58.440 against pandemics. Hey, I'm still Baritune Day, your host for 0:20:58.440 --> 0:21:00.879 Force Multiplier, but I'm checking in with you with a 0:21:00.920 --> 0:21:04.359 little different energy because if you're listening, you like the show, 0:21:04.400 --> 0:21:06.119 and if you like the show, you might like my 0:21:06.280 --> 0:21:10.000 other show, How to Citizen, where we take citizen as 0:21:10.000 --> 0:21:13.200 a verb and find out from people practicing the ways 0:21:13.280 --> 0:21:16.560 we can shape our community by showing up, investing in relationships, 0:21:16.920 --> 0:21:20.720 understanding power, and valuing our collective selves. Check it out 0:21:20.760 --> 0:21:23.840 at how to citizen dot com or wherever you get 0:21:23.880 --> 0:21:35.840 your podcast. Both of your organizations, you have these frontline 0:21:35.880 --> 0:21:41.479 workers who are directly interfacing with some of our worst nature. 0:21:42.440 --> 0:21:45.760 You know, they're seeing people after their bomb has blown 0:21:46.000 --> 0:21:49.840 parts of their body off. They are walking children through 0:21:50.400 --> 0:21:54.280 the reminder that their lives have value and are worth continuing. 0:21:55.000 --> 0:21:59.520 So how do your staffs manage their own mental health? 0:22:00.119 --> 0:22:03.560 What are you all doing internally to stay centered, you know, 0:22:03.640 --> 0:22:06.520 and to stay hopeful and even to stay effective and 0:22:06.560 --> 0:22:09.600 functional given the weight of so many parts of the 0:22:09.640 --> 0:22:12.400 world that you carry. I think this is such an 0:22:12.440 --> 0:22:17.560 important thing to highlight, and as a mental health organization, 0:22:18.640 --> 0:22:22.680 I believe and say this all the time. My first 0:22:22.720 --> 0:22:26.040 goal is to have a happy and a healthy team, 0:22:26.080 --> 0:22:29.640 and I think wellness starts with me. I think that 0:22:29.680 --> 0:22:32.879 as a leader, I have to be an example of 0:22:32.920 --> 0:22:36.000 the expectations that I'm setting for the team and taking 0:22:36.040 --> 0:22:39.960 care of themselves and in enjoying their life outside of work. 0:22:40.600 --> 0:22:45.000 I talk openly that my family comes first, and I 0:22:45.080 --> 0:22:48.560 expect you all to do the same for everything important 0:22:48.560 --> 0:22:51.919 in your life. We want to reinforce a culture of 0:22:51.960 --> 0:22:55.760 self care and mental wellness, so we have pivoted to 0:22:56.000 --> 0:23:00.760 remote work. Trevor is a remote first organization. Our staff 0:23:00.800 --> 0:23:04.920 can live anywhere across the country. We've ensured that stafford 0:23:04.920 --> 0:23:09.160 afforded additional paid time off for COVID related illness. It's 0:23:09.160 --> 0:23:13.159 a continual conversation we're having about our commitment to supporting 0:23:13.160 --> 0:23:17.280 our staff and living their best lives outside of work. 0:23:17.320 --> 0:23:21.639 As well and supporting them through this critical work. Okay, 0:23:21.640 --> 0:23:24.000 that sounds like a great place to work. Doctors without borders. 0:23:24.000 --> 0:23:25.960 You're up. How are you going to top that? Are you? 0:23:26.000 --> 0:23:30.640 What are you all doing well? Actually, it's twofold. If 0:23:30.680 --> 0:23:34.200 we look at the international staff, the folks that are 0:23:34.240 --> 0:23:38.200 going into these emergency situations, and you know, burnout can 0:23:38.280 --> 0:23:43.520 happen really quickly. They're prepared with really understanding on their 0:23:43.560 --> 0:23:47.760 first assignment. There's a lot of briefings done about falling 0:23:47.880 --> 0:23:51.720 prey to those common risks to mental health because it 0:23:51.760 --> 0:23:55.119 can happen very quickly. In the field, we talk about 0:23:55.160 --> 0:23:58.639 the stresses people are going to encounter. We have something 0:23:58.680 --> 0:24:03.640 called psychosocial care, which is integrated into their support that 0:24:03.680 --> 0:24:08.480 we provide the staff. We also have peer support networks 0:24:08.520 --> 0:24:14.560 that help people process their experiences after they've completed those assignments, 0:24:14.600 --> 0:24:18.840 and those are really it's not just a one off conversation. 0:24:19.359 --> 0:24:24.040 Those are intense to three weeks a month long conversations 0:24:24.080 --> 0:24:28.760 about what they've experienced, what they've seen, and just how 0:24:28.800 --> 0:24:32.800 they're feeling about it, which is incredibly important. Here's a 0:24:32.880 --> 0:24:36.359 quick round for both of you. How's recruiting going. What 0:24:36.400 --> 0:24:41.119 are you actually experiencing in terms of volunteers and staff. Yeah, 0:24:41.160 --> 0:24:45.040 we're continuing to see an increase in our volunteers. We've 0:24:45.080 --> 0:24:49.359 grown to more than seventeen hundred active volunteers and they 0:24:49.640 --> 0:24:53.680 go through forty hours of training that really prepares them 0:24:54.160 --> 0:24:57.040 to be on the crisis lines and to be connecting 0:24:57.040 --> 0:25:01.120 with youth on phone, chat or text. And then we 0:25:01.200 --> 0:25:05.840 are continually recruiting for our growing team at Trevor and 0:25:05.880 --> 0:25:09.600 have seen lots of folks really wanting to be part 0:25:09.640 --> 0:25:13.159 of this organization and we're excited to see that it 0:25:13.240 --> 0:25:17.439 has created the most brilliant team I have ever gotten 0:25:17.480 --> 0:25:20.719 to work with in my career and it's really just 0:25:20.800 --> 0:25:24.800 such a gift. So in terms of Doctors without Borders, 0:25:24.960 --> 0:25:27.920 we're in a really good position that there's no lack 0:25:28.000 --> 0:25:30.960 of interests of wanting to work with us internationally or 0:25:31.000 --> 0:25:34.640 for doctors without Borders. Last year, you know, we received 0:25:34.640 --> 0:25:37.760 an average of sixty four applications per month. This is 0:25:37.880 --> 0:25:41.720 medical staff. And this year we see the impact of 0:25:41.760 --> 0:25:45.640 the Ukraine crisis for example, where in March we received 0:25:45.640 --> 0:25:49.359 two hundred and twenty applications. As you know, this is 0:25:49.480 --> 0:25:52.399 really a difficult time, but there's still a lot of 0:25:52.440 --> 0:25:58.600 interest and it just continues. Luckily, Amanda, You've already shared 0:25:59.760 --> 0:26:03.399 some about you know, the impact on an l g 0:26:03.560 --> 0:26:06.560 b t Q plus youth of the stories around them. 0:26:06.720 --> 0:26:09.480 You know, about their belonging, about their value, about their worth. 0:26:10.080 --> 0:26:15.000 And I'm curious your take on media representation in this moment. 0:26:15.560 --> 0:26:18.880 Are we doing better? Are we getting it more right, 0:26:19.440 --> 0:26:24.480 telling factual stories that represent this community? And if not, 0:26:24.680 --> 0:26:26.760 you know, what more do you want to see? You know, 0:26:26.960 --> 0:26:30.960 lgbt Q representation in the media is just essential for 0:26:31.040 --> 0:26:35.040 young people. Over eighty percent of youth have told us 0:26:35.080 --> 0:26:40.560 that celebrities who are lgbt Q has positively impacted how 0:26:40.680 --> 0:26:45.800 they feel about being lgbt Q. And when young people 0:26:45.840 --> 0:26:48.520 see their identities and their experiences represented in the media 0:26:48.600 --> 0:26:52.800 and pop culture, it brings them hope and joy and 0:26:52.840 --> 0:26:58.720 strength and lets them envision a bright future for themselves. 0:26:59.400 --> 0:27:03.560 And it all so can foster empathy and acceptance among 0:27:03.600 --> 0:27:08.000 people who are outside the LGBTQ community. There has been 0:27:08.040 --> 0:27:12.560 such a promising increase in TV and shows representing our 0:27:12.640 --> 0:27:18.479 beautiful diversity in LGBTQ identities, and with most things, you know, 0:27:18.600 --> 0:27:21.159 there is always room for improvement. There is room for 0:27:21.240 --> 0:27:25.520 more growth. There is room for more diverse representation. But 0:27:25.920 --> 0:27:27.879 we feel that the news media in particular has been 0:27:27.920 --> 0:27:32.040 really good about covering lgbt Q experiences, reporting on mental 0:27:32.040 --> 0:27:37.320