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.