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The Mental Health Crisis is Solvable

The Mental Health Crisis is Solvable

Released Wednesday, 25th December 2019
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The Mental Health Crisis is Solvable

The Mental Health Crisis is Solvable

The Mental Health Crisis is Solvable

The Mental Health Crisis is Solvable

Wednesday, 25th December 2019
Good episode? Give it some love!
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Episode Transcript

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0:15

Pushkin. I'm

0:18

a Higgins and this is Solvable Interviews

0:21

with the world's most innovative thinkers working

0:23

to solve the world's biggest problems.

0:27

My name is Dixon Shibanda and my solvable

0:30

is breaking the wall of depression by

0:32

training grandmothers all over

0:34

the world in basic cognitive

0:37

behavioral therapy so they

0:39

can provide care in their

0:41

communities. Dixon

0:44

Shabanda is an associate professor

0:46

at the University of Zimbabwe and

0:49

he's the director of the African Mental

0:51

Health Research Initiative. He's

0:53

also one of only sixteen psychiatrists

0:56

in the whole of Zimbabwe. Now that

0:58

country has a population of thirteen million

1:00

people. So Dixon Shabandah

1:03

created the Friendship Bench that's

1:05

a place for people to seek and access

1:07

therapy for mental healths. These

1:10

friendship benches are run by women

1:12

in the community. They're fondly referred

1:15

to as grandmothers, and their work

1:17

is proving hugely successful. It's

1:19

even beginning to catch on around the world

1:22

with a bench popping up here in New York

1:24

and also throughout Kenya. We

1:26

certainly need solvables like this

1:29

because mental health is a global

1:31

issue today and estimated

1:33

three hundred and twenty two million people

1:35

around the world live with depression,

1:38

and the majority of those people are in

1:41

non Western nations. Now,

1:43

mental health is fundamental to

1:45

our collective and our individual

1:48

ability as humans to

1:50

think, to experience emotions,

1:53

to interact with each other, to earn

1:55

a living, and really just to enjoy

1:57

life. In low income countries

2:00

likes and bad Way, where seventy two percent

2:02

of the population live below the

2:04

poverty line, you can imagine

2:06

that getting access to really any

2:08

form of mental health therapy, it's

2:10

not only difficult, it's nearly impossible.

2:13

But that's changing thanks to

2:16

today's guest Dicks in Shabandah. You'll

2:18

hear how in this conversation with

2:20

Jacob Weisberg, I wanted to

2:22

ask you what brought you to

2:24

this problem? Well, the

2:26

problem that I experienced,

2:29

you know, as a junior psychiatrist in

2:31

Zimbabwe, where I first started

2:34

my work was just you

2:36

know, quite huge, you know, just the sheer

2:39

amount of work and the need

2:41

for professionals. And I realized

2:44

from a very early stage that

2:46

working from a hospital which

2:49

just wasn't going to enable

2:51

me to reach out to the thousands

2:53

of people that needed care, particularly for

2:55

depression. And when I lost

2:57

a client of mine Erica

3:00

through suicide, I realized

3:03

the need to actually take

3:06

mental health to the community, and

3:08

this is how this whole concept of

3:10

working with grandmothers started.

3:13

You know, a need to take evidence based

3:15

mental health to the community and

3:17

not just provided within health

3:20

facilities or clinics. It's been a

3:22

real struggle in this country, and I'm sure

3:24

there's a different version of it Zimbabwe

3:27

that you live through. But to put mental

3:29

health on a par with physical

3:31

health, people who will readily concede

3:34

that everyone should have access to healthcare

3:37

sometimes think that mental healthcare

3:39

is secondary or a luxury of some kind.

3:42

Yeah, that is unfortunately a problem

3:45

which is a global problem.

3:48

A lot of people do not realize that

3:50

by sidelining mental health you

3:53

inevitably have challenges in

3:56

addressing the physical health

3:58

issues because coal morbidity

4:01

is kind of the norm in a lot of chronic diseases.

4:04

If you think of things like hypotension or

4:06

diabetes, you know a lot of people

4:08

who from these chronic diseases

4:11

do have core morbid mental health

4:13

issues. And when you tackle just

4:15

the physical and not tackle the

4:17

mental health or the emotional well being

4:19

or a person, you actually

4:22

do not improve the outcomes or the physical

4:24

aspect as well. So it's very important

4:26

to have a very holistic approach. This is

4:28

what the work that I do is all about. You know,

4:30

it's not really just about mental health,

4:33

but it's ensuring that mental health

4:35

results in improved outcomes

4:38

of other conditions that people may have

4:40

and functionality, for instance,

4:43

the number of people who struggle in the

4:45

workplace as a result of mental health issues.

4:47

You know. Again, if you address the mental health

4:49

issues, you improve people's functionality.

4:52

Organizations function better, companies

4:54

produce better results, you know. So it's

4:57

kind of endless if you think of the

4:59

link of mental health with the challenges

5:01

that are out there that the world is trying to address.

5:04

What type of mental and emotional issues

5:07

are you dealing with? How serious? So

5:09

when we first started, our focus was on

5:12

what we call common mental disorders, which

5:14

in essence include things like

5:16

depression anxiety disorders PDSD.

5:20

And we use an algorithm to

5:23

enable us to determine the

5:25

severity of the symptoms that a person

5:27

presents with. And so if

5:29

someone is, for instance, a red flag,

5:32

someone is for instance, suicidal,

5:35

the grandmothers on the bench will refer that

5:37

person to the next level. So

5:39

we have these algorithms that enable

5:42

us to address the needs of pretty

5:44

much everyone who comes to the bench, either

5:46

directly on the bench or by referring

5:48

them to the next level, depending on what

5:51

it is they present with, Jackson,

5:53

How did you come up with this idea of the

5:55

bench? So when I

5:57

first made the decision to introduce

6:00

something at community level, a lot

6:02

had been happening in my country. In

6:04

two thousand and five, the

6:06

country went through a lot of

6:08

social or economic upheavals, and

6:11

it was against the background of these

6:14

upheavals that a need

6:16

to introduce something at community level

6:19

came. And unfortunately, because

6:22

there were no psychiatrists

6:25

or doctors available, I

6:28

was instructed to try and come up with a

6:30

solution using community

6:33

grandmothers. And because

6:35

we couldn't use any of the buildings, we

6:37

were also told, well, try and come up with

6:39

something outside of the building. So it

6:42

was really more of necessity, you know, and

6:44

through an iterative process with

6:46

the grandmothers, we eventually

6:49

came up with the idea of actually delivering

6:51

therapy on a bench. It was really

6:54

necessitated by the fact that there was nothing,

6:56

absolutely nothing, and so all

6:58

I had with these grandmothers and

7:01

the idea of doing something on a bench. So,

7:03

Dickson, you've seen the effectiveness of the

7:06

friendship bench. Can you give us an example.

7:08

Sure, let me give you an example of Derek.

7:11

Derek was a young man who

7:14

was employed in the tea

7:16

industry in Zimbabwe and

7:19

he was referred to the friendship

7:21

bench after a third

7:24

unsuccessful attempt to

7:26

kill himself. And this

7:28

was the first time really he had

7:30

the opportunity to tell his

7:32

story. And when

7:35

the grandmother invited him

7:37

to share his story, he

7:40

suddenly had this overwhelming

7:42

sense of relief

7:45

because he could really then share

7:47

his story with the grandmother and that was,

7:49

in essence, the beginning of

7:51

his healing. Often it's

7:53

simply about letting people share

7:56

their stories. And after

7:58

he shared his story, the grandmother

8:01

worked through and enabled

8:03

him to prioritize the things

8:05

that needed to be done in order to

8:08

help him through the challenges

8:10

that he was facing. See,

8:12

Derek was living with HIV and

8:15

he was struggling to get his medication.

8:17

He was struggling to come to terms with

8:19

being HIV positive. And

8:21

that was his story. And today Derek

8:24

is still functional and he's

8:27

kept his job. Yeah,

8:30

that is a great story. The grandmothers

8:32

can't prescribe drugs. I'm assuming

8:34

what do they do with patients

8:37

who are in need of some medical

8:39

and intervention. Well, they refer

8:42

so as I said earlier on, we have this

8:44

algorithm and based on the

8:46

severity of symptoms that a client

8:49

presents with, they will

8:52

then refer to the next level,

8:54

and the next level will establish

8:56

whether there's need for medication. If there's

8:58

need for medication, the clinic

9:01

nurse will prescribe the medication,

9:03

not the grandmother or the psychiatrist

9:06

will prescribe the medication. So

9:08

the entry point into Friendship

9:10

Bench is a screening of

9:13

basic symptoms for common

9:16

mental disorders. For instance, the questionnaire

9:18

will include questions related to

9:20

sleep. You know, how have you been sleeping in the

9:22

last week, and have you found it

9:24

difficult to cope in the last week?

9:26

Have you found yourself feeling tearful

9:29

in the last week? Have you had thoughts

9:32

of ending your life? Those

9:34

kind of questions, And depending on the number

9:36

of yes responses that the grandmother

9:39

gets, she will then know

9:41

where to place a client.

9:44

You know, whether this is a client that

9:46

should receive the full Friendship Bench

9:49

or they should immediately be referred because

9:51

it's a red flag, So we

9:53

try to use those categories to ensure

9:56

that we really don't cause

9:58

any harm to anyone through this intervention.

10:01

So it's really an essence as stepped care kind

10:03

of approach to addressing

10:06

the treatment gap with a bulk of

10:08

the client and so are taken care of by

10:10

grandmothers and those that they

10:12

can't help go to the

10:14

next level. Dickson, you said it's evidence

10:16

based. What is the evidence that you have

10:18

about how the effectiveness

10:21

of this compares to other

10:23

more conventional forms of initial

10:25

treatment. Yeah, that's a great question,

10:27

you know. So in the world of research,

10:30

the gold standard for

10:33

effectiveness is what we call

10:35

the the randomized trial,

10:38

and so we carried out a cluster

10:40

randomized controlled trial of

10:42

the Friendship Bench, which is actually

10:45

published in the Journal of the American Medical

10:47

Association. And in

10:49

this cluster randomized controlled trial,

10:52

we had twenty four clinics

10:54

that we're randomized into intervention

10:57

arm, which was the Friendship bench or

11:00

usual care, which essentially

11:02

is being seen by a clinic nurse

11:05

or a psychiatrist or receiving

11:09

rozac for depression. So that was

11:11

one arm and we compared the

11:13

primary outcome was HQ nine,

11:15

which is a measure for depression

11:18

symptoms, and we followed our clients

11:20

over a six month period and

11:23

after six months, our results

11:25

showed that grandmothers were

11:28

statistically much

11:30

better than usual care,

11:32

which include nurses and psychiatrists

11:35

in alleviating symptoms of depression

11:38

on the bench, you know, and so that

11:41

evidence is published, it's

11:43

out there and people can look at it.

11:45

But not only that, we have well over fifty

11:48

peer reviewed publications about

11:50

the Friendship Bench, how it works and why

11:53

it works, both quantitative publications

11:56

and qualitative publications which

11:58

describe, you know, the process, which

12:00

describe the experience of both the grandmothers

12:03

and the experience of the clients.

12:05

So the evidence is quite rigorous

12:07

that we have managed to together and

12:09

publish over the past couple of years. There's

12:12

often stigma attached to depression,

12:15

and the stigma is different in different

12:17

cultures. What's it like in Zimbabwe

12:20

and how do you deal with that? So

12:23

there's no difference in Zimbabwe

12:25

with regards to stigma attached

12:27

to different forms of mental illness.

12:30

But the way we've dealt with it on

12:32

the Friendship Bench is we have

12:35

avoided the medicalization

12:38

or the use of clinical

12:41

terms to describe

12:43

clients that come to the bench. The

12:46

first thing that we emphasize on the Friendship

12:48

bench, for instance, is the

12:50

desire for our team to

12:52

improve a person's quality of life,

12:55

and we do not refer to clients

12:57

based on their diagnosis. And

13:00

the other thing is we use local

13:03

indigenous terms to describe

13:06

what they're going through, like for instance,

13:08

we would never use the word depression. The

13:11

term that is used on the Friendship

13:13

bench in my language is kufungi

13:15

sisa, which literally means thinking

13:18

too much, and that often

13:20

resonates with people when it comes to depression.

13:23

When you think of the actual intervention

13:25

itself on the bench, the different

13:28

sessions we use language again

13:31

which resonates with the community. We

13:33

talk about kuvurap funga, which

13:35

literally means opening up the mind.

13:38

We talk about kusimud zera,

13:40

which literally means uplifting, and

13:42

then we talk about kusimbisa, which

13:45

is strengthening. You know, none of those

13:47

terms are medical in whatever

13:49

way you look at them, but they

13:51

are very powerful and communities

13:54

resonate with those words. They can identify

13:56

with kuvapunga or

13:58

opening up of the mind, because that's really

14:01

what people want when they present their story.

14:03

They want to open up their minds so they

14:05

can see how through that story they

14:08

can get healing. Through that story,

14:10

they can get a sense of direction in terms

14:12

of what needs to happen in their lives.

14:15

And again, if you look at New York City,

14:17

they are pretty much doing the same thing. They are not

14:20

labeling people, they are creating

14:22

an opportunity for people to tell their

14:24

stories. That's wonderful. And

14:26

do you think that would apply as

14:28

well in the developed world or

14:30

is there something about traditional

14:32

culture of the kind you were operating

14:34

in a Zimbabwe and the role of grandmothers

14:37

there that makes it specially effective.

14:40

I think it would apply in the developed world

14:43

as well. What we've learned from Friendship

14:45

Bench is that grandmothers are the custodians

14:48

of local culture and

14:50

wisdom, and using

14:52

grandmothers in any culture is

14:54

a great way of connecting

14:57

people and really addressing

14:59

some of the issues around,

15:02

for instance, loneliness. You

15:04

know, so, I think, as I said earlier on,

15:06

this model works and it's

15:09

kind of universal. I think from what we're

15:11

seeing in terms of, you know, the different places

15:13

in the world that are using

15:16

Friendship Bench. I also wonder, Dickson,

15:19

is there something about doing

15:21

this therapy out of doors as

15:23

opposed to in a closed room. That

15:25

makes a difference to the patients. See

15:28

from the feedback that we get from patients

15:30

doing this kind of therapy, Outdoors almost

15:33

kind of takes away the stigma

15:35

that is associated with being

15:38

indoors and seeing a therapist

15:40

who is formally dressed or a psychiatrist.

15:43

In fact, the name itself, you know, the

15:45

Friendship Bench, just takes away

15:48

the stigma. When we first started,

15:50

you know, we actually called it the mental health

15:53

bench. And guess what, no one

15:55

wanted to come to the mental health bench and

15:58

the grandmothers, the grandmothers advised

16:01

that I changed the name, change

16:03

the name to Friendship Bench, because that's what really

16:05

was happening. Yet, this was about creating

16:08

friendship through stories. And when we change

16:10

the name, you know, again it's

16:13

it took away that that clinical aspect

16:15

or clinical connotations,

16:18

and it just became a lot more

16:20

acceptable. I think that one of the

16:23

powers of Friendship Bench, whether you look at Friendship

16:25

Bench in New York City, it's it's that it's outdoors,

16:27

which gives people that freedom to express

16:30

themselves. What's it like for the grandmothers?

16:32

First of all, do they get paid and

16:35

second of all, do they all take

16:37

to it in the same way. I mean, I imagine that

16:39

this is the kind of work that is on the

16:41

one hand, very fulfilling, but on the other

16:43

hand, very difficult, including

16:46

emotionally. For that. Yeah, it

16:48

was one of our concerns,

16:50

you know, a few years ago and a colleague

16:52

of mine, Ruth, who is a

16:54

clinical psychologist working on the friendship

16:57

bench, she actually took

16:59

it upon herself to try

17:01

and look into how

17:04

the grandmothers, you know, we're

17:06

coping with doing all these work. So that was

17:08

really her PhD topic

17:10

to really look into how

17:13

the grandmothers were managing to do all

17:15

this. Our hypothesis was, you know,

17:17

we're probably going to see a lot of these

17:19

grandmothers stressed, burned

17:21

out, and they will they will themselves

17:23

have very high rates of common mental

17:26

disorders. But surprisingly,

17:28

out of a random sample of

17:30

hundreds of grandmothers, we found

17:33

that the actual rates

17:35

of common mental disorders amongst

17:37

the grandmothers who were working on the friendship

17:39

bench who was much lower than

17:42

the community of people who were not

17:44

working on the friendship bench. And

17:47

we then went deeper into it to find

17:49

out how this was possible,

17:52

and the themes that kept emerging

17:54

from their grandmothers, you know, had a lot to

17:57

do with altruism. Working

17:59

on the bench for the grandmothers in their

18:01

communities gave them

18:03

a sense of purpose and

18:05

over the years that sense of purpose,

18:08

you know, resulted in mastery

18:11

of a skill to really empower

18:13

others in the community and help others in the

18:15

community. And it also gave the grandmothers

18:18

a sense of autonomy which is very

18:20

empowering. So in essence,

18:22

the grandmothers are benefiting

18:25

from this work while they help

18:27

people. And are

18:29

they paid and does that matter? So

18:32

they do get an allowance from

18:34

the city Health Department. I must say

18:36

recently, the government of

18:39

Zimbabwe this year finally after

18:41

a long time, it decided

18:43

to endorse Friendship Bench

18:46

as a national program which

18:48

is now integrated in the health

18:51

system of the country. So

18:53

they do get an allowance. But we also get a

18:55

lot of people who do Friendship Bench for

18:57

free, who volunteer. For

18:59

instance, we've taken Friendship Bench to schools.

19:02

As you know, mental health issues are

19:04

quite topical with young

19:07

people. In fact, young people at the most affected

19:10

by depression. If you look at some of the statistics

19:12

coming out of the world Health organization,

19:15

and so we've been taking Friendship Bench to universities

19:18

where we're introducing a peer

19:21

driven Friendship bench where

19:23

university students are trained to sit

19:26

on the bench to provide the service to

19:28

other students because Zimbabwe

19:30

has one of the highest suicide

19:32

rates in that part of Africa, and

19:34

so we see this as an effective intervention

19:37

where young people are reaching out to

19:40

provide support to other

19:42

young people. And again it's

19:44

all rooted in storytelling. You

19:47

referred a little obliquely to

19:50

what's happened in Zimbabwe, but obviously

19:52

you have this devastating

19:55

combination of long term

19:57

political repression with

20:00

economic collapse. Has

20:02

that produced special circumstances

20:05

or a larger number of people

20:07

in need of this kind of cognitive

20:10

therapy. So, while Zimbabwe

20:13

is unique in the sense that it has

20:15

a lot of problems, when

20:18

you look at the global

20:20

burden of common

20:23

mental disorders, it's not unique

20:26

to Zimbabwe. The whole world

20:28

is desperately in need of

20:30

evidence based interventions

20:33

such as Friendship Bench that really

20:36

seek to narrow or reduce

20:38

the treatment gap for these conditions

20:40

so that everyone everywhere has access

20:43

to this much needed help. So,

20:45

yes, Zimbabwe has a whole lot of

20:48

challenges. I mean historically, you

20:50

know, if you look at Zimbabwe, it's a country

20:52

that is characterized by several

20:54

generations of trauma. When

20:57

you think of the

21:00

right in the eighteenth century, the Pioneer

21:02

Column, and then you had the Rhodesian Bush

21:04

War, and then you had

21:07

the massacre of more than twenty thousand

21:09

debility speaking people. You know, the farm

21:11

invasions where white folks were kicked

21:14

off their farms and a lot of them killed.

21:16

It's just a history of tragedy and

21:19

with that history comes

21:22

a need for healing. And

21:24

I see the Friendship Bench as

21:27

a platform providing

21:29

an opportunity for healing, not

21:32

only for Zimbabwe, but for the world.

21:34

And as I said earlier on, people

21:37

thrive through storytelling, and we

21:40

all have a story to tell. And

21:42

if we can leverage

21:45

our ability to use

21:47

these stories to facilitate

21:51

healing, I believe that we could

21:53

be moving in a direction where the

21:56

world becomes a better place for all of us.

21:58

And so, in a small way, that's what I believe

22:01

in, you know, and that's why I keep carrying on

22:03

doing this work on Friendship Bench. It's not

22:05

just about mental health, it's about the big picture

22:08

takes a news say in a small way, but not

22:10

that small anymore. What's the scale

22:12

of friendship Bench now

22:15

in Zimbabwe and then everywhere

22:17

else? So in Zimbabwe

22:19

we are seeing thousands of people every

22:22

month. I mean in the last two years we reached

22:24

out to over sixty

22:26

thousand people, and

22:28

we don't have accurate figures for places

22:31

like Malawi, Zanzibar and

22:33

Kenya where we've recently introduced.

22:36

What we do know is friendship Bench New

22:39

York City in the Bronx and Harlem

22:41

is doing extremely well and they managed

22:43

to reach out to over eighty thousand

22:46

people a year ago, and

22:48

so I guess the numbers

22:50

are growing exponentially. But what I

22:53

really would like to see is a situation

22:55

where friendship Bench is reaching

22:57

out to millions of people across

23:00

the world and also

23:03

friendship Bench being recognized as a

23:05

platform that really can

23:07

enable people to open up

23:10

and tell their stories in

23:13

a safe environment, telling

23:15

their stories so that we have healing.

23:18

It's clear the idea of spreading around

23:20

the world, But what's next for the bench

23:23

as a project. So as

23:26

a project, we are now really looking

23:28

at how we can reach

23:30

our first million clients,

23:33

not just you know, in Zimbabwe, but in

23:36

the different parts of the world where we've introduced

23:38

friendship Bench. We are about

23:40

to introduce friendship Bench in Rwanda,

23:44

we are planning to go to Liberia,

23:46

you know, we've just started in Kenya.

23:49

And so what we're really working on

23:51

is how to bring on

23:53

board a digital component

23:56

to enhance the work that the Grandmothers

23:58

are doing because now we're really dealing

24:00

with big data, and with big

24:03

data, we need to really look

24:05

at how best we can learn from the

24:08

data that is being collected. How can we

24:10

improve friendship Bench. How can

24:12

friendship Bench continue to serve communities,

24:15

How can friendship Bench continue to improve

24:17

lives across the world. So that's

24:19

really our next big challenge. And for

24:21

all of that, obviously we need

24:24

support and we are we are

24:26

looking for partners who can help us to

24:29

really reach every corner

24:31

of the world and make mental

24:33

health, you know, evidence based mental health accessible

24:36

for all. Well, that brings me to the last question

24:38

I always like to ask, which is how can

24:40

listeners advance this?

24:43

How can they get involved? How can they help?

24:46

If you want to help friendship Bench,

24:48

people can do is really

24:50

within themselves in their communities,

24:53

try to create space for healing.

24:56

The world today is

24:58

facing numerous

25:01

challenges, numerous problems. You know, on the

25:03

one hand, we have all these

25:05

technological developments. You know,

25:08

we've done so well technologically

25:10

as a human race, but

25:12

when you look at relationships,

25:14

it's going the other direction. And

25:17

one simple thing that we could all do is

25:20

try to create space for healing

25:22

in our communities. Try

25:25

to create space to listen

25:27

to the stories that our

25:29

neighbors have, the people in our neighborhood

25:32

have, people in our communities.

25:35

You don't have to be a psychiatrist or a

25:37

clinical psychologist to make a difference

25:39

in your community. You simply have

25:41

to be able to give space

25:43

for people to share their stories and you

25:45

have to listen, and that in

25:48

itself is very very powerful.

25:50

And of course, as Friendship Bench,

25:53

we want to take Friendship Bench to every

25:55

corner of the world, and so we're very

25:57

happy to work with people to collaborate

25:59

with people who feel that

26:01

a Friendship Bench in their community or

26:03

in their organization could help

26:06

address mental health challenges

26:08

or just generally improve the quality

26:11

of life and make the world a bit of

26:13

place. Dixon Shabanda, thanks

26:15

for joining us Unsolvable Pleasure.

26:17

Thank you for having me. Wow

26:20

Schka Saszina, he's a director

26:23

of the Department of Mental Health and Substance

26:25

Abuse at the World Health Organization

26:28

said, when it comes to mental health,

26:31

we are all developing countries,

26:33

and that really stayed with me. And

26:35

I think that this episode has

26:38

been such a fitting last episode

26:40

of this season of Solvable because

26:43

communicating, talking, sharing,

26:46

these are all proven to potentially

26:48

keep hopelessness at bay.

26:51

And it's been such a privilege for me

26:53

and I hope for you too to hear from

26:56

all of our guests, each one

26:58

of them a leading thinker, a leading

27:00

doer, each one of them with their own

27:03

Solvable and each one of them taking

27:05

actions every day to solve

27:07

the world's biggest problems. Thank

27:10

you so much to them, and thank you

27:12

too to our brilliant presenters over

27:15

this series, Jacob Weisberg,

27:17

Malcolm Gladwell, Ann Applebaum

27:19

and Ahmed Ali Akbar. And

27:22

remember you can hear all thirty

27:24

episodes wherever you get your podcasts,

27:27

and you can learn more about solving

27:29

today's biggest problems at

27:31

Rockefeller Foundation dot org

27:34

slash Solvable. We

27:36

will be back with more inspiring conversations

27:39

with brilliant problem solvers in

27:41

twenty twenty. I'm May Higgins,

27:44

Now go Solve It. Solvable

27:49

is a collaboration between Pushkin Industries

27:51

and the Rockefeller Foundation. Produced

27:54

by Laura Hyde, Hester Kant, Laura

27:56

Sheeter, and Ruth Barnes of

27:58

Talk and Blade. Pushkin's executive

28:01

producer is Neil la Belle. Engineering

28:04

by Jason Gambrell and the great folks

28:06

at GSI Studios. Research

28:09

by cher Vincent, original music

28:11

composed by Pascal Wise, and

28:13

special thanks to everybody at Pushkin,

28:16

including Maya Kanig, Maggie

28:18

Taylor, Heather Faine, Julia Barton

28:21

and Carlie Migliori, and

28:23

to Christine Heenan, Rachel Roberts,

28:26

Sierra Remersheed, and Rajiv

28:28

Shah at the Rockefeller Foundation for

28:31

making this series possible.

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