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Joe Bargione - Youth Mental Health

Joe Bargione - Youth Mental Health

Renee speaks with Dr. Joe Bargione, a retired school psychologist with Jefferson County Public Schools, about toxic stress, trauma, suicide prevention, and other youth mental health issues. He is part of a school safety working group joining Kentucky legislators and other advocates.
S14 E4 Length 28:57 Premiere: 9.28.18

Helping Kentucky’s Youth with Mental Health Problems

According to the U.S. Centers for Disease Control and Prevention, nearly 15 percent of Kentucky high school students have seriously considered committing suicide in the past year.

That means tens of thousands of the state’s youth thought about ending their lives before they even reached graduation.

“So what we need to be thinking about [is] how do we support those young people and get them access to services to ensure that they don’t think about suicide again,” says Dr. Joe Bargione, a retired school psychologist with Jefferson County Public Schools.

Bargione appeared on KET’s Connections to discuss suicide and suicide prevention strategies as well as other youth mental health issues.

Risk Factors for Suicide and Other Mental Health Problems
While the risk of suicide cuts across all demographics, the CDC reports a significant rise in recent years in the suicide rate among students as young as 10 years old. Suicide is also the second leading cause of death among youth and young adults.

Bargione attributes the increase to teens feeling unable to cope with greater demands at home and school. They may also face what are called “adverse childhood experiences,” such as abuse and neglect at home, food insecurity or homelessness, bullying, or exposure to violence in their communities. He says many teens often feel like they have no one to turn to for help when they face these situations.

Students may also suffer from anxiety or toxic stress, which occurs when a young person endures prolonged exposure to a threatening situation.

“Anxiety may be situation-specific,” says Bargione. “For example, I might have a fear of tests, but then the rest of the day or the rest of the week I’m OK. But with toxic stress, you never get away from it.”

To move from emotional distress to a crisis point like considering suicide usually takes a triggering event. Bargione says for young people such events can include the death of a loved one, a relationship break-up, or being rejected for a college admission.

There are signs that indicate a young person may be thinking about suicide. Bargione suggests watching for behavior changes, like sleeping too little or too much, or a sudden change in academic performance. The child may also isolate themselves from friends and family, stop participating in favorite activities, or they may give away prized possessions.

“If we can just recognize those signs,” Bargione says, “then we can intervene earlier.”

Asking a Simple Question
Bargione says a positive relationship with an adult is the top factor that can help a child who may be thinking about suicide. Such a relationship can make the child feel cared about, provide them someone they feel comfortable talking to, and can create a sense of connection and belonging.

“So with the overwhelming number of children in Kentucky, that’s mom, dad, grandma, and granddad,” Bargione says. “But there’s a bunch of young people where the parents, for whatever reason, they’re not able to be that positive adult, and that’s where the rest of us around the state have to step in.”

That could be a family friend or neighbor, someone at church, or a teacher, bus driver or lunchroom worker at school. Legislation passed by the General Assembly earlier this year requires all Kentucky middle and high school teachers and administrators to receive one hour of suicide prevention training every other year.

But since there are relatively few teachers and school counselors compared to the 650,000 public school students in Kentucky, Bargione says important for all adults to learn how to intervene with children at risk of harming themselves. One such program is QPR, which stands for question, persuade, and refer. The 90-minute training teaches people to recognize a child who is distress and to ask them a simple but very important question.

“Are you thinking about suicide?” says Bargione. “You must ask the question, and be direct and be empathic.”

The next step is to connect the child with the appropriate professional resources in their school or in the community who can evaluate their situation and get them the help that they need. A number of mental health organizations offer QPR training in Kentucky. In September alone, more than 2,200 people received QPR training in Louisville, according to Bargione.

A New Response to Inappropriate Behavior
An increasing number of schools are taking a trauma-informed approach to responding to children with behavioral or mental health issues. This technique encourages teachers, administrators, and staff to discern and respond to traumatic factors that may drive a child’s inappropriate behavior at school.

Bargione says Instead of simply disciplining a student for acting out in the classroom, the adult would first try to learn the backstory to the behavior. Is the child experiencing abuse or neglect at home, or the threat of crime and violence in their neighborhood, for example.

“I may have to be physically aggressive towards others to survive,” Bargione says. “But then when we display that same behavior in an organized setting such as a school or like an afterschool program, that’s an inappropriate behavior. So the young people have problems shifting from that.”

The impacts of such trauma can go far beyond short-term behavioral issues or thoughts of suicide. Bargione says sustained exposure to adverse experiences in childhood can lead to lifelong health problems, including anxiety, depression, substance abuse, diabetes, chronic pulmonary disease, and cancer.

“If you can take care of those traumatic events, not only are you helping that young person right now, but you’re also avoiding some of those long-term health implications,” he says. “So the person can live longer, they’re going to have healthier lives, they’re going to have better relationships with people around them.”

Bargione says the trauma-informed approach gives schools an option beyond discipline to help troubled students correct behavior issues and restore crucial relationships. He says it’s also important to teach children how to be resilient in the face of life challenges as they grow older.

“You’re going to feel terrible that my parent died or I didn’t get the job, but what are those skills we can teach you to be able to bounce back from that and being able to rationalize what happened and what can I do differently?” he says.

Long-Term Care after a School Shooting
In the wake of a shooting in January that left two Marshall County High School students dead, state lawmakers formed a special working group to explore ways to make schools safer. Bargione is a member of that group, which is traveling the state to hear testimony and collect ideas from students, school officials, and the public.

Bargione also served on the crisis response team that went to Benton just after the shooting to support survivors at the school and in the community, and to help them plan for their long-term needs. He says certain milestones like the first anniversary of the shooting may cause people to reconnect with initial trauma they experienced at the time of the incident.

“The long-term planning is what do we for next January,” Bargione says, “because one of the things you want to avoid in those kinds of situations is contagion effects or copycatting.”

Program Details

Connections

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Each week, host Renee Shaw and a variety of interesting and engaging people - including business leaders, entertainers, authors, celebrities, and more - explore a broad array of topics impacting Kentucky and the world.

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Pellom McDaniels - S10 E30

Pellom McDaniels, faculty curator of African-American collections and assistant professor of African-American studies at Emory University in Atlanta, talks about his book, The Prince of Jockeys: The Life of Isaac Burns Murphy.

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Jay Williams - S10 E33

U.S. Assistant Secretary of Commerce for Economic Development Jay Williams is a former mayor of Youngstown, Ohio. From the recent SOAR summit in Pikeville, he talks about how Youngstown recovered from the decline of the steel industry and how those lessons can apply to Eastern Kentucky areas distressed by the sharp downturn in coal jobs.

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Susan and Morgan Guess - S10 E34

Susan Guess and her daughter, Morgan, began the Guess Anti-Bullying Foundation nearly four years ago after Morgan experienced bullying. They have raised $50,000 to bring a variety of anti-bullying programs to the region. Susan Guess was appointed by Gov. Steve Beshear in 2014 to serve on the Kentucky Bully Prevention Task Force, which will make recommendations to the governor in fall 2015.

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Gilbert Friedell, MD, and J. Isaac Joyner, MPH, discuss their book, "The Great Diabetes Epidemic: A Manifesto for Control and Prevention". The book advocates taking a public health approach to addressing diabetes, emphasizes prevention of diabetes-related complications, and encourages more community responsiveness.

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Cathy Zion - Zion Publications LLC - S10 E38

Cathy Zion became owner and publisher of Zion Publications in 1996, after a long career in banking. Her company publishes Today's Woman, and added new magazines, Today's Transitions and Today's Family.

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Gigi Butler - Gigi's Cupcakes - S10 E39

Gigi Butler opened her first Gigi's Cupcakes location just off of music row in Nashville, Tennessee in 2008 and in six short years, with 98 locations and counting, Gigi's is now the largest cupcake franchise in the world.

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Cathe Dykstra - Family Scholar House - S10 E41

Cathe Dykstra, chief possibility officer, president & CEO of Family Scholar House, discusses the Louisville organization and its impact on families and communities. Family Scholar House's mission is to end the cycle of poverty by providing housing and educational support to single-parent students and their families.

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Infant Nutrition and Breastfeeding - S10 E42

Renee and her guests discuss the health benefits of breastfeeding in recognition of national breastfeeding week, as well as provide tips on proper infant nutrition. Scheduled guests include: Doraine Bailey, MA, IBCLC, Breastfeeding Support Services with the Lexington-Fayette County Health Dept.; Ana Maria Linares, an associate professor in the UK College of Nursing and a Lactation Consultant who has conducted research on attitudes and practices around breastfeeding among Latinas in Lexington; and Nicole Peritore, program coordinator for the Health Education through Extension Leadership (HEEL) Office at the University of Kentucky.

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Connections

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Connections

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Andre Taylor - S10 E43

Andre Taylor has a distinguished 35-year career, building and advising businesses. He's the author of You Can Still Win! and a half-dozen other books, a frequent guest expert on ABC News, and an international authority on winning and leadership. Mr. Taylor was a speaker at the 13th Annual Lexington Bluegrass Area Minority Business Expo.

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JoAnne Wheeler Bland - S10 E44

Renee talks with transgender activist JoAnne Wheeler Bland, who in her sixties transitioned from male to female. A practicing attorney for more than 40 years, she is a former Special Justice on the Kentucky Supreme Court, former Vice-President of the Kentucky Fairness Alliance, current member of the Kentucky Council on Postsecondary Education's Committee on Equal Opportunity (the Diversity Committee), and guest speaker at Women's and Gender Studies programs at Kentucky universities.

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Faith Politics - S10 E45

Renee and her guests talk about the role of religion in politics and public policy decision-making. Guests: Rev. Nancy Jo Kemper, pastor of New Union Christian Church, and Rev. D. Anthony Everett, pastor of Wesley United Methodist Church.

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Kinship Care - S10 E46

Kentucky has one of the highest rates in the nation of children being raised by grandparents and other relatives, also known as kinship care. Renee and her guests discuss what research tells us about the financial, emotional, and legal challenges that kinship care poses. Guests: Terry Brooks, executive director of Kentucky Youth Advocates, and Jeanne Miller-Jacobs, a kinship care provider.

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Fayette County Public Schools Superintendent Manny Caulk - S11 E2

Renee Shaw interviews new Fayette County Public Schools Superintendent Manny Caulk, who talks about his experiences in public education and his goals for the district.

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Connections

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Renee's guest is Dr. Gerald Smith, an author and history professor at the University of Kentucky, and co-editor of The Kentucky African-American Encyclopedia: Life and Culture in the Commonwealth. The reference book contains entries on the individuals, events, places, organizations, movements, and institutions that helped shape the state's history and cultural diversity.

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Childhood Cancer - S11 E4

September is childhood cancer awareness month. Renee talks with survivors and parents about their experiences and the research on the rare maladies striking youth.

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Kellie Blair Hardt - S11 E5

Renee speaks with special education teacher Kellie Blair Hardt, who overcame homelessness, an absent mother, an alcoholic father and school expulsion to earn her GED. She received the National Education Association Foundation's 2013 Horace Mann Award for Teaching Excellence as one of the nation's top educators. Hardt is currently pursuing a Ph.D. in higher education at George Mason University. She was featured in KET's series Dropping Back In.

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Jacinda Townsend - S11 E6

Author Jacinda Townsend discusses her critically acclaimed novel, Saint Monkey, a coming-of-age story set in 1950's Eastern Kentucky. The book won the James Fenimore Cooper Prize for historical fiction. Townsend is a former Hurston-Wright Award finalist and currently teaches creative writing at Indiana University.

  • Thursday October 21, 2021 5:30 am ET on KETKY
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Dorothy Butler Gilliam - S11 E7

Renee speaks with journalist Dorothy Butler Gilliam, who was the first African-American female reporter at The Washington Post. She retired in 2003 after a 35-year career with the paper.

  • Friday October 22, 2021 5:30 am ET on KETKY
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Connections - S17 E8

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Allison Joseph - S11 E8

Allison Joseph is the author of six poetry books. She teaches at Southern Illinois University in Carbondale, Illinois, where she helped found {Crab Orchard Review}, a literary journal, and the Young Writers Workshop, a co-ed residential summer program for teen writers.

  • Monday October 25, 2021 5:30 am ET on KETKY
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Ari Berman - S11 E9

Renee's guest is Ari Berman, a contributing writer for The Nation magazine and an Investigative Journalism Fellow at The Nation Institute. He has written extensively about American politics, civil rights and the intersection of money and politics. The title of his new book is Give Us the Ballot: The Modern Struggle for Voting Rights in America.

  • Tuesday October 26, 2021 5:30 am ET on KETKY
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Miss Kentucky Clark Davis - S11 E10

Renee speaks with Miss Kentucky Clark Davis, a sophomore at the University of Kentucky majoring in vocal performance, with a minor in political science. Davis was diagnosed with dyslexia in elementary school. Her pageant platform is dyslexia awareness.

  • Wednesday October 27, 2021 5:30 am ET on KETKY
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Kevin Chapman - S10 E28

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Elaine Chao - S10 E23

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Filmmaker Sarah Burns - S17 E3

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Mary Gwen Wheeler, 55,000 Degrees - S10 E16

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15K Degrees Initiative - S10 E13

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Sister Helen Prejean - S10 E12

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Jefferson County Veterans Treatment Court - S10 E11

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  • Monday September 13, 2021 2:00 pm ET on KETKY
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  • Monday September 13, 2021 5:30 am ET on KETKY
  • Monday September 13, 2021 4:30 am CT on KETKY

Charlene Buckles and Dan Wu - S17 E2

  • Sunday September 19, 2021 8:00 am ET on KETKY
  • Sunday September 19, 2021 7:00 am CT on KETKY
  • Saturday September 18, 2021 4:30 pm ET on KETKY
  • Saturday September 18, 2021 3:30 pm CT on KETKY
  • Wednesday September 15, 2021 11:30 pm ET on KET
  • Wednesday September 15, 2021 10:30 pm CT on KET
  • Wednesday September 15, 2021 6:00 pm ET on KET
  • Wednesday September 15, 2021 5:00 pm CT on KET
  • Sunday September 12, 2021 6:00 pm ET on KET2
  • Sunday September 12, 2021 5:00 pm CT on KET2
  • Sunday September 12, 2021 4:30 pm ET on KETKY
  • Sunday September 12, 2021 3:30 pm CT on KETKY
  • Sunday September 12, 2021 12:00 pm ET on KET
  • Sunday September 12, 2021 11:00 am CT on KET

Cynthia Knapek - Leadership Louisville Center

  • Sunday September 12, 2021 8:00 am ET on KETKY
  • Sunday September 12, 2021 7:00 am CT on KETKY
  • Wednesday September 8, 2021 11:30 pm ET on KET
  • Wednesday September 8, 2021 10:30 pm CT on KET
  • Wednesday September 8, 2021 6:00 pm ET on KET
  • Wednesday September 8, 2021 5:00 pm CT on KET
  • Sunday September 5, 2021 6:00 pm ET on KET2
  • Sunday September 5, 2021 5:00 pm CT on KET2
  • Sunday September 5, 2021 12:00 pm ET on KET
  • Sunday September 5, 2021 11:00 am CT on KET

Bill Farmer - S10 E8

  • Friday September 10, 2021 10:30 pm ET on KETKY
  • Friday September 10, 2021 9:30 pm CT on KETKY
  • Friday September 10, 2021 2:00 pm ET on KETKY
  • Friday September 10, 2021 1:00 pm CT on KETKY
  • Friday September 10, 2021 5:30 am ET on KETKY
  • Friday September 10, 2021 4:30 am CT on KETKY

Diane Follingstad - UK Women's Circle Endowment Chair - S10 E6

  • Thursday September 9, 2021 5:30 am ET on KETKY
  • Thursday September 9, 2021 4:30 am CT on KETKY

Kevin Chapman - S10 E5

  • Wednesday September 8, 2021 10:30 pm ET on KETKY
  • Wednesday September 8, 2021 9:30 pm CT on KETKY
  • Wednesday September 8, 2021 2:20 pm ET on KETKY
  • Wednesday September 8, 2021 1:20 pm CT on KETKY
  • Wednesday September 8, 2021 5:30 am ET on KETKY
  • Wednesday September 8, 2021 4:30 am CT on KETKY

Soreyda Benedit Begley and Chris Begley - S10 E3

  • Tuesday September 7, 2021 10:30 pm ET on KETKY
  • Tuesday September 7, 2021 9:30 pm CT on KETKY
  • Tuesday September 7, 2021 5:30 am ET on KETKY
  • Tuesday September 7, 2021 4:30 am CT on KETKY

Chris Rabb - S10 E1

  • Friday September 3, 2021 10:30 pm ET on KETKY
  • Friday September 3, 2021 9:30 pm CT on KETKY
  • Friday September 3, 2021 2:00 pm ET on KETKY
  • Friday September 3, 2021 1:00 pm CT on KETKY
  • Friday September 3, 2021 5:30 am ET on KETKY
  • Friday September 3, 2021 4:30 am CT on KETKY

Tanya Torp and Holly Houston - S9 E46

  • Thursday September 2, 2021 10:30 pm ET on KETKY
  • Thursday September 2, 2021 9:30 pm CT on KETKY
  • Thursday September 2, 2021 5:30 am ET on KETKY
  • Thursday September 2, 2021 4:30 am CT on KETKY

Frontier Nursing University - S9 E45

  • Wednesday September 1, 2021 10:30 pm ET on KETKY
  • Wednesday September 1, 2021 9:30 pm CT on KETKY
  • Wednesday September 1, 2021 5:30 am ET on KETKY
  • Wednesday September 1, 2021 4:30 am CT on KETKY

SWAG - Sisters and Supporters Working Against Gun Violence - S9 E44

  • Tuesday August 31, 2021 10:30 pm ET on KETKY
  • Tuesday August 31, 2021 9:30 pm CT on KETKY
  • Tuesday August 31, 2021 2:00 pm ET on KETKY
  • Tuesday August 31, 2021 1:00 pm CT on KETKY
  • Tuesday August 31, 2021 5:30 am ET on KETKY
  • Tuesday August 31, 2021 4:30 am CT on KETKY

Marta Miranda - S9 E43

  • Monday August 30, 2021 10:30 pm ET on KETKY
  • Monday August 30, 2021 9:30 pm CT on KETKY
  • Monday August 30, 2021 2:00 pm ET on KETKY
  • Monday August 30, 2021 1:00 pm CT on KETKY
  • Monday August 30, 2021 5:30 am ET on KETKY
  • Monday August 30, 2021 4:30 am CT on KETKY

Sarah Taylor Vanover - Early Childhood Education

  • Sunday September 5, 2021 8:00 am ET on KETKY
  • Sunday September 5, 2021 7:00 am CT on KETKY
  • Saturday September 4, 2021 4:30 pm ET on KETKY
  • Saturday September 4, 2021 3:30 pm CT on KETKY
  • Wednesday September 1, 2021 11:30 pm ET on KET
  • Wednesday September 1, 2021 10:30 pm CT on KET
  • Wednesday September 1, 2021 6:00 pm ET on KET
  • Wednesday September 1, 2021 5:00 pm CT on KET
  • Sunday August 29, 2021 6:00 pm ET on KET2
  • Sunday August 29, 2021 5:00 pm CT on KET2
  • Sunday August 29, 2021 4:30 pm ET on KETKY
  • Sunday August 29, 2021 3:30 pm CT on KETKY
  • Sunday August 29, 2021 12:00 pm ET on KET
  • Sunday August 29, 2021 11:00 am CT on KET

The Rise of Anti-Asian Violence

  • Sunday August 29, 2021 8:00 am ET on KETKY
  • Sunday August 29, 2021 7:00 am CT on KETKY
  • Saturday August 28, 2021 4:30 pm ET on KETKY
  • Saturday August 28, 2021 3:30 pm CT on KETKY
  • Wednesday August 25, 2021 11:30 pm ET on KET
  • Wednesday August 25, 2021 10:30 pm CT on KET
  • Wednesday August 25, 2021 6:00 pm ET on KET
  • Wednesday August 25, 2021 5:00 pm CT on KET

Judi Jennings - S9 E42

  • Friday August 27, 2021 10:30 pm ET on KETKY
  • Friday August 27, 2021 9:30 pm CT on KETKY
  • Friday August 27, 2021 2:00 pm ET on KETKY
  • Friday August 27, 2021 1:00 pm CT on KETKY
  • Friday August 27, 2021 5:30 am ET on KETKY
  • Friday August 27, 2021 4:30 am CT on KETKY

Dr. Robert Hilgers - S9 E41

  • Thursday August 26, 2021 10:30 pm ET on KETKY
  • Thursday August 26, 2021 9:30 pm CT on KETKY
  • Thursday August 26, 2021 2:00 pm ET on KETKY
  • Thursday August 26, 2021 1:00 pm CT on KETKY
  • Thursday August 26, 2021 5:30 am ET on KETKY
  • Thursday August 26, 2021 4:30 am CT on KETKY

Wil James - S9 E40

  • Wednesday August 25, 2021 10:30 pm ET on KETKY
  • Wednesday August 25, 2021 9:30 pm CT on KETKY
  • Wednesday August 25, 2021 2:00 pm ET on KETKY
  • Wednesday August 25, 2021 1:00 pm CT on KETKY
  • Wednesday August 25, 2021 5:30 am ET on KETKY
  • Wednesday August 25, 2021 4:30 am CT on KETKY

African Americans and Mental Health - S9 E39

  • Tuesday August 24, 2021 10:30 pm ET on KETKY
  • Tuesday August 24, 2021 9:30 pm CT on KETKY
  • Tuesday August 24, 2021 2:00 pm ET on KETKY
  • Tuesday August 24, 2021 1:00 pm CT on KETKY
Top

Season 14 Episodes

The 'I Was Here' Project

S14 E36 Length 27:42 Premiere Date 8.4.19

Mike Runyon and Sherita Miller; Wendy Kobler

S14 E35 Length 26:57 Premiere Date 7.28.19

Filmmaker Lynn Novick

S14 E33 Length 28:27 Premiere Date 7.14.19

Brent Hutchinson; Christine Thompson - Education

S14 E32 Length 27:37 Premiere Date 7.7.19

Lieutenant Governor Jenean Hampton - Youth Mental Health

S14 E31 Length 26:32 Premiere Date 6.2.19

Julie Cerel - Youth Suicide Prevention

S14 E29 Length 26:32 Premiere Date 5.19.19

Dale Suttles - Sunrise Children's Services

S14 E28 Length 27:33 Premiere Date 5.12.19

Education in Rural Eastern Kentucky

S14 E27 Length 28:13 Premiere Date 5.5.19

Joshua A. Douglas - Voting Rights Reform

S14 E25 Length 26:32 Premiere Date 4.21.19

Jay Box - Ky. Community & Technical College System

S14 E24 Length 26:32 Premiere Date 4.14.19

Author and Life Coach Colene Elridge

S14 E23 Length 26:19 Premiere Date 4.7.19

FIRST STEP Act - Criminal Justice Reform

S14 E22 Length 27:44 Premiere Date 3.31.19

Cheryl A. Oldham

S14 E21 Length 26:38 Premiere Date 2.22.19

Linda Hampton - Early Childhood

S14 E20 Length 29:47 Premiere Date 2.15.19

Donald Mason

S14 E19 Length 26:34 Premiere Date 2.8.19

Community Action Council; First 5 Lex

S14 E18 Length 28:53 Premiere Date 2.1.19

Seamus Carey

S14 E17 Length 26:57 Premiere Date 1.25.19

Michael Benson

S14 E16 Length 27:32 Premiere Date 1.18.19

Dr. Aaron Thompson

S14 E14 Length 28:13 Premiere Date 1.11.19

Mary Todd Lincoln and Lincoln Lexington Walking Tour

S14 E13 Length 28:55 Premiere Date 12.14.18

Youth Suicide

S14 E12 Length 29:22 Premiere Date 12.7.18

Jean Schumm and Amanda Gale

S14 E11 Length 28:22 Premiere Date 11.16.18

M. Christopher Brown II

S14 E10 Length 28:02 Premiere Date 11.9.18

Frank Harris

S14 E9 Length 25:17 Premiere Date 11.2.18

U.S. Rep. Andy Barr

S14 E8 Length 29:16 Premiere Date 10.26.18

Amy McGrath

S14 E7 Length 29:02 Premiere Date 10.19.18

Kevin Chapman - Youth Mental Health

S14 E6 Length 28:47 Premiere Date 10.12.18

Carol Cecil; Resa Gonzalez - Youth Mental Health

S14 E5 Length 26:03 Premiere Date 10.5.18

Joe Bargione - Youth Mental Health

S14 E4 Length 28:57 Premiere Date 9.28.18

WKU President Timothy Caboni

S14 E3 Length 28:40 Premiere Date 9.21.18

Dr. Neeli Bendapudi

S14 E1 Length 28:47 Premiere Date 9.14.18

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