FROM PATIENT TO PROVIDER AND PROGRAM BUILDER
Building While the Questions Were Still Developing
Within several years of that experience, Lake had moved from long-term patient experience and homelessness into provider and program leadership.
Beginning in 2006, he became involved in rebuilding and operating a behavioral and educational program. During this period of rapid development, Lake remained without conventional housing and lived inside the organization's back office while directing available resources into building the program's infrastructure and conducting early research on a single moment:
the moment when conscious choice collapses into unconscious decision-making.
That was the language of the early research.
Over the years, the same functional problem was repeatedly tested, refined, and described with greater precision. The Center now defines that point as the Autonomy Breakpoint, the precise moment self-regulation is displaced by automatic patterns and present-moment authorship is lost.
The work expanded quickly.
Programs were developed for different populations and settings, including youth, veterans, first responders, people receiving mental-health services, violence-prevention programs, and professional education.
By 2007, Lake and his team had also built a live online education environment, combining classroom cameras, remote participation, monitoring and directing, and the ability to work individually with a participant while the larger class continued.
The technology was improvised, but the principle was clear:
if someone needed help during the experience, the system needed a way to respond while it was happening.
By 2009, Lake was working at the institutional-training level. A memorandum of understanding with San Francisco State University provided for consulting and training around the mental-health approach being developed through his organization, including training and certification of three SFSU representatives and participation in facilitated groups using the model.
During the same early period, even while Lake was still living inside the office of the program he was building, the work was receiving increasing professional and community recognition.