LACONIA, N. H. – In New Hampshire, the number of people waiting in hospital emergency rooms for a bed in a psychiatric facility has more than tripled since 2014, according to the state's new Mental Health Plan.

A local journalist has been covering this issue firsthand.

Managing Editor of the Laconia Daily Sun, Roger Carroll, says he was having suicidal thoughts. When his therapist said he needed more help than she could give him, they agreed he should go to the emergency room.

Looking back, Carroll considers his wait time lucky in comparison to others.

"Because I didn't have a history of drug use – I don't use drugs, I don't drink, I don't have a history of violence – I was a pretty easy placement,” says Carroll. “Within a day, which is really fast, I was taken to an inpatient facility about 10 miles from Laconia in the town of Franklin."

But Carroll says he's spoken with many who have waited more than a week in the ER before a psychiatric bed became available – some for weeks. According to the Treatment Advocacy Center, the number of psychiatric beds in New Hampshire per capita is about the same as the national average.

Carroll says he wrote about his experience to decrease the stigma around depression and encourage others to get help. He was so open about it that, during his several-day stay, he invited his seven- and nine-year-old granddaughters to visit him at the hospital.

"I said, 'Do you know why I'm here?' And Gracie, the youngest, said, 'Because you're sad.' And I said, 'That's right sweetie, because it's called depression. And it hits people sometime, even grownups, and it's okay to get help,'” says Carroll. “That was one of the reasons I thought it was important that they see me there. One, they could see that grandpa's okay. And two, they need to know that when you have these obstacles, that it's okay to get help."

Carroll now meets with a psychiatric nurse practitioner, and says he's gradually feeling like himself again.

He notes that some days are easier than others. But family, friends, and co-workers continue to empower him, as well as more than 100 people who have reached out since his story was published.

If you or someone you know is thinking about suicide, call the National Suicide Prevention Lifeline at 1-800-273-8255.


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Columbia County, New York, is developing a new center to help people with mental illness and substance use disorder.

The Wellness Hub stems from a county study showing the best ways to fill gaps in care for people. It will provide emergency housing for people with mental health and substance use disorders.

Cheryl Roberts, executive director of the Greenburger Center for Social and Criminal Justice, said not many places offer services for populations in need.

"A lot of the emergency housing is nothing more than motels that are often located far from services," Roberts pointed out. "No food in the area, no other services, and that's the case in Columbia County. There's one hotel that provides services, but most do not."

The hub will have a ground flood-safe haven shelter with 25 single-room occupancy units. The hub will also have 35 units of permanent supportive housing and up to 14 120-day supportive housing units staffed with clinicians. Additional funding would be spent on a welcome center with space for peer-support services, a commercial kitchen to train people in culinary arts and other amenities for homeless people in the area not staying at the hub.

Early feedback has been overwhelmingly positive. The hub has become more necessary since the pandemic exacerbated mental health issues and homelessness. Roberts notes the Wellness Hub will work hand-in-hand with the county's mental health court. She said the 35 units of permanent housing can provide added resources for people in the criminal justice system.

"Half of it will be set aside for people with serious mental illness," Roberts outlined. "A quarter of it will be for people who are justice-involved, so coming out of incarceration or may be in the midst of the justice process where they might be taking a plea in the treatment court and being required to follow a treatment protocol."

One of the biggest challenges for maintaining the Wellness Hub is the ongoing shortage of mental health professionals. Reports show the number of New Yorkers with a mental illness has grown since the pandemic. The Health Resources and Services Administration found there are 192 designated mental health professional shortage areas, leaving more than 3.5 million people without access to mental health services.


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As the school year begins, experts are advising schools on how to preserve students' mental health but politics in states such as Wyoming limit policies that could help.

The youth suicide rate in Wyoming is increasing and has led the national rate for at least the past decade, according to Wyoming Department of Health data. Experts said K-12 schools can be good points of contact for student mental health but there are barriers for schools.

Rep. Dan Zwonitzer, R-Cheyenne, is on the state's Mental Health Task Force and said suicide prevention and mental health treatment can be challenging in rural areas.

"Just due to our lack of population and the rural nature, it's really tough to recruit and find individuals in this space to come in and work with the kids in many of our areas," Zwonitzer pointed out.

He and other members of the state Legislature tried to change it this year with House Bill 119, which would have made funding available for school districts to supply additional mental health providers for students. In a break from typical practice for interim session bills, it was voted down for introduction to the House.

Gov. Mark Gordon has prioritized the expansion of mental health services while in office. But Zwonitzer pointed out there is a lot of ideological diversity across the state.

"There's just a large segment of Wyoming, at least in their legislative representatives, don't believe that we need to be spending more money for the schools to deal with mental health challenges; that should be in the churches or nonprofits or within the family," Zwonitzer explained.

Zwonitzer and experts agreed schools are a critical place to identify student mental health problems or patterns.

A school checklist from the mental health advocacy organization Inseparable includes age-appropriate mental health education for students, engagement with families and community partners and a recommended professional ratio of one social worker and one counselor for every 250 students.

Caitlin Hochul, vice president of public policy for Inseparable, said schools provide the best opportunity to reach students in need of help.

"When we talk about access issues, we know that most kids are not receiving the care that they need. Schools are such a critical component to improving youth mental health because that is where students spend most of their time."

As Ohio students prepare for the new school year, mental health experts are highlighting the importance of belonging in the classroom.

A national poll from the Kids Mental Health Foundation revealed nearly half of parents are concerned excessive screen time might be preventing kids from forming meaningful connections at school.

Ariana Hoet, executive clinical director of The Kids Mental Health Foundation and a pediatric psychologist at Nationwide Children's Hospital, said the start of a new school year is different for every child. Some may be really excited, while others may be really nervous.

"As kids head back to school, what really matters is this feeling of fitting in, of belonging, of being connected to their school culture and community," Hoet explained.

Hoet pointed out as students face challenges, from social anxiety to post-pandemic adjustments, creating a classroom environment where they feel safe and connected is vital. Open communication between parents and teachers about a child's strengths and concerns can provide the support they will need to thrive.

Tyanna Snider, a pediatric psychologist at Nationwide Children's Hospital, said it is important to notice symptoms of mental health concerns in children and adolescents, especially during the back-to-school season when increased stressors may arise.

"Watching out for changes in functioning -- their child's mood, stomachaches or headaches or feeling nauseous, difficulty sleeping -- changes in behavior," Snider outlined. "All those things might happen every now and then but when those things are starting to get in the way of everyday life, that's when we really want to make sure that we're seeking out some additional help."

Hoet noted teachers play a pivotal role in shaping the classroom environment. Their relationships with their students and their overall influence can significantly affect students' mental health and sense of connection.

"The teacher has the power to change dynamics in the class," Hoet emphasized. "Create activities so that kids can connect with others to teach about empathy, kindness."

She added collaboration between parents and teachers is crucial for creating a supportive environment to enhance academic success and students' well-being.


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