TAMPA, Fla. -- A new survey of a dozen higher-ed schools revealed many faculty members want to be better equipped to help students who are struggling with mental-health issues, especially since the pandemic.

In the survey, 73% of faculty said they want mental-health training, and 61% believe it should be mandatory.

Dr. Kyaien Conner, licensed clinical social worker and Associate Professor of Mental Health Law and Policy at the University of South Florida, noted most faculty members have never been trained to provide appropriate resources for safety planning, and she wants that to change.

"I think that faculty members as well as staff, and all employees who are interacting with college students, should be trained, at least on some of those basics of mental-health first aid," Conner urged. "We're giving that training to students, but faculty aren't getting that training."

Close to half of the people surveyed believe their school should invest more in supporting faculty mental health as well. However, according to Conner, state mental-health funding in Florida is among the lowest in the nation.

A Jed Foundation survey found 63% of students said their emotional well-being is worse now than before COVID-19.

In Florida, limited higher-ed mental-health care has been troubling, Conner contended.

"The services that we have are not really able to meet the rising need that the community is facing," Conner asserted. "So, even though we may have services available, we've got a lot of students who are being put on pretty long waiting lists to get help, when they're in crisis."

One in five college faculty members surveyed said they've had one-on-one discussions with a student about that student's emotional well-being, and one in five also said these situations impact their own mental health.

Conner offered another solution to fill that need: training college-age and community peers to deliver interventions, for people who can't get mental-health services right away.

"They call it task shifting," Conner explained. "It's the idea of giving certain tasks to these community health workers to release the burden on our obviously overburdened healthcare system."

She noted adding these roles into clinical teams significantly enhances the success of their programs and interventions.

In the meantime, emotional crisis hotlines can be reached at 1-800-273-TALK, or by texting START to 741741.

A 2024 study showed almost 26% of Nebraskans reported having a mental-health illness in the past year -- nearly 3% higher than the national average.

Providers and stakeholders of Nebraska's behavioral health care system face uncertainty as more budget cuts loom. In the last legislative session, $15 million was cut from the state's behavioral health services budget and the heads of state government divisions are now being asked to find more cuts.

Tiffany Gressley, regional administrator for Region 3 Behavioral Health Services, questioned how cuts to behavioral health align with Nebraska's conservative values.

"We're being fiscally conservative by serving these people early; as early as we can," Gressley pointed out. "We're saving money and we're saving, on top of that, the human cost that goes along with untreated mental health conditions. "

Gressley explained last year's cut brought the total budget reductions to Nebraska's behavioral health system to nearly $50 million over the past six years, much of it from unfunded provider rate increases. She stressed budget cuts mean fewer Nebraskans receive services.

Among Nebraska counties, 88 of 93 had a shortage of behavioral health providers in 2023, and 29 had none at all. Many rural Nebraskans face considerable challenges accessing behavioral health care, which advocates said further budget cuts will only exacerbate.

Sadie Thompson, chief innovation officer for the Lincoln-based Wellbeing Initiative, an organization providing services for mental health, substance use and chronic physical health conditions, said after a nearly 12% cut to its budget this fiscal year, the organization had to close satellite locations in Fairbury and Geneva and was unable to open one planned for Seward.

"All of these rural communities that we were really starting to see lots of engagement with and impact basically got the rug pulled out and weren't able to continue to have these services," Thompson noted. "These communities don't have services anyway."

Bob Shueey, CEO of South Central Behavioral Services in Hastings and Kearney, said they are constantly looking for qualified therapists and frequently have to turn patients away as a result. Shueey added the state's low provider rate combined with retirements has depleted the state's behavioral health workforce. He argued without attention, the situation will only worsen.

"Even if we raise the rates to a sustainable rate today, it's a multiyear pipeline before someone's even able to start working," Shueey emphasized. "Then that information has to be out there to new students and to young people. 'I'll be able to make my house payment and pay my student loans if I do this; I'm not going to be poor my whole life.'"


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One in four Californians is an immigrant and a new report showed many are refugees who may need mental health services but have trouble finding treatment.

Researchers from the California Pan-Ethnic Health Network found a pressing need for culturally-responsive behavioral health services.

Vincent Chou, community advocacy manager for the group, said many barriers can hinder access.

"These communities face distinct challenges such as trauma from displacement, stress, language barriers, and systemic discrimination," Chou outlined. "All of which contribute to why they're not really utilizing the mental health services that are available to them."

Community groups said they have seen a huge increase in demand for mental health services since the pandemic. The report also called for training on trauma-informed care for providers and county workers who assist immigrants.

Mary Anne Foo, executive director of the Orange County Asian and Pacific Islander Community Alliance, said California faces a dire shortage of bilingual, bicultural mental health providers; people who can better connect with patients.

"When they see a counselor who can speak their language, they're more apt to be able to describe what's going on with them," Foo pointed out. "Or to be able to participate fully in their care."

Ruqayya Ahmad, policy manager for the network, said the state needs to better fund community-based organizations so they can recruit mental health professionals from the populations they serve and offer competitive pay to retain them.

"They're the ones who have these trusted relationships," Ahmad emphasized. "They're helping to normalize mental health conversations and reducing that stigma that exists in some communities."

Vattana Peong, executive director of The Cambodian Family Community Center in Santa Ana, said the state also needs to make it easier for groups like his to get credentialed to accept Medi-Cal insurance.

"There are a lot of barriers for community-based organizations who want to become Medi-Cal mental health providers," Peong stressed. "That is something we need to fix."

He added community groups often offer wraparound services, like child care and transportation, making it easier for low-income families to access health services.

Oregon Health and Science University and Legacy Health have officially submitted merger plans to state regulators. Behavioral therapists at Legacy unionized in anticipation of this to protect themselves.

Sixty behavioral health therapists at Legacy Unity Center for Behavioral Health have voted to join the Oregon Nurses Association.

They're also doubling the size of an existing bargaining unit at the hospital, which includes other mental health workers.

Legacy Behavioral Health Therapist Meaghan Wilkinson-Smith said she and her coworkers didn't know about a potential merger until they heard it on the news.

"It worried people that we were going to continue to have no information," said Wilkinson-Smith, "and just be kind of blindsided by whatever decisions and changes Legacy decided to move forward with."

Wilkinson-Smith said with the union, they hope to have a more standardized pay structure.

ONA and other unions representing workers affected by the merger say they support it, based on assurances from OHSU - including on job security, pay parity, and honoring union contracts.

Access to mental health has been an issue in Oregon. A Mental Health America ranking from 2022 placed the state third to last.

Wilkinson-Smith said the union will help her and her colleagues better advocate for patients.

"We hope that we'll have more of a voice in expressing the things that we think could be helping our patients before they get to a point of needing hospitalization," said Wilkinson-Smith, "but also afterwards, and what that looks like for them."

Wilkinson-Smith also said the union will give them more of a voice in Salem when it comes to state policies.

Along with mental and behavioral health specialists, ONA represents more than 220 nurses at Legacy Unity Center for Behavioral Health.