ASHEVILLE, N.C. - Across the state, teachers and staff expect more kids will need mental-health resources as they return to in-person school.
McDowell County elementary school counselor Betty Ross explained that in rural western North Carolina, many children have experienced domestic violence, homelessness and substance abuse in the household, worsened over the past year and a half.
She said kids are struggling to manage their emotions.
"What COVID has done for us, and it's a positive, it's allowed our community to talk about this and go, 'Hey, we need to focus on mental health,'"said Ross. "And it's OK to focus on mental health. It's not just about reading and math."
Through programs such as Healthy Places NC, Ross has been working with her students to provide them with resources to face challenges at home all while training teachers and staff on how to use trauma-informed approaches in the classroom.
In the southeastern part of the state, Selena Rowell - executive director of the Columbus County Partnership for Children - said her region consistently ranks at the bottom of statewide health rankings.
She said she's working to educate child-care providers by screening films that focus on trauma and resilience, as well as expanding parent education. Rowell said there are gaps in resources for families with very young children who need support.
"And we've gone through and looked at where we have these interventions in our community," said Rowell, "and where the lacking was, was mostly for that birth-to-five area."
Data from the U.S. Department of Education shows nationwide, the pandemic has taken a toll on students' mental health, from an increase in reported negative feelings to a rise in suicidal ideation among children and young adults.
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By LaGanzie Kale for KLEK-FM.
Broadcast version by Freda Ross for Arkansas News Service reporting for the KLEK-FM-Winthrop Rockefeller Foundation-Public News Service Collaboration.
In a significant community conversation on 102.5 FM, host LaGanzie Kale delved into the mental health challenges faced by ALICE (Asset Limited, Income Constrained, Employed) populations in Northeast Arkansas. Joined by Kenya Ward, LCSW, the discussion highlighted the unique struggles and mental health implications for these hardworking yet financially strained individuals.
Understanding the ALICE Population
ALICE populations include individuals and families who, despite being employed, struggle to meet basic needs due to limited assets and constrained incomes. These individuals live above the federal poverty line—approximately $12,000 for individuals and $24,000 for a family of four—yet they face significant financial challenges in covering essential expenses such as housing, childcare, and debt payments.
Kenya Ward emphasized that about 31% of Arkansas’s population falls into the ALICE category. “These are hardworking people living above the poverty line,” she explained, “but they still have a great deal of difficulty making ends meet and getting their basic needs met.”
Financial Stress and Mental Health
Financial stress significantly contributes to mental health issues among ALICE populations. The constant worry about finances can lead to severe mental health conditions, including depression and anxiety. Ward noted, “One in five Americans will experience some form of mental health issue in their lifetime,” highlighting the prevalence of these conditions.
Current inflation only exacerbates these challenges, with rising costs for necessities like food, clothing, shelter, and gas, while wages remain stagnant. Ward pointed out that even though wages might increase minimally, it is often not enough to make a substantial difference in alleviating financial stress. “This creates a vicious cycle of financial strain and mental health deterioration,” she said.
Manifestations of Mental Health Issues
Depression and anxiety are the most common mental health issues observed in ALICE populations. Ward described how depression might manifest differently between genders. In men, it often appears as anger or irritability due to societal pressures to provide for their families despite insufficient income. “Many times, men feel like it’s safer to demonstrate anger than to show sadness or grief,” Ward explained.
For women, depression and anxiety might present as feelings of hopelessness and helplessness, compounded by the need to balance work and household responsibilities. The constant struggle to make ends meet can lead to significant mental health breakdowns, affecting their overall well-being and productivity at work. This reduction in productivity further jeopardizes their financial situation, creating a cycle of stress and mental health decline.
Barriers to Accessing Mental Health Care
Several barriers prevent ALICE populations from accessing adequate mental health care. Ward highlighted the stigma associated with seeking mental health treatment, lack of time, and being underinsured or uninsured. Many insurance plans require high deductibles before covering mental health services, making it financially unfeasible for many families to seek help.
“People often feel guilt or shame when seeking mental health treatment,” Ward said. “It takes time to dispel these myths and break down the walls of stigma.”
Available Resources and Support
Despite these barriers, resources are available to help those in need. Ward mentioned pro bono sessions, sliding scale fees, and the possibility of working with interns at therapy agencies who can provide free or low-cost services. She emphasized the importance of overcoming the stigma and seeking help, as early intervention can significantly improve mental health outcomes.
Additionally, Ward discussed the role of psychotropic medications in treating mental health issues. While these medications have side effects, they can be a valuable temporary coping strategy to help individuals manage symptoms of depression and anxiety until they can develop more sustainable coping mechanisms through therapy.
The Impact on Productivity
Ward also discussed the impact of mental health issues on productivity. “If your mental health is suffering, you really don’t want to be around people,” she explained. “Most times, you really want to be alone. You want to kind of retreat and withdraw.” This withdrawal can lead to increased absenteeism, lower productivity, and even job turnover, further exacerbating financial and mental health challenges.
Lower productivity and frequent call-ins due to mental health issues can significantly affect the income and job stability of ALICE populations. This, in turn, perpetuates their financial difficulties, making it even harder for them to escape the cycle of financial strain and mental health struggles.
The Role of Therapy
Therapy can play a crucial role in helping ALICE populations cope with their mental health issues. Ward emphasized the importance of seeking help from mental health professionals who can provide diagnosis, develop treatment plans, and offer therapeutic interventions. She also mentioned the benefits of psychotropic medications, which can help manage symptoms and improve mental health stability.
Ward highlighted several resources available to those in need, including pro bono sessions, sliding scale fees, and therapy interns who can provide low-cost services. She also encouraged individuals to seek support from local therapists and mental health agencies.
Call to Action
The conversation concluded with a call to action for those in need to seek help from local therapists. Ward can be found at Jackie Scope Therapy, and there are numerous other mental health professionals in the Jonesboro and Northeast Arkansas area. Seeking help can provide much-needed support and relief for those struggling with the dual burden of financial and mental health challenges.
LaGanzie Kale encouraged listeners to take the first step towards mental wellness. “Help is out there,” he said. “Just do a Google search, find the right therapist for you, and get the help you need. Therapists would rather see you struggling but getting help than to just give up.”
Kenya Ward’s message resonated deeply, emphasizing the need for both individuals and policymakers to address the interconnected issues of financial stability and mental health. By providing support and resources, communities can help ALICE populations overcome their challenges and improve their overall well-being.
For those of you listening, if you or someone you know is struggling, please seek help. Local therapists like Kenya Ward at Jackie Scope Therapy are available, and there are many resources out there. Let’s work together to support our ALICE populations and ensure they receive the help they need.
This community conversation serves as a vital reminder of the challenges faced by ALICE populations in Northeast Arkansas. It urges all of us to take action, provide support, and advocate for policies that address the root causes of financial and mental health struggles. Together, we can make a difference.
LaGanzie Kale wrote this article for KLEK-FM.
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A new law just took effect in California, giving children on Medi-Cal age 12 and older the right to consent to mental health care on their own.
Before, only young people on private insurance could consent to outpatient mental health services independently of their parents, and only in cases where abuse is suspected or the child is in danger of self-harm.
Joy Alafia, executive director of the California Association of Marriage and Family Therapists, said there are close to 6 million youths on Medi-Cal.
"For communities of color, we're looking at 61% of African American children, 59% of Latine children, and 38% of Native and Indigenous children who are Medi-Cal recipients," Alafia reported.
Supporters see it as an equity issue, allowing kids to get help for anxiety, depression and suicidal thoughts regardless of their income. Opponents, including the Pacific Justice Institute, argued the law gives counselors too much power at the expense of parents, particularly parents with traditional religious beliefs regarding gender expression.
Alafia noted a law allowing kids with private insurance to seek mental health care without their parents' consent is about 10 years old now. She explained the new law expands the right to kids on Medi-Cal and still requires parental notification if the child wants to go to an overnight shelter.
"This is about children being able to seek support and it's not an intention to exclude the parents," Alafia emphasized. "Unless there's a concern about safety or harm to the child. Other than those scenarios, there is engagement with the parents as well."
Families in need of mental health assistance can call the California Parent and Youth Helpline at 855-427-2736.
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In response to an alarmingly high number of suicides among construction workers, Michigan's construction leaders have taken measures to tackle mental health and provide support for the workforce.
The Occupational Safety and Health Administration reported that in 2022, the industry saw 6,000 worker suicides, compared with 1,000 construction-related deaths in the workplace. People in construction trades can face job and financial insecurities, long hours and difficult working conditions.
Sean Egan, deputy director of labor at the Michigan Department of Labor and Economic Opportunity, said one of the things they're doing to help workers handle the stress is "making it OK to not be OK."
"We know that construction is a male-dominated industry, and that statistically men - specifically men of color, but men in general - are not likely to seek support," he said. "So, we have to make it OK to seek that support."
Egan said his department has implemented mental health-related programs and events for Michigan construction workers, including seminars for Construction Suicide Prevention Week, Sept. 9-13.
Statistics show 80% of U.S. workers put in more than 48 hours weekly, which can cause mental and physical stress and increase the risk of substance abuse.
Sheet-metal worker John Coleman, a member of Sheet Metal Workers Union in Michigan, Local 7, said he's glad that mental-health issues among construction workers are finally being highlighted - and urged coworkers to be part of the solution.
"If you're struggling, or you think you notice somebody struggling, say something, because a lot of these people in construction, they might not have a wife or children, they might not have parents, they might not have brothers and sisters," he said. "You might be someone's lifeline."
Some 81% of workers in the United States report they'll be looking for future jobs at workplaces that support mental health. If you or someone you know is in crisis, call or text the National Suicide and Crisis Lifeline at 988.
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