Pennsylvania faces a shortage of psychiatrists that children's advocates call "alarming," and they're concerned about the impact it might have on young people whose needs become more intense and could require medication.

A June 2020 report found there aren't enough psychiatrists to meet the demand for mental-health assistance in the Commonwealth. Pittsburgh-based psychologist Dan Warner said this means the responsibility of prescribing medication for children with severe mental-health challenges often falls on pediatricians. He said the first step should be talking to a mental-health professional.

"Under significant stress, there might be a need to elevate and really looking at a biomedical intervention," he said. "Very often, the first line of that is starting with your pediatrician. Those people are not specially trained in the needs of children with mental health issues, and they don't necessarily have the time to do all the kind of work."

The most recent Pennsylvania Youth Survey found 38% of students reported feeling sad or depressed most days.

One possible solution getting the support of some health professionals is Senate Bill 25. It would allow certain nurse practitioners to have full authority to prescribe medication without requiring them to have a collaborative agreement with a physician.

State Sen. Camera Bartolotta, R-Greene County, who introduced the bill, said it would assist communities hit hardest by the shortage, both rural and urban.

"It's very specific," she said. "It would be highly regulated, but it would open the doors to incredibly good health care that is needed right now more than ever, especially mental health care. We've got hundreds of qualified nurse practitioners that could easily jump into that field and fill the void."

Terry Clark, president and chief executive of the Pennsylvania Council on Children, Youth and Family Services, which published a position statement on the state's psychiatric shortage, said this expansion can help save children's lives.

"Not every child needs a psychiatrist, but for those most vulnerable children who do, they go without the help they need," he said, "thus the reason suicide is growing amongst our adolescent age group."

Senate Bill 25 would require a qualified nurse practitioner to have 3,600 hours and three years under a physician's collaborative agreement. The bill passed out of committee in recent months and awaits a vote in the full Senate. According to Bartolotta, it has bipartisan support.

California has more than 60,000 children in the foster care system and about 7,000 in extended care up to age 21 but many do not receive all the services for which they are eligible.

This month marks the 25th anniversary of the Chafee Foster Care Program, passed by Congress to greatly expand services for foster youth.

Todd Lloyd, senior policy associate for the Annie E. Casey Foundation, said across the U.S., around a half-million people are eligible for Chafee services to help them transition from foster care.

"Of all those eligible young people, less than a quarter are receiving a service in a given year," Lloyd pointed out. "When we looked at their experiences over time, less than half have ever experienced even a single Chafee service."

Some of the services available include tutoring, mentoring and a variety of counseling supports. Extended foster care grants low-income young adults to health insurance via Medi-Cal and food benefits through CalFresh. Young adults in extended foster care may also receive financial assistance for room and board and for college expenses.

Hope Cooper, campaign manager for the advocacy group Journey to Success, a national policy reform effort focused on youth and young adults who experience foster care. She said it's a group that has enormous potential to have happy, prosperous lives.

"We have to provide the supports that they need during these critical transition years," Cooper contended. "Because they face a steep climb in their pathway to young adulthood."

Data show young adults exiting foster care run a greater risk of experiencing housing instability and homelessness, unemployment, physical and mental health issues, and more.

By Melea VanOstrand for WISH-TV.
Broadcast version by Joe Ulery for Indiana News Service reporting for the WISH-TV-Free Press Indiana-Public News Service Collaboration

Inner Beauty Program Inc. and New Breed of Youth Inc. mentoring programs are preparing to host their 2024 Fight For Joy Christmas Extravaganza weekend celebration.

The event will kick off Friday with a free “guns down, gloves up” youth boxing showcase with a dinner provided.

Kareem Hines is founder and chief executive officer of New Breed of Youth’s mentoring program, also known as New B.O.Y. “We’re just using the sport of boxing to help develop character, to help develop self-confidence in these young men, to help develop maturity and their social and emotional awareness, but more importantly to have a conversation with them about what guns are doing to our communities.”

On Saturday, the annual Inner Beauty and New B.O.Y. holiday awards ceremony will highlight and affirm community leaders and young people in the organizations’ mentorship programs.

“We highlight our youth that have been doing amazing things such as our young entrepreneurs, our martial arts class. Inner Beauty has a dance and art program, so these programs are put on full display, and it gives us the opportunity to include these young people’s families.”

One-hundred fifty families with children ages 6 to 17 will participate in a toy giveaway. “Youth will be able to come in and go through four lanes, grab toys from each lane, and just revel in the Christmas spirit. It’s free. We’ll have a Santa so they can take pictures with Santa. We’ll have some really nice toys. The community and different organizations have really stepped up to the plate and provided us with funding so we can have a lot of toys for these young people.

A big ticket lane will be available for children who have a report card with all A’s and B’s. “We’re talking PlayStations, Xboxes, electric bikes, motorcycles, Beats headphones and all those things that kids like in today’s culture.”

It’s the first year that the mentoring organizations have done the toy drive. Hines says it’s important to give back this year because families in the city have experienced a lot of trauma. “We want to be that bright spot. 2024 was a tough year. Some families are not looking forward to the holiday season because of their financial situation. Some families did not have a happy Thanksgiving. We want to make sure we provide a platform and opportunity for them to usher into 2025 with a bright outlook.”

Registration for the toy drive has closed, but Hines says he aims to make it inclusive for anyone who reaches out to New B.O.Y organization.


Melea VanOstrand wrote this article for WISH-TV.


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This month marks the 25th anniversary of a federal law designed to give states flexibility in helping older kids transition out of foster care.

States such as Nebraska have updated their programs, but advocates say services are still underutilized. In 1999, the U.S. government enacted a law that gives states money to carry out independent living programs for kids in foster care, soon to be adults. But the Annie E. Casey Foundation says fewer than half of those eligible receive services.

Hope Cooper, who leads the Journey to Success campaign to raise awareness of this issue, said these kids often face a steep climb at a key stage in life.

"They faced a lot of adversity in their early years," she said, "and we have the opportunity - and we really have to meet that opportunity - to provide some really targeted, additional supports to smooth that climb."

Nebraska's program, which is voluntary, saw more than 340 young adults participate in 2022. The Casey Foundation said only about one in four successfully completed it.

National advocates have urged state and federal lawmakers to do all they can to close gaps. This past year, Nebraska opted to include youths aging out of the juvenile justice system who lack any family support.

Cooper said a range of services under these state-level programs can help with things such as job training and housing stability. Beyond the federal law, she said other forms of support have emerged.

"We're trying to create more educational stability for young people during their junior high and high school years," she said, "and creating more supports for young people as they go and pursue higher-education opportunities."

On a broader scale, she said some "fine-tuning" is needed to implement these programs, to ensure they meet their potential. A number of states have also extended foster care to youths beyond age 18 to help with these transitions. Nebraska's independent living program serves 19- to-21-year-olds.