With COVID cases waning, more employers are asking workers to return to the office for the first time since the pandemic began, and mental health professionals said there are ways to manage the stress and anxiety from this big change.

Rates of anxiety and depression among U.S. adults were four times higher between April 2020 and August 2021 than they were in 2019, according to the Centers for Disease Control and Prevention (CDC).

Dr. Hillary Ammon, assistant professor of clinical psychiatry at the University of Pennsylvania, said a change in routine, like where you work, can be a stressor, but there are ways to manage those feelings.

"What I would recommend is for people to start to try to get into some of those routines that might look similar to the workplace," Ammon advised. "So if that really is, you know, you have a very structured day at your work, and you had more flexibility working from home, can you try to structure your day so that it looks more similar to that work environment?"

Ammon suggested practicing driving or taking public transportation to help ease back into your commute, along with meal planning and preparation.

Dr. Nicole Brady, chief medical officer for UnitedHealthcare's employer and individual business in Wisconsin and Michigan, said fears around catching COVID at the office can also be a trigger for stress. She urged having an open line of communication with your employer about what protocols are in place to prevent spreading the virus.

"We all know that masks are effective and certainly are reasonable at any time, despite what the levels may be in your community at that time," Brady pointed out. "We know that vaccines are highly effective at preventing infection."

Other tips include suggesting staggered work hours or days to your manager, to limit the number of people in the office at one time. The CDC recommends employees experiencing COVID symptoms notify their supervisors, get tested, and stay home until they feel better.

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

Health care providers recognize the need to ensure accessible, culturally competent mental health support, especially with the growing diversity in central Indiana and the resources available to those in crisis.

Dr. Sally Fleming, a clinical psychologist at Riley's Children's Hospital at IU Health, told News 8, "It is a real issue here in our home state of Indiana. We see it daily. But, it's throughout our state for all ages. It's not just the kids, it's everyone, and the numbers are not decreasing."

IU Health has made strides to expand its suicide prevention programs. Its health care providers have been training staff on the best practices for supporting others from diverse backgrounds. They have worked to reach underserved groups and destigmatize conversations around mental health.

Fleming said, "Suicide rates are higher. Suicidal ideation.. these things are higher in our population of more diverse ethnic groups, and we have to be aware of that as clinicians and ask the right questions."

The clinical psychologist says the stress of coming to a new country combined with disparities in socioeconomic status are complex factors that can profoundly affect mental health and suicide risk. Prioritizing mental well-being is taught through support groups, education, and action.

"One program I'm involved in is the Collaborative Assessment Management of Suicidality. It is suicide-specific and held at Riley hospital. This is primarily for our teenagers who have experienced suicidal ideation and attempts."

The U.S. Centers for Disease Control and Prevention reports suicide is the second-leading cause of death for Hoosiers from the ages of 14 to 39. It also says, in the past year, 5% of Hoosier adults and 11.1% of young adults from the ages of 18 to 25 have experienced suicidal thoughts.

Jason Craig, director of the Indiana Suicide Prevention Network, said, "Suicide affects anybody and everybody. There is no discrimination to suicide or thoughts of suicide. Bringing awareness to things like the 988 line; they have interpreters available significant for all walks of life."

A recent study shows that the majority of adults believe that suicide can be prevented, and 96% of adults in the U.S. would act if someone close to them were thinking about suicide.

"You can be that shining light of hope for somebody by asking how you are doing and being sincere with that ask," Craig said.


Reyna Revelle wrote this article for WISH-TV.


get more stories like this via email

Gaps in mental health care are a common research topic right now and for Minnesota youth in rural areas, a new report showed their families face big obstacles in navigating the care system if their child displays symptoms.

In its analysis, the Center for Rural Policy and Development said long travel distances and a lack of information make it hard for parents in these settings to put a concrete plan together.

Marnie Werner, vice president of research and operations at the center, said other factors are at play.

"There's a desire for anonymity," Werner pointed out. "People don't necessarily want all their neighbors to know that their kids are seeing a therapist. And in rural areas, especially, there are just getting to be fewer and fewer people in the mental health field."

Because of a fragmented system, the authors say in a crisis, parents -- especially in rural areas -- often end up taking their child to the emergency room, which can create a host of other problems. As long-term solutions take shape, parents are encouraged to educate themselves about early warning signs and the basics of mental health. And if their child reaches a crisis point, the 988 Suicide and Crisis Lifeline is a resource to lean on.

Werner noted there is also an evolving approach to integrate mental health care with primary care.

"Having a therapist in the regular clinic," Werner explained. "Mental health has often been siloed off to the specialty clinic. And so, with behavioral health integration, the doctor can bring the therapist in to meet you and your child while you're there at your appointment."

The authors said it is not a perfect solution but school-linked mental health services are increasingly becoming more dynamic, which can make it easier to seek assessments and schedule treatment on campus.

Meanwhile, the American Heart Association is raising awareness about establishing healthy routines like physical activity, which help improve mental health while preventing such conditions as anxiety and depression.

A U.S. Department of Justice investigation has found Kentucky is failing to provide access to community-based mental health services for people who need them, and instead relies too heavily on psychiatric hospitals.

The report says the state is potentially in violation of the Americans with Disabilities Act, or ADA.

Licensed Psychologist Sheila Shuster, who is part of the Advocacy Action Network, said years of budget cuts have reduced or eliminated the city's crisis centers - such as the Living Room, which opened its doors in 2018 and was shut down within a year due to lack of funding.

"Three to four hundred people a month coming in and using the services, and getting referrals," said Shuster. "And then boom, it's gone. So, that was May of 2019, and we don't have anything like it back in place."

The University of Louisville Hospital provides emergency psychiatric treatment to more than 2,200 adults with serious mental illness each year.

In a separate investigation last year, the Justice Department concluded the city and the Louisville Metro Police Department violated the ADA by subjecting people with mental illness to an unnecessary police response.

While the new report raises awareness about the needs of people living with mental illness, Shuster said it doesn't capture the full picture.

She cited recent changes the city has made, such its 911 call diversion program for mental health-related incidents, as well as families' view of the role of hospitalization.

"By and large, what I hear from the family members is not that their loved ones are being kept too long in the hospital, but that they're not being kept long enough," said Shuster, "which I think is what is leading to the revolving door."

Marcie Timmerman, executive director at Mental Health America of Kentucky, said the focus should be on early intervention and treatment, so folks don't end up being involved with the police.

"We would love to have more providers available," said Timmerman. "I'm not sure that pinpointing our psychiatric hospitals is really helpful."

She added that a mobile crisis response system, and Medicaid-funded housing and support programs, could help reduce the number of people who continue to cycle through hospitalization and the criminal legal system.





get more stories like this via email