As the school year winds down, mental-health providers say they recognize many students still feel the weight of the pandemic, and in North Dakota, it has prompted a more dedicated response to help kids dealing with higher levels of stress and anxiety.

The Centers for Disease Control and Prevention (CDC) recently issued findings which showed more than a third of high school students reported having poor mental health during the crisis. Another 44% said they persistently felt sad or hopeless in the past year.

Christy Wilkie, a therapist with Dakota Family Services, said they have seen a big increase in referrals.

"When they do come into the office, we're seeing more anxiety, more depression," Wilkie reported. "And I would say it's more intense anxiety."

She said some of it might be greater awareness from parents after spending more time together during the crisis. Any family financial stress or disruptions in connections with peers are other factors. Wilkie pointed out they are doing more outreach with local schools to help identify concerning situations and to navigate the referral process.

Wilkie emphasized they are also trying to help fill gaps in areas where services are scarce, including having one of their staff routinely visiting a rural high school in Barnes County to provide therapy. She added telehealth has helped during a time of greater need.

"The schools will provide spaces for kids to do therapy in school," Wilkie noted. "It's one less barrier to getting help for kids when the parent doesn't have to take time off and drive them to the clinic and then wait for that hour and then drive them back."

Despite the extra efforts, Wilkie stressed waiting lists are long, and recruiting is ramping up in hopes of adding providers. The CDC report revealed more than half of high school students reported experiencing emotional abuse by a parent or other adult in their home during the pandemic.

Boulder and Broomfield County residents can now access mental health services the same way they can access urgent medical care.

Dr. Nadia Haddad, medical director of mental health services with Mental Health Partners, said all too often, people can't get help unless they are already connected with an outpatient provider, and many have months-long waiting lists. She said if people have to wait for care, their situation can get worse, and what might have been a manageable issue can turn into a crisis.

"They are going to the emergency room or going to a psychiatric hospital. And so what we're trying to do is fill that gap so that people can get connected with services when they need it, on a walk-in basis," she said.

Mental Health Partners, a community mental health center serving Boulder and Broomfield counties for 60 years, recently launched UrgentPsych Mental Health and Substance Use Urgent Care. The walk-in program provides immediate, in-person support for urgent mental health and substance use needs for anyone, regardless of their ability to pay, whether or not they are an existing client, or speak English. For more information about the 24-hour facility in northeast Boulder, call 303-443-8500.

Mental Health Partners' new Intensive Family Services program provides in-home therapy for K through 12 youth with disruptive behaviors who are at risk of being placed in foster care or the juvenile justice system. The urgent care facility is also available to people of all ages.

"That's another really challenging part of seeking out services. Care for children and adolescents is often even more challenging to find. There are fewer child psychiatrists out there," she said.

Both new programs were created in part to get people the services they need to avoid hospitalization. But Haddad said when people do reach a point where they need 24/7 monitoring and daily visits from a medical provider, it is essential that people can access hospital-level care.

"The vast majority of people who are dealing with mental health-related issues do not require hospitalization. If we can change people's trajectories earlier, we can prevent mental suffering, and they may not have to go through the hospital," she explained.


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This is National Library Week, honoring the many roles that libraries play in their communities.

In central Texas, a pilot program is using the public library system to expand mental health services in rural areas.

Residents in four counties can get assistance at their local public library through the Libraries for Health program.

Trained mental health peer specialists evaluate clients and refer them to clinics for additional help if it's needed.

The program is funded through the St. David's Foundation, working to advance health equity in Central Texas.

The foundation's Senior Program Officer Abena Asante said the initiative works in tandem with the mental health community.

"It's in no way taking the place of clinical-directed psychologists," said Asante. "It's just one community response in addressing the lack of mental wellness resources in rural communities."

Asante said libraries are trusted and accessible gathering places for people living in rural areas. The libraries tailor programs to meet specific local needs based on feedback from the residents.

Data collected during the 3.5-year pilot program will be used to evaluate its success. The nonprofit Via Hope trains the peer specialists who work in the libraries.

Dr. Sandra Smith, vice president of Via Hope, said the staffers use their own life experiences to help them relate to the clients.

"They have to have had a mental health challenge at some point in their life," said Smith. "We don't ask them any specifics about that, we don't ask diagnoses - it's a self-disclosure."

The Libraries for Health program operates in eight libraries in Bastrop, Caldwell, Hays and Williamson counties. If successful, it could be implemented in other parts of the state.





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The Centers for Disease Control and Prevention reported one in 36 children around the U.S. has autism spectrum disorder. Rates are much higher than a decade ago and support organizations hope Wisconsin communities do more to make individuals feel welcome, including adults on the spectrum.

April is Autism Acceptance Month. Not only do advocates want to empower those with a diagnosis to live their fullest possible lives but they also ask those around them to learn more about it.

Katie Hess, executive director of the Autism Society of Greater Wisconsin, said there are some key practices to keep in mind.

"Really, what we're looking for is for people just to be open-minded and patient, and understanding," Hess explained.

Acceptance does not happen only at home or school. Workplaces also are encouraged to foster more inclusiveness, with nearly 60% of people with autism now employed after receiving vocational services. Their advocates said they have many strengths and asking them about their needs creates a better environment for them.

Symptoms of autism can vary widely for each person on the spectrum, including how they interact with others. Hess noted whether individuals are considered "high need" or "low need," having the public pay more attention to the evolution of this disorder is vital.

"We're learning new information all the time, so certainly reach out to your local chapter, your Autism Society," Hess urged. "Ask questions."

Her chapter will soon begin offering a training program to organizations about how to become more autism friendly, including being able to identify a person on the autism spectrum and how to best offer ways to help if they disclose their diagnosis.


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