On a given day in Massachusetts, more than 100 children and teenagers are brought to hospital emergency rooms because they're facing a mental-health crisis and sometimes have to stay there for days or weeks.
Nonprofit Youth Villages is partnering with the Massachusetts Health and Human Services Department for a program called Intercept, to provide immediate in-home mental-health treatment for kids and teens.
Matt Stone, executive director of Youth Villages, hopes to see similar programs in other communities.
"The vast majority of the children and adolescents that we are serving in this program," Stone explained. "They don't need a bed in a facility. What they need is intensive in-home support, to help the parents and caregivers be able to manage the crisis."
Stone noted Youth Villages has served more than 100 families, referred by 20 different hospitals. Family intervention specialists meet with families two to three times a week; help address issues with schools, courts and children's services; and build and help families execute treatment plans. They're also on call 24/7 in case of an emergency.
Joy Rosen, vice president for systems behavioral and mental health at Mass General Brigham, said during the pandemic, hospitals have seen increased numbers of children and teens in mental distress. She pointed out there are a number of factors, from remote learning and feeling isolated, to potential loss of a friend or family member.
"Anyone is accepted, regardless of their insurance, whether they're documented or undocumented," Rosen stressed. "It's really a breath of fresh air, and particularly at a time when clinicians did not feel they had many resources at their fingertips for these suffering kids and families."
Angela is a parent of a teenager who went through the Intercept program. She emphasized the difference it makes to be able to take care of your kid at home. She recounted when her daughter was experiencing an eating disorder and self-harm, she was stuck in the emergency room for two full weeks because inpatient facilities wouldn't take her, until she was discharged with Youth Villages.
"Awareness of this program really needs to be heightened up a bit to help get kids home. An emergency room is not a place for mental illness with kids," Angela asserted. "She saw way too many things as a teenager that she should not have seen in that emergency room."
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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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Nevada is among a handful of states to add a surcharge to all phone bills intended to help support the state's 988 mental health emergency hotline.
A new report by the mental health advocacy group Inseparable found if the surcharge were to increase from 35 cents to 98 cents, it would generate approximately $3 million annually for the Silver State.
Angela Kimball, chief advocacy officer for Inseparable, said the report is a tool to help policymakers and state leaders develop an equitable and sustainable crisis response system. They found Nevada's in-state answer rate sits at 68%, when it should be above 90%.
"We're still a long way from having the kind of system that everybody expects in every ZIP code, in every part of America," Kimball acknowledged.
Kimball pointed out with the implementation of 988, it also brought about changes in the way local jurisdictions respond to mental health crises. The report highlighted Nevada has convened a workgroup to build response processes for collaboration between 988 and 911. While it is a step in the right direction, the report showed Nevada could improve call center capacity, crisis response as well as system financing.
Nevada has the 39th highest suicide rate in the country and also ranks 50th in the nation for overall mental health, according to the Nevada Division of Public and Behavioral Health.
Kimball stressed the figures need to see improvement. She added not having an effective response system in place can make a difference between life and death for some.
"People going without help, being turned on to the streets, being in jail, being in emergency departments, being hospitalized -- voluntarily or involuntarily -- or, tragically, having their life end," Kimball noted.
Kimball added the report lays out policy examples for each of their policy recommendations which come from red and blue states moving the needle in the right direction. She hopes they can serve as inspiration for other states. If you or someone you know is experiencing a mental-health emergency, do not hesitate to call or text 988.
Disclosure: Inseparable contributes to our fund for reporting on Criminal Justice, Health Issues, Mental Health, and Social Justice. If you would like to help support news in the public interest,
click here.
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Wyoming ranked highest in the nation for suicide rates four consecutive years through 2021, according to the Centers for Disease Control and Prevention, and the state is funding more crisis response.
About 90% of calls to Wyoming's 988 crisis response line get an in-state answer, according to a new report. Calls used to be routed elsewhere, but the state has been working to localize responses.
Two Wyoming call centers opened in 2020 to offer 24/7 support and now average about 500 in-state calls per month, according to the Wyoming Department of Health.
Kim Deti, public information officer for the department, said the state is currently working to house the helpline's text and online chat options in-state too, and a local connection is important.
"We believe that people within Wyoming, whether they're calling, texting or chatting, they may feel more able to connect and relate to someone from their area," Deti explained.
A 2023 state law created a trust fund for the program but failed to add money to pay for it. This year, a proposed $40 million allocation was reduced to $10 million in the final state budget. Federal funds are also available through July 2025.
If you or someone you know is in crisis, help is available by calling or texting 988.
The nonprofit Inseparable published a report this month to improve crisis response systems. It encourages states to pursue policies to develop system infrastructure, accountability, workforce capacity and sustainable funding.
Angela Kimball, chief advocacy officer for the mental health advocacy organization Inseparable, said in terms of payment, response to mental health emergencies should look like the response to other emergencies.
"Police come. They don't ask whether or not there's an insurance card or a payer first. And the same is true for mental health, substance use, and suicidal crises," Kimball urged. "We want there to be a response regardless."
Kimball argued there should be funds for mental health crises beyond Medicaid.
Disclosure: Inseparable contributes to our fund for reporting on Criminal Justice, Health Issues, Mental Health, and Social Justice. If you would like to help support news in the public interest,
click here.
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