With many people still struggling in the wake of the pandemic, this week's National Depression Screening Day Oct. 6 is a reminder to Missourians to take stock of their mental health.
The National Alliance on Mental Illness reports the average delay between the onset of mental illness symptoms and treatment is 11 years.
Gena Terlizzi, executive director of the National Alliance on Mental Illness-Missouri, said people need to make mental health screening as routine as other checkups.
"We really like to encourage people to think of depression screening like you would any other kind of health screening," Terlizzi emphasized. "What we're hoping to do with this is really normalize the idea that a check-in for your depression or for your mental health is just as normalized as a check-in for physical health."
Terlizzi noted the way clinicians determine if depression is at a level requiring treatment is a question you can ask yourself: "Is it impacting your day-to-day life, long-term?"
Statistics indicate one in five U.S. adults experiences mental illness each year, yet more than 40% do not seek treatment. Terlizzi pointed out some people may be reluctant to seek treatment because they do not want to be on medication.
"Certainly, some people are nervous about the idea of getting mental health treatment or being on a medication," Terlizzi acknowledged. "Just because you talk to your doctor doesn't mean you're going to be prescribed a medication. You need to work with your doctor to figure out what works for you."
Symptoms of depression are varied, and there are different speeds of depression onset, multiple types of depression, and different intensities.
Denise Johnson, senior practice associate for the National Association of Social Workers, said a screening looks at several factors.
"Typical screening is done by a licensed mental health professional and includes a set of questions that asks about symptom severity and duration," Johnson explained. "It's looking at eating-sleeping patterns, whether a person is having difficulty concentrating; if they're irritable, if there are any changes in their moods."
Johnson added depressive symptoms must last at least two weeks and represent a change from the person's previous level of functioning.
get more stories like this via email
Parents in North Dakota are likely getting a sense of how their child's school year is going so far. If bullying issues have emerged, the research community hopes educators and families take a careful approach to achieve better outcomes now and in the future.
Throughout Bullying Prevention Month in October, messaging on this topic is likely to be prominent in school settings.
Shelley Hymel, a retired developmental and educational psychologist and professor at the University of British Columbia has done extensive research in this field. She said it's no surprise that repeated bullying can negatively affect a student's academic performance, and how they deal with problems the rest of their lives.
Hymel wants anyone who still thinks it makes a child more resilient to think again.
"Kids who are victimized, you know, just sit there all day wondering what's going to happen to them next. I've had notes from kids saying how that's their life, that's how their world is," she said.
Hymel said that's why it's important for schools to not lose sight of social and emotional learning and teach children empathy. North Dakota law requires districts to adopt a bullying policy and explain it to students. On its website, the Department of Public Instruction offers guidance for parents, including listening calmly and offering comfort and support if their child says they're being targeted.
Hymel said researchers are still finding new tidbits of information, even after schools have adopted successful approaches. For example, in school settings where bullying was significantly reduced, the few remaining students still being singled out had it even worse.
"When you end up being the last kid, the one kid who was still being bullied, it takes a toll on your self esteem," she explained.
That's why the academic community, schools, and parents need to remain vigilant about overcoming any side effects as policies take shape, she added. Earlier this year, British researchers released findings showing bullying in childhood lowers the probability of having a job throughout adulthood, and puts a person at greater risk for premature death.
get more stories like this via email
Mental health is a top issue for voters, and candidates running for office across Colorado are pledging to make it a priority if elected.
Kathleen Daughety, vice president of campaigns and civic engagement with Inseparable, said if people can get treatment, they can thrive. But if they can't, the situation can get much, much worse.
She pointed to a recent survey showing that half of all Americans who need mental health care aren't able to get it, and said one of the biggest barriers is that health insurance companies aren't doing their part.
"People are buying insurance policies expecting to get care when they need it. And then when they are sick, insurance companies are denying the care that their doctors are prescribing," she explained.
Nearly nine in ten voters say expanding access to mental health care should be a priority, ranking it just as high as lowering the cost of living. So far, 80 Colorado candidates have signed a Mental Health Now statement of support, more than any other state. The statement calls for policies that increase access to mental health care, improve crisis response, and expand youth mental health services, especially in schools.
Colorado is one of many states that lack facilities to place people experiencing severe mental illness. In 1955, there were nearly 6,000 psychiatric beds in the state. In 2023 the number dropped to 482.
Dusty Johnson, R-Fort Morgan, is running unopposed for House District 63 and signed the Mental Health Now statement of support.
"We shouldn't be using jail as a place to get mental health resources. But when you have nowhere to take them, they end up in our prisons, or back on the street, and then they go and hurt themselves worse, or hurt somebody else. It would be nice if we had places that would take them on the spot," Johnson said.
Since 2015, one out of five people killed by police were experiencing a mental health emergency. Daughety said the goal for politicians should be to make law enforcement involvement in crises the exception, not the rule.
"If someone is having a mental health emergency, they need a mental health specific response, they don't need a law enforcement response. Law enforcement says these calls are really stressful. They're not trained for them," Daughety contended.
Disclosure: Inseparable contributes to our fund for reporting on Criminal Justice, Health Issues, Mental Health, Social Justice. If you would like to help support news in the public interest,
click here.
get more stories like this via email
Sen. Richard Blumenthal, D-Conn., is introducing federal legislation to boost mental health equity.
The Pursuing Equity in Mental Health Act allocates $995 million in grant funding over five years for states to use to reduce disparities in mental health care, which comes as a new report showed Connecticut teen suicides doubled from this time last year.
Janelle Posey-Green, founder of the Connecticut BIPOC Mental Health and Wellness Initiative, said teens need more education on the language of mental health.
"I really think we need is more education on what to look for so that way friends can check in on friends and they know the warning signs and even have, maybe, a script or a narrative that they can go to," Posey-Green suggested. "Let's normalize that at some point you may feel depressed."
She recommended it should be done through a community initiative involving schools and parents. Aside from the bill's funding, Connecticut is receiving more than $4 million from the Health Resources and Services Administration to expand mental and behavioral health, and substance use disorder services.
However, disparities in care are not the only thing preventing people from accessing mental health care. Studies show women of color are at higher risk for mental health issues but are less likely to seek treatment.
Posey-Green observed as much as the Black community can lift people up, things such as "strong Black woman syndrome" can hold women of color back from talking about their mental health.
"Where does this woman who is expected to be so strong get the opportunity to talk about how hard it is that from childhood to adulthood she's faced with many microaggressions and major aggressions over her life period that impact her mental health?" Posey-Green asked.
Other issues such as cultural differences can pose a challenge. Posey-Green works with a collective of providers for patients to access mental health professionals with similar backgrounds. She argued providers should be trained in cultural humility rather than cultural competency.
"Why it's important for providers to lean towards cultural humility and be trained well with understanding how cultural humility can help with providing better service is because it also teaches you to check your unconscious biases," Posey-Green stressed.
get more stories like this via email