The COVID public health emergency created a spike in the adoption of a wide range of telehealth services, and Coloradans are continuing to access mental health care remotely, according to new analysis by the Center for Improving Value in Health Care.

Cari Frank, vice president of communications at the center, said telehealth is also helping address the current shortage of mental-health providers practicing in Colorado.

"And so telehealth enables people to get access so that they aren't having to go to a physical location," Frank explained. "They're also able to access mental health providers outside of our state."

Relaxed policies during COVID that helped providers get paid for telehealth visits played a significant role in the increase in the number of patients accessing care remotely. Frank noted data tapped through the Colorado All Payer Claims Database shows the top diagnosis among patients was anxiety disorder, followed by PTSD, major depression and adjustment disorders.

There are advantages to getting care in the privacy of your own home, especially in less populated areas where a neighbor might ask uncomfortable questions if they see your car parked outside the only psychologist's office in town. Frank pointed out telehealth also makes it easier to fit sessions into people's busy lives.

"I think it's a more comfortable setting, to be in the comfort of your own home," Frank acknowledged. "You can be in your pajamas, you can be on the couch. Just turn on your phone or your computer and talk to somebody."

Last year, nearly 29% of Coloradans who reported experiencing symptoms of anxiety and/or depressive disorder were not able to access treatment in the past four weeks. Frank emphasized telehealth can make it easier to keep people connected to care, which also can help keep overall health costs down by reducing emergency room visits when illness goes untreated.

"If you can expand telehealth services for mental health, and get people actually talking to somebody before an event turns into something like an emergency department visit, then we're certainly going to be saving health care dollars," Frank stressed.

Thousands of calls to Texas suicide hotlines are going unanswered as funding for call centers is millions of dollars short of what advocates said they need to keep up with demand.

The suicide rate in Texas has grown significantly in the past 20 years and a federal mandate to run the 988 crisis hotline is putting pressure on the system. Mental health advocates said changes to the state and federal system of funding crisis services are urgently needed.

Lyssette Galvan, public policy director for the National Alliance of Mental Health-Texas, said crisis care needs more respect from the system.

"It's following the successful model of 911 funding," Galvan pointed out. "We're aiming to set up a precedent that 988 should be in parity with 911 and that all emergency services should be treated the same."

A bill filed by state Sen. José Menéndez, D-San Antonio, would create a state trust fund for 988 services similar to how 911 emergency services are handled. Galvan noted the fund, paid by cell phone fees, would expand capacity, increase counselor pay and make the latest technologies available.

Between January and August, 18,500 calls to Texas' 988 system were abandoned. Senate Bill 188, prefiled for the upcoming 89th Texas Legislature, would close the gap for Texans who call a hotline but are put on hold or transferred and cannot talk with a counselor.

"We do have a lot of stakeholder support," Galvan emphasized. "Almost every day I have somebody emailing me and asking me about the bill or if I know about the bill. Even within the local mental health authorities, there's a lot of buy-in."

Galvan added a significant part of the American Rescue Plan Act's funding for the 988 system has expired, and states will need to create permanent financing by the end of 2026.

"As the federal support decreases, it's time for Texans to really step up and ensure that we're helping our fellow neighbor in crisis," Galvan urged. "Our communities deserve nothing less than a complete, accessible, and reliable crisis response system."


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If reducing screen time is your New Year's resolution, a Minnesota expert says it can be tough.

But with increasing concerns about the effects of too much media consumption, learning how to limit access is the best place to start.

The overlap between what's called doom-scrolling and the recent election might have prompted some people to re-evaluate their screen time.

And it isn't just posts about politics that have the academic world worried.

University of Minnesota Duluth Communications Department Chair, Associate Professor Aaron Boyson, teaches about media addiction.

He said electronic devices, streaming platforms, and other digital tools are heavily woven into everyday life.

"I hear a lot from students, especially these days, about fatigue and overuse," said Boyson, "and tiredness and frustration and irritability - and all those things."

Boyson's students are challenged to go a couple weeks media free. He reports a three-to-one ratio of positive effects over negative feelings, but says most go back to normal usage.

Boyson said for anyone, building shields - such as a room in your home free of devices and used only for non-screen activities - can help chip away at bad habits.

But he warned it can take several weeks for your brain to get used to it.

Boyson said one positive aspect of successfully detaching yourself from your smartphone prison is improved communication skills.

He added that if part of your plan is to take more walks, it's best to leave the headphones and podcasts at home.

"It's really, really important that there are non-mediated times where the mind just is free to think," said Boyson. "That is what some cognitive psychologists call the 'default mode network,' when your brain isn't being stimulated by some external source."

He said for younger generations born into a tech-driven world, it's much harder to experience life that way, which potentially affects their emotional development.

As for concerns from parents, research has shown their screen time usage is on par with their kids. Boyson said they'll have to confront their own denial and join the whole family in curtailing access.


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If you find yourself in a less than festive mood this holiday season, you are not alone.

In Wisconsin, the recent school shooting tragedy in Madison can compound feelings of loneliness and grief already common this time of year.

Mary Kay Battaglia, executive director of the Wisconsin chapter of the National Alliance on Mental Illness, said seeing others celebrating can also contribute to feelings of stress.

"You see everyone around you -- the commercials -- it's festive, right?" Battaglia observed. "Everyone else is festive and sometimes, you're not feeling as festive as what social media or the commercials you're seeing are telling you, you should feel."

NAMI reported three in five Americans feel the holidays negatively affect their mental health. Battaglia encouraged people to create what she calls a "mental health toolkit" filled with key supportive contacts, things bringing them joy and an action plan to use during the holidays.

Adults are encouraged to pay special attention to the young people in their lives this time of year. State data indicate about one-third of young Wisconsinites reported feelings of sadness and hopelessness nearly every day. Battaglia believes it is another sign local communities need to focus more on how to help people reconnect in meaningful ways.

"We've had social media take us to a place that allows us to think we're connecting, but we're not really. We're not connecting with people," Battaglia pointed out. "I think it's really important that youth feel connected in some way that's real and honest, and in person."

For those who don't have friends or family close, Battaglia said the Uplift Wisconsin hotline is open 10 a.m. to 10 p.m. daily and anyone can call if they need someone to talk with. If you are experiencing a mental health crisis, you can call 988 to reach the National Suicide and Crisis Lifeline.