Many people with persistent mental illness find it difficult, or even impossible, to participate in common activities like work or friendships.

A unique clubhouse model at work in Greeley has been helping restore those lost social connections since 1990.

Ashlyn McMillan, a member of Frontier House Clubhouse, said when you have a mental illness, disconnecting is one of the easiest things to do but when you're all alone, she noted your mind can be your worst enemy.

"One of the things that we're always addressing is isolation," McMillan pointed out. "Isolation is a huge disconnect, one of the biggest disconnects. You're sitting at home alone, and don't have anything to distract yourself from what's going on in your mind. With the Clubhouse you do."

There is no cost to individuals for membership at the Frontier House Clubhouse, it never expires and it is open to anyone with a behavioral health diagnosis. Frontier House follows the evidence-based Clubhouse International Model of Psychosocial Rehabilitation. Participation is completely voluntary, some members drop in daily, others whenever they feel the need.

Renee Schell, director of Frontier House Clubhouse, said relationships at the Clubhouse are collegial. Staff and members work side by side to address challenges and reach life goals that are key to mental health, such as finding meaningful work and social relationships. In most institutional settings, people living with mental illness are clients or patients, but Schell explained you are first and foremost a person at the Clubhouse.

"A place that peels away labels and stigmas that people with mental illness may experience," Schell emphasized. "We do not focus on a person's diagnosis necessarily, we focus on a person's strengths, talents and abilities."

Clubhouses have helped reduce self-harm, hospitalization and incarceration often associated with mental illness by offering people opportunities for friendship, employment, housing, education and access to natural supports within a caring and safe environment. At the end of a therapy session or a doctor's visit, McMillan acknowledged it can feel like support stops when you leave their office.

"Then you're home, and that's where that support ends," McMillan observed. "At the Clubhouse, the support is always there. If a crisis happens outside those hours, if something happens where you need help now, the staff and the other members will come and help you."


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As the school year begins, experts are advising schools on how to preserve students' mental health but politics in states such as Wyoming limit policies that could help.

The youth suicide rate in Wyoming is increasing and has led the national rate for at least the past decade, according to Wyoming Department of Health data. Experts said K-12 schools can be good points of contact for student mental health but there are barriers for schools.

Rep. Dan Zwonitzer, R-Cheyenne, is on the state's Mental Health Task Force and said suicide prevention and mental health treatment can be challenging in rural areas.

"Just due to our lack of population and the rural nature, it's really tough to recruit and find individuals in this space to come in and work with the kids in many of our areas," Zwonitzer pointed out.

He and other members of the state Legislature tried to change it this year with House Bill 119, which would have made funding available for school districts to supply additional mental health providers for students. In a break from typical practice for interim session bills, it was voted down for introduction to the House.

Gov. Mark Gordon has prioritized the expansion of mental health services while in office. But Zwonitzer pointed out there is a lot of ideological diversity across the state.

"There's just a large segment of Wyoming, at least in their legislative representatives, don't believe that we need to be spending more money for the schools to deal with mental health challenges; that should be in the churches or nonprofits or within the family," Zwonitzer explained.

Zwonitzer and experts agreed schools are a critical place to identify student mental health problems or patterns.

A school checklist from the mental health advocacy organization Inseparable includes age-appropriate mental health education for students, engagement with families and community partners and a recommended professional ratio of one social worker and one counselor for every 250 students.

Caitlin Hochul, vice president of public policy for Inseparable, said schools provide the best opportunity to reach students in need of help.

"When we talk about access issues, we know that most kids are not receiving the care that they need. Schools are such a critical component to improving youth mental health because that is where students spend most of their time."

Columbia County, New York, is developing a new center to help people with mental illness and substance use disorder.

The Wellness Hub stems from a county study showing the best ways to fill gaps in care for people. It will provide emergency housing for people with mental health and substance use disorders.

Cheryl Roberts, executive director of the Greenburger Center for Social and Criminal Justice, said not many places offer services for populations in need.

"A lot of the emergency housing is nothing more than motels that are often located far from services," Roberts pointed out. "No food in the area, no other services, and that's the case in Columbia County. There's one hotel that provides services, but most do not."

The hub will have a ground flood-safe haven shelter with 25 single-room occupancy units. The hub will also have 35 units of permanent supportive housing and up to 14 120-day supportive housing units staffed with clinicians. Additional funding would be spent on a welcome center with space for peer-support services, a commercial kitchen to train people in culinary arts and other amenities for homeless people in the area not staying at the hub.

Early feedback has been overwhelmingly positive. The hub has become more necessary since the pandemic exacerbated mental health issues and homelessness. Roberts notes the Wellness Hub will work hand-in-hand with the county's mental health court. She said the 35 units of permanent housing can provide added resources for people in the criminal justice system.

"Half of it will be set aside for people with serious mental illness," Roberts outlined. "A quarter of it will be for people who are justice-involved, so coming out of incarceration or may be in the midst of the justice process where they might be taking a plea in the treatment court and being required to follow a treatment protocol."

One of the biggest challenges for maintaining the Wellness Hub is the ongoing shortage of mental health professionals. Reports show the number of New Yorkers with a mental illness has grown since the pandemic. The Health Resources and Services Administration found there are 192 designated mental health professional shortage areas, leaving more than 3.5 million people without access to mental health services.


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As Ohio students prepare for the new school year, mental health experts are highlighting the importance of belonging in the classroom.

A national poll from the Kids Mental Health Foundation revealed nearly half of parents are concerned excessive screen time might be preventing kids from forming meaningful connections at school.

Ariana Hoet, executive clinical director of The Kids Mental Health Foundation and a pediatric psychologist at Nationwide Children's Hospital, said the start of a new school year is different for every child. Some may be really excited, while others may be really nervous.

"As kids head back to school, what really matters is this feeling of fitting in, of belonging, of being connected to their school culture and community," Hoet explained.

Hoet pointed out as students face challenges, from social anxiety to post-pandemic adjustments, creating a classroom environment where they feel safe and connected is vital. Open communication between parents and teachers about a child's strengths and concerns can provide the support they will need to thrive.

Tyanna Snider, a pediatric psychologist at Nationwide Children's Hospital, said it is important to notice symptoms of mental health concerns in children and adolescents, especially during the back-to-school season when increased stressors may arise.

"Watching out for changes in functioning -- their child's mood, stomachaches or headaches or feeling nauseous, difficulty sleeping -- changes in behavior," Snider outlined. "All those things might happen every now and then but when those things are starting to get in the way of everyday life, that's when we really want to make sure that we're seeking out some additional help."

Hoet noted teachers play a pivotal role in shaping the classroom environment. Their relationships with their students and their overall influence can significantly affect students' mental health and sense of connection.

"The teacher has the power to change dynamics in the class," Hoet emphasized. "Create activities so that kids can connect with others to teach about empathy, kindness."

She added collaboration between parents and teachers is crucial for creating a supportive environment to enhance academic success and students' well-being.


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