More households, workplaces and schools are struggling with mental-health crises, and a new report by the mental-health advocacy group Inseparable highlights how Kentucky is handling 988 crisis hotline calls and responses.

Congress passed legislation in 2020 establishing 988 as a nationwide three-digit number to access crisis resources, and the number went live in 2022. Kentucky's call center response rate is 85%.

Marcie Timmerman, executive director of Mental Health America of Kentucky, said Kentucky is at an advantage because most calls are answered by someone in the state, staffed by people affiliated with community mental health centers who have specialized training.

"They're all trained in understanding the basics, but they're also trained in how to help callers without involving law enforcement as much as possible, right? And less than 2% of calls end up in a law-enforcement response," she said.

According to reporting by the healthcare organization KFF, Kentucky's age-adjusted suicide rate was higher than the national level in 2021. Suicide deaths have increased fastest among people of color, younger individuals and people who live in rural areas.

Timmerman added you don't have to be the person in distress in order to call 988. Close friends, family, and concerned neighbors can make calls.

"And with substance use, specifically, as long as someone's medically OK, 988 is a great option. So, you can open up the doors to all of those resources that are available for treatment," she explained.

Angela Kimball, chief advocacy officer for Inseparable, said states can built strong crisis response systems, but will need to look beyond Medicaid for funding. She says state legislators can take steps to bolster services, noting the consequences of not addressing the issue will result in people going without help, landing in jail and emergency rooms, being hospitalized or worse.

"One in five fatal police shootings involve someone with mental illness," Kimball said. "So, too often we see, really, a tragic outcome when people don't get the right help at a less severe level, we see a lot of people who end up in crowded emergency departments."

The report said additional funding opportunities could come from a 988 telecom surcharge to support crisis lines, as well as, utilizing a federal program under the American Rescue Plan that allows states to receive extra funding for mobile response services for three years.

May is Family Wellness Month, and Minnesota households are encouraged to work on goals beyond the surface level of success.

One expert said family members can explore dimensions that go a long way in shaping wellbeing.

In a post-pandemic world, University of Minnesota Extension Department of Family, Health, and Wellbeing Educator Sharon Powell acknowledged that society isn't as laser focused on career or academic success in defining how well a person or family is doing.

Physical health should be near the top. But Powell added that with mental health a bigger priority these days, it's one way in which households can get a sense of whether or not loved ones are thriving.

She said a good frame of mind opens more doors.

"You feel happy and content and like you're contributing to your family's wellbeing," said Powell, "and to your community and even beyond."

Powell said if you notice sudden mood changes or a family member becomes withdrawn, it might be good to inquire about their emotional state, and whether it needs to be addressed.

On the topic of money, Powell said amassing wealth isn't the key, but financial stability is important. She said financial literacy guidance from nonprofits is a good place to start.

She said when families get ahead of the situation by setting spending goals aligned with their income, they have better sense of autonomy in this area.

"People feel better about their finances," said Powell, "when they feel that they have some choice in where their money's coming and going from."

Lastly, Powell said family members can't take daily communication for granted.

Saying hello to each other every day, or occasionally asking how things are going can help, but Powell said there's more you can do. That includes the often shared pieced of advice of being an active listener.

"Being an attentive and curious communicator," said Powell, "is a great way to show love for people."




get more stories like this via email

Mental health counselors focused on Nebraska's high rate of binge drinking during Alcohol Awareness Month, which just wrapped up.

Alcohol abuse is often associated with other addictions. Nebraska's binge drinking rate is among the highest in the nation and the number of alcohol-related deaths is on the rise. Alcohol was blamed for at least 720 fatalities in 2020, the latest year data were available.

Aileen Brady, CEO of the Community Alliance in Omaha, said alcohol abuse and addiction affects families and friendships but can also lead to safety issues among employees who may be alcohol dependent.

"If their reactions are not as sharp, if they're not sleeping well and if they're distracted with the sense of needing to have that drink, it's going to affect our workplaces, as well," Brady explained.

Brady adds alcohol and other substance abuse disorders affect at least 65% of Nebraskans seeking mental health treatment at Community Alliance. Nationwide, the National Survey on Drug Use and Health said more than 224-million people 12 and older report having consumed alcohol during their lifetime.

Brady added it is common among alcohol addicted people or those who abuse it to assume drinking will improve their mood, which she said can happen temporarily, but long-term, has the opposite effect.

"That might last for a period of hours, and then once they stop the drinking and they are coming down off of that use of alcohol, then the depressant sets in," Brady observed.

Brady added Community Alliance continues to dispel myths about the effects of alcohol and raise awareness about the negative physical and mental health outcomes of drinking too much.


get more stories like this via email

Budding flowers, warmer temperatures and longer days are welcome signs to many in Maryland after the long, dark months of winter. Some people might believe warmer weather improves mental health after seasonal depression in the winter months, but that's not always the case. Many people experience increased mental-health struggles as spring rolls around.

When people's feeling in the springtime doesn't meet their expectations, said Cynthia Cubbage, director of family and post-adopt service for the Barker Adoption Foundation, it can make mental-health issues worse.

"When people are looking forward to spring because it's a time of renewal, and those expectations don't happen, and then nothing gets better for them because it's deeper than that," she said, "then they get really stressed and depression can really set in. And it's because of the expectations."

Suicide rates rise in the spring and not winter, according to Johns Hopkins Medicine. Researchers find that seasonal allergies play a role. A person with rhinitis, which causes allergy symptoms, is more than 40% more likely to be depressed.

Cubbage said there are many ways people can combat those feelings: Get outdoors as much as possible and get out socially as well. But she reminded folks that sleep is vital.

"Definitely prioritize sleep, even though we're having more daylight," she said. "It makes people want to stay up longer - that they should be doing things - and to remember that's a big transition for your body. They should still prioritize their sleep. If they were still going to sleep at eight or they were putting their kids down at eight, that should continue."

Cubbage added that, if you continue to feel depressed or down even after trying those suggestions, it's best to seek out professional mental-health help.