A mental health report in Pennsylvania showed a strong response rate of 89% for 988 crisis line calls.

However, it showed there is room for improvement in staffing, handling call volume and funding.

Rep. Michael Schlossberg, D-Lehigh, the House majority caucus chair and co-chair of the Mental Health Caucus, said he is passionate about 988's work because he lives with and manages a mental illness. He emphasized the need for more staff and funding to handle the call volume. He sees 988 as a success in providing help but acknowledged workforce shortages as a significant hurdle.

"Arguably our system has been underfunded for decades," Schlossberg asserted. "The good news about 988 is that it results in an increased amount of calls and texts, the bad news about 988 is that it resulted in an increased amount of calls and texts, because we don't yet have the resources to be able to manage those calls and give people who do need that call elevated the level of care that they need."

Schlossberg pointed out Pennsylvania has made progress in mental health but emphasized the need for more. He noted the report calls for consistent funding, leading to efforts for a guaranteed revenue stream for the 988 crisis line. Despite current support from the governor, concerns linger about long-term funding stability under potentially less supportive future leadership.

The report suggests a 98-cent surcharge on calls could generate almost $12 million annually in the state's funding.

Angela Kimball, chief advocacy officer for Inseparable, said the first step for all states to achieve the goals is financing. She recommended legislators ensure there are other funding sources available.

"For mental health, substance use and suicidal crises, we want there to be a response regardless," Kimball stressed. "That means that a system has to be built to not just be dependent on Medicaid. And that means that legislatures actually need to take the step to ensure that there are other funding sources. "

In 2017, mental health and substance use disorder emergency department visits in the U.S. cost more than $5.6 billion. Kimball added people end up in packed hospital emergency departments, where they could wait for days to be placed in appropriate care.

As youth mental health challenges rise and federal restructuring threatens key programs, former Ohio Gov. and 2016 Republican presidential candidate John Kasich is urging Congress to act.

He co-chaired a bipartisan task force calling for early intervention and stronger support for young people struggling with behavioral health and substance use issues.

Kasich stressed the need to remove stigma and integrate mental health care into routine pediatric services.

"If we can intervene early, then we can get kids to be able to overcome the challenges, to be stronger, to be able to have healthier, more positive lives," said Kasich. "And there's nothing more important than our children."

The report warns that proposed changes at Health and Human Services could result in funding cuts to programs - like youth violence prevention and crisis response, which are currently supported by the Substance Abuse and Mental Health Services Administration (SAMHSA).

Bipartisan Policy Center CEO Margaret Spellings warned that youth-focused programs could suffer if federal changes move forward without safeguarding behavioral health investments.

"There may be funding cuts ahead that could put critical programs at risk," said Spellings, "including those focused on youth violence prevention, adverse childhood experiences, crisis response, and support for a very much needed workforce."

The report recommends integrating mental health into pediatric care, supporting the behavioral health workforce, and expanding school-based services - steps mental health experts say are vital to improving the outcomes for youth in Ohio and nationwide.

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."




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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.


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