Transitioning back to school can bring as much stress as excitement for many students and a new checklist created by the group Inseparable aims to help parents and educators ensure children are getting the mental health care they need.

Sen. Dafna Michaelson Jenet, D-Commerce City, said it is important for services to be available where children spend the biggest part of their day.

"They are more likely to participate in a mental health assessment or intervention at school than they are outside of school," Jenet pointed out.

Half of students between the ages of 12 and 17 experiencing depression are not getting treatment, due to stigma, cost, transportation and other barriers. The checklist includes training teachers and staff in mental health, substance use and suicide prevention; the ratio of on-site mental health professionals to students; regular mental wellness check-ins; teaching kids relationship and other life skills, and mental health literacy.

Colorado lawmakers recently passed House Bill 1406, which creates a new School-Based Mental Health Support Program expected to serve up to 400 public schools by the start of the 2027-28 school year.

Matt Holtman, children and youth intergovernmental liaison for the Colorado Behavioral Health Administration, said the program will emphasize supporting rural schools and other areas where students do not have equitable access to mental health care.

"That includes classroom-based mental health wellness and resiliency, a cognitive behavioral and mindfulness skill building training," Holtman outlined. "Also resources and training for the schools to manage suicide risk and coordinate care."

Jenet pointed to Colorado's I Matter program as another option for parents and educators. After filling out a short online survey, students can access free therapy sessions. Because children are more willing to open up to people who understand their situation, she added it is important for schools to recruit mental health professionals reflecting the state's diverse residents.

"I had an African American mom who reached out to me in crisis," Jenet recounted. "I suggested she try the I Matter program, and she was able to get therapy that evening for her child from an African American therapist. And that meant a lot to their family."


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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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The Nebraska Department of Health and Human Services has seen a $15 million cut to its Behavioral Health Division this year and more cuts are being proposed, despite soaring demand for mental health and addiction treatment programs.

DHHS now faces a $25 million cut to help fund property tax relief.

Behavioral Health Specialists in Norfolk provides short-term residential treatment for substance use disorders.
Neil Broders, executive director, said the COVID pandemic may have contributed to the mistaken assumption any unspent funding must not be needed.

"Really, why a lot of places weren't able to pull down their funding and use it, it wasn't because the demand wasn't there," Broders pointed out. "It's because trying to find staff the last four to five years -- it was a difficult period."

Some Nebraska agencies have spent years rebuilding their staff following COVID. Broders explained they have had to compete with national companies who can pay more and allow people to work remotely. He pointed out employers, especially in smaller communities, have had to increase wages and work harder to recruit and retain staff.

Broders added their residential program only recently became fully staffed for the first time in four years.

"We now have the staff to be at 58 beds and are full," Broders reported. "We receive over 100 referrals a month for those 58 beds. So, we have the staffing now to serve the clients, and the clients are there."

The multi-program CenterPointe, based in Lincoln, has seen a similar increase in demand in the past year.

Topher Hansen, JD, president and CEO of the nonprofit, said their primary care clinic served 500 more people, and they provided over 2,000 additional hours of outpatient clinic care, at least partly because they were able to fill some open positions.

"But the more staff we get, the more availability we have, the more people that come in the door," Hansen observed.

More than half the people CenterPointe served in the last fiscal year reported annual incomes of less than $1,000.

Hansen acknowledged funding for mental health and addiction recovery is not always politically popular, but he stressed it is often a fiscally sound move. He pointed to their "Alternative Response" program, which works with the Lincoln Police Department to send a CenterPointe team, rather than a uniformed officer, for nonviolent welfare checks.

"We have done over a thousand of those in the last year and saved officer time every single time," Hansen emphasized. "We've cut the emergency protective custody incidents in half. We've housed a dozen people, and decriminalized being unsheltered."


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Researchers have announced a new blood test that will predict whether someone has Alzheimer's disease far better than current tests can. A new law in Iowa will make sure it's covered by insurance.

The Alzheimer's Association says the blood test is 90% accurate in informing people showing signs of cognitive impairment if they have the disease.

Iowa Chapter Communications Director Lauren Livingston said it's a huge step beyond the memory tests doctors currently use.

"Very good news," said Livingston. "It was about 30% to 40% higher accuracy rate with the blood test, versus just the physicians using a memory screening."

Livingston said patients must have a certain amount of "tau" in the brain, a protein that is an Alzheimer's precursor, to qualify for the test.

Iowa passed a law this year that requires state-funded health insurance companies to cover tests for dementia biomarkers, like tau in the blood.

Livingston said positive blood tests could boost recruitment for Alzheimer's clinical trials and reduce wait times for assessment.

There is no cure for the disease, but Livingston said early detection means a person can take drugs to slow its progression.

She said the test can be especially helpful outside Iowa's metro areas that have larger health care centers.

"Especially to rural Iowans who don't have as much access to specialists and these tests," said Livingston. "It would be much, much easier for them to be able to get a diagnosis if there was a simple blood test available."

Some 62,000 Iowans suffer from Alzheimer's disease. Nationwide, the number is close to 7 million, although the Alzheimer's Association says the disease is underdiagnosed.

Livingston is hopeful the test is available in health care settings in the near future.




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