As kids head back to school, advocates are calling for expanded access to school-based mental health services in Maryland and nationwide.

The National Association of School Psychologists recommends a ratio of 500 students to each school-based psychologist. Most states are not meeting the standard. Maryland's current ratio is more than 1,000 students per school psychologist.

Sen. Malcolm Augustine, D-Prince George's County, said the legislature has taken steps to expand access.

"In the last few years, we've had a real emphasis on mental health, behavioral health in our school system, and we've passed different pieces of legislation in support of that," Augustine pointed out. "The biggest one was the Blueprint for Maryland's Future, which we passed in 2021, which expanded school-based health centers and increased the number of mental-health professionals in our schools."

The state has been operating school-based health centers since 1985 when the first one opened in Baltimore City. The program has grown to 89 school-based health centers in 16 jurisdictions across the state.

The Centers for Disease Control and Prevention estimated 20% of children have a mental, emotional or behavioral disorder and of those, only about 20% have access to specialized mental health care.

Caitlin Hochul, vice president of public policy for the mental health advocacy organization Inseparable, said school-based professionals can help bridge the coverage gap.

"Sadly, we know that most kids who have a mental health condition aren't receiving the care they need and that's really why school based mental health services are so important," Hochul emphasized. "They help improve access to care. And are really one of the most effective tools we have to help improve children's mental health well-being, because we are reaching kids where they spend most of their time and that is in schools."

Inseparable has published a checklist to promote mental health in schools. They advocate annual wellness checks for all students, regular staff training around mental health and school engagement with families and the community.

A new Healthy Minds Study finds college students' mental health in Connecticut and nationwide is improving.

In the last ten years, there have been significant increases in anxiety, depression, and suicidal thoughts.

But the change in this trend is being attributed to increasing attention to student mental health, with schools providing greater access to mental health care and resources.

Erin Voichoski, research area specialist with the Healthy Minds Network, said students are also seeing increases in positive mental health.

"Students feel like they are actively contributing to the happiness of others," said Voichoski. "They feel that they are competent and capable in things that interest them. They feel optimistic about their future. They feel like they are a good person and live a good life. Those are things that can coexist sometimes, with symptoms of depression and anxiety."

The researchers also found increasing use of therapy and medication among college students. Along with this, personal and public stigma about students' mental health has remained low.

Colleges and universities across Connecticut received grant funding for mental health services through the state's Higher Education Mental Health Services Initiative.

The report also notes loneliness in college students is declining, after reaching great heights during the pandemic. Voichoski said she feels the trend is promising, although the level is still quite high.

She said there are several takeaways for campus officials to keep in mind.

"We have the data," said Voichoski. "We've established that there is a need for these services and resources on college campuses, and the people who are making decisions on these campuses need to continue collecting data that can inform their decisions."

Voichoski said she feels having this kind of data ensures schools know how best to spend money on mental health resources for their students.

While the improvements are small so far, she said continued conversations about mental health can go a long way to help end the stigmas.

Advocates for people battling Alzheimer's disease and their families are marching in Des Moines this weekend to raise money for brain research and ultimately, to find a cure.

Alzheimer's is a degenerative brain disease and the most common cause of dementia.

Lauren Livingston, communications director for the Iowa chapter of the Alzheimer's Association, said marchers are trying to raise $500,000 and while the funds are critical, she stressed the point of the event goes beyond raising money.

"I've heard a lot of people who come to the event who are personally affected say that they feel like it's kind of a big support group," Livingston explained. "Where you are getting together with other families who have been through something the same, or very similar, to what you've been through with your loved one."

Roughly 62,000 Iowans suffer from Alzheimer's disease and Livingston pointed out the number grows every year. At least 100,000 family members and caregivers in the state are also directly affected.

The Alzheimer's Association reported the number of disease-related deaths doubled between 2000 and 2021, despite a huge increase in research. Nationwide, 7 million people have been diagnosed, and at least 11 million caregivers are directly affected. Livingston noted money raised during the march will be used to provide services to them, too.

"Services like support groups for caregivers and education programs to help people learn about the disease and what to expect if a loved one is living with it," Livingston outlined. "We're there to help caregivers right now, when they're in the middle of the disease with their loved one."

There still is no cure for Alzheimer's disease but federal regulators have recently approved medications that can slow its progression.


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By Reyna Revelle for WISH-TV.
Broadcast version by Joe Ulery for Indiana News Service reporting for the WISH-TV-Free Press Indiana-Public News Service Collaboration

Health care providers recognize the need to ensure accessible, culturally competent mental health support, especially with the growing diversity in central Indiana and the resources available to those in crisis.

Dr. Sally Fleming, a clinical psychologist at Riley's Children's Hospital at IU Health, told News 8, "It is a real issue here in our home state of Indiana. We see it daily. But, it's throughout our state for all ages. It's not just the kids, it's everyone, and the numbers are not decreasing."

IU Health has made strides to expand its suicide prevention programs. Its health care providers have been training staff on the best practices for supporting others from diverse backgrounds. They have worked to reach underserved groups and destigmatize conversations around mental health.

Fleming said, "Suicide rates are higher. Suicidal ideation.. these things are higher in our population of more diverse ethnic groups, and we have to be aware of that as clinicians and ask the right questions."

The clinical psychologist says the stress of coming to a new country combined with disparities in socioeconomic status are complex factors that can profoundly affect mental health and suicide risk. Prioritizing mental well-being is taught through support groups, education, and action.

"One program I'm involved in is the Collaborative Assessment Management of Suicidality. It is suicide-specific and held at Riley hospital. This is primarily for our teenagers who have experienced suicidal ideation and attempts."

The U.S. Centers for Disease Control and Prevention reports suicide is the second-leading cause of death for Hoosiers from the ages of 14 to 39. It also says, in the past year, 5% of Hoosier adults and 11.1% of young adults from the ages of 18 to 25 have experienced suicidal thoughts.

Jason Craig, director of the Indiana Suicide Prevention Network, said, "Suicide affects anybody and everybody. There is no discrimination to suicide or thoughts of suicide. Bringing awareness to things like the 988 line; they have interpreters available significant for all walks of life."

A recent study shows that the majority of adults believe that suicide can be prevented, and 96% of adults in the U.S. would act if someone close to them were thinking about suicide.

"You can be that shining light of hope for somebody by asking how you are doing and being sincere with that ask," Craig said.


Reyna Revelle wrote this article for WISH-TV.


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