CONCORD, N.H. - The unanimous vote by the U.S. Senate to approve the Clay Hunt suicide prevention bill should mean improved access to mental health treatment for veterans in the Granite State, according to local advocates.
Kenneth Norton, executive director of the National Alliance on Mental Illness (NAMI) New Hampshire, has been involved in local suicide-prevention efforts with the New Hampshire National Guard, and nationally with the Pentagon and Defense Centers on Excellence. He says passage of the Clay Hunt bill will improve access, which is a critical issue for veterans in New Hampshire.
"Almost half of people who have mental health issues never seek treatment," says Norton. "It's perhaps even more so with veterans. There is a stigma associated with that, so this will help with access to treatment."
The Clay Hunt bill was named for a 26-year-old Iraq and Afghanistan veteran who killed himself in 2011. The measure is now headed to President Obama for an expected signature.
Norton says with both New Hampshire senators serving on the Veterans' Affairs Committee, lawmakers in the Granite State took a significant leadership role in passing the bill.
"Senators Ayotte and Shaheen were both sponsors of this bill," he says. "They've been very interested in ensuring that our veterans receive the mental health care they have earned and that they deserve."
While most news accounts have focused on statistics, like the 8,000 veterans who die from suicide each year, Norton says the latest recommendations for reporting on suicide suggest those numbers do more harm than good. He says it's better to focus on prevention.
"Ninety percent of people who attempt suicide don't go on to die by suicide," says Norton. "And 75 percent of people who do die by suicide give some warning in advance that goes unrecognized or is not taken seriously."
According to Norton, if as many people knew the warning signs for suicide as heart attacks, New Hampshire and the nation would go a long way toward prevention. Warning signs include talking about death or dying and severe mood swings.
Help for veterans and their families is available at the National Veteran's Crisis line at 1-800-273-8255.
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Residents in the Texas Panhandle are starting to put their lives back together after surviving the largest wildfire in the state's history.
The fires burned for three weeks, destroying homes, barns and livestock. The State of Texas Agriculture Relief Fund is accepting donations for survivors.
Sid Miller, Texas agriculture commissioner, said it is not always enough to help with the physical needs of farmers and ranchers. For mental health concerns, there's the AgriStress Helpline.
"These people have lost everything," Miller pointed out. "We've lost over 500 homes and barns up there. A lot of those ranches have been there over 100 years. They've lost their cattle, their fences, their livelihood, so it's a very stressful time."
Miller noted the Helpline is answered 24 hours a day by professionals who've received more than 300 hours of training. It is part of the University of Texas at Tyler Health Science Center. The Helpline number is 833-897-2474.
Miller explained the mental health of people in the ag industry can be affected by geographic isolation, weather conditions and the fluctuating prices of commodities. He added the helpline professionals are trained to deal with issues related specifically to rural communities.
"We answer that phone within 30 seconds, and we'll call you back the next day, and the next day and the next day," Miller emphasized. "As long as you want us to keep checking on you, until you tell us to not check on you, we're going to keep checking on you."
Farmers and ranchers from across the country have taken feed, hay and fencing materials to the Panhandle to help people rebuild. The fires scorched more than 1 million acres and killed three people, and Miller acknowledged it will be at least two years before the full effects are calculated.
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More parents in Kentucky are switching jobs, delaying major purchases, cutting back on essential needs, and going into debt in order to afford child care, according to a new survey from the Kentucky Center on Economic Policy. Parents, especially mothers, in the Commonwealth say the financial stress and uncertainty around of child care is impacting their mental health.
Keshia, a parent in Knox County, said she struggled with postpartum depression, and notes having access to child care, even just a few days a week, allows her time to focus on her well-being.
"I put him in day care twice a day, twice a week. So that gives me time to focus on my work and to focus on my mental health and to be a better mother for him," she explained.
According to a recent survey of more than 1,300 parents in the Commonwealth, they continue to face anxiety and stress over what might happen if they lose care. More than 70% said they won't be able to find alternative care arrangements, or may have to use less safe care for their children. More than half said that if they lost their child care, they would be forced to leave their job to stay home with their kids, or wouldn't be able to provide for their family.
Lisa Leonard is a grandparent in Daviess County who gained custody of her now 17-year-old grandson when he was a toddler. She saidher grandson qualified for a Head Start program, which allowed her to keep working full-time, adding that many kinship caregivers face financial pressures that can contribute to chronic stress and anxiety.
"If it hadn't been for the availability of Head Start, I truly don't know what I could have done. I lived so far out in the county, and didn't know anybody around me," she said.
Most Kentucky parents shell out hundreds of dollars per week for child care, even with assistance, according to the Kentucky Center for Economic Policy. The state faces a $330 million loss in money for child-care centers when American Rescue Plan Act funding expires this year.
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March is National Criminal Justice Month and advocacy groups are drawing attention to how people with mental illness are overrepresented in jails and prisons.
According to the Prison Policy Initiative, 43% of people in state prisons and 44% of people in local jails have been diagnosed with a mental health disorder. However, placing them behind bars may not be the best solution.
John Mitchell, mental health court judge in Kootenai County, said about half of the people in his caseload have some sort of mental health diagnosis, but noted jail does little to change their behavior.
"Unless you can figure out a way to help those people address their mental health concerns, ideally at the same time they get their chemical dependency treatment, they're just going to keep coming back," Mitchell observed.
Mitchell acknowledged jail can be necessary for a person's safety or the public's safety but it has not often been the case in his 22 years heading the mental health court. He meets with people in the court typically over two years, on a weekly basis to begin with, and said he plays the role of cheerleader and coach.
John Hall, group facilitator for NAMI Idaho, has been incarcerated and said he was living with undiagnosed and untreated mental health issues. He argued diversion programs like Mitchell's are a better alternative to sentencing and added it is important to educate people before they become incarcerated.
"They have an opportunity beforehand to change the course and direction of their life through the management of their diagnosis," Hall emphasized. "Or maybe their life choices or maybe the environment that they have been in for some time."
Hall also noted peer mentor programs within Idaho's jails and prisons are showing promising results for people who are incarcerated.
Mitchell stressed it is powerful to watch the people he works with change.
"To see somebody with those things stacked against them deal with all their issues all at once and succeed, it's one of the coolest things you can do as a judge," Mitchell observed.
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