AUGUSTA, Maine -- Advocates for access to mental-health services are holding a Behavioral Health Summit today at the Augusta Civic Center. They are hoping to raise awareness about the existing challenges in Maine's behavioral health system -- from staffing shortages to funding gaps -- as a historic amount of money is set to be infused into community mental-health and substance-use services.

John Hennessy, lobbyist for the Behavioral Health Community Collaborative and coordinator of the event, said it is the right time to discuss how best to use the funding to address the needs of Mainers.

"Given 20 months of dealing with COVID and even pre-COVID, the system was precarious in terms of how it was funded, and the sustainability of that funding," Hennessy explained. "We're just trying to bring everyday voices to the public and talk about the issues."

Maine recently upped the reimbursement rates for providers of mental-health and substance-use services, and funding is on the way from COVID relief bills and the American Rescue Plan. But some providers still are shut down, because they have not been able to retain staff to bill under the new rates.

Leaders of the summit say the consequences of staffing shortages and wait lists are severe. When services are not available to residents, it can lead to improper use of incarceration, overfilled emergency rooms and even death.

Hennessy noted a panel of lawmakers at the summit will discuss why some promising legislation does not always make it through at the State House.

"A lot of the problem around community mental-health services is there's still a stigma attached to talking about the services, and we're trying to eradicate that," Hennessy pointed out. "We're trying to bring the stories of real people in real time to the public's awareness."

In addition to being in-person, today's summit is live-streamed on Facebook.

Last month the American Academy of Pediatrics, the Children's Hospital Association and the American Academy of Child and Adolescent Psychiatry together wrote a declaration, saying there is a children's mental-health national emergency. They represent more than 77,000 doctors and more than 200 hospitals.

As college students head to campus in the coming weeks, mental-health experts are urging both students and parents to familiarize themselves with the school's on-site mental-health resources.

Three in five college students nationwide reported being diagnosed with anxiety, depression or another mental-health condition by a professional, according to a Harris Poll released this year.

Virginia Rodilla, manager of the helpline and on-campus support for the National Alliance on Mental Illness-North Carolina, said especially for incoming college freshmen, the coronavirus has disrupted preparing for a new chapter.

"A lot of young people were stuck at home," Rodilla pointed out. "They were relying on social media and screen time, less social interaction, and a lot of uncertainty around the pandemic and societal issues."

She added while colleges generally are not staffed to handle severe psychiatric disorders, counselors located in health and wellness centers are a first stop for students living on campus. If you or someone you know may be considering suicide, contact the Suicide and Crisis Lifeline at 988.

Rodilla pointed out younger students may be used to a parent handling health care needs or making appointments, and might be in the dark about the details of their health insurance plan and what it covers, if they are insured.

She noted there also are places to turn for students who are far from home. The Alliance runs a helpline in North Carolina, at 1-800-451-9682, available Monday through Friday, 9 a.m. to 5 p.m. She added experts are on call to help connect students to the right resources.

"After those hours, a student can text the word NAMI to 741-741," Rodilla urged. "That's 24 hours a day, never closes, and a helping professional would be able to direct that person to services and help."

She emphasized NAMI is working with campuses across the state.

"If anybody is ever interested in bringing awareness to mental health on their campus, forming some student support groups, having some awareness and health events, healthy events," Rodilla outlined. "They can work on forming a NAMI On Campus club at their school."

Nationwide, people are becoming more informed on mental health. In a 2019 poll by the American Psychological Association, nearly 90% of adults agreed having a mental-health condition is nothing to be ashamed of, and 86% said they believe people with mental-health disorders can get better.

Support for this reporting was provided by Lumina Foundation.

Many parents in Oregon and around the country will soon be bidding their children farewell as they head off to college for the first time, and a growing question on some parents' minds is about the mental health supports schools provide.

According to a recent survey, three of five college students have been diagnosed with a mental health condition. Schools like the University of Oregon have beefed up their services in recent years to meet the growing demand.

Mariko Lin, assistant director of counseling services at the university, said when they first come to college, students can be scared about making appointments with health services.

"But I want to make sure that parents and family members know that we really want to help their students," Lin stressed. "And are looking forward to them reaching out to us to make those appointments and to get the care that we want to give them."

Lin pointed out the University of Oregon is contracting with an outside company this year to meet any overflow in demand. Along with individual therapy, Lin noted her school also provides group therapies related to specific topics such as sexual assault survivors, as well as for marginalized community members.

Nance Roy, chief clinical officer of the Jed Foundation, which aims to prevent suicide among young people, encouraged parents to ask schools about their mental health supports when their children are deciding on a school, such as on college tours. Roy also urged parents to explore what the university is like beyond the walls of its counseling department.

"It's helpful to ask some questions about what is the culture like on their campus?" Roy emphasized. "Is it a campus where there's no wrong door for a student to walk through for support? Is everyone open and accepting, offering a warm hand? Are faculty and staff engaged in student well-being?"

Roy advised parents who know their children already have therapy needs may want to find local options off campus as well. And while stigmas around mental health are slowly coming down, she added it is important for parents to talk about this issue. For prospective students, Roy acknowledged going away to college can be scary, and it is OK to reach out to someone if they need help.

"Talk to a friend, talk to us," Roy recommended. "Don't feel like you're alone in that because it's very normal during periods of transition to feel a little bit of anxiety, and that's all right."

Support for this reporting was provided by Lumina Foundation.

Losing a loved one can be traumatic, but when it happens to children, it can leave them at risk of anxiety, depression and even post-traumatic stress that can derail their educational progress. Experts in grief say it's always a good measure to seek help.

New Hope for Kids in Maitland runs a program designed to bring hope and healing to children and families suffering from grief, for as long as they need.

"Kids are with us typically, very seldom are they here less than a year's period of time," said David Joswick, executive director of the volunteer-based organization that provides group grief support, free of charge. "More typical is two to three years."

The American Psychiatric Association recently added Prolonged Grief Disorder to its list of mental disorders, describing it as intense emotional pain that persists more than a year after a loss. Those at particular risk include people who lose loved ones to violence, parents who lose children and anyone without a support system to help them cope.

Joswick said the cost to run New Hope for Kids is about $600,000 a year, all through charitable donations. He said the program serves, on average, 400 to 425 children and more than 350 adults. As kids work in groups to overcome their grief, he said, the adults meet concurrently, so they can cope as a family.

"They've seen changes in the demeanor of kids in the family," he said, "and it's created questions on their behalf of, 'How do I interact with the kids during this period of time?' And so, we provide guidance to the adults in the family."

Prolonged grief disorder, also known as complicated grief, has sparked debate in the medical community. But clinicians now can bill insurance companies for treating anyone with the condition. Some say the APA designation also opens the door for more research and awareness. Joswick said his group made a decision years ago to stay non-clinical, avoiding insurance reimbursement forms.