May is Mental Health Awareness Month and advocates are hoping Gov. Gavin Newsom will prioritize the issue in his revised budget, due by Sunday.

The governor's January budget proposed $4.7 million to fund the California Parent and Youth Helpline annually for three years. The helpline connects people with a trained counselor for free from 8 a.m. to 8 p.m., seven days a week.

Dr. Lisa Pion-Berlin, president and CEO of Parents Anonymous, which runs the California Parent and Youth Helpline, said additional funding is needed to keep up with demand for their services.

"With greater resources, we could have more trained clinicians to answer the phone," Pion-Berlin explained. "The demand outstrips our capacity right now. We have people on waiting lists to get into our free online weekly support groups."

The service has helped more than 40,000 people in California since it started two years ago, but they would like to help more of the Golden State's 9.3 million children.

Last week was Children's Mental Health Acceptance Week, when people are encouraged to take action and reach out to another person who might be struggling. Pion-Berlin emphasized no one should be blamed or shamed when they ask for help.

"Parents need support in identifying and accepting that change in behavior, mood swings, sleeping patterns, change in friends, that their child looks sad, and that they may need to seek help," Pion-Berlin outlined.

A 2021 study in the Journal of the American Medical Association found child suicide rates have been rising in recent years, and suicide is the 8th leading cause of death among children aged 5 to 11.

The pandemic has had a devastating impact on people across the country. For people with disabilities, who already face a lot of social isolation to begin with, COVID-19 has only exacerbated mental-health challenges.

A recent study found adults with disabilities report experiencing more mental distress than those without disabilities.

Dr. Sharon McLennon-Wier, executive director of the Center for Independence of the Disabled-New York, said during Mental Health Awareness Month, it is important to recognize the barriers to receiving mental-health treatment people with disabilities face.

"For a person with a disability, who has issues with transportation and traveling, may feel stuck that they can't physically go out and seek services," McLennon-Wier explained. "Because of their limited incomes, may feel that they can't afford mental-health services."

McLennon-Wier added mental-health resources are available through telehealth for people who may face transportation challenges. In New York, psychologists, social workers, mental-health counselors and marriage and family therapists are permitted to deliver services virtually.

The American Academy of Physical Medicine and Rehabilitation estimates 22 million people nationwide may identify as a person with a disability as a result of complications from long COVID.

McLennon-Wier said the major life change may be difficult for people to grapple with, but they should know they are not alone.

"That person who is newly disabled is going to have a lot of different emotions tied to the diagnosis," McLennon-Wier noted. "So it takes time to adapt and to rethink how you typically have done things that you're unable to do the same way."

According to the U.S. Department of Health and Human Services, long COVID can be considered a disability under the Americans with Disabilities Act if it significantly impacts major life activities.

In New York, Mount Sinai's Center for Post-COVID Care offers resources to manage anxiety and depression, post-traumatic stress syndrome, and other emotional issues as a result of lingering symptoms.

May is Mental Health Awareness Month, and there are many stressors for people right now, from the pandemic to the economy.

There is a high prevalence of mental illness in Oregon compared with other states, and organizations are figuring out different ways to reach people who may be struggling.

Adrienne Scavera, training and outreach director for the Mental Health and Addiction Association of Oregon (MHAAO), said her organization has people with lived experiences to provide peer-support services, which she believes is a unique way to connect with people.

"The fact that folks can openly share about their previous life experience can really be meaningful when it comes to reducing stigma," Scavera explained.

Scavera pointed out peer-support services have become more recognized and valued over her time working with the association. An annual study from Mental Health America ranked Oregon in the bottom five this year for factors such as mental-health prevalence and access to care.

Dr. Rhonda Randall, executive vice president and chief medical officer for UnitedHealthcare employer and individual, said she has noticed less stigma around conversations around mental health, especially among young people. She said for a long time, mental-health care was siloed from other parts of the health care system.

"Mental health is part of our health," Randall stated. "It's a conversation you should be having with your primary-care physician when you go get your annual checkup."

Scavera noted everyone is dealing with mental-health issues to some degree. She added people should not be judgmental and should keep an open mind, so they can listen and learn from others about their experiences.

"That can really help to challenge the misconceptions that exist about people with lived experience," Scavera emphasized. "Because at MHAAO, we believe that everyone can recover and that what that looks like is also going to look different from person to person."

From inflation to climate change, Wisconsin farmers face numerous sources of stress that can't help but affect their health. And one program is offering mental and emotional support to farm operators who need it.

The Farmer Wellness Program, an initiative of the state's Department of Agriculture, Trade and Consumer Protection, offers in-person and remote counseling for farmers across the state.

Dan Bauer, program supervisor for the Wisconsin Farm Center, which administers the program, said they also have a 24/7 emergency line.

"So, that 24/7 line is available to farmers," he said, "and really, what it's designed to do is to get them through a terribly tough time. It's not for ongoing care, or not for long-term treatment."

In a December poll of farmers and farm workers commissioned by the American Farm Bureau Federation, more than 60% of respondents said they felt more stress in 2021 compared with the previous year. They cited financial issues, fear of losing their farms and an uncertain future among their greatest stressors.

According to a 2020 report from the National Institutes of Health, about 6.5 million rural Americans struggle with mental-health issues, but counseling services tend to cluster in urban and suburban areas.

Dr. Rhonda Randall, UnitedHealthcare executive vice president and chief medical officer, said technology has made inroads in improving rural access to mental-health services.

"Tele-Behavioral Health has really been beneficial in helping equal out that access, because now licensed mental-health professionals can practice and care for people in communities that may have otherwise had a very long drive to get to see them," she said, "so, think about people in rural areas."

The NIH report estimated as many as 65% of non-metropolitan counties lack a psychiatrist. Bauer said DAT-CAP's "Rural Realities" podcast also can offer helpful tips to farmers looking to prioritize their mental health.