Mental health has emerged as a pressing issue for young Pennsylvanians in "Generation Z," born after 1996. Research shows they are also more willing to talk about it than previous generations.

Christine Michaels, CEO of NAMI Keystone Pennsylvania, said coming out of the pandemic has been the biggest challenge facing Gen Z, with depression, anxiety and suicide attempts on the rise. She said nearly 3/4 of mental health conditions emerge by age 24, and NAMI Keystone provides resources and programs to help guide and support these conversations.

"We use young people to go into the schools and tell their story about how they had mental health issues," she explained. "Some have a diagnosis and have treatment and everything; they tell their story and tell how they managed to get through it."

Michaels noted NAMI has 28 affiliate chapters in eastern Pennsylvania that work with local schools to try to reduce any stigma.

Michaels said Generation Z is very computer literate. They also value 'apps' that make it easier to schedule health appointments, manage conditions and look up data.

"There are a lot of online services now - telehealth has been advanced during the pandemic," Michaels said. "There are online providers, more than there ever was. And so, that opens up some services and some treatment for the young people that that wasn't there before."

Dr. Donald Tavakoli, national medical director for behavioral health with UnitedHealthcare, explained as this generation starts to enter the workforce, they can use their tech-savvy skills to learn about how health insurance works.

"We think it's really important that they first have their health insurance lingo down, really understanding the common terms of how to navigate health insurance," he said. "Then choose the benefit plan that is right for them. And then really maximize the benefits, once they are enrolled in their health plan."

He added Gen Z adults up to age 26 can maintain coverage on certain plans through their parents' health insurance, giving them some time to transition.

A new program in Utah wants to help first responders learn to recognize and work through their traumatic life events through horsemanship. This coming Saturday, Rein in Response will be holding its first official and free kickoff event in La Verkin.

Taylor Graff, owner of Rein in Response, said sessions are set to begin early next year and added while pricing is still being finalized, participants will pay a part of the total cost while sponsors will pay the balance.

Graff said she has been working with an equine therapist to develop the curriculum, which will teach first responders skills and tools to better manage trauma. For Graff, it's personal -- her father was a police officer for years, and felt the impacts of events he experienced on the job.

"Our family dynamics changed, relationships changed, and my dad changed. It was a really big deal, and none of us knew how to deal with it," Graff said. "We did not have the emotional intelligence to figure out what was going on."

An estimated 30% of first responders and public health workers can develop depression and post traumatic stress disorder, compared with 20% in the general population, according to the Substance Abuse and Mental Health Services Administration.

Graff said it is important to note the program isn't intended to act or replace actual therapy, but rather to be an outlet where one can release and get in better tune with their emotions.

She noted people can learn a lot from horses, since they'll react based on a combination of their own personalities and human behavior toward them. She adds that participants, in partnership with a horse, will learn how to read, de-escalate and negotiate situations in the round pen.

"We teach them how to get the horse back up and just going crazy, and then bringing them back down -- and we relate it to them. Then we teach them how that works in themselves and how they can do it with their families," she continued.

Graff wants first responders to know Rein in Response is there to show support and offer help, and adds it's always important "to lift those that are lifting us."


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Research shows two in 10 Iowa youth report they have considered suicide, and to confront the crisis, doctors and social scientists are using federal grant money to expand mental health services to rural Iowa children.

Child care and mental health experts at the University of Iowa are using a $2.5 million federal grant to reach out, especially to rural schools, which often lack services.

Dr. Tom Scholz, professor of pediatrics at the University of Iowa and director of the division of child and community health, said the trend was well on its way before the pandemic, which only made things worse. He stressed making up for lost time is critical.

"The sooner we can get at those kids, the sooner we can make the diagnosis, the sooner we can initiate therapies, the better those kids are going to do in school and with interactions with their family," Scholz outlined. "And as a foundation as they launch into their post school activities, into adulthood."

Doctors will partner with schools and a dozen community health centers scattered around rural Iowa to serve more young people who need mental health care.

Scholz pointed out the grant will help provide more online psychiatric visits for children, and researchers are working with local health centers to serve as many youths as possible in person. It's help that might otherwise be unavailable, because many kids are far from urban centers.

"It would have required them traveling to Des Moines, Iowa City, maybe Omaha," Scholz explained. "But we're able to provide services in the communities nearer to where they live."

The new grant allows University of Iowa psychiatrists to continue and broaden the work they have been doing. Last year alone, mental health specialists worked with community health centers in rural Iowa to provide nearly 2,000 online psychiatry visits for children who need help.

A report has found Connecticut could do more to strengthen its youth behavioral health system.

Connecticut and the U.S. are facing an increasing child mental health crisis, which was brewing long before the pandemic made it worse. A 2022 report showed suicide was the leading cause of death for Connecticut teens age 15 to 19, but Connecticut is making strides to provide an adept youth behavioral health system.

Jason Lang, chief program officer for the Child Health and Development Institute, described one of the report's recommendations.

"The current reimbursement rates for many behavioral health services have not kept up with inflation over the last decade," Lang pointed out. "There's a large gap in terms of funding that's available to the providers, that in turn is limiting their ability to attract behavioral health clinicians and staff."

Almost half the population in the U.S. lives in a mental health workforce shortage area. KFF data showed Connecticut has 47 health care professional shortage areas, leaving more than 1.6 million people without access to coverage.

Other report recommendations included creating a central support to provide training for workers and keep up on employment trends.

In addition to the behavioral health industry taking action, Lang noted the General Assembly could take its own actions, too. Some of these include Senate Bill 2, which was passed this year. The bill created the Office of the Behavioral Health Advocate to help people in the state get mental health care.

"Some of the other things the Legislature could do are make an immediate investment in recruiting and particularly retaining the clinicians that are working in community mental health right now," Lang suggested. "Because I think if we don't do anything to support and retain them, we're going to continue to lose them to those other jobs."

Getting people to enter back into this workforce could be a problem. A report found 56% of public health workers are experiencing symptoms of post-traumatic stress disorder, brought on by the mental health crisis growing during the pandemic and in the years since.