Colorado has the sixth-highest suicide rate in the nation, according to the U.S. Centers for Disease Control and Prevention.

When someone experiences a medical emergency, bystanders trained to perform CPR know how to react, but it is not always the case during a mental health emergency.

Jennifer Morris, licensed therapist and trainer for AllHealth Network, a community mental health center offering free QPR suicide prevention training in the southern Denver metro area and Castle Rock, said they hope to make more people aware of ways to help.

"People are afraid of doing or saying the wrong thing, so often they tend to do nothing," Morris explained. "But if more people had training and just very basic questions to ask, who to refer people to, and how to provide some basic support, I think we would come a long way."

QPR training helps people recognize warning signs of a suicide crisis, which can include changes in routine behavior or sleep patterns, or talking about being a burden on others or wanting to die. QPR stands for questioning, persuading, and referring people to resources, and Morris said it starts by engaging someone in a conversation. Ask how they are doing, let them know you care about them, and ask if they need help.

Suicide is the leading cause of death among Colorado kids ages 10 to 14.

Axis Health System recently held a Youth Mental Health First Aid training for all 40 Ouray School District staff members, including bus drivers, cafeteria workers and janitors.

Paul Reich, community relations liaison for Axis, said staff may notice warning signs outside the classroom, and can intervene even if they do not have a close relationship with the student.

"If I know the coach does, and he's had the same training I've had, it's a great opportunity for me to go to that coach and say 'Hey have you noticed student x might be struggling?' And 'You seem like you have a good relationship with them. Would you feel comfortable talking to that young person?'" Reich outlined.

Colorado's 18 community mental health centers, which treat all patients regardless of their ability to pay, can be found at cbhc.org. Morris added people can also get help remotely by calling the National Suicide Prevention Lifeline at 988, and many of the centers offer telehealth.

"It provides more anonymity in a small town where people might not run into their neighbor or a co-worker waiting in an office lobby, or someone might see their car," Morris noted.


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Indiana families are preparing kids for back-to-school season, and mental-health experts say emotional readiness is just as important as school supplies.

Beth Trammell, a psychologist and professor at Indiana University East, said kids often carry anxiety into the new school year. She encouraged parents to help children identify those fears.

"We as parents or caregivers think, 'Don't worry, or don't stress.' Instead, we might want to say, 'OK, well, let's talk about what it is you're worried about. What is the worst thing you think could happen?' If we draw it out of them," she said, "it may give them space to kind of let that out."

Helping kids feel heard can reduce stress. But experts also urge balance, keeping mornings calm, easing into routines, and not overloading schedules the first few weeks.

Nicole Brady, chief medical officer at UnitedHealthcare, said mental-health support should remain a priority throughout the year.

"Though we want our kids to be involved in activities and be social," she said, "we have to watch their academic performance, their mood, those sleep patterns, and making sure that those are staying healthy."

Brady added that parents should talk regularly with kids, model healthy coping and seek help early if warning signs appear.


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After a legislative session which opened doors to expand mental health care services across Montana, a state commission said it is considering the Billings area to build the state's second forensic facility.

For people involved in Montana's justice system whom a judge has deemed not mentally fit for their own defense, there are 53 beds in the state's only forensic facility in Galen. The daily waitlist hovers at about 100 people.

Matt Kuntz, executive director of the National Alliance on Mental Illness-Montana, said it is not meeting the immense need.

"It's just a really bad situation for the people that are in the jails, for the people that are caring for them, for the taxpayers," Kuntz outlined. "It just doesn't work for anybody."

At a recent commission meeting, Montana Department of Public Health and Human Services Director Charlie Brereton said the state is identifying a location for a new facility. The department received nearly $27 million from the state in April to fund project planning.

Kuntz noted the Montana Legislature passed many bills this session centered on mental health care.

"We really were able to get big wins in access to outpatient care, access to crisis care and for people in need of forensic hospital," Kuntz explained. "Overall, it was really an amazing legislative session for Montanans with mental health conditions."

Other mental health legislation will boost school-based services, youth in residential care, the state's 988 crisis line and certified community behavioral health clinics.


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The California Parent and Youth Helpline is in serious jeopardy after Gov. Gavin Newsom cut it from the new state budget, saying the money was needed to support medical services.

Advocates said they are puzzled because the governor has championed the helpline for years, and lawmakers approved $3 million from a separate fund dedicated to mental health, which does not affect the deficit.

Lisa Pion-Berlin, president and CEO of the nonprofit Parents Anonymous, which runs the helpline, said it is still operating 24/7, for now.

"We're holding on for the next month or so," Pion-Berlin pointed out. "But we need the state to step up, or one of these well-off philanthropists who cares about having that immediate help for emotional support, which is so vital."

Advocates are hoping funding can be restored via a budget trailer bill in the next few weeks. People can call or text and reach the helpline's trained counselors at 877-427-2736. The free helpline has connected with more than 120,000 people since its inception five years ago, and the website CAParentYouthHelpline.org has reached a million more.

Pion-Berlin noted a study in the Journal of Technology in Human Services found a call to the helpline can quickly ease parents' suffering and feelings of isolation.

"The research said that 85% of the callers in less than 30 minutes feel more positive, more hopeful and able to address their issues," Pion-Berlin reported. "There is no other service or pill I know that can do that in 30 minutes or less."

Parents Anonymous also offers free weekly support groups to steer parents and kids through emotional crises of all kinds.