On a given day in Massachusetts, more than 100 children and teenagers are brought to hospital emergency rooms because they're facing a mental-health crisis and sometimes have to stay there for days or weeks.

Nonprofit Youth Villages is partnering with the Massachusetts Health and Human Services Department for a program called Intercept, to provide immediate in-home mental-health treatment for kids and teens.

Matt Stone, executive director of Youth Villages, hopes to see similar programs in other communities.

"The vast majority of the children and adolescents that we are serving in this program," Stone explained. "They don't need a bed in a facility. What they need is intensive in-home support, to help the parents and caregivers be able to manage the crisis."

Stone noted Youth Villages has served more than 100 families, referred by 20 different hospitals. Family intervention specialists meet with families two to three times a week; help address issues with schools, courts and children's services; and build and help families execute treatment plans. They're also on call 24/7 in case of an emergency.

Joy Rosen, vice president for systems behavioral and mental health at Mass General Brigham, said during the pandemic, hospitals have seen increased numbers of children and teens in mental distress. She pointed out there are a number of factors, from remote learning and feeling isolated, to potential loss of a friend or family member.

"Anyone is accepted, regardless of their insurance, whether they're documented or undocumented," Rosen stressed. "It's really a breath of fresh air, and particularly at a time when clinicians did not feel they had many resources at their fingertips for these suffering kids and families."

Angela is a parent of a teenager who went through the Intercept program. She emphasized the difference it makes to be able to take care of your kid at home. She recounted when her daughter was experiencing an eating disorder and self-harm, she was stuck in the emergency room for two full weeks because inpatient facilities wouldn't take her, until she was discharged with Youth Villages.

"Awareness of this program really needs to be heightened up a bit to help get kids home. An emergency room is not a place for mental illness with kids," Angela asserted. "She saw way too many things as a teenager that she should not have seen in that emergency room."

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.

Mental-health advocates say the new 988 Suicide and Crisis Lifeline could save the lives of many Utahns and others facing mental-health crises.

The new three-digit number is a "shorthand" version of the previous 10-digit National Suicide Prevention Lifeline that has been in use since 2005. The new number links callers to a local mental-health help center based on their area code.

Rachel Lucynski, director of community crisis intervention at the University of Utah's Huntsman Mental Health Institute, said saving the time it takes to look up an unfamiliar number could make the difference for someone in a crisis.

"We're confident that if folks can remember '911,' that they can definitely remember '988' in an easier way," she said, "and that remembering that, accessing the service, could be the difference in keeping someone alive in a suicidal crisis."

The 988 system was first proposed in 2014 by a Utah legislator who had experienced a suicide in his family. Subsequent efforts to pass the measure failed, but Congress finally approved the plan in 2020.

Lucynski said the Utah crisis team currently handles an average of 8,600 calls a month. While most of them are people looking for information, she said, a significant number are individuals dealing with a personal crisis.

"We know that the Utah crisis line really is effective for folks in accessing 24/7 life-saving services," she said, "being connected immediately to a crisis worker who can help de-escalate a situation and help keep folks safe during emotional and potentially suicidal crises."

The state Department of Health reported that from 2018 to 2020, Utah had the sixth-highest age-adjusted suicide rate in the United States, with an average of 657 incidences per year.

If someone you know is facing a crisis, Lucynski said, you can call 988 to get them help.

"It doesn't have to be just you that you're calling in for," she said. "If you're worried about a friend or family member or coworker, someone who is acting differently or maybe expressing thoughts of suicide, you can call 988 and ask those questions."