School districts across the state of New York are facing a shortage of social workers.

According to an audit by the state comptroller's office, New York City schools are not providing enough social workers per school.

The report showed 423 schools are without social workers, while most of the schools with at least one social worker do not meet the recommended ratio of one social worker to every 250 students. Rural school districts are seeing a retention problem since they cannot afford to compete with their urban counterparts.

Martha Shultz, northeast division director of the National Association of Social Workers New York State Chapter, said a primary issue is noncompetitive salaries, since district leadership might not understand what a school social worker does.

"That stems from this kind of misunderstanding, or lack of understanding, or desire to learn about really what is social work and what can they offer," Shultz contended. "In schools, there's been a push for every building to have a school social worker. But, that doesn't necessarily mean that school leadership or even the school board knows what a social worker does at a school. They just know they have to have one."

Schultz pointed out another part of the problem is a pipeline issue, because many rural colleges and universities do not offer graduate-level social work programs. She has seen numerous empty positions without applicants, with a lack of education by district leadership being a deterrent.

Schultz added social workers might start at the bottom in school districts, despite many years of experience in other areas of social work. The issue of social-worker shortages goes beyond schools and has reached the state's Office for Mental Health.

Samantha Fletcher, executive director of the National Association of Social Workers New York State Chapter, said social workers are bearing the brunt of the shortage. One challenge she found is the growth in caseloads social workers have to deal with, arguing high caseloads contribute to faster burnout.

"They don't want to work in a situation where they know they're in a lose-lose position; that they know they can't give their clients what they need," Fletcher explained. "If you're seeing eight or more clients a day, how do you have time to do a suicide evaluation for another client or deal with a crisis from another client."

In 2021, two bills were introduced in the state Legislature to address caseload caps for social workers and for child protective service workers. Both are still in committee.

A new book by a University of Washington professor on the death penalty finds support for executions may be motivated by people's own fear of death.

Philip Hansten, professor emeritus of pharmacology at the University of Washington and author of "Death Penalty Bulls---," argues against the practice.

Hansten draws on work by Ernest Becker, an anthropologist who said reminding people of their own mortality made them cling tighter to their cultural views and even increases people's punitive urges in order to defend their culture.

Hansten suggested hearing about a murder could cause somebody to think more about death, especially if it happens in their community.

"The murderers are an out group in general; I mean most of us aren't murderers," Hansten pointed out. "So the murderer is automatically an out group, somebody who we would tend to protect our culture from anyway."

Hansten argued it could make people more likely to support the death penalty. He also noted the fear of death can inspire xenophobia and racism in people who feel they need to protect their culture.

Becker's Pulitzer Prize-winning book The Denial of Death led to the creation of a study known as Terror Management Theory.

Hansten contended Becker's theory puts death row in a new light.

"If the terror of death has such a huge influence on all of us, putting people on death row for decades, it would be hard for me to imagine something more cruel than that," Hansten stated.

Hansten added Terror Management Theory also makes it clear people do not necessarily create their views on issues like the death penalty with their rational minds.

"You give them all this data and all the rational arguments and show how it's totally arbitrary, etc., etc., and it just falls on deaf ears because this death terror is preventing them from hearing it," Hansten emphasized.

Seventy percent of the royalties for Hansten's book go to the group Death Penalty Focus.

Most South Dakotans live in federally designated mental-health professional shortage areas, and a new report recommended steps Congress and other decision-makers can take to help states close gaps within the behavioral health workforce, amid a growing demand for mental-health services and a shortage of licensed providers.

Kendall Strong, senior policy analyst for the health project at the Bipartisan Policy Center, said one solution is to enhance the role of those with mental-health training who do not have the full credentials. She argued behavioral-health support specialists are certainly up to the task.

"These people are underutilized," Strong contended. "They have a lot to offer because part of the folks that we're talking about are folks like peer-support specialists, who have lived experiences and can really connect with folks who are struggling."

Others in the group are community health workers and paraprofessionals. The report recommends reducing barriers for them to take on bigger roles in behavioral health, including adopting a certification framework to promote flexibility but still protect patients.

Strong acknowledged a divided Congress might provide obstacles but added there is optimism with both parties recognizing the provider shortage.

The report advised pulling in more help can free up licensed providers who are dealing with patient backlogs. Strong added behavioral health support specialists are embedded in the community and can meet in a nonclinical setting. She suggested it can be especially helpful in rural areas where mental-health stigma still might exist.

"In areas where there is just less infrastructure visibility as compared to urban areas, it's really clear if you're going into a health care facility," Strong noted.

The report also called on federal officials to explore expanding Medicaid and Medicare coverage of services provided by behavioral-health support specialists.

The Kaiser Family Foundation said South Dakota has nearly 60 areas with provider shortage designations, which affects nearly 800,000 residents.

One in 11 Missouri children, and one in 13 nationally, will lose a parent or sibling by age 18.

Childhood grief that is not dealt with can have short and long-term negative effects, including school problems, mental health issues and even a shortened life span.

Becky Byrne, founder and executive director of Annie's Hope, The Center for Grieving Kids in Glendale, explained kids grieve differently than adults, so it is not always obvious when they are struggling. She emphasized anyone can help a grieving child if they can overcome their fear and discomfort.

"And if you can't figure out what to say, just simply say, 'I want to be able to help you, I do not know what to say.' You don't have to be a trained professional," Byrne explained. "All you have to be is human, and willing to open up yourself to hear somebody else's pain."

During eight-session family support groups, she noted Annie's Hope pairs children with their peers and adults with adults. Byrne pointed out death affects the whole family system, and adults can learn about ways to best help their children at home.

Cindy Izzo, school support and education coordinator for the organization who facilitates the six-week school-based program, said it is especially important for kids who are not attending a grief support group outside of school, and it provides additional training for school professionals.

"We are showing the kids in the school that they are not the only one who is grieving," Izzo stressed. "Really, our group of participants is just the tip of the iceberg. So then, we're also connecting the students to the adults in the school who will provide that ongoing support for them."

Byrne added peers who are experiencing the death of a loved one can be immensely helpful to each other.

"When you find somebody who's your contemporary -- who this makes total sense to, and they can validate you -- that makes it like, 'Oh well, if that person can do it, maybe I can do it.' You immediately get this head start if it's a peer," Byrne stated.

For grieving families unable to attend an in-person support group, Byrne suggested virtual groups can also be helpful.