Phoenix, AZ – Budget cuts for services such as behavioral health care, family intervention and drug treatment will wind up adding millions more to the state deficit in a matter of months, according to advocates for at-risk adults and children. Emily Jenkins, president and CEO of the Arizona Council of Human Service Providers, says the state has reduced outpatient mental health services for uninsured working Arizonans.

"When you don't provide that treatment, then what you end up with is people in a residential treatment facility at maybe five hundred dollars a day, or you end up with people in a psychiatric in-patient hospital at eight hundred, a thousand dollars a day."

Jenkins says those denied outpatient care will also become much sicker and require longer treatment, and she says eliminating in-home services for families with abuse and neglect issues means children will be removed to costly foster homes.

"So you've gone from a three thousand dollar a year service to 18 thousand a year, which is what it costs the state to provide foster care services for a year."

On a similar note, Jenkins says denying someone outpatient substanceabuse treatment at 14 hundred dollars a year often results in prison time costing 24 thousand dollars a year.

Jenkins says the cuts are producing a human cost as well. For example, she says children coming out of foster care have a tough time both socially and in school.

"There are studies that indicate that children who are in foster care for extended periods of time get as much post-traumatic stress disorder as someone who is a war veteran."

Lawmakers made the cuts to remedy a 1.6 billion dollar budget gap this year, but must now overcome a shortfall twice as large for next year.

Arizona Governor Jan Brewer is urging lawmakers to resolve the state's grave budget situation with a combination of spending cuts, tax increases and federal stimulus money.



get more stories like this via email

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.

No Indiana county has enough mental-health professionals to meet the local needs according to the Rural Health Information Hub. Add to that an overall mistrust of the healthcare system by many people of color, and there's an unmet need that one Indianapolis nonprofit hopes to help fill.

Nonprofit community center Flanner House has opened a facility geared for the mental-health needs of Black Hoosiers.

Morningstar Afrocentric Wellness Center Director Bwana Clements said he and Flanner House Executive Director Brandon Cosby envisioned opening the center after seeing that young Black men seemed unresponsive to traditional therapeutic models.

"Wouldn't it be nice if we had an agency to prevent the challenges and difficulties of having to retell your story, over and over, to people who may or may not understand it?" Clements asked.

He said the center offers individual, couples and family counseling, as well as bereavement therapy for young people who have suffered a loss due to violence or trauma.

The American Psychiatric Association has found that, with Black patients, physicians are 23% more verbally dominant and engaged in 33% less patient-centered communication than with white patients.

The Substance Abuse and Mental Health Services Administration points to reasons why Black Americans and other minority groups don't always seek help for mental health. There's still a stigma around getting this type of care, but lack of access and insurance costs also are factors.

Clements said the center was intentionally designed for people to feel at home.

"There's something about being able to walk into a space, seeing people that look like yourself, and knowing that they understand without you having to explain," he added.

Clements said anyone is welcome at the Wellness Center, no matter their race or sexual orientation. The American Psychiatric Association says other common barriers to seeking help include concerns about privacy, lack of knowledge about available treatments, and denial of mental-health problems.


get more stories like this via email

More than 1 million Latinos call Georgia home but the growing community faces an alarming gap in finding and using mental health services.

The National Alliance on Mental Illness reported fewer Hispanic and Latino individuals seek help. It may be because of language barriers, poverty or just not feeling comfortable with cultural differences.

Belisa Urbina, executive director of the nonprofit Ser Familia, which offers social services to Spanish-speakers in the Metro Atlanta area, said fewer than 100 licensed mental health professionals in Georgia speak Spanish, which affects the quality of care even when interpreters are available.

"Most times, this interpreter changes from one appointment to the other," Urbina explained. "And also, if you're using an interpreter, then you're not providing an hour of counseling. You're providing maybe 30 minutes, at best."

Urbina emphasized although some Latinos prefer English for daily communication, they may struggle to discuss specific incidents or emotions. She noted the pandemic only heightened the need for mental health support, with suicidal thoughts tripling among Latino children as young as eight.

Urbina pointed out one challenge is the cost of professional certification for mental health providers. She observed many people who receive the necessary education cannot get the credentials to practice due to a lengthy and expensive process. Ser Familia hopes to help make access easier by increasing the number of practitioners through other measures.

"We are establishing a project in which we hopefully are going to bring to Georgia students from universities in Puerto Rico that are ready to do hours," Urbina outlined. "They can do their practicum here, and the hours are going to be counted in Puerto Rico."

Urbina hopes in the future, it will be easier for people to get the credentials they need in the mental health field. But she added there is a lot of work to be done to improve health equity for minority populations, especially if they don't speak English as their first language.