A new mental-health crisis center is coming to South Salt Lake.
Expected to open in 2025, the new 24/7 Kem and Carolyn Gardner Crisis Center will assist Utahns experiencing mental-health challenges and substance addiction. According to the Kem C. Gardner Policy Institute at the University of Utah, more than 100,000 Utahns experience serious mental illness and more than half of Utah adults with poor mental health do not receive treatment or counseling.
Ross Van Vranken, executive director of the Huntsman Mental Health Institute, said this one-of-a-kind facility will aim to improve those statistics.
"This really speaks to the stigma of mental illness and substance use and why a lot of people don't get treatment," he said. "And what we are trying to do is make it easy and accessible and also trying to kind of eliminate that stigma."
Vranken said the $64 million facility will have the capacity to treat and stabilize 30 patients at a time and include a 24-bed in-patient facility. He said no one will be turned away for "their inability to pay." He said the center has received funding from Medicaid for eligible patients and is hoping to work with insurance companies to help cover costs so that the burden doesn't only fall on the county or state.
Currently, six centers in Utah are staffed by therapists, nursing staff and peer counselors who provide treatments to those in need. The Kem and Carolyn Gardner Crisis Center will be the newest place where people can receive treatment rather than being cited or sent to jail. Vranken said too many people with mental illness have spent unnecessary time in jails or emergency rooms.
In addition to clinical and crisis services, the center will also incorporate help provided by free dental and law clinics.
"You can imagine a lot of these folks get kind of nuisance charges and then they don't show up for their hearing and they're in contempt and there is a warrant for their arrest," he said. "It's just kind of cleaning up a lot of these nuisance charges to actually prevent them from getting funding and housing and all kinds of other things."
Vranken said the most critical part to mental-health treatment is patient engagement. He added that those who will work at the crisis care center will develop relationships to ensure those who need care are receiving it.
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Virginia is bolstering mental health care during and beyond Mental Health Month.
Since the pandemic, the need for behavioral health services has grown considerably, especially among young people. Social media and pandemic-era isolation contributed to an ongoing youth mental health crisis.
Bruce Cruser, executive director of Mental Health Virginia, said a spillover effect of the pandemic is the reduced stigma around mental health.
"You have more people willing to talk about their mental illness or the fact that they're not feeling well," Cruser observed. "It's good that more people are open about it and more people are asking for help when they need it. I mean, that's a good thing. The bad thing is that there's so much need."
The state has made progress in funding mental health services. Virginia's new budget provides an almost $2.5 million increase in children's mental health funding to $15 million for 2025 and 2026, but many other funding pots have been reduced, redirected or eliminated.
While the state is broadening the services provided, barriers to accessing them remain. Beyond existing stigma in certain communities, Cruser pointed out there are many reasons people are unable to get the help they need.
"For some people it's cost, because they still might not have insurance or know about available insurance options," Cruser acknowledged. "But even with insurance, there can be high copays, etc. But another one is availability of the service."
The federal Health Resources and Services Administration designated all of Virginia under a mental health professional shortage. Other reports show the state has few areas where youth behavioral health services are close to sufficient.
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Georgia is taking on its mental-health care challenges head-on through new legislation.
One bill is aimed at increasing the number of providers in the state. Senate Bill 480 offers loan repayment assistance to mental-health care professionals who choose to work in underserved areas.
Rep. Sharon Cooper, R-Marietta, highlighted the state's access landscape, noting that of its 18 public health districts, 12 are located in rural areas. She said the goal is to ensure equitable access to mental-health services for all.
"Georgia is terribly short of psychiatrists, psychologists, social workers, marriage and family providers, all levels of people that deal with various aspects of mental illness," said Cooper.
According to the Rural Information hub, most of Georgia struggles with having enough mental-health providers. The data shows out of 159 counties, only six have no shortage, and two only have shortages in parts of the county.
Cooper elaborated on the multifaceted challenges Georgia faces in mental-health care, citing historical underinvestment and rapid population growth as contributing factors to the current shortage. She described the evolution of mental-health care policy in Georgia, including previous legislative efforts to promote parity between mental and physical health care.
"We are trying to make up for mistakes of the past and trying to do what's right for mentally ill people and to put their illness on parity with anybody that would have a gallbladder or heart disease," Cooper added.
Cooper pointed out that in this past legislative session, 19 bills were signed to help increase the state's ability to care for mental- and behavioral-health needs. Other legislation includes SB 373, which helps provide expedited licenses to marriage and family therapists.
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New York's 2025 budget improves access to mental-health services.
Budget legislation stipulates commercial insurers have to pay rates similar to Medicaid for in- and-out-of-network behavioral health services.
While many New York adults can access care, younger people can't because of insurance coverage.
Matthew Shapiro - senior director of government affairs for the National Alliance on Mental Illness-New York State - said people are glad this broadens access to often limited mental health services.
"We hear from people all the time that they can't access care, they can't find a psychiatrist, they can't find a social worker, they can't find someone who'll prescribe medication," said Shapiro. "It can be very, very difficult, especially in parts of Upstate New York where these services just aren't readily available."
Some insurance companies pushed back, saying it would raise customers' rates. Shapiro noted that this will hopefully resolve long-standing issues in obtaining mental-health care.
A state Attorney General's office report finds 86% of the listed, in-network mental-health providers were either unreachable, not in-network, or not accepting new patients.
The budget allocates millions of dollars to other programs that establish new inpatient psychiatric beds statewide, and increase mental health support for first responders.
But, Shapiro noted that other insurance companies' barriers prevent New Yorkers from getting the best mental-health care they can.
"It's so important those people get the medications their doctor believes are best for them, and their individual set of symptoms as quickly as possible," said Shapiro. "So, eliminating things like fail-first procedures and what they call step-up procedures."
He added that these policies can significantly set back a person's recovery.
A 2024 survey finds 1 in 5 adults required to fail first had to visit the emergency room or be admitted to a hospital as a result of the policy.
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