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An emergency department sign in Missoula, Montana on Thursday, December 12, 2024. With very few treatment options available in Montana, hospital emergency departments are often the only place people can go when they are experiencing alcohol withdrawal. However, patients often end up leaving without the medication they need to manage withdrawal symptoms and they typically aren’t referred to inpatient or outpatient treatment programs. Credit: John Stember

‘Not knowing where to go’: Montana’s sparse landscape for alcohol detox

From Montana Free Press

Thirty-three-year-old Whitefish resident Melanie Seefeldt has decided to stop drinking before. But, like many Montanans, Seefeldt knows a core truth about alcohol addiction. Wanting to stop is the easy part.

Araceli Aquino-Valdez, shown at her Yuma home on Dec. 17, 2024, struggled to find mental health care after experiencing postpartum depression following the birth of her first child. Photo by Izabella Mullady | AZCIR

Gaps in mental health training, rural access to care compound Arizona’s maternal mortality crisis

From AZCIR

Within hours of giving birth to her first child, Araceli Aquino-Valdez was engulfed by an intense sadness. She sobbed for days after arriving home, grieving the loss of her life before motherhood and feeling dismissed by her care providers.

Two road signs in Tatums, Oklahoma. One reads "TATUMS: The friendly people make the difference," and the other "Tatums, Okla: Home of T-Okie."

Black farmers face specific, outsized challenges in rural mental health crisis

From NPR affiliate KOSU

Oklahoma State Highway 7 runs by the Mary T. Tatums Municipal Building in one of Oklahoma’s historic All-Black towns, Tatums.

Bonnie Hooks sits with her neighbors at one of the round tables inside the building. Like her grandmother, Hooks is a farmer in Tatums, where she raises pigs.

Woman and her daughter.

Arizona cracked down on Medicaid fraud that targeted Native Americans. It left patients without care.

From the Arizona Center for Investigative Reporting

Before her fifth birthday, Rainy had experienced a lifetime of trauma. As an infant, she witnessed violence at home before child welfare authorities intervened and her parents were incarcerated. Night terrors followed. Then, she endured the death of her great uncle who had taken on the role of dad.

Artwork of many different, colorful silhouettes. Each have a symbol for an emotion (smiley face, heart, etc) on their head.

Despite efforts to close gap, parity in mental health care remains elusive

From The Center for Public Integrity

In recent years, mental health care has become a mainstream issue.

President Biden proposed an expansion of services nationwide. Lawmakers and celebrities speak openly about their struggles. States are providing incentives to expand the behavioral health workforce. Companies are recognizing the need for mental health leave. Telehealth care is rapidly expanding.

Illustration by Madison Alvarado using Canva AI/San Francisco Public Press

You Report an Unhoused Person in a Mental Health Crisis. This Is What Happens Next

From the San Francisco Public Press

In San Francisco, it is not uncommon to cross paths with a person experiencing homelessness in the throes of a mental health crisis. The scene can be tragic, confusing and sometimes might feel dangerous.

Bystanders might wonder how to summon help from the city — and what will happen if they do.

Illustration by Madison Alvarado using Canva AI/San Francisco Public Press

The Often Vicious Cycle Through SF’s Strained Mental Health Care and Detention System

From the San Francisco Public Press

On a windy day last fall, a slender man stood on a corner of the bustling intersection at Van Ness Avenue and Market Street, anxiously seeking help. He flagged us down, asking that we call an ambulance. He said the dead leaves on the ground were out to hurt him and that his legs were bleeding. We didn’t see any blood. He told us his name was Jay and that he was unhoused.

©Adriana Heldiz/Voice of San Diego

Deadly Failure: A Sailor Was in Crisis. Her Command Kept the Pressure on Anyway

From the Voice of San Diego

March 6, 2018, was another mild and sunny day in San Diego. Petty Officer 2nd Class Tiara Gray, who was 21 years old, was somewhere off the coast, onboard the USS Essex, writing in her journal. It was 27 days before she died.

©Lisa Kurian Philip/WBEZ: Isabelle Dizon contacted her campus counseling center when she hit a low point during her sophomore year of college, but never heard back. Now a junior at the University of Illinois at Chicago, she hopes the school hires someone at the center to, at the very least, pick up the phone.

She called the number on her syllabus offering counseling. No one picked up.

From the WBEZ

Isabelle Dizon describes her transition to college as “messy.” She went from a public high school to a private art school that was far less diverse and cost too much, she said. The expense was stressful and she couldn’t connect with her new classmates, most of whom were more well off. Navigating the social scene over Zoom and from behind masks at the height of the pandemic made her feel even more disconnected.

©Navya Shukla/The Oglethorpe Echo: Katie Edwards, a counselor at Oglethorpe County Elementary School, helps third-grader Londyn Wilson with a work- sheet during a guidance lesson last month. The lessons are regularly held to guide students' empathy, emotion regulation, perseverance and more.

High need, low accessibility: Oglethorpe County residents face barriers to mental health care, even as teens and schools are willing to have the conversation

From The Oglethorpe Echo/the Cox Institute’s Journalism Writing Lab at the University of Georgia

Sonja Thompson Roach remembers the moment last year when a photographer took photos and interviewed her son and his friends for a Time magazine story on mental health and teens.

The photo and interview shoot in her Northeast Georgia home required absolute quiet for the audio and the right time of day for the lighting.

©Mark Weber/The Daily Memphian: Sickle cell patient Alexis Tappan, right, is checked out by Rana Cooper on at the Methodist Hospital Cancer Institute and Comprehensive Sickle Cell Center. Memphis is home to one of the nation’s largest populations of adults living with sickle cell disease.

For many Black sickle cell patients, care must reach deeper

From The Daily Memphian

In Memphis, Black patients with an inherited blood disorder carry trauma from the dismissal of their chronic pain and severity of symptoms.

“Sickle cell is a very aggressive, traumatizing and difficult disease to live with,” said April Ward-McGrory, 42, a lifelong resident of this city on the Mississippi River in southwest Tennessee.

Carmen Heredia, head of Arizona Health Care Cost Containment System stands behind a microphone, making an announcement. The U.S. and Arizona flags are behind her.

State leaders misled public about scope of Medicaid fraud crisis

From the Arizona Center for Investigative Reporting

In the 10 months since Arizona officials announced an investigation into massive Medicaid billing fraud, they’ve maintained the abuse was mostly limited to a small share of the Arizona Health Care Cost Containment System: behavioral health providers that exploited the agency’s fee-for-service plans.

©Mark Weber/The Daily Memphian: April Ward-McGrory is a sickle cell patient, double amputee and advocate for those living with sickle cell disease.

Mental health issues complicate treatment for sickle cell patients

From The Daily Memphian

April Ward-McGrory is a sickle cell patient, double amputee and advocate for those living with sickle cell disease.Black patients in Memphis with sickle cell disease often report being misdiagnosed or treated as drug seekers when they show up in emergency rooms during pain crises.

©Lisa Buser/Courtesy Le Bonheur Children’s Hospital: Since January 2021, the University of Memphis BRAIN Center has provided free mental health services for trauma patients at Le Bonheur Children’s Hospital. The trauma care team includes (from right) Dr. Kiersten Hawes, Dr. Eraina Schauss, Dr. Regan Williams, graduate students Caitlynn Frazier and Sydnie Roberts.

When children are rushed to the hospital in Memphis, trauma counselors are there waiting for them

From The Institute for Public Service Reporting

An errant bullet fired from a street in South Memphis last year hit 16-year-old Evan sitting inside his home watching TV. The bullet tore a hole through his arm and leg.

Instantly, before anyone could call 911 — even before the teenager was fully aware of what had happened — first responders in his brain and body rushed into action.

©The Frontier: Amber Boyer with her son, Davin, and daughter.

Oklahoma sends a growing number of kids with complex needs out of state for treatment

From The Frontier

Amber Boyer spent early mornings last spring crawling out of her bedroom window and into her garage to make breakfast and gather medications for her then 14-year-old son Davin.

Teresa Edenfield (left) and daughter Layken Edenfield in December 2022.

Poor access to mental health care leaves Georgia children who need a psychiatrist in the lurch

From Georgia Public Broadcasting

When Layken Edenfield was little, her moods would switch quickly, her mother, Teresa Edenfield remembers.

“One minute she’d be happy and laughing, and the next minute she’d be crying her eyes out,” Edenfield said. “She was really hypersensitive about certain things around, or really terrified.”

Lydia Guzman, director of advocacy and civic engagement at Chicanos Por La Causa. ©John Leos/Cronkite News

Arizona’s anti-immigrant policies foster a culture of fear and create barriers to mental health care for undocumented communities

From Cronkite News

Ileana Salinas has to renew her immigration status this year. If she misses the deadline or doesn’t get approved, she doesn’t know what will happen to her job, her family, or her life in the United States. Living each day in survival mode has taken a toll on her mental health, and the ever-changing slew of immigration policies are compounding the problem.

©RJ Sangosti/The Denver Post: Warren Musselman at his home workshop, where he produces custom carpentry and cabinets, on Oct. 3, 2023, in Lyons. Musselman went through detox 27 times before quitting alcohol long-term.

Alcohol addiction treatment is available in Colorado, but people struggle to get the help they need

From The Denver Post

Some people with addiction face insurance hurdles, unaware of options beyond AA or rehab.

©RJ Sangosti/The Denver Post: Distributors and suppliers stock wine at a Safeway store in Aurora on March 1, 2023. Colorado voters approved Proposition 125 in 2022, expanding wine sales to grocery stores across the state.

Beer and wine became more widely available in Colorado even as drinking deaths rose

From The Denver Post

Five years ago, a workgroup tasked with finding ways to reduce Colorado’s rate of drinking-related deaths — among the highest in the country — issued a simple recommendation: cut back on when and where people can buy alcohol.

©RJ Sangosti/The Denver Post: Colorado’s state liquor advisory group meets to vote on recommend changes to alcohol laws on Oct. 30, 2023, in Lakewood.

Colorado has some of the lowest alcohol taxes and highest drinking deaths. That’s no coincidence, experts say.

From The Denver Post

Colorado’s taxes on alcohol are among the lowest in the country, and even though the state consistently ranks as one of the worst for drinking deaths, lawmakers have shown little interest in making beer, wine and spirits more expensive.