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

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

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

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

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

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

Youth access to mental health care improved under Jake’s Law, but persistent barriers hamper its reach

©Brandon Quester/AZCIR: Students pass through open walkways in this file photo of a high school in Tempe, Arizona on Aug. 27, 2021
©Brandon Quester/AZCIR: Students pass through open walkways in this file photo of a high school in Tempe, Arizona on Aug. 27, 2021

Arizona Center for Investigative Reporting (AZCIR), September 1, 2022, by Shaena Montanari and Maria Polletta:  In March 2020, Gov. Doug Ducey signed into law a sweeping set of measures designed to help curb rising rates of suicide and expand access to mental health treatment for Arizona residents with and without insurance.

Commonly known as Jake’s Law, the legislation was named after Jake Machovsky, a 15-year-old who died by suicide in 2016 after his family’s insurance denied an inpatient stay for mental health treatment.

The law marked a major stride toward achieving mental health parity in Arizona, which is when insurers provide the same level of service for behavioral health and substance abuse treatment as they do for other physical ailments. It also expanded access to mental health treatment by letting schools refer uninsured and underinsured students to mental health providers—and by paying for those services when families couldn’t afford them on their own.

Since Jake’s Law was enacted, hundreds of eligible students have accessed mental health treatment they may not have otherwise received. The state has paid for nearly $1.4 million in services using the $8 million Children’s Behavioral Health Services Fund created by the law, which campus mental health professionals interviewed by AZCIR heralded as an “incredible addition” to how they address youth mental health needs.

Yet, two years into the program, more than half of Arizona schools haven’t referred students under the law. Among traditional districts and charter systems that have opted in to refer, uneven staffing for school counselors and social workers has led to an unknown number of students getting overlooked for treatment.

Read more from AZCIR here.