Genetic testing: a new tool in prescribing mental-health meds

New legislation in Colorado will implement statewide mental health screenings, expanding existing programs in schools and health centers. For example, Glenwood Springs High School has had a screening program in place since 2020. The school's health center provides care ranging from dental exams to counseling and served over 2,500 students last year.

Dental offices like Asian Health Services are starting to incorporate mental health care in their dental services. By observing changes in oral health, building trust with patients to talk about their mental health and having them fill out questionnaires about how they’ve been feeling, dentists are able to identify patients that may be struggling and then help connect them with therapy and treatment. Asian Health Services screens 300 to 400 patients per year, about 7% of which are then referred to counseling.

A psychiatric mental health nurse practitioner (PMHNP) is a role that combines the medical expertise of a nurse with mental health training. PMHNPs undergo special certification to combine the two fields and help ease the strain on the mental health workforce, which has been significantly depleted since the COVID-19 pandemic. The U.S. Bureau of Labor Statistics predicts that PMHNPs will be the fastest-growing profession over the next decade and several universities are obtaining grants to boost their PMHNP programs, providing stipends for those who want to earn the certification.

ACCESS Open Minds connects youth and young adults to mental health support, including therapists, caseworkers and peer navigators to help them get the care they need. One of ACCESS’s main goals is to bridge the gap between the complexities of the mental health care system and the community. By creating these youth wellness hubs and connecting people with the appropriate services, ACCESS has decreased the number of hospitalizations and emergency room visits and increased the number of people getting mental health care.

LifeWorks NW is a non-profit that provides mental health services and treatment programs, like the Adolescent Day Treatment program, focusing on teens and young adults who show early signs of psychosis. Mental health professionals have been working with youth and their families for 60 years and have programs in almost every county across the state.

The Crisis Response Center provides mental health and crisis care services as an alternative to emergency rooms or jails. The center is staffed 24 hours a day, 365 days a year and offers a variety of services focused on recovery for children, teens and adults struggling with mental health and/or substance abuse. The Center is set to expand ahead of the new 988 dialing code for the National Suicide Prevention Lifeline. Once expansions are done, the Center will have the capacity to serve between 400 and 600 extra visits a month, on top of the 800 to 1,000 adults who visit the center each month.

In the early 2000s, Minnesota implemented a systematic approach to address inadequate mental health access for students by contracting with outside agencies to place licensed mental health providers directly in public schools. The state expanded funding from $4.7 million in 2008 to over $20 million today, growing from therapists in just five schools to now serving 82% of the state's public school districts.

The Cleveland Clinic’s pediatric emergency room uses iPads loaded with peer-to-peer educational mental health videos from youth who have gone through the emergency room visit and inpatient admission process to help support other young people as they sit in the waiting room. The videos help reduce fear and anxiety, and research shows that peer support for people in crisis can also reduce re-hospitalization rates and promote recovery.

South Africa's implementation of 6MMD (six multi-month dispensing) allows stable HIV patients to collect their antiretroviral medications only twice a year instead of monthly. The program aims to reduce clinic congestion and improve patient retention and consistent medication use.

Sonar Mental Health, the developer of the AI-powered “wellbeing companion” named Sonny, is offering its services to schools that struggle to meet students’ demand for mental health services. Sonny’s algorithm also has trained humans working behind the scenes to ensure students receive proper care. The hybrid bot is available in more than 4,500 public middle and high schools across the country, many of which are in rural and low-income areas.