One answer to the youth mental health crisis? Asking Colorado students how they're feeling

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.

Wisconsin’s teen suicide rate and affiliated mental health concerns have increased, challenging school systems to maintain the quality of life for students. The Wisconsin Department of Public Instruction has launched a Mental Health Project that allocates funds to different counties to focus on crisis, suicide, violence, and substance abuse prevention in schools. PATH is one successful program from this initiative—with cost-saving measures, increased student productivity, and improved quality of life.

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.

There are several new projects and services emerging to improve access to mental health care, with more resources in development. From the Integrated Services of Kalamazoo and St. Joseph Community Mental Health now offering subsidized services to improved ease of access when reaching the National Suicide Hotline, state, and federal policymakers are working to allocate more funds to expand access.

The "Let's Talk" program, originally developed at Cornell University in 2006 to address mental health stigma among students of color, offers free drop-in sessions with licensed clinicians at UConn and more than 100 colleges nationwide. The program removes common barriers to mental health care by requiring no appointment, insurance, or long-term commitment, and intentionally stages services in high-traffic campus areas to reach underserved students.

Facing a youth mental health crisis, some schools are using digital screening tools like BIMAS-2 and DESSA to identify students needing behavioral support. Districts in Green Bay and Alexandria report positive results, but widespread adoption meets resistance due to costs, parent concerns, and limited capacity for follow-up support.

A partnership between Hazel Health and the local school district is bridging the gap between students and mental and physical healthcare by providing therapy and telehealth resources before, during and after the school day. Care is provided without any necessary out-of-pocket costs and from November 2023 to June 2024, Hazel Health provided 630 therapy sessions to students across 25 schools.

“Chill Rooms,” offer students a place where they can go and talk to “chill therapists” when they’re feeling anxious, stressed or just need a minute to reset during the school day. Some schools have even partnered with other organizations to offer creative forms of mental health care, like equine therapy. In the Northgate School District, the graduation rate has increased by 11% since incorporating Chill Rooms.

Teletherapy has seen a rapid increase since the COVID-19 pandemic and is helping meet the increased need for mental healthcare services by allowing people to easily access care from the comfort of their homes, with significantly fewer barriers to entry than traditional therapy offers. Practices that have begun offering teletherapy have seen a decrease in their no-show and cancellation rates and both private insurance and Medicaid have expanded coverage to improve access to care.

After shortages of mental health options for kids and untold grief, counties in Wisconsin have responded with new kinds of support for at-risk youth. Wisconsin communities have increased access with reduced wait time, and have used horse therapy, support groups, charity golf that raises awareness, school-group therapy, as well as mobile live chat sessions, among others.