Removing Obstacles to Mental Health Care — Over the Phone

Doctors Without Borders (MSF) works with asylum seekers in Matamoros to address mental health issues while they wait for decisions in their U.S. immigration cases. MSF provides one-on-one and group counseling with a therapist trained to address the issues asylum seekers face. To build trust and decrease the stigma surrounding mental health and seeking treatment, MSF holds daily talks in the camp. Since kids show symptoms of trauma differently, MSF created mental health treatment in the form of interactive games and activities. MSF reports positive outcomes for the 3,100 mental health sessions held in 2020.

Healing trauma has never been an easy process but programs like Healing Hurt People help to promote recovery in traumatized, angry young men. This program, in partnership with local medical services, aims to provide therapy in place of violence, which would only cause more trauma down the road. Those who stick with the program have found great success in overcoming their pasts.

Some youth are using mental health apps to supplement therapy or help them manage their emotions, making mental health care more accessible. While there are limitations regarding the apps’ regulations and validity, some research has found that mental health apps have moderately reduced anxiety, depression and suicide risk among the youth who use them.

Teen Space expands free access to mental health care. With parental consent, teens can sign up online or through the app and be quickly matched with a therapist. Since its launch last November, more than 6,000 students have signed up, and each one has been connected with a therapist within 24 hours.

An Alberta Health Services’ text messaging service called Text4Hope is giving people text messages to help them cope with the COVID-19 pandemic. The texts, written by mental health therapists, use cognitive behavioral therapy, helping people disrupt the constant stream of negative thoughts that happen during traumatic times. So far, over 30,000 people have signed up.

Making personal connections supports mental health and wellbeing. The San Francisco-based nonprofit, Sidewalk Talk, trains volunteers to go out and engage on a personal level with individuals in underserved communities. The volunteers simply listen and provide empathy, a valuable resource for those who might not have access to mental health care.

Connecting to peers makes coping with emotional distress easier for youth. Youthline, a youth suicide crisis intervention service operated by Lines for Life puts those struggling in touch with volunteers their own age via call, text, or email. The youth volunteers are supervised by a clinician and are trained in SafeTALK and Applied Suicide Intervention Skills Training (ASIST).

In rural counties, it's not always easy to seek mental health treatment. To address this, several different resources have been built over the years in Richmond County, Ohio from call or text hotlines to educational campaigns specifically targeting school-aged children.

Sometimes just having someone to talk to can help those who are suffering from depression. The Friendship Bench program in NYC borrows an idea from Harare, Zimbabwe, where healthcare workers—affectionately called Grannies—sit and consult with patients on benches outside of healthcare clinics. The Grannies help people discuss their issues and have had a measurably positive impact on those they’ve reached. In New York, the Friendship Benches connect individuals to peer mentors willing to listen across the city.

Individuals at a high risk of suicide can benefit from targeted, accessible, and client-centered care. As part of a new mental health initiative, the Czech government is funding mental health centers for patients at high risk of suicide. The target prevention includes care teams consisting of psychiatrists, nurses, and social workers, all involved in different aspects of the client’s care.