Training pivotal as cuts to mental-health services take hold

A novel way to help young men growing up in communities in which concentrated poverty, violence and unemployment are well-documented barriers to health and longevity: male youth of color are trained to be the emergency response team to help stabilize street victims before doctors or nurses begin procedures.

A strategy for stopping widespread depression in developing countries should be as obvious as one for combatting epidemics. A new strategy aims to downshift jobs to local workers to act as peer therapists.

There is a mental-health capacity crisis gripping Washington state. The area’s response approach, crafted over two decades, centers on a set of intensive outpatient and early-intervention programs aimed at preventing hospitalizations.

The highest hospital costs come from preventable emergency room visits. A doctor in Camden developed a home visit program which gives better and cheaper care.

Different programs in various nations are training ordinary people and creating community groups to effectively satisfy the mental health needs of their communities. In many of these regions, "treatment gaps" – where there are little to no mental health treatment plans or resources – exist, but this new informal infrastructure helps to fill that.

According to the Centers for Disease Control and Prevention, drug overdoses are the leading cause of injury-related mortality. Naxolone, a drug used to revive overdose victims, is only available by prescription. However, private organizations have distributed Naxolone kits nationally, showing that the drug can save lives when it is more readily accessible.

Veterans who suffer from post traumatic stress disorder number about one-fourth of military personnel returning from Iraq and Afghanistan conflicts, roughly 500,000 veterans so far. Inmates in prisons nationwide train dogs as companions for these war veterans, providing a sense of healing for all.

In Houston, TX, many individuals with mental illnesses cycled in and out of emergency care while arrested or incarcerated. Houston’s police department has decreased the number of incarcerated who have mental illness by opening a division to mental health called the Chronic Consumer Stabilization Unit. Now Milwaukee seeks to replicate Houston’s results.

Milwaukee County’s mental health system put more resources in expensive emergency care rather than invest in programs that offer continual care. As a result, Milwaukee County identifies nine solutions from other cities that have had success in repairing mental health systems. Solutions include the ending of reliance on emergency care, expand community support programs, change laws, and supportive housing.

Across the country, jails hold 10 times as many people with serious mental illness as state hospitals do, according to a recent report from the Treatment Advocacy Center. To deal with the problem, San Antonio and Bexar County have transformed their mental health system into a program considered a model for the rest of the nation - the effort has focused on an idea called "smart justice" — basically, diverting people with serious mental illness out of jail and into treatment instead.