Caring for mentally ill: 3 counties' success stories

One of Boston's major teaching hospitals is examining how it handles patients’ bodies and supports family members after a death.

Assertive community treatment teams working through outreach-centered programs in Maricopa County have become an industry standard for treating those with persistent and severe mental illnesses who have recently been incarcerated. They provide a long-term approach, aiming to halt a cycle of incarceration and hospitalization by focusing on underlying issues such as what caused the police interaction and incarceration.

In South Carolina, a Medicaid program is offering long-acting contraceptives during a new mother’s hospital stay, while she is still eligible for the benefit. Other states are following suit.

Peer to peer programs have existed since the 1980s. These programs pair up a person with mental health illness, with one another. The concept, is relatively new in the prison systems, and is gaining traction in states like Pennsylvania.

Non-violent offenders arrested during mental health episodes in Davidson County are sent to Mental Health Court rather than criminal court. Through this court, they are connected to safety net services such as housing, medication assistance, and therapy.

Kansas City is trying to prevent people who have mental health or substance abuse disorders, from committing crimes. In order to do that, the city created a police crisis intervention team. They help people access treatment through the Kansas City Assessment and Triage Center, or other treatment centers. “Everything we do here is to really bridge them into whatever that long-term need is.” It’s too early to tell if the method is working, but police officers, judges, and addicts, argue it is. “It's amazing. It puts a smile on my face every day, and I have got a future coming.”

In several small rural towns in Texas, mental health professionals from Texas Tech are offering telemedicine counseling to make up for a lack of counselors available in local middle and high schools. The Governor's office has now asked the successful school districts to develop a training program for teachers in other Texas districts in order to scale the model.

Covid-19 has accelerated technological innovations and robots are being used to minimize the virus’ transmission. Mobile disinfectant units using UV light to break apart the virus’ genetic material are in use at some hospitals, airports, hotels, and food banks. They clean surfaces faster and with less risk than humans. Robots are also doing initial patient in-takes at hospitals to minimize transmission and identify critical cases, and telepresence bots, essentially i-pads on wheels, allow patients to explore outside their quarantined spaces. Users do have to contend with occasional technological glitches.

To address gaps in healthcare access, the local government partnered with organizations like Plan International, German Cooperation and the World Bank’s Saving One Million Lives Project to build, refurbish and equip primary healthcare centers across the state to provide better care. As of May 2023, 138 centers have been built or upgraded, offering maternity care services, child healthcare, vaccinations and family planning among other services.

To enhance rural access to healthcare in Nigeria, the Parkers Mobile Clinic partners with local volunteers, healthcare professionals, educators, and community development advocates to identify and remedy unique healthcare gaps. Outreach programs are then designed to provide localized mental health support, nutritional counseling, and other reproductive health services.