• Home
  • Health & Wellness
  • Disclaimer
    • Terms of Use
    • Privacy Policy
    • DMCA Notice
  • Home
  • Health & Wellness
  • Disclaimer
    • Terms of Use
    • Privacy Policy
    • DMCA Notice
24/7 Health News
No Result
View All Result
Home Article

As the mental health crisis in children and teens worsens, the dire shortage of mental health providers is preventing young people from getting the help they need

August 16, 2023
in Article
As the mental health crisis in children and teens worsens, the dire shortage of mental health providers is preventing young people from getting the help they need
Anxiety, depression and suicide among U.S. teens continue to increase. Paolo Cordoni/iStock via Getty Images Plus

The hospital where I practice recently admitted a 14-year-old girl with post-traumatic stress disorder, or PTSD, to our outpatient program. She was referred to us six months earlier, in October 2022, but at the time we were at capacity. Although we tried to refer her to several other hospitals, they too were full. During that six-month wait, she attempted suicide.

Unfortunately, this is an all-too-common story for young people with mental health issues. A 2021 survey of 88 children’s hospitals reported that they admit, on average, four teens per day to inpatient programs. At many of these hospitals, more children await help, but there are simply not enough services or psychiatric beds for them.

So these children languish, sometimes for days or even a week, in hospital emergency departments. This is not a good place for a young person coping with grave mental health issues and perhaps considering suicide. Waiting at home is not a good option either – the family is often unable or unwilling to deal with a child who is distraught or violent.

I am a professor of psychiatry and pediatrics at the University of Colorado, where I founded and direct the Stress, Trauma, Adversity Research and Treatment Center. For 30 years, my practice has focused on youth stress and trauma.

Over those years, I have noticed that these young patients have become more aggressive and suicidal. They are sicker when compared to years past. And the data backs up my observation: From 2007 through 2021, suicide rates among young people ages 10 to 24 increased by 62%. From 2014 to 2021, homicide rates rose by 60%. The situation is so grim that in October 2021, health care professionals declared a national emergency in child mental health.

Since then, the crisis has not abated; it’s only gotten worse.
But there are not enough mental health professionals to meet the need.

How school bullying led to tragedy.

Table of Contents

  • The numbers behind the suffering
  • Not enough time or money
  • Possible solutions

The numbers behind the suffering

The American Academy of Child and Adolescent Psychiatry reported in May 2023 that there is a drastic shortage of child and adolescent psychiatrists across the U.S.

For every 100,000 children in the U.S. – with 1 in 5 of those children having a mental, emotional or behavioral disorder in a given year – there are only 14 child and adolescent psychiatrists available to treat them, according to the American Academy of Child and Adolescent Psychiatry. At least three times as many are needed.

There is also a significant shortage of child therapists – social workers, psychologists, licensed professional counselors – as well. This is particularly the case in rural areas across the country.

Studies show that young people in the U.S. are increasingly stressed and traumatized. The constant barrage of information via social media and the demand to participate in it is complex, and interactions can be harmful to a child’s mental health.

Young people deal with cyberbullying and endless exposure to social media content focused on body image.

But what children and adolescents see online is not the only problem. Much of life still happens offline, and a lot of it is not good. Millions of young people deal every day with alcoholic, drug-abusing or neglectful parents; peers who drink, vape and use drugs; violence at their schools or in their streets; and overwhelmed caregivers – whether parents or others – preoccupied with financial or other personal problems.

For an adolescent already struggling to make sense of the world, any one of these issues can be overwhelming.

Not enough time or money

The U.S. health care system does very little to support these children or their families. This pattern begins at the moment of birth, and it is baked into the system.

Ideally, prospective parents or those who are pregnant would receive parenting classes that continue through the child’s developmental phases. That generally does not happen. Then, many new parents do not have nursing and maternal care visits or paid parental leave. And for those families struggling financially, there is not an adequate safety net.

Nor can some families afford mental health treatment to support their children’s needs. Many mental health providers don’t take insurance and instead opt for out-of-pocket payments from patients. This is due to the low reimbursement rates from most insurers, which makes it very difficult to sustain a practice. Depending on the service, the cost could be anywhere from US$100 to $600 per session.

To see providers that do take insurance, there are usually co-pays – typically between $20 to $50 a week. But it can often be challenging for the insured to find a suitable in-network provider to meet a child’s needs.

The payments add up, particularly when mental health treatment takes many months, and sometimes years, to have an effect. There is a reason why it takes so long. Unlike medical doctors, mental health professionals do not simply make a diagnosis and provide medication or surgery. Instead, for treatments to work and to change the outcome for young people who are struggling, an ongoing – and lengthy – relationship between the therapist and the patient is needed.

Treating a child is significantly more difficult than treating an adult. That is, in part, because children are constantly developing and changing. But perhaps the most formidable challenges are the multiple entities a child therapist may have to work with: caregivers, the school system, the courts and child welfare agencies. What’s more, getting a diagnosis, treatment or both often involves working with multiple providers, such as a primary care doctor, individual therapist, family-focused therapist and psychiatrist.

In the institute where I work, the psychiatry department loses money on almost every patient we treat. If it weren’t for fundraising and fostering relationships with donors, the department could only provide care to a select few.

Emotional abuse by parents includes threats, bullying, humiliation and insults.

Possible solutions

Struggling children and teens in the U.S. need earlier interventions. Although schools are ideal places to teach social skills, they still do not offer enough activities to help young people develop resilience to cope with adversity.

Sometimes, young patients see primary care doctors who don’t have enough training in this area. Telephone hotline programs, which offer these doctors free consultations from mental health professionals to help assess problems in young patients, should be available throughout the U.S. But right now, only 19 states have such programs. One bright spot: The 988 Suicide and Crisis Lifeline, which launched in July 2022, is available 24/7.

When a young person needs treatment, parents should prioritize finding a mental health provider right away. Asking the child’s primary doctor and school counselors for a reference is a good start. If the child is already on a waiting list, a parent or guardian should call the provider weekly to check in and make sure the child is not forgotten.

The process can be discouraging and daunting, but in our current environment, which provides limited support, that’s the way it is. And without a heavy lift from parents, the child remains at great risk.

The Conversation

Steven Berkowitz is affiliated with Sensye, inc. I am a consultant to Senseye, Inc. a startup developing a device to make objective psychiatric diagnoses

ShareTweetSharePin
Next Post
It is not just heat waves — climate change is also a crisis of disconnection

It is not just heat waves — climate change is also a crisis of disconnection

Most Read

What causes stuttering? A speech pathology researcher explains the science and the misconceptions around this speech disorder

What causes stuttering? A speech pathology researcher explains the science and the misconceptions around this speech disorder

December 15, 2022
morning back pain

Morning Again Ache Trigger Is Not the Mattress

October 11, 2021

4 steps to building a healthier relationship with your phone

January 28, 2025

Why Circadian Rhythms Matter for Your Health

July 30, 2024
lower back pain relief exercises

5 decrease again ache aid workouts

October 11, 2021
Nasal vaccines promise to stop the COVID-19 virus before it gets to the lungs – an immunologist explains how they work

Nasal vaccines promise to stop the COVID-19 virus before it gets to the lungs – an immunologist explains how they work

December 14, 2022
bleeding in gum

When The Bleeding in gum Is Severe ?

October 11, 2021
Good Night Sleep

6 Causes of Good Evening Sleep

October 11, 2021
3 years after legalization, we have shockingly little information about how it changed cannabis use and health harms

3 years after legalization, we have shockingly little information about how it changed cannabis use and health harms

October 15, 2021
Kick up your heels – ballroom dancing offers benefits to the aging brain and could help stave off dementia

Kick up your heels – ballroom dancing offers benefits to the aging brain and could help stave off dementia

January 3, 2023
Biden is getting prostate cancer treatment, but that’s not the best choice for all men − a cancer researcher describes how she helped her father decide

Biden is getting prostate cancer treatment, but that’s not the best choice for all men − a cancer researcher describes how she helped her father decide

May 20, 2025
Ten small changes you can make today to prevent weight gain

Ten small changes you can make today to prevent weight gain

October 12, 2021

COVID vaccines: how one can pace up rollout in poorer international locations

October 5, 2021

Maximize Your Performance – Sync with Your Circadian Rhythms

August 9, 2024
Five ways to avoid pain and injury when starting a new exercise regime

Five ways to avoid pain and injury when starting a new exercise regime

December 30, 2022

This Simple Hygiene Habit Could Cut Your Risk of Stroke, New Research Reveals

February 1, 2025

Multiple sclerosis: the link with earlier infection just got stronger – new study

October 12, 2021
Support and collaboration with health-care providers can help people make health decisions

Support and collaboration with health-care providers can help people make health decisions

December 16, 2021
Greece to make COVID vaccines mandatory for over-60s, but do vaccine mandates work?

Greece to make COVID vaccines mandatory for over-60s, but do vaccine mandates work?

December 1, 2021
woman covered with white blanket

Exploring the Impact of Sleep Patterns on Mental Health

August 4, 2024
Nurses’ attitudes toward COVID-19 vaccination for their children are highly influenced by partisanship, a new study finds

Nurses’ attitudes toward COVID-19 vaccination for their children are highly influenced by partisanship, a new study finds

December 2, 2022
News of war can impact your mental health — here’s how to cope

Binge-eating disorder is more common than many realise, yet it’s rarely discussed – here’s what you need to know

December 2, 2022
FDA limits access to COVID-19 vaccine to older adults and other high-risk groups – a public health expert explains the new rules

FDA limits access to COVID-19 vaccine to older adults and other high-risk groups – a public health expert explains the new rules

May 21, 2025
As viral infections skyrocket, masks are still a tried-and-true way to help keep yourself and others safe

As viral infections skyrocket, masks are still a tried-and-true way to help keep yourself and others safe

December 14, 2022
GPs don’t give useful weight-loss advice – new study

GPs don’t give useful weight-loss advice – new study

December 16, 2022
Four ways to avoid gaining weight over the festive period – but also why you shouldn’t fret about it too much

Four ways to avoid gaining weight over the festive period – but also why you shouldn’t fret about it too much

December 22, 2022
Nutrition advice is rife with misinformation − a medical education specialist explains how to tell valid health information from pseudoscience

Nutrition advice is rife with misinformation − a medical education specialist explains how to tell valid health information from pseudoscience

January 28, 2025
How hot is too hot for the human body? Our lab found heat + humidity gets dangerous faster than many people realize

How hot is too hot for the human body? Our lab found heat + humidity gets dangerous faster than many people realize

July 6, 2022
How regulatory agencies, not the courts, are imposing COVID-19 vaccine mandates

How regulatory agencies, not the courts, are imposing COVID-19 vaccine mandates

October 24, 2021
The promise of repairing bones and tendons with human-made materials

The promise of repairing bones and tendons with human-made materials

January 4, 2022
  • Home
  • Health & Wellness
  • Disclaimer

© 2020 DAILY HEALTH NEWS

  • Home
  • Health & Wellness
  • Disclaimer
    • Terms of Use
    • Privacy Policy
    • DMCA Notice

© 2020 DAILY HEALTH NEWS