A Health Care Model to Reach Zero Suicides

A unique program at Los Angeles County-USC Medical Center is combining prenatal care with psychiatric treatment for low-income women who might otherwise not seek help for mental health issues during pregnancy.

A program in Philadelphia is pioneering new ways to treat the urban wounded. By seeing it as PTSD, and not pointing fingers, the city is using mental health tools to decrease violence and heal communities.

With pressures of depression, anxiety, and suicide on the rise, teenagers in the United States are challenged to find the comfortable outlet and accessibility for emotional support. The Crisis Text Line offers a counseling service through mobile texting, which reduces the shame that can occur when approaching an in-person counselor, and expands access to professional mental health counseling nationwide.

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 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.

LAPD's special team, the Mental Evaluation Unit, is teaming up police officers with mental health clinicians to better approach and address individuals suffering from a mental health crisis. Rather than sending them to jail - where resources are limited and a vicious cycle often results - the teams help ensure patients get the medical care they need, preventing brushes with the law and county millions of dollars and freed up thousands of hours of patrol time. Their model is being replicated nation-wide.

Researchers set out to measure the efficacy of a program called Becoming a Man, which seems to be proving that, for all the billions of dollars spent on complicated anti-crime programs, something as simple and cheap as Cognitive Behavioral Therapy seems more effective in reducing crime (and, not unrelated, keeping teenagers in school).

In Brooklyn's Crown Heights neighborhood, an organization called Save Our Streets Crown Heights (S.O.S.) is taking steps to disrupt violence. The organization is modeled after Chicago's violence interrupters, which employ people from the neighborhood to connect with those most at-risk and disrupt conflicts and retalitory violence.

Child First is a program in Connecticut, where staff members deliver home-based parent guidance and child-parent psychotherapy to help prevent the detrimental physical and mental effects of toxic stress on children. The engagement is guided by an evidence-based methodology called Child-Parent Psychotherapy, which is grounded in collaborative problem solving.