The Real Possibilities for Change

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.

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.

A overview of 2014's Fixes columns - connecting the dots between 60 or so ways that people are trying to change the world.

MoodGYM is an online program targeted to help those suffering from depression for whom it is a challenge to access therapy because of location or the stigma it carries. Essentially a therapy session in your pocket, the program allows users to access help at little to no cost, regardless of where they are or what time of day it is.

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.

Children across the U.S. experience gender confusion, causing emotional stress in themselves and their family. Gender identity counselors and gender youth clinics are being created in multiple states to help families find peace in their situation.

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.

In Clayton County, Georgia, the Second Chance Court is using a different tactic to give offenders the opportunity to move forward. The program, started in 2010, allows selected teens to attend counseling and classes – often with their parents – centered around self improvement and appropriate behavior. Collaborating with a community organization, the Second Chance Court has been able to reduce recidivism in youth.

Science suggests that having a secure relationship with a caregiver can help protect a child’s brain and body from the effects of adversity. A Connecticut program for young children who have experienced trauma or other challenges has gotten results by focusing on that relationship – and the things that can interfere, including depression, family violence, and a parent’s own history of trauma.