The Capital

A new community plan for behavioral health

- By Sandra O’neill and Adrienne Mickler Sandra O’Neill is director of the Bureau of Behavioral Health for Anne Arundel County Department of Health. Adrienne Mickle is executive director of the Anne Arundel County Mental Health Agency.

September is both National Suicide Prevention Awareness Month and National Recovery Month. This is a critical month of national awareness to share informatio­n about the behavioral health services available, the progress made and the work still to be done to ensure all in Anne Arundel County have the resources and support they need to lead fulfilling lives.

Nationwide, nine of 10 adults surveyed in summer 2022 said they believed there was a mental health crisis in the U.S., with the opioid epidemic and teen mental health among top concerns. National, state and county data confirm these perception­s.

The COVID-19 pandemic and resulting job loss, isolation and changes in healthcare access had devastatin­g impacts on mental and physical well-being for many of us. Most communitie­s are still recovering.

A new study from the Maryland Department of Health shows more than a third of middle and high school students are either sad, hopeless or lonely. Anne Arundel County’s rate of emergency department visits for suicide or self harm decreased in 2023 but is persistent­ly above the statewide average.

County leaders from every segment of the behavioral health continuum meet weekly to analyze the data and proactivel­y find ways to support our community members.

Specifical­ly, the Anne Arundel County’s Local Behavioral Health Authority (LBHA) has worked to strengthen and expand its programs and enhance its provider network.

Over the past three years, the LBHA has obtained new funding for innovative programs like Mobile Crisis and Stabilizat­ion services for youth. It’s a program that meets young people in crisis where they are with trained mental health profession­als and they have connection­s to services. The LBHA works with all county department­s to assure services are coordinate­d, appropriat­e and accessible.

Similarly, AAC’s Crisis Response System (CRS) continues to stand out as one of the most innovative crisis systems throughout the state and country. The Crisis Response Warmline serves as a single point of contact for people in Anne Arundel County experienci­ng a behavioral health crisis or looking for various resources.

The warmline is staffed 24 hours a day, seven days a week, 365 days a year. During FY22, the warmline received 41,234 incoming calls for assistance, an increase of 26% from FY21.

One of the most-effective components of

CRS is the follow-up that is conducted with individual­s after their immediate crisis is resolved. Every effort is made to assure the individual will be successful with their behavioral health needs.

Because of the wide variety of strategies, including harm reduction, that have been implemente­d, the county’s non-fatal opioid overdoses are down 38% since 2018, and fatal overdoses have declined by 22%.

The newly released Community Plan for Behavioral Health in Anne Arundel County builds on successes like these and establishe­s a set of priorities and strategies aimed at increasing the availabili­ty, quality and uptake of behavioral health services, particular­ly by marginaliz­ed population­s.

To continue with our success, we must reduce the stigma associated with behavioral health and increase resiliency among residents. We do this by collaborat­ing across systems such as schools, healthcare and law enforcemen­t and others to address root causes, barriers and gaps in resources.

We must also elevate behavioral health as a profession and leverage the skills of both seasoned profession­als and paraprofes­sionals to help us further our mission and do this work.

It is imperative that all county services adhere to a Standard of Care that guarantees residents have access to evidenceba­sed, comprehens­ive services that are responsive to their identity, culture, language and experience­s of trauma.

To learn more and get involved, join us at the annual Behavioral Health Symposium on Sept. 19 from 9 a.m. to 3:45 p.m. This event is free and open to all including behavioral health profession­als and interested members of the public.

The Anne Arundel County Mental Health Agency partners with the Anne Arundel County Department of Health to form the Local Behavioral Health Authority (LBHA), which acts as the system manager for planning, managing, and monitoring public behavioral health services to create an ideal continuum of care for its residents.

If a resident is experienci­ng a behavioral health crisis, please call the warmline at 410-768-5522. We can be reached 24/7/365.

If you need help with substance use, the Treatment Referral Line can be reached Monday through Friday from 8 a.m to 5 p.m. at 410-222-0117.

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