This podcast of an original IowaWatch Connection radio report lets those in the Midwest U.S. trying to attract the necessary resources to meet mental health care demand in flood-stricken regions tell you about the problem. It includes one health care center that is trying to address the health care worker shortage head-on with a full-time recruiter.
Psychologist Lauren Welter says she faces an ethical issue with no easy answer on a regular basis: Should she take on more clients and provide less care to those she already sees, or turn away potential clients who have no alternatives?
FLOODED SENSES: MEETING MENTAL HEALTH CARE DEMAND IN DISASTER-STICKEN IOWA. Iowa does not have enough psychiatrists, psychologists, therapists or other mental health care providers to handle an increasing need to care for farmers dealing with relentless flooding this year, several mental health experts IowaWatch interviewed warned.
A stigma exists in agricultural communities when it comes to seeking mental healthcare. Moreover, Kyle Godwin, who recently researched patterns in farmer suicide for his University of Iowa School of Public Health master’s thesis, said his research data might suggest that doing anything to improve farmer mental health care will be difficult unless something is done to end this stigma. Paradoxically, Godwin’s research showed that in regions of Iowa that had a higher saturation of mental healthcare professionals, there were more farmer suicides, not less. “Of course, naturally, you want to think that the places with mental health centers are going to have lower suicide rates, and studies have found that with the general population, that a higher proportion of healthcare providers and mental healthcare providers have generally related to lower suicide rates,” Godwin, who grew up on an Iowa farm, said in an IowaWatch interview. “But then I think we have to remember that for when we’re talking about farmers… just in rural areas, in general, I should say, you know, stigma may play a more prominent role.”
Many mental healthcare providers IowaWatch spoke with pointed to stigma as a major roadblock when trying to treat farmers.
Priorities at the 2018 Iowa General Assembly that started in Jan. 8 will clash, state legislative leaders said. Even when they don’t clash, there’s a question of how the state will pay for programming. At least agreement exists that two topics — water quality and mental health care — should get a lot of attention in the first part of the session, this IowaWatch Connection radio report explains.
No set criteria exist yet to gauge whether or not a redesign of how Iowa delivers mental health treatment, which included the controversial closing of two mental health institutes June 30, will be as beneficial to Iowans as hoped, Gov. Terry Branstad said in an IowaWatch interview.