“We Turn No One Away: Nonprofits Offer Therapy,” January 9, 2023 Cover Story, featuring Kathy Rivera

“We Turn No One Away: Nonprofits Offer Therapy,” January 9, 2023 Cover Story, featuring Kathy Rivera

 

Newsday, By Bart Jones

Nonprofits on Long Island say they are offering affordable mental health therapy for teens and young children — without long waiting lists — as the region faces a shortage of psychologists serving those age groups.

Many families in Nassau and Suffolk counties have grown frustrated trying to find private therapists, who often don’t take insurance and have waiting lists months long — or no available appointments at all.

The nonprofits are encouraging parents to contact them at a time when depression, anxiety and suicide rates among young people are rising due to a confluence of factors including isolation during the COVID-19 pandemic and heavy social media use.

“Right now, we have capacity to take on cases,” said Kathy Rivera, executive director and CEO of North Shore Child & Family Guidance Center, with offices in Manhasset, Roslyn Heights and Westbury.

“We turn no one away for any inability to pay,” she said. “We are grassroots, and we are committed to equity in mental health regardless of what your ZIP code is, what your bank account looks like. Everyone deserves to have access to care.”

The agency has 50 therapists on staff, along with other workers and a department that deals solely with insurance companies, she said.

Nonprofits such as North Shore said they can help fill a gap as families struggle to find therapists for their children. Some parents are taking their kids to private therapist appointments during school hours — the only time slots available — while others are getting saddled with thousands of dollars in bills because their therapists don’t take insurance, experts said.

Meanwhile, the number of people between the ages of 12 and 17 nationwide who experienced at least one major depressive episode increased by 306,000, or 1.4%, year-over-year, according to an October 2021 report from the Mental Health America nonprofit. At the same time, nearly 61% of New York youths with major depressive episodes did not receive treatment, the report said.

Finding trusted therapists

Adrienne LoPresti, executive director of YES Community Counseling Center in Massapequa, said her nonprofit also generally has capacity to provide therapists for young people in a timely manner.

“There is a comprehensive system of care for youth and families, which includes YES, that provides affordable services regardless of income and health insurance status,” LoPresti said. “Unfortunately, many community members are unaware of these networks and resources.”

LoPresti cautioned that families should make sure they connect with reputable agencies, since there is a proliferation of people offering “telehealth” appointments who are not always qualified.

“It’s important to find access to a vetted mental health provider you trust in your community,” she said. Local schools, ones that have their own psychologists and social workers, can help identify reputable therapists, she added.

While telehealth services offer some advantages, “it is often the financial gains rather than quality care” that is the priority, she said. In-person counseling is generally more effective than on-screen, she added.

Besides YES and North Shore, agencies families can contact to help find a community-based therapist include the Nassau County Helpline, at 516-227-TALK (or 8255), and the Long Island Crisis Center‘s 24/7 hotline, at 516-679-1111, LoPresti and Rivera said.

Central Nassau Guidance and Counseling Services based in Hicksville also has therapists available, and works with families on a sliding scale if they have financial difficulties, CEO Jeffrey Friedman said.

Adapting to diversity

Some agencies are seeking to adapt to Long Island’s increasingly diverse population.

North Shore Child & Family Guidance Center has intake staff who speak fluent Spanish and other staff members who can translate Creole and Arabic, Rivera said.

Another agency, the Hispanic Counseling Center, with offices in Hempstead and Bay Shore, focuses on Latino children, youth and adults. Its Mental Health Clinic offers bilingual and bicultural mental health counseling, and refuses services to no one, CEO Claudia Boyle said.

In response to the growing demand, the group is boosting its efforts to hire more therapists, she said.

In Suffolk County, the nonprofit Rise Life Services in Riverhead opened a mental health clinic in November 2021 that includes treatment for children after it saw a growing demand for therapists for that age group, said Tracey Anderson, operations director of clinical services and behavioral health.

Their anticipation of “a high demand for mental health services for youth was certainly on point,” she said. “The demand is even higher than we expected. “

The nonprofit Family Service League, which works throughout Suffolk County, has seen the need for more therapists first hand and through its DASH hotline helps families connect with them, said Kathy Rosenthal, senior vice president at the group.

“We are finding youth with higher rates of anxiety, depression and other mental health challenges, and, tragically, an increase in young people attempting and dying by suicide, she said.

The number of teenage suicides her group responded to in Suffolk tripled between 2020 and 2021, going from four to 12, she said.

Families can contact FSL’s hotline DASH at 631-952-3333. They can also contact the Suffolk County Response Crisis Center at 631-751-7500 for help in finding a therapist.

Groups representing private therapists said families should not give up on seeking their help. The Suffolk County Psychological Association‘s website allows families to plug in their hometowns, insurance and other information to try to match them with a therapist, said Ann Eckardt Erlanger, past president of the group. The Nassau County Psychological Association has a similar website mechanism.

Rivera also said families should keep trying to get their children help, despite the obstacles.

“There is hope and an opportunity for healing,” she said.

WHAT TO KNOW

  • Families in Nassau and Suffolk say they have become frustrated while seeking private therapists who often won’t take insurance and have wait-lists or no available appointments.
  • Long Island nonprofits say they offer affordable mental health therapy for teens and young children — without long wait-lists.

The nonprofits are encouraging parents to contact them at a time when depression, anxiety and suicide rates among young people have climbed because of the pandemic and heavy social media use.

CBS News: Mental Health Days Off from School, featuring Kathy Rivera, January 5, 2023

Letter to the Editor

Newsday, January 4, 2023

Thank you for highlighting the crisis in access to mental health services among our youth as rates of depression, anxiety and suicidal thinking are at all-time highs in your cover story of December 27, 2022.

While the pandemic has exacerbated the struggles of children and teens, the difficulty in finding timely and affordable quality mental health care isn’t new. In 2017, North Shore Child & Family Guidance Center conducted extensive research, spotlighted in our Project Access report, shining a light on the longstanding problem and advocating for strategies to effect change.

Throughout our 70-year history, we have been providing mental health services to the children and families of Nassau County within just days of receiving their call, and no one is ever turned away for inability to pay. Kids in crisis can’t wait weeks or months for help.

Kathy Rivera
Executive Director/CEO
North Shore Child & Family Guidance Center
Roslyn Heights, NY

How to Keep Your Teen Safe on New Year’s Eve

How to Keep Your Teen Safe on New Year’s Eve

By Dr. Nellie-Taylor Walthrust, this story was published in Anton Media.

Many parents worry throughout the year about their teens’ exposure to alcohol and drugs, but the concern is magnified when talk of New Year’s Eve parties enters the conversation.

While you don’t want to spoil their opportunity to ring in the New Year with their friends, especially after nearly three years of pandemic disruption, the thought of them being at parties where alcohol and possibly drugs are being used is justifiably concerning.

The biggest risk that kids face on New Year’s Eve – or any day of the year, for that matter – is being involved in a car accident. According to the Centers for Disease Control and Prevention, motor vehicle crashes are the leading cause of death for U.S. teens, with eight teens ages 13 to 19 dying every day from motor vehicle crash injuries.

Additional statistics point out the risks:

  • 23% of teens admit they have driven under the influence of alcohol, prescription drugs or marijuana.
  • Teen drivers 16-19 have a fatal crash rate almost three times as high as drivers ages 20 and older.
  • 60% of all teen deaths from car accidents involve alcohol.
  • 24% of teens reported that within the previous month, they had ridden with a driver who had been drinking alcohol or using drugs.

As a parent, what can you do to minimize the risks?

If your teens plan to go to a party, make sure you talk to the parents where the festivities are being held. Your teen might be horrified at this prospect, but you have every right to discuss your expectations with the hosts. Ask if alcohol is being served (and if your teens are under 21, the answer should be a resounding no). Ask if the parents will be home at all times during the party. If they won’t, don’t be afraid to tell your teens they aren’t allowed to go.

Once you are assured that parents will be there to supervise and the party is alcohol-free, nail down the details. That means finding out who is driving them and taking them home (the safest choice is for you to take on that role). Set a reasonable curfew based on their age. Young teens don’t need to be out past midnight, and even older kids can call it quits shortly after the clock strikes 12.

Establish a plan to check in several times during the night. Make it clear ahead of time that if you call or text and get no answer, you will be heading over to get them.

Not comfortable with the level of supervision at the party? Help your teens create alternative plans. The best way to know your kids are safe and in a supervised environment is to host the gathering at your home. Give them free reign in choosing decorations, food, music and other entertainment ideas, but make it clear that alcohol and drugs are forbidden.

Despite taking all precautions, the reality is that your teens may find themselves in a situation where they are being pressured to drink or use drugs. Tell them that you will be willing and able to get them at any time during the night—and that if they or their friends have been drinking, the most important thing is for them to contact you for a ride.

As parents, we must do all we can to educate our kids about the dangers of underage drinking, but we also need to face the reality that even “good” kids can start heading down a dangerous path. Keep the lines of communication open, and if you suspect there may be a problem, consider contacting a professional who is trained in alcohol and substance use.

Dr. Nellie Taylor-Walthrust is the Director of at North Shore Child & Family Guidance Center’s Leeds Place, which operates an Adolescent Outpatient Chemical Dependency Treatment Program. Substance use services include counseling youths who are alcohol and drug abusers, children who live in families with a parent who is suffering from alcoholism or drug addiction and youths who have co-occurring chemical dependency and mental health problems. Prevention services are offered to local school districts. Call (516) 626-1971 to find out more.

Talking About Weight with Your Kids

Talking About Weight with Your Kids

 

By Dr. Sue Cohen, November 23, 2022

The holidays are here, and it’s not uncommon for people of all ages, including children, to pack on extra pounds. The sugary treats and heavy meals are abundant, and many kids tend to be less active during the colder weather.

But regardless of the season, it’s always a good time to talk to your kids about healthy eating—especially with many adults and children alike having put on weight from stress eating and inactivity due to the pandemic.

Sadly, being significantly overweight is common. According to the Centers for Disease Control and Prevention, the percentage of children and adolescents affected by obesity has more than tripled since the 1970s. Today, nearly 1 in 5 school age U.S. children and young people (6 to 19 years) is considered obese. When you factor in those who are considered overweight but not yet obese, the figure rises to 31%.

Why the dramatic increase? Behavior and habits are the most likely factors, with technology playing a big role. Many families have become sedentary, with TV, computers and videogames as the culprits. And it’s not just the kids; parents, too, are often modeling these behaviors.

Of course, shaming a child for being overweight is never appropriate. From a very early age, parents should nurture a positive body image with their kids, focusing on their bodies as the miracles they are!  But if your child’s or teen’s weight has become a health concern, you can address it in a loving, non-critical way.

Approach the issue as a family topic rather than focusing on an individual child. The message should be that we all need to eat more healthy foods like fruit, vegetables and lean proteins and less fatty, fried or sugary foods so we feel better and have more energy. You don’t want to make your child feel badly about themselves, so focusing on healthy eating and activity rather than appearance is extremely important.

Here are some guidelines when broaching the subject of weight with your children, as per recommendations from The Academy of Nutrition and Dietetics:

Foster open dialogue. Encourage your kids to share their thoughts and feelings about body image. When children discuss feelings about weight, be sure to listen and acknowledge that the feelings are real. Explain that people come in all different shapes and sizes, and you love your child no matter what.

Don’t make negative comments. Judging your own body or your child’s can result in lasting detrimental effects to your child’s body image and relationship with food. Set a good example for children in the way you talk about your own body as well as others.

Take action. Children learn fast, and they learn best by example. Teach children habits that will help keep them healthy for life. Make it easy for kids to eat smart and move often. Look for ways to spend fun, active time together.

Avoid the blame game. Never yell, scream, bribe, threaten or punish children about weight, food or physical activity. If you turn these issues into parent-child battlegrounds, the results can be harmful. Shame, blame and anger are setups for failure.

Talk with your healthcare provider. If a health professional mentions a concern about your child’s weight, speak with the professional privately. Discuss specific concerns and ask for suggestions on making positive changes in your family’s eating habits and activity levels.

Seek advice. Look for a registered dietitian with a specialty in pediatric weight management. Many hospitals and clinics have comprehensive programs with education and activities for both kids and adult family members. Some of these options may be covered by your health insurance plan.

An important final note: If you are among the Long Islanders whose financial issues make it difficult to access healthy, fresh foods, don’t despair. Community Solidarity shares nutritious food to those in need, with 50% of that being fresh produce. To find out more, visit communitysolidarity.org.

Dr. Sue Cohen is the Director of Director of Clinical Services at Right from the Start at North Shore Child & Family Guidance Center, the leading children’s mental health agency on Long Island. Learn more at www.northshorechildguidance.org.