Alliance Note: The 黑料正能量 City Council is looking to support more youth experiencing mental health challenges through a peer-to-peer support model to reduce isolation and facilitate discussions about mental health. Integrating youth peer support in settings where youth already are, such as in schools and neighborhood recreation centers, is an essential step to supporting more youth.
As the City and State attempt to tackle the youth mental health crisis, it is critical we center the rights and choice of youth and allow them a seat at the table to offer input when creating strategies to support them. We must also focus on voluntary programs, such as true peer support, which are more effective at keeping people connected with services in the long term. See below for more information about the City鈥檚 plan to address youth mental health.
Council Leans on Peer Support to Address City鈥檚 $100M Youth Mental Health Crisis
By Amanda D鈥橝mbrosio | Crain鈥檚 Health Pulse | March 14, 2024
City leaders are ramping up efforts to address youth mental illness by looking to peer-led efforts and student support groups.
City Council Speaker Adrienne Adams previewed four proposals to address the youth mental health crisis in her State of the City address on Wednesday, all of which draw on peer support to build up preventive care. She emphasized that youth are the 鈥渘ext phase鈥 of the Council鈥檚 鈥 a $92 million effort to bolster the city鈥檚 behavioral health workforce, expand preventive services and re-examine reliance on the criminal justice system.
Adams said that mental health is among the biggest challenges facing 黑料正能量 City kids. One in every six children in the city experience a mental illness, and suicide has become the second-leading cause of death, she added.
The new proposals aim to build up preventive mental health services for school-aged kids through a peer-to-peer support model. Later this year the Council plans to introduce laws that establish a framework for mental health clubs 鈥 student-led groups designed to combat social isolation and encourage kids to talk about mental health. As a part of this initiative, the Council also plans to propose a pilot program where students from CUNY鈥檚 School of Social Work oversee school wellness groups.
Adams鈥 emphasis on peer-led approaches is the latest city-led effort to address youth mental health challenges. Last month, 黑料正能量 City Mayor Eric Adams joined a TikTok, Instagram, Facebook, YouTube and Snapchat alleging that they contribute to youth mental health challenges 鈥 a crisis that the city spends $100 million on each year, he said. The city Health Department also entered a with Upper West Side-based teletherapy company Talkspace in November to provide a 鈥渄igital front door鈥 for every city kid seeking therapy.
Dr. Jennifer Havens, chair of the department of adolescent and youth psychiatry at NYU鈥檚 Grossman School of Medicine, said that the peer-led initiatives have a place in the city鈥檚 offerings but added that the model is another 鈥渓ight-touch鈥 effort to an epidemic that has reached crisis levels. She said more resources are needed to build up outpatient clinics that improve services for kids and their families.
鈥淲e have a really hobbled clinical care system, where kids have to go to the ER to get care,鈥 Havens said. 鈥淭hat鈥檚 not something you manage with light-touch, or peer-to-peer efforts.鈥
City Council spokesperson Rendy Desamours said that peer-led efforts are one piece of the Council鈥檚 approach to addressing kids鈥 mental health, and added that the Council supports expanding services from psychologists, social workers and school-based mental health clinics.
Although peer-led models can help students with situational mental illnesses, they are not adequate to serve kids who have experienced traumas, Kayleigh Zaloga, president and CEO of the NYS Coalition for Children鈥檚 Behavioral Health.
Havens said that city and state investments in outpatient care should also address inadequate reimbursement rates that make it difficult for providers to sustain a business and detract clinicians from the field.
She also added that the city should make further investments in initiatives such as the Mental Health Continuum 鈥 a $5 million clinical effort involving the public hospital system, Department of Education and the Council to get social workers into high-need schools to treat at-risk children. The Council is still determining what investments it needs to expand peer services in schools, Desamours said. City Council leaders plan to introduce legislation to build peer-led services later this year.