Whether you’re a student juggling too many deadlines and competing commitments on campus or a police officer struggling with a seemingly no-win situation on the job — or some other level of crisis — there are dedicated places and people you can lean on in your own backyard.
Throughout the region, behavioral health services operate around the clock as a vital area of support for those in need of help. Many are partnered with community crisis stabilization programs that accept insurance and provide a bed, individual and group therapy, and a life-changing serving of hope to anyone placing an order.
These services have expanded greatly with the state’s launch of a “Community Behavioral Health Center” system in early 2023. The system, which can be found at tinyurl.com/3s59jpsp, is rapidly expanding with increased awareness and demand.
“The main reason the state did this redesign from the former service programs to CBHC’s was because, well… the two main reasons were that there was an increase in boarding times, and hospital systems and hospital ERs were flooded with folks walking in for services who may not necessarily need to access the intensity of the emergency room,” said Josh Eigen, CBHC director at Eliot Community Behavioral Health, at 75 Sylvan St. in Danvers and 95 Pleasant St. in Lynn. “And folks were just waiting for placement, so CBHCs were created as an option for folks to get all of their care in the community.”
People from all walks of life are now walking into such facilities and getting rapid access to care, and coming out well on their way toward a new lease on life.
“One of the things the pandemic did which was good was that it did bring up conversations,” said Kristen Godin, market president for Northeast Health Services, at 199 Rosewood Drive in Danvers. “We weren’t able to use telehealth before. There was a very select number of players that would allow for telehealth, and that opened the door.
“That, in and of itself, is a huge access point. Folks who are extremely busy — they work, bring their kids to soccer, are on the PTA, all the things they had to do in their offices — are things they weren’t able to do.”
Reaching everyone, especially the young
Walk into a CBHC and you enter a community of hope. Some have message boards for clients to leave notes for those entering. Others have comfy recliners for clients to relax in their lobbies as a hum of human activity comes and goes.
“As a mental health agency, we’re providers of hope,” Godin said. “We have a hope board, so anybody can write on that board about what they’re experience has been to another person walking by who might have just started their first appointment, or is trying to decide… do I want medication? Do I want TMS services?
“There was a young woman recently who wrote on our board, ‘I’ve been struggling with mental health for years, tried medication, been in therapy, nothing worked. I tried Spravato, and I have my life back,’” Godin continued. “For me, beyond anything else, that’s what we do this for. That’s why we’re opening 10 clinics, 10 more after that, and expanding further.”
With CBHCs launching last January, data is now starting to show trends of their impact, Eigen explained.
“Some of the data is showing that folks are able to access care more immediately,” he said. “It’s opening up other options for folks other than needing to go on waitlists or in the emergency room. … The data we’ve seen so far is showing people are progressing in the treatment we’re offering. We’ve been able to continue for over a year now with not having waitlists, so it’s definitely heading in the right direction.”
But there’s still work to do to reach some subsets of the population. That includes youth and young adults heading to college, where many factors could collide and cause a drastic drop in mental health that shocks those back home — especially if it isn’t addressed before it’s too late.
“There has to be an opportunity that mental health is brought up on every college campus, every high school, every elementary school,” Godin said. “At college campuses, the other thing we talk about is substance abuse. If we’re talking about college, there has to be an opportunity if there’s a moment on a Saturday at 4 a.m., where they’re like, ‘who do I call?’”
Godin recalled going to college and seeing conversations around substance abuse, but not much more.
“There was never a discussion on counseling, therapy, asking for help,” she said. “There needs to be more of that, posted in all of the guidance counselor’s offices.”
Vicarious trauma, on the job or at home
Then there are the others impacted by mental health as part of day-to-day life, more specifically work.
Say you’re a police officer who witnessed a person dying by suicide, a firefighter helping a badly burned victim out of an engulfed building, or a doctor losing a patient. Vicarious trauma represents the harmful moments experienced by people as part of their daily lives — especially careers.
It’s also something that affects those answering the phone at crisis centers. But vicarious trauma also goes deeper and can be further experienced by anyone at home, no matter their line of work or level of mental health awareness, according to Godin.
“No one ever remembers that we’re humans,” she said. “Vicarious trauma is a real thing, and it can happen to the person answering a phone, can happen to me listening to a story, anyone watching a show or listening to the news. One of the things we try to do here at Northeast Health Services is our culture of self-care.
“All our clinicians are licensed. I’m licensed as a clinician, and my supervisor as a chief operating officer is licensed as a clinician,” Godin continued. “If there’s a debrief that needs to happen that’s critical to make sure folks are okay, self-care regimens, boundaries… we have an EAP program for folks. If they need that, they can call it and get eight appointments right away.”
Over at Eliot, “our staff have access to regular supervision and support,” Eigen said. “They have regular supervision with supervisors and managers, myself. Some of our teams also have group support where they’re meeting with other clinical directors to talk about tough calls or tough assessments, tough clients that they’re working with.
“There’s so much trauma that the people we serve have been through,” he continued. “So it’s important and definitely a priority where we provide that kind of support.”
For more information on CBHCs or to find one nearest you, visit tinyurl.com/3s59jpsp.