Research Question 1

Please share anything else you'd like us to know about your experience finding care:

I need finance

Please share anything else you'd like us to know about your experience finding care:

We had to travel to another county to find a provider who specialized in youth behavioral health.

Please share anything else you'd like us to know about your experience finding care:

There was initial difficulty in asking for help cause of fear of how discriminating it would be but I took up courage and asked. We need a system in which proper can speak up

Please share anything else you'd like us to know about your experience finding care:

It's was difficult to get a care

Please share anything else you'd like us to know about your experience finding care:

Opening up to someone was difficult and the fear of the cost of treatment whether my insurance will cover for it or not scared me. After the first session, I was much relieved how easy it is getting care.

Please share anything else you'd like us to know about your experience finding care:

I would say it is a bit hard because i deeply think not a lot people create awareness about this kind of stuff

Please share anything else you'd like us to know about your experience finding care:

It was difficult to find a provider who accepted our insurance and had availability within a reasonable time frame.

Please share anything else you'd like us to know about your experience finding care:

The provider didn't show much care.

Please share anything else you'd like us to know about your experience finding care:

Accessing behavioral health care was challenging due to long wait times, limited providers who specialize in youth services, and confusion about insurance coverage. More centralized information, faster referral processes, and culturally responsive care would make a big difference for families seeking help.

Please share anything else you'd like us to know about your experience finding care:

Harde to find and receive pediatric mental health providers closer to home, not virtual. Getting on the right medicine

Please share anything else you'd like us to know about your experience finding care:

Some services were hard to locate, but persistence and guidance from professionals made a positive difference.

Please share anything else you'd like us to know about your experience finding care:

Navigating services was challenging at first, but support from school and community resources helped us find the right care.

Please share anything else you'd like us to know about your experience finding care:

Accessing care took time, but having knowledgeable providers and clear information made it manageable and less stressful for our family.

Please share anything else you'd like us to know about your experience finding care:

At first, it was frustrating as I knew not where to go or who to contact. It was only after I contacted my religious head, he directed me to where I could find help for Youths. Since then, it has become a part of me to seek out youths who need behavioral care.

Please share anything else you'd like us to know about your experience finding care:

Online resources were helpful but overwhelming

Please share anything else you'd like us to know about your experience finding care:

Finding care was sometimes confusing, but with support and guidance, we were able to connect with helpful providers who understood our needs and made the process easier.

Please share anything else you'd like us to know about your experience finding care:

It took some time to find the right support, but once I did, having compassionate and understanding providers made a big difference in my recovery journey.

Please share anything else you'd like us to know about your experience finding care:

At times, I’ve felt overwhelmed trying to figure out where to go or how to qualify for services. Having someone guide me through the process and check in along the way would have made things much easier.

Please share anything else you'd like us to know about your experience finding care:

Crisis response services were not always accessible

Please share anything else you'd like us to know about your experience finding care:

Finding care was not easy it took time, patience, and persistence. Once I connected with the right providers, the support was excellent, but the system could be more coordinated and easier to navigate.

Please share anything else you'd like us to know about your experience finding care:

Waitlists can be long, and sometimes services don’t feel connected like we have to start over every time. It would help if families didn’t have to navigate so many systems alone, and if there were more options for youth that focus on building trust, not just on diagnoses or medications.

Please share anything else you'd like us to know about your experience finding care:

Finding care has be challenging at times, it's not always easy to know where to start or which provider actually understand what recovery feels like.

Please share anything else you'd like us to know about your experience finding care:

The biggest challenge in finding care is navigating a fragmented system. Information is scattered, and different services don’t always communicate effectively. Streamlining referrals, improving online access to information, and expanding case management support would help individuals connect to care faster and more efficiently.

Please share anything else you'd like us to know about your experience finding care:

It was a hard at first but I talked to my pharmacist and he referred me to a center that really helped

Please share anything else you'd like us to know about your experience finding care:

Finding care was quite easy for me except for the cost

Please share anything else you'd like us to know about your experience finding care:

Finding care often involves navigating complex systems with limited provider options, insurance challenges, and long wait times. Personal connection with providers is crucial but can be difficult due to high turnover and scheduling conflicts. Geographic location and financial constraints also impact access. Persistence and self-advocacy are key, as well as the importance of culturally competent care that respects individual backgrounds and experiences

Please share anything else you'd like us to know about your experience finding care:

Stressful

Please share anything else you'd like us to know about your experience finding care:

My experience finding care has been a mix of gratitude and frustration. I’ve met wonderful people who truly care, but it often takes a lot of effort and persistence to get the right help. At times, I’ve felt overwhelmed trying to figure out where to go or how to qualify for services. Having someone guide me through the process and check in along the way would have made things much easier.

Please share anything else you'd like us to know about your experience finding care:

Finding care was overwhelming at first due to long wait times and limited information. However, once I connected with the right provider, having consistent support made a significant difference in my healing process.

Please share anything else you'd like us to know about your experience finding care:

Finding care has been a mix of hope and frustration. There are some great providers who really listen, but it’s often hard to get in quickly or find someone who takes our insurance.

Please share anything else you'd like us to know about your experience finding care:

I Faced alot of challenges in finding care

Please share anything else you'd like us to know about your experience finding care:

Sometimes there are long waiting time, unclear information about services, and difficulties navigating different systems.

Please share anything else you'd like us to know about your experience finding care:

Family involvement in care planning was inconsistent

Please share anything else you'd like us to know about your experience finding care:

It's difficult getting the one that fits your budget

Please share anything else you'd like us to know about your experience finding care:

I encountered emotional stress as well as need to manage financial aspect

Please share anything else you'd like us to know about your experience finding care:

OT etc. has been hard to get into. Standard counseling has been obtained in our case

Please share anything else you'd like us to know about your experience finding care:

The process of finding care was sometimes challenging, but having supportive providers and access to clear information made it much easier to navigate and get the right services.

Please share anything else you'd like us to know about your experience finding care:

It was challenging at first, but I found helpful and supportive services in the end.

Please share anything else you'd like us to know about your experience finding care:

I encountered alot of stress as well as need to manage financial aspect

Please share anything else you'd like us to know about your experience finding care:

Emotional support for families was lacking

Please share anything else you'd like us to know about your experience finding care:

It was hard to find affordable care

Please share anything else you'd like us to know about your experience finding care:

Some providers lacked cultural competence

Please share anything else you'd like us to know about your experience finding care:

We did not find help when we needed it. We had many obstacles from travel to time out of school to finding someone.

Please share anything else you'd like us to know about your experience finding care:

Finding care for him was an experience I won’t forget in a hurry. It’s physically and emotionally tasking

Please share anything else you'd like us to know about your experience finding care:

It's difficult to find providers who understand specific needs

Please share anything else you'd like us to know about your experience finding care:

Not really comfortable as i want

Please share anything else you'd like us to know about your experience finding care:

Navigating the healthcare system can be complex . Having a supportive network and access to resources makes a big difference

Please share anything else you'd like us to know about your experience finding care:

It is not easy and there are not good communications

Please share anything else you'd like us to know about your experience finding care:

Matching need and insurance requirements is the most difficult.

Please share anything else you'd like us to know about your experience finding care:

We struggled to find behavioral health care that worked with my son’s disabilities despite the fact that his disability statistically increases the risk of mental illness. Most behavioral health care wanted to treat only the “behaviors” and not address the emotional, chemical (with long family history), or trauma related aspects… only wanting to address the behavior resulting from the illness without treating the illness with either mental health therapy or medication… it was a very long road to get him adequate care. He is now thriving after finally getting the care he needed after two years of hospitalizations, and even his disabilities have improved massively with his mental health managed for over a year now.

Please share anything else you'd like us to know about your experience finding care:

WISe providers and Monroe Compass health were terrible and caused more harm than help and were not really willing to work with us.

Environmental barrier to making healthy choices?

So… where I live in Goldberg, it's hard because it's a rural area, because And so there's not many services. In a rural area.

Social facilitator to making healthy choices?

Um…. I would say probably, like…There that's able to, like, help answer. Advocators, I would say.

Social facilitator to making healthy choices?

It's hard to, like, explain. I do have, like, disability, so some things are a little bit harder for me to understand and explain. So, um…. I'm not really too sure, other than, like I said, like, maybe things to help advocate those types of situations.

Personal facilitator to making healthy choices?

Myself. Myself? I'd also like to add support services, like ABA or Pacific Northwest routes.

Social facilitator to making healthy choices?

Um, let's see, for me, um, my dad took my son fishing today, so that was definitely helpful. So that respite piece, um, family for respite, um…. Um…. Getting enough sleep. Um, kind of those self-care things, um…. Healthy nutrition, um….I'm trying to think of other personal things, um, just individual choices.

What other supports are available to you?

There's one that…. And it's a nature club that I created at school, because they let you create some clubs. As long as people come.

Where are the barriers?

just to remind you that in rural areas, there aren't as many services out there. Um, and, you know, um…. Sometimes that lack of resources leads to further barriers.

Where are the barriers?

Um, like we just talked about. Um, when you're in situations where your emotions are high, and you don't know what to do, that can be a personal barrier to getting anything done, or getting. Your needs communicated to other people.

Where are the barriers?

End up with a service provider, and that person is just making you, you know, whether through lack of training, education on the provider's part. Where you feel discouraged because of how you're feeling that you're being treated.

Where are the barriers?

I'd say for me, it would mostly be, like, bad memories with treatment and stuff like that. And, like, bad memories with therapists. So, like, it'll be… it's hard to, like, reach out and seek stuff like that out when. It hasn't helped me before.

Where are the barriers?

I'd say a sense of hopelessness. Feeling so much overwhelmed so frequently, and, like, nothing much is helping, that it feels pointless.

Where are the barriers?

anxiety, unrealistic expectations, overwhelm

Where are the barriers?

I feel like enough hours in the day. Um, and, um, the other thing that I think of is…. Um…. Like, control of the time and schedule, like, you don't get to schedule your kids' When they're going to have a hard time. So it's trying to schedule. Anything else becomes very, very, very difficult, and often I feel like that… there's that bias where that comes across as flaky or unreliable, when actually it is like, no, we're prioritizing the most important things that is. Necessary to maintain safety, so….

Where are the barriers?

And we had one provider out there, and they had WISE, and unfortunately, it was a terrible team. We went through them. Three times, and each time was causing more damage than hell. Um, the other part is that WISE is designed for discharge, so once he was discharged, he spiraled, and they want 6 months before they even reconsider admitting him again. And so there's not really a program that's designed for someone who's doing fairly well, but needs more support.And then from hospitalizations, we get stabilization services. Which is great, but those are temporary, they're just designed for stabilization, so that's 2 to 3 months, and then nothing.

Where are the barriers?

I think that was my biggest struggle with. Kind of the mental health system in general, is you….You have a different team every single year for 5 or 6 or 7 years in a row, and. And you have a team, and then you have to fail to such a level before you can do that support, where these. These kids need a higher level of support, period. Um, it is necessary for. Safety and function. So… and there just isn't that level of support available, so you get in this, like, constant failure cycle.

Where are the barriers?

Uh, one thing is telling your story over and over again. It's the same story getting told multiple times to multiple different providers. There needs to be a central… there were centralized hubs, so that's where I'm kind of mind-blown. Where did that go? Um, but sharing your same story over and over again gets exhausting.

Where are the barriers?

And…. Here, the other flip side of that is when you're sharing your story and you're connected to a provider, I don't think this has been shared yet, but I've had lived experiences where people get bored of my story. People get bored of me and my family's story, and I end up being drops. In a very kind, I'm-busy way. Um, right, where I need to go on vacation, week after week. Oh, I've got to cancel this meeting. So then, now I feel dejected where you're not really interested in helping me and my family.

Where are the barriers?

I was, um…. Talking to a young man the other day, and he had actually made a PowerPoint of his story, so every time he had a new provider, he literally… a high school student walked in with his laptop. And showed the provider his PowerPoint. Like, how powerful is that, and how. Sad is that, at the same time that he had the need to do that, you know? It is so incredibly…. You know, amazing on both ends of the scale, that I was just blown away.

Where are the barriers?

Yeah, that's… yeah, that's not good, and feeling like, you know, like… like, your story isn't interesting enough for… to engage the provider, that your story needs to be told. Over and over and over again, or that you're so tired of telling your story, you just write the book, or the PowerPoint, or whatever.

Where are the barriers?

I think one of the things for me that is difficult is you go to school and everything is strength-based. And then you go to services, and everything is deficit-based. And so it's like, which…. Um, who… who are we talking to right now, and what do you want from me? It took me a really, really, really long time, and I think I had them flipped a lot of the time, which meant that we weren't accessing the services we needed, because we weren't qualifying for it, because we were being strengths-based. Or we… or we were, um, over-accessing or traumatizing people because we were sharing, like, the real. And so I think, you know, trying to figure out, like, who… which system and who wants which parts. Um, because I've got a lot of denials, and I read them after the fact, and I'm just like.Okay!

Where are the barriers?

Another thing is, with the hospitalizations. It can be in the midst of self-injury and suicide attempts, but if those are considered baseline behaviors, they will not admit for that. The hospital says they're for temporary situations, not for ongoing situations. So that leaves a lot of kids with no options. And then another thing we ran into is, um, providers Who are very ignorant and judgmental, who are saying very hurtful things. I imagine it comes from everywhere, but, you know. It's especially prevalent with WISE and MRSS. Um, but I think it's just a lack of training and experience. And I feel so bad for them now, because…. I… I want… I want to live in that world where if you just do this one thing, that fixes it too. And… and it's gotta be frustrating to try to help and not know how or what, and have things not work, but at the same time, it is so…. Demoralizing to be like, oh, let's parent mental health out of our kids, just follow step A, step B, and step C.Um, and we're like, yeah, okay, we're all in, let's do it, and then…. You're still in the same spot a year later.

Where are the barriers?

I have a lot of experiences of being pushed into treatment when what I really needed was to be able to do my own thing and figure things out on my own. Um, like, I've…. I've been in, like, 15 facilities. It's a lot. Um, and what finally got me out of it is that no place would, like, take me. And I feel like that's…. Sometimes what's necessary is that you just let the kid figure things out on their own. Um, it depends on the kid, obviously. Like, if they're actively, like, a danger to someone, don't do that, but…. In my case, I wasn't. I was just…. Struggling a lot, and I'd lost pretty much everything, so…. Help young people find their own path. We're blazing their own path.

Where are the barriers?

Sometimes, I would say. And, like, correcting over and over and over. Trying to, like, get the person to stop doing what they're doing.In butt…. Sometimes that just…. Doesn't really work exactly, because…. All you're really doing is just saying the same thing so many times that it's just stressing the person out.Instead of helping. So, like, being over-corrected, like, you're always doing it wrong, do it this way, do it this way, do it this way, and it feels, like, less like connection, and more like somebody's….Like, hammering something into your head. Controlling you.

If you had a magic wand and all the money in the world, what changes would you make to the child/youth behavioral health system?

What I am personally seeing more and more is finding a way to replicate, so….h, repeat, right, or duplicate? Natural supports.In a professional way. Um. You know, like Russ, we talk about respite. You know, going off to a respite center or something, but if there was a way So I work in systems. This is why I'm going to say it this way. If there was a way to request funding to create respite events for families. Um, that would be my magic wand, or being able to replicate those natural supports where…. You are connected to the peer support specialists. They seem to be closer to what I think of

If you had a magic wand and all the money in the world, what changes would you make to the child/youth behavioral health system?

Another thing I would create is an effective crisis response, um, like someone who can just come into the house. Instead of being told to call the police, because at the age of 13, police calls report that turns into a juvenile record. Um, so that's not great. Um, but I think we should be able to find a way to support our young people without involving police as much as possible.

Was your experience with MRSS good?

No, it wasn't. Um, they're brand new, they're just starting, so that's probably part of our experience. Well, hopefully they improve. And also, they were… happened to be there during crisis. We were scheduled for a meeting, and we were having an issue at that time already, and the advice was take him to the hospital or call the police. And I would like to have some kind of a resource that's not referring, just. You know, out, where we're ping-ponging around between different organizations. Yep. Yep. And I mean, it can be kind of an impossible situation when someone is shut down and nonverbal and oppositional. Um, but it would be really great to have really trained, experienced people who. Have an idea what might help.

If you had a magic wand and all the money in the world, what changes would you make to the child/youth behavioral health system?

I wonder if that can be combined with Starlene's idea of having someone come into the home, you know, maybe once a week or something, building relationships and supporting the family, and so then when crisis does come, the child knows them, they know each other, they have an idea of what might help.

If you had a magic wand and all the money in the world, what changes would you make to the child/youth behavioral health system?

It's not normally a stranger, it's, like, a group of strangers, like, let's talk to this person, and this person, and this person, and this person, and now let's get 8 people surrounding them, and now let's, you know, it's just….It's very overwhelming. For me, and I'm not even the one in crisis. It's a lot more than overwhelming. Is beyond overwhelming.

If you had a magic wand and all the money in the world, what changes would you make to the child/youth behavioral health system?

I would like to be able to pay staff enough so there's not such high turnover, so we can actually build those relationships, the families, the youth. Can have consistent relationships that last a good, you know, 3-plus years or more, instead of. 6 months.

If you had a magic wand and all the money in the world, what changes would you make to the child/youth behavioral health system?

Okay, I think, honestly…. And at least in my opinion, I think there needs to be, like, a place for parents to go. Um, to figure out, like, a lot of the stuff that's going on with them. Because, like, something I've noticed from being in treatment for so long, and, like, with myself and my family. Is that sometimes it doesn't matter if. The kid is doing okay. If they're going back to the same place that, like, stressed them out and made it so, like. There were, like, mentally ill to begin with. Um…. nd, like, I think it's…. Important, instead of, like. Allowing kids to be, like, labeled as, like, problem children. That are just, like, passed from place to place. Um, for, like. How… to, like, have…. ike, a place where parents can go to figure out, like. What, like, what's going on, why the kid is doing what they're doing, and, like, how they can, like, help the kid. Get better, and, like. Find things that they have to change.

If you had a magic wand and all the money in the world, what changes would you make to the child/youth behavioral health system?

I love the idea of, like, the 23-hour centers, where it was… when… the first time it was explained to me was that there was a side for the kids to go, and a side for the parents to go, so that, you know, I heard that, you know, a child in treatment is a family in treatment, and how that. All works together because everyone's behavior affects everybody, so how can we… we help everyone in the situation? And so I love the idea of those 23-hour centers where, you know, parents go to one side, kids go to the other side. There's more of a comprehensive. Um, you know, plan for everyone in the family. I think that was one of my challenges with, you know, Y's and different services, was it was all focused on the one child that was enrolled. But there were 5 other people in this house all day, every day. And when that 100% focus goes to that one child that is struggling. The other, you know, 3 kids are basically going, hey, you're not as important, you don't deserve, you don't get to go out on the outing with this person, and so then we get the behavior in… sorry, I'm going off on another… a different direction at this point, I apologize. 01:27:46.000 --> 01:27:59.000 But, um, then these other kids are starting to have these same behaviors because they're seeing those behaviors are effective to be getting to go out to McDonald's to get ice cream, and to go to the lake and go swimming, and to, you know… and so having, you know, looking at that whole comprehensive. You know, well-being picture of the family, and supporting the family instead of, you know, an individual, I think is a…. A necessary piece of our system.

If you had a magic wand and all the money in the world, what changes would you make to the child/youth behavioral health system?

I would add a middle ground service. Like, Wise is kind of for crisis and discharge, but I would create something after that that's less intensive, because right now what it goes to is counseling every, like, 2 to 3 weeks. Um, and then with the WISE counselor specifically, I would have that job, um. Insensitize better so that the people who are coming are experienced. Um, because these are our most vulnerable children of the state, and they're coming to… people just graduated who do not have the experience to understand the complexities of these children.

If you had a magic wand and all the money in the world, what changes would you make to the child/youth behavioral health system?

m, there's something I'd like to say, and that's that I don't…. Think that, like…. So just adding new options to keep a kid in treatment longer so that they're always in treatment is necessarily a good idea. Um, especially since…. Like, I have seen people get better in treatment, but I've also seen people multiple times in treatment that have just gotten worse and kept spiraling. Who've been in similar situations to me. Um…. So, like, I just… I don't think it's a good idea to make it so a kid can always be getting support and always be in treatment. When, like, this… there are services that do exist that are a middle ground, it's just…. Sometimes the kid needs, like, an opportunity. To go do their own thing, and they don't… and they need to not be, like, constantly treated like. They need to get better, they're the problem. Um…. And, like, I understand why you'd want that, because, like, it can be hard to, like. Deal with. It's just, I don't think that's…. What's best for kids with, like. My experience having… like, I'm an adult now, having been a kid that basically grew up in treatment. Like, that's… it just, like, won't help. You'll just have kids that are, like.They'll become… like, cause, like. You know, I've seen… I've had friends who, like, were in treatment with me, who were, like, homeless now. Um, because I got lucky, they didn't. That's, like, the only difference between us.Like, I've had friends who were in treatment who are in jail now. When I've been in similar situations, they just got unlucky, and I got lucky, and I can live my life now, and they can't. And, like, a lot of the time, it is even for anything bad, like…. Sometimes it's, like, literally self-defense. Like, I have a friend who, like… or they were a friend, I haven't talked to them for a while now.Who, like, went in jail. Who is in jail now for self-defense. Um, and it got labeled as…. Um, like, them, like, attacking someone…. Because of, like. Their mental health history. And, like, I just don't think that's fair.

Could the problem be related to the drop off in services transitioning from the Child/Youth System to the adult system?

The thing is, is for me, is that's what I needed. Like, I knew, like, the entire time, I knew what the problems I was having were, what the causes of the problems I was having. And, like, what I had to do to get better, I just…. Wasn't given the opportunity. To do them, or the motivation to do them. Like, I guess this is kind of specific and, like, pretty personal, but, like, I used to have. Like an eating disorder. Um…. And when I, like, went to treatment for an eating disorder, I was originally very motivated to get better. But then, when I got to treatment. They, like, weren't telling me anything, and I got rid of all motivation I had. And it ended up taking me 6 months to recover, when it probably could have taken 2 or 3. If they would have just told me what was going on.

Is that like the idea expressed in SAMHSA's Recovery model where there are many different paths toward recovery?

Yeah, absolutely. Oh, sorry. Um, especially since, like. If you have issues, if you struggle with stuff. Going to a place where you're constantly surrounded by it is going to make it worse. Like, when I first went to treatment, again, I don't know, like, what rules you guys have with, like, mentioning specific behaviors. Um, like, I was self-harming a little bit, but when I got into treatment, I was constantly seeing people doing it, hearing about people doing it, seeing the aftermath of people doing it. And, like, I…. Like, I got worse, like, I spiraled because of that, because I was constantly seeing it, and I was constantly surrounded by it. You match energies, and so if I'm exposed to a bunch of people who are using, right, I'm gonna be, in my brain, I'll think I'm more inclined to be using. For example, right? Not everybody is that type of person that's gonna go, oh, yeah, no, you know?

Was your experience not client-centered, humanizing, and based on what you wanted to get out of treatment?

Um, I mean, I had one, like, dietitian who had. So talk to me about that, and that's, like…. That makes sense? I don't have an eating disorder anymore, like, I got better from that. I've been clean for, like. Next month, it'll be a year. From, like, everything, and I was, like. Doing pretty much everything you could do. Um…. But, like, no one had a real conversation with me. About, like. Really…. What I could do that isn't being treatment, except, like, the ER. Like, the staff at the ER, who were like… because they were seeing me for a few times, like, every week. For things that, like, weren't even, like, dangerous. Like, it was stuff like…. I would like…. Close the door while I slept. And I go to the ER. Or, like. Like, it was just, like, things that, like, weren't a huge deal, or I'd have an argument with my parents.Or, like, I'd, like, forget to, like, eat a meal. And I go to the ER, and they were constantly seeing me. Like, I know a bunch of the staff there by name, they recognize me. There was a few times where I came in and was like, oh, hey, [name], see you again, hi.Like. And, like, I only really got that conversation from them, because.Like, when I look back on it, the system is built to keep people in it.Like, the places get money. From patients being. Like, not getting better.

Was your experience not client-centered, humanizing, and based on what you wanted to get out of treatment?

And the way a lot of the places are built, they're built to be really depressing. Um, and, like, even, like, minor things, like, there was one place I was at. Where there's a bunch of places that didn't have clocks, but this place had clocks, but they were all different times. So, like, that… that, like, that messes with your brain in a way that, like. My sense of time is forever messed up, which is a weird side effect of treatment, but that's just what it did. Um…. Like, just, like, minor things like that. Or, like, even, like. Army buildings, or, like, prisons. Like, we're like…. It's just, like, the place itself just is…. Depressing. Um….And, like, a lot of the time, like. What… the way things are set up is that you have a few patients who get better, and then they become, like, the. Like, they become, like. An advertisement, pretty much. We're like, oh, this person went to our place, they got better. Um, but then you have…. Other people who…. Like, most of the people who are going from place to place, going from, like, state to state.Um, not even getting a break home, just going from facility to facility. For, like, until they're an adult, and then they get nothing.And, like, sometimes…. What the person needs. Is…. To… like….Be out of it, but sometimes the person still needs help.And the help isn't the help they've been getting. They need, like. I hope it's more of, like, specialized to them, because all these treatment places are, like, one size fits all.And sometimes you get a patient that happens… that happens to work for. But, like, it doesn't work for most people. And so you get this, like, 50-50, where…. The kid turns 18, and they leave, and…. They can go, like, do their own thing.And they're fine, or they end up in jail or homeless, or dead.And, like, that's just how it's set up. And, like, it's a terribly broken system.

Personal barrier to making healthy choices?

Transportation.

Personal barrier to making healthy choices?

Sorry, location. Locations, like, where it's at in comparison.

Personal barrier to making healthy choices?

I would say youth age of… Yeah, youth age of… sorry, I'm so sorry, but yeah, youth age of consent, uh, with a 13-year-old, uh. Law in the state.

Personal barrier to making healthy choices?

It could be your, uh… family culture. Um, how they perceive… difficulties or problems. Whether there's stigma associated with behavioral or mental health. Challenges or services and supports.

Personal barrier to making healthy choices?

On that same token. Sorry, I was gonna say, on the same token, language accessibility, if they don't have providers to speak.The same language or access to interpreters.

What are setbacks that get in peoples' way?

Loss of insurance. Or no insurance.

Environmental barrier to making healthy choices?

I mean, I would say funding, if we're talking. I mean, right now, federal funding. Is affecting our state funding and resources.

Environmental barrier to making healthy choices?

What about limited access, especially to higher levels of care? Just, there aren't enough resources, perhaps, to support the.Number of youth that might require them.

What are facilitators to making healthy choices?

I'm able to get in, no wait lists.

What are facilitators to making healthy choices?

Um, positive experiences. participation in community organizations that… And strengthen resilience as well.

Environmental facilitators?

Okay, I'm in. What about, you know, technology and electrical code? Like, technology-enabled care, you know, like, technologies. Mobile health apps, you know?

Environmental facilitators?

Yeah, like a communication board.