Rural law enforcement officers often receive little or no support for frequent on-the-job mental trauma

Police answer calls to tragic events such as school shootings, family annihilation, severe child abuse cases and domestic violence crimes. During those calls, victim care is a primary focus but little attention is given to the psychological trauma law enforcement officers may experience as they manage crime scenes, reports Susan Szuch for the Springfield News-Leader, which covers Ozark news.

It's often hard for police to ask for help, particularly in rural communities where suicide rates are higher, but reaching out for care is stigmatized, according to Szuch. If officers ask for mental support or have psychological struggles, they can be deemed unfit for duty.

Michael Mason

The experiences of Michael Mason, a rural police officer and later Police Chief in Humansville, Missouri, a town with roughly 900 residents, serve as an example. Mason had a hard time processing many of the difficult scenes he had to work. In 2023, he attempted suicide. Afterward, he was "given a choice to get help but be fired and lose his Peace Officer Standards and Training certification, or to resign and keep his credentials," Szuch writes. "Mason chose to resign."

Although Mason moved on from his job loss and landed the police chief position in Humansville, he faced similar challenges and had learned not to ask for help. "He took his own life on Dec. 14, 2025," Szuch reports. "He was one of at least 27 law enforcement officers who died by suicide last year."

While laws and attitudes toward psychological care for law enforcement officers have been slow to shift, some changes have been made. "In 2020, the Law Enforcement Suicide Data Collection Act established a data collection program to 'help agencies understand and prevent suicides,'" Szuch explains. "In 2022, the federal Public Safety Officer Support Act changed its definition for line-of-duty deaths to include suicide, which can affect not only the way the death is discussed but how honors are conferred and what benefits survivors receive."

For officers who want someone to talk to, law enforcement leaders stress the "importance of talking to someone who understands a law enforcement officer’s unique situation and experiences," Szuch reports. "CopLine, a hotline for law enforcement officers run by retired law enforcement officers, offers a free, confidential way for them to talk with someone who understands the trauma and pressures of the job." The phone number for CopLine is 1-800-267-5463 (1-800-COPLINE).

This robot helps rural seniors stay healthier and allows them to live independently longer

ElliQ is designed to be a companion and helper.
(Intuition Robotics photo)

In more remote parts of the country, residents can go for days without seeing another human. But as people age, going without human connection can be lonely and potentially dangerous. For some rural seniors living in isolation in Washington state, participating in a pilot program that pairs them with a robot companion offers a potential solution, reports Eli Saslow of The New York Times.

Jan Worrell, 85, is participating in the pilot so she can continue living alone in her home, which sits on an isolated strip of the Long Island Peninsula. Firefighters came to Worrell's home and installed her new robot partner: "ElliQ."

One of ElliQ's initial greetings to Worrell sounded like a new friend's introduction. Saslow writes, "'Oh, I’m so thrilled to meet you,' ElliQ said. 'I was worried they’d deliver me to the wrong house! I’m excited to start our journey together.'"

"A few thousand ElliQs have been shipped to seniors across the United States since 2023. . . . by nonprofits and state health departments as an experiment in combating loneliness," Saslow reports. "ElliQ is designed for the most human act of all: to become a roommate, a friend, a partner."

Initially, Worrell didn't want help or company at home. "That’s what she told her relatives whenever they gently suggested that maybe it was time to move into a care center, or closer to family," Saslow adds. "But despite her strength and stubborn independence, her doctors had warned that living alone sometimes came at a cost." Loneliness can be deadlier than many chronic diseases.

Now, ElliQ keeps Worrell company by providing conversation, medication reminders, playing music and asking questions. Saslow writes, "It has been designed to read a room, calculate moods and then decide when to speak and what to say."

Mental Health First Aid for Rural Communities trains laypeople to be the first line of help

Rural residents can help one another work through
mental crisis or illness by learning MHFA.

Mental health care in rural America has always been more challenging to ask for, find and afford than in more populated parts of the country. A program that trains laypeople may offer rural residents in mentally stressful situations or suffering from untreated mental illness the best path toward getting the help they need.

The National Council for Mental Wellbeing’s Mental Health First Aid for Rural Communities works with "people not necessarily in the health professions to give them the tools they need to recognize and respond to the signs of mental health or substance use challenges," reports Liz Carey of The Daily Yonder. The training teaches participants that while they are not there to treat or diagnosis mental health problems, they are equipped with the skills and knowledge to support a family or friend until professional care is available.

A community that adds this training to its safety net toolbox is spending time incorporating a process that makes a difference. Carey writes, "Studies have consistently shown that it works — more than 90 peer-reviewed studies over the past 15 years have shown that MHFA has a lasting impact."

Jamie Hagenbuch, program manager at the Mental Health First Aid at Madison County Rural Health Council in Cazenovia, New York, told Carey, "I think rural communities definitely don’t have the resources that cities and urban communities do, so having the initial skills to be able to recognize if somebody’s becoming unwell and how to approach them and know what resources do exist, as well as being able to navigate them to those resources, is critical."

Mental Health First Aid training can help "anyone in a rural community to spot the signs of someone struggling with a mental health issue and to be able to step in to help," Carey explains. "A study in 2021 of Cooperative Extension agents in Mississippi found that 62.5% of the participants in the MHFA training programs used their skills six months after training."

Individuals interested in getting training can find more information at https://mentalhealthfirstaid.org

Opinion: Rural kids need more than trade school training to lift themselves out of hopeless circumstances

Working-class rural kids need more than trade school training to help pull themselves out of unhealthy living situations, including abject poverty, writes Jessica Grose in her opinion for The New York Times.

Grose cites the new book by Beth Macy, Paper Girl: A Memoir of Home and Family in a Fractured America, as a source for insight and solutions on how the U.S. education system could help more rural youth recover from trauma and set their lives on a different track.

"Macy, a former newspaper reporter and the author of 'Dopesick,' the 2018 best seller about how the opioid crisis ravaged Appalachia, returned to her hometown, Urbana, Ohio, for the new book," Grose explains. "She is trying to figure out how a working-class girl like her got to college and the middle class from Urbana 40 years ago, while that journey is much more arduous for today’s rural working class."

"How do young people, especially those without supportive parents, make a future for themselves? . . . While learning a trade is excellent advice for many students, it is not the cure-all for inequality that our commerce secretary, Howard Lutnick, hopes it might be when he says he wants Harvard to build vocational schools,'" Grose explains.

Grose points out that "learning a trade" isn't easy and that trade work requires "the same kinds of executive functioning, people skills and intelligence that a college education requires, just applied differently."

Giving working-class youth the help they need through rural schools is one of the best solutions, according to Macy. "Rural schools need better access to wraparound services, providing students with necessities like food, but also health care in the form of school nurses and counselors on site," Grose adds.

But providing those types of services in rural areas is a tall order. Grose writes, "Most school systems run on economies of scale and a per-student funding model; it poses a great challenge to provide wraparound services to districts with fewer students who have a lot of needs and who are also spread out."

"My dark prediction is that kids with more stable families and better developed life skills will occupy the trade jobs that used to be a reliable route to the middle class," Grose asserts. "We need to support working-class kids before the 21st century abandons them completely."

Report: The national cost of opioid use disorder is in the trillions of dollars each year, in addition to the suffering

Axios map, from Avalere Health data

As counties across the U.S. see many types of illicit drug deaths decrease, the country is left to grapple with the long trail of complex problems drug addictions cause, including their massive price tags.

A newly released in-depth analysis "concludes that it costs an average of nearly $700,000 to treat each affected person," reports Maya Goldman of Axios. "The cost burden falls unevenly, with states in a belt stretching through Appalachia to New England typically having bigger caseloads and a higher cost per case."

Although it's not possible to pin down the exact net dollars the country spent on opioid use disorder, the analysis from Avalere estimated 2024 costs at $4 trillion." The report's author, Margaret Scott, told Goldman, "While this is a cost to government, it's also a cost to private businesses, and the huge cost, of course, is to the individuals who have" opioid use disorder.

Comparing regional expenditures illustrates how extreme the costs for treatment can be. "The projected cost of opioid use disorder in 2024 ranged from $419,527 per case in Idaho to more than $2.4 million in D.C.," Goldman explains. "That covers lost productivity, health insurance costs, property lost to crime and other variables."

The economic losses from OUD are second only to the degree of human suffering individuals, families and friends have experienced by way of OUD trauma. Some of the sobering estimated and reported costs include:

• Economic burden on patients, including years of life lost and reduced quality of life, exceeded $3 trillion in 2024.
• Private businesses absorbed more than $467 billion in costs from lost productivity and health insurance costs.
• The federal government bore about $118 billion in Medicare and other federal insurance costs, lost taxes and criminal justice expenses.
• It cost state and local governments more than $94 billion, with about $42 billion going toward criminal justice costs.
• The Trump administration in March released its own analysis that estimated illicit opioids cost the U.S. about $2.7 trillion in 2023.

One way to reduce opioid treatment costs is to offer individuals the most effective treatment combinations possible. "Behavioral therapy alongside long-acting injectable buprenorphine — a treatment that reduces the risk of future overdoses — generated an estimated $295,000 savings per case, the biggest cost-saver of the options Avalere analyzed," Goldman reports. "Behavioral therapy alone saves a project $144,000 per case."

To use Axios' interactive state map of costs, click here.

Mental Health Association launches hub dedicated to improving rural mental health access and education

Rural health includes mental health care.
(Mental Health Association photo)

The Mental Health Association launched a new hub with information and free resources to help rural residents access mental health treatment, reports Liz Carey of The Daily Yonder. The site also provides community members with tools for supporting mental health care in their area.

MHA built its hub to help address the drastic need for improved mental health treatment and education in smaller communities. Carey reports, "About 7.7 million rural adults, or about a quarter (23%) of all nonmetropolitan adults in the U.S., reported having mental illness in 2022, according to the Substance Abuse and Mental Health Services Administration. Additionally, about 1.6 million, or nearly 5%, of nonmetropolitan adults reported having serious thoughts of suicide that year."

While the hub contains many options, its conversational style and easy-to-use format make it approachable. The site's landing page features a "Get Help" drop-down list of information with links on managing a mental health crisis. The site features online mental health tests and surveys to help residents determine what kind of help might fit their situation.

America Paredes, MHA’s chief social impact officer, told Carey, "Based on an individual’s screening results, they have access to a self-guided platform that helps them navigate their mental health journey based on their experience and where they are in their journey."

Resources for communities working to help residents or families cope with mental illness are also available. Paredes told Carey, “We hope this hub serves as a first step for individuals who may feel alone in their experience and organizations looking to support these communities by providing them with free resources.”

Through the hub, MHA introduces rural residents to various care options, including telehealth, which can help them access care from mental health professionals they would otherwise have to drive long distances to see. Joy Jay, executive director of MHA-SC, told Carey, "The acceptance of telehealth has helped others in rural areas reach the help they might not have otherwise had access to."