Behavioral Health Conditions Reach Crisis Levels: Counties Urge Stronger Intergovernmental Partnership and Outcomes
Upcoming Events
Related News
Counties are facing an acute escalation of the mental and behavioral health crisis. In a recent NACo survey, 75 percent of counties reported an increase in the incidence of behavioral health conditions over the past year and 89 percent reported an increase compared to five years ago. While counties work to respond, the financial and human cost of behavioral health is compounding across all county systems: 80 percent of counties indicated that they incurred associated costs in the legal system (courts and jails), 77 percent in law enforcement and 54 percent in the health system and hospitals.
Counties are integral to the local behavioral health system of care, investing $163 billion each year in community health, hospitals and social services, as well as $107 billion in justice and public safety systems. In at least 33 states, counties may provide traditional behavioral health services, but county leaders in every state are confronting the need to innovate when it comes to mental health, whether in county courts, jails, juvenile justice systems, hospitals, parks, libraries, housing and homelessness services or other service areas – especially other services to youth.
Despite the severity of the crisis and its strain on our resources, counties across the nation are: (1) Persevering in expanding direct or indirect behavioral health service systems to care for our residents, and (2) Advocating for federal and intergovernmental policies that support our goal of serving residents and addressing the mental and behavioral health crisis.
Featured Initiative
NACo Commission on Mental Health and Wellbeing
(2023-2024) Counties increasingly handle direct mental health service. NACo’s Commission on Mental Health and Wellbeing developed reports and united county leaders to address the mental health crisis through key policy priorities.
CMS announces grant awards to improve the continuity of care for justice-involved individuals
On September 27, the Centers for Medicare & Medicaid Services announced $106.5 million in state planning grants aimed at improving healthcare continuity for individuals transitioning from incarceration.
SAMHSA releases new 2024 data on rates of mental illness and substance use disorder in the U.S.
On July 28, the U.S. Department of Health and Human Services’ (HHS) Substance Abuse and Mental Health Services Administration (SAMHSA) released the findings of its annual National Survey on Drug Use and Health (NSDUH), which provides data on rates of substance use and mental illness at the national, state and local level.
Congress introduces bipartisan legislation to strengthen rural health care access and funding
Rural communities face unique health care challenges, from provider shortages to funding disparities. To address these concerns, the U.S. Senate recently introduced two bipartisan bills aimed at improving rural health care access and funding: the Rural Health Focus Act and the Fair Funding for Rural Hospitals Act.
HALT Fentanyl Act signed into law
On July 16, the Halt All Lethal Trafficking of Fentanyl Act (HALT Fentanyl Act) (P.L. 119-26) was signed into law, marking a major turning point in the nation’s response to the opioid epidemic. The bipartisan legislation permanently classifies fentanyl-related substances (FRS) as Schedule I drugs under the Controlled Substances Act, granting law enforcement the authority to combat the growing threat posed by synthetic opioids. The law’s enactment follows years of temporary extensions that placed these substances under federal control on a provisional basis.
Public-private partnership creates ‘one-stop shop’ to improve community wellness
The South Philadelphia Community Health and Literacy Center is a “one-stop shop” the city and the children’s hospital created to improve community wellness and make it easier for people to get their needs met.
Understanding the Homelessness Executive Order: Federal Shifts, County Impacts and Next Steps
Join NACo on Tuesday, August 26 at 3:00 p.m. ET for a timely webinar outlining major changes to federal funding, grant conditions, and policy priorities that directly affect county homelessness programs, behavioral health systems and enforcement strategies.
Innovative Health Plan Strategies for County Governments
Please join Craig Ulrich, Surest Key Account Executive with United Healthcare, to explore alternative health plan approaches that prioritize price transparency and promote the use of high-value providers, including models like the Surest Health Plan.
Public Education Strategies to Tackle County Challenges: Mental Health, Workforce, and Gun Violence
Join us for an insightful webinar with the Ad Council as they share their best practices on leveraging public education to help counties tackle three urgent challenges: the mental health crisis, workforce development, and gun violence prevention.