Mental Health

Hurricane Michael was the worst agriculture disaster in Georgia’s history. The Department of Agriculture partnered with the Georgia Department of Behavioral Health and Developmental Disabilities and the Georgia Department of Public Health to develop outreach and educational materials to support farmer mental health in the state. This work continued during COVID-19. The Georgia Food and Feed Rapid Response Team (GA RRT) and partner agencies created a COVID-19 Food, Agriculture, and Hospitality Stress Workgroup to assess the impacts of stress and mental health across the nation through 2 online surveys. This presentation will cover partnership building, the evolution of farmer crisis resources in Georgia, and the development of outreach initiatives to inform food, agriculture, hospitality workers, and the public about the importance of the ABCs of Compassion Fatigue that includes awareness, balance, and connections.

Veterans have a long history of service to our country through military service and through agriculture. The 2017 USDA report added a new special category of producers: “Producers with Military Service”. This report identified that 370,019 men and women agriculture producers claimed the title of US veteran, with 294,974 of them having spent more than 10 years on their farm. Recently much attention has highlighted veterans’ participation in farming. With this new attention, it is important to understand the unique characteristics and needs of those veterans. Registered nurses will be able address the needs of veteran farmers with a clearer understanding of the veteran experience compounded by the stress of farming and link veteran farmers to importance resources that support and build provider-client relationships and client resilience.

Parkinson’s disease impacts over one million people living in the United States. People living in rural areas may not have access to specialists and getting diagnosis may be difficult. Rural health care providers and agricultural professionals need to develop an awareness of this neurodegenerative disorder and understand the effects on agricultural work. Participants will learn about rural specific resources, safety screening for aspects of agricultural work, tips to maximize farmer functioning, and communication strategies with farm families.

The Substance Abuse and Mental Health Service Administration report that approximately 20.1 million people aged 12 or older had a substance use disorder related to their use of alcohol or illicit drugs. However, little is known about the prevalence of substance use in the ranching and farming community due to stigma and the lack of research in this population. This webinar will focus on the prevalence of substance use in rural areas through the results of health screening efforts in agricultural work settings.

Prescription opioids are often the first-line therapy to treat chronic and acute pain among farmers. Prescribing opioids to farmer populations that may not seek regular treatment or have access to alternative therapies increases the risk for potential opioid misuse. Properly assessing for these characteristics among other abuse or addiction risk factors, is critical in providing treatment that is both appropriate and effective. The training module will seek to provide insight on misuse risk factors among farmers to better inform healthcare providers on warning signs in this specific cohort.

COVID-19 adds new uncertainties to farming on top of a five-year or longer economic recession in most sectors of agriculture.  Like climate shifts, tariffs, and disease outbreaks in crops and livestock, COVID-19 is largely beyond the control of agricultural producers.  Importantly however, we can mostly control how we behave.  Agricultural producers will learn how to develop plans for minimizing infections of the virus, set up arrangements for access to necessary inputs such as equipment and repairs, contracts for a labor force and transportation, and where to become knowledgeable about federal and state assistance programs.

This presentation describes a pilot community-based suicide prevention program. Eighteen trainers from various farmer-connected groups such as commodity groups, equipment dealers, farm safety trainers, teachers, ministers, and rural health nurses obtained credentials as QPR (Question-Persuade-Refer) trainers. Over 450 persons were trained from these constituent groups in an 8-month period of time using training materials customized for the farming community. Using a Community of Practice framework challenges and successes in establishing mutual engagement, joint enterprise, a shared repertoire, and meaning in practice. Program revisions and the next steps forward are discussed.

Mediation is an option for resolving disputes designed to decrease stress and empower participants. A trained and impartial mediator helps people discuss their dispute by encouraging them to focus on identifying solution options with the goal of them reaching a mutually accepted agreement. Free to low-cost agricultural mediation is available in most states through the USDA Agricultural Mediation Program. Join in on this expert panel discussion on the mediation process and how it can help the agricultural community.

Farm Dinner Theater is an award winning intervention that is changing the actions of farm families for their health and safety. Based on a four year NIOSH research project, Dr. Reed will walk the audience through the development, history, evaluation and evolution of the Farm Dinner Theater. Since the research project ended communities have used the free toolkit to guide them in hosting their own theaters.

Caring for both the physical and emotional health of our next generation is crucial. From adapting to changes to feeling overwhelmed, like adults, children also experience stress and anxiety; however, they may be unsure of what they are feeling and how to respond. During this webinar, we will take a closer look at the status of farm youth mental health. We will recognize causes of stress among youth living in farming and rural communities and highlight the resources available to assist families.

According to the CDC, rates of depression and anxiety climb significantly during the ages of 12-17. Suicide is the second leading cause of death of youths in the United States. This module opens an introductory discussion of mental health among teens and young adults with guidance from an adult educator. Focus is placed on decreasing stigma, improving mental health literacy, and positive coping skills for teens and young adults. The module showcases a high school agricultural student’s understanding of the agricultural mental health crisis, helping to frame mental health distress to academic and future career success. 

Often times it is better to hear from someone experiencing the same things, rather than someone telling you they understand what you’re going through. Listen in as Shay Foulk discusses the real challenges and opportunities he has faced as a returning farmer veteran, and how he is learning and living ways to try to shut down. Honest, open, and frank, Shay will discuss topics that may seem uncomfortable to talk about with others in the industry, because they don’t quite understand what that transition is like in today’s environment. If you’re a farmer veteran in agriculture, someone who works with and wants to better understand veterans, or someone simply interested in the challenges and opportunities veterans in agriculture face today, be sure to tune in.

In rural communities, the stigma associated with mental distress is hard to confront. Rural agricultural residents pride themselves as hard-working and dedicated to the land. These characteristics are sometimes in direct conflict with asking for help and self-care, leaving those around them at a loss for words and action. This presentation attempts to use the strengths of rural- self-reliance of communities and being a good neighbor- to frame the conversation of mental health and mental distress. Approaches to community assessment, community resources, and effective training programs to help rural residents craft solutions to grow a community network of mental health neighbors will be shared.

This session is a panel presentation that communicates a forward vision addressing disparities in agricultural mental health. The presenters will explore the development of a farmer specific hotline, the efforts of a state department of agriculture, and suggested strategies to address a central objective-to meet the mental health needs of ALL agricultural producers and their families. This session is designed to spark discussion, ideas, collaborations between community and governmental groups to thoughtfully build a mental health safety net across cultures.

Rural healthcare providers and safety professionals have an important role to play in supporting people experiencing stress or mental health challenges. Come listen as Ted Matthews talks about what we can do to be proactive and prepare ahead of crisis. Ted understands the demands farmers face because he counsels farmers in a plethora of areas from crisis intervention to helping farmers relate to their families and workers to better utilize their resources.  If you’re a rural health professional looking to integrate mental health counseling in your care, take time to listen to Ted’s experiences.  He will help you rethink your approach to providing mental health support.  

Owning heirs’ property and experiencing the challenges that accompany this means of owning property can have a negative impact on the mental health and well-being of farmers and landowners. These impacts can be especially felt by individuals who make their living from the land. This webinar will help heirs’ property owners and the professionals who support them to understand the challenges that heirs’ property owners face, identify paths toward clearing title, and learn strategies for preventing the occurrence of heirs’ property in the future.

Suicide is a leading cause of death in many communities and impacts hundreds of people. Creating mechanisms to put time and distance between someone struggling with a mental health concern and lethal means is an important part of creating hope and healing.  

The American College of Occupational and Environmental Medicine released recommendations for opioid prescribing based on safety-sensitive occupations. Safety-sensitive work is typically classified as operating motor vehicles, modes of transportation, other heavy machinery, or tasks requiring high levels of cognitive function or judgment. Farm duties frequently demand the use of heavy machinery, and concurrent use of narcotics alongside safety-sensitive work can be dangerous. This training educates healthcare providers on how to assess occupational agricultural risks and corresponding patient guidance for those who are taking opioid medications.

The U.S. Center for Disease Control and Prevention now identifies sleep deficiency as a public health problem.  Sleep affects every moment of our daily lives, from how we think and remember to how our bodies thrive or deteriorate. It determines how we deal with stress, make choices related to safety, and function as human beings. While most health education tends to focus on nutrition and activity, sleep is arguably the single most important factor in maintaining a healthy lifestyle, and lack of it causes a significantly reduced quality of life.  This presenter proposes that we prioritize sleep and improve daily sleep hygiene to enhance every facet of our well-being.

Difficult conversations are something that people rarely look forward to. The reality is ignoring a situation and hoping that it will resolve itself, rarely works. Join us to learn how to confidently step into a tough conversation and promote open communication.

The dairy industry has been struggling with low milk prices, infrastructure problems, trade issues, and isolation for several years. With this comes intense farm stress, despair, and desperation for many. Understanding how the system works – or doesn’t – is important because dairy producers work 24/7/365 to provide our families a safe and nutritious food.

Many healthcare providers report that addressing behavioral health and substance use issues are of the most challenging areas of their practice.  Providers are unsure how to address these issues and yet they are in a prime position to reduce the negative outcomes related behavioral health problems.  This is especially true in rural areas where agricultural workers are found to have higher rates of suicide, depression, and substance use.  This webinar will focus on how healthcare providers can start the conversations necessary to identify and treat behavioral health problems. 

The occupational hazards that farmers face put them at greater risk for acute and chronic pain as a result of ergonomic repetition, accident, or surgical procedure. Addressing specific occupational sources of pain and what activities the pain inhibits are crucial to improving treatment. This module will focus on how to transform the conversation between provider and patient to improve health outcomes and patient satisfaction.

Extreme weather and climate events can lead to negative human health outcomes. Although the initial outcomes from these natural hazards are typically obvious, the long lasting impacts can be more difficult to identify because of the diversity of potential health burdens during the recovery phase. Mental health outcomes are one of the more complex relationships with natural hazards. The goal of this presentation is to build the link between human health and extreme weather and climate events. The discussion will be focused on rural populations.

In 2018, the U.S. Surgeon General called for increased awareness and availability of naloxone, the opioid antagonist, to reverse the effects of opioid overdose. Despite the rise in the dispensing of naloxone, there is a significant gap in our response across all sectors of society. In the rural parts of our country, where emergency response times can be dangerously long, developing a workplace naloxone availability and use program could ultimately save lives. This webinar will share information from the National Institute for Occupational Safety and Health (NIOSH) to help employers and workers understand the risk of opioid overdose and the role of naloxone.