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Mental health services to expand to Utah’s rural areas via telehealth

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Mental health services to expand to Utah’s rural areas via telehealth


Debbie Farka, advertising supervisor for Intermountain TeleHealth Companies, demonstrates what a digital go to with a physician could be like on the Intermountain TeleHealth Middle in Murray on March 10, 2020. Intermountain Healthcare, in partnership with the Utah Division of Well being and Human Companies, has expanded psychological well being companies by way of telehealth to rural areas. (Scott G. Winterton, Deseret Information)

Estimated learn time: 4-5 minutes

SALT LAKE CITY — Intermountain Healthcare’s emergency departments have seen a 300% improve in pediatric psychological well being crises up to now 10 years, with an estimated 40% of youngsters with despair not accessing care.

The rise is in step with the state’s battle with psychological well being and suicide charges. In Utah, suicide is the main explanation for dying amongst kids ages 10 to 17 years outdated. The state has additionally persistently ranked among the many high 10 states for the very best suicide mortality charges, in line with the U.S. Facilities for Illness Management and Prevention.

An already ongoing disaster was exacerbated by the COVID-19 pandemic, with the U.S. surgeon basic issuing an advisory on the nation’s youth psychological well being disaster in December 2021. That disaster was mirrored in information launched by Huntsman Psychological Well being Institute that confirmed a 32% improve in Utah disaster calls in 2021.

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Whereas the prevalence of psychological sickness amongst city and rural areas are related, the entry to psychological well being sources can differ.

The discrepancy between the rise in crises and lack of entry to care will be defined by a wide range of elements. Intermountain’s Main Kids’s Hospital and the Utah Division of Well being and Human Companies try to a niche in companies in a number of rural counties in Utah’s western area.

“That is a part of an ongoing effort to develop and supply these further sources to kids and households all through Utah,” stated Kim Kettle, director for the Workplace of Coordinated Care & Regional Helps with the Utah Division of Well being and Human Companies. “That is nonetheless at first phases, and whereas capability will likely be restricted, it is a vital step ahead to make sure all Utahns have entry to psychological well being companies.”

Intermountain introduced the growth of the Stabilization Cell Response program to Wayne, Piute, Extreme, Millard and Sanpete counties on Monday. This system will function as a cell and telehealth program, growing entry to psychological well being sources exterior of emergency rooms.

“Actually, it is all about how will we get youngsters the best remedy that they want in the best place on the proper time? The extra we are able to preserve youngsters out of the emergency room and get them to service, whether or not that is in dwelling or having extra pressing clinics and extra entry to care instantly,” stated Dr. Lisa Giles, College of Utah Well being and medical director of behavioral well being for Intermountain Main Kids’s Hospital. “Whether or not it is digitally or in particular person, it is having packages that may assist us divert from inpatient psychiatric hospitalization if that is not wanted.”

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The Stabilization Cell Response program is designed to offer assist in a wide range of circumstances. A person can name 1-833-SAFE FAM for assist and a educated skilled will reply the decision, assist the household with de-escalation, and decide companies that finest match the household’s wants, in line with Giles.

Following the preliminary name, if needed, a workforce of behavioral well being specialists can journey to the house and create a help plan. Stabilization companies can proceed for individuals who are impacted by boundaries for as much as eight weeks.

“Disaster is typically simply quarter-hour, however typically they final a little bit longer and how you can proceed to help by means of that turns into crucial,” stated Giles.

This system helps tackle a number of elements rural areas could battle with when accessing psychological well being sources:

Accessibility & availability

One of the crucial important challenges individuals in rural areas face in receiving care is the dearth of psychological well being professionals offering psychological well being companies in these areas, in line with a 2018 American Journal of Preventative Drugs examine.

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Many rural areas could not have psychological well being behavioral specialists accessible of their space. If a specialist exists in a rural space, individuals can face important wait instances or delays in accessing sources because of a scarcity of execs. The growth of telehealth companies can lower wait instances for these looking for to entry psychological well being care in rural areas.

“We type of modify to the place of us are at. There’s lots that may be finished simply by means of a phone name — when it comes to assessing conditions, providing sources and serving to triage. Even when there’s not the bandwidth capabilities to do greater than a digital go to, we are able to at the very least begin with a few of that telephone triage after which work on the boundaries to assist present these digital visits as properly,” stated Giles.

Affordability

Prices of accessing psychological well being sources could also be a priority of these in want. The telehealth program is freed from value to those that entry it, serving to tackle boundaries of value.

Acceptability

Stigma surrounding psychological well being and accessing care has been reducing over time, stated Giles. The elevated conversations surrounding psychological well being might help improve consciousness of sources and reduce the stigma.

“Despite the fact that we have seen important want for companies during the last a number of years, our suicide charges within the state haven’t elevated — are nonetheless too excessive— however haven’t elevated which to me is hopeful in that we’ve got extra help-seeking habits,” stated Giles.

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“I all the time inform mother and father: going to your pediatrician or your main care supplier is a good place to start out and ask questions on is that this regular? Is that this proper? Is that this your typical teenage years or one thing else occurring? As a result of it is all a part of well being,” she added.

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Ashley Fredde is a reporter with KSL.com overlaying arts, tradition and leisure information, in addition to human companies, minority communities and ladies’s points. She graduated from the College of Arizona with a bachelor’s diploma in broadcast journalism.

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Voices: Utah’s LGBTQ+ community has faced adversity before. We can do it again.

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Voices: Utah’s LGBTQ+ community has faced adversity before. We can do it again.


Displayed at the Utah Pride Center is a quilt panel honoring Michael Spence, also known as the drag queen Tracy Ross. This display helped me connect the recent news of Donald Trump’s reelection with a reminder of a past defined by marginalization and a future where hard-won rights are again at risk.

During his first term, the Trump administration worked to undermine LGBTQ+ protections. I fear a second Trump administration will roll back rights for LGBTQ+ citizens, particularly for transgender individuals.

But we have been here before. By the 1980s, few states recognized hate crimes against LGBTQ+ individuals. Homosexuality — or sodomy — was criminalized, and many states enacted policies to block lesbian and gay educators from public schools or discussing their private lives at work. Protections in housing and employment in Utah were only won in 2015.

Today, we face a similar fight, though we now have the historical context and resources to help us resist.

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Reflecting on Michael Spence’s life and legacy led me back to Utah’s response during the AIDS crisis. Utah did not begin recording cases of HIV/AIDS until 1983 with Robert Michael Painter and one other person. After about six years of deflecting the problem, President Ronald Reagan helped Congress pass its first substantive federal funding with the AIDS Service Demonstration Grants — of which Utah received $6.4 million for research — and then with the CARE Act, named after Ryan White in 1990. While much of the nation exhorted condemnations and cautionary tales about AIDS, I have found no comments on the epidemic from Governors Scott Matheson or Norman Bangerter. Meanwhile, Utah Bureau of Epidemiology Director Craig Nichols refused to connect advocacy groups considered to be too centered on gay and lesbian rights with federal grant funds. Utahns with AIDS were left on their own and could only rely on the state to count them as a statistic to report.

The lack of government support galvanized Utah’s lesbian and gay community to step up to meet the crisis. In 1985, Dr. Patty Reagan founded the Salt Lake AIDS Foundation (now the Utah AIDS Foundation). Other groups, like the People With AIDS Coalition; AIDS Project Utah; Gay and Lesbian Community Center and Clinic; and ACT-UP (AIDS Coalition to Unleash Power) worked to support and educate the public. Tensions often rose between leaders and volunteers, with overlapping missions and limited resources, thus creating friction. Yet, the efforts of activists like Dave Sharpton and Sheldon Spears, mobilized a community determined to survive. Sharpton, along with others, founded Horizon House, a sanctuary for those with HIV/AIDS who had nowhere else to go.

Utah’s first public memorial event was a 1989 candlelight vigil that began at Saint Mark’s Episcopal Cathedral and passed Temple Square before ending at the Salt Palace, where an enormous section of the National AIDS Memorial Quilt was displayed. Religious and civic leaders joined this event, marking a significant moment of public solidarity and inspiring the first Pride march two years later. Another vigil, in 1990, took place in Memory Grove, where hundreds gathered to honor lives lost. These memorials provided a rare, public space for grieving and solidarity amid the ongoing crisis and the humanization of public health statistics. Now annual fundraisers, marathons and walk-a-thons are held across the state.

In my research, I have so far found names for only 366 Utahns who died from AIDS — many who were born and raised in Utah, but were far from home in their last days. Today, the AIDS Memorial Quilt remains a testament to lives cut short and our chosen community’s resilience, standing as both a memorial and a reminder of how far we’ve come.

In the face of a familiar future, I recall the strength that Utah’s lesbian and gay community displayed during the AIDS crisis. While we have come a long way, the familiar challenges ahead require a unified response. Utah’s LGBTQ+ community now has more tools than ever: social media, massive fundraising resources and effective grassroots organizing. The COVID-19 pandemic also strengthened our sense of community and readiness.

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As an historian of LGBTQ+ Utah, I am inspired by the strength, unity and resilience that our community has shown throughout history. We have confronted adversity before, from organizing during the AIDS crisis to advocating for marriage equality and nondiscrimination protections — and we can do it again.

Randell Hoffman (he/they) is a historian, preservationist and quilter committed to making history accessible and relevant to diverse communities.

Randell Hoffman (he/they) is a historian, preservationist and quilter committed to making history accessible and relevant to diverse communities. As an independent researcher of Utah’s LGBTQ+ history, Randy focuses on amplifying overlooked narratives and fostering spaces where historical preservation intersects with community empowerment.

The Salt Lake Tribune is committed to creating a space where Utahns can share ideas, perspectives and solutions that move our state forward. We rely on your insight to do this. Find out how to share your opinion here, and email us at voices@sltrib.com.



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5th shutout against Utah HC prompts internal reflection

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5th shutout against Utah HC prompts internal reflection


For the third time this month and fifth time this season, the Utah Hockey Club failed to score a single goal in a game. This time they fell 1-0 to the Boston Bruins on Thursday night.

The band 4 Non Blondes said it best: What’s going on?

“In the first period we had good momentum, we created good offense and then we started to get in the box way too much,” said head coach André Tourigny after the game. “That cost us momentum.”

The third period was full of chances for Utah HC, but they just couldn’t capitalize.

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At one point, a give-and-go created a perfect opportunity for Maveric Lamoureux at the top of the crease, but his shot went off the underside of the crossbar and out.

On another occasion, a power play bid from Nick Schmaltz hit a body in front of the net and bounced just wide. UHC just couldn’t buy a goal.

The Bruins are glad to get a win in their first game under interim head coach Joe Sacco. Additionally, Elias Lindholm scored the game’s lone goal, breaking a 17-game personal goal drought.

It was a big step in the right direction for the Bruins.

How this works

This is a three-part article geared toward three different audiences.

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  • First, we’ll have “Utah hockey for dummies” for all you new hockey fans. Welcome, by the way — we’re glad you’ve taken an interest in the greatest sport in the world.
  • Next, we’ll have a section titled “Utah hockey for casual fans,” aimed at those who have a basic understanding of the sport.
  • Finally, we’ll have “Utah hockey for nerds.” That will be for those of you who, like me, think about nothing but hockey all day, every day.

Feedback is welcome, so let me know what you think in the comments of this article or the comments section on “X.”

Utah hockey for dummies

Before we get into the nitty gritty details of the game, let’s take a moment to appreciate Robert Bortuzzo and Mark Kastelic. You’d think a game with only one goal would be relatively boring, but these two ensured that was not the case.

Bortuzzo and Kastelic fought each other twice. They had been engaged in some confrontation in the previous game between the two teams on Oct. 19 and they got their opportunity to finish their business a month later.

On the first bout, Bortuzzo left the bench for the purpose of fighting. As Conor Geekie learned in the preseason, that’s not allowed. Geekie got a one-game suspension and I’d expect the same for Bortuzzo.

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Utah hockey for casual fans

Karel Vejmelka was Utah HC’s best player Thursday, and it wasn’t even close. That’s a major positive point for Utah as Connor Ingram did not accompany the team on this road trip due to an upper-body injury.

Vejmelka will guard the net for the immediate future with Jaxson Stauber backing him up. Tourigny is not worried about giving Vejmelka the net.

“He’s played 50 games twice in his career, so it’s not like he’s a rookie goalie,” Tourigny said before the game. “He did it in the past and he’s capable of doing it again.”

It’s clear that Vejmelka thrives on high shot volume. He stopped all 15 shots he faced in the first period on Thursday, and then stopped 15 of the 16 that came in the ensuing periods.

Thursday’s performance comes after he made headlines against the Carolina Hurricanes last week when he stopped 49 of 50 shots.

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Ingram’s injury is considered day-to-day. He should be back soon, but the net may belong to Vejmelka anyway. Vejmelka has been the much better goalie over the last handful of games.

Utah hockey for nerds

On their last 25 power plays, Utah HC has scored just one goal, and with the amount of penalties they’ve been taking, they’re not putting themselves in a position to succeed.

Let’s break this down, piece by piece, starting with the power play.

Utah HC seems to have no problem setting up in the zone on the power play. They move the puck well and they even get lots of high-quality shots. Why isn’t the puck going in?

Tourigny believes it’s a question of urgency.

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“The guys have to realize (that) if we want to score goals, we have to get in the dirty areas,” he said. “We need to get there with passion. Not just get there — get there with burning desire to score goals.”

As far as the penalties go, they need to be more disciplined. Sure, there are necessary penalties and yes, accidents happen, but taking eight minor penalties in one game is a recipe for disaster.

“I don’t know,” Schmaltz said after the game when asked about accountability for how many penalties the guys were taking. “I feel like we’re beating a dead horse a little bit on that topic.”

The Bruins only had one power play goal, but keep in mind that spending almost an entire period shorthanded significantly limits the amount of scoring chances you get.

Schmaltz also pointed out that when the other team gets so many looks on the power play, their top players are extremely involved in the game while your top players sit on the bench.

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What’s next?

Utah HC gets a day to regroup before visiting Sidney Crosby and the Pittsburgh Penguins on Saturday.

As good as Crosby is, he hasn’t been enough to drag the Penguins into the fight. They’ve struggled in a number of areas on the ice, prompting all sorts of trade rumors — even some involving Crosby, who has been a Penguin since 2005.

Utah HC’s job going into Pittsburgh is to get back on track. They need to find ways to score (especially on the power play) and they need to be disciplined away from the puck. If they do this and continue to get solid goaltending, they could receive a much-needed confidence boost.

The game starts at 5 p.m. MDT and will be streamed on Utah HC+ and Utah 16.





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Jazz Silver Lining Revealed by ESPN

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Jazz Silver Lining Revealed by ESPN


While it hasn’t been the most pleasant start for the Utah Jazz during their 2024-25 campaign, amounting to a 3-11 record through their first 14 games, there are still a few glaring signs of optimism to takeaway that shine through in the mix through the beginning of this season, largely thanks to the reps and development opportunities given to the young talent on the roster so far.

Of those young players having a solid role in the rotation to start this season, one of the most appealing in the small sample size has been first-round rookie Isaiah Collier, who’s made an eye-catching first impression since arriving in Salt Lake City.

During ESPN’s most recent batch of power rankings, the Jazz didn’t see much increase from last week, jumping from only 29th to 28th. Still, writer Tim MacMahon gave fans some reason to be excited about this roster moving forward– that being Utah’s rookie point guard.

“Rookie guard Isaiah Collier is only 1-of-12 from 3-point range, but he’s providing evidence that he can make a positive impact,” MacMahon said. “Collier, whose debut was delayed two weeks due to a hamstring injury, has a plus-10 rating in 108 minutes over his first six games. His tenacious, tough defense has made a favorable impression. Entering Tuesday, the Jazz were allowing only 104.5 points per 100 possessions with the 6-foot-3, 210-pound Collier on the court, the lowest defensive rating among Utah players.”

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In ESPN’s rankings, the Jazz placed ahead of two teams in the Toronto Raptors and Washington Wizards, and are right on the heels of the New Orleans Pelicans at 27th, who, like Utah, have also struggled in the Western Conference this year with a 4-11 regular season record.

Collier was limited to start this season as he suffered a hamstring injury during training camp, but since his return, he’s begun to show some impressive traits on both sides of the ball during his first seven games on the floor. In 18 minutes a night, the USC product is averaging 4.0 points, 2.1 rebounds, 2.9 assists, and 1.3 steals.

As mentioned by MacMahon, the offensive side of the ball still has some distance to make up in order to be an effective and consistent two-way threat. At just a. 8.3% clip from long range, he’s not much of a threat beyond the arc just yet, but with a long season ahead, there’s a ton of room to recover those shooting splits.

In the meantime, Collier has emerged as a solid contributor as an offensive facilitator and perimeter defender in the backcourt– two areas which this roster can definitely benefit from.

Follow Inside The Jazz on Facebook and Twitter/X.

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