From inflation to climate change, Wisconsin farmers face numerous sources of stress that can't help but affect their health. And one program is offering mental and emotional support to farm operators who need it.

The Farmer Wellness Program, an initiative of the state's Department of Agriculture, Trade and Consumer Protection, offers in-person and remote counseling for farmers across the state.

Dan Bauer, program supervisor for the Wisconsin Farm Center, which administers the program, said they also have a 24/7 emergency line.

"So, that 24/7 line is available to farmers," he said, "and really, what it's designed to do is to get them through a terribly tough time. It's not for ongoing care, or not for long-term treatment."

In a December poll of farmers and farm workers commissioned by the American Farm Bureau Federation, more than 60% of respondents said they felt more stress in 2021 compared with the previous year. They cited financial issues, fear of losing their farms and an uncertain future among their greatest stressors.

According to a 2020 report from the National Institutes of Health, about 6.5 million rural Americans struggle with mental-health issues, but counseling services tend to cluster in urban and suburban areas.

Dr. Rhonda Randall, UnitedHealthcare executive vice president and chief medical officer, said technology has made inroads in improving rural access to mental-health services.

"Tele-Behavioral Health has really been beneficial in helping equal out that access, because now licensed mental-health professionals can practice and care for people in communities that may have otherwise had a very long drive to get to see them," she said, "so, think about people in rural areas."

The NIH report estimated as many as 65% of non-metropolitan counties lack a psychiatrist. Bauer said DAT-CAP's "Rural Realities" podcast also can offer helpful tips to farmers looking to prioritize their mental health.

Your first heartbreak, accident, loss of a loved-one or being chased by a dog - these and so many other incidents can be lasting traumatic experiences, and mental-health practitioners are working to shift the way traumas of the past are being addressed today.

Trauma-informed care is growing effort around the country to shift the mindset and understanding that humans are deeply affected by their past. Studies show more people are dealing with something traumatic without society acknowledging it.

Yuki Reese knows this all too well, as the director of school-based services for ViewPoint Health - a public mental-health organization serving several Georgia counties. Reese said they've adjusted the way they speak to clients or families to avoid exacerbating the problem.

"So, you might be saying, 'What's wrong with you?'" said Reese, "when what you really want to say to the person is, 'What happened to you? What did you experience that might be causing you to react in this way?'"

Reese said it's important to uncover the causes of traumatic situations that may be contributing to anxiety or depressive disorders, addictions or abuse. It's only then you can more accurately treat the source of the problem.

There are currently two bills in Congress that would make these types of practices a requirement. However, some critics worry about the impact of labeling young people by their trauma, and that the practice should be more culturally responsive.

It's estimated that one in four children experiences child abuse or neglect in their lifetime, according to a study in the National Library of Medicine.

Reese said their approach is to find out what's going on in a person's life with more carefully crafted questions.

"All kind of things could happen many, many years ago and the person might be just fine for these years," said Reese, "but then something happens recently or you might be responding to the trauma that you experienced years ago without really knowing. "

In order for it to work, however, it depends on the person to be transparent with their past. The Campaign for Trauma-Informed Policy and Practices is a national movement to help communities adapt and shift to trauma-informed care.

As college students head to campus in the coming weeks, mental-health experts are urging both students and parents to familiarize themselves with the school's on-site mental-health resources.

Three in five college students nationwide reported being diagnosed with anxiety, depression or another mental-health condition by a professional, according to a Harris Poll released this year.

Virginia Rodilla, manager of the helpline and on-campus support for the National Alliance on Mental Illness-North Carolina, said especially for incoming college freshmen, the coronavirus has disrupted preparing for a new chapter.

"A lot of young people were stuck at home," Rodilla pointed out. "They were relying on social media and screen time, less social interaction, and a lot of uncertainty around the pandemic and societal issues."

She added while colleges generally are not staffed to handle severe psychiatric disorders, counselors located in health and wellness centers are a first stop for students living on campus. If you or someone you know may be considering suicide, contact the Suicide and Crisis Lifeline at 988.

Rodilla pointed out younger students may be used to a parent handling health care needs or making appointments, and might be in the dark about the details of their health insurance plan and what it covers, if they are insured.

She noted there also are places to turn for students who are far from home. The Alliance runs a helpline in North Carolina, at 1-800-451-9682, available Monday through Friday, 9 a.m. to 5 p.m. She added experts are on call to help connect students to the right resources.

"After those hours, a student can text the word NAMI to 741-741," Rodilla urged. "That's 24 hours a day, never closes, and a helping professional would be able to direct that person to services and help."

She emphasized NAMI is working with campuses across the state.

"If anybody is ever interested in bringing awareness to mental health on their campus, forming some student support groups, having some awareness and health events, healthy events," Rodilla outlined. "They can work on forming a NAMI On Campus club at their school."

Nationwide, people are becoming more informed on mental health. In a 2019 poll by the American Psychological Association, nearly 90% of adults agreed having a mental-health condition is nothing to be ashamed of, and 86% said they believe people with mental-health disorders can get better.

Support for this reporting was provided by Lumina Foundation.

Losing a loved one can be traumatic, but when it happens to children, it can leave them at risk of anxiety, depression and even post-traumatic stress that can derail their educational progress. Experts in grief say it's always a good measure to seek help.

New Hope for Kids in Maitland runs a program designed to bring hope and healing to children and families suffering from grief, for as long as they need.

"Kids are with us typically, very seldom are they here less than a year's period of time," said David Joswick, executive director of the volunteer-based organization that provides group grief support, free of charge. "More typical is two to three years."

The American Psychiatric Association recently added Prolonged Grief Disorder to its list of mental disorders, describing it as intense emotional pain that persists more than a year after a loss. Those at particular risk include people who lose loved ones to violence, parents who lose children and anyone without a support system to help them cope.

Joswick said the cost to run New Hope for Kids is about $600,000 a year, all through charitable donations. He said the program serves, on average, 400 to 425 children and more than 350 adults. As kids work in groups to overcome their grief, he said, the adults meet concurrently, so they can cope as a family.

"They've seen changes in the demeanor of kids in the family," he said, "and it's created questions on their behalf of, 'How do I interact with the kids during this period of time?' And so, we provide guidance to the adults in the family."

Prolonged grief disorder, also known as complicated grief, has sparked debate in the medical community. But clinicians now can bill insurance companies for treating anyone with the condition. Some say the APA designation also opens the door for more research and awareness. Joswick said his group made a decision years ago to stay non-clinical, avoiding insurance reimbursement forms.