How Municipalities Are Supporting Mental Health Services Locally 

The evolving role of local governments now includes addressing mental health challenges, which have become increasingly visible in communities across the country. Since the 1967 Lanterman-Petris-Short Act ended the practice of institutionalizing patients, many former state hospital grounds have been repurposed, while communities have experienced an increase in issues such as homelessness, hoarding, food insecurity, and joblessness. 

But what happens to individuals with mental illnesses who do not receive treatment, or to families unable to care for their loved ones? Local governments, hospitals, and emergency services are often left to address these challenges. However, these efforts can stretch resources and raise questions about how far local governments should go in managing mental health issues. 

While local governments are traditionally responsible for public education, neighborhood safety, and essential services like clean water and trash collection, mental health awareness is now a growing priority. This shift reflects the interconnectedness of mental health with broader community issues such as homelessness, school performance, and public safety. 

The Broad Impact of Mental Health Challenges 

Homelessness is a pervasive issue in many communities, bringing complex challenges that affect schools, social services, and public safety. School guidance counselors are often on the front lines, balancing diverse needs for students affected by homelessness. 

Compulsive hoarding is another concern, affecting between three and five percent of the population, according to the National Fire Protection Association. While fire departments are trained to address the immediate dangers of hoarding-related fires, the underlying mental health issues often remain unaddressed. 

Larger communities may form task forces that connect local governments with medical providers, schools, code enforcement, and social services to address these overlapping issues. But what can smaller communities with fewer resources do? 

Steps Communities Can Take 

Form a Task Force 

Smaller municipalities can partner with local or regional Boards of Health to create task forces. Include representatives from local hospitals, walk-in clinics, travel nursing organizations, substance abuse prevention groups, and nonprofits offering supportive services. 

Improve Access to Resources 

Enhance access to mental health resources for residents and first responders. Mobile apps, counseling services, and educational programs can make a significant difference in smaller communities. 

Combat Loneliness 

Consider launching a local outreach program targeting loneliness. Partner with nonprofits to conduct wellness checks, provide access to support groups, and invite residents to participate in community events like holiday caroling, clean-up days, or farmers markets. 

Foster Intergenerational Connections 

Senior centers can collaborate with schools to offer programs where students teach technology skills to older adults. Boys & Girls Clubs and other organizations can host events that bring different generations together, building community bonds and reducing isolation. 

Moving Forward 

No matter the size of your community, there is always room for improvement in how mental health challenges are addressed. Local governments can take proactive steps to support mental health services by leveraging partnerships, fostering collaboration, and engaging the public. 

By addressing mental health challenges locally, municipalities can create healthier, more resilient communities.  

We’d love to hear how your city or town is supporting mental health initiatives—share your ideas with us!