3rd in a Series on Mental Health on Farm

Part 3 Mental Health on the Farm:

Isolation in Farm Country

Resources are provided at the end of this post.

In light of Mental Illness Awareness Week last week, Karen Markland, Division Manager for the Fresno County Department of Behavioral Healths Planning, Prevention and Supportive Services, talked extensively with California Ag Today Editor, Laurie Greene, about members of the local agricultural industry who could be going through significant emotional suffering due to the drought and environmental water restrictions impacting their livelihoods.

Editor: Is there anything unique about how farmers and farmworkers suffer from stress?

Markland: In our experience with farm-working populations, they have a couple of strikes against them. They are geographically isolated in rural areas; they are probably linguistically isolated as well, as their native language is typically not English; and, they are culturally isolated in that many of our cultures believe in not talking about sick minds or sick feelings. Plus there is transportation barriers. Our county is so large that it is very difficult for rural workers to receive any services. And so, we think it is a combination of things that discourage people from reaching out for help.

Editor: Are there financial issues or constraints?

Markland: What we have found is anytime we we use Mental Services Act dollars, we have to do it based on what the community wants. The stakeholders have brought up not a financial barrier, per se, but a transportation barrier. They tell us, “I can’t afford a car. I can’t afford the taxi from Kerman to Fresno or Parlier to Fresno.” They see it as a transportation barrier.

Editor: Is this population at risk?

Markland: There have at least two suicides in the agricultural community, a landowner and a farmworker. That is too many. It is unacceptable, but it has brought to light some uncomfortable subjects that we have to try to make more comfortable. When individuals feel that stressors become more difficult to manage, thoughts of wanting to harm themselves and not wanting to continue or to fight through, become stronger.

Editor: What can you do for people who feel this way?

 Markland: We are concerned about the farmworker who wakes up to such serious depression or anxiety and who has to fight through their day. That is no quality of life. So, we have a couple of resources. One that we are proud of right here in Fresno is the Central Valley Prevention Suicide Hotline 1-888-506-5991. This is a 24/7 hotline that has all language capabilities. So no matter what your language, we are here for you. This is a local number. The reason I keep saying local is that the person who picks up that phone call understands the culture of our valley—that we we have farmworkers facing dire drought conditions that others in California do not encounter with the same potential catastrophic loss; and the anxiety behind that, and the longevity of that—that it is not a one-week problem. This isn’t a breakup with a person; this is a long-term problem. So having local people manage the hotline is a wonderful resource.

Editor: Of course, farmers and farmworkers outside of Fresno County may have a similar resource in their counties. (Please refer to resources listed at the end of this article.) Could you tell us how successful has the Fresno County hotline been?

Markland: They are a crisis hotline; plus they are there just to help talk to people who are depressed or anxious. We do “talk-down” calls and rescue calls. This hotline has saved over 53 lives in active rescues in the last 12 months. Individuals have called the hotline as their last resort, and we’ve been able to activate emergency medical services and save their lives. In addition, we do follow-up calls.

Editor: What about follow-up calls?

Markland: If a person calls our hotline, and they have a safely plan, and the staff on the call feels they are safe, they’ll do a follow-up call in two days. Staff will ask if they have stuck with their safety plan, how they are feeling, and if they accessed the support systems they wanted to, because we really are dedicated to having a healthy community.

The Fresno Department of Behavioral Health is dedicated to supporting the wellness of individuals, families, and communities in Fresno County who are affected by, or at risk of, mental illness and/or substance use disorders through cultivation of strengths toward promoting recovery in the least restrictive environment.County of Fresno Logo

The Fresno Department of Behavioral Health provides mental health and substance abuse services to adults within the County of Fresno. The programs within our department focus on delivering the highest quality of service. There are over 300 professionals and staff dedicated to providing services in both metropolitan and rural areas. The diversity of our staff has helped us create a department that is sensitive to cultural differences and attempts to bridge the language barriers with our consumers. 

1st in a Series on Mental Health on the Farm

Part 1 Mental Health on the Farm

Listening for Negative Thoughts

Resources are provided at the end of this post.

California Ag Today Editor Laurie Greene extensively interviewed Karen MarklandDivision Manager for the Fresno County Department of Behavioral Health’s Planning, Prevention and Supportive Services about the mental health needs of those in the agricultural industry who may be emotionally suffering due to the severe drought and environmental water restrictions impacting their livelihoods.

Editor: I have observed that depressed people may say something that implies they are having suicidal ideation, but it is just so easy in our society to tell them, “Oh you’ll snap out of it.” In other words, we tend to dismiss these statements. What do you want to say to listeners on how to respond to someone who says something hopeless? What opportunity does this present to the person who hears someone utter something desperate?

Markland: It is so easy, I say it to myself sometimes, “I want to die; I don’t want to go on.” Those are really important messages, though, for people to pick up on. I really feel it is always important to respond genuinely and supportively. Our statewide California Stigma & Discrimination Reduction Program suggests we go back and say something like, “Each mind matters, and you matter.”

Each Mind MattersThis is an opportunity to have that dialogue; yet often, people will look at me like, “What?” But we all have those moments and we all feel that way at times. Tell people there are resources and support systems. Become familiar with them—whether they are family, clergy, a neighbor, a teacher, County services, a hotline. Likewise, let someone else know when you are not having the best of days.

Editor: It seems as if the general population believes that these issues are not medical issues, that they are within someone’s control, and that perhaps someone is weak or has a bad attitude and they need to change their thinking. What would you like to say to people who don’t recognize that mental illness is a medical illness?

Markland: So, there is a lot of dialogue about ‘What is mental illness?’ versus ‘What is mental health?’ ‘What is mental wellness?’ Clearly, mental illness is a diagnosable medical condition. There are categories in which an individual may have a serious mental illness and these include diagnoses like schizophrenia, bipolar disorder.

These are serious, long-term illnesses, but there is a whole other spectrum of mental illness such as postpartum depression, anxiety disorders, and depressive disorders, which show signs and symptoms that people are functioning outside of their wellness. These are also medical conditions—medical conditions that can be treated in a variety of ways.

Editor: Of course medication is one option. Are there other options?

Markland: Sometimes it is medication; sometimes it is holistic healing; sometimes it is having a positive self-attitude and making sure you get the sleep and the nutritious diet, exercise and more that you need. So it is truly a diagnosable medical condition that can be treated in a multitude of ways, and what we are seeing right now in mental health is a strong recovery movement. People live, grow and recover from mental illness.

Mental HealthThe Fresno Department of Behavioral Health is dedicated to supporting the wellness of individuals, families, and communities in Fresno County who are affected by, or at risk of, mental illness and/or substance use disorders through cultivation of strengths toward promoting recovery in the least restrictive environment.County of Fresno Logo

The Fresno Department of Behavioral Health provides mental health and substance abuse services to adults within the County of Fresno. The programs within our department focus on delivering the highest quality of service. There are over 300 professionals and staff dedicated to providing services in both metropolitan and rural areas. The diversity of our staff has helped us create a department that is sensitive to cultural differences and attempts to bridge the language barriers with our consumers.