‘Turn Awareness Into Action': What Indiana is doing for mental health
Every May, Mental Health America leads the state and nation in recognizing Mental Health Awareness Month. Mental Health Awareness Month has been observed in May throughout the United States since 1949. The month is often observed with media, local events, proclamations, and even film screenings. The purpose is to raise awareness and educate the public about mental wellness and mental illness, to reduce the stigma around the disorder. Individuals oftentimes feel alone with their illness — when in fact, one in four are at lifetime risk.
But we need to do more. This year, we are not just raising awareness — we are turning that awareness into action!
The national theme for 2025 is: 'Turn Awareness Into Action.' This is a call to go beyond the conversation and take real steps to improve mental well-being — whether that means checking in on a friend, calling your legislator, or reaching out for help yourself.
In Indiana, this movement is already underway.
Just a few years ago, our state ranked 42nd in the nation for mental health care access and outcomes. Mental Health Advocates, stakeholders, and legislators turned awareness into action in 2023 and made mental health a priority via SEA 1. SB 1 was the work product of the Indiana Behavioral Health Commission and authored by Senator Mike Crider.
Today, thanks to targeted funding and legislative action, Indiana has climbed to 26th in the national ranking for behavioral health. This improvement has not been by chance, but rather the result of the strategic efforts of the Commission and the Indiana General Assembly. Legislators included a $50 million annual investment in behavioral health in HEA 1001-2023 as well as the building of the behavioral health infrastructure of crisis response, treatment access, and community care in SEA 1. While more is still needed, we have begun to take action.
Behavioral Health Commission wraps up two-year study with $50M ask
One of the most transformative examples is Indiana's 988 Crisis & Suicide Lifeline. This program ensures that Hoosiers can speak to trained crisis counselors 24/7 — people who live here and understand the unique needs of our state. Mental Health America of Indiana is proud to operate one of these call centers, and we've seen call volume grow by 184% in the last year alone.
And behind every statistic is a story. One man called our 988 line literally with a gun to his head. Because of the assistance from the trained crisis counselor who answered, he put the gun down and agreed to safety planning. 'You've literally saved my life,' he said.
He was one — of many. This is the power of action.
Every Hoosier can take action! In May 2025, this Mental Health Month, please take the first step:
Check your own mental health by taking a free, anonymous screening at https://mhascreening.org. It is totally anonymous.
Start conversations with those around you — ask, 'How are you, really?'
Join the movement by advocating for continued state support of Indiana's mental health system, including funding for 988 and Certified Community Behavioral Health Clinics (CCBHCs).
Wear green in support of Mental Health Month and join us in being 'Seen in Green' this May.
Support Mental Health America of Indiana, which provides direct care and statewide advocacy every day. To be part of MHAI, go to: https://www.mhai.net.
The truth is, every Hoosier has the power to turn awareness into action. Whether it's through a phone call, a conversation, or a policy change — you can help build a mentally healthier Indiana.
Please join us to keep moving Indiana forward. Turn your own awareness into action.
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Forbes
2 days ago
- Forbes
Ethiopia: Brutal Conflict-Related Sexual Violence Continues To This Day
A woman poses for a photograph in an undisclosed location on October 11, 2024. She told AFP that at the beginning of the conflict in Tigray in November 2020, she had been beaten, tortured and raped by seven men with different military uniforms, Ethiopian and two-year war in Ethiopia's Tigray region left hundreds of thousands people dead, more than one million still displaced and cost more than $20 billion in damage, until a peace deal in November 2022 ended the bloodshed. Among the many barbaric acts inflicted on civilians during the two-year conflict in Ethiopia's northernmost region of Tigray, rape and sexual violence were "systematic" and used as a weapon of war, according to a study published in 2023 by the scientific journal BMC Women's Health. Estimates of the number of rapes committed vary widely — up to as many as 120,000 — according to data compiled by the researchers, with many reluctant to report the attacks. The victims reported that most of the perpetrators were Ethiopian or Eritrean soldiers, but also militiamen from the neighbouring Amhara region. (Photo credit: MICHELE SPATARI/AFP via Getty Images) AFP via Getty Images On July 31, 2025, Physicians for Human Rights (PHR) and the Organization for Justice and Accountability in the Horn of Africa (OJAH), both non-governmental organizations, published the results of an investigation into conflict-related sexual and reproductive violence (CRSV) in Ethiopia, focusing on the Afar, Amhara, and Tigray regions. The new report, entitled ''You Will Never Be Able to Give Birth': Conflict-Related Sexual and Reproductive Violence in Ethiopia', is the first publication to comprehensively analyze patterns of perpetration of CRSV in the Tigray, Amhara, and Afar regions. The report shows widespread, systematic, and deliberate acts of CRSV which continue to this day. The report makes several concerning findings in relation to the nature and scale of the use of CRSV in Ethiopia. The report, based on 515 medical records of survivors of CRSV, 602 survey responses from health workers who have treated survivors of CRSV, and 39 in-depth interviews with health workers and four focus groups with professionals who provided care to survivors, found that: - 91% of surveyed health workers reported seeing patients who had experienced multiple perpetrator rape; medical records showed a median of three perpetrators per incident. - 90% of surveyed health workers saw at least a few patients with unwanted pregnancy from CRSV. - Medical records and interviews reveal that perpetrators inserted objects – stones, nails, hand-written letters with revenge plans citing previous wars – inside of survivors' vaginas. - 84% of health workers surveyed indicated survivors identified members of the Eritrean military as perpetrators. 73% of health workers surveyed indicated survivors identified members of the Ethiopian military as perpetrators; 51% indicated Amhara militias and Fano. The report is the first to identify the use of the crime of forced pregnancy while in captivity, with survivors held in captivity by their perpetrators until giving birth. The report is further the most comprehensive documentation of the intent of perpetrators behind the atrocities in Tigray – the first time evidence of intent has been triangulated between medical records, health worker surveys, and interviews. According to this in-depth study, perpetrators expressed intent to prevent future Tigrayan births and exterminate the ethnic group. Many of the perpetrators were quoted to say: 'Tigrayans have to be eradicated' as they were committing CRSV. The report is also the first to capture data on CRSV in Amhara and Afar, including a temporal analysis showing how the lack of atrocity prevention in Tigray led to the spread of CRSV in other parts of the country. The report documents several heartbreaking testimonies. As a coordinator for a women's group in Tigray was quoted in the report: 'There are women here who have scars left on their bodies. There are those who have given birth unexpectedly. There are those who got pregnant unexpectedly. There was a woman whose husband [a former soldier] was not present during the war, the perpetrator, an Ethiopian soldier who knew her husband, came to her house and forced her into marriage and even had their picture taken together and hung it in her house. He got her pregnant during that time and gave her his address [so that] his unborn child could find him when he left. So, this is something that the war has brought.' The findings of this report should trigger responses from the international community. However, as it stands, the situation is rarely making the headlines as the world is focused elsewhere. This is despite the fact that the situation in the region is deteriorating and raising concerns about a re-escalation of conflict in northern Ethiopia and surging geopolitical tensions between Ethiopia and Eritrea. The situation is further exacerbated by the drastic foreign aid cuts, which have shuttered health clinics and led to preventable deaths in Ethiopia. As the dire situation continues, victims/survivors must be put first. This means assistance to all those suffering from the consequences of the horrific CRSV perpetrated over recent years. This means investigating and prosecuting all those responsible for the crimes. This also means investing in prevention, as no money in the world can comprehensively address CRSV once perpetrated.
Yahoo
3 days ago
- Yahoo
Syncing With Your Chronotype Can Maximize Sleep and Productivity
zeljkosantrac/Getty Images Most people acknowledge that there are two types of sleepers in the world—early birds and night owls—but research has shown that there are actually four or more sleep-wake cycles. The time you naturally open your eyes in the morning and doze off in the evening is the individual expression of your circadian rhythm, a.k.a. your chronotype, which also drives when you feel most alert or sleepy throughout the day. Your chronotype is based on natural daily fluctuations in your body temperature and hormones. Generally, body temp rises as daylight increases. Alertness-boosting cortisol also notches upward in the morning, and then levels off and dips as daylight fades, coinciding with your level of mental awareness. As the sun sets, the sleepiness-promoting hormone melatonin replaces cortisol. The exact cadence of this flux varies based on genetics, Jennifer Martin, PhD, spokesperson for the American Academy of Sleep Medicine and professor of medicine at the David Geffen School of Medicine at University of California Los Angeles, tells SELF. The morning larks among us have a faster-ticking body clock, so this whole schedule kicks off earlier, she explains, while the night owls have a slower clock, pushing the pattern later. Most people fall somewhere in the middle. If you sync up your everyday schedule with your chronotype, you could find it easier to get quality sleep and also get things done. Read on to find expert advice for determining your chronotype and using this intel to align your activities with your body's innate rhythm. 3 ways to figure out your chronotype There's debate among researchers about exactly how many chronotypes there are, but Dr. Martin says it's helpful to think of these schedules as a continuum spanning from the earliest-rising larks to the latest-sleeping night owls. You might intuitively know if you have a strong inclination toward one extreme or the other, but sometimes the requirements of work and other daily obligations can overshadow our true preferences. So Dr. Martin suggests thinking about how you act on vacation (when you're not jetlagged). 'If you love staying up late and sleeping in until 10 or 11:00 a.m., you probably have night-owl tendencies,' she says. Whereas, 'if you go on vacation, and you're super excited about a 6:00 a.m. tee time, for example, you're likely a morning person.' To get more precise, you can also take a chronotype questionnaire. The Morningness Eveningness Questionnaire (MEQ) includes 19 questions—about when you'd ideally choose to wake up, do physically or mentally tough work, and go to sleep—and categorizes you as one of five types based on your score: definitely morning, moderately morning, neither type, moderately evening, and definitely evening. Michael Breus, PhD, a clinical psychologist and sleep medicine specialist, also created the popular ChronoQuiz, which assesses both your habits around and feelings about sleep—and groups people into four camps, each named after an animal with similar behaviors: the lions (which are the morning people), the wolves (a.k.a. the night folks), the bears (who fall in between), and the dolphins, who Dr. Breus explains have some 'genetic irregularity' and an erratic sleep pattern that doesn't fit neatly into the other camps. How to optimize your schedule based on your chronotype Sleep within your ideal window. Since chronotype is based on genetics, morning people can't typically sleep in to make up for late nights, and night people can't generally doze off sooner to account for earlier rise times, Dr. Martin points out. So, if your eyes usually open around dawn, do your best to turn in early enough to still clock the recommended seven-ish hours of sleep; and if you tend to stay awake until the wee hours, aim to sleep in late enough to hit that number. This way, you can get ahead of sleep deprivation and the full slate of health detriments that comes along with it. Of course, aligning your sleep schedule with your chronotype can be a struggle with life obligations—especially for the night owls, whose schedules conflict with societal norms around workday start times. In this scenario, do what you can to slide back your wakeup time and minimize the need for brain power before work: prep breakfast, lay out clothes, get a jump on other morning admin in the evenings. For the early birds (and neutral folks), standard work schedules tend to fit more easily. If you find that social and home tasks are creeping into your evenings and nudging your bedtime back, see how you can spread out plans (so you aren't hit with late nights back-to-back) and reallocate to-dos for before-work time. Do mentally challenging tasks during energy 'on' times. If you're a morning type, you don't just rise with the sun—your body's arousal level also peaks early, between 7 and 10 a.m.; whereas, nighttime types hit max alertness around 7 to 10 p.m., Cindi May, PhD, a professor of psychology at College of Charleston who studies chronotypes, tells SELF. Her research suggests your brain is also primed to do its best work during your respective 'on' period, particularly if you have a strong chronotype. That doesn't apply to every task. 'If you're using a highly practiced skill or rote responses, then you're probably going to be fine whenever,' she says. 'But if you are engaged in a task that requires analytic thinking or attention to detail, that demands that you filter out distraction in order to pay attention, then you'll likely perform best during your optimal zone.' These include activities like making a decision or having a tough conversation, recalling things, reasoning through a complex problem, or weighing the pros and cons of an idea. Practically, it can help to think of the day in two chunks: Morning types tend to experience their most productive hours in the first half of the day, and nighttime types, in the back half, Dr. Martin says. Neutral types can flex a bit in either direction. That said, there's generally an 'off' time for everyone, Dr. Martin says, which tends to fall around 2 to 4 p.m. All chronotypes may lose some alertness in this window, triggering difficulties with creativity and concentration. It's an ideal time for a nap or lower-lift tasks. Eat on a consistent schedule. The optimal timing of meals and snacks depends on your lifestyle and energy needs—but sticking to the same pattern each day (whatever it may be) is a boon for your circadian rhythm, Dr. Breus says. It's more important to eat your first meal of the day at a consistent time that aligns with your internal clock, say, shortly after you wake up, rather than at a specific hour on the wall clock, Dr. Martin says. Also, aim to wrap up eating a couple hours before your bedtime, Dr. Breus adds, as the workings of digestion could interfere with sleep efficiency and quality. Can you change your chronotype? Experts say it's not possible to switch your chronotype. Your genes are your genes, after all. But while your underlying tendency is set, there are things that can shift your sleep-wake schedule a bit on a given day. If you're a night owl and want to wake up and feel alert sooner, bathing your eyes in light first-thing can help get your daytime hormones flowing, and limiting light in the evening can kickstart the nighttime ones, Dr. Martin says. Vice versa if you're an early bird who wants to push your rhythm back: Avoid light for the first couple hours of your day, and get lots of it later on. Another potential chronotype-adjuster is exercise. Research suggests a dose of physical activity in the morning or afternoon can move your schedule up—so if you're a night owl, working out in the first part of the day could help you conk out earlier. By contrast, doing some movement in the back half of the day may delay your circadian rhythm a bit, which could benefit early birds who are looking to stay awake later into the night. If you're thinking, Doesn't caffeine have this effect, too?, you should know: It mostly masks sleepiness or grogginess, which may temporarily improve your focus, memory, and physical performance when you're running low on sleep, Dr. May says. But there's no evidence to suggest consuming it in the morning could move your circadian rhythm up. If anything, it's been shown to delay that schedule, which could make it even tougher for caffeine-gulping night owls to fall asleep at a reasonable hour. More broadly, caffeine can tamper with the quality of your sleep and make it less restorative, so relying on it to wake up earlier or stay up later than your norm isn't a great long-term strategy. Ultimately, unlocking an ideal schedule comes down to respecting your personal energetic cadence, Dr. Martin says. But for some people—like those with extreme chronotypes or ones that clash with their obligations—it can be super tough to get on track. If that's you, she says, it's best to reach out to a sleep specialist, who can offer targeted therapies to help match your sleep-wake pattern to the structure of your life (or the other way around). Related: 3 Things to Do When You're So, So Tired But Sleeping More Isn't an Option I Have ADHD. Here Are 9 Productivity Tips That Really Help Me 17 Energizing Afternoon Habits for When You Need a Pick-Me-Up Get more of SELF's great service journalism delivered right to your inbox. Originally Appeared on Self
Yahoo
3 days ago
- Yahoo
How to Excel at Small Talk When You Have Social Anxiety
Credit - Photo-Illustration by TIME (Source Images: NiseriN/Getty Images, BraunS/Getty Images) When you have social anxiety, walking into a room full of people can make you feel like every eyeball in the place is boring directly into your soul, and that nothing you say will possibly be smart or funny or coherent enough. That can trigger an array of physical, cognitive, and emotional symptoms. 'For some people, it might mean a racing heart and dizziness and feeling flushed,' says Kirsten Hall-Baldwin, a licensed clinical professional counselor in Chicago. 'Others might be in these thought spirals, or feel like their mind is going blank or freezing.' Hall-Baldwin coaches her anxious clients to create a coping plan: a proactive list of strategies and techniques that can help temper their unease. Here, experts share nine tips on how to carry a conversation when you have social anxiety. Practice in low-stakes environments Before showing up at a networking event or your 10-year high school reunion, try making conversation with baristas, waiters, neighbors, or co-workers. These short interactions can be a low-pressure way to build self-esteem. 'Smaller, manageable social interactions don't carry as much emotional weight,' Hall-Baldwin says. 'There isn't necessarily a goal of having a deeply meaningful conversation, so it's just trying to practice without feeling overwhelming pressure.' Over time, you'll gain a sense of comfort and confidence as you venture into larger social settings. Script a few go-to phrases ahead of time Come up with and rehearse two to three simple conversation starters you can employ when your brain starts sputtering. That way, 'You'll have something in your back pocket to continue the conversation,' says Caroline Fenkel, chief clinical officer with the virtual mental-health platform Charlie Health. 'You can keep it going without having to freeze and leave to go to the bathroom.' Read More: The Worst Thing to Say to Someone Who's Depressed One of her favorites, for example: 'That's really interesting—tell me more about that.' If you love traveling, ask people if they've gone on any recent vacations, or if you're a foodie, find out if your conversation partner has tried any great new restaurants. Fenkel suggests practicing your collection of phrases in front of a mirror, and then, when you become more comfortable, in front of a trusted family member or friend. Start with shared context This isn't the conversation Olympics; you don't need to wow anyone with never-before-asked questions or laugh-till-they-pee jokes. Instead, especially when you first enter a room, begin with low-stakes comments, like observations about the environment or the event you're attending, Fenkel advises: 'This line is moving slowly, huh?' 'Another hot day!' 'The birthday cake looks so good.' These types of remarks can help break the ice and build rapport in a breezy way, she says. Think of questions as a bridge Social anxiety often stems from fear of saying the 'wrong' thing. Questions can help shift the focus outward and invite connection without demanding vulnerability right away, Fenkel says. Open-ended questions that don't require a 'yes' or 'no' response are an ideal way to connect with the other person—and allow them to do most of the talking. Use the echo technique One of the best habits for someone with social anxiety is paraphrasing what the other person said—which demonstrates active listening—and then encouraging them to elaborate. For example, if they mention they're struggling at work, repeat back their words with a question in your voice: 'Struggling?' They'll most likely launch into an explanation of what's giving them a hard time. Read More: How to Reconnect With People You Care About 'People want to feel heard,' Hall-Baldwin says. 'A lot of the time, just showing attentiveness can encourage the other person to keep sharing—and that takes some of the pressure off you to feel like you have to come up with original responses.' Hold something Holding a cold drink, touching an object like a fidget toy, or simply pressing your feet into the floor can give your nervous system something to anchor to when you're feeling anxious. 'It helps signal to your brain: I'm safe,' Fenkel says. When she does public speaking engagements, she puts a worry stone into her pocket, which is a smooth, oval-shaped gem with a thumbprint-like indentation. 'Every time I get nervous, I just touch it,' she says. Doing so creates a physical sensation of security that propels her to the finish line. Acknowledge your anxiety Depending on what kind of situation you're in—a work event vs. a low-key social gathering—acknowledging that you're anxious can come across as relatable. You might tell a group of friends-of-friends at a cookout, for example, that you're a little nervous but excited to get to know everyone, or reveal that you felt anxious ahead of time, but appreciate the great conversations you've been having. Being open can help reduce tension while allowing others to empathize. 'It relieves this internal pressure for performative calmness—like, 'I need to pretend I'm calm in this conversation so they don't know,'" Hall-Baldwin says. "Being able to drop that can feel really freeing. And at the same time, vulnerability can really deepen connections, too.' Who knows? It might turn out the people you're talking to felt equally anxious about the gathering. Have an exit strategy ready The good news about social events is that they all eventually end—and your departure can arrive as soon as you'd like. You might feel better if you let your friends know from the get-go that you have an early morning and will only be able to stay until a certain time, or make it clear that you have an afternoon appointment that will keep brunch from turning into dinner. It's also a good idea to brainstorm a few ways to politely wrap up conversations, Hall-Baldwin says. For example: 'It was really nice talking to you—I'm going to check in with Jane.' Doing so can help reduce anxiety about feeling trapped in a conversation, she says. Give yourself permission to pause People with social anxiety tend to be 'really, really hard on themselves,' Fenkel says. 'They feel like they're defective in some way, because everybody else is easily socializing and they're not.' That means that if your conversation hits a lull, you might interpret it as a sign of failure or rejection. Read More: What It Really Means to Have Intrusive Thoughts While silence can feel awkward, it's a natural part of any conversation. Use it as an opportunity to take a deep breath. 'Pauses allow both parties to process what's been said, gather their thoughts, and decide how they want to respond,' Hall-Baldwin says. 'Conversation is like a rhythm—silence is just part of that rhythm and that music. We don't get the full song at the end if the silence is taken away.' Contact us at letters@ Solve the daily Crossword