Opinion: Mental Health Awareness Should Start On Our Blocks

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“In the face of shrinking resources and rising need, community care might be the most powerful intervention we have.”

An early evening games of dominoes in the Bedford Park neighborhood of the Bronx. (Adi Talwar/City Limits)

In a city where therapists are overbooked, shelters are full, and crisis calls often end in handcuffs, “mental health awareness” rings hollow without action. This October for Mental Health Awareness Week, we need to rethink what care really looks like—and who has access to it. For many New Yorkers, especially in Black and brown communities, healing doesn’t begin with a diagnosis. It begins with community.

While city leaders continue to invest in clinical care and crisis response, the reality is that many people never make it that far. They’re uninsured, underpaid, or emotionally overwhelmed, but not “sick enough” to qualify for help. The woman who lives alone, without a child or spouse, battling depression while working a 9-to-5 and living paycheck to paycheck. The family who inherited a home but is one emergency away from losing it—quietly coping with anxiety but unable to take time off. Don’t they deserve care, too?

Just because your circumstances don’t fit the system’s definition of urgent doesn’t mean you don’t need support. And it shouldn’t mean you have to go without it. They don’t need a waitlist. They need support that’s close, culturally grounded, and consistent.

We’ve always known how to care for each other. We just stopped passing it down to the next generation. Learning how to reconnect the social media generation with in-person care is more urgent than ever. The activists of the past created systems off the grid—out of necessity, for survival. Fred Hampton once said, “Everything would be alright if everything was put back in the hands of the people, and we’re going to have to put it back in the hands of the people.”

What if we looked at mental health through that lens? What if we built living lists of therapists, coaches, and wellness practitioners who could support people regardless of their insurance? Mental health coaches like myself stand in the gap, offering care, accountability, and company on the road to restoration.

Mindfulness and meditation practitioners teach people how to breathe through the chaos—how valuable is that to a mom raising kids in the projects, a dad working two jobs, or a teenager being bullied at school? These are things the clinic can’t always offer. But the community can.

What if we funded healing circles and community walks on Saturday mornings for peace of mind, connection, and health? In the face of shrinking resources and rising need, community care might be the most powerful intervention we have.

This Mental Health Awareness Week (Oct. 5-11) we don’t need another campaign that doesn’t speak to us. We need care that actually reaches the unseen. The real work starts in how we show up for each other in how we listen, create space, and refuse to let people fall through the cracks. We need to support those already building healing spaces in church basements, living rooms, barbershops, and school gyms.

And we need to show up for people like Sonya Massey—a Black woman shot and killed by police in her own home after calling 911 for help. She struggled with paranoid schizophrenia. Maybe if someone from her block had checked in, if someone had sat beside her on the steps—she might still be here today. Her story unfolded in Illinois, but the warning it carries reaches every city, including our own.

Because care doesn’t always come with a clipboard. Sometimes, it shows up as a notebook, a deep breath, or a steady presence. If we’re serious about healing this city, we have to put care back in the hands of the people.

Kayla Thompson is a certified mental health coach, emotional wellness facilitator, and founder of Broken Hearts Restored, a nonprofit dedicated to making healing safe, accessible, and culturally grounded in the Black community. She leads community-based healing pop-ups, group coaching, and restorative letter-writing projects in NYC.

The post Opinion: Mental Health Awareness Should Start On Our Blocks appeared first on City Limits.

It’s time to get a flu vaccination. Here’s who needs one and why

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By LAURAN NEERGAARD, AP Medical Writer

WASHINGTON (AP) — It’s time to get a flu vaccine, and pediatricians are urging people to get them after last winter, when the U.S. saw the most flu-related child deaths in 15 years.

October is the ideal month to get protected, experts say, because flu cases typically begin climbing in November.

“The best time is today. If you haven’t already had it, get it. I got mine yesterday,” said Dr. Laura Riley, of the American College of Obstetricians and Gynecologists.

Don’t like shots? This year marks the first time that some people can try vaccinating themselves at home using the nasal spray vaccine FluMist.

Here’s what to know.

Who needs a yearly flu vaccination?

Just about everyone age 6 months and older, according to the Centers for Disease Control and Prevention and major medical societies. Despite lots of recent misinformation and confusion about vaccines, the flu recommendations haven’t changed.

Flu is particularly dangerous for people 65 and older, pregnant women, young children, and people of any age who have chronic health problems including asthma, diabetes, heart disease and weak immune systems.

About 71% of seniors roll up their sleeves every year, but less than 50% of other adults do. Last year, just under half of children got a flu vaccine, down from over 60% a few years ago.

Flu vaccines can keep you out of the hospital

Flu vaccines may not block all infections, but they do a really good job of preventing severe illness and hospitalization, said Dr. Sean O’Leary, of the American Academy of Pediatrics.

Tens of thousands of Americans die from the flu every winter. But during last year’s harsh season, the CDC counted 280 children who died of flu-related complications. Nearly half had no prior health problems and about 90% hadn’t been fully vaccinated.

Another concern from last season: The CDC counted more than 100 children who developed a rare flu complication — brain inflammation that can lead to seizures, hallucinations, or even death. Very few were vaccinated.

Flu vaccination during pregnancy is two-for-one protection

It’s important for mothers-to-be to understand that a bad case of flu can put them in the hospital or cause their baby to be born prematurely, Riley said.

Flu shot protection also carries over to newborns, and infants too young for their own vaccinations are especially vulnerable to flu.

Riley stressed that years of flu vaccinations show that recommendation is safe for mother and baby.

Which flu vaccine to choose?

High-dose shots and those with a special immune booster are designed for people 65 and older, but if they can’t find one easily they can choose a regular all-ages flu shot.

For the shot-averse, the nasal spray FluMist is available for ages 2 to 49.

What’s that new at-home vaccination?

FluMist has been available for more than 20 years, but the at-home option is newly available for certain adults on the vaccine’s website. If they’re deemed eligible according to their age and a medical questionnaire, they’ll be shipped FluMist timed to arrive on a particular day, with instructions on how to administer it to themselves or their children.

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The Food and Drug Administration approved the home administration option last year, too late to roll out for that season. It’s currently only available in 34 states, according to manufacturer AstraZeneca, which hopes to expand access.

What do flu vaccines cost?

They’re supposed to be free under Medicare, Medicaid and most private insurance plans if people use an in-network provider. Local health departments also can provide free or low-cost flu vaccinations for people who qualify.

As for the at-home FluMist option, the same insurance rules are supposed to apply, but there will be an out-of-pocket delivery fee.

Can you get a COVID-19 vaccine at the same time?

Yes, said Dr. Philip Huang, director of Dallas Health and Human Services. They’re safe to give together and “that’s a good way to get them taken care of,” he said.

However, there still may be difficulty in finding COVID-19 shots — especially through a government-funded child vaccination program — given confusion after a federal advisory board quit recommending them but said people could decide for themselves.

The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Science and Educational Media Group. The AP is solely responsible for all content.

Maine clinics also hit by cuts that targeted Planned Parenthood plan to halt primary care

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By PATRICK WHITTLE and GEOFF MULVIHILL

PORTLAND, Maine (AP) — A network of medical clinics that serves low-income residents in Maine said Wednesday it is shutting down its primary care operations because of Trump administration cuts to abortion providers.

President Donald Trump’s policy and tax bill, known as the “ big beautiful bill,” blocked Medicaid money from Planned Parenthood, the nation’s largest abortion provider. The parameters in the bill also stopped funding from reaching Maine Family Planning, a much smaller provider that also delivers other medical services in the mostly rural state.

Maine Family Planning has informed its nearly 1,000 primary care patients that it will no longer be providing primary care service starting Oct. 31, the network said. The loss of Medicaid funding took about $2 million in reimbursements from the network, and it is no longer able to sustain primary care, it said.

The network “will continue seeing patients who need family planning care, regardless of insurance status, for as long as we are able,” Maine Family Planning said in a statement. The group also provides birth control, sexually transmitted disease testing, cancer screenings and routine OBGYN visits, it said.

“We were caught in this net because we provide abortion care as part of a full range of sexual and reproductive health care at 18 sites. We are proud to provide that care,” said George Hill, president and chief executive officer of Maine Family Planning.

Of the 17,535 visits made to Maine Family Planning’s 18 health center and mobile medical unit in 2024, 13% were for primary care services, Hill said.

Maine Family Planning has fought the halting of Medicaid dollars in federal court. But it suffered a setback in August when a federal judge ruled against restoring funding during the network’s ongoing lawsuit against the Trump administration. The network appealed to a higher court but has yet to receive a response. Hill said the legal fight will continue.

Maine Family Planning is one of three health organizations across the country that the federal government says is barred from receiving Medicaid reimbursements until the end of September 2026 under a provision in President Donald Trump’s tax and spending law. It targets groups that provide abortion and receive more than $800,000 a year in Medicaid reimbursements. Medicaid already did not cover abortion.

Like Maine Family Planning, Planned Parenthood has sued in an effort to restore reimbursements.

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Planned Parenthood has said that up to 200 of its clinics might have to close because of the policy change. Some of its nearly 600 clinics have already shut down. In the past week, its Wisconsin affiliate announced that it would stop providing abortion, and the Arizona one took the opposite approach, saying it would halt Medicaid-funded services.

Julia Kehoe, president and CEO of Health Imperatives, which serves about 10,000 patients a year in southeastern Massachusetts, said her organization didn’t realize it was losing Medicaid reimbursements until the government said it was in an August legal filing.

She said the she believed the seven clinics in her group were safe from the cuts because they are not primarily a reproductive health organization. The cuts could mean a loss of about $1.8 million a year.

Instead of changing service offerings, Health Imperatives is working on getting additional state funding and donations to make up the difference – and more – with the aim of increasing access to health care.

Mulvihill reported from Cherry Hill, New Jersey.

Who’s going to start for the Vikings on the offensive line?

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WARE, England — Not even a beautiful backdrop in the English countryside could hide how ugly it’s gotten for the Vikings on the offensive line.

The injuries have continued to pile up in the trenches, destroying what was supposed to be a strength for the Vikings this season, while forcing head coach Kevin O’Connell to work through new combinations, seemingly, on a daily basis.

The scene from practice on Wednesday afternoon at Hanbury Manor in Ware, England, helped illustrate how bleak it’s gotten.

You had reserve center Blake Brandel snapping the ball to veteran quarterback Carson Wentz because starting center Ryan Kelly (concussion) and backup center Michael Jurgens (hamstring) missed practice. Meanwhile, star left tackle Christian Darrisaw (rest), rookie left guard Donovan Jackson (wrist), and veteran right tackle Brian O’Neill (knee) also missed practice, meaning right guard Will Fries was the only player from the projected starting offensive line that actually participated.

Asked about the offensive line as a whole, with the Vikings preparing to play the Cleveland Browns on Sunday afternoon at Tottenham Hotspur Stadium in London, O’Connell replied, “We’re working through what that group is going to look like and ultimately where we think we’re at as far as the best collection we can put out there.”

The hope from within the Vikings is that they can at least get Jurgens back at some point this week. If he isn’t cleared to participate in practice, however, Brandel would more than likely get the start in the game.

That would set off a chain reaction that could potentially put rookie left guard Joe Huber in position to make his NFL debut on an offensive line that is also more than likely going to feature backup right tackle Justin Skule.

Not ideal for the Vikings considering the Browns might have the best defensive front in the NFL, led by superstar edge rusher Myles Garrett.

“He’s as unique of a player that we have in the league as far as his every down impact,” O’Connell said before cracking a joke. “Just hope they don’t split him out at X receiver and try to throw him fades.”

The rest of the defensive line seems to feed off the energy Garrett brings to the table snap in and snap out.

“Everything about what they do is forward,” O’Connell said. “They’re trying to win the line of scrimmage from the split second of that ball getting snapped.”

That could spell trouble for the Vikings considering they’ve allowed a league high 18 sacks so far this season. The struggles coincide with the fact that there has been so much shuffling on the offensive line to this point.

“I will never ever question their effort,” Wentz said. “That’s something that’s been constant no matter who’s in there.”

As for Brandel, he’s capable of playing ever position on the offensive line, which is why the Vikings have prioritized keeping him around.

“I try to bring some versatility,” Brandel said. “I’ll do whatever I can to help the team win.”

Though there will probably be some growing pains with so many new faces up front, Wentz is confident in the offensive line and its ability to hold up, regardless of who’s missing from the usual operation.

“The guys are locked in and want to do the best they can,” Wentz said. “We’ve got some good guys here who are ready to accept the challenge.”

Briefly

In addition to the various offensive linemen, the Vikings were also without quarterback J.J. McCarthy (ankle), tight end Ben Yurosek (knee), and edge rusher Andrew Van Ginkel (neck) during practice. The good news is the Vikings got full participation from fullback C.J. Ham (knee) and edge rusher Tyler Batty (knee) as they work their way back from injured reserve.

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