YOUTH BEHAVIORAL HEALTH IN GEORGIA
TWO YEARS INTO THE COVID-19 PANDEMIC:
PERCEPTIONS OF NEED, SERVICES, AND SYSTEM OF CARE OBTAINED THROUGH REGIONAL TEEN AND CAREGIVER FOCUS GROUPS
What You’ll Learn:
- The COVID-19 pandemic exacerbated the need for, and barriers to, mental health services and supports across the state.
- Schools are seen (by both youth and caregivers) as places that should promote mental wellness, provide quality behavioral health services, and help families navigate the system in identifying needed supports.
- Stigma serves as a major hurdle to seeking and receiving behavioral health services, particularly among adolescent males and Black, Latin, and first-generation American youth.
Select Recommendations:
- State Leadership and Agencies:
- Continue to expand the Georgia Apex Program’s reach in rural and underserved communities.
- Via funding and training, encourage schools to start and grow quality school-based mental health programs, and better leverage school counselors to provide behavioral health services to any student in need.
- Schools: Leverage existing training and resources (e.g., Sources of Strength, Teen Mental Health First Aid, 4-H, Free Your Feels (FYF) campaign), including afterschool and summer learning programs, to develop teen-led or -focused mental health support programs and initiatives, including those that support healthy educator-student relationships (e.g., promote strategies to minimize oversharing of student mental health challenges).
- Higher Education Institutions: Track and publish demographic data for students enrolled in behavioral health fields and develop outreach and other strategies to attract a more diverse applicant pool.
- Insurers: Simplify the process for beneficiaries to identify local mental health providers and ensure that provider network information is accurate and indicates whether providers are accepting new patients.
Summary
Prior to the COVID-19 pandemic, Americans were already struggling with unmet mental health needs. In 2019, approximately 40% of American adults with serious mental illness and 60% of youth with major depression did not receive mental health care. Georgians were no exception to this reality as one quarter of the state’s adults and two-thirds of youth reported unmet healthcare needs as of 2019.
This key findings of this report are based on the experiences of, and perceptions shared by caregivers and youth that participated in focus groups. While most data surrounding the effects of COVID-19 on mental health exists solely on a national level or in quantitative forms, these finds add invaluable context in understanding the unique needs of Georgia’s caregivers and youth.
Findings
Georgia caregiver and youth behavioral health focus group findings were consolidated and presented by the following key themes that emerged from discussions with both groups.

Isolation, uncertainty, and drastic lifestyle changes resulting from the COVID-19 pandemic exacerbated mental health issues in both caregivers and youth.

Access to mental health care before and during the pandemic was extremely limited due to a shortage of providers, inadequate insurance coverage, high costs, and insufficient information.

Identity, family characteristics, and social status create barriers to seeking and receiving mental health care.

School-based mental health (SBMH) care is limited due to administrative demands, training deficiencies, and shortages of school guidance counselors.

Knowledge of local mental health resources varies. Better communication and awareness of those that do exist was identified as a critical need.
Policy Opportunities
The focus group discussions offered key insight into the impact of the pandemic on the mental health needs of children and families and the challenges that they experienced (and continue to experience) in accessing care. Caregivers and youth encountered a myriad of challenges when seeking mental health services and supports. Strengthening school-based mental health services and awareness of such services holds the greatest potential in giving caregivers a tangible entity to tap for help. However, there is room to make strides in reducing stigma surrounding seeking and receiving mental health services. And the state has begun to carve a path forward by prioritizing access to mental health services and supports during the 2022 legislative session. We offer a series of recommendations to address stigma and to continue improving and strengthening access, coordination, the behavioral health workforce, and awareness of available services and supports.
Additional Resources
Join Us
We are a nonprofit child policy and advocacy organization advancing laws, policies,
and actions that improve the lives of Georgia's children.