Kim Firth: Our Children Need More Equitable Health Systems
New Hampshire is better when all our children thrive, and our children thrive when they have strong communities, healthy families, and policies that support them.
This year’s data update from the New Hampshire Child Well-Being Data Hub indicates that our state is on the right track, and indicators reveal low child poverty rates, high rates of insured children, and good maternal health. But when these indicators are separated by income, race/ethnicity, or geography, a problem emerges: inequity, often exacerbated due to a lack of funding for affordable housing, healthcare, economic support, and food programs. These are symptoms of larger causes: generational poverty, lack of educational and economic development opportunities, and structural racism. Though overall indicators show that New Hampshire is a great place to grow up, the inequity is in the details – and the details tell us that many Granite State families are struggling.
Our children are struggling, too. The national child and adolescent mental health emergency, declared by the American Academy of Pediatrics and other national associations, has not bypassed the Granite State. A leading cause of death for New Hampshire youth ages 10-24 is suicide. Studies show that girls, children from communities of color, LGBTQ+ youth, and youth with disabilities are disproportionately affected by mental health challenges. And even if families can overcome long waiting lists for services and the cost of care, there is no guarantee that they will receive mental health care that is culturally relevant. The inequities built into our policies and systems are leaving some of our kids behind.
To create a more equitable mental health care system, we need to adopt solutions that center the experiences, perspectives, needs, and strengths of children, youth, and families – especially those who face significant behavioral health inequities. And we need to recognize and address the interconnected nature of the challenges that New Hampshire families face.
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