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    Home»Mental Wellness»Rural Iowa’s mental health crisis: Help is an hour away. Cass County leaders fight back.
    Mental Wellness

    Rural Iowa’s mental health crisis: Help is an hour away. Cass County leaders fight back.

    HealthJustfine TeamBy HealthJustfine TeamNovember 10, 2026No Comments4 Mins Read
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    Rural Iowa's mental health crisis: Help is an hour away. Cass County leaders fight back.
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    ATLANTIC, Iowa — Imagine being in a mental health crisis and the nearest intervention team is more than an hour away

    That’s the reality facing Southwest Iowa, where police officers are often the first and only responders to people in distress, and the specialized help bigger cities rely on simply isn’t there

    Ryan Gamboa/KMTV

    The Cass County Coalition for Mental Wellness is meeting with different parties over the eight months to find out what gaps there are in the communities mental health response system. On Monday, the group heard from first responders.

    Leaders with the Cass County Coalition for Mental Wellness met Monday in Atlantic to share input on the calls first responders face every day — and to find ways to close the gaps

    “They call us because they know they need help but we don’t have those re

    Many of those calls don’t look like mental health crises at first

    Ryan Gamboa/KMTV

    “Many calls, even though they may not be glaringly mental health they’re still gonna circle back to a mental health underlying tone to them,” Atlantic Police Chief Devin Hogue said

    Police officers are typically the first to answer the call

    With limited staff, that can be difficult — especially when larger city departments have licensed co-responders, usually a social worker, to assist a person in crisis

    Any contracted help is an hour away

    Ryan Gamboa/KMTV

    Chief Devin Hogue, Atlantic, Iowa Police Department

    “For us and the rural parts of Iowa, it’d be very few and far between to see that,” Hogue said

    That’s where Grace McAfee hopes to step in

    “We’re asking officers to do things that are not their job,” said McAfee, community wellness coordinator at Cass Health

    Ryan Gamboa/KMTV

    Grace McAfee

    The need is steep

    Cass County has a six month wait list to see a mental health provider, and recent data suggests area teens are approximately 10% more likely to re-attempt suicide after a first attempt

    Social media remains a leading factor in the decline of teen mental health

    “It’s terrifying because we’re not giving them the services, if they attempted once, we’re not giving them the services the second time,” McAfee said

    Ryan Gamboa/KMTV

    The coalition has implemented new tools within area school districts, including the Hope Squad program, while access and funding remain slim

    During the meeting, members also shared newer trends: a dispatcher said they’re receiving more calls about people met online — whom they have little information about — as well as more calls from nursing homes

    One board member said his own child attempted suicide three times, and that even he struggled to understand why

    “Any relp would be very beneficial,” Hogue said

    Ryan Gamboa/KMTV

    Cass County Coalition for Mental Wellness

    I reached out to Governor-elect Rob Sand to ask what his administration would implement in its first 90 days to address these issues. At the time this story aired and was published, I had not received a response

    For now, Cass County leaders keep working

    Ryan Gamboa/KMTV

    Grace McAfee

    “We’re gonna keep working to find solutions for individual problems,” McAfee said

    If you need to talk to someone, call the Suicide and Crisis Lifeline by dialing 988 or text “HOME” to the Crisis Text Line at 741741

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    This story was initially reported by a journalist and has been converted to this platform with the assistance of AI. Our editorial team verifies all reporting on all platforms for fairness and accuracy

    Copyright 2026 Scripps Media, Inc. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.

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