How To Get Affordable State Sponsored Therapy in Vermont

Few private mental health providers are able to immediately serve people in crisis, while most state mental health departments, including Vermont’s, have crisis response systems that help people get mental health care quickly in an emergency. This usually makes public mental health services the best option if you’re having a mental health crisis and need help right away. The people who answer crisis lines can provide caring attention and support as they help you determine the best response to a crisis, whether it’s inpatient treatment or an appointment with a counselor.

Publicly-funded outpatient mental health programs in Vermont are called designated agencies (DAs). In addition to affordable therapy, DAs provide specialized and intensive services that aren’t available anywhere else or that are hard to find in private clinics, like case management and day treatment. Consider going to a DA if you need intensive treatment or can’t access mental health care in the private sector due to your diagnosis or financial situation.

Like most states’ mental health systems, Vermont’s mental health system prioritizes people who are uninsured or underinsured and who have limited incomes. However, the Vermont mental health department does not list these or other financial or clinical eligibility requirements on their official website. The only thing the Vermont Department of Mental Health (DMH) officially states is that “not all programs have the same eligibility criteria or services available.”

Howard Center, one of Vermont’s 10 official designated agencies, similarly states, “Each [Howard Center] program has different eligibility requirements.” Clara Martin Center, another DA, states in their handbook that to be eligible, you “must be 18 years of age or older, must have a mental health diagnosis, must have the ability to pay for services received, and must live in our service delivery area to be eligible for our sliding fee scale.”

Based on this information, you need to have a mental health condition and live in a DA’s service area to receive services there. Most DAs take multiple insurance plans and offer sliding fee scales. Since there is some variation from program to program, we recommend that you call your local DA to confirm whether they offer therapy and whether you are eligible, including whether you are eligible for a discount or sliding fee scale if you don’t have insurance.

One place you can call in Vermont to find out more about your local mental health resources is Vermont 2-1-1. Simply call 2-1-1 or visit their site for more information. Their Mental Health Services page even breaks down mental health listings by service type.

Public mental health services in Vermont are managed on the state level by the Department of Mental Health (DMH). For general information about the Vermont mental health system, you can call the main DMH number at (802) 241-0090.

Another way to find out about mental health services in Vermont is to call the designated agency where you want to receive services. We’ve listed numbers for all Vermont DAs below, including both crisis and general information lines. We compiled this list using information from the official DMH page and the Vermont Care Partners page. To confirm whether you are eligible for services, whether financial aid is available, and what payment options are accepted, we recommend calling the program you’re interested in directly.

In the 1960s, Americans started thinking differently about how to treat mental health conditions. New laws required state and local governments to establish community mental health programs as alternatives to institutionalization for people with serious mental illness. Many states trace the origins of their public mental health programs back to this period.

Vermont is no exception. Vermont Care Partners, the umbrella organization for all of the state’s designated agencies, states that “Many of our agencies came into being as the result of the 1963 Community Mental Health Act.” Among them are the Clara Martin Center, founded in 1966, and Health Care and Rehabilitation Services of Southeastern Vermont, founded in 1967. United Counseling Service traces its history even further back to 1958.

According to a Valley News article by Rick Jurgens, Vermont “can plausibly claim to have been on the road to deinstitutionalization since 1953, when a state panel considering a proposal to extend the flagship mental hospital in Waterbury recommended that community programs be added instead.” Vermont had been seeking to shut down its main state hospital for years when Tropical Storm Irene flooded and finally closed it in 2011. The following year, the Vermont Legislature passed Act 79, the state’s mental health reform bill, to press for an even stronger shift from institutional to community-based services.

Unfortunately, since then, like many states, Vermont has struggled to maintain its mental health system at a level that meets demand. Even after opening a cutting-edge new inpatient facility in 2014, Vermont still doesn’t have enough inpatient treatment beds. Vermonters wait for days in emergency rooms for acceptance to an inpatient facility. They face long wait times at community mental health programs, too. The state still hasn’t met the funding goals for community-based programs that were proposed in Act 79.

Fortunately, Vermont is making efforts to improve its system. The state has embraced a more modern approach to hospital care and is making efforts to modernize and expand community-based services as well. The Department of Mental Health recently published a ten-year plan and are seeking to establish and expand integrated care across the state.

According to the Substance Abuse and Mental Health Services Administration (SAMHSA), only 58 percent of people in Vermont who have mental health conditions get treatment for them. One reason for the care gap is that people aren’t aware of their options for affordable mental health care, including the public mental health system and designated agencies. You can help change these statistics by reaching out and using local mental health resources to get the care you need.