Behavioral/ Mental Health

In 2016 we received State Innovation Model (SIM) funding from the Colorado Department of Public Health and Environment (CDPHE). With that funding, we are focusing on the behavioral/mental health of our communities through a three-pronged approach; Pregnancy-related Depression, Man Therapy, and Suicide Prevention.

Pregnancy- Related Depression


The birth of a baby can be a time of great joy; however, many women find themselves feeling overwhelmed and may even have negative feelings toward their child which can make them feel confused and guilty. Many new mothers are ashamed to admit negative feelings and suffer in silence because of the fear of being a “bad mother.” One in seven women experiences pregnancy-related depression or anxiety during pregnancy or postpartum.


According to Pregnancy Risk Assessment Monitoring System (PRAMS) data, the Northeast Colorado region has a higher rate of women who experience signs and symptoms of depression and a lower percentage of health care providers who talk with women about what to do when feeling depressed during pregnancy or after delivery. NCHD is coordinating an initiative to train and support providers on the needs of women for screenings and treatment, as well as raise public awareness of the symptoms, risk factors, and the stigma associated. 


Some signs and symptoms of Pregnancy-Related Depression are:

  • Feeling very sad, anxious, cranky or totally overwhelmed

  • Crying a lot or feeling hopeless

  • Not caring for yourself (not eating, getting dressed or bathing)

  • Not wanting to see your family and friends

  • Feeling that your baby would be better off without you


Depression is the most common complication of pregnancy. The good news is that it can be treated. As many as 80% of new mothers have the baby blues. Signs include crying, mood swings, having a short temper or being very sensitive. The Baby Blues go away without special treatment, usually within10 days after giving birth. When these feelings linger or get worse, you may have pregnancy-related depression.

What to do when you feel blue:

  • Connect with your loved ones

    • Talk to a supportive person and express your feelings, positive and negative

  • Eat Right!

    • At least three healthy meals every day

  • Get Fit!

    • Take your baby for a walk

  • RELAX!

    • Get rest while the baby is resting

  • Schedule Fun!

    • Contact hospital, library or community center to find activities for parents and children

If you are a friend or family member of a pregnant woman or new mother whom you suspect is suffering from depression, you should listen to her and take her concerns seriously. Once the baby has arrived, help her with the child and household tasks. She needs sleep and some time for herself. Encourage her to seek help from a healthcare professional, and help her to find one; once she has found treatment follow up with her to ensure it is effective. It is important that pregnant women and new mothers know if they are suffering from depression because it can be detrimental to her health as well as the health of the baby.

If you are experiencing pregnancy-related depression, it is important to remember you are not alone, and your feelings are nothing to be ashamed of. For help or more information on Pregnancy-Related Depression call your health care provider or 1-800-944-4773 or visit If you have thoughts of hurting yourself or your baby, find help right away, call 911 or go to the nearest Emergency Room.

Man Therapy

Working aged men (25-54 years old) account for the largest number of suicide deaths in U.S. They are the least likely to receive any kind of support. They generally don't talk about it with their friends, family, or seek professional treatment. 
Man Therapy is a tool designed to help men with their mental health and rid us of the notion that men should not have or talk about their feelings. The more you tell Dr. Rich Mahogany about what you’re up against, the more he can cater the content to your situation. Visit to learn more, carry on!

Suicide Prevention

According to the NCHD's 2012 Community Health Survey, 70% of adults 18 and over were at least slightly concerned about the mental illness or emotional issues in their community.  Suicide is the leading cause of death among Colorado youth ages 10-24.  This information on suicide rates is derived from the American Association of Suicidology and the Colorado Health Information Dataset. 

Common Risk Factors for Suicide include:

  • Family history of suicide

  • Family history of child maltreatment

  • Previous suicide attempt(s)

  • History of mental disorders, particularly clinical depression

  • History of alcohol and substance abuse

  • Feelings of hopelessness

  • Impulsive or aggressive tendencies

  • Cultural and religious beliefs (e.g., belief that suicide is noble resolution of a personal dilemma)

  • Local epidemics of suicide

  • Isolation, a feeling of being cut off from other people

  • Barriers to accessing mental health treatment

  • Loss (relational, social, work, or financial)

  • Physical illness

  • Easy access to lethal methods

  • Unwillingness to seek help because of the stigma attached to mental health and substance abuse disorders or to suicidal thoughts

Some factors that protect individuals from suicidal thoughts and actions are:

  • Effective clinical care for mental, physical, and substance abuse disorders

  • Easy access to a variety of clinical interventions and support for help seeking

  • Family and community support (connectedness)

  • Support from ongoing medical and mental health care relationships

  • Skills in problem solving, conflict resolution, and nonviolent ways of handling disputes

  • Cultural and religious beliefs that discourage suicide and support instincts for self-preservation

Crisis can be seen wearing many masks, some common ones are relationship problems, depression, anxiety, bullying, substance abuse, and suicidal thoughts. If you or a loved one are navigating any of these or other challenges, it may be time to find someone to talk to, 24/7/365 mental health and addiction services are available at 844-493-TALK (8255) or you can walk into any crisis center during business hours: 
871 East 1st Street, Akron 970-345-2254
821 East Railroad Ave, Fort Morgan 970-867-4924
115 North Campbell, Holyoke 970-854-2114
118 West 3rd Street, Julesburg 970-474-3769
211 West Main St, Sterling 970-522-4392
215 South Ash St, Yuma 970-848-5418
365 West 2nd, Wray 970-332-3133
Through a partnership between the Northeast Colorado Health Department and Centennial Mental Health Center, community outreach and suicide prevention will be provided to the communities of northeast Colorado.  Trainings are available for all community members, several times throughout the year.  These include Mental Health First Aid (MHFA) and Applied Suicide Intervention Skills Training (ASIST). For more information or to sign up contact: 
Maranda Miller
970-522-4549 x 293
In the event of a life-threatening mental health emergency, call 9-1-1 or get to the nearest emergency room.
For more information on any of the services on this page, please contact
Sherri Yahn
(970) 522-3741 x 1242

NCHD District Headquarters

700 Columbine Street

Sterling, Co 80751


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