mental health care

Bob Beck, Wyoming Public Radio

Wyoming’s Title 25 program is $13 million dollars over budget and a group of legislators and others were told this week that reforms and policy changes are needed to slow down that spending. 

Title 25 covers court ordered hospitalizations for mental health and substance abuse patients. The state hospital doesn’t have enough beds to house those who need services, so the state has to pay private providers for that care. Natrona, Fremont, and Sweetwater County are driving the costs.  

Miles Bryan

A few weeks after Cody officer Seth Horn went through Crisis Intervention Training, or “CIT,”  he went out on a call to see a man who was potentially suicidal.

“I started speaking with this person, and some things were lining up with the report that we got,” Horn said in a department conference room. “And then, using the training, I started to ask some very specific questions.”

Miles Bryan


A Wyoming legislative committee recommended approval of a major reform to the state’s system for dealing with people involuntarily detained in a mental health crisis Monday night.

The system is known as “Title 25.” The bill approved by the committee  would give courts the ability to order people to undergo outpatient treatment; right now they can usually only order forced hospitalization, or let the patient go.

Miles Bryan

Part 4 of our Title 25 series. Listen to the entire series here.

Janell Hanson and her son Adrian live in a sunny house just steps away from the historic Ivinson Mansion in Laramie. Their house is gorgeous--it’s actually older than the mansion. But on the day WPR visited, the beautiful oak front door was marred by a hole in its stained glass panel, temporarily sealed with duct tape.

Miles Bryan

Part 3 of our Title 25 series. Read Part 4 here.

Jodi Glover is exhausted. She usually is by the end of the day. Glover works two full time jobs: one as a doctor’s assistant in Cody, the other as the caregiver to her twenty year old son, who was recently diagnosed with schizophrenia.

Wyoming officials will soon meet to consider how to reform the state’s system of involuntary treatment for mental health issues, known as Title 25.

That system allows police or mental health officials to detain someone they consider to be a danger to themselves or others, and make them undergo psychiatric treatment.


Part 1 in our Title 25 series. Read Part 2 here.

If you want to get the full picture of how the Title 25 process works in Wyoming you need to talk to Chel Bleckler. That’s because she spent over a decade working in an E.R. in Cody, where a big part of her job was working with Title 25 patients.

Miles Bryan

Part 2 in our Title 25 series. Read Part 3 here.

The Cloud Peak Counseling Center in Worland looks more like a nursing home than a psychiatric hospital. It’s a small building with murals on the walls and a game room with leather couches. In fact it isn’t technically a hospital at all.

Willow Belden

In many parts of Wyoming, it’s impossible to get mental health care. That means residents with mental conditions either don’t get treated, or they have to drive long distances to get services.

But that’s starting to change. Recently, more and more patients have been using telemedicine to get psychiatric care. Wyoming Public Radio’s Willow Belden reports.

The State Senate has given initial approval to a change in the way Wyoming handles involuntary hospitalization of those needing mental health treatment.  The bill removes the requirement that a judge must review the involuntary commitment within 72 hours of it taking place.