WASHINGTON — In partnership with Migrant Clinicians Network (MCN), and with funding from the Farm and Ranch Stress Assistance Network – Northeast (led by Cultivemos), Farm Aid will be providing Spanish-language hotline support through the organization’s new Spanish-speaking hotline operator, Elizabeth Gonzalez-Ibarra.
Gonzalez-Ibarra grew up in a Spanish-speaking household in a farming community and graduated from Texas State University with a B.A. in Spanish and a minor in public health. She currently answers MCN’s hotline and will now be supporting calls on Farm Aid’s Hotline from Spanish-speaking farmers and farmworkers, Monday through Friday, 10 a.m. to 6 p.m. ET. Gonzalez-Ibarra hopes to make a difference within the Latinx community and has a passion for helping those in need, which has led her to where she is today.
“Migrant Clinicians Network is thrilled to partner with Farm Aid on this important initiative,” said Renée AboAmshe, program manager at MCN. “Making the Farm Aid Hotline’s resources available to the Spanish-speaking farming community is one step toward dismantling entrenched inequities experienced by this community and can encourage people to seek assistance through mental health services.”
Beginning and established farmers and farmworkers are encouraged to call the Farmer Hotline. Farm Aid’s hotline operators are familiar with agriculture and with resources for farmers around the country; they work with hotline callers to find the best resources for their individual situation, whether they are looking for assistance with farm stress, financial issues, legal questions or business-related questions. The Farm Aid Hotline Staff has an existing database of Spanish resources and they are working to expand this database even further.
“This is a historic moment for Farm Aid; it’s the first time in 37 years that we have been able to offer our farmer hotline services in Spanish,” said Farm Aid’s Hotline Program Manager Caitlin Arnold Stephano. “We are excited to collaborate with Migrant Clinicians Network on this important and timely effort and hope to better help Spanish-speaking farmers and farmworkers in need across the country.”
Through the Farm Aid hotline and email service, Farm Aid’s Hotline Staff refers farmers to an extensive network of family farm and rural support organizations across the country. All farmers can call the hotline at 1-800-FARM-AID (1-800-327-6243).
It’s well documented that the suicide rate has been higher for farmers than for the general population for decades. And a December 2017 front-page story in The Guardian brought to America’s attention a harsh reality about its farmers: people working in agriculture in the U.S. — including farmers, farm laborers, ranchers, fishers and lumber harvesters — take their lives at a rate higher than any other occupation.
The article highlighted a study by the Centers for Disease Control and Prevention (CDC), which found that the suicide rate for farmers and ag workers is nearly five times higher than that of the general population.
Today, mental health support services — both professional and church- and community-based — are less available and accessible in rural areas than they were in the 1980s, due to factors such as fewer people attending church, fewer community-building events in which people can interact/establish relationships in rural areas, and a decrease in overall population among rural areas.
In general, rural residents have higher rates of depression, substance abuse and completed suicide. However, farmers face additional challenges to maintaining their mental health. Mental health professionals point to the nature of farming as one likely cause — it is a business largely influenced by factors that are beyond farmers’ control, including weather, disease, pests, prices and interest rates, and which can come and go without warning. Farmers can be isolated, geographically and socially, since they often work alone. They are self-reliant, independent and can be unlikely to ask for help. Many come from a tradition of not sharing their challenges, choosing instead to tough them out on their own. They work long, hard days and may deprioritize their own health and well-being to get the job done. Stress as a concept may often be seen by farmers as something that urban office dwellers experience. Farming itself is unique, and many clinicians don’t “get it.” Farmers cannot be advised to take a vacation or search for a less stressful job. Farmers feel a tremendous weight at the possible loss of their land, the possibility that they could be the one to lose something that has been in their family for generations. Their role as a farmer is at the root of their identity; it’s their culture, not just a job.
Due to the nature of their work, farmers often lack health insurance coverage, or have minimal coverage that covers catastrophic injury only, rather than comprehensive care. If they do have insurance, behavioral health services may be considered “out of pocket.” As people who often keep their personal struggles to themselves, farmers worry about their privacy; it can be a challenge to seek care and maintain anonymity in small, rural communities.
To further complicate matters, farmers and rural Americans face barriers to accessing mental health care. Ninety million people live in designated Mental Health Professional Shortage Areas, per the U.S. Department of Health and Human Services, and a majority of those areas (61 percent in 2011) are in non-metropolitan areas. About 4,000 to 6,000 new mental health professionals are needed to fill that gap nationwide. A dramatic illustration of this shortage can be seen in the state of Iowa, where there are 123 psychiatrists, 122 nurse practitioners and 33 physician assistants that specialize in psychiatry, statewide. That equates to one trained professional for every 11,151 Iowans. Right now, as farmers struggle with a 50 percent decrease in net farm income since 2013, the incidence of farmer stress is reaching a high point. In 2018, the predicted median net farm income is a loss of $1,300, and prices are not expected to rise in the near future. Meanwhile, production expenses and interest rates are increasing, putting family farmers in a vise that is forcing many to call it quits, or consider worse.
About Farm Aid: Farm Aid’s mission is to build a vibrant, family farm-centered system of agriculture in America. Farm Aid artists and board members Willie Nelson, Neil Young, John Mellencamp, Dave Matthews and Margo Price host an annual festival to raise funds to support Farm Aid’s work with family farmers and to inspire people to choose family farm food. For more than 35 years, Farm Aid, with the support of the artists who contribute their performances each year, has raised more than $64 million to support programs that help farmers thrive, expand the reach of the Good Food Movement, take action to change the dominant system of industrial agriculture and promote food from family farms. Learn more at www.farmaid.org.
About Migrant Clinicians Network: Migrant Clinicians Network is a national 501(c)3 nonprofit organization that provides support, technical assistance and professional development to clinicians in community health centers, health departments and other health care delivery sites. Through online seminars and learning collaboratives, on-the-ground trainings, resource development and advocacy, MCN enables clinicians to provide quality health care, increase health care access and reduce disparities for people who need ongoing care but are experiencing outside forces that exacerbate their vulnerability. Learn more at www.migrantclinician.org.