Progress 09/01/19 to 08/31/21

Outputs
Target Audience:Rural individuals who are engaged in farming, ranching and other agriculture related occupations, including underserved populations, such as veterans and farm and ranch women; and Those who advocate for or assist individuals engaged in farming, ranching, and other occupations related to agriculture. This audience could include commodity groups, youth advocates, Farm Service Agency (FSA) representatives, veterinarians, religious leaders, veterans, law enforcement, Farm Bureau agents, Farm Credit Services of America staff, bankers, local and regional cooperatives, and seed/feed dealers and others. Changes/Problems:Challenges For all states, COVID-19 was a continuing challenge. It delayed training opportunities. Many in-person courses, especially MHFA, were cancelled before the virtual format became available. It then took time for staff to become up-to-date with the new MHFA curriculum and the quirks of the new learning management system. As such, progress in offering MHFA virtual courses was greatly stalled since the online training portal and learning management system required patience and practice among instructors as both were difficult to navigate. Another challenge in completing this report were the delays in accessing pre- and post- Mental Health First Aid (MHFA) evaluation data from the National Council for Mental Wellbeing. Some data reports for some classes were still not available even after multiple requests. Issues and disparities with broadband internet our rural and frontier communities also caused issues when trying to conduct virtual classes for both our instructors, working from home, and those taking the online classes. All participating state universities also struggled with managing two separate USDA FRSAN grant streams and tracking programs and finances related to each particular state approach. For example, ISU had QPR and MHFA programs (unduplicated) for both the FRSAN 2019 and 2020 grants. Keeping track of which funding stream to use for each course took time and effort to track and to insure classes were not duplicated on both reports. Summary Response: Despite a challenging two years, there were many accomplishments. Many extension personnel and educators were trained to facilitate Mental Health First Aid and QPR. New programs, resources, fact sheets, podcasts, websites, videos, and courses were also developed focusing on farmers ranchers and their advocates in these challenging times. In addition, the states consistently communicated our efforts, resources, and services through media. Iowa Concern also expanded it reach throughout the North Central Region and continues to save lives. Dr. John Lawrence, VP for ISU Extension and Outreach shared that Iowa Concern saved two individuals.One was the child of a staff member who said Iowa Concern coordinated with a local medical center to call an ambulance that transported his son to the ER in time.The second was a farmer who stated Iowa Concern saved his life.It was 2 am and he was considering suicide, but he did not want to call a friend in the middle of the night.He saw the Iowa Concern magnet on the refrigerator, made the call and lived to tell that the Iowa Concern magnets work.What is truly amazing, that despite these challenges, primarily related to COVID and subsequent transitions to virtual programming over the past FY, the participating eight state Extension services educated 4,302 individuals in a variety of programs directed towards stress assistance in FY 2020-2021 while Iowa Concern assisted 4,097 callers. The total educated this year, combined with the efforts in FY2019-2020, highlights that this project trained over 14,000 farmers, ranchers, and their advocates in a variety of virtual and in-person stress assistance programs. The project has also greatly improved the capacity for state extension services to offer MHFA and QPR and other programs for many years. What opportunities for training and professional development has the project provided?As noted, many extension professionals and educators attended those programs already listed in the goal accomplishments section. How have the results been disseminated to communities of interest?The following delineates the many ways results and project informaiton was disseminated to communities of interest. Iowa ISU Extension and Outreach, as did most participating state universities, published the following news releases and other information regarding the results and programming related to the FRSAN project: https://www.extension.iastate.edu/news/usdanifa-funded-farm-and-ranch-wellness-project-shows-success https://www.extension.iastate.edu/news/mental-health-awareness-month-facing-farm-stress https://www.extension.iastate.edu/news/resources-for-national-suicide-prevention-month https://www.extension.iastate.edu/news/suicide-prevention-program-still-virtual-producers-agribusiness https://www.extension.iastate.edu/news/suicide-prevention-program-still-available-virtually-producers-and-agribusiness https://www.extension.iastate.edu/news/resources-national-suicide-prevention-month https://www.extension.iastate.edu/news/help-friend-or-yourself-through-mental-health-challenge https://www.extension.iastate.edu/news/rural-resiliency-webinar-series-offer-advice-stress https://www.extension.iastate.edu/news/mental-health-first-aid-programs-available-virtually-throughout-spring-2021 https://www.extension.iastate.edu/news/farm-and-ranch-stress-assistance-clearinghouse-available-north-central-states Illinois The University of Illinois published to following digital print news releases/articles: https://dailyillini.com/news/2020/03/12/program-advocates-mental-health-for-farmers/ https://www.dailyeasternnews.com/2019/10/27/farmers-suicide-rates-mental-health-draw-conversations/ https://www.farmweeknow.com/general/farmers-not-alone-in-facing-mental-health-issues/article_d4280316-240c-11ea-a2e0-0b7f0cb94ab1.html https://www.illinoistimes.com/springfield/down-on-the-farm/Content?oid=11687037 https://www.agrinews-pubs.com/features/2021/07/05/mental-health-first-aid-course-offered/ The University of Illinois alsopublished to following radio interviews: https://whoradio.iheart.com/featured/the-big-show/content/2019-09-27-helping-farmers-cope-with-stress/ Kansas KSU staff have been writing a weekly column "Tuesday Health and Wellness Tidbits" for KSRE faculty and staff that can be used personally and professionally. Tidbit topics focus on mental and stress health and include: self-care, connecting with others while social distancing, tele-health and utilizing the EAP (Employee Assistance Program), mindfulness, humor, managing family relationships/dynamics, coping strategies, etc. KSU has also had 3 radio sessions on a regional agriculture-focused talk radio station to discuss ag stress and mental health -- recognizing the symptoms of ag stress, managing ag stress every day, coping strategies and assisting/addressing those in distress Missouri Missouri disseminated results of MHFA for Adults and Youth as well as Generation Rx; referral process to Iowa Concern Hotline; accessing mental health resources via MU Extension Facebook #ShowMeStrongFarmFamilies and NCR FSAN clearinghouse; and tailored made materials to rural farm families addressing COVID-19 to key personnel and their team members; state and regional administrators; north central FRSAN collaborative and cooperative partners; and local, state, and regional stakeholders. Nebraska The University of Nebraska published the following news releases: https://events.unl.edu/rural_wellness/2021/04/22/156014/ https://events.unl.edu/rural_wellness/2021/06/17/157210/ https://events.unl.edu/rural_wellness/2021/07/13/157677/ North Dakota NDSU staff completed the following interviews: AgNews 890 Farm Talk Radio Interview (with Mick Kjar). (November 5, 2020). (Description: Responding to stress conditions in agriculture) Wahpeton News Monitor Newspaper Interview (with Tris Anderson). "Farm and ranch mental health and stress issues in agriculture." (October 2, 2020). (Description: Newspaper Interview) Agriculture Company Blog Interview (with Laura Handke). "Handling mental health and stress issues in agriculture." (September 17, 2020). (Description: Blog/Freelance Interview). Ohio Ohio State University published to following news releases: https://extension.osu.edu/about/resources/extension-task-forces/rural-and-farm-stress https://advancement.cfaes.ohio-state.edu/newsletter/cfaes-connect/july-2019/leanonyourlandgrant-crisis https://dayton247now.com/news/local/bad-season-results-in-mental-health-concerns-for-farming-communities https://www.wfmj.com/story/40930972/ohio-state-to-aid-farmers-needing-emotional-financial-help https://www.farmanddairy.com/news/osu-and-oda-helping-farmers-combat-ag-issues-stress/574166.html https://www.news5cleveland.com/news/local-news/akron-canton-news/the-ohio-state-university-creates-task-force-to-help-struggling-farmers https://www.wtol.com/article/news/local/ohio-state-university-creates-task-force-to-assist-farmers-who-are-struggling-financially-or-mentally/512-13b57a64-e94d-4632-adf3-6f50ed64f905 https://woub.org/2019/08/19/ohio-state-to-aid-farmers-needing-emotional-financial-help/ What do you plan to do during the next reporting period to accomplish the goals? Nothing Reported

Impacts
What was accomplished under these goals? Goal 1: All States: All participating extension services shared resources that can be accessed at the NC Farm and Ranch Stress Assistance Center at the U of IL at farmstress.org/. Kansas: The KS Dept. of Ag offers www.kansasagstress.org/ to support farm stress. KSU is developing a site that includes MHFA, QPR, and MSU Farm Stress information and resources. Iowa: ISU's clearinghouse is found at www.extension.iastate.edu/humansciences/farm-ranch-wellbeing. Resources can be printed at iastate.box.com/s/nmuri4lfjk9ilvrce2wu0tm3izmj32lz Illinois: The U of IL hosts the NC Farm and Ranch Stress Assistance Center farmstress.org/. IL resources and services are also co-hosted by Illinois AgrAbility at agrabilityunlimited.org/mental-health. Missouri: The U of MO has retained its website - Show-Me Strong Farm Families at extension.missouri.edu/programs/agrability/show-me-strong-farm-families. Nebraska: NU has retained and improved ruralwellness.unl.edu/. North Dakota: The NDSU Farm Stress site accesses farm stress resources at www.ndsu.edu/agriculture/ag-hub/ag-topics/farm-management/managing-stress. Ohio: OSU created a Farm Stress webpage at u.osu.edu/2019farmassistance/home/ Goal 2: State Activities Mental Health First Aid: ISU and U of IL pooled pre/post data for 15 adult trainings offered to176 virtual attendees. Participants included ag and youth professionals, extension, human service providers, and other professionals. Key trends: 90.7% of participants completing evaluations agreed or strongly agreed they were more confident in asking someone directly whether they are considering killing themselves, as compared to 56.1% at pre-test. 98.6% agreed or strongly agreed they were more confident in having a supportive conversation with anyone about mental health or substance use challenges, as compared to 55.6% at pre-test. 87.7% agreed or strongly agreed they were more confident in responding to a substance use crisis, as compared to 40.7% at pre-test. OSU completed 7 adult and 8 youth MHFA courses to 369 participants. Participants represented commodity groups, extension, human services and other organizations. Key trends: 100% of participants completing evaluations agreed or strongly agreed they were more confident in recognizing the signs that someone may be dealing with a mental health problem, substance use challenge or crisis. 96.7% agreed or strongly agreed they were more confident in reaching out to someone who may be dealing with a mental health problem, substance use challenge or crisis. 100% agreed or strongly agreed they were more confident in assisting a person in seeking professional help. Five extension services - ISU, KSU, OSU, U of I and NDSU also added 16 new MHFA facilitators. Question.Persuade.Refer. (QPR): ISU, NE, and the U of MO pooled pre/post data for 47 QPR trainings and 1 in-person training to 732 attendees. Participants included agribusiness professionals from the USDA, state agriculture, banks, livestock companies, 4-H & school professionals, extension, human service providers and faith leaders. U of MN also completed 6 QPR trainings with NAMI Minnesota to136 participants. QPR trends noted: 68.59% of participants completing evaluations rated their knowledge of how to ask a person about suicide as high, as compared to 13.70% at pre-test. 62.25% rated their knowledge of how to persuade someone to get help as high, as compared to 14.25% at pre-test. 67.99% rated their knowledge of how to get help for someone as high, as compared to 19.61% at pre-test. 5 extension services - ISU, KSU, NU, MU and NDSU added 35 QPR facilitators. Kansas: KSU began a Stress & Resiliency Team that includes a committee that works on farm and ranch stress. KSU offered 3 programs on Farm Stress and Resiliency to 228 Women in Ag participants. One Managing Stress in Agriculture program was offered to15 finance professionals. Illinois: U of IL participated in the IL Farm Bureau Annual Meeting and provided 2 sessions on farm stress management to 65 participants. 350 participants attended the Illinois Extension Crop Mann. Program and received farm stress information. The Specialty Crop Conference and the CCA Conference provided farm stress information to 100 participants. The U of IL team participated at the Farm Progress Show and provided resources to producers and stakeholders about farm stress, mental health, and Iowa Concern. Iowa: ISU offered Stress on the Farm programs at 9 different sites, primarily related to Women and Ag and at various virtual ag related conferences. A total of 150 farmers and agribusiness professionals attended. Iowa Concern is available 24/7, 365 days for resource/referral services to the entire NCR. Resource/referral and stress counseling services now available to KS, OH, WI and MO. Iowa Concern answered 4,097 calls between 9/1/2020 - 8/4/2021. Of these calls: 3,965 were from IA, 31 were from MN, 9 were from MO, 8 were from IL, 2 were from IN,1 was from KS, 6 were from NE,1 was from OH, 3 were from SD, and 2 were from WI. Persons from 11 other states also made calls. Minnesota: The U of MN offered 12 programs to 1,458 participants including farmers, dairy farmers, mediators, ag lenders, extension staff, human service and mental health providers including: Rural Stress and Ambiguous Loss webinar; Navigating Conflict & Tough Conversations in Ag Series; Resiliency in Challenging Times; Supporting Caregivers Across Disciplines in Rural MN; A Better Farm Starts with a Better You; A Better You for a Better Farm; Addressing Farm Stress; andFarm Stress and MH in Agriculture. Missouri: MU offered 3 Mental Health Services and Resources programs to 56 extension staff and Stress on the Farm at a conference to 100 Women in Agriculture participants. Nebraska: NU offered the Know Your Numbers, Know Your Options course to 13 participants at 1 site. This series of four sessions is designed to increase confidence and understanding of farm financial ratios, record keeping, and decision-making. In the post-survey evaluation, respondents reported their confidence as higher on every question than in pre-survey. The greatest changes in confidence were in calculating and interpreting working capital and net worth. On average, the ratings moved from "not at all confident/somewhat" confident" to "confident." At post-course, respondents were also asked what actions they will take as a result of participating: 80% will set goals for their operation and 100% will calculate their financial ratios. North Dakota: NDSU offered ASIST to 30 ag. professionals. You, Your Health & Responses to Rural Stress was provided at 3 sites to 165 pesticide applicators and ag professionals. 10 Farm Stress Educationalprograms were offered to 159 ag professionals. NDSU designed, printed and distributed over 15,000 wallet-sized resources on depression and mental health in ag. Ohio: A multi-disciplinary task force was created to identify needs, gaps, and future direction for OSU. Over 40 faculty and staff participated. OSU collaborated with state agricultural organizations (including OH Dept. of Agriculture, OH Farm Bureau, OH Dept. of MH and Addiction Services, OH Suicide Foundation, Farm Credit, and every commodity association) to develop a statewide #Gotyourback Campaign. https://agri.ohio.gov/wps/portal/gov/oda/gotyourback?

Publications

Progress 09/01/19 to 08/31/20

Outputs
Target Audience:Rural individuals who are engaged in farming, ranching and other agriculture related occupations, including underserved populations, such as veterans and farm and ranch women; and Those who advocate for or assist individuals engaged in farming, ranching, and other occupations related to agriculture. This audience could include commodity groups, youth advocates, Farm Service Agency (FSA) representatives, veterinarians, religious leaders, veterans, law enforcement, Farm Bureau agents, Farm Credit Services of America staff, bankers, local and regional cooperatives, and seed/feed dealers and others. Changes/Problems: The project USDA funding delay slowed the implementation of many project activities. Not long after the USDA funding was received, the COVID pandemic struck. This caused the general cancellation of all face-to-face programming that was scheduled related to the FRSAN in all states. This pandemic, however, also produced immediate and frantic activity to transform programs virtually. For example, from March 5 to May 28, 2020, ISU had 10 face-to-face MHFA classes scheduled that were cancelled. However, by September 24, 2020, virtual MHFA classes were being marketed and offered. Most participating states had similar experiences. Nebraska worked to develop an on-line online version of the Know Your Numbers, Know Your Options course to allow classes to continue. ISU quickly began offering virtual Question.Persuade.Refer.(QPR) classes in April 2020 and many participating extension services promoted these classes as regional events. COVID-19 has also provided many states an opportunity to create new Farm Stress resources that can be utilized during COVID-19 and other emergency situations that create stress in a farmer's life. What is truly amazing, that despite these limitations, the participating eight state Extension services educated almost 10,000 individuals in a variety of programs directed towards stress assistance. Many websites, clearinghouses, catalogs and resources have all been developed just to assist the farmers and rancher in these difficult times. What opportunities for training and professional development has the project provided?Included in this section are trainings and professional development offered beyond what was listed in goal accomplishments. Ohio At OSU, 3 ANR Educators have received certification training from Michigan State University Extension in Communicating with Farmer in Distress programming and will offer a virtual (and recorded) professional development to other ANR Educators. OSU also trained 98 extension educators in trauma informed care at 6 events. How have the results been disseminated to communities of interest? The clearinghouse website URL, for example, has been provided as an ISU news release at https://www.extension.iastate.edu/news/farm-and-ranch-stress-assistance-clearinghouse-available-north-central-states Notice of the clearinghouse was also sent to leadership at the Iowa Department of Agriculture, state commodity groups, Farm Bureau, Iowa Veterinary Medical Association, Farm Credit, Iowa Bankers Association and many others. Other states will have marketed to similar groups. The University of Nebraska published some of the Know Your Numbers, Know Your Options results in a Cornhusker Economics Newsletter on Aug. 19 https://agecon.unl.edu/cornhusker-economics/2020/annies-project-know-your-numbers-know-your-options ISU is continually disseminating information about the Iowa Concern Hotline, in response to farm related issues and concerns. https://www.extension.iastate.edu/news/call-iowa-concern-help-coping-stress-derecho-storm-damage . OSU, Missouri, and Kansas have also advertised the availability of this resource. KSU has been working to disseminate the results of our programming and training efforts throughout our organization and to our stakeholders and communities through presentations updates, programming highlights, and Making a Difference reports. Missouri disseminated results of MHFA for Adults and Youth as well as Generation Rx; referral process to Iowa Concern Hotline; accessing mental health resources via MU Extension Facebook #ShowMeStrongFarmFamilies and NCR FSAN clearinghouse; and tailored made materials to rural farm families addressing COVID-19 to key personnel and their team members; state and regional administrators; north central FRSAN collaborative and cooperative partners; and local, state, and regional stakeholders. Once this yearly report is completed, a news release summarizing project results with be shared with all participating states to disseminate to communities of interest. What do you plan to do during the next reporting period to accomplish the goals?The NCR on-line clearinghouse will be transferred to the University of Illinois as an independent website as part of the 2020 FRSAN project. Sharing this final accomplishment will be marketed heavily through the region. Mental Health First Aid Multiple states have planned to train additional facilitators and host virtual Mental Health First Aid courses to various agricultural and community audiences. A more thorough multi-state evaluation of the MHFA courses using the updated MHFA pre- and post-evaluations will be done. This evaluation was previously IRB reviewed and approved in multiple states. The process has taken longer than expected and is now complicated by the move to virtual programming and the updated MHFA evaluations. Question.Persuade.Refer. Multiple states are also in the process of training a significant number of QPR facilitators. For example, KSU has 19 people to be trained in QPR. Iowa will train 4 new QPR facilitators, including two who are Spanish speakers. Kansas KSU plans to provide GenerationRX materials in January of 2021. KSU has established a transdisciplinary team of 30 extension agents and specialists across the state of Kansas to help address the mental health needs of Kansans. Originally, this team's sole purpose was to focus on rural and agricultural stress and mental health. Due to the pressing needs brought on by the COVID-19 pandemic, KSRE is currently working to help address the social, emotional, physical, financial, and economic needs of our communities across the state. Identifying increasing stressors that cross rural and urban boundaries, as well as socio-economic demographics, the KSRE Stress & Resiliency Transdisciplinary Team has been working to provide emotional and mental health support to KSRE agents. Understanding the anxiety and uncertainty generated by the COVID-19 pandemic, and its negative long-term impact on the emotional and mental health of citizens, we fully expect this pandemic to lead to a global increase in suicides. Expanding the availability of mental health training will allow KSRE to effectively respond to the health needs of Kansans and beyond. Nebraska NU is still working through the details of digitizing their clearinghouse - this project will be completed by December 2020.

Impacts
What was accomplished under these goals? Goal 1: ISU developed an on-line clearinghouse at https://www.extension.iastate.edu/humansciences/farm-ranch-wellbeing that includes training opportunities, publications, electronic media, hotlines, state and national websites, plus links to each NCR university on-line farm stress clearinghouse and regional NIOSHE Centers. This site was offered to NCR participating universities to share and market. Resources from the state on-line clearinghouses were also compiled into a comprehensive catalog that can be printed and shared. The catalog, also found in the on-line clearinghouse, includes state key contacts that states can update, share, and market as needed. The catalog can be accessed at https://iastate.box.com/s/nmuri4lfjk9ilvrce2wu0tm3izmj32lz Goal 2: The accomplishments listed reflect a sampling of state activities. Mental Health First Aid (MHFA) ISU, OSU, MU and, and U of M pooled data and completed 46 trainings to1043 attendees. Participants represented USDA, Extension, agribusiness, housing, and human services. 6 new MHFA facilitators were trained. Key trends noted: 99.58% of participants completing evaluations reported that they agreed or strongly agreed they were more confident in recognizing the signs that someone may be dealing with a mental health problem, substance use challenge or crisis. 97.90% agreed or strongly agreed they were more confident in reaching out to someone who may be dealing with a mental health problem, substance use challenge or crisis. 96.65% agreed or strongly agreed they were more confident in assisting a person who may be dealing with a mental health problem or crisis to connect with community, peer, and personal supports. Illinois Illinois hosted an Ag Mental Health Summit with Illinois Farm Bureau. This summit offered mental health and stress management resources to over 55 who attended from agribusiness, healthcare, non-profits, extension, and higher education. 4 farm stress programs were also offered to 252 participants from extension, agribusiness or were producers. Iowa ISU provided 35 virtual Question.Persuade.Refer.(QPR) suicide prevention programs to 539 participants from 14 states and Canada. Participants represented USDA, commodity groups, Farm Credit, banks, state agriculture, public health, coops, veterinary medicine, extension, human services, and others. GenerationRx prescription drug misuse handouts were provided to all participants. 7 new QPR facilitators were trained in the participating states. Key QPR trends noted: 70.73% of participants completing evaluations rated their knowledge of how to ask a person about suicide as high, as compared to 13.84% at pre-test. 54.70% of participants rated their knowledge of how to persuade a person to get help as high, as compared to 11.78% at pre-test. 70.98% of participants rated their knowledge of how to get help for someone as high, as compared to 19.95% at pre-test. ISU also offered Stress on the Farm: Strategies that Help, a short stress management program directed toward the agriculture community. This program was taught at 6 different venues including the Iowa Farm Bureau Federation Young Farmers Conference and the Iowa Veterinary Medical Association Winter Meeting. A total of 191 farmers, veterinarians, vet techs, and agribusiness professionals attended. Kansas KSU offered 2 virtual sessions on Women in Ag: Developing Skills to Cope and Build Resilience as a part of the Farm Financial Skills for Women in Agriculture program. These sessions totaled 188 participants. Minnesota The U of M created a Rural Stress Task Force including extension staff from agriculture, family development, youth, community vitality, regional sustainable development, administration and communications. A project that we are working on is called, "Building Resilient Rural Communities." It is a collaborative approach with rural communities facing challenges across MN enabling them to promote mental and physical well-being and build sustainable, resilient communities. We are working with partners such as the MN Department of Health, the MN Department of Agriculture, and the MN Chamber of Commerce. Major efforts by the U of M also included participating in a Mental Health Awareness Day at the MN State Fair where nearly 600 fairgoers were engaged. Farming in Tough Times seminars were held at 35 venues to 1835 producers and ag professionals. Missouri MU offered 10 GenerationRx programs" on the dangers of misusing prescription medications, including opioids. 159 pre- and post- Generation Rx surveys were completed. A total of 245 beginning farmers, farmers with disabilities, socially disadvantaged and veteran farmers participated in the programs; 100% of the participates felt they had a better understanding of opioids after completing the program. MU also offered 5 USDA Farm Service Agency Farm Bill financial management programs, workshops and conferences as well as 3 "USDA Natural Resources Conservation Service Farm Bill" water quality and energy efficiency workshops were coupled with the MU Extension "Grab & Go Mental Health Toolbox" and presented. A total of 378 farm and ranch women participated in these programs; 96% of the participants felt more confident about their ability to handle their stressors after participating in the program. Nebraska NU offered the Know Your Numbers, Know Your Options course to 58 participants at seven sites. This series of 4, three-hour sessions is designed to increase participants' confidence and understanding of farm financial ratios, record keeping, and decision-making. In the post-survey evaluation, respondents reported their confidence as higher on every question than in the pre-survey. The greatest changes in confidence were shown in calculating and interpreting financial ratios. On average, the ratings moved from "not at all confident" to "somewhat confident." The largest single change was confidence in calculating a debt-to-asset ratio. The highest post-course confidence ratings were for developing a balance sheet, calculating a debt-to-asset ratio, calculating net worth, and discussing their financial situation with their banker, tax accountant, or lawyer. In the post-course survey, respondents were also asked what actions they will take as a result of participating in the course. 23% will set goals for their operation 22% will calculate their financial ratios 17% will write a financial management plan 20% will update an existing financial management plan 17% will seek additional resources related to financial management. North Dakota NDSU designed, printed and distributed over 30,000 copies of the You Are Not Alone wallet-sized resources on depression and mental health in agriculture in collaboration other partners. NDSU also partnered with the Stockmen's Association to print and deliver 3000 copies of farm stress resource publication, Farming and Ranching in Tough Times. NDSU also offered Understanding and Responding to Rural Stress Concerns to 1100 community agriculture professionals at 7 venues. Ohio OSU offered more than 70 GenerationRx events attended by 3700 youth and 400 adults (4100 direct contacts); 70 volunteers contributed approximately 470 hours to help 10 county Extension educators deliver the various programs. Farm stress materials were also included in all Pesticide Applicator Training Recertification sessions Iowa Concern Hotline Iowa Concern is now available 24/7 for confidential stress-counseling services to the entire NCR. Resource/referrals services are now available to Kansas, Ohio and Missouri. 4,333 calls were received from September 2019 to August 2020. ISU started tracking zip codes in July 2020. Since that time, Iowa Concern has received 2 calls from Wisconsin, 4 from Ohio, 18 from Nebraska, 6 from Missouri, 14 from Minnesota, 3 from Michigan, 7 from Kansas and 13 from Illinois.

Publications