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Mental‑health system pressures: transports, more competency evaluations and travel‑nurse costs raised at appropriations hearing

Senate Appropriations Committee · January 9, 2026
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

Department of Mental Health Commissioner Emily Hawkes told the Senate Appropriations Committee that rising transports, broadened competency evaluations and heavy reliance on travel nurses are increasing costs at state psychiatric facilities and in community crisis response.

At the Jan. 8 Senate Appropriations hearing, Emily Hawkes, commissioner of the Vermont Department of Mental Health (DMH), outlined system pressures that are driving costs across crisis response and inpatient care.

Hawkes described the “foundation of our community mental health system” as community supports — micro residential programs, youth group homes, adult group residential homes and family‑based outpatient services — and said crisis response and inpatient resources sit higher in that service pyramid. "Without those community mental health supports, the rest of the pyramid doesn't exist," Hawkes said.

She told senators DMH has seen increased…

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