The Mental Health Crisis in Tennessee: Why TN Voices Exists
Across Tennessee, tens of thousands of children, adults, and families are struggling with untreated mental health conditions, generational trauma, and the crushing stressors of poverty. These challenges aren't isolated. They ripple outward into classrooms, workplaces, and communities, driving up costs for schools, healthcare systems, and taxpayers.
- Nearly 4 in 10 Tennessee adults report symptoms of anxiety or depression, a rate higher than the national average.
- Tennessee ranks among the top 10 states for both mental illness prevalence and limited access to care, with rural areas facing extreme shortages. Some counties have only one provider for every 6,800 residents.
- Half of U.S. children experience at least one Adverse Childhood Experience (ACE), such as abuse, neglect, parental incarceration, or household addiction. These events significantly increase the risk of depression, chronic illness, academic failure, and economic instability in adulthood.
Without intervention, these factors create self-perpetuating cycles. A child raised in a home with untreated trauma often becomes an adult struggling to parent, compounding stress for future generations. The economic burden is staggering: mental health crises lead to ER overuse, workforce disruptions, and public system strain—costing far more than preventive, community-based care.
Breaking the Cycle: What Works
While the challenges are immense, they're not insurmountable. Communities that invest in supportive relationships, consistent care, and trauma-informed programs see healthier families, stronger schools, and reduced long-term costs. Research shows that positive childhood experiences (PCEs)—stable routines, caring adults, and trusted community connections—can dramatically lower the risks tied to early adversity, reducing the likelihood of depression and poor health by as much as 72%. By pairing these protective factors with accessible, family-centered mental health services, Tennessee can not only help families heal but also prevent future crises before they begin.
How TN Voices Responds
TN Voices, now united with Nurture the Next, is Tennessee's collaborative leader in mental health and family well-being. Each year, we serve thousands of children, parents, and adults across all 95 counties with services that prevent crisis, heal trauma, and build long-term stability, including:
- School-based and outpatient counseling for children and teens.
- Peer and clinical support for adults, addressing trauma, depression, and substance use.
- Family-centered services, including caregiver therapy, parenting coaching, and early childhood home visiting.
- Housing stabilization and wraparound programs to keep families intact and prevent system involvement.
- Advocacy and education to reduce stigma, expand access, and change the policies that perpetuate inequity.
Our model works because it's whole-family, trauma-informed, and community-driven. By healing parents alongside their children, providing critical resources like housing and mental health support, and advocating for systemic change, TN Voices helps families thrive and communities grow stronger.
Why Support Matters
Every dollar invested in early and ongoing mental health care saves many more in downstream costs—from emergency room visits to social services. More importantly, it helps Tennesseans lead stable, connected, and fulfilling lives. Together, we can ensure every person regardless of zip code or income has the tools and support they need to build resilience and break cycles of trauma.
TN Voices is building hope for all. Your partnership helps us turn that vision into reality.
Mental Health: How TN Voices Defines It
At TN Voices, we embrace a broad and forward-thinking definition of mental health. Drawing from leaders like SAMHSA and the CDC, we recognize that mental health is more than the absence of illness or the focus on therapy: it is the emotional, psychological, spiritual, and social well-being that shapes how we think, feel, and act. Comprehensive mental well-being allows people to navigate life's stressors, realize their abilities, build strong relationships, and contribute to their communities. We also believe mental health is nurtured early, starting in childhood, and supported through prevention, peer connection, education, and community care. By expanding this definition, we ensure that children, families, parents and adults receive care that helps them heal and thrive.
Vision
To be a leading advocate and provider of mental healthcare, peer support, and child wellbeing services, empowering vulnerable people to thrive with resilience and autonomy.
Core Values
TN Voices Formally Organized In 1990
Tennessee Voices for Children, Inc. (also known as TN Voices) was formally organized in 1990 by Tipper Gore as a statewide coalition of individuals, agencies and organizations working together as a Steering Council to promote children's health and education services. TN Voices (TNV) has progressed to become a statewide and national source of referral, support, and advocacy for families and the systems that serve them. Through the Statewide Family Network and its other ten main programs, our organization has informed, supported, and assisted parents and providers across the state. In the past fiscal year, TNV has reached more than 50,000 parents/caregivers, family members, and professionals (providers, educators, other advocates, etc.).
The collaborative leader guiding mental health transformation
MISSION
We have taken the lead in promoting the use of a coordinated system of care in Tennessee that includes family support and community engagement as key components. TNV works collaboratively with parents, professionals, state and federal officials, policy makers and other key stakeholders to ensure that services provided to children and families in Tennessee are family driven, community based, and culturally and linguistically competent. TNV also serves as a critical partner in multiple national efforts focused upon transforming the system to be more responsive and inclusive of the families they serve, spanning multiple programs, populations, and states. TNV is a not for profit with 501(c) 3 status and the statewide chapter of the National Federation of Families. TNV's board consists of 51% parents of children with special needs to ensure that all services and programs are family driven and youth guided. The majority of TNV's staff are parents or caregivers of special needs children. TNV is licensed by the Tennessee Department of Mental Health as a mental health facility.
TN Voices Awards
As a result of the dedication and hard work of TN Voices staff, TN Voices has been recognized with many prestigious local, state, and national awards. Some of which are: