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KBIA’s Health & Wealth Desk covers the economy and health of rural and underserved communities in Missouri and beyond. The team produces a weekly radio segment, as well as in-depth features and regular blog posts. The reporting desk is funded by a grant from the University of Missouri, and the Missouri Foundation for Health.Contact the Health & Wealth desk.

One rural Missouri group works to destigmatize farmer mental health — one meal at a time

Rebecca Smith
/
KBIA
Dennis Gaines' family has been farming in Shelby County for generations. "You can't depend on anybody else to make you happy. You have to learn to be happy within, and honestly, if you're not happy within, you don't have anything to share with anybody else either," Gaines said.

It’s just after 9 a.m. on Friday, Oct. 23, and Jolie Foreman is running around the United Methodist’s Fellowship Hall in Shelbina, Mo. She’s coordinating a small group of volunteers who are putting the final touches on this year’s “Grit Kits.” 

“We've got the allergy medicine, ibuprofen, these tick keys that are awesome,” Foreman said. “Window cloth, popcorn — got to have your dude wipes, sunglasses, little chapstick, a band-aid pack — got to have baby Jesus. It's my favorite.” 

Rebecca Smith
/
KBIA
Jolie Foreman said the goal of Feed the Farmer is to gift famers a hot meal, but also to provide Shelby County farmers with supplies that would be useful during the busy days of harvest season. "We took... the total health model," Foreman said. "Which is your psychosocial, economic, environmental, physical [well-being]."

Foreman is the co-founder and executive director of Shelby County Cares, a local non-profit that works to combat firearm suicide in the county. According to the Missouri Department of Health & Senior Services, the county has one of the worst rates of firearm suicides in the state – despite having a population of less than 6,000 people. 

Foreman said the organization is for community farmers and by community farmers, as she and her husband come from longtime farming families and have seen the devastating impact of suicide firsthand. 

Shelby County Cares was founded in 2023 with the goal of bringing more mental healthcare to the community, as well as changing the conversation — or often, lack thereof — about mental health and suicide. 

“I really want to be that support before we ever come to that crisis point,” Foreman said. “It takes time. It's planting that little seed, but we have had seven different people come into care and go into therapy services because of just these grit kits as being an entry point.” 

She said they have hired three therapists to work in Shelby County, but they’ve also created events and opportunities that are more unique to their agricultural community, such as meal prep events for farm spouses, open conversations about safe gun storage and Feed the Farmer. 

Rebecca Smith
/
KBIA
Dozens of volunteers — both from the community and from agricultural groups, such as Missouri Farmers Care — gave their time to prepare for the Feed the Farmer event on Saturday, October 24, 2026. "There's a lot of great benefits of living in the small community, but we cannot pretend to think that there's also not barriers and that it's also not hard, and we hate to admit when we're struggling, but it's also a normal part of life, you know?" Jolie Foreman said.

This is the third year of Feed the Farmer, a one-day, large-scale distribution of hot meals to farmers throughout the region. 

Foreman said they delivered 100 meals in the first year. Last year, that grew to 250 meals. And this year, the goal was to prepare and deliver 500 meals to nine distribution sites in the county. 

Each of those meals, she said, will be accompanied by handmade thank you notes from area school children and the grit kits, which includes supplies and literature about mental health resources that can be useful during the stressful harvest season.

“They feed and fuel the world, so the least we could do is provide them with a thank you meal," Foreman said.

Rebecca Smith
/
KBIA
Hundreds of Grit Kits were delivered to distribution sites the day before Feed the Farmer. These kits included supplies, such as a tourniquet, high protein snacks, extra gloves, chapstick and mental health resources.

The stress of harvest

Dr. Michael Rosmann is a fourth-generation farmer and a psychologist based in southwest Iowa. He calls himself a “farmer psychologist.”

He said harvest season, which typically runs from September through November, is one of the most demanding and dangerous times in a farmer’s year. During those few months, row crop farmers often have to pull 12+ hour days, getting little rest and spending most of their time separated from their families and support systems.

“Research shows that the highest rate of self-destructive behaviors is during planting and harvest, and that makes sense,” Rosmann said.

Rebecca Smith
/
KBIA
"Harvest time is to me is more stressful than than the spring planting just because... you're thinking, 'Well, spring is going to turn into summer, so we do have a little extra time.' But in the fall, when we're harvesting, it goes from fall to — with the way the weather is anymore — we might have a foot of snow on the ground next week. So, you could lose a crop just because of that if inopportune things come at the wrong time," Farmer Mark Wilson said.

He stressed that this isn’t necessarily due to suicide, but instead to the combination of factors, including sleep deprivation, isolation, tight deadlines and stress leading farmers to make riskier decisions, which can have fatal consequences.

Rosmann said he knows of farmers who have gotten into car accidents, fallen into manure pits, and even one who rushed to clear the rolls of his combine and was killed when the hydraulic system failed.

“We need to make sure that we don't allow them to avoid proper rest. Getting adequate sleep is critical these days, and I say these days, I mean, these days of harvest,” Rosmann said. “The harder we work, the better we got to sleep … The more we need to talk, the more we need to pray, the more we need to take a little break now and then.”

Jolie Foreman in Shelby County said it’s these exact stressors and this increased risk that led them to pick fall harvest as the time for Feed the Farmer.

She said this stress is something her own family knows well, as she and her husband both work off-farm jobs, have multiple kids to care for — and still have to get all their crops harvested before winter hits.

Farming is a common way of life in Shelby County in Northeast Missouri, but farming doesn’t come without it’s challenges. In the last few years, it was found that the county had one of the highest rates of suicide by firearm in the state.

“Every year we try to be done by Thanksgiving. That's always the goal is to be done by Thanksgiving,” Foreman said. “We've had several breakdowns this year, and then it's rained when we were able to get up and run, and that's still the goal. But there was one year; it was almost Christmas, and it's like, man, that makes for a very long season. And it also, you know, we miss out on that time at home.”

She said the lunches are designed to be a breather for the entire family — a moment to sit down, take a break and enjoy being together.

“I want to envision the spouse, the whole family out there eating in the field together. Give the person that's in the kitchen cooking the day off, the opportunity to just enjoy that meal and not have dishes,” Foreman said.

It’s now nearly 4 p.m. and the hundreds of grit kits have been driven to their distribution sites. The lunch bags sit half ready, full of non-perishables such as chips, beef sticks and cookies.

Foreman said early the next morning, dozens of volunteers will come together to finish the hot meal prep. But, for now, a night of rest.

Feed the Farmer

Rebecca Smith
/
KBIA
"We want to do things to help other people. We are doers. We're fixers. We're helpers. We're caregivers. We're the provider," Jolie Foreman said. "We're not used to people wanting to care and provide for us, and I think that just makes my heart so happy that I have the ability to just say, 'Please, just accept this as a thank you. Thank you for all the hard work.'"

There aren’t enough baked beans.

Jolie Foreman and Amanda Strange, Shelby County Care’s Community Engagement Director, are running around the shared kitchen, throwing canned beans and barbecue sauce into a large saucepan.

They’re just two of the dozens of volunteers who’ve been working since before 8 a.m. to put the last touches on the day’s lunches — making pulled pork sandwiches, dishing baked beans and putting containers of coleslaw into the half-prepared lunch bags.

Rebecca Smith
/
KBIA
Meals were available for the entire farming family. "Last year, I think a lot of people thought it was just for the farmer," Jolie Foreman said. "So, we've really tried to emphasize that this year, like, let this be for you and your family to come together and have a time to eat, and then [we] got the little wipes in there that you could wash hands [with] and get back to work."

The sheriff arrives, along with some of his staff, to transport meals to distribution sites including Clarence, Leonard, Emden, Novelty and Shelbina.

“We care about you. I'm one of you. We know how hard it is,” Foreman said. “You got to take care of yourself. A healthy mind, you know, really is a foundation to a healthy farming operation.”

As noon approaches, the meals head out the door and farmers begin to arrive at distribution sites to pick up their lunches.

In Shelbyville, a town of just more than 500, Creighton Gaines drives up to collect three meals — for himself, his dad and his son. The three had already cleared 35 acres of corn that day, but with more than 1,000 acres of crop to harvest, they’re hoping to jump to the next field directly after lunch.

“We're just getting started. We're just having fun,” Creighton said. “We're not wore down yet, you know, slow and steady wins the race. You get in a hurry, you start tearing stuff up, and accidents happen.”

Rebecca Smith
/
KBIA
"[Shelby County Cares] just kind of took me under their wing and and got me steered in the right direction. We went for an evaluation... and started counseling and therapy and got on some medicine and changed my life, and I'm just so thankful," Farmer Creighton Gaines said. "It was a real eye opener, and and I know that lots of other people struggle with different things, and if they can just say something, they'll feel a whole lot better. That's just literally all it takes."

Creighton runs Gaines Farms alongside his father, Dennis. He said there are a lot of stressors that come with farming, such as worrying about harvest yields, the weather, crop prices — and last year, during harvest, it all started to get the best of him.

“A lot of people, I think, thought I was sitting there with a gun to my head, but that wasn't the case. But that's where I was headed, and I knew it. And that's not somewhere I wanted to go,” Gaines said. “And I was running out of ways on my own to stop that ... so that's what propelled me to get help.”

He posted on Facebook, and some of the first people to reach out were from Shelby County Cares, who quickly got him connected to care and into therapy. He says having someone show him that he mattered to the community made a huge difference.

“If I hadn't reached out for help, I don't know where I would be today. Might not even be here,” Creighton said. “But there's people that need me, people that depend on me, and you just put your head down, plug away, and not be afraid to talk to someone if you're having hard times and feeling down.”

Rebecca Smith
/
KBIA
Farmer Mark Wilson said it's nice to know there are resources available in Shelby County that farmers can be directed to. "You always try to keep your ear to the pavement, I guess you could say, to listen, to see if there's people out there that need help or just need somebody to talk to," Wilson said.

Since then, he said he’s become comfortable asking for help, and he’s sure to check in on his neighbors and friends when they are facing challenges.

He said that he appreciates the work that Shelby County Cares has done — making it less taboo to discuss farm stress and the way it impacts mental and behavioral health.

“It’s a great service, and mental health is definitely something that's not talked about enough. You know, is that a crutch? No. Is it something that's real? Yeah, and it's worth talking about because it just makes you feel better,” Creighton said. “It just makes a big difference. It just gives you some more spark in life and more reasons to just keep going.”

Just down the road from the Gaines’ fields, Mark Wilson sits high in a combine, looking out at acres of soybeans. He said if they get to 50 acres in a day, they’re “doing dang good,” but with 1,250 acres to harvest — he’s already a little stressed.

He said their operation runs lean — his 81-year-old dad watches to ensure everyone is safe, but can’t operate the heavy machinery anymore. One of his sons is a junior in high school and helps when he can around his school and sports schedules. And they occasionally hire part-time help.

Rebecca Smith
/
KBIA
Farmer Creighton Gaines said he's not sure where he'd be today if Shelby County Cares hadn't stepped in to give him assistance. "I’m just thankful for Shelby County Cares and their commitment to us out here and to the rural America… and I hope it, you know, it spreads."

Wilson said this leads to some very long days alone in the combine.

“We're by ourselves basically, you know, 10 or 12 hours a day,” Wilson said. “And whether things are going great or whether things are going bad, you’re always thinking and second guessing and wondering if what you're doing is the right thing or not. [It] can kind of weigh on a person, and Shelby County Cares came about to help out with those things.”

He said the pulled pork sandwich and baked beans from Feed the Farmer were “doggone good." But more than anything, he said it’s nice to know that he’s appreciated and that help is there if he, or any of his fellow Shelby County farmers, needs it.

There are already plans for Feed the Farmer to return — and grow — during next year’s harvest. Staff said they hope to potentially provide 1,000 meals to even more farmers throughout northeast Missouri.

You can access a full version of the radio script — here.

Rebecca Smith
/
KBIA
Dr. Michael Rosmann is a farmer and psychologist in southwest Iowa. "Financial stress is the highest predictor of suicidal ideation," Rosmann said. "The approaches that work best are to seek assistance from people that they can trust. Sometimes that isn't necessarily a counselor to begin with, but it might be their family physician who can help make a referral, or it might be a neighboring farmer or a parent — a wise person who lives in their community."

Rebecca Smith is an award-winning reporter and producer for the KBIA Health & Wealth Desk. Born and raised outside of Rolla, Missouri, she has a passion for diving into often overlooked issues that affect the rural populations of her state – especially stories that broaden people’s perception of “rural” life.
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