This story provided by Eye on Ohio, the nonprofit, nonpartisan Ohio Center for Journalism together with the Cleveland Observer. Please join Eye on Ohio's free mailing list as this helps provide more public service reporting to the community. Unprecedented demand and a sparse employee pipeline are adding stress to Ohio’s already strained behavioral health system. From 2013 to 2019, demand for behavioral health services rose 353% statewide, according to data from the Ohio Department of Mental Health and Addiction Services. Demand spiked again in 2021, with providers reporting a 70% hike in need for adult and youth mental health services and a 60% increase in need for addiction services.