South Carolina, Alabama, Alaska, Illinois and Nevada are among the states that have had the deepest cuts.
The director of our clinic in Southern Pines, N.C., in the center of the state, has told me that this year's cuts are likely to force us to close.
Our facility offers mental health and substance-abuse counseling to 75 to 100 clients a week, half of whom are 18 years old or younger. Typically, they are referred to us from child protective services, doctor's offices or the local domestic violence/sexual assault agency.
Where will this leave Trevor?
He lives about 50 minutes away in a town of several hundred people. His worried mother can barely afford to bring him to our office, and she needs a great deal of encouragement and education on her son's condition to continue seeking help.
Although we are scheduled for weekly appointments, they come only when they have enough money for gas. I maximize our time by conducting both individual and family sessions when they come, even though Medicaid pays for only 45 minutes and I must keep other clients waiting.
In my professional opinion, Trevor needs to be admitted to an inpatient facility for evaluation and monitoring.
That's not an option for the poor in our fractured system. Instead, he'll wait weeks to learn whether the intensive in-home therapy I've recommended will be granted.
That service costs the state more than three times the outpatient treatment option, and it is approved only when outpatient therapy has proved insufficient.
In this country, there is a clear pattern of violence being unleashed on innocent groups by young men who have not received the quality care that their school administrators, parents and therapists knew they needed.
The pattern extends beyond the headline tragedies and affects many communities.
As my clinic awaits further information on funding cuts, I worry for Trevor and hope that his mom can afford gas to bring him to his next appointment. I worry for thousands of kids like Trevor, and hundreds of therapists like me, who see firsthand what's at stake.
Gallup polling last month found that more than 80 percent of Americans support increased spending for youth mental health programs.
In practice, our states are moving in the opposite direction. That cannot continue.
The writer, who lives in Raleigh, N.C., is a licensed outpatient therapist. This column first appeared in The Washington Post.