(Portland, OR) -- Extreme weather and poor air quality are impacting mental health. A climate health report by Washington, Multnomah and Clackamas counties found that during the 2020 wildfires and 2021 heat dome people had difficulty reaching mental health services. They interviewed first responders to get the information. The lack of mental health providers in the first place was compounded by smoke from the wildfires affecting travel and hot temperatures from the heat dome causing people to seek cooling centers instead of mental health support. A lack of information in languages other than English was also a problem.