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Four years after Hurricane Katrina, children in New Orleans are still at risk for mental health problems and yet continue encountering barriers to care, according to a report by the Government Accountability Office. The GAO estimated that 187,000 children were living in the four parishes that make up the metro area, and that a “substantial number of these children may need referrals for mental health services.” Lack of providers and lack of funding continuity were cited as barriers to providing services, along with transportation problems, competing family priorities, and concerns about stigma. Federal grants have helped, but aren't enough, the report said. Sen. Joseph Lieberman (I-Conn.) and Sen. Mary Landrieu (D-La.) requested the study.