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Mental Health In Delaware

Mental Health In Delaware. February 6, 2003. In any given year…. 209,000,000 (age 18+). 46,200,000*. * Over 65 million if substance abuse included. 1/5 of the nation experiences a mental Illness. Source: National Institute of Mental Health. Some Facts (Age 18+).

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Mental Health In Delaware

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  1. Mental Health In Delaware February 6, 2003 Mental Health Association in Delaware

  2. In any given year…... 209,000,000 (age 18+) 46,200,000* * Over 65 million if substance abuse included 1/5 of the nation experiences a mental Illness Source: National Institute of Mental Health Mental Health Association in Delaware

  3. Some Facts (Age 18+) • Four of the 10 leading causes of disability in the U.S. • major depression • bipolar disorder • schizophrenia • obsessive-compulsive disorder • Major depressive disorder is the leading cause of disability in the U.S. • The direct cost(treatment cost) of mental illness - nearly $69 billion in 1996. • Including Substance Abuse $82 billion. • Indirect costs(lost productivity) - $78.6 billion (1996- the most recent year for which estimates are available.) Sources: The Global Burden of Disease, Harvard School of Public Health, 1996 Mental Health: A report of the Surgeon General, 1999 Mental Health Association in Delaware

  4. Some Facts (Age 18+) • National Institute of Mental Health prevalence data indicates that mental illness affects: • Over 50,000 Delawareans each year - Depression and Bipolar Disorder • Over 65,000 Delawareans each year - Anxiety Disorders • Over 7,000 Delawareans each year - Schizophrenia. • Only 1/4 to 1/3 seek treatment • 22% of Delawarean’s age18 and above are affected • New Castle County 79,000 • Kent County 19,600 • Sussex County 23,000 • 4,800 individuals received treatment for mental illness and 6,500 for Substance Abuse in 2002 through the Division of Substance Abuse and Mental Health Sources: National Institute of Mental Health Delaware Vital Statistics Annual Report, 1999 DHSS, Division of Substance Abuse and Mental Health Mental Health Association in Delaware

  5. “The Lieberman Model” Prevalence in the Primary Care Setting Primary Care Patients 100 Pathology No Pathology 50 50 Self Limiting Mental Health Serious Illness 15 35 • 15 • 10 Prevention • 5 Physicals 35 PCP 10 Specialist 5 Mental Health Association in Delaware

  6. Some Facts • Delaware Community Needs Assessment - U of D • Kent County - Health Access and mental health treatment - #1 community issue • Sussex County - medical care and mental health care - #1 community issue • 40% of respondents - Suburban New Castle County - neighborhood problem • 48.5% of respondents - City of Wilmington - neighborhood problem • State Division of Public Health • Behavioral Risk Factor Survey - 9.2% of respondents - emotional problems significant enough to disrupt daily lives Sources: 1999 Community Needs Assessment, University of Delaware DHHS, Division of Public Health Mental Health Association in Delaware

  7. Some Facts • National Vital Statistics Report (2000) - Delaware Health Statistics Center (1994-1998) • National • Suicide 11th leading cause of Death in U.S. • 3rd leading cause in age group 15-24 • Delaware • 2nd leading cause of death in age group 15-24 • 5th leading cause of death in age group 25 - 44 Sources:National Center for Health Statistics, National Vital Statistics Reports,2000 DHHS, Delaware Health Statistics Center, Delaware Vital Statistics Annual Report, 1999 Mental Health Association in Delaware

  8. In any given year…... 72,000,000 (age 0 -17) 14,400,000 1/5 of the children and adolescents in the U.S. with a mental or addictive disorder Source: National Institute of Mental Health Mental Health Association in Delaware

  9. Some Facts (Ages 0-18) • National Institute of Mental Health prevalence data indicates that 21% of age group 9-17 experiences at least mild functional impairment. • 21% of Delawareans age 9-17: • New Castle County 22,451 • Kent County 6,188 • Sussex County 6,205 • 4,000-6,000 teens age 15-19 may have clinical depression. • 2,200 - Total number of children treated by DSCYF in FY02 Sources: National Institute of Mental Health KIDS COUNT in Delaware, University of Delaware, 2002 DSCYF, Division of Child Mental Health, FY 02 Mental Health Association in Delaware

  10. Some Facts (Ages 0-18) • Two thirds of teens with depression do not get help. • Depression is correlated with teen pregnancy, school dropouts, violence, suicide, poor school performance, alcohol and drug use and abuse. • Girls almost twice as likely to have thought about or attempt suicide. Sources: National Institute of Mental Health Substance Abuse and Mental Health Services Administration Mental Health Association in Delaware

  11. Some Facts (Ages 0-18) • Youth Risk Behavior Surveillance Survey - 2001 Delaware Results - Centers for Disease Control • Sample = 2.915 students from 97 schools • 27% reported feeling sad or hopeless • 16.3% contemplated suicide • 12.1% had a suicide plan • 7.1% attempted suicide • 2.4% received medical attention for attempt • Mental health visits account for 1/4 of all visits to Delaware’s high school wellness centers Sources: Centers for Disease Control DHSS, Division of Public Health Mental Health Association in Delaware

  12. How can the Health Care Commission Help? 1. Quantify the extent of the mental health access problem by collecting information on: • Who is accepting new patients? • How long is the wait for an appointment? • What specialties exist and where are they located? • What is the impact of Behavioral Health Organization “slow pay or no pay” on access? 2. Support regulatory or legislative solutions to “slow pay - no pay” problem. Mental Health Association in Delaware

  13. How can the Health Care Commission Help? Quantify the extent of the mental health access problem…. Continuum of care • Private Public • Outpatient Day Treatment Inpatient • New Castle Co. Kent Sussex • Children Adult • Private insurance Medicare Medicaid Mental Health Association in Delaware

  14. How can the Health Care Commission Help? 3. Once access issues are quantified, investigate federal funding for federally funded health centers that would address mental health professionals shortage 4. Increase public awareness of key issues 5. Support the Division of Child Mental Health's Jefferson Fellowship program for psychiatrists and the internship program for psychologists. Both programs are recommended to be cut in FY ‘04 6. Recruit Psychiatrists to Delaware through the DIMER program Mental Health Association in Delaware

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