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Welcome Ya’ll

NAMI Annual Convention June 19, 2005 “Promoting Mental Health & Recovery from Mental Illness” Eduardo J. Sanchez, M.D., MPH Commissioner, Texas Department of State Health Services. Welcome Ya’ll. The President’s New Freedom Commission on Mental Health. Thank You, NAMI. Welcome to Austin.

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Welcome Ya’ll

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  1. NAMI Annual ConventionJune 19, 2005“Promoting Mental Health & Recovery from Mental Illness”Eduardo J. Sanchez, M.D., MPHCommissioner, Texas Department of State Health Services

  2. Welcome Ya’ll

  3. The President’s New Freedom Commission on Mental Health

  4. Thank You, NAMI Welcome to Austin Your work makes a big difference

  5. Texas NAMI helped create a new approach to treating mental illness in Texas Joe Lovelace

  6. Treatment Success Rates 80% 75% 60% 45-50%

  7. Disease Burden by Illness Categories in Market Economies All cardiovascular conditions 18.6 All mental illness 15.4 All malignant diseases (cancer) 15.0 All respiratory conditions 4.8 All alcohol use 4.7 All infectious and parasitic diseases 2.8 All drug use 1.5 Global Burden of Disease study,1 conducted by World Health Organization

  8. WHO Rankings:Years of life lost to premature death and years lived with a disability 1. Unipolar major depression10.7% 2. Iron deficiency anemia 4.7 3. Falls 4.6 4. Alcohol use3.3 5. Chronic obstructive pulmonary disease 3.1 6. Bipolar disorder 3.0 7. Congenital anomalies 2.9 8. Osteoarthritis 2.8 9. Schizophrenia2.6 10. Obsessive compulsive disorders2.2 *Disability-adjusted life year (DALY)

  9. Mental Illnesses are IllnessesWhy Treat Them Differently? • Mental illness is the 2nd largest cause of disability, ahead of cancer (in established market economies) • By 2020, clinical depression is expected to rank as the 2nd leading cause of disability worldwide. • Mental illnesses are regarded as diseases of the brain by medical science, yet 45% of those surveyed consider mental illness a matter of moral failure.

  10. Stigma has been connected to many physical ailments

  11. “. . . the criminal justice system is the largest provider of mental health and substance abuse services for Texas children and adults.” — Eduardo Sanchez

  12. Serious Mental Illness CVD Mental Illness Diabetes Cancer Asthma Mental Illness Strikes More Americans Each Year Than Other Serious Illnesses CDC BRFSS, SEER Cancer Statistics Review, 1975-2002, “Prevalence, Severity, and Comorbidity of 12-Month DSM-IV Disorders”  Arch Gen Psychiatry.  Vol. 62, June 2005

  13. People With Multiple Healthcare Needs May Choose 1 of 4Doorways into Care Substance Abuse Mental Illness Physical Illness Jail

  14. “The work ahead requires that we effectively integrate primary health care with behavioral health care.”— Eduardo Sanchez

  15. Prevention & Early Intervention: Adolescent Health Screening • Half of all mental illness begins by age 14 • ¾ of adults have their symptoms of mental illness by age 24 • Our goal is to ensure adolescent behavioral health screening in every primary care setting in Texas

  16. STIGMA

  17. STIGMA Together, we can overcome it

  18. Health Department Mental Health Agency Substance Abuse Agency

  19. Sound Mind, Sound Body An integrated approach to health

  20. Is 30 minutes of physical exercise Each day An effective treatment for Depression?

  21. Sound Mind, Sound Body A practice and a destination

  22. “In the whole history of medicine, it’s never been possible to overcome an epidemic simply by treatment. You need to have prevention.”

  23. “At risk teens who received 15 sessions of talk therapy had 1/3 the rate of depression of a similar group of kids who received no therapy”

  24. Texans Working Together to FightStigma in the Workplace

  25. NAMI, DSHS, VA Partner to Help US Troops Returning from Iraq

  26. American’s New Freedom: From the stigma of mental illness

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