Focus Area 18: Mental Health and Mental Disorders Progress Review

1. Focus Area 18: Mental Health and Mental DisordersProgress Review December 17, 2003

2. Mental Health Impact • Mental illness ranks first among illnesses that cause disability in the US, Canada, and Western Europe. • In 1997, out of $1 trillion spent on health care, $71 billion was spent on direct costs of treating mental illness. • Depression is a leading cause of absenteeism and lost productivity in the workplace

3. Mental Health Status 18-1 Suicide 18-2 Adolescent suicide attempts 18-3 Serious Mental Illness among homeless adults 18-4 Employment of persons with SMI *18-5 Eating disorder relapses State Activities 18-12 State tracking of consumer satisfaction *18-13 State plans addressing cultural competence 18-14 State plans addressing elderly persons Treatment Expansion * 18-6 Primary care screening and assessment * 18-7 Treatment for children with mental health problems *18-8 Juvenile justice facility screening 18-9 Treatment for adults with mental disorders *18-10 Treatment for co-occurring disorders *18-11 Adult jail diversion programs Healthy People 2010 Mental Health and Mental Disorders Objectives *Developmental objectives; those in redhave new baselines; those in grey have no baselines.

4. 0 Suicide, by Gender Age adjusted rate per 100,000 Males Total 2010 Target Females 1981 1979 1991 1989 1995 1987 1993 1985 1997 1983 2001 1999 Note: Data are age adjusted to the 2000 standard population. Source: National Vital Statistics System - Mortality, NCHS, CDC. Obj. 18.1

5. Leading Means of Suicide Among Males, 2001 Obj. 18.1 Source: National Vital Statistics System - Mortality, NCHS, CDC.

6. Leading Means of Suicide Among Females, 2001 Obj. 18.1 Source: National Vital Statistics System - Mortality, NCHS, CDC.

7. 0 Suicide, by Race and Ethnicity Age adjusted rate per 100,000 White Total American Indian Hispanic Asian Black 2010 Target 1990 1993 1998 1991 1996 1997 1994 1995 2000 2001 1992 1999 NOTE: American Indian includes Alaska Native; Asian includes Pacific Islander; Black and White exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. Data are age adjusted to the 2000 standard population. Obj. 18.1 Source: National Vital Statistics System - Mortality, NCHS, CDC.

8. Index of Disparity • The average percent difference from the best group rate • (n-1 i= 1PDi)/ (n-1) • n = total number of groups • PDi = percent difference for each group rate of interest

9. 0 Suicide, by Race and Ethnicity Age adjusted rate per 100,000 (log scale) Index of Disparity White Total American Indian Hispanic Asian Black 1990 1998 1991 1996 1997 1994 1995 2000 2001 1992 1993 1999 NOTE: American Indian includes Alaska Native; Asian includes Pacific Islander; Black and White exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. Data are age adjusted to the 2000 standard population. Index of Disparity = average percent difference from the best group rate. Source: National Vital Statistics System - Mortality, NCHS, CDC. Obj. 18.1

10. Suicide, by State, 2001 D.C. Age-adjusted rate per 100,000 N (17) (17) (17) 13.0 – 19.8 11.0 – 12.9 6.6 – 10.9 NOTE: Data are age adjusted to the 2000 standard population. Obj. 18.1 SOURCE: National Vital Statistics System - Mortality, NCHS, CDC.

11. 0 Suicide Among ages 15-17, 2001 Death rate per 100,000 2010 Target Females Males Total American Indian White Black Hispanic Asian NOTE: American Indian includes Alaska Native; Asian includes Pacific Islander; Black and White exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. Data are age adjusted to the 2000 standard population. Source: National Vital Statistics System - Mortality, NCHS, CDC. Obj. 18.1

12. 0 Suicide Attempts by Students in Grades 9-12, by Gender Percent Females Total Males 2010 Target 1999 1991 1997 1995 2001 1993 Obj. 18.2 SOURCE: Youth Risk Behavior Surveillance System (YRBSS), NCCDPHP, CDC.

13. 0 Suicide Attempts by Students in Grades 9-12, by Gender and Race/Ethnicity Percent Hispanic Females Black Females Black Males Hispanic Males White Females White Males 2010 Target 1999 1991 1997 1995 2001 1993 Note: Black and White exclude Hispanic. Hispanic may be any race. SOURCE: Youth Risk Behavior Surveillance System (YRBSS), NCCDPHP, CDC. Obj. 18.2

14. Major Depressive Episode, ages 17-39, 1988-1994 Lifetime prevalence (percent) 12 10 8 6 4 2 0 Total White Men Mexican American Women Black Source: National Health and Nutrition Examination Survey III (1988-1994), NCHS, CDC.

15. Mental Health Screenings in Juvenile Justice Facilities Percent of juvenile justice facilities 1998 Note: Objective is developmental. A 2010 target has not been set. Source: Inventory of Mental Health Services in Juvenile Justice Facilities, SAMHSA, CMHS. Obj. 18.8

16. State Tracking of Consumer Satisfaction with Mental Health Services, 2003* Number of States 2010 Target 1999 2003 D.C. N Tracks satisfaction Does not track satisfaction (40) (11) * Data are preliminary. SOURCE: Uniform Reporting System, SAMHSA, CMHS. Obj. 18.12

17. State Plans Addressing Mental Health Services for Older Persons, 2003 Number of States 2010 Target 1997 1999 2003 2001 N D.C. Has plan addressing needs of older persons Does not have plan addressing needs of older persons No Response (22) (24) (5) SOURCE: State Mental Health Agency Profiling System, National Association of State Mental Health Program Directors, National Research Institute; SAMHSA, CMHS . Obj. 18.14

18. Mental Health Impact • Mental illness ranks first among illnesses that cause disability in the US, Canada, and Western Europe. • In 1997, out of $1 trillion spent on health care, $71 billion was spent on direct costs of treating mental illness. • Depression is a leading cause of absenteeism and lost productivity in the workplace

19. Progress review data and slides can be found on the web at: http://www.cdc.gov/nchs/hphome.htm