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Healthiest Wisconsin 2020 Baseline and Health Disparities Report Mental Health

Healthiest Wisconsin 2020 Baseline and Health Disparities Report Mental Health. Chapter outline. Chapter Outline. Background Overview of Healthiest Wisconsin 2020 Baseline and Health Disparities Report Healthiest Wisconsin 2020 objectives and indicators Rationale Key points Data

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Healthiest Wisconsin 2020 Baseline and Health Disparities Report Mental Health

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  1. Healthiest Wisconsin 2020 Baseline and Health Disparities ReportMental Health

  2. Chapter outline Chapter Outline Background • Overview of Healthiest Wisconsin 2020 Baseline and Health Disparities Report • Healthiest Wisconsin 2020 objectives and indicators • Rationale • Key points Data • Mental health among adults • Mental health among youth • Access to services References Links to additional reports and resources Contacts

  3. Report overview Report Overview • This chapter is part of a larger report created by the Wisconsin Department of Health Services to track progress on the objectives of Healthiest Wisconsin 2020 (HW2020) and identify health disparities in the state. The full report is available at: http://www.dhs.wisconsin.gov/publications/P0/p00522.pdf • The report is designed to address the Health Focus Areas in HW2020. Where direct measures exist, data are presented; where direct measures are not available, related information may be included. • Information about populations experiencing health disparities is provided in the Health Focus Area chapters and is summarized in separate chapters devoted to specific populations. • Technical notes are available at: http://www.dhs.wisconsin.gov/publications/P0/p00522y.pdf

  4. Report overview Report Format Sample annotated slide Full Report • Format: PDF • Intended use: reference document Chapters • Format: Annotated PowerPoint slide set • Intended uses: presentations to • Decision-makers • Service providers • Community leaders • The public

  5. Report overview Report Outline Executive Summary Section 1: Introduction Section 2: Demographic overview Section 3: Health focus areas Section 4: Infrastructure focus areas Section 5: Data summaries by population Section 6: Technical notes

  6. Report overview Report Outline: Detail Section 3: Health focus areas Section 4: Infrastructure focus areas

  7. Report overview Report Outline: Detail Section 5: Data summaries by population

  8. Report overview Data notes • Please refer to the Technical Notes chapter for a more detailed description of limitations and methods: http://www.dhs.wisconsin.gov/publications/P0/p00522y.pdf • The 95% confidence intervals are denoted by error bars. Where confidence intervals do not overlap, as shown in the example on the right, differences are statistically significant. Larger confidence intervals may indicate less reliable estimates that should be interpreted with caution. • Population estimates that are considered unreliable are excluded. • Misclassification of racial/ethnic groups may affect the accuracy of rates. • Unless otherwise indicated, the Hispanic population may include people of various races; Whites, Blacks, Asians, and American Indians are non-Hispanic.

  9. Report overview Factors that influence health Social determinants of health Source: University of Wisconsin Population Health Institute. County Health Rankings 2013, http://www.countyhealthrankings.org/our-approach

  10. Objective 1 By 2020, reduce smoking and obesity (which lead to chronic disease and premature death) among people with mental health disorders. Objective 1 Indicators Smoking and obesity rates among people with depression or serious psychological distress. HW2020 objectives Healthiest Wisconsin 2020 objectives and indicators Source: Wisconsin Department of Health Services, Healthiest Wisconsin 2020, Mental Health Focus Area Profile.

  11. HW2020 objectives Healthiest Wisconsin 2020 objectives and indicators Objective 2 By 2020, reduce disparities in suicide and mental health disorders for disproportionately affected populations, including those of differing races, ethnicities, sexual identities and orientations, gender identities, educational or economic status. Objective 2 Indicators • Prevalence of mental health disorders in these population groups. • Suicide rates in these populations. • Mental health provider capacity indicating access to mental health services. Source: Wisconsin Department of Health Services, Healthiest Wisconsin 2020, Mental Health Focus Area Profile.

  12. HW2020 objectives Healthiest Wisconsin 2020 objectives and indicators Objective 3 By 2020, reduce the rate of depression, anxiety and emotional problems among children with special health care needs (CSHCN). Objective 3 Indicators • Percent of children who have depression, anxiety or emotional problems. • Percent of children who needed but did not receive mental health services in the previous year. • Percent of CSHCN/non-CSHCN who received mental health treatment/counseling in the past year. Source: Wisconsin Department of Health Services, Healthiest Wisconsin 2020, Mental Health Focus Area Profile.

  13. “Mental health is a state of well-being in which the individual realizes his or her own abilities, can cope with the normal stresses of life, can work productively and fruitfully and is able to make a contribution to his or her community.”6 Mental illness is the leading cause of disability in the United States; one out of five people will experience a mental health problem of some type during a one-year period.7 Mental health disorders are associated with an increased risk of physical illness; more specifically, with increased rates of chronic health problems and risk factors such as smoking, physical inactivity, obesity, and substance abuse and dependence. Rationale Rationale Source: Wisconsin Department of Health Services, Healthiest Wisconsin 2020, Mental Health Focus Area Profile.

  14. Adults From 2000 to 2010, suicide rates in Wisconsin increased by 26% in males and by 21% in females. The greatest increases occurred among people ages 45-64. Youth From 2001 to 2011, the total number of Wisconsin high school students reporting suicidal ideation declined. The most significant decreases in suicidal ideation were among White and Hispanic youth. Children From 2003 to 2012, the percentage of children at high risk of developmental, behavioral and social delays declined both in Wisconsin and nationally. From 2007 to 2012, the percentage of children receiving medications for ADHD, emotions, concentration, or behavior significantly increased both in Wisconsin and nationally. Key points Key points: Trends

  15. Key points Key points: Adults The prevalence of factors related to mental health varies among Wisconsin adult populations. • Frequent mental distress:* Females, Blacks, Hispanics, low-income people, Milwaukee County residents, people who are obese, and smokers, report higher rates of frequent mental distress. • Adverse Childhood Experiences (ACEs): People with low household incomes and those with disabilities had significantly higher rates of experiencing four or more ACEs. • Insufficient sleep and poor emotional support: Milwaukee County residents, people with low household incomes, people with a disability had higher rates of insufficient sleep and lack of emotional support. *Frequent mental distress is defined as 14 or more days of poor mental health in the past 30 days.

  16. Key points Key points: Youth The prevalence of factors related to mental health varies among Wisconsin high school students. • Sexual minority youth, Black youth, and Asian youth had higher rates of depressive symptoms than their peers. • Rates of suicidal ideation and behavior were higher among Black and American Indian youth and among sexual minority youth than other youth. • Mental health protective factors were highest among White and sexual majority youth.

  17. Key points Key points: Children The prevalence of factors related to mental health varies among Wisconsin children. • A higher percentage of Wisconsin children receive medications for ADHD, emotions, concentration, or behavior, compared to children nationwide. • Adverse Childhood Experiences (ACEs): • The deeper the level of poverty, the greater the percentage of children who had experienced two or more ACEs. • Black children experienced two or more ACEs at a higher rate compared to White and Hispanic children. • Children with special health care needs experienced two or more ACEs at a higher rate compared to children with no special health care needs.

  18. Mental health among adults

  19. Mental health among adults Frequent mental distress among Wisconsin adults, by sex, 2009-2011 Source: Wisconsin Department of Health Services, Behavioral Risk Factor Survey (BRFS); 2009-2011 landline-cellphone combined dataset.

  20. Mental health among adults Frequent mental distress among Wisconsin adults, by age, 2009-2011 Source: Wisconsin Department of Health Services, Behavioral Risk Factor Survey (BRFS); 2009-2011 landline-cellphone combined dataset.

  21. Mental health among adults Age-adjusted rate of frequent mental distress among Wisconsin adults, by race/ethnicity, 2009-2011 Source: Wisconsin Department of Health Services, Behavioral Risk Factor Survey (BRFS); 2008-2011 landline-only dataset. Note: Question asked in 2009-2011. Estimates that are unreliable (based on Relative Standard Error or small sample size) are not shown; this means an estimate may not be presented for every population group.

  22. Mental health among adults Age-adjusted rate of frequent mental distress among Wisconsin adults, by household income, 2009-2011 Source: Wisconsin Department of Health Services, Behavioral Risk Factor Survey (BRFS); 2008-2011 landline-only dataset. Note: Question asked in 2009-2011.

  23. Mental health among adults Age-adjusted rate of frequent mental distress among Wisconsin adults, by level of urbanization, 2009-2011 Source: Wisconsin Department of Health Services, Behavioral Risk Factor Survey (BRFS); 2008-2011 landline-only dataset. Note: Question asked in 2009-2011.

  24. Mental health among adults Frequent mental distress among Wisconsin adults ages 18-64, by disability status, 2009-2011 Source: Wisconsin Department of Health Services, Behavioral Risk Factor Survey (BRFS); 2008-2011 landline-only dataset. Note: Question asked in 2009-2011.

  25. Mental health among adults Frequent mental distress among Wisconsin adults, by sexual orientation, 2009-2011 Source: Wisconsin Department of Health Services, Behavioral Risk Factor Survey (BRFS); 2008-2011 landline-only dataset. Note: Question asked in 2009-2011.

  26. Mental health among adults Smoking and obesity among Wisconsin adults with and without frequent mental distress, 2009-2011 Source: Wisconsin Department of Health Services, Behavioral Risk Factor Survey (BRFS); 2009-2011 landline-cellphone combined dataset. Note: Days of poor mental health question asked in 2009-2011.

  27. Mental health among adults Four or more Adverse Childhood Experiences (ACEs) among Wisconsin adults, by sex, 2010 and 2011 Source: Wisconsin Department of Health Services, Behavioral Risk Factor Survey (BRFS); 2009-2011 landline-cellphone combined dataset. Note: Question asked in 2010 and 2011.

  28. Mental health among adults Four or more Adverse Childhood Experiences (ACEs) among Wisconsin adults, by age, 2010 and 2011 Source: Wisconsin Department of Health Services, Behavioral Risk Factor Survey (BRFS); 2009-2011 landline-cellphone combined dataset. Note: Question asked in 2010 and 2011.

  29. Mental health among adults Age-adjusted rate of four or more Adverse Childhood Experiences (ACEs) among Wisconsin adults, by race/ethnicity, 2010 and 2011 Source: Wisconsin Department of Health Services, Behavioral Risk Factor Survey (BRFS); 2008-2011 landline-only dataset Note: Question asked in 2010 and 2011. Estimates that are unreliable (based on Relative Standard Error or small sample size) are not shown; this means an estimate may not be presented for every population group.

  30. Mental health among adults Age-adjusted rate of four or more Adverse Childhood Experiences (ACEs) among Wisconsin adults, by household income, 2010 and 2011 Source: Wisconsin Department of Health Services, Behavioral Risk Factor Survey (BRFS); 2008-2011 landline-only dataset. Note: Question asked in 2010 and 2011.

  31. Mental health among adults Age-adjusted rate of four or more Adverse Childhood Experiences (ACEs) among Wisconsin adults, by level of urbanization, 2010 and 2011 Source: Wisconsin Department of Health Services, Behavioral Risk Factor Survey (BRFS); 2008-2011 landline-only dataset. Note: Question asked in 2010 and 2011.

  32. Mental health among adults Four or more Adverse Childhood Experiences (ACEs) among Wisconsin adults, by disability status, 2010 and 2011 Source: Wisconsin Department of Health Services, Behavioral Risk Factor Survey (BRFS); 2008-2011 land-line only dataset.

  33. Mental health among adults Four or more Adverse Childhood Experiences (ACEs) among Wisconsin adults, by sexual orientation, 2010 and 2011 Source: Wisconsin Department of Health Services, Behavioral Risk Factor Survey (BRFS); 2008-2011 landline-only dataset. Note: Question asked in 2010 and 2011.

  34. Mental health among adults Insufficient sleep and poor emotional support among Wisconsin adults, by sex, 2009-2011 Source: Wisconsin Department of Health Services, Behavioral Risk Factor Survey (BRFS); 2009-2011 landline-cellphone combined dataset. Note: Questions were not asked in 2011.

  35. Mental health among adults Insufficient sleep and poor emotional support among Wisconsin adults, by age, 2009-2010 Source: Wisconsin Department of Health Services, Behavioral Risk Factor Survey (BRFS); 2009-2011 landline-cellphone combined dataset. Note: Questions were not asked in 2011.

  36. Mental health among adults Age-adjusted rate of insufficient sleep and rate of poor emotional support among Wisconsin adults by race/ethnicity, 2008-2010 Source: Wisconsin Department of Health Services, Behavioral Risk Factor Survey (BRFS); 2008-2011 landline-only dataset. Note: Questions were not asked in 2011. Rates of insufficient sleep are age-adjusted; rates of poor emotional support are not age-adjusted. Estimates that are unreliable (based on Relative Standard Error or small sample size) are not shown; this means an estimate may not be presented for every population group.

  37. Mental health among adults Age-adjusted rate of insufficient sleep and rate of poor emotional support among Wisconsin adults, by level of urbanization, 2008-2010 Source: Wisconsin Department of Health Services, Behavioral Risk Factor Survey (BRFS); 2008-2011 landline-only dataset. Note: Questions were not asked in 2011. Rates of insufficient sleep are age-adjusted; rates of poor emotional support are not age-adjusted.

  38. Mental health among adults Age-adjusted rate of insufficient sleep and rate of poor emotional support among Wisconsin adults, by household income, 2008-2010 Source: Wisconsin Department of Health Services, Behavioral Risk Factor Survey (BRFS); 2008-2011 landline-only dataset. Note: Questions were not asked in 2011. Rates of insufficient sleep are age-adjusted; rates of poor emotional support are not age-adjusted.

  39. Mental health among adults Insufficient sleep and poor emotional support among Wisconsin adults ages 18-64, by disability status, 2008-2010 Source: Wisconsin Department of Health Services, Behavioral Risk Factor Survey (BRFS); 2008-2011 landline-only dataset. Note: Questions were not asked in 2011.

  40. Mental health among adults Insufficient sleep and poor emotional support among Wisconsin adults, by sexual orientation, 2008-2010 Source: Wisconsin Department of Health Services, Behavioral Risk Factor Survey (BRFS); 2008-2011 landline-only dataset. Note: Questions were not asked in 2011.

  41. Mental health among adults and youth Suicide deaths, age-adjusted rate per 100,000, by race/ethnicity, Wisconsin, 2008-2010 Source: Wisconsin Interactive Statistics on Health (WISH), Wisconsin resident death certificates..

  42. Mental health among adults and youth Suicide deaths, rate per 100,000, by sex and age, Wisconsin, 2008-2010 Suicide rate Source: Wisconsin Interactive Statistics on Health (WISH), Wisconsin resident death certificates.

  43. Mental health among adults and youth Suicide rates by county, age-adjusted rates per 100,000, Wisconsin, 2008-2010 Injury and violence Statewide rate = 13 per 100,000 20 Source: Wisconsin Interactive Statistics on Health (WISH), Wisconsin resident death certificates.

  44. Mental health among adults and youth Suicide deaths by underlying cause of injury, Wisconsin, 2008-2010 Source: Wisconsin Interactive Statistics on Health (WISH), Wisconsin resident death certificates.

  45. Mental health among youth

  46. Mental health among youth Depression among Wisconsin high school students by race/ethnicity, 2007-2011 Source: Wisconsin Department of Public Instruction, Youth Risk Behavior Survey (YRBS); 2007, 2009, 2011 combined dataset.

  47. Mental health among youth Depression among Wisconsin high school students by sexual minority status, 2007-2011 Source: Wisconsin Department of Public Instruction, Youth Risk Behavior Survey (YRBS); 2007, 2009, 2011 combined dataset.

  48. Mental health among youth Suicide risk during past 12 months among Wisconsin high school students by race/ethnicity, 2007-2011 Source: Wisconsin Department of Public Instruction, Youth Risk Behavior Survey (YRBS); 2007, 2009, 2011 combined dataset. Note: Estimates that are unreliable (based on Relative Standard Error or small sample size) are not shown; this means an estimate may not be presented for every population group.

  49. Mental health among youth Suicide risk during past 12 months among Wisconsin high school students by sexual minority status, 2007-2011 Source: Wisconsin Department of Public Instruction, Youth Risk Behavior Survey (YRBS); 2007, 2009, 2011 combined dataset.

  50. Mental health among youth Protective factors among Wisconsin high school students by race/ethnicity, 2007-2011 Source: Wisconsin Department of Public Instruction, Youth Risk Behavior Survey (YRBS); 2007, 2009, 2011 combined dataset.

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