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FundaMENTAL Health,. Bottomline Sense. Why We’re Here The state of the country’s health Impact of mental health conditions We Know What Works Treatment EAP Health promotion Call to Action Employers’ role. The Agenda. Why We’re Here. $7,500. $6,000. $4,500. US $. $3,000. $1,500.

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Presentation Transcript
slide1

FundaMENTAL Health,

Bottomline Sense

slide2
Why We’re Here
    • The state of the country’s health
    • Impact of mental health conditions
  • We Know What Works
    • Treatment
    • EAP
    • Health promotion
  • Call to Action
    • Employers’ role

The Agenda

slide4

$7,500

$6,000

$4,500

US $

$3,000

$1,500

$0

78

79

80

81

82

Years

Global Life Expectancy

Life Expectancy at Birth vs Per Capita Total Health Expenditure at Average Exchange Rate

U.S.

$6,350

Germany

$3,628

Australia

$3,181

Italy

$2,692

Korea

$973

slide5

Global Life Expectancy

Japan is 3rd

Canada is 7th

Jordan is 40th

Bosnia is 43rd

Two decades ago

the United States ranked 11thin global life expectancy.

Today…

The United States is 47th

slide6

Chronic Disease

Chronic diseases account for 7 out of 10 deaths in the U.S.

Chronic diseases account for 75% of the nation’s health care spending.

Mental health and substance use conditions are America’s most chronic illnesses.

Chronic diseases account for 7 out of 10 deaths in the U.S.

Chronic diseases account for 75% of the nation’s health care spending.

slide7

15

20

5

10

Lifetime Prevalence

Prevalence

Bipolar Disorder

Panic Disorder

Generalized Anxiety Disorder

PTSD

ADHD

Major Depression

Percentage

slide8

Half of all people with a mental health diagnosis first experience it by age 14.

Prevalence

Half of all people with a mental health diagnosis first experience it by age 14.

But won’t receive treatment until age 24.

slide9

Ronald C. Kessler, PhD

Professor of Health Care Policy

Harvard Medical School

slide10

0%

4%

8%

12%

16%

20%

24%

Disability Impact

Illness Related Disability (U.S.)

Alcohol/Drug Use

Mental Health Conditions

Cardiovascular Diseases

Cancer

Alcohol/Drug Use

Arthritis

Diabetes

Infectious Diseases

slide11

Suicide

More than 30,000 American lives are lost annually to suicide.

More than 30,000 American lives

are lost annually to suicide.

1 person every 16 minutes.

slide13

In 2002, serious mental health conditions were associated with $193.2 billion in lost earnings.

Cost more than $600 per person in the country.

Counting the Costs

Cost more than the annual revenue for every Fortune 500 company except WalMart.

In 2002, serious mental health conditions were associated with $193.2 billion in lost earnings.

That’s more than $600 per person.

slide14

Direct and Indirect Costs

Annual Costs Per Employee

slide15

Ronald C. Kessler, PhD

Professor of Health Care Policy

Harvard Medical School

slide16

Mental Illness & Other Chronic Diseases

4

3

Average Number of Impaired Days/Month

2

1

Hypertension

Arthritis

Asthma

Ulcers

Chronic Disease

Chronic Disease and Mental Illness

slide17

Henry Harbin, MD

Former CEO

Magellan Health Services

slide20

We can reliably diagnose and effectively treat mental health conditions.

Diagnosis and Treatment

NIMH estimates that 80% of people with depression improve with treatment.

We can reliably diagnose and effectively treat mental health conditions.

slide22

We Know What Works

Mental Health Parity

slide23

Jack Sweeney

Publisher and President

Houston Chronicle

slide24

Quality of Care

  • People with mental health conditions are most likely seen in a primary care setting.
  • Their condition is usually not identified.
  • When identified, the condition is not adequately treated.
slide25

What You Can Do

  • Providers screen patients with chronic illnesses for depression (reimbursed as a lab test).
  • Providers document mental health diagnoses and treatment plans in the medical record.
  • Disability plan administrators refer employees on disability for a mental illness to a behavioral health specialist.

Health care vendors should develop protocols to ensure that providers are meeting these requirements.

Work with your health care vendors to ensure quality of care. For example, in your health care contract, specify that:

slide26

We Know What Works

Increased knowledge and supportive environments dispel myths and reduce discrimination.

Stigma Reduction

slide27

Tom Johnson

Former CEO and President

CNN

slide28

We Know What Works

  • Ensure EAPs provide easily accessible services to people who are developing health problems
  • Increase employee engagement in EAP benefit:
    • Promote EAP services through internal communications channels
    • Integrate the EAP with other programs (e.g., disability, FMLA)

Employee Assistance Programs

slide29

Daniel Conti, PhD

Senior VP and Manager, Employee Assistance and WorkLife Programs

JPMorgan Chase

slide30

We Know What Works

Health promotion programs aim to:

  • Increase awareness of health issues through newsletters, health fairs and workshops
  • Help employees make lifestyle changes that promote good health (e.g., stress management)
  • Leverage corporate policies and practices to promote a supportive environment and healthy culture

Health Promotion Programs

slide31

0%

-10%

-20%

-30%

Health Promotion

A 2005 review of workplace health promotion programs showed:

Workers’ comp/disability management claims costs

Health Costs

Absenteeism

Return on investment $5.81:$1

- 26%

- 27%

- 32%

slide32

Wellness Councils of America (WELCOA)

Benchmarks for a successful program

  • Capture CEO support
  • Create wellness teams
  • Collect data to drive health efforts
  • Craft an operating plan
  • Choose interventions
  • Create a supportive environment
  • Evaluate outcomes
slide33

Philip Burguières

Vice Chairman

Houston Texans

slide34

FundaMENTAL Sense

Health care expenditures continue to rise.

Mental illnesses dramatically impact direct and indirect costs, and increase burden of other chronic illnesses.

  • Mental illnesses cause
  • dramatic direct and indirect burden and expense.
  • an increase in cost and impact when they occur with other chronic illnesses.

Health care expenditures are continuing to increase dramatically and are not sustainable.

Making mental health a priority will decrease health care costs and ensure a healthier, happier and more productive workforce.

slide35

Resources

Mental Health Assoc. of East Tennessee offers:

  • Technical Assistance via the “Mental Health Matters in the Workplace” Program
  • Mental Health Matters in the Workplace Toolkit
  • Employer Consulting
  • Employee Consulting
  • Worksite Educational Programs
  • Free Access to Mental Health Screenings
  • Worksite Wellness, Health & Benefits Fair Participation
slide36

Resources

www.workplacementalhealth.org

Partnership for Workplace Mental Health

Delivers educational materials and provides a forum to explore mental health issues and share innovative solutions

  • Mental HealthWorks, a free quarterly publication
  • Employer Innovations Online, a web-based database of employer case examples
slide37

Taking the Lead

Business leaders are increasingly responding to the importance of a healthy workforce.

slide38

Tom Johnson

Former CEO and President

CNN

slide39

Philip Burguières

Vice Chairman

Houston Texans

slide40

Taking the Lead

The need is real.

The return on investment is real.

The difference you can make in employees’ lives is real.

slide41

Daniel Conti, Sr VP and Manager, Employee Assistance and WorkLife Programs, JPMorgan Chase

Ronald C. Kessler, Professor of Health Care Policy, Harvard Medical School

Jack Sweeney, Publisher and President, Houston Chronicle

Tom Johnson, Former CEO and President, CNN

Alan Langlieb, Director of Workplace Psychiatry, Johns Hopkins Hospital

slide42

Acknowledgments

Thank you for your participation:

Jim Lafferty and Bonita Benson, Mental Health Association in Delaware

Graham Campbell & Paddy Kutz, Mental Health America of Licking County

Jeanne Rohner, Mental Health America of Colorado

Betsy Schwartz, Mental Health America of Greater Houston

Sarah Schwartz, Mental Health America of Georgia

Carol Wozniewski, Mental Health America of Illinois

Philip Burguières, Houston Texans

Dr. Wayne Burton, JPMorgan Chase

Dr. Daniel Conti, JPMorgan Chase

Eschol Curl, State Farm

Dan DeLawder, Park National Bank

Dr. Ron Goetzel, Emory University

Dr. Henry Harbin, former CEO, Magellan Health Services

Tom Johnson, former CEO, Cable News Network (CNN)

Dr. Ronald Kessler, Harvard Medical School

Dr. Alan Langlieb, The Johns Hopkins Hospital

Jack Sweeney, Houston Chronicle

Clare Miller, Partnership for Workplace Mental Health, American Psychiatric Foundation

slide43

This project is made possible through an unrestricted educational grant from Wyeth Pharmaceuticals.

slide44

FundaMENTAL Health,

Bottomline Sense