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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
Mental Health In Delaware

February 6, 2003

Mental Health Association

in Delaware

slide2

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

some facts age 18
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

some facts age 181
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

slide5

“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

some facts
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

some facts1
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

slide8

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

some facts ages 0 18
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

some facts ages 0 181
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

some facts ages 0 182
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

how can the health care commission help
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

how can the health care commission help1
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

how can the health care commission help2
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