A' Kathryn Power, M'Ed', Director

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American Psychological Association Minority
Fellowship Program 3rd Annual Psychology Summer
Institute Washington, DC July 25, 2005
Eliminating Mental Health Disparities The
Challenge and the Opportunities
A. Kathryn Power, M.Ed., Director Center for
Mental Health Services
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• You must be the change you want to see in the
  world.

Mahatma Gandhi
Eliminating Mental Health Disparities The
Challenge and the Opportunities
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America is Rich with Diversity

• Racial and ethnic minorities make up more than
  one-quarter of the American population.
• By 2025, minorities will account for more than
  40 of all Americans.
• Less than 10 of mental health providers are
  ethnic minorities.

Eliminating Mental Health Disparities The
Challenge and the Opportunities
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Psychiatric Disability is
on the Rise

• 450 million people worldwide have a mental
  disorder.
• One in five Americans44 million adults and 14
  million childrenlive with mental disorders.
• The total economic cost of mental illness to the
  Nation exceeds 148 billion2.5 of the U.S.
  GNP.
• By 2020, disability from mental illness will
  increase by 50 globallya larger proportionate
  increase than that for cardiovascular disease.

Eliminating Mental Health Disparities The
Challenge and the Opportunities
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Transformation calls for a public health approach
to mental illnesses.
The public health approach is a community
approach to preventing and treating illnesses.
Its premise is that caring for the health of an
individual protects the community, whilein
turncaring for the health of a community
protects the individualwith society at large
reaping the overall rewards. The public health
model is also based on data, experiences, and
best practice approaches.
Eliminating Mental Health Disparities The
Challenge and the Opportunities
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Achieving the Promise
Transforming Mental Health Care in America

• Mental health services must actively facilitate
  recovery.
• A call for system transformation.
• The goal Hope for a full life in the community.
• Services and supports are consumer/child/family
  centered.
• Focus of care must increase illness
  self-management and build resilience.

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Transformation is
life altering the process of continuous
evolutionary change driven by the dynamic needs
of the enterprise imbedded in the unpredictable
and the impossible a way to create something
completely possible from the perceived impossible
from Concepts of Transformation
Eliminating Mental Health Disparities The
Challenge and the Opportunities
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What is Recovery?

• Recovery is a process, sometimes lifelong,
  through which a person achieves independence,
  self-esteem, and a meaningful life in the
  community.
• For some individuals, recovery implies the
  reduction or complete remission of symptoms.
• For others, recovery is the ability to live a
  fulfilling and productive life despite a
  disorder.

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Executive Order Principles
Eliminating Mental Health Disparities The
Challenge and the Opportunities
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Executive Order Principles (continued)
from Executive Order 13263
Eliminating Mental Health Disparities The
Challenge and the Opportunities
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The Federal Action Agenda First Steps

• Provides a model and promotes shared
  responsibility for change at the State and local
  levels
• Features the five principles around which the New
  Freedom Commission on Mental Health framed its
  vision
• Describes the state of success for each
  principle
• Highlights current activities and proposes Year-1
  action steps for each principle

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Federal Partners
Department of Health and Human
Services AoA NIH/NIDA ACF NIH/NIMH
AHRQ HHS/OS CDC - ASPE CMS - OCR
HRSA - OD IHS - OPHS SAMHSA
Other Partners Department of Agriculture Departmen
t of Education Department of Defense Department
of Housing and Urban Development Department of
Justice Department of Labor Department of
Transportation Department of Veterans Affairs
Social Security Administration
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SAMHSA Activities

• SAMHSA Minority Fellowship Program A 3.6
  million investment in training fellowships
  through the American Psychological Association,
  the American Psychiatric Association, the Council
  on Social Work Education, and the American Nurses
  Association
• HBCU National Resource Center (HBCU-NRC)Part of
  SAMHSAs Infrastructure Grants program, which
  provides funds to increase capacity of mental
  health and substance abuse service systems to
  support effective programs and services
• For more information, visit www.samhsa.gov

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A Public Health Priority Evidence-based
Treatment and Minorities
from Mental Health Culture, Race, and Ethnicity
Supplement to Mental Health A Report of the
Surgeon General, 2001
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Mental Health System Transformation
Share with us your vision of the change you would
like to seeand then be that change.
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Challenge and the Opportunities
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