Title: Transforming Mental Health Care in America: The First Steps
1Transforming Mental Health Care in America The
First Steps
- Chris Marshall
- Consumer Affairs Specialist
- Center for Mental Health Services
- HHS/SAMHSA
2Substance Abuse and Mental Health Services
Administration
3Who is SAMHSA?
- SAMHSA consists of three Centers and supporting
Offices that administer and fund grant programs
to support States efforts to address substance
abuse and mental health issues.
- Center for Mental Health Services (CMHS)
- Leads Federal efforts to provide community-based
services for adults with serious mental illnesses
and children with serious emotional disturbances. - Center for Substance Abuse Prevention (CSAP)
- Works to improve the quality of substance abuse
prevention practices in every community,
nationwide, through its discretionary grant
programs. - Center for Substance Abuse Treatment (CSAT)
- Promotes the quality and availability of
community-based substance abuse treatment
services for individuals and families who need
them.
4The Matrix
- SAMHSAs budget, programs, and policies have been
aligned to match a series of core priority issues
and cross-cutting principles. These priorities
are represented on the SAMHSA matrixan evolving
tool that keeps the Agencys work focused on the
most critical issues in behavioral health.
5Mental Health System Transformation
6Bridging the Quality Chasm
Transformation
The behavioral health care that we know to be
effective
Focus on recovery
The behavioral health care that Americans receive
Consumer-driven
Evidence-based practices
Health IT
7Addressing Stigma Discrimination as Central for
Recovery
- In this transformed system, stigma and
discrimination against people with mental
illnesses will not have an impact on securing
health care, productive employment, or safe
housing. - Our society will not tolerate employment
discrimination against people with serious mental
illnesses in either the public or private
sector.
8Recommendations Federal Action Steps
- Recommendation 1.1
- Undertake a national campaign to reduce stigma.
- Americans must understand and send this message
mental disability is not a scandal it is an
illness. And like physical illness, it is
treatable. - President George W. Bush
- April 29, 2002
9- Stigma a cluster of negative attitudes and
beliefs that motivate the general public to fear,
reject, avoid, and discriminate against people
with mental illnesses.
Source Achieving the Promise Transforming
Mental Health Care in America
10Public Attitudes
- Surveys since the 1950s
- Mental illness as stigmatized condition
- No scientific understanding
- Unable to identify persons with MI
- Could not distinguish between MI and worry
- Fear of unpredictable violence
11MacArthur Mental Health Module, General Social
Survey, 1996
- Greater scientific understanding
- Able to distinguish between MI and worry
- Mix of biological and psychological stress
- Social stigma unchanged
- Belief that violence associated with mental
illnesses nearly doubled
12Internalizing Stigma
- Embarrassment, Shame, Isolation
- Nearly two-thirds of all people with diagnosable
mental health problems do not seek treatment
(Regier et al., 1993 Kessler et al., 1996).
13Reducing Stigma
- Public Education Campaigns
- Reward / Protest
- Contact Approach
14History of National Efforts
- Spring to Action 2001
- EBI and ADS Center
- Older Adults Stigma Roundtables
- Presidents New Freedom Commission on Mental
Health / Federal Action Agenda - SAMHSA National Anti-Stigma Campaign
15SAMHSA Programs to Address Stigma
- ADS Center (Resource Center to Address
Discrimination and Stigma) - EBI (Elimination of Barrier Initiative)
- NASC (National Anti-Stigma Campaign)
16- Help States, organizations, individuals design
and implement anti-stigma initiatives - Gather and maintain best information, policies,
research, practices, and programs to counter
stigma and discrimination - Actively disseminate anti-stigma and
discrimination information and practices
17- Technical Assistance
- Training Teleconferences
- Informational Updates
- Web site
- Database
- Collaboration with EBI and NASC
18- Web site stopstigma.samhsa.gov
- Email stopstigma_at_samhsa.hhs.gov
- Telephone 1-800-540-0320
19Elimination of Barriers Initiative (EBI)
- Eight State Demonstration
- Test Public Education Messages
- Reduce stigma and discrimination associated with
mental illnesses using tools such as public
education and contact - Provide Evidence-base for National Campaign
20EBI Pilot States
- Ohio
-
- Pennsylvania
- Texas
- Wisconsin
- California
- Florida
- Massachusetts
- North Carolina
21EBI Results
- More than 273 million audience impressions
- TV 207 million
- Radio 67 million
- Equivalent airtime/advertising value nearly 3
million
22EBI Lessons Learned
- Use a multifaceted approach
- Use a participatory process
- Involve consumers
- Work closely with a smaller subgroup of key
partners - Involve stakeholders early and often throughout
the creative process - Identify your audience(s) and speak to them in
their own language
23Lessons Learned
- 7. Focus on positive, strength-based messages
that demonstrate that recovery is both real and
possible - 8. Localize and personalize educational
strategies - 9. Choose a campaign theme that can be tailored
to specific audiences
24Lessons Learned
- 10. Develop and implement a comprehensive
evaluation - 11. Use existing commemorative events
- 12. Generate and maintain enthusiasm
- 13. Provide basic training and tools on media
outreach - 14. Utilize train-the-trainer opportunities
25Lessons Learned
- 15. Provide forums for peer-to-peer information
sharing - 16. Additional training may be required in the
development and ongoing operation of speakers
bureaus - 17. Recognize that messages directed at media
gatekeepers may vary from those directed at
the general public
26NASC Toolkit
- Section 1 Introduction
- Section 2 Mounting a Statewide
- Anti Stigma Campaign
- Section 3 Outreach Materials
- Section 4 Best Practices
- Section 5 Resources
27The First SAMHSA- Sponsored Voice Awards
- Film, TV, and radio writers and producers who
have created respectful, accurate, and dignified
portrayals of people with mental illnesses - Mental health advocates whose efforts have
expanded public understanding of mental illnesses - Others whose activities promote mental health
awareness
28SAMHSAs National Mental Health Information
Center
- www.mentalhealth.samhsa. gov
- 1-800-789-2647
29- Chris Marshall
- Consumer Affairs Specialist
- SAMHSA
- 1 Choke Cherry Road,
- Room 6-1071
- Rockville, MD 20857
- Phone 240-276-1947
- Email chris.marshall_at_samhsa.hhs.gov