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Focus Area 18: Mental Health and Mental Disorders Progress Review

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Title: Focus Area 18: Mental Health and Mental Disorders Progress Review


1
Focus Area 18 Mental Health and Mental
Disorders Progress Review
      
  • December 17, 2003

2
Mental Health Impact
  • Mental illness ranks first among illnesses that
    cause disability in the US, Canada, and Western
    Europe.
  • In 1997, out of 1 trillion spent on health care,
    71 billion was spent on direct costs of treating
    mental illness.
  • Depression is a leading cause of absenteeism and
    lost productivity in the workplace

3
Healthy People 2010 Mental Health and Mental
Disorders Objectives
  • Treatment Expansion
  • 18-6 Primary care screening and assessment
  • 18-7 Treatment for children with mental health
    problems
  • 18-8 Juvenile justice facility screening
  • 18-9 Treatment for adults with mental
    disorders
  • 18-10 Treatment for co-occurring disorders
  • 18-11 Adult jail diversion programs
  • Mental Health Status
  • 18-1 Suicide
  • 18-2 Adolescent suicide attempts
  • 18-3 Serious Mental Illness among homeless
    adults
  • 18-4 Employment of persons with SMI
  • 18-5 Eating disorder relapses
  • State Activities
  • 18-12 State tracking of consumer satisfaction
  • 18-13 State plans addressing cultural
    competence
  • 18-14 State plans addressing elderly persons

Developmental objectives those in red have new
baselines those in grey have no baselines.
4
Suicide, by Gender
Age adjusted rate per 100,000
Males
Total
2010 Target
Females
1979
1981
1991
1987
1989
1993
1995
1983
1985
1997
1999
2001
Note Data are age adjusted to the 2000 standard
population. Source National Vital Statistics
System - Mortality, NCHS, CDC.
Obj. 18.1
5
Leading Means of Suicide Among Males, 2001
Obj. 18.1
Source National Vital Statistics System -
Mortality, NCHS, CDC.
6
Leading Means of Suicide Among Females, 2001
Obj. 18.1
Source National Vital Statistics System -
Mortality, NCHS, CDC.
7
Suicide, by Race and Ethnicity
Age adjusted rate per 100,000
White
Total
American Indian
Hispanic
Asian
Black
2010 Target
1993
1990
1998
1991
1995
1997
1999
2001
1992
1994
1996
2000
NOTE American Indian includes Alaska Native
Asian includes Pacific Islander Black and White
exclude persons of Hispanic origin. Persons of
Hispanic origin may be any race. Data are age
adjusted to the 2000 standard population.
Obj. 18.1
Source National Vital Statistics System -
Mortality, NCHS, CDC.
8
Index of Disparity
  • The average percent difference from the best
    group rate
  • (?n-1 i 1PDi)/ (n-1)
  • n total number of groups
  • PDi percent difference for each group rate of
    interest

9
Suicide, by Race and Ethnicity
Age adjusted rate per 100,000 (log scale)
Index of Disparity
White
Total
American Indian
Hispanic
Asian
Black
1990
1998
1991
1993
1995
1997
1999
2001
1992
1994
1996
2000
NOTE American Indian includes Alaska Native
Asian includes Pacific Islander Black and White
exclude persons of Hispanic origin. Persons of
Hispanic origin may be any race. Data are age
adjusted to the 2000 standard population. Index
of Disparity average percent difference from
the best group rate. Source National Vital
Statistics System - Mortality, NCHS, CDC.
Obj. 18.1
10
Suicide, by State, 2001
D.C.
Age-adjusted rate per 100,000
N
(17) (17) (17)
13.0 19.8 11.0 12.9 6.6 10.9
NOTE Data are age adjusted to the 2000 standard
population.
Obj. 18.1
SOURCE National Vital Statistics System -
Mortality, NCHS, CDC.
11
Suicide Among ages 15-17, 2001
Death rate per 100,000
2010 Target
Females
Males
Total
American Indian
White
Black
Hispanic
Asian
NOTE American Indian includes Alaska Native
Asian includes Pacific Islander Black and White
exclude persons of Hispanic origin. Persons of
Hispanic origin may be any race. Data are age
adjusted to the 2000 standard population. Source
National Vital Statistics System - Mortality,
NCHS, CDC.
Obj. 18.1
12
Suicide Attempts by Students in Grades 9-12, by
Gender
Percent
Females
Total
Males
2010 Target
1991
1997
1999
1993
1995
2001
Obj. 18.2
SOURCE Youth Risk Behavior Surveillance System
(YRBSS), NCCDPHP, CDC.
13
Suicide Attempts by Students in Grades 9-12, by
Gender and Race/Ethnicity
Percent
Hispanic Females
Black Females
Black Males
Hispanic Males
White Females
White Males
2010 Target
1991
1997
1999
1993
1995
2001
Note Black and White exclude Hispanic. Hispanic
may be any race. SOURCE Youth Risk Behavior
Surveillance System (YRBSS), NCCDPHP, CDC.
Obj. 18.2
14
Major Depressive Episode, ages 17-39, 1988-1994
Lifetime prevalence (percent)
12
10
8
6
4
2
0
Total
White
Men
Women
Mexican American
Black
Source National Health and Nutrition
Examination Survey III (1988-1994), NCHS, CDC.
15
Mental Health Screenings in Juvenile Justice
Facilities
Percent of juvenile justice facilities
1998
Note Objective is developmental. A 2010 target
has not been set. Source Inventory of Mental
Health Services in Juvenile Justice Facilities,
SAMHSA, CMHS.
Obj. 18.8
16
State Tracking of Consumer Satisfaction with
Mental Health Services, 2003
Number of States
2010 Target
1999
2003
D.C.
N
Tracks satisfaction Does not track
satisfaction
(40) (11)
Data are preliminary. SOURCE Uniform
Reporting System, SAMHSA, CMHS.
Obj. 18.12
17
State Plans Addressing Mental Health Services for
Older Persons, 2003
Number of States
2010 Target
1997
1999
2001
2003
N
D.C.
Has plan addressing needs of older persons
Does not have plan addressing needs of older
persons No Response
(22) (24) (5)
SOURCE State Mental Health Agency Profiling
System, National Association of State Mental
Health Program Directors, National Research
Institute SAMHSA, CMHS .
Obj. 18.14
18
Mental Health Impact
  • Mental illness ranks first among illnesses that
    cause disability in the US, Canada, and Western
    Europe.
  • In 1997, out of 1 trillion spent on health care,
    71 billion was spent on direct costs of treating
    mental illness.
  • Depression is a leading cause of absenteeism and
    lost productivity in the workplace

19
Progress review data and slides can be found on
the web at
http//www.cdc.gov/nchs/hphome.htm
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