Community Ment al Health Definition, Programs, Trends and Challenges Quad Cities July 3, 2008 Presented by David L. Deopere, Ph.D. President, Robert Young Center
Identify Catchment Area of not less than 75,000 or more than 225,000 persons
Inpatient Hospitalization Partial Hospitalization Emergency Services Consultation & Education Outpatient Services
Special Services for Children Special Services for Elderly Screening for Courts & Other Services Transitional Services Aftercare Services Special Services for Alcoholism Special Services for Drug Abuse
Psychosocial Rehabilitation Model Case Management Residential Services Mobile Treatment Teams & Supportive Outreach Vocational Services Social Club Day Treatment Medication Clinics Aftercare
Consumer Drop-In Center Case Management Psychosocial Rehabilitation Skills Training Medication Management Residential Programming Representative Payee Supportive Employment Permanent Supported Housing
Cardiovascular disease affects 20 % of the population. Mental Illness affects 24 % of the population
P r e v alence o f Ment al D i s o r der s i n C h r o nic P hy s i cal I l l n e s s Prevalence General Population 24.0 % Neurological Disorders 37.5% Heart Disease 34.6% Chronic Lung Disease 30.9% Cancer 30.3%
Researchers are not only discovering that the mind is like the rest of the body, but the wellbeing of one is associated with the well-being of the other
Depression has been shown to make physical diseases even worse
Impact of Mental Disorders: Utilization of Depression Depressed Patients: Utilize 3 Times The Amount Of Healthcare Services Incur Twice The Medical Costs
Percent of Medicare Beneficiaries with Chronic Conditions Visiting the ED, Beneficiaries With and Without Depression, 1999 72% No Depression 65% Depression 76% 59% 62% 46% 36% 34% Coronary Artery Disease Diabetes Congestive Heart Failure Hypertension Source: Himelhoch, S., et al. (2004). Chronic Mental Illness, Depression, and Use of Acute Medical Services Among Medicare Beneficiaries. Medical Care, 42(6), 512-521.
As many as 75 percent of people with schizophrenia have serious physical illnesses, such as diabetes, respiratory and heart problems, and high blood pressure. Also, people with depression are twice as likely to have diabetes and are at a greater risk than non-depressed patients for developing heart disease.
Negative Impact On Daily Living Stroke Cancer Mental Illness The Most Limiting Disease on Capacity to Work Mental Illness
7,000,000 Persons Treated for Depression 6,000,000 5,000,000 4,000,000 6,300,000 3,000,000 2,000,000 1,000,000 0 1,700,000 1987 1997 Journal of American Medical Association January 9, 2002
Depression Schizophrenia Obsessive Compulsive Disorder Bipolar Disorder Substance Abuse Alzheimer s Angioplasty Heart Disease Cancer Diabetes Asthma Flu Common Cold
Treating Behavioral Health Problems Can Produce Better Medical Outcomes & Reduce Overall Health Costs
Medical Cost Offset Effective treatment of mental disorders can produce a 20% reduction in the overall costs of health care. Without treatment, alcoholics spend twice as much on health care as people without abuse problems. SAMSHA, 1997
10 9 Number of Visits Over 6 Months to Primary Care Physician 8 7 6 5 4 9.2 6.9 3 2 1 0 In the 6 Months Before the Treatment of Depression In the 6 Months After the Treatment of Depression Health Insurance Plan of New York; Business & Health Executive Briefing, 1999
$450 $400 $350 $300 $360 $355 $395 $290 $293 $250 $200 $215 $250 $150 $100 $150 $153 $154 $151 $170 $147 $149 $50 $0 6 Months 12 Months 18 Months 24 Months 30 Months 36 Months 42 Months Treated Untreated Substance Abuse and Mental Health Administration (SAMSHA), 1994
It is one of the most prevalent physical diseases It is a major brain disease yet people mock and joke about it. Has the most negative impact on a person s ability to work and is a major detriment to living a natural lifestyle Capable of producing at least equal treatment outcomes as other disease groups. One of the least expensive diseases to treat. Receives less 3 rd Party reimbursement and fewer authorized inpatient and outpatient days than other diseases. Treatment produces an offset that reduces other health care expenses.
Behavioral Health Trends
Behavioral Health Trends Consumers are more knowledgeable and invested in their treatment and recovery Directing patient care will shift to patients directing their care. Integration of medical and behavioral services. Continued Movement to a Recovery Philosophy: Hope, Empowerment, Self-Responsibility and Re-establishing a Meaningful Role in their Lives and the Community. Policymakers will demand greater accountability for hundreds of millions of dollars that now support a fragmented, inadequate and failed public mental health care system. Development of seamless systems of care that include integrated and coordinated delivery.
Behavioral Health Trends Telecommunications The Incidence Of Co-Occurring (Mental Illness And Substance Abuse) Disorders Is Increasing Requiring A Very High Degree Of Integration Between Inpatient And Outpatient Services. Research On The Brain And Behavior In Mental Illness And Mental Health Is Moving At A Rapid Pace. Better Targeted Treatment And A New Generation Of Antipsychotic Drugs Offer Major Hope For Better Outcomes For People With Severe And Persistent Mental Illness
What are the Access Barriers to Mental Health Treatment?
National Shortage of Psychiatrists
Percent of Mental Health and Substance Abuse Expenditures by Payer, 2001 Out-of-pocket, 12% State & Local, 26% Private Insurance, 20% Other Private, 3% Medicaid, 26% Medicare, 7% Other Federal, 6% Source: Mark, T.L., et al. (2005). National Estimates of Expenditures for Mental Health Services and Substance Abuse Treatment, 1991-2001. Rockville, MD: Substance Abuse and Mental Health Services Administration.
Availability of Community-Based Mental Health Services Availability of Inpatient Mental Health Services
Availability of Community-Based Mental Health Services Availability of Inpatient Mental Health Services
First Comprehensive Community Mental Health Center in the State of Illinois. First Health System-Based Community Mental Health Center in Illinois Positioned as One of the Largest, Most Comprehensive and Integrated Behavioral Health Systems In The Midwest 24/7 Access Center, Inpatient Units: Child, Adult & Medical Psychiatric ; Community Support Program, Riverside CD: Inpatient and Outpatient; Trinity Enrichment Center; Ricaurte & Associates and Not-for-Profit PPO (Precedence)
Founded in 1949, VFCMHC is Scott County s primary resource for mental health services. Specializes in psychiatric & behavioral health programs for people of all ages Serves nearly 10,000 adults & children annually through more than 15 programs at 28 different locations Collaborates with Scott County to provide comprehensive mental health care for those with financial needs.
Mental Health Rehabilitation Services Provided To Those With: Mental Illnesses; Personality Disorders; Behavior Disorders Ages Fifteen Years And Older Services Include: Vocational Rehabilitation And Job Placement. Therapy And Counseling Residential Training Outreach Community Consultation Advocacy, Support And Education Services Provided In: Schools; Homes; Workplaces; Area Agencies; Transitions Sites
Family Resources Marriage and Family Counseling Services Psychology Associates Psychology Health Rock Island Council on Addictions Center for Alcohol and Drug Services Youth Services Bureau Southpark Psychology
Thank You