Mind Does Matter!
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Mental illness is a major public health problem that affects a significant portion of the population. Approximately 1 in 4 adults in the United States meets the criteria for a mental illness in a given year, while 1 in 17 experience a serious mental illness. Mental illness is associated with substantial disability and reduced quality of life. It also imposes a huge financial burden and is linked to increased rates of suicide, homelessness, and incarceration. Despite its prevalence and impacts, there remains a large unmet need for treatment and services.
Mind Does Matter!
- 1. MIND DOES MATTER Moneesh Mittal, M.D. 05/20/2014 1
- 2. Silly loco Bananas Daft Mental Illness Crazy Insane Retard Mad Nuts Wacko Cuckoo Psycho Weird Stupid Loony Lunatic Bonkers Hysteric Screwy Unbalanced 2
- 3. Negative Emotions: Reasons • Lack of understanding • Weakness of Mind/Character • Gender inequality • Lack of positive role models • Cults/Beliefs • Language of Mental Illness 3
- 4. What is Mental Illness? • Clinically significant behavioral symptoms • Associated with distress • Causes disability in function • Not socially or developmentally normative 4
- 5. How BIG is the problem? • Prevalence • Financial Cost • Effect on Human Life 5
- 6. Annual Prevalence: United States • 26.2% of Americans (1 in 4) 18 years or older meet the criteria for a diagnosable mental illness.1 (= 80 million) • Serious Mental Illness: 6% (1 in 17).1 (= 18 million) • 20% (1 in 5) of aged 13 – 18 years experience a severe mental disorder.2 • 13% (1 in 13)of aged 8 – 15 years experience a severe mental disorder.2 6 1. NIH, NIMH. (N.D.). Statistics: Any Disorder Among Adults. Retrieved March 5, 2013, from http://www.nimh.nih.gov/statistics/1ANYDIS_ADULT.shtml 2. NIH, NIMH. (N.D.). Statistics: Any Disorder Among Children. Retrieved March 5, 2013, from http://www.nimh.nih.gov/statistics/1ANYDIS_CHILD.shtml
- 10. Cost per person 10
- 11. Effect on Human Life • Suicide • Disability • Disability Adjusted Life Years (DALYs) • Years Lived with Disability (YLD) • Substance Abuse • Other Co-Morbid Illnesses • Social Impacts 11
- 12. Completed Suicide • 10th leading cause of death in USA from age 1 - 85+ amounting to 34,592 deaths in 2007. A suicide every 15 minutes! • 4th leading cause of death in USA from age 18 - 65 amounting to 28,628 deaths in 2007. • 3rd leading cause of death in USA for teenagers (12-19) • In 2007 the suicide rate was 11.26 for every 100,000. 12
- 13. • In 2010 highest suicide rate was among people aged 45 – 64 (18.6) • 2nd highest was in age 85 and over (17.6) • Suicide rate: Men - 19.9; Women – 5.2 • Race: Whites (14.1) > American Indians (11.0) > Asians (6.2) > Hispanics (5.9) > Blacks (5.1) • Methods: Firearm most common (50.6%) 2nd most common suffocation (24.8%) • Economic impact of completes suicides: $34 billion annually 13 Completed Suicide – Who is at risk?
- 14. Suicidal Thoughts/Attempts • As per data from NSDUH in 2008, 3.7% of adult 18 years or older had thoughts of suicide with 1% who had made plans and 0.5% who had attempted. 14
- 17. Substance Abuse People with Severe Mental Illness were: • 4 times more likely to be heavy alcohol users (four or more drinks per day) • 3.5 times more likely to use marijuana regularly (21 times per year) • 4.6 times more likely to use other drugs (at least 10 times in their lives). 17
- 18. Other Co-Morbid Illnesses • Adults living with serious mental illness die on average 25 years earlier than other Americans, largely due to treatable medical conditions 18
- 19. Social Impacts - Homelessness • 26 percent of homeless adults staying in shelters live with serious mental illness and an estimated 46 percent live with severe mental illness and/or substance use disorders 19
- 20. Social Impacts - Incarcerations • 70% of youth in Juvenile Justice systems have at least one mental health condition and at least 20 % live with a severe mental illness • 44.8 to 64.2 % of inmates have a diagnosed mental illness 20
- 21. Mood Disorders • Lifetime Prevalence: 20.8 % Adults, 14% Youth (13-18) • Major Depression: 16.5% Adults, 11.2% Youth • Bipolar Disorder: 3.9% Adults, 0-3% Youth • Major Depressive Disorder is the costliest illness in USA 21
- 22. Schizophrenia • 12 month prevalence: 1.1% • Total financial burden of Schizophrenia is more than all cancers combined 22
- 23. Anxiety Disorders • Lifetime prevalence: 28.8% Adults, 25.1% Youth • Most prevalent mental illness 23
- 24. Unmet Need 24
- 25. Causes of Unmet Need • Social Stigma • Lack of awareness • Lack of insight • Comorbid Substance Abuse • Poor psychosocial support • Financial constraints (survival vs psychiatric treatment) • Inadequate Funding • Lack of decisive treatment • Shortage of mental health professionals • Requirement of integrative approach 25
- 26. Conclusion • Mental Illness is a major public health concern with significant effect on quality of human life and financial cost. • There is a huge unmet need which requires intervention at multiple levels 26
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