Transcript Getting to Know You

NAMI Annual Convention
June 19, 2005
“Promoting Mental Health & Recovery
from Mental Illness”
Eduardo J. Sanchez, M.D., MPH
Commissioner, Texas Department of State Health Services
Welcome Ya’ll
The President’s
New Freedom
Commission
on Mental Health
Thank You,
NAMI
Welcome to Austin
Your work
makes a big
difference
Texas NAMI helped
create a new approach
to treating mental
illness in Texas
Joe Lovelace
Treatment Success Rates
80
70
60
50
40
30
20
10
80%
75%
60%
45-50%
0
Depression Panic Disorder Schizophrina Heart Disease
Disease Burden by Illness
Categories in Market Economies
All cardiovascular conditions
18.6
All mental illness
15.4
All malignant diseases (cancer)
All respiratory conditions
All alcohol use
All infectious and parasitic diseases
All drug use
15.0
4.8
4.7
2.8
1.5
Global Burden of Disease study,1 conducted by World Health Organization
WHO Rankings:
Years of life lost to premature death
and years lived with a disability
1. Unipolar major depression
2. Iron deficiency anemia
3. Falls
4. Alcohol use
5. Chronic obstructive pulmonary disease
6. Bipolar disorder
7. Congenital anomalies
8. Osteoarthritis
9. Schizophrenia
10. Obsessive compulsive disorders
*Disability-adjusted life year (DALY)
10.7%
4.7
4.6
3.3
3.1
3.0
2.9
2.8
2.6
2.2
Mental Illnesses are Illnesses
Why Treat Them Differently?
• Mental illness is the 2nd largest cause of disability,
ahead of cancer (in established market economies)
• By 2020, clinical depression is expected to rank as
the 2nd leading cause of disability worldwide.
• Mental illnesses are regarded as diseases of the
brain by medical science, yet 45% of those
surveyed consider mental illness a matter of moral
failure.
Stigma has been connected to
many physical ailments
“. . . the criminal justice system is the
largest provider of mental health and
substance abuse services for Texas
children and adults.”
— Eduardo Sanchez
Mental Illness Strikes More Americans
Each Year Than Other Serious Illnesses
30
% Adults
25
20
15
10
5
0
Mental
Illness
Serious
Mental
Illness
CVD
Diabetes
Cancer
Asthma
CDC BRFSS, SEER Cancer Statistics Review, 1975-2002, “Prevalence, Severity, and Comorbidity
of 12-Month DSM-IV Disorders” Arch Gen Psychiatry. Vol. 62, June 2005
People With Multiple Healthcare
Needs May Choose 1 of 4
Doorways into Care
Substance Abuse
Mental Illness
Physical Illness
Jail
“The work ahead requires that we
effectively integrate primary health care
with behavioral health care.”
— Eduardo Sanchez
Prevention & Early Intervention:
Adolescent Health Screening
• Half of all mental illness begins by age 14
• ¾ of adults have their symptoms of mental
illness by age 24
• Our goal is to ensure adolescent behavioral
health screening in every primary care
setting in Texas
STIGMA
STIGMA
Together, we can overcome it
Health Department
Mental Health Agency
Substance Abuse Agency
Sound Mind, Sound Body
An integrated approach to health
Is 30 minutes of physical exercise
Each day
An effective treatment for
Depression?
Sound Mind, Sound Body
A practice and a destination
“In the whole history of
medicine, it’s never been
possible to overcome an
epidemic simply by treatment.
You need to have prevention.”
“At risk teens who received 15
sessions of talk therapy had
1/3 the rate of depression of a
similar group of kids who
received no therapy”
Texans Working Together to Fight
Stigma in the Workplace
NAMI, DSHS, VA Partner to Help
US Troops Returning from Iraq
American’s New Freedom:
From the stigma of mental illness