Transcript MENTAL HEALTH NEEDS ASSESSMENT for the Bristol Population “Mental

MENTAL HEALTH
in Bristol
The economic case
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Mental illness is the largest single burden of disease
in the UK, with direct and indirect costs estimated to
amount to £105 billion a year, 20% of which is
direct health and social care cost
In 2004 22.8% of the total burden of disease in the
UK was attributable to mental illness, compared with
16.2% for cardiovascular disease and 15.9% for
cancer.
The Economic and Social Costs of Mental Health Problems 2009 / 10, Centre for Mental Health (2010)
WHO (2008). The global burden of disease: 2004 update.
The evidence
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Effective ‘treatment’, at its best, will prevent or address
only 28% of the total level of need – so focussing on
prevention and building individual, community and
population resilience is essential
Investing in early intervention services for children and
young people could prevent 25 – 50% of adult mental
illness, with economic returns of intervention programmes
exceeding cost by 1:6
Integration and whole system approach is recommended
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across health and social care
across physical and mental health
across the life course
No Health Without Mental Health, the case for action: Royal College of Psychiatrists 2010
Understanding the Bristol picture
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Bristol Mental Health Needs
Assessment
Annual Suicide Prevention Report
Newly established JSNA Mental
Health Group
Analysis of MH risk by ward
The following factors which influence mental health have been
mapped against each ward in Bristol and scored and ranked in
relation to the level of risk to population mental health.
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Employment
Education and training
Housing
Access to fresh food
Physical Activity
Social networks and support
Access to green space
Crime
Cohesion
Discrimination and harassment
Wards ranked by
MH risk score
(low score = high risk)
Most Deprived
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Ashley, Windmill
Hill & Southville have a
lower risk compared
to level of deprivation
Stockwood may
have a higher risk than
level of deprivation
suggests
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Least Deprived
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Data period:
Lawrence Hill
Filwood
Southmead
Lockleaze
Avonmouth
Hillfields
Kingsweston
Hartcliffe
Whitchurch Park
Easton
St George West
Eastville
Frome Vale
Stockwood
Henbury
Brislington East
Knowle
Bishopsworth
Brislington West
St George East
Cabot
Ashley
Hengrove
Windmill Hill
Bedminster
Horfield
Southville
Clifton
Clifton East
Cotham
Bishopston
Stoke Bishop
Redland
Henleaze
Westbury-on-Trym
IMD rank
Ward Mental Health
Risk
Ward
2
1
4
6
12
15
8
3
5
10
14
21
19
25
9
23
17
11
27
26
18
7
20
13
22
24
16
30
28
29
31
34
32
35
33
MH Risk Score
(sum of ranks, low
score = high risk)
2007
Score
119
191
218
220
252
254
264
278
288
301
312
318
321
322
329
341
354
357
363
372
374
376
395
408
433
434
463
497
520
548
569
570
617
623
629
MH Risk Rank (low
rank = high risk for
poor MH)
rank
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
Known risk factors
A snap shot of patterns of mental health need in
Bristol (2011)
Considering co-morbidity for
Mental Health conditions
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Almost a third of adults with MH problems are likely to
have more than one condition
16-24yr olds, 25 – 34 yr. olds, particularly men &
women aged 45-54 highest risk groups
Percentage of respondents with symptoms of 2 or more
phychiatric conditions, by age and gender, England 2007
14
12
Percentage (%)
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10
8
6
4
2
0
16-24
25-34
35-44
45-54
55-64
Age group
Men
Women
65-74
75+
All
Comorbidity- mental and physical
health
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Depression increases risk of
mortality by 50% and doubles the
risk of CHD
Schizophrenia and bipolar disorder
increases risk of respiratory,
cardiovascular and infectious
diseases, obesity and diabetes
Mental health problems can shorten
lives by 16-25 years
No Health Without Mental Health
in Bristol
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The national strategy provides a
clear framework
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Can only be delivered in partnership
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Is a great opportunity
Thank you