Health Care System Fails Serious Mental Illness (SMI) and Severe Emotional Disturbance (SED)

The health care system has failed to address the needs of persons with serious mental illnesses (SMI) and serious emotional disturbances (SED). 4% percentage of the adult population, age 18 and over, living with SMI. 1 in 4 individuals with SMI live below the poverty line. 25x the suicide rate for individuals with mood disorders such as depression or bipolar disorder is 25 times higher than among the general population. 1 in 10 youths in SAMHSA's CMHI program had attempted suicide prior to receiving services. 2 million approximate number of persons with SMI admitted annually to US jails. Only about 1 in 3 people with mental illness in jails or prisons is currently receiving any treatment. 7% to 12% of youth under age 18 who have SED.

The Way Forward: Federal Action for a System That Works for All People Living With SMI and SED and Their Families and Caregivers

The Interdepartmental Serious Mental Illness Coordinating Committee (ISMICC) has released a report detailing a plan for helping adults with serious mental illness (SMI) and children and youth with serious emotional disturbances (SED). The report includes current needs of individuals with these issues, advances in clinical care, as well as extensive recommendations for improving the way we address these challenges. (Quoting NAMI California email dated January 18, 2018)

Press Conference

Members of the ISMICC discussed the recommendations in their first Report to Congress during a press conference on Thursday, December 14, 2017. The findings and recommendations in the report have the potential to spur federal action to revolutionize behavioral health care by increasing access, quality, and affordability of care. (Quoting SAMHSA.gov/about-us/advisory-councils/ismicc)

Full Report
Executive Summary

Racial/Ethnic Differences in Mental Health Service Use

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NIMH · A New Look at Racial/Ethnic Differences in Mental Health Service Use Among Adults

April 23, 2015 • Science Update

New findings on mental health service use by racial and ethnic groups are now available in a report by the Substance Abuse and Mental Health Services Administration (SAMHSA). “This is a wonderful resource,” said Pamela Collins, MD, NIMH director of the Office for Research on Disparities & Global Mental Health. “These findings will help us identify who is not getting the services they need and where the hurdles lie.”

The report, “Racial/Ethnic Differences in Mental Health Service Use among Adults,” is based on combined National Survey on Drug Use and Health (NSDUH) data from 2008 to 2012. Researchers looked at how often adults in different racial and ethnic groups sought mental health services in the past year. Findings include estimates of overall service use, medication use, outpatient and inpatient service use, as well as reasons for not using services.

The adults most likely to use mental health services in the past year (17.1%) were in the group reporting two or more races. This group was followed by white adults (16.6%), American Indian or Alaska Native adults (15.6%), followed by black (8.6), Hispanic (7.3) and Asian (4.9%) adults.

The racial/ethnic groups most likely to use a prescription for psychiatric medication were white adults (14.4%), adults reporting two or more races (14.1%), and American Indian or Alaska Native adults (13.6%), followed by black (6.5%), Hispanic (5.7%), and Asian (3.1%) adults.

Using outpatient mental health services in the past year was most common for adults reporting two or more races (8.8%), white adults (7.8%), and American Indian or Alaska Native adults (7.7%), followed by black (4.7%), Hispanic (3.8%), and Asian (2.5%) adults.

Using inpatient mental health services in the past year was more common among black adults (1.4%) than white adults (0.7%).

Cost of services / lack of insurance coverage was the most common reason for not using mental health services across all racial/ethnic groups. Believing that mental health services would not help was the least cited reason across all racial/ethnic groups.

A downloadable copy of “Racial/Ethnic Differences in Mental Health Service Use among Adults” is available on the SAMHSA website. The main report is here . The appendices are here .

via NIMH · A New Look at Racial/Ethnic Differences in Mental Health Service Use Among Adults.

US Mental Health Survey

CBHSQ-Data-Review

The National Survey on Drug Use and Health (NSDUH), conducted by the Substance Abuse and Mental Health Services Administration (SAMHSA), collected data from 2008 to 2012. The survey includes an overwhelming amount of information. From what I could tell, the most significant statistical variances were between the sexes and by age groups. I am simply posting the bar charts from the survey showing those results. The survey’s goal is to assess the presence of selected mental disorders. The Survey’s Appendix provides tables of raw data, including family income.

Past Year Mental Disorders among Adults in the United States: Results from the 2008-2012 Mental Health Surveillance Study

Authors: Rhonda S. Karg, Jonaki Bose, Kathryn R. Batts, Valerie L. Forman-Hoffman, Dan Liao, Erica Hirsch, Michael R. Pemberton, Lisa J. Colpe, and Sarra L. Hedden

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Figure 3.1. Past Year Mood Disorders among Adults Aged 18 or Older, by Gender: Percentages and 95 Percent Confidence Intervals, MHSS Clinical Study, 2008-2012
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Figure 3.2. Past Year Anxiety Disorders among Adults Aged 18 or Older, by Gender: Percentages and 95 Percent Confidence Intervals, MHSS Clinical Study, 2008-2012
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Figure 3.3. Past Year Substance Use Disorders among Adults Aged 18 or Older, by Gender: Percentages and 95 Percent Confidence Intervals, MHSS Clinical Study, 2008-2012
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Figure 3.4. Past Year Mood Disorders among Adults Aged 18 or Older, by Age Group: Percentages and 95 Percent Confidence Intervals, MHSS Clinical Study, 2008-2012
NSDUH-DR-N2MentalDis-2014-fig3-5
Figure 3.5. Past Year Anxiety Disorders among Adults Aged 18 or Older, by Age Group: Percentages and 95 Percent Confidence Intervals, MHSS Clinical Study, 2008-2012
NSDUH-DR-N2MentalDis-2014-fig3-6
Figure 3.6. Past Year Substance Use Disorders among Adults Aged 18 or Older, by Age Group: Percentages and 95 Percent Confidence Intervals, MHSS Clinical Study, 2008-2012

Updated Resources

1-800-662-HELP (4357) www.samhsa.gov/treatment for information on Prevention and Treatment Referral

The SAMHSA Behavioral Health Treatment Services Locator can help you locate treatment facilities in the United States or U.S. Territories for substance abuse/addiction and/or mental health problems.

Just updated my Resources pages, adding resources and organizing them into three separate category pages.

RESOURCES IN THE UNITED STATES