NAMI Annual ConventionJune 19, 2005

“Promoting Mental Health & Recovery from Mental Illness”

Eduardo J. Sanchez, M.D., MPHCommissioner, Texas Department of State Health Services

Welcome Ya’ll

The President’s New Freedom Commission

on Mental Health

Thank You, NAMI

Your work makes a big difference

Welcome to Austin

Joe Lovelace

Texas NAMI helped create a new approach to treating mentalillness in Texas

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Depression Panic Disorder Schizophrina Heart Disease

Treatment Success Rates

80%

75%

60%45-50%

Disease Burden by Illness Categories in Market Economies

All cardiovascular conditions 18.6

All mental illness 15.4All malignant diseases (cancer) 15.0

All respiratory conditions 4.8

All alcohol use 4.7

All infectious and parasitic diseases 2.8

All drug use 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 10.7%2. Iron deficiency anemia 4.73. Falls 4.64. Alcohol use 3.35. Chronic obstructive pulmonary disease 3.16. Bipolar disorder 3.07. Congenital anomalies 2.98. Osteoarthritis 2.89. Schizophrenia 2.610. Obsessive compulsive disorders 2.2

*Disability-adjusted life year (DALY)

Mental Illnesses are IllnessesWhy 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

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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

STIGMATogether, we can overcome it

Health Department

Substance Abuse Agency

Mental Health 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 FightStigma in the Workplace

NAMI, DSHS, VA Partner to Help US Troops Returning from Iraq

American’s New Freedom:

From the stigma of mental illness