Presentation on theme: "1 NC Healthy Carolinians 2020 ~ Mental Health Susan E. Robinson NC Division of MHDDSAS / DHHS Kathy McGaha Healthy Carolinians."— Presentation transcript:
1 NC Healthy Carolinians 2020 ~ Mental Health Susan E. Robinson NC Division of MHDDSAS / DHHS Kathy McGaha Healthy Carolinians of Macon County October 1, 2010
2 Healthy North Carolina 2020 Objective: Mental Health Communities hold the key to change Essential grassroots & stakeholder involvement Community Health Assessment Strategic Plan Take Action Celebrate every success!
3 Today’s Objectives: … Be familiar … See opportunity Snapshot of current MH/DD/SA State Plan for Priorities & Initiatives 2020 Mental Health Objectives - 3 Process & Data Community Connection – opportunity to promote health thru Mental Health
4 What we know…. Child Prevalence B-8 yrs in NC: 1 in 6 young children with challenging behaviors are expelled from preschool/ child care settings 17-20% of those children/youth served by public MH sector, ages 3-8 yrs. (13,000); most were not known to the CDSA, B-2 Part C services under IDEA.
5 What we know…. Child/Youth Prevalence in NC: 12 of every 100 youth, ages 9-17, experience most serious mental health disorders (60,000 – 90,000) 2% of child deaths are due to suicides (22/yr) – 70% are yrs & white Health-related conditions lead to 75% of child deaths (CFTF 2010)- disparity MVC & homicides –leading cause for oldest & youngest
6 What we know…. In 2007, NC & nationally Suicide was: 4 times higher in men than women. 7th leading cause of death for men, 15th for women, Mid–to later age men esp. the 3 rd leading cause for yr olds effected by firearms, suffocation, & poison; these by far are the most common methods of suicide, overall. rising in the military/guard/vets
7 What we know…. In 2004, the percent of poor adult mental health in NC: Ranked:…………………………………….. #46 Kentucky:27.1 %Kentucky #46 South Dakota:27.1 % South Dakota # 48 Tennessee:27 % Tennessee # 49 North Carolina:25.8 % North Carolina # 50 Louisiana:24.5 % Louisiana Weighted average:33.5 %
8 What we know…. 1 in 5 people per 1,000 people seek health care in Emergency Departments Half of those ED visits are those who are experiencing mental health treatment needs. Adult Prevalence: 5.4% of NC’s adult population experiences mental health challenges; half of those experience serious mental illness. Good News: Those who are Medicaid eligible, should now have a “health home” through CCNC – Community Care in NC
B/C Medicaid Waiver CABHA CAP-MR/DD Waivers Overarching Goal: To successfully provide easily accessed, high quality, cost effective MH/DD/SA services and supports that result in person- centered outcomes for individuals served. Building success one step at a time Future The Vision
11 DHHS & DMHDDSAS - Priorities Improve access, quality and effectiveness Increase accountability for all stakeholders Contain Medicaid Costs Increase consumer/family/stakeholder confidence in the MH/DD/SA provider network Top three priority initiatives for DMHDDSAS: CABHA’s 1915 b/c Waivers CAP MR/DD Waivers
13 When engaged in services……………. Symptoms are reduced After three months of treatment: Problems interfering with school, work/other activities decrease from 59% to 40%. Severe mental health symptoms decrease from 41% to 26%. Suicidal thoughts decrease from 36% to 22%. Impaired family relationship decrease from 67% to 59%.
Healthy Carolinians – Mental Health Objectives Process NC IOM & HC convened Stakeholders – including consumers Community State Informed – research, trends Outcomes – direct, 2ndary Weighted - import and impact Steering Comm – consolidate all
Healthy Carolinians – Mental Health Objectives Reduce suicide rate (per 100,000) State Center for Health Statistics Current 12.4 (2008) Target 7.9 Decrease avg.# of poor Mental Health days in adults in past 30 days Behavioral Risk Factor Surveillance System 3.4 (2008) 2.8 Reduce mental health- related visits to Emergency Dept. NC DETECT - Disease Event Tracking & Epi Collection Tool TBD
16 Macon County Franklin, Highlands, Nantahala, Otto
17 Macon County Today’s Objectives: … Understand … Seize opportunity Role of elected officials in the Community Health Assessment Work hand-in-hand with county appointed task forces Lessons learned How Macon County is addressing their Mental Health service needs A work in progress
18 Macon County Task Force Process – build relationships Data collection & review Facts inform change Be realistic – strengths & barriers Set priorities Seize opportunities Propose a plan – communicate! Take next steps
19 Macon County Task Force Mental Health Taskforce On Mental Health Services in Macon County Report compiled by: Macon County Mental Health Taskforce - June 4, 2008 Report updated to Include Implementation Recommendations by: Macon County Health Carolinians Mental Health Taskforce - January 26, 2009
20 In Summary… Build relationships and bridges. Success is one step at a time. Be willing to adapt & apply lessons learned. You’re an important part of your community. Your voice counts. Be the change you seek (Gandhi)
21 Healthy North Carolina 2020 Objective: Mental Health Summary Common Vision, Goals & Objectives Healthier People living in Healthier Communities Responsible Change to Achieve Access, Better Quality and Positive Outcomes ~ We have 2020 Vision! ~
22 Healthy Carolinians of Macon County Kathy McGaha Program Director Healthy Carolinians of Macon County 1830 Lakeside Drive Franklin, NC Phone: (828) Fax: (828)
23 NC Division of MHDDSAS NC DHHS Susan E. Robinson Mental Health Program Manager/Planner Prevention and Early Intervention x228
24 Healthy North Carolina 2020 Objective: Mental Health Thank you Questions? Comments? ~ You hold the key. Together we can! ~