2. 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

3. Welcome Ya’ll

4. The President’s New Freedom Commission on Mental Health

5. Thank You, NAMI Your work makes a big difference Welcome to Austin

6. Joe Lovelace Texas NAMI helped create a new approach to treating mental illness in Texas

9. Treatment Success Rates 80% 75% 60% 45-50%

10. Disease Burden by Illness Categories in Market Economies All cardiovascular conditions 18.6 All mental illness15.4 All 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

11. WHO Rankings: Years of life lost to premature death and years lived with a disability 1. Unipolar major depression10.7% 2. Iron deficiency anemia 4.7 3. Falls 4.6 4. Alcohol use 3.3 5. Chronic obstructive pulmonary disease 3.1 6. Bipolar disorder 3.0 7. Congenital anomalies 2.9 8. Osteoarthritis 2.8 9. Schizophrenia 2.6 10. Obsessive compulsive disorders 2.2 *Disability-adjusted life year (DALY)

12. Mental Illnesses are Illnesses Why Treat Them Differently? Mental illness is the 2 nd largest cause of disability, ahead of cancer (in established market economies) By 2020, clinical depression is expected to rank as the 2 nd 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.

13. Stigma has been connected to many physical ailments

14. “... the criminal justice system is the largest provider of mental health and substance abuse services for Texas children and adults.” — Eduardo Sanchez

15. Mental Illness Strikes More Americans Each Year Than Other Serious Illnesses Mental Illness Serious Mental Illness CVD DiabetesCancerAsthma 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

16. People With Multiple Healthcare Needs May Choose 1 of 4 Doorways into Care Substance Abuse Mental Illness Physical Illness Jail

17. “The work ahead requires that we effectively integrate primary health care with behavioral health care.” — Eduardo Sanchez

18. 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

19. STIGMA

20. Together, we can overcome it

21. Health Department Substance Abuse Agency Mental Health Agency

22. Sound Mind, Sound Body An integrated approach to health

23. Is 30 minutes of physical exercise Each day An effective treatment for Depression?

24. Sound Mind, Sound Body A practice and a destination

25. “In the whole history of medicine, it’s never been possible to overcome an epidemic simply by treatment. You need to have prevention.”

26. “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”

27. Texans Working Together to Fight Stigma in the Workplace

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

29. American’s New Freedom: From the stigma of mental illness