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Focus Area 18: Mental Health and Mental Disorders Progress Review December 17, 2003.

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Presentation on theme: "Focus Area 18: Mental Health and Mental Disorders Progress Review December 17, 2003."— Presentation transcript:

1 Focus Area 18: Mental Health and Mental Disorders Progress Review December 17, 2003

2 Healthy People 2010 Mental Health and Mental Disorders Objectives Mental Health Status 18-1 Suicide 18-2 Adolescent suicide attempts 18-3 Serious Mental Illness among homeless adults 18-4 Employment of persons with SMI *18-5 Eating disorder relapses State Activities 18-12 State tracking of consumer satisfaction *18-13 State plans addressing cultural competence 18-14 State plans addressing elderly persons Treatment Expansion * 18-6 Primary care screening and assessment * 18-7 Treatment for children with mental health problems *18-8 Juvenile justice facility screening 18-9 Treatment for adults with mental disorders *18-10 Treatment for co-occurring disorders *18-11 Adult jail diversion programs * Developmental objectives; those in red have new baselines; those in grey have no baselines.

3 Suicide, by Gender Age adjusted rate per 100,000 Females Males Total 0 Note: Data are age adjusted to the 2000 standard population. Source: National Vital Statistics System - Mortality, NCHS, CDC. 2010 Target 1979 1981 1983 1985 1987 1989 1991 1993 1995 1997 1999 2001 Obj. 18.1

4 Leading Causes of Suicide Among Males, 2001 Source: National Vital Statistics System - Mortality, NCHS, CDC. Obj. 18.1

5 Leading Causes of Suicide Among females, 2001 Source: National Vital Statistics System - Mortality, NCHS, CDC. Obj. 18.1

6 Suicide, by Race and Ethnicity Age adjusted rate per 100,000 White Total 0 Source: National Vital Statistics System - Mortality, NCHS, CDC. 2010 Target 1991 1993 1995 1997 1999 2001 American Indian Hispanic Black Asian NOTE: American Indian includes Alaska Native; Asian includes Pacific Islander; Black and White exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. Data are age adjusted to the 2000 standard population. 1990 1992 1994 1996 1998 2000 Obj. 18.1

7 Index of Disparity  The average percent difference from the best group rate  (  n-1 i= 1 PD i )/ (n-1)  n = total number of groups  PD i = percent difference for each group rate of interest

8 Suicide, by Race and Ethnicity Age adjusted rate per 100,000 (log scale) White Total 0 1991 1993 1995 1997 1999 2001 American Indian Hispanic Black Asian NOTE: American Indian includes Alaska Native; Asian includes Pacific Islander; Black and White exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. Data are age adjusted to the 2000 standard population. Index of Disparity = average percent difference from the best group rate. Source: National Vital Statistics System - Mortality, NCHS, CDC. 1990 1992 1994 Index of Disparity 1996 1998 2000 Obj. 18.1

9 13.0 – 19.8 11.0 – 12.9 6.6 – 10.9 Age-adjusted rate per 100,000 N (17) SOURCE: National Vital Statistics System - Mortality, NCHS, CDC. NOTE: Data are age adjusted to the 2000 standard population. Suicide, by State, 2001 D.C. Obj. 18.1

10 Suicide Among 15-17 year olds, 2001 Death rate per 100,000 0 NOTE: American Indian includes Alaska Native; Asian includes Pacific Islander; Black and White exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. Data are age adjusted to the 2000 standard population. Source: National Vital Statistics System - Mortality, NCHS, CDC. 2010 Target Obj. 18.1 Total American Indian Asian Hispanic Black White Females Males

11 Suicide Attempts by Students in Grades 9-12, by Gender Percent Females Males Total 0 SOURCE: Youth Risk Behavior Surveillance System (YRBSS), NCCDPHP, CDC. 2010 Target 1991 1993 1995 1997 1999 2001 Obj. 18.2

12 Suicide Attempts by Students in Grades 9-12, by Gender and Race/Ethnicity Percent 0 Note: Black and White exclude Hispanic. Hispanic may be any race. SOURCE: Youth Risk Behavior Surveillance System (YRBSS), NCCDPHP, CDC. 2010 Target 1991 1993 1995 1997 1999 2001 Hispanic Females Black Males Black Females White Females Hispanic Males White Males Obj. 18.2

13 Major Depressive Episode among 17-39 year olds, 1988-1994 0 2 4 6 8 10 12 WomenMexican American Black White Men Lifetime prevalence (percent) Total Source: National Health and Nutrition Examination Survey III (1988-1994), NCHS, CDC.

14 Mental Health Screenings in Juvenile Justice Facilities Percent of juvenile justice facilities 1998 Note: Objective is developmental. A 2010 target has not been set. Source: Inventory of Mental Health Services in Juvenile Justice Facilities, SAMHSA, CMHS. Obj. 18.8

15 Tracks satisfaction Does not track satisfaction N (40) (11) * Data are preliminary. SOURCE: Uniform Reporting System, SAMHSA, CMHS. State Tracking of Consumer Satisfaction with Mental Health Services, 2003* D.C. Obj. 18.12 1999 2003 2010 Target Number of States

16 Has plan addressing needs of older persons Does not have plan addressing needs of older persons No Response N (22) (24) (5) SOURCE: State Mental Health Agency Profiling System, National Association of State Mental Health Program Directors, National Research Institute; SAMHSA, CMHS. State Plans Addressing Mental Health Services for Older Persons, 2003 D.C. Obj. 18.14 Number of States 2010 Target 1997 1999 2001 2003

17 Progress review data and slides can be found on the web at: http://www.cdc.gov/nchs/hphome.htm


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