©LTPHN 2008 Mental Health Speaker, name, affiliation,etc

©LTPHN 2008 What is a mental disorder? A group of conditions characterized by: Recurrent or sustained alterations in… Thinking, mood or behaviour Associated with personal distress and/or impaired functioning

©LTPHN 2008 Examples Organic disorders e.g. dementia Substance abuse Psychotic disorders e.g. schizophrenia Mood disorders e.g. depression Anxiety disorders, obsessive-compulsive disorders Eating disorders Mental retardation Autism ADHD

©LTPHN 2008 Mental ill-health Common –25% of people at some time during their lives –10% of population at any point of time –450 million sufferers worldwide Universal –All ethnicities, age, social status and gender –Half of all women and a quarter of all men affected by depression at some period during their lives

©LTPHN 2008 Disease Burden of Mental Ill-health Leading cause of disability burden 12% of total DALYs lost in % by 2020 Has a sustained and negative impact

©LTPHN 2008 Economic costs Cost to the NHS - £370 million –Medication - £310 million Cost to employers due to absence - £25 billion Indirect costs to individual and family: unquantifiable

©LTPHN 2008 Economic costs

©LTPHN 2008 Health care burden 90% of patients managed by primary care 25% of routine GP consultations Commonest problems seen: –Depression –Eating disorders –Anxiety disorders

©LTPHN 2008 The problem of stigma

©LTPHN 2008 Associated risk factors Unemployment Children from the poorest households Victims of abuse/domestic violence Rough sleepers Ethnic minorities, refugees and asylum seekers Prisoners Alcohol and drug abuse Concurrent physical illness

©LTPHN 2008 Prevalence of mental disorder by social class

©LTPHN 2008 Unemployment and mental ill-health

©LTPHN 2008 Further Information Department of Health rks/Mentalhealth/index.htm NICE Clinical Guideline on Depression World Health Organisation