1. Mental Health Danielle Maloney School-Link Coordinator Sydney South West Area Mental Health

2. Mental health - the global scene Depression is an important global public health problem due to both its relatively high lifetime prevalence and the significant disability that it causes. In 2002, depression accounted for 4.5% of the worldwide total burden of disease (in terms of disability-adjusted life years). It is also responsible for the greatest proportion of burden attributable to non-fatal health outcomes, accounting for almost 12% of total years lived with disability worldwide. Without treatment, depression has the tendency to assume a chronic course, to recur, and to be associated with increasing disability over time WHO, 2007

3. Mortality rates – Mental Health AIHW, 2006

4. Mortality rates – all causes AIHW, 2006

5. Prevalence AIHW, 2006

6. Morbidity

8. Inequities People with mental illness have considerably elevated mortality rates from all main causes of death. Their overall mortality rate is two and a half times higher than the general population of WA. The rate of suicide in the mentally ill has been increasing over the period 1980-98 and almost entirely explains the net increase in the total population suicide rate. Despite a downward trend in the general community, the IHD death rate in people with mental illness has increased in women and remained roughly constant in men. People with diagnosed mental illness have not participated in the marked decline in IHD mortality in Australia. Hospitalisation rate ratios were often lower than corresponding mortality rate ratios suggesting that people with mental illness may not receive the level of health care commensurate with their illness. Duty to Care Preventable physical illness in people with mental illness WA

9. Young people’s Mortality

12. ASSAD Survey - Australian School Students’ Alcohol and Drugs Survey

13. Aboriginal data Western Australia Child Health Survey

14. Mental health services in Australia 2004–05

16. What is being done to address mental health ?

17. National level National Action Plan for Promotion, Prevention and Early Intervention for Mental Health Initial 5 year framework to progress mental health reform National direction in promotion and prevention Into the third plan

18. National Level (continued) For each 15 priority groups: Outcomes Evidence base for action Partners Indicators National action

19. National initiatives National Mental Health promotion and prevention Working group National Mental health Reform Auseinet Mind Matters, Kids Matter Mindframe Beyond Blue GP Divisions

20. State Level School-Link Parenting Integrated perinatal care Early intervention psychosis

21. School Mental Health The Australian Experience

22. Emotional well-being Resilience Connectedness OpportunitiesSkills

23. Resilience Skills Problem solving Help seeking Communication Negotiation Young People who are resilient have developed skills and attitudes that enable them to cope with sadness, disappointments, as well as other traumas and difficulties

24. Health Promoting Schools Framework Curriculum Teaching & Learning Organisation, Ethos & Environment Partnerships & Services

25. Whole of School programs

26. http://cms.curriculum.edu.au/mindmatters/

27. http://www.apapdc.edu.au/kidsmatter/

28. World Health Organisation model for school mental health promotion Treatment Interventions Education Create Environment Level of intervention Whole school community All students and teachersPart of general curriculum 20 to 30% of students Students needing additional help in school 3 - 12% of students Who is involved? Entire school community Students needing additional mental health intervention

29. Universal Programs APEEL (A Partnership Encouraging Effective learning)

30. Indicated programs

31. http://www.goodgrief.org.au/seasonsforgrowth/sfghome.htm Adolescents Coping with Emotion (ACE) Get Lost Mr Scary

32. School-Link Initiative Link between Mental Health Services and Education

33. Aims of School Link To improve the mental health of children, adolescents and young people in NSW. To improve the partnership between child and adolescent mental health services and their local schools and TAFE colleges.

34. Focus areas of School-Link Promotion, Prevention Early intervention Service access