Download Achieving the Promise: Mental Health Transformation and

Transforming the
Mental Health System
COSIG States Meeting
Bethesda, MD
December 16, 2004
A. Kathryn Power, M.Ed., Director
Center for Mental Health Services
·
U.S. Department of Health and Human Services
Substance Abuse and Mental Health Services Administration
Center for Mental Health Services
www.samhsa.gov
COSIG States:
Transforming the Way Our Nation
Addresses Co-occurring Disorders
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Defining Transformation
Transformation: \n (15c) from the Latin roots
to change TRANS (across) and FORMA
(shape).
1: a change in form, appearance, nature or
character
2: the process of doing so.
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The SAMHSA Matrix
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The Goals of a Transformed System
Goal 1 Americans understand that mental
health is essential to overall health
Goal 2 Mental health care is consumer and
family driven
Goal 3 Disparities in mental health services are
eliminated
Goal 4 Early mental health screening,
assessment, and referral to services are
common practice
Goal 5 Excellent mental health care is delivered
and research is accelerated
Goal 6 Technology is used to access mental
health care and information
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Goal 4: Early Mental Health
Screening, Assessment, and Referral
to Services Are Common Practice
Recommendations
4.1—Promote the mental health of young children
4.2—Schools should have the ability to play a larger
role in mental health care for children
4.3—Screen for co-occurring mental and substance
abuse disorders and link with integrated
treatment strategies
4.4—Screen for mental disorders in primary health
care, across the lifespan, and connect to
treatment and support
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The Public Health Model
A community approach to preventing
and treating illnesses. Its premise is
that caring for the health of an
individual protects the community,
while—in turn—caring for the health of
a community protects the individual—
with society at large reaping the overall
rewards.
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Estimated Prevalence of
Co-occurring Disorders



Fifty percent of homeless adults with
serious mental illnesses have a cooccurring substance abuse disorder
Sixteen percent of incarcerated individuals
have severe mental and substance abuse
disorders
Among detainees with mental disorders, 72
percent also have a co-occurring substance
abuse disorder
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Mental Illnesses and Substance
Use Disorders
Percent of persons with mental illnesses
who also will develop a substance use disorder
Persons
with
mental
illnesses
Co-occurring
disorder
Up to
50%
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Substance Use Disorders and
Mental Illnesses
Adults with
mental illnesses
Adults with
mental illnesses
20.4%
Persons with a
substance use
disorder
7%
All persons
Source: Serious Mental Illness and Its Co-Occurrence
With Substance Use Disorders, Substance Abuse and
Mental Health Services Administration (2004).
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COSIG Data and Performance
Measures


Percentage of clients in mental health and
substance use programs with symptoms of the
corresponding co-occurring problem
Percent of treatment programs that—




Screen for co-occurring disorders
Assess for co-occurring disorders
Provide treatment to clients through collaborative,
consultative, and integrated models
Percentage of clients who experience reduced
impairment from their co-occurring disorders
following treatment
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Hope…is a search for freedom, both a freedom
of the body shackled by disease and a freedom
of the spirit to assert its dignity, of having
some level of control over one’s life. . . . To
hope under the most extreme circumstances is
an act of defiance that permits a person to live
his life on his own terms. It is part of the
human spirit to endure and give a miracle a
chance to happen.
Jerome Groopman, M.D.
The Anatomy of Hope
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