Transcript Mental Health

Mental Health
Danielle Maloney
School-Link Coordinator
Sydney South West Area Mental Health
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
Mortality rates – Mental Health
Trends in death rates for All mental and behavioural disorders
(ICD10 F00-F99), Australia, 1968–2005
ASR – Males
Linear (ASR – Males)
ASR – Females
Linear (ASR – Females)
25
Deaths per 100,000
20
15
10
5
0
1965
1970
1975
1980
1985
1990
Year
1995
2000
2005
2010
AIHW, 2006
Mortality rates – all causes
Trends in death rates for All mental and behavioural disorders
(ICD10 F00-F99) and All Causes combined, Australia, 1968–2005
ASR Males
ASR Females
ASR All Cause Male
ASR All Cause Female
10,000
Deaths per 100,000
1,000
100
10
1
0
1900
1920
1940
1960
1980
2000
2020
Year
AIHW, 2006
Prevalence
AIHW, 2006
Morbidity
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
Young people’s Mortality
ASSAD Survey - Australian School
Students’ Alcohol and Drugs Survey
Aboriginal data
Western Australia Child Health Survey
Mental health services in
Australia 2004–05
What is being done to address
mental health ?
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
National Level (continued)
For each 15 priority groups:
Outcomes
Evidence base for action
Partners
Indicators
National action
National initiatives
National Mental Health promotion and
prevention Working group
National Mental health Reform
Auseinet
Mind Matters, Kids Matter
Mindframe
Beyond Blue
GP Divisions
State Level
School-Link
Parenting
Integrated perinatal care
Early intervention psychosis
School Mental Health
The Australian Experience
Emotional
well-being
Resilience
Connectedness
Skills
Opportunities
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
Health Promoting Schools Framework
Curriculum
Teaching &
Learning
Organisation, Ethos &
Environment
Partnerships & Services
Whole of School programs
http://cms.curriculum.edu.au/mindmatters/
http://www.apapdc.edu.au/kidsmatter/
World Health Organisation model for
school mental health promotion
Who is involved?
Entire school community
All students and teachers
20 to 30% of students
3 - 12% of students
Level of intervention
Create Environment Whole school community
Education
Part of general curriculum
Students needing additional
Interventions
help in school
Treatment
Students needing additional
mental health intervention
Universal Programs
APEEL (A Partnership Encouraging
Effective learning)
Indicated programs
http://www.goodgrief.org.au/seasonsforgrowth/sfghome.htm
Adolescents Coping with Emotion (ACE)
Get Lost Mr Scary
School-Link Initiative
Link between Mental Health Services and
Education
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.
Focus areas of School-Link
• Promotion, Prevention
• Early intervention
• Service access