Transcript The Future of Prevention

The National Prevention Strategy and
Behavioral Health Care: Prevention Is Now
RADM Peter J. Delany, Ph.D., LCSW-C
Substance Abuse and Mental Health Services Administration
2012 USPHS Scientific and Training Symposium
College Park, MD • June 21, 2012
SAMHSA’s Vision
America is a nation that understands and acts on
the knowledge that …
• Behavioral health is essential
to health.
• Prevention works.
• Treatment is effective.
• People recover.
What the Vision Looks Like
• Primary care providers
monitor:
– Blood pressure, body mass index,
vaccines
– Depression, alcohol/tobacco use
• School/community
presentations focus on:
– Emotional health
– Substance use and mental illness
• Partnering at all levels
Daily Disaster of Unprevented and Untreated
Mental and Substance Use Disorders
Any Mental
Illness
Substance
Use Disorder
45.9 million
23.1 million
39.2 % receiving
treatment
11.2 % receiving
treatment
Diabetes
Heart Disease
Hypertension
25.8 million
81.1 million
74.5 million
84 % receiving
treatment
74.6 % receiving
screenings
70.4 % receiving
treatment
What Do Americans Believe About
Addiction?
Only one in five think less of a
friend/relative in recovery from
an addiction …
… and about one in three think
less of someone currently
addicted
Yet, two-thirds think
addiction can be
prevented…
… and three-quarters think
recovery is possible
What Do Americans Believe About
Mental Illness?
The majority, two out of three, think
treatment and support can help
people with mental illness lead
normal lives.
And,
Only one in five think people with a
mental illness are dangerous to others.
Substance Abuse and Mental Illness Are Linked
Substance abuse and mental illness share
risk and protective factors.
• Up to half of people with a serious mental
illness will develop a substance abuse
disorder at some time in their lives.
• Alcohol dependence is four times more
likely to occur among adults with mental
illness than among adults with no mental
illness.
• One in five people with a diagnosable
mental health disorder also suffer from a
substance abuse disorder.
Impact of Behavioral Health
on Physical Health
• Mental health problems increase
risk for physical health problems.
• Substance use disorders increase
risk for chronic disease, HIV/AIDS,
STDs.
• Cost of treating common diseases
higher with untreated behavioral
health problems
•
•
•
Hypertension – 2X the cost
Coronary heart disease – 3X the cost
Diabetes – 4X the cost
Individual Costs of Diabetes Treatment for
Patients Per Year
$300,000,000
$250,000,000
$200,000,000
$150,000,000
$100,000,000
$50,000,000
$0
With behavioral health With diabetes alone
problems and diabetes
Changing the Conversation:
Behavioral Health Is Part of Overall Health
• Americans know risk factors for
chronic conditions such as
diabetes, hypertension, and
cardiovascular disease.
• However, many people do not
know the warning signs for suicide,
addiction, or mental illness.
… Nor do they know what to do to
help themselves or others.
A National Call to Action
Health Reform: A Defining Moment for Prevention
•
•
•
More people covered
Prevent diseases, promote wellness,
whole health needs
New opportunities for behavioral
health:
• Parity: Mental Health Parity and Addiction
Equality Act and within Affordable Care Act
• Tribal Law and Order Act
• National Action Alliance for Suicide
Prevention
•
Medicare and Medicaid changes
The Law Increases Access
to Affordable Care
In many cases, you can get preventive services for free:








Cancer screenings such as mammograms & colonoscopies
Vaccinations such as flu, mumps & measles
Blood pressure screening
Cholesterol screening
Tobacco cessation counseling and interventions
Birth control
Depression screening
And more…
Visit www.healthcare.gov/prevention for a full list.
Everyone Has a Part: Communities
• Develop
comprehensive
prevention systems.
• Establish linkages.
• Conduct education,
outreach, and
training.
Everyone Has a Part:
Health Systems, Insurers, Physicians
• ID and screen patients for
excessive drinking.
• ID, track, and prevent
inappropriate patterns of
prescribing.
• Develop and adopt evidencebased guidelines for prescribing
opiates.
• State prescription drug
monitoring plans.
Collaboration is Key!
Center for Substance Abuse
Prevention
Center for Mental Health Services
Center for Substance Abuse
Treatment
Center for Behavioral Health
Statistics and Quality
http://www.samhsa.gov