Psychiatric / Mental Health in Today’s World

Before We Start…… About Me…..

What is Mental Illness? Mental Illnesses are health conditions involving changes in emotion, thinking or behavior (or a combination of these). Mental Illnesses are associated with distress and /or problems functioning in social, work or family activities. Mental Illness is a MEDICAL problem, just like heart disease or diabetes. It’s treatable. The vast majority of individuals with mental illness continue to function in their daily lives.

Prevalence of Mental Illness Research shows that mental illnesses are common in the United States, affecting 10s of Millions of people every year. Estimates suggest that only ½ of people with a mental illness actually seek and receive treatment.

The Face of Mental Illness What does someone with a mental illness look like? Approximately 1 in 5 adults in the US – 44.7 Million in 2016 – experiences a mental illness in a given year. Mental Illness doesn’t discriminate – Age, Gender, Geography, Income, Social Status, Race / Ethnicity, Sexual Orientation, Background, Other Cultural Identifiers. An estimated 26% of adults living in homeless shelters live with a serious mental illness and an estimated 46% live with a severe mental illness and / or substance use disorder.

2016 Prevalence of Any Mental Illness

Prevalence of Mental Illness Approximately 1 in 25 adults – 9.8 Million – experiences a Major Mental Illness in a given year that substantially interferes with or limits one or more major life activity. Serious (major) mental illness is a mental, behavioral or emotional disorder (excluding developmental and substance use disorders) resulting in serious functional impairment, which substantially interferes with or limits one or more major life activities.

Prevalence of Mental Illness Major Mental Illnesses Schizophrenia 1.1% of adults live with Schizophrenia Major Depression (Clinical Depression) 6.9% of adults (16 Million) had at least one major depressive episode in the past year Bipolar Disorder (Manic – Depressive Disorder) 2.6% of adults live with Bipolar Disorder Anxiety Disorders – PTSD, Obsessive Compulsive Disorder (OCD), Panic Disorders and other specific phobias 18.1% of adults experience an anxiety disorder

2016 Prevalence of Serious Mental Illness

Some Names You Might Recognize… Demi Lovato – Bipolar, Bulimia, Addiction Chrissy Teigan – Post Partum Depression Prince Harry – Grief and Social Anxiety Dwayne “The Rock” Johnson – Depression Lady Gaga – PTSD Abraham Lincoln – Depression Angelina Jolie – Depression Charles Darwin – Panic Disorder Howie Mandel – OCD Robin Williams - Depression

Prevalence of Mental Illness - Kids Approximately 1 in 5 youths aged 13 to 18 (21.4%) experiences a severe mental disorder at some point. For children 8 to 15 years of age, the estimate is 13%. While Mental Illness can occur at any age, ¾ of all mental illness begins by or at the age of 24.

The Cost of Mental Illness Serious Mental Illness costs America over $201 Billion each year. The costliest medical condition Second – heart conditions at $147 billion Third – trauma and injury at $143 billion

The Cost of Mental Illness Mood disorders, including Major Depressive Disorder, Dysthymic Disorder and Bipolar Disorder are the third most common cause of hospitalization for both youth and adults aged 18 to 44. In lost wages and cost to employers - $193.7 billion.

The Cost…… Individuals living with serious mental illness face an increased risk of having chronic medical conditions. Adults in the US living with serious mental illness die on the average of 25 years earlier than others, largely due to treatable medical conditions.

Suicide According to the CDC, Suicide is defined as Death caused by self- directed injurious behavior with an intent to die as a result of the behavior.

Suicide Suicide is the 10th leading cause of death in the US. Suicide is the Third leading cause of death for people aged 10 to 14. Suicide is the Second leading cause of death for people aged 15 to 24.

Suicide More than 90% of children who die by suicide have a mental health condition. Each day, an estimated 18 to 26 veterans die by suicide.

Here at Home Colorado ranks 48th in the nation for youth mental health. The state’s youth have higher rates of binge drinking than youth across the nation. Colorado ranks among the top 10 states in it’s rate of suicide. Suicide is the leading cause of death for Coloradans aged 10 to 24 and one out of 15 students have attempted suicide in the past 12 months.

Here at Home It is estimated that for every 100,000 people, 50 psychiatric beds are needed. In 2016, there were less than 38,000 psychiatric beds nation-wide, down 13% from 2010. In Colorado, there are 15 psychiatrists per 100,000 people as compared to 97 PCPs per 100,000.

Barriers to Treatment The number one Barrier is the Stigma associated with mental illness. Stigma can be divided into two distinct types:  social stigma is characterized by prejudicial attitudes and discriminating behavior directed towards individuals with mental health problems as a result of the psychiatric label they have been given. perceived stigma or self-stigma is the internalizing by the individual of his / her perceptions of discrimination and can significantly affect feelings of shame and lead to poorer treatment outcomes.

Stigma Social Stigma Dangerous / Violent / Unpredictable Self-Inflicted (substance abuse, eating disorders) Hard to talk to Developmental Delays

Stigma Sources Family members Friends Employers Results Loss of contact with family and / or friends – results in isolation Feelings of inadequacy Delayed or even lost employment opportunities

Mental Health Resources National Alliance on Mental Illness (NAMI) 800-950-NAMI (6264) Info@nami.org Find help in a crisis, text NAMI to 741741 Colorado Statewide Helpline 1-844-493-TALK (8255)

Mental Health Resources Denver Springs 720-643-4300 (24/7) Live chat at denversprings.com National Suicide Prevention Lifeline 1800-273-TALK (8255) Online Lifeline Crisis Chat Suicidepreventionlifeline.org

References American Psychiatric Association website National Alliance on Mental Illness website National Institute for Mental Health website 2016 National Survey on Drug Use and Health (NSHDUH) by the Substance Abuse and Mental Health Services Administration (SAMHSA) Mental Health Colorado Website Psychology Today website Centers for Disease Control and Prevention website Colorado Biz – The Lagging State of Mental-Health Care April 2018