Congressman Tim Murphy The Helping Families in Mental Health Crisis Act (H.R. 2646) Congressman Tim Murphy The Helping Families in Mental Health Crisis Act (H.R. 2646) June 2015

Heart Disease Mortality Rate Per 100,000 deaths Centers for Disease Control and Prevention 2

Stroke Mortality Rate Per 100,000 deaths Centers for Disease Control and Prevention 3

HIV/AIDS Mortality Rate 4

Auto Accident Mortality Rate Per 100,000 deaths Centers for Disease Control and Prevention 5

Cancer Mortality Rate Per 100,000 deaths Centers for Disease Control and Prevention 6

Per 100,000 deaths Centers for Disease Control and Prevention Suicide Mortality Rate 7

Opioid Overdose Mortality Rate Source: Center for Disease Control

Mental Illness in America 10 M Americans have a Serious Mental Illness (SMI) 10 M Americans have a Serious Mental Illness (SMI) – Wait 110 weeks for treatment – Estimated 4 M without treatment Victimization > Violence Victimization > Violence – 3 to 4x more likely victims of violence – 4 to 6x the risk of sexual violence Treatment for SMI cuts risk of violence 15-fold (NIMH) Treatment for SMI cuts risk of violence 15-fold (NIMH) – Perpetrators of mass violence untreated, undertreated 50 percent of all inmates have a mental illness. 50 percent of all inmates have a mental illness Post-Newtown Oversight Committee Investigation

Mental Illness in America The federal government funds 112 agencies across 8 Departments ($130 billion) - GAO The federal government funds 112 agencies across 8 Departments ($130 billion) - GAO Closed the old asylums, Cut outpatient care, and Shut down group homes Closed the old asylums, Cut outpatient care, and Shut down group homes Restrict access to medication Restrict access to medication Tell Medicaid recipients who have both physical and brain illnesses they can’t see more than one doctor a day Tell Medicaid recipients who have both physical and brain illnesses they can’t see more than one doctor a day Limit access to inpatient beds (16) Limit access to inpatient beds (16) Prevent families from being part of the care delivery team by blocking communication with doctors Prevent families from being part of the care delivery team by blocking communication with doctors Given taxpayer dollars to anti-psychiatry groups Given taxpayer dollars to anti-psychiatry groups Federal and State “solutions”

GAO Reports on Mental Heath Programs & Funding The federal government spends $130 billion annually across 8 departments and 112 programs on mental health: The federal government spends $130 billion annually across 8 departments and 112 programs on mental health: – “coordination for programs supporting individuals with serious mental illness is lacking.” – GAO Agencies do not collect data on how mental health dollars are spent: Agencies do not collect data on how mental health dollars are spent: – “agencies completed few evaluations of the programs specifically targeting individuals with serious mental illness.” - GAO Federal grants and programs to treat the seriously mentally ill do not utilize the best available medical treatments and protocols: Federal grants and programs to treat the seriously mentally ill do not utilize the best available medical treatments and protocols: – 20 percent of grants “required its grantees to state that they will use evidence-based practices to treat individuals with mental illness.” – GAO

Assistant Secretary for Mental Health and Substance Use Disorders Reform agencies, programs, and funds. Reform agencies, programs, and funds. Evaluate, coordinate, elevate, eliminate programs Evaluate, coordinate, elevate, eliminate programs – $130B, 112 programs. Report to Congress Report to Congress – state of the states; best practices. Parity Implementation Parity Implementation The Helping Families In Mental Health Crisis Act (H.R. 2646) 1 – Reform Federal Programs 1 – Reform Federal Programs

The Helping Families In Mental Health Crisis Act (H.R. 2646) 2 - Removes Federal Barriers to Care Fix the shortage of inpatient psychiatric hospital beds for crisis stabilization (up to 30 days) Clarify HIPAA so families are part of frontline care delivery team Same-day billing rule Workforce development: minority fellowship, PHSC, and national strategy

The Helping Families In Mental Health Crisis Act (H.R. 2646) 2 - Removes Federal Barriers to Care Increasing access to care: – tele-psych – FQBHC Alternatives to Institutionalization – The Right to Treatment – States must have programs for gravely disabled in revolving door of jail, homeless, safety net, (like AOT)

The Helping Families In Mental Health Crisis Act (H.R. 2646) 3 – Reform Research/Grants Focus on applied research based on scientifically sound principles True evidence-based research Focus on programs that can be replicated across states, Medicaid, VA, etc Promote innovation in secondary and tertiary prevention and treatment Integration of SA/MH funding

Congressman Tim Murphy Murphy.House.Gov/HelpingFamiliesInMentalH Facebook.com/RepTimMurphy