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 AIHW, 2006

Mortality rates – all causes 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 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 OpportunitiesSkills

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

World Health Organisation model for school mental health promotion Treatment Interventions Education Create Environment Level of intervention Whole school community All students and teachersPart of general curriculum 20 to 30% of students Students needing additional help in school % of students Who is involved? Entire school community Students needing additional mental health intervention

Universal Programs APEEL (A Partnership Encouraging Effective learning)

Indicated programs

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