1. “Promoting and Protecting Brain Health Across Race & Age”
Hilton Head, SC
November 15, 2017
4th Annual Healthy Churches 2020 National Conference
I am pleased to be part of our 45th reunion. We have survived longer than some, so we should not take for granted that we are all still alive and well enough to gather here today.
I am excited to address this topic of the Surgeon General’s prescription since it brings together much of my work as Director of the CDC, Surgeon General, and Assistant Secretary for Health.
David Satcher, MD, PhD
Founding Director & Senior Advisor
Satcher Health Leadership Institute and
Morehouse School of Medicine
16th U.S. Surgeon General

2. Conflict of Interest Disclosures for David Satcher, M.D, PhD
Grant/Research Support
NIH-TCC,
Consultant
Nothing to disclose
Speakers Bureau
American Program Bureau; Satcher Group
Stock Shareholder
Johnson & Johnson/ MetLife Insurance Company
Other (identify)

3. Satcher Health Leadership Institute
Mission
The mission of the Satcher Health Leadership Institute (SHLI) is to develop a diverse group of exceptional health leaders, advance and support comprehensive health system strategies, and actively promote policies and practices that will reduce and ultimately eliminate disparities in health.
Leadership lessons from the Satcher Health Leadership Institute:
Leadership responds to opportunities, challenges and crises
Leadership is a team sport
Leadership is not position-dependent
Effective leadership transforms communities
Leadership requires a global perspective
Leadership is like a relay race 2

4. Morehouse School of Medicine Vision Statement
“Leading the creation and advancement of health equity”

5. Satcher Health Leadership Institute Leadership Development
Health Policy Fellows
Community Health Leadership
Health professions student rotations
Quality Parenting

6. Healthy People 2010 Overarching Goals
Increase Years and Quality of
Healthy Life
Eliminate Racial and Ethnic Health
Disparities

7. Healthy People 2020: Overarching Goals
• Attain high quality, longer lives free of preventable disease, disability, injury, and premature death
• Achieve health equity, eliminate disparities, and improve the health of all groups
• Create social and physical environments that promote good health for all
• Promote quality of life, healthy development, and healthy behaviors across all life stages

8. Equality vs. Equity
Policy change is essential to achieving health equity.
Every person deserves the opportunity to reach his or her maximum health potential.

9. What if we had Eliminated Disparities in the Last Century?
83,500 fewer Black deaths in 2000
24,000 from heart disease
7,000 from HIV / AIDS
4,700 infant deaths
22,000 from diabetes
2,000 fewer Black women from breast cancer
More health insurance coverage
2.5 million Blacks, including 620,000 children
Satcher et al., 2005

10. What if we were equal?
Source: D. Satcher et al, Health Affairs, March/April 2005

11. What Are the Social Determinants of Health?
The conditions in which people are born, grow, live, work and age.
They are shaped by the distribution of money, power and
resources at global, national and local levels.
Changes in the Social determinants of Health often require
policy changes.
Source: WHO

12. Viewing the Human Brain
Source: Google Play

14. The Learning Connection

16. Physical Activity & Mental Health Health Impact
Studies show that
physical activity
reduces depression
& elevates mood.
Studies show that
physical activity
improves sleeping.
Studies show that
physical activity
improves mental
acuity.
Studies show that
physical activity
reduces stress and
anxiety.

17. Mental Health
The successful performance of mental function, resulting in productive activities, fulfilling relationships with others, and the ability to adapt to change and to successfully cope with adversity.
The last 25 years has resulted in a scientific revolution around mental health. 1

18. Key Messages
Mental health is fundamental to overall health and well-being.
Mental disorders are real.

19. Key Messages
Mental disorders are disabling.
Mental disorders are as disabling as cancer or heart disease in terms of premature death and lost productivity. Life expectancy- 25 years less than population.

20. Key Messages  44 million adults Mental disorders are common (U.S.).
1 in 5 Americans has a diagnosable mental disorder each year.
 44 million adults
 13.7 million children

21. The Good News
Research has improved our ability to recognize, diagnose, and treat conditions effectively.
80-90% of mental disorders are treatable using medication and other therapies

22. The Bad News Of those with diagnosable mental disorder…
Fewer than half of adults get help
 Only one-third of children get help

23. McKinlay’s Population Model of Health Promotion: Healthy Diet for Children
Nutrition training
Requirements for
professional certification
(childcare
Healthcare)
Parent training
re; feeding
Practices/healthy diets
Agriculture policy
Food subsidies
And expanded funding/
Eligibility for NSLP/NSBP
State/Federal
Food and menu
Label regulations
Community-wide
Education
campaigns
BMI screening
And treatment
Restaurant/grocery
store/school point of purchase prompts
School soda bans/
Competitive food restrictions
Zoning/business
Inventive for grocery stores
Farmers markets
Federal /State
Lobbying/discharge
regulation
(upstream)
(midstream)
(downstream)
Source: Based on McKinlay (1995), Glanz (1999)

24. Lifestyle Indicators and the 16th Surgeon General’s Rx
We implemented the 10 Leading Health Indicators as a way for individuals and groups across the nation to connect with, understand, and implement changes in these critical areas of health. These indicators are comprised of five health systems indicators and five lifestyle indicators.
Society has to provide the opportunity for these things to be achievable

25. In order to eliminate disparities in health and achieve health equity, we need leaders who first care enough, leaders who know enough, leaders who have the courage to do enough and leaders who will persevere until the job is done.
Take-home recommendations:
We need for healthcare providers to partner with the communities in which they practice
Community members, leaders, healthcare providers, and policy-makers all need to work together to improve community health
SHLI’s leadership development programs work to improve community health
SHLI-MSM

26. “Promoting and Protecting Brain Health Across Race & Age”
Hilton Head, SC
November 15, 2017
4th Annual Healthy Churches 2020 National Conference
I am pleased to be part of our 45th reunion. We have survived longer than some, so we should not take for granted that we are all still alive and well enough to gather here today.
I am excited to address this topic of the Surgeon General’s prescription since it brings together much of my work as Director of the CDC, Surgeon General, and Assistant Secretary for Health.
David Satcher, MD, PhD
Founding Director & Senior Advisor
Satcher Health Leadership Institute and
Morehouse School of Medicine
16th U.S. Surgeon General