1. Behavioral Health PRC Results

2. Behavioral Health PRC Assessment Findings Behavioral Health
Mental Health Status
Depression
Mental Health Treatment
Suicide
Alcohol/Drug Use
Alcohol/Drug Treatment
PRC Assessment Findings
Behavioral Health

3. Experience “Fair” or “Poor” Mental Health
33.5% “Excellent”
32.2% “Very Good”
Lee County At-Risk
Higher among:
Low-income residents (<200% FPL) = 25.5%
Adults age (17.4%) or age (15.3%)
Most favorable in Market Area 4
% "Fair/Poor" Mental Health
Sources: ● PRC Community Health Surveys, Professional Research Consultants, Inc. [Item 118]
● PRC National Health Survey, Professional Research Consultants, Inc.
Notes: ● Asked of all respondents.

4. Have Experienced Symptoms of Chronic Depression
Lee County At-Risk
Chronic depression affects:
51.9% of low-income residents (<200% FPL)
≈35% of adults <65
Most favorable in Market Area 4
% Symptoms of Chronic Depression (2+ Years)
Sources: ● PRC Community Health Surveys, Professional Research Consultants, Inc. [Item 119]
● PRC National Health Survey, Professional Research Consultants, Inc.
Notes: ● Asked of all respondents.
● Chronic depression includes periods of two or more years during which the
respondent felt depressed or sad on most days, even if (s)he felt okay sometimes.
17.4% of Lee County adults have been diagnosed with a depressive disorder by a physician.

5. higher in non-Hispanic Whites
Suicide: Age-Adjusted Mortality ( Annual Average Deaths per 100,000 Population)
higher in non-Hispanic Whites
Suicide (Age-Adjusted Death Rate)
SECONDARY DATA
Sources: ● CDC WONDER Online Query System. Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.
Data extracted March 2014.
● US Department of Health and Human Services.  Healthy People December [Objective MHMD-1]
Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10).
● Rates are per 100,000 population, age-adjusted to the 2000 U.S. Standard Population.
● Local, state and national data are simple three-year averages.

6. Suicide: Age-Adjusted Mortality Trends (Annual Average Deaths per 100,000 Population)
Suicide (Age-Adjusted Death Rate)
SECONDARY DATA
Sources: ● CDC WONDER Online Query System. Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.
Data extracted March 2014.
● US Department of Health and Human Services.  Healthy People December [Objective MHMD-1]
Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10).
● Rates are per 100,000 population, age-adjusted to the 2000 U.S. Standard Population.
● Local, state and national data are simple three-year averages.

7. Member of Household Sought Mental Health Services in the Past Year
% Member of HH Sought Mental Health Svcs
Note that 76.5% of Lee County adults diagnosed with a depressive disorder have ever sought help for mental health (US=76.6%).
Sources: ● PRC Community Health Surveys,
Professional Research Consultants, Inc. [Items 26-27]
Notes: ● Asked of all respondents.

8. Lee County Trend: Relatively stable over the past decade.
Cirrhosis/Liver Disease: Age-Adjusted Mortality ( Annual Average Deaths per 100,000 Population)
Drug-Induced Deaths:
Age-Adjusted Mortality ( Annual Average Deaths per 100,000 Population)
Lee County Trend: Historically comparatively high, but not increasing as sharply as FL/US rates.
Lee County Trend: Relatively stable over the past decade.
Cirrhosis/Liver Disease (Age-Adjusted Death Rate)
SECONDARY DATA
Sources: ● CDC WONDER Online Query System. Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and Informatics.
Data extracted March 2014.
● US Department of Health and Human Services.  Healthy People December [Objective SA-11]
Notes: ● Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10).
● Rates are per 100,000 population, age-adjusted to the 2000 U.S. Standard Population.
● Local, state and national data are simple three-year averages.

9. Binge Drinkers
Lee County At-Risk
Binge drinking is higher among:
Adults age = 29.3%
Hispanic residents = 25.7%
Mid/High-income residents (200%+ FPL) = 23.8%
Men = 23.6%
% Binge Drinker (Single Occasion - 5+ Drinks Men, 4+ Women)
Sources: ● PRC Community Health Surveys, Professional Research Consultants, Inc. [Item 192]
● Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia. United States
Department of Health and Human Services, Centers for Disease Control and Prevention (CDC):
2012 Florida data.
● PRC National Health Survey, Professional Research Consultants, Inc.
● US Department of Health and Human Services.  Healthy People December 2010.
[Objective SA-14.3]
Notes: ● Asked of all respondents.
● Binge drinkers are defined as men having 5+ alcoholic drinks on any one occasion or women
consuming 4+ drinks on any one occasion.
A total of 2.7% of county adults acknowledge using an illicit drug in the past month (similar to US).

10. Have Ever Sought Professional Help for an Alcohol/Drug-Related Problem
% Ever Sought Help for Alcohol or Drug Problem
Sources: ● PRC Community Health Surveys, Professional Research Consultants, Inc. [Item 80]
● PRC National Health Survey, Professional Research Consultants, Inc.
Notes: ● Asked of all respondents.

11. Behavioral Health Update
Greg Gardner and Kevin Lewis

12. Behavioral Health
Convene a community collaborative to develop a comprehensive continuum of care for Behavioral Health, based on a current needs assessment for Lee County.

13. Behavioral Health - Scorecard

14. Accomplishments Park Royal Psychiatric Hospital
expanded from 76 to 103 licensed beds June 2013
added substance abuse treatment
recently began $1.8 million expansion of outpatient treatment
and is adding psychiatrists/mental health profession staff
Bob Janes Behavioral Triage Center
continues diversion from the justice system for low level offenders with mental health, substance abuse or homelessness issues,
received 7th year of state grant funds,
expanded Veteran’s services through VA grant with 100 veterans placed in housing,
was recognized as best practice in collaboration
both nationally through Hospital Charitable Service Award and
locally with the first UNITE Award from United Way and SWFL Community Foundation and
contributed to a 46% reduction in actual low level misdemeanor charges being filed in Lee County comparing the 5 years both before and after Triage opened

15. Accomplishments
SalusCare, Inc. merged Lee Mental Health and SWFL Addiction Services 7/1/13
added new access point in Cape Coral 4/1/14
implemented first CAT intervention for high risk youth resulting in 90% reduction in Children’s Crisis Unit Admissions after CAT intervention
Mental Health First Aid successful first year
with 16 professionals trained as trainers,
200 program graduates who can identify and intervene as early as possible
resulting in improved outcomes and less reliance on the justice system for Mental health issues
Lee Interfaith for Empowerment (L.I.F.E.) 1,000 participants identified Youth access to mental health services as the 2013 project.
A series of efforts (including Mental Health First Aid) have begun.
A Child Mental Health Task Force has formed to expand partnerships with the schools and medical community with focus on early identification and treatment for better outcomes

16. Opportunities for Improvement
Public Policy Issues:
State funding for mental health in Florida ranks 48th nationally
Medicaid supported services in SWFL have lowest capitated rates in Florida
Failure to expand Medicaid leaves more people without services
Current transition to Medicaid Managed Care disrupts existing service contracts as new networks are formed
New federally mandated Mental Health Parity and Addiction Equity Act has yet to be implemented in Florida Medicaid

17. Opportunities for Improvement
Local Services:
Expansion of outpatient facilities and medical staff at Park Royal will provide more treatment
Mental Health First Aid training will continue, yielding improved outcomes
SalusCare synergies will continue to increase capacity and quality care
Community Action Team (CAT) special state funding for high risk youth interventions will reach more youth and continue reductions in Children’s Crisis Unit Admissions
Children’s Mental Health Task Force initiated through Lee Interfaith for Empowerment (L.I.F.E.) efforts has confirmed its schedule for the next year of action meetings

18. Next Steps
Continue advocacy for Public Policy changes that will provide better access to intervention and treatment
Expand partnerships with the schools and medical community through Child Mental Health Task Force
Sustain Bob Janes Triage Center collaboration track record and seek stable funding sources
Continue the success of the CAT intervention program
Support the synergies initiated by SalusCare, Inc.

19. Behavioral Health
We are on Track to meet the 2017 goal for Behavioral Health for reported fair or poor mental health.
Yes No

20. Discussion