1. Some Essentials of National Health Reform Ron Manderscheid, PhD SRA International, Inc. & Johns Hopkins University

2. National Health Reform is Essential Honoring Senator Ted Kennedy

3. National Health Reform is Essential Current Context is Very Precarious –Care Quality is Low –Costs are Very High –Costs are Projected to Spiral Higher –Families are Being Squeezed by Health Insurance Premiums –We have known these important facts for a very long time….

4. National Health Reform is Essential Current Context is Very Precarious –The situation has become critical. –The economic downturn and health system costs have joined to create an unsustainable future.

5. National Health Reform is Essential Mental and Substance Use Care are Essential Mental and Substance Use Care are Essential –Mental and substance use disorders are preventable and treatable. –If untreated, they become long-term, chronic conditions.

6. National Health Reform is Essential Mental and Substance Use Care are Essential –Uninsurance is Pervasive: Fully ONE THIRD of uninsured Americans have a mental or substance use condition. This is DOUBLE the national rate of uninsurance. Fully ONE THIRD of uninsured Americans have a mental or substance use condition. This is DOUBLE the national rate of uninsurance. –Underinsurance is Pervasive: All private plans underinsure for long-term mental and substance use conditions. All private plans underinsure for long-term mental and substance use conditions. All public plans underinsure for substance use conditions. All public plans underinsure for substance use conditions.

7. National Health Reform is Essential Mental and Substance Use Care are Essential –Poor Quality Care is Pervasive: Public mental health and substance use clients DIE YEARS YOUNGER than other Americans. Public mental health and substance use clients DIE YEARS YOUNGER than other Americans. ONE OUT OF TWO persons with mental conditions receive no care at all. ONE OUT OF TWO persons with mental conditions receive no care at all. FOUR OUT OF FIVE persons with substance use conditions receive no care at all. FOUR OUT OF FIVE persons with substance use conditions receive no care at all.

8. National Health Reform is Essential Mental and Substance Use Care are Essential –Intervention Comes Late: Most receive care after their conditions become acute. Most receive care after their conditions become acute. Few receive screening for mental or substance use conditions. Few receive screening for mental or substance use conditions. Early interventions, such as Screening, Brief Intervention, and Referral for Treatment—SBIRT—are not fully implemented. Early interventions, such as Screening, Brief Intervention, and Referral for Treatment—SBIRT—are not fully implemented.

9. National Health Reform is Essential Mental and Substance Use Care are Essential –Quality Improvement Tools are Not Available Evidence Based Practices are underdeveloped. Evidence Based Practices are underdeveloped. Fields do not have a common outcome measurement tool. Fields do not have a common outcome measurement tool. Fields do not have common performance metrics. Fields do not have common performance metrics.

10. National Health Reform is Essential Mental and Substance Use Care are Essential Mental and Substance Use Care are Essential –The current House Bill addresses most of these issues. Let’s pass it!

11. National Health Reform is Essential Conclusion –National Health Reform is essential for our economic and personal wellbeing. –Mental and substance use care and prevention are essential for National Health Reform. –We strongly urge the House to act now on National Health Reform.

12. Contact Information Ron Manderscheid, PhD Director, Mental Health and Substance Use Programs Global Health and Civil Services Sector, SRA Intl., Inc. 6003 Executive Blvd., Suite 400 Rockville, MD 20852 240-514-2607 (V) 240-514-2601 (F) 301-787-1414 (C) ronald_manderscheid@sra.com www.sra.com Enhancing human health around the world, everyday. Enhancing human health around the world, everyday.