1. Sept 11, 2014 State Trends - Parity and Disparity

2. P arity Or D isparity

3. 8,019,763 Enrolled National Rate 59.20% - Eligible Individuals Were Insured

4. Enrolled the Least…. 45,390 People 33.64% Eligible

5. Enrolled the Most…. 1,405,102 People 74.47% Eligible

6. Wisconsin Could Save $206 Million (2013-2015)….If It had Expanded Medicaid by April 1, 2014. It Can Save $315 Million (2015 – 2017) If It Chooses To Expand

7. State Benchmarks of Essential Health Benefits – Marketplace 22 States Have Quantitative Limits on Mental Health Services

8. U tah Most Limiting… 8 Outpatient Visits Per Plan Year Combined With Substance Abuse 30 Inpatient Visits Per Plan Year

9. Standardized across States Tracked Yearly Adult and Youth Mental Health Data

10. Who’s In Need? Any Mental Illness Serious Mental Illness Dually Diagnosed with Substance Use Children with Serious Emotional Disturbance Do They Get Help? Who Needed But Did Not Receive Treatment Who is Insured Provider Shortages State Expenditures

11. How Do They Get Help? Community Utilization Residential and Inpatient Treatment Treatment at School Peer Support Services Do They Get Better? Employment Housing Community Inclusion

12. Example Data Sets The National Survey on Drug Use and Health The Uniform Reporting System National Survey of Children’s Health National Provider Identification

13. Lowest Rate of Any Mental Illness DC

14. Highest Rate of Any Mental Illness DC

15. Ranking People with Any Mental Illness - Census Data: Utah 1,968,099 X.2235 439,870 individuals

16. Lowest Rate Uninsured Adults with Any Mental Illness DC

17. Highest Rate Uninsured Adults with Any Mental Illness DC

18. Ranking People with Any Mental Illness who are Uninsured Nevada 2,094,509 X.0274 57,389 vs. 45,390 enrolled Jan - April

19. How They Compare…8 States Overlap Any Mental Illness Any Mental Illness/Uninsured

20. Lowest Rate of Children Who Needed but Didn’t Receive Services DC

21. Bottom States – Rate of Children Who Needed but Didn’t Receive Services DC

22. Ranking for Children with “Unmet Need”

23. *Condition prevalence in 2011/12 was asked using two questions: prevalence of conditions ever or currently. Only current prevalence is reported here. Children Who Needed MH Treatment/Did Not Receive Defined by CDC as: Children with Special Healthcare Needs % Among

24. Top States – Rate of Adults Who Needed but Didn’t Receive Services DC

25. Highest Rate of Adults Who Needed but Didn’t Receive Services

26. Ranking Adults with “Unmet Need”

27. How They Compare…8 States Overlap Highest Uninsured/ AMI Highest “Unmet Need”

28. Florida SMI-3.75%. Lower CI at 3.17% Census Adult Population: 15316595 485,536 people with Serious Mental Illness. Most Recent Survey of Florida State Mental Health Agency Reported they served 319,190 individuals Unmet Need – 2.55% 575,903 people reporting Unmet Need Serving a significant portion of those with SMI. Still much to go, to help with Unmet Need

29. Highest MH Expenditure Per Capita, 2012 DC

30. Lowest MH Expenditure Per Capita, 2012 DC

31. Ranking 2012 State Mental Health Expenditures Per Capita

32. Lowest Ratio of Population to MH Provider DC

33. Highest Ratio of Population to MH Provider DC

34. Ranking Workforce Need

35. Highest Rate Improved Social Connectedness DC

36. Lowest Rate Improved Social Connectedness DC

37. Ranking Improved Social Connections

38. Putting It All Together….the Rankings Any Mental Illness AMI and Uninsured Children with Unmet Need Adults with Unmet Needs State Mental Health Expenditures Workforce Needs Improved Social Connectedness Georgia Ranking 29th 4th 45th 16th 46 th 49 th 8th

39. From Last to First…

40. 3 1 2 Vermont Maine Connecticut And The Winner Is….

41. From Last to First…

42. Next Steps? Finish Report Infographics and Advocacy Track Chosen Measures Over Time Identify Effect of Parity Identify Ongoing Disparity Input on Measures? Yearly State Comparison Data Adult and Youth

43. Questions at End… tnguyen@mentalhealthamerica.net