1. The National Prevention Strategy and Behavioral Health Care: Prevention Is Now RADM Peter J. Delany, Ph.D., LCSW-C Substance Abuse and Mental Health Services Administration 2012 USPHS Scientific and Training Symposium College Park, MD June 21, 2012

2. SAMHSA’s Vision Behavioral health is essential to health. Prevention works. Treatment is effective. People recover. America is a nation that understands and acts on the knowledge that …

3. What the Vision Looks Like Primary care providers monitor: – Blood pressure, body mass index, vaccines – Depression, alcohol/tobacco use School/community presentations focus on: – Emotional health – Substance use and mental illness Partnering at all levels

4. Daily Disaster of Unprevented and Untreated Mental and Substance Use Disorders Any Mental Illness 45.9 million Substance Use Disorder 23.1 million Diabetes 25.8 million Heart Disease 81.1 million Hypertension 74.5 million 39.2 % receiving treatment 11.2 % receiving treatment 84 % receiving treatment 74.6 % receiving screenings 70.4 % receiving treatment

5. What Do Americans Believe About Addiction? … and about one in three think less of someone currently addicted … and three-quarters think recovery is possible Yet, two-thirds think addiction can be prevented… Only one in five think less of a friend/relative in recovery from an addiction …

6. What Do Americans Believe About Mental Illness? The majority, two out of three, think treatment and support can help people with mental illness lead normal lives. And, Only one in five think people with a mental illness are dangerous to others.

7. Up to half of people with a serious mental illness will develop a substance abuse disorder at some time in their lives. Alcohol dependence is four times more likely to occur among adults with mental illness than among adults with no mental illness. One in five people with a diagnosable mental health disorder also suffer from a substance abuse disorder. Substance Abuse and Mental Illness Are Linked Substance abuse and mental illness share risk and protective factors.

8. Mental health problems increase risk for physical health problems. Substance use disorders increase risk for chronic disease, HIV/AIDS, STDs. Cost of treating common diseases higher with untreated behavioral health problems Hypertension – 2X the cost Coronary heart disease – 3X the cost Diabetes – 4X the cost Impact of Behavioral Health on Physical Health

9. Changing the Conversation: Behavioral Health Is Part of Overall Health Americans know risk factors for chronic conditions such as diabetes, hypertension, and cardiovascular disease. However, many people do not know the warning signs for suicide, addiction, or mental illness. … Nor do they know what to do to help themselves or others.

10. A National Call to Action

11. Health Reform: A Defining Moment for Prevention More people covered Prevent diseases, promote wellness, whole health needs New opportunities for behavioral health: Parity: Mental Health Parity and Addiction Equality Act and within Affordable Care Act Tribal Law and Order Act National Action Alliance for Suicide Prevention Medicare and Medicaid changes

12.  Cancer screenings such as mammograms & colonoscopies  Vaccinations such as flu, mumps & measles  Blood pressure screening  Cholesterol screening  Tobacco cessation counseling and interventions  Birth control  Depression screening  And more… Visit www.healthcare.gov/prevention for a full list.www.healthcare.gov/prevention The Law Increases Access to Affordable Care In many cases, you can get preventive services for free:

13. Everyone Has a Part: Communities Develop comprehensive prevention systems. Establish linkages. Conduct education, outreach, and training.

14. Everyone Has a Part: Health Systems, Insurers, Physicians ID and screen patients for excessive drinking. ID, track, and prevent inappropriate patterns of prescribing. Develop and adopt evidence- based guidelines for prescribing opiates. State prescription drug monitoring plans.

15. Collaboration is Key! Center for Substance Abuse Prevention Center for Mental Health Services Center for Substance Abuse Treatment Center for Behavioral Health Statistics and Quality http://www.samhsa.gov