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  Mental Health Matters to America

All Americans must understand and send this message: Mental disability is not a scandal; it is an illness. And like physical illness, it is treatable, especially when the treatment comes early. President George W. Bush, April 29, 2002

Mental Health Disorders Are Common; Treatment Is Not

  • One in five Americans has a mental disorder each year, but only fifteen percent of the adult population uses some form of mental health service during the year.1

  • Four million American youth have a major mental illness that results in significant impairment at home, at school and/or with peers.2 Yet, only a third of the children who need mental health treatment receive any at all.

  • A Harvard Medical School study found that 13 to 14 million adult Americans suffer from a major depressive episode each year, but only one in five received treatment that met the minimum standards of treatment.3

America Pays for Mental Illness No Matter What

  • The combined indirect and direct costs of mental illness, including costs of lost productivity, lost earnings due to illness, and social costs are estimated to total at least $113 billion annually. 4

  • Clinical depression alone costs the U.S. $43.7 billion annually, including workplace costs for absenteeism and lost productivity ($23.8 billion), direct costs for treatment and rehabilitation ($12.4 billion), and lost earning due to depression-induced suicides ($7.5 billion). 5

  • Healthcare costs of untreated persons who suffer from alcoholic and drug addiction are 100 percent higher than those who receive treatment. At least 25 percent of all hospital admissions have alcoholism-related complications, and 65 percent of emergency room visits are alcohol or other drug related. 6

Cutting Mental Health Funding Will Cost States More

  • Oklahoma's Mental Health Commissioner told State lawmakers that recent budget cutbacks to community-based mental health programs seem to be sending clients into more expensive crisis centers. Patients at the Tulsa Center for Behavioral Health increased 49 percent between October 2002 and March of 2003. 7

  • In South Carolina, persons with mental illness have waited for days in emergency rooms or months in county jails for an open bed in a psychiatric hospital. The shortage of beds has been blamed on $23 million in cuts to the department's State appropriations between FY 2001 and 2002. 8

  • Dane County, Wisconsin - renowned for premier mental health services - has waiting lists of up to a year for many adult and juvenile mental health services as a result of funding cuts from state and federal sources. 9

America Can Spend Money Wisely

  • Invest in effective community-based care that reduces reliance on emergency rooms, jails, prisons and other highly expensive care. An emergency room typically charges four to five times that of a doctor’s office.

  • Consider the full cost of cutting funding for health services. For example, states stand to lose $1.2 million in wages and $3.4 million in business activity for every $1 million cut from state Medicaid programs. 10

  • Include consumers and family members in all decision-making. People living with mental health disorders know the real impact of policy choices.


To find your local Mental Health Association, visit our website at www.nmha.org or call 800-969-NMHA (6642), Option 6.

Background
· Introduction
· Medicaid and Mental Health
· Can’t Make the Grade
· Mental Health Statistics
· Dollars and Nonsense Pdf
· Penny-Wise & Pound-Foolish Pdf
· Investment in Children’s Mental Health Services Pdf
· Call for Investment Pdf
Advocacy Tools
· Tips for writing your policymaker
· State facts and policymakers
·
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1. Mental Health: A report of the Surgeon General, 1999.
2. U.S. Surgeon General, 1999. Report on Mental Health, Chapter 3: Children and Mental Health.
3. Kessler et al “The Epidemiology of Major Depressive Disorder: Results From the National Comorbidity Survey Replication (NCS-R).” The Journal of the American Medical Association, 289 (23), 2003: 3095-3105
4. Rice, D. P., & Miller, L. S. “Health economics and cost implications of anxiety and other mental disorders in the United States.” British Journal of Psychiatry, 173(34), 1998: 4-9.
5. Greenberg, P.E. (1993) The economic burden of depression in 1990. Journal of Clinical Psychiatry. November issue.
6. Hazelden Foundation (1999). Testimony before the House Committee on Government Reform. Minnesota: Hazeldon Foundation.
7. Hoberick, B. “Cutbacks blamed for rise in costs.” Tulsa World April 17, 2003.
8. Charlotte Oberserver, 3/10/03
9. Wisconsin State, 3/16/03
10. Families USA, 2003. Medicaid: Good Medicine for State Economies. Washington, DC: Families USA. Available: www.familiesusa.org.