focus area 18: mental health and mental disorders progress review december 17, 2003
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Healthy People 2010 Mental Health and Mental Disorders
ObjectivesMental Health Status18-1 Suicide18-2 Adolescent suicide attempts18-3 Serious Mental Illness
among homeless adults18-4 Employment of persons with
SMI*18-5 Eating disorder relapses
State Activities18-12 State tracking of consumer
satisfaction*18-13 State plans addressing
cultural competence 18-14 State plans addressing
elderly persons
Treatment Expansion* 18-6 Primary care screening and
assessment* 18-7 Treatment for children with
mental health problems*18-8 Juvenile justice facility
screening18-9 Treatment for adults with
mental disorders*18-10 Treatment for co-occurring
disorders*18-11 Adult jail diversion programs
*Developmental objectives; those in red have new baselines; those in grey have no baselines.
0
5
10
15
20
25
Suicide, by GenderAge adjusted rate per 100,000
Females
Males
Total
0
Note: Data are age adjusted to the 2000 standard population.Source: National Vital Statistics System - Mortality, NCHS, CDC.
2010 Target
1979 1981 1983 1985 1987 1989 1991 1993 1995 1997 1999 2001
Obj. 18.1
Leading Causes of Suicide Among Males,
2001
0
10
20
30
40
50
60
70
80
90
100
10-14 15-19 20-64 65+
Pe
rce
nt
of
all s
uic
ide
s b
y a
ge
Firearm Suffocation Poisoning Other
Source: National Vital Statistics System - Mortality, NCHS, CDC.Obj. 18.1
Leading Causes of Suicide Among females,
2001
0
10
20
30
40
50
60
70
80
90
100
10-14 15-19 20-64 65+
Pe
rce
nt
of
all
su
icid
es
by
ag
e
Firearm Suffocation Poisoning Fall-jump Drowning Cut/pierce
Source: National Vital Statistics System - Mortality, NCHS, CDC. Obj. 18.1
0
2
4
6
8
10
12
14
Suicide, by Race and EthnicityAge adjusted rate per 100,000
White
Total
0
Source: National Vital Statistics System - Mortality, NCHS, CDC.
2010 Target
1991 1993 1995 1997 1999 2001
American IndianHispanic
Black
Asian
NOTE: American Indian includes Alaska Native; Asian includes Pacific Islander; Black and White exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. Data are age adjusted to the 2000 standard population.
1990 1992 1994 1996 1998 2000
Obj. 18.1
Index of Disparity
The average percent difference from the best group rate
(n-1 i= 1PDi)/ (n-1)
n = total number of groups
PDi = percent difference for each group rate of interest
1
10
100
Suicide, by Race and EthnicityAge adjusted rate per 100,000 (log scale)
White
Total
01991 1993 1995 1997 1999 2001
American Indian Hispanic
BlackAsian
NOTE: American Indian includes Alaska Native; Asian includes Pacific Islander; Black and White exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. Data are age adjusted to the 2000 standard population.Index of Disparity = average percent difference from the best group rate.Source: National Vital Statistics System - Mortality, NCHS, CDC.
1990 1992 1994
Index of Disparity
1996 1998 2000
Obj. 18.1
13.0 – 19.8 11.0 – 12.9 6.6 – 10.9
Age-adjusted rate per 100,000 N
(17)(17)(17)
SOURCE: National Vital Statistics System - Mortality, NCHS, CDC.
NOTE: Data are age adjusted to the 2000 standard population.
Suicide, by State, 2001
D.C.
Obj. 18.1
0
2
4
6
8
10
12
14
16
Suicide Among 15-17 year olds, 2001Death rate per 100,000
0
NOTE: American Indian includes Alaska Native; Asian includes Pacific Islander; Black and White exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. Data are age adjusted to the 2000 standard population.Source: National Vital Statistics System - Mortality, NCHS, CDC.
2010 Target
Obj. 18.1
TotalAmeric
an
IndianAsian
HispanicBlack
White Females Males
0.0
0.5
1.0
1.5
2.0
2.5
3.0
3.5
4.0
Suicide Attempts by Students in Grades 9-12, by GenderPercent
Females
Males
Total
0
SOURCE: Youth Risk Behavior Surveillance System (YRBSS), NCCDPHP, CDC.
2010 Target
1991 1993 1995 1997 1999 2001
Obj. 18.2
0
1
2
3
4
5
6
7
Suicide Attempts by Students in Grades 9-12, by Gender and
Race/EthnicityPercent
0
Note: Black and White exclude Hispanic. Hispanic may be any race. SOURCE: Youth Risk Behavior Surveillance System (YRBSS), NCCDPHP, CDC.
2010 Target
1991 1993 1995 1997 1999 2001
Hispanic Females
Black MalesBlack Females
White Females
Hispanic Males
White Males
Obj. 18.2
Major Depressive Episode among 17-39 year olds, 1988-1994
0
2
4
6
8
10
12
WomenMexican American
BlackWhite Men
Lifetime prevalence (percent)
Total
Source: National Health and Nutrition Examination Survey III (1988-1994), NCHS, CDC.
0
10
20
30
40
50
60
70
80
90
100
Mental Health Screenings in Juvenile Justice Facilities
Percent of juvenile justice facilities
1998Note: Objective is developmental. A 2010 target has not been set.Source: Inventory of Mental Health Services in Juvenile Justice Facilities, SAMHSA, CMHS.
Obj. 18.8
Tracks satisfaction Does not track satisfaction
N
(40)
(11)
* Data are preliminary. SOURCE: Uniform Reporting System, SAMHSA, CMHS.
State Tracking of Consumer Satisfaction with Mental Health
Services, 2003*
D.C.
Obj. 18.12
0
10
20
30
40
50
1999 2003
2010 Target
Number of States
Has plan addressing needs of older persons Does not have plan addressing needs of older persons
No Response
N
(22)
(24)
(5)SOURCE: State Mental Health Agency Profiling System, National Association of State Mental Health Program Directors, National Research Institute; SAMHSA, CMHS .
State Plans Addressing Mental Health Services for Older Persons, 2003
D.C.
Obj. 18.14
0
10
20
30
40
50
Number of States
2010 Target
1997 1999 2001 2003
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