mind does matter!

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A presentation describing the problem on mental illness!

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  • 1. MIND DOES MATTER Moneesh Mittal, M.D. 05/20/2014 1
  • 2. Silly loco Bananas Daft Mental Illness Crazy Insane Retard Mad Nuts Wacko Cuckoo Psycho Weird Stupid Loony Lunatic Bonkers Hysteric Screwy Unbalanced 2
  • 3. Negative Emotions: Reasons Lack of understanding Weakness of Mind/Character Gender inequality Lack of positive role models Cults/Beliefs Language of Mental Illness 3
  • 4. What is Mental Illness? Clinically significant behavioral symptoms Associated with distress Causes disability in function Not socially or developmentally normative 4
  • 5. How BIG is the problem? Prevalence Financial Cost Effect on Human Life 5
  • 6. Annual Prevalence: United States 26.2% of Americans (1 in 4) 18 years or older meet the criteria for a diagnosable mental illness.1 (= 80 million) Serious Mental Illness: 6% (1 in 17).1 (= 18 million) 20% (1 in 5) of aged 13 18 years experience a severe mental disorder.2 13% (1 in 13)of aged 8 15 years experience a severe mental disorder.2 6 1. NIH, NIMH. (N.D.). Statistics: Any Disorder Among Adults. Retrieved March 5, 2013, from http://www.nimh.nih.gov/statistics/1ANYDIS_ADULT.shtml 2. NIH, NIMH. (N.D.). Statistics: Any Disorder Among Children. Retrieved March 5, 2013, from http://www.nimh.nih.gov/statistics/1ANYDIS_CHILD.shtml
  • 7. Prevalence: Adults 7
  • 8. Prevalence: Youth 8
  • 9. Financial Cost 9
  • 10. Cost per person 10
  • 11. Effect on Human Life Suicide Disability Disability Adjusted Life Years (DALYs) Years Lived with Disability (YLD) Substance Abuse Other Co-Morbid Illnesses Social Impacts 11
  • 12. Completed Suicide 10th leading cause of death in USA from age 1 - 85+ amounting to 34,592 deaths in 2007. A suicide every 15 minutes! 4th leading cause of death in USA from age 18 - 65 amounting to 28,628 deaths in 2007. 3rd leading cause of death in USA for teenagers (12-19) In 2007 the suicide rate was 11.26 for every 100,000. 12
  • 13. In 2010 highest suicide rate was among people aged 45 64 (18.6) 2nd highest was in age 85 and over (17.6) Suicide rate: Men - 19.9; Women 5.2 Race: Whites (14.1) > American Indians (11.0) > Asians (6.2) > Hispanics (5.9) > Blacks (5.1) Methods: Firearm most common (50.6%) 2nd most common suffocation (24.8%) Economic impact of completes suicides: $34 billion annually 13 Completed Suicide Who is at risk?
  • 14. Suicidal Thoughts/Attempts As per data from NSDUH in 2008, 3.7% of adult 18 years or older had thoughts of suicide with 1% who had made plans and 0.5% who had attempted. 14
  • 15. Disability: DALYs 15
  • 16. Disability: YLD 16
  • 17. Substance Abuse People with Severe Mental Illness were: 4 times more likely to be heavy alcohol users (four or more drinks per day) 3.5 times more likely to use marijuana regularly (21 times per year) 4.6 times more likely to use other drugs (at least 10 times in their lives). 17
  • 18. Other Co-Morbid Illnesses Adults living with serious mental illness die on average 25 years earlier than other Americans, largely due to treatable medical conditions 18
  • 19. Social Impacts - Homelessness 26 percent of homeless adults staying in shelters live with serious mental illness and an estimated 46 percent live with severe mental illness and/or substance use disorders 19
  • 20. Social Impacts - Incarcerations 70% of youth in Juvenile Justice systems have at least one mental health condition and at least 20 % live with a severe mental illness 44.8 to 64.2 % of inmates have a diagnosed mental illness 20
  • 21. Mood Disorders Lifetime Prevalence: 20.8 % Adults, 14% Youth (13-18) Major Depression: 16.5% Adults, 11.2% Youth Bipolar Disorder: 3.9% Adults, 0-3% Youth Major Depressive Disorder is the costliest illness in USA 21
  • 22. Schizophrenia 12 month prevalence: 1.1% Total financial burden of Schizophrenia is more than all cancers combined 22
  • 23. Anxiety Disorders Lifetime prevalence: 28.8% Adults, 25.1% Youth Most prevalent mental illness 23
  • 24. Unmet Need 24
  • 25. Causes of Unmet Need Social Stigma Lack of awareness Lack of insight Comorbid Substance Abuse Poor psychosocial support Financial constraints (survival vs psychiatric treatment) Inadequate Funding Lack of decisive treatment Shortage of mental health professionals Requirement of integrative approach 25
  • 26. Conclusion Mental Illness is a major public health concern with significant effect on quality of human life and financial cost. There is a huge unmet need which requires intervention at multiple levels 26
  • 27. 27