Mental disorders are disabling conditions. The use of inpatient treatment services by African Americans, for example, is much higher than use of these services by whites, a difference that cannot be accounted for by differences in prevalence alone (Chapter 2). Mental health coverage often is arbitrarily restricted. In need of peer-to-peer support? A Report of the Surgeon General—Executive Summary. Assess Service Member behavioral health … With the Surgeon General’s Report as a guide, the New York City Department of Health and Mental Hygiene (NYC DOHMH) has created this doc- The schools and child welfare system are the initial points of contact for most children and adolescents, and can be useful sources of first-line assessment and referral, provided that expertise is available. Public Health Rep. 2000 Jan-Feb;115(1):89-101. Get this from a library! of Health and Human Services under the direction of the Substance Abuse and Mental Health Services Administration, Center for Mental Health Services in partnership with the National Institute of Mental Health, National Institutes of Health"--P. vii. Individuals and families consequently are forced to draw on relatively—and substantially—more of their own resources to pay for mental health treatment than they pay for other types of health care. In an era in which the confidentiality of all health care information, its accessibility, and its uses are of concern to all Americans, privacy issues are particularly keenly felt in the mental health field. Office of the Surgeon General. Appropriate treatment can alleviate, if not cure, the symptoms and associated disability of mental illness. Across the Nation, certain mental health services are in consistently short supply. H��W�n�H}�W�[��I�y�؞؃$�r�4�~����6�"��㿟sR[� 1U��﹧�����ZE&4��E41c�ßydf�E���Uq�ẙ�M�{c�l.>|z�ss1��xfV������w������o���M��������������w��տ/����6�ˈ$*vً�D"������gsw{�yu��\? The successful experiences of individual patients will positively influence attitudes toward mental health services and service providers, thus encouraging others who may share similar concerns or interests to seek help. Satcher DS. People struggling with their mental health may be in your family, live next door, or go to school with your children. Mental Health: A Report of the Surgeon General—Executive Summary. Mental health : a report of the Surgeon General : executive summary.. [United States. Some advocates crusade for more stringent controls and treatment mandates, whereas others adamantly oppose coercion on any grounds. 2 See Chapter 4, Adults and Mental Health, in U.S. Department of Health and Human Services, Mental Health: A Report of the Surgeon General—Executive Summary. A plethora of new pharmacologic agents and psychotherapies for mental disorders affords new treatment opportunities but also challenges the scientific community to develop new approaches to clinical and health services interventions research. Yet it is important to acknowledge and appreciate that there exist wide variations within and among racial and ethnic minority groups with respect to use of mental health services. Adult smoking rates have fallen from about 43% (1965) to about 18% today. Facts About School Mental Health Services ... 2005a). Includes bibliographical references and index. Special effort is required to address pronounced gaps in the mental health knowledge base. Treatments fall mainly under several broad categories—counseling, psychotherapy, medication therapy, rehabilitation—yet within each category are many more choices. Many who seek treatment are bewildered by the maze of paths into treatment; others in need of care are stymied by a lack of information about where to seek effective and affordable services. The mental health service system is highly fragmented. Responding to the calls of managed mental and behavioral health care systems for evidence-based interventions will have a much needed and discernible impact on practice. The Surgeon General’s report itself is expected to stimulate the demand for effective treatment for needed mental health care. This is the first Surgeon General’s report ever issued on the topic of mental health and mental illness. The mission of MHAT VI was to: 1. As the debate continues, more study is needed concerning the effectiveness of different strategies to enhance compliance with treatment. A small, monthly $2-$5 donation will help DF keep our mission and vision alive. Office of the Surgeon General Date: 1964 Publisher: United States. The qualities of mental health are essential to leading a healthy life. ;] Mental disorders are health conditions that are characterized by alterations in thinking, mood, or behavior (or some combination thereof) associated with distress and/or impaired functioning. Individuals with mental disorders often are neglected or victimized in these institutions. U.S. Department of Health and Human Services. Key among these are the urgent need for research evidence that supports strategies for mental health promotion and illness prevention. 0000002036 00000 n They are intended for policymakers, service and treatment providers, professional and advocacy organizations, researchers, and, most importantly, the American people. Includes bibliographical references and index. ; National Inst. Racial and ethnic minorities have less access to mental health services than do whites. This first Report of the Surgeon General on Mental Health represents the initial step in advancing the notion that mental health is fundamental to general health. Public Health Service. English This first Report of the Surgeon General on Mental Health represents the initial step in advancing the notion that mental health is fundamental to general health. It is a work of real significance, on par with the Surgeon General’s historic first report on smoking and health published in 1964. All human services professionals, not just health professionals, have an obligation to be better informed about mental health treatment resources in their communities. This Surgeon General’s report is issued at a time of unprecedented scientific opportunity. It is important to monitor advances so that confidentiality of records is enhanced, instead of impinged upon, by technology. In states in which legislation requires parity of mental health and general coverage, cost increases are nearly imperceptible as long as the care is managed. There is an insufficient number of mental health professionals from racial and ethnic minority groups (Peterson et al., 1998), a problem that needs to be corrected. These include the following: All too frequently, these effective programs are simply unavailable in communities. It aims at new challenges and builds on lessons learned from its first 4 decades. To be effective, the diagnosis and treatment of mental illness must be tailored to individual circumstances, while taking into account, age, gender, race, and culture and other characteristics that shape a person’s image and identity. New strategies must be devised to bridge the gap between research and practice (National Advisory Mental Health Council, 1998). Family members, clergy, and friends often can help by encouraging a distressed person to seek help. Assess Soldier behavioral health 2. of Mental Health (DHEW), Rockville, MD. If the path of help-seeking leads to only limited improvement, an array of options still exists: the intensity of treatment may be changed, new treatments may be introduced, or another provider may be sought. Some people do not seek treatment because they are fearful of being forced to accept treatments not of their choice or of being treated involuntarily for prolonged periods (Sussman et al., 1987; Monahan et al., 1999). Exciting new research-based advances are emerging that will enhance the delivery of treatments and services in areas crucial to consumers and families—employment, housing, and diversion of people with mental disorders out of the criminal justice systems. Why Sleep Loss Is Linked To Depression As Well As Anxiety. 0000005953 00000 n Repeated surveys have shown that concerns about the cost of care are among the foremost reasons why people do not seek care (Sussman et al., 1987; Sturm & Sherbourne, 1999). The issuance of this Surgeon General’s Report on Mental Health seeks to help reduce stigma by dispelling myths about mental illness, by providing accurate knowledge to ensure more informed consumers, and by encouraging help seeking by individuals experiencing mental health problems. A recent paper suggests that the value of mental health treatment has increased in recent years—that is, effectiveness has increased—while expenditures have fallen (Frank et al., 1999). This first Report of the Surgeon General on Mental Health represents the initial step in advancing the notion that mental health is fundamental to general health. For more information about the Surgeon General’s report, visit As noted throughout this report, a wide variety of community-based services are of proven value for even the most severe mental illnesses. This report presents clear evidence that mental health and mental illness are shaped by age, gender, race, and culture as well as additional facets of diversity that can be found within all of these population groups—for example, physical disability or a person’s sexual orientation. At present, many beneficiaries appear not to know if they have mental health coverage, much less where to seek help for problems. 1. (2001). l. EXECUTIVE SUMMARY 1 .l Introduction Mental Health Advisory Team 6 OEF was established by the Office of the U.S. Army Surgeon General at the request of the Commanding General, US Forces Afghanistan (USFOR-A). The juvenile justice system represents another pathway, although many overburdened facilities tend to lack the staff required to deal with the magnitude of the mental health problems encountered. Policies must be promulgated to ensure that vulnerable individuals are protected while they participate in research needed for the development of new treatments. This is the first Surgeon General’s report ever issued on the topic of mental health and mental illness. The law affords special protections for children and for persons with impaired decisionmaking capacity. The mental health service system should be tailored to focus on women’s unique needs (Blumenthal, 1994). It gives insurers—in the public sector as well as the private—tacit permission to restrict coverage for mental health services in ways that would not be tolerated for other illnesses. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2016. There is no “one size fits all” treatment; rather, people can choose the type of treatment that best suits them from the diverse forms of treatment that exist. Mental health issues affect us all, either directly or through the people we love. The Nation has realized immense dividends from 5 decades of investment in research focused on mental illness and mental health. Both treatment strategies should actively involve the participation of the multiple health, social service, educational, and other community resources that play a role in ensuring the health and well-being of children and their families; Assertive community treatment, an intensive approach to treating people with serious mental illnesses; Combined services for people with co-occurring severe mental disorders and substance abuse disorders; A range of prevention and early case identification programs; and. History of the Healthy People Initiative Healthy People 2030 is the fifth edition of Healthy People. Public Health Service. Disease management programs for conditions such as late-life depression in primary care settings. 0000006436 00000 n Many highly committed primary care providers do not know referral sources or do not have the time to help their patients find services. In fact, as the preceding chapters demonstrate, there exists a constellation of treatments for most mental disorders. Over the past decade, the US Surgeon General's Report on Mental Health,1 the President's New Freedom Commission Report,2 Schizophrenia Patient Outcomes Research Team (PORT) project,3 the Texas Medications Algorithm Project (TMAP),4 and several other systematic efforts5–10have identified a variety of evidence-based interventions for persons with schizophrenia. For our Nation to reduce the burden of mental illness, to improve access to care, and to achieve urgently needed knowledge about the brain, mind, and behavior, stigma must no longer be tolerated. The Center for Mental Health Services Substance Abuse and Mental Health Services Administration National Institute of Mental Health National Institutes of Health Suggested Citation U. S. Department of Health and Human Services. Surgeon General's Advisory Committee on Smoking and Health United States. of Health and Human Services under the direction of the Substance Abuse and Mental Health Services Administration, Center for Mental Health Services in partnership with the National Institute of Mental Health, National Institutes of Health"--P. vii. Surgeon General’s Report on Alcohol, Drugs, and Health. Youth Violence: A Report of the Surgeon General—Executive Summary. The Way we Communicate with Young People is by Text, Saves Lives! trailer << /Size 73 /Info 54 0 R /Root 59 0 R /Prev 65317 /ID[] >> startxref 0 %%EOF 59 0 obj << /Type /Catalog /Pages 53 0 R >> endobj 71 0 obj << /S 253 /Filter /FlateDecode /Length 72 0 R >> stream These emphases, combined with research to increase the knowledge needed to treat and prevent mental and behavioral disorders, constitute a broad public health approach to an urgent health concern. For many who do have health insurance, coverage restrictions for mental health treatment persist. Primary health care could be an important portal of entry for children and adults of all ages with mental disorders. Mental health is fundamental to health and human functioning. 0000001551 00000 n 58 0 obj << /Linearized 1 /O 60 /H [ 702 349 ] /L 66605 /E 6665 /N 16 /T 65327 >> endobj xref 58 15 0000000016 00000 n 0000002923 00000 n Public and private agencies have an obligation to facilitate entry into treatment. Surgeon General, in the course of a year approximately 20% of children and adolescents in the U.S. experience signs and symptoms of a mental health problem and 5% experience ... A report o the surgeon general Executive summary.
2020 mental health: a report of the surgeon general executive summary