Focus Area 18: Mental Health and Mental Disorders

Progress Review

December 17, 2003

      

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

Progress review data and slidescan be found on the web at:

http://www.cdc.gov/nchs/hphome.htm