# Presentation: 659293

## 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 Objectives

**Mental Health Status**
- 18-1   Suicide
- 18-2   Adolescent suicide attempts
- 18-3   Serious Mental Illness  among homeless adults
- 18-4   Employment  of persons with SMI
- *18-5 Eating disorder relapses
**State Activities**
- 18-12  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 screening
- 18-9    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.

## Suicide, by Gender

**Suicide, by Gender**

- Age adjusted rate per 100,000

**Females**

**Males**

**Total**

- 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

- Source: National Vital Statistics System - Mortality, NCHS, CDC.

**Obj. 18.1**

**Notes:**
Varying by gender and age:
Males  suff among young and firearms among elderly

## Leading Causes of Suicide Among females, 2001 

- Source: National Vital Statistics System - Mortality, NCHS, CDC.

**Obj. 18.1**

**Notes:**
Females suff among young with higher proportions of poisoning for 20-64; stable firearm %

## Suicide, by Race and Ethnicity

**Suicide, by Race and Ethnicity**

- Age adjusted rate per 100,000

**White**

**Total**

- Source: National Vital Statistics System - Mortality, NCHS, CDC.

**2010 Target**

**1991**

**1993**

**1995**

**1997**

**1999**

**2001**

**American Indian**

**Hispanic**

**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

## Suicide, by Race and Ethnicity

**Suicide, by Race and Ethnicity**

- Age adjusted rate per 100,000 (log scale)

**White**

**Total**

**1991**

**1993**

**1995**

**1997**

**1999**

**2001**

**American Indian**

**Hispanic**

**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.
- 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**

## Suicide, by State, 2001

**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**

## Suicide Among 15-17 year olds, 2001

**Suicide Among 15-17 year olds, 2001**

- Death rate per 100,000

- 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**

**Total**

**American **
**Indian**

**Asian**

**Hispanic**

**Black**

**White**

**Females**

**Males**

## Suicide Attempts by Students in Grades 9-12, by Gender

**Suicide Attempts by Students in Grades 9-12, by Gender**

- Percent

**Females**

**Males**

**Total**

- SOURCE: Youth Risk Behavior Surveillance System (YRBSS), NCCDPHP, CDC.

**2010 Target**

**1991**

**1993**

**1995**

**1997**

**1999**

**2001**

**Obj. 18.2**

## Suicide Attempts by Students in Grades 9-12, by Gender and Race/Ethnicity

**Suicide Attempts by Students in Grades 9-12, by Gender and Race/Ethnicity**

- Percent

- 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 Males**

**Black Females**

**White **
**Females**

**Hispanic **
**Males**

**White Males**

**Obj. 18.2**

## Major Depressive Episode among 17-39 year olds, 1988-1994

**Major Depressive Episode among 17-39 year olds, 1988-1994**

- 0

- 2

- 4

- 6

- 8

- 10

- 12

- Women

- Mexican
- American

- Black

- White

- Men

- Lifetime prevalence (percent)

- Total

- Source:  National Health and Nutrition Examination Survey III (1988-1994), NCHS, CDC.

## Mental Health Screenings in Juvenile Justice Facilities

**Mental Health Screenings in Juvenile Justice Facilities**

- Percent of juvenile justice facilities

- 1998

- Note: 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**

**Notes:**

NHLBI committed to measuring

## State Tracking of Consumer Satisfaction with Mental Health Services, 2003*

**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**

**1999**

**2003**

**2010 Target**

- Number of States

## State Plans Addressing Mental Health Services for Older Persons, 2003

**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**

- Number of States

**2010 Target**

**1997**

**1999**

**2001**

**2003**

## Progress review data and slides

**Progress review data and slides**
**can be found on the web at:**

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