# Presentation: 910091

## Eliminating Mental Health Disparities: 

**A. Kathryn Power, M.Ed., Director**
**Center for Mental Health Services**

- American Psychological Association
- Minority Fellowship Program
- 3rd Annual Psychology Summer Institute
- Washington, DC
- July 25, 2005

***Eliminating Mental Health Disparities: ***
***The Challenge and the Opportunities***

## “You must be the change you want to see in the world.” 

*“**You must ****be**** the change you want to ****see**** in the world.”*

***	******     *****— *****Mahatma Gandhi***

***Eliminating Mental Health Disparities:***
***The Challenge and the Opportunities***

- 2

## America is Rich with Diversity

**Racial and ethnic minorities make up more than one-quarter of the American population.**
**By 2025, minorities will account for more than 40% of all Americans.**
**Less than 10% of mental health providers are ethnic minorities.**

***Eliminating Mental Health Disparities:***
***The Challenge and the Opportunities***

- 3

## Psychiatric Disability is                          on the Rise

**450 million people worldwide have a mental disorder.**
**One in five Americans—44 million adults and 14 million children—live with mental disorders.**
**The total economic cost of mental illness to the Nation exceeds ****$148 billion—2.5% of the U.S. GNP.**
**By 2020, disability from mental illness will increase by 50% globally—a larger proportionate increase than that for cardiovascular disease.**

***Eliminating Mental Health Disparities:***
***The Challenge and the Opportunities***

- 4

## Transformation calls for a public health approach to mental illnesses.

**The public health approach is a community approach to preventing and treating illnesses. Its premise is that caring for the health of an individual protects the community, while—in turn—caring for the health of a community protects the individual****—****with society at large reaping the**** ****overall rewards. The public health model is also based on data, experiences, and best practice approaches.**

***Eliminating Mental Health Disparities:***
***The Challenge and the Opportunities***

- 5

## Achieving the Promise:

**A call for system transformation.**
**The goal: Hope for a full life in the community.**
**Services and supports are consumer/child/family centered.**
**Focus of care must increase illness self-management and build resilience.**

**Transforming Mental Health Care in America**

## Transformation is...

**...****life altering **
**...****the process of continuous evolutionary change driven by the dynamic needs of the enterprise**
**...****imbedded in the unpredictable and the impossible**
**...****a way to create something completely possible from the perceived impossible**

*—**from Concepts of Transformation*

- 7

***Eliminating Mental Health Disparities:***
***The Challenge and the Opportunities***

## What is Recovery?

**Recovery is a process, sometimes lifelong, through which a person achieves independence, self-esteem, and a meaningful life in the community.  **
**For some individuals, recovery implies the reduction or complete remission of symptoms. **
**For others, recovery is the ability to live a fulfilling and productive life despite a disorder.**

***Eliminating Mental Health Disparities:***
***The Challenge and the Opportunities***

- 8

## Executive Order Principles

***Eliminating Mental Health Disparities:***
***The Challenge and the Opportunities***

## Executive Order Principles (continued)

- Executive Order Principles** *****(continued)***

*—**from Executive Order 13263*

***Eliminating Mental Health Disparities:***
***The Challenge and the Opportunities***

## The Federal Action Agenda: First Steps

**Features the five principles around which the New Freedom Commission on Mental Health framed its vision**
**Describes the “state of success” for each principle**
**Highlights current activities** **and proposes Year-1 action steps for each principle**

## Federal Partners

- 12

**Department of Health**_**               **_**and Human Services**
**     ****AoA****	****	****NIH/NIDA**
**     ****ACF****	****	****NIH/NIMH**
**     ****AHRQ****	****HHS/OS**
**     ****CDC****	****	**** - ASPE**
**     ****CMS****	****	**** - OCR**
**     ****HRSA****	**** - OD**
**     ****IHS****	****	**** - OPHS**
**	****	**** ****SAMHSA**

**Other Partners**
**Department of Agriculture**
**Department of Education**
**Department of Defense**
**Department of Housing and Urban Development**
**Department of Justice**
**Department of Labor**
**Department of Transportation**
**Department of Veterans Affairs **
**Social Security Administration**

***Eliminating Mental Health Disparities:***
***The Challenge and the Opportunities***

## SAMHSA Activities

**SAMHSA Minority Fellowship Program—  **A $3.6 million investment in training fellowships through the American Psychological Association, the American Psychiatric Association, the Council on Social Work Education, and the American Nurses Association
**HBCU National Resource Center (HBCU-NRC)—**Part of SAMHSA’s Infrastructure Grants program, which provides funds to increase capacity of mental health and substance abuse service systems to support effective programs and services
**For more information, visit www.samhsa.gov**

- 13

***Eliminating Mental Health Disparities:***
***The Challenge and the Opportunities***

## A Public Health Priority: Evidence-based Treatment 

- A Public Health Priority: Evidence-based Treatment
- and Minorities

- —from *Mental Health: Culture, Race, and Ethnicity *Supplement to *Mental Health: A Report of the Surgeon General, *2001

## Mental Health System Transformation

- 15

***Share with us your vision of the change you would like to ***_***see***_***...and then ***_***be***_*** that change.***
***	******	******	******	******	******     ***

***Eliminating Mental Health Disparities:***
***The Challenge and the Opportunities***