# Presentation: 534974

## Slide 1

## The Mental Health Maze:  The Challenges

- The Mental Health Maze:  The Challenges

**Mental Health Community Forum**

## Mental Health:  A Public Health Priority

- Mental Health:  A Public Health Priority

**44 million adults and 14 million ****children live with mental disorders in ****the United States.**
**Less than half of all Americans with severe mental illness seek treatment.**
**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.**** **

**Mental Health Community Forum**

## The Mental Health Maze:  The Opportunities

- The Mental Health Maze:  The Opportunities

**Mental Health Community Forum**

## 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**

## Defining Transformation

**...****a continuous process, without end...meant to create or anticipate the future  **
**...****identifies, leverages, and even creates new underlying principles for the way things are done**
**...****new sources of power emerge  **
**...****once the process is begun, a profoundly different organization materializes, including changes in structure, culture, policy, and programs**** **

*Admiral Arthur Cebrowski*
*	**Director, Force Transformation,  *
*U.S. Department of Defense*

**Mental Health Community Forum**

## Federal Partners Workgroup

**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**

**Mental Health Community Forum**

## Provides a model for shared responsibility at State and local levels
Features the five principles around which the New Freedom Commission (NFC) on Mental Health framed its vision, cross walked with the NFC’s six goals 
Describes the "state of success" for each principle
Highlights current activities and proposes Year 1 action steps for each principle

- The Federal Action Agenda: First Steps (available online at *www.samhsa.gov*)

**Provides a model for shared responsibility at State and local levels**
**Features the five principles around which the New Freedom Commission (NFC) on Mental Health framed its vision, cross walked with the NFC’s six goals **
**Describes the "state of success" for each principle**
**Highlights current activities and proposes Year 1 action steps for each principle**

## Improving the Quality of Health Care for Mental and Substance-Use Conditions: Quality Chasm Series 

- Improving the Quality of Health Care for Mental and Substance-Use Conditions: Quality Chasm Series

**Health care for general, mental, and substance-use problems and illnesses must be delivered with an understanding of the inherent interactions between the mind/brain and the rest of the body.**

**The aims, rules, and strategies for redesign set forth in *****Crossing the Quality Chasm***** should be applied throughout M/SU health care on a day-to-day operational basis but tailored to reflect the characteristics that distinguish care for these problems and illnesses from general health care.**

**Mental Health Community Forum**

## Recovery—A Critical Concept to Transformation

- Recovery—A Critical Concept to Transformation

**The process by which people are able to live, work, learn, and participate fully in their communities**
**The ability to live a fulfilling and productive life despite a disability**
**A reduction or complete remission ****of symptoms**
**The ability to make important decisions affecting one’s own life**

**Mental Health Community Forum**

## A “Sneak Preview” of the 

- A “Sneak Preview” of the
- Consensus Statement on Recovery
**From the Interagency Committee on Disability Research**

**Mental Health Community Forum**

## Momentum toward Transformation is Spreading 

- Momentum toward Transformation is Spreading
- across America!

**Mental Health Community Forum**

## Mental Health Transformation

**The grants provide seed money to help States develop the infrastructure needed to transform mental health services.**
**Seven States have been selected to receive $92.5 million over the next 5 years. **
**We will pilot a “Transformation Action Initiative” that will provide technical assistance in response to a State’s specific priorities for transformation.**

- State Incentive Grants

**Mental Health Community Forum**

## Mental Health Community Forum

**Mental Health Community Forum**