Public Health Model for Mental Health

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Narration: As part of this theory, Darwin predicted that, if his theory were true, we should expect the evidence to show: 1) A gradual increase in biological complexity 2) Numerous transitional forms leading to phyla-level body plans. 3) Diversity at the species level appearing before disparity at the phyla level – a “bottom-up” pattern of appearance. 4) The anatomical distance between organisms increasing gradually over time, and the number of phyla increasing gradually over time. Image Used by Permission: Berlin photograph of Darwin: University of Oklahoma History of Science Collections

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Public Health Model for Mental Health - Presentation Transcript

  1. A Public Health Model for Mental Health Craig McLaughlin, Executive Director Wendy Janis, Policy Advisor Washington State Board of Health Mental Health Transformation/TWG, Olympia, WA, 2008
    • Prevention Advisory Group (PAG)
    • Ad hoc work group of MHTP
    • Diverse participants (DSHS, SBOH, DOH, UW, providers, OSPI, FPC, Children’s Trust, nonprofits, consumers)
    • Debated what is meant by prevention
    • Identified specific populations (lifespan)
    • Developed multi-stage approach
    • PAG Definition of Prevention
    • Promotes mental health, intervenes early to address emerging mental health problems, and reduces the devastating impacts of mental illness
  2. Multi-Step Process (to date)
    • TWG Presentation (April 27, 2007): TWG agrees work is consistent with its goals
    • First Prevention Day (July 13, 2007) : Consumers, providers, and agency staff help frame report and begin policy discussions
    • Focus Groups (Sept./Oct.): Policy discussions about specific populations--also received feedback through questionnaires
  3. Multi-Step Process (to date)
    • Partial Report Draft (Nov. 2)
    • Second Prevention Work Day (Nov. 9) Synthesize material in report, look at cross-cutting themes, and set policy priorities
    • Report Draft Approved by Board (Dec. 13)
    • Board Staff Delivered Final Report to MHTP (Dec. 31)
    • Part I: Mental Health and The Public Health Model
        • Prevalence of mental illness/its impact
        • The grant and SBOH involvement
        • Public health model for mental health
        • What is meant by prevention
        • Disparities in mental health
        • Whether mental illness preventable
        • Barriers to prevention
  4. Part II: Age-Specific Groups
    • Children birth to five
    • School-age children
    • Youth in transition to adulthood
    • Adults
    • Older adults
    • Children Birth to Five
        • Age-Specific Characteristics
        • Infants and toddlers have mental health needs and disorders
        • Mental health is relationship-based
        • Social-emotional skills are critical
        • Diagnosis and treatment is possible but requires specialization
    • Children Birth to Five
        • Suggested Next Steps
        • Social marketing campaign
        • State-wide mental health consultation for child care providers
        • Medical provider screening/referral
        • Collaboration between various agencies and providers
        • Opt to serve and fund services to at-risk children under Part C
    • School-Age Children
        • Age-Specific Characteristics
        • Do experience mental illness--HYS
        • Work is being done to identify risk and protective factors
    • School-Age Children
        • Suggested Next Steps
        • Research risk and protective factors
        • Expand program evaluation and wide dispersal of evaluation results
        • Educate parents and educators
        • Train physicians for screening and referral
        • Provide more support for families and youth
        • Coordinate/integrate mental health services and screening with schools
    • Youth in Transition to Adulthood
        • Age-Specific Characteristics
        • Neither the child nor adult mental health system provides appropriate services
        • Almost no system has ownership of this group
        • Lack of health coverage
        • Mental illness often arises during this time
    • Youth in Transition to Adulthood
        • Suggested Next Steps
        • System with no wrong door for services
        • Drop-in center model with peer support
        • Social marketing campaign for stigma
        • From the Literature
        • Provide appropriate services within child and adult systems and continuity between them
        • Implement transition support programs
    • Adults
        • Age-Specific Characteristics
        • The mental health system appears to be adequately focused on adults in terms of their age-specific needs
    • Adults
        • Suggested Next Steps
        • Provide more transitional services
        • Move from diagnosis-based access to need-based access
        • Continue to move the mental health system to a recovery model
        • From the Board Staff
        • Offer more intensive services at an initial crises rather than having chronic or multiple crises episodes be criteria for access
    • Older Adults
        • Age-Specific Characteristics
        • Conditions such as depression and anxiety are not a normal part of aging
        • Treatable mental disorders increase disability
        • Older adults strongly prefer to see only primary care physicians due to stigma
        • Some older adults are isolated in their homes
    • Older Adults
        • Suggested Next Steps
        • Social marketing campaign stigma/education
        • Increase outreach to get older adults into care
        • From the Literature
        • Integrate geriatric psychiatry into primary care
        • Increase support for family caregivers
  5. Part III: Integration
    • Cross-cutting themes
    • Coordination & communication
    • Prioritizing prevention investments
  6. Cross-Cutting Themes
    • Communication and coordination
    • Social marketing
    • Increase funding flexibility
    • Leverage existing funding sources
    • Assess risk and protective factors
    • Screen at multiple points of entry
    • Provide care based on need
  7. Cross-Cutting Themes (cont.)
    • Provide age-appropriate services
    • Provide culturally competent services
    • Meet people where they are
    • Support transitions across the lifespan
    • Provide mental health consultation
    • Increase and improve provider training
    • Create trauma-sensitive systems
  8. Coordination & Communication
    • Leadership and governance
    • Shared-outcomes
    • State-wide accountability
    • Local flexibility
    • Shared data and analysis
  9. Coordination & Communication (examples)
    • Public Health System
    • Family Policy Council
    • Children’s Trust of Washington
    • Division of Alcohol & Substance Abuse
    • Superintendent of Public Instruction
    • Governor’s Council on Substance Abuse
  10. Prioritizing Prevention Investments
    • Build on current successes
    • Transformative
    • -consumer input & peer-support components
    • -multidisciplinary
    • -science-based
    • Sustainable
  11. Next Steps
    • MHTP hosts community forums
    • (early 2008)
    • Policy summit (May 13, 2008)
  12. Washington State Board of Health PO Box 47990 Tumwater, Washington 98504-7990 (360) 236-4106, Fax (360) 236-4088 www.sboh.wa.gov

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