Mental Health & Addictions: Lane County 2013-15 Biennial Plan - Key Elements

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Key elements of Lane County's Mental Health & Addictions Biennial Plan for years 2013-15. Presented at Lane County Mental Health Advisory Committee / Local Alcohol & Drug Planning Committee on …

Key elements of Lane County's Mental Health & Addictions Biennial Plan for years 2013-15. Presented at Lane County Mental Health Advisory Committee / Local Alcohol & Drug Planning Committee on 1/23/13.

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  • *Are these duplicated cases, or single client instances?  These are duplicated (episodic) counts. In other words a client may be count twice if he or she came in for same or different services during the year.
  • 2012 SWS
  • Percent of students
  • Having insurance is not a guarantee of access of relevant mental health/addictions related servicesEven individuals with private insurance struggle to obtain access to services for ongoing issuesThe issue of long wait lists for services impacts those with and without insurance

Transcript

  • 1. Mental Health & Addictions 2013-2015 Biennial Plan Key Elements
  • 2. 2013-15: Big Shifts in Planning Mental health promotion Mental illness prevention Suicide prevention Flexible funding
  • 3. Institute of Medicine Continuum of Care
  • 4. Number of Clients Served in Lane County for Alcohol and Drug Treatment Services 2011 Adult Youth TotalEthnicity Female Male Female MaleAfrican American 35 89 8 23 155American Indian or Alaskan 84 112 11 14 221NativeAsian 11 34 1 3 49Hispanic 95 232 29 60 416Native Hawaiian/Other Pacific 10 17 1 2 30IslanderOther 42 61 10 14 127White 1,902 2,983 188 268 5,341Total 2,179 3,528 248 384 6,339
  • 5. Number of Clients Served in Lane County for Mental Health Services 2011 Adults Youth TotalEthnicity Female Male Female MaleAfrican American 108 77 74 86 345American Indian or Alaskan 137 78 93 105 413NativeAsian 48 12 14 27 101Hispanic 204 107 198 245 754Native Hawaiian/Other 18 15 12 9 54Pacific IslanderOther 101 43 123 101 368White 4,923 2,753 2,109 2,336 12,121Total 5,542 3,086 2,623 2,909 14,160
  • 6. SuicideSuicide is the second leading cause of death among Oregonians ages 15-34, and the 8th leading cause of death among all ages in Oregon.In 2010, the age-adjusted suicide rate among Oregonians of 17.1 per 100,000 was 41% higher than the national average. (Lane County’s rate is statistically about the same as the state rate.)Firearms were the dominant mechanism of injury among men who died by suicide (62%).
  • 7. Suicide (cont.)Approximately 26% of suicides occurred among veterans.Approximately 70% of suicide victims had a diagnosed mental disorder, alcohol and /or substance use problems, or depressed mood at time of death.Despite the high prevalence of mental health problems, less than 1/3 of male victims and about 60% of female victims were receiving treatment for mental health problems at the time of death.Investigators suspect that one in four suicide victims had used alcohol in the hours preceding their death.
  • 8. Lane County 2012Student Wellness Survey (SWS) 8
  • 9. Mental Health in the Last 12 Months (SWS)During the past 12 months, did you ever seriously consider attempting suicide? Grade 6 Grade 8 Grade 11 County State County State County StateYes 9.5 9.0 18.9 15.8 14.7 15.1No 90.5 91.0 81.1 84.2 85.3 84.9During the past 12 months, did you ever feel so sad or hopeless almost every day for twoweeks or more in a row that you stopped doing some usual activities? Grade 6 Grade 8 Grade 11 County State County State County StateYes 21.3 19.3 24.1 22.7 29.1 27.9No 78.7 80.7 75.9 77.3 70.9 72.1
  • 10. Referral Sources for Alcohol, Drug and Mental Health ServicesReferral Sources Grouped Alcohol and Drug Mental HealthBehavioral Health Providers/Agencies 300 2830Criminal Justice System Institutions and Agencies 3507 653Health Providers 51 902Local or State Agencies 626 3747Other/None 233 1137Personal Support System 1622 4891
  • 11. Qualitative DataOver 600 survey responses, both English and SpanishOver 32 Focus Groups convened Urban & rural Consumer, survivor, family & peer groups Service providers Advisory groups
  • 12. Identified High Level Priorities1. Access2. Transitions3. Communication & Coordination
  • 13. RecommendationsACCESS:Increase services to rural areasIncrease services for Spanish speaking peopleIncrease prevention/promotion strategies, including policyExplore options with community partners to increase transportation optionsTRANSITIONS:Work with Behavioral Health partners to explore processes to increase supports
  • 14. Recommendations (cont.)COMMUNICATION/COLLABORATION:MHAC/LADPC continue to convene cross-system conversationsMHAC/LADPC partner with other advisory councils to explore optionsBehavioral Health and Developmental Disabilities staff form task group to explore ways to reduce complexity in accessing servicesContinue to integrate prevention efforts; cross disciplines
  • 15. Other?