1. Health, Wellness and Recovery; Getting There from Here William G Wood, MD, PhD, FAPA August 21, 2009
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4. The Presidentโs New Freedom Commission on Mental Health โ After a year of study, and after reviewing research and testimony, the Commission finds that recovery from mental illness is now a real possibility. The promise of the New Freedom Initiativeโa life in the community for everyoneโcan be realized.โ Excerpt from the letter to the President by Michael F. Hogan, Ph.D. Chairman, Presidentโs New Freedom Commission on Mental Health
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7. What is the problem??? Family??? The Consumer??? The system??? The doctors??? Pharmaceutical companies??? Insurance companies??? Stigma??? The Illness?
8. What Is Missing????? Social Support? Physical Health?? Coordination of Care?? What Else Should We Be Focused On???? What is Missing????? Prevention?? Physical Illnesses????
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14. BMI Distributions for General Population and Those With Schizophrenia (1989) Allison DB et al. J Clin Psychiatry . 1999;60:215-220. Percent < 18.5 18.5-20 20-22 22-24 24-26 26-28 28-30 30-32 32-34 > 34 0 10 20 30 No schizophrenia Schizophrenia Obese Overweight Acceptable Under- weight BMI Range
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16. Harris et al. Diabetes Care . 1998; 21:518. Mukherjee et al. Compr Psychiatry . 1996; 37(1):68-73. Schizophrenic: General: 50-59 y 60-74 y 75+ y Percent of population Prevalence of Diagnosed Diabetes in General Population Versus Schizophrenic Population
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18. Identification of the Metabolic Syndrome HDL = high-density lipoprotein. NCEP III. Circulation. 2002;106:3143-3421. โฅ 3 Risk Factors Required for Diagnosis Risk Factor Defining Level Abdominal obesity Men Women Waist circumference >40 in (>102 cm) >35 in (>88 cm) Triglycerides ๏ณ 150 mg/dL (1.69mmol/L) HDL cholesterol Men Women <40 mg/dL (1.03mmol/L) <50 mg/dL (1.29mmol/L) Blood pressure ๏ณ 130/85 mm Hg Fasting blood glucose ๏ณ 110 mg/dL (6.1mmol/L)
19. CHD Risk Increases with Increasing Number of Metabolic Syndrome Risk Factors Sattar et al, Circulation, 2003;108:414-419 Whyte et al, American Diabetes Association, 2001 Adapted from Ridker, Circulation 2003;107:393-397
20. Direct and indirect components of the economic burden of serious mental disorders, excluding incarceration, homelessness, comorbid conditions and early mortality . ($ in billions) 1992 2002 Health Care Expenditures $62.91 $100.12 Loss of earning $76.71 $193.23 Disability (SSI + SSDI) $16.41 $24.34 Totals $156.0 B $317.6 B Resources Matched with Public Health Need Insel, Am J Psychiatry, 2008
24. Components of recovery Source: www.samhsa.gov : National consensus statement on mental health recovery Responsibility Respect Peer support Strengths- Based Non-linear Holistic Empowerment Individualized Person- centered Self direction Hope Resources
25. Components of recovery Source: www.samhsa.gov : National consensus statement on mental health recovery Responsibility Respect Peer support Strengths- Based Non-linear Holistic Empowermen t Individualized Person- centered Self direction Hope Resources
26. Components of recovery Source: www.samhsa.gov : National consensus statement on mental health recovery Physical Health Responsibility Respect Peer support Strengths- Based Non-linear Holistic Empowerment Individualized Person- centered Self direction Hope Resources
27. Components of recovery Source: www.samhsa.gov : National consensus statement on mental health recovery Physical Health Wellness Prevention Responsibility Respect Peer support Strengths- Based Non-linear Holistic Empowerment Individualized Person- centered Self direction Hope Resources
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