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Strong Foundations: Getting oriented to children's behavioral health in Georgia

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Presentation by Laura Colbert, Georgians for a Healthy Future
May 15, 2018
Introduction to children's behavioral health broadly and in Georgia

Published in: Health & Medicine
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Strong Foundations: Getting oriented to children's behavioral health in Georgia

  1. 1. Getting oriented to children’s behavioral health in Georgia Laura Colbert, MPH, MCHES May 15, 2018
  2. 2. Behavioral health is more than mental health Mental illness Substance use disorders Co-occurring • Depression • Anxiety disorders • Schizophrenia or other psychoses • PTSD • Attention hyperactive disorder (ADHD) • Etc.
  3. 3. Childhood & adolescence are key time periods • BH conditions emerge early • Often at times of transition, stress 75% by age 24 50% by age 14
  4. 4. Among U.S. youth: Almost half (46.3%) have ever experienced a BH condition (ages 13-17) ages 8-15 experience a MH disorder in a 12- month period (1.4%) ages 12-17 experience co- occurring disorders 13.1% 340,000
  5. 5. Among Georgia youth: Nearly 1 in 10 have 1+ diagnosed BH condition (ages 2-17) Have 2+ conditions BH conditions become more prevalent for older youth*: 44% 14.1% Of those: *ages 12-17
  6. 6. Most prevalent conditions among Georgia youth Substance use** • Marijuana (6.4%) • Tobacco products (5.8%) • Binge alcohol (3.8%) **ages 12-17 Mental health conditions* • Anxiety (25.1%) • Depression (12.1%) • Attention hyperactive disorder (9.0%) *ages 13-18
  7. 7. Factors influencing behavioral health
  8. 8. Factors influencing behavioral health Biological PsychologicalSocial Behavioral health
  9. 9. The social determinants of health “The circumstances in which people are born, grow up, live, work, and age, and the systems put in place to deal with illness.” --World Health Organization
  10. 10. The social determinants of health • Adverse childhood experiences (ACEs) • Access to health care • Access to & quality of education • Unemployment & job security • Poverty & income inequality • Food insecurity • Housing issues • Discrimination
  11. 11. 13.60% 9.20% Children living in households that make ≤100% FPL Children living in households that make 100-199% FPL Percent of children who have a behavioral health diagnosis The role of the social determinants of health ≤ $20,780 for a family of 3 $20,781—$41,352 for a family of 3
  12. 12. A focus on adverse childhood experiences (ACEs) 51.20% 26.80% 26.80% ACEs A stressful or traumatic event that occurs before the age of 18 that a person remembers as an adult Children in Georgia with ACEs No ACEs 1 ACE 2+ ACEs
  13. 13. 41.6% 53.0% 57.0% White Latino Black Percent of children by race who experience ACEs Disparities in ACEs among Georgia children
  14. 14. Access to behavioral health services
  15. 15. Pathways to children’s BH services Children covered by GA Families Medicaid Foster children covered by GA Families 360 & CMO’s provider directory DCH, Medicaid Children with disabilities covered by SSI Medicaid Children who are uninsured & Georgia Crisis & Access Line DBHDD, Medicaid Children covered by PeachCare for Kids CMO’s provider directory DCH, Children’s Health Insurance Program Children covered by private health insurance Insurer’s provider directory Private health insurance company How to find available services Payer
  16. 16. Sources • 3: National Alliance for Mental Illness, Mental Health Facts: Children & Teens • 4: Merikangas KR, He J-p, Burstein M, et al. Lifetime prevalence of mental disorders in US adolescents: results from the National Comorbidity Survey Replication–Adolescent Supplement (NCS-A). Journal of the American Academy of Child & Adolescent Psychiatry. 2010;49(10):980-989 Kessler RC, Avenevoli S, Costello EJ, et al. Prevalence, persistence, and sociodemographic correlates of DSM-IV disorders in the National Comorbidity Survey Replication Adolescent Supplement. Archives of general psychiatry. 2012;69(4):372- 380. • 5: National Survey of Children’s Mental Health. Georgia vs. Nationwide Mental and Emotional Well-Being Profile, 2007. Child and Adolescent Health Measurement Initiative (CAHMI) Data Resource Center (DRC) website. http://www.childhealthdata.org Listed in by slide number
  17. 17. Sources • 6: National Institute of Mental Health (https://www.nimh.nih.gov/health/statistics/prevalence/index.shtml) National Survey on Drug Use & Health 2015-2016 (https://www.samhsa.gov/data/sites/default/files/NSDUHsaePercents2016/NSDUHsae Percents2016.pdf) • 10: National Survey of Children’s Mental Health. Georgia vs. Nationwide Mental and Emotional Well-Being Profile, 2007. Child and Adolescent Health Measurement Initiative (CAHMI) Data Resource Center (DRC) website. http://www.childhealthdata.org • 11: National Survey of Children's Health, Georgia vs. Nationwide Mental and Emotional Well-Being Profile. 2007. CAHMI DRC http://www.childhealthdata.org. • 12: National Survey of Children's Health. Data query on Adverse Family Experiences Nationwide & Georgia. CAHMI DRC. 2011/2012; http://www.childhealthdata.org. Listed in by slide number
  18. 18. Thank you! 404-567-5016 healthyfuturega.org FOLLOW & SHARE

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