Opening Remarks - The Future of Mental and Behavioral Health May 19
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The document discusses trends in mental health and behavioral health spending and treatment. It notes that pre-COVID spending on mental health exceeded that of heart conditions, and that the COVID pandemic significantly increased rates of mental illness. Telehealth adoption accelerated during the pandemic, expanding access to behavioral health services. Going forward, the focus is shifting from sick care to prevention and self-care through lifestyle changes, with the potential to significantly reduce healthcare costs by addressing the root causes of chronic diseases and conditions. Coaches, therapists, and specialized digital tools are expected to play a larger role in baseline resilience and lifestyle disease management.
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The document discusses mental illness and depression globally and in Australia. It states that mental illness accounts for 12% of the global disease burden, with depression being the most common mental illness. In Australia, 13% of the disease burden is from mental illness, with depression affecting about 20% of people. While depression has traditionally been underreported and stigmatized, awareness campaigns and research are changing social attitudes toward depression. The document suggests pharmacists can play a key role in managing depression through dispensing and monitoring medications, as well as identifying undiagnosed cases through compliance support and screening.
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Chapter 21 Community Mental HealthCopyright © 2020 Wo
Chapter 21: Community
Mental Health
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Chapter Highlights
Epidemiology of mental illness from a public health perspective
Early intervention in the treatment of schizophrenia
Strategies to enhance treatment adherence
Public health implications for children with behavioral disorders
Evolution of community mental health
Policy development and legislation for mental health services
Role and responsibilities of the community mental health practitioner
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Question #1
Is the following statement true or false?
Genetic, biologic, and environmental risk factors all influence the incidence of mental illness.
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Answer to Question #1
True
Rationale: Genetic, biologic, and environmental risk factors all influence the incidence of mental illness. Early intervention can minimize the morbidity associated with mental illness.
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Cultural Context of Mental Illness
Genetic, biologic, and environmental risk factors all influence the incidence of mental illness.
Mental health and, conversely, mental illness are concepts bound by culture.
Understanding of what connotes mental health is shaped by social norms that evolve from generation to generation.
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Definitions of Mental Health
No universally accepted definition of mental health; for practical purposes, widely accepted parameters for what behaviors connote psychopathology must be used to measure
Incidence
Morbidity
Mortality
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Scope of Mental Illness
There is no difference in lifetime prevalence rates of major mental illness between developed and developing countries.
The projected lifetime risk of developing a major mental illness is highest in countries where the population is subject to sustained violence.
Psychiatric disorders are the leading cause of disability worldwide.
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Question #2
Is the following statement true or false?
Rationale: Adherence to psychopharmacology and psychotherapy does not enhance recovery from mental illness.
Copyright © 2020 Wolters Kluwer · All Rights Reserved ...
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This document discusses the impact of the COVID-19 pandemic on mental health. It identifies how the pandemic has led to increased rates of anxiety, depression, substance abuse, and suicidal ideation. Specific populations like minorities, essential workers, and caregivers have been disproportionately affected. The pandemic has disrupted daily life and normal support systems. While the immediate impacts have included stress, isolation, and exhaustion, long-term impacts on mental health are also expected in the form of post-traumatic stress. Looking beyond the crisis, opportunities exist to improve telehealth, mental health infrastructure, and learn lessons that could benefit the future.
Chapter 21 Community Mental HealthCopyright © 2020 Wo
Chapter 21: Community
Mental Health
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Chapter Highlights
Epidemiology of mental illness from a public health perspective
Early intervention in the treatment of schizophrenia
Strategies to enhance treatment adherence
Public health implications for children with behavioral disorders
Evolution of community mental health
Policy development and legislation for mental health services
Role and responsibilities of the community mental health practitioner
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Question #1
Is the following statement true or false?
Genetic, biologic, and environmental risk factors all influence the incidence of mental illness.
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Answer to Question #1
True
Rationale: Genetic, biologic, and environmental risk factors all influence the incidence of mental illness. Early intervention can minimize the morbidity associated with mental illness.
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Cultural Context of Mental Illness
Genetic, biologic, and environmental risk factors all influence the incidence of mental illness.
Mental health and, conversely, mental illness are concepts bound by culture.
Understanding of what connotes mental health is shaped by social norms that evolve from generation to generation.
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Definitions of Mental Health
No universally accepted definition of mental health; for practical purposes, widely accepted parameters for what behaviors connote psychopathology must be used to measure
Incidence
Morbidity
Mortality
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Scope of Mental Illness
There is no difference in lifetime prevalence rates of major mental illness between developed and developing countries.
The projected lifetime risk of developing a major mental illness is highest in countries where the population is subject to sustained violence.
Psychiatric disorders are the leading cause of disability worldwide.
Copyright © 2020 Wolters Kluwer · All Rights Reserved
Question #2
Is the following statement true or false?
Rationale: Adherence to psychopharmacology and psychotherapy does not enhance recovery from mental illness.
Copyright © 2020 Wolters Kluwer · All Rights Reserved ...
Zero Suicide in Healthcare International Declaration (March 2016)
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Marketing management
This document discusses direct-to-consumer advertising of pharmaceutical drugs in the United States. It notes that spending on prescription drug advertising in the US increased from $1 billion in 1998 to $2.8 billion in 2002. The first direct-to-consumer print ad was for Merck's pneumonia vaccine in 1981, while the first TV ad was for an ibuprofen brand in Florida in 1983. Supporters argue that such advertising helps educate people and increase drug compliance, while critics argue it can lead to overprescription and use of minimally effective drugs. The document also discusses lifestyle diseases and drugs.
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- 2. Pre-COVID mental health spend > than heart conditions
- 3. Circa 2000 - “New heights” for do-it-yourself pill popping Valium Xanax Zoloft Ritalin
- 4. Mental health drug market expands
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- 6. Mental health drug market expands... again 2020: 1 in 3 Americans taking antidepressants (had no history of use 6 months prior) 2013: 1 in 6 Americans taking antidepressants
- 8. COVID loosened regulation; forced adoption Pre-pandemic: 2019, Less than 1% of doctor visits were video visits During pandemic June 2020, 75% of doctor visits were video visits June 2020, 80% of doctors used telehealth 2019, 22% of doctors used telehealth at least once
- 9. Telehealth adoption accelerates to the present
- 10. Rise of behavioral and mental health
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