Excerpt This Supplement to Mental Health: A Report of the Surgeon General (U.S. Department of Health and Human Services [DHHS], 1999) documents the existence of striking disparities for minorities in mental health services and the underlying knowledge base. Advocates for people with mental illness hold divergent views regarding coercion. Primary health care could be an important portal of entry for children and adults of all ages with mental disorders. If the information contained in this Surgeon General’s report is to be translated into its recommended action—to seek help for mental ill ness—our society must resolve to dismantle barriers to seeking help that are sizable and significant, but not insurmountable. Until the stigma associated with mental illnesses is addressed, confidentiality of mental health information will continue to be a critical point of concern for payers, providers, and consumers. For most, these fears are unwarranted: coercion, or involuntary treatment, is restricted by law only to those who pose a direct threat of danger to themselves or others or, in some instances, who demonstrate a grave disability. Gaining new knowledge about mental illness and health is everybody’s business. Individuals and families consequently are forced to draw on relatively—and substantially—more of their own resources to pay for mental health treatment than they pay for other types of health care. In states in which legislation requires parity of mental health and general coverage, cost increases are nearly imperceptible as long as the care is managed. http://mentalhealth.samhsa.gov/features/surgeongeneralreport/. People’s willingness to seek help is contingent on their confidence that personal revelations of mental distress will not be disclosed without their consent. Americans assign high priority to preventing disease and promoting personal well-being and public health; so too must we assign priority to the task of promoting mental health and preventing mental disorders. The issuance of this Surgeon General’s Report on Mental Health seeks to help reduce stigma by dispelling myths about mental illness, by providing accurate knowledge to ensure more informed consumers, and by encouraging help seeking by individuals experiencing mental health problems. Reasons for Hope and Optimism; The Time is Right for a Surgeon General's Report; The Surgeon General's Report. Chapters of the report cover neurobiology, prevention, treatment, recovery, health systems integration, and recommendations for the future. Table of Contents; Executive Summary. Center for Mental Health Services. While women and men experience mental disorders at almost equal rates, some mental disorders such as depression, panic disorder, and eating disorders affect women disproportionately. Assess Soldier behavioral health 2. History of the Healthy People Initiative Healthy People 2030 is the fifth edition of Healthy People. In addition, significant differences that exist between academic research settings and actual practice settings help account for the gap between what is known and what is practiced. Chapter 6 of this report makes it clear that equality between mental health coverage and other health coverage—a concept known as “parity”—is an affordable and effective objective. 0000002230 00000 n Foremost among these are practitioners’ lack of knowledge of research results; the lag time between the reporting of research results and the translation of new knowledge into practice; and the cost of introducing innovations in health systems. An assurance of confidentiality is understandably critical in individual decisions to seek mental health treatment. RAND Health Research Highlights: Mental Health Care for Youth. Table of Contents; Executive Summary. It aims at new challenges and builds on lessons learned from its first 4 decades. ;] of Health and Human Services under the direction of the Substance Abuse and Mental Health Services Administration, Center for Mental Health Services in partnership with the National Institute of Mental Health, National Institutes of Health"--P. vii. The full report is available as a PDF: Oral Health in America: A Report of the Surgeon General. Family members, clergy, and friends often can help by encouraging a distressed person to seek help. The Surgeon General’s report itself is expected to stimulate the demand for effective treatment for needed mental health care. Public Health Rep. 2000 Jan-Feb;115(1):89-101. Stigma assumes many forms, both subtle and overt. If they do not improve with the help obtained initially, they should be encouraged to keep trying to obtain assistance. Mental health is fundamental to health and human functioning. Adult smoking rates have fallen from about 43% (1965) to about 18% today. 0000001051 00000 n This brochure describes the stages of recovery from alcohol and drug misuse, and what … There are multiple “portals of entry” to mental health care and treatment, including a range of community and faith-based organizations. The Neurobiology of Substance Use, Misuse, and … For the general public, primary care represents a prime opportunity to obtain mental health treatment or an appropriate referral. Yet a gap persists in the broad introduction and application of these advances in services delivery to local communities, and many people with mental illness are being denied the most up-to-date and advanced forms of treatment. When conducting mental health research, it is in the interest of both the researcher and the individual participant to address informed consent and to obtain certificates of confidentiality before proceeding. Many highly committed primary care providers do not know referral sources or do not have the time to help their patients find services. Mental disorders are health conditions that are characterized by alterations in thinking, mood, or behavior (or some combination thereof) associated with distress and/or impaired functioning. This first Report of the Surgeon General on Mental Health represents the initial step in advancing the notion that mental health is fundamental to general health. This repor… 1. Individuals with mental disorders often are neglected or victimized in these institutions. Mental Health: A Report of the Surgeon General (pages 176-200), 1999 Mental Health: A Report of the Surgeon General (pages 201-225), 1999 Mental Health: A Report of the Surgeon General (pages 226-250), 1999 Mental Health: A Report of the Surgeon General (pages 251-275), 1999 Mental Health: A Report of the Surgeon General (pages 276-300), 1999 Public Health Rep. 2000 Jan-Feb;115(1):89-101. Comment in Public Health Rep. 2000 Jan-Feb;115(1):8. U.S. Department of Health and Human Services. Almost all agree that coercion should not be a substitute for effective care that is sought voluntarily. Surgeon General, in the course of a year approximately 20% of children and adolescents in the U.S. experience signs and symptoms of a mental health problem and 5% experience ... A report o the surgeon general Executive summary. The authors of this report encourage racial and ethnic minorities to seek help for mental health problems and mental illnesses, and also provide guidance to help prevent mental … On the strength of these findings, the single, explicit recommendation of the report is to seek help if you have a mental health problem or think you have symptoms of a mental disorder. Although these are not formal policy recommendations, they offer a focused vision that may inform future policy. Some people do not seek treatment because they are fearful of being forced to accept treatments not of their choice or of being treated involuntarily for prolonged periods (Sussman et al., 1987; Monahan et al., 1999). Satcher DS. Rockville, MD: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Executive Summary Mental Health: A Report of the Surgeon General (1999) made a powerful argument for the use of a population-based public health model for quality mental health service delivery. Exciting new research-based advances are emerging that will enhance the delivery of treatments and services in areas crucial to consumers and families—employment, housing, and diversion of people with mental disorders out of the criminal justice systems. United States. A Report of the Surgeon General—Executive Summary. In fact, as the preceding chapters demonstrate, there exists a constellation of treatments for most mental disorders. The fundamental components of effective service delivery include integrated community-based services, continuity of providers and treatments, family support services (including psychoeducation), and culturally sensitive services. Effective service delivery for individuals with the most severe conditions also requires supported housing and supported employment. Also, as this Surgeon General’s report emphasizes, high-quality research is a potent weapon against stigma, one that forces skeptics to let go of misconceptions and stereotypes concerning mental illness and the burdens experienced by persons who have these disorders. At present, many beneficiaries appear not to know if they have mental health coverage, much less where to seek help for problems. Public Health Service. Although an extensive legal framework governs confidentiality of consumer-provider interactions, potential problems exist and loom ever larger. The U.S. Supreme Court recently has upheld the right to the privacy of these records and the therapist-client relationship. This report is a passport to good health for all Americans. Satcher DS. 0000000647 00000 n “Mental Health: A Report of the Surgeon General”1 documents the high prevalence of mental health needs of America's youth. As noted throughout this report, a wide variety of community-based services are of proven value for even the most severe mental illnesses. It states that a review of research on mental health revealed two findings. A small, monthly $2-$5 donation will help DF keep our mission and vision alive. Mental Health Reports And Publications. The patients in actual practice are more heterogeneous in terms of their overall health and cultural backgrounds, and both patients and providers are subject to cost pressures. This Surgeon General’s report is issued at a time of unprecedented scientific opportunity. 0000002743 00000 n A Report of the Surgeon General. Assess Service Member behavioral health … Multiple and complex explanations exist for the gap between what is known through research and what is actually practiced in customary care. Table of Contents; Executive Summary. Data reveal that access to and use of services have increased following enhancements of mental health benefits in private insurance, Medicare, Medicaid, and the Federal Employees Health Benefit Program. 0000002923 00000 n The reluctance of Americans to seek and obtain care for mental illness is all too understandable, given the many barriers that stand in their way. Yet primary health care providers vary in their capacity to recognize and manage mental health problems. That is, the goal of services must not be limited to symptom reduction but should strive for restoration of a meaningful and productive life. ;] NAMI Applauds Surgeon General's Report as a Foundation for Action. This is the first Surgeon General’s report ever issued on the topic of mental health and mental illness. RAND Health Research Highlights: Mental Health … For many who do have health insurance, coverage restrictions for mental health treatment persist. Federal regulations require informed consent for research being conducted with Federal funds. Several states have implemented or proposed models for protecting privacy that may serve as a guide to others. The science-based report conveys several messages. The surgeon general's report summarizes the Office's detailed review of more than 3,000 research articles, plus 1st-person accounts from individuals who have been afflicted with mental disorders. EXECUTIVE SUMMARY 1.1 Introduction The sixth Mental Health Advisory Team (MHAT VI) was established by the Office of the U.S. Army Surgeon General at the request of the Commanding General, Multi-National Corps-lraq (MNC-I).