Appreciation of the clinically and economically devastating nature of mental disorders is part of a quiet scientific revolution that not only has documented the extent of the problem, but in recent years has generated many real solutions. These include the following: All too frequently, these effective programs are simply unavailable in communities. Americans are often unaware of the choices they have for effective mental health treatments. The issuance of this Surgeon General’s Report on Mental Health seeks to help reduce stigma by dispelling myths about mental illness and by providing accurate knowledge to ensure more informed consumers. Today, the majority of those who need mental health treatment do not seek it. More mental health professionals also need to be trained in cognitive-behavioral therapy and interpersonal therapy, two forms of psychotherapy shown by rigorous research to be effective for many types of mental disorders. 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. It states that a review of research on mental health revealed two findings. U.S. Department of Health and Human Services. Mental health : a report of the Surgeon General : executive summary.. [United States. 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. Table of Contents; Executive Summary. Today, integrative neuroscience and molecular genetics present some of the most exciting basic research opportunities in medical science. 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. There is no “one size fits all” treatment; rather, people can choose the type of treatment that best suits them from the diverse forms of treatment that exist. 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). Recent legislative efforts to mandate equitable insurance coverage for mental health services have been heralded as steps in the right direction for reducing financial barriers to treatment. Still, for the more than 44 million Americans who lack any health insurance, equity of mental health and other health benefits is moot. 0000001364 00000 n Yet it is important to acknowledge and appreciate that there exist wide variations within and among racial and ethnic minority groups with respect to use of mental health services. It is important to monitor advances so that confidentiality of records is enhanced, instead of impinged upon, by technology. Individuals should be encouraged to seek help from any source in which they have confidence. 0000002230 00000 n Chapters of the report cover neurobiology, prevention, treatment, recovery, health systems integration, and recommendations for the future. Advocates for people with mental illness hold divergent views regarding coercion. Monthly donations are the lifeblood of Depressionforums.org. Healthy People is a national effort that sets goals and objectives to improve the health and well-being of people in the United States. People struggling with their mental health may be in your family, live next door, or go to school with your children. This inequity is a deterrent to treatment and needs to be redressed. The Center for Mental Health Services Substance Abuse and Mental Health Services Administration National Institute of Mental Health National Institutes of Health Suggested Citation U. S. Department of Health and Human Services. This report presents clear evidence that mental health and mental illness are shaped by age, gender, race, and culture as well as additional facets of diversity that can be found within all of these population groups—for example, physical disability or a person’s sexual orientation. Yet to realize further advances in treatment and, ultimately, prevention, the Nation must continue to invest in research at all levels. 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. 0000001051 00000 n Rockville, MD: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, NIH, NIMH, 1999. Two messages are conveyed in the report: Mental health is fundamental to health, and mental disorders are real health conditions. That is, the goal of services must not be limited to symptom reduction but should strive for restoration of a meaningful and productive life. In fact, as the preceding chapters demonstrate, there exists a constellation of treatments for most mental disorders. Repeated surveys have shown that concerns about the cost of care are among the foremost reasons why people do not seek care (Sussman et al., 1987; Sturm & Sherbourne, 1999). Each chapter in this report has identified additional, specific gaps that must be addressed. This report is a passport to good health for all Americans. Executive Summary:A Report of the Surgeon General On Mental Health Mental health—the successful performance of mental function, resulting in productive activities, fulfilling relationships with other people, and the ability to adapt to change and to cope with adversity; from early childhood until late life, mental health … 0000001030 00000 n Special effort is required to address pronounced gaps in the mental health knowledge base. Office of the Surgeon General. Mental Health: A Report of the Surgeon General Themes of the Report Mental health and mental illness require the broad focus of a public health approach. 1. 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). 1. The U.S. Supreme Court recently has upheld the right to the privacy of these records and the therapist-client relationship. There are multiple “portals of entry” to mental health care and treatment, including a range of community and faith-based organizations. The schools and child welfare system are the initial points of contact for most children and adolescents, and can be useful sources of first-line assessment and referral, provided that expertise is available. Powerful and pervasive, stigma prevents people from acknowledging their own mental health problems, much less disclosing them to others. Table of Contents; Executive Summary. The juvenile justice system represents another pathway, although many overburdened facilities tend to lack the staff required to deal with the magnitude of the mental health problems encountered. 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. A recent paper suggests that the value of mental health treatment has increased in recent years—that is, effectiveness has increased—while expenditures have fallen (Frank et al., 1999). An assurance of confidentiality is understandably critical in individual decisions to seek mental health treatment. (2001). Mental disorders are disabling conditions. Mental health: A report of the Surgeon General—Executive summary. The Next Step Toward a Better Life. 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. Satcher DS. 0000002923 00000 n "Prepared by the Dept. States, consumers, and family advocates take differing positions on disclosure of mental health information without consent to family caregivers. English 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. The Surgeon General’s Workshop on Women’s Mental Health brought together experts from the consumer, academic, advocacy, health insurance, health care delivery, program management, and public policy communities to explore sex and gender differences11Workshop participants defined the terms sex and gender as follows: Sex is a biological construct defined by the organs with which a person is born. They are intended for policymakers, service and treatment providers, professional and advocacy organizations, researchers, and, most importantly, the American people. This understanding increasingly supports mental health practices. Family members, clergy, and friends often can help by encouraging a distressed person to seek help. It is essential to expand the supply of effective, evidence-based services throughout the Nation. 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. Surgeon General’s Report on Alcohol, Drugs, and Health. RAND Health Research Highlights: Mental Health Care for Youth. 58 0 obj << /Linearized 1 /O 60 /H [ 702 349 ] /L 66605 /E 6665 /N 16 /T 65327 >> endobj xref 58 15 0000000016 00000 n 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. Multiple and complex explanations exist for the gap between what is known through research and what is actually practiced in customary care. To be effective, the diagnosis and treatment of mental illness must be tailored to individual circumstances, while taking into account, age, gender, race, and culture and other characteristics that shape a person’s image and identity. Get this from a library! It is partly for this reason that minority group members overall are less inclined than whites to seek treatment (Sussman et al., 1987; Gallo et al., 1995), and to use outpatient treatment services to a much lesser extent than do non-Hispanic whites. Effective service delivery for individuals with the most severe conditions also requires supported housing and supported employment. In need of peer-to-peer support? As noted throughout this report, a wide variety of community-based services are of proven value for even the most severe mental illnesses. 0000000702 00000 n Yet much more is known about mental illness than about mental health. Adult smoking rates have fallen from about 43% (1965) to about 18% today. Yet many racial and ethnic minority group members find the organized mental health system to be uninformed about cultural context and, thus, unresponsive and/or irrelevant. History of the Healthy People Initiative Healthy People 2030 is the fifth edition of Healthy People. In the interim, culturally competent services—that is, services that incorporate understanding of racial and ethnic groups, their histories, traditions, beliefs, and value systems—are needed to enhance the appropriate use of services and effectiveness of treatments for ethnic and racial minority consumers. These emphases, combined with research to increase the knowledge needed to treat and prevent mental and behavioral disorders, constitute a broad public health approach to an urgent health concern. The Surgeon General’s report itself is expected to stimulate the demand for effective treatment for needed mental health care. Wraparound services for children with serious emotional problems and multisystemic treatment. 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. Struggling with mental health or depression? • According to the U.S. As documented in Chapter 6 of this report, there is an enormous disparity in insurance coverage for mental disorders in contrast to other illnesses. Mental health—the successful performance of mental function, resulting in productive activities, fulfilling relationships with other people, and the ability to adapt to change and to cope with adversity; from early childhood until late life, mental health is the springboard of thinking and communication skills, learning, emotional growth, resilience, and self-esteem. Coercion takes the form of involuntary commitment to a hospital; in about 40 states and territories, it includes certain outpatient treatment requirements. Many highly committed primary care providers do not know referral sources or do not have the time to help their patients find services. Both the 1999 Surgeon General’s Report on Mental Health and the President’s New Freedom Commission on Mental Health found that, “nearly every consumer of mental health services… expressed the need to fully participate in his or her plan for recovery. Mental health is fundamental to health and human functioning. Public Health Service. Physical Activity and Health: A Report of the Surgeon General Note: Javascript is disabled or is not supported by your browser. This surgeon general's report is the first ever issued on mental health. 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. The law affords special protections for children and for persons with impaired decisionmaking capacity. If the path of help-seeking leads to only limited improvement, an array of options still exists: the intensity of treatment may be changed, new treatments may be introduced, or another provider may be sought. Policies must be promulgated to ensure that vulnerable individuals are protected while they participate in research needed for the development of new treatments. The mission of MHAT VI was to: 1. http://mentalhealth.samhsa.gov/features/surgeongeneralreport/. 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. Mental Health: A Report of the Surgeon General—Executive Summary. 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. Get this from a library! Public Health Service. 0000001205 00000 n Executive Summary. All services for those with a mental disorder should be consumer oriented and focused on promoting recovery. 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. Public and private agencies have an obligation to facilitate entry into treatment. Mental health : a report of the Surgeon General : executive summary.. [United States. This vision for the future proposes to the American people broad courses of action meant to hasten progress toward the major recommendation of this report. As the debate continues, more study is needed concerning the effectiveness of different strategies to enhance compliance with treatment. It states that a review of research on mental health revealed two findings. Appropriate treatment can alleviate, if not cure, the symptoms and associated disability of mental illness. Mental Health: A Report of the Surgeon General, Executive Summary. Stigma impedes people from seeking help for fear that the confidentiality of their diagnosis or treatment will be breached. It states that a review of research on mental health revealed two findings. value of consumer and family involvement and self-help. A Report of the Surgeon General—Executive Summary. 0000002036 00000 n Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2016. U.S. Department of Health and Human Services. Center for Mental Health Services. 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. Want to contribute to the community? New approaches to managing care and information technology threaten to further erode the confidentiality and trust deemed so essential between the direct provider of mental health services and the individual receiving those services. The decision to publish the report at this time was based, in part, on the tremendous growth of the science base that is enriching our understanding of the awe-inspiring complexity of the brain and behavior. Includes bibliographical references and index. Managed care companies and other health insurers need to publish clear information about their mental health benefits (usually called “behavioral health benefits”). With proper treatment, the majority of people with mental illness can return to productive and engaging lives. It appears as prejudice and discrimination, fear, distrust, and stereotyping. 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. A small, monthly $2-$5 donation will help DF keep our mission and vision alive. Mental disorders are health conditions that are characterized by alterations in thinking, mood, or behavior (or some combination thereof) associated with distress and/or impaired functioning. The mental health service system is highly fragmented. A new Surgeon General’s report on oral health is now in development, as was announced by Surgeon General Jerome M. Adams, MD, MPH, in July 2018. Rockville, MD: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, NIH, NIMH, 1999. “Mental Health: A Report of the Surgeon General”1 documents the high prevalence of mental health needs of America's youth. The Neurobiology of Substance Use, Misuse, and Addiction; Prevention Programs and Policies The service system as a whole, as opposed to treatment services considered in isolation, dictates the outcome of treatment (Goldman, 1998). Stigma is a major obstacle preventing people from getting help. Assess Soldier behavioral health 2. By law, subjects in federally sponsored research are required to give informed consent—that is, to agree to participate voluntarily after being informed about the purpose, benefits, and risks of the research, among other requirements (45 CFR 46). Particularly keen shortages are found in the numbers of mental health professionals serving children and adolescents with serious mental disorders and older people (Peterson et al., 1998). It prompts many people to avoid working, socializing, and living with people who have a mental disorder. H��W�n�H}�W�[��I�y�؞؃$�r�4�~����6�"��㿟sR[� 1U��﹧�����ZE&4��E41c�ßydf�E���Uq�ẙ�M�{c�l.>|z�ss1��xfV������w������o���M��������������w��տ/����6�ˈ$*vً�D"������gsw{�yu��\? Facts About School Mental Health Services ... 2005a). It is essential for first-line contacts in the community to recognize mental illness and mental health problems, to respond sensitively, to know what resources exist, and to make proper referrals and/or to address problems effectively themselves. The mission of MHAT VI was to: 1. For our Nation to reduce the burden of mental illness, to improve access to care, and to achieve urgently needed knowledge about the brain, mind, and behavior, stigma must no longer be tolerated. Available also on the internet. Still, many members of ethnic and racial minority groups may prefer to be treated by mental health professionals of similar background. Gaining new knowledge about mental illness and health is everybody’s business. Individuals with mental disorders often are neglected or victimized in these institutions. Note: Below is the executive summary of the first U.S. A second message of the report is that mental disorders are real health conditions that have an immense impact on individuals and families throughout this Nation and the world. With the Surgeon General’s Report as a guide, the New York City Department of Health and Mental Hygiene (NYC DOHMH) has created this doc- Genes and gene products promise to provide novel targets for new medications and psychosocial interventions. Mental health issues affect us all, either directly or through the people we love. Comment in Public Health Rep. 2000 Jan-Feb;115(1):8. For the general public, primary care represents a prime opportunity to obtain mental health treatment or an appropriate referral. 1. Yet primary health care providers vary in their capacity to recognize and manage mental health problems. It aims at new challenges and builds on lessons learned from its first 4 decades. Surgeon General’s Report on Alcohol, Drugs, and Health. The initiative began in 1979, when Surgeon General Julius Richmond issued a landmark report entitled, Healthy People: The Surgeon General’s Report on Health Promotion and Disease Prevention. Executive summary: a report of the Surgeon General on mental health. Youth Violence: A Report of the Surgeon General—Executive Summary. 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. 2 See Chapter 4, Adults and Mental Health, in U.S. Department of Health and Human Services, Mental Health: A Report of the Surgeon General—Executive Summary. A plethora of new pharmacologic agents and psychotherapies for mental disorders affords new treatment opportunities but also challenges the scientific community to develop new approaches to clinical and health services interventions research. In an era in which the confidentiality of all health care information, its accessibility, and its uses are of concern to all Americans, privacy issues are particularly keenly felt in the mental health field. It is a work of real significance, on par with the Surgeon General’s historic first report on smoking and health published in 1964. 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. RAND Health Research Highlights: Mental Health … Over the past decade, the US Surgeon General's Report on Mental Health,1 the President's New Freedom Commission Report,2 Schizophrenia Patient Outcomes Research Team (PORT) project,3 the Texas Medications Algorithm Project (TMAP),4 and several other systematic efforts5–10have identified a variety of evidence-based interventions for persons with schizophrenia. The health of the American people demands that we act with resolve and a sense of urgency to place mental health as a cornerstone of health and address through research and education both the impact and the stigma attached to mental illness. Public Health Rep. 2000 Jan-Feb;115(1):89-101. Mental illnesses exact a staggering toll on millions of individuals, as well as on their families and communities and our Nation as a whole. 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. Disease management programs for conditions such as late-life depression in primary care settings. US DHHS. Of equal concern are the adult criminal justice and corrections systems, which encounter substantial numbers of detainees with mental illness (Ditton, 1999). Mental illnesses are real health conditions that are characterized by alterations in thinking, mood, or behavior—all mental, behavioral, and psychological symptoms mediated by the brain. 1. Surgeon General's Report on oral health, published in July 2000. 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 … This Surgeon General’s report is issued at a time of unprecedented scientific opportunity. 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. Responding to the calls of managed mental and behavioral health care systems for evidence-based interventions will have a much needed and discernible impact on practice. Stigma assumes many forms, both subtle and overt. For many who do have health insurance, coverage restrictions for mental health treatment persist. Mental Health Reports And Publications. If they do not improve with the help obtained initially, they should be encouraged to keep trying to obtain assistance. 0000005953 00000 n One is that mental health is fundamental to health. The science-based report conveys several messages. The reasons for these disparities in utilization of services must be further understood through research. "Prepared by the Dept. 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. Public Health Service. The qualities of mental health are essential to leading a healthy life. Both treatment strategies should actively involve the participation of the multiple health, social service, educational, and other community resources that play a role in ensuring the health and well-being of children and their families; Assertive community treatment, an intensive approach to treating people with serious mental illnesses; Combined services for people with co-occurring severe mental disorders and substance abuse disorders; A range of prevention and early case identification programs; and.

mental health: a report of the surgeon general executive summary

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