At present, many beneficiaries appear not to know if they have mental health coverage, much less where to seek help for problems. 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. ... and those living with mental illness and substance use disorders. 1. 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). Satcher DS. It is important to monitor advances so that confidentiality of records is enhanced, instead of impinged upon, by technology. Rockville, MD: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, National Institute of Mental Health, 1999. 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. This is the first Surgeon General’s report ever issued on the topic of mental health and mental illness. 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. Mental Health: A Report of the Surgeon General—Executive Summary. 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. As documented in Chapter 6 of this report, there is an enormous disparity in insurance coverage for mental disorders in contrast to other illnesses. 0000000702 00000 n Gaining new knowledge about mental illness and health is everybody’s business. 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. 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. 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��\? Public and private agencies have an obligation to facilitate entry into treatment. Center for Mental Health 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. "Prepared by the Dept. 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. Although almost 1 in 5 children in the United States suffers from a diagnosable mental disorder, only 20% to 25% of affected children receive treatment. %PDF-1.3 %���� Chapters of the report cover neurobiology, prevention, treatment, recovery, health systems integration, and recommendations for the future. Office of the Surgeon General Genre: Official reports Excerpts 0000001364 00000 n }^==�^���3W������06�0�qlV7"5Y�ڹ��z}��Gs�����lNWX�D_�Ǯ"�K�ʭ?��Q�8�^��Ɵ!0w6�۔�>�+?���O��5n�σ�g��E��o���dS�=['�E�'�d��_ D�d`�%��. 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. 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 … U.S. Department of Health and Human Services. Multiple and complex explanations exist for the gap between what is known through research and what is actually practiced in customary care. 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. RAND Health Research Highlights: Mental Health Care for Youth. 0000006436 00000 n 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. Coercion takes the form of involuntary commitment to a hospital; in about 40 states and territories, it includes certain outpatient treatment requirements. 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. Consumers and families told 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. Wraparound services for children with serious emotional problems and multisystemic treatment. Racial and ethnic minorities have less access to mental health services than do whites. An assurance of confidentiality is understandably critical in individual decisions to seek mental health treatment. Managed care companies and other health insurers need to publish clear information about their mental health benefits (usually called “behavioral health benefits”). 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). 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. State-of-the-art treatments, carefully refined through years of research, are not being translated into community settings. Struggling with mental health or depression? 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. Executive summary: a report of the Surgeon General on mental health. Policies must be promulgated to ensure that vulnerable individuals are protected while they participate in research needed for the development of new treatments. Satcher DS. 0000001051 00000 n 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. 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. 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- Mental health: A report of the Surgeon General—Executive summary. It is essential to expand the supply of effective, evidence-based services throughout the Nation. 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. 0000002036 00000 n (1999). The vitality of clinical research hinges on the willing participation of clinical research volunteers. 0000000647 00000 n 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. It prompts many people to avoid working, socializing, and living with people who have a mental disorder. This report is a passport to good health for all Americans. 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. If they do not improve with the help obtained initially, they should be encouraged to keep trying to obtain assistance. 1. Table of Contents; Executive Summary. Today, the majority of those who need mental health treatment do not seek it. 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). Individuals with mental disorders often are neglected or victimized in these institutions. It appears as prejudice and discrimination, fear, distrust, and stereotyping. Family members, clergy, and friends often can help by encouraging a distressed person to seek help. Yet primary health care providers vary in their capacity to recognize and manage mental health problems. People’s willingness to seek help is contingent on their confidence that personal revelations of mental distress will not be disclosed without their consent. Includes bibliographical references and index. History of the Healthy People Initiative Healthy People 2030 is the fifth edition of Healthy People. 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. 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. Executive Summary. 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. Public Health Rep. 2000 Jan-Feb;115(1):89-101. Mental health and mental illness are points on a continuum. This Surgeon General’s report is issued at a time of unprecedented scientific opportunity. U.S. Department of Health and Human Services. Public Health Service. States, consumers, and family advocates take differing positions on disclosure of mental health information without consent to family caregivers. Special effort is required to address pronounced gaps in the mental health knowledge base. 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. Surgeon General’s Report on Alcohol, Drugs, and Health. Stigma impedes people from seeking help for fear that the confidentiality of their diagnosis or treatment will be breached. 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. For adults and children with less severe conditions, primary health care, the schools, and other human services must be prepared to assess and, at times, to treat individuals who come seeking help. Mental Health: A Report of the Surgeon General, Executive Summary. 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. People struggling with their mental health may be in your family, live next door, or go to school with your children. 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. 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. The law affords special protections for children and for persons with impaired decisionmaking capacity. 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. Surgeon General's Report on oral health, published in July 2000. 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. 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. 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). The science-based report conveys several messages. 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