New strategies must be devised to bridge the gap between research and practice (National Advisory Mental Health Council, 1998). The mental health service system should be tailored to focus on women’s unique needs (Blumenthal, 1994). H�b```f``���������À 30��3f�0?4߸0P�4�Bɮ�����::��4:L�ؼ���$Y�V����"4�4'9�|*8�؎�@��;�"#�/�ٴ�E:�djR���*A�)Y])��,A#U.��4@�r�if���F ��qD`L�Re�>Fa&% \*�c`�zHs��Wր(������:��qÄ����Z� Physical Activity and Health: A Report of the Surgeon General Note: Javascript is disabled or is not supported by your browser. %PDF-1.3 %���� 1. Public Health Service. It is essential to expand the supply of effective, evidence-based services throughout the Nation. 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. of Mental Health (DHEW), Rockville, MD. Reasons for Hope and Optimism; The Time is Right for a Surgeon General's Report; The Surgeon General's Report. Get this from a library! 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. States, consumers, and family advocates take differing positions on disclosure of mental health information without consent to family caregivers. That is, the goal of services must not be limited to symptom reduction but should strive for restoration of a meaningful and productive life. At present, many beneficiaries appear not to know if they have mental health coverage, much less where to seek help for problems. This surgeon general's report is the first ever issued on mental health. Assess Soldier behavioral health 2. For more information about the Surgeon General’s report, visit 2001. It states that a review of research on mental health revealed two findings. Mental health issues affect us all, either directly or through the people we love. "Prepared by the Dept. 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. Gaining new knowledge about mental illness and health is everybody’s business. 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. Reasons for Hope and Optimism; The Time is Right for a Surgeon General's Report; The Surgeon General's Report; Conclusion; Vision for the Future; Key Findings; Supplementary Materials Racial and ethnic minorities have less access to mental health services than do whites. 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. 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. Executive summary: a report of the Surgeon General on mental health. People struggling with their mental health may be in your family, live next door, or go to school with your children. Today, the majority of those who need mental health treatment do not seek it. Download Citation | Mental health: A report of the Surgeon General--Executive summary | This surgeon general's report is the first ever issued on mental health. The science-based report conveys several messages. Stigma impedes people from seeking help for fear that the confidentiality of their diagnosis or treatment will be breached. 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). Examples of effective interventions include systematic approaches to medication management, assertive community treatme… Although confidentiality issues are common to health care in general, there are special concerns for mental health care and mental health care records because of the extremely personal nature of the material shared in treatment. Still, many members of ethnic and racial minority groups may prefer to be treated by mental health professionals of similar background. If they do not improve with the help obtained initially, they should be encouraged to keep trying to obtain assistance. Reasons Not To Break Your New Year’s Resolutions, Overcoming Your Manic, Late Night, Emotional, Compulsive, Eating Habits – Strategically. Office of the Surgeon General Genre: Official reports Excerpts Youth Violence: A Report of the Surgeon General—Executive Summary. Disease management programs for conditions such as late-life depression in primary care settings. 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. Table of Contents; Executive Summary. ;] Mental illnesses exact a staggering toll on millions of individuals, as well as on their families and communities and our Nation as a whole. 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. 0000000647 00000 n U.S. Department of Health and Human Services. 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. 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. In need of peer-to-peer support? The need for innovative, population-based approaches to reduce underuse of mental health care must be weighed against these concerns. Available also on the internet. This Surgeon General’s report is issued at a time of unprecedented scientific opportunity. 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. Comment in Public Health Rep. 2000 Jan-Feb;115(1):8. 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. These calls to action constitute necessary first steps toward overcoming the gaps in what is known and removing the barriers that keep people from seeking and obtaining mental health treatment. Public Health Rep. 2000 Jan-Feb;115(1):89-101. This is the first Surgeon General’s report ever issued on the topic of mental health and mental illness. Managed care companies and other health insurers need to publish clear information about their mental health benefits (usually called “behavioral health benefits”). State and Federal laws protect the confidentiality of health care information but are often incomplete because of numerous exceptions which often vary from state to state. Satcher DS. 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. Healthy People is a national effort that sets goals and objectives to improve the health and well-being of people in the United States. 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. 0000001364 00000 n 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. The stigma that envelops mental illness deters people from seeking treatment. The supply of well-trained mental health professionals also is inadequate in many areas of the country, especially in rural areas (Peterson et al., 1998). 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- 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. Molecular and genetic tools are being used to identify genes and proteins that might be involved in the origins of mental illness and that clearly are altered by drug treatment and by the environment. 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. Public Health Service. 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. health—the most comprehensive ever—has the potential to catalyze a new physical activity and fitness movement in the United States. A Report of the Surgeon General—Executive Summary. US DHHS. Although these are not formal policy recommendations, they offer a focused vision that may inform future policy. Executive summary: a report of the Surgeon General on mental health. Founded in 2001, our organization’s ongoing mission is to continue to fight the stigma of mental illness, encourage, inform, and inspire the public about mental health. The use of inpatient treatment services by African Americans, for example, is much higher than use of these services by whites, a difference that cannot be accounted for by differences in prevalence alone (Chapter 2). Special effort is required to address pronounced gaps in the mental health knowledge base. 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. Mental health : a report of the Surgeon General : executive summary.. [United States. Mental illness is at least as prevalent among racial and ethnic minorities as in the majority white population (Regier et al., 1993). 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. The U.S. Supreme Court recently has upheld the right to the privacy of these records and the therapist-client relationship. Rockville, MD: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental The purpose of MHAT 6 OEF was to: 1. The mission of MHAT VI was to: 1. Mental health : a report of the Surgeon General : executive summary.. [United States. Key among these are the urgent need for research evidence that supports strategies for mental health promotion and illness prevention. 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. Adult smoking rates have fallen from about 43% (1965) to about 18% today. For many who do have health insurance, coverage restrictions for mental health treatment persist. 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. 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. In states that allow such disclosure, information provided is usually limited to diagnosis, prognosis, and information regarding treatment, specifically medication. Mental Health: A Report of the Surgeon General, Executive Summary. 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. A Report of the Surgeon General. 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There are multiple “portals of entry” to mental health care and treatment, including a range of community and faith-based organizations. ... tremendous progress 50 years after the landmark 1964 Surgeon General’s report: Smoking and Health. The main findings of the report, gleaned from an exhaustive review of research, are that the efficacy of mental health treatments is well documented and a range of treatments exists for most mental disorders. This repor… 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. 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. RAND Health Research Highlights: Mental Health … Individuals with mental disorders often are neglected or victimized in these institutions. Two messages are conveyed in the report: Mental health is fundamental to health, and mental disorders are real health conditions. 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. 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. This report is a passport to good health for all Americans. They are intended for policymakers, service and treatment providers, professional and advocacy organizations, researchers, and, most importantly, the American people. Of equal concern are the adult criminal justice and corrections systems, which encounter substantial numbers of detainees with mental illness (Ditton, 1999). The vitality of clinical research hinges on the willing participation of clinical research volunteers. Surgeon General’s Report on Alcohol, Drugs, and Health. One is that mental health is fundamental to health. An assurance of confidentiality is understandably critical in individual decisions to seek mental health treatment. It aims at new challenges and builds on lessons learned from its first 4 decades. Note: Below is the executive summary of the first U.S. Executive Summary. The law affords special protections for children and for persons with impaired decisionmaking capacity. As noted throughout this report, a wide variety of community-based services are of proven value for even the most severe mental illnesses. Treatments fall mainly under several broad categories—counseling, psychotherapy, medication therapy, rehabilitation—yet within each category are many more choices. Some advocates crusade for more stringent controls and treatment mandates, whereas others adamantly oppose coercion on any grounds. 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). 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. Almost all agree that coercion should not be a substitute for effective care that is sought voluntarily. With appropriate training and a fundamental respect for clients, any mental health professional can provide culturally competent services that reflect sensitivity to individual differences and, at the same time, assign validity to an individual’s group identity.
2020 mental health: a report of the surgeon general executive summary