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Title: A' Kathryn Power, M'Ed', Director


1
American Psychological Association Minority
Fellowship Program 3rd Annual Psychology Summer
Institute Washington, DC July 25, 2005
Eliminating Mental Health Disparities The
Challenge and the Opportunities
A. Kathryn Power, M.Ed., Director Center for
Mental Health Services
2
  • You must be the change you want to see in the
    world.

Mahatma Gandhi
Eliminating Mental Health Disparities The
Challenge and the Opportunities
2
3
America is Rich with Diversity
  • Racial and ethnic minorities make up more than
    one-quarter of the American population.
  • By 2025, minorities will account for more than
    40 of all Americans.
  • Less than 10 of mental health providers are
    ethnic minorities.

Eliminating Mental Health Disparities The
Challenge and the Opportunities
3
4
Psychiatric Disability is
on the Rise
  • 450 million people worldwide have a mental
    disorder.
  • One in five Americans44 million adults and 14
    million childrenlive with mental disorders.
  • The total economic cost of mental illness to the
    Nation exceeds 148 billion2.5 of the U.S.
    GNP.
  • By 2020, disability from mental illness will
    increase by 50 globallya larger proportionate
    increase than that for cardiovascular disease.

Eliminating Mental Health Disparities The
Challenge and the Opportunities
4
5
Transformation calls for a public health approach
to mental illnesses.
The public health approach is a community
approach to preventing and treating illnesses.
Its premise is that caring for the health of an
individual protects the community, whilein
turncaring for the health of a community
protects the individualwith society at large
reaping the overall rewards. The public health
model is also based on data, experiences, and
best practice approaches.
Eliminating Mental Health Disparities The
Challenge and the Opportunities
5
6
Achieving the Promise
Transforming Mental Health Care in America
  • Mental health services must actively facilitate
    recovery.
  • A call for system transformation.
  • The goal Hope for a full life in the community.
  • Services and supports are consumer/child/family
    centered.
  • Focus of care must increase illness
    self-management and build resilience.

7
Transformation is
life altering the process of continuous
evolutionary change driven by the dynamic needs
of the enterprise imbedded in the unpredictable
and the impossible a way to create something
completely possible from the perceived impossible
from Concepts of Transformation
Eliminating Mental Health Disparities The
Challenge and the Opportunities
7
8
What is Recovery?
  • Recovery is a process, sometimes lifelong,
    through which a person achieves independence,
    self-esteem, and a meaningful life in the
    community.
  • For some individuals, recovery implies the
    reduction or complete remission of symptoms.
  • For others, recovery is the ability to live a
    fulfilling and productive life despite a
    disorder.

Eliminating Mental Health Disparities The
Challenge and the Opportunities
8
9
Executive Order Principles
Eliminating Mental Health Disparities The
Challenge and the Opportunities
9
10
Executive Order Principles (continued)
from Executive Order 13263
Eliminating Mental Health Disparities The
Challenge and the Opportunities
10
11
The Federal Action Agenda First Steps
  • Provides a model and promotes shared
    responsibility for change at the State and local
    levels
  • Features the five principles around which the New
    Freedom Commission on Mental Health framed its
    vision
  • Describes the state of success for each
    principle
  • Highlights current activities and proposes Year-1
    action steps for each principle

12
Federal Partners
Department of Health and Human
Services AoA NIH/NIDA ACF NIH/NIMH
AHRQ HHS/OS CDC - ASPE CMS - OCR
HRSA - OD IHS - OPHS SAMHSA
Other Partners Department of Agriculture Departmen
t of Education Department of Defense Department
of Housing and Urban Development Department of
Justice Department of Labor Department of
Transportation Department of Veterans Affairs
Social Security Administration
Eliminating Mental Health Disparities The
Challenge and the Opportunities
12
13
SAMHSA Activities
  • SAMHSA Minority Fellowship Program A 3.6
    million investment in training fellowships
    through the American Psychological Association,
    the American Psychiatric Association, the Council
    on Social Work Education, and the American Nurses
    Association
  • HBCU National Resource Center (HBCU-NRC)Part of
    SAMHSAs Infrastructure Grants program, which
    provides funds to increase capacity of mental
    health and substance abuse service systems to
    support effective programs and services
  • For more information, visit www.samhsa.gov

Eliminating Mental Health Disparities The
Challenge and the Opportunities
13
14
A Public Health Priority Evidence-based
Treatment and Minorities
from Mental Health Culture, Race, and Ethnicity
Supplement to Mental Health A Report of the
Surgeon General, 2001
15
Mental Health System Transformation
Share with us your vision of the change you would
like to seeand then be that change.
Eliminating Mental Health Disparities The
Challenge and the Opportunities
15
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