Behavioral Health in Alaska

1
Behavioral Health in Alaska

• Melissa Stone, Director
• DHSS / Behavioral Health
• July, 2007

2
Division of Behavioral Health Partners
promoting healthy communities

• Mission Values
• The mission of the Division of Behavioral Health
  is to manage an integrated and comprehensive
  behavioral health system based on sound policy,
  effective practices and partnerships.
• We respect
• Honesty
• Dignity
• Innovation
• Diversity
• Collaboration

3
Overview

• Indicators of serious behavioral health
  conditions and social loss (slides 4-9)
• Emerging Trends (slide 10)
• Alaskas response to these problems (maps 11-12)
• Cost of not doing business (slides 13-14)
• Cost of doing business (slides 15)
• Outcomes of doing business well (slides 16-19)

4
Percentage of Deaths by Cause Among Alaskans
Aged 14-19 Years 1999-2001 (N177)
National Center for Health Statistics (NCHS),
Vital Statistics System
5
Suicide Rates
Annual Report to the Legislature 2006.
Statewide Suicide Prevention Council.
6
Health Risk Behavior of Adults
2006 Behavioral Risk Factor Survey. State of
Alaska, Department of Health and Human Services.
7
Binge Drinking Alaska vs. Nationwide
Behavioral Risk Factor Survey, 2004-2005 Annual
Report.
8
Heavy/Chronic Drinking Alaska vs. Nationwide
Behavioral Risk Factor Survey, 2004-2005 Annual
Report.
9
Statewide Prevalence Estimations of Behavioral
Health Need

• 46,846 Alaskans in households were estimated to
  have serious behavioral health disorders (7.5 of
  the household population)
• 27,582 Alaskans with incomes below 225 of the
  FPL were estimated to have serious behavioral
  health disorders (11.1 of Alaskans in these
  households)
• This includes 7,818 youths with serious emotional
  disturbances (8.1 of youths)
• And 19,764 adults (13.0 of adults) subdivided
  into
• 13,374 adults with serious mental disorders (8.8
  of adults)
• 9,657 adults with substance use disorders (6.4
  of adults)
• 3,267 adults were estimated to have co-occurring
  disorders (both a serious mental disorder and a
  substance use disorder) (2.2 of adults)

Synthetic Prevalence Estimations for Alaska
Behavioral Health Needs, Findings for 2007, DHSS
/ Division of Behavioral Health
10
Emerging Trends Veterans

• Context
• As of September 30, 2006 Of the 1.4 million US
  service personnel deployed in the Iraq/Afghan
  conflicts, 631,174 have been discharged(1).
• More than 449,261 have been deployed more than
  once
• As of May 2007, more than 3,700 service members
  have died, primarily from hostile action
• More than 26,000 troops have been wounded.
• Consequences
• Dept. of Defense is being challenged by two
  signature injuries from the current Iraq/Afghan
  conflicts(2)
• 1. Post-Traumatic Stress Disorder
• 2. Traumatic brain injury.
• Dept. of Defense reports 38 of soldiers and 49
  of all National Guard troops upon return have
  psychological problems
• Alaska Impacts
• Alaska has 17.1 (71,552) of veterans
• 1. Soldiers Returning From Iraq and Afghanistan
  The Long-term Costs of providing Veterans
  Medical Care and Disability Benefits, Linda
  Bilmes, Kennedy School of Government, Harvard
  University
• 2. An Achievable Mission Report of the
  Department of Defense Task Force on Mental
  Health, June 2007

11
Comprehensive Prevention, Early Intervention
Treatment Grants
12
Rural Human Services System Grants
13
Societal CostsUnited States

• Public programs (States spent 77.9 billion on
  criminal justice, Medicaid, child welfare, mental
  health, highways, state payrolls, schools,
  juvenile justice to deal with substance abuse.)
• Employment (500 million lost work days per year
  attributable to alcoholism)
• Cost Analysis (96 cents of every dollar spent on
  substance abuse goes to shoveling up the wreckage
  of impairment 4 cents are spent on prevention
  and treatment)
• Cost per tax payer (Every American paid 277 per
  year in taxes to deal with consequential burdens
  of substance abuse 10 per year for prevention
  and treatment.)
• Cost (States spent 81.3 billion to deal with
  substance abuse, which is 13.1 of state
  budgets.)
• Treatment of Alcohol and Other Substance Use
  Disorders, What Legislators Need to Know,
  National Conference of State Legislators.
  January 2004.

14
Societal CostsAlaska

• In 2003, alcohol and other drug abuse cost Alaska
  738 million
• 367 million from productivity losses
• 154 million from criminal justice and protective
  services
• 178 million from health care
• 35 million from traffic crashes
• 4 million from public assistance
• Economic Costs of Alcohol and Other Drug Abuse in
  Alaska, 2005 (The McDowell Report), Advisory
  Board on Alcoholism and Drug Abuse, Department of
  Health and Social Services

15
DBH Grant Component by Program - Percentage
Notes tbl (1) shows the percentage of each
programs funds in relation to the total amount
Data source FY05 FY06 FY07 FMS Grants and
Contracts
16
Treatment Outcomes
The Client Status Review of Life Domains,
Findings for FY 2006, DHSS / Division of
Behavioral Health
17
What Do Adults Say About Services?
2006 Behavioral Health Consumer Survey. Division
of Behavioral Health
18
What Do Youths Say About Services?
2006 Behavioral Health Consumer Survey. Division
of Behavioral Health
19
What Do Parents/Caregivers Say About Services?
2006 Behavioral Health Consumer Survey. Division
of Behavioral Health
20
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21
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22
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