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Heart and Mind Connections: Integrated Strategies for Greater Health PowerPoint Presentation
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Heart and Mind Connections: Integrated Strategies for Greater Health

Heart and Mind Connections: Integrated Strategies for Greater Health

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Heart and Mind Connections: Integrated Strategies for Greater Health

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  1. Heart and Mind Connections: Integrated Strategies for Greater Health Presentation to Senior Leadership

  2. Agenda • Business Costs to Bottom Line • Connection Between Heart Disease and Mental Health • Opportunity to Improve Outcomes • Behavioral Health Services • Next Steps

  3. Heart Disease: Business Costs • Human cost: No 1. killer of Americans and a leading cause of disability • Financial costs: Key contributor to rising health care and disability expenditures and a prime cause of decreased productivity

  4. The Costs of Heart Disease and Mental Health • Heart disease is often associated with a mental health diagnosis. In these cases of co-morbidity, the mental health conditions may not be properly diagnosed or may be undertreated. • There is a significant difference in medical health costs for individuals with coronary artery disease (CAD): • In one study, the costs to the employer for the physical health care of CAD patients without co-morbid behavioral health diagnoses was $883 per member per month. • These costs rose 54% to $1,358 per member per month for CAD patients with depression or anxiety.1 • Individuals with CAD who were treated with selective antidepressants for six months were: • 91% more likely to experience a significant reduction in the cost of hospital inpatient services • 72% more likely to experience a significant reduction in the cost of office-based services in the treatment of their disease2

  5. About Heart Disease and Mental Health • Depression, anxiety, hopelessness, pessimism, hostility and anger have all been linked to heart disease.3,4,5 • Depression and anxiety disorders may affect heart rhythms, increase blood pressure, alter blood clotting, and lead to elevated insulin and cholesterol levels. These risk factors often predict, and are a response to, heart disease.6 • People with heart disease are more likely to suffer from depression than otherwise healthy people; conversely, people with depression are at greater risk for developing heart disease.7 • Those who have heart disease and who are depressed have an increased risk of death after a heart attack compared with those who are not depressed.8

  6. Fighting Heart Disease: The Role of Behavioral Health Experts • Emotional, psychological and behavioral intervention and support is essential in helping to prevent or manage heart disease. • Behavioral experts can: • identify and manage behavioral health contributors that can impact heart health, such as depression, anxiety and chronic stress • support those who are living with heart disease • promote and sustain a healthy lifestyle

  7. Service Options Offered by ValueOptions • Standard: • 24/7 assessment and referral • Employee assistance program (EAP) • Stress reduction counseling • Depression screening • Intensive case management • Support for family and support systems • Primary care physician (PCP) behavioral health consultation • Educational programs • Enhanced services: • Lifestyle coaching • Tobacco cessation • Nurse line • Integrated care

  8. Benefits of an Integrated Cardiovascular/Behavioral Health Program • Increased referral rate to the EAP and mental health/substance abuse program • Decreased overall health care and disability costs • Enhanced productivity • Reduced absenteeism • Improved employee perception of their employer’s commitment to their health and well-being

  9. Next Steps • Form a multifunctional workgroup to assess needs and assemble programming • Report recommendations to senior management • Obtain final approval to implement recommended plan • Implement, promote, monitor and evaluate plan

  10. Sources 1 ValueOptions/IHCIS Comorbidity Study, 2003 2 Group Health Incorporated, 3 Williams R.B. Neurobiology, cellular and molecular biology, and psychosomatic medicine. Psychosom Med, 1994; 56:308-315. 4 Denollet J., Brutsaert D.L. Personality, disease severity, and the risk of long-term cardiac events in patients with a decreased ejection fraction after myocardial infarction. Circulation. 1998; 97:167-173. 5 L.D. Kuzansky, K.W. Davidson, and A. Rozanski. The Clinical Impact of Negative Psychological States: Expanding the Spectrum of Risk for Coronary Artery Disease. Psychosom Med, May 1, 2005; 67(Supplement_1):S10-S14. 6 National Heart, Lung and Blood Institute 7 Nemeroff CB, Musselman DL, Evans DL. Depression and cardiac disease. Depression and Anxiety, 1998; 8(Suppl 1): 71-9. 8 Frasure-Smith N, Lesperance F, Talajic M. Depression and 18-month prognosis after myocardial infarction. Circulation, 1995; 91(4): 999-1005.