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Mental Health

Mental Health. Danielle Maloney School-Link Coordinator Sydney South West Area Mental Health. Mental health - the global scene. Depression is an important global public health problem due to both its relatively high lifetime prevalence and the significant disability that it causes.

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Mental Health

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  1. Mental Health Danielle Maloney School-Link Coordinator Sydney South West Area Mental Health

  2. Mental health - the global scene Depression is an important global public health problem due to both its relatively high lifetime prevalence and the significant disability that it causes. • In 2002, depression accounted for 4.5% of the worldwide total burden of disease (in terms of disability-adjusted life years). • It is also responsible for the greatest proportion of burden attributable to non-fatal health outcomes, accounting for almost 12% of total years lived with disability worldwide. • Without treatment, depression has the tendency to assume a chronic course, to recur, and to be associated with increasing disability over time WHO, 2007

  3. Mortality rates – Mental Health AIHW, 2006

  4. Mortality rates – all causes AIHW, 2006

  5. Prevalence AIHW, 2006

  6. Morbidity

  7. Inequities • People with mental illness have considerably elevated mortality rates from all main causes of death. • Their overall mortality rate is two and a half times higher than the general population of WA. • The rate of suicide in the mentally ill has been increasing over the period 1980-98 and almost entirely explains the net increase in the total population suicide rate. • Despite a downward trend in the general community, the IHD death rate in people with mental illness has increased in women and remained roughly constant in men. People with diagnosed mental illness have not participated in the marked decline in IHD mortality in Australia. • Hospitalisation rate ratios were often lower than corresponding mortality rate ratios suggesting that people with mental illness may not receive the level of health care commensurate with their illness. Duty to Care Preventable physical illness in people with mental illness WA

  8. Young people’s Mortality

  9. ASSAD Survey - Australian School Students’ Alcohol and Drugs Survey

  10. Aboriginal data Western Australia Child Health Survey

  11. Mental health services inAustralia 2004–05

  12. What is being done to address mental health ?

  13. National level • National Action Plan for Promotion, Prevention and Early Intervention for Mental Health • Initial 5 year framework to progress mental health reform • National direction in promotion and prevention • Into the third plan

  14. National Level (continued) • For each 15 priority groups: • Outcomes • Evidence base for action • Partners • Indicators • National action

  15. National initiatives • National Mental Health promotion and prevention Working group • National Mental health Reform • Auseinet • Mind Matters, Kids Matter • Mindframe • Beyond Blue • GP Divisions

  16. State Level • School-Link • Parenting • Integrated perinatal care • Early intervention psychosis

  17. School Mental Health The Australian Experience

  18. Emotional well-being Resilience Connectedness Skills Opportunities

  19. Resilience Skills • Problem solving • Help seeking • Communication • Negotiation Young People who are resilient have developed skills and attitudes that enable them to cope with sadness, disappointments, as well as other traumas and difficulties

  20. Health Promoting Schools Framework Curriculum Teaching & Learning Organisation, Ethos & Environment Partnerships & Services

  21. Whole of School programs

  22. http://cms.curriculum.edu.au/mindmatters/

  23. http://www.apapdc.edu.au/kidsmatter/

  24. Level of intervention Create Environment Whole school community Education All students and teachers Part of general curriculum Students needing additional help in school Interventions 20 to 30% of students Treatment 3 - 12% of students World Health Organisation model for school mental health promotion Who is involved? Entire school community Students needing additional mental health intervention

  25. Universal Programs APEEL (A Partnership Encouraging Effective learning)

  26. Indicated programs

  27. http://www.goodgrief.org.au/seasonsforgrowth/sfghome.htm Adolescents Coping with Emotion (ACE) Get Lost Mr Scary

  28. School-Link Initiative Link between Mental Health Services and Education

  29. Aims of School Link • To improve the mental health of children, adolescents and young people in NSW. • To improve the partnership between child and adolescent mental health services and their local schools and TAFE colleges.

  30. Focus areas of School-Link • Promotion, Prevention • Early intervention • Service access

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