Mental Health and Mental DisordersModifications to Objectives and Subobjectives Progress Toward Healthy People 2010 Targets Progress Toward Elimination of Health Disparities Disparities Table (See below) Objectives and Subobjectives |
Midcourse Review > Table of Contents > Focus Area 18: Mental Health and Mental Disorders > Objectives and Subobjectives
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Objectives and Subobjectives
Goal: Improve mental health and ensure access to appropriate, quality mental health services.
As a result of the Healthy People 2010 Midcourse Review, changes were made to the Healthy People 2010 objectives and subobjectives. These changes are specific to the following situations:
- Changes in the wording of an objective to more accurately describe what is being measured.
- Changes to reflect a different data source or new science.
- Changes resulting from the establishment of a baseline and a target (that is, when a formerly developmental objective or subobjective became measurable).
- Deletion of an objective or subobjective that lacked a data source.
- Correction of errors and omissions in Healthy People 2010.
Revised baselines and targets for measurable objectives and subobjectives do not fall into any of the above categories and, thus, are not considered a midcourse review change.1
When changes were made to an objective, three sections are displayed:
- In the Original Objective section, the objective as published in Healthy People 2010 in 2000 is shown.
- In the Objective With Revisions section, strikethrough indicates text deleted, and underlining is used to show new text.
- In the Revised Objective section, the objective appears as revised as a result of the midcourse review.
Details of the objectives and subobjectives in this focus area, including any changes made at the midcourse, appear on the following pages.
1See Technical Appendix for more information on baseline and target revisions.
Mental Health Status Improvement
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NO CHANGE IN OBJECTIVE (Data updated and footnoted) |
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| 18-1. |
Reduce the suicide rate. Target: 4.81 suicides per 100,000 population. Baseline: 10.52 suicides per 100,000 population occurred in 19992 (age adjusted to the year 2000 standard population). Target setting method: Better than the best. Data source: National Vital Statistics System (NVSS), CDC, NCHS. 1 Target revised from 5.0 because of baseline revision after November 2000 publication. 2 Baseline and baseline year revised from 11.3 and 1998 after November 2000 publication. |
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NO CHANGE IN OBJECTIVE |
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| 18-2. |
Reduce the rate of suicide attempts
by adolescents. Target: 12-month average of 1.0 percent. Baseline: 12-month average of 2.6 percent of adolescents in grades 9 through 12 attempted suicide in 1999. Target setting method: Better than the best. Data source: Youth Risk Behavior Surveillance System (YRBSS), CDC, NCCDPHP. |
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ORIGINAL OBJECTIVE |
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| 18-3. |
Reduce the proportion of homeless
adults who have serious mental illness (SMI). Target: 19 percent. Baseline: 25 percent of homeless adults aged 18 years and older had SMI in 1996. Target setting method: 24 percent improvement. (Better than the best will be used when data are available.) Data source: Projects for Assistance in Transition from Homelessness (PATH) Annual Application, SAMHSA, CMHS. |
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OBJECTIVE WITH REVISIONS |
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| 18-3. |
Target: Baseline: Target setting method: Data source: Projects for Assistance in Transition from Homelessness (PATH) Annual Application, SAMHSA, CMHS. |
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REVISED OBJECTIVE |
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| 18-3. |
Increase the proportion of homeless
adults with mental health problems who receive mental health services. Target: 30 percent. Baseline: 27 percent of homeless adults aged 18 years and older with mental health problems received mental health services in 2000. Target setting method: 10 percent improvement. (Better than the best will be used when data are available.) Data source: Projects for Assistance in Transition from Homelessness (PATH) Annual Application, SAMHSA, CMHS. |
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ORIGINAL OBJECTIVE |
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| 18-4. |
Increase the proportion of persons
with serious mental illness (SMI) who are employed. Target: 51 percent. Baseline: 43 percent of persons aged 18 years and older with SMI were employed in 1994. Target setting method: 19 percent improvement. (Better than the best will be used when data are available.) Data source: National Health Interview Survey (NHIS), CDC, NCHS. |
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OBJECTIVE WITH REVISIONS |
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| 18-4. |
Increase the proportion of persons
with serious mental illness (SMI) who are employed.
Target: 54 Baseline: 52 Target setting method: Data source: National Comorbidity Survey—Replication (NCS—R), NIH, NIMH |
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REVISED OBJECTIVE |
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| 18-4. |
Increase the proportion of persons
with serious mental illness (SMI) who are employed. Target: 54 percent. Baseline: 52 percent of persons aged 18 years and older with SMI were employed in 2002. Target setting method: Better than the best. Data source: National Comorbidity Survey—Replication (NCS—R), NIH, NIMH. |
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ORIGINAL OBJECTIVE |
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| 18-5. |
(Developmental) Reduce the relapse
rates for persons with eating disorders including anorexia nervosa and
bulimia nervosa. Potential data source: Prospective studies of patients with anorexia or bulimia nervosa, NIH, NIMH. |
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OBJECTIVE WITH REVISIONS |
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| 18-5. |
Target: 16 percent. Baseline: 19 percent of adolescents in grades 9 through 12 engaged in disordered eating behaviors in an attempt to control their weight in 2001. Target setting method: Better than the best. |
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REVISED OBJECTIVE |
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| 18-5. |
Reduce the proportion of
adolescents who engage in disordered eating behaviors in an attempt to
control their weight. Target: 16 percent. Baseline: 19 percent of adolescents in grades 9 through 12 engaged in disordered eating behaviors in an attempt to control their weight in 2001. Target setting method: Better than the best. Data source: Youth Risk Behavior Surveillance Survey (YRBSS), CDC, NCHS. |
Treatment Expansion
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ORIGINAL OBJECTIVE |
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| 18-6. |
(Developmental) Increase the number
of persons seen in primary health care who receive mental health screening
and assessment. Potential data source: Primary Care Data System/Federally Qualified Health Centers, HRSA. |
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OBJECTIVE WITH REVISIONS |
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| 18-6. |
Target: 68 percent of HRSA-funded primary care facilities. Baseline: 62 percent of HRSA-funded primary care facilities provided mental health treatment onsite or paid by referral in 2000. Target setting method: 10 percent improvement. |
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REVISED OBJECTIVE |
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| 18-6. |
Increase the proportion of primary
care facilities that provide mental health treatment on site or paid by
referral. Target: 68 percent of HRSA-funded primary care facilities. Baseline: 62 percent of HRSA-funded primary care facilities provided mental health treatment on site or paid by referral in 2000. Target setting method: 10 percent improvement. Data source: Uniform Data System (UDS), HRSA. |
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ORIGINAL OBJECTIVE |
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| 18-7. |
(Developmental) Increase the
proportion of children with mental health problems who receive treatment. Potential data source: National Household Survey on Drug Abuse (NHSDA), SAMHSA, OAS. |
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OBJECTIVE WITH REVISIONS |
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| 18-7. |
Target: 66 percent. Baseline: 59 percent of children with mental health problems received treatment in 2001. Target setting method: Better than the best. Potential data source: National Health Interview Survey (NHIS), CDC, NCHS. |
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REVISED OBJECTIVE |
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| 18-7. |
Increase the proportion of children
with mental health problems who receive treatment. Target: 66 percent. Baseline: 59 percent of children with mental health problems received treatment in 2001. Target setting method: Better than the best. Data source: National Health Interview Survey (NHIS), CDC, NCHS. |
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ORIGINAL OBJECTIVE |
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| 18-8. |
(Developmental) Increase the
proportion of juvenile justice facilities that screen new admissions for
mental health problems. Potential data source: Inventory of Mental Health Services in Juvenile Justice Facilities, SAMHSA. |
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OBJECTIVE WITH REVISIONS |
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| 18-8. |
Target: 55 percent. Baseline: 50 percent of juvenile residential facilities screened admissions for mental health problems in 2000. Target setting method: 10 percent improvement. |
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REVISED OBJECTIVE |
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| 18-8. |
Increase the proportion of juvenile
residential facilities that screen admissions for mental health problems. Target: 55 percent. Baseline: 50 percent of juvenile residential facilities screened admissions for mental health problems in 2000. Target setting method: 10 percent improvement. Data source: Juveniles in Residential Facilities Census (JRFC), National Center for Juvenile Justice. |
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ORIGINAL OBJECTIVE |
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| 18-9. |
Increase the proportion of adults
with mental disorders who receive treatment. Target and baseline:
Target setting method: 17 percent improvement for 18-9a. (Better than the best will be used when data are available.) Better than the best for 18-9b, 18-9c, and 18-9d. Data sources: Epidemiologic Catchment Area (ECA) Program, NIH, NIMH; National Household Survey on Drug Abuse (NHSDA), SAMHSA, OAS; National Comorbidity Survey, SAMHSA, CMHS; NIH, NIMH. |
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OBJECTIVE WITH REVISIONS |
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| 18-9. |
Increase the proportion of adults
with mental disorders who receive treatment. Target and baseline:
Target setting method: Better than the best. Data sources: Epidemiologic Catchment Area (ECA) Program, NIH, NIMH; |
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REVISED OBJECTIVE |
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| 18-9. |
Increase the proportion of adults
with mental disorders who receive treatment. Target and baseline:
Target setting method: Better than the best. Data sources: Epidemiologic Catchment Area (ECA) Program, NIH, NIMH; National Comorbidity Survey—Replication (NCS—R), NIH, NIMH. |
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ORIGINAL OBJECTIVE |
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| 18-10. |
(Developmental) Increase the
proportion of persons with co-occurring substance abuse and mental disorders
who receive treatment for both disorders. Potential data sources: National Health Interview Survey (NHIS), CDC, NCHS; National Household Survey on Drug Abuse (NHSDA), SAMHSA, OAS; Replication of National Comorbidity Survey, NIH, NIMH. |
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OBJECTIVE WITH REVISIONS |
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| 18-10. |
Target: 57 percent. Baseline: 51 percent of persons with co-occurring substance abuse and mental disorders received treatment for both disorders in 2002. Target setting method: 10 percent improvement. (Better than the best will be used when population data are available.) |
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REVISED OBJECTIVE |
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| 18-10. |
Increase the proportion of persons
with co-occurring substance abuse and mental disorders who receive treatment
for both disorders. Target: 57 percent. Baseline: 51 percent of persons with co-occurring substance abuse and mental disorders received treatment for both disorders in 2002. Target setting method: 10 percent improvement. (Better than the best will be used when population data are available.) Data source: National Comorbidity Survey—Replication (NCS—R), NIH, NIMH. |
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ORIGINAL OBJECTIVE |
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| 18-11. |
(Developmental) Increase the
proportion of local governments with community-based jail diversion programs
for adults with serious mental illness (SMI). Potential data source: National Survey of Jail Mental Health Diversion Programs, SAMHSA. |
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OBJECTIVE WITH REVISIONS |
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| 18-11. |
Target: 7.6 percent. Baseline: 6.9 percent of counties were served by community-based jail diversion programs and/or mental health courts for adults with mental health problems in 2004. Target setting method: 10 percent improvement. |
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REVISED OBJECTIVE |
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| 18-11. |
Increase the proportion of counties
served by community-based jail diversion programs and/or mental health courts
for adults with mental health problems. Target: 7.6 percent. Baseline: 6.9 percent of counties were served by community-based jail diversion programs and/or mental health courts for adults with mental health problems in 2004. Target setting method: 10 percent improvement. Data source: Jail Diversion Program Database, SAMHSA. |
State Activities
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NO CHANGE IN OBJECTIVE (Data updated and footnoted) |
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| 18-12. |
Increase the number of States and the
District of Columbia that track consumers’ satisfaction with the mental
health services they receive. Target: All States and the District of Columbia. Baseline: 401 States tracked consumers’ satisfaction with the mental health services they received in 2002.1 Target setting method: Total coverage. Data source: Uniform Reporting System (URS), SAMHSA. 1 Baseline and baseline year revised from 36 and 1999 after November 2000 publication. |
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NO CHANGE IN OBJECTIVE |
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| 18-13. |
(Developmental) Increase the number
of States, Territories, and the District of Columbia with an operational
mental health plan that addresses cultural competence. Potential data source: State Mental Health Agency Profiling System, National Association of State Mental Health Program Directors, National Research Institute. |
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ORIGINAL OBJECTIVE |
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| 18-14. |
Increase the number of States,
Territories, and the District of Columbia with an operational mental health
plan that addresses mental health crisis interventions, ongoing screening,
and treatment services for elderly persons. Target: 50 States and the District of Columbia. Baseline: 24 States had an operational mental health plan that addressed mental health crisis interventions, ongoing screening, and treatment services for elderly persons in 1997. Target setting method: Total coverage. Data source: National Technical Assistance Center for State Mental Health Systems, National Association of State Mental Health Program Directors, National Research Institute; SAMHSA, CMHS. |
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OBJECTIVE WITH REVISIONS |
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| 18-14. |
Increase the number of States,
Territories, and the District of Columbia with an operational mental health
plan that addresses specialized mental health Target: All States and the District of Columbia. Baseline: Target setting method: Total coverage. Data source: State Mental Health Agency Profiling System, National Association of State Mental Health Program Directors, National Research Institute. |
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REVISED OBJECTIVE |
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| 18-14. |
Increase the number of States,
Territories, and the District of Columbia with an operational mental health
plan that addresses specialized mental health services for elderly persons.
Target: All States and the District of Columbia. Baseline: 18 States had an operational mental health plan that addressed specialized mental health services for elderly persons in 2000–01. Target setting method: Total coverage. Data source: State Mental Health Agency Profiling System, National Association of State Mental Health Program Directors, National Research Institute. |
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