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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
NO
CHANGE IN OBJECTIVE
(Data
updated and footnoted)
|
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.
|
NO
CHANGE IN OBJECTIVE
|
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.
|
ORIGINAL
OBJECTIVE
|
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.
|
OBJECTIVE
WITH REVISIONS
|
18-3. |
ReduceIncrease the
proportion of homeless adults who have with mental health
illness (SMI).problems who receive mental health services.
Target:
19 30 percent.
Baseline:
25 27 percent of homeless
adults aged 18 years and older with mental health problems received
mental health serviceshad SMI in 19962000.
Target
setting method:
24 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.
|
REVISED
OBJECTIVE
|
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.
|
ORIGINAL
OBJECTIVE
|
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.
|
OBJECTIVE
WITH REVISIONS
|
18-4. |
Increase the proportion of persons
with serious mental illness (SMI) who are employed.
Target:
54 51 percent.
Baseline:
52 43 percent of persons
aged 18 years and older with SMI were employed in 19942002.
Target
setting method:
19
percent improvement.
(Better than
the best will be used when data are available.)
Data
source:
National
Comorbidity Survey—Replication (NCS—R), NIH, NIMHHealth Interview Survey
(NHIS), CDC, NCHS.
|
REVISED
OBJECTIVE
|
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.
|
ORIGINAL
OBJECTIVE
|
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.
|
OBJECTIVE
WITH REVISIONS
|
18-5. |
(Developmental) Reduce the proportion
of adolescents who engage in disordered eating behaviors in an attempt
to control their weightrelapse rates for persons with eating
disorders including anorexia nervosa and bulimia nervosa.
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.
Potential
dData
source: Prospective
studies of patients with anorexia or bulimia nervosa, NIH, NIMHYouth
Risk Behavior Surveillance Survey (YRBSS), CDC, NCHS.
|
REVISED
OBJECTIVE
|
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
ORIGINAL
OBJECTIVE
|
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.
|
OBJECTIVE
WITH REVISIONS
|
18-6. |
(Developmental) Increase the
number proportion of primary care facilities that provide
mental health treatment on site or paid by referral.
of persons seen in primary
health care who receive mental health screening and assessment.
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.
Potential
dData
source:
Primary Care
Data System/Federally Qualified Health CentersUniform Data
System (UDS), HRSA.
|
REVISED
OBJECTIVE
|
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.
|
ORIGINAL
OBJECTIVE
|
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.
|
OBJECTIVE
WITH REVISIONS
|
18-7. |
(Developmental) 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.
Potential
data source:
National
Health Interview Survey (NHIS), CDC, NCHS.Household Survey on Drug
Abuse (NHSDA), SAMHSA, OAS.
|
REVISED
OBJECTIVE
|
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.
|
ORIGINAL
OBJECTIVE
|
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.
|
OBJECTIVE
WITH REVISIONS
|
18-8. |
(Developmental) Increase the
proportion of juvenile justice residential facilities that screen new
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.
Potential
dData
source:
Inventory of
Mental Health Services in Juvenile Justice Facilities, SAMHSAJuveniles
in Residential Facilities Census (JRFC), National Center for Juvenile
Justice.
|
REVISED
OBJECTIVE
|
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.
|
ORIGINAL
OBJECTIVE
|
18-9. |
Increase the proportion of adults
with mental disorders who receive treatment.
Target
and baseline:
Objective |
Increase in Adults With
Mental Disorders Receiving Treatment |
1997
Baseline
(unless noted)
Percent |
2010
Target
Percent |
18-9a. |
Adults aged 18 to 54 years
with serious mental illness |
47 (1991) |
55 |
18-9b. |
Adults aged 18 years and
older with recognized depression |
23 |
50 |
18-9c. |
Adults aged 18 years and
older with schizophrenia |
60 (1984) |
75 |
18-9d. |
Adults aged 18 years and
older with generalized anxiety disorder |
38 |
50 |
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. |
OBJECTIVE
WITH REVISIONS
|
18-9. |
Increase the proportion of adults
with mental disorders who receive treatment.
Target
and baseline:
Objective |
Increase in Adults With
Mental Disorders Receiving Treatment |
19972002 Baseline
(unless noted)
Percent
|
2010
Target
Percent |
18-9a. |
Adults aged 18 to 54 years and older with serious mental illness |
47 (1991)62 |
5568 |
18-9b. |
Adults aged 18 years and
older with recognized depression |
2358 |
5064 |
18-9c. |
Adults aged 18 years and
older with schizophrenia |
60 (1984) |
75 |
18-9d. |
Adults aged 18 years and
older with generalized anxiety disorder |
3860 |
5079 |
Target
setting method:
Better than the best.17 percent
improvement for 18-9a.
(Better
than the best will be used when data are available.
Data
sources:
Epidemiologic
Catchment Area (ECA) Program, NIH, NIMH; Household Survey on Drug Abuse
(NHSDA), SAMHSA, OAS; National Comorbidity Survey—‚Replication (NCS—R), NIH, NIMH.
|
REVISED
OBJECTIVE
|
18-9. |
Increase the proportion of adults
with mental disorders who receive treatment.
Target
and baseline:
Objective |
Increase in Adults With
Mental Disorders Receiving Treatment |
2002
Baseline
(unless noted)
Percent |
2010
Target
Percent |
18-9a. |
Adults aged 18 years and
older with serious mental illness |
62 |
68 |
18-9b. |
Adults aged 18 years and
older with recognized depression |
58 |
64 |
18-9c. |
Adults aged 18 years and
older with schizophrenia |
60 (1984) |
75 |
18-9d. |
Adults aged 18 years and
older with generalized anxiety disorder |
60 |
79 |
Target
setting method:
Better
than the best.
Data
sources:
Epidemiologic
Catchment Area (ECA) Program, NIH, NIMH; National Comorbidity Survey—Replication
(NCS—R), NIH, NIMH.
|
ORIGINAL
OBJECTIVE
|
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.
|
OBJECTIVE
WITH REVISIONS
|
18-10. |
(Developmental) 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.)
Potential
dData
sources: National
Health Interview Survey (NHIS), CDC, NCHS; National Household Survey
on Drug Abuse (NHSDA) Replication of National Comorbidity Survey—Replication
(NCS—R), NIH, NIMH.
|
REVISED
OBJECTIVE
|
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.
|
ORIGINAL
OBJECTIVE
|
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.
|
OBJECTIVE
WITH REVISIONS
|
18-11. |
(Developmental) Increase the
proportion of local governments with counties served by
community-based jail diversion programs and/or mental health courts
for adults with serious mental illness (SMI) 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.
Potential
dData
source:
National Survey
of Jail Mental Health Diversion Programs Database,
SAMHSA.
|
REVISED
OBJECTIVE
|
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
NO
CHANGE IN OBJECTIVE
(Data updated
and footnoted)
|
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.
|
NO
CHANGE IN OBJECTIVE
|
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.
|
ORIGINAL
OBJECTIVE
|
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.
|
OBJECTIVE
WITH REVISIONS
|
18-14. |
Increase the number of States,
Territories, and the District of Columbia with an operational mental health
plan that addresses specialized mental health crisis interventionsservices
ongoing screening, and treatment services for elderly persons.
Target:
All States and the District of
Columbia.
Baseline:
2418 States had an
operational mental health plan that addressed specialized mental
health crisis interventions, ongoing screening, and treatment services for
elderly persons in 19972000–01.
Target
setting method:
Total
coverage.
Data
source:
State Mental
Health Agency Profiling System, National Association of State Mental Health
Program Directors, National Research Institute.
National Technical Assistance Center for State Mental Health
Systems, National Association of State Mental Health Program Directors,
National Research Institute; SAMHSA, CMHS.
|
REVISED
OBJECTIVE
|
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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