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Mental Health and Mental Disorders

Goal

Introduction

Modifications to Objectives and Subobjectives

Progress Toward Healthy People 2010 Targets

Progress Toward Elimination of Health Disparities

Opportunities and Challenges

Emerging Issues

Progress Quotient Chart

Disparities Table (See below)

Race and Ethnicity

Gender, Education, and Income

Objectives and Subobjectives

References

Related Objectives From Other Focus Areas

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Midcourse Review Healthy People 2010 logo
Mental Health and Mental Disorders Focus Area 18

References


1Murray, C.J.L., and Lopez, A.D., eds. The Global Burden of Disease and Injury Series, Vol. 1: A Comprehensive Assessment of Mortality and Disability from Diseases, Injuries, and Risk Factors in 1990 and Projected to 2020. Cambridge, MA: Published by the Harvard School of Public Health on behalf of the World Health Organization and the World Bank, Harvard University Press, 1996.

2Mental illness as used in the National Comorbidity Survey—Replication (NCS–R) includes anxiety, mood, impulse-control, and substance abuse disorders as defined by the Diagnostic and Statistical Manual for Psychiatric Disorders-IV (DSM-IV), 4th ed., American Psychiatric Association, 2000. This data source does not capture schizophrenia and some other disorders with low rates of new cases.

3According to the NCS–R, serious mental illness is defined as having a mental disorder that resulted in functional impairment within the past 12 months.

4Kessler, R.C., et al. Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey—Replication (NCS–R). Archives of General Psychiatry 62(6):617–627, 2005. Erratum available at www.hcp.med.harvard.edu/ncs/ftpdir/table_ncsr_by_gender_and_age.pdf; accessed on October 31, 2006.

5Office of the U.S. Surgeon General. Mental Health: A Report of the Surgeon General. Rockville, MD: U.S. Department of Health and Human Services (HHS), Public Health Service, 1999.

6Hogan, M.F. The President's New Freedom Commission: Recommendations to transform mental health care in America. Psychiatric Services 54(11):1467–1474, 2003.

7Disordered eating behaviors include one or more of the following: vomiting; use of laxatives as a weight-control behavior; taking diet pills, powders, or liquids without a doctor's advice as a weight-control behavior; and/or going without eating for 24 hours or more to lose weight or avoid gaining weight. Disordered eating is associated with significant subjective distress and often precedes the development of full-syndrome eating disorders.

8Evans, D.L., et al. Mood disorders in the medically ill: Scientific review and recommendations. Biological Psychiatry 58(3):175–189, 2005.

9Katon, W., and Sullivan, M.D. Depression and chronic medical illness. Journal of Clinical Psychiatry 51(Suppl 3-11):12–14, 1990.

10Simon, G.E., et al. Clinical and functional outcomes of depression treatment in patients with and without medical illness. Journal of Psychological Medicine 35(2):271–279, 2005.

11Jonas, B.S., and Mussolino, M.E. Symptoms of depression as a prospective risk factor for stroke. Psychosomatic Medicine 62:463–471, 2000.

12Jonas, B.S., et al. Are symptoms of anxiety and depression risk factors for hypertension? Archives of Family Medicine 6:43–49, 1997.

13Davidson, K., et al. Do depression symptoms predict early hypertension incidence in young adults in the CARDIA study? Archives of Internal Medicine 160:1495–1500, 2000.

14Spitzer, R.L. Health-related quality of life in primary care patients with mental disorders. Results from the PRIME-MD 1000 Study. Journal of the American Medical Association 274(19):1511–1517, 1995.

15More information available at http://newsroom.hrsa.gov/releases/2002releases/chcgrants013002.htm; accessed October 31, 2006.

16Grisso, T., and Underwood, L.A. Screening and Assessing Mental Health and Substance Use Disorders Among Youth in the Juvenile Justice System. A Resource Guide for Practitioners. Washington, DC: U.S. Department of Justice, Office of Justice Programs, Office of Juvenile Justice and Delinquency Prevention, 2004. Publication No. NCJ204956. More information available at www.ncjrs.gov/pdffiles1/ojjdp/204956.pdf; accessed October 31. 2006.

17The boundaries of the juvenile justice system vary from State to State (lower age of jurisdiction, upper age of jurisdiction, and extended age of jurisdiction). In most States, youth as young as age 10 years (or 7) through age 18 years fall under the original jurisdiction of juvenile court; the court's jurisdiction for the purposes of disposition typically extends up to the 21st birthday. Personal communication with the National Center for Juvenile Justice, August 9, 2006.

18Gatz, M., ed. Emerging Issues in Mental Health and Aging. Washington, DC: American Psychological Association, 1995.

19More information available at www.mentalhealth.samhsa.gov/cmhs/Stateplanning/about.asp; accessed October 31. 2006.

20More information available at www.mentalhealth.org/suicideprevention/strategy.asp; accessed
October 31, 2006.

21More information available at www.sprc.org/; accessed October 31, 2006.

22More information available at www.pathprogram.samhsa.gov/; accessed October 31, 2006.

23HHS. Mental Health: Culture, Race, and Ethnicity—A Supplement to Mental Health: A Report of the Surgeon General. Rockville, MD: HHS, Substance Abuse and Mental Health Services Administration (SAMHSA), Center for Mental Health Services, 2001.

24Insel, T.R., and Scolnick, E.M. Cure therapeutics and strategic prevention: Raising the bar for mental health research. Molecular Psychiatry 11:11–17, 2006.

25National Advisory Mental Health Council. Bridging Science and Service: A Report by the National Advisory Mental Health Council's Clinical Treatment and Services Research Workgroup. NIH Publication No. 99-4353. Bethesda, MD: National Institutes of Health, National Institute of Mental Health, 1999.

26HHS. Report to Congress on the Prevention and Treatment of Co-Occurring Substance Abuse Disorders and Mental Disorders. Rockville, MD: HHS, SAMHSA, 2002.

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