statewide, unifying voice of advocacy. We are families, friends and - - PowerPoint PPT Presentation

The National Alliance Mental On Mental Illness (NAMI) Washington supports the work of 22 local NAMI affiliates in communities large and small across the state. Our mission is to improve the quality of life for all those affected by mental illness. We do this by coordinating the delivery of education, support and recovery services and providing a statewide, unifying voice of advocacy. We are families, friends and individuals who work to increase research and eradicate the stigma and shame surrounding mental illness.

LOCAL AFFILIATES

E D U C AT I O N & T R A I N I N G C L A S S E S S U P P O R T G R O U P S

E D U C AT I O N & T R A I N I N G P R E S E N TAT I O N S

MENTAL ILLNESS DOES NOT DISCRIMINTE

• ~ 1 in 5 adults in the U.S. – 43.8 million or 18.6% - experience a

mental health condition in a given year.

• Approximately 1 in 25 adults in the U.S. – 13.6 million or 4.1% -

experiences a serious mental heath condition in a given year that substantially interferes with or limits one or more major life activities.

• Approximately 1 in 5 youth, aged 13-18 (21.4%) experiences a severe

mental health condition in a given year. For children aged 8-15, the estimate is 13%

• In the United States the annual economic, indirect cost of mental

illness is estimated at $79 billion. Approximately $63 billion reflects the loss of productivity as a result of illness. And $193.2 billion represents lost earnings each year.

43.8 Mil illion adults 18 years and old lder*

Source: NSDUH 2013 – Mental Health Findings *18.5% of corresponding population

Slide from presentation to NAMI Eastside 1/29/15 by Fred Hume

Six ixty percent of those who receive care depend

• n the states’ mental health systems

Source: Garfield – Kaiser Commission on Medicaid and the Uninsured

Slide from presentation to NAMI Eastside 1/29/15 by Fred Hume

Mental health care has moved to to th the community

Source: States’ Mental Health System Directors

Slide from presentation to NAMI Eastside 1/29/15 by Fred Hume

A PROFILE OF MENTAL IL ILLNESS IN IN WASHINGTON STATE

Rece ceivin ing services by age as reported fo for 2013 (1 (150,0 ,007 in in total) l)

25283 19425 6166 8426 42918 35312 4850 4156 3471

5000 10000 15000 20000 25000 30000 35000 40000 45000 50000 0-12 13-17 18-20 21-24 25-44 45-64 65-74 75+ N/A

Number of PWMHC as Reported Age Range Note: 68% are diagnosed with serious mental illness or severe emotional disturbance

Slide from presentation to NAMI Eastside 1/29/15 by Fred Hume

Percentage by age, , 2013

0-12 17% 13-17 13% 18-20 4% 21-24 6% 25-44 29% 45-64 23% 65-74 3% 75+ 3% N/A 2%

Slide from presentation to NAMI Eastside 1/29/15 by Fred Hume

Utili ilization of mental healt lth care servic ices by y race and ethnic icity

50.2 48.9 22.7 17.9 13.7 13.8 7.4 34.6 22.7 17.8 18.4 33.6 21.1 5.0

0.0 10.0 20.0 30.0 40.0 50.0 60.0 Mental health services utilization rate (per 1000 population)

Washington State US Average

Slide from presentation to NAMI Eastside 1/29/15 by Fred Hume

Medicaid fu funds 70% of f co communit ity-based mental l healt lth ca care in in WA

$384 $140 $20

Medicaid Funded State Funded Other Federal Funding All dollars in millions

Slide from presentation to NAMI Eastside 1/29/15 by Fred Hume

Medicaid als lso fu funds 70% of f treatment at WA State mental l hospitals

$148.40 $37.20 $30.90

Medicaid Funded State Funded Other Federal Funding All dollars in millions

Slide from presentation to NAMI Eastside 1/29/15 by Fred Hume

Washington’s State Hospitals treat 2% of the patie ients and consume 28% of total l spending

Treatment Setting Spending Percent of Spending Patients Treated Percent of Patients Spending per Patient State Hospitals - Inpatient $216,500,000 28% 2903 2% $74,578. Other 24 hour Inpatient $76,900,000 10% 8748 5% $8,790. Community Programs $466,400,000 61% 148259 93% $3,145. Total $759,800,000 100% 159910 100%

Slide from presentation to NAMI Eastside 1/29/15 by Fred Hume

TRENDS IN IN MENTAL HEALTH CARE IN IN WASHINGTON STATE

State and community hospital adult lt admis issions are up 117%, more than double sin ince 2007

20000 40000 60000 80000 100000 120000 2007 2008 2009 2010 2011 2012 2013 State and Community Hospital Adult Admissions

Years Note: population growth up 8% during same period

Slide from presentation to NAMI Eastside 1/29/15 by Fred Hume

Exp xpenditu tures on menta tal health lth ca care grew only ly 28% durin ing the same perio iod

$0.00 $100.00 $200.00 $300.00 $400.00 $500.00 $600.00 $700.00 $800.00 $900.00 2007 2008 2009 2010 2011 2012 2013

Total SMHA Expenditures ( $ in millions) Years

Slide from presentation to NAMI Eastside 1/29/15 by Fred Hume

No pro rogress in in re reducin ing th the number of f people le with ith mental l healt lth condit itio ions who are re homele less or r in in jail jail

2000 4000 6000 8000 10000 12000 2007 2008 2009 2010 2011 2012 2013

Homeless, in shelters, or in jail

Slide from presentation to NAMI Eastside 1/29/15 by Fred Hume

Services are in incr creasing the most among the non-white populations

82% 39% 48% 25% 17% 219% 21%

0% 50% 100% 150% 200% 250%

Growth of PWMHC in Populations * Growth 2007 to 2013

Slide from presentation to NAMI Eastside 1/29/15 by Fred Hume

Mental healt lth services are in incr creasing the most among ch child ildren under 12 years

48% 22% 14% 34%

• 7%
• 10%

0% 10% 20% 30% 40% 50% 60% 0-12 13-17 18-20 21-64 65-74 75+

Growth in PWMHC Population Age Range Growth: 2007 to 2013

Slide from presentation to NAMI Eastside 1/29/15 by Fred Hume

Washin ington St State lag lags th the US S in in nearly ly eve very ry cate tegory of f evid videnced based pra ractic ice of f mental l healt lth care re

1.5% 3.1% 1.7% 1.0% 3.1% 1.2% 3.1% 2.0% 2.8% 1.9% 1.3% 3.7% 15.2% 25.4%

0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0%

Rate of Adoption Washington State, 2011 US Average, 2013 Note: Washington State did not report EBP to SAMHSA for 2012 or 2013

Slide from presentation to NAMI Eastside 1/29/15 by Fred Hume

In Inclu ludin ing Medic icaid id, Washin ington ra ranks 22nd

nd on mental

l healt lth sp spendin ing per r capit ita

$109

$- $50 $100 $150 $200 $250 $300 $350

Maine Alaska Pennsylvania New York Vermont New Jersey Connecticut Arizona Montana Maryland Oregon California Minnesota Iowa New Hampshire Kansas North Carolina New Mexico Massachusetts Michigan Missouri Washington Hawaii Ohio Mississippi Rhode Island Wisconsin Delaware North Dakota Virginia Tennessee Colorado West Virginia South Dakota Nebraska Alabama Illinois Indiana Utah Louisiana Nevada Georgia Wyoming South Carolina Oklahoma Kentucky Arkansas Florida Texas Idaho

Total mental health spending per capita

Slide from presentation to NAMI Eastside 1/29/15 by Fred Hume

In In the rece cent Mental l Health America* report, Washington ranks very near the bottom

Overall Ranking Adult Ranking Youth Ranking Washington #48 Washington #47 Washington #47 Ranking defined by highest prevalence of mental illness combined with lowest levels of access to quality mental health care *“Parity or Disparity – The State of Mental Health in America, 2015”

Slide from presentation to NAMI Eastside 1/29/15 by Fred Hume

Statewide Public Policy Key Elements of a Comprehensive State Mental Health Program

Increase access to care Ensure adequate funding Decriminalize behavioral health conditions Prioritize prevention and early intervention

Statewide Public Policy 2017 Priority Legislation

HB1713: Implementation of the Children’s Mental Health Work Group Recommendations Passed the House 75-23, pending Senate Committee Assignment HB1259: Change the standard in the Involuntary Treatment Act Died in the House Committee HB1477/SB5400: Modify the language of Washington’s Patient Privacy Law Passed the House 69-28, pending Senate Committee Assignment. Companion SB5400 died in Senate Committee SB5443: Imposing the requirement of a fiscal note to show the financial impact

• f not implementing a piece of legislation

In Senate Rules Committee, needs to be pulled by March 8th

Statewide Public Policy 2017-19 Budget Governor’s Budget $300 million

• Furthers mandated Integration of Behavioral

and Physical Healthcare (SB6312)

• Increases capacity for community based care
• State hospitals become Forensic Centers of

Excellence by 2023; non-critical civil commitments supported in local communities

• Funding for State Hospital facilities

improvements

Statewide Public Policy 2017-19 Budget Highlights

• State Hospital Compliance - $67.5 million
• Community Inpatient Expansion - $99.7 million
• Crisis Walk-In Centers - $2.3 million
• Housing & Step-Down Services - $2.7 million
• Mobile Crisis Teams - $3.7 million
• Stepdown Housing - $4.5 million
• SUD Treatment & Peer Support - $3.5 million

Statewide Public Policy Other

• SB5368 – Limiting the Authority to seek

Medicaid waivers – Against

• Division of Behavioral Health & Recovery

moving to Health Care Authority

• Department oversight of State Hospitals
• Budget – Lack of funding for Front End

Prevention

Staff

Lauren B. Simonds, MSW – Executive Director/CEO Tom Lane – Community Engagement Director Dorina Hyseni – Education Coordinator Cassidy Gates – Office & Volunteer Coordinator Deanna Roy-Eastern WA Education Assistant 7500 Greenwood Avenue N. Seattle, WA 98103 206.783.4288 www.namiwa.org Lsimonds@namiwa.org