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* *18.5% of corresponding population Source: NSDUH 2013 – Mental Health Findings Slide from presentation to NAMI Eastside 1/29/15 by Fred Hume

Six ixty percent of those who receive care depend on 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) 50000 Number of PWMHC as Reported 45000 42918 40000 35312 35000 30000 25283 25000 19425 20000 15000 8426 10000 6166 4850 4156 3471 5000 0 0-12 13-17 18-20 21-24 25-44 45-64 65-74 75+ N/A Age Range Slide from presentation to NAMI Eastside 1/29/15 by Fred Hume Note: 68% are diagnosed with serious mental illness or severe emotional disturbance

Percentage by age, , 2013 75+ N/A 3% 2% 65-74 3% 0-12 17% 45-64 23% 13-17 13% 18-20 4% 25-44 21-24 29% 6% 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 Washington State US Average 60.0 Mental health services utilization rate 50.0 (per 1000 population) 40.0 30.0 50.2 48.9 20.0 34.6 33.6 22.7 22.7 21.1 10.0 18.4 17.8 17.9 13.7 13.8 7.4 5.0 0.0 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 $20 $140 Medicaid Funded State Funded Other Federal Funding $384 Slide from presentation to NAMI Eastside 1/29/15 by Fred Hume All dollars in millions

Medicaid als lso fu funds 70% of f treatment at WA State mental l hospitals $30.90 Medicaid Funded $37.20 State Funded Other Federal Funding $148.40 Slide from presentation to NAMI Eastside 1/29/15 by Fred Hume All dollars in millions

Washington’s State Hospitals treat 2% of the patie ients and consume 28% of total l spending Spending Percent of Patients Percent of Treatment Setting Spending per Spending Treated Patients 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 120000 State and Community Hospital 100000 Adult Admissions 80000 60000 40000 20000 0 2007 2008 2009 2010 2011 2012 2013 Years Slide from presentation to NAMI Eastside Note: population growth up 8% during same period 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 $900.00 Total SMHA Expenditures $800.00 $700.00 ( $ in millions) $600.00 $500.00 $400.00 $300.00 $200.00 $100.00 $0.00 2007 2008 2009 2010 2011 2012 2013 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 12000 Homeless, in shelters, or in jail 10000 8000 6000 4000 2000 0 2007 2008 2009 2010 2011 2012 2013 Slide from presentation to NAMI Eastside 1/29/15 by Fred Hume

Services are in incr creasing the most among the non-white populations 250% Growth of PWMHC in Populations 219% 200% 150% 100% 82% 48% 39% 50% 25% 21% 17% 0% Slide from presentation to NAMI Eastside 1/29/15 by Fred Hume * Growth 2007 to 2013

Mental healt lth services are in incr creasing the most among ch child ildren under 12 years 60% 48% 50% Growth in PWMHC Population 40% 34% 30% 22% 20% 14% 10% 0% 0-12 13-17 18-20 21-64 65-74 75+ -7% -10% Age Range Slide from presentation to NAMI Eastside 1/29/15 by Fred Hume Growth: 2007 to 2013

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 Washington State, 2011 US Average, 2013 30.0% 25.4% Rate of Adoption 25.0% 20.0% 15.2% 15.0% 10.0% 3.7% 5.0% 2.8% 2.0% 1.9% 1.3% 1.5% 3.1% 1.7% 1.0% 3.1% 1.2% 3.1% 0.0% Slide from presentation to NAMI Eastside 1/29/15 by Fred Hume Note: Washington State did not report EBP to SAMHSA for 2012 or 2013

In Inclu Total mental health spending per capita $100 $150 $200 $250 $300 $350 $50 $- ludin Maine ing Medic Alaska Pennsylvania New York Vermont New Jersey Connecticut Arizona icaid Montana Maryland Oregon id, Washin California Minnesota Iowa spendin sp New Hampshire Kansas North Carolina New Mexico Massachusetts ington ra ing per Michigan Missouri $109 Washington Hawaii Ohio Mississippi r capit ranks 22 nd Rhode Island Wisconsin Delaware North Dakota ita Virginia Tennessee Slide from presentation to NAMI Eastside 1/29/15 by Fred Hume Colorado West Virginia nd on mental South Dakota Nebraska Alabama Illinois Indiana Utah Louisiana Nevada Georgia Wyoming l healt South Carolina Oklahoma Kentucky Arkansas Florida lth Texas Idaho

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 interventio n

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 of 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