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A new report released today combines 2005 to 2014 data to show that major depressive episodes were more common among adolescents ages 12 to 17 with asthma (11.4 percent) or diabetes (14.3 percent), than among adolescents without asthma (8.8 percent) or diabetes (9.0 percent). Additionally, adolescent girls who were overweight or obese were more likely to have experienced a major depressive episode in the past year than those who were a healthy weight (20.5 percent vs. 17.4 percent). "Mental illness and drug addiction, along with childhood obesity, are some of the most urgent challenges facing America today," said Secretary Price. "As Secretary of HHS, promoting the behavioral health of all Americans and reducing the impact of substance abuse and mental illness on our communities are among my top priorities. We commend Michael Phelps and Allison Schmitt for having the courage to speak out about their mental health challenges. Their honesty and candor have shown countless Americans quietly struggling with mental illness that seeking help is a sign not of weakness but of strength." SAMHSA's Awareness Day 2017 event will feature an interactive talk show format in which youth and family leaders, primary care providers, and behavioral health professionals share strategies for successful collaboration in support of children's mental health. Mr. Phelps and Ms. Schmitt will serve as Awareness Day 2017 Honorary Chairpersons. Since the 2016 Summer Olympics, Mr. Phelps and Ms. Schmitt have each been involved in activities that encourage children and youth to lead healthy lives, and they draw from their personal experiences to reach others. "When I went through periods of depression, I worried about telling anyone how I felt," said Ms. Schmitt. "I hope hearing my story will help other young adults feel less alone and more comfortable getting help when they need it." "Throughout my athletic career, there has been a lot of focus on my physical health, but I've found that taking care of my mental health helps me be my strongest self," said Mr. Phelps. "I want to help children and young adults understand that mental health is an important part of an active and healthy lifestyle." Kana Enomoto, Acting Deputy Assistant Secretary for Mental Health and Substance Use and Dr. George Sigounas, Administrator for the Health Resources and Services Administration (HRSA) will join Secretary Price at the Awareness Day 2017 event to highlight the partnership between SAMHSA and HRSA to promote primary and behavioral health care integration. "We commend Mr. Phelps and Ms. Schmitt for speaking openly about their mental health challenges," said Ms. Enomoto. "Their personal stories highlight the importance of seeking strong partnerships to effectively address the whole health needs of children and youth." Through the Michael Phelps Foundation, Mr. Phelps has led numerous initiatives to promote healthy living and an active lifestyle for children. Ms. Schmitt has spoken about her experience with depression at mental health conferences and seminars across the country to spread the message of hope and recovery to youth and young adults with similar challenges. SAMHSA's Comprehensive Community Mental Health Services for Children and Their Families program, commonly called the Children's Mental Health Initiative, addresses the needs of adolescents with mental disorders. In addition, SAMHSA's Wellness Initiative promotes wellness for people with mental and/or substance use disorders with the goal of improving quality of life, health, and longevity. Access the complete SAMHSA report and four one-page "Spotlights" here: Comparison of Physical Health Conditions among Adolescents Ages 12 to 17 with and without Major Depressive Episode Bronchitis and Pneumonia Related To Major Depressive Episodes Among Adolescents Past Year Major Depressive Episodes More Common Among Adolescents With Asthma One in Seven Adolescents with Diabetes Experienced a Major Depressive Episode in the Past Year One in Five Female Adolescents Who Were Overweight and Obese Had a Past Year Major Depressive Episode For more information about Awareness Day or to view the live webcast of the event, visit www.samhsa.gov/children. Follow the hashtag #HeroesofHope to join the conversation about Awareness Day 2017. The Substance Abuse and Mental Health Services Administration (SAMHSA) is the agency within the U.S. Department of Health and Human Services that leads public health efforts to advance the behavioral health of the nation. SAMHSA's mission is to reduce the impact of substance abuse and mental illness on America's communities. To view the original version on PR Newswire, visit:http://www.prnewswire.com/news-releases/hhs-secretary-tom-price-to-present-awards-to-olympic-champions-michael-phelps-and-allison-schmitt-300452106.html


News Article | May 4, 2017
Site: www.prnewswire.com

There has been a notable increase in overall rates of MDE among all adolescents. According to NSDUH data, MDE among adolescents increased from 8.8 percent in 2005 to 12.5 percent in 2015. Adolescents who had an MDE experienced a depressed mood or loss of interest or pleasure in daily activities for a period of two weeks or longer in the past 12 months and had at least some additional symptoms, such as problems with sleep, eating, and lack of energy. "These data illustrate the importance of partnerships between primary health care providers, behavioral health providers, and the youth and families they serve to effectively address all of the needs of youth," said SAMHSA Medical Director Anita Everett, M.D. The good news is that SAMHSA has effective programs to address these issues. For example, SAMHSA's Comprehensive Community Mental Health Services for Children and Their Families program, commonly called the Children's Mental Health Initiative, addresses the needs of adolescents with mental disorders. In addition, SAMHSA's Wellness Initiative promotes wellness for people with mental and/or substance use disorders with the goal of improving quality of life, health, and longevity. The SAMHSA report is released in recognition of National Children's Mental Health Awareness Day (Awareness Day). Awareness Day 2017, "Partnering for Help and Hope," focuses on the importance of integrating behavioral health and primary care for children, youth, and young adults with mental and/or substance use disorders. Access the complete SAMHSA report here and one-page "Spotlights," on diabetes and asthma here. More than 1,100 communities and 160 national collaborating organizations and federal partners participate in community events, educational programs, health fairs, art exhibits, and social networking campaigns in observance of Awareness Day. Each year, an event in Washington, DC, complements these local activities. The 2017 event takes place tonight at 7 p.m., EDT, at The George Washington University School of Media & Public Affairs' Jack Morton Auditorium. For more information about Awareness Day or to view the live webcast of the event, visit www.samhsa.gov/children. Follow the hashtag #HeroesofHope to join the conversation about Awareness Day 2017. The Substance Abuse and Mental Health Services Administration (SAMHSA) is the agency within the U.S. Department of Health and Human Services that leads public health efforts to advance the behavioral health of the nation. SAMHSA's mission is to reduce the impact of substance abuse and mental illness on America's communities. To view the original version on PR Newswire, visit:http://www.prnewswire.com/news-releases/depression-more-common-among-adolescents-with-health-conditions-300451569.html


Chinman M.,Mental Illness Research | George P.,Westat | Dougherty R.H.,DMA Inc | Daniels A.S.,Westat | And 3 more authors.
Psychiatric Services | Year: 2014

Objective: This review assessed the level of evidence and effectiveness of peer support services delivered by individuals in recovery to those with serious mental illnesses or co-occurring mental and substance use disorders. Methods: Authors searched PubMed, PsycINFO, Applied Social Sciences Index and Abstracts, Sociological Abstracts, Social Services Abstracts, Published International Literature on Traumatic Stress, the Educational Resources Information Center, and the Cumulative Index to Nursing and Allied Health Literature for outcome studies of peer support services from 1995 through 2012. They found 20 studies across three service types: peers added to traditional services, peers in existing clinical roles, and peers delivering structured curricula. Authors judged the methodological quality of the studies using three levels of evidence (high, moderate, and low). They also described the evidence of service effectiveness. Results: The level of evidence for each type of peer support service was moderate.Many studies hadmethodological shortcomings, and outcome measures varied. The effectiveness varied by service type. Across the range of methodological rigor, a majority of studies of two service types - peers added and peers delivering curricula - showed some improvement favoring peers. Compared with professional staff, peers were better able to reduce inpatient use and improve a range of recovery outcomes, although one study found a negative impact. Effectiveness of peers in existing clinical roles was mixed. Conclusions: Peer support services have demonstrated many notable outcomes. However, studies that better differentiate the contributions of the peer role and are conducted with greater specificity, consistency, and rigor would strengthen the evidence.


Rog D.J.,Westat | Marshall T.,Westat | Dougherty R.H.,DMA Inc | George P.,Westat | And 3 more authors.
Psychiatric Services | Year: 2014

Objectives: Permanent supportive housing provides safe, stable housing for people with mental and substance use disorders who are homeless or disabled. This article describes permanent supportive housing and reviews research. Methods: Authors reviewed individual studies and literature reviews from 1995 through 2012. Databases surveyed were PubMed, PsycINFO, Applied Social Sciences Index and Abstracts, Sociological Abstracts, Social Services Abstracts, Published International Literature on Traumatic Stress, the Educational Resources Information Center, and the Cumulative Index to Nursing and Allied Health Literature. The authors chose from three levels of evidence (high, moderate, and low) on the basis of benchmarks for the number of studies and quality of their methodology. They also described the evidence of service effectiveness. Results: The level of evidence for permanent supportive housing was graded as moderate. Substantial literature, including seven randomized controlled trials, demonstrated that components of the model reduced homelessness, increased housing tenure, and decreased emergency room visits and hospitalization. Consumers consistently rated this model more positively than other housing models. Methodological flaws limited the ability to draw firm conclusions. Results were stronger for studies that compared permanent supportive housing with treatment as usual or no housing rather than with other models. Conclusions: The moderate level of evidence indicates that permanent supportive housing is promising, but research is needed to clarify the model and determine the most effective elements for various subpopulations. Policy makers should consider including permanent supportive housing as a covered service for individuals with mental and substance use disorders. An evaluation component is needed to continue building its evidence base.


Dougherty R.H.,DMA Inc | Lyman D.R.,DMA Inc | George P.,Westat | Ghose S.S.,Westat | And 2 more authors.
Psychiatric Services | Year: 2014

Health care reform offers the opportunity for federal and state agencies to work with private and nonprofit sectors to transform the American health care system through development of a comprehensive set of community-based, recovery-oriented, and evidence-based services for people with mental and substance use disorders. This Assessing the Evidence Base Series (AEB Series) provides science-supported information about selected mental health and substance abuse services for health care leaders as they implement new health benefit packages as a part of health care reform. Series authors conducted reviews of research on 14 behavioral health services: behavioral management for children and adolescents, trauma-focused cognitive-behavioral therapy for children and adolescents, recovery housing, residential treatment for individuals with substance use disorders, peer support services for individuals with serious mental illnesses, peer recovery support for individuals with substance use disorders, permanent supportive housing, supported employment, substance abuse intensive outpatient programs, skill building, intensive case management, consumer and family psychoeducation, medication-assisted treatment with methadone, and medication-assisted treatment with buprenorphine. The goal of the AEB Series is to provide a framework for decision makers to build a modern addictions and mental health service systemfor the people who use these services and the people who provide them. The framework is intended to support decisions about the services that are likely to be most effective. This introduction to the AEB Series explains the methods used to conduct the reviews, rate the research evidence, and describe the effectiveness of the services. The rationale underlying recommendations for implementation of the services is also discussed, and suggestions are offered for future research.


Mark T.L.,Thomson Reuters | Vandivort-Warren R.,Samhsa Inc.
Drug and Alcohol Dependence | Year: 2012

Background: From 1986 to 2003, substance abuse spending covered by private insurance fell in nominal dollars from $2444 million to $2239 million. The present study updated this literature to determine recent spending and utilization trends and provides a baseline for assessing the effects of recent health care policy changes. Methods: We used insurance claims data from Thomson Reuters MarketScan Commercial Claims and Encounters Database to study approximately 100 large, self-insured employers and millions of enrollees. We examined patterns in substance abuse treatment utilization and spending from 2001 through 2009. Results: The study revealed that substance abuse spending remained a relatively constant share of all health spending, comprising about 0.4% of all health spending in 2009. The share of substance abuse spending on medications increased from 1% to 14%, but remained a small share of all health spending at about $2.45 per-member per-year. Conclusions: The study has implications for anticipating the effects of the federal parity law, in that the low share of substance abuse treatment means that even large increases in substance abuse utilization and spending are unlikely to have a significant impact on total health care costs. © 2012 Elsevier Ireland Ltd.


Hedden S.L.,Samhsa Inc. | Gfroerer J.C.,Samhsa Inc.
Addictive Behaviors | Year: 2011

Although millions of adults meet criteria for substance use disorder (SUD) in the U.S., only a fraction receive treatment. This may be due to individuals with SUD not perceiving a need for treatment. In order to distinguish persons with SUD who perceive a need for treatment from those who do not, correlates for the perceived need for treatment were assessed for respondents with alcohol use disorder only, drug use disorder only and both alcohol and drug use disorder. Data were from the combined 2005-2009 datasets of the National Survey on Drug Use and Health. Logistic regression models were used to calculate odds ratio and 95% confidence intervals. Results demonstrated that among respondents who need treatment but did not receive treatment for alcohol use disorder, drug use disorder and both alcohol and drug use disorders, 3.3%, 8.3% and 12.4% perceived a need for treatment, respectively. No single socio-demographic correlate was predictive of perceiving a need across the three subpopulations suggesting that screenings for substance use disorder should be done in a setting where the general population may be accessed, e.g. primary care settings. Correlates associated with perceiving a need for treatment for all three subpopulations included psychological distress, disorder severity and substance type. Although respondents with greater disorder severity were more likely to perceive a need for treatment, a large proportion of those still do not perceive a need for treatment. Screening and brief interventions would facilitate treatment entry among those with the most severe disorders. © 2011.


Since 2002, the Substance Abuse and Mental Health Services Administration (SAMHSA) has awarded 30 grants through its Older Adults Mental Health Targeted Capacity Expansion (OA TCE) program. These grants are designed to increase, develop, and implement mental health services for individuals older than age 60 and to build infrastructure to support the service system using Evidence-Based Practices (EBPs). The most recent funding cycle awarded ten grants in 2008. These grants will fund projects for up to 3 years at approximately $400,000 per year. This article describes the OA TCE program and reviews SAMHSA's support of EBP through various other initiatives. © 2010 American Society on Aging.


Lee H.K.,Catholic University of Korea | Han B.,Samhsa Inc. | Gfroerer J.C.,Samhsa Inc.
Addictive Behaviors | Year: 2013

Background: This study (1) estimated the prevalence of alcohol and binge alcohol use among adult Asian Americans by sub-ethnicity; (2) examined alcohol drinking patterns among these subpopulations; and (3) investigated sub-ethnic differences in characteristics associated with alcohol and binge alcohol use. Method: Data from 8900 Asian Americans aged 18 or older who participated in the 2002-2008 National Surveys on Drug Use and Health (NSDUHs) were analyzed. Descriptive analyses and multivariate logistic regression modeling were applied. Results: Korean Americans (51.8%) and Japanese Americans (49.7%) reported higher rates of past-month alcohol use than Chinese Americans (42.0%), Filipino Americans (37.9%), and Asian Indian Americans (34.0%). Korean Americans (24.6%) reported the highest rate of past-month binge alcohol use, followed by Filipino Americans (14.5%), Japanese Americans (14.2%), Asian Indian Americans (10.1%), and Chinese Americans (8.1%). Among these examined Asian Americans, foreign-born Chinese, Filipino, and Asian Indian Americans were less likely to have past-month alcohol use than their corresponding U.S. born counterparts; and only foreign-born Asian Indian Americans were less likely to have past-month binge alcohol use than their U.S. born counterparts. Males were 3-5 times more likely to have binge alcohol use than females among examined Asian American subpopulations except for Korean Americans. Korean Americans were more likely to have binge alcohol use than the other examined sub-ethnic Asian Americans. Conclusions: Adult Asian Americans are heterogeneous in sociodemographic characteristics and alcohol and binge alcohol use. These differences suggest the need for sub-ethnically specific prevention and treatment programs for alcohol use problems among Asian American subpopulations. © 2012.


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