Mental Health

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Mental Health

• Danielle Maloney
• School-Link Coordinator
• Sydney South West Area Mental Health

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Mental health - the global scene

• Depression is an important global public health
  problem due to both its relatively high lifetime
  prevalence and the significant disability that it
  causes.
• In 2002, depression accounted for 4.5 of the
  worldwide total burden of disease (in terms of
  disability-adjusted life years).
• It is also responsible for the greatest
  proportion of burden attributable to non-fatal
  health outcomes, accounting for almost 12 of
  total years lived with disability worldwide.
• Without treatment, depression has the tendency to
  assume a chronic course, to recur, and to be
  associated with increasing disability over time

WHO, 2007
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Mortality rates Mental Health
AIHW, 2006
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Mortality rates all causes
AIHW, 2006
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Prevalence
AIHW, 2006
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Morbidity
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Inequities

• People with mental illness have considerably
  elevated mortality rates from all main causes of
  death.
• Their overall mortality rate is two and a half
  times higher than the general population of WA.
• The rate of suicide in the mentally ill has been
  increasing over the period 1980-98 and almost
  entirely explains the net increase in the total
  population suicide rate.
• Despite a downward trend in the general
  community, the IHD death rate in people with
  mental illness has increased in women and
  remained roughly constant in men. People with
  diagnosed mental illness have not participated in
  the marked decline in IHD mortality in Australia.
• Hospitalisation rate ratios were often lower than
  corresponding mortality rate ratios suggesting
  that people with mental illness may not receive
  the level of health care commensurate with their
  illness.

Duty to Care Preventable physical illness in
people with mental illness WA
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Young peoples Mortality
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ASSAD Survey - Australian School Students
Alcohol and Drugs Survey
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Aboriginal data
Western Australia Child Health Survey
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Mental health services inAustralia 200405
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What is being done to address mental health ?
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National level

• National Action Plan for Promotion, Prevention
  and Early Intervention for Mental Health
• Initial 5 year framework to progress mental
  health reform
• National direction in promotion and prevention
• Into the third plan

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National Level (continued)

• For each 15 priority groups
• Outcomes
• Evidence base for action
• Partners
• Indicators
• National action

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National initiatives

• National Mental Health promotion and prevention
  Working group
• National Mental health Reform
• Auseinet
• Mind Matters, Kids Matter
• Mindframe
• Beyond Blue
• GP Divisions

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State Level

• School-Link
• Parenting
• Integrated perinatal care
• Early intervention psychosis

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School Mental Health The Australian Experience
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Emotional well-being
Resilience
Connectedness
Opportunities
Skills
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Resilience Skills

• Problem solving
• Help seeking
• Communication
• Negotiation

Young People who are resilient have developed
skills and attitudes that enable them to cope
with sadness, disappointments, as well as other
traumas and difficulties
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Health Promoting Schools Framework

Curriculum Teaching Learning
Organisation, Ethos Environment
Partnerships Services
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Whole of School programs
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http//cms.curriculum.edu.au/mindmatters/
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http//www.apapdc.edu.au/kidsmatter/
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World Health Organisation model for school
mental health promotion
Who is involved?
Entire school community
Students needing additional mental health
intervention
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Universal Programs
APEEL (A Partnership Encouraging Effective
learning)
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Indicated programs
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http//www.goodgrief.org.au/seasonsforgrowth/sfgho
me.htm
Adolescents Coping with Emotion (ACE)
Get Lost Mr Scary
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School-Link Initiative
Link between Mental Health Services and Education
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Aims of School Link

• To improve the mental health of children,
  adolescents and young people in NSW.
• To improve the partnership between child and
  adolescent mental health services and their local
  schools and TAFE colleges.

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Focus areas of School-Link

• Promotion, Prevention
• Early intervention
• Service access