lundi 30 janvier 2012

Emotional Mental Health in the United States of America

According to the World Health Organization in 2004, depression is the leading cause of disability in the United States of America for individuals ages 15 to 44[23]. Absence from work in the U.S. due to depression is estimated to be in excess of $31 billion dollars per year. Depression frequently co-occurs with a variety of medical illnesses such as heart disease, cancer, and chronic pain and is associated with poorer health status and prognosis[24]. Each year, roughly 30,000 Americans take their lives, while hundreds of thousands make suicide attempts (Centers for Disease Control and Prevention).[25] In 2004, suicide was the 11th leading cause of death in the United States of America (Centers for Disease Control and Prevention), third among individuals ages 15–24. Despite the increasingly availability of effectual depression treatment, the level of unmet need for treatment remains high. Reducing depression within the U.S. population has been an essential priority of governmental organizations over the last decade. Mental illness, disability, and suicide are ultimately the result of a combination of biology, environment, and access to and utilization of mental health treatment. Public health policies can influence access and utilization, which subsequently may improve mental health and help to progress the negative consequences of depression and its associated disability. Emotional mental illnesses should be a particular concern in the United States of America since the U.S.A has the highest annual prevalence rates (26 percent) for mental illnesses among a comparison of 14 developing and developed countries[26]. While approximately 80 percent of all people in the United States with a mental disorder eventually receive some form of treatment, on the average persons do not access care until nearly a decade following the development of their illness, and less than one-third of people who seek help receive minimally adequate care.[27] Research conducted by Mental Health America found the following factors to be considerably allied with improved depression status and lower suicide rates . “Mental health resources — On average, the higher the number of psychiatrists, psychologists, and social workers per capita in a state, the lower the suicide rate. Barriers to treatment — The lower the percentage of the population reporting that they could not obtain healthcare because of costs, the lower the suicide rate and the better the state’s depression status. In addition, the lower the percentage of the population that reported unmet mental healthcare needs, the better the state’s depression status. Mental health treatment utilization — holding the baseline level of depression in the state constant, the higher the number of antidepressant prescriptions per capita in the state, the lower the suicide rate. Socioeconomic characteristics — The more educated the population and the greater the percentage with health insurance, the lower the suicide rate. The more educated the population, the better the state’s depression status. Mental health policy — The more generous a state’s mental health parity coverage, the greater the number of people in the population that receive mental health services.

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