Waterville Rotary Club

Presentation byThomas J. McAdam, Chief Executive

Officer

With Clinics in: Waterville Augusta Skowhegan Winthrop

September 28, 2009

MissionTo promote the well-being of children,

adults and families who experience mental illness, emotional difficulties or

behavioral challenges.

Mental Health Care is Healthcare

KBH Agency Snapshot

Employees 321Annual Revenue (Current Fiscal Year) $21,818,706Persons Served 11,785 (FYE June 09)Communities Served by Zip Code 129

KBH Total Service Growth 2003-2009

$21,818,706$19,699,795

$9,162,672

$17,833,012$16,123,661

$15,089,624

$11,137,069

$12,910,398

$0

$5,000,000

$10,000,000

$15,000,000

$20,000,000

$25,000,000

FYE 6/30/03 FYE 6/30/04 FYE 6/30/05 FYE 6/30/06 FYE 6/30/07 FYE 6/30/08 FYE 6/30/09 BudgetedFYE 6/30/10

Why People Call KBH

• Depression / Mood Disorder 43%• Anxiety 14%• Behavior 14%• Alcohol or Drugs 9%• Marital / Family 7%• Anger 5%• Major Mental Illness 3%• All Other 5%

100%

Where Our Clients Come From

Catchment Area• Augusta 32%• Skowhegan 20%• Waterville 32%• Winthrop 13%

Out of Catchment 3% 100%

Where Our Clients Come From

Helen Keller

“Although the world is full of suffering, it is full also of the

overcoming of it.”

Disease Prevalencein Maine

• Diabetes .6%• Cancer 5.4%• Heart Disease 7.6%• Mental Health 19.0%

Surgeon General Report on Mental Health

• One in five Americans has a diagnosable mental health issue during the course of a year

• Mental Health is fundamental to overall health

• Mental Health disorders are real• Mental Health disorders are

treatable

Mental Illness and Poverty

According to the World Health Organization

Mental illness is the leading cause of

ill-health and disability worldwide

Chicken and EggDoes Poverty Cause Mental

Illness or Does Mental Illness Cause Poverty?

2005 Research – increasingly strong evidence that socioeconomic status is indeed a very important dimension of mental illness, though not the only dimension.

Causes

• Many causal links between poverty and mental illness, particularly depression

• People living in poverty face more threatening events, entrapping life events, poor social connections, poor self-image, loss of control over life

Findings

• Schizophrenia more likely to pull people into poverty (.05%)

• Depression more likely to be caused by poverty (some say twice as high)

• This does not dismiss the biological component of mental illness (personal responsibility vs. biological)

Creates a Cycle

• If a person has had mental illness, they have a much higher chance of becoming ill again

• Having a mental illness causes additional stress such as loss of self confidence, loss of status, loss of job, homelessness, rejection by the community, criticism, rejection, etc…

Hippocrates

“Healing is a matter of time,

but it is sometimes also

the matter of opportunity.”

Summary

• If you have a serious mental illness, you are more likely to live in poverty

• If you live in poverty, you are more likely to develop a mental illness

But, what about the money…??

Who pays for healthcarein Maine?

• Employer 52.5%• Individual 4.8%• Medicaid (MaineCare) 18.8%• Medicare 13.5%• Other Public 1.3%• Uninsured 9.1%

100%

MaineCare Fundingfor Mental Health Care FY09

• Adult Mental Health $241,405,695• Child & Family Services $325,506,858*• Office of Substance Abuse $

54,343,147

TOTAL $621,255,700

* Includes Child Welfare

MaineCare in Maine

• Total Maine Population 1,316,456Kennebec County 120,017Somerset County 51,377

• MaineCare Enrollment FY08 344,307

How is MaineCare Funded?A Good Deal for Maine

Federal Match74%

Maine General Fund Tax Revenue26%

(Current increase because of federal stimulus bill)

“How do you guys know this stuff works?”

• Ken Fletcher, State Rep., Winslow

• At KBH, we:MeasureEvaluateAct

Into the Future

• TABOR• Healthcare Reform

What We Need in Central Maine

Preserving the Safety Net• Adequate Outpatient (Community-

Based) Services• Adequate Crisis Funding• Correct Number of Hospital Beds

by Community

Thank you

Waterville RotaryBoard Members

Involved & Interested Community Members