Wisconsin Department of Health Services January 2014 P-00522J
Healthiest Wisconsin 2020 Baseline and Health Disparities Report
Mental Health
Slide 2
MENTAL HEALTH Background Overview of Healthiest Wisconsin 2020
Baseline and Health Disparities Report Healthiest Wisconsin 2020
objectives and indicators Rationale Key points Data Mental health
among adults Mental health among youth Access to services
References Links to additional reports and resources Contacts
Chapter Outline 2 Chapter outline
Slide 3
MENTAL HEALTH Report Overview This chapter is part of a larger
report created by the Wisconsin Department of Health Services to
track progress on the objectives of Healthiest Wisconsin 2020
(HW2020) and identify health disparities in the state. The full
report is available at:
http://www.dhs.wisconsin.gov/publications/P0/p00522.pdf
http://www.dhs.wisconsin.gov/publications/P0/p00522.pdf The report
is designed to address the Health Focus Areas in HW2020. Where
direct measures exist, data are presented; where direct measures
are not available, related information may be included. Information
about populations experiencing health disparities is provided in
the Health Focus Area chapters and is summarized in separate
chapters devoted to specific populations. Technical notes are
available at:
http://www.dhs.wisconsin.gov/publications/P0/p00522y.pdf
http://www.dhs.wisconsin.gov/publications/P0/p00522y.pdf Report
overview 3
Slide 4
MENTAL HEALTH Report Format Full Report Format: PDF Intended
use: reference document Chapters Format: Annotated PowerPoint slide
set Intended uses: presentations to Decision-makers Service
providers Community leaders The public Sample annotated slide
Report overview 4
Slide 5
MENTAL HEALTH Report Outline Executive Summary Section 1:
Introduction Section 2: Demographic overview Section 3: Health
focus areas Section 4: Infrastructure focus areas Section 5: Data
summaries by population Section 6: Technical notes Report overview
5
Slide 6
MENTAL HEALTH Report Outline: Detail Section 3: Health focus
areas Alcohol and other drug use Chronic disease prevention and
management Communicable diseases Environmental and occupational
health Healthy growth and development Injury and violence Mental
health Nutrition and healthy foods Oral health Physical activity
Reproductive and sexual health Tobacco use and exposure Section 4:
Infrastructure focus areas Access to health care Report overview
6
Slide 7
MENTAL HEALTH Report Outline: Detail Section 5: Data summaries
by population Racial/ethnic minority populations o American Indians
o Asians o Blacks o Hispanics People of lower socioeconomic status
People with disabilities Lesbian, gay, bisexual, and transgender
populations Geography Report overview 7
Slide 8
MENTAL HEALTH Data notes Please refer to the Technical Notes
chapter for a more detailed description of limitations and methods:
http://www.dhs.wisconsin.gov/publications/P0/p00522y.pdf
http://www.dhs.wisconsin.gov/publications/P0/p00522y.pdf The 95%
confidence intervals are denoted by error bars. Where confidence
intervals do not overlap, as shown in the example on the right,
differences are statistically significant. Larger confidence
intervals may indicate less reliable estimates that should be
interpreted with caution. Population estimates that are considered
unreliable are excluded. Misclassification of racial/ethnic groups
may affect the accuracy of rates. Unless otherwise indicated, the
Hispanic population may include people of various races; Whites,
Blacks, Asians, and American Indians are non- Hispanic. Report
overview 8
Slide 9
MENTAL HEALTH Factors that influence health Social determinants
of health Source: University of Wisconsin Population Health
Institute. County Health Rankings 2013,
http://www.countyhealthrankings.org/our-approach Report overview
9
Slide 10
MENTAL HEALTH Objective 1 By 2020, reduce smoking and obesity
(which lead to chronic disease and premature death) among people
with mental health disorders. Objective 1 Indicators Smoking and
obesity rates among people with depression or serious psychological
distress. Source: Wisconsin Department of Health Services,
Healthiest Wisconsin 2020, Mental Health Focus Area Profile.
Healthiest Wisconsin 2020 objectives and indicators 10 HW2020
objectives
Slide 11
MENTAL HEALTH Healthiest Wisconsin 2020 objectives and
indicators Objective 2 By 2020, reduce disparities in suicide and
mental health disorders for disproportionately affected
populations, including those of differing races, ethnicities,
sexual identities and orientations, gender identities, educational
or economic status. Objective 2 Indicators Prevalence of mental
health disorders in these population groups. Suicide rates in these
populations. Mental health provider capacity indicating access to
mental health services. Source: Wisconsin Department of Health
Services, Healthiest Wisconsin 2020, Mental Health Focus Area
Profile. 11 HW2020 objectives
Slide 12
MENTAL HEALTH Healthiest Wisconsin 2020 objectives and
indicators Objective 3 By 2020, reduce the rate of depression,
anxiety and emotional problems among children with special health
care needs (CSHCN). Objective 3 Indicators Percent of children who
have depression, anxiety or emotional problems. Percent of children
who needed but did not receive mental health services in the
previous year. Percent of CSHCN/non-CSHCN who received mental
health treatment/counseling in the past year. Source: Wisconsin
Department of Health Services, Healthiest Wisconsin 2020, Mental
Health Focus Area Profile. 12 HW2020 objectives
Slide 13
MENTAL HEALTH Rationale Mental health is a state of well-being
in which the individual realizes his or her own abilities, can cope
with the normal stresses of life, can work productively and
fruitfully and is able to make a contribution to his or her
community. 6 Mental illness is the leading cause of disability in
the United States; one out of five people will experience a mental
health problem of some type during a one-year period. 7 Mental
health disorders are associated with an increased risk of physical
illness; more specifically, with increased rates of chronic health
problems and risk factors such as smoking, physical inactivity,
obesity, and substance abuse and dependence. Source: Wisconsin
Department of Health Services, Healthiest Wisconsin 2020, Mental
Health Focus Area Profile. 13 Rationale
Slide 14
MENTAL HEALTH Key points: Trends Adults o From 2000 to 2010,
suicide rates in Wisconsin increased by 26% in males and by 21% in
females. The greatest increases occurred among people ages 45-64.
Youth o From 2001 to 2011, the total number of Wisconsin high
school students reporting suicidal ideation declined. The most
significant decreases in suicidal ideation were among White and
Hispanic youth. Children o From 2003 to 2012, the percentage of
children at high risk of developmental, behavioral and social
delays declined both in Wisconsin and nationally. o From 2007 to
2012, the percentage of children receiving medications for ADHD,
emotions, concentration, or behavior significantly increased both
in Wisconsin and nationally. 14 Key points
Slide 15
MENTAL HEALTH Key points: Adults The prevalence of factors
related to mental health varies among Wisconsin adult populations.
Frequent mental distress:* Females, Blacks, Hispanics, low-income
people, Milwaukee County residents, people who are obese, and
smokers, report higher rates of frequent mental distress. Adverse
Childhood Experiences (ACEs): People with low household incomes and
those with disabilities had significantly higher rates of
experiencing four or more ACEs. Insufficient sleep and poor
emotional support: Milwaukee County residents, people with low
household incomes, people with a disability had higher rates of
insufficient sleep and lack of emotional support. *Frequent mental
distress is defined as 14 or more days of poor mental health in the
past 30 days. 15 Key points
Slide 16
MENTAL HEALTH Key points: Youth The prevalence of factors
related to mental health varies among Wisconsin high school
students. Sexual minority youth, Black youth, and Asian youth had
higher rates of depressive symptoms than their peers. Rates of
suicidal ideation and behavior were higher among Black and American
Indian youth and among sexual minority youth than other youth.
Mental health protective factors were highest among White and
sexual majority youth. 16 Key points
Slide 17
MENTAL HEALTH Key points: Children The prevalence of factors
related to mental health varies among Wisconsin children. A higher
percentage of Wisconsin children receive medications for ADHD,
emotions, concentration, or behavior, compared to children
nationwide. Adverse Childhood Experiences (ACEs): o The deeper the
level of poverty, the greater the percentage of children who had
experienced two or more ACEs. o Black children experienced two or
more ACEs at a higher rate compared to White and Hispanic children.
o Children with special health care needs experienced two or more
ACEs at a higher rate compared to children with no special health
care needs. 17 Key points
Slide 18
MENTAL HEALTH Mental health among adults 18
Slide 19
MENTAL HEALTH Frequent mental distress among Wisconsin adults,
by sex, 2009-2011 Source: Wisconsin Department of Health Services,
Behavioral Risk Factor Survey (BRFS); 2009-2011 landline-cellphone
combined dataset. Mental health among adults 19
Slide 20
MENTAL HEALTH Frequent mental distress among Wisconsin adults,
by age, 2009-2011 Source: Wisconsin Department of Health Services,
Behavioral Risk Factor Survey (BRFS); 2009-2011 landline-cellphone
combined dataset. Mental health among adults 20
Slide 21
MENTAL HEALTH Age-adjusted rate of frequent mental distress
among Wisconsin adults, by race/ethnicity, 2009-2011 Source:
Wisconsin Department of Health Services, Behavioral Risk Factor
Survey (BRFS); 2008-2011 landline-only dataset. Note: Question
asked in 2009-2011. Estimates that are unreliable (based on
Relative Standard Error or small sample size) are not shown; this
means an estimate may not be presented for every population group.
Mental health among adults 21
Slide 22
MENTAL HEALTH Age-adjusted rate of frequent mental distress
among Wisconsin adults, by household income, 2009-2011 Source:
Wisconsin Department of Health Services, Behavioral Risk Factor
Survey (BRFS); 2008-2011 landline-only dataset. Note: Question
asked in 2009-2011. Mental health among adults 22
Slide 23
MENTAL HEALTH Age-adjusted rate of frequent mental distress
among Wisconsin adults, by level of urbanization, 2009-2011 Source:
Wisconsin Department of Health Services, Behavioral Risk Factor
Survey (BRFS); 2008-2011 landline-only dataset. Note: Question
asked in 2009-2011. Mental health among adults 23
Slide 24
MENTAL HEALTH Frequent mental distress among Wisconsin adults
ages 18-64, by disability status, 2009-2011 Source: Wisconsin
Department of Health Services, Behavioral Risk Factor Survey
(BRFS); 2008-2011 landline-only dataset. Note: Question asked in
2009-2011. Mental health among adults 24
Slide 25
MENTAL HEALTH Frequent mental distress among Wisconsin adults,
by sexual orientation, 2009-2011 Source: Wisconsin Department of
Health Services, Behavioral Risk Factor Survey (BRFS); 2008-2011
landline-only dataset. Note: Question asked in 2009-2011. Mental
health among adults 25
Slide 26
MENTAL HEALTH Smoking and obesity among Wisconsin adults with
and without frequent mental distress, 2009-2011 Source: Wisconsin
Department of Health Services, Behavioral Risk Factor Survey
(BRFS); 2009-2011 landline-cellphone combined dataset. Note: Days
of poor mental health question asked in 2009-2011. Mental health
among adults 26
Slide 27
MENTAL HEALTH Four or more Adverse Childhood Experiences (ACEs)
among Wisconsin adults, by sex, 2010 and 2011 Source: Wisconsin
Department of Health Services, Behavioral Risk Factor Survey
(BRFS); 2009-2011 landline-cellphone combined dataset. Note:
Question asked in 2010 and 2011. Mental health among adults 27
Slide 28
MENTAL HEALTH Four or more Adverse Childhood Experiences (ACEs)
among Wisconsin adults, by age, 2010 and 2011 Source: Wisconsin
Department of Health Services, Behavioral Risk Factor Survey
(BRFS); 2009-2011 landline-cellphone combined dataset. Note:
Question asked in 2010 and 2011. Mental health among adults 28
Slide 29
MENTAL HEALTH Age-adjusted rate of four or more Adverse
Childhood Experiences (ACEs) among Wisconsin adults, by
race/ethnicity, 2010 and 2011 Source: Wisconsin Department of
Health Services, Behavioral Risk Factor Survey (BRFS); 2008-2011
landline-only dataset Note: Question asked in 2010 and 2011.
Estimates that are unreliable (based on Relative Standard Error or
small sample size) are not shown; this means an estimate may not be
presented for every population group. Mental health among adults
29
Slide 30
MENTAL HEALTH Age-adjusted rate of four or more Adverse
Childhood Experiences (ACEs) among Wisconsin adults, by household
income, 2010 and 2011 Source: Wisconsin Department of Health
Services, Behavioral Risk Factor Survey (BRFS); 2008-2011
landline-only dataset. Note: Question asked in 2010 and 2011.
Mental health among adults 30
Slide 31
MENTAL HEALTH Age-adjusted rate of four or more Adverse
Childhood Experiences (ACEs) among Wisconsin adults, by level of
urbanization, 2010 and 2011 Source: Wisconsin Department of Health
Services, Behavioral Risk Factor Survey (BRFS); 2008-2011
landline-only dataset. Note: Question asked in 2010 and 2011.
Mental health among adults 31
Slide 32
MENTAL HEALTH Four or more Adverse Childhood Experiences (ACEs)
among Wisconsin adults, by disability status, 2010 and 2011 32
Source: Wisconsin Department of Health Services, Behavioral Risk
Factor Survey (BRFS); 2008-2011 land-line only dataset. Mental
health among adults
Slide 33
MENTAL HEALTH Four or more Adverse Childhood Experiences (ACEs)
among Wisconsin adults, by sexual orientation, 2010 and 2011
Source: Wisconsin Department of Health Services, Behavioral Risk
Factor Survey (BRFS); 2008-2011 landline-only dataset. Note:
Question asked in 2010 and 2011. Mental health among adults 33
Slide 34
MENTAL HEALTH Insufficient sleep and poor emotional support
among Wisconsin adults, by sex, 2009-2011 Source: Wisconsin
Department of Health Services, Behavioral Risk Factor Survey
(BRFS); 2009-2011 landline-cellphone combined dataset. Note:
Questions were not asked in 2011. Mental health among adults
34
Slide 35
MENTAL HEALTH Insufficient sleep and poor emotional support
among Wisconsin adults, by age, 2009-2010 Source: Wisconsin
Department of Health Services, Behavioral Risk Factor Survey
(BRFS); 2009-2011 landline-cellphone combined dataset. Note:
Questions were not asked in 2011. Mental health among adults
35
Slide 36
MENTAL HEALTH Age-adjusted rate of insufficient sleep and rate
of poor emotional support among Wisconsin adults by race/ethnicity,
2008-2010 Mental health among adults Source: Wisconsin Department
of Health Services, Behavioral Risk Factor Survey (BRFS); 2008-2011
landline-only dataset. Note: Questions were not asked in 2011.
Rates of insufficient sleep are age-adjusted; rates of poor
emotional support are not age- adjusted. Estimates that are
unreliable (based on Relative Standard Error or small sample size)
are not shown; this means an estimate may not be presented for
every population group. 36
Slide 37
MENTAL HEALTH Age-adjusted rate of insufficient sleep and rate
of poor emotional support among Wisconsin adults, by level of
urbanization, 2008-2010 Source: Wisconsin Department of Health
Services, Behavioral Risk Factor Survey (BRFS); 2008-2011
landline-only dataset. Note: Questions were not asked in 2011.
Rates of insufficient sleep are age-adjusted; rates of poor
emotional support are not age- adjusted. Mental health among adults
37
Slide 38
MENTAL HEALTH Age-adjusted rate of insufficient sleep and rate
of poor emotional support among Wisconsin adults, by household
income, 2008-2010 Source: Wisconsin Department of Health Services,
Behavioral Risk Factor Survey (BRFS); 2008-2011 landline-only
dataset. Note: Questions were not asked in 2011. Rates of
insufficient sleep are age-adjusted; rates of poor emotional
support are not age- adjusted. Mental health among adults 38
Slide 39
MENTAL HEALTH Insufficient sleep and poor emotional support
among Wisconsin adults ages 18-64, by disability status, 2008-2010
Source: Wisconsin Department of Health Services, Behavioral Risk
Factor Survey (BRFS); 2008-2011 landline-only dataset. Note:
Questions were not asked in 2011. Mental health among adults
39
Slide 40
MENTAL HEALTH Insufficient sleep and poor emotional support
among Wisconsin adults, by sexual orientation, 2008-2010 Mental
health among adults Source: Wisconsin Department of Health
Services, Behavioral Risk Factor Survey (BRFS); 2008-2011
landline-only dataset. Note: Questions were not asked in 2011.
40
Slide 41
MENTAL HEALTH Suicide deaths, age-adjusted rate per 100,000, by
race/ethnicity, Wisconsin, 2008-2010 Source: Wisconsin Interactive
Statistics on Health (WISH), Wisconsin resident death
certificates.. Mental health among adults and youth 41
Slide 42
MENTAL HEALTH Suicide deaths, rate per 100,000, by sex and age,
Wisconsin, 2008-2010 Source: Wisconsin Interactive Statistics on
Health (WISH), Wisconsin resident death certificates. Mental health
among adults and youth Suicide rate 42
Slide 43
MENTAL HEALTH Injury and violence Suicide rates by county,
age-adjusted rates per 100,000, Wisconsin, 2008-2010 Source:
Wisconsin Interactive Statistics on Health (WISH), Wisconsin
resident death certificates. Statewide rate = 13 per 100,000 20
Mental health among adults and youth 43
Slide 44
MENTAL HEALTH Suicide deaths by underlying cause of injury,
Wisconsin, 2008-2010 Source: Wisconsin Interactive Statistics on
Health (WISH), Wisconsin resident death certificates. Mental health
among adults and youth 44
Slide 45
MENTAL HEALTH Mental health among youth 45
Slide 46
MENTAL HEALTH Depression among Wisconsin high school students
by race/ethnicity, 2007-2011 Source: Wisconsin Department of Public
Instruction, Youth Risk Behavior Survey (YRBS); 2007, 2009, 2011
combined dataset. Mental health among youth 46
Slide 47
MENTAL HEALTH Depression among Wisconsin high school students
by sexual minority status, 2007-2011 Source: Wisconsin Department
of Public Instruction, Youth Risk Behavior Survey (YRBS); 2007,
2009, 2011 combined dataset. Mental health among youth 47
Slide 48
MENTAL HEALTH Suicide risk during past 12 months among
Wisconsin high school students by race/ethnicity, 2007-2011 Source:
Wisconsin Department of Public Instruction, Youth Risk Behavior
Survey (YRBS); 2007, 2009, 2011 combined dataset. Note: Estimates
that are unreliable (based on Relative Standard Error or small
sample size) are not shown; this means an estimate may not be
presented for every population group. Mental health among youth
48
Slide 49
MENTAL HEALTH Suicide risk during past 12 months among
Wisconsin high school students by sexual minority status, 2007-2011
Source: Wisconsin Department of Public Instruction, Youth Risk
Behavior Survey (YRBS); 2007, 2009, 2011 combined dataset. Mental
health among youth 49
Slide 50
MENTAL HEALTH Protective factors among Wisconsin high school
students by race/ethnicity, 2007-2011 Source: Wisconsin Department
of Public Instruction, Youth Risk Behavior Survey (YRBS); 2007,
2009, 2011 combined dataset. Mental health among youth 50
Slide 51
MENTAL HEALTH Protective factors among Wisconsin high school
students by sexual minority status, 2007-2011 Source: Wisconsin
Department of Public Instruction, Youth Risk Behavior Survey
(YRBS); 2007, 2009, 2011 combined dataset. Mental health among
youth 51
Slide 52
MENTAL HEALTH High risk of developmental, behavioral, or social
delays among children ages 4 months to 5 years, Wisconsin and
United States, 2011-2012 Source: 2011-2012 National Survey of
Childrens Health. Mental health among youth 52
Slide 53
MENTAL HEALTH Prevalence of medication use for ADHD, emotions,
concentration, or behavior among children ages 2-17, Wisconsin and
United States, 2011-2012 Source: 2011-2012 National Survey of
Childrens Health. Mental health among youth 53
Slide 54
MENTAL HEALTH Percentage of children ages 2-17 who needed but
not did not receive mental health services, Wisconsin and United
States, 2011-2012 Source: 2011-2012 National Survey of Childrens
Health. Mental health among youth 54
Slide 55
MENTAL HEALTH Percentage of children who have experienced two
or more adverse childhood experiences (ACEs), Wisconsin and United
States, 2011-2012 Source: 2011-2012 National Survey of Childrens
Health. Mental health among youth 55
Slide 56
MENTAL HEALTH Percentage of children who have experienced two
or more adverse childhood experiences (ACEs), by race/ethnicity,
2011-2012 Source: 2011-2012 National Survey of Childrens Health.
Estimates that are unreliable (based on Relative Standard Error or
small sample size) are not shown; this means an estimate may not be
presented for every population group. Mental health among youth
56
Slide 57
MENTAL HEALTH Percentage of children who have experienced two
or more adverse childhood experiences (ACEs), by federal poverty
level (FPL), 2011-2012 Source: 2011-2012 National Survey of
Childrens Health. Mental health among youth 57
Slide 58
MENTAL HEALTH Percentage of children who have experienced two
or more adverse childhood experiences (ACEs), by disability status,
Wisconsin, 2011-2012 Source: 2011-2012 National Survey of Childrens
Health. Mental health among youth 58
Slide 59
MENTAL HEALTH Access to services 59
Slide 60
MENTAL HEALTH Number of full-time equivalent psychiatrists
needed to remove significant shortages for the resident population,
by county, 2011 Source: Wisconsin Department of Health Services,
Primary Care Office, Shortage Designation Program. Access to
services 60
Slide 61
MENTAL HEALTH References 1.University of Wisconsin Population
Health Institute. County Health Rankings, 2013.
http://www.countyhealthrankings.org/our-approach
http://www.countyhealthrankings.org/our-approach 2.Center for Urban
Population Health. Milwaukee Health Report, 2011.
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http://www.cuph.org/mhr/2011-milwaukee-health-report.pdf 3.LaVeist
TA, Gaskin DA, Richard P (2009). The Economic Burden of Health
Inequalities in the United States. Joint Center for Political and
Economic Studies.
http://www.jointcenter.org/sites/default/files/upload/research/files/The%20Economic%
20Burden%20of%20Health%20Inequalities%20in%20the%20United%20States.pdf
http://www.jointcenter.org/sites/default/files/upload/research/files/The%20Economic%
20Burden%20of%20Health%20Inequalities%20in%20the%20United%20States.pdf
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Ethics for Public Health. Am Journal of Public Health.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1447186/
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Department of Health Services (DHS). Healthiest Wisconsin 2020.
http://www.dhs.wisconsin.gov/publications/P0/P00187.pdf
http://www.dhs.wisconsin.gov/publications/P0/P00187.pdf 6.World
Health Organization. Fact Sheet No. 220, Mental health:
strengthening our response.
http://www.who.int/mediacentre/factsheets/fs220/en/index.htmlhttp://www.who.int/mediacentre/factsheets/fs220/en/index.html
7.Substance Abuse and Mental Health Services Administration.
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Mental Health Findings.
http://www.samhsa.gov/data/NSDUH/2k11MH_FindingsandDetTables/
http://www.samhsa.gov/data/NSDUH/2k11MH_FindingsandDetTables/ 61
References
Slide 62
MENTAL HEALTH 8.Centers for Disease Control and Prevention
(CDC). Self-Reported Frequent Mental Distress Among Adults ---
United States, 19932001.
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5341a1.htm
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5341a1.htm 9.Institute
of Medicine (2011).The Health of Lesbian, Gay, Bisexual, and
Transgender People: Building a Foundation for Better Understanding.
http://www.iom.edu/Reports/2011/The-Health-of-Lesbian-Gay-Bisexual-and-
Transgender-People.aspx
http://www.iom.edu/Reports/2011/The-Health-of-Lesbian-Gay-Bisexual-and-
Transgender-People.aspx 10.U.S. Department of Health and Human
Services, Substance Abuse and Mental Health Services
Administration, Center for Substance Abuse Prevention. Top Health
Issues for LGBT Populations Information & Resource Kit.
http://store.samhsa.gov/shin/content/SMA12-4684/SMA12-4684.pdf
http://store.samhsa.gov/shin/content/SMA12-4684/SMA12-4684.pdf
11.Substance Abuse and Mental Health Services Administration
(SAMHSA). Smoking rate among adults with serious psychological
distress remains high.
http://www.samhsa.gov/data/spotlight/spot120-smokingSPD.pdf
http://www.samhsa.gov/data/spotlight/spot120-smokingSPD.pdf
12.McClave AK, Dube SR, Strine TW, Mokdad AH (2009). Associations
between health- related quality of life and smoking status among a
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References
Slide 63
MENTAL HEALTH 13.CDC. Health Related Quality of Life.
http://www.cdc.gov/mentalhealth/about_us/hrql.htm
http://www.cdc.gov/mentalhealth/about_us/hrql.htm 14.CDC. About BMI
for Adults.
http://www.cdc.gov/healthyweight/assessing/bmi/adult_bmi/index.html#Definition
http://www.cdc.gov/healthyweight/assessing/bmi/adult_bmi/index.html#Definition
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http://www.cdc.gov/ace/http://www.cdc.gov/ace/ 16.OConnor C,
Finkbiner C, & Watson L. (2012). Adverse Childhood Experiences
in Wisconsin: Findings from the 2010 Behavioral Risk Factor Survey.
Madison, Wisconsin: Wisconsin Childrens Trust Fund and Child Abuse
Prevention Fund of Childrens Hospital & Health System.
http://wichildrenstrustfund.org/index.php?section=adverse-childhood
http://wichildrenstrustfund.org/index.php?section=adverse-childhood
17.Brown DW, Anda RF, Tiemeier H, Felitti VJ, Edwards VJ, Croft JB,
Giles WH (2009). Adverse childhood experiences and the risk of
premature mortality. American Journal of Preventive Medicine.
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18.CDC. The state of mental health in aging America.
http://www.cdc.gov/aging/pdf/mental_health.pdf
http://www.cdc.gov/aging/pdf/mental_health.pdf 19.CDC. Insufficient
sleep is a public health epidemic.
http://www.cdc.gov/features/dssleep/
http://www.cdc.gov/features/dssleep/ 20.CDC. Health-related quality
of life: Well-being concepts.
http://www.cdc.gov/hrqol/wellbeing.htm#four
http://www.cdc.gov/hrqol/wellbeing.htm#four 63 References
Slide 64
MENTAL HEALTH 21.Wisconsin Department of Health Services;
Injury Research Center at the Medical College of Wisconsin; Mental
Health America of Wisconsin; Wisconsin Suicide Prevention
Initiative (2008). The Burden of Suicide in Wisconsin.
http://www.dhs.wisconsin.gov/health/injuryprevention/pdffiles/bosfinal9%205.pdf
http://www.dhs.wisconsin.gov/health/injuryprevention/pdffiles/bosfinal9%205.pdf
22.CDC. Youth Risk Behavior Surveillance System.
http://apps.nccd.cdc.gov/youthonline/App/Default.aspx
http://apps.nccd.cdc.gov/youthonline/App/Default.aspx 23.Office of
Adolescent Health. Mental Health.
http://www.hhs.gov/ash/oah/adolescent-
health-topics/mental-health/home.htmlhttp://www.hhs.gov/ash/oah/adolescent-
health-topics/mental-health/home.html 24.Keenan-Miller D, Hammen
CL, Brennan PA. Health outcomes related to early adolescent
depression. Journal of Adolescent Health.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2034364/
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2034364/ 25.CDC.
Mortality Among Teenagers Aged 12-19 Years: United States,
1999-2006. http://www.cdc.gov/nchs/data/databriefs/db37.htm
http://www.cdc.gov/nchs/data/databriefs/db37.htm 26.Husky M, Olfson
M, He J, Nock M, Swanson S, Merikangas K. Twelve-month suicidal
symptoms and use of services among adolescents: results from the
National Comorbidity Survey. Psychiatric Services in Advance.
http://ps.psychiatryonline.org/article.aspx?articleid=1333878
http://ps.psychiatryonline.org/article.aspx?articleid=1333878
27.Birkett M, Espelage DL, Koenig B. LGB and questioning students
in schools: The moderating effects of homophobic bullying and
school climate on negative outcomes. J Youth Adolescence.
http://link.springer.com/article/10.1007%2Fs10964-008-9389-1http://link.springer.com/article/10.1007%2Fs10964-008-9389-1
64 References
Slide 65
MENTAL HEALTH 28.CDC. School Connectedness: Strategies for
Increasing Protective Factors Among Youth.
http://www.cdc.gov/healthyyouth/adolescenthealth/pdf/connectedness.pdfhttp://www.cdc.gov/healthyyouth/adolescenthealth/pdf/connectedness.pdf
29.Data Resource Center for Child and Adolescent Health (DRC);
National Survey of Children's Health.
http://www.childhealthdata.org/browse/survey?s=2http://www.childhealthdata.org/browse/survey?s=2
30.CDC. Visser SN, Blumberg SJ, Danielson ML, Bitsko RH, Kogan MD.
State-Based and Demographic Variation in Parent-Reported Medication
Rates for Attention- Deficit/Hyperactivity Disorder, 20072008.
http://www.cdc.gov/pcd/issues/2013/12_0073.htm
http://www.cdc.gov/pcd/issues/2013/12_0073.htm 31.Felitti VJ, Anda
RF, Nordenberg D, Williamson DF, Spitz AM, Edwards V, Koss MP,
Marks JS (1998). Relationship of Childhood Abuse and Household
Dysfunction to Many of the Leading Causes of Death in Adults:
American Journal of Preventive Medicine.
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32.Wisconsin Department of Health Services (DHS). Wisconsin Health
Facts: Poverty and Health, 2010 Results from the Wisconsin Family
Health Survey.
http://www.dhs.wisconsin.gov/publications/p0/p00381.pdf
http://www.dhs.wisconsin.gov/publications/p0/p00381.pdf
33.Wisconsin Department of Health Services (DHS), Wisconsin Primary
Care Office. Number of Psychiatrist FTEs Needed to Reduce
Significant Shortages for the Resident Population:
http://www.dhs.wisconsin.gov/publications/p0/p00376.pdfhttp://www.dhs.wisconsin.gov/publications/p0/p00376.pdf
65 References
Slide 66
MENTAL HEALTH Links to additional reports and resources Adverse
Childhood Experiences in Wisconsin: Findings from the 2010
Behavioral Risk Factor Survey.
http://wichildrenstrustfund.org/files/WisconsinACEs.pdf
http://wichildrenstrustfund.org/files/WisconsinACEs.pdf Linking
Mental and Physical Health: Results from the Wisconsin Behavioral
Risk Factor Survey.
http://www.dhs.wisconsin.gov/stats/pdf/brfsmphreport2009.pdf
http://www.dhs.wisconsin.gov/stats/pdf/brfsmphreport2009.pdf
Prevent Suicide Wisconsin:
http://www.preventsuicidewi.orghttp://www.preventsuicidewi.org
Centers for Disease Control and Prevention (CDC). Mental health.
http://www.cdc.gov/mentalhealth/ http://www.cdc.gov/mentalhealth/
66 Links
Slide 67
MENTAL HEALTH Contact Julianne Dwyer Mental Health Promotion
and Prevention Coordinator Bureau of Prevention, Treatment and
Recovery Division of Mental Health and Substance Abuse Services
Wisconsin Department of Health Services Email:
[email protected]@dhs.wisconsin.gov 67
Contacts