Rule to Increase Access to

Access to mental Health care

Access to affordable, quality health care without discrimination or bias should be the expectation, not the exception, in mental health treatment.

According to SAMHSA’s 2014 National Survey on Drug Use and Health (NSDUH), 43.6 million people had a mental illness in the past year. But fewer than half received treatment. That’s one in five Americans over the age of 18. Moreover, 30 states and the District of Columbia have expanded their Medicaid programs under the Affordable Care Act. Medicaid enrollment has increased from 58 million in 2013 to 72 million current enrollees—a 23 percent growth rate.

Young people are especially vulnerable. The number of adolescents aged 12 to 17 experiencing a major depressive episode increased from 9.1 percent in 2012 to 11.4 percent in 2014. This represents 1 in 10 adolescents. Of youth who had a past-year major depressive episode, only 4 in 10 received treatment for depression.

Since the White House Conference on Mental Health in June 2013, SAMHSA has redoubled its efforts in various ways:

We are increasing access to treatment. The most commonly reported reason for not receiving mental health care in 2014 was not being able to afford the cost of care. SAMHSA is a key player in implementing the Affordable Care Act, and there is strong evidence that this landmark legislation is working! Between 2013 and 2014, the percentage of Americans without health insurance dropped from 13.3 percent to 10.4 percent. Nearly 9 million more people were insured in 2014 than the year before. This is the biggest drop in the uninsured rate since at least 2008.

We are improving treatment quality. Section 223 of the Protecting Access to Medicare Act signed by President Obama in 2014 includes an eight-state demonstration project to establish Certified Community Behavioral Health Clinics. Community behavioral health clinics will provide a full range of evidence-based prevention, treatment, and recovery services for mental illnesses and substance use disorders. SAMHSA published for a clinic to participate in the demonstration and later this year will award planning grants to up to 25 states. The goal is for these clinics to become Centers of Excellence, offering comprehensive, high-quality care when and where individuals need it.

We are supporting early intervention. Early treatment greatly improves outcomes and can change the course of an individual’s life, providing a future that is filled with possibilities. SAMHSA has partnered with the National Institute of Mental Health to disseminate and provide training on Components of Coordinated Specialty Care for First Episode Psychosis. This $25 million program is funded with a 5 percent set aside from the state’s Mental Health Block Grant, administered by SAMHSA. SAMHSA is helping states to use their 5 percent set aside to meet the needs of individuals with early serious mental illnesses including psychotic disorders.

We are working with partners to reduce prejudice and discrimination. As First Lady Michelle Obama said, “Whether an illness affects your heart, your leg or your brain, it’s still an illness, and there should be no distinction…It’s time to tell everyone dealing with a mental health issue that…getting support isn’t a sign of weakness, it’s a sign of strength.”

Mrs. Obama was speaking at the launch of the Campaign to Change Direction, which SAMHSA supports. The Campaign encourages everyone to know the five signs of emotional distress. We must make it as common for someone to recognize the symptoms of mental distress as they do the warning signs of a heart attack or stroke. We must make it as acceptable for someone to seek treatment for behavioral health problems as they do for a broken leg.

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Source: blog.samhsa.gov
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