2013-2015 Biennial PlanKey Elements

Mental Health

& Addictions

Mental health promotion Mental illness prevention Suicide prevention Flexible funding

2013-15: Big Shifts in Planning

Institute of Medicine Continuum of Care

Adult Youth Total

Ethnicity Female Male Female Male

African American 35 89 8 23 155

American Indian or Alaskan Native

84 112 11 14 221

Asian 11 34 1 3 49

Hispanic 95 232 29 60 416

Native Hawaiian/Other Pacific Islander

10 17 1 2 30

Other 42 61 10 14 127

White 1,902 2,983 188 268 5,341

Total 2,179 3,528 248 384 6,339

Number of Clients Served in Lane County for Alcohol and Drug

Treatment Services 2011

Adults Youth Total

Ethnicity Female Male Female Male

African American 108 77 74 86 345

American Indian or Alaskan Native

137 78 93 105 413

Asian 48 12 14 27 101

Hispanic 204 107 198 245 754

Native Hawaiian/Other Pacific Islander

18 15 12 9 54

Other 101 43 123 101 368

White 4,923 2,753 2,109 2,336 12,121

Total 5,542 3,086 2,623 2,909 14,160

Number of Clients Served in Lane County for

Mental Health Services 2011

Suicide is the second leading cause of death among Oregonians ages 15-34, and the 8th leading cause of death among all ages in Oregon.

In 2010, the age-adjusted suicide rate among Oregonians of 17.1 per 100,000 was 41% higher than the national average. (Lane County’s rate is statistically about the same as the state rate.)

Firearms were the dominant mechanism of injury among men who died by suicide (62%).

Suicide

Approximately 26% of suicides occurred among veterans. Approximately 70% of suicide victims had a diagnosed

mental disorder, alcohol and /or substance use problems, or depressed mood at time of death.

Despite the high prevalence of mental health problems, less than 1/3 of male victims and about 60% of female victims were receiving treatment for mental health problems at the time of death.

Investigators suspect that one in four suicide victims had used alcohol in the hours preceding their death.

Suicide (cont.)

Lane County 2012 Student Wellness Survey (SWS)

8

During the past 12 months, did you ever seriously consider attempting suicide?

Grade 6 Grade 8 Grade 11

County State County State County State

Yes 9.5 9.0 18.9 15.8 14.7 15.1

No 90.5 91.0 81.1 84.2 85.3 84.9

Mental Health in the Last 12 Months (SWS)

During the past 12 months, did you ever feel so sad or hopeless almost every day for two weeks or more in a row that you stopped doing some usual activities?

Grade 6 Grade 8 Grade 11

County State County State County State

Yes 21.3 19.3 24.1 22.7 29.1 27.9

No 78.7 80.7 75.9 77.3 70.9 72.1

Referral Sources Grouped Alcohol and Drug Mental Health

Behavioral Health Providers/Agencies 300 2830

Criminal Justice System Institutions and Agencies 3507 653

Health Providers 51 902

Local or State Agencies 626 3747

Other/None 233 1137

Personal Support System 1622 4891

Referral Sources for Alcohol, Drug and

Mental Health Services

Over 600 survey responses, both English and Spanish

Over 32 Focus Groups convenedUrban & ruralConsumer, survivor,

family & peer groupsService providersAdvisory groups

Qualitative Data

1. Access2. Transitions3. Communication & Coordination

Identified High Level Priorities

ACCESS:Increase services to rural areasIncrease services for Spanish speaking peopleIncrease prevention/promotion strategies, including

policy Explore options with community partners to

increase transportation optionsTRANSITIONS:Work with Behavioral Health partners to explore

processes to increase supports

Recommendations

COMMUNICATION/COLLABORATION:MHAC/LADPC continue to convene cross-system

conversationsMHAC/LADPC partner with other advisory councils

to explore optionsBehavioral Health and Developmental Disabilities

staff form task group to explore ways to reduce complexity in accessing services

Continue to integrate prevention efforts; cross disciplines

Recommendations (cont.)

Other?