FundaMENTAL Health,
Bottomline Sense
 Why We’re Here
– The state of the country’s
health
– Impact of mental health
conditions
 We Know What Works
The Agenda
– Treatment
– EAP
– Health promotion
 Call to Action
– Employers’ role
Why We’re Here
Global Life
Expectancy
Life Expectancy at Birth vs Per Capita
Total Health Expenditure at Average Exchange Rate
$7,500
$6,350
U.S.
US $
$6,000
Germany
$3,628
$4,500
$2,692
Italy
$3,181
Australia
$3,000
$973
Korea
$1,500
$0
78
79
80
Years
81
82
Global Life
Expectancy
Japan is 3rd
TwoCanada
decades
ago
th
is 7
th
th
Today…
the
United
States
ranked
11
The United States
is
47
th
Jordan
is
40
in global life expectancy.
Bosnia is 43rd
Chronic Disease
Chronic diseases account for 7 out of
10 deaths in the U.S.
Chronic diseases account for 75%
of the nation’s health care spending.
Mental
health
and
substance
use
Chronic
diseases
account
for
7
out
of the
10
Chronic diseases account for 75% of
deaths
incare
the U.S.
conditions
are
America’s
most chronic
nation’s
health
spending.
illnesses.
Lifetime Prevalence
Prevalence
Bipolar Disorder
Panic Disorder
Generalized Anxiety Disorder
PTSD
ADHD
Major Depression
5
10
Percentage
15
20
Prevalence
Half of all people with a mental health
diagnosis first experience it by age 14.
Half of all people with a mental health
But won’t receive treatment until age 24.
diagnosis first experience it by age 14.
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Ronald C. Kessler, PhD
Professor of Health Care Policy
Harvard Medical School
Disability Impact
Illness Related Disability (U.S.)
Alcohol/Drug Use
Mental Health Conditions
Cardiovascular Diseases
Cancer
Alcohol/Drug Use
Arthritis
Diabetes
Infectious Diseases
0%
4%
8%
12%
16%
20%
24%
Suicide
More than 30,000 American lives
are lost annually to suicide.
More than 30,000 American lives
1 person every 16 minutes.
are lost annually to suicide.
Counting the Costs
Counting the Costs
In 2002, serious mental health
conditions were associated with
$193.2 billion in lost earnings.
Cost more than $600 per
person in the country.
more
thanmental
the annual
revenue
for
InCost
2002,
serious
health
conditions
everymore
Fortune
500
company
were
associated
with
That’s
than $600
per$193.2
person.
except
WalMart.
billion
in lost
earnings.
Direct and Indirect Burden of Illness
$400
Annual Costs
Annual Costs Per Employee
Direct and
Indirect Costs
$300
$200
$100
$0
Arthritis
Cancer
Mental Illness
Diabetes
Heart
Disease
Hypertension
Condition
Health Care
Absenteeism
Short-Term Disability
Presenteeism
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Ronald C. Kessler, PhD
Professor of Health Care Policy
Harvard Medical School
Average Number of Impaired Days/Month
Mental Illness & Other
Chronic Diseases
4
3
2
1
Hypertension
Arthritis
Chronic Disease
Asthma
Ulcers
Chronic Disease and Mental Illness
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Henry Harbin, MD
Former CEO
Magellan Health Services
Depression and Other
Chronic Diseases
Annual Medical Costs
per Employee Without
Depression ($)
Annual Medical Costs per
Employee
With Depression ($)
Heart failure
2.56
6.74
Allergic rhinitis
3.27
8.46
Asthma
3.73
10.56
Migraine
3.82
15.47
Back pain
11.61
33.25
Diabetes
13.06
27.28
Hypertension
13.38
27.16
Ischemic heart disease
62.40
110.94
Condition
We Know What
Works
Diagnosis and
Treatment
We can reliably diagnose and effectively treat mental health conditions.
NIMH
estimates
that 80% and
of people
with
We can
reliably diagnose
effectively
depression
improve
treat mental
health
conditions.
with treatment.
National Business
Group on Health
We Know What
Works
Mental Health Parity
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Jack Sweeney
Publisher and President
Houston Chronicle
Quality of Care
 People with mental health conditions are most likely
seen in a primary care setting.
 Their condition is usually not identified.
 When identified, the condition is not adequately
treated.
What You Can Do
 Providers screen patients with chronic illnesses for
depression
ascare
a lab
test). develop
Health
carehealth
vendors
should
Work
with (reimbursed
your
vendors
to ensure
 Providers document mental health diagnoses and
protocols
to ensure
that providers
quality
of
care.
example,
treatment
plans
in theFor
medical
record. in your health
areplan
meeting
theserefer
requirements.
care
contract,
specify
that: on disability
 Disability
administrators
employees
for a mental illness to a behavioral health specialist.
We Know What
Works
Increased knowledge and supportive
Stigma
Reduction
environments
dispel
myths and reduce
discrimination.
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Tom Johnson
Former CEO and President
CNN
We Know What
Works
 Ensure EAPs provide easily accessible services to people
who are developing health problems
 Increase employee engagement in EAP benefit:
Employee Assistance Programs
– Promote EAP services through internal communications channels
– Integrate the EAP with other programs (e.g., disability, FMLA)
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Daniel Conti, PhD
Senior VP and Manager, Employee Assistance and WorkLife Programs
JPMorgan Chase
We Know What
Works
Health promotion programs aim to:
 Increase awareness of health issues through newsletters,
health fairs and workshops
 Help employees make lifestyle changes that promote good
health (e.g., stress management)
 Leverage corporate policies and practices to promote a
supportive environment and healthy culture
Health Promotion Programs
Health Promotion
A 2005 review of workplace health promotion programs showed:
Health Costs
Absenteeism
Workers’ comp/disability
management claims costs
0%
-20%
-30%
- 32%
- 27%
Return on investment $5.81:$1
- 26%
-10%
Wellness Councils of America
(WELCOA)
Benchmarks for a successful program
 Capture CEO support
 Choose interventions
 Create wellness teams
 Create a supportive
environment
 Collect data to drive
health efforts
 Craft an operating plan
 Evaluate outcomes
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Philip Burguières
Vice Chairman
Houston Texans
FundaMENTAL Sense
Health care expenditures
continue to rise.
Mental illnesses dramatically impact
direct and indirect costs, and increase
burden of other chronic illnesses.
Mental illnesses cause
Makingcare
mental
health a priority
decreaseto
Health
expenditures
are will
continuing
– dramatic
direct
andand
indirect
burden
and happier
expense.
health
care
costs
ensure
a
healthier,
increase dramatically and are not sustainable.
– an increase
inmore
cost productive
and impact
when they occur
and
workforce.
with other chronic illnesses.
Resources
Mental Health Assoc. of East Tennessee offers:
• Technical Assistance via the “Mental
•
•
•
•
•
•
Health Matters in the Workplace”
Program
Mental Health Matters in the Workplace
Toolkit
Employer Consulting
Employee Consulting
Worksite Educational Programs
Free Access to Mental Health Screenings
Worksite Wellness, Health & Benefits Fair
Participation
Resources
www.workplacementalhealth.org
Partnership for
Workplace Mental Health
Delivers educational materials
and provides a forum to explore
mental health issues and share
innovative solutions
 Mental HealthWorks, a free
quarterly publication
 Employer Innovations
Online, a web-based
database of employer case
examples
Taking the Lead
Business leaders are increasingly
responding to the importance
of a healthy workforce.
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Tom Johnson
Former CEO and President
CNN
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Philip Burguières
Vice Chairman
Houston Texans
Taking the Lead
The need is real.
The return on investment is real.
The difference you can make in
employees’ lives is real.
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Daniel Conti, Sr VP and Manager, Employee Assistance and WorkLife Programs, JPMorgan Chase
Ronald C. Kessler, Professor of Health Care Policy, Harvard Medical School
Jack Sweeney, Publisher and President, Houston Chronicle
Tom Johnson, Former CEO and President, CNN
Alan Langlieb, Director of Workplace Psychiatry, Johns Hopkins Hospital
Acknowledgments
Thank you for your participation:
Jim Lafferty and Bonita Benson, Mental Health Association in Delaware
Graham Campbell & Paddy Kutz, Mental Health America of Licking County
Jeanne Rohner, Mental Health America of Colorado
Betsy Schwartz, Mental Health America of Greater Houston
Sarah Schwartz, Mental Health America of Georgia
Carol Wozniewski, Mental Health America of Illinois
Philip Burguières, Houston Texans
Dr. Wayne Burton, JPMorgan Chase
Dr. Daniel Conti, JPMorgan Chase
Eschol Curl, State Farm
Dan DeLawder, Park National Bank
Dr. Ron Goetzel, Emory University
Dr. Henry Harbin, former CEO, Magellan Health Services
Tom Johnson, former CEO, Cable News Network (CNN)
Dr. Ronald Kessler, Harvard Medical School
Dr. Alan Langlieb, The Johns Hopkins Hospital
Jack Sweeney, Houston Chronicle
Clare Miller, Partnership for Workplace Mental Health, American Psychiatric Foundation
This project is made possible through an
unrestricted educational grant from
Wyeth Pharmaceuticals.
FundaMENTAL Health,
Bottomline Sense