Mental Health Profile Northumberland November 2008 Geography and Deprivation Introduction and Purpose This community level mental Health Profile is intended to provide a snapshot of the levels of mental health and wellbeing within the each PCT area and in comparison to the North East Region. Its purpose is to provide commissioners and other local government health and social care staff with relevant local information to address the improvement of mental health and the treatment of mental health problems. This includes information on prevalence of common mental health problems as well as including wider factors that have a significant impact on vulnerability to poor mental health. Supported by regional data and wider public health information this profile is intended to provide consistent and up to date information. The profile will not replicate information within and should be viewed alongside the generic community Health Profiles available at www.communityhealthprofiles.info 2. Service Provision Northumberland is served by: Northumberland Care Trust Northumbria Healthcare NHS Foundation Trust Northumberland Tyne and Wear NHS Trust for people with mental health problems or learning difficulties Seven local authorities including Northumberland County Council and six district councils as follows: Alnwick District Council , Berwick upon Tweed Borough Council, Blyth Valley Borough Council, Castle Morpeth Borough Council , Tynedale Council and Wansbeck District Council There is currently a local government review and a new unitary authority for Northumberland will come into effect from April 2009. 3. Key Messages Northumberland is the most northerly and sparsely populated county in England with a population of just over 300 000 people divided between an urban South East corner and rural areas mainly in the North and West. The South East areas of Blyth Valley and Wansbeck are characterised by high levels of deprivation and the problems of poverty and unemployment associated with mental health problems. In the rural areas there are problems of isolation, pockets of poverty, fuel poverty, and poor access to services and amenities. There is a very variable distribution of wealth and deprivation in Northumberland which means that measures taken from across the County can mask geographical differences. Thus there is a mixed picture regarding health in Northumberland compared to England: Life expectancy is significantly lower than for England and death rates from health disease and stroke are significantly higher, although the gap is narrowing. The percentage of the Northumberland population on GP mental health registers is lower than the England average but variations in deprivation in different areas are associated with mental health problems. Rates of alcohol related hospital stays and the proportion of people who binge drink are higher that the England average and this is reflected in both the rural and urban areas For Northumberland generally, rates of teenage pregnancy are lower than the England average, but there is a high rate of teenage pregnancy in Wansbeck which, at 61 per 1000, is more comparable to bigger urban areas in the region. Also Wansbeck has a higher proportion of Incapacity Benefit claimants who have mental health problems than the average regional rate 4. Data The data used is to represent issues which impact on the mental health and well being of local populations. The data is that currently available at upper tier local authority area. Proxy measures have been used for some indicators and all episodes/cases will not be captured by these indicators. Appendix a outlines the methods used to calculate section 6. Predicted Prevalence of Common Mental Health Problems The information below represents predicted prevalence only and is not therefore a reflection of actual rate/numbers. The predictions have been calculated using the following sources; psychiatric morbidity survey 2000, Heady and Ruddock model for all neurotic disorders and the 2001 census. A full outlined of the methods used can be found in Estimating the prevalence of common mental health problems in PCTs in England NEPHO Mental Health Observatory technical paper number 1 Gyles Glover February 16th 2008. Estimated Numbers of Common Mental Health Problems- Northumberland Mixed Anxiety/Depression Generalised Anxiety Disorder Depressive episode 3910 1915 1898 16808 Panic Disorder 6345 OCD 10025 Phobias 70 60 50 40 30 20 10 0 Northumberland England Phobias OCD PanicDisorder Depressive episode Generalised Anxiety Disorder North East Mixed Anxiety/Depre ssion Rate per 1000 population (16-74) Predicted Rates of Common Mental Health ProblemsNorthumberland Condition Predicted Number of Common Mental Health Problems by Sex SEX F M Total Rate /1000 (16-74) Any Neurotic 17791.5 15631.7 33423.1 Mixed Anxiety/Depression 9196.83 7610.83 16807.7 Generalised Anxiety Disorder 5285.6106 4739.8783 10025.489 Depressive episode 2563.8908 3780.8473 6344.7382 Panic Disorder 1066.73 831.165 1897.89 OCD 1235.01 680.228 1915.23 Phobias 1815.416 2094.173 3909.589 107.9 54.2 32.4 20.5 6.4 6.2 12.6