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debilitating mental illness each year, and almost half of all adults will be affected by mental illness in their lifetime. Five percent of adults have a serious mental illness.34


are affected by a mental health disorder with severe impairment in their lifetime.35


More than 8 percent of Texas adults report current depression,36


and 5.2 percent report serious psychological distress.37 In 2011, almost 30 percent


of Texas high school students reported they felt sad or hopeless almost every day for at least two weeks.38


Texans under 35 years.39


More than 66,000 Texans were cared for in state- funded substance abuse treatment programs in 2010.40


(grades 7-12), with 62 percent reporting they had used alcohol and 17.2 reporting inhalant abuse.41 Despite significant legislation to curtail drinking and driving, almost 40 percent of Texas driving fatalities are still associated with alcohol use.42


In 2009, 23 percent of the adult offenders in Texas state prisons, on parole, or on probation were current or former clients of the Texas public mental health system.43


A Texan with a serious mental


illness is eight times more likely to be in a jail than in a hospital or treatment program, at a cost of $50,000 a year. A person in jail without a mental illness costs the state about $22,000 annually.44


Mental illness is also strongly associated with high- risk behaviors such as alcohol, tobacco, and illicit drug use, and results in conditions such as obesity. U.S. mental health costs were estimated to be $57.5 billion in 2006 including the cost of mental health care and the indirect costs of disability caused by mental illness.45


One recent study estimates that


Texas state dollars spent on mental health exceed $13 billion each year.46


Mental health treatment costs in the United States totaled almost $9 billion in children in 2006; Medicaid covered more than one-third of these costs.47


70 TEXAS MEDICINE September 2012 Substance use is common in Texas students


While Texas has recently made significant investments in community mental health services, we still rank 50th in state public mental health funding per capita.49


Suicide is a leading cause of death among


About one in five children


Proper care for persons with mental illnesses saves costs associated with the cycle of incarceration, homelessness, and so forth. Assessing the return on investment connected with mental health and substance abuse care is complex because there are many different diagnoses, and the disability caused by each and the treatment plans vary greatly. In 2003, depression cost U.S. employers $44 billion in lost productivity alone. One employee assistance program in California showed a return on investment of $5.17 to $6.47 for every dollar spent on employee assistance for a mental health problem.48


ENDNOTES


26 Cohen, Steven and Yu, William. Agency for HealthCare Research and Quality, Medical Expenditure Panel Survey. Statistical Brief #354: The Concentration and Persistence in the Level of Health. Expenditures over Time: Estimates for the U.S. Population, 2008- 2009.January 2012. Available at http://meps.ahrq.gov/mepsweb/ data_files/publications/st354/stat354.pdf. Accessed April 2012.


27 Kaye, Neva et al. The Commonwealth Fund. Building Medical Homes: Lessons From Eight States with Emerging Programs. December 2011. Available at http://www.commonwealthfund.org/~/ media/Files/Publications/Fund%20Report/2011/Dec/1569_Kaye_ building_medical_homes_v2.pdf. Accessed April 2012.


28 Cadet, Justine. HIMSS/CHIME: If you’re not on the patient- centered medical home train, you’re late! February 2012. Available at http://www.cardiovascularbusiness.com/index.php?option=com_ articles&view=article&id=32116. Accessed April 2012.


28A Centers for Medicare & Medicaid Services. National Health Expenditures: 2007 Highlights. Available at https://www.cms. gov/Research-Statistics-Data-and-Systems/Statistics-Trends- and-Reports/NationalHealthExpendData/index.html?redirect=/ NationalHealthExpendData/. Accessed April 2012.


29 Texas Medical Association. TMA Survey Electronic Medical Records Report Fall 2009. 2009. Available at http://www.texmed.org/ WorkArea/linkit.aspx?LinkIdentifier=id&ItemID=18916&libID=16562. Accessed April 2012.


30 ibid.


31 Texas Medical Association. EHR Comparison Tool: Pricing Section. September 2011. Available at http://www.texmed.org/WorkArea/ linkit.aspx?LinkIdentifier=id&ItemID=22827&libID=20464. Accessed April 2012.


32 Texas Health and Human Services Commission. Potentially Preventable Readmissions in the Texas Medicaid Population, Fiscal Year 2010. January 2012. Available at http://www.hhsc.state.tx.us/ reports/2012/potentially-preventable-readmissions.pdf. Accessed April 2012.


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