Tallying Mental Illness' Costs (Time Magazine)

Serious mental illnesses (SMIs), which afflict about 6% of American adults, cost society $193.2 billion in lost earnings per year, according to findings published in this month's American Journal of Psychiatry. Surveying data from nearly 5,000 participants, researchers determined that people suffering from a SMI — defined as a range of mood and anxiety disorders, including suicidal tendencies, that significantly impaired a person's ability to function for at least 30 days over the past year — earned at least 40% less than people in good mental health. "The results of this study confirm the belief that mental disorders contribute to enormous losses of human productivity," says Ronald Kessler, a Harvard professor of health care policy and lead author of the study, funded by the National Institute of Mental Health. . . . . "Each year the economic cost of untreated mental illness is staggering — over $100 billion on untreated mental health disorders and $400 billion on addiction disorders," Sullivan said. "Our country cannot afford to continue losing $500 billion a year to these treatable diseases."

Curbing guns, but not too much

ON APRIL 16th last year a deranged student, Cho Seung-hui, killed 32 people before shooting himself at Virginia Tech university. He had legally acquired the two handguns he used that morning. Before his rampage on the campus, which spreads over the rolling hills of Blacksburg, teachers and university police were already worried about his volatile behaviour and violent writings. He was recommended for psychiatric treatment but, because of cracks in the state mental-health system, never received it.
Virginia's rush to reform has been dramatic but incomplete. At the urging of the state's governor, Timothy Kaine, the legislature has funnelled an extra $42m into mental-health treatment and staff. Virginia has also rewritten its laws for identifying and monitoring the mentally ill. One new law requires colleges to alert the parents of students who may be a danger to themselves or to others. And the state now requires mental-health questions on the instant-background checks for gun-buyers. These might have kept firearms out of Cho's hands.

Culture gap

Among newcomers to this nation - one in eight Americans is now foreign-born - mental illness can be an alien, stigmatizing term, and many immigrants from Latin America, Africa, and Asia are far more likely to talk initially about physical ailments than seek psychiatric services.
Over the past several years, top mental health specialists have begun a number of new initiatives to improve psychiatric care for immigrants. The Massachusetts Department of Mental Health, along with a team of researchers, are educating primary care doctors around the state about what physical symptoms might be signs of mental disorders.

House Approves Bill on Mental Health Parity

After more than a decade of struggle, the House on Wednesday passed a bill requiring most group health plans to provide more generous coverage for treatment of mental illnesses, comparable to what they provide for physical illnesses. The vote was 268 to 148, with 47 Republicans joining 221 Democrats in support of the measure. The Senate has passed a similar bill requiring equivalence, or parity, in coverage of mental and physical ailments. Federal law now allows insurers to discriminate, and most do so, by setting higher co-payments or stricter limits on mental health benefits.

Fifth Of State Prison Inmates Mentally Ill

A legislative report shows more than 20 percent of Connecticut's approximately 19,000 prison inmates have moderate to severe mental illness.That fact is prompting some state lawmakers to point out an apparent shortage of trained psychiatric nurses and a need for more training for correction officers. Also, there's talk of creating a separate facility for inmates with mental illness to ease the space crunch" . . . . "If you want to free up prison beds [to keep violent offenders behind bars longer], then get these mentally ill people out of there," Lawlor said.

Senate Passes Mental Health Parity Bill

The Senate passed legislation Tuesday night that would require equal health insurance coverage for mental and physical illnesses when policies cover both. The bill, which passed by unanimous consent, moves advocates one step closer in their years-long quest for a concept known as mental health parity.
"The passage tonight of the Mental Health Parity bill underscores our commitment to treat all patients facing all diseases with the dignity and respect they deserve," said Sen. Edward Kennedy, D-Mass. "This new legislation will bring dramatic new help to millions of Americans who today are denied needed mental health care and treatment." Passage came on the same day that supporters inundated House Speaker Nancy Pelosi's office, urging a vote on mental health parity legislation in the House.

Providing Mental Health Services for Prisoners in New York

Spitzer plan aids mentally ill inmates: Governor proposes adding $60 million for improved, more humane services

ALBANY -- In response to long-standing calls for better treatment for the most vulnerable segment of the prison population, Gov. Eliot Spitzer proposes to increase state spending by $60 million over three years on services for mentally ill inmates. The proposal was praised by advocacy groups that say it signals a heightened commitment toward humane care of prisoners with severe psychiatric needs.