Tag Archive | "Disorders"

Mental Health Disorders: Schizophrenia

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Schizophrenia affects around 1% of the population of this planet. It is a chronic, severe, and disabling mental disorder. It has also been recognized for centuries, maybe not with the same nomenclature, but most likely with the same symptoms. However, the complex mechanisms which cause this condition remain a mystery of their own… but for how long?

History of Schizophrenia: from demons to genes

The symptoms commonly associated with schizophrenia are on the records of many ancient civilizations, such as the Greeks, Romans and Egyptians. The causes for this mental disorder have been associated with demons, gods, poisonous substances, dark creatures and more – but until today, there are still no definite answers. There is evidence, however, to the different treatments tested (and used) in several patients. Drilling holes in a patient’s skull and performing dance rituals were some of them.

The term ‘Schizophrenia’ (derived from the Greek words ‘schizo’=split and ‘phrene’=mind) was only created in 1911 by Eugene Bleuler, a Swiss physician. Bleuler changed the term ‘dementia praecox’ created by Emile Kraepelin – the German physician who first classified mental disorders in categories – because the disorder was not a dementia. Later on, both scientists sub-classified schizophrenia into categories based on specific symptoms, three of which were delineated in the DSM-III (Diagnostic and Statistical Manual of Mental Disorders): disorganized, catatonic, paranoid, residual, and undifferentiated. Kraepelin’s classification remains influential and it is the basis of the DSM-IV.

Nowadays, it is believed that schizophrenia is caused by a mixture of gene interaction and environmental influence. However, it is not clear how much influence each of these causes wields.

The Symptoms

The symptoms of schizophrenia are divided into three categories: positive, negative and cognitive.

Positive symptoms are volatile, easy to recognise and normally involve some loss of contact with reality. Hallucinations (distortions of the human senses), delusions (false personal beliefs) and movement disorders are examples of such symptoms.

Negative symptoms are harder to recognise as they relate to some loss in abilities such as planning, speaking, expressing emotions or being motivated. These symptoms can easily be misconnected to laziness, depression or other conditions which involve similar behaviour. The term is referred as ‘negative’ due to the reductions in ‘normality’ – both emotional and behavioural.

Cognitive symptoms relate to problems in normal cognitive functions. In many cases these cognitive impairments are only detected through neuropsychological tests. Such symptoms include problems with memory, attention, decision-making and more.

The Causes

As previously noted, schizophrenia is believed to be caused by a mixture of gene and environmental influence. Davies stated that “schizophrenia appears to be caused by abnormalities in the development of the brain that become manifest in late adolescence or the early twenties, a time when a differentiation and maturation of the central nervous system is at its most complex” (Davies 2005 p. 210*).

However, the disorder is not characterised by a single predominant gene – it relies on the combination of a group of genes, each exerting a small effect. These gene combinations, along with the presence non-genetic factors such as exposure to viruses or drug abuse, play a key role of increasing vulnerability.

Current research is attempting to identify the genes which could be directly involved with the incidence of schizophrenia and psychotic episodes. There are candidate genes – however there is not enough evidence to prove that these genes in fact increase risk. “Some genes that have recently been associated with schizophrenia code for enzymes and proteins that help brain cells communicate with each other.

Some of these enzymes and proteins are involved in neurotransmitter systems that have long been implicated in schizophrenia, such as dopamine, glutamate and GABA. Other genes code for proteins involved in the brain development, while others code for proteins of yet undetermined function”. (NIMH – National Institute of Mental Health**).

Facts and the treatments

Schizophrenia is a chronic and disabling disorder, but nevertheless misinterpreted by the general population. In fact, between 25 and 40% of people who experience a psychotic episode not only recover, but never experience a second episode. In many instances, patients enter hospital care voluntarily, and are able to function normally when not experiencing an episode. Although people with schizophrenia are more likely to attempt suicide, they are not particularly prone to violence or crimes.

Over the last few years, new anti-psychotic medications have been developed – such as clozapine, risperidone and olanzapine. These drugs do not cure schizophrenia, but they effectively alleviate its symptoms and extrapyramidal side effects (such as rigidity, muscle spasms and tremors) which used to appear in older drug treatments.

Psychosocial treatment is also important in the management of schizophrenia. Rehabilitation and substance abuse treatment are helpful in integrating the patient to the society, and improving the patient’s capability to counteract the degenerative effects of the disease. Cognitive Behaviour Therapy (CBT) can also help. This treatment seems to be effective in reducing the severity of symptoms and decreasing the risk of relapse in patients which symptoms persist even when they take medication.

Furthermore, the efficacy of treatment can be vastly improved with the participation of family and friends. Because the positive symptoms of this mental illness are easy to distinguish, both patient and relatives are able to act when noticing the prevalence of different behaviour.

Overcoming schizophrenia: too far or too close?

The future of schizophrenia runs parallel to most research in mental health. With the advent of new brain mapping and scanning technologies, such as PET, MRI, fMRI and the developments in genetic research – scientists are narrowing their focus to the interaction between neurons and how each of our cognitive functions affect neurotransmission at a molecular level. With this in hand, there are expectations that the approach to schizophrenia will be more specific and efficient – but to predict cure at this stage, is a long shot.

Nevertheless, there may be more excitement in the other side of the spectrum. Identifying the exact gene combination which increases the incidence of this condition, and the role of non-genetic factors, may still seem distant. However, another solution could effectively help the vast population suffering from the symptoms of schizophrenia.

The general thinking is that the best way to combat an illness is to develop a cure. What about instead of finding the cure, combating the symptoms? That is the approach used for most illnesses which cure is yet to be discovered, and it could be a temporary solution to improve the lives of millions. Cognitive enhancers, such as nootropics (cited in a previous edition of this ezine) and cognitive enhancing methods – such as the use of electric waves in specific brain regions – could counteract some of the debilitating symptoms of schizophrenia.

Most of these techniques are still being tested, but they are much closer to reality and have already predictions to reach the market within a few years. Although there have been some studies in cognitive enhancing drugs, new drug classes are on the scene – and brain science and pharmacology are allowing further discoveries in the field. What will be the next step? That might not be the one million dollar question, but perhaps it holds the answer which over 65 million people have been waiting for.

Sources *Davies, J. (November 2005) A Manual of Mental Health Care in General Practice, Commonwealth Department of Health and Ageing, Canberra.

** National Institute of Mental Health Website (www.nimh.nih.gov/publicat/schizresfact.cfm).

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Pedro Gondim is a writer and publisher for the Australian Institute of Professional Counsellors. The Institute is Australia’s largest counsellor training provider, offering the internationally renowned Diploma of Professional Counselling. For more information, visit www.aipc.net.au/lz.

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Veterans of the Wars in Iraq and Afghanistan are Affected by Mental Health Disorders

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The wars in Iraq and Afghanistan no longer dominate the evening news or the public’s consciousness. According to a recent poll, only 16 percent of Americans name the Iraq war as the story that first comes to mind when asked what has been in the news lately. But for the thousands of U.S. servicemen and servicewomen still serving in these war zones, the war remains a central part of their lives — and the lives of their families and loved ones. And for the thousands of veterans who return home with physical, their wounds can present particular challenges for years to come. However, many servicemen and servicewomen returning to the U.S. without noticeable or debilitating physical reminders of their service suffer from deep mental and emotional health issues.

Mental health is the second largest area of illness (after orthopedic problems) for which veterans of the wars in Iraq and Afghanistan seek treatment at Department of Veterans Affairs facilities. Veterans and their families face a wide range of mental health and addiction issues, including major depression, alcohol abuse (sometimes beginning in an effort to sleep), narcotic addiction (often beginning with pain medication for combat injuries), generalized anxiety disorder, job loss, family-dissolution, homelessness, violence toward self and others, and incarceration.

Nearly 1 in 5 soldiers who have served in Iraq or Afghanistan have posttraumatic stress disorder or depression — approximately 30,000 men and women. Only about half of that number actually have sought treatment.

Unusual circumstances of the wars in Iraq and Afghanistan add to the normal stresses of war, increasing the potential for traumatic stress–related disorders. For example, absence of a clear distinction between frontline and rear echelon reduces the ability to escape high-stress situations. Other unique issues presented by these “modern wars” include extended and multiple tours of duty and intense involvement of National Guard members and reservists, many of whom are drawn away from established careers and young families.

Approximately 19 percent of returning service members report that they experienced a possible traumatic brain injury while deployed, and 7 percent of service members report both a probable brain injury and current post traumatic stress disorder or major depression. Many service members said they do not seek treatment for psychological illnesses because they fear it will harm their careers. But even among those who do seek help for post traumatic stress disorder or major depression, only about half receive treatment that researchers consider “minimally adequate” for their illnesses.

While representing only 11 percent of the civilian population 18 years and older, veterans represent roughly 26 percent of homeless people in the U.S. — even though veterans are better educated, are more likely to be employed, and have a lower poverty rate than the general population. Forty-five percent of homeless veterans suffer from mental illness, including many who report high rates of post traumatic stress disorder. Approximately 70 percent of homeless veterans suffer from substance abuse problems.

Although these rates of mental illness and substance abuse are similar to those of other homeless men, some research suggests that alcohol dependence and abuse are more common among homeless veterans than among homeless nonveterans. People with substance abuse problems may have trouble maintaining employment and meeting their monthly housing costs.

A suicide prevention hotline started by the VA and the Substance Abuse and Mental Health Services Administration in July 2007 has served 22,000 veterans and prevented 1,221 veterans from taking their lives in the first year of operation.

In 2006, the Army reported the highest suicide rate — 17.3 per 100,000 soldiers — since it began recording such deaths in 1980. A VA study found that 53 percent of veterans returning from Iraq and Afghanistan who committed suicide between 2001 and 2005 were reservists or National Guardsmen, citizen soldiers who may be less able to navigate the bureaucracy to get help.

As mental health communities in the U.S. gear up to effectively meet the needs of returning veterans and their families, they are faced with a multitude of important questions. What do we need to know to effectively serve veterans returning from Operation Iraqi Freedom and Operation Enduring Freedom and their families? What does cultural competency mean with respect to those who have served in the military and their families? What are the unique characteristics of the conflicts in Iraq and Afghanistan that should inform treatment? What lessons can be learned from behavioral healthcare providers who already specialize in treating these veterans and family members? These questions must be addressed in order to give our servicemen and servicewomen the mental health care and service they deserve.

Linda Rosenberg is the president and CEO of the National Council for Community Behavioral Healthcare. TNC specializes in lobbying for government funding and reform formental health care. Lean more at www.thenationalcouncil.org.

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How to Recognize the Symptoms Mental Health Disorders

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Mental disorders refer to an inmost range of medical conditions stow away multiple symptoms. They are mainly characterized by symptoms such as abnormal behavior and inappropriate habits. Mental health indicates a certain level of normal analytical and behavioral ability of an individual.

Mental disorders impair the bent of an individual to baldachin with life and remain productivity. The above conditions can be treated with high therapeutic success since prescription drugs.

Schizophrenia, bipolar disease and unipolar depression are some of them. Mental disorder conditions onus be further classified in to categories related to anxiety, awkward age afflictions and complexion traits among others.

Obsessive gripping disorder is a form of affliction indisposition characterized by distracted thoughts and unreasonable fears. The condition predisposes to engagement in repetitive action. Mental health in clinical settings refers to the difficulty of a major psychiatric disorder.
There is inability to conclude against the invalid behavior leading to distress and disability. The underlying distress can further hurry compulsive behavioral actions.

Behavioral Symptoms of the Mental Condition:

The repetitive behavior may be centered on certain factors like fear of pathogenic contamination. The individual may moral hands repeatedly from the underlying fear.
Voluntary efforts to curb obsessive behavior usually fail in a relentless manner. Finished is development of mixed ritualistic behaviors that enter to and strengthens with irrational fears.

What are the besetting symptoms experienced? Obsessive excessive disorders are considered a common affliction of mental health. The condition can cause significant functional impairment and emotional trauma. Appropriate diagnosis and prognostic measures are critical for the treatment plan of the condition. The above condition is categorized with diverse disabling besides severe mental disorders.

The repetitive inappropriate thoughts may not generally pertain to real life situations. There is high standing of obsessive behavioral patterns arising from one’s acquiesce mind screen the above sickness afflicts. Children with obsessive besetting behavior often fail to grant the tumult and excessiveness of repetitive actions. The average time darkness from the condition can amount to about one hour every day on a casual. Strong unglued health is a positive attribute since general wellbeing.

There liability is preoccupation with certain objects with the co certainty of other forms of anxiety disorders. Eating disorder involves repetitive behavior with food besides calories. Obsessive compulsive disorder burden significantly interfere with an individual’s social life. False guilty thoughts and suicidal tendencies are obsessive imprint nature curtain unipolar depression.

What are the causative factors?

The above daft illness does not necessarily arise from direct physiological changes in the mature. Obsessions experienced answerability is in the start of excessive sexual urge, doubts over actions and desire for symmetry. There is loss of rational understanding again assign behavioral occupation. Clinical mental health is pertinent to developmental and behavioral psychology.

Compulsions that arise from the obsessions carry repeated checking of performed actions, cleaning further rearranging objects.

The rituals can impersonate physical or mental in mystique with each individual. Fear of contamination is the primary pathological wind up again symptom experienced by emphatically individuals. What are the draft options currently available? Research studies understand indicated that faults with serotonin transmission in the inclination participates clout the condition. Prescription drugs like serotonin reuptake inhibitors are highly efficacious through the condition.

There can be adjuvant impairment to Dopaminergic transmission notoriety few patients of the big mental disorder. Effective reuptake of neurotransmitters is treacherous for nutty processes. Several concepts arise with mental health like self esteem, creativity and emotional cognizance.

Magnetic imaging techniques accredit reveled that express forms of obsessive excessive behavior could be from faulty neural circuits in the brain. The path physiology of the most mental disorder indicates that the development of the condition occurs from refashioning of certain existent behavioral traits. The symptoms of the attribute may wax and wane in few individuals.

Appropriate medical treatment can applaud nuts wellbeing in the original. Optimum potty health refers to the ability to unearth happiness, experience emotional balance and psychological strength.

Seomul Evans is with Dallas Internet Marketing Services services consulting for CallMD, an informational Medical resource site specializing in: Mental Health and free Mental Health Issues articles.

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How Mental Health Disorders Can be Caused by Personal Suffering?

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Mental disorders cause immense suffering for the lack of support and damaged social relations. Substance abuse refers to the use of psychoactive substances such as alcohol and recreational drugs.

And the addiction to psychoactive substances

There is high risk for the development of psychoactive substance dependence. Dependence is characterized by deterioration of the normal capacities of behavioral, functional and physiological. There can be a strong desire by the ingestion of drugs despite negative consequences.

The development of tolerance and withdrawal conditions of physical dependence occurs with the indiscriminate use. Drug addiction interferes with general health and family obligations. Efficient mental health is essential for the effective functioning of an individual in society.

Abuse of psychoactive substances can be effectively tackled through the development and periodic assessment of treatment services. Disorders associated with alcohol are present in about 77 million people worldwide.

The recreational use of drugs affects about 16 million to initiate mental disorders. There is a high rate of HIV infection in intravenous drug users. Plans comprehensive drug treatment can reduce the medical and social burden of abuse. Government and policy makers must increase the percentage of annual medical expenditures allocated to mental health.

What are the side effects of chronic alcohol intake?

Moderate alcohol consumption may cause no harm. Alcoholism is due to the dependence characterized by a strong craving to drink. There is loss of voluntary control over consumption habits.

Physical symptoms such as sweating, nausea, weakness and muscle tremors indicate dependency. Tolerance begins regular consumption of larger amounts of alcohol.

Alcohol can increase the risk of mortality?

Top organs like the heart, liver and brain suffering irreversible damage to the toxicity of alcohol in the blood. There is high risk of oral cancer and gastrointestinal cancer. Mental health can be affected by the presence of chronic systemic diseases.

There is no greater incidence of birth defects in children of alcoholic parents. There is increased risk of suicide, accidental injury and homicide with alcoholics.

Alcoholism is closely related to the patho-physiology of about sixty different types of health problems. The car accident death occurs in about twenty to thirty percent of alcoholics. The procedures for detoxification under medical supervision can reduce the severity of withdrawal symptoms in alcoholics.

Chronic alcohol consumption can cause neuro psychiatric disorders. The disability prevents the quality of life in about forty percent of alcoholics. The mental health of recovering alcoholics can be improved through self-help groups.

How do recreational drugs in the body?

Recreational drugs initiate relaxation and elevate mood gain experience of euphoria. The short-term side effects of psychoactive substance use include dry mouth, tachycardia, anxiety, and neuromuscular disorders.

There is a temporary loss of cognitive ability, memory and motor skills. The lack of trial, respiratory failure, lung infections and low fertility is reported in chronic abusers.

The emotions of aggression, anxiety and insomnia are experienced by addicts trying to recover. The behavior therapy sessions and support groups can benefit most recovering addicts. Mental health policies and laws should work to serve individuals with severe behavior.

No substance abuse disorders in general health?

The substance abuse can be classified as a mental disorder and diseases of the brain. Recreational drugs with regular use alter the neural circuits and expression of genes that affect normal human behavior.

The drug-seeking behavior and physical dependence is derived from the above changes in brain function. Malignant tumors, strokes, and the path physiology of hepatitis can be influenced by drug abuse.

Substance abuse is a factor causing many avoidable health problems. The intake of alcohol, recreational drugs and snuff increases the risk of suicide in adults. The substance use disorders are closely related to the incidence of psychiatric disorders in the average population.
The restoration of the mental health of addicts can work through specific policies of the medicine. Public health problems that arise with alcoholism and substance abuse require intervention at the micro levels of health care. Mental health departments should work to reduce the social stigma associated with mental disorders and substance abuse.

Seomul Evans is with Dallas Marketing Services consulting for CallMD, an informational Medical resource site specializing in: Mental Health and free Mental Health Treatment articles.

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How Mental Health Disorders Can Ruin Your Life

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The term mental health refers to the outward leaning on different ways of mental health. Fascinating into account ethnical conflicts and the particular considerations of the country, it deals with the medical biz of mental disorders in contrastive countries, mental health education, and their treatment options, financial and political views.

The human resources direction mental health, the structure of mental health care systems, and human rights issues are amongst the others.

The overall goal of the area of mental health is to make strong or stronger crazed health, all because the worlds by giving poop about the mental health position consequence all nations and identifying mental health needs in command to turn up cost-effective treatments to meet those specific needs.

Mental disorder:

The disorder which makes a significant excuse to the burden of disease leverage the whole system is the mental disorder or dysfunction of mental health. This is a worldwide step of so-called impairment adjusted action years allotted to a certain disease, which is a quell amount of years lived with was also age of life lost adapted to this disease.

Neuropsychiatry conditions tally seeing 14 % of the load of illness in the whole nation or world. Among non-touchy diseases, this explains 28% and thereby additional the sickness or cancer. The largely important part to this build in has main depressive episode, schizophrenia, sickness of using alcohols, dementia also the depression congener us to manic depressive illness

However it is estimated that the real contribution of mental disorders to the global burden of disease is even higher, amongst others due to complex interactions and co morbidity of physical and mental illness.

Treatment for Unbalanced mental health:

It has been proven that up to 30% of all individuals universally suppose a mental disorder, and in pain of the accident that treatments for the intervention of mental disorders are available. The ratio of those mortals with mental disorders who would need treatment but who do not receive mental health care is very high.

The so called treatment since unbalanced lunatic health is estimated to do about 76-85% for the countries with middle or low incomes, besides still 35-50% being the countries having high incomes. Even those who are handled are often treated credit an inefficient manner or in an inhumane way.

Interventions:

So thanks to get going hero like or stronger mental health systems around the world sound reckon on been first cited in the macrocosm Health Report 2001, which centered on the unglued health:

* Provide treatment significance primary care
* Give care in the community
* Make psychotropic drugs available
* Involve communities, families also consumers
* Educate the governmental
* Bring about national policies, programs and legislation
* Link with other sectors
* Develop human resources
* Support more research
* Monitor fold mental health

Barriers now the unfolding for the mental disorder:

In ill will of the fact that knowingness of the need because design of persons with mental disorders has developed, learned admit not been significant changes in mental health care oratory during the past years.

The most important reasons through this problem are lack of a mental health policy, public health presidencies, and mastery many countries the main problem is the statute law, a lack of boodle – human and financial resources – as well as lacking the ability or insufficient resource allotment.

Mental disorders diagnosed in childhood:

This type of disorders diagnosed in awkward age cites to certain considerations traditionally linked with a beginning diagnosis in teenagers or in the time of childhood.

This is in counterpoint to conditions such due to mishap depression, disorders, and manic depression, which have normally been believed by adult-onset, though they are now diagnosed and treated significance children on definitive occasion.

The grow up of attack has demonstrated to be a useful heuristic in sorting out conditions, and some conditions include guidance their normal subject matter of direct that the condition was first discovered before the age of 18.

Seomul Evans is with Dallas Website Marketing Services consulting for CallMD, an informational Medical resource site specializing in: Mental Health and freeMental Health Treatment articles.

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Eating Health: Does Extremely Healthy Eating Lead to Eating Disorders?

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According to new research the promotion of healthy eating to fight obesity can drive some teenagers into eating disorders.

Also many adult women and men admit that the extremes of trying to eat healthy lead them into abnormal eating behaviors and later to a fully developed eating disorder. 

 

So the question is how healthy for you is a “healthy eating plan” and diet?

 

From one point of view, it is good to make a healthy choice when you eat and it does help to fight obesity. But on the other hand there are people who get so obsessed with their eating habits that it becomes abnormal and absolutely out of control.

 

Most eating disorder sufferers say that their disorder started from a simple diet and trying to eat healthy. They also say that they became very emotional about their diet, weight and food.

 

For example here is a testimonial from a 24 year old woman who has been suffering from bulimia for the last 10 years: “It was very painful for me to hear people called me fatty and I began dieting. When I lost some weight people started complimenting me for the way I looked and it felt so rewarding that I only wanted to continue dieting and loosing more and more weight … I really associated loosing weight with a reward and big personal achievements, so I thought the more I do it the better I will become.  And I pushed myself into an extremely restrictive regiment of diet and exercise.

 

Every week I reduced my calorie intake and increased the exercise time. Sometimes I was very hungry and felt jealous towards people who could eat whatever they wanted. I started dreaming about food – of what I would eat if I could.

 

Once I cheated and ate much more food then I planned to do.  I felt disgusted with myself. Then I went to the toilet and made myself sick. This gave me an instant relief to my strained feelings.

 

On the next day I repeated it again, and again it made me feel better. I thought I discovered a new way to eat whatever I want and at the same time stay slim. I thought it was my own invention but it wasn’t and that was how my bulimia was born…”

 

This is a typical story of the beginnings of anorexia-bulimia. So the question is would these people have developed an eating disorder without initially going on a “healthy” diet and an extreme exercise regiment?  Probably not!

In conclusion it is fair to say that eating healthy still should be a major part of overall health education in schools and in public education.

 

But teaching about balance regarding peoples eating habits is probably much more important than just healthy eating at all costs. Teaching balance is crucial for any health program if it wants to stop the spread of eating disorders.

Read more at http://www.mom-please-help.com  

 

Dr Irina Webster MD is the Director of Women Health Issues Program. She is a recognised athority in the eating disorders area. She is an author of many books and a public speaker.
http://www.mom-please-help.com

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The Prevalence of Mental Health Disorders, Emotional and Behavioral Disorders and Mental Illness in Children

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Mental health disorders and mental illnesses affect a greater number of children and juveniles than many people are aware of. These emotional and behavioral disorders can have profound negative effects on the growth and development of children, especially when they go unnoticed and untreated. A greater proportion of children and youth in the child welfare and juvenile justice systems have mental health problems than children and youth in the general population.

-50% of children and youth in the child welfare system have mental health problems.
-67% to 70% of youth in the juvenile justice system have a diagnosable mental health disorder.

Prevalence Estimates of Mental, Emotional and Behavioral Disorders In Young People

DISORDER                                            PERCENTAGE OF YOUNG PEOPLE AFFECTED

Learning D/O:                                                                5%
Substance use / addiction disorder:                                  10.3%
CD:                                                                              3.5%
ODD:                                                                            2.8%
ADHD:                                                                           4.5%
Anxiety Disorders (various):                                             8%
Unipolar Disorder:                                                           5.2%
One or more disorders:                                                   17%

(D/O = Disorder; CD = Conduct Disorder; ODD = Oppositional Defiant Disorder; ADHD = Attention Deficit Hyperactivity Disorder Source: Preventing Mental, Emotional and Behavioral Disorders Among Young People, 2009. National Research Council and Institute of Medicine, of the National Academies.)

Early Detection and Intervention are Critical

The onset of major mental illness may occur as early as 7 to 11 years old.
-Research supported by the National Institute of Mental Health indicates that half of adults with MEB disorders were first diagnosed by age 14 and three fourths were diagnosed by age 24.  
-Factors that predict mental health problems can be identified in the early years, with children and youth from low-income  households at increased risk for mental health problems.  

Age at Onset of First Symptom of Full Psychiatric Disorder, by Age 21

DISORDER                        AVG. AGE OF FIRST SYMPTOM            AVG. AGE OF FIRST DIAGNOSIS

ADHD:                                            Age 5                                                 Age 5
ODD:                                              Age 5                                                 Age 10
CD:                                                Age 6                                                 Age 11
Anxiety Disorders (Various):              Age 7                                                 Age 8
Depression:                                     Age 12                                               Age 15
Substance Abuse:                             Age 14                                               Age 15
Substance Dependence:                    Age 16                                               Age 17
Any Psychiatric Diagnosis:                  Age 9                                                 Age 11

(Source: Preventing Mental, Emotional and Behavioral Disorders Among Young People, 2009. National Research Council and Institute of Medicine, of the National Academies)

Obstacles to Access and Quality in Mental Healthcare

Several federal commissions and workgroups federal task forces have documented the need for improved and expanded mental health services for children and youth.

-It is estimated that less than 1 in 5 of these children receive the appropriate needed treatment  
-Only 15% of youths who had difficulties had parents that actively talked to a health care provider or school staff about their child?s emotional or behavioral difficulties.  

There is not adequate financial support for quality services to prevent and treat mental health problems of children and youth. Many child mental health services are not covered by managed care payers. In 2007, 3.1 million youths, (12.5 percent of 12 to 17 year olds) received treatment or counseling for problems with behavior or emotional disturbances in specialty mental health settings (which include inpatient and outpatient care).

Effective Treatment and Prevention Exists

Clear windows of opportunity are available to prevent MEB disorders and related problems before they occur. An intervention before a disorder manifests itself is possible and offers the best opportunity to protect young people. Effective prevention includes strengthening families by targeting problems, strengthening individuals by building resilience and skills, preventing specific disorders by screening individuals at risk, promoting mental health in schools and promoting mental health through health care and community programs. The key to most approaches is to identify risks (biological, psychological and social factors) that may increase a child?s risk of MEB disorders.

Linda Rosenberg is the president and CEO of the National Council for Community Behavioral Healthcare. TNC specializes in the treatment of mental illnesses and addiction disorders while also promoting public policy for emotional and behavioral disorders in children. Lean more at http://www.thenationalcouncil.org/.

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