Congressman Tim MurphyThe Helping Families in Mental Health

Crisis Act (H.R. 2646)June 2015

2

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 20110

50

100

150

200

250

300

Heart Disease

Heart Disease Mortality Rate

Per 100,000 deathsCenters for Disease

Control and Prevention

3

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 20110

10

20

30

40

50

60

70

Stroke

Stroke Mortality Rate

Per 100,000 deathsCenters for Disease

Control and Prevention

4

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 20110

1

2

3

4

5

6

HIV/AIDS

Per 100,000 deathsCenters for Disease Con-

trol and Prevention

HIV/AIDS Mortality Rate

5

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 20110

2

4

6

8

10

12

14

16

18

Auto Accidents

Auto Accident Mortality Rate

Per 100,000 deathsCenters for Disease

Control and Prevention

6

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011150

160

170

180

190

200

210

Cancer

Cancer Mortality Rate

Per 100,000 deathsCenters for Disease

Control and Prevention

7

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 20119

9.5

10

10.5

11

11.5

12

12.5

Suicide

Per 100,000 deathsCenters for Disease

Control and Prevention

Suicide Mortality Rate

Opioid Overdose Mortality Rate

1999-2000 2001-2002 2003-2004 2005-2006 2007-2008 2009-20100

1

2

3

4

5

6

7

Dea

ths

per 1

00,0

00

Source: Center for Disease Control

Mental Illness in America

• 10 M Americans have a Serious Mental Illness (SMI)– Wait 110 weeks for treatment– Estimated 4 M without treatment

• Victimization > Violence– 3 to 4x more likely victims of violence– 4 to 6x the risk of sexual violence

• Treatment for SMI cuts risk of violence 15-fold (NIMH)– Perpetrators of mass violence untreated, undertreated

• 50 percent of all inmates have a mental illness.

2013 Post-Newtown Oversight Committee Investigation

Mental Illness in America

• The federal government funds 112 agencies across 8 Departments ($130 billion) - GAO

• Closed the old asylums, Cut outpatient care, and Shut down group homes

• Restrict access to medication

• Tell Medicaid recipients who have both physical and brain illnesses they can’t see more than one doctor a day

• Limit access to inpatient beds (16)

• Prevent families from being part of the care delivery team by blocking communication with doctors

• Given taxpayer dollars to anti-psychiatry groups

Federal and State “solutions”

GAO Reports on Mental Heath Programs & Funding

• The federal government spends $130 billion annually across 8 departments and 112 programs on mental health:

– “coordination for programs supporting individuals with serious mental illness is lacking.” – GAO

• Agencies do not collect data on how mental health dollars are spent:

– “agencies completed few evaluations of the programs specifically targeting individuals with serious mental illness.” - GAO

• Federal grants and programs to treat the seriously mentally ill do not utilize the best available medical treatments and protocols:

– 20 percent of grants “required its grantees to state that they will use evidence-based practices to treat individuals with mental illness.” – GAO

Assistant Secretary for Mental Health and Substance Use Disorders

• Reform agencies, programs, and funds.

• Evaluate, coordinate, elevate, eliminate programs –$130B, 112 programs.

• Report to Congress–state of the states; best practices.

• Parity Implementation

The Helping Families In Mental Health Crisis Act (H.R. 2646)

1 – Reform Federal Programs

The Helping Families In Mental Health Crisis Act (H.R. 2646)

2 - Removes Federal Barriers to Care

• Fix the shortage of inpatient psychiatric hospital beds for crisis stabilization (up to 30 days)

• Clarify HIPAA so families are part of frontline care delivery team

• Same-day billing rule

• Workforce development: minority fellowship, PHSC, and national strategy

The Helping Families In Mental Health Crisis Act (H.R. 2646)2 - Removes Federal Barriers to Care

• Increasing access to care: – tele-psych– FQBHC

• Alternatives to Institutionalization– The Right to Treatment– States must have programs for gravely

disabled in revolving door of jail, homeless, safety net, (like AOT)

The Helping Families In Mental Health Crisis Act (H.R. 2646)

3 – Reform Research/Grants

• Focus on applied research based on scientifically sound principles

• True evidence-based research

• Focus on programs that can be replicated across states, Medicaid, VA, etc

• Promote innovation in secondary and tertiary prevention and treatment

• Integration of SA/MH funding

Congressman Tim Murphy

Murphy.House.Gov/HelpingFamiliesInMentalHealthCrisisAct

@RepTimMurphy

Facebook.com/RepTimMurphy