The LARGEST Health Disparity Americans with depression bipolar disorder or other serious mental illnesses die 15 to 30 years younger than those without mental illness a disparity larger than for race ethnicity geography or socioeconomic status ID: 773661
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The LARGEST Health Disparity Americans with depression, bipolar disorder or other serious mental illnesses die 15 to 30 years younger than those without mental illness — a disparity larger than for race, ethnicity, geography or socioeconomic status The Largest Health Disparity We Don’t Talk About – Dhruv Khullar
Individuals in Context: Biopsychosocial Research Gate
Physical Health Matters The assumption that people with mental health problems die of “unnatural causes” (suicide, overdose), but they’re much more likely to die of the same things as everyone else: cancer, heart disease, stroke, diabetes etc.Higher rates of obesity, physical inactivity and tobacco use. Less likely to get standard diabetesScreened and treated for cancer.Therapeutic Pessimism, Diagnostic Overshadowing Hyperbole and a Half
Place Matters As many as one-third of children living in our country's violent urban neighborhoods have PTSD, according to recent research and the country's top child trauma experts - nearly twice the rate reported for troops returning from war zones in Iraq. SF Gate/Stanford VCU Center on Society and Health
Psychological Health Matters (from conception!) Pregnant women’s psychological health have consequences for fetal neurobehavioral development and child outcomes.Gestational diabetes is far less common than depression during pregnancy, women are routinely screened for this disorder, but not for depression, any psychiatric illness, nor even experiences of life stresses. Clin Obstet GynecolIt was found that those with a high genetic risk of schizophrenia were five times more likely to develop the condition if they experienced obstetric complications, compared to those with no history of pregnancy stresses but an equally high genetic risk Nature Medicine Vocativ
Our Biases Matter A substantial number of white medical students and residents hold false beliefs about biological differences between black and white people skin is thickerblood coagulates more quickly Less sensitive nerve endings Half of the sample (111) endorsed at least one of the false beliefs, and those who endorsed these beliefs were more likely to report lower pain ratings for the black vs. white patient, and were less accurate in their treatment recommendations for the black vs. white patient . Proc Natl Acad Sci U S A. Source
Curiosity and What Equality Really Means In medicine, you see people who are troublesome in every way: the complainer, the person with the unfriendly tone, the unwitting bigot, the guy who, as they say, makes “poor life choices.” People can be untrustworthy, even scary. When they’re an actual threat you have to walk away. But you will also see lots of people whom you might have written off prove generous, caring, resourceful, brilliant. You don’t have to like or trust everyone to believe their lives are worth preserving. UCLA Newsroom
Informed Curiosity “Regarding people as having lives of equal worth means recognizing each as having a common core of humanity. Without being open to their humanity, it is impossible to provide good care to people. To see their humanity, you must put yourself in their shoes. That requires a willingness to ask people what it’s like in those shoes. It requires curiosity about others.” Atul Gwande NAMI
Get Curious: Join the Conversation Whatever the question, community is the answerJoin community conversationscommunity coalitions city council PTAcommunity/public eventsmedia (letter to editor)talk to your prevention colleagues!
DBHDS & Health Equity How can we better serve:Populations we know exist, but can not reach?Populations we currently serve, but still have poor health outcomes?Populations we have limited understanding or information on? “Backburner populations?”
What We Want to Examine Behavioral Health is Public HealthPopulation HealthSocial Determinants of HealthIntersection of Culture and HealthCultural Linguistic Appropriate Services Cultural Competency / Cultural HumilityIntersectionalityTraumaTrauma Informed CareAdverse Childhood ExperiencesPartnershipsCommunity Coalition Building Strengthening Referrals
PLEASE, Reach out to me! Glencora Gudgerglencora.gudger@dbhds.virginia.gov 804-225-2978/804-350-8637