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DJ Jaffe

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SAMHSA Statistics Ignore 500,000 Mentally Ill

Posted: 01/24/2012 10:36 am

The Substance Abuse and Mental Health Agency's most recent and widely-quoted report on the prevalence of 'any' mental illness and 'serious' mental illness in America failed to count the 300,000 individuals with serious mental illness in jails and prisons, the 200,00 who are homeless and the 51,000 mentally ill who are in hospitals. Excluding these individuals led SAMHSA to understate the incidence of serious mental illness and overstate the percentage who receive treatment.

The new report acknowledges in the introduction and methodology sections that they ignored the incarcerated, institutionalized and homeless, but did not do so in their press release which is what most media apparently worked off of. Excluding these populations led to understating the number with serious mental illness, and since the chances of homeless or incarcerated receiving good treatment is next to nil, also understating the percentage who receive treatment.

SAMHSA has come under increasing criticism for their failure to focus on serious mental illness. A recent article by leading researcher Dr. E. Fuller Torrey, is but the latest example. I have written on SAMHSA waste of taxpayer dollars for DC Insider, a whistleblower group and the Washington Times. Those articles highlight the mission-creep, waste, and counterproductivities at SAMHSA and suggest eliminating it would save money for taxpayers and improve care for people with serious mental illness. Worthwhile programs within SAMHSA (and they do exist) could be transferred to the Center for Disease Control (CDC), National Institute of Mental Health (NIMH), National Institute on Drug Abuse (NIDA) and other organizations that are much more effective, efficient, and focused than SAMHSA.

 
 
 

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06:17 PM on 01/24/2012
I would like to know how a citizen gets "true information" on these numbers.
Also, the number of individuals who receive services from SAMSHA and NIMH is
often inaccurate. How can we decide for ourselves, which set of numbers to
believe? Thanks for any info.
Marsha Mann
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Deborah Foster
Don't respond to trolls; never worth the time
11:26 AM on 01/24/2012
Why would you eliminate rather than reform? NIMH is far worse at ignoring SMI than SAMHSA. If there have been any improvements, it has been because NIMH was *reformed* under pressure. As a research team, myself and Carol Mowbray (with others) always got more grants for SMI work from SAMHSA than NIMH. And they tended to focus on rehabilitation and recovery which is much more progressive than anything NIMH does. Have you run this by USPRA (United States Psychiatric Rehabilitation Association) to see what their researchers say as well.
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DJ Jaffe
Founder, Mental Illness Policy Org.
02:05 PM on 01/24/2012
NIMH had a poor record (especially in intramural research) until Dr. Thomas Insel took over and it is my understanding they are now doing a better job. It is possible that replacing the Director of SAMHSA (Pamela Hyde) could be as therapeutic for that organization as giving new leadership to NIMH was.I suggest you read the links in the last paragraph of this blog, as they are articles on how SAMHSA does something NIMH didn't: Actually working to prevent treatment. Thanks for thoughts.
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Deborah Foster
Don't respond to trolls; never worth the time
01:55 AM on 01/25/2012
Makes sense to me. I'll follow the links.