Mental Health-related Physician Office Visits by Adults Aged 18 and Over: United States, 2012–2014

Source: Products – Data Briefs – Number 311 – June 2018

Key findings

Data from the National Ambulatory Medical Care Survey

  • Among adults aged 18 and over, the rate of mental health-related physician office visits to psychiatrists (693 per 10,000 adults) was higher compared with the rate to primary care physicians overall (397 per 10,000 adults), and for all age groups except 65 and over.
  • For both men and women, the rate of mental health-related office visits to psychiatrists was higher compared with visits to primary care physicians.
  • The percentage of mental health-related office visits to psychiatrists compared with primary care physicians was lower in rural areas, but higher in large metropolitan areas.
  • For all primary expected sources of payment except Medicare, a higher percentage of mental health-related office visits were to psychiatrists rather than to primary care physicians.

In 2016, mental illness affected about 45 million U.S. adults (1). Although mental health-related office visits are often made to psychiatrists (2), primary care physicians can serve as the main source of treatment for patients with mental health issues (3); however, availability of provider type may vary by geographic region (3,4). This report uses data from the 2012–2014 National Ambulatory Medical Care Survey (NAMCS) to examine adult mental health-related physician office visits by specialty and selected patient characteristics.

Family Leisure Toolkit | Parents with Mental Illnesses

Leisure participation is important for the development of healthy family relationships.

Source: Family Leisure Toolkit | Parents with Mental Illnesses

Leisure Education Toolkit for Parents with Mental Illnesses

 

This toolkit is an evidence-based guide that will help parents better understand the importance of family leisure and develop strategies to participate in meaningful family leisure. Research on the need for family leisure, potential benefits, and strategies to increase participation are presented. This user friendly guide provides worksheets and activities that parents can use with their children to make the most out of family leisure. For individuals who want to receive additional support, each section also provides an opportunity to summarize goals and issues that can be shared with a mental health professional. Download now to learn more about: (1) the benefits of family leisure; (2) core and balance family leisure; (3) strategies to assess family leisure interest; (4) barriers to and facilitators of family leisure; (5) planning and making time for family leisure; and (6) using leisure to talk with your kids about mental illnesses.

Health Matters | The Arc of San Antonio

Amerigroup is proud to support The Arc of San Antonio

Source: Health Matters | The Arc of San Antonio

San Antonio, TX – According to the Centers for Disease Control, adults with disabilities have an almost 60 percent higher rate of obesity than adults without disabilities. The Arc of San Antonio is thrilled to announce that for the second consecutive year, it will be receiving a grant from Anthem Foundation to support the Health and Fitness for All project. This grant was made possible, thanks to an almost $88,000 national grant from Amerigroup’s parent company foundation, which will be used to conduct this health project at nine chapters of The Arc in Texas, Wisconsin, and Kentucky. The mission of The Arc is to enrich the lives of those with intellectual and developmental disabilities (I/DD). The Arc of San Antonio operates two day activity centers in San Antonio and works with over 200 adults with I/DD on a daily basis.

“Amerigroup is proud to support The Arc of San Antonio and is dedicated to working to help ensure that Texans of all abilities have programs in their communities that will help ensure they lead healthy lifestyles,” said Tisch Scott, Amerigroup Texas president.

The Health and Fitness for All project utilizes the HealthMatters™ curriculum, which is a training developed by the University of Illinois at Chicago that provides structured information on how to organize and start a tailored physical activity and health education program for people with intellectual and developmental disabilities (I/DD).

In the first year of the grant, The Arc of San Antonio worked with local Amerigroup officials and Methodist Healthcare Ministries, which supports The Arc’s nursing program, to administer the HealthMatters curriculum to 53 individuals! The curriculum implements a 12-week program which helps increase participants’ knowledge about the importance of healthy eating and staying active.

This year, in collaboration with The YMCA, The Arc will target 75 individuals in underserved areas of San Antonio for the HealthMatters program. “We are excited about the prospect of expanding this sustainable program outside of our four walls and look forward to making a lasting impact on these new participants and their families,” said Marissa Herrera, RN at The Arc of San Antonio, who is coordinating the program locally.

“Leading a healthy lifestyle is difficult for everyone, including people with I/DD. The Arc is fortunate to have the generous support of the Anthem Foundation so we can continue to provide education and resources that will help people with I/DD make healthier decisions in their daily lives,” said Peter Berns, CEO of The Arc.

 

Editor’s Note: The Arc is not an acronym; always refer to us as The Arc, not The ARC and never ARC. The Arc should be considered as a title or a phrase.

The relationship between employment and health and health care among working-age adults with and without disabilities in the United States

The relationship between employment and health and health care among working-age adults with and without disabilities in the United States

Source: The relationship between employment and health and health care among working-age adults with and without disabilities in the United States: Disability and Rehabilitation: Vol 0, No 0

Purpose: To better understand the relationship between employment and health and health care for people with disabilities in the United States (US).

Methods: We pooled US Medical Expenditure Panel Survey (2004–2010) data to examine health status, and access to health care among working-age adults, comparing people with physical disabilities or multiple disabilities to people without disabilities, based on their employment status. Logistic regression and least squares regression were conducted, controlling for sociodemographics, health insurance (when not the outcome), multiple chronic conditions, and need for assistance.

Results: Employment was inversely related to access to care, insurance, and obesity. Yet, people with disabilities employed in the past year reported better general and mental health than their peers with the same disabilities who were not employed. Those who were employed were more likely to have delayed/forgone necessary care, across disability groups. Part-time employment, especially for people with multiple limitations, was associated with better health and health care outcomes than full-time employment.

Conclusion: Findings highlight the importance of addressing employment-related causes of delayed or foregone receipt of necessary care (e.g., flex-time for attending appointments) that exist for all workers, especially those with physical or multiple disabilities.

  • Implications for rehabilitation
  • These findings demonstrate that rehabilitation professionals who are seeking to support employment for persons with physical limitations need to ensure that overall health concerns are adequately addressed, both for those seeking employment and for those who are currently employed.

  • Assisting clients in prioritizing health equally with employment can ensure that both areas receive sufficient attention.

  • Engaging with employers to develop innovative practices to improve health, health behaviors and access to care for employees with disabilities can decrease turnover, increase productivity, and ensure longer job tenure.

Mobile Accommodation Solution

The free Mobile Accommodation Solution (MAS) app is designed to streamline the disability accommodation process. The MAS app serves as a first-generation mobile case management tool to help employers, service providers, and individuals effectively address accommodation requests in the workplace.

Source: JAN Training Downloads

The app will support talent management, human resources, and/or accommodation staff to create inclusive workplaces by facilitating the process of accommodating applicants, candidates, and employees. The app will also support service providers to help people with disabilities better manage the accommodation process. In addition, the app will enable people with disabilities to develop an accommodation request letter, send the request, and track the progress of the request.

County-Level Disability Prevalence and Employment Statistics Compendium | Now Available

These reports complement and provide greater depth to the topics found in the Annual Disability Statistics Compendium and Annual Disability Statistics Supplement. Each report provides statistics on the prevalence and employment of people with and without disabilities for each county in any given state in the US. Reports include a background and interpretive text specific to each state and are intended for advocates, policy-makers, and researchers to support programs and services for people with disabilities.

Source: County Reports | Annual Disability Statistics Compendium

 

Y Living Center – YMCA of Greater San Antonio

Source: Y Living Center – YMCA of Greater San Antonio

In partnership with The ARC of San Antonio, Health Matters™ is a program designed for adults with intellectual and developmental disabilities and their caregivers who want to become better informed about their own health, nutrition, and fitness.

Child Exercising
  • 12-week program that will meet three times a week
  • 1.5 hours per session (45 minutes of education & 45 minutes of physical activity)
  • Topics Include: Nutrition, Creating an Exercise Plan, Friendship & Support
 For more information contact the Y Living Center at (210)404-0135. 

The Arc Awarded Grant from Anthem Foundation for Health and Fitness for All Project

Source: The Arc Awarded Grant from Anthem Foundation for Health and Fitness for All Project | The Arc Blog

Grant will support programming in Kentucky, Texas and Wisconsin

Washington, DC – The Arc is pleased to announce it has received nearly $88,000 of funding from the Anthem Foundation, the philanthropic arm of Anthem, Inc., to support the Health and Fitness for All project. The project’s training curriculum was developed by the University of Illinois at Chicago, and provides overall structured information on how to organize and start a tailored physical activity and health education program for people with intellectual and developmental disabilities (I/DD). The award will be used to conduct this health project at nine chapters certified in the HealthMatters curriculum at The Arc in Kentucky, Texas, and Wisconsin.

In 2016, The Arc received comparable funding for this initiative from the Anthem Foundation. The program resulted in roughly half of participants reporting a healthy blood pressure, along with 71% of participants revealing increased knowledge of healthy foods and healthy behaviors. Drawing on a very successful first year, the nine chapters will implement the 12-week program with a drive to increase results to approximately 225 participants at the following locations: The Arc of Kentucky, The Arc of Central Kentucky, The Arc of Barren County (KY), The Pointe Arc in Northern Kentucky, The Arc of San Antonio (TX), The Arc of Wisconsin, The Arc Greater Columbia County (WI), The Arc of Racine County, Inc. (WI) and The Arc Fond du Lac (WI).

“Leading a healthy lifestyle is difficult for everyone, including people with I/DD. The Arc is fortunate to have the generous support of the Anthem Foundation so we can continue to provide education and resources that will help people with I/DD make healthier decisions in their daily lives,” said Peter Berns, CEO of The Arc. According to the Centers for Disease Control, adults with disabilities have a 58% higher rate of obesity than adults without disabilities due to certain challenges individuals face with I/DD related to eating healthy, maintaining weight and being physically active. Nonetheless, since 2012, The Arc has continued to reach over 700 participants with the use of the HealthMatters curriculum and provided those with I/DD the tools and resources needed to lead healthier lives.

“We’re pleased to team with The Arc to continue to support their efforts to ensure all individuals, regardless of their abilities, have access to information that encourages a healthier lifestyle,” said Craig Samitt, MD, chief clinical officer at Anthem, Inc. “The results of their program are further evidence of the value they bring to the communities they serve to help create a healthier generations of Americans.”

The Arc advocates for and serves people with intellectual and developmental disabilities (I/DD), including Down syndrome, autism, Fetal Alcohol Spectrum Disorders, cerebral palsy and other diagnoses. The Arc has a network of more than 665 chapters across the country promoting and protecting the human rights of people with I/DD and actively supporting their full inclusion and participation in the community throughout their lifetimes and without regard to diagnosis.

About Anthem Foundation

The Anthem Foundation is the philanthropic arm of Anthem, Inc. and through charitable contributions and programs, the Foundation promotes the inherent commitment of Anthem, Inc. to enhance the health and well-being of individuals and families in communities that Anthem, Inc. and its affiliated health plans serve. The Foundation focuses its funding on strategic initiatives that address and provide innovative solutions to health care challenges, as well as promoting the Healthy Generations Program, a multi-generational initiative that targets specific disease states and medical conditions. These disease states and medical conditions include: prenatal care in the first trimester, low birth weight babies, cardiac morbidity rates, long term activities that decrease obesity and increase physical activity, diabetes prevalence in adult populations, adult pneumococcal and influenza vaccinations and smoking cessation. The Foundation also coordinates the company’s year-round Associate Giving program which provides a 50 percent match of associates’ pledges, as well as its Volunteer Time Off and Dollars for Doers community service programs. To learn more about the Anthem Foundation, please visit http://www.anthem.foundation and its blog at http://anthemfoundation.tumblr.com.

Bike Share Intervention: Improving Wellness & Community Access

Download Bike Share Program Manual

At The Collaborative, we love biking! Many of us are active cyclists who peddle our path to fun and fitness. As biking grows in popularity, we want to do our part to encourage consumers to give it a try. In this effort, The Temple University Collaborative recently led four bike pilot programs for consumers of mental healthcare services in Philadelphia. Providers, consumers, bikeshare representatives, and bike advocacy groups worked with us to develop and run groups. Everyone seemed as excited as us throughout the process.

Each program consisted of six classes led during a three-week period. Participants learned laws and safe riding practices. Then they planned and participated in group rides using Indego Bikeshare Bikes. Participants reported that they enjoyed the classes, learned how to bike safely, found new things to do in their communities during group rides, and enhanced social connections with other bike group members. One group of consumers even advocated for a weekly bike group which has since been included in ongoing programming at their agency.

In an effort to encourage agencies to run similar programming, we’ve developed the Biking & Serious Mental Illness manual which outlines the classes we led and shares what we learned through running these programs.