The World Health Organization defines health as “a state of
complete physical, mental, and social well-being and not merely the absence of
disease or infirmity.” While we have shifted our societal views on what we
define as “healthy” and have molded programs to meet the needs of individuals,
mental health stigma remains. Meanwhile, several figures in popular culture and
other platforms have begun a crusade to de-stigmatize mental health issues. For
example, President Obama championed and signed the 21st Century Cures Act in 2016 which took steps to ensure insurance companies
treat mental health and substance use disorders more equitably. Mental Health America (MHA) has declared May National Mental Health Month.
Additionally, many leaders around the world are encouraging safe spaces to discuss
issues that millions of people struggle with daily.
Background
Research confirms extensive mental health stigma and unmet
need. Multiple studies from RAND state that mental health stigma is rampant in
places like correctional facilities, professional work environments, and in the military.
According to the CDC,
50% of Americans are diagnosed with a mental illness or disorder, and the third
most common cause for hospitalization is mental illness, especially in the
18-44 age group. Mental Health America (MHA) fact sheets state 1 in 5, or in other words 9 million, American adults
reported not having their mental health needs met. MHA reports that, compared to states with a large mental health provider
workforce, “states with the lowest workforce [have] almost 4 times the number
individuals to only 1 mental health provider.” In 2018, the Health Resources and
Services Administration (HRSA) published a report
projecting supply and demand for behavioral health occupations in 2030. Utilizing
2016 baseline data, the findings revealed behavioral health workforce variations
by state and projected an overall shortage across 37 states, reaffirming the
need for these services. As we become more cognizant about mental health issues
and workforce deficits, policy makers must be careful to match limited
resources and appropriate mental health supports to existing needs. To assist policy makers, practitioners, and communities
in these efforts, the team at HealthLandscape developed a tool which provides
data illustrating mental health services and need across the nation.
In May 2019, in conjunction with National Mental Health
Month, HealthLandscape launched the Mental Health Explorer. The Mental Health Explorer (shown above) is a free, online
tool based primarily on data available from the Robert Wood Johnson Foundation’s County Health Rankings. The County Health Ranking model
uses over 30 data measures which leaders can use to advocate for health
policy and program improvements in their communities. The Mental Health Explorer features the
Mental Health Mapper (shown below), which consolidates relevant County
Health Rankings data, other mortality data, and workforce data in
one tool for users to view their specific county level data pertaining to
mental health and wellness.
Three additional capabilities are also available through the
Mental Health Explorer: Mapping the mental health workforce, mapping community health
data, and uploading other data sets for geocoding or analysis. The Mental
Health Workforce Mapper (shown below) allows the user to view point and rate
data on the mental health workforce.
Community HealthView (shown below) is an extensive library of social,
behavioral, and health measures. Finally, users can upload data to add to the
map via the Map My Data feature.
Please refer to the Mental Health Explorer Quick Start Guide as
you get started. The guide will help navigate the Mapper and its various tools,
and help you examine mental health need in your community. If you have
questions, contact us anytime.
Karin Natalie Pivaral for HealthLandscape
Dartmouth College Intern at the
Robert Graham Center
Karin Pivaral is an
MPH candidate at The Dartmouth Institute for Health Policy and Clinical
Practice, Dartmouth College. As an intern with the Robert Graham Center, Karin
conducted research in Primary Care Spend in the U.S. Karin’s Public Health
research interests also include global health and health policy finance.
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