Healthy Alaskans 2020 Leading Health Indicators

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Healthy Alaskans 2020

Evidence-based Strategies:
Reduce poor mental health among adults

Collaborative Care for the Management of Depressive Disorders

Description: Collaborative Care for the Management of Depressive Disorders is recommended based on strong evidence of effectiveness in improving depression symptoms, adherence to treatment, response to treatment, and remission and recovery from depression. The Task Force also finds that collaborative care models provide good economic value based on the weight of evidence from studies that assessed both costs and benefits.

Specific Programs/Strategies: Collaborative care for the management of depressive disorders is a multicomponent, healthcare system-level intervention that uses case managers to link primary care providers, patients, and mental health specialists. This collaboration is designed to: improve the routine screening and diagnosis of depressive disorders; increase provider use of evidence-based protocols for the proactive management of diagnosed depressive disorders; and improve clinical and community support for active patient engagement in treatment goal setting and self-management.

Mental health benefits legislation

Description: Mental health benefits legislation, particularly comprehensive parity legislation, is recommended based on sufficient evidence of effectiveness in improving financial protection and increasing appropriate utilization of mental health services for people with mental health conditions. There is also evidence that mental health benefits legislation is associated with increased access to care, increased diagnosis of mental health conditions, reduced prevalence of poor mental health and reduced suicide rates. Evidence from a concurrent economic review indicated that mental health benefits expansion did not lead to any substantial increase in cost to health insurance plans, measured as a percentage of premiums.

Specific Programs/Strategies: Moving toward parity for mental health coverage is a key element of most mental health benefits legislation. Defined as having no greater restrictions for mental health coverage than physical health coverage (Employee Benefits Security Administration, 2010), parity can be considered on a continuum ranging from limited to comprehensive. The latter requires coverage for a broad range of mental health and substance abuse disorders that places no greater restrictions on benefits (e.g., visit limits, treatment limits, annual dollar limits or deductibles) for mental health services than benefits for physical health services.

Home-Based Depression Care Management

Description: Home-Based Depression Care Management is recommended based on strong evidence of effectiveness in improving short-term depression outcomes.

Specific Programs/Strategies: Home-based Depression Care Management for Older Adults involves: (1) active screening for depression; (2) measurement-based outcomes; (3) trained depression care managers; (4) case management; (5) patient education, and (6) a supervising psychiatrist. This type of intervention improves short-term depression outcomes in adults, 60 years of age or older.

Coping With Work and Family Stress

Description: Coping With Work and Family Stress is a workplace preventive intervention designed to teach employees 18 years and older how to deal with stressors at work and at home.

Specific Programs/Strategies: The 16 90-minute sessions, typically provided weekly to groups of 15-20 employees, teach effective methods for reducing risk factors (stressors and avoidance coping) and enhancing protective factors (active coping and social support) through behavior modification (e.g., methods to modify or eliminate sources of stress), information sharing (e.g., didactic presentations, group discussions), and skill development (e.g., learning effective communication and problem-solving skills, expanding use of social network).

 

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sHealthy Alaskans
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alaska.gov

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