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Survey Response: 10 Most Conc

st Common Mental Health cerns

Focus Group Addressing mental health is a huge concern me pediatrician mentioned that ~20% of their daily such as anxiety, depression, self-harming activit Mental health problems such as Alzheimer discussed as common among the adult pop problems, there is currently limited attenti While the mental health system ultimately new mental health professionals, focus gro improve mental health, such as pet therapy Need improved access to bilingual providers of

p Response entioned by focus group respondents. In fact, one visits revolved around mental and behavioral health issues ties, and ADHD r’s, dementia, suicide, and substance abuse disorders were pulation. Despite the great need to address mental health ion or resources given to target these concerns. y needs funding for mental health programs and to hire oup respondents also discussed some other ways to y and anonymous tip line for people to reach out. mental health services.

Prevalence of Mental Healt Nearly 1 in 5 American adults will have a diagnosable m 46 percent of Americans will meet the criteria for a dia life, and half of those people will develop conditions b Youth mental health is worsening. From 2012 to 2017, Episode (MDE) increased from 8.66 percent to 13.01 p youth have MDE with severe impairment. Mental and behavioral disorders are among the leadin 13.6% of all years of life lost to disability and premature

th Conditions- Nationwide mental health condition in any given year. agnosable mental health condition sometime in their by the age of 14 , the prevalence of past-year Major Depressive percent of youth ages 12-17. Now over two million ng causes of disability in the U.S., accounting for e death

Lack of Mental H Only 28.2 percent of youth with severe Major Depre treatment, and over 10 million adults still report an 21.8% of all adults in NC with a mental illness repor treatment they needed. 54.6 % of adults in NC with a mental illness received 18.02% of adults in NC are experiencing a mental he

Health Treatment essive Disorder were receiving some consistent n unmet need for mental health care. rted that they were not able to receive the d no treatment. ealth illness.

Bullying an The 2017 Youth Risk Behavior Surveillance System exi indicates that, nationwide, 19% of students in grades months preceding the survey. Kids who are bullied are more likely to experienc loneliness, changes in sleep and eating patterns, issues may persist into adulthood. Kids bullied are more likely to experience healt Kids bullied may experience decreased academic school participation. They are more likely to mis A very small number of bullied children might retaliat

nd Impact it disclaimer icon (Centers for Disease Control and Prevention) 9–12 report being bullied on school property in the 12 ce- Depression and anxiety, increased feelings of sadness and , and loss of interest in activities they used to enjoy. These th complaints c achievement—GPA and standardized test scores—and ss, skip, or drop out of school. te through extremely violent measures.

Incidence of Depres Percent of US Adults with Number of Major Depression: 7.1% with Dep 17.3 m Number of Youth (aged Percent of 12-17) with Major Severe Dep Depression: 3.1 million

ssion – Nationwide f US Adults Percent of Youth (aged pression: 12-17) with Major million Depression: 13% Youth with Number of Youth with pression: 9% Severe Depression: 2 million

Incidence of Anxi Over 21%, or 42.5 million, adults The lifetime prevalence of an 8% of youth have an anxiety diso

iety – Nationwide s are affected by an anxiety disorder ny anxiety disorder is 31% order

Suicide White Americans are more likely to die by suicide than people From 1999 through 2017, in the US, the age-adjusted suicide ra In NC, Youth suicide rate nearly DOUBLED from 2008 to 2017. Suicide is the 2nd leading cause of death in NC. In NC, 8.2% of high school students who attempted suicide in th Gender and sexual orientation can also have significant impact LGBTQ youth experience. In North Carolina, 16% of high school figure included 12% of heterosexual students, and a staggering In NC, 4.57% of adults experience Suicidal Thoughts

e Rates e of other ethnic/racial groups. ate increased from 10.5 per 100,000 in 1999 to 14.0 in 2017. he past year on suicide risk, because of the social discrimination that students in 2017 reported seriously considering suicide. This 43% of gay, lesbian, or bisexual students.

Focus Substance U

Area: Use Disorder

Survey Response

– Substance Use

Focus Group Several members stated there is currently no way to treat substance abuse in Union County except in residential substance abuse facilities or by “detoxing” individuals and sending them back into the community Teenagers and a group of a variety of concerned re such as the use of vaping, and marijuana), opioids prescription medicat

p Responses Several Focus Group participants mentioned the need to make Narcan more available. school nurses addressed elated to drugs in school, , juuls, smoking (tobacco s, cocaine, alcohol, and tions such as Xanax

Substance U

Use Disorder

Substance U

Use Disorder

Alcohol NC The amount of alcohol consumed has been associated wit vehicle crashes, overdose, and liver cirrhosis and high econ In most NC counties, Black and Hispanic neighborhoods ar non-Hispanic neighborhoods As per Behavior Risk Factor Surveillance System 2012-2017 adults reported binge drinking; 50% of adults report havin drinking Excessive drinking is 3rd leading case of preventable death In 2017, there were nearly 4,000 deaths due to excessive related

C Statistics th negative short- and long-term health outcomes, such as nomic costs re exposed to greater alcohol outlet density than white 7, the level of excessive drinking is trending upward: 30% ng at least 1 drink in last 30 days; 11% report excessive hs in NC alcohol use- 26% of all traffic fatalities in NC were alcohol

Alcohol and You 27% of high school students in NC report drin Of those high school students who drink, 50% 12% of all High School students report binge d

uth NC Statistics nking alcohol % report binge drinking drinking

Alcohol NC and Union

n County Information

Prescription Me Opioids- usually prescribed for pain Central Nervous System Depressants (C hypnotics)- used to treat anxiety and sle Stimulants—most often prescribed to treat

edication Misuse CNS) (includes tranquilizers, sedatives, and eep disorders t attention-deficit hyperactivity disorder (ADHD

Prescription Medication M Benzodiazepines • Diazepam (Valium) • Clonazepam (Klonopin) • Alprazolam (Xanax) • Triazolam (Halcion) • Estazolam (Prosom) Barbi • Mephobaribal (M • Phenobarbital (Lu • Pentobarbital Sod

Misuse- CNS Depressants Non-Benzodiazepine Sleep Medications • Zolpidem (Amibien) • Eszoiclone (Lunesta) • Zaleplon (Sonata) iturates Mebaral) uminal) dium (Nembutal)

Prescription Medicatio Dextroamph • Dexed • Adde Methylphe • Rita • Conc

on Misuse- Stimulants hetamine drine erall enidate alin certa

Prescription Medicatio

on Misuse- Stimulants

Prescription Medication M Prescription opioids can be used to help relieve moderate-to- severe pain and are often prescribed following a surgery or injury, or for certain health conditions. These medications can be an important part of treatment but also come with serious risks As many as 1 in 4 people receiving prescription opioids long term in a primary care setting struggles with addiction.

Misuse- Prescription Opioids Prescription opioids carry serious risks of addiction and overdose, especially with prolonged use. An opioid overdose, often marked by slowed breathing, can cause sudden death. Risks for addiction are great where there is a history of drug misuse, substance use disorder, or overdose; a Mental health conditions (such as depression or anxiety); sleep apnea; older age (65 years or older); pregnant.

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