LECTURE 1: INTRO AND HISTORICAL CONTEXT
- Scale of mental health problems (MHP):
o WHO survey – 25,000 people, 14 countries
▪ 25% had MHP
• 10% depression
• 8% anxiety disorder
• 3% harmful use of alcohol.
o UK:
▪ 55% of adults at some point in their lives will become clinically depressed.
▪ 1% lifetime risk of schizophrenia.
▪ 20% of all adults at any one time have some MHP
▪ 3-6% of all adults = important anxiety symptoms
▪ 2-3% population have major drug dependence
▪ 1% of adolescent women have significant anorexia
- Adult Psychiatric Morbidity Survey: Survey of Mental Health and Wellbeing, England, 2014
[NS]:
o 1 in 3 adults aged 16-74 (37%) with conditions of anxiety/depression, surveyed in
England, were accessing mental health treatment in 2014.
▪ Increased from 1 in 4 (24%) since the last survey carried out in 2007.
o 1 in 6 adults (17%) in England met criterion for a common mental disorder (CMD) in
2014
o Women were more likely than men to report symptoms of CMD symptoms. Women
more likely to report severe symptoms
▪ 1 in 5 women (19%) reported CMD symptoms
• 10% of women reported severe symptoms
▪ 1 in 8 men (12%)
• 6% of men reported severe symptoms
- www.theguradian.com – young women with PTSD
- Scale of MHP
o 40% of all consultations with GP’s are to do with a MHP
o 5% of all deaths (under 75 years) are due to suicide – 5,000 annually
o Suicide is a major cause of death in age group 15-25
o Symptoms of poor sleep, fatigue and worry does not affect half the population at
any one time and does not necessarily lead to MHP (not clinically significant/PASSES)
o www.admin.ex.ac.uk/academic/disability/mental.php
- Actual cost of mental ill health in England has soared from £28bn to £105.2bn (2010):
o Economy loses more than £30bn a year from sickness absence and unemployment
caused by mental health
o What we can do: Providing good quality parenting support to people with young
children, extending access to psychological therapy, early identification of distress at
work, diverting offenders with mental health difficulties from custody and assisting
people with severe mental health problems into paid work – makes a massive
different to people’s lives – immediate and long-term savings to public finances and
wider economy.
Historical Background: brief history of distress and difference:
- ‘Pre-history’ – Western = 20,000 BC
- Scale of mental health problems (MHP):
o WHO survey – 25,000 people, 14 countries
▪ 25% had MHP
• 10% depression
• 8% anxiety disorder
• 3% harmful use of alcohol.
o UK:
▪ 55% of adults at some point in their lives will become clinically depressed.
▪ 1% lifetime risk of schizophrenia.
▪ 20% of all adults at any one time have some MHP
▪ 3-6% of all adults = important anxiety symptoms
▪ 2-3% population have major drug dependence
▪ 1% of adolescent women have significant anorexia
- Adult Psychiatric Morbidity Survey: Survey of Mental Health and Wellbeing, England, 2014
[NS]:
o 1 in 3 adults aged 16-74 (37%) with conditions of anxiety/depression, surveyed in
England, were accessing mental health treatment in 2014.
▪ Increased from 1 in 4 (24%) since the last survey carried out in 2007.
o 1 in 6 adults (17%) in England met criterion for a common mental disorder (CMD) in
2014
o Women were more likely than men to report symptoms of CMD symptoms. Women
more likely to report severe symptoms
▪ 1 in 5 women (19%) reported CMD symptoms
• 10% of women reported severe symptoms
▪ 1 in 8 men (12%)
• 6% of men reported severe symptoms
- www.theguradian.com – young women with PTSD
- Scale of MHP
o 40% of all consultations with GP’s are to do with a MHP
o 5% of all deaths (under 75 years) are due to suicide – 5,000 annually
o Suicide is a major cause of death in age group 15-25
o Symptoms of poor sleep, fatigue and worry does not affect half the population at
any one time and does not necessarily lead to MHP (not clinically significant/PASSES)
o www.admin.ex.ac.uk/academic/disability/mental.php
- Actual cost of mental ill health in England has soared from £28bn to £105.2bn (2010):
o Economy loses more than £30bn a year from sickness absence and unemployment
caused by mental health
o What we can do: Providing good quality parenting support to people with young
children, extending access to psychological therapy, early identification of distress at
work, diverting offenders with mental health difficulties from custody and assisting
people with severe mental health problems into paid work – makes a massive
different to people’s lives – immediate and long-term savings to public finances and
wider economy.
Historical Background: brief history of distress and difference:
- ‘Pre-history’ – Western = 20,000 BC
