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Waterville Rotary Club
Presentation byThomas J. McAdam, Chief Executive
Officer
With Clinics in: Waterville Augusta Skowhegan Winthrop
September 28, 2009
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MissionTo promote the well-being of children,
adults and families who experience mental illness, emotional difficulties or
behavioral challenges.
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Mental Health Care is Healthcare
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KBH Agency Snapshot
Employees 321Annual Revenue (Current Fiscal Year) $21,818,706Persons Served 11,785 (FYE June 09)Communities Served by Zip Code 129
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KBH Total Service Growth 2003-2009
$21,818,706$19,699,795
$9,162,672
$17,833,012$16,123,661
$15,089,624
$11,137,069
$12,910,398
$0
$5,000,000
$10,000,000
$15,000,000
$20,000,000
$25,000,000
FYE 6/30/03 FYE 6/30/04 FYE 6/30/05 FYE 6/30/06 FYE 6/30/07 FYE 6/30/08 FYE 6/30/09 BudgetedFYE 6/30/10
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Why People Call KBH
• Depression / Mood Disorder 43%• Anxiety 14%• Behavior 14%• Alcohol or Drugs 9%• Marital / Family 7%• Anger 5%• Major Mental Illness 3%• All Other 5%
100%
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Where Our Clients Come From
Catchment Area• Augusta 32%• Skowhegan 20%• Waterville 32%• Winthrop 13%
Out of Catchment 3% 100%
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Where Our Clients Come From
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Helen Keller
“Although the world is full of suffering, it is full also of the
overcoming of it.”
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Disease Prevalencein Maine
• Diabetes .6%• Cancer 5.4%• Heart Disease 7.6%• Mental Health 19.0%
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Surgeon General Report on Mental Health
• One in five Americans has a diagnosable mental health issue during the course of a year
• Mental Health is fundamental to overall health
• Mental Health disorders are real• Mental Health disorders are
treatable
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Mental Illness and Poverty
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According to the World Health Organization
Mental illness is the leading cause of
ill-health and disability worldwide
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Chicken and EggDoes Poverty Cause Mental
Illness or Does Mental Illness Cause Poverty?
2005 Research – increasingly strong evidence that socioeconomic status is indeed a very important dimension of mental illness, though not the only dimension.
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Causes
• Many causal links between poverty and mental illness, particularly depression
• People living in poverty face more threatening events, entrapping life events, poor social connections, poor self-image, loss of control over life
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Findings
• Schizophrenia more likely to pull people into poverty (.05%)
• Depression more likely to be caused by poverty (some say twice as high)
• This does not dismiss the biological component of mental illness (personal responsibility vs. biological)
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Creates a Cycle
• If a person has had mental illness, they have a much higher chance of becoming ill again
• Having a mental illness causes additional stress such as loss of self confidence, loss of status, loss of job, homelessness, rejection by the community, criticism, rejection, etc…
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Hippocrates
“Healing is a matter of time,
but it is sometimes also
the matter of opportunity.”
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Summary
• If you have a serious mental illness, you are more likely to live in poverty
• If you live in poverty, you are more likely to develop a mental illness
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But, what about the money…??
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Who pays for healthcarein Maine?
• Employer 52.5%• Individual 4.8%• Medicaid (MaineCare) 18.8%• Medicare 13.5%• Other Public 1.3%• Uninsured 9.1%
100%
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MaineCare Fundingfor Mental Health Care FY09
• Adult Mental Health $241,405,695• Child & Family Services $325,506,858*• Office of Substance Abuse $
54,343,147
TOTAL $621,255,700
* Includes Child Welfare
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MaineCare in Maine
• Total Maine Population 1,316,456Kennebec County 120,017Somerset County 51,377
• MaineCare Enrollment FY08 344,307
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How is MaineCare Funded?A Good Deal for Maine
Federal Match74%
Maine General Fund Tax Revenue26%
(Current increase because of federal stimulus bill)
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“How do you guys know this stuff works?”
• Ken Fletcher, State Rep., Winslow
• At KBH, we:MeasureEvaluateAct
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Into the Future
• TABOR• Healthcare Reform
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What We Need in Central Maine
Preserving the Safety Net• Adequate Outpatient (Community-
Based) Services• Adequate Crisis Funding• Correct Number of Hospital Beds
by Community
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Thank you
Waterville RotaryBoard Members
Involved & Interested Community Members