“Mental health is as important as physical health to the overall well-being of individuals, societies and countries. Yet only a small minority of the 450 million people suffering from a mental or behavioural disorders are receiving treatment” (The World Health Report 2001, Chapter 1).

1. Global Context of Mental Health and Mental Illness

2. “ Mental health is as important as physical health to the overall well-being of individuals, societies and countries. Yet only a small minority of the 450 million people suffering from a mental or behavioural disorders are receiving treatment” (The World Health Report 2001, Chapter 1)

3. In order to understand the global burden of mental disorders first we need to understand DALYs

4. DALYs are Disability Adjusted Life Years They’re a measure of the total length of time that a specific illness is disabling to an individual over the course of their life span

5. What does that mean? How are DALYs used? DALYs are a calculation of the total disability incurred due to a specific illness One measure of the global burden of disease

6. WHO Health Report, 2001 Here are the leading causes of years of life lived with a disability: Ages 15-44 4.7 Bipolar Disorder 4.9 Iron-Deficiency Anemia 4.9 Schizophrenia 5.5 Alcohol Use Disorder 16.4 Unipolar Depression % Total Disorder

7. WHO Health Report, 2001 This is how common mental disorders are in adults (18-54) 1.3 Any Disorder 1.1 Substance Use Disorders 5.3 Disruptive Behavioral Disorders 7.1 Mood Disorder 16.4 Anxiety Disorder Six Month Prevalence (%) Age = 18-54 Mental Disorder

11. How do mental disorders impact children and adolescents

12. Most mental illnesses onset during the adolescent years

13. WHO Health Report, 2001 This is how common mental disorders are in children and adolescents (9-17) 20.9 Any Disorder 2.0 Substance Use Disorders 10.3 Disruptive Behavioral Disorders 6.2 Mood Disorder 13.0 Anxiety Disorder Six Month Prevalence (%) Age = 9-17 Mental Disorder

14. “ Most of this burden is preventable on the basis of existing knowledge” ~ Lee Jong-wook (former WHO Director- General)

15. Further Reading World Health Report 2001, World Health Organization - mental health: new understanding, new hope http://www.who.int/whr/2001/en/index.html Global Burden of Neurological Disorders, World Health Organization, http://www.who.int/mental_health/neurology/chapter_2_neuro_disorders_public_h_challenges.pdf Mental Health Atlas, World Health Organization, 2005 http://www.who.int/mental_health/evidence/atlas/global_results.pdf Country Resources for Neurological Disorders, World Health Organization Atlas, 2004 http://www.who.int/mental_health/neurology/neurogy_atlas_lr.pdf Child and Adolescent Mental Health Resources, World Health Organization, 2004 http://www.who.int/mental_health/resources/Child_ado_atlas.pdf Updated projections of global mortality and burden of disease, 2002–2030, World Health Organization - http:// www.who.int/healthinfo/statistics/bodprojectionspaper.pdf Suicide Statistics, World Health Organization http://www.who.int/mental_health/prevention/suicide/country_reports/en/index.html Global and regional burden of disease and risk factors, 2001 http://www.fic.nih.gov/news/fogarty/2006/dcpp_lancet_367.pdf

16. In Adolescent Mental Health For more information visit WWW.TEENMENTALHEALTH.ORG Sun Life Financial Chair