Growing up!: Georgia’s Behavioral Health System of Care ...

Growing up!: Georgia's Behavioral Health System of Care for Older Adults

Georgia Department of Behavioral Health & Developmental Disabilities Judy Fitzgerald, Commissioner

Jill D. Mays, MS, LPC, Director Office of Federal Grants and Cultural and Linguistic Competency

Behavioral Health Disorders in Older Adults: Costly, Disabling, and Deadly

Late-life anxiety is related to increased risk of depression-- both affect memory

Disabling-- symptoms and disorders impact selfcare, e.g. ADLs and IADLs

Reduces quality of life-- sometimes becomes deadly

? Suicide risk

? Risk factor for serious illnesses (diabetes, hear disease)

? Complicates recovery (stroke, hip fracture, etc.)

Depression and anxiety are costly:

? Higher healthcare costs (50100%)

? Increased morbidity, mortality, nonadherence, recovery costs

Late-life Suicide: A Major Concern: Every 90 Minutes

Behavioral Health and Older Adults

Most common disorders: Depression, Anxiety, Irritability/Lability, Apathy/Indifference 1 (suicide risk); Other conditions: Behavioral and Psychiatric Symptoms Associated with

Dementia, Fear of Falling

Persons aged 25-34 years visited an ED and/or died from an opioid-involved overdose more 2 frequently than persons in other age categories (36 deaths of persons 65 and older in 2016,

compared to 808 deaths of persons 25-64)

Persons aged 65-74 years were most likely to be hospitalized because of an opioid-involved 3 overdose.

At least 5.6-8 million (14-20%) of US older adult population has one or more mental health 4 disorders; 700,000 are nursing home residents

5 By 2030, as Baby Boomers age, the numbers of older adults in Georgia with behavioral health needs will increase by 80% (to 430, 837)

IOM Report: In Whose Hands 2013

Georgia Treatment Utilization Trends

83% Decrease after Age 65

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