This is an edited transcript of President Obama’s remarks to the participants of the National Conference on Mental Health, held in the White House on June 3, 2013. Our coverage of the National Conference on Mental Health will continue here tomorrow with a summary of the conference.
President Obama: Â Thank you so much. Everybody please have a seat. Thank you so much. Welcome to the White House. Thank you Janelle for that introduction and sharing your story and making such a difference through your organization. We’re really proud to have you here. I want to thank Secretary Sebelius, Secretary Arnie Duncan, Secretary Eric Shinseki, for their leadership and helping organizing this event. I also want to acknowledge some outstanding members of congress who are here and who care deeply about this issue.
Finally, I want to thank all of you for participating in this National Conference on Mental Health. We wanted to bring together folks who suffered from mental illness, and families who supported them. We wanted to bring together advocates and educators, faith leaders, veterans, local officials.
All of you have shown an extraordinary commitment to what is a critical goal. That is, to make sure that people aren’t suffering in silence.
That we have the capacity to pull together all the resources and support and love that’s out there. To go after an extraordinary challenge in our society. The main goal of this conference is not to start a conversation. So many of you have spent decades waging long and lonely battles to be heard. Instead, it’s about elevating that conversation to a national level and bringing mental illness out of the shadows.
We want to let people living with mental health challenges know that they are not alone. We’ve got to be making sure that we’re committed to support those fellow Americans because struggling with a mental illness or caring for someone who does can be isolating. I think everybody here who has experienced the issue in one way or the other understands that. It begins to feel as if not only are you alone, but that you shouldn’t burden others with the challenge.
The darkness day in and day out‑‑ what some call a cloud that you just can’t seem to escape‑‑begins to close in. The truth is in any given year one in five adults experience mental illness. One in five. 45 million Americans suffer from things like depression or anxiety, schizophrenia or PTSD. Young people are affected at a similar rate. So we all know somebody, a family member, a friend, a neighbor, who has struggled or will struggle with mental health issues at some point in their lives.
Michelle and I have both known people who have battled severe depression over the years. People we love. Oftentimes those who seek treatment go on to lead happy, healthy, productive lives. We know that recovery is possible. We know help is available, and yet as a society we often think about mental health differently than other forms of health. You see commercials on TV about a whole array of physical health issues, some of them very personal.
[laughter]
And yet, we whisper about mental health issues and avoid asking too many questions. The brain’s a body part, too. We just know less about it. There should be no shame in discussing or seeking help for treatable illnesses that affect too many people that we love.
We’ve got to get rid of that embarrassment. We’ve got to get rid of that stigma. Too many Americans who struggle with mental health illnesses are still suffering in silence rather than seeking help. We need to see it that men and women who would never hesitate to go see a doctor if they had a broken arm or came down with the flu.
They have that same attitude when it comes to their mental health. We’ve seen veterans who come home from the battlefield with the invisible wounds of war. Who feel somehow that seeking treatment is a sign of weakness, when in fact, it’s a sign of strength. We see it in parents who would do anything for their kids, but they often fight their mental health battle alone, afraid that reaching out would somehow reflect badly on them.
We see it in the tragedies that we have the power to prevent. I want to be absolutely clear that the overwhelming majority of people who suffer from mental illnesses are not violent. They will never pose a threat to themselves or others and there are a lot of violent people with no diagnosable mental health issues. We also know that most of suicides each year involve someone with a mental health or substance abuse disorder.
In some cases when a condition goes untreated, it can lead to tragedy on a larger scale. We can do something about stories like these. In many cases treatment is available and effective. We can help people who suffer from a mental illness continue to be great colleagues, great friends, the people we love. We can take out some pain and give them a new sense of hope. But it requires all of us to act. There are a few ways we can do our part.
First, we’ve got to do a better job recognizing mental health issues in our children and make it easier for Americans of all ages to seek help. Today less than 40 percent of people with mental illness receive treatment. Less than 40 percent.
Even though three‑quarters of mental illnesses emerge by the age of 24. Only about half of children with mental health problems receive treatment. Now think about it, we wouldn’t accept it if only 40 percent of Americans with cancers got treatment. We wouldn’t accept it if only half of the young people with diabetes got help. Why should we accept it when it comes to mental health? It doesn’t make any sense.
The good news is there’s plenty of groups that are stepping up to change that. A former colleague of mine, Gordon Smith, former Republican Senator who lost his son to suicide 10 years ago. I remember him speaking so eloquently about it. Gordon is now the head of the National Association of Broadcasters and today, the National Association of Broadcasters is announcing a new campaign designed to change attitudes about mental illness through TV ads and social media. Because Gordon doesn’t want other parents to go through the agonizing loss that he’s endured. We thank you Gordon, for that great work.
[applause]
We’ve got secondary school principals who are holding assemblies on mental health. We’ve got organizations like the YMCA who are volunteering to train staff to recognize the signs of depression and other mental illnesses in our young people. We’ve got leaders from different faith communities who are getting their congregations involved. Dozens of other organizations have today made similar commitments.
We’re very thankful to all of you. There are other people who are leading by example. My great friend, Patrick Kennedy, when he was running for reelection back in 2006, he could have avoided talking about his struggles with bi‑polar disorder and addiction. Let’s face it, he’s a Kennedy.
[laughter]
His seat was pretty safe. Everybody loved him. And yet, Patrick used his experiences as a way to connect and to lift up these issues, not hide from them. One day a woman came up to Patrick at a senior center and told him she was afraid to tell her friends she was taking medication for a mental illness because she was worried they might treat her differently. She told Patrick, “You’re the only one who knows aside from my son.”
Patrick started realizing how much power there could be for people to speak out on these issues. Patrick carried these stories back with him to Washington where he worked with a bi‑partisan group of lawmakers including his dad to make sure the mental health services you get through your insurance plan at work are covered the same way that physical health services are. A huge victory.
[applause]
Because of Patrick’s efforts and those of colleagues who worked with him, it’s easier for millions of people to join him on the road to recovery. Which brings me to a second point. It’s not enough to help more Americans seek treatment, we also have to make sure the treatment is there when they’re ready to seek it. For years now our mental health system has struggled to serve people who depend on it. That’s why under the Affordable Care Act, we’re expanding mental health and substance abuse benefits for more than 60 million Americans. New health insurance.
[applause]
New health insurance plans are required to cover things like depression screenings for adults and behavioral assessments for children. Beginning next year insurance companies will no longer be able to deny anybody coverage because of a preexisting mental health condition.
[applause]
We’re also investing in science and basic research to make it easier to diagnose and treat disease early. Earlier this year, I announced an ambitious initiative to develop tools for mapping the human brain, which could help scientists and researchers unlock the answers to conditions that affect mental health. We’re also doing more to support our troops and our veterans who are suffering from things like traumatic brain injury or PTSD, Post Traumatic Stress Disorder.
Today. we lose 22 veterans a day to suicide. 22. We’ve got to do a better job than that of preventing these all too often silent tragedies. That’s why we’ve poured an enormous amount of resources into high quality care and better treatment for our troops. Today, under Eric Shinseki’s leadership the VA is going even further. They’re partnering with 24 communities in 9 states to help reduce wait times for veterans seeking mental health care.
They’ve met their goal of hiring 1,600 new mental health providers. Which means this summer, they’re going to hold more than 150 summits like this one in communities all across the country so that every one of our service members and veterans understand. Just like you take care of yourselves and each other on the battlefield, you have to do the same thing off the battlefield. That’s part of being strong. For many people who suffer from mental illness recovery can be challenging but what helps more than anything, what gives so many of our friends and loved ones strength, is the knowledge that you’re not alone.
You’re not alone. You’re surrounded by people who care about you and who will support you on the journey to get well. We’re here for you and that’s what this conference is about. That’s why these issues are so important. If there’s anybody out there who’s listening, if you’re struggling, seek help.
Man 1: Â Thank you, Mr. President.
President Obama: Â You’re welcome. [applause]
If you know somebody who is struggling, help them reach out. Remember the family members who shoulder their own burdens and needs our support as well. More than anything, let people who are suffering in silence know that recovery is possible. They are not alone. There is hope. There is possibility. That is what all of you represent with the extraordinary advocacy and work that you’ve already done.
Thank you all for being here. Let’s do everything we can to help our fellow Americans heal and thrive. Now I would like to turn it over to Secretary Sebelius, who will be leading our opening panel. Thank you very much everybody.
[applause]
Additional Information
White House blog entry on the conference
Vice President Biden, Veterans Affairs Secretary Eric Shinseki, and actor Bradley Cooper wrap up the end of the conference (Video, 38 mins)
3 comments
Is America going to invest in the psychosocial tools to build the foundation that can maximally impact on the needs of the mentally ill beyond just the monies for more drugs?
End Homelessness? Find realistic employment options for those genuinely willing to work. Maximize access to healthy diets for those who want to eat right? Good start, right?
Communities rise and maintain their roles in promoting education, minimizing destructive and selfish behaviors, zero tolerance for substance abuse including tobacco, and supporting those in the community with limited resources so families can feel empowered and become more self sufficient once back on their feet?
Minimize dependency in a global attitude, refute entitlement, reject self serving agendas that only benefits small groups while denying the needs of the many?
These are just some of the questions and true goals that can empower and impact positively on mental health issues. Do we have true, honest leadership that can step up to a podium and ask even more brutally than Kennedy did 50 some years ago:
“Ask not what your country owes you and should do for you, but, finally ask yourself what are the healthy and appropriate choices you and those close to you need to make and strive to pursue that not only benefit you, but your neighbors, your community, your city, state, and country. Are you ready to have some pain to sacrifice to know it will have a strong and lasting impact for years to come if you can endure the hardship, short term loss, and hard work to experience growth and satisfaction to keep you motivated.
Can you accept there are no real long lasting quick fixes that government has sold more and more these past 30 plus years? And if I do not represent you in these challenges and efforts, I respect you in not reelecting me for further terms in office.”
If ANY politician came up and said this publicly and meant it and showed by further deeds they practiced it, I would honestly be stunned and fall to my knees in shock. Because it won’t happen as the status quo is now. We don’t elect people to tell us the truth, to hold us accountable, to ask us to be honest and respectful to others as much as to ourselves. It is a dog and pony show, and, in my opinion, we are electing and reelecting more characterologically impaired people who become entrenched and just harm us in the end.
Deeds not words define us. Conferences or blue ribbon commissions are nice today, but, what do they accomplish in true, effective change weeks or months later?
Money and power are the addictions and driving forces to this country at the end of the day. And your “representation” is exhibit A of this process.
Hey, brutal commentary, but, if I am wrong, all of you who dissent will not only prove me wrong, but, make this country better for not only the mentally ill, but for all interested in healthy change across this society.
Not holding my breath waiting for it to start!
I have to battling for years against the prejudice surrounding varying states of “mental health”. I refuse to call differing stages of mental/emotion functioning as “mental illness”. The term is degrading, and results in negative self fulfilling prophecies. I think it’s healthy to assume that everyone’s mental health is a function of emotive life events and sufficient coping skills. Those who face challenging life events without coping skills will likely flounder, whereas another individual with coping skills could scale the awful events and emerge relatively whole. Therefore, mentall illness s a moot point, a form of lablling to categorise those unable to cope with adversity, yet the term has little to do with actual “mental illness” which is likely to be more neuro-organic in nature, rather than a deficit in coping skills.
Hello,
I agree wholeheartedly with Dr. Hassman. I have suffered from mental illness for most of my life, only to be diagnosed in the last ten years. I live at the bottom of the pile. Living on your medicare/medicaid(medi-cal in California which they are talking of cutting due to financial constraints.) Social Security pays barely under $900 a month and somehow, someway we are supposed to survive on this. I am unable to get food stamps because I make too much…I had to apply for SSI (extra help for those of you who don’t know) SSI gave me $6.00 a month, and took away my food stamps of a whole $24.00 dollars a month. I am scared to death everyday to hear what the latest cut being made is. I require in home support services….they cut the hours there. The food banks, if you have been to one, you know what you get…all the food from the groceries that are expired or ‘just’ about to go out of date. So you have a day to two days to try to eat the food that they do give you. You usually end up having to throw more than half of it away because the bread molds, the salad becomes rotted and so on…
I am used to the way people treat you that don’t understand mental illness, they think you are ‘gaming’ the government to get money for free. I’m too lazy to get a job and work. I don’t understand how people can think that you would want to live under these circumstances. My insurance won’t approve the sessions I need with my therapist. The psychiatrists that I have on my HMO plan are from the bottom of the barrel and do not take the time to know your case in the least, you become a number and they have you in and out of their office w/in 15 minutes flat. It is very rare to find a good psychiatrist or psychologist. The ‘Senior Advantage Plans’ are supposed to give you more benefits like vision and dental that medicare does not provide. The doctor list is pretty minimal. I need to have plastic surgery and there are four doctors on my list I have to choose from. I asked to see a doctor that is covered by the sister plan to my insurance (a simple PA would allow it) and I was told they would deny it. I would have to switch plans entirely in order to go to a reputable Dr that I trusted in the field. Then I loose the Dr’s that has taken me so long to find with the limited resources that they have given me. I have dental work that I have to have done…my teeth are going to begin to rot if I do not have basic crown work and preventative dental work that is not covered, and what is covered is so minimal and with my check of $890 a month, there is no way I can afford to pay $3 to $4 thousand dollars to get them done. Everyone I know that is on disability is in the same shoes I am. We are all scared to death, wondering what is going to be cut next. How much are they going to cut our earnings as they have already cut that down too. President Obama gave a wonderful speech about how people should be earning at least $10 something an hour, we on social security the elderly, the VA’s and the disabled are making around $2 something an hour!!! Smiles….and they say…it’s just gonna get worse. My day in the life…..