You generally don’t hear much about people who have cancer who fail to get treatment. Cancer is the kind of incentive that makes getting treatment, let’s just say… a priority. You also don’t generally hear about people with other chronic concerns — whether it’s diabetes or Parkinson’s disease — who either don’t seek out treatment themselves, or get denied treatment from their public health system.
Yet, around the world every day, hundreds of people die unnecessarily from untreated mental illness. In the United States alone, we lose at least 90 people each and every day due to untreated depression via suicide. That’s about 33,000 people a year, give or take — or about 1 in every 16 minutes.
That means while you’re browsing around the Internet in this session, watching your funny YouTube videos or updating your Facebook status, a few people will have died that didn’t need to. Kinda makes you think, no?
What is it about mental illness that makes people believe their concern doesn’t need treatment? What is it about untreated depression that makes people believe they’re not at risk for death because of it??
The World Health Organization (WHO) helps bring into focus these numbers:
WHO reports the majority of people in the world do not receive treatment for mental illness. Figures show up to 50 percent of people suffering from mental disorders in Europe and North America do not receive treatment, and up to 85 percent of people in developing countries do not receive treatment.
Could you imagine what kind of outcry we’d be having if this were something like cancer in the U.S. or Europe? Or diabetes?? Instead, what we have is a Zone of Silence surrounding the under-treatment of mental illness in the U.S., where few people are willing to admit there’s a problem. And fewer still willing to do something about it.
It gets even more depressing, according to WHO:
The World Health Organization’s “Mental Health Atlas 2011” surveys 184 countries. It finds one in four people will require mental health care at some point in their lives. Yet, globally, less than $3 per capita per year is spent on mental health. And, in poor countries, that figure is as low as 25 cents.
And it’s even more depressing in third-world countries, where, according to WHO, an entire country of millions of people might have a single psychiatrist working. How’s that for progress?
On World Mental Health Day, I’m not sure there’s much of an answer. In a challenging world economy, few governments have any additional money to spend on helping to improve the mental health care of their citizens.
Yet, we know the cost of untreated mental illness is staggering and a little mind-blowing. For instance, in the U.S., the cost of untreated mental illness is at least $193 billion per year and in Canada it’s at least $51 billion annually. If you added up all the world’s economies, it wouldn’t surprise me if annual costs of untreated mental illness approaches $1 trillion per year.
The World Health Organization is calling on governments around the world to more adequately fund treatment for mental illness, and we endorse that call. It not only makes good sense to help increase the welfare and well-being of your citizenry, it also helps increase your economy and reduces your overall health care costs in the long-run.
Psych Central endorses an increase in services and funding for such mental health services around the world. It’s a simple equation that only a selfish idiot would ignore.
Read the full article: WHO: Treatment for Mental Health Inadequate and Under-funded
12 comments
Hi John –
Yes untreated mental illness has such a high cost. It’s so strange how there is that “zone of silence” around mental illness. I worked in a Cancer Center as the MindBody Specialist, offering such programs as yoga & guided imagery & counseling. We had a Survivors Day every year, we participated in walks,we had a huge local fashion show. This just doesn’t happen with mental illness. I’m part of Postpartum Support International, and I’d love to do a walk for Perinatal Mood Disorders, but they think it is passe/ I think its a good way to raise awareness. Maybe I’ll try again with this! This was a great idea you had.
Part of the problem is that it’s unclear how much of what a person is feeling is psychopathology and how much is who they are. It’s easy to feel those lines blurring internally. Also, there is a huge shortage, at least in my area, of psychiatrists, and it’s hard to find a counselor that is effective, accepting new patients, and accepting of each individual’s particular insurance plan. I lost my insurance when I resigned from my job while I was in an inpatient psych facility. Now I’m so much worse off. It takes approximately three-four months to get a psychiatrist at my area community mental health facility, so I’ve been without my meds since a few weeks after my hospitalization. I even tried to visit an independent psychiatrist in the meantime, and found out, after spending $150, that she cherry picks her patients at this point, and that I’m too much of a liability. There HAS to be more support for community mental health agencies.
“What is it about mental illness that makes people believe their concern doesn’t need treatment?”
Maybe they avoid treatment because they don’t think they can rely on getting anything good. You think?
And just to add another stone onto the back of many who are already struggling:
https://www.nytimes.com/2011/10/11/us/states-adding-drug-test-as-hurdle-for-welfare.html?emc=tnt&tntemail1=y
I find it interesting that at a time when states are rushing to get the cash flow from a non-scientifically approved drug such as marijuana, they are also quick to go after the weakest and poorest individuals who might be suffering from pain, and depression. I wonder how many are self treating because they too have lost their insurance or cannot get in to see someone even if they are approved for any type of assistance program.
There is a lot for people – of all ages – to deal with in their lives today. If someone is having difficulty dealing with their problems – it is labeled “mental illness”.
The normal treatment of “mental illness” is psychotropic drugs. Mind altering drugs. Also possibly physically damaging drugs. Drugs that can cause the same effect that the person is experiencing already. These things are not mentioned when “treating” mental illness. How often are the alternatives given as a choice to the person before or when prescribed the drugs. All a person has to do is listen to the commercials that are on TV when they state possible side effects!
People that are having difficulties in their lives need help. I ask that they are given ALL the options available so they can make an ‘INFORMED DECISION/CONSENT”.
I just launched a non-profit last week aiming to deal with these exact issues. It’s time to take action.
Thanks so much for this excellent article, which really spells out the tremendous magnitude of the problem.
Experts have been pointing this out for eons, and yet the problem seems to be “swept under the rug” by the powers that be.
I’d like to be optimistic that things might improve. Unfortunately, I’m not. But the issue needs to be continually brought to the forefront.
At least this article points out the high cost of not providing treatment. It is truly shocking and disturbing.
Here in the USA, our government always seems to find money for more expensive weaponry, but mental healthcare seems to be last on the list. Go figure…if nothing changes, nothing changes.
John, you made a statement that you can not possibly back up due to Doctor patient confidentiality laws and HIPPA. You said that, we lose at least 90 people each and every day due to untreated depression via suicide. The truth is you don’t know how many of those suicides are the result of some GP deciding they would disregard the FDA warnings and protocols and play “psychiatrist†themselves. This is another thing you WON’T see. You won’t see cancer patients going to the GP and getting oncology surgery and chemotherapy. However, these overzealous quacks think they can treat the human mind with is a much more complex organ.
When you get treatment for cancer the drugs have been tested out thoroughly. At best they will eradicate the disease. At worst they will do nothing. They won’t make the cancer grow faster. Treatment for mental health often lead to suicide. Or “Worsening of the symptomsâ€. Cancer drugs will not cause you to commit homicide or drown your kids in a bathtub. While my attorney once got a divorce case dismissed because the cancer patient was out of his mind on the pain killers, this is a rarity. Most cancer treatments will not cause “manic†episodes that destroy families.
So why is mental health so neglected? Partly because the mental health industry has yet to show they are worthy of being trusted not to make things worse instead of better. Got to remember, this is a discipline that was once awarded the Nobel Prize for benefit of lobotomies.
Oh, and one more thing. As in the case with my mother. You are not going to go to a doctor who tells you that you “just have cancer” and give you Chemo treatments only to have it turn out to be depression. Yet, you might go to a dotor a few times in a month telling him that “things are not right” and he may just tell you, “Oh, it only anxiety” and give you AD’s only to find out it was cancer.
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