Mental ill health represents up to 23% of the total burden of ill health in the UK – the largest single cause of disability. At least one in four people will experience a mental health problem at some point in their lives and around half of people with lifetime mental health problems experience their first symptoms by the age of 14. Promoting good mental health and intervening early, particularly in the crucial childhood and teenage years, can help to prevent mental illness from developing and mitigate its effects when it does.
The costs of mental health problems to the economy in England have recently been estimated at £105 billion per year, and treatment costs are expected to double in the next 20 years. Prevention of mental disorder spending and promotion of mental health represents less than 0.1% of the annual NHS mental health budget.
For people aged between 16 and 74 living in Warwickshire, the rate of common mental health conditions is 121 per 1,000 population. This means that an estimated 46,000 people aged between 16 and 74 in Warwickshire have a common mental health problem.
The Disability Rights Commission has reported on serious inequalities experienced in terms of reduced life expectancy for those with a severe mental illness. People with severe mental illness, such as schizophrenia, die between 15 and 25 years earlier than the average for the general population. The excess under 75 mortality rate for adults with a serious mental health illness in Warwickshire in 2012/13 was 366 compared with 347 nationally.
The overall suicide rate across Warwickshire (9.3 per 100,000 population) was slightly higher than both the equivalent national and regional rates (8.8 and 8.3 respectively) during 2011-2013. Males in Warwickshire have a considerably higher rate of suicide than females; 15.7 per 100,000 compared with 3.3 per 100,000.
In 2012/13, the rate of hospital admissions as a result of self-harm in young people in Warwickshire was 421 per 100,000 population aged 10-24 years. This is significantly higher than the England average at 346 per 100,000 population and the West Midlands average at 366 per 100,000 population.
Improved mental health and wellbeing is associated with a range of better outcomes for people of all ages and backgrounds. These include improved physical health and life expectancy, better educational achievement, increased skills, reduced health risk behaviours such as smoking and alcohol misuse, reduced risk of mental health problems and suicide, improved employment rates and productivity, reduced anti-social behaviour and criminality and higher levels of social interaction and participation.
Warwickshire Child and Adolescent Mental Health Services (CAMHS) offer a comprehensive range of services that provide help and treatment to children and young people experiencing emotional or behavioural difficulties, or mental health problems, disorders and illnesses. In 2014/15, CAMHS received 4,029 referrals, of which 54% were from Primary Health Care and 1,439 assessments were carried out.
The service had 1,454 children on their caseload at the end of 2014/15, up from 1,190 children at the end of 2012/13. The number of referrals to CAMHS has almost doubled over the same time period, from 2,434 in 2012/13, an increase of two thirds (66%) in two financial years.
Out of nearly 2,000 young people who commenced contact with CAMHS in 2014/15, 44% were from Warwickshire North (Nuneaton & Bedworth & North Warwickshire), 39% were from South Warwickshire (Warwick & Stratford-on-Avon Districts) and 11% were from Rugby Borough. Over one in five (23%) were aged 0-9 years, a third (33%) were aged 9-14 years, 29% were aged 14-16 years and the remaining 15% were aged 16-18 years.
Improving Access to Psychological Therapy (IAPT) is an NHS service designed to offer psychological therapies to people suffering from anxiety, depression and stress. In 2014/15, Coventry & Rugby CCG received 7,860 referrals to IAPT of which 37% were males & 63% females. Nine in ten (91%) patients were between 18 and 64 years and over two thirds (68%) of patients had a reason for referral recorded, of which half suffered from mixed anxiety and depressive disorder.
Over 2,100 patients completed their treatment, representing 30% of total referrals. South Warwickshire CCG received 3,785 referrals to IAPT in 2014/15 of which 35% were males & 65% were females. Again the majority of patients (88%) were between 18-64 years, with 8% aged 65+ and 4% aged between 16 & 17 years. Four out of five (80%) patients had a reason for referral recorded, of which 41% suffered from mixed anxiety and depressive disorder. The proportion of those completing treatment is higher for South Warwickshire CCG at 36% of total referrals.
Warwickshire North CCG received 3,045 referrals in 2014/15 of which 36% were males & 64% females. Nine in ten patients were between 18-64 years and 78% of patients had a reason for referral recorded, of which 46% suffered from mixed anxiety and depressive disorder. Nearly 900 patients completed treatment, a third (33%) of those referred to the service.