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Physical and Mental Health: Closing the Gaps 11111111111111111111 TCC00010013 Proceedings of The Seventh Annual Rosalynn Carter Symposium on Mental Health Policy "PHYSICAL AND MENTAL HEALTH: CLOSING THE GAPS" Rosalynn Carter, Chairperson November 21, 1991 THE CARTER CENTER OF EMORY UNIVERSITY The Seventh Annual Rosalynn Carter Symposium on Mental Health Policy "PHYSICAL AND MENTAL HEALTH: CLOSING THE GAPS'' Rosalynn Carter, Chairperson November 21, 1991 The Carter Center Atlanta, Georgia The Seventh Annual Rosalynn Carter Symposium on Mental Health Policy was made possible by funding from the John D. and Catherine T. MacArthur Foundation, Chicago, Illinois, Gannett Corporation, Arlington, Virginia, and the van Ameringen Foundation, New York, New York. The Set~enth Annual Rosalynn CaTteT Symposium on Mental Health Policy PHYSICAL AND MENTAL HEALTH: CLOSING THE GAPS Rosalynn Carter, Chairperson November 21, 1991 PROGRAM 8:00 - 8:45 a.m. Registration Coffee and Bagels 8:45 - 9:00 a.m. Welcome and Introductions: Thomas E. Bryant, M.D., J.D. Chairman, Non-Profit Management Associates, Inc. Rosalynn Carter Chairperson John Hardman, M.D. Director, The Carter Center Mental Health Program 9:00a.m. Program Chaired by: Julius Richmond, M.D. Director, Hart~ard University Division of Health Policy; Visiting Fellow, Mental Health Program, The Carter Center of Emory Unit·ersity 9:00 - 9:40 a.m. CLOSING THE GAP BETWEEN KNOWLEDGE AND PRACTICE: THE TREATMENT OF DEPRESSIO:t-.; IN PRIMARY CARE Leon Eisenberg, M.D. Professor of Social Medicine, and Professor of Psychiatry, Hart~ard University Medical School 9:40 - 10:20 a.m. EDUCATING PRIMARY HEALTII PROFESSIONALS FOR MENTAL HEALTII CARE Robert Michels, M.D. Dean, Cornell University Medical College 10:20 a.m. Coffee Break 10:40 - 11:30 a.m. Panel of Discussants Moderator: Roy Menninger, M.D. President, The Menninger Foundation Panel: Beverly Long, M.S., M.S.P.H. Honorary Secretary, World Federation for Mental Health Jose;>h A. Rogers President, Project SHARE Raymond D. Fowler, Ph.D. Chief Executive Officer, The American Psychological Association --- -------------------- 11:30 ~ 12:15 p.m. Overview And Update On The Carter Center Task Force On Mental Health William Foege, M.D. Executive Director, 7k Carter Cmter Introductions: Rosalynn Carter Chairperson Panel ~ Task Force Members: Moderator: Julius Richmond, M.D. Director, Division of Health Policy, Haroard University; Visiting FeUow, The Carter Center of Errwry University Mental Health Program The Carter Center Task Force on Mental Health: Rosalynn Carter Chairperson Johnnetta B. Cole, Ph.D. President, Spelman College Jane L Delgado, Ph.D. President and Chief Executive Office, The National Coalition of Hispanic Health and Human Services Organh:ations Leon Eisenberg, M.D. Professor of Social Medidne and Psychiatry, Harvard University Medical School Robert D. Ray President and Chief Executive Office, Blue Cross And Blue Shield of Iowa; Former Gooernor of Iowa 1969-83 Leslie ]. Scallet, J.D. Executive Director, Mental Health Policy Resource Center William S. Woodside Chairman, Sky Chefs, Inc. Joanne Woodward Actress, Director Ex Officio Members: Thomas E. Bryant, M.D., J.D. Chairman, Non-Profit Management Assodates, Inc. Kathryn Cade Vice President, Public Finance, Bank of Boston Jeffrey L Houpt, M.D. Dean, School of Medidne, ETnOT) University Antonia 1\'ovello, M.D. Surgeon General of the United Scares 12:15 ~ 12:45 p.m. Concluding Remarks: Jeffrey Houpt, M.D. Dean, Errwry University School of Medidne Rosalynn Carter Chairperson The Seventh Annual Rosalynn CaTteT Symposium "PHYSICAL AND MENTAL HEALTH: CLOSING THE GAPS" Rosalynn Carter, Chairperson November 21, 1991 AITERNOON PROGRAM The afternoon session is open to symposium speakers, representatives from national organizations, the Mental Health Task Force and special guests. 12:45 - 1:45 p.m. Luncheon in Rotunda B 2:00 - 4:00 p.m. Participants will be assigned to one of four groups. The discussions will include a focus on quality of life, prevention and general well being. Facilitator: J. Michael McGinnis, M.D. Deputy Assistant Secretary for Health Director, Office of Disease Pre.:mtion and Health Promotion, U.S. Department of Health and Human Services l. "THE RELATIONSHIP BETWEEN PHYSICAL AND MENTAL HEALTH: CLOSING THE GAPS" Group Leader: David Pruitt, M.D. Director, Division of Child Psychiatry, University of Tennessee College of Medicine 2. "M.ENTAL HEALTH OBJECTIVES FOR THE YEAR 2000" Group Leader: Paul J. Fink, M.D. Chairman, Department of Psychiatry, Alben Einstein Medical Center 3. "THE CHRONICALLY MENTALLY ILL: PROGRAMMATIC NEEDS FOR OPTIMAL FUNCTIONING AND WELL-BEING" Group Leader: Charles B. Nemeroff, M.D. Professor and Chairman, Department of Psychiatry, Emory UnitJersity School of Medicine 4. "MENTAL HEALTH AND THE MEDIA: OVERCOMING STIGMA AND PROMOTING THE CONCEPTS OF WELLNESS, PREVENTION, AND IMPROVED QUALITY OF LIFE" Group Leader: Carole Szpak Director of Communications, National Association of Private Psychiatric Hospitals 4:00 - 4:30 p.m. Closing Remarks: Julius Richmond, M.D. Director, Division of Health Policy, Harvard Unit~ersity; Visiting Fellow, The Carter Center of Emory Unit~ersiry Mental Health Program Rosalynn Carter Chairperson 4:30 - 5:00 p.m. Reception in Rotunda B The Following Individuals are the Official Representatives of their Organizations to the Seventh Annual Rosalynn Carter Symposium on Mental Health Policy: Aca.dmt-y of Ps-ychosomaric Medici~ Troy L Thompson U, M.D., President American Aca.dmt-y of Child and Adolescent Ps-ychiatry David B. Pruitt, M.D., Chairman Work Group on Consumer Issues American A.s.sociarion of Retired Persons Gwendolyn Bedford, Vice Chairman, Board of Directors American Association for Marriage and Family Therap-y Ray Bardill, Ph.D., President American College of Neurops:ychopharmacolog-y Oakley Ray, Ph.D., Secretary American Hospital Association Rebecca Chickey, Senior Staff Specialist American Medical Association Robert C. Rinaldi, Ph.D., Director, Division of Health Sciences American Nurses Association, Inc. Hattie Bessent, Ed.D., R.N., Deputy Executive Director American Psychiatric Associalion Paul J. Fink, M.D., Director American Ps-ychoanalytic Association Lawrence lnderbiczen, M.D., Director American Psychological Association Raymond D. Fowler, Ph.D., Chief Executive Officer Anxiety Disorders of America Jerilyn Ross, M.A., LI.C.S.W., President Black Psychiatrists of America Isaac Slaughter, M.D., President Compeer, Inc. Bernice W. Skirboll, M.S., President, Executive Director Mental Health Law Project Leonard S. Rubenstein, J.D., Director National Alliance for Research on Schizophrenia and Depression Connie Lieber, President National Alliance for the Mentally Ill Catherine A. Vath, President, Board of Directors National Association of Social Workers Josephine A.V. Allen, Ph.D., A.C.S.W., First Vice President National Association of Private Psychiatric Hospitals Frederick D. Raine, President National Council of Community Mental Health Centers Steven J. Solomon, Ph.D., Immediate Past President National Depressive and Manic Depressive Association Betty Hamilton, Member of the Board of Directors National Federation Societies for Clinical Social Work Marty Wakeland, President, Georgia Chapter National Foundation for Depressive Illness Peter Ross, Executive Director National Mental Health Association Elisabeth Rukeyser, Chief Executive Officer National Mental Health Consumers' Association Paul Dorfner, President Project SHARE Joseph A. Rogers, President World Federation for Mental Health Richard Mollica, M.D., Chairman, International Committee on Refugees and Migrants TABLE OF CONTENTS WELCOME AND INTRODUCTIONS Thomas E. Bryant, M.D., J.D .. .1 Rosalynn carter, Chairperson. .2 John B. Hardman, M.D •• .4 Julius Richmond, M.D., Program Chair. .6 KEYNOTE ADDRESSES: "Closinq the Gap Between Knowledge and Practice: the Treatment of Depression in Primary Care" Leon Eisenberg, M.D ....•.........•....................•....•.... 8 "Educating Primary Health Professionals for Mental Health Care" Robert Michels, M.D . ............................................ 18 PANEL OF DISCUSSANTS: Roy Menninger, M.D., Moderator. .. .23 Raymond Fowler, Ph.D .•.•.•.. .24 Beverly Long, M.S., M.S.P.H. .27 Joseph Rogers .•••.•.••..... .28 INTRODUCTION OF MENTAL HEALTH TASK FORCE: William Foege, M.D ...•......• .35 Rosalynn Carter, Chairperson. .37 MORNING SESSION CLOSING REMARKS: Jeffrey Houpt, M.D . ............................................. 43 AFTERNOON SESSION SUMMARIES: J. Michael McGinnis, M.D., Facilitator. ..... 46 1. "The Relationship Between Physical and Mental Health: Closinq the Gaps" Group Leader: David Pruitt, M.D ................ ............................ 52 2. "Mental Health Objectives for the Year 2000" Group Leader: P au 1 J . Fink , M . D . • • • • . • . • . • • • . • . • . • • • • • 53 3. "The Chronically Mentally Ill: Programmatic Needs for Optimal Functioning and Well-Being" Group Leader: Charles B. Nemeroff, M.D ...•..••.•••••.••.••..••••••••••.•.•.•.. 56 4. "Mental Health and the Media: overcoming stiqma and Promoting the Concepts of Wellness, Prevention, and Improved Quality of Life" Group Leader: Carole Szpak . .................................................. 57 CLOSING REMARKS Julius B. Richmond, M.D . ........................................ 59 Rosa lynn Carter, Chairperson •.•.••....•..................•.•.... 60 APPENDIX A Bibliography- Dr. Eisenberg's Address •.•....•....... 61 APPENDIX B F i9ure 1 •.•.......................................... 6 6 F 1qure2 ............................................
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