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A call to action: The need to increase access to treatment

A call to action: The need to increase access to treatment

This feature by Tony DuBose, PsyD and Yevgeny Botanov, PhD is a reflection on the mental health profession. DuBose and Botanov take stock of the state of the field, both in terms of achievements as well as taking a look at how to raise the bar for the future.

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Dialectical Behavior Therapy and Mental Healthcare Costs

Dialectical Behavior Therapy and Mental Healthcare Costs

The need for implementation of effective treatments for individuals at high-risk for suicide — and those diagnosed with borderline personality disorder (BPD) — is greater than ever. The most recent and highest quality epidemiological evidence indicates that the lifetime prevalence of BPD is between three and six percent in the U.S. population (Grant et al., 2008; Trull et al., 2010). Worldwide, nearly 1 million people die annually as a result of suicide (World Health Organization, 2016). Recently released data from the Centers for Disease Control and Prevention (CDC) indicates that rate of death by suicide has reached its highest level since 1991 (13.0 deaths per 100,000), making it the 10th leading cause of death for all ages (CDC, 2016). The rate of death by suicide has increased nearly uninterrupted since 1999, a 24 percent increase. And of great concern, over 40 percent of individuals who attempt suicide do not receive mental health care; half of those who do receive treatment report perceived unmet treatment need (Han, et al 2014). Subsequently, suicide results in an estimated $51 billion in combined medical and work loss costs in the U.S. (CDC, 2013).

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