Health Highlight Report for Los Alamos County
Mental Health - Adult Self-reported Mental Distress: Percentage with Mental Distress (6+ days), 2017
Los Alamos County18.2% 95% Confidence Interval(8.3% - 35.6%)Description of the Confidence IntervalThe confidence interval indicates the range of probable true values for the level of risk in the community.
A value of "DNA" (Data Not Available) will appear if the confidence interval was not published with the IBIS indicator data for this measure.
Statistical StabilityUnstableDescription of Statistical Stability
- Stable = This count or rate is relatively stable and should provide a good estimate of your community risk.
- Unstable = This count or rate is statistically unstable (RSE >0.30), and may fluctuate widely due to random variation (chance).
- Very Unstable = This count or rate is extremely unstable (RSE >0.50). This value should not be used to represent your population risk. You should combine years or otherwise increase the population denominator in this calculation.
- DNA = Data Not Available. The required community value and/or confidence interval was not available for this measure.
New Mexico20.2% U.S. DNADNA=Data not available.
Los Alamos County Compared to State
Description of Dashboard Gauge
Description of the Dashboard GaugeThis "dashboard" type graphic is based on the community data on the right. It compares the community value on this indicator to the state overall value.
The community value is considered statistically significantly different from the state value if the state value is outside the range of the community's 95% confidence interval. If the community's data or 95% confidence interval information is not available, a blank gauge image will be displayed with the message, "missing information."NOTE: The labels used on the gauge graphic are meant to describe the community's status in plain language. The placement of the gauge needle is based solely on the statistical difference between the community and state values. When selecting priority health issues to work on, a community should take into account additional factors such as how much improvement could be made, the U.S. value, the statistical stability of the community number, the severity of the health condition, and whether the difference is clinically significant.
- Excellent = The community's value on this indicator is BETTER than the state value, and the difference IS statistically significant.
- Watch = The community's value is BETTER than state value, but the difference IS NOT statistically significant.
- Improvement Needed = The community's value on this indicator is WORSE than the state value, but the difference IS NOT statistically significant.
- Reason for Concern = The community's value on this indicator is WORSE than the state value, and the difference IS statistically significant.
Why Is This Important?Adult mental health issues range in a spectrum from day-to-day challenges with stress, anxiety, and "the blues", to persistent mental health challenges arising from chronic physical conditions such as diabetes, asthma, and obesity. to chronic clinically-diagnosable psychiatric morbidities such as anxiety disorders, schizophrenia, bipolar disorder, and depression, to serious life-threatening situations such as suicidal ideation and suicide attempt, which sometimes result from a combination of the mental and physical health challenges mentioned above. A host of measures exist for assessing the mental health status of individuals, but characterizing the mental health status of the population is a relatively new field. If such an assessment can be done using a simple and non-invasive approach with a reasonable level of sensitivity and specificity, the resulting characterization of the population's mental health can help public health and mental health professionals better understand the distribution of mental health issues in the population and design better systems to help identify, address and mitigate these issues before they become more serious. Among measures that have been suggested by the CDC as potential tools for assessing population well-being and mental health is the frequency with which people experience poor mental health. This measure is based on the single question, "How many days during the past 30 days was your mental health not good?" Respondents who report that they experienced 14 or more days when their mental health was "not good" were classified as experiencing "Frequent Mental Distress" ("FMD"). Although FMD is not a clinical diagnosis, evidence suggests that it is associated with a person's mental health status. A 2011 study by Bossarte et al. concluded that 6 or more days of poor mental health ("Mental Distress") could be used as a valid and reliable indicator of generalized mental distress with strong associations to both diagnosable depressive symptomology and serious mental illness.
How Are We Doing?The prevalence of Mental Distress in NM has consistently been similar to the overall US prevalence since 2004. Before 2011 (when the survey stratification methodology changed), the prevalence of Mental Distress among adults increased slightly from 16.8% in 2004 to 18.5% in 2010. Since 2011, the prevalence of Mental Distress in NM has remained relatively stable. In 2016, 18.6% of adults in NM reported 6 or more days of poor mental health in the past 30 days.
What Is Being Done?The Department of Health Epidemiology and Response Division conducts ongoing surveillance for indicators of mental health among students and adults in every county of New Mexico. The Human Services Department recently modernized the New Mexico Medicaid system by integrating physical and behavioral health services which will help treat an individual in a more holistic manner.
Evidence-based PracticesFor reviews of evidence-based practices, please see: -US Preventive Services Task Force: [http://www.uspreventiveservicestaskforce.org/] -Centers for Disease Control and Prevention's Community Guide: [http://www.thecommunityguide.org/index.html] -Substance Abuse and Mental Health Services Administration's National Registry of Evidence-Based Programs and Practices: [https://www.samhsa.gov/nrepp]
Relevant Population Characteristics:
NoteThese data are from the NM Behavioral Risk Factor Surveillance System (BRFSS), a random-digit-dialed telephone survey of adults 18 years and older. It is conducted annually by the NM Department of Health Survey Unit in collaboration with the Centers for Disease Control and Prevention (CDC). Responses are weighted to reflect the general New Mexico adult population by age, sex, ethnicity, geographic region, marital status, education level, home ownership and type of phone ownership. (#) Values are unstable (**) Data suppressed due to small numbers The county-level BRFSS data used for this indicator report were weighted to be representative of the New Mexico Health Region populations. Had the data been weighted to be representative of each county population, the results may have been different.
Data SourcesBehavioral Risk Factor Surveillance System Survey Data, U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, together with New Mexico Department of Health, Injury and Behavioral Epidemiology Bureau. U.S. Centers for Disease Control and Prevention (CDC), BRFSS Prevalence and Trends Data, [https://www.cdc.gov/brfss/brfssprevalence].
Measure Description for Mental Health - Adult Self-reported Mental Distress
Definition: Percentage of NM residents 18 years or older experiencing "Mental Distress", defined as answering 6 days or more to the question, "Now thinking about your mental health, which includes stress, depression, and problems with emotions, for how many days during the past 30 days was your mental health NOT good?"
Numerator: The number of survey respondents who reported "Mental Distress", defined as poor mental health for 6 or more of the past 30 days.
Denominator: Total number of survey respondents except those with missing, "Don't know/Not sure," and "Refused" responses.