4 th Annual Healthy Churches 2020 National Conference

4 th Annual Healthy Churches 2020 National Conference “Promoting and Protecting Brain Health Across Race & Age” Hilton Head, SC November 15, 2017 David Satcher, MD, Ph. D Founding Director & Senior Advisor Satcher Health Leadership Institute and Morehouse School of Medicine 16 th U. S. Surgeon General

CONFLICT OF INTEREST DISCLOSURES FOR DAVID SATCHER, M. D, PHD Grant/Research Support NIH-TCC, 2010 -2016 Consultant Nothing to disclose Speakers Bureau American Program Bureau; Satcher Group Stock Shareholder Johnson & Johnson/ Met. Life Insurance Company Other (identify) Nothing to disclose

Satcher Health Leadership Institute Mission The mission of the Satcher Health Leadership Institute (SHLI) is to develop a diverse group of exceptional health leaders, advance and support comprehensive health system strategies, and actively promote policies and practices that will reduce and ultimately eliminate disparities in health.

MOREHOUSE SCHOOL OF MEDICINE VISION STATEMENT “Leading the creation and advancement of health equity”

SATCHER HEALTH LEADERSHIP INSTITUTE LEADERSHIP DEVELOPMENT • • Health Policy Fellows Community Health Leadership Health professions student rotations Quality Parenting

HEALTHY PEOPLE 2010 OVERARCHING GOALS • Increase Years and Quality of Healthy Life • Eliminate Racial and Ethnic Health Disparities

HEALTHY PEOPLE 2020: OVERARCHING GOALS • Attain high quality, longer lives free of preventable disease, disability, injury, and premature death • Achieve health equity, eliminate disparities, and improve the health of all groups • Create social and physical environments that promote good health for all • Promote quality of life, healthy development, and healthy behaviors across all life stages

Equality vs. Equity

What if we had Eliminated Disparities in the Last Century? 83, 500 fewer Black deaths in 2000 • 24, 000 from heart disease • 7, 000 from HIV / AIDS • 4, 700 infant deaths • 22, 000 from diabetes • 2, 000 fewer Black women from breast cancer More health insurance coverage • 2. 5 million Blacks, including 620, 000 children Satcher et al. , 2005

WHAT IF WE WERE EQUAL? Source: D. Satcher et al, Health Affairs, March/April 2005

WHAT ARE THE SOCIAL DETERMINANTS OF HEALTH? • The conditions in which people are born, grow, live, work and age. • They are shaped by the distribution of money, power and resources at global, national and local levels. • Changes in the Social determinants of Health often require policy changes. Source: WHO

VIEWING THE HUMAN BRAIN Source: Google Play

THE LEARNING CONNECTION

PHYSICAL ACTIVITY &MENTAL HEALTH IMPACT Studies show that physical activity reduces depression & elevates mood. Studies show that physical activity improves mental acuity. Studies show that physical activity improves sleeping. Studies show that physical activity reduces stress and anxiety.

Mental Health The successful performance of mental function, resulting in productive activities, fulfilling relationships with others, and the ability to adapt to change and to successfully cope with adversity.

KEY MESSAGES § Mental health is fundamental to overall health and well-being. § Mental disorders are real.

KEY MESSAGES § Mental disorders are disabling. § Mental disorders are as disabling as cancer or heart disease in terms of premature death and lost productivity. Life expectancy- 25 years less than population.

KEY MESSAGES § Mental disorders are common (U. S. ). § 1 in 5 Americans has a diagnosable mental disorder each year. 44 million adults 13. 7 million children

THE GOOD NEWS Research has improved our ability to recognize, diagnose, and treat conditions effectively. 80 -90% of mental disorders are treatable using medication and otherapies

THE BAD NEWS § Of those with diagnosable mental disorder… Fewer than half of adults get help Only one-third of children get help

MCKINLAY’S POPULATION MODEL OF HEALTH PROMOTION: HEALTHY DIET FOR CHILDREN Agriculture policy Food subsidies And expanded funding/ Eligibility for NSLP/NSBP State/Federal Food and menu Label regulations Federal /State Lobbying/discharge regulation (upstream) Parent training re; feeding Practices/healthy diets Community-wide Education campaigns Zoning/business Inventive for grocery stores Farmers markets Nutrition training Requirements for professional certification (childcare Healthcare) Restaurant/grocery store/school point of purchase prompts BMI screening And treatment School soda bans/ Competitive food restrictions (midstream) Source: Based on Mc. Kinlay (1995), Glanz (1999) (downstream)

Lifestyle Indicators and the 16 th Surgeon General’s Rx

In order to eliminate disparities in health and achieve health equity, we need leaders who first care enough, leaders who know enough, leaders who have the courage to do enough and leaders who will persevere until the job is done. SHLI-MSM

4 th Annual Healthy Churches 2020 National Conference “Promoting and Protecting Brain Health Across Race & Age” Hilton Head, SC November 15, 2017 David Satcher, MD, Ph. D Founding Director & Senior Advisor Satcher Health Leadership Institute and Morehouse School of Medicine 16 th U. S. Surgeon General