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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Intersection of Behavioral Health, Mental Health, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25278.
×

The Intersection of
Behavioral Health,
Mental Health, and
Health Literacy

PROCEEDINGS OF A WORKSHOP

Joe Alper and Alexis Wojtowicz, Rapporteurs

Roundtable on Health Literacy

Board on Population Health and Public Health Practice

Health and Medicine Division

images

THE NATIONAL ACADEMIES PRESS
Washington, DC
www.nap.edu

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Intersection of Behavioral Health, Mental Health, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25278.
×

THE NATIONAL ACADEMIES PRESS 500 Fifth Street, NW Washington, DC 20001

This activity was supported by contracts between the National Academy of Sciences and AbbVie Inc.; Aetna Foundation; Bristol-Myers Squibb; California Dental Association; East Bay Community Foundation (Kaiser Permanente); Eli Lilly and Company; Health Literacy Media; Health Literacy Partners; Health Resources and Services Administration (HHSH25034011T); Humana; Merck Sharp & Dohme Corp.; National Library of Medicine; New York University Langone Medical Center; Northwell Health; Office of Disease Prevention and Health Promotion (HHSP23337043); Pfizer Inc.; and UnitedHealth Group. Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project.

International Standard Book Number-13: 978-0-309-48530-2
International Standard Book Number-10: 0-309-48530-4
Digital Object Identifier: https://doi.org/10.17226/25278

Additional copies of this publication are available from the National Academies Press, 500 Fifth Street, NW, Keck 360, Washington, DC 20001; (800) 624-6242 or (202) 334-3313; http://www.nap.edu.

Copyright 2019 by the National Academy of Sciences. All rights reserved.

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Suggested citation: National Academies of Sciences, Engineering, and Medicine. 2019. The intersection of behavioral health, mental health, and health literacy: Proceedings of a workshop. Washington, DC: The National Academies Press. doi: https://doi.org/10.17226/25278.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Intersection of Behavioral Health, Mental Health, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25278.
×

Image

The National Academy of Sciences was established in 1863 by an Act of Congress, signed by President Lincoln, as a private, nongovernmental institution to advise the nation on issues related to science and technology. Members are elected by their peers for outstanding contributions to research. Dr. Marcia McNutt is president.

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Learn more about the National Academies of Sciences, Engineering, and Medicine at www.nationalacademies.org.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Intersection of Behavioral Health, Mental Health, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25278.
×

Image

Consensus Study Reports published by the National Academies of Sciences, Engineering, and Medicine document the evidence-based consensus on the study’s statement of task by an authoring committee of experts. Reports typically include findings, conclusions, and recommendations based on information gathered by the committee and the committee’s deliberations. Each report has been subjected to a rigorous and independent peer-review process, and it represents the position of the National Academies on the statement of task.

Proceedings published by the National Academies of Sciences, Engineering, and Medicine chronicle the presentations and discussions at a workshop, symposium, or other event convened by the National Academies. The statements and opinions contained in proceedings are those of the participants and are not endorsed by other participants, the planning committee, or the National Academies.

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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Intersection of Behavioral Health, Mental Health, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25278.
×

PLANNING COMMITTEE ON THE INTERSECTION OF BEHAVIORAL HEALTH, MENTAL HEALTH, AND HEALTH LITERACY1

WILMA ALVARADO-LITTLE, Associate Commissioner, Director of the Office of Minority Health and Health Disparities Prevention, New York State Department of Health

MAY-LYNN ANDRESEN, Vice President, Quality in Health Care Advisory Group

CATINA O’LEARY, President and Chief Executive Officer, Health Literacy Media

STEVEN RUSH, Director, Health Literacy Innovations Program, UnitedHealth Group

ALAN VANBIERVLIET, Extramural Program Official, National Library of Medicine

TERESA WAGNER, Assistant Professor, University of North Texas Health Science Center, and Senior Fellow, University of North Texas Health Science Center Institute for Patient Safety

___________________

1 The National Academies of Sciences, Engineering, and Medicine’s planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteurs and the institution.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Intersection of Behavioral Health, Mental Health, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25278.
×

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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Intersection of Behavioral Health, Mental Health, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25278.
×

ROUNDTABLE ON HEALTH LITERACY1

BERNARD M. ROSOF (Chair), Chief Executive Officer, Quality in Health Care Advisory Group, LLC; and Professor of Medicine, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell

ANNLOUISE R. ASSAF, Senior Director, Global Medical Impact Assessment, Pfizer Worldwide Medical and Safety; and Adjunct Professor, Brown University School of Public Health

SUZANNE BAKKEN, Alumni Professor of Nursing and Professor of Biomedical Informatics, Columbia University

AMY A. CLARK, Director, Cultivating Health Communities, Aetna Foundation

GEMIRALD P. DAUS, Public Health Analyst, Office of Health Equity, Health Resources and Services Administration

TERRY C. DAVIS, Professor of Medicine and Pediatrics, Louisiana State University Health Sciences Center

CHRISTOPHER DEZII, Director, Healthcare Quality and Performance Measures, Bristol-Myers Squibb

JENNIFER A. DILLAHA, Medical Director for Immunizations, Medical Advisor, Health Literacy and Communication, Arkansas Department of Health

JAMES DUHIG, Head, Risk Communication and Behavioral Systems, Office of Patient Safety, AbbVie Inc.

ALICIA FERNANDEZ, Professor of Medicine, Director, Latinx Center of Excellence, University of California, San Francisco; Zuckerberg San Francisco General Hospital

LISA FITZPATRICK, Senior Medical Director, DC Department of Health Care Finance; Professorial Lecturer, Milken Institute of Public Health, The George Washington University

LORI K. HALL, Director, Health Literacy, Global Medical Strategy and Operations, Eli Lilly and Company

LINDA HARRIS, Director, Division of Health Communication and eHealth Team, Office of Disease Prevention and Health Promotion, U.S. Department of Health and Human Services

NICOLE HOLLAND, Assistant Professor and Director of Health Communication, Education, and Promotion, Tufts University School of Dental Medicine

ELLEN M. MARKMAN, Lewis M. Terman Professor of Psychology, Stanford University

___________________

1 The National Academies of Sciences, Engineering, and Medicine’s forums and roundtables do not issue, review, or approve individual documents. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteurs and the institution.

Page viii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Intersection of Behavioral Health, Mental Health, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25278.
×

JOHANNA MARTINEZ, Graduate Medical Education Director of Diversity and Health Equity, Northwell Health

MICHAEL M. McKEE, Assistant Professor of Family Medicine, University of Michigan Medical School

LAURIE MYERS, Global Health Literacy Director, Merck Sharp & Dohme Corp.

CATINA O’LEARY, President and Chief Executive Officer, Health Literacy Media

MICHAEL K. PAASCHE-ORLOW, Professor of Medicine, Boston University School of Medicine

TERRI ANN PARNELL, Principal and Founder, Health Literacy Partners

LINDSEY A. ROBINSON, California Dental Association

STEVEN RUSH, Director, Health Literacy Innovations Program, UnitedHealth Group

OLAYINKA SHIYANBOLA, Assistant Professor, Division of Social and Administrative Sciences, University of Wisconsin–Madison School of Pharmacy

VANESSA SIMONDS, Assistant Professor, Community Health, Montana State University

CHRIS TRUDEAU, Associate Professor of Medical Humanities, University of Arkansas for Medical Sciences; Associate Professor of Law, Bowen School of Law, University of Arkansas at Little Rock

EARNESTINE WILLIS, Kellner Professor in Pediatrics, Medical College of Wisconsin

AMANDA J. WILSON, Head, National Network Coordinating Office, National Library of Medicine

MICHAEL S. WOLF, Professor, Medicine and Learning Sciences, Associate Division Chief, Research Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University

WINSTON F. WONG, Medical Director, Disparities Improvement and Quality Initiatives, Kaiser Permanente

Health and Medicine Division Staff

LYLA M. HERNANDEZ, Senior Program Officer

MELISSA G. FRENCH, Program Officer

ALEXIS WOJTOWICZ, Senior Program Assistant

ROSE MARIE MARTINEZ, Senior Board Director, Board on Population Health and Public Health Practice

Consultant

LAWRENCE SMITH, Dean, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell; Executive Vice President and Physician-in-Chief, Northwell Health

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Intersection of Behavioral Health, Mental Health, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25278.
×

Reviewers

This Proceedings of a Workshop was reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise. The purpose of this independent review is to provide candid and critical comments that will assist the National Academies of Sciences, Engineering, and Medicine in making each published proceedings as sound as possible and to ensure that it meets the institutional standards for quality, objectivity, evidence, and responsiveness to the charge. The review comments and draft manuscript remain confidential to protect the integrity of the process.

We thank the following individuals for their review of this proceedings:

Although the reviewers listed above provided many constructive comments and suggestions, they were not asked to endorse the content of the proceedings nor did they see the final draft before its release. The review of this proceedings was overseen by HUGH H. TILSON, University of North Carolina Gillings School of Global Public Health. He was responsible for making certain that an independent examination of this proceedings was carried out in accordance with standards of the National Academies and that all review comments were carefully considered. Responsibility for the final content rests entirely with the rapporteurs and the National Academies.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Intersection of Behavioral Health, Mental Health, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25278.
×

This page intentionally left blank.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Intersection of Behavioral Health, Mental Health, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25278.
×

Acknowledgments

The sponsors of the Roundtable on Health Literacy made it possible to plan and conduct The Intersection of Behavioral Health, Mental Health, and Health Literacy: A Workshop, which this publication summarizes. Federal sponsors from the U.S. Department of Health and Human Services are the Health Resources and Services Administration; the National Library of Medicine; and the Office of Disease Prevention and Health Promotion. Nonfederal sponsorship was provided by AbbVie Inc.; Aetna Foundation; Bristol-Myers Squibb; California Dental Association; East Bay Community Foundation (Kaiser Permanente); Eli Lilly and Company; Health Literacy Media; Health Literacy Partners; Humana; Merck Sharpe & Dohme Corp.; New York University Langone Medical Center; Northwell Health; Pfizer Inc.; and UnitedHealth Group.

The workshop presentations were interesting and stimulated much discussion, and the Roundtable on Health Literacy would like to thank each of the speakers and moderators for their time and effort. Speakers and moderators were Wilma Alvarado-Little, Zarita Araújo-Lane, Jessica Black, Wilson Compton, Linda B. Cottler, Kate Farinholt, Lisa Morgan, Joanne Nicholson, Catina O’Leary, Helen Osborne, Michael Paasche-Orlow, Albert Park, Brandon Pate, Bernard Rosof, Steve Rush, David Steffens, Teresa Wagner, and Michael S. Wolf.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Intersection of Behavioral Health, Mental Health, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25278.
×

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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Intersection of Behavioral Health, Mental Health, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25278.
×
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Intersection of Behavioral Health, Mental Health, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25278.
×
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Intersection of Behavioral Health, Mental Health, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25278.
×

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Page xvii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Intersection of Behavioral Health, Mental Health, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25278.
×

Acronyms and Abbreviations

AHRQ Agency for Healthcare Research and Quality
ASD autism spectrum disorder
CMS Centers for Medicare & Medicaid Services
DSM-5 Diagnostic and Statistical Manual of Mental Disorders, 5th Edition
EHR electronic health record
IMPACT Improving Mood-Promoting Access to Collaborative Treatment
NAM National Academy of Medicine
NAMI National Alliance on Mental Illness
NIDA National Institute on Drug Abuse
NIH National Institutes of Health
NYS DOH New York State Department of Health
SAMHSA Substance Abuse and Mental Health Services Administration
VHA Veterans Health Administration
Page xviii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Intersection of Behavioral Health, Mental Health, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25278.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Intersection of Behavioral Health, Mental Health, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25278.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Intersection of Behavioral Health, Mental Health, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25278.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Intersection of Behavioral Health, Mental Health, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25278.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Intersection of Behavioral Health, Mental Health, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25278.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Intersection of Behavioral Health, Mental Health, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25278.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Intersection of Behavioral Health, Mental Health, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25278.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Intersection of Behavioral Health, Mental Health, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25278.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Intersection of Behavioral Health, Mental Health, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25278.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Intersection of Behavioral Health, Mental Health, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25278.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Intersection of Behavioral Health, Mental Health, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25278.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Intersection of Behavioral Health, Mental Health, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25278.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Intersection of Behavioral Health, Mental Health, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25278.
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Page xiii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Intersection of Behavioral Health, Mental Health, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25278.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Intersection of Behavioral Health, Mental Health, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25278.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Intersection of Behavioral Health, Mental Health, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25278.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Intersection of Behavioral Health, Mental Health, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25278.
×
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Page xvii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Intersection of Behavioral Health, Mental Health, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25278.
×
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Page xviii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2019. The Intersection of Behavioral Health, Mental Health, and Health Literacy: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25278.
×
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The field of health literacy has evolved from early efforts that focused on individuals to its current recognition that health literacy is a multidimensional team and system function. Health literacy includes system demands and complexities as well as individual skills and abilities. While communicating in a health-literate manner is truly important for everyone, it can be especially important for those with mental or behavioral health issues and for the systems and teams that interact with them and treat these individuals.

The purpose of the workshop, which was held on July 11, 2018, in Washington, DC, was to explore issues associated with effective communication with individuals with mental or behavioral health issues and to identify ways in which health literacy approaches can facilitate communication. In particular, the workshop aimed to gain a better understanding of how behavioral health and mental health concerns can adversely affect communications between providers and patients and their families. This publication summarizes the presentations and discussions from the workshop.

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