The Satcher Health Leadership Institute at Morehouse School of Medicine (SHLI), with support from Otsuka America Pharmaceutical, Inc., a leader in mental health, today released the executive summary for The Economic Burden of Mental Health Inequities in the United States Report. SHLI looked at a four-year period (2016-2020) and found, at minimum, nearly 117,000 lives and approximately $278 billion could have been saved. The full report will be released and available for download in the coming days.

“Investing in mental healthcare saves lives and dollars — we have known this for decades, but until now did not fully understand the monumental impacts of neglecting to act,” said Daniel Dawes, professor and executive director of the Satcher Health Leadership Institute at Morehouse School of Medicine and author of the Political Determinants of Health. “For the first time, there is tangible evidence demonstrating how decades of systemic health inequities have yielded significantly worse outcomes for racial and ethnic minoritized, marginalized, and under resourced populations.”

SHLI also found that national estimates chronically underrepresent the actual burden of mental healthcare inequities, which has crippling implications on policies, funding, access to care and resources. To put this into perspective, nearly six million Americans are not accounted for in national reporting estimates regarding mental healthcare.

This comprises individuals who are often most vulnerable to mental illness including the incarcerated, nursing home residents, those living in assisted living facilities, the homeless/unhoused, active military, and those who are institutionalized in psychiatric facilities. Furthermore, SHLI found that excess costs due to mental illness and substance use disorder among the incarcerated and unhoused alone amount to an additional $63 – $92 billion annually.

The Economic Burden of Mental Health Inequities in the United States Report suggests a series of solutions that stem from three key pillars to guide, and ultimately impact, policy decision making:

  1. Make sustainable, long-term investments into mental and behavioral health systems, including programs, treatments, supports, and interventions that will advance mental health equity
  2. Develop socio-culturally tailored approaches to mental and behavioral health services and programs
  3. Address the social and political determinants of health inequities

“The Satcher Health Leadership Institute leads the way in demonstrating the health inequities that minority populations face, which is magnified in The Economic Burden of Mental Health Inequities in the United States Report,” said Tarek Rabah, president and CEO, Otsuka North America Pharmaceutical Business. “Otsuka is committed to igniting conversations that will help every stakeholder fully appreciate that mental illness is a chronic, not acute, or temporary condition, and should be resourced and treated as such by policymakers and all stakeholders in the mental health community continuum.”

To read the executive summary, please visit:

About Satcher Health Leadership Institute

The Satcher Health Leadership Institute (SHLI) aims to be the leading transformational force for health equity in policy, leadership development and research. Rooted in the legacy of its founder, the 16th U.S. Surgeon General, Dr. David Satcher, SHLI’s mission is to create systemic change at the intersection of policy and equity by focusing on three priority areas: the political determinants of health, health system transformation, and mental and behavioral health. In conjunction with key strategic partners, SHLI enhances leadership among diverse learners, conducts forward-thinking research on the drivers of health inequities and advances evidence-based policies, all in an effort to contribute to the achievement of health equity for all population groups. Learn more at https://satcherinstitute.org


About Morehouse School of Medicine

Morehouse School of Medicine (MSM), located in Atlanta, Ga., exists to improve the health and well-being of individuals and communities, increase the diversity of the health professional and scientific workforce and address primary health care through programs in education, research and service, with emphasis on people of color and the underserved urban and rural populations in Georgia, the nation and the world. MSM is among the nation’s leading educators of primary care physicians and has twice been recognized as the top institution among U.S. medical schools for its dedication to the social mission of education. The faculty and alumni are noted in their fields for excellence in teaching, research and public policy, and are known in the community for exceptional, culturally appropriate patient care. Morehouse School of Medicine is accredited by the Commission on Colleges of the Southern Association of Colleges and Schools to award doctorate and master’s degrees.


About Otsuka
Otsuka Pharmaceutical Co., Ltd. is a global healthcare company with the corporate philosophy: “Otsuka–people creating new products for better health worldwide.” Otsuka researches, develops, manufactures, and markets innovative products, with a focus on pharmaceutical products to meet unmet medical needs and nutraceutical products for the maintenance of everyday health.

In pharmaceuticals, Otsuka is a leader in the challenging areas of mental, renal, and cardiovascular health and has additional research programs in oncology and on several under-addressed diseases including tuberculosis, a significant global public health issue. These commitments illustrate how Otsuka is a “big venture” company at heart, applying a youthful spirit of creativity in everything it does.

Otsuka established a presence in the U.S. in 1973 and today its U.S. affiliates include Otsuka Pharmaceutical Development & Commercialization, Inc. (OPDC) and Otsuka America Pharmaceutical, Inc. (OAPI). These two companies’ 2,000 employees in the U.S. develop and commercialize medicines in the areas of mental health, nephrology, and cardiology, using cutting-edge technology to address unmet healthcare needs.

OPDC and OAPI are indirect subsidiaries of Otsuka Pharmaceutical Company, Ltd., which is a subsidiary of Otsuka Holdings Co., Ltd. headquartered in Tokyo, Japan. The Otsuka group of companies employed 47,000 people worldwide and had consolidated sales of approximately USD 13.6 billion in 2021.

All Otsuka stories start by taking the road less traveled. Learn more about Otsuka in the U.S. at and connect with us on LinkedIn and Twitter at @OtsukaUS. Otsuka Pharmaceutical Co., Ltd.’s global website is accessible at