amanda barczyk, m.s.w. 1 & valarie garza 2 the university of texas at austin school of social...
TRANSCRIPT
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Amanda Barczyk, M.S.W.1 & Valarie Garza2
The University of Texas at AustinSchool of Social Work1
Texas Health Institute2
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OverviewI. Transformation in America
I. New Freedom InitiativeII. New Freedom CommissionIII. Role of Substance Abuse and Mental Health Services
AdministrationII. Transformation in Texas
I. Transformation WorkgroupII. Selected Communities
III. Stigma Reducing InterventionsI. StrategiesII. Effective Components
IV. Methods V. Stigma Experienced By ConsumerVI. Implemented Stigma Reducing StrategiesVII. Effectiveness of Stigma Reducing Strategies
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Transformation in AmericaNew Freedom Initiative
President Bush announces Initiative in February, 2001
Aims to…Increase access to assistive technologiesExpand educational opportunitiesIncrease ability for Americans with disabilities
to integrate into workforceIncrease access into daily community living
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Transformation in AmericaNew Freedom Commission
This key component was announced in April 29, 2002First in 25 years
Five Principle GoalsFocus on desired outcomesCommunity-level modelsPolicies that maximize the utility of existing
resources by increasing cost-effectiveness and reducing unnecessary and burdensome regulatory barriers
Use mental health research findingsFollow principles of Federalism
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Transformation in AmericaNew Freedom Commission Cont.
Subcommittees developedFocused on smaller more specific areas
Necessary to “transform” mental health systemThe goal of transformation is “to restructure
State systems to better meet the needs of individuals with or at risk of mental health problems and their families.”
Benchmarks/goals were set to track their effort
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Transformation in AmericaRole of Substance Abuse & Mental Health Services Administration The Federal Action Agenda: First Steps
Gave background of New Freedom InitiativeFocused on five principles developed by CommissionCreated initial action steps
Mental Health Transformation State Incentive GrantsSeptember, 2005, SAMHSA awarded $92.5 million to
seven states over five year periodConsumers and family members must be involvedRequired to “provide a continuum of services including
promotion, prevention, treatment, and recovery”September, 2006 $21.9 million given to two more states
over a five year period
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Transformation in TexasTransformation Workgroup
TWG developed to facilitate transformationConsists of 15 agencies/organizations
Smaller workgroups developed specializing in…Consumer voiceAdultsChildren and adolescentsHousingWorkforce developmentData/IT
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Transformation in TexasSelected Communities
TWG put out RFP aiming for diverse communitiesEight communities selected
Urban Bexar County Safety Net Community Collaboration Williamson County Mental Health Task Force Dallas County Unified Public Mental Health Initiative Tarrant Transformation Project
Rural West Texas Community Coalition Nacogdoches County Mental Health Collaborative Costal Bend Rural Health Partnership
Border Terrell County Behavioral Health Collaborative
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Stigma Reducing InterventionsStrategies
Protest Challenges inaccurate depictions of individuals with
mental health problems by insisting on the cessation of negative stereotypes or negative images of individuals with mental health problems
Education Promotes positive attitudes through the provision of
information so that people are able to develop informed attitudes and beliefs about individuals with mental health problems.
ContactEntails an individual with a mental health problem
having a face-to-face encounter with others and sharing the personal experiences of working and living in the community with a mental health problem
Combination
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Stigma Reducing InterventionsEffective Components
Patient-centeredEmpower individuals to assist in development
and implementation
Target-specificCampaign targeting a group with power and
discriminatory behaviors of that group
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Study Aim
Explore the stigma experienced by communities in Texas, assess whether the stigma-reduction campaigns developed are target specific and/or use a patient-centered approach and assess the preliminary effectiveness of the campaigns
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MethodsTwo phase content analysis
Phase I Interviews with representatives from seven
communities Write-ups assessed for themes
Phase II Roundtable discussions at Mental Health
Transformation Focused Forum Write-ups assessed for stigma reducing strategies
and effectiveness
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Stigma Experienced by ConsumersPhase I
Three themes of stigma experiencedIndividual levelFamily levelCommunity level
Community level most predominantLaw enforcementProvidersSchool-based stigma
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Implemented Stigma Reducing StrategiesPhase II
Campaigns utilized different strategiesTarget-specificCombined education and contactFocus on mental health not mental illnessConsumer participation
Only a small proportion showed an observed positive impact on reducing stigma
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ConclusionsResearch shows effective strategies, however…
Stigma reducing strategies in Texas are not all effective
More implementation is needed in Texas in diverse areas
Guidelines for implementation neededPre-evaluation work with consumers
Implementation and evaluation standards needed
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Questions?