NAMI California Multicultural Symposium

“Recovery, Hope and Wellness”

July 31, 2014

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Reducing Disparities

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Prevention Continuum of Services Institutes of Medicine – I.O.M.

SPECIALIZED or culture-specific strategies for high-risk groups at elevated risk for problems (e.g. 18-24 y.o. latinas, suicide)

DangerSigns / Use

Elevated Risk –Family Setting, SES, etc.

Entire Population – Prevent Onset or Delay Age of First Use,

Alter Community or Group Normsto Support Public Health and Safety

INDIVIDUAL interventions for those with early signs of SUD/MHD but “sub-clinical” / “prodromal”

UNIVERSAL strategies to address broad array of LOCAL problems among an entire community

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In 2005, 23.5% of the total participants in 13 CSS Community Forums identified themselves as speaking to the concerns of Latinos.

In 2009, improved representation in 13 PEI Community Forums: • 71% Latino• 41% Mexican• 39% Migrant Farm Workers• 26 % Mixteco• 17% Zapoteco

Latino Participation in MHSA Planning Processes

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PEI in Ventura CountyWHO has the greatest need?

Based on data indicator report 2009 by EVALCORP

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PEI in Ventura CountyHOW are we serving these needs?

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Strategic Directions: Reducing Disparities*

* CRDP Latino Population Report, UC Davis Center for Reducing Health Disparities, 2012

1. Academic and School-Based Mental Health Programs 2. Community-Based

Organizations and Co-Locating Resources

3. Community and Social Media

4. Workforce Development

5. Culturally and Linguistically Appropriate Treatment

6. Community Capacity-Building and Outreach and Engagement

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Strategic Direction #1:Academic and School-Based Mental Health Programs

• Positive Parenting Program “Triple P”

• Olweus Bullying Program

• 21 School Districts/SELPA Contract to provide “educationally necessary” mental health services through the IEP.

• Break-Through Student Assistance Program

• Most schools refer to EPSDT and allow access to therapists during school day.

• Positive Behavioral Intervention Support (PBIS)

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Strategic Direction #2:Community-Based Organizations and Co-Locating Resources

Faith-Based Collaborations

• Guadalupe Church, Project Esperanza

• St. Paul Baptist Church

• Word of Life: Community Coalition for Stronger Families

Co-located Integrated Primary Care

• Health Care Agency: Fillmore, Oxnard, Santa Paula, Simi Valley, Thousand Oaks, Ventura

• Clinicas del Camino Real

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Strategic Direction #3:Community and Social Media

• Latino Internet Access• WellnessEveryday.Org – SaludSiempreVC.Org• Media Outreach: TV, Radio, Print, Online

• Vida Newspaper• Gold Coast Broadcasting –

Radio Lazer• Movie Theatre Promotions

• Fotonovelas• La Historia de Paco• La Historia de Teresa

• Community Events• Día de los Muertos

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Strategic Direction #4:Workforce Development

• Bilingual Psychiatrists – Contracted at Higher Rates

• Bilingual Employees – Differential Certified by Human Resources

• Introduction to Public Mental Health – High School Curriculum at Hueneme High School

• Internship Program – Bilingual Stipends

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Strategic Direction #5:Culturally and Linguistically Appropriate Services

• Cultural & Linguistic Competency Training

(878 in FY 12-13)

• Language Assistance Services (2,976 hours in FY 12/13):

Interpreter In-Person/telephone service, American Sign Language, Indigenous Language – Mixteco

• Santa Clara Valley Wellness Outreach Project: Promotores y Promotoras Foundation,

Lideres Campesinas

• Performance Improvement Project - Language Assistance Services Evaluation

• BreakThrough Student Assistance Program – Conejo Valley Unified School District

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Strategic Direction #6:Community Capacity-Building and Outreach and Engagement

• Promotores Y Promotoras Training

• City Impact – Community Coalitions for Stronger Families

• Kids & Families Together – Foster Youth Kinship Project

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Co-location of our largest clinic with primary care, specialty care & The Wellness Center in a location easily accessible by public transit.

Build on relationships: Faith-based,Schools, and expanded to other orgs.

Work with primary care – to be sure people are being managed at the appropriate care level.

Reducing Disparities – In Progress

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•Bring in an expert – fresh look/gain perspective

Systems change with a local focus

Stakeholders – common cause & focus

Collective IMPACT

Reducing Disparities – The Opportunity

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Wellness for a Community at Risk

ENVIRONMENTALGood health by occupying

pleasant, stimulating environments that support well-being.

FINANCIALSatisfaction with current and

future financial situations.

EMOTIONALDeveloping skills and strategies

to cope with stress.

INTELLECTUALRecognizing creative abilities and finding ways to expand knowledge

and skills.

SOCIALDeveloping a sense of

connection and a well-developed support system.

OCCUPATIONALPersonal satisfaction and enrichment

derived from one’s work.

PHYSICALRecognizing the need for physical activity, diet, sleep, and nutrition.

SPIRITUALSearch for meaning and purpose

in the human experience.

WELLNESS

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Reducing Disparities – The Opportunity

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Working Together to Achieve the Vision

“We envision a future when everyone with a mental illness will recover, a future when mental illnesses can be

prevented or cured, a future when mental illnesses are detected early, and a future when everyone with a mental illness at any stage of life has access to effective treatment and supports — essentials for living, working, learning, and

participating fully in the community.”

Final Report Presidents New Freedom Commission 2003