texas mental health and substance abuse services – border ddrac meeting
DESCRIPTION
Texas Mental Health and Substance Abuse Services – Border DDRAC Meeting. Mike Maples, LPC, LMFT Assistant Commissioner. Texas – Mexico Border 1254 sq. miles. High Need Area. High levels of poverty Below poverty: TX = 12% Border = 25% (Starr = 47%) - PowerPoint PPT PresentationTRANSCRIPT
Texas Mental Health and Substance Abuse Services – Border DDRAC Meeting
Mike Maples, LPC, LMFT
Assistant Commissioner
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Texas – Mexico Border 1254 sq. miles
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High Need Area
• High levels of povertyBelow poverty: TX = 12% Border = 25% (Starr = 47%)Median income: TX = $45,861 Border = $26,155 (Zavala = $16,700)
• High unemployment – Jan-Mar.2009Unemployed: TX = 6.7% Border = 8.3% (Maverick = 16.5%)
• Low educational attainmentNo HS diploma: TX = 24% Border = 43% (Starr = 65%)
• Fast growing youth populationFertility rate: TX = 76 Border = 81 (Webb = 120)
• Large under/uninsured populationUninsured: TX = 24% (#1 in US) Border = 33%
• High rates of Hepatitis A, TB, Diabetes, Liver DiseaseDiabetes: TX = 9.2% Border = 15.2% (Brewster = 22%)
10 counties reportingBased on 2000 Census
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High Need Area – cont’d
• Drug trafficking – crime/violence• AOD use/abuse• MH trauma, depression, suicide• Lack of trained professionals (MH, SA,
Medical)
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Texas Border: “Colonias” - Communities
Residential areas along the Tex-Mex border that lack some of the basic living needs, such as drinking water, sewer systems, electricity, paved roads. Primarily found in unincorporated areas of border counties.
• Texas has the largest number of Colonias followed by New Mexico, Arizona and California.• More than 2,333 Colonias on the Texas-Mexico Border.• 400,000 people live in border Colonias.• 64% (approx.) of all Colonia residents are US citizens, 85%
of Colonia residents under 18 yrs. are US citizens.• 75% (approx.) of Colonia residents are under 18 yrs.• Unemployment rate in some Texas Colonias is more than 8
times the state rate.
Juvenile (Age 0-17) Arrest Rate by Type of Offense, 2008
240.5
316.1
149.1
336.5
0.0
50.0
100.0
150.0
200.0
250.0
300.0
350.0
400.0
DWI/LiquorLaws/Drunkenness
All Drug Offenses
per
100,0
00 p
opula
tion
Border
Non-Border
Sources: 2008 Crime in Texas, Uniform Crime Reporting program, Texas Department of Public Safety; 2008 population projections for Texas, Texas Health and Human Services Commission, October 2006 version, based on 2000 U.S. census plus population growth scenario.
Adult (Age 18+) Arrest Rate by Type of Offense, 2008
1,565.8
601.7738.1
1,458.0
0.0
200.0
400.0
600.0
800.0
1,000.0
1,200.0
1,400.0
1,600.0
1,800.0
DWI/LiquorLaws/Drunkenness
All Drug Offenses
per
100,0
00 p
opula
tion
Border
Non-Border
Sources: 2008 Crime in Texas, Uniform Crime Reporting program, Texas Department of Public Safety; 2008 population projections for Texas, Texas Health and Human Services Commission, October 2006 version, based on 2000 U.S. census plus population growth scenario.
Total (Juvenile and Adult) Arrest Rate in Violent Crimes, 2008
170.6
144.1
0.0
20.0
40.0
60.0
80.0
100.0
120.0
140.0
160.0
180.0
200.0
Violent Crimes (Murder, Rape, Robbery, andAggravated Assault)
per
100,0
00 p
opula
tion
Border
Non-Border
Sources: 2008 Crime in Texas, Uniform Crime Reporting program, Texas Department of Public Safety; 2008 population projections for Texas, Texas Health and Human Services Commission, October 2006 version, based on 2000 U.S. census plus population growth scenario.
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Texas Border:Substance Abuse Services
2008 Texas
Youth Population (12-17 years)272,369
2008Estimated Number
with Chemical Dependency
26,032
SFY2008 Number Served in
DSHS-Funded Substance Abuse Treatment Programs
831 or 3.2%
YOUTH
Sources: 2008 population projections for Texas — Texas Health and Human Services Commission, October 2006 version, based on 2000 U.S. census plus population growth scenario; 2008 estimated numbers with chemical dependency — 2008 Texas School Survey of Substance Use Among Students in Grades 7-12, Texas Department of State Health Services, Feb. 2009 and the "Secondary School Completion and Dropouts in Texas Public Schools 2006-07", Texas Education Agency, Aug. 2008; and, SFY2008 number served — Texas Department of State Health Services, Behavioral Health Integrated Provider System, based on client county of residence, including NorthSTAR and ATR clients.
2008 Texas
Adult Population (18+ years) 1,982,455
2008Estimated Number
with Chemical Dependency
161,880
SFY2008 Number Served in
DSHS-Funded Substance Abuse Treatment Programs
5,953 or 3.7%
ADULT
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Texas Border: Substance Abuse Clinics
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2008 Texas
Child Population (0-17 years)807,598
2008Estimated Number
with Serious Emotional
Disturbance20,323
SFY2008 Number Served in
Community Mental Health Services
5,123 or 25.2%
YOUTH
Sources: 2008 population projections for Texas counties — Texas Health and Human Services Commission, October 2006 version, based on 2000 U.S. census plus population growth scenario; SFY2008 number served — Texas Department of State Health Services, Client Assignment and Registration System, based on client county of residence, including NorthSTAR. Notes: 2008 estimated number with serious emotional disturbance based on 5% of 2008 Texas child population, ages 9-17, per Federal Register, Vol. 63, No. 137 / Friday, July 17, 1998, pp. 38661-38665.
Texas Border:Community Mental Health Services
2008 Texas
Adult Population (18+ years) 1,735,700
2008Estimated Number with Serious and
PersistentMental Illness
44,341
SFY2008 Number Served in
Community Mental Health Services
15,055 or 34.0%
ADULT
Region 7
Austin Travis County MHMRResidential/RespiteBluebonnet TrailsRespiteHeart of TexasRespite
Region 4/5 N
Burke CenterResidential
Region 2/3
Betty Hardwick MHMR – Tarrant CountyRespite Residential/RespiteCenter for Life Resources MHMR Services of TexomaResidential RespiteHelen Farabee Pecan ValleyResidential Respite
Region 8
Camino Real RespiteCenter for Health Care SrvsResidential/RespiteGulf BendRespite
Region 6/5 S
MHMR – Harris CountyResidential/RespiteSpindletopRespiteTri-County MHMRResidential
Region 1
Central PlainsRespiteTexas PanhandleResidential (Not Oprt’l)
Region 9/10
El Paso MHMRResidentialMHMR – Concho ValleyRespiteWest TexasRespite
Region 11
Border RegionRespiteMHMR – Nueces CntyRespiteTropicalTexas Respite
LMHAs By Region With Residential & Respite Units
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Texas Border: Contracts
Total Border Contracts
FY 2008 FY 2009
$38,425,642 $37,915,483
• Mid-year adjustment of $347,562 is being directed to Border regions.
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MH/SA - What is Texas Doing?Infrastructure and Services
• DSHS SA/MH – new in 2009• New SA Medicaid benefit (2010)• 7 Local Mental Health Authorities serving Border with new
mobile crisis mobile units • 2 new crisis stabilization centers in El Paso and Harlingen,
one new crisis respite center in Laredo.• 2 new Rural Border Intervention Programs (5 total in ’09) • 2 new Community Coalition Partnerships (CCPs) on Border
• DSHS SA/MH – ongoing services• 2 Outreach, Screening, Assessment, and Referral
(OSAR) offices• 2 Pregnant and Post-partum programs in El Paso and
Harlingen• 3 HIV case management programs• 3 Rural Border Intervention Programs • 3 Community Coalition Partnerships (CCPs) on Border
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MH/SA - What is Texas Doing?Infrastructure and Collaborations
• State Office of Border Health and MH/SA – US-Mexico Border Health Association partnerships
• DSHS certification for Community Health Workers/Promotor(es)• Texas A&M University – 35 community centers with 83
Community Health Workers in Colonias • State Office of Border Affairs funded 4 regional service
coordinators with 18 Community Health Workers• Hogg Foundation Funding – mental health with special border
focus• 3 primary projects: Cultural Adaptation: Providing Evidence-Based
Practices to Populations of Color, Workforce Development, Integrated Healthcare
• “Project Detour,” Del Rio – US Border Patrol • Sister-Cities and Binational Coalitions