NAMI California
Multicultural Symposium
“Recovery, Hope and Wellness”
July 31, 2014
Reducing Disparities
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Prevention Continuum of Services
Institutes of Medicine – I.O.M.
INDIVIDUAL interventions for
Danger
Signs / Use
those with early signs of SUD/MHD
but “sub-clinical” / “prodromal”
SPECIALIZED or culture-specific
Elevated Risk –
Family Setting, SES, etc.
Entire Population –
Prevent Onset or Delay Age of First Use,
Alter Community or Group Norms
to Support Public Health and Safety
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strategies for high-risk groups at
elevated risk for problems
(e.g. 18-24 y.o. latinas, suicide)
UNIVERSAL strategies
to address broad array of
LOCAL problems among
an entire community
Latino Participation in
MHSA Planning Processes
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
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PEI in Ventura County
WHO has the greatest need?
Based on data indicator report 2009 by EVALCORP
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PEI in Ventura County
HOW are we serving these needs?
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Strategic Directions:
Reducing Disparities*
6. Community
Capacity-Building
and Outreach
and Engagement
1. Academic and
School-Based
Mental Health
Programs
5. Culturally and
Linguistically
Appropriate
Treatment
2. Community-Based
Organizations
and Co-Locating
Resources
3. Community and
Social Media
4. Workforce
Development
* CRDP Latino Population Report, UC Davis Center for Reducing Health Disparities, 2012
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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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Reducing Disparities –
In Progress
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.
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Reducing Disparities –
The Opportunity
•Bring in an expert –
fresh look/gain perspective
Systems change with a local focus
Stakeholders –
common cause & focus
Collective IMPACT
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Wellness for a Community at Risk
EMOTIONAL
ENVIRONMENTAL
Developing skills and strategies
to cope with stress.
Good health by occupying pleasant,
stimulating environments that
support well-being.
INTELLECTUAL
Recognizing creative abilities and
finding ways to expand knowledge
and skills.
FINANCIAL
Satisfaction with current and
future financial situations.
WELLNESS
SOCIAL
Developing a sense of
connection and a well-developed
support system.
PHYSICAL
SPIRITUAL
Recognizing the need for physical
activity, diet, sleep, and nutrition.
Search for meaning and purpose
in the human experience.
OCCUPATIONAL
Personal satisfaction and enrichment
derived from one’s work.
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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
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