Texas Mental Health and Substance Abuse Services – Border DDRAC Meeting Mike Maples, LPC, LMFT...

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Texas Mental Health and Substance Abuse Services – Border DDRAC Meeting Mike Maples, LPC, LMFT Assistant Commissioner

Transcript of Texas Mental Health and Substance Abuse Services – Border DDRAC Meeting Mike Maples, LPC, LMFT...

Page 1: Texas Mental Health and Substance Abuse Services – Border DDRAC Meeting Mike Maples, LPC, LMFT Assistant Commissioner.

Texas Mental Health and Substance Abuse Services – Border DDRAC Meeting

Mike Maples, LPC, LMFT

Assistant Commissioner

Page 2: 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

Page 3: Texas Mental Health and Substance Abuse Services – Border DDRAC Meeting Mike Maples, LPC, LMFT Assistant Commissioner.

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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

Page 4: Texas Mental Health and Substance Abuse Services – Border DDRAC Meeting Mike Maples, LPC, LMFT Assistant Commissioner.

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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)

Page 5: Texas Mental Health and Substance Abuse Services – Border DDRAC Meeting Mike Maples, LPC, LMFT Assistant Commissioner.

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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.

Page 6: Texas Mental Health and Substance Abuse Services – Border DDRAC Meeting Mike Maples, LPC, LMFT Assistant Commissioner.

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.

Page 7: Texas Mental Health and Substance Abuse Services – Border DDRAC Meeting Mike Maples, LPC, LMFT Assistant Commissioner.

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.

Page 8: Texas Mental Health and Substance Abuse Services – Border DDRAC Meeting Mike Maples, LPC, LMFT Assistant Commissioner.

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

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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

Page 13: Texas Mental Health and Substance Abuse Services – Border DDRAC Meeting Mike Maples, LPC, LMFT Assistant Commissioner.

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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.

Page 14: Texas Mental Health and Substance Abuse Services – Border DDRAC Meeting Mike Maples, LPC, LMFT Assistant Commissioner.

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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