USING the WICHE BEHAVIORAL HEALTH PREVALENCE ESTIMATES FOR NEW MEXICO

1. USING the WICHE BEHAVIORAL HEALTH PREVALENCE ESTIMATES FOR NEW MEXICO New Mexico Interagency Behavioral Health Purchasing Collaborative Meeting October 23, 2008 Richard Hough, Ph.D. Deborah Altschul, Ph.D. Consortium for Behavioral Health Training, Evaluation and Research (CBHTER) and University of New Mexico Center for Rural and Community Behavioral Health

2. THE PURPOSE OF THE WICHE REPORT • WICHE data can be used, along with other sources of need estimation, for program planning and development, grant writing, and legislative initiatives • Local and statewide WICHE data is available to all stakeholders of the Collaborative • WICHE data includes estimates of the prevalence of: • Serious Mental Illness (SMI) among adults • Substance Abuse Diagnoses among adults • Co-Occurring Severe Mental Illness and Substance Abuse Diagnoses among adults • Serious Emotional Disturbance among children and adolescents

3. POSTING OF THE WICHE 2006 BEHAVIORAL HEALTH NEEDS ESTIMATE REPORT • It is proposed that the report entitled 2006 Behavioral Health Prevalence Estimates for New Mexico be posted for the use by behavioral health planners, program directors, consumers, researchers and others. • The report was sponsored by the New Mexico Human Services Department in collaboration with the Center for Rural & Community Behavioral Health of the University of New Mexico and the Behavioral Health Research Center of the Southwest.

4. The report was produced by the Mental Health Program of the Western Interstate Commission for Higher Education (WICHE); • A preliminary draft of the report was reviewed at a conference of approximately 60 stakeholders sponsored by CBHTER at the University of New Mexico and by tele-video to Las Vegas, Roswell, Santa Fe and Silver City; • On the basis of stakeholder comments, the report has been revised and is ready for distribution

5. Why the Need for this Data? • Goals: To improve the health and well-being of the population and reduce the societal costs of behavioral health problems; • Estimating the need for services is necessary for planning and budgeting; • Estimates of need are a base for indicators of: ○ Disparities in Care ○ Unmet Need ○ Under-met Need

6. Importance of Using Synthetic Estimation • Synthetic estimation is a procedure that applies prevalence rates from the National Comorbidity Survey Replication Study to the population of New Mexico. • The National Comorbidity Survey Replication Study (N=12,942) provides by far the best existing estimate of the prevalence of diagnosable disorders.

7. Importance of Using Synthetic Estimation • The synthetic estimation procedure generates prevalence estimates that vary by age, gender, race/ethnicity, poverty level, marital status, and education groups within local collaboratives and counties (as compared to most estimation procedures that use flat rates).

8. WHAT IS IN THE REPORT • Estimates of the prevalence of: • Serious Mental Illness (SMI) among adults • Substance Abuse Diagnoses among adults • Co-Occurring Severe Mental Illness and Substance Abuse Diagnoses among adults • Serious Emotional Disturbance among children and adolescents

9. Estimates are provided for: • Local Collaborative Areas and the State • By age, gender and race/ethnicity categories • Estimates are limited to the core target population for public mental health programs: Persons living in households at or below the 300% of poverty level. • Estimates are also available by county, but are not included in the report.

10. General State Prevalence Findings • 30,143 youths with a serious emotional disturbance (SED) (7.4% of low-income youths) • 51,705 adults with a serious mental illness(SMI) (6.6% of low-income adults) • 41,587 adults with a substance use disorder(SUD) (5.3% of low-income adults) • 9,483 adults with a co-occurring SMI and SUD disorder (1.2% of low-income adults)

11. Local Collaborative (LC) Specific Estimates • The prevalence estimates vary considerably across LC’s and counties for adult disorders • Rates for SED among children and adolescents did not vary significantly across LC’s • Rates for SMI ranged from a low of 5.8% in LC 4 to a high of 9.3% in LC11 • Rates for substance use disorders ranged from a low of 4.1% in LC10 to highs of 5.7% in LC3 and 5.8% in LC 11 • Rates for co-occurring SMI and SUD disorders ranged from lows of 0.8% or 0.9% in five LC’s to a high of 2.4% in LC11 • The report provides estimation of these rates within LC’s and Counties by age, gender, and race-ethnicity.

12. Suggested Next Steps* • The report should be posted as a resource on the Behavioral Health Collaborative website; • An introduction should be attached to the report describing possible uses and limitations of the data; • A link should be posted with the report that will take those interested in more information or in obtaining the county level data to a CBHTER established and maintained website that will: a. Make county level data available to those interested; b. Provide technical assistance regarding the use and meaning of the data; c. Track the uses being made of the data and post reports, proposals or other documents using the data; d.Post comments and discussions regarding the data’s utility & limitations

13. That CBHTER, state epidemiologic and other interested parties use the WICHE prevalence estimates to develop analyses of the penetration rates to document the need for services and disparities in service for LCs or counties • That the WICHE data be considered, along with other sources of need estimation, for program planning and development, grant writing, and legislative initiatives * The recommendations on next steps are from a workgroup consisting of Richard Hough, Deborah Altschul, and Deepta Das Gupta from CBHTER; and Jim Roeber, Tierney Murphy, Nina Shah, Betty Downes, Teresa Henke, and Beverly Harris from the State.