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Texas Mental Health and Substance Abuse Services – Border DDRAC Meeting

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%)

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Texas Mental Health and Substance Abuse Services – Border DDRAC Meeting

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

  2. Texas – Mexico Border 1254 sq. miles

  3. High Need Area • High levels of poverty Below poverty: TX = 12% Border = 25% (Starr = 47%) Median income: TX = $45,861 Border = $26,155 (Zavala = $16,700) • High unemployment – Jan-Mar.2009 Unemployed: TX = 6.7% Border = 8.3% (Maverick = 16.5%) • Low educational attainment No HS diploma: TX = 24% Border = 43% (Starr = 65%) • Fast growing youth population Fertility rate: TX = 76 Border = 81 (Webb = 120) • Large under/uninsured population Uninsured: TX = 24% (#1 in US) Border = 33% • High rates of Hepatitis A, TB, Diabetes, Liver Disease Diabetes: TX = 9.2% Border = 15.2% (Brewster = 22%) 10 counties reporting Based on 2000 Census

  4. High Need Area – cont’d • Drug trafficking – crime/violence • AOD use/abuse • MH trauma, depression, suicide • Lack of trained professionals (MH, SA, Medical)

  5. 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.

  6. Juvenile (Age 0-17) Arrest Rate by Type of Offense, 2008 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.

  7. Adult (Age 18+) Arrest Rate by Type of Offense, 2008 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.

  8. Total (Juvenile and Adult) Arrest Rate in Violent Crimes, 2008 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.

  9. Texas Border:Substance Abuse Services YOUTH ADULT 2008 Texas Adult Population (18+ years) 1,982,455 2008 Texas Youth Population (12-17 years) 272,369 2008 Estimated Number with Chemical Dependency 161,880 2008 Estimated Number with Chemical Dependency 26,032 SFY2008 Number Served in DSHS-Funded Substance Abuse Treatment Programs 831 or 3.2% SFY2008 Number Served in DSHS-Funded Substance Abuse Treatment Programs 5,953 or3.7% 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.

  10. Texas Border: Substance Abuse Clinics

  11. Texas Border: Community Mental Health Services YOUTH ADULT 2008 Texas Child Population (0-17 years) 807,598 2008 Texas Adult Population (18+ years) 1,735,700 2008 Estimated Number with Serious Emotional Disturbance 20,323 2008 Estimated Number with Serious and Persistent Mental Illness 44,341 SFY2008 Number Served in Community Mental Health Services 5,123 or25.2% SFY2008 Number Served in Community Mental Health Services 15,055 or34.0% 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.

  12. Region 1 Central Plains Respite Texas Panhandle Residential (Not Oprt’l) Region 2/3 Betty Hardwick MHMR – Tarrant County Respite Residential/Respite Center for Life Resources MHMR Services of Texoma ResidentialRespite Helen Farabee Pecan Valley Residential Respite Region 9/10 El Paso MHMR Residential MHMR – Concho Valley Respite West Texas Respite Region 4/5 N Burke Center Residential Region 7 Austin Travis County MHMR Residential/Respite Bluebonnet Trails Respite Heart of Texas Respite Region 8 Camino Real Respite Center for Health Care Srvs Residential/Respite Gulf Bend Respite Region 11 Border Region Respite MHMR – Nueces Cnty Respite TropicalTexas Respite Region 6/5 S MHMR – Harris County Residential/Respite Spindletop Respite Tri-County MHMR Residential LMHAs By Region With Residential & Respite Units

  13. Texas Border: Contracts • Mid-year adjustment of $347,562 is being directed to Border regions.

  14. 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

  15. 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

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