NAMI California Multicultural Symposium “Recovery, Hope and Wellness” July 31, 2014

1. NAMI California Multicultural Symposium “Recovery, Hope and Wellness” July 31, 2014

2. Reducing Disparities

3. SPECIALIZED or culture-specific strategies for high-risk groups at elevated risk for problems (e.g. 18-24 y.o. latinas, suicide) INDIVIDUALinterventions for those with early signs of SUD/MHD but “sub-clinical” / “prodromal” UNIVERSALstrategies to address broad array of LOCAL problems among an entire community Danger Signs / Use 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 Prevention Continuum of Services Institutes of Medicine – I.O.M.

4. 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

5. PEI in Ventura CountyWHO has the greatest need? Based on data indicator report 2009 by EVALCORP

6. PEI in Ventura CountyHOW are we serving these needs?

7. Strategic Directions: Reducing Disparities* 1. Academic and School-Based Mental Health Programs 6. Community Capacity-Building and Outreach and Engagement 2. Community-Based Organizations and Co-Locating Resources 5. Culturally and Linguistically Appropriate Treatment 3. Community and Social Media 4. Workforce Development * CRDP Latino Population Report, UC Davis Center for Reducing Health Disparities, 2012

8. 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)

9. 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

10. 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

11. 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

12. 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

13. 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

14. 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.

15. Reducing Disparities – The Opportunity • Bring in an expert – fresh look/gain perspective • Systems change with a local focus • Stakeholders – common cause & focus • Collective IMPACT

16. Wellness for a Community at Risk Emotional Developing skills and strategies to cope with stress. Environmental Good health by occupying pleasant, stimulating environments that support well-being. Financial Satisfaction with current and future financial situations. intellectual Recognizing creative abilities and finding ways to expand knowledge and skills. social Developing a sense of connection and a well-developed support system. WELLNESS Physical Recognizing the need for physical activity, diet, sleep, and nutrition. spiritual Search for meaning and purpose in the human experience. OCCUPATIONAL Personal satisfaction and enrichment derived from one’s work.

17. Reducing Disparities – The Opportunity

18. 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