“La Frontera”- DDRAC 8/4/09. Susan M. Gallego, LCSW DSHS MH/SA – Program Implementation Border Programs Coordinator. Texas Border: Colonia. Texas Border Health. Borderlands – “La Frontera”. 32 Texas Border counties in 4 MH/SA regions with approx. 4.1 million people.
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“La Frontera”- DDRAC8/4/09
Susan M. Gallego, LCSW
DSHS MH/SA – Program Implementation
Border Programs Coordinator
“If the Texas Border counties made up a “51st” state, it would rank last in per capita personal income and first in poverty and unemployment.”
Texas Borderlands: Frontier to the Future, February 2007, State of Texas, Eliot Shapleigh
Binational “Sister-Cities” Health Councils held a Strategic Planning Meeting, 6/08, sponsored by USMBHA and TX OBH, and identified the top five border-wide healthpriorities:
Border Region 8 (Eagle Pass, Uvalde)
Community/School SA Prev. =19
Border Region 9 (Pecos,Terrell Co.)
Community/School SA Prev. =6
Border Region 10 (El Paso)
Community/School SA Prev. =11
Border Region 11 (Brownsville, Laredo)
Community/School SA Prev. =31
To develop and implement a comprehensive behavioral health model that promotes and embraces culturally competent prevention, intervention, and treatment for youth and adults in rural border areas (including Colonias) of the State.
The 5 RBIs currently serve the following 20 counties along the Texas – Mexico border (Regions 8, 10, 11):
Fund and support new services/programs targeting out-of-school youth and violence prevention.
Create bilingual multi media campaigns, social marketing.
Develop creative and responsible strategies to increase bilingual and bicultural work force
Make an effort to integrate trauma knowledge into service delivery systems
Support and fund mechanisms that increase the number of bilingual mental health and substance abuse counselors.
Increase support for integrated behavioral health services within medical clinics.
Utilize creative approaches to target resources to the 32 Border counties, such as directing a % of seized money towards SA/MH prevention, intervention and treatment programs.