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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

Texas Mental Health and Substance Abuse Services – Border DDRAC Meeting

Mike Maples, LPC, LMFT

Assistant Commissioner

high need area
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

high need area cont d
High Need Area – cont’d
  • Drug trafficking – crime/violence
  • AOD use/abuse
  • MH trauma, depression, suicide
  • Lack of trained professionals (MH, SA, Medical)
texas border colonias communities
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.
slide6

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.

slide7

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.

slide8

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.

texas border substance abuse services
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.

slide11

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.

slide12

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

texas border contracts
Texas Border: Contracts
  • Mid-year adjustment of $347,562 is being directed to Border regions.
mh sa what is texas doing infrastructure and services
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
mh sa what is texas doing infrastructure and collaborations
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