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Changing Minds, Advancing Mental Health for Hispanics A Showcase of Innovative Programs, Policies and Strategies Addressing Transcultural Mental Health Issues

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Title: Changing Minds, Advancing Mental Health for Hispanics A Showcase of Innovative Programs, Policies and Strategies Addressing Transcultural Mental Health Issues


1
Changing Minds, Advancing Mental Health for
HispanicsA Showcase of Innovative Programs,
Policies and Strategies Addressing Transcultural
Mental Health Issues
Presented by Henry Acosta, MA, MSW,
LSW Executive Director, National Resource Center
for Hispanic Mental Health, and Deputy Director,
New Jersey Mental Health Institute, Inc.
  • Presented at
  • World Federation for Mental Healths
  • Transcultural Mental Health in a Changing World
  • Building a Global Response
  • Minneapolis, Minnesota
  • Wednesday, October 31, 2007

2
  • Listing of Professional Reports Related to
    Disparities
  • in Access to and the Provision of Quality Mental
    Health Care for Racial and Ethnic Minorities
  • U.S. Surgeon Generals first ever report on
    mental health, Mental Health A Report of the
    Surgeon General, 1999
  • http//www.surgeongeneral.gov/library/mentalhealt
    h/home.html
  • U.S Surgeon General supplemental report, Mental
    Health Culture, Race Ethnicity, 2001
  • http//www.mentalhealth.samhsa.gov/cre/default.as
    p
  • Institute of Medicine Report, Unequal Treatment
    Confronting Racial and Ethnic Disparities in
    Health Care, 2002
  • http//www.iom.edu/report.asp?id4475
  • Presidents New Freedom Commission on Mental
    Health, Achieving the Promise Transforming
    Mental Health Care in America, 2003
  • http//www.mentalhealthcommission.gov/reports/Fin
    alReport/toc.html

3
Brief Reference of Federal Laws, Standards, and
Initiatives Aimed at Eliminating Disparities in
Access to and the Provision of Quality Health
and/or Mental Health Services
  • Title VI of the Civil Rights Act of 1964
  • For more information, please visit
    http//www.usdoj.gov/crt/cor/coord/titlevi.htm
  • Healthy People 2010
  • For more information, please visit
    http//www.healthypeople.gov
  • Revised National Standards for Culturally and
    Linguistically Appropriate Services (CLAS) in
    Health Care
  • U.S. Office of Minority Health
  • For more information, please visit
    http//www.omhrc.gov/clas/finalcultural1a.htm
  • National Network for the Elimination of
    Disparities in Behavioral Health - United States
    Substance Abuse and Mental Health Services
    Administration http//www.samhsa.gov
  • Funding for Doctoral Level Professionals from
    Underserved Populations NIMH
    http//www.nimh.gov
  • Health Career Opportunities Program
  • Health Resources Services Administration -
    http//www.hrsa.gov

4
Changing Minds, Advancing Mental Health for
Hispanics
  • Background History and Rationale for Program
  • Goal Create Model Mental Health Program for
    Hispanics
  • Initial Changing Minds, Advancing Mental Health
    for Hispanics
  • Project Activities
  • Comprehensive Literature Review and Analysis of
    Hispanic Mental Health Issues
  • Interviews with Mental Health and Hispanic
    Community-based Agency Administrators
  • Interviews with Mental Health Direct Service
    Providers
  • Focus Groups with Hispanics of Cuban, Dominican,
    Mexican
  • and Puerto Rican Background

5
Changing Minds, Advancing Mental Health for
Hispanics
  • Additional Activities
  • Community Presentations/Participation at
    Churches, Schools, Health Fairs, etc.
  • Public Education Awareness Activities
  • Print
  • Television
  • Radio
  • Community Outreach
  • NAMI Family-to-Family Program
  • Directory of Multicultural Agencies
  • Model Mental Health for Hispanics Training Video
  • Summit on Improving Mental Health Services for
    Hispanics
  • Statewide Conferences on Delivering Culturally
    Competent Mental Health Services
  • State and National Policy Development and
    Advocacy Efforts

6
Brief Listing of Accomplishments to Date
Changing Minds, Advancing Mental Health for
Hispanics
  • Time for Action Policy Report
  • Mental Health Issues and Platform Report for the
    National Hispanic-Latino American Agenda Summit
  • State of New Jersey Department of Human Services
  • Mini-grants - Office of Multicultural Services
  • Funding for Bilingual and Bicultural Clinicians
  • Regional Cultural Competence Training Centers
  • Loan Forgiveness
  • New Jerseys Law regarding Mandatory Training in
    Cultural Competence by
  • all Licensed Physicians - Pending
    Amendments
  • Pending Law in New Jersey concerning Continuing
    Education Units (CEUs) concerning Education on
    Cultural Competence
  • Improved Data Collection on Health and Mental
    Health Workforce
  • Improved Representation of Racial and Ethnic
    Minorities on State Licensing Boards,
    Commissions, Councils and Advisory Groups

7
Additional Accomplishments
  • The impact of the Changing Minds program grew to
    benefit
  • many states, including, but not limited to, the
    following examples
  • of programs and activities
  • delivered technical assistance or training to
    state leaderships of NAMI, NMHA, ASHP, LBHI,
    NLBHA, NAPRHSW, LSWO, NLPA...
  • developed a Model Mental Health Program for
    Hispanics utilized and/or adopted by provider
    agencies in MI, CA, KS, OR, ID, NY PA, NJ...
  • conducted mental health, multi-cultural
    competency training for administrators and
    providers in CA, PA, FL, AZ, MN, IL, NY, NJ,
    TX...
  • conducted multi-media anti-stigma and depression
    awareness campaigns in NY, NJ, PA... (posters
    brochures made available nationally)
  • Provided technical assistance to multiple
    providers and administrations in CA, TX, NJ NY,
    PA...

8
Additional Accomplishments (continued)
  • Provided culturally competent resources
  • conducted and published comprehensive literature
    review of Hispanic mental health issues.
  • developed patient education materials, disease
    fact sheets, etc. for depression, schizophrenia,
    anxiety and others.
  • created and distributed a state multi-cultural
    resource directory (electronic database, web site
    and hard copy for public and professional usage).
  • created and distributed nationwide bilingual
    newsletter.
  • created and distributed mental health cultural
    competency manual for agency administrators and
    direct service providers facilitated or
    supported use in states including New Jersey,
    California, Texas and Oregon
  • Developed best practice programs
  • conducted analysis of access barriers and best
    practice solutions, creating a model of best
    practices for mental health services delivery to
    Hispanic-Latino Americans.
  • developed and implemented plans to drive tens of
    thousands of patients into treatment.
  • established NJ NAMI Spanish Family-to-Family
    caregivers program provide guidance and
    technical assistance on how to successfully
    establish this program in other states.
  • established scholarship funds to increase
    Hispanic mental health professionals.

9
Additional Accomplishments (continued)
  • Delivered effective training
  • conducted training workshops for thousands of
    clinicians.
  • developed training for health agency
    administrators.
  • created and distributed a mental health service
    delivery training videos.
  • hosted a Hispanic mental health summit presented
    and trained at national/international
    conferences.
  • provided technical assistance to support both
    professionals and consumers.
  • Institutionalized systems for access and
    eliminating disparities
  • implemented several award winning, multi-million
    dollar, multi-media, public education campaigns,
    which generated more greater than 30 million
    anti-stigma/anti-discrimination media
    impressions.
  • developed a Hispanic-Latino mental health
    personnel attraction/retention plan.
  • created multiple public recommendations reports
    and positions.
  • participated and led numerous government boards
    and task forces.
  • trained and advised state executives, agency
    leadership and private health care organizations.

10
Next Steps
  • National Resource Center for Hispanic Mental
    Health - The NRCHMH
  • specifically aims to reduce disparities and to
    increase treatment quality and
  • the availability of mental health services for
    Hispanics throughout the nation
  • by implementing an array of strategies. They are
  • 1. Developing culturally competent resources and
    tools for behavioral health administrators,
    direct service providers and other stakeholders.
  • 2. Creating and fostering the development and
    institutionalization of best practice programs.
  • 3. Conceptualizing and implementing high-quality
    trainings on culturally competent mental health
    service delivery and on policy development and
    advocacy.
  • 4. Supporting the planning, development and
    implementation of policies and systems of care at
    the local, state and national levels.
  • 5. Developing comprehensive and user-friendly
    resources and tools such as bilingual website and
    newsletter for disseminating information in
    English and Spanish on an array of mental health
    topics, research studies, available resources,
    and important field related events.
  • 6. Heightening awareness, acceptance and
    understanding of mental illness among the
    nations Hispanic population.

11
Changing Minds, Advancing Mental Health for
HispanicsA Showcase of Innovative Programs,
Policies and Strategies Addressing Transcultural
Mental Health Issues
  • For further information, please contact
  • Henry Acosta, MA, MSW, LSW
  • Executive Director, National Resource Center for
    Hispanic Mental Health,
  • and Deputy Director New Jersey Mental Health
    Institute, Inc.
  • (609) 838-5488, ext. 205
  • hacosta_at_nrchmh.org.
  • http//www.nrchmh.org
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