Slide 1

#MentalHealthMatters #AlbuquerqueAlbuquerque July 20 , 20131Everette Hill Everyday DemocracyMayor Richard J. BerryCity of Albuquerque3SenatorPete DomeniciNew Mexico4Jasmine Cuffee Spoken Word ArtistThank you, Steering Committee!Maria Elena Alvarez, NAMI-AlbuquerqueDebra Baca, Youth Development, Inc.Jim Breen, City of AlbuquerqueFelicia Barnum, NAMI-AlbuquerqueGabe Campos, City of Albuquerque

Thank you, Steering Committee!Shea Fallick, Mayors Youth Advisory CouncilTroy Fernandez, OptumHealthDayna Gardner, City of AlbuquerqueElias Gallegos, City of AlbuquerqueSam Howarth, Center for Health at UNM

Thank you, Steering Committee!Leslie Kelly, Albuquerque Public SchoolsDiana Lopez, Youth Development, Inc.Kris Meurer, Albuquerque Public SchoolsJim Ogle, NAMI-AlbuquerqueMelanie Pohl, United Way of Central New Mexico

Thank you, Steering Committee!Ed Rivera, United Way of Central New MexicoMichael Robertson, City of AlbuquerqueGabe Sanchez, Center for Health Policy at UNMCindy Shelton, Behavioral Health Services DeptNMDelaney Woodward, City of AlbuquerqueEveryday Democracy Board & Staff

10

Todays Objectives

Todays objectives mirror that of the National Dialogue on Mental Health:Get Americans talking about mental health to break down negative attitudes and barriers, and promote timely access to care, recovery and healthy communitiesIdentify, implement, and disseminate innovative community-based solutions to mental health needs, with a focus on helping young peopleDevelop clear steps for communities to move forward in a way that complements existing local initiatives and activities11AgendaTable IntroductionsWhos In the Room? Session One: Mental Health in the CommunityKeypad PollingSession Two: Challenges and Key Factors LunchSession Three: Strategies and Progress to Date, with a Special Focus on our Young People Session Four: Action Ideas for Our Community

12Agenda continuedKeypad Polling On Our ThemesMayor Berry Offers Brief Closing Reflections Next steps in the Albuquerque Region

Eduardo MartinezEveryday DemocracyHow Today Will WorkTable DiscussionsDiscussion MaterialsTable Facilitators and RecordersTheme TeamKeypad Polling15Share Your Experiences OnlineHashtag: #MentalHealthMatters #Albuquerque

Twitter: @MentalHealthCCS

Facebook: facebook.com/creatingcommunitysolutions

Online Discussion: www.theciviccommons.com/mentalhealthGround RulesSpeak openly and honestlyListen carefully and respectfully to each personKeep comments brief and stay focused on task Explore differences respectfully and look for common groundTurn off cell phones 17Table Introductions18Table Tasks What is your name?Where do you live?Why are you here? 19Table Tasks Write down your response to the question before you share Well have 12 minutes for this task

20Table Tasks What is your name?Where do you live?Why are you here? 21Whos In The Room?22Keypad Instructions:Press the button of your choicePlease keep the same keypad all day

Keypad Polling

XX23Polling QuestionsOne of the most heated debates in New Mexico:

220 of 305RedGreenChristmasWhat I have no idea what this question means?25What is your gender?

244 of 305FemaleMaleOtherCensus Data51%49%26What is your age?

243 of 305Census Data7%8%15%13%14%12%12%15 1920 2425 3435 4445 5455 6465 and better27What is your race or ethnicity?

240 of 305Census Data2.4%3%48%5%69%4%Asian or Pacific IslanderBlack or African AmericanLatino / HispanicNative American or IndianWhite or CaucasianMore than one raceOther28What is your highest level of education?

244 of 305Elementary or Middle SchoolSome High SchoolHigh School GraduateSome CollegeCollege GraduatePost-Collegiate Degree29Where do you live?

244 of 305SW AlbuquerqueSE AlbuquerqueNW AlbuquerqueNE AlbuquerqueBernalillo CountySandoval CountyTorrance CountyValencia CountyElsewhere NMOutside NM30What is your experience withmental health? (select all that apply)

247 of 305I am a mental health service provider in the communityI have direct experience with mental health issues with a family member or friendI have direct personal experience with mental health issuesNone of the above31How important to you is theissue of mental health?

Extremely importantVery importantSomewhat importantNot at all important241 of 30532Its hard to know who needsmental health care

Strongly DisagreeDisagreeSomewhat DisagreeNeither Agree nor DisagreeSomewhat AgreeAgreeStrongly Agree239 of 30533Society discriminates against people who have mental illnesses

Strongly DisagreeDisagreeSomewhat DisagreeNeither Agree nor DisagreeSomewhat AgreeAgreeStrongly Agree240 of 30534People cant always get the mentalhealth services and treatment they need

Strongly DisagreeDisagreeSomewhat DisagreeNeither Agree nor DisagreeSomewhat AgreeAgreeStrongly Agree243 of 30535If we dont treat people with serious mental illnesses they could become a menace to our community

Strongly DisagreeDisagreeSomewhat DisagreeNeither Agree nor DisagreeSomewhat AgreeAgreeStrongly Agree238 of 30536How confident are you that the participants in todays discussion can develop an effective plan to address mental health challenges in our community?

Extremely confidentVery confidentSomewhat confidentNot at all confident243 of 30537Gabriel R. Sanchez, Ph.D.Director of the Robert Wood Johnson Foundation Center for Health Policy at the University of New Mexico38

Photo credit: MarbleStreetStudio.com39The Definition of Mental HealthState of well being where every individual realizes his or her own abilities.

University of MichiganMental health issues on a continuum

41Half of mental illness cases begin by age 14, and 3/4 of cases start by age 24

4220% of Americans 18 and older will experience a mental health problem this year

43Situation in New MexicoNew Mexicans are unfortunately more likely to be touched by mental health than folks living in other states.

I want to focus our attention on the youth with some data showcasing the correlation between suicide and community involvement.

Percentage of High School Students Who Seriously Considered Attempting Suicide

45Percentage of High School Students Who Report Not Having an Adult Outside of Home or School Who Cares About Them

There is Fortunately Good News!Promotion, we can enhance peoples ability to cope and provide a positive sense of well-being.Prevention, we can identify early indicators of problems and promote behaviors to reduce them.Treatment, provides proven methods that reduce or eliminate problem behaviors.Recovery, we can help sustain positive behaviors and hope.Why You Attended Today

Themes Team Report48Why are you participating today?To raise awarenessOur family and friends are affectedTo remove negative attitudesTo learn about issuesWe care about youthTo improve access to services and resourcesWe want to advocate for changeWe have a professional connection with this issue

Session OneMental Health in Our Community50Session OneMental Health in Our CommunityDescribe an experience in your life that informs what you believe about mental health.

Why is mental health important to you and to our community?

51Session TwoChallenges and Key FactorsDeputy Chief Tige Watson Albuquerque Fire DepartmentAlbuquerque Fire Department responded to over 119,000 calls for service in 2012Approximately 80% were of a medical natureBound by City Ordinance 9-4-4-1The 25 call designation, Medical Priority Dispatch System

Information from the Albuquerque Fire Department54

Approximately 3,873 25 call responses in 2012

Information from the Albuquerque Fire DepartmentAFD units are primarily trained and equipped to respond to calls for Acute emergenciesA small population of individuals utilizes 911 services disproportionately from the general publicSuffer from difficult health or social circumstances56Information from the Albuquerque Fire DepartmentAbility to address underlying issuesUncoordinated care consumes valuable public safety and acute care resourcesAppropriate destination for best treatment5724% of people believe that someone with a mental illness is dangerous and 39% believe he or she is unpredictableThis invisible mark of shame could prevent up to 60% of those with mental illness from seeking treatmentBullying, trauma, and negative attitudes towards sexual orientation, discrimination, and cultural differencesSession TwoChallenges and Key FactorsDiscussionWhat stood out for you about our challenges?What are the implications of these mental health challenges for youth and young adults and for our community as a whole? Which are the key factors that most influence mental health in our community?

LunchDevonte Kurt WatsonMayors Youth AdvisorMaria Elena AlvarezNAMIKey Theme PollingBefore we move to the table conversations, were going to briefly look back at the themes from the previous discussion round.

#MentalHealthMattersThemes Team Report: Sessions 1 & 2Key Challenges and FactorsWhy is mental health important?Mental health issues impact familiesMental health is as important as physician healthLack of understanding creates barriers in the communitySuicide preventionWhy is mental health important?People with mental health issues are sometimes treated poorlyIt is a cultural and social justice issueKeeps youth from using negative coping mechanisms (drugs, gangs)Improves social and economic conditionsWhy is mental health important? Choose your top three1. Mental health issues impact families2. Mental health is as important as physician health3. Lack of understanding creates barriers in the community4. Suicide prevention5. People with mental health issues are sometimes treated poorly6. It is a cultural and social justice issue7. Keeps youth from using negative coping mechanisms (drugs, gangs)8. Improves social and economic conditions

Beliefs

218 of 3051234567870ObstaclesPeople turning to substances to self-medicateLack of servicesPeople turn to the streets for helpHealth care systemNegative attitudes prevent people from seeking treatmentInappropriate/ineffective treatment

Obstacles Choose your top three1. People turning to substances to self-medicate2. Lack of services3. People turn to the streets for help4. Health care system5.Negative attitudes prevent people from seeking treatment6. Inappropriate/ineffective treatment

Why Important

235 of 30512345673Key factors influencing mental health in our communityLack of resources, knowledge, awareness, and trainingAffordability of care with or without insuranceNegative perceptions of mental health illness Perceptions about race, culture, class or religion

Key factors influencing mental health in our communityCommunity support and relationshipsPoor coordination of services, and fragmented careHealthy environments that promote mental health

Key factors influencing mental health in our community Choose top three Lack of resources, knowledge, awareness, and trainingAffordability of care with or without insuranceNegative perceptions of mental health illnessPerceptions about race, culture, class or religionCommunity support and relationshipsPoor coordination of services, and fragmented careHealthy environments that promote mental health

Why Important

236 of 305123456777Polling QuestionsApproximately how many Americans will have a mental health problem in any given year?

226 of 305One in fiveOne in tenOne in twentyOne in fifty79During what phase of life do most adult mental illnesses begin?

229 of 305When people are children or young adultsAfter 25 years of age80How likely is it that a person seeking to recover from mental illness can do so with a combination of therapy, medical help, and continued support?

222 of 305Extremely likelyVery likelySomewhat likely Not at all likely81People with mental illness have a propensity toward violent acts.

TrueFalse234 of 30582People with mental illness are much more likely to be victims than perpetrators of violence.

TrueFalse234 of 30583Session ThreeStrategies and progress to date, especially for supporting young people and young adultsRobin Dozier OttenFamily and Community Services Department City of AlbuquerqueWhy focus on youth?Albuquerque Services for Youth and Young AdultsUNM Childrens Psychiatric CenterYouth Development, Inc Hogares All Faiths HomeUNM Behavioral Health Programs St. Martins Hospitality Center New Mexico Solutions

Session Three - DiscussionStrategies, especially for young peopleWhat is working to address mental health challenges in our community? What 2-3 strategies do we need?

Identify 2-3 strategies particular to youth and young adults that we needSession FourActions in Our CommunityRandy WoodcockUnited Way of Central New MexicoWhat steps do we want to take in our community?Building an action planMental HealthSubstance AbuseHHS, Justice, USDA, Education92Session Four - DiscussionActions in Our CommunityWhat top two actions do you think we should take as a community to improve mental health for all?

What three or four actions will you take as an individual or family member to promote mental health?Sing-alongPolling: Top StrategiesPolling: Improving Mental Health ActionsPossible strategies for the communityIncrease mental health education for community-based professionalsStrengthen existing resources that workImprove continuity of careCreate better services for crisis prevention and interventionImprove awareness of mental health

Possible strategies for the community Choose top three1. Increase mental health education for community-based professionals2. Strengthen existing resources that work3. Improve continuity of care4. Create better services for crisis prevention and intervention5. Improve awareness of mental health

Session 3

199 of 3051234599Possible strategies for youth and young adultsPromote healthy activities: getting outdoors, arts, etc.Foster positive relationships between youth and adultsBuild awareness through transit ads, billboards, PSAs and social mediaStrengthen youth leadership and peer-to-peer supportBring services to youth where they are, including schools, youth centers, malls, etc.Teaching training and mental health education in schoolsCreate safe places for youthEarly childhood intervention

Possible strategies for youth and young adults Choose top three1. Promote healthy activities: getting outdoors, arts, etc.2. Foster positive relationships between youth and adults3. Build awareness through transit ads, billboards, PSAs and social media4. Strengthen youth leadership and peer-to-peer support5. Bring services to youth where they are, including schools, youth centers, malls, etc.6. Teaching training and mental health education in schools7. Create safe places for youth8. Early childhood intervention

Additional

210 of 30512345678102Polling: EvaluationOverall, did the discussion help you better understand mental health challenges in your local community?

It was extremely helpfulIt was somewhat helpfulIt was not very helpfulIt was not at all helpful206 of 305104As a result of the table discussions you participated in today have your views changed about addressing the mental health challenges facing our community?

Changed - a lot more optimisticChanged - a little more optimisticDid not change my viewsChanged - a little more pessimisticChanged - a lot more pessimistic201 of 305105How confident are you that the participants in todays discussion can develop an effective plan to address mental health challenges in our community?

Extremely confidentVery confidentSomewhat confidentNot at all confident204 of 305106What is your level of satisfaction with the meeting today?

Very lowLowMediumHighVery high211 of 305107Community action ideasCreate a statewide mental health initiativeCreate community initiative to secure fundingMedia campaign to raise awareness about issues and resourcesMore mental health providers at places accessible to youth

Community action ideas -continuedMore community conversationsCreate a statewide mental health hotlineAdvocate for policy change (letters, watchdogs, etc.)Leverage partnership to reduce fragmentation between providers

Community action ideas Choose top three1. Create a statewide mental health initiative2. Create community initiative to secure funding3. Media campaign to raise awareness about issues and resources4. More mental health providers at places accessible to youth5. More community conversations6. Create a statewide mental health hotline7. Advocate for policy change (letters, watchdogs, etc.)8. Leverage partnership to reduce fragmentation between providers

Additional

214 of 30512345678111Final Reflections from Mayor BerryEverette Hill Everyday DemocracyThank you!