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Albuquerque – July 20 , 2013
#MentalHealthMatters #Albuquerque
Everette Hill Everyday Democracy
Mayor Richard J. BerryCity of Albuquerque
SenatorPete Domenici
New Mexico
Jasmine Cuffee Spoken Word Artist
Thank you, Steering Committee!
Maria Elena Alvarez, NAMI-Albuquerque
Debra Baca, Youth Development, Inc.
Jim Breen, City of Albuquerque
Felicia Barnum, NAMI-Albuquerque
Gabe Campos, City of Albuquerque
Thank you, Steering Committee!
Shea Fallick, Mayor’s Youth Advisory Council
Troy Fernandez, OptumHealth
Dayna Gardner, City of Albuquerque
Elias Gallegos, City of Albuquerque
Sam Howarth, Center for Health at UNM
Thank you, Steering Committee!
Leslie Kelly, Albuquerque Public Schools
Diana Lopez, Youth Development, Inc.
Kris Meurer, Albuquerque Public Schools
Jim Ogle, NAMI-Albuquerque
Melanie Pohl, United Way of Central New Mexico
Thank you, Steering Committee!
Ed Rivera, United Way of Central New Mexico
Michael Robertson, City of Albuquerque
Gabe Sanchez, Center for Health Policy at UNM
Cindy Shelton, Behavioral Health Services Dept—NM
Delaney Woodward, City of Albuquerque
Everyday Democracy Board & Staff
Today’s Objectives
Today’s 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 communities
• Identify, implement, and disseminate innovative community-based solutions to mental health needs, with a focus on helping young people
• Develop clear steps for communities to move forward in a way that complements existing local initiatives and activities
Agenda• Table Introductions• Who’s In the Room? • Session One: Mental Health in the Community• Keypad Polling• Session Two: Challenges and Key Factors • Lunch• Session Three: Strategies and Progress to Date, with
a Special Focus on our Young People • Session Four: Action Ideas for Our Community
Agenda continued• Keypad Polling On Our Themes
• Mayor Berry Offers Brief Closing Reflections
• Next steps in the Albuquerque Region
Eduardo MartinezEveryday Democracy
How Today Will Work• Table Discussions
• Discussion Materials
• Table Facilitators and Recorders
• Theme Team
• Keypad Polling
Share Your Experiences Online• Hashtag: #MentalHealthMatters #Albuquerque
• Twitter: @MentalHealthCCS
• Facebook: facebook.com/creatingcommunitysolutions
• Online Discussion: www.theciviccommons.com/mentalhealth
Ground Rules• Speak openly and honestly
• Listen carefully and respectfully to each person
• Keep comments brief and stay focused on task
• Explore differences respectfully and look for
common ground
• Turn off cell phones
Table Introductions
Table Tasks
•What is your name?
•Where do you live?
•Why are you here?
Table Tasks
• Write down your response to the
question before you share
• We’ll have 12 minutes for this task
Table Tasks
•What is your name?
•Where do you live?
•Why are you here?
Who’s In The Room?
Keypad Instructions:
• Press the button of your choice
• Please keep the same keypad all day
Keypad Polling
XX
Polling Questions
One of the most heated debates in New Mexico:
5%
29%
46%
20% 1. Red2. Green3. Christmas4. What… I have no idea what this
question means?
What is your gender?
1%
33%
66% 1. Female2. Male3. Other
Census Data
51%49%
What is your age?
16%
20%
18%
18%
12%
6%
11%
Census Data
7%8%
15%13%14%12%12%
1. 15 – 192. 20 – 243. 25 – 344. 35 – 445. 45 – 546. 55 – 647. 65 and better
What is your race or ethnicity?
2%
8%
48%
4%
28%
9%
3%
Census Data
2.4%3%
48%5%
69%4%
1. Asian or Pacific Islander2. Black or African American3. Latino / Hispanic4. Native American or Indian5. White or Caucasian6. More than one race7. Other
What is your highest level of education?
40%
30%
16%
5%
9%
1% 1. Elementary or Middle School2. Some High School3. High School Graduate4. Some College5. College Graduate6. Post-Collegiate Degree
Where do you live?
4%
2%
2%
0%
7%
3%
35%
24%
11%
11% 1. SW Albuquerque2. SE Albuquerque3. NW Albuquerque4. NE Albuquerque5. Bernalillo County6. Sandoval County7. Torrance County8. Valencia County9. Elsewhere NM10.Outside NM
What is your experience withmental health? (select all that apply)
9%
53%
71%
33% 1. I am a mental health service provider in the community
2. I have direct experience with mental health issues with a family member or friend
3. I have direct personal experience with mental health issues
4. None of the above
How important to you is theissue of mental health?
0%
4%
16%
81% 1. Extremely important2. Very important3. Somewhat important4. Not at all important
It’s hard to know who needsmental health care
11%
23%
23%
11%
13%
13%
6% 1. Strongly Disagree2. Disagree3. Somewhat Disagree4. Neither Agree nor Disagree5. Somewhat Agree6. Agree7. Strongly Agree
Society discriminates against people who have mental illnesses
47%
32%
8%
2%
1%
1%
9% 1. Strongly Disagree2. Disagree3. Somewhat Disagree4. Neither Agree nor Disagree5. Somewhat Agree6. Agree7. Strongly Agree
People can’t always get the mentalhealth services and treatment they need
71%
15%
4%
1%
1%
2%
5% 1. Strongly Disagree2. Disagree3. Somewhat Disagree4. Neither Agree nor Disagree5. Somewhat Agree6. Agree7. Strongly Agree
If we don’t treat people with serious mental illnesses they could become a
menace to our community
21%
15%
21%
18%
5%
10%
11% 1. Strongly Disagree2. Disagree3. Somewhat Disagree4. Neither Agree nor Disagree5. Somewhat Agree6. Agree7. Strongly Agree
How confident are you that the participants in today’s discussion can develop an
effective plan to address mental health challenges in our community?
12%
43%
31%
14% 1. Extremely confident2. Very confident3. Somewhat confident4. Not at all confident
Gabriel R. Sanchez, Ph.D.Director of the Robert Wood Johnson
Foundation Center for Health Policy at the University of New Mexico
Photo credit: MarbleStreetStudio.com
The Definition of Mental Health
• State of well being where every individual realizes his or her own abilities.
University of Michigan
Mental health issues on a continuum
Half of mental illness cases begin by age 14, and 3/4 of
cases start by age 24
20% of Americans 18 and older will experience a mental health
problem this year
Situation in New Mexico
• New 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
Percentage 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 people’s 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 Report
Why are you participating today?• To raise awareness• Our family and friends are affected• To remove negative attitudes• To learn about issues• We care about youth• To improve access to services and resources• We want to advocate for change• We have a professional connection with this
issue
Session OneMental Health in Our Community
Session OneMental Health in Our Community
• Describe an experience in your life that informs what you believe about mental health.
• Why is mental health important to you and to our community?
Session TwoChallenges and Key Factors
Deputy Chief Tige Watson
Albuquerque Fire Department
• Albuquerque Fire Department responded to over 119,000 calls for service in 2012
• Approximately 80% were of a medical nature
• Bound by City Ordinance 9-4-4-1
• The “25” call designation, Medical Priority Dispatch System
Information from the Albuquerque Fire Department
Approximately 3,873 “25” call responses in 2012
Information from the Albuquerque Fire Department
• AFD units are primarily trained and equipped to respond to calls for Acute emergencies
• A small population of individuals utilizes 911 services disproportionately from the general public
• Suffer from difficult health or social circumstances
Information from the Albuquerque Fire Department
• Ability to address underlying issues
• Uncoordinated care consumes valuable public safety and acute care resources
• Appropriate destination for best treatment
24% of people believe that someone with a mental illness is dangerous
and 39% believe he or she is unpredictable
This invisible mark of shame could prevent up to 60% of those with
mental illness from seeking treatment
Bullying, trauma, and negative attitudes towards sexual
orientation, discrimination, and cultural differences
Session TwoChallenges and Key Factors
Discussion
• What 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?
Lunch
Devont’e Kurt WatsonMayor’s Youth Advisor
Maria Elena AlvarezNAMI
#MentalHealthMatters
Key Theme Polling
Before we move to the table conversations, we’re going to briefly look back at the themes from the previous discussion round.
Themes Team Report: Sessions 1 & 2
Key Challenges and Factors
Why is mental health important?• Mental health issues impact families• Mental health is as important as physician
health• Lack of understanding creates barriers in the
community• Suicide prevention
Why is mental health important?
• People with mental health issues are sometimes treated poorly
• It is a cultural and social justice issue• Keeps youth from using negative coping
mechanisms (drugs, gangs)• Improves social and economic conditions
Why is mental health important? Choose your top three
1. 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
37%
23%
40%
21%
23%
47%
46%
57% 1. 12. 23. 34. 45. 56. 67. 78. 8
Obstacles• People turning to substances to self-
medicate• Lack of services• People turn to the streets for help• Health care system• Negative attitudes prevent people
from seeking treatment• Inappropriate/ineffective treatment
Obstacles – Choose your top three
1. People turning to substances to self-medicate
2. 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
52%
63%
51%
9%
72%
43% 1. 12. 23. 34. 45. 56. 6
Key factors influencing mental health in our community
• Lack of resources, knowledge, awareness, and training
• Affordability of care with or without insurance
• Negative perceptions of mental health illness
• Perceptions about race, culture, class or religion
Key factors influencing mental health in our community
• Community support and relationships• Poor coordination of services, and
fragmented care• Healthy environments that promote
mental health
Key factors influencing mental health in our community – Choose top three
1. Lack of resources, knowledge, awareness, and training
2. Affordability of care with or without insurance3. Negative perceptions of mental health illness4. Perceptions about race, culture, class or religion5. Community support and relationships6. Poor coordination of services, and fragmented care7. Healthy environments that promote mental health
Why Important
29%
53%
29%
17%
42%
41%
79% 1. 12. 23. 34. 45. 56. 67. 7
Polling Questions
Approximately how many Americans will have a mental health
problem in any given year?
2%
7%
12%
79% 1. One in five2. One in ten3. One in twenty4. One in fifty
During what phase of life do most adult mental illnesses begin?
10%
90% 1. When people are children or young adults
2. After 25 years of age
How 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?
1%
14%
35%
50% 1. Extremely likely2. Very likely3. Somewhat likely4. Not at all likely
People with mental illness have a propensity toward violent acts.
89%
11% 1. True2. False
People with mental illness are much more likely to be victims than
perpetrators of violence.
5%
95% 1. True2. False
Session ThreeStrategies and progress to date, especially for
supporting young people and young adults
Robin Dozier OttenFamily and Community
Services Department City of Albuquerque
Why focus on youth?
Albuquerque Services for Youth and Young Adults
• UNM Children’s Psychiatric Center• Youth Development, Inc • Hogares • All Faith’s Home• UNM Behavioral Health Programs • St. Martin’s Hospitality Center • New Mexico Solutions
Session Three - DiscussionStrategies, especially for young people
• What 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 need
Session FourActions in Our Community
Randy WoodcockUnited Way of Central New Mexico
What steps do we want to take in our community?
Building an action plan
SchoolsFaith Community
Health CareSocial Services
FundersGovernment
Juvenile JusticeFoster Care
First RespondersLaw Enforcement
Mental HealthSubstance Abuse
Session Four - DiscussionActions in Our Community
• What 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-along
Polling: Top Strategies
Polling: Improving Mental Health Actions
Possible strategies for the community
• Increase mental health education for community-based professionals
• Strengthen existing resources that work• Improve continuity of care• Create better services for crisis
prevention and intervention• Improve awareness of mental health
Possible strategies for the community – Choose top three
1. Increase mental health education for community-based professionals
2. Strengthen existing resources that work3. Improve continuity of care4. Create better services for crisis prevention
and intervention5. Improve awareness of mental health
Session 3
66%
55%
45%
55%
47% 1. 12. 23. 34. 45. 5
Possible strategies for youth and young adults
• Promote healthy activities: getting outdoors, arts, etc.• Foster positive relationships between youth and adults• Build awareness through transit ads, billboards, PSAs
and social media• Strengthen youth leadership and peer-to-peer support• Bring services to youth where they are, including
schools, youth centers, malls, etc.• Teaching training and mental health education in
schools• Create safe places for youth• Early childhood intervention
Possible strategies for youth and young adults – Choose top three
1. 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
39%
21%
51%
49%
40%
31%
31%
26% 1. 12. 23. 34. 45. 56. 67. 78. 8
Polling: Evaluation
Overall, did the discussion help you better understand mental health
challenges in your local community?
1%
6%
42%
51% 1. It was extremely helpful2. It was somewhat helpful3. It was not very helpful4. It was not at all helpful
As a result of the table discussions you participated in today have your views
changed about addressing the mental health challenges facing our community?
0%
5%
20%
54%
20% 1. Changed - a lot more optimistic2. Changed - a little more optimistic3. Did not change my views4. Changed - a little more pessimistic5. Changed - a lot more pessimistic
How confident are you that the participants in today’s discussion can develop an
effective plan to address mental health challenges in our community?
5%
41%
39%
15% 1. Extremely confident2. Very confident3. Somewhat confident4. Not at all confident
What is your level of satisfaction with the meeting today?
34%
43%
22%
0%
0% 1. Very low2. Low3. Medium4. High5. Very high
Community action ideas• Create a statewide mental health
initiative• Create community initiative to secure
funding• Media campaign to raise awareness
about issues and resources• More mental health providers at
places accessible to youth
Community action ideas -continued
• More community conversations• Create a statewide mental health
hotline• Advocate for policy change (letters,
watchdogs, etc.)• Leverage partnership to reduce
fragmentation between providers
Community action ideas – Choose top three
1. 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
43%
24%
19%
24%
47%
48%
43%
37% 1. 12. 23. 34. 45. 56. 67. 78. 8
Final Reflections from Mayor Berry
Everette Hill Everyday Democracy
Thank you!