Mental Health in El Paso County 1

Mental Health in El Paso County

Barbara Yoon ID# 000230529
10/21/2013
H! Co""unity Health Pra#ti#u"
$estern o%ernors &ni%ersity
Mental Health El Paso County 2
Co""unity Des#ri'tion
!he (iel)*or+ that *as 'er(or"e) *as base) out o( El Paso, !e-as. El Paso, !e-as is
lo#ate) on the "ost *estern 'art o( !e-as an) bor)ers both /e* Me-i#o an) Me-i#o. !he
0eo0ra'hi#al si1e o( El Paso is 255 s2uare "iles an) #onsi)ere) the 3
th
lar0est #ity in !e-as. !he
si1e o( the #ounty is 1,053 s2uare "iles. !he 'o'ulation o( El Paso is 425,394 'eo'le in *hi#h
426 o( the #iti1ens are His'ani#, 156 are $hite, 36 are Bla#+, an) 26 "a+e u' the other ra#es.
El Paso is #onsi)ere) one o( the 'oorest #ities in !e-as *ith the "e)ian in#o"e bein0 734,259,
*hi#h (or an a%era0e (a"ily is not enou0h "oney. !he une"'loy"ent rate is #urrently at 10.86
an) 256 o( 'eo'le in El Paso li%e belo* the 'o%erty line 9County Health :an+in0s ;
:oa)"a's, 2012<. In 2010, an esti"ate) 336 o( the 'o'ulation o( El Paso *as uninsure). !his
is hi0her than the state a%era0e 9286< an) national a%era0e 9116<. El Paso is ho"e to =t. Bliss
Mental Health El Paso County 3
*hi#h is the 2
n)
lar0est "ilitary install"ent in the #ountry an) houses a''ro-i"ately 30,000
sol)iers an) their (a"ily 9El Paso County, 2011< *hi#h #ontributes to the risin0 'o'ulation an)
nee) (or "ore health#are (a#ilities. El Paso is 're)o"inately a >'anish s'ea+in0 #ity *here the
"any o( the #iti1ens ha%e no nee) to learn En0lish, *hi#h #reates a barrier *hen it #o"es to
obtainin0 an) 'ro%i)in0 health#are.
eno0ra"
!he "ental health issue in El Paso, !? is an e%er 0ro*in0 'roble" @ust li+e in the rest o(
the &nite) >tates. Many a0en#ies la#+ the "oney an) "an 'o*er to hel' e%ery in)i%i)ual that
*al+Ain see+in0 hel'. Blso, )ue to the stron0 His'ani# #ulture, "any 'eo'le *ho nee) hel' )o
not see+ it in (ear o( bein0 labele) by their (a"ily an) 'eers. !he 0ro*in0 "ilitary 'o'ulation
in#reases the nee) (or "ore "oney an) e"'loyees in or)er to a))ress the sol)iers that are
#o"in0 ba#+ (ro" *ar *ith P!>D. $ith a hi0h 'er#enta0e o( 'eo'le li%in0 belo* the 'o%erty
le%el, the la#+ o( insuran#e a))s to the ina##essibility (or see+in0 treat"ent. !he uninsure)
in)i%i)uals #o"'oun)e) *ith the la#+ o( (un)s an) e"'loyees to +ee' u' *ith the in#reasin0
nee)s a))s to the 'roble" that El Paso has in re0ar)s assessin0 an) treatin0 in)i%i)uals *ith
"ental health 'roble"s.
Health Con#erns
Mental health is one o( the lea)in0 #auses o( )isability in the &nite) >tates an) a((e#ts
"ore than 13 "illion 'eo'le a year. CMental illnesses #olle#ti%ely a##ount (or "ore than 15
'er#ent o( the o%erall bur)en that is #ause) by all illnesses an) sli0htly hi0her than all (or"s o(
#an#er 9HH>, 2001<.D Mental health 'lays a "a@or role in an in)i%i)ualEs ability to "aintain
0oo) 'hysi#al health an) #an also a((e#t a 'ersonEs ability to ha%e healthA'ro"otin0 beha%iors.
Mental Health El Paso County 4
In the &nite) >tates alone, "ental illness has a##ounte) (or billions o( )ollars in )ire#t an)
in)ire#t #osts )ue to lost @obs an) *a0es, )e#rease) 'ro)u#ti%ity, absenteeis", a )e#line in
intera#tions *ith (rien)s an) (a"ily, an) sui#i)e 9HH>, 2001<.
Mental health is an issue that is a 0ro*in0 'roble" as ti"e 'ro0resses. $ith the
e#ono"y in a re#ession an) the une"'loy"ent rates risin0, "any 'eo'le are startin0 to (eel
ho'eless )ue to not ha%in0 a @ob. Blso, "any sol)iers that are #o"in0 ba#+ (ro" *ar are
)is'layin0 sy"'to"s o( P!>D (ro" *hat they ha%e e-'erien#e) (ro" bein0 )e'loye). Fastly,
*ith the a)%an#e"ents in te#hnolo0y, "any #hil)ren are bein0 bullie) an) e-'ose) by their
'eers, *hi#h in turn is #ausin0 sui#i)e rates to rise a"on0 a)oles#ents.
!he "ental health 0oals o( Healthy Peo'le 2020 are toD i"'ro%e "ental health throu0h
're%ention an) by ensurin0 a##ess to a''ro'riate, 2uality "ental health ser%i#esD 9&nite) >tates
De'art"ent o( Health an) Hu"an >er%i#es, 2013<. Bs 'art o( the initial Health Peo'le 2010,
!e-as ha) re#ei%e) a 0rant by the >ubstan#e Bbuse an) Mental Health >er%i#e B)"inistration
9>BMH>B< to #on)u#t resear#h an) start 'ro0ra"s to i"'ro%e the "ental health syste" in
!e-as. !he 0oals that *ere set by the state o( !e-as *ere to buil) a "ental health syste" that
(o#uses on early inter%entions, re)u#e the sti0"atis" that surroun)s "ental illnesses, o((er
'atient an) (a"ily su''ort in #o'in0 *ith a "ental illness, an) to ha%e a 2ui#+er an) easier
a##ess (or 'eo'le that are see+in0 hel'. In El Paso, "any (a#ilities are runnin0 beyon) their
#a'a#ity an) "any 'ro%i)ers in the area are unable to 'ro%i)e the a)e2uate #are that is nee)e)
(or 'atient *ith "ental illnesses. More than 506 o( the "ental health ser%i#es an) su''ort
a0en#ies that 'ro%i)e) ai) in the #o""unity e"'loy less than 20 e"'loyees as #o"'are) to
58,549 in)i%i)ual that *ere see+in0 hel' annually. G( all the "ental illnesses, it is note) that
:elational Disor)ers an) Ma@or De'ression are the "ost 're%alent 'roble" in the #o""unity
Mental Health El Paso County 5
*hi#h #an lea) to in#rease sui#i)e rates. Currently El Paso has "et the 0oal set by Healthy
Peo'le 2020 in re0ar)s to #urrent sui#i)e rates. El Paso is #urrently at 4.2/100,000 'o'ulation, as
#o"'are) to the national 0oal o( 10.2/100,000 'o'ulation 9Healthy Paso )el /orte, 2013<. But in
re0ar)s to )ata on the other ob@e#ti%es, there has not been "u#h resear#h )one to ha%e an
a##urate nu"ber #o"'arison.
>o"e o( the ob@e#ti%es that *ere set in El Paso in re0ar)s to Healthy Peo'le 2020, is to
in#rease a##ess to a''ro'riate "ental health ser%i#es by 0i%in0 a''ro'riate re(errals an)
e)u#atin0 an) in(or"in0 'eo'le about the $ellness /et*or+ :esour#e Dire#tory. De%elo'in0 a
#ulturally a''ro'riate #o""unity a*areness 'lan *hi#h *ill hel' to re)u#e the sti0"a that
"ental health treat"ent has in the His'ani# #o""unity an) 'ro"otin0 a 'artnershi' a"on0
"ental health ser%i#es an) 'ro%i)ers throu0h an annual BiAnational Mental Health Partners
/et*or+ #on(eren#e. $ith the in#rease in the nee) (or ser%i#es as #o"'are) to the a"ount o(
a0en#ies that 'ro%i)e the ser%i#es, i( El Paso )oes not in#rease (un)in0 to "eet the nee)s,
e"er0en#y roo"s an) @ails *ill be#o"e saturate) *ith in)i%i)uals *ho are in "ental health
#risis.
Po'ulation
!he 'o'ulation o( interest (or this (iel) 'ro@e#t is a)ults a0es 20A85. In re0ar)s to Healthy
Peo'le 2020, the (o#us is to in#rease the 'ortion o( ho"eless a)ults *ho re#ei%e treat"ent (or
"ental health 'roble"s, in#rease the 'ortion o( a)ults *ho re#ei%e treat"ent that ha%e been
)ia0nose) *ith a "ental health )isor)er an) in#rease the 'ortion o( 'ri"ary health (a#ilities that
o((er "ental health treat"ent onsite or by re(erral. !here are a''ro-i"ately 532,590 a)ults a0es
20 an) abo%e in El Paso County *ith 426 o( the 'o'ulation bein0 His'ani#. 34.26 o( the
Mental Health El Paso County 6
'o'ulation is "ale an) 51.46 are (e"ale. !he "e)ian househol) in#o"e in El Paso is 734,259
an) 25.86 o( 'eo'le in El Paso County li%e belo* the 1006 =e)eral Po%erty Fe%el 9=PF< *hi#h
is hi0her than the national a%era0e o( 19.26. Blso, 52.96 o( 'eo'le li%e belo* the 2006 =PF
*hi#h is the threshol) that )eter"ines i( an in)i%i)ual is eli0ible (or 'ubli# assistan#e 'ro0ra"s.
296 o( 'eo'le in El Paso County ha%e ne%er 0ra)uate) Hi0h >#hool *ith 956 o( the 'eo'le
bein0 o( His'ani#/Fatino ethni#ity.
Health Ine2uality
!here is a )ire#t #orrelation bet*een lo* so#ioe#ono"i# status an) health litera#y. In a
#on%ersation *ith Dr. $illia" El)er MD, it is his 'ro(essional o'inion that "any 'eo'le *ho
(re2uent the e"er0en#y roo" *ith a "ental health #risis nor"ally )o not ha%e 'ri%ate insuran#e,
are on so"e ty'e o( 0o%ern"ent assistan#e an) usually are ho"eless or li%e in lo)0e houses.
Blso, *ith El Paso bein0 a bor)er to*n *here "any 'eo'le ha%e no nee) to learn En0lish, the
lan0ua0e barrier 're%ents 'eo'le *ho nee) "ental health (ro" see+in0 it. !he lar0e sti0"atis"
that is hel) in re0ar)s to 'eo'le *ho ha%e "ental health 'roble"s also 're%ents 'eo'le (ro"
see+in0 hel'. Per #on%ersation *ith Dr. Ha%onian MD an e"er0en#y roo" )o#tor, C"any
'eo'le *ho #o"e into the e"er0en#y roo" la#+ the e)u#ation an) su''ort that is nee)e) to
a%oi) #risis.D CPeo'le *ho (re2uent the e"er0en#y roo" in #risis nor"ally #annot a((or) the
"e)i#ations that they nee) an) use the e"er0en#y roo" as a 2ui#+ (i-.D &nless 'eo'le *ith
"ental health 'roble"s ha%e easier a##ess to "e)i#ation an) hel', e"er0en#y roo"s *ill
be#o"e (ille) u' *ith 'eo'le *ho are in "ental health #risis that #oul) ha%e been a%oi)e).
Data
Mental Health El Paso County 7
/ationally, a''ro-i"ately 206 o( the a)ult 'o'ulation is )ia0nose) *ith so"e ty'e o(
"ental )isor)er, but only 86 o( the 'o'ulation su((er "ore )ebilitatin0 e((e#ts 9/ational Institute
o( Mental Health,2008<. !en 'er#ent o( the a)ult 'o'ulation nation*i)e *ill see+ so"e ty'e o(
"ental health#are *ithin the year 9&.>. De'art"ent o( Health an) Hu"an >er%i#es, 1999<. In
this 'ast year in !e-as, a''ro-i"ately 54,443 a)ults see+ so"e ty'e o( "ental health ser%i#e *ith
the a%era0e #ost bein0 7381 9!e-as De'art"ent o( >tate Health >er%i#e, 2013<. . G( the 54,443
'eo'le 5,500 o( the 'eo'le *ere in so"e ty'e o( "ental health #risis )urin0 the ti"e o( their
s#reenin0 9!e-as De'art"ent o( >tate Health >er%i#e, 2013<. In !e-as, the a"ount o( 'eo'le
*ho ha%e so"e ty'e o( insuran#e su#h as Me)i#ai) as #o"'are) to the in)i0ent 'o'ulation is
22,348 %s. 21,450. El PasoEs E"er0en#e Health /et*or+Es Mobile Crisis Gutrea#h !ea"s
'ro%i)e 390 s#reenin0s a "onth to lo#al e"er0en#y roo"s an) throu0hout the #o""unity %ia
their #lini#s. !hrou0hout !e-as, the a"ount o( 'eo'le that are on a *aitin0 list to re#ei%e
ser%i#es is about si-tyAei0ht 'er#ent or a''ro-i"ately 5,825 'eo'le 9!e-as De'art"ent o( >tate
Health >er%i#e, 2013<.
In El Paso, *hen #o"'arin0 the a"ount o( 'oor "ental health )ays to Healthy Peo'le
2020, the a"ount is hi0her than the national ben#h"ar+.
Indicator El Paso County Texas National Benchmar
Poor Mental Health Days 3.2 3!3 2!3
Source: County Health Rankings
and Roadmaps, 2013
Base) on the )ata that *as 'resente) by E"er0en#e Health /et*or+ in re0ar)s to El Paso, !?I
B0e Po'ulation o( Peo'le *ith Mental Health Proble"s in El Paso
2011
Mental Health El Paso County "
Age 5#17 1"#35 36#65 66$
Mental
Health
Problems
24% 24% 4"% 4%
Male#2&'6' (emale#3&)'3
>our#eI EH/ Bnnual :e'ort
Po'ulation o( Peo'le *ith Mental Health Proble"s in El Paso by :a#e
2011
Race Blac His*anic +hite ,ther
Mental
Health
Problems
4% "2% 15% 1%
>our#eI EH/ Bnnual :e'ort
In El Paso, 336 o( 'eo'le are uninsure) in #o"'arison to the rest o( !e-as 9286< an) the
national ben#h"ar+ 9116< 9County Health :an+in0s ; :oa)"a's, 2012<. !he a"ount o(
"ental health 'ro%i)ers that are a%ailable to the #ity are 1I9,845 as #o"'are) to the state *hi#h is
1I3353 9County Health :an+in0s ; :oa)"a's, 2012<. !he #ity la#+s the resour#es both in ter"s
o( ha%in0 enou0h "ental health 'ro%i)ers an) 'eo'le *ith insuran#e or "onetary "eans to 'ay
(or the ser%i#es an) "e)i#ations to be "entally healthy.
:esour#es an) Partners
In El Paso, E"er0en#e Health /et*or+, &ni%ersity Beha%ioral Health an) El Paso
Psy#hiatri# Center are the "ain a0en#ies an) hos'itals that su''ort the "ental health 'o'ulation.
E"er0en#e Health /et*or+ is the "ain a0en#y that )oes hos'ital an) out'atient e%aluation (or
'eo'le that are in a "ental #risis. !heir #risis an) inta+e )i%ision re#ei%es 3,900 'hone #alls a
"onth an) s#reens aroun) 390 'eo'le in the lo#al e"er0en#y roo"s an) #o""unity. Blso, this
)i%ision sees about 300 'eo'le in their *al+Ain #lini#s. !he #risis inta+e )i%ision is o'en 5 )ays a
*ee+, 23 hours a )ay in or)er to ta+e #alls throu0h their hotline an) to %isit e"er0en#y roo"s to
Mental Health El Paso County '
e%aluate 'eo'le to either a)"it the" into a (a#ility or 'ro%i)e the" in(or"ation (or (ollo*Au'
#are. &ni%ersity Beha%ioral Health is a 183 be) hos'ital that 'ro%i)es ser%i#es (or "ental health
illnesses an) #he"i#al )e'en)en#y. !his (a#ility o((ers both in'atient an) out'atient ser%i#es an)
has s'e#ialty 'ro0ra"s to hel' s'e#i(i# 'o'ulations su#h as %eterans, 0eriatri#s, an) #hil)ren. El
Paso Psy#hiatri# Center is the state (un)e) 53 be) hos'ital that o((ers a)ult 'sy#hiatri# ser%i#es
an) #hil)ren an) a)oles#ent ser%i#es. !he (a#ility is o%erseen by the De'art"ent o( >tate Health
>er%i#es. >er%i#es are o((ere) to 'atient throu0h e%aluation either by their (a#ility or by re(erral
(ro" EH/.
!he De'art"ent o( >tate Heath >er%i#es also o((ers a ser%i#e #alle) 2A1A1 that #onne#ts
'eo'le *ith ser%i#es that they nee). =or e-a"'le, 2A1A1 *ill 0i%e in)i%i)uals in(or"ation on
*here to obtain hel' *hen in a "ental #risis. !he City o( El Paso De'art"ent o( Health also has
a "ental health )ire#tory that has in(or"ation 'ertainin0 to *ellness resour#es an) hotlines,
*ellness e)u#ation an) s#reenin0 ser%i#es, beha%ioral health inter%ention an) treat"ent ser%i#es
an) lastly, a)%o#a#y an) su''ort ser%i#es. El Paso o((ers the #o""unity "any )i((erent o'tions
on ho* to obtain hel' *hen in a "ental #risis, but un(ortunately "any 'eo'le )o not ta+e
a)%anta0e o( these ser%i#es )ue to the la#+ o( +no*le)0e an) the sti0"atis" that "ental illnesses
hol)s in the #o""unity.
Co""unity Dia0nosis
El Paso, !? o((ers the #o""unity "any ser%i#es in re0ar)s to a##essin0 hel' *ith "ental
illnesses. But un(ortunately, there are "ore 'eo'le than there are be)s in (a#ilities to hel'. Blso,
"any e"er0en#ies roo"s are bein0 #on0este) *ith 'eo'le *ho are in #risis, *ho are not able to
0et the 'ro'er #are )ue to the *aitin0 lists that "any o( the (a#ilities ha%e. Many 'eo'le in El
Mental Health El Paso County 1)
Paso )o not ha%e insuran#e *hi#h hin)ers their a##ess to 0ettin0 #are )ue to "any 'la#es bein0
'ri%ate (a#ilities. Peo'le *ho li%e in the rural areas on the outs+irts o( #ounty are not able to
obtain a##ess as rea)ily as 'eo'le *ithin the #ity li"its )ue to the la#+ o( "oney an)
trans'ortation. Many ho"eless 'eo'le su((er (ro" "ental illnesses *ithout su((i#ient #are )ue to
not ha%in0 a stea)y 'la#e to li%e to ha%e #onsisten#y in their li(e to ta+e "e)i#ations, re#ei%e
in(or"ation, (ollo* u' *ith their )o#tors an) obtain "e)i#ations.
oals
!he 0oal (or El Paso in re0ar)s to "ental health is to #reate "ore a*areness an) )e#rease
the sti0"atis" that 'eo'le ha%e about it. !he City o( El Paso has set 0oals to in#rease the
a"ount o( 'eo'le that are bein0 hel'e) an) to establish 'ro'er (un)in0 #onsi)erin0 that !e-as is
ran+e) 50
th
in "ental health (un)in0 nation*i)e. By in#reasin0 the a"ount o( 'sy#hiatrist in El
Paso, settin0 u' )ay 'ro0ra"s (or 'atients that ha%e been )is"isse) (ro" in'atient (a#ilities, an)
in#reasin0 "ental health ser%i#es in the #ity, as *ell as in the rural #ounties, El Paso *ill be able
to i"'ro%e "ental health ser%i#es (or the #o""unity.
Plannin0
>o"e nursin0 a#tions that #an be )one base) on the Minnesota inter%ention *heel is as
(ollo*sI
1! !o set u' a #lini# that (o#uses on (ollo*Au's (ro" re(errals that ha%e a so#ial *or+er
an) #ase "ana0e"ent on sta(( so that 'eo'le *ho )o not ha%e insuran#e or )o not
+no* about the resour#es that are a%ailable to the" *ill 0et the 'ro'er in(or"ation.
Mental Health El Paso County 11
2! $or+ in #ollaboration *ith )i((erent #o"'anies to setAu' *or+ sho's *here they *ill
be tau0ht ho* to #o'e *ith stress an) to tea#h 'eo'le *ays to be healthier to i"'ro%e
their "ental health.
3! $or+ in #ollaboration *ith the JB to ensure that %eterans an) a#ti%e "ilitary *ill be
trans(erre) to the a''ro'riate (a#ilities that is se'arate (ro" the lo#al 'o'ulation.
>o"e o( the 'ri"ary inter%entions that #an be )one *ill be to i)enti(y the 'o'ulation that
has the least a"ount o( e)u#ation an) in#o"e an) hol) health (airs in those areas to tea#h 'eo'le
about the bene(its o( 0oo) "ental health an) to 0i%e the" in(or"ation on ho* to obtain
insuran#e or *here they #an 0o to be e%aluate) base) on their in#o"e. Blso, 'artnerin0 *ith lo#al
o((i#ials an) 'atient a)%o#a#y 0rou's to raise a*areness o( the si0ns an) sy"'to"s o( s'e#i(i#
"ental health 'roble"s an) ho* to see+ hel' *hen nee)e). Bnother *ay (or nurses to brin0
a*areness is to tea#h lo#al 'oli#e o((i#ials about the si0ns an) sy"'to"s o( 'eo'le *ho are in a
"ental health #risis so that they ta+e the 'eo'le to the 'ro'er 'la#es to obtain hel' instea) o(
0oin0 to @ail. Fastly, by *or+in0 *ith the JB on =ort Bliss Military base to tea#h the sol)iers
that are #o"in0 ba#+ (ro" *ar the si0ns o( P!>D an) in(or"in0 the" on the su''ort 0rou's,
*ill )e#rease the in#i)en#es o( sol)iers ha%in0 a "ental #risis )ue to their e-'erien#es o%erseas.
Partnershi'
!here is a shorta0e o( a0en#ies an) "ental health (a#ilities in El Paso that #ater to @ust
'eo'le *ith "ental health 'roble"s. Blso, the la#+ o( be)s that these (a#ilities hol), )oes not
allo* (or e%eryone that nee)s to be treate) to 0et hel' *hen ne#essary. !he 'artnershi's that #an
be "a)e to ai) 'eo'le that are see+in0 hel' (or their "ental health 'roble"s is to e"'loy a #risis
inta+e #ounselor in the e"er0en#y roo" to e%aluate the 'atients that #o"e in (or hel'. By )oin0
Mental Health El Paso County 12
this, 'eo'le *ill not ha%e to *ait in the e"er0en#y roo" (or EH/ to sho* u' instea) this *ill
allo* the in)i%i)uals to obtain hel' 2ui#+er an) be )is#har0e) or trans(erre) 2ui#+er. Partnerin0
*ith the lo#al 0o%ern"ent an) 'oli#e )e'art"ent to ha%e a se#tion o( the @ail that is )esi0nate)
(or 'eo'le *ho are arreste) *hile in a "ental health #risis so that the in)i%i)ual #an be e%aluate)
an) "e)i#ate 'rior to bein0 #on%i#te) (or *hate%er #ri"e that they #o""itte) *ill allo* (or
better out#o"es *hen the in)i%i)ual is release) or senten#e). $or+in0 *ith 'atient a)%o#a#y
0rou's to raise a*areness to in#rease (un)in0 (or "ental health a0en#ies, *ill allo* (or an
in#rease in e"'loyees an) other resour#es. :e#ruitin0 "ore 'sy#hiatrists to El Paso *ill
alle%iate the *or+loa) that is 'la#e) on the 'sy#hiatrists that are #urrently here. Fastly, by
*or+in0 *ith the 'ubli# health )e'art"ent an) the ho"eless shelters to ha%e a #lini# onsite to
ensure that the ho"eless 'o'ulation is able re#ei%e the "e)i#ations an) hel' *hen nee)e).
Gb@e#ti%es
!he "ain ob@e#ti%e (or i"'le"entin0 these a#ti%ities is to i"'ro%e the "ental health
'ro#esses in El Paso. >o"e o( the other ob@e#ti%es are to in#rease the a"ount o( "ental health
'ersonnel, to in#rease the a*areness o( ho* to "aintain 0oo) "ental health, to try an) in#rease
(un)in0 to*ar)s the "ental health syste", to )e#rease the a"ount o( 'eo'le *ith "ental health
#risis in the @u)i#ial syste", an) to )e#rease the a"ount o( 'eo'le that are #o"in0 to the
e"er0en#y roo" in "ental health #risis.
!i"elines
In 2013 9Plannin0<I
1! E%aluate all the )i((erent areas o( El Paso to )eter"ine *hi#h areas are in nee) o( "ore
"ental health e)u#ation an) inter%ention.
Mental Health El Paso County 13
2! =or" #oalitions *ith )i((erent "ental health a0en#ies, state a0en#ies an) health
'ro%i)ers.
3! Collaborate *ith lo#al hos'itals an) "ental health a0en#ies an) 'ro%i)ers.
4! Pre'are "ental health tea#hin0 "o)els to 'resent to lo#al #o""unities.
5! Bssist *ith #o""unity or0ani1in0 to i)enti(y *ays to tea#h an) hel' the #o""unity.
In 2013A2015 9I"'le"entation<I
1! De%elo' 'oli#ies *ith #ollaboration (ro" 0o%ern"ent o((i#ials an) utili1e 'oli#y
en(or#e"ent.
2! &tili1e so#ial "e)ia to tea#h 'eo'le about the bene(its o( 0oo) "ental health an) *here
to (in) in(or"ation.
3! Pro%i)e #ase "ana0e"ent an) so#ial ser%i#es to 'eo'le *ho #annot a((or) to 0et hel' or
'ur#hase their "e)i#ations.
4! Pro%i)e su''ort 0rou's (or (a"ily an) (rien)s to e)u#ate an) alle%iate the stress that
a##o"'anies )ealin0 *ith lo%e ones that ha%e "ental health 'roble"s.
5! In #ollaboration *ith lo#al shelters, setAu' a "obile #lini# that *ill treat 'eo'le *ho ha%e
"ental health 'roble"s throu0h thera'y an) "e)i#ation.
In 2018 9E%aluation<I
1! >u""ari1e the )ata that *as 0athere) (ro" 2013A2015.
Mental Health El Paso County 14
2! Meet *ith the #ase "ana0ers an) so#ial *or+ers to see ho* "any 'eo'le utili1e) their
ser%i#es.
3! >ur%ey the 'eo'le *ho utili1e) the su''ort 0rou's to see i( this ser%i#e hel'e) the"
4! E%aluate ho* "any 'eo'le %isite) #lini# an) "ental health a0en#ies a(ter in%ol%in0
so#ial "e)ia to in(or" the 'ubli#.
E%aluation
!o e%aluate *hether this health #on#ern is e((e#ti%e an) bene(ittin0 the #o""unity is by
usin0 all the )ata that has been #olle#te) an) seein0 i( any 'ro0ress has been "a)e. E%aluatin0
the a"ount o( 'eo'le that ha%e %isite) the e"er0en#y roo"s, the a"ount o( 'eo'le that are in @ail
that ha%e a history o( "ental health )isor)ers an) the a"ount o( tra((i# into the "ental health
a0en#ies *ill )eter"ine i( in(or"in0 the #o""unity an) the lo#al health )e'art"ent has hel'e)
the #o""unity. $ith the )ata that has been #o"'lie), #o"'arin0 it to the )ata (ro" the )i((erent
a0en#ies *ill hel' to )eter"ine i( in(or"in0 the #o""unity an) o((erin0 o'tions on ho* to
obtain hel' has been su##ess(ul. By usin0 the ti"eline an) seein0 i( there has been i"'ro%e"ent
*ithin the ti"e allotte), *ill sho* i( the i)eas that ha%e been i"'le"ente) are hel'(ul to the
#o""unity or i( they nee) to be ree%aluate) an) #han0e).
Con#lusion
G%erall, the "ental health syste" in El Paso County is 'oor an) un)er(un)e). !he
a"ount o( 'eo'le that are nee)e) to ensure that 'eo'le are e%aluate) an) treate) in a ti"ely
"anner is "ore than *hat they #urrently ha%e. =ro" *or+in0 in an e"er0en#y roo" an) seein0
the len0th o( ti"e it ta+es (or an e%aluation to be #o"'lete), "any 'eo'le *ait o%er t*el%e hours
Mental Health El Paso County 15
a(ter bein0 "e)i#ally #leare) )ue to the la#+ o( sta(( that E"er0en#e Health /et*or+ has. !he
lar0e sti0"atis" that is hel) by the His'ani# #o""unity *hi#h is %ery )o"inate in El Paso,
're%ents 'eo'le (ro" see+in0 hel' an) the lan0ua0e barrier that is 'resent 're%ents 'eo'le (ro"
un)erstan)in0 in(or"ation that is a%ailable. In #on#lusion, in re0ar)s to Healthy Peo'le 2020, El
Paso County is behin) *hen it #o"es to treatin0 an) 're%entin0 'eo'le *ith "ental health
'roble"s.
Mental Health El Paso County 16
:e(eren#es
Dr. ary Ha%onian, 'ersonal #o""uni#ation, Kuly 25, 2013
Dr. $illia" El)er, 'ersonal #o""uni#ation, Kuly, 15, 2013
E"er0en#e Health /et*or+ 2011 Bnnual :e'ort. 92011<. :etrie%e) (ro"
htt'I//e"er0en#ehealthnet*or+.or0/*'A#ontent/u'loa)s/2012/01/s"L'+Lre'ort.')(
Healthy Paso )el /orte. 92013<. Healthy People 2020: Progress Tracker. El Paso, !?. !he
Health Co""unities /et*or+. :etrie%e) (ro" htt'I//***.healthy'aso)elnorte.or0/in)e-.'h'M
"o)uleN!ra#+ers;(un#N)is'lay;ti)N1
/ational Institute o( Mental Health. 92008< The Numbers Count: Mental Health Disorders in
America :etrie%e) (ro" htt'I//***.ni"h.nih.0o%/health/'ubli#ations/theAnu"bersA#ountA
"entalA)isor)ersAinAB"eri#a/in)e-.sht"l#Intro
&nite) >tates De'art"ent o( Health an) Hu"an >er%i#es, Healthy Peo'le 2020 92013! Mental
Health: "#er#ie$. :etrie%e) (ro"
htt'I//***.health'eo'le.0o%/2020/to'i#sob@e#ti%es2020.o%er%ie*.as'-Mto'i#i)N24
&.>. De'art"ent o( Health an) Hu"an >er%i#es. 92001<. Culture Counts in Mental Health
%er#ices and &esearch 'inds Ne$ %urgeon (eneral &eport $ashin0ton DC. De'art"ent o(
Health an) Hu"an >er%i#es. :etrie%e) (ro"
htt'I//***.sur0eon0eneral.0o%/ne*s/2001/04/#re.ht"l
Mental Health El Paso County 17
&!EP Center (or Inter)is#i'linary Health an) :esear#h E%aluation. 92011<. )l Paso County
and City o* )l Paso. :etrie%e) (ro"
htt'I//#hs.ute'.e)u/#ihre/)e"o0ra'hi#/elL'asoL#ountyLan)L#ityLo(LelL'aso.'h'
!e-as De'art"ent o( >tate Health >er%i#e. 92013<. +eha#ioral Health Data +ook: A ,uarterly
&e*erence to Community Mental Health and %ubstance Abuse %er#ice Bustin, !?.
Mental Health an) Bbuse. :etrie%e) (ro" htt'I//***.)shs.state.t-.us/"hsa/)ataboo+/
!o"a+a,Fisa, Caire, Mario, an) >o)en, Dennis F. 92004<. (reater )l Paso Chamber o*
Commerce Community Mental Health %ur#ey
:etrie%e) (ro"
htt'I//)i0ital#o""ons.ute'.e)u/i'e)Lte#hre'/54
Mental Health El Paso County 1"
B''en)i-
Community Diagnosis
El Paso -oes not ha.e enou/h mental health a/encies an- 0acilities to ee* u* 1ith the
amount o0 *eo*le that are seein/ hel*! The lac o0 0un-in/ an- em*loyees are a--in/
to case loa-s o0 the *eo*le 1ho alrea-y 1or in the mental health 0iel-! 2ue to the
risin/ amount o0 *eo*le -ia/nose- 1ith mental health issues& emer/ency rooms are
3ecomin/ o.erloa-e- 1ith *eo*le 1ho lac insurance to recei.e hel*!
Highlights of Mental Health
#27&'23 cases recei.e mental health treatment e.ery year!
#76&7"' *eo*le are e.aluate- 0or mental health issues each year in El Paso
#4ti/mas -ue to 0irm cultural 3elie0s *re.ent some *eo*le 0rom seein/ hel*
Target Poulation
#12&343 a-ults ha.e mental health issues!
# 5&577 a-olescents an- chil-ren ha.e mental health issues!
!indings
#46% o0 eli/i3le a-ults actually recei.e ser.ice!
#24% o0 eli/i3le a-olescents an- chil-ren recei.e ser.ice!
#2% o0 *eo*le seein/ ser.ices are turne- a1ay
#2)% o0 the *eo*le seein/ ser.ices are on a 1aitin/ list
Mental Health El Paso County 1'
Demograhics
#Po*ulation o0 "27&3'"!
#")% o0 the *o*ulation o0 the *o*ulation is His*anic!
#25% li.e 3elo1 the *o.erty le.el!
#33% o0 the *o*ulation is uninsure-!
El Paso& Texas
El Paso, Texas