Hogg Foundation for Mental

Health

“Movilizandonos por Nuestro Futuro: Strategic Development of a Mental Health Workforce for Latinos”

Octavio N. Martinez, Jr., M.D., M.P.H., M.B.A.Executive Director

U.S. Department of Health and Human ServicesOffice of Minority Health

July 9-10, 2009San Francisco, CA

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Hogg Foundation for Mental

Health MISSION

Promote improved mental health for people of Texas through the support of effective mental

health services, research, policies and education.

STRATEGIC PRIORITIESIntegrated Health Care Cultural Competence

Workforce Development2

The Latino MH WF Challenge Before Us…

• The cultural and linguistic diversity of the U.S., particularly the Latino population, is increasing

• There is a current shortage of Latino bilingual and bicultural mental health workforce

• There is a compelling need to increase investments to build a diverse, culturally responsive and linguistically competent workforce (those pursuing graduate degrees in health and human service and for peer support services (peer/family mentors; promotoras)

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Mental health workforce supply ratio trends in Texas

(2000 - 2007)

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Figure 1

Texas Mental Health Supply Ratio Data Source: Health Professions Resource Center, Center for Health Statistics. Texas Department of State Health Services. Promoting excellence through healthcare workforce planning in Texas (2007). www.dshs.state.tx.us/CHS/hprc

2007 National Average

166.831.57.2

*Data not stratified by race/ethnicityor linguistic fluency

2007 National Average Data Source: US Dept of Labor. Occupational Employment Statistics (OES). http://www.bls.gov/oes/

Supply ratios of psychologists and social workers in five most-populated states (2004)

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Figure 2

The Hogg Foundation for Mental Health. The mental health workforce in Texas: A snapshot of the issues (2007) www.hogg.utexas.edu/PDF/TxMHworkforce.pdf

*Data not stratified by race/ethnicityor linguistic fluency

Disadvantaged urban, rural and border areas face even greater shortages

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Figure 3

Health Professions Resource Center, Center for Health Statistics. Texas Department of State Health Services. Promoting excellence through healthcare workforce planning in Texas (2007). www.dshs.state.tx.us/CHS/hprc

*Data not stratified by race/ethnicityor linguistic fluency

Scholarships and Fellowships

Through the generosity of its benefactors, the Hogg Foundation for Mental Health offers on an annual basis scholarships and fellowships to graduate students in mental health-related fields.

Hogg Foundation for Mental Health Bilingual Scholarship Program Up to $1 million to new Spanish-speaking students at accredited graduate social work programs in Texas in the next three years (2008-2011).

Ima Hogg Scholarships in Mental HealthFive scholarships awarded annually to students earning a master's degree in social work from an accredited Texas university who intend to pursue a career in providing mental health services.

Frances Fowler Wallace Memorial for Mental Health Dissertation AwardAward to support expenses for dissertation research on the causes, treatment, and/or prevention of mental health conditions.

Harry E. and Bernice M. Moore FellowshipStudents from The University of Texas at Austin pursuing a doctorate in sociology, nursing, psychology, or social work. 7

Hogg Foundation for Mental HealthBilingual Scholarship Initiative

Goal: Build a diverse, bilingual, bicultural and linguistically competent workforce in Texas

• Launched June of 2008

• Commitment of up to $1 million over a three year period

• Partnership with 11 Texas graduate (MSW) social work programs

• Funds full tuition scholarships and required fees

• Recipients must be fluent in Spanish and English and commit to work in Texas post graduation for a period equal to the timeframe of the scholarship

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11 Texas graduate (MSW) social work program partners

■ UT at Arlington

■ Steven F. Austin State University

■ University of Houston

■ UT at Pan-Am

■ UT at San Antonio; Our Lady of the Lake

■ UT at Austin

■ Baylor University

■ Abilene Christian University

■ Texas State University

■ Texas A&M - Commerce

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Bilingual Scholarship InitiativeImpact: Preliminary Results

• Total number of scholars (June 2009): 28

• Total investment to date: $245,000

• Projected total number of scholars YR1 - YR3: 106

• Projected total investment YR1 – YR3: $975,000

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•Foundation intends to fund meeting to convene all scholars to support professional development, knowledge exchange, and networking

Real Latino Scholars…Real Stories

“My goal is to work with Hispanic youth and families,” Carrillo said. “With the master’s degree, I can use my bilingual skills to provide mental health services to clients with language barriers.”

Angelica Carrillo of Waco, TX2009 Bilingual Scholar Texas A&M University

– Commerce11

Real Latino Scholars…Real Stories

“Follow your dreams of helping people. That’s what you have the passion for and it makes the world a better place and helps us all become greater people.

In my current job, there’s a huge population of Spanish-speaking parents who don’t know how to help their kids accomplish their goals and go to college.”

Elizabeth Castaneda of San Marcos2008 Bilingual ScholarGraduated May 2009

Texas State University12

Policy Recommendations• Office of Federal and Foundation Partnerships (mechanism

to leverage $, expertise, and build capacity)

• Expand HPSA NHSC scholarships/loan repayments specifically for BH/MH providers in high Latino density areas

• Offer grants for promising WF development programs (mentoring; grow your own; scholarships) – Pilot demo programs in 5-6 key states: launch evaluate

positive impact? go national! Award “Seal of Approval” and disseminate/promote WF on National Registry

• Scholarships/Grants to: – Hispanic serving universities: graduate degrees in SW,

psychology, nursing, and other HHS career paths– Organizations that support peer/family programs;

increase service capacity in promotora programs

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WF pipeline cannot be “one dimensional”

Solutions must be “Multi-dimensional”

Hogg Foundation for Mental Health

Octavio Martinez Octavio.martinez@austin.utexas.edu

Rick YbarraRick.ybarra@austin.utexas.edu

http://www.hogg.utexas.edu/ 16

Hogg Foundation for Mental

Health

“Movilizandonos por Nuestro Futuro: Strategic Development of a Mental Health Workforce for Latinos”

Octavio N. Martinez, Jr., M.D., M.P.H., M.B.A.Executive Director

U.S. Department of Health and Human ServicesOffice of Minority Health

July 9-10, 2009San Francisco, CA

17