MENTAL & BEHAVIORAL
HEALTH COMMUNITY REPORT AND MODEL for
Raton & Colfax County
NM
MAY 2020
PREPARED BY
Retha Shiplet
May 2020
TABLE OF CONTENTS PAGE
EXECUTIVE SUMMARY
Key Themes 1
Strengths 1
OFIs 1 INTRODUCTION
City of Raton Vision & Partner Focus 2 Colfax County Vision|Mission & Focus Area 2
MCMC Vision|Mission & Community Strategic Initiative 2
ACKNOWLEDGEMENTS
Participating Organizations 2 MENTAL & BEHAVIORAL HEALTH
Definitions National Demographics New Mexico Demographics BH MODEL FOUNDATION
High Quality Community Environment Customer: Children, Youth, Adults, Families Medical & Health Care Providers
State of the Community Current & Desired Community Gaps | Needs | Challenges
PROPOSED BH MODEL
Proposed Model Context Recommendations
Conclusion
Model Visual Attachment A Proposed Action Teams At-A-Glance Attachment B Proposed Action Teams A--t-t-a-c-h--m--e-n-t-s--C--1-,-C--2
Needs Assessments Summ-aries Attachment D
Report References
3
3
4
5
5
6
7
8-9
10
10
10
11
12
TBD by Team Leads
13
19
Retha Shiplet is a Coach|Consultant assisting all sector organizations in positioning for success by ‘setting the course’, ‘maximizing performance’ and ‘getting organized’. Her experience and knowledge includes both the business and non-profit sectors, formerly with Quality New Mexico serving as COO, Performance Trainer and Performance Excellence Awards Director.
It was uplifting to learn of the many things that are taking place in the community and the numerous people who are on a ‘mission’ to assist those in need – from the little children to adults. Kudos to those who are determined to ‘make a difference’.
The highpoints of this project include:
key themes, strengths & OFIs page 1
how this project came about page 2
organizations | people providing critical information that will help make that difference page 2
definitions of mental and behavioral health page 3
demographics in NM page 4
high quality community environment page 5
BH medical | health care providers page 6
current & desired state of the community page 7
proposed Model page 10, and Attachments A, B
recommendations page 10
summaries of Needs Assessments page 13 Attachment D
KEY THEMES AMONG INTERVIEWEES
Knowledge about mental and behavioral health is vague and fragmented within the community in general, as well as the BH organizations
Disseminate BH information through a communication advocate
Unawareness of BH services being provided in the community
Increase in crime especially from those in homeless situation
Gaps | needs: transportation, community homeless shelter, transitional housing, shelter for women/children of domestic violence, educating the public, additional support peer workers including certified, protocol for crisis situations
Challenges: educating the public, clients not keeping appointments, qualified workers to relocate, student drop-outs, lack of parent engagement in student education, learning programs for inmates, increase in child abuse, lack of foster homes
KEY STRENGTHS OF THE COMMUNITY
Two (2) BH clinics are established in Raton (Noesis and Valle del Sol)
Eagerness to link all the BH services of the community together, partner, collaborate
Organizations implementation of best practices from benchmark industries
RAIN, the Regional Agency Intervention Network, is established as the BH leadership organization for the community
KEY OFIs (opportunities for improvement)
Establish a BH ‘HUB’ for networking within the BH providers (Attachment A)
Develop action teams within the HUB to prioritize and address the needs of the
community
(Attachment B)
This project provided a better understanding of mental and behavioral health (BH) on individuals, families, and a community. It also revealed the many people currently involved in serving the
BH community; and personal missions of
striving to make a difference.
Building a high quality community environment includes the social health of its citizens, protecting and preserving quality of life in neighborhoods, providing exceptional education and recreation, addressing poverty and homelessness.
The City of Raton’s (CoR) vision is to “…encourage a thriving business economy, ensure neighborhoods are safe and beautiful, recreation and educational opportunities are exceptional all while preserving the City’s rich history.” A key focus area for the City is to “..build strong and effective strategic partnerships”.
Colfax County is a key partner to the City of Raton. Its vision|mission is to “…work with municipalities to advance
economic development, provide services for the needs of the residents, increase local employment, and advocate for the interests of the County.” A key focus area for the County is “…expanding medical services that serve a larger geographic area.”
Miners Colfax Medical Center (MCMC) is a key partner to the City of Raton. Its vision|mission is to “…provide quality acute care and related services” …
serving Raton, surrounding communities and travelers.
MCMC has a strategic initiative for the community to “Serve as a community partner in working towards development of sustainable community heath models related to behavioral health, addiction and substance abuse.”
MCMC leadership initiated an assignment with the author of this report to assist with the strategic initiative.
ACKNOWLEDGEMENTS 
Information on community challenges, gaps, needs offered in this report is attributed to the input of people representing the organizations of:
City of Raton Colfax County MCMC
RAIN
Vigil-Maldonado Detention Center Raton Public Schools
Maxwell Public Schools
Noesis Integrative Health of Raton Valle del Sol New Mexico, Raton
NM Behavioral Health Policy Council 111 Park Place Café
Raton Community Services Family Worship Center Growing Great Kids
Center for Community Innovation Raton Housing Authority
The interviewees were open to sharing information, professional knowledge, opinions to the ‘state of the community’. Input was obtained through ‘Needs Assessment’ interviews relating to the challenges, gaps, and needs of the community related directly, and indirectly, to mental and behavioral health. Further referred to in this report as ‘BH’.
BH DEFINITIONS 
DEMOGRAPHICS
Mental and behavioral health have direct impact on community residents, businesses, and City services.
According to the firm InSight:
http://insighttelepsychiatry.com/defining-behavioral- health/
“Behavioral health is the scientific study of the emotions, behaviors and biology relating to a person’s mental well-being, their ability to function in everyday life and their concept of self. “Behavioral health” is the preferred term to “mental health.” A person struggling with his or her behavioral health may face stress,
depression, anxiety, relationship problems, grief, addiction, ADHD or learning
Consequences of addictions can lead to problems at work, at school, in relationships, domestic violence, crime, suicide.
Demographics from The National Alliance on Mental Health (NAMI) nami.org In the United States:
1 in 5 Adults experience mental illness each year
1 in 25 Adults experience serious mental illness each year
1 in 6 Youth aged 6-17 experience a mental health disorder each year
50% of all lifetime illness begins by age
14 and 75% by age 24
nd
disabilities, mood disorders, or other
Suicide is the 2
leading cause of death
psychological concerns. Counselors, therapists, life coaches, psychologists, nurse practitioners or physicians can help manage behavioral health concerns with treatments such as therapy, counseling, or medication.
Suffering from a behavioral health problem affects quality of life.
Neurological and physiological sciences have proven that issues of behavioral health: addiction, depression, bipolar, phobias, PTSD, and more, are matters of biochemistry. With therapeutic techniques, well-managed medication, and behavioral modifications, behavioral health issues are treatable, and affected persons can live normal lives.”
From Help Guide https://www.helpguide.org Coping with feelings without help can lead to addictions and abuse such as; alcohol, over eating, tobacco, gambling, opioid, cocaine, heroin, anxiety drugs, marijuana.
among people aged 10-34
They further reported:
The Ripple Effect of Mental Illness
PERSON
People with depression have a 40% higher risk of developing cardiovascular and metabolic diseases. People with serious mental illness are nearly twice as likely to develop these conditions.
19.3% of U.S. adults with mental illness also experienced a substance use disorder in 2018 (9.2 million individuals)
The rate of unemployment is higher among U.S. adults who have mental illness (5.8%) compared to those who do not (3.6%)
High school students with significant symptoms of depression are more than twice as likely to drop out compared to their peers.
FAMILY
BH DEFINITIONS
DEMOGRAPHICS continued
NEW MEXICO BH DEMOGRAPHICS
SUBSTANCE USE DISORDER
At least 8.4 million people in the U.S.
provide care to an adult with a mental or emotional health issue
Caregivers of adults with mental or emotional health issues spend an average of 32 hours per week providing unpaid care
COMMUNITY
Mental illness and substance abuse disorders are involved in 1 out of every 8 emergency department visits by a U.S. adult (estimated 12 million visits)
Mood disorders are the most common cause of hospitalization for all people in the U.S. under age 45 (after excluding hospitalization relating to pregnancy and birth)
Across the U.S. economy serious mental illness causes $193.2 billion in lost earnings each year
20% of people experiencing homelessness in the U.S. have a serious mental health condition
37% of adults incarcerated in the state and federal prison system have a diagnosed mental illness
70.4% of youth in the juvenile justice system have a diagnosed mental illness
41% of Veteran’s Health Administration patients have a diagnosed mental illness or substance use disorder
WORLD
Depression and anxiety disorders cost the global economy $1 trillion in lost productivity each year
Depression is the leading cause of disability worldwide
According to the 2018 Census Colfax County population was 12,110.
The NM Dept of Health released a report titled New Mexico Substance Use Disorder (SUD) Treatment Gap Analysis January 2020
Page 14 Table 2 Estimate of People Who Received Any Treatment for SUD by County and Substance, New Mexico 2018
NOTE: data is ‘estimate’ of reported patients in treatment 2018
Total Substance Use Treatment Patients 545 Colfax County
Opioid 196
Amphetamine 207
Alcohol 191
Benzodiazepine 7
Cannabis 104
Page 19 Table 3 Estimate of People Living with a SUD by County and Substance, New Mexico 2018
NOTE: data is estimate of reported people living with a SUD 2018
Total Substance Use Disorder 1,342 Colfax County
Opioid 285
Stimulant 129
Alcohol 602
Benzodiazepine 164
Cannabis 109
Unspecified 53
BH MODEL FOUNDATION
Structuring that high quality community environment and preserving quality of life it must include:
medical | health care that includes the social health of its citizens: Raton has three (3) medical | health care providers serving the community of Raton and surrounding communities:
MCMC
Noesis
Valle del Sol
(Noesis & Valle del Sol have additional offices within the state in which they can draw upon needed resources)
protecting and preserving quality of life in neighborhoods, community in general, means the efforts of Law Enforcement and Fire protection agencies must continue to protect:
residents
visitors
travelers | tourists
from illegal behaviors all the while maintaining good relations and effective procedures with other entities
providing exceptional education for the development of:
high performing workforce
entrepreneurs
future community leaders
providing health and well-being recreational activities/events that:
engage individuals
bring families together
generate revenue into the local economy
addressing poverty and homelessness in the community
their needs include access to health and human services ‘20% of people experiencing
homelessness in the U.S. have a serious mental health condition’ InSight
With a high quality community environment at the forefront the proposed BH model is established to serve the needs of the people – children, youth, adults, families.
The BH model would include Action Teams with appropriate partners and collaborators to:
address high priority human services that include the low-to-moderate income populations
assist in identifying processes to improve accessibility to City and County programs
co-create a more inclusive and unbiased community that promotes unity and regard for individuals in need.
BH MEDICAL | HEALTH CARE PROVIDERS
MCMC | ER
Raton
Noesis Integrative Health of Raton
Valle del Sol of NM Raton
24/hour Physician Staffed Emergency Room
25 bed Acute, Inpatient Services
Intensive Care Unit & Obstetrics Unit
Short Stay Inpatient Rehabilitation provided through Swing Bed status, part of the Critical Access Hospital (CAH) designation
Outpatient services including Imaging (X-ray, MRI, CT, Ultrasound, Echocardiography)
Laboratory Services
Respiratory/Cardio- pulmonary Diagnostics
Clinics: Family Medicine, Internal Medicine, Obstetrics &
Gynecology, Pediatrics & General Surgery
Outreach Clinics: Cardiology & Pulmonology
Clinics for Mental Health & Behavioral Disorders
MAT Medication Treatment
& Management
IOP Intensive Outpatient treatment
Crisis Intervention
CCSS Community Support Services & in-home
Comprehensive assessments, diagnosis & treatment plans
CR2 Comprehensive Recovery & Reintegration Program
Therapy for adults, youth, children, groups, family
Substance abuse counseling
Public BH educational sessions
Clinics for Mental Health & Behavioral Disorders
Behavioral Evaluation & Treatment (BMS)
Medication Management
Individual, Group & Family Counseling
Recovery Club (PSR)
CCSS Comprehensive Community Support Services
Child Therapy (CYFD)
Case Management for Juvenile Offenders (JCC)
NOTE: the above is an overview of services - for comprehensive list of Provider services obtain detailed information at facilities and/or websites
The organization of RAIN (Regional Agency Intervention Network is the central group with headquarters in Raton, the county seat. They were identified as the starting point to accumulate BH (behavioral health) information.
RAIN’s Network Participants encompass the sectors of health care, government, education, business and nonprofits.
Within these sectors ‘Needs Assessments’ of the community were conducted with 31 key people.
In addition to characterizing community gaps, needs, challenges they responded to:
what is the current state of the community?
what is the desired state for the community?
The key themes that emerged from their responses are listed below; and consensus they are ‘vital’ to the needs of the community.
Current state:
BH knowledge in the community is vague and fragmented, not only to the public in general, but within the BH organizations as well.
Desired state:
A sustainable BH model would have a focal point like a ‘hub’ to address ‘gaps, needs, challenges’; be a communication advocate within BH sectors and the public.
Gaps | Needs
Transportation defined as those in need, regardless if BH, for ‘rides’ locally, possibly outside city limits, to appointments, physicians, pharmacy, hospital, grocery, etc.
The Raton Fire Department is over taxed on its resources to transport.
Community Shelter providing beds, food, blankets, clothing, programs for those who are homeless, defined as those living in vehicles; running from domestic violence; transients.
Transitional Housing for provider’s clients while receiving treatment for their wellness and well-being.
Educating Public to reduce the ‘stigma’ by providing knowledge to help understand terminologies like behavioral and mental health and what’s available in the community for help to oneself.
Continued learning for Law Enforcement and Schools on the protocol for crisis situations.
Additional PSWs | CPSWs is a need and a challenge. The BH needs expand beyond Raton City limits. Some organizations (e.g. Providers, Schools, Detention Center) are limited in the services of these workers onsite.
Challenges are recruiting these professionals to relocate. On the plus side tele-therapy/telemedicine is utilized.
The following are summaries of identified gaps, needs, challenges.
Summary of Identified Gaps | Needs | Challenges from Assessments, but not limited to the following.
Gaps (known & perceived) | Clarification |
| Lack of a sustainable system |
| Dissemination of information |
| Community has experienced various organizations coming/going leaving numerous without assistance |
| Lack of effective communication/processes within the resource chain |
| Live in unhealthy environments, victims of abuse, self- medicate, absences rising, leaving school, lack of self- respect and morals, meanness and bullying |
| What is lacking? What, where are the resources? |
| Public not well informed; mental & behavior problems do occur in small communities |
Needs (known & perceived) | Clarification |
| Rides for the public (i.e. within/outside City limits) |
| Women/children running from domestic violence |
| Facility that provides food, beds, clothing, programs for people without homes, those in transit |
| Homes for people in treatment |
| Homes for low- to mid- income people / families furnished and unfurnished |
| Assist 1st responders and medical staff with crisis situations |
| Relief for overloaded workers, support for reporting to aid responders in reporting requirements |
| Activities that support an all-encompassing community |
| Facility to provide detox, rehabilitation services |
Needs (known & perceived) continued | Clarification |
| Not hold at Detention Center |
| Community can depend on BH services and data that shows services continue to improve |
| Skill development, certifications, human services degrees, BH training |
| Events, activities with long-term target to help make good life choices |
| Improve| communicate the intake process at jail |
| Learning opportunities ‘inside’ to help overcome additions, habits, prepare for | or return to jobs, re- entry to community |
| Students with/without special needs require experienced counselors to help them through emotional and social pressures; case workers to support counselors | social workers in reporting |
| Additional to serve the population in need of service(s); and the challenge of relocation of qualified people |
| Partnerships must have agreed upon and clear procedures for dealing with situations |
Challenges (known & perceived) | Clarification |
| How do we make a better community; what are the needed resources |
| #1 issue |
| Develop a plan |
| 25-30% of detainees (inmates) are homeless, commit more crimes for shelter, food |
| Business daily cleanup of outdoor and indoor property, use business as place as a ‘hang-out’ and get food, especially close to bus/train station |
| Rules more lax, parent non-engagement, parents allow absences for student to stay home and care for family members when parents can’t |
| Don’t follow-up with therapy services |
| Don’t keep appointments, reminders difficult without contact information (e.g. valid address, phone) |
The context used to develop the proposed BH model with action teams that would advance the community toward its ‘desired state’ includes:
Structuring a ‘high quality community environment’
Identified users of services from all sectors
BH demographics
Identified BH Service providers from all sectors
Key themes from identified gaps, needs, challenges
Additional information from the Needs Assessment interviews
Identified strengths of the community
Opportunities to link the BH community
RECOMMENDATIONS FOR PROPOSED MODEL
Attachment A is a high-level approach to the model:
The organization of RAIN would be the ‘HUB’
RAIN BOD conducts a session to develop its operating framework inclusive of leadership, vision, mission, core values, customers, stakeholders, partners, collaborators
Engage the three strategic partners City of Raton, Colfax County and MCMC as appropriate
Attachment B 'At-A-Glance suggests
Teams for action developed with community vital
needs, network participants – recommend four (4) teams each led by BOD members
RAIN Network Participants (and others) are invited to be team members, partners, collaborators
Benchmark ‘best practices’ from role model organizations
RAIN BOD and Action Team members conduct a planning session, referencing the information in this report, to develop approaches to the gaps|needs with key objectives, goals, desired outcomes, timelines, measures
CONCLUSION
The findings, inside the scope of work with MCMC, navigated the way to developing a proposed BH model.
With RAIN as the ‘official’ HUB and its actions can lead to a sustainable BH model.
MCMC is a key participant within the proposed model and can assist in establishing strategies and measures for the HUB and Action Teams.
And measures to ensure MCMC efforts in this community initiative are successful.
Attachment A
PROVIDERS PARTNERS COLLABORATORS
TEAM NETWORKING MEDIA OPERATIONS
REGIONAL AGENCY INTERVENTION NETWORK (RAIN)
‘HUB’
Network ACTION TEAMS
PROVIDERS
TEAM MEDICAL | HEALTH CARE
PARTNERS COLLABORATORS
PROVIDERS
TEAM
CHILDREN | YOUTH
FAMILIES PROVIDERS PARTNERS COLLABORATORS
TEAM HOUSING SHELTERS
TRANSPORTATION
PARTNERS COLLABORATORS
Adults Youth Children Families
BH MODEL ACTION TEAMS AT-A-GLANCE
ATTACHMENT B
Adults Youth Children Families
REGIONAL AGENCY INTERVENTION NETWORK
LEADS ACTION TEAMS TEAM MEMBERS PARTNERS | COLLABORATORS
MCMC
Noesis
TEAM MEDICAL | HEALTH
RAIN BOARD OF DIRECTORS
CARE
TEAM HOUSING SHELTERS
TRANSPORTATION
TEAM CHILDREN |YOUTH
FAMILIES
TEAM RAIN
GOVERNANCE &
OPERATIONS
Valle del Sol CPSWs BCBS
NMBH Policy Council Health Council LC8
City of Raton CM, EDD, PD, FD Colfax County Manager & Sheriff Crime Stoppers
Detention Center Springer Correctional Center
Project Restart
Raton Housing Authority (HUD) Alternatives to Violence
Raton Community Services Family Worship Center Bridge to Hope
Mandala Center
Center for Community Innovation
Raton Public Schools Maxwell Public Schools Youth Heartline
Youth Empowerment Svcs Dream Tree
Growing Great Kids Parent Teacher Org (PTO)
Raton Youth Development Alliance
President, Vice President, Registered Agent Secretary, Treasurer Board Members at Large
NM Dept of Health
Center for Community Innovation Northeast Network
Private Sector Businesses
CoR Mayor, Mayor Pro Tem, Commissioners
Colfax County Commissioners Colfax County Extension Agent Center for Community Innovation Dream Tree
Realtors Investors
Private Sector Businesses
Noesis Valle del Sol SW | CPSWs
CYFD
NMPED Vocational Rehab Colfax County Juvenile Justice NM Deputy DA
Center for Community Innovation Private Sector Businesses
Senator Martin Heinrech Representative Senator Tom Udall Representative Congressman Ben Ray Lujan Liaison KRTN
The Chronicle News World News
Name | Community Gaps/Needs | Community Challenges | Notes | ||
City of Raton Commission | Mayor Neil Segotta Mayor Pro Tem Linde' Schuster | •Need community BH hub (RAIN?) •Programs for kids before they make bad choices; they need healthy fun •Transportation for citizens (e.g. doctor, pharmacy, therapy) •Homes for mid-class income people in need of housing in the City | •How do we make a better community for BH •What are the resources to support BH | •DV shelters are established, Lee Phillips Director | |
City of Raton | City Manager Scott Berry | •Transportation •Transitional Housing •Mobile crisis unit (possible shared regional services, state funded) •Shelter & Social Services For DV or transients •Advocate for communication | •#1 Substance abuse •City staff turn-over (RPD, RFD) | •Police must provide a service when called, options: jail or ER •ER does not have needed mental health services; contacts are Noesis, Valle del Sol •Services for homeless limited; transients are usually migrating to Colorado or ABQ | |
Municipal Court | Judge Roy Manfredi | •Improved counseling services | Lowest Court. Mission is to help them correct behavior w/opportunities to do so. Continued crime face fines|jail. | ||
RAIN (Regional Agency Intervention Network) | Administrator| Treasurer Paul Jenkins | •Priority #1 Needs|Gaps: Mobile crisis service, detox & rehab, psychiatrist, prevention & screening, crisis beds (not hospital), crisis intervention, safe affordable housing, jail diversion programs, community re-entry programs, employment services, advanced directives, ombudsman •2nd Priority Needs|Gaps Peer support groups, education services, integrated services for mental health, substance abuse, addiction, transportation, social & recreation, trauma informed service | •Barriers|Challenges: No homeless outreach, service, no permanent address of those in need, can’t afford co-pay, lack of child care, lack of transportation, stigma, prejudges, lack of staff appropriate to BH | ||
RAIN (Regional Agency Intervention Network) | BOD Officers Dr. Loretta Conder, Cindy Johnson, Mary Lou Kern, Vivian Myers Paul Jenkins, Debbie Ortiz | •More integration w/agencies •CPSW training locally •Get prescribers to cut back on meds; treat w/MAT | •The needs population: no home ,food, ID, no money for social support | •RAIN take the lead in organizing BH, not duplicate the flow •Organized model w/goals, strategies to combat substance abuse | |
Attachment D | |||||
Organization | Name | Community Gaps/Needs | Community Challenges | Notes |
Raton Public Schools | Superintendent Andy Ortiz Principals Kristie Medina Kim Sanchez SN Director Lou Martinez | •Training to Identify student emotional behavior & learn protocol for situations | •Parent engagement | •RPS has goal in its strategic plan to address its BH need |
Raton Public Schools High School | Counselor Lynette Simpson SN Counselor Mikki Delapp (serves all schools) | •More access to mental health services •School social workers •SN Counselor •Educate public on bullying •Define & communicate consequences of bullying •Counselor onsite for student ‘drop-ins’ | •Stability of counselor ‘revolving door’ creates distrust •Funding for counselors •Educate public on BH •JPO system not timely/working | •Family situations create anxiety, panic, anger •Available info on BH services in community fragmented •LS-revisit collaborative best-practices |
Maxwell Public Schools | School Secretary & former RPS Attendance Officer Cindy Berry | •Invest in more social workers to work direct with students; and case workers to investigate; and clerical staff for to the documentation. •Hire retired teachers for data input. •Some students drop out if not able to handle the social & emotional pressure, not enough specialists to help | •Rise in unexcused absences; parents allow frequent absences; parents not engaged in kids education •Behavioral health stigma •Many students have lack of self- respect, no morals, live in unhealthy environments Some students struggle with substance, sexual orientation, and/or home abuse, leave school | •System not working, rules lax, lack of student accountability, discipline more difficult •Medicaid pays for Behavior Management Service Provider(s) (BMSP) ++ Maxwell benchmark “Peer-to-Peer Helpers” program (implemented by former social worker – maintained and enhanced by current school nurse. The P-PH Program has training, materials, processes) |
Growing Great Kids | Volunteer Ron Schuster | •Volunteers to help out with the parent/kid events and programs | •Getting parents to attend •Getting more volunteers at events to help relieve others (school staff) in making programs more successful | •Started as a result of child abuse •Long Fellow Elementary hosts & coordinates programs and events •Rotary donates $25/kid for materials •PTO (Parent Teacher Org) is very involved in events |
Organization | Name | Community Gaps/Needs | Community Challenges | Notes |
Center for Community Innovation | Executive Director Geoff Peterson | •Make investment in community shelter •Have ‘safe house’ call # •Create a pool for secretarial services, other (tap into the retirement population w/various experiences) | •Some teens in need of short term shelter •funding for a workforce boot camp •engage local businesses to refer staff for courses (e.g. hospitality, HR) | •Shift in educational requirements; can obtain certifications online •Collaborating w/SFCC on BH degrees/certifications online •Collaborating w/others on obtaining GED classes at Detention Center |
City of Raton Economic Dev. | ED Director Jessica Barfield | •Sustainable BH services •Effective procedures between hospital and BH providers •Community shelter for homeless & transients, train & bus passengers kicked off; relieve burden on churches for money •Detention Center intake person for the process •Transitional housing for those in treatment •Community transportation | •EMS (emergency medical services) overtaxed on out- of-town transports; 1-2 transfers/day •Concern for BH clients when Tristate pulled out | •We Care Agency (Las Vegas) provides transportation (local-?) •USDA grants for funding facilities, local programs |
111 Park Espresso Bar & Cafe | Co-Owner Jessica Barfield | •Community shelter for homeless & transients | •Daily clean-up outdoor waste; •Property graffiti •Unemployed ask staff to sign their work search papers saying Café not hiring (not) | •Created a ‘safe place’ for regular customers to connect, have phone tree to check on people |
Raton Housing Authority (HUD) | Terry Baca | Not established nor funded for transitional housing | Drug, meth, sex offenders disqualified for housing. | Funded 50% by HUD & 50% by rents. HUD policies apply. Qualifying tenants are mid-to low level income with priorities to elderly and/or disabled. Houses are not furnished. Tenants pay deposit, rent (min $50/mo) & utilities. Serves Raton (156 units) & Maxwell (22 units). 1-BR on wait list. Larger housing 2-3-4 BR more available |
career track education w/‘stacking’ certification process
Organization | Name | Community Gaps/Needs | Community Challenges | Notes |
NM Behavioral Health Policy Council | Member Nancy Passikoff RN | •Behavioral health needs to be ‘integrated’ •Continuity and improve delivery of current services •Educate police, schools •Implement a ‘call line’. •Do more w/nurses (conduct home visits) •Develop & communicate behavioral health model to public •Need workforce development; collaborate w/UNM •Need rehabilitation services – Espanola nearest provider | •Behavioral & mental health has stigma - educate the public •Hire more support peer workers (PSW) and certified PSWs (CPSW) •Add/train school nurses to identify depression, fear, mental disorders; process for professional therapy •Timed evals for patients sent to Las Vegas (some arrivals are found not committable) | •Medicaid has more benefits •NM rated highest for child abuse •Hospital ER needs comprehensive BH plan (e.g. primary health care physician, telehealth, CPSWs (certified support peer workers), crisis beds, upskilled nurses) |
Family Worship Center | Pastor Josh Wood | •Life & spiritual programs in Detention Center | •BH Stigma •Denial it occurs in small communities | •Teen Challenge (boys) program available (w/i 70 miles) •Hungry Hearts (soup kitchen) co-sponsor •Supports women’s shelter in central NM •October Trunk or Treat sponsor for community |
Valle del Sol of New Mexico Mental & behavioral health provider | Raton Site Supervisor and Behavioral Management| Community Support Worker Jo Sanchez | •Educate public on B&MH •Full-time local therapists •Clinician(s) •CSPWs (certified support peer workers) •Transportation services | •Conduct therapy at Detention Center – challenge to get released detainees to follow-up w/services | •Provide BH therapy svcs for children, adults & family •Medication management •9 Locations NM: Raton, Clayton, Espanola, Los Lunas, Grants, Moriarty, Santa Rosa, Taos, Bernalillo •Have physicians via telemedicine •Conduct evaluations for Hospital|ER to determine next steps •Provide 1-on-1 child therapy referred by CYFD |
Organization | Name | Community Gaps/Needs | Community Challenges | Notes |
Noesis Integrative Health Of Raton Mental & behavioral health provider | Administration Manager Anita Mallory | •Transitional housing for clients in sobriety •CSPWs (certified support peer workers) •Therapists •Transportation services | •Clients don’t keep their appointments •Reminders difficult | •3 Locations NM: Raton, Taos, HO Santa Fe; planning Las Vegas, Santa Rosa, Tucumcari in 2020 •Mental health & behavioral disorders clinics provide diagnostic, treatment, and prescriptive services •Integrated services & care ‘wrap-around’: -Compressive assessments -Diagnosis & treatment plans -Therapy (adult, children, groups, family) -Crisis intervention -Medication treatment & management -Substance abuse counseling -Intensive outpatient treatment -Comprehensive recovery & reintegration -Community support; in-home services •Assessments at ER, clients leave w/next step appointments •Provide public BH educational sessions •Resource to CYFD |
Noesis Integrative Health Of Raton | CEO|Executive Director Rodney Gross | •Licensed clinicals | •Primary focus is ‘primary care’ •Built Noesis foundation benchmarking ‘best in class’ national organizations; processes in place to measure performance | |
Raton Community Services Corporation | VP & NPO Advisor/Facilitator Paul Jenkins | •Focus on the unmet needs of those with moderate to low income •Increase services available in community •Therapy for abused children | •Peer Wellness Center (per N. Passikoff a PWC needs clinical oversight) | •Newly developed 501c3 organization •Collaborate w/PTO (Parent Teacher Organization) |
Clients need help; investing in expanding services and facilities
In agreement with MCMC that the old Raton hospital needs demolition, not feasible for BH
Organization | Name | Community Gaps/Needs | Community Challenges | Notes |
Vigil- Maldonado Detention Center | Rose Bernal, Warden Special Needs Staff: Regina, Jordan | •Community Shelter (take care of homeless needs: food, meds, clothing, shelter) •Programs to manage anger, drug, alcohol abuse | •Some detainees (a-k-a inmate) commit more crimes; nowhere to go, cold, hungry •25-30% homeless •Need other venues for misdemeanor crimes, not Detention Center | •Population 61 can house 85 •Mental health is main concern – needs are: #1 psychiatrist (substance abuse, mental health: depression, suicide) Have telemed & counselor 1x week for 1-on-1 #2 evaluations & reports not timely; court cases delayed; treatment delayed; not a facility to serve violent|in crisis #3 Education programs (GEDs, life & job skills, management of anger, substance & alcohol abuse) •3-4 Churches provide ‘Sunday’ type services •Need volunteers for programs (no budget) |
BCBS, Presbyterian, Western Skies provide services to their incarcerated members
MENTAL & BEHAVIORAL HEALTH COMMUNITY MODEL
REFERENCES
MCMC Report Page 2 for Community Strategic Initiative http://www.minershosp.com/
City of Raton NM Report Page 2 for Vision & Focus Area http://www.ratonnm.gov/
Colfax County NM Report Page 2 for Vision & Focus Area http://www.co.colfax.nm.us
InSight http://insighttelepsychiatry.com/defining-behavioral-health/
Help Guide https://www.helpguide.org
The National Alliance on Mental Health (NAMI) https://www.nami.org
2018 Colfax County NM Census www.co.colfax.nm.us
The NM Department of Health New Mexico Substance Use Disorder Treatment Gap Analysis January 2020 https://nmhealth.org/publication/view/marketing/5596/
Noesis Integrative Health of Raton https://npino.com/mental- health/1780162206-noesis-integrative-health-of-raton/
11. Needs Assessment Attachment D
