San Antonio-Area Child Poverty – Historical and Current Policies Mean Wide Disparities across Race, Ethnicity, Gender and Location

State of Texas Children 2016: Race and Equity in San Antonio Report finds wide-ranging racial and ethnic disparities in children's health, education and financial security that demand common sense policy solutions.

Video: Watch the report release event online.
Photos: View photos from the event.

SAN ANTONIO – Historical and current policies have created and maintained unequal opportunities and large disparities in child poverty across race, ethnicity and gender, according to State of Texas Children 2016: Race and Equity in San Antonio, a new report released by the Center for Public Policy Priorities (CPPP). For example, because people of color were historically denied access to high-opportunity neighborhoods, certain families consequently experienced poor living conditions, fewer services, and less economic mobility. Although no longer in legal practice, similar policies have had cumulative effects in the economic and educational benefits and disadvantages that can be passed on from generation to generation.

These policies and practices may be from San Antonio's past, but they still have a profound effect on the present. Notably, almost 130,000 children in Bexar County live in poverty. Of those children, 103,000 are Latino, 11,000 are Black, 13,000 are White and 1,000 are Asian. But the proportion of children affected by poverty within each group tells a different story. In Bexar County, poverty rates for Latino (32 percent) and Black children (32 percent) are nearly three times higher than they are for White or Asian children. Today, nearly one of every three Hispanic and Black children in Bexar County lives in poverty.

sa report
Read the 2016 San Antonio Report.

"This is unacceptable," said San Antonio Mayor Ivy R. Taylor, who spoke at the report release event today in front of over 300 community members. "We have to do better and be better for our children, our communities and our entire city. My goal is to connect every San Antonian, no matter their age, gender or ethnicity, to opportunities for prosperity. One way we are hoping to fill the gaps is through the My Brother's Keeper initiative, which focuses on improving the life outcomes of our young men of color. From educating our smallest citizens, to providing job training for adults, to caring for our aging seniors, we must work together to ensure that every citizen becomes a resource and not a responsibility."

reportRead the 2016 State of Texas Children Race & Equity Report

Bexar County Judge Nelson Wolff and Kevin C. Moriarty, President & CEO of Methodist Healthcare Ministries of South Texas, Inc., also made remarks at the event, which was co-sponsored by Methodist Healthcare Ministries of South Texas, Inc., Voices for Children of San Antonio, the Intercultural Development Research Association, and the San Antonio Hispanic Chamber of Commerce.

According to the report, with more than half a million kids living in the San Antonio metro area, the future of children in San Antonio will help determine the future of Texas. Additionally, by 2050, the Texas child population is projected to look very much like San Antonio today. Finding creative solutions to closing the educational, health and financial gaps between San Antonio kids from different backgrounds will require intentionally breaking down any obstacles to certain groups of children reaching their full potential and can be a model for the rest of the state.

Key findings include:
• White children in Bexar County are more likely to live in low-poverty areas while the majority of Latino children tend to live in moderate-to-high-poverty areas. High-poverty areas tend to have fewer public and private resources, which means Latino children are more likely than White children to experience segregated and under-resourced schools, unequal opportunity for job-training programs, and more.
• Nearly one of every four women (90,000+) in Bexar County between the ages of 15 and 44 lacks health insurance. The likelihood of being uninsured as a woman of childbearing age differs based on race and ethnicity, with Hispanic women being nearly three times as likely and Black women twice as likely, to be uninsured. Lack of coverage is related to delayed or inconsistent care should a woman become pregnant.
• An estimated 25.6 percent of children (or 120,470 children) in Bexar County are food-insecure, meaning they lack consistent access to enough food for a healthy diet. Hungry children have a harder time focusing in school and are more likely to have social and behavioral problems.

Key policy recommendations:
• Collect more data that is broken down by race and ethnicity.
• Create partnerships between schools, workforce development programs and businesses to promote pathways out of poverty and better support for families.
• Increase access to affordable health insurance for underserved families and women of reproductive age.
• Expand access to school-based child nutrition programs, such as afterschool meals, summer nutrition and school breakfast.

"As one of the fastest-growing areas in the country, the future of the San Antonio area and our state depend on the health, education and financial security of all our children—across gender, neighborhood, income, race and ethnicity," said CPPP Executive Director Ann Beeson. "Looking deep into the data, we found that too many children in San Antonio today continue to face tremendous barriers to opportunity because of the color of their skin."

The State of San Antonio Children 2016 report is part of the State of Texas Children 2016 statewide report. Both reports are part of the Kids Count project, a national and state-by-state effort to track the status of children in the U.S. funded by the Annie E. Casey Foundation. Check out the Kids Count Data Center for extensive child well-being data for each of Texas' 254 counties and seven largest metropolitan areas. Visit datacenter.kidscount.org

This research was funded by Methodist Healthcare Ministries of South Texas, Inc. and the Annie E. Casey Foundation.

Wesley Nurses Present at Church Health Center’s Westberg Symposium

Methodist Healthcare Ministries of South Texas, Inc. recently supported the Church Health Center's 30th annual Westberg Symposium, which exhibited two poster presentations by Methodist Healthcare Ministries' Wesley Nurses. Faith-based community nurses from all over the country convened in Chicago April 7-10 to cover areas such as theology, clinical pastoral education and whole person health care.

"We're proud to have taken part in the Westberg Symposium," said Jennifer Knoulton, director of nursing at Methodist Healthcare Ministries. "At Methodist Healthcare Ministries, we have adopted a faith-based community nursing approach to health ministry, carried out through our Wesley Nurse Program, which now spans 80 sites throughout South Texas."

Knoulton co-presented at the pre-conference session with a colleague from the Church Health Center. She spoke on the importance of helping faith community nurses incorporate asset-based community development (ABCD) into their practice, a strategy for sustainable community-driven development concerned with how to link micro-assets to the macro-environment. The premise of ABCD is that communities can drive the development process themselves by identifying existing, but often unrecognized assets, and thereby responding to and creating local economic opportunity. ABCD builds on the assets that are already found in the community and mobilizes individuals, associations, and institutions to come together to build on their assets, not concentrate on their needs, to begin to use what is already in the community. View presentation.

Wesley Nurses Cynthia Bishop, RN, BSN, MACM, and Angela Gonzalez, RN presented on preceptor-guided preparation for Wesley Nurse faith community nurses. They discussed that the Wesley Nurse program began using the faith community nurse model almost 20 years ago and that Wesley Nurses have shown great fortitude as they have adapted to ongoing changes in this specialized profession. Their poster presentation reflected the development of a preceptor-guided orientation tool that incorporates the competencies outlined in the American Nurses Association's Scope and Standards of Practice. View presentation.

Wesley Nurse Patricia Cisneros, RN, BSN demonstrated how the faith community nurse can advocate, facilitate, and coordinate resources for the least-served and bring awareness to rally the support of other nonprofits to assist in humanitarian relief. Her presentation, Finding A Way: Laredo Humanitarian Relief Team, discussed how the efforts of asset-based community development (ABCD) helped an ecumenical set of community partners show persistence despite not getting help from local officials to collaborate to provide humanitarian relief for travelers in a mass migration of women and children fleeing violence in their country. View presentation.

The Westberg Symposium focused on the ways faith-based community nurses make their mission more resilient through continuing to explore relationships between faith and health in their lives and ministries.

"From a primary care perspective, faith-based nurses like our Wesley Nurses, are instrumental in connecting people, congregations and community members to health and wellness," said Knoulton.

According to the Church Health Center – a faith-based nonprofit that provides affordable health care to working uninsured people – resilience in faith community nursing sustains belief in a better way of caring for people. Whether the need is for basic health education for a new diagnosis, or advocacy and support during a major life transition, faith community nurses foster strength in members of the faith community or the wider community.

To learn more about the Westberg Symposium, visit http://www.churchhealthcenter.org/westberg2016. To learn more about the Wesley Nurse program, visit http://mhmbridgeofblessings.org/programs/health-ministries

Child Abuse Prevention Assembly Convened Community Leaders

In honor of National Child Abuse Prevention Month in April, Methodist Healthcare Ministries of South Texas, Inc. hosted a Child Abuse Prevention Assembly Tuesday to bring together leaders and decision-makers in San Antonio to discuss how to prevent child abuse and neglect in our community. To raise awareness, Methodist Healthcare Ministries planted 4,941 pinwheels in front of their corporate headquarters in the medical center to represent each confirmed victim of child abuse last year in Bexar County.

"This is a critical issue that must remain top of mind," expressed Kevin C. Moriarty, president & CEO at Methodist Healthcare Ministries. "We as safety net providers, community leaders, advocates, health care professionals, philanthropists and elected officials must look for solutions to stop the number of victims from growing in our community."

Several San Antonio child abuse prevention experts were in attendance at this invite-only event, including Methodist Children's Hospital doctors and nurses, and representatives from local nonprofit agencies. Notable presenters included: Methodist Healthcare Ministries President & CEO Kevin C. Moriarty; ChildSafe President & CEO Kim Abernethy; Bexar County Children's Court Associate Judge Rich Garcia; City of San Antonio Police Department Chief William McManus, Methodist Children's Hospital Medical Director Dr. Sebrina Perkins, CPS Regional Director Erica Bañuelos and State Senator Jose Menendez.

"I look at those pinwheels and I hear that number, the almost 5,000 children – which is the confirmed number, although everyone here knows that's a greater number than what's reported – we need to do whatever we can to prevent even just one child from abuse," said Senator Jose Menendez. "I was thinking about the birth of my children, and being in the waiting room feeling so much anticipation and hope. Somehow along the way, you sometimes forget that feeling of excitement and nervousness of that brand new baby. Regardless of what stage of life they are in, we need to always treasure our children that way."

The pinwheels were planted to symbolize childhood, innocence and prosperity. They represent the hope that together we can help the kids in our community enjoy a safe, happy and healthy childhood.

Reports about abuse can be made to the Texas Department of Family and Protective Services at 1-800-252-5400 or www.dfps.state.tx.us or to a law enforcement agency. Additional information can be found at www.childwelfare.gov. To learn more about Methodist Healthcare Ministries' parenting programs, visit http://mhmbridgeofblessings.org/programs/family-wellness or call 800-959-6673.

Methodist Healthcare Ministries Sponsors United Communities of San Antonio 62nd Awards Dinner

Texas is ranked third in the country with more than 57 active extremist and hate groups. In one study, 49 percent of children in grades 4-12 reported being bullied by students at school at least once during the past month. Because individuals still suffer from bullying, exclusion, hatred, harassment and violence, Methodist Healthcare Ministries of South Texas, Inc. has contributed $2,500 to be a Silver Sponsor at the 62nd Annual Brotherhood/Sisterhood Awards Dinner of the United Communities of San Antonio, a human relations non-profit organization dedicated to fighting bias, bigotry, prejudice and racism in San Antonio.

United Communities of San Antonio 62nd Awards Dinner
Tuesday, March 8, 2016 at 6:30 p.m.
Pearl Stable (307 Pearl Pkwy, San Antonio, TX 78215)

Honorable attendees include:

  • Dr. Adena Williams Loston, President of St. Phillip's College
  • Susan L. Pamerleau, Sheriff of Bexar County
  • Josue (Joe) Robles, Jr., USAA Retired President and CEO / MG, USA (Ret).
  • Dr. Alice Viroslav, Clinical Assistant Professor of UTHSCSA/Neutroradiologist of Radsource, LLC

Each year, the United Communities of San Antonio Awards Dinner honors outstanding community leaders with the Brotherhood/Sisterhood Humanitarian Award for promoting diversity and respect, making a difference in the community, and up keeping the ideals of the United Communities of San Antonio.

"Methodist Healthcare Ministries is pleased to support the United Communities of San Antonio and to stand by their mission of promoting understanding and respect to eliminate bullying, prejudice and harm," said Kevin C. Moriarty, president & CEO at Methodist Healthcare Ministries.

Since being founded in San Antonio in 1954, the United Communities of San Antonio has promoted understanding and respect among all races, religions and cultures through advocacy, conflict resolution and education. The goal of the United Communities of San Antonio is to create a safe environment in which education, dialogue, and interaction among people results in mutual respect for self and others.

The 62nd Awards Dinner is open to the public; individual tickets are $175 each and may be purchased by visiting http://www.ucofsa.org/Givinglevels.html.

For more information about the United Communities of San Antonio, please visit www.ucofsa.org.

Methodist Healthcare Ministries’ School Based Health Centers Celebrate 15 Years of Service

Methodist Healthcare Ministries of South Texas, Inc., the largest private, faith-based funding source for health care services in South Texas, is proud to celebrate the 15th anniversary of its School Based Health Centers. In celebration of this milestone, along with honoring National School-Based Health Care Awareness Month, Methodist Healthcare Ministries will host an open house Tuesday, Feb. 23 from 3:00 p.m. to 4:30 p.m., at the School Based Health Center at Schertz Elementary (757 Curtiss Ave., Schertz, TX 78154).

Guests are invited to tour the clinic and meet the team of professionals who provide medical, dental and social services. Click here to register: http://mhmbridgeofblessings.org/events/416-school-based-open-house.

Since 2001, the School Based Health Centers at Krueger Elementary and Schertz Elementary, conveniently located on school campuses and both owned and operated by Methodist Healthcare Ministries, have helped children in the Schertz-Cibolo-Universal City and Marion Independent School Districts (as well as their siblings up to age 21) by providing pediatric primary health care, dental services, and social services. Both clinics stay open year-round and operate during business hours.

"Methodist Healthcare Ministries understands the importance of pediatric care and making it convenient to busy parents and accessible in rural communities," said Marilyn Stanton-White, director of primary care services of Methodist Healthcare Ministries. "The School Based Health Centers are a significant component of our organization's outreach so that our youth stay happy and healthy."

In addition, the School-Based Health Alliance — a nonprofit dedicated to providing the school-based health care field with high-quality resources, training, information, and guidance — will be hosting a Twitter chat right before the open house from 1:00 p.m. – 2:00 p.m. CT. The chat will focus on how school-based health centers improve child and adolescent health. Join by using the hashtag #SBHCmonth16. Connect with Methodist Healthcare Ministries any time with the hashtag #MHMSTX.

For more information about Methodist Healthcare Ministries' School Based Health Centers, please visit mhmbridgeofblessings.org.

 

Methodist Healthcare Ministries Sponsors ThriveWell Cancer Foundation’s Annual Luncheon

Methodist Healthcare Ministries of South Texas, Inc. will contribute $2,500 to be a Silver Sponsor at the annual luncheon of the ThriveWell Cancer Foundation, a non-profit dedicated to finding a cure for cancer by funding cancer research, providing patient support and offering programs to improve the quality of life for patients and their families.

ThriveWell Cancer Foundation Annual Luncheon
Friday, February 26, 2016 at 11:00 a.m.
Westin Riverwalk (420 W. Market Street, San Antonio, TX 78205)

This year's guest speakers are sisters Janet Holliday and Joan Katz, who both share a bond of surviving cancer. "Living, Loving and Thriving Side by Side: Identical Twins Sharing Their Story" will feature Holliday and Katz sharing their journeys and outlook on making each day count.

"Methodist Healthcare Ministries is pleased to support the ThriveWell Cancer Foundation, an organization that is truly impacting lives through their assistance," expressed Kevin Moriarty, president & CEO of Methodist Healthcare Ministries.

ThriveWell was established in 2007 to ease the burden of adult cancer patients and their families while on their cancer journey, working to meet the needs of those battling and winning the fight against cancer in the San Antonio area. Central to its mission is the development of community-based programs and services that are designed to improve the health and well-being of cancer patients and survivors.

The ThriveWell Cancer Foundation Luncheon is open to the public; individual tickets are $100 each and may be purchased by visiting www.thrivewell.org.

For more information about the ThriveWell Cancer Foundation, please visit www.thrivewell.org.

Methodist Healthcare Ministries Sponsors 5th Annual Symposium of the Texas Campaign to Prevent Teen Pregnancy

Texas consistently has one of the highest teen pregnancy rates in the country, and the highest rate of repeat teen birth in the nation. For that reason, Methodist Healthcare Ministries of South Texas, Inc. is proud to sponsor the 5th Annual Symposium of The Texas Campaign to Prevent Teen Pregnancy, a non-partisan, non-profit education and advocacy organization committed to reducing the rate of teen pregnancy across Texas. The symposium is a three-day program, held April 11-13 in Austin, Texas, that will bring together more than 400 professionals from across the state to participate in panel discussions, presentations, and professional development workshops focused on providing the information, resources and tools necessary to create change and improve teen pregnancy rates in Texas. The theme – The Texas Roadmap: Building Champions for Change – will focus on the importance of finding new advocates and working with existing professionals in communities throughout Texas to map out a plan for improvement.

Texas Campaign's 5th Annual Symposium: Building Champions for Change
April 11-13, 2016
DoubleTree by Hilton (6505 North IH-35, Austin, Texas 78752)
Austin, Texas

"Methodist Healthcare Ministries has contributed $1,500 to be a Panel Session Sponsor at the Texas Campaign to Prevent Teen Pregnancy's 2016 Symposium," said Christine Yanas, director of governmental affairs for Methodist Healthcare Ministries. "Methodist Healthcare Ministries continually fights for change, through our public policy and advocacy efforts, and this symposium will be very beneficial in tackling this important issue."

The symposium will feature:

  • An opening keynote by Sarah Brown, retired CEO, the National Campaign to Prevent Teen and Unplanned Pregnancy
  • A moderated discussion with Texas Legislatures from both sides of the aisle on statewide prevention efforts
  • A plenary session featuring adolescent perspectives and offering first-person experiences from Texas teens
  • Expert presentations on contraception, program implementation, advocacy and other current issues
  • Three post-event training classes, scheduled for April 13, including a professional development workshop and two workshops focusing on today's hot topics
  • Networking opportunities that foster collaboration
  • Opportunities to earn CEUs for SW, LPC, CHES and CPE

Anyone with an interest in teen pregnancy prevention is invited to attend. Attendees will include clinicians, researchers, project leaders, practitioners, educators, graduate students, social workers, youth services professionals and other key program staff – representing many disciplines and geographic areas across Texas and the U.S. There will be opportunities throughout the symposium to make connections, share insights, and help make progress on this issue.

The Texas Campaign to Prevent Teen Pregnancy provides statewide leadership around this issue by focusing on what works and connecting communities to the research they need to make an impact. Their guiding mission is to improve the quality of life for children, families, and communities across Texas by preventing unintended teen pregnancies.

Learn more about the Texas Campaign to Prevent Teen Pregnancy by visiting http://txcampaign.org/. Register for the 5th Annual Symposium at http://txcampaign.org/2016-annual-symposium/.

Methodist Healthcare Ministries supports the American Heart Association

Heart disease is our nation's #1 killer, causing 40.6 percent of all deaths. Each year, nearly 50,000 Texans die from cardiovascular disease and stroke, and nearly 2 million Texans suffer from cardiovascular disease. In an effort to prevent heart disease and increase awareness of its effects, Methodist Healthcare Ministries of South Texas, Inc. is proudly sponsoring several American Heart Association events in 2016, including the celebration of American Heart Month in February.

On Feb. 5, Methodist Healthcare Ministries participated in National Wear Red Day®, the American Heart Association's national movement to increase awareness of heart disease in women. Heart disease and stroke cause 1 in 3 deaths among women each year, killing approximately one woman every 80 seconds. Fortunately, 80 percent of cardiac and stroke events may be prevented with education and action. Every year, National Wear Red Day® aims to inspire women to take charge of their heart health. To learn more, visit GoRedForWomen.org.

On Feb. 25, Methodist Healthcare Ministries will contribute $2,500 to be a Learn Red Sponsor at the Go Red for Women Luncheon in San Antonio. More women die from heart disease than from all forms of cancer combined. Because mothers, daughters, sisters, and friends are all at risk of heart disease and stroke, the purpose of the luncheon will be to inform attendees to catch the red flags, and encourage women to know their heart health story. Go Red For Women inspires women to make lifestyle changes, mobilize communities, and shape policies to save lives. United, we are all working to improve the health of women in our community. For more information on the luncheon, click here.

On Feb. 27, Methodist Healthcare Ministries will contribute $10,000 to be a Presenting Level Sponsor at the Vestido Rojo Conference, an initiative to address the needs of Hispanic women in San Antonio. Heart disease is the number one cause of death for Hispanic women. The Vestido Rojo conference is being held in conjunction with Go Red Por Tu Corazon, the American Heart Association's nationwide movement that celebrates the energy, passion and power of Hispanic women to band together and wipe out heart disease. The movement is activated by a combination of special community events, presentations, and media to elevate awareness and give Hispanic women tips and information. The conference will empower women with knowledge and tools so they can take positive action to protect their health. For more information on this free event, which will include health screenings, nutrition workshops, presentations and more, click here.

On May 7, Methodist Healthcare Ministries will contribute $5,000 to be a Creating Hope Table Sponsor at the San Antonio Heart Ball. For one night each year, the American Heart Association brings together an audience of decision makers from across San Antonio, in an opportunity to not only raise critical dollars to support the American Heart Association's mission but also create life-saving awareness. This year's event is focused on creating awareness and how to recognize the signs of stroke. Funds raised through the San Antonio Heart Ball supports many local efforts in our community. To learn more about this elite black tie event that is expected to bring in prominent members of the health, philanthropic and local business communities, click here.

On May 13, Methodist Healthcare Ministries will be a top level sponsor at the Go Red for Women Luncheon in Corpus Christi, Texas by contributing $35,000. The luncheon will provide women of all generations with tips and information on healthy eating, exercise, and risk factor reduction, such as smoking cessation, weight maintenance, blood pressure control and blood cholesterol management. For more information on the luncheon, visit corpuschristigored.heart.org.

The American Heart Association movement continues to reach women, men, health care professionals, policy makers, and even celebrities to embrace and elevate the cause of heart disease. Thanks to the participation of millions of people across the country people are living stronger, longer lives. For more information on the American Heart Association, and for helpful resources, visit www.heart.org.

A look at a Sí Texas Project Integrated Behavioral Health model: Juntos for Better Health

By Anne Connor, director of community grants

In 2014, Methodist Healthcare Ministries of South Texas, Inc. launched the Sí Texas Project: Social Innovation for a Healthy South Texas (Sí Texas Project) with support from an unprecedented federal investment of $10 million by the Social Innovation Fund, a program of the Corporation for National and Community Service. Through the Sí Texas Project, Methodist Healthcare Ministries is evaluating nine evidence-based models of Integrated Behavioral Health (IBH) care, with some innovative aspects targeted at 12 counties within Methodist Healthcare Ministries' service area.

This week I'd like to take a closer look at the Juntos for Better Health IBH model. Texas A&M International University (TAMIU) and its partners will implement this model in the Laredo area. This model combines prevention and IBH care.

Juntos for Better Health is a partnership of several community service providers, forming the first fully-coordinated health care delivery system among multiple partners in Laredo. It is based on the Dartmouth Prevention Care Management Unit (PCMU) model, which places empowerment of clients and communities at the core. The goal of this project is to develop a coordinated and integrated health care delivery network to improve the health of the community.

TAMIU and its partners will focus on the health care system in Webb, Zapata and Jim Hogg counties. This model provides a continuum of care for those with obesity, diabetes, and depression, using a prevention focus to increase compliance, traveling teams, and additional personnel to increase health care capacity, a shared system of resources, and improving knowledge of illnesses. Juntos for Better Health is comprised of three different, but interacting intervention prongs.

1. Prong 1 involves a health education activity and a treatment compliance component. The Juntos model will offer health education on obesity, diabetes, and depression to participants in various community settings in an effort to increase prevention of these illnesses by improving knowledge. TAMIU College of Nursing faculty and students will follow a modified version of the Dartmouth Prevention Care Management Model, which involves a PCMU. Patients with diabetes and/or depression at Border Region Behavioral Health Center and the Laredo Health Department, as well as partnering organizations, who miss appointments, will receive phone calls and home visits in an effort to increase treatment plan compliance.

2. Prong 2 involves traveling health care teams. These teams will engage clients of partner organizations and refer them to appropriate services. Clients who are referred for services but are noncompliant will be placed in the PCMU group for follow-up (Prong 1).

3. Prong 3 involves building capacity and sharing resources among and within partner organizations through the addition of staff, development of referral protocols, and developing a shared health information system to improve plans of care and facilitate referrals.

TAMIU and its partners will implement an intervention that combines the Dartmouth PCMU model and the innovative Juntos model, both of which are client/community empowerment models.

To view previous blogs in this series of Sí Texas blog posts, subscribe at mhmbridgeofblessings.org/blog.

Methodist Healthcare Ministries Sponsors 2016 Alpha Home Doorways of Hope Luncheon

Methodist Healthcare Ministries of South Texas, Inc. is proud to support Alpha Home, a leading provider of residential and outpatient substance abuse treatment services to low-income individuals in Bexar County, by sponsoring the 2016 Doorways of Hope Luncheon on Thursday, February 25.

Doorways of Hope Luncheon
Thursday, February 25, 2016 from 11:30 a.m. – 1:30 p.m.
Omni San Antonio Hotel (9821 Colonnade Blvd., San Antonio, Texas 78215)

"Alpha Home provides an invaluable service, and we look to them for our patients' needs for specialized care," said Methodist Healthcare Ministries' Director of Behavioral Health Services Kathryn Jones, LCSW. "Because Alpha Home focuses not just on treating addiction, but on a much more holistic approach of healing mind, body, and spirit, I am pleased that Methodist Healthcare Ministries has committed to a $2,500 "Bridge to Recovery" sponsorship to support their work. These values of spirituality, integrity and compassion are values we at Methodist Healthcare Ministries strongly align with, to truly make a difference for the least served."

The 10th annual fundraising luncheon celebrates Alpha Home's 50-year-history of offering spiritually-based substance abuse treatment programs. This year's featured speaker is Rena Pederson, an award-winning writer who has interviewed personalities from the Dalai Lama to Julia Child. Pederson is the author of "What's Next: Women Redefining Their Dreams in the Prime of Life," and has been dubbed "one of the most powerful women in Texas" by Texas Monthly.

Alpha Home has the only gender-specific residential rehab program in San Antonio, dedicated exclusively to treating women. It serves almost 800 women annually, with an average success rate of 86 percent of women who stop using drugs and alcohol each year. Clients receive confidential, highly-individualized treatment, medical and mental health assessments, as well as counseling, addiction and recovery education, trauma counseling, anger management, GED instruction, relapse prevention education, life skills, and extensive case management services.

Alpha Home is a non-profit with the highest level of accreditation from CARF International (Commission on Accreditation of Rehabilitation Facilities) for three of its programs: Outpatient Treatment, Prevention/Diversion and Residential Treatment for adults with alcohol and other drug addictions. Alpha Home is licensed by the Texas Department of State Health Services and is a United Way of San Antonio and Bexar County agency.

The Doorways of Hope Luncheon is open to the public; individual tickets are $150 each and may be purchased by calling Alpha Home at 210-735-3822 or visiting www.alphahome.org.

For more information about Alpha Home, visit www.alphahome.org.

A look at Sí Texas Project’s Integrated Behavioral Health models: NuCare and Salud y Vida 2.0

By Anne Connor, director of community grants

In 2014, Methodist Healthcare Ministries of South Texas, Inc. launched the Sí Texas Project: Social Innovation for a Healthy South Texas (Sí Texas Project) with support from an unprecedented federal investment of $10 million by the Social Innovation Fund, a program of the Corporation for National and Community Service. Through the Sí Texas Project, Methodist Healthcare Ministries is evaluating nine evidence-based models of Integrated Behavioral Health (IBH) care, with some innovative aspects targeted at 12 counties within Methodist Healthcare Ministries' service area.

This week I'd like to take a closer look at two IBH models as part of the Sí Texas Project:

1. NuCare: Nuestra Clinica del Valle (NCDV) is implementing NuCare based on the collaborative care model at four of their primary care clinics in the Rio Grande Valley. A hallmark of the model is that patients are not referred to services, but the services come to them. NuCare includes a warm hand-off from the primary care provider to a mental health provider for an immediate, brief mental health intervention and warm hand-offs for health education and nutrition services. One of the innovative features of this model is the use of "promotores," or community health workers. In this project, the community health workers will meet patients in the reception area and accompany them through the visit, assist with depression screening, and meet the patient after the physical examination for an invitation to a wellness program. It is quite innovative to give promotores behavioral health responsibilities since they have been traditionally utilized for community outreach and health education. The focus in selecting promotores will be on hiring those who are controlled diabetics (true peers of the diabetic patients), Hispanic, suited to positions of leadership and program facilitation, and eager to accept training. Their involvement in administering the depression-screening tool (PHQ-9) is key because the clinic population is likely to need assistance because of challenges in reading and fear of behavioral healthcare. The physician and care team in further behavioral health assessments will use this information. The NuCare theory of change is that IBH, combined with health education, nutrition, and community-based support services, can improve diabetes control and reduce depressive symptoms. Improvement in physical and mental health will be achieved over several years in measurable impact for depressive symptoms and HbA1c levels among program participants. The warm hand-off from the primary care provider to the mental health provider, plus the presence of the promotor, breaks through the cultural barrier of stigma against behavioral health services and allows the counselor to develop rapport, encouraging patient confidence in the services offered.

2. Salud y Vida 2.0: The UT School of Public Health–Brownsville Campus will implement the Salud y Vida 2.0 model. The model incorporates enhanced primary and behavioral care, medication therapy management, community-based lifestyle programs, and teams of promotores or community health workers to conduct home follow-up visits. Medication Therapy Management will be provided for participants with low levels of medication adherence, and behavioral health services will be provided for participants who do not qualify for services with the local mental health authority, but who need behavioral health support. Community-based lifestyle programs will be provided across the Rio Grande Valley for the participants and their loved ones through peer-led support groups, cooking classes to build hands-on skills for patients wishing to prepare healthier foods, a healthy food choice customized smartphone application, and an obesity treatment program. The key to integration is on-going, systematic communication between hospital, clinic, mental health case managers, and the team of promotores who are following up with participants in their homes and at community-based educational sessions. Semimonthly case review meetings and a shared, secured web-based system called Chronicle Diabetes allow for coordination of participant services, advocacy, education and care. This model builds upon their existing Salud y Vida 1.0 program, a comprehensive chronic care management program that includes diabetes self-management education, integrated care planning and case review and outreach by community health workers.

To view all blogs in this series of Sí Texas blog posts, subscribe at mhmbridgeofblessings.org/blog.

A look at Sí Texas Project’s Integrated Behavioral Health models: CHISPA, TRIP for Salud y Vida, and Sí Texas Hope

By Anne Connor, director of community grants

In 2014, Methodist Healthcare Ministries of South Texas, Inc. launched the Sí Texas Project: Social Innovation for a Healthy South Texas (Sí Texas Project) with support from an unprecedented federal investment of $10 million by the Social Innovation Fund, a program of the Corporation for National and Community Service. Through the Sí Texas Project, Methodist Healthcare Ministries is evaluating nine evidence-based models of Integrated Behavioral Health (IBH) care, with some innovative aspects targeted at 12 counties within Methodist Healthcare Ministries' service area.

This week I'd like to take a closer look at three IBH models as part of the Sí Texas Project:

1. Community Healthcare InveSted in keeping Patients Active (CHISPA): El Milagro Clinic is implementing the Community Healthcare InveSted in keeping Patients Active (CHISPA) model in McAllen, Texas. This model is heavy on community-based chronic disease services, including the use of promotores in both the community and the clinic. The model utilizes monthly group-mediated cognitive behavioral meetings, and community-based services through the Healthy Living Partnerships to Prevent Diabetes (HELP PD). CHISPA will adapt the HELP PD model to account for the unique cultural and geographic needs of the Rio Grande Valley. An integral and innovative component of the CHISPA program, is the use of promotores, or community health workers. This community health worker-led health promotion intervention emphasizes integration and coordination of primary care with behavioral health care services, with community health workers integrated into the clinic team through depression screening and other patient services. A key component is the use of an occupational therapist to work with patients to identify needs early on, set goals and monitor progress. The intervention will include an initial meeting with an occupational therapist and follow-up as needed to coordinate and manage community-based services that meet the individual needs of patients, including referral to behavioral health services. The occupational therapist and the community health workers will also lead the group-mediated cognitive behavioral meetings.

2. Transportation for Rural Integrated health Partnership (TRIP) for Salud y Vida: The Rural Economic Assistance League, Inc. (REAL) is implementing the Transportation for Rural Integrated health Partnership (TRIP) model for Salud y Vida model, based in Alice, Texas, and covering a rural five-county service area. Like the Tropical Texas Behavioral Health model profiled in the previous blog, it focuses on the needs of Severe & Persistent Mental Illness (SPMI) consumers. This model was developed by REAL, in partnership with Coastal Plains Community Center, a local mental health authority serving SPMI patients; Kleberg County Human Services – Paisano Transit; and the South Coastal Area Health Education Center. The model responds to a specific need to expand the reach of current IBH services within the rural community, specifically to address the 22 percent (more than 1 in 5) consumer no-show rate for follow-up care. If patients aren't showing up for their follow-up appointments, there is little hope of advancing their health care outcomes. The key element of the TRIP for Salud y Vida model is the systematic and seamless offering of transportation services and programs to build self-empowerment to SPMI patients in the five-county service area. All TRIP for Salud y Vida consumers have a behavioral health diagnosis including severe depression, bipolar or schizophrenia.

3. Sí Texas Hope: Hope Family Health Center is implementing this collaborative care model at its clinic in McAllen, Texas. Hope Family Health Center has already begun integration of services, and the Sí Texas Project will enable them to move further along the integration continuum. The intervention involves moving from Hope Family Health Center's current model, where medical and behavioral providers work with each other episodically, to a more fully integrated model with care coordination, shared treatment plans, shared service provision, and shared record keeping. To achieve this enhanced level of integration, Hope Family Health Center will change its current primary care workflow to include a behavioral health specialist who will conduct assessments, provide initial counseling (individual or group), and coordinate referrals to care management and/or community-based health services. They will also include a care coordinator to manage referrals and follow-up and a transitional nurse to provide health and nutrition coaching and medication management. The new model of care will emphasize more collaboration between primary care and behavioral health care providers, including enhanced communication.

A series of blog articles will be added to the Methodist Healthcare Ministries Blog over the next few weeks to introduce additional models. To stay in the loop, please subscribe to the Blog at mhmbridgeofblessings.org/blog.

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Jaime Wesoloski

President & Chief Executive Officer

Jaime Wesolowski is the President and Chief Executive Officer at Methodist Healthcare Ministries. A healthcare executive with three decades of leadership experience, Jaime is responsible for the overall governance and direction of Methodist Healthcare Ministries. Jaime earned his Master’s Degree in Healthcare Administration from Xavier University, and his Bachelor’s of Science from Indiana University in Healthcare Administration. As a cancer survivor, Jaime is a staunch supporter of the American Cancer Society. He serves as Chair of the American Cancer Society’s South Texas Area board of directors and he was appointed as Chair to the recently created South Region Advisory Cabinet, covering eight states from Arizona through Alabama. Jaime believes his personal experience as a cancer survivor has given him more defined insight and compassion to the physical, emotional, and spiritual needs of patients and their families.