Sponsored by
New Mexico Voices for Children,
The Annie E. Casey Foundation,
Albuquerque Human Rights Office
and
the NM Coalitin for Human Rights

 
 

Subgroup Minutes

Behavioral Health Subgroup

Race Matters Follow-up Conference June 6, 2006
Meeting Notes

NEXT MEETING: July 12, 2006; 2:30 pm to 4:30 pm at
United Way of Central NM offices
2340 Alamo SE
2nd floor conference room

About 35 people showed up for the first follow-up meeting after the May 23 Race Matters conference to discuss policy suggestions to pursue toward greater racial equity in New Mexico. Participants self-selected into working groups: race and media; child welfare; juvenile justice; youth access to behavioral health care; adolescent reproductive health.

We had some preliminary discussions about the interim session of the legislature, and presenting some of the Race Matters material to legislative interim committees. Many of the committees have set their summer schedule, but we believe that we can persuade them to hear a presentation by people who attended the conference and want to pursue policy changes. We will discuss this more at the next meeting. NM Voices commits to helping get a hearing before a committee scheduled, and in helping to prepare community members to make the presentation by preparing materials and talking points. It would be important to have as many people at that presentation as possible.

We also decided that we'd start the next meeting with a discussion of what we mean by "racism".

[Notes from the scribe: This is just a reminder that we're looking at structural racism, and not individual bias or discrimination. Structural racism is policies and practices that, when implemented, create an advantage for white people and a disadvantage of people of color. We're especially focused structural racism and how it impacts youth of color in these discussions].

The working groups did not complete the work to come up with definite policy objectives, but did important work establishing a foundation for future discussions.

Race and media. The group decided that they want youth at the next meeting. They would like to see a project that involved youth looking at the print and broadcast media in NM, and evaluating how young people of color are represented. Then, they think the youth should be supported in a follow-up meeting with NM journalists and media to present their findings and ask for a more balanced approach to reporting on youth of color.

[Notes from the scribe: If we are able to do this, one idea would be to ask to the Broadcasters Association to allow youth to make a presentation at their annual meeting, which is usually in the fall. This would be a project that could be a collaboration with the Media Literacy project].

Child welfare. This group wants to invite someone from the Children Youth and Families Department to the next meeting. They need more information on possible ways to work with CYFD to develop a better relationship with this agency, which has the primary responsibility for the state's child welfare system. Cultural competency of CYFD social workers was discussed. Other issues raised were the lack of social worker supervisors that are African American, no training for adoptive foster parents offered by CYFD, no recruitment of foster parents of color, especially African American foster parents. The group wants to discuss these issues with CYFD personnel.

[Notes from the scribe: NM Voices will invite CYFD personnel to the July meeting].

Juvenile justice. Cultural diversity training and awareness needs to happen across the entire juvenile justice system. In addition, the group recommended a study of juvenile sentencing patterns across the state because there may be differences in sentencing for white juveniles who have committed the same offense and have the same juvenile justice history compared to youth of color.

Adolescent reproductive health. Expand the public health clinic hours of operation to evenings and weekend, making access easier for youth of color. The Department of Health/Department of Public Health has developed standards on age appropriate sex education. These standards have not been adopted and implemented by school districts. The school districts are governed by elected school boards that set school policy for the districts. Nonetheless, the group believes that there could be legislative action to insure that the Public health standards are adopted by schools. There was recognition that this will require funding for the schools to insure that there are competent health educators.

The group also discussed the soon-to-be-released HPV vaccine. HPV (human Pupilloma virus) is a group of viruses. Some cause genital warts, and are low risk, but others in this group are high risk because they are associated with cervical cancer. In addition, smoking enhances the risk that a woman infected with high risk HPV will develop cervical cancer. Young women of color are at very high risk because they smoke more than their white counterparts, and because they have less access to health education that could prevent HPV and detect early stage cervical cancer. The group recommended that HPV be added to the state's list as a reportable disease. This means that the state's medical director could decide that, as a public health risk, HPV vaccine is mandatory just like other mandated vaccines. Young people, and especially young people of color, would benefit from this vaccination.

[Notes from the scribe: This is likely to be a topic that will cause much debate from conservatives. Keeping the discussion rooted in public health will help. Perhaps the Race Matters working group could send a letter to the state's medical officer asking that HPV be added as a reportable state disease, and mandating the vaccine. This could be discussed further at the next meeting].

Access to behavioral health. This working group developed a long statement about access to behavioral health services for youth of color:

Vision Statement

This body seeks to reduce the negative impact of programs that lead to unintended consequences by supporting policies and programs that include elements of anti-racism education and training. Therefore, we advocate behavioral health policies that spell out 'zero tolerance' for disproportional findings, disparities, inequities or inequalities in health, human services and education. Overall, we endorse the use of 'disruptive innovations' and strategies for improvements in community empowerment, and distribution of resources (social justice) along a spectrum of prevention.

Part of the discussion was that there should be zero tolerance for inequities in behavioral health. In addition, the group expressed concerns about the pending transfer of behavioral health to Value Options, which will be the single provider (subcontracting with other providers) of behavioral health services in the state. This consolidation was intended to make behavioral health access more affordable and easier, but many are concerned that the outcome will be fewer services, especially the kinds of out-patient, group home and residential treatment services less accessible. These services are needed by youth of color more than for white youth because youth of color are disproportionately impacted y the juvenile justice and child welfare systems. Fewer treatment options will impact their access to behavioral health.

[Notes from the scribe: We need the more detailed statement from this group about their work].

All participants agreed to continue to meet and work toward policy goals and a strategy to educate the public and policymakers about those goals. It was also recommended that we work toward wider inclusion of people from other parts of the state in our Race Matters discussions.

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