Embracing Change – Diversity and Connectivity in behavioral health

By Dr. Susie Villalobos, Director, National Hispanic and Latino Addiction & Prevention Technology Transfer Centers

The lives and livelihoods of many Hispanic and Latino Americans were deeply affected by the impact of COVID-19. The spotlight reminded us of the continued racial and ethnic inequalities in health and healthcare. The quality, experience, and access remain stagnant as the socio-economic vulnerability increased issues of substance use, mental health disorders, and overall negative outcomes (Goldman, N., 2018).

The National Hispanic and Latino ATTC and PTTC continue to collaborate with community agencies and Regional TTCs around the nation in serving the afflicted diverse communities. A common word used in the development of our products is "resiliency"!

Resiliency of the community. Courage of the individual. And pride in the culture.

Hispanic Heritage Month

The Hispanic population in the United States is the largest ethnic minority with over 60.6 million people (Ramirez, A.G., 2021). This year's theme for Hispanic Heritage Month, "Unidos: Inclusivity for a Stronger Nation" imparts the reinforcement of diverse voices and perspectives in building stronger connections.


From September 15 through October 15, we celebrate the Hispanic/Latino and Latinx culture, focusing on the heritage of our diverse citizens from the Latin American countries of Brazil, Spain, Mexico, Guatemala, Honduras, El Salvador, Nicaragua, Costa Rica, Panama, Colombia, Venezuela, Ecuador, Peru, Bolivia, Paraguay, Chile, Argentina, Uruguay, Cuba, Puerto Rico, and the Dominican Republic.

As the NHL-ATTC and PTTC and parent agency the National Latino Behavioral Association (NLBHA), we celebrate our culture during the month by promoting diversity and the success of the contributions Hispanic Americans have made throughout history. Our National Latino Behavioral Health Conference on September 15 and 16 at the Sahara Hotel in Las Vegas, Nevada, coincides with the beginning of Hispanic Heritage Month. The conference agenda highlights the innovative, culturally responsive, and linguistically appropriate workshops from across our networks. Our keynote speakers will highlight the theme of our conference focusing on Latino Behavioral Health Equity, and finish the two-day event in a charity celebration on 16 de Septiembre with a musical tribute to Selena and Vicente Fernandez, while raising money for students studying in the field of behavioral health.

Connecting with community

Collaborative efforts by the NHL-ATTC and PTTC have produced three exciting new learning series focused on the workforce development of behavioral health providers working with Hispanic/Latino/Latinx communities.

Our first series dug deep into Understanding, Going Through, and Managing Loss, Grief, and Bereavement: Life with the Covid-19 pandemic for Latinos with a view on Latino Men. The series was led by Elizabeth Robles, a certified thanatologist, and garnered over 200 attendees.

The second virtual learning series, “A Cultural Adaptation of Screening, Brief Intervention, and Referral to Treatment, (SBIRT) for Working with Hispanic and Latinx Communities” led by Diana Padilla, talks in depth about the foundational cultural principles of “Cultural Humility” and “Culturally Responsive Services” and the relevancy of beliefs, practices, and linguistic needs of diverse communities.

And finally, wrapping up with Dr. Marilyn Sampilo in a four-part series entitled: Accelerating Training in Behavioral Health Equity: A Learning Series for Trainees, designed to enhance education and training related to health equity for current behavioral health trainees.

Embracing equity

As we end Year 4 with a menu of services for our Hispanic/Latino/Latinx serving agencies, we are proud to move forward with new collaborations on the horizon.

We have plans for a national assessment in identifying the needs of our Spanish-speaking peer recovery specialists. Our podcast Latinos Con Voz, produced by our ATTC and PTTC team, created over six series, in English, Spanish and Portuguese, and will develop new episodes focused on Suicide Prevention, Stimulant use Treatment, and Trauma Informed Care in rural communities.

Our fifth issue of the Cultivating Wellness newsletter will be out in September. With the development of these products, we promote and advocate for a shift in understanding an intersectional approach among providers, that considers structural and impactful factors in bridging health advocacy and social equality.

Inequality of services plays a central role in determining one's mental health, opportunity, and well-being. 1 in only 10 Latino citizens in the U.S. seeks mental health services (Vahratian, A., 2021).

We heed the call to increase access and build a behavioral health workforce that mirrors its population. Only then do we facilitate equity, embrace change, and promote access to basic human rights including health. We look forward to our fifth year as a National Hispanic Latino ATTC and PTTC to continue our work for multilingual programming, influencing health advocacy, and impacting the experience of underserved groups to inspire large-scale systems change.

About the author:

Dr. Susie Villalobos is the Director for the National Latino Hispanic Addiction and Prevention Technology Transfer Centers. Before joining NLBHA, Dr. Villalobos had worked with academic institutions and non-profits as a public advocate and researcher by implementing and managing clinical and socio-behavioral studies/programs. Her expertise in working with local, State and Federal agencies stems from her associations with CBO’s focused on activities committed to focusing on health disparities among Latino populations living and working on the U.S. – Mexico Border. Dr. Villalobos in her capacity as Regional Evaluator for the State of Texas, in Public Health Region 10 provided leadership in data analysis, data optimization, policy analysis and forecasting. She is a 2020-2021 graduate from the National Hispanic Latino and National Latino Behavioral Health Leadership Academy. She is particularly passionate about tackling issues faced by Latino populations across, age, race, gender, and biographical location.

Dr. Villalobos received her doctorate degree in Educational Administration and Leadership from the Department of Education at the University of Texas at El Paso and a master’s degree in Educational Psychology/focused on Community Counseling from the Department of Education at the University of Texas at El Paso.

Read this article in Spanish.

Read this article in Portuguese. 

References:

Goldman, N., Glei, D. A., & Weinstein, M. (2018). Declining mental health among disadvantaged Americans. Proceedings of the National Academy of Sciences, 115(28), 7290-7295.

Ramirez, A. G., Lepe, R., & Cigarroa, F. (2021). Uplifting the Latino population from obscurity to the forefront of health care, public health intervention, and societal presence. JAMA, 326(7), 597-598.

Vahratian, A., Blumberg, S. J., Terlizzi, E. P., & Schiller, J. S. (2021). Symptoms of anxiety or depressive disorder and use of mental health care among adults during the COVID-19 pandemic—United States, August 2020–February 2021. Morbidity and Mortality Weekly Report, 70(13), 490.

Embracing Change: This Recovery Month, BHPs should take steps to recover from burnout

By Alexander Waitt, co-project director, Central East ATTC 

As we recognize Recovery Month, let’s take a moment to talk about burnout in the helping profession, and what we can do to help Behavioral Health Professionals “recover” from the pandemic and its fallout.

People are leaving the helping profession left and right, and there isn’t a consensus as to why. Nor, more importantly, what is needed to close the floodgates. Is it higher pay? Better work conditions? More training? 

 

While COVID-19 was responsible for added burnout and compassion fatigue leading to individuals leaving the helping profession (Elsevier, 2022). The healthcare sector has been at a breaking point for many years. COVID-19 was the straw that broke the camel’s back, leaving community leaders, stakeholders, and organizational administrators wondering how we get back to a place of retaining and developing a solid workforce. 

A black man's hands are in a meditative pose.

 

My response to the question, “What can be done to keep professionals in the field?” involves the follow-up question, “What is your organization currently doing to help your workforce establish a healthy relationship with their work?”

 

In my years of working in the healthcare sector, as a counselor, consultant, and administrator, what I believe to be true is that people long for their work to be meaningful and for their work contribution to be noticed and acknowledged. The tangible things like a competitive wage, a supportive and safe work environment, and the tools to be successful at one’s job are of utmost importance. And, if the environment around them doesn’t allow professionals to connect and continuously reconnect with the why that brought them to the field, people will become burnt out, exhausted, and leave that much faster.

 

I don’t offer a simple answer because the problem is multi-faceted. It requires a solution as dynamic as the problem itself. 

 

I would never advocate for anyone to stay in a profession that isn’t healthy for them. But perhaps what is needed for a struggling behavioral health professional is a different type of support, not an exit.

 

For the last 10 years of my career, I’ve had my professional ups and downs. What’s helped me get through my hard times is developing a healthier relationship with self-care. Self-care is a topic that is talked about a lot, identified as needing to be taken seriously, and that many professionals struggle to engage. I’ve spent a lot of time figuring out what taking care of myself truly means and it’s something that is always evolving. 


Taking care of myself in my twenties is different than taking care of myself now. 


If you’re in the healthcare profession, examine these resources that have the potential to build a healthier relationship with your self-care practices.

 

While better pay and safer work conditions are not just band-aids and will serve to keep some frontline workers in the field, it leaves me wondering: what else is contributing to the mass exodus of individuals leaving the helping profession?

      

I wish I had the opportunity to ask anyone leaving the helping profession, “What drove you to decide to have a career in this field, to begin with?” I feel confident that most responses to the above question do not include financial compensation and safe work conditions. Why? Because what drives most people to the helping profession is personal. It’s as simple for most as a desire to help. Many in the field are driven by their own experiences of being helped. 

 

Professional wages and safe working conditions are not things that drive people to this vocation. They are the things that ensure a quality of life that allows a helper the opportunity to continue to give to others without having to worry about themselves.  

 

If you could go back and do the last 10 years of your professional career again, would you? 


At times, I think it is natural in one’s career to explore where you are. To reflect on both the work you’ve done and how you feel about the work you’ve done. 


I had a wonderful mentor in my career express to me that people who find personal meaning in their professional work tend to do it better, get more fulfillment out of it, and experience joy when working. Can you imagine that; on a daily basis, experiencing joy while working!? Those of us who can say yes to that question consider ourselves fortunate.

 

We owe it to ourselves to engage in self-reflection and exploration, even more so if we’re struggling. For those considering leaving the helping profession but haven’t yet, please reconsider. Take some time away to think through your change. 

 

I would encourage you to reflect on and reconnect with the personal experiences you had during your formative years that contributed to your decision to take this career path. Spend time reflecting on or connecting with the mentors who inspired you to keep going early on in your career. Remember those you’ve helped and think of those you’ll help in the future. 

 

While we advocate for the value of our profession to be reflected in certain tangible things, we must also never lose touch with what brought us and has kept us here. It will serve the well-being of all of us and our professions to remember what brought us here, to reconnect with your passion.


Editor's note: SAMHSA just released a new product, "Addressing Burnout in the Behavioral Health Workforce through Organizational Strategies."


 

References:


Elsevier, March 15, 2022. Doctors and nurses worldwide point to a roadmap to future-proof healthcare, [Press release] https://www.elsevier.com/about/press-releases/corporate/doctors-and-nurses-worldwide-point-to-roadmap-to-future-proof-healthcare