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Tenemos Voz Network expanding behavioral health resources and services for the Latino re-entry population
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EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 1
Tenemos Voz Network
Expanding Behavioral Health Resources and Services for the Latino Re-Entry Population
by
Ana L. Chavez-Mancillas, Doctoral Candidate
A Capstone Project Presented to the
FACULTY OF THE SUZANNE DWORAK-PECK SCHOOL OF SOCIAL WORK
UNIVERSITY OF SOUTHERN CALIFORNIA
In Partial Fulfillment of the
Requirements for the Degree
Doctor of Social Work
August, 2024
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 2
TABLE OF CONTENTS
I. Abstract 3
II. Acknowledgments 4
III. Positionality Statement 5
IV. Problem of Practice and Literature Review 6
V. Conceptual/Theoretical Framework 12
VI. Methodology 14
VII. Project Description 19
VIII. Implementation Plan 24
IX. Evaluation Plan 27
X. Challenges/Limitations 28
XI. Conclusion and Implications 30
References 32
Appendix A: Design Criteria 40
Appendix B: Low-Fidelity Prototype 41
Appendix B1: High-Fidelity Prototype 42
Appendix C: Theory of Change 43
Appendix D: Logic Model 44
Appendix E: Budget 45
Appendix F: Network Impact 47
Appendix G: Infographic 48
Appendix H: Downloadable Resource Guide 50
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 3
Abstract
The United States has the highest rates of incarceration globally. Among those
incarcerated in the United States, one in six are Latino men, compared to one in seventeen white
men. (Nazgol Ghandnoosh et al., 2024) More than 70% of people in U.S. jails and prisons have
at least one diagnosis of mental illness or substance use disorder, or both. Justice, M. (2022,
October 19). The Vera Institute reports that 50% of federal drug cases are against Latino
individuals, although they make up only about 17% of the U.S. population. Additionally, 77% of
Latinos are less likely to seek help for mental health issues. Goncalvez, W. I. (2020, May). The
Latino Tenemos Voz Reentry Network specifically addresses the unique challenges faced by
Latino individuals within the criminal justice system, providing culturally competent, holistic,
and integrated support services, information, and resources to help mitigate disparities and
barriers faced by Latino communities, ultimately fostering better reintegration outcomes and
contributing to systemic change.
Through a community-based network, this capstone project creates a sense of belonging
and connection by leveraging and disseminating existing behavioral health informational
products, resources, and services to Latino returning citizens, helping educate the reentry
population about behavioral health issues, services, and resources and why they are important.
This will aid in increasing access to behavioral health services and reducing stigma. It will play a
vital role in providing returning citizens a path to reintegrate into society, enhancing their overall
well-being, and creating safer communities.
Keywords: Formerly Incarcerated, Latino Returning Citizens, Behavioral Health Services,
Reentry Resources, Reentry Network.
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 4
Acknowledgments
First, I would like to thank God for allowing me to complete this work; without him,
none of this would have been possible. I express my deepest gratitude to my capstone chair, Dr.
Renee Smith-Maddox. Dr. Smith-Maddox, your unwavering support has been pivotal to my
success in this program. You consistently pushed me to excel and never accepted mediocrity,
both in my work and as an individual. Thank you for inspiring me to achieve my best, even
during the most challenging times. I would also like to thank Dr. Robin Kay-Wicker for always
believing in me, instilling confidence in my work, and providing invaluable guidance.
To my capstone committee members, Dr. Haner Hernandez and Dr. Robert Hernandez:
your mentorship, feedback, and shared knowledge were fundamental to the development of this
project. I am deeply grateful for your support. I must acknowledge my current coalition
members, Dr. Haner Hernandez, Fred Sandoval, and Salvador Amezola. Your willingness to
brainstorm, provide feedback, and offer ideas was crucial to the creation of this project. Without
your contributions, this work would not exist. I would also like to mention the new coalition
members who will join this upcoming fall, Ralph Martinez, Chef Fernando Ruiz, and Jimmy
Santiago Baca.
My incredible support system these last 3 years deserves special recognition: Dr. Joann
Hall, Dr. Jasmin Tobar, Dr. Sonya Berle, Dr. Arianna Deans, and Dr. Shay Bevans. You were
my accountability partners and sounding boards throughout this entire process, helping me stay
focused and complete this program. Our transition from cohorts to lifelong friends and
colleagues is something I deeply cherish. Thank you.
To my parents, Fernando and Blanca Chavez; thank you for always supporting me and
teaching me the value of education. Your guidance from heaven has been a constant source of
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 5
strength. To my amazing husband, Hector Mancillas: you deserve to have your name on this
work alongside mine. You are my inspiration, contributor, anchor, partner, tutor, and advisor. I
could not have completed this journey without your unwavering support, love, and guidance.
Finally, a special acknowledgment to my children, Zoe and Zophia Mancillas. Thank you for
your support, understanding, and your unconditional love. I hope this work makes you proud.
Positionality Statement
My Capstone Project on promoting smart decarceration for the Latino re-entry population
in California is deeply intertwined with my identities and perspectives. As a 53-year-old
Guatemalan woman, my cultural heritage and immigrant background profoundly shape my
understanding of systemic inequities and the challenges faced by marginalized communities. My
own experience of immigrating to the U.S. as a non-English speaking teenager has instilled in
me a deep empathy for those navigating bicultural identities and language barriers.
My long-term recovery from addiction and my brief incarceration experience highlight
the critical gaps in the criminal justice system, especially for Latino individuals. These
experiences fuel my passion for addressing the systemic issues that contribute to high
incarceration rates among Latinos and the barriers they face upon re-entry. My struggles with
undiagnosed ADHD and depression further inform my understanding of the importance of
accessible behavioral health information and mental health services, particularly for
neurodivergent individuals within the criminal justice system.
Politically, I am committed to social justice and equity, which aligns with my Capstone
Project's aim to dismantle the manifestations of colonialism, capitalism, and white supremacy
that perpetuate inequities. This political stance influences my approach to design thinking,
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 6
ensuring that my project is rooted in inclusivity and addresses the specific needs of Latino reentry individuals.
My social class background as an immigrant who has navigated various socioeconomic
challenges informs my perspective on the importance of building recovery capital for Latino reentry individuals. My academic and professional journey in the behavioral health field has
equipped me with the knowledge and skills to design culturally competent and effective
interventions.
Philosophically, I am influenced by principles of social work that emphasize holistic,
person-centered approaches. This theoretical belief guides my Capstone Project, ensuring that it
not only addresses behavioral health needs but also fosters a sense of belonging and acceptance
within Latino communities.
The identities of the end users of my project—Latino re-entry individuals—are central to
the design process. Understanding their unique challenges, cultural contexts, and systemic
barriers allows me to provide resources and services that promote successful reintegration and
increase their knowledge base about behavioral health. By leveraging my own experiences and
perspectives, I aim to build a supportive network that reduces stigma, enhances access to
behavioral health services, and educates the Latino re-entry population, their families, and
communities about the behavioral health barriers faced by the re-entry population, ultimately
contributing to systemic change and better reintegration outcomes.
Problem of Practice and Literature Review
The United States, while comprising just 5% of the global population, detains a
staggering 25% of the world's prisoners (Atwell, 2012). This alarming trend is further
highlighted by The Sentencing Project's 2021 Trends in Corrections Fact Sheet, which reports a
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 7
dramatic 500% increase in the incarcerated population over the past 40 years, now totaling
around 2 million individuals. Additionally, there are 7 million people under probation and parole,
not including those in immigrant detention centers, solidifying the status of America's criminal
justice system as the largest worldwide.
A 2010 report by the National Center on Addiction and Substance Abuse reveals that
about 75% of incarcerated individuals require substance abuse interventions, but shockingly,
only 11% receive such treatment during their incarceration. In 2017, Snedker and colleagues
shed light on the persistent challenges faced by individuals with mental health issues in the
criminal justice system. Their research exposed a troubling pattern where these individuals
impacted by behavioral health issues continuously cycle in and out of the system without making
substantial progress toward recovery. This cycle, often referred to as the "revolving door,"
involves a repetitive sequence of arrest, incarceration, release, and subsequent re-arrest. The
issue of mass incarceration stands as a pivotal civil rights challenge in contemporary society.
With 77 million Americans bearing criminal records and countless others engaging with the legal
system annually, the consequences on economic stability and opportunity access are profound.
This involvement often hinders educational achievements, secure housing, job prospects, and
eligibility for public assistance, perpetuating a cycle of poverty and inequity. This burden falls
disproportionately on communities of color, who are overrepresented in the criminal justice
system. As reported by LULAC 2024, Latino men face significantly higher incarceration rates
than white men (1 in 6 compared to 1 in 17). This disparity indicates systemic issues in the
criminal justice system that disproportionately affect Latino communities, necessitating targeted
interventions. The pandemic and deep-rooted issues of racial discrimination and overcriminalization exacerbate these hardships, placing an even greater strain on affected
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 8
communities. Despite attempts at reform, there remains a glaring lack of focus on creating and
expanding economic opportunities for those ensnared by the criminal justice system.
Within this context, Los Angeles County (LAC) operates the largest jail system in the
nation, on average it holds 14,577 inmates per day with a budget of $843 million according to
the Bureau of Justice. The average jail stay in LAC is 81 days, with 54% of the population being
of Hispanic Latino descent according to the Board of State and Community Corrections (2021).
Disturbingly, 46% of the inmates are awaiting trial or sentencing, and 40% grapple with mental
health issues, making Los Angeles County Jail the largest mental health institution in the United
States. Over 70% of incarcerated individuals have at least one mental health diagnosis or
substance use disorder, or both as reported by the National Center for State Courts (2024). As
reported by the Vera Institute (2024) Latino individuals are disproportionately represented in
federal drug cases, making up 50% of such cases despite being only 17% of the population. This
overrepresentation points to possible biases in law enforcement and judicial processes and
highlights the need for programs that can provide behavioral health education, and resources to
Latino communities. These high rates suggest that the resources available must address not only
the reintegration into society but also the underlying health issues that contribute to criminal
behavior. The incarceration profile in Los Angeles aligns with national research, revealing that a
disproportionate number of individuals admitted to jails are afflicted with illnesses,
impoverished, homeless, and grappling with mental health and substance use disorders. In
essence, our jails predominantly house sick, marginalized, and vulnerable populations. This
profile of the populations within the LA County jail is preceded by a discussion of the persistent
racial inequities pervasive in this system. (The ATI Workgroup, 2020, October)
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 9
Lack of information and misconceptions within the Latino communities about Latinos
who are system-impacted with a criminal record creates behavioral health disparities and greater
systemic barriers making it challenging for Latinos to reenter into communities and access
behavioral health services successfully. Los Angeles County is home to 4.9 million
Hispanics/Latinos, 49% of the total population in LAC. The system-impacted Latino population
re-entering society encounters significant obstacles to successful reintegration into society
following incarceration, leading to high recidivism rates and ongoing imprisonment cycles.
These challenges encompass insufficient language assistance, a dearth of culturally attuned
programs, restricted job prospects, and limited access to essential healthcare and social services.
The absence of tailored and comprehensive re-entry efforts exacerbates these barriers, impeding
the Latino population's ability to rebuild their lives and contribute positively to society (Pettus et
al., 2021). As reported by NIH (2023), 77% of Latinos are less likely to seek help for mental
health issues. Cultural stigma, lack of access to culturally competent care, and other barriers
contribute to this reluctance, suggesting that resources whether programs or networks need to be
culturally tailored to encourage and facilitate mental health support.
According to the Innocence Project California’s recidivism rates are among the highest in
the nation. Durose, M. R., & Antenangeli, L. (2021). More than 65 percent of those released from
prisons and jail systems return within three years, and 73 percent of the recidivists committed a
new crime or violated parole/probation within the first year. A 2019 report by the State of
California acknowledged that CDCR’s attempt at rehabilitation has failed 62 percent of the
inmates released in 2017-2018. Many programs and networks available offer employment
services, including job training, resume building, and job placement assistance (Seiter, 2003).
Others aid with finding and securing safe and affordable housing, which can be a significant
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 10
barrier for individuals with criminal records. (Kirk, 2018). However, there appears to be a
continued lack of knowledge about resources among the Latino population to help the re-entry
population reintegrate successfully into society and more needs to be done.
The Anti-Recidivism Coalition (ARC) (2024, May 8) works to end mass incarceration in
California. To ensure our communities are safe, healthy, and whole, ARC empowers formerly
and currently incarcerated people to thrive by providing a support network, comprehensive
reentry services, and opportunities to advocate for policy change. The Latino Coalition of Los
Angeles (LCLA) (April 26, 2024) empowers BIPOC communities with resources and knowledge
to achieve equity and justice through community engagement, coalition building, and policy
advocacy. The League of United Latin American Citizens (LULAC) (May 10, 2024) aims to
advance the economic condition, educational attainment, political influence, housing, health, and
civil rights of the Hispanic population of the United States through national programs and
initiatives. All these are great networks and resources available to the re-entry population,
however, the information is not available in Spanish or any other language than English for that
matter creating an access gap based on language for the Latino population.
The California Department of Corrections and Rehabilitation (CDCR) offers reentry
services to the prison population. However, these programs, despite their existence, reach only a
small fraction of the population and fall short of meeting individual needs. Moreover,
information about available services is often inadequately disseminated, leaving some
individuals unaware of the assistance theoretically accessible to them. This fragmented system
hinders the realization of the intended support for reentry individuals in California leaving room
for innovations to aid increase accessibility to this assistance.
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 11
Latino individuals with criminal records face difficulties when it comes to gaining
successful employment, housing, and reintegration into society even with professional support,
the negative attitudes, beliefs, stereotypes, and discrimination directed toward individuals or
groups based on specific attributes or characteristics they possess from the communities make it
challenging for the reentry population to successfully reenter their communities indicating a need
to also educate the communities. (Harris, and Keller, 2005, Butler and Taylor, 2022).
Supervision can help many of these returning citizens avoid reoffending, but it can also infringe
upon their autonomy and privacy, contributing to feelings of dehumanization and stigmatization.
(Comfort, 2016). Furthermore, the availability of resources for supporting the reentry population
can be limited. (Butler, 2022)
Latino families and social structures have distinct characteristics that require specialized
support. A network that understands these dynamics can better assist in increasing access to
behavioral health and education and other existing local resources helping link Latinos to
behavioral health information and services. Many Latino individuals may have a mistrust of the
criminal justice system and related institutions such as behavioral health services. (Falgas, et.al
2017). A network led by Latino members of their community housed by a trusted community
organization can help build trust and encourage participation in reentry programs, ensuring that
individuals feel supported, understood, and connected.
Many returning citizens need stronger support even if they exhibit low crime risk due to
their high needs, which include psychological support (Nellis, 2021). The barriers faced by the
reentry population are deep and complex even more so for the Hispanic Latino population that
are already facing many disparities within the system. The prison industry is profiting from
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 12
people’s misery, doing exactly exactly what it was designed to do. When an individual goes to
jail or prison the whole family goes to prison/jail with them.
Conceptual/Theoretical Framework
There is an African Proverb that says, “If we want to go fast, we go alone, if we want to
go far, we go together.” By utilizing the theoretical framework of Collective Impact which
involves the collaboration of diverse stakeholders, this framework argues against the
effectiveness of isolated impact initiatives by single organizations and emphasizes the necessity
of cross-sector coalitions engaging stakeholders outside the nonprofit sector to solve complex
problems (Kania & Kramer, 2011). The theoretical foundation suggests that Collective Impact
provides a more effective approach to addressing these challenges.
The framework outlines five "conditions of collective success," including the
development of a common agenda, shared measurement, mutually reinforcing activities,
continuous communication, and backbone support (Kania & Kramer, 2011). The common
agenda is highlighted as a foundational element that requires time for development based on
available data, informing the direction and focus of the entire project. Shared measurement
encourages coordinated data collection, analysis, and sharing to enhance understanding of social
issues and facilitate program evaluation. Mutually reinforcing activities add value to
collaborative efforts and maintain focus on the shared agenda. Continuous communication serves
as a mechanism to realize the other conditions, and the backbone support acts as a coordinator or
facilitator of the Collective Impact project.
The collective impact framework was applied to the formation of the Tenemos Voz
Network which focuses specifically on the Hispanic Latino population. It underscores the
importance of aligning Latino stakeholders’ needs, particularly those who are part of the system-
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 13
impacted community, having their voices heard to aid, setting clear goals, and fostering ongoing
communication and collaboration. The framework's relevance to addressing complex social
challenges and achieving sustainable change is evident, emphasizing the need for a
comprehensive, coordinated, and collaborative approach. De Chiara, A. (2017). The success of
this theoretical approach relies on strong leadership, a culture of trust, and a commitment among
stakeholders to work together towards common goals.
Within the context of forming the Tenemos Voz Network, the Collective Impact
framework offers a strategic and comprehensive approach to tackle the multifaceted challenges
faced by the system-impacted population. De Chiara, A. (2017). It recognizes that social issues
such as access to behavioral health resources and services after incarceration are complex and
require a collective effort that goes beyond the capabilities of any single individual or
organization as in the concept of “it takes a village.” The emphasis on having a common agenda
within the Collective Impact framework is particularly pertinent for the Tenemos Voz Network
focused on the behavioral health needs of the Latino re-entry population. The network
necessitates a shared vision that considers the unique needs and circumstances of this
community, which include a lack of information and education, ensuring that the strategies
developed are culturally sensitive and tailored to address these specific challenges.
Moreover, the framework's insistence on continuous communication highlights the
importance of ongoing dialogue among coalition members and other stakeholders. This is crucial
in the context of the network, where cultural nuances, language considerations, and community
dynamics play integral roles. Regular and open communication fosters a deeper understanding of
the diverse perspectives within the network, ultimately strengthening the collaborative efforts.
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 14
As the framework suggests, the backbone support organization is a linchpin in the success of
Collective Impact initiatives. In the context of the Tenemos Voz Network, the backbone support
organization plays a vital role in facilitating cultural competence, ensuring inclusivity, and
serving as a bridge between the stakeholders which includes community leaders, advocacy
groups, or organizations with a deep understanding of the Hispanic-Latino community as well as
a deep understanding of the system-impacted population with criminal records.
In summary, the application of the Collective Impact framework to forming the Tenemos
Voz Network for system-impacted Latino Individuals with criminal records underscores the need
for cultural relevance, effective communication, and a coordinated approach that engages the
unique strengths of diverse stakeholders. This Tenemos Voz Network approach has the potential
to create a more inclusive and impactful initiative that addresses the challenges faced by
Hispanic Latino individuals impacted by behavioral health transitioning from incarceration to
community life in accessing resources and services, and increasing knowledge about behavioral
health issues.
Methodology
Design Thinking
For the development of the capstone project, various tools and principles of design
thinking were used, including exploratory research to aid in understanding the context
surrounding the problem, and desk research on the project’s theme from various resources:
books, articles, websites, blogs, etc. In-depth interviews were conducted via Zoom with eight
different stakeholders helping obtain information through dialogue with the users about the needs
of the population and existing gaps. In-person focus groups were then conducted on the network;
educational products to be available on the network and its process were introduced to
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 15
participants. During this process, it was also discussed with group participants what other
products or services should be accessible through the network. A persona was created from the
information gathered from the interviews and aided in the design and development of the
network. A journey map was used as a visual representation prototype based on the timeline of
events that made this project possible, from the formation of the coalition to the development of
the network and content. Brainstorming was utilized during the design team meetings to
encourage the design team to generate many ideas quickly. Many pivots occurred during the
development of the Capstone Project, and multiple iterations of the project occurred as well.
Confidentiality of participants was maintained, and they were treated fairly, and each consented
to participate freely and willfully. The design team members are Dr. Haner Hernandez, Fred
Sandoval, and Salvador Amezola, in addition to the individuals with lived experience
interviewed throughout the project. Their contributions and feedback were invaluable in shaping
the direction and outcomes of our project, ensuring that diverse perspectives were considered and
integrated into the final results.
Design Justice Principles
Design Justice significantly shapes our realities and profoundly impacts our lives, yet
only a few of us are involved in design processes. Notably, those who are most negatively
affected by design decisions often have the least influence over these decisions and how they are
made. (Design Justice Network, 2018) The Capstone Project centers on the people who would
normally be marginalized from the design and utilizes a collective impact approach to address
the community challenges as they relate to behavioral health (See Appendix A). Throughout the
project design justice principles were utilized to ensure we center the voices of those who are
directly impacted by the outcomes of the design process, in our case the Latino re-entry
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 16
population. We first looked for what was already working at the community level and involved
the community in the design process.
Market Analysis
A re-entry network focused on behavioral health services and resources aims to support
individuals transitioning from incarceration back into society, specifically addressing their
mental health and substance use disorders. This market is crucial, given the high prevalence of
behavioral health issues among the incarcerated population and the social and economic costs
associated with reentry challenges. Analyzing the current market involves understanding the
demand for these specialized services, the competitive landscape, funding sources, and key
trends influencing the sector.
The demand for behavioral health resources and services in reentry networks is
significant, driven by several factors such as the high prevalence of Behavioral Health Issues.
(Bronson and Berzofky, 2017). Many incarcerated individuals suffer from mental health
disorders and substance use issues. The Bureau of Justice Statistics reports that over half of
prisoners have a mental health problem, and many struggle with substance use disorders
(Bronson & Berzofsky, 2017). Effective behavioral health interventions are crucial for reducing
recidivism. Studies show that untreated mental health and substance use disorders contribute to
higher rates of reoffending (Mallik-Kane & Visher, 2008). Policies like the Second Chance Act
and the Mental Health Parity and Addiction Equity Act provide funding and support for
behavioral health initiatives, increasing the focus on successful reintegration (Second Chance
Act, 2018; Mental Health Parity and Addiction Equity Act, 2008).
The market for reentry networks focusing on behavioral health services and resources
includes various organizations. Nonprofits and NGOs: Many nonprofit organizations offer
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 17
specialized behavioral health services, such as counseling, therapy, and addiction treatment
programs (National Institute of Mental Health, 2021). Federal, state, and local governments
provide behavioral health services through reentry programs, often in partnership with
community-based organizations (Substance Abuse and Mental Health Services Administration,
2020). Private companies, including healthcare providers and technology firms, offer innovative
solutions such as telehealth services, mobile health applications, and digital platforms for
behavioral health (O’Brien et al., 2020).
Funding for behavioral health-focused reentry programs comes from multiple sources.
Government Grants: Federal and state grants, such as those provided under the Second Chance
Act, are major sources of funding for these programs (Second Chance Act, 2018). Philanthropic
organizations support behavioral health initiatives as part of their health and social justice
missions (Robert Wood Johnson Foundation, 2019). Companies, particularly those in the
healthcare and pharmaceutical sectors, sponsor behavioral health programs to support corporate
social responsibility (CSR) goals (Harris & Keller, 2005). Individual donors and community
fundraising efforts contribute to the financial stability of smaller, grassroots organizations
(Bureau of Justice Assistance, 2019).
Several trends are shaping the market for reentry networks focused on behavioral health.
Technological Integration: The use of technology, such as telehealth, mobile apps, and electronic
health records, is increasing in behavioral health services, making them more accessible and
efficient (Kip et al., 2018). Holistic Approaches: This is a growing recognition of the need for
comprehensive support that integrates behavioral health with other aspects of reentry, such as
employment, housing, and family support (Travis et al., 2014). Public-private partnerships
collaboration between public agencies, private entities, and nonprofits is expanding, leveraging
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 18
each sector's strengths to enhance service delivery (Aos et al., 2006). Policy Advocacy
Behavioral health-focused reentry networks are increasingly involved in advocacy, pushing for
policy changes that reduce barriers to accessing mental health and substance use treatment
(Western, 2018).
The reentry market focusing on behavioral health resources and services faces several
challenges. Dependence on grants and donations can lead to funding instability, making longterm planning difficult (Visher & Travis, 2003). Stigma and Discrimination: Individuals with
behavioral health issues and criminal records often face significant stigma and discrimination,
impacting their ability to secure employment and housing (Pager, 2003).
Measuring the success of behavioral health interventions in reentry programs is
challenging, requiring robust data collection and analysis systems to track outcomes effectively
(Taxman et al., 2014).
Despite the challenges, there are significant opportunities in the market for reentry
networks with a focus on behavioral health resources and services. There is room for innovation
in providing behavioral health services, particularly through technology and data analytics
(Hipple et al., 2011). Programs with proven success can be scaled to reach more individuals,
supported by evidence-based practices (Latessa et al., 2014). Increased collaboration between
different sectors can lead to more comprehensive and effective reentry support systems (Clear &
Frost, 2014).
The market for reentry networks focusing on behavioral health services is vital and
growing, driven by high demand and supported by diverse funding sources. While the landscape
is competitive and faces several challenges, the increasing use of technology, holistic support
approaches, and collaborative efforts present significant opportunities for growth and impact. By
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 19
addressing these challenges and leveraging opportunities, reentry networks can play a crucial
role in reducing recidivism and supporting successful reintegration into society.
Project Description
The Capstone Project builds on current re-entry programs available to the community by
creating a network specifically for the Latino re-entry population focused specifically on
behavioral health and on educating the Latino re-entry population. Current solutions available for
the re-entry population are mostly a catch-all, come-one-come-all type of program and offer a
variety of services to participants. The proposed solution aims to contribute to the Grand
Challenge of Promoting Smart Decarceration and focus specifically on the Latino re-entry
population. The solution is led by Latino leaders and will remain throughout the existence of the
network (See Appendix B). Understanding the unique challenges and barriers faced by Latino
individuals with criminal records upon re-entry into society, including limited access to
behavioral health services, limited knowledge, and understanding about behavioral health,
employment barriers, housing discrimination, limited access to education, and restricted voting
rights, is crucial.
Individuals involved in the criminal justice system who are returning to their
communities are cycling through jail due to low-level criminal involvement and probation
violations, impacting recidivism rates. Individuals cycle for a few days, weeks, or months at a
time which brings challenges to the individuals and their families of having to help their family
members start from scratch; for these reasons, communities must help the reentry population and
welcome them back into their communities to help alleviate the recidivism rates that highly
impact the Latino population. Many cycle in and out of jail and lose their community-based
medical and mental health care, social security card, housing, and income (Comfort, 2016). For
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 20
the Latino population, this is impactful as they already face many disparities as it pertains to
access to care and other resources. According to the National Institute on Drug Abuse (NIDA),
9.9 percent of Hispanics (3.4 million) need substance use treatment; Latinos were less likely than
non-Hispanics to have received any type of mental health treatment. As of 2022 Hispanic people
had one of the highest uninsured rates at 18.0% (Artiga & Hill 2022).
The Tenemos Voz Network is a platform designed to support returning Latino citizens by
providing education on behavioral health topics, access to local resources and services, and
fostering a sense of community and belonging (See Appendix B1). This Capstone Project aims to
address the unique challenges faced by this population in reintegrating into society. The
Tenemos Voz Network is a social network, created by a group of Latino leaders with lived
experiences as it relates to the Latino re-entry population and behavioral health. The network
will consist of people (nodes) connected by various types of relationships (links). This can
include friends, family, colleagues, acquaintances, and other social connections. The design team
decided to focus on behavioral health resources and services, and it was collectively decided to
have 3 resource categories: Mental health, in 2020, 27.5% of Latino adults had a mental illness
or substance use disorder (SAMHSA); Substance abuse, 46% of Hispanic state prisoners have a
mental health problem according to the Bureau of Justice and 50% of federal drug cases involve
Latino individuals, despite them comprising only 17% of the U.S. population (Vera Institute,
2023); Suicide prevention, suicide is a leading cause of death among young Hispanic and Latino
Americans (NSDUH, 2024). Existing educational resources will be acquired from the National
Hispanic Latino Addiction Technology Transfer Center, the National Hispanic Latino Prevention
Technology Transfer Center, the Substance Abuse and Mental Health Services Administration,
Mental Health America USA, the Latino Hispanic Behavioral Health Center of Excellence,
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 21
Faces, and Voices of Recovery, and other national organizations that put out current educational
resources regularly (See Appendix H). For local services identified and promoted on the
network, the organization’s website will be visited, as well as Yelp to read reviews of services
being provided if available; the organizations will be called to ensure that those services continue
to be available and are available in Spanish if needed.
Joining the re-entry network, the resources available will be free to networkers as they
will be obtained from organizations that create these materials with Federal Grant monies. Local
services typically have a charge, and this is why one of the resources available is “Applying to
Medi-Cal A Step-by-Step Guide,” in addition to information about Medi-Cal Suspension and
where to call to resolve that issue. Behavioral health services are covered under Medi-Cal here in
California and everyone is covered regardless of their criminal record. The platform will have a
“Contact Us” button to reach out with questions and inquiries. 24/7 services will be encouraged
and supported by providing 988 information and local crisis mobile response resources. All
resources available on the platform will be downloadable and available for printing and will be
made available in Spanish and English. By incorporating these best practices components into
the theory of change, the approach becomes more holistic, addressing the multifaceted
challenges faced by individuals with criminal records and promoting their successful
reintegration into society. The objectives of the Tenemos Voz Network are: (See Appendix G)
• To disseminate existing resources and services to the Latino returning citizen population,
which include mental health, substance abuse, and suicide prevention resources.
• To educate Latino returning citizens on various mental health topics.
• To increase access to behavioral health services for Latino returning citizens.
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 22
Testing of the network involved qualitative methods including focus groups and
facilitated dialogues. These methods aimed to gather in-depth feedback from participants about
their needs, experiences, and the usefulness of the network.
How The Focus Groups Occurred
1. Conversation: Participants were greeted by the facilitator, who introduced themselves
and explained the network's purpose. The facilitator highlighted the objectives of the
network and the session's rules. Two focus groups took place, each with four participants,
discussing their experiences post-release, their knowledge of behavioral health, and their
perspectives on being part of a network.
2. Awareness: Participants engaged in discussions about barriers to accessing behavioral
health services and shared their personal experiences.
3. Readiness: Participants reviewed sample educational materials and discussed their
relevance and impact.
4. Action: Participants discussed why they would join the network and provided reasons for
their decision.
5. Debriefing: Participants express their willingness to continue being part of the testing
process.
6. Assessment: Once the network's website is ready, participants will use the platform,
provide feedback about its usability, and complete a survey measuring their sense of
social cohesion and connectedness.
Key stakeholders in the testing process will include Latino returning citizens, behavioral
health professionals, and community leaders. Their involvement is crucial for ensuring the
prototype meets the needs of the target population and addresses any systemic barriers.
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 23
Information will flow through the network platform and include other social media
platforms such as Facebook and LinkedIn. The data will be spread through social media blasts
and monthly emails with new resources available. Latino returning citizens involved in the
creation and prototyping of the network have been identified in the local communities who
currently participate in substance abuse treatment at local facilities and other local groups and
who have a history of spending time in prison or jail or who have been recently released into
these treatment centers.
Feedback will be incorporated to refine the prototype, addressing any design justice
issues such as the lack of informational materials available in Spanish identified during testing.
This includes ensuring the platform is accessible and culturally relevant. The results of the
prototype testing process will provide insights into:
• The effectiveness of the educational materials.
• The usability of the network platform.
• The specific needs and challenges faced by Latino returning citizens.
Ethical Considerations
The re-entry network, which aims to support individuals transitioning from incarceration
back into society, faces several ethical considerations to ensure it operates fairly, effectively, and
respectfully. Protecting data from unauthorized access or breaches is crucial to maintaining trust
and privacy. Ensuring participants understand the nature of the support being offered, the use of
their data, and their rights within the network. Participation should be voluntary, with individuals
fully aware of what they are consenting to without any coercion. Bias Mitigation actively works
to prevent and address any biases that could affect the quality of support or opportunities offered.
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 24
Ensuring a Person-Centered Approach, treating individuals with respect and dignity, focusing on
their strengths and potential rather than solely on their criminal records. Encouraging selfdetermination and empowering individuals to make their own choices and take control of their
reintegration process. Allocating resources based on individual needs to provide adequate
support for successful reintegration. Avoiding favoritism ensures that no individual receives
preferential treatment without justified reasons. Ensuring that all partners and collaborators
adhere to the same ethical principles to provide consistent and fair support. Promoting positive
relationships between reentry individuals and community members to foster acceptance and
reduce stigma. Ensuring the network is sustainable and capable of supporting its participants
over the long term. Awareness of and sensitivity to cultural differences and ensuring that
support services are inclusive and culturally appropriate. Addressing these ethical considerations
is crucial for a re-entry network to function effectively, support its participants appropriately, and
maintain trust within the community.
Likelihood of Success
The Tenemos Voz Network has a strong potential for success in educating Latino
returning citizens about behavioral health and the resources available to address their needs.
This is particularly important given this population's significant barriers to accessing mental
health services (Gamm, Hutchinson, Dabney, & Dorsey, 2003). With the Latino population
growing rapidly in the U.S. addressing these disparities is critical. By addressing these issues, the
Tenemos Voz Network aims to reduce behavioral health disparities and support successful
reintegration for Latino returning citizens. (See Appendix F).
Implementation Plan
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 25
The reentry network platform will be marketed at different points of entry leveraging the
networks and resources of supporting members. The network will continue to involve returning
citizens in the network by creating opportunities for them to serve on the advisory board. The
advisory board will continue to guide the work of the Tenemos Voz Network to ensure that the
network continues to evolve and expand, providing resources and services that are relevant and
needed by the Latino re-entry population and the Latino community. The network will be
introduced to returning citizens who are returning into our communities through the following
programs and organizations that serve the population: Los Angeles County Re-entry Services
and Drop-in Center, American Recovery Center (ARC), Tarzana Treatment Center (TTC),
Second Chance Treatment Centers, The Southern California Dream Center, National Latino
Behavioral Health Association – Juntos Network, Peer Recovery Center of Excellence,
California Institution for Women (CIW), The Way Prevention and Treatment Center, and the
Bob Martinez Center of Innovation for Latino Behavioral Health. These organizations will help
get the word out about the network and provide information about the network by displaying
informational flyers about the network telling Latino returning citizens about the existence of the
network and encouraging them to join and be part of it.
Implementing the Tenemos Voz Network will cost about $50,000.00 for the first year.
(See Appendix E). The initial revenue stream will come from NLBHA’s COI, which is the
backbone supportive organization. Personnel and fringe expenses are expected to be about
$16,130.00, and total Direct Costs will be about $45,455.00. Indirect costs are inclusive of
accounting and auditing services, building maintenance, utilities, other supplies, and equipment.
Appendix E: Tenemos Voz Network Start-up Budget
A. Personnel
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 26
Position Name
Annual
Salary/Rate Cola Cost + Cola LoE Total
(3) Program Director Ana Chavez-Mancillas 80,000 3% $82,400 15% $12,360
Totals $12,360
B. Fringe
Component Rate Total Salaries Cost Total
Retirement Allowance 7.5% 12,360 $927 $927
Health Insurance Allowance 10.5% 12,360 $1,298 $1,298
FICA/Medicare 7.7% 12,360 $946 $946
Workers’ Compensation 3.9% 12,360 $476 $476
Home Office Allowance 1.0% 12,360 $124 $124
Totals 30.5% $3,646 $3,770
C. Staff Travel
Purpose of Travel Total
Business Travel Allowance $2,000
Totals $0 $2,000
D. Equipment -- Not Used
Items(s) Rate Total
$0
Totals $0
E. Supplies
Items(s) Rate Total
Totals Totals $0
F. Contracts
Contractor Rate Total
Victor Trinidad Website design and website development $12,000
Victor Trinidad Website maintenance and update $6,000
Totals $18,000
G. Construction--Not Used
Items(s) Rate Total
Totals $0
H. Other
Other Rate Total
Bluehost Website domain registration, website hosting, and SSL Certificate $2,500
Marketing & Advertising TBD $2,000
Legal Fees TBD $2,000
Training & Development TBD $1,000
Software TBD $1,825
Totals $9,325
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 27
DIRECT COSTS. $45,455
I. Indirect
Indirect Cost Components Monthly Rate Months Annual Percentage Total
Facilities & Administration 10% IDC $4,545
Total IDC $4,545
$50,000.00 Amount $50,000
$45,455 Direct Cost for Indirect Amount
$4,545 IDC
The National Latino Behavioral Health Association will be hosting the upcoming 2024
National Latino Behavioral Health Conference in San Antonio, Texas in August 2024 and a soft
launch of the Tenemos Voz Network platform will occur at that time, over 450 Latino
participants including, behavioral health professionals, peers, community health workers, and
promoters, are expected to be there; there will be an informational table at the event to answer
questions and it will be followed by a social media blast to its existing “Juntos Network”, a
professional network of more than 13,000 networkers, many who serve the Latino re-entry
population. These activities will aid in facilitating the marketing of the network not only in
California but at a national level.
Existing educational resources will be acquired from the National Hispanic Latino
Addiction Technology Transfer Center, the National Hispanic Latino Prevention Technology
Transfer Center, the Substance Abuse and Mental Health Services Administration, Mental
Health America USA, the Latino Hispanic Behavioral Health Center of Excellence, Faces, and
Voices of Recovery, and other national organizations that put out current educational resources
regularly.
Evaluation Plan
A system will be implemented to monitor and evaluate the effectiveness of the various
initiatives. This will involve collecting data, evaluating data collected, and gathering feedback
from participants to assess the impact of the network and identify areas for improvement. The
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 28
plan is to maintain an ongoing dialogue with the re-entry population and community members to
understand their evolving needs and perspectives including regular community meetings,
surveys, and feedback mechanisms to ensure that the network remains relevant and effective.
This is important. Once the re-entry network's website is ready, participants will be asked to use
the platform, provide feedback about its usability, and complete a survey measuring their sense
of social cohesion and connectedness. Research tells us that for formerly incarcerated persons, a
wide-ranging social support network will lead to greater feelings of acceptance and an increased
likelihood of being a productive member of society (Harvard, IOP 2019). Data will be gathered
about the usability and relevance of the resources and services available through the network.
The collection of metric data use, hits, likes, downloads, network sign-ups, and network logins
will be tracked to also help assess the success of the Re-entry Network. The re-entry network
aims to have at least 150 individuals as part of the network by the end of 2024. The data will be
reported back to the coalition members and the executive board. The success of the re-entry
network will be known by measuring goals that the organization can control to not extend the
organization beyond its scope. Success will be observable not only by the number of members
the network achieves but also by the number of downloads of the “Resource Guide”, followed by
network member quarterly meetings which networkers will be invited to attend and share their
insights and perspectives on what is needed, what is not, and what is effective.
Challenges and Limitations
Challenges Identified
One of the primary challenges to implementing the re-entry network is securing funding.
Funding is essential for creating a network for the broader Latino community. However, securing
funding can be challenging, particularly for programs targeting marginalized populations (Smith,
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 29
2022). Additional challenges that have been identified include accessibility, and ensuring that the
re-entry network is easily accessible to all Latino returning citizens, including those in rural
areas; this will be crucial for the project. Ensuring that the content of the resources is culturally
relevant and sensitive to the unique experiences of Latino returning citizens and the community
will be key as well as ensuring that resources are available in Spanish and English. This is an
issue that has been observed. There are many available resources but there is very little
information for them in Spanish. This is a resource gap that impacts the Latino community.
Keeping participants engaged and motivated to use the network by keeping the resources
updated and relevant will also play an important role and may also present a challenge if the
information is not available in Spanish.
Addressing Challenges
Challenges will be addressed as they arise. Funding sources will actively be identified
and sought out to help support the network and to aid in improving accessibility to partnerships
with local organizations. To aid in enhancing culturally relevant collaborations with the Latino
community, leaders and behavioral health experts will be actively sought out. To help boost
engagement with the network, we will implement forums and peer support groups every quarter
to gather additional feedback as to the functionality and relevance of the network and the
resources and services provided.
Limitations
When implementing a project aimed at supporting the re-entry of Latino individuals into
the community, there are several important considerations and implications to keep in mind:
Understanding and respecting the cultural nuances of the Latino community; Tailoring resources
and communication strategies that are culturally relevant and sensitive; Continuously engage
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 30
with various stakeholders, including reentry individuals, their families, community leaders, law
enforcement, social service agencies, and potential employers. These collaborations will ensure a
comprehensive and inclusive approach, determining the resources required – funding, staff,
volunteers, and partnerships – and how they will be sourced and allocated, and developing
strategies to engage the community and raise awareness about the challenges faced by reentry
individuals. Addressing stigma and misconceptions is crucial with the Latino population.
Considering the long-term sustainability of the project, this will need to include securing ongoing
funding, building community buy-in, and creating scalable and adaptable program models. (See
Appendix D).
Conclusion and Implications
Successful re-entry programs can significantly reduce recidivism, improve public safety,
and enhance community cohesion. Mellow, J., & Barnes-Ceeney, K. (2017). Being part of
facilitating successful re-entry contributes to the local economy by creating productive,
employed citizens, and reducing the costs associated with reincarceration as reported by research
done by The Harvard University Institute of Politics Criminal Justice Policy Group. (2019,
December). Supporting re-entry individuals positively impacts their families and communities,
potentially breaking cycles of poverty and crime. Kramer, et.al. (2023). Demonstrating success
in re-entry programs can influence public policy and lead to broader systemic changes in the
criminal justice system. Providing support for mental health and well-being can have farreaching effects, improving not just the lives of re-entry individuals, but also the health of the
community. Cunha, et.al. (2023). Increased Public Awareness and Attitude Shifts can lead to
increased public understanding of the challenges faced by re-entry populations, fostering a more
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 31
empathetic and supportive community environment. (The Harvard University Institute of
Politics Criminal Justice Policy Group, 2019).
In summary, while there are many considerations to consider when implementing this
project, the potential positive implications for individuals, families, and the broader community
are significant. Proper planning, stakeholder engagement, and a focus on cultural relevance and
sustainability will be key to its success. The proposed solution holds the potential to significantly
contribute to the existing solution landscape within the realm of re-entry support and criminal
justice reform (See Appendix C). Its unique focus on the Latino re-entry population, coupled
with its emphasis on educating the Latino re-entry population and the community about
behavioral health topics is an important part of re-entry and key to helping aid in lowering
recidivism rates, and mitigating the stigma associated with incarceration; it adds a fresh and
innovative dimension to the array of interventions currently in place.
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 32
References
Aos, S., Miller, M., & Drake, E. (2006). Evidence-Based Adult Corrections Programs: What
Works and What Does Not. Washington State Institute for Public Policy.
Artiga, S., Hill, L., (2022). Health Coverage by Race and Ethnicity, 2010 -2021, Keiser Family
Foundation, accessed April 4, 2023. https://www.kff.org/racial-equity-and-healthpolicy/issue-brief/health-coverage-by-race-and-ethnicity/
The ATI Work Group. (2020, October). Los Angeles County Alternatives to Incarceration Work
Group Final Report -Care First, jails last - chief executive office. County of Los Angeles.
https://ceo.lacounty.gov/wp-content/uploads/2020/10/1077045_
AlternativestoIncarcerationWorkGroupFinalReport.pdf
Atwell. (2012). Book Reviews: “The New Jim Crow: Mass Incarceration in the Age of
Colorblindness” by Michelle Alexander [Review of Book Reviews: “The New Jim Crow:
Mass Incarceration in the Age of Colorblindness” by Michelle Alexander]. The Journal
of Southern History, 78(1), 240–241. Southern Historical Association.
Bertram, W., & Jones, A. (2019, September 19). How many people in your state go to local jails
every year? Prison Policy Initiative. https://www.prisonpolicy.org/blog/2019/09/18/statejail-bookings/
Bronson, J., & Berzofsky, M. (2017). Indicators of Mental Health Problems Reported by
Prisoners and Jail Inmates, 2011-12. Bureau of Justice Statistics.
Bureau of Justice Assistance. (2019). Second Chance Act Grant Program.
Butler, L. T. (2022). A Second Chance: The Impact of Unsuccessful Reentry and the Need for
Reintegration Resources in Communities. A second chance: The impact of unsuccessful
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 33
reentry and the need for reintegration resources in Communities. Retrieved February 1,
2023, from https://cops.usdoj.gov/html/dispatch/04-2022/reintegration_resources.html.
Butler, L., & Taylor, E. (2022). A second chance: The impact of unsuccessful reentry and the
need for reintegration resources in Communities. https://cops.usdoj.gov/html/dispatch/04-
2022/reintegration_resources.html
California, S. of. (2023, September 14). WHAT WE DO. BSCC. https://www.bscc.ca.gov/
California profile. California profile | Prison Policy Initiative. (2022).
https://www.prisonpolicy.org/profiles/CA.html
Census of Jails (COJ). Bureau of Justice Statistics. (n.d.). https://bjs.ojp.gov/datacollection/census-jails-coj
Clear, T. R., & Frost, N. (2014). The punishment imperative : the rise and failure of mass
incarceration in America. New York University Press.
COMFORT. (2016). “A Twenty-Hour-a-Day Job”: The Impact of Frequent Low-Level Criminal
Justice Involvement on Family Life. The Annals of the American Academy of Political
and Social Science, 665(1), 63–79. https://doi.org/10.1177/0002716215625038
Cunha, O., Castro Rodrigues, A., Caridade, S., Dias, A. R., Almeida, T. C., Cruz, A. R., &
Peixoto, M. M. (2023). The impact of imprisonment on individuals' mental health and
society reintegration: study protocol. BMC psychology, 11(1), 215.
https://doi.org/10.1186/s40359-023-01252-w
De Chiara, A. (2017). Collective Impact Approach: A “Tool” for Managing Complex Problems
and Business Clusters Sustainability. Metropolitan Universities, 28(4), 101-.
https://doi.org/10.18060/21739
Design Justice Network. (2018). https://designjustice.org/read-the-principles
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 34
Durose, M. R., & Antenangeli, L. (2021). Recidivism of prisoners released in 34 states in 2012:
A 5-year follow-up period (2012–2017). Washington, DC: Bureau of Justice Statistics.
Ennis, G., & Tofa, M. (2020). Collective impact: A review of the peer-reviewed
research. Australian social work, 73(1), 32-47.
Falgas, I., Ramos, Z., Herrera, L., Qureshi, A., Chavez, L., Bonal, C., McPeck, S., Wang, Y.,
Cook, B., & Alegría, M. (2017). Barriers to and Correlates of Retention in Behavioral
Health Treatment Among Latinos in 2 Different Host Countries: The United States and
Spain. Journal of public health management and practice : JPHMP, 23(1), e20–e27.
https://doi.org/10.1097/PHH.0000000000000391
Gamm, L. D., Hutchison, L. L., Dabney, B. J., & Dorsey, A. M. (2003). Rural healthy people
2010. See http://srph. tamhsc. edu/centers/rhp2010/Volume_3/Vol3rhp2010. pdf.
Grand Challenges for Social Work (2022). Promote Smart Decarceration – Five Year impact
https://grandchallengesforsocialwork.org/resources/promote-smart-decarceration-fiveyear-impact/
Goncalvez, W. I. (2020, May). (PDF) banished and overcriminalized: Critical race perspectives
of illegal entry and Drug Courier Prosecutions. Research Gate.
https://www.researchgate.net/publication/341491019_BANISHED_AND_OVERCRIMIN
ALIZED_CRITICAL_RACE_PERSPECTIVES_OF_ILLEGAL_ENTRY_AND_DRUG_
COURIER_PROSECUTIONS
Harris, P. M., & Keller, K. S. (2005). Ex-Offenders Need Not Apply: The Criminal Background
Check in Hiring Decisions. Journal of Contemporary Criminal Justice, 21(1), 6–30.
https://doi.org/10.1177/1043986204271678
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 35
Greenberg, K. L. (2018). Evidence-based Practices in Corrections: From On-Paper to the Front
Line. Evidence-Based Community. https://www.ebpsociety.org/blog/education/338-
evidence-based-practices-corrections
Home – anti-recidivism coalition. Anti Recidivism Coalition -. (2024, May 8).
https://antirecidivism.org/
Howie, E. M. (2019, January). California Department of Corrections and Rehabilitation.
https://crc.bsa.ca.gov/pdfs/reports/2018-113.pdf
James, N. (2015). Offender Reentry: Correctional Statistics, Reintegration into the Community, and
Recidivism. Congressional Research Service.
Justice, M. (2022, October 19). Judicial Task Force studying serious mental illness to release Final
report and recommendations on Oct. 25. National Center for State Courts.
https://www.ncsc.org/newsroom/news-releases/2022/judicial-task-force-studying-seriousmental-illness-to-release-final-report-and-recommendations-on-oct.-
25#:~:text=Every%20year%2C%20approximately%202%20million,%2Duse%20disorder%2
C%20or%20both.
Kania, J., & Kramer, M. (2011). Collective impact (pp. 36-41). Beijing, China: FSG.
Kramer, C., Song, M., Sufrin, C. B., Eber, G. B., Rubenstein, L. S., & Saloner, B. (2023). Release,
Reentry, and Reintegration During COVID-19: Perspectives of Individuals Recently Released
from the Federal Bureau of Prisons. Health Equity, 7(1), 384–394.
https://doi.org/10.1089/heq.2022.0172
Kip, H., Bouman, Y. H. A., Kelders, S. M., & van Gemert-Pijnen, J. E. W. C. (2018). eHealth in
Treatment of Offenders in Forensic Mental Health: A Review of the Current State. Frontiers
in Psychiatry, 9, 42.
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 36
Kirk, D. S. (2018). The collateral consequences of incarceration for housing. Handbook on the
consequences of sentencing and punishment decisions, 53-68.
Latessa, E. J., Listwan, S. J., & Koetzle, D. (2014). What Works (and Doesn't) in Reducing
Recidivism. Routledge.
Los Angeles Almanac. (2021). Los Angeles County Jail System BY THE NUMBERS. Los
Angeles County Jail System by the Numbers.
https://www.laalmanac.com/crime/cr25b.php#:~:text=Source%3A%20Board%20of%20S
tate%20and%20Community%20Corrections.&text=In%20Los%20Angeles%20County%
20jails,6%20days%20if%20not%20sentenced).
Mallik-Kane, K., & Visher, C. A. (2008). Health and Prisoner Reentry: How Physical, Mental, and
Substance Abuse Conditions Shape the Process of Reintegration. Urban Institute Justice
Policy Center.
Mellow, J., & Barnes-Ceeney, K. (2017). Key factors to promote successful comprehensive
reentry initiatives. Federal Probation, 81(3), 22–31.
National Institute of Mental Health. (2021). Mental Health Information. U.S. Department of Health
and Human Services.
National Institute on Drug Abuse. (2018). Opioid Overdose Crisis. Retrieved from
https://www.drugabuse.gov/drugs-abuse/opioids/opioid-overdose-crisis
Nazgol Ghandnoosh, Ph. D. and A. N., Richard Mendel on March 20, 2024, Nazgol
Ghandnoosh, Ph. D., & Nicole D. Porter on December 20, 2023. Research - get the facts.
The Sentencing Project. https://www.sentencingproject.org/research/
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 37
Nellis, A. (2021, June 30). A New Lease on Life. thesentencingproject.org, Retrieved February 1,
2023, from https://www.sentencingproject.org/app/uploads/2022/08/A-New-Lease-onLife.pdf.
O’Brien, P. L., Trestman, R. L., & Aseltine, R. H. (2020). The Use of Technology to Improve
Behavioral Healthcare for Justice-Involved Individuals. Journal of the American Academy of
Psychiatry and the Law Online, 48(1), 20-29.
Pager, D. (2003). The Mark of a Criminal Record. American Journal of Sociology, 108(5), 937-975.
Petersilia, J. (2003). When Prisoners Come Home: Parole and Prisoner Reentry. Oxford University
Press.
Pettus, C., Veeh, C. A., Renn, T. R., & Kennedy, S. C. (2021). The well-being development model:
A theoretical model to improve outcomes among criminal justice system–involved
individuals. Social Service Review, 95(3), 413-468.
Recidivism rates | prison reform | CIP - California Innocence Project. California Innocence
Project. (2024). https://californiainnocenceproject.org/issues-we-face/recidivism-rates/
Robert Wood Johnson Foundation. (2019). Behavioral Health. Retrieved from
https://www.rwjf.org/en/our-focus-areas/topics/behavioral-health.html
Smith, J. (2022). Overcoming funding challenges for programs targeting marginalized
populations. Journal of Social Work, 20(3), 56-67.
https://doi.org/10.1177/14680173211031008
Sawyer, W., & Wagner, P. (2022). Mass Incarceration: The Whole Pie 2022. Prison Policy Initiative.
Second Chance Act, 34 U.S.C. § 60501 (2018).
Seiter. (2003). Prisoner Reentry: What Works, What Does Not, and What Is Promising. Crime
and Delinquency., 49(3), 360–388. https://doi.org/info:doi/
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 38
Smith, J. (2022). Overcoming funding challenges for programs targeting marginalized
populations. Journal of Social Work, 20(3), 56-67.
https://doi.org/10.1177/14680173211031008
Snedker, K. A., Beach, L. R., & Corcoran, K. E. (2017). Beyond the “revolving door?”:
Incentives and criminal recidivism in a mental health court. Criminal Justice and
Behavior, 44(9), 1141-1162.
Substance Abuse and Mental Health Services Administration. (2020). Behavioral Health Services for
People Who Are Homeless. U.S. Department of Health and Human Services
Taxman, F. S., Pattavina, A., & Caudy, M. (2014). Justice Reinvestment in the United States: An
Empirical Assessment of the Potential Impact of Increased Correctional Programming on
Recidivism. Victims & Offenders, 9(1), 50-75.
The Harvard University Institute of Politics Criminal Justice Policy Group. (2019, December).
SUCCESSFUL REENTRY: A COMMUNITY-LEVEL ANALYSIS.
https://iop.harvard.edu/sites/default/files/2023-02/IOP_Policy_Program_2019_ Reentry_
Policy.pdf
The Sentencing Project (2021). Trends in the U.S. Corrections. Retrieved from:
https://www.sentencingproject.org/publications/trends-in-u-s-corrections/
The National Center on Addiction and Substance Abuse at Columbia University. (2010). Behind
Bars II: Substance abuse and America’s prison population. New York: The National
Center on Addiction and Substance Abuse at Columbia University.
Travis, J., Western, B., & Redburn, S. (2014). The Growth of Incarceration in the United States:
Exploring Causes and Consequences
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 39
U.S. Census Bureau (October 09, 2018). Hispanic Population to Reach 111 Million by 2060.
Retrieved from: https://www.census.gov/library/visualizations/2018/comm/hispanicprojected-pop.html
Visher, C. A., & Travis, J. (2003). Transitions from prison to community: Understanding
individual pathways. Annual review of sociology, 29(1), 89-113.
Watts, T. (2023). What’s working to expand Behavioral Healthcare Access: 5 best practices.
What’s working to expand behavioral healthcare access: 5 best practices.
https://www.mercer.com/en-us/insights/us-health-news/whats-working-to-expandbehavioral-health-care-access/
Wagner, W. S. and P. (n.d.). Mass incarceration: The whole pie 2023. Prison Policy Initiative.
https://www.prisonpolicy.org/reports/pie2023.html
Western, B. (2018). Homeward: Life in the year after prison. Russell Sage Foundation.
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 40
Appendices
Appendix A: Design Criteria
Tenemos Voz Network for the Latino Re-entry Population
Design Goal • The Latino re-entry population needs education, resources
and services in a central space.
• This Capstone Project fills a functional, emotional, social,
and psychological need for the Latino re-entry population.
• The Tenemos Voz Network aims to reduce behavioral health
disparities, increase access, and support successful
reintegration for Latino returning citizens.
User Perceptions • It gives them vital educational information, resources, and
access to services.
• It increases their knowledge base about behavioral health
issues, helping reduce the stigma associated with behavioral
health.
• Willingness to participate and be part of the Network to earn
a sense of belonging.
• Many wished there was a one place stop to access
information when they were first released.
Physical Attributes • The solution relays on existing products and services
available on a platform to help the re-entry population.
• The solution relays on a survey to capture usage and how it
benefits the end user.
• There may be connectivity issues if the users do not have
WI-FI connection and a device.
Functional Attributes • The design is only for Latino returning citizens.
• Educational Products will be made available in Spanish and
English.
• The platform will be available in Spanish and English
Constraints • The network platform is only available online with internet
or WI-FI access.
• No regulatory or ecosystem concerns for this project.
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 41
Appendix B: Low-Fidelity Prototype for Tenemos Voz! Reentry Network
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 42
Appendix B1: High-Fidelity Prototype for Tenemos Voz! Reentry Network
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 43
Appendix C: Theory of Change (Can you change the orientation for this appendix?)
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 44
Appendix D: Logic Model
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 45
Appendix E:
Tenemoz Voz Network Budget
A. Personnel
Position Name
Annual
Salary/Rate Cola Cost + Cola LoE Total
(3) Program Director Ana Chavez-Mancillas 80,000 3% $82,400 15% $12,360
Totals $12,360
B. Fringe
Component Rate Total Salaries Cost Total
Retirement Allowance 7.5% 12,360 $927 $927
Health Insurance Allowance 10.5% 12,360 $1,298 $1,298
FICA/Medicare 7.7% 12,360 $946 $946
Workers’ Compensation 3.9% 12,360 $476 $476
Home Office Allowance 1.0% 12,360 $124 $124
Totals 30.5% $3,646 $3,770
C. Staff Travel
Purpose of Travel Total
Business Travel Allowance $2,000
Totals $0 $2,000
D. Equipment -- Not Used
Items(s) Rate Total
$0
Totals $0
E. Supplies
Items(s) Rate Total
Totals Totals $0
F. Contracts
Contractor Rate Total
Victor Trinidad Website design and website development $12,000
Victor Trinidad Website maintenance and update $6,000
Totals $18,000
G. Construction--Not Used
Items(s) Rate Total
Totals $0
H. Other
Other Rate Total
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 46
Bluehost Website domain registration, website hosting, and SSL Certificate $2,500
Marketing & Advertising TBD $2,000
Legal Fees TBD $2,000
Training & Development TBD $1,000
Software TBD $1,825
Totals $9,325
DIRECT COSTS. $45,455
I. Indirect
Indirect Cost Components Monthly Rate Months Annual Percentage Total
Facilities & Administration 10% IDC $4,545
Total IDC $4,545
$50,000.00 Amount $50,000
$45,455 Direct Cost for Indirect Amount
$4,545 IDC
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 47
Appendix F: Network Impact
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 48
Appendix G: Infographic
NETWORK GOALS & OBJECTIVES
TENEMOS VOZ NETWORK
PROMOTING SMART DECARCERATION
Education and Awareness
01
Building Empathy
02
03
To increase access to
behavioral health
services for Latino Returning Citizens.
To disseminate existing
resources and services to
the Latino returning citizen
population, which include: mental health,
substance abuse, and
suicide prevention
resources.
To educate Latino returning
citizens on various mental
health topics.
WHY JOIN THE NETWORK
By joining the Network, you can join a
group of returning Latino citizens and
connect, learn, and access resources and
local services to facilitate reintegration
into the community.
Visit our website at NLBHA.org/TenemosVozNetwork
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 49
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 50
Appendix H: Downloadable Resource Guide
Why Join the Tenemos Voz Network?
By joining the National Latino Behavioral Health Association
FREE Tenemos Voz Network, you can join a network of
returning Latino citizens and connect, learn, and access
resources and local services to facilitate reintegration into the
community.
• It’s Free!!!
• Be informed – Learn more about behavioral health
topics.
• Educate yourself about the importance of behavioral
health.
• Access - Find local resources to access behavioral
health services.
• Connect – connect with other Latino returning citizens.
• Become a Latino resource or cultural competency
contact for other returning Latino citizens in your area.
• Receive email alerts on new educational and
informational resources, upcoming training,
workshops, forums, peer-supported groups, and other
educational opportunities.
• Get immediate and go-live notices on job recruitments
and positions posted on the NLBHA website Job Line.
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 51
Can you tell the difference between a mental health myth and a fact?
Learn the truth about the most common mental health myths and
information to help destigmatize them.
https://lnkd.in/ezuUi_xM
MITOS Y REALIDADES
¿Puedes distinguir entre un mito de salud mental y un hecho?
Conozca la verdad sobre los mitos e información de salud mental más
comunes para ayudar a destigmatizarlos.
MITO
S
REALIDADES
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 52
https://www.samhsa.gov/salud-mental/mitos-realidades
EDUCATIONAL RESOURCES
MENTAL HEALTH
En Español –
https://www.samhsa.gov/salud-mental/trastornos-ansiedad
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 53
INTRODUCCIÓN
Según el Instituto Nacional de Salud Mental, la Enfermedad
Mental Grave (EMG) se describe como un trastorno mental,
comportamental, o emocional que causa un deterioro
funcional y debilita la capacidad de una persona para
participar en la vida cotidiana.
La EMG incluye trastornos como el trastorno bipolar, el
trastorno depresivo mayor, la esquizofrenia y el trastorno
esquizoafectivo.
En los Estados Unidos, se calcula que hay 14,2 millones de
adultos que viven con una EMG.
Afortunadamente, la sociedad se ha vuelto más abierta a la
hora de hablar de temas relacionados con la depresión y la
ansiedad. Sin embargo,
sigue habiendo mucho estigma y tabú en torno
a las afecciones mentales más graves, lo que
hace extremadamente difícil que quienes sufren
una EMG busquen un diagnóstico, apoyo y tratamiento,
especialmente los miembros de las comunidades hispana y
latina.
ENFERMEDADES MENTALES GRAVES (EMG) Y
TRASTORNOS POR USO DE SUSTANCIAS (SUD)
ENTRE LAS COMUNIDADES HISPANA Y LATINA Marzo, 2023
Información Sobre Salud Mental - Estadísticas
Qué es una Enfermedad Mental Grave?
Superando el Estigma de la Salud Mental en la Comunidad Latina
La carga de la Enfermedad Mental más allá de los Síntomas Clínicos: El
Impacto del Estigma sobre el Inicio y el Curso de los Trastornos del
Espectro Esquizofrénico
Alcohol y el Uso de Sustancias entre la Población Hispana
Referencias
1.
2.
3.
4.
5.
LA SALUD MENTAL Y LAS COMUNIDADES
HISPANA Y LATINA
Las investigaciones han indicado que sólo el 20% de
los hispanos y latinos con un trastorno mental
en los Estados Unidos lo comentan con su médico de
cabecera, y sólo el 10% sigue el tratamiento.
En las culturas hispana y latina, muchos ven la
enfermedad mental como una indicación de debilidad
y un defecto personal que debe permanecer en
privado por miedo a la vergüenza y a ser calificado
como loco.
Por ejemplo, las personas diagnosticadas de
esquizofrenia suelen ser vistas como violentas e
impredecibles debido a síntomas como las
alucinaciones, los delirios, la desregulación afectiva y
la disfunción cognitiva.
El duro estigma asociado a esta EMG puede potenciar
sus síntomas desencadenando episodios de recaída y
psicosis, empeorando su estado mental y su
bienestar, ya de por sí comprometidos.
1
2
1
3
3
4
4
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 54
INTRODUCTION
According to the National Institute of Mental Health,
Serious Mental Illness (SMI) is described to be a
mental, behavioral, or emotional disorder that causes
functional impairment and debilitates a person’s ability
to participate in everyday life.
SMI includes disorders such as bipolar disorder, major
depressive disorder, schizophrenia, and
schizoaffective disorder.
In the United States, an estimated 14.2 million adults
live with an SMI.
Fortunately, society has more recently become open to
discussing topics related to depression and anxiety.
However, much stigma and taboo surround more
severe mental conditions, making it extremely difficult
for those suffering from an SMI to seek a diagnosis,
support, and treatment, especially members of the
Hispanic and Latino communities.
SERIOUS MENTAL ILLNESS (SMI) AND
SUBSTANCE USE DISORDER (SUD) AMONG
HISPANIC AND LATINO COMMUNITIES March, 2023
Mental Health Information - Statistics
What is Serious Mental Health Illness?
Overcoming Mental Health Stigma in the Latino Community
The Burden of Mental Illness Beyond Clinical Symptoms: Impact of Stigma
on the Onset and Course of Schizophrenia Spectrum Disorders
Alcohol and Drug Abuse Among the Hispanic Population
References
1.
2.
3.
4.
5.
MENTAL HEALTH AND THE HISPANIC AND
LATINO COMMUNITIES
Research has indicated that only 20% of Hispanics
and Latinos with a mental disorder in the United States
discuss it with their primary care doctor, and only 10%
follow through with treatment.
In the Hispanic and Latino cultures, many view mental
illness as an indication of weakness and a personal
fault that must remain private for fear of shame and
being labeled crazy.
For example, those diagnosed with schizophrenia are
often viewed as violent and unpredictable due to
symptoms such as hallucinations, delusions, affective
dysregulation, and cognitive dysfunction.
The harsh stigma associated with this SMI can
enhance its symptoms by triggering relapse episodes
and psychosis, worsening their already compromised
state of mind and well-being.
1
2
1
3
3
4
4
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 55
En Español –
https://www.samhsa.gov/salud-mental/trastorno-estrespostraumatico
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 56
SUBSTANCE ABUSE
According to the "immigrant paradox," immigrants and
their descendants are more likely to experience a mental
health disorder and an SUD as they lose cultural
protective factors, based on how long they reside in the
U.S. The process of acculturation or assimilation into
American culture generally worsens mental health, but
biculturality can increase protective factors.
PREVALENCE AMONG HISPANIC/LATINOS
DISABILITY & SUBSTANCE
USE DISORDER (SUD)
LIMITATIONS & TREATMENT BARRIERS
Disability-specific exclusions to care
Insufficient behavioral considerations
"Invisible disabilities" may skew perceived needs
Accessibility range is inadequately discussed
Insufficient resources to treat SMI, SUD, and
disabilities
Disabilities presented by SUD vary greatly
Professionals differ in training & experience
PHYSICAL & COGNITIVE DISABILITIES
In addition to having higher rates of
Serious Mental Illness (SMI) and
Substance Use Disorder (SUD), people
with physical and cognitive disabilities
also have lower treatment rates.
Oftentimes, providers underestimate the
barriers to accessibility of programs for
people with disabilities.
INTRODUCTION
This snapshot of information is intended
to inform individuals, parents, professionals, and
providers of the intersection between disability &
Substance Use Disorder (SUD) among Hispanic/Latino
populations in the US.
2
1
3
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 57
Según la "paradoja del inmigrante", los inmigrantes y sus
descendientes tienen más probabilidades de sufrir un
trastorno de salud mental y un TUS a medida que pierden
los factores culturales de protección, de acuerdo con el
tiempo que residan en EE.UU. El proceso de aculturación o
asimilación a la cultura Estadounidense suele empeorar la
salud mental, pero la biculturalidad puede aumentar los
factores de protección.
PREVALENCIA ENTRE LOS HISPANOS/LATINOS
DISCAPACIDAD Y TRASTORNO
POR USO DE SUSTANCIAS (TUS)
LIMITACIONES Y BARRERAS AL TRATAMIENTO
Exclusiones asistenciales específicas por discapacidad
Insuficientes consideraciones de comportamiento
Las "discapacidades invisibles" pueden sesgar las
necesidades detectadas
El rango de accesibilidad no se discute adecuadamente
Recursos insuficientes para tratar la EMG, el TUS y las
discapacidades
Las discapacidades asociadas al TUS varían
significativamente
Los profesionales difieren en formación y experiencia
DISCAPACIDADES FISICAS Y COGNITIVAS
Además de tener mayores índices de
Enfermedades Mentales Graves (EMG) y de
Trastornos por Uso de Sustancias (TUS),
las personas con discapacidades físicas y
cognitivas también tienen menores índices
de tratamiento. A menudo, los proveedores
subestiman las barreras a la accesibilidad
de los programas para las personas con
discapacidades.
INTRODUCCION
El propósito de esta reseña informativa es informar a
las personas, padres, profesionales y
proveedores de la intersección entre la discapacidad
y el Trastorno por Uso de Sustancias (TUS) en las
poblaciones Hispanas/Latinas de los EE.UU.
2
1
3
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 58
SUICIDE PREVENTION
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 59
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 60
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 61
Suicide Prevention Amongst Hispanics and Latinos
THE FACTS
What is suicide? Suicide means ending your own life.
It is a public health problem affecting our communities
regardless of race, skin color, age, economic or social
status. Suicide is preventable. When a person dies
from suicide it was not because they wanted to end
their life, but instead wanted to put an end to
excruciating emotional pain.
According to the Centers for Disease Control and
Prevention (CDC), suicide is responsible for more than
48,000 deaths in 2018, resulting in about one death
every 11 minutes.1 Suicide behaviors have grown
among Hispanics in the last decade, especially for
females and for youth. One in four Latina and Hispanic
girls and one in four Hispanic and Latino boys have
considered suicide
. Latinx and Hispanic lesbian, gay or
bisexual individuals attempt suicide at even higher
rates. 2
A Wake-Up Call: Suicide and COVID 19
The CDC conducted a study in the US during the
week of June 24-30, 2020, in which adults reported
considerably elevated adverse mental health
conditions associated with COVID-19. Hispanic
respondents reported a higher prevalence of
symptoms of anxiety disorder or depressive disorder,
COVID-19–related trauma- and stressor-related
disorder (TSRD), increased substance use, and
suicidal ideation than did non-Hispanics.
Younger adults, racial/ethnic minorities, essential
workers, and unpaid adult caregivers reported having
experienced disproportionately worse mental health
outcomes, increased substance use, and elevated
suicidal ideation.
3
According to a Kaiser Family Foundation 2020 brief
and a Health Affairs 2020 article, people of color
(POC) have an increased risk for serious illness if they
contract COVID-19 due to higher rates of underlying
health conditions, such as diabetes, asthma,
hypertension, and obesity compared to Caucasians.
Research also shows that people of color also:
• are more likely to be uninsured and lack a usual
source of care which is an impediment to accessing
COVID-19 testing and treatment services.
• are more likely to work in the service industry such as
restaurants, retail, and hospitality which are
particularly at a higher risk for loss of income during
the pandemic;
• are more likely to live in multigenerational family
housing units or low-income/public housing that make
it difficult to social distance or self-isolate; and
• often work jobs that are not amenable to teleworking
and use public transportation that puts them at a
higher risk for exposure to COVID-19.4,
Risk Factors Amongst Hispanics and Latinos
There are some risk factors associated with increased
suicide risk amongst Latinos. Hispanics and Latinos can
face very stressful life conditions such as poverty,
migration, lack of transportation, isolation, a low sense of
belonging, lack of access to prevention programs, mental
health services, and access to culturally and linguistically
appropriate services. Also, stress related to acculturation
and discrimination have been associated with over three
times increased odds of suicide attempts among Hispanic
emerging adults.5
Protective Factors Amongst Hispanic and Latinos
Culture itself serves as prevention as it is closely tied with
cultural values, familism, parental and familial
connectedness, bonding, and positive relationships with
parents that can reduce the risk of suicide in youth.
Caring from teachers is an example: One national study
found that perceived caring from teachers was associated
with a decreased risk of suicide attempts by Latina
adolescents.
Spirituality and moral objections to suicide
Individuals identifying as Hispanics and Latinos report
higher scores on moral objections to suicide and
spirituality measures. They are also more likely to have
strong beliefs prohibiting suicidal thoughts and
behaviors.
6
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 62
La Prevención Del Suicidio Entre Hispanos y Latinos
LOS HECHOS
¿Qué es el suicidio? El suicidio es terminar tu propia
vida. Es un problema de salud pública que afecta a
nuestras comunidades sin importar la raza, el color de la
piel, la edad, o estato económico o social. El suicidio se
puede prevenir. Cuando una persona muere por suicidio
no es porque quiere acabar con su vida, sino porque
quiere ponerle fin al dolor emocional insoportable que
esta sintiendo.
Según los Centros para el Control de Enfermedades Y
Prevención (CDC por sus siglas en inglés), el suicidio es
responsable por más de 48,000 muertes en el 2018, lo
que resulta en aproximadamente una muerte cada 11
minutos.1 Los comportamientos suicidas han aumentado
entre los hispanos en la última década, especialmente
entre las mujeres y los jóvenes. Una de cada cuatro
niñas Latinas e Hispanas y uno de cada cuatro niños
Hispanos y Latinos han considerado el suicidio. Las
personas Latinas e Hispanas lesbianas, gay o bisexuales
intentan suicidarse en tasas aún más altas.2
Una llamada de atención: el suicidio y COVID 19
El CDC realizó un estudio en los EE. UU. durante la
semana del 24 al 30 de junio de 2020, en el que un grupo
de adultos reportaron condiciones de salud mental
adversas considerablemente elevadas asociadas con
COVID-19. Los encuestados Hispanos reportaron una
mayor prevalencia de síntomas de trastorno de ansiedad
o trastorno depresivo, trastorno relacionado con el
trauma y el estrés (TSRD por sus siglas en inglés)
relacionado con COVID-19, mayor uso de sustancias e
ideación suicida que personas no- hispanas.
Los adultos más jóvenes, las minorías raciales / étnicas,
los trabajadores esenciales y los cuidadores adultos no
remunerados informaron haber experimentado resultados
de salud mental desproporcionadamente peores, un
mayor uso de sustancias y una mayor ideación suicida.
3
Según la fundación Kaiser Family 2020 y Health Affairs
2020, las personas de color (POC por sus siglas en
inglés) tienen un mayor riesgo de contraer enfermedades
graves si contraen COVID-19 debido a tasas más altas
de afecciones de salud subyacentes, como la diabetes, el
asma, la hipertensión y la obesidad en comparación con
los Blancos.
Los estudios tambien demuestrans que las POC:
• tienen más probabilidades de no tener seguro de salud
y carecer de una fuente de atención habitual, lo que es
un impedimento para acceder a los servicios de
pruebas y tratamiento de COVID-19.
• Es más probable que trabajen en la industria de
servicios, como restaurantes, comercio y hospitalidad,
que están particularmente en mayor riesgo de pérdida
de ingresos durante la pandemia;
• tienen más probabilidades de vivir en unidades de
vivienda familiar multigeneracionales o viviendas
públicas / de bajos ingresos que dificultan la distancia
social o el autoaislamiento; y
• a menudo tienen trabajos que no son adaptables al
teletrabajo y usan el transporte público que los pone en
mayor riesgo de exposición a COVID-19.
4
Factores de riesgo entre Hispanos y Latinos
Hay algunos factores de riesgo asociados con un mayor
riesgo de suicidio entre los Latinos. Los Hispanos y Latinos
pueden enfrentar condiciones de vida muy estresantes
como la pobreza, la migración, la falta de transporte, el
aislamiento, el bajo sentido de pertenencia, la falta de
acceso a programas de prevención, los servicios de salud
mental y el acceso a servicios culturales y lingüísticamente
apropriados. Además, el estrés relacionado con la
aculturación y la discriminación se ha asociado con más de
tres veces mayor probabilidad de intentos de suicidio entre
los adultos emergentes Hispanos.5
Factores protectores entre Hispanos y Latinos
La cultura en sí misma sirve como prevención, ya que está
estrechamente relacionada con los valores culturales, el
familismo, la conexión de los padres y la familia, la
vinculación y las relaciones positivas con los padres la cual
puede reducir el riesgo de suicidio en los jóvenes.
El cuidado de los maestros es un ejemplo: un estudio
nacional encontró que el cuidado percibido de los maestros
se asoció con un menor riesgo de intentos de suicidio por
parte de las adolescentes Latinas.
Espiritualidad y objeciones morales al suicidio
Las personas que se identifican como Hispanos y Latinos
reportan puntajes más altos en objeciones morales al
suicidio y medidas de espiritualidad. También es más
probable que tengan creencias sólidas que prohíben
pensamientos y comportamientos suicidas. 6
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 63
SERVICES
The Department of Social Services can help visit:
https://dpss.lacounty.gov/en.html
En Español -
https://dpss.lacounty.gov/es.html
For support network, and comprehensive reentry services visit:
https://antirecidivism.org/our-programs/
https://homeboyindustries.org/
HOW TO
What is medical?
https://youtu.be/cyD1-OoCUeg
En Español -
https://www.youtube.com/watch?v=ly0X_QCd4aQ
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 64
Were your Medi-Cal benefits suspended due to incarceration?
MEDI-CAL SUSPENSION
Medi-Cal benefits are suspended, but not discontinued, for the duration of a
Medi-Cal beneficiary’s incarceration. Suspension ends on the date the Medi-Cal
beneficiary is no longer an inmate of a public institution .
If your Medi-Cal Benefits have been suspended and you have been released
from County Jail or State Prison, contact the Customer Service Center at
1-866-613-3777.
Your Medi-Cal benefits will be restored, without a new application, on the day
you are no longer considered an inmate.
Annual Renewal
As of January 1, 2023, an annual Medi-Cal Renewal is no longer required for
inmates for the duration of their incarceration.
Managed Care Plan
If you have been released within 90 days, your Managed Care Plan will be
re-instated. Your medical provider plan drops if you were incarcerated beyond
90 days. Upon release, you will receive another packet to submit a new provider
selection.
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 65
SUSPENSIÓN DE MÉDI-CAL
Los beneficios de Medi-Cal son suspendidos, pero no descontinuados,
por la duración del encarcelamiento de un beneficiario de Medi-Cal. La
suspensión termina en la fecha en que el beneficiario de Medi-Cal ya no
es un recluso de una institución pública.
Si sus beneficios de Medi-Cal han sido suspendidos y usted ha sido
liberado de la cárcel del Condado o de la Prisión Estatal, comuníquese
con el Centro de Servicio al Cliente al 1-866-613-3777.
Sus beneficios de Medi-Cal serán restaurados, sin una nueva solicitud, el
día en que ya no se le considere un recluso.
Renovación anual
A partir del 1 de enero del 2023, una renovación anual de Medi-Cal no
será necesaria para los reclusos durante la duración de su
encarcelamiento.
Plan de Atención Administrada
si usted ha sido liberado dentro de 90 días, su Plan de Cuidado
Administrado será reinstalado. El plan de su proveedor médico
disminuye si usted estuvo encarcelado más de 90 días. Tras la
liberación, recibirá otro paquete para enviar una nueva selección de
proveedores.
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 66
Applying to Medi-Cal A Step-by-Step Guide
https://www.youtube.com/watch?v=YWrT1IiC6YI&pp=ygUYaG93
IHRvIGFwcGx5IHRvIE1lZGkgQ2Fs
En Español -
https://www.dhcs.ca.gov/individuals/Pages/Steps-to-Medi-Cal.aspx
EXPANDING BEHAVIORAL HEALTH RESOURCES AND SERVICES FOR THE LATINO RE-ENTRY POPULATION 67
Special Program under Medical visit the site below:
https://dpss.lacounty.gov/en/health/programs.html
En Español -
https://dpss.lacounty.gov/es/health/programs.html
Abstract (if available)
Abstract
The United States has the highest rates of incarceration globally. Among those incarcerated in the United States, one in six are Latino men, compared to one in seventeen white men. (Nazgol Ghandnoosh et al., 2024) More than 70% of people in U.S. jails and prisons have at least one diagnosis of mental illness or substance use disorder, or both. Justice, M. (2022, October 19). The Vera Institute reports that 50% of federal drug cases are against Latino individuals, although they make up only about 17% of the U.S. population. Additionally, 77% of Latinos are less likely to seek help for mental health issues. Goncalvez, W. I. (2020, May). The Latino Tenemos Voz Reentry Network specifically addresses the unique challenges faced by Latino individuals within the criminal justice system, providing culturally competent, holistic, and integrated support services, information, and resources to help mitigate disparities and barriers faced by Latino communities, ultimately fostering better reintegration outcomes and contributing to systemic change.
Through a community-based network, this capstone project creates a sense of belonging and connection by leveraging and disseminating existing behavioral health informational products, resources, and services to Latino returning citizens, helping educate the reentry population about behavioral health issues, services, and resources and why they are important. This will aid in increasing access to behavioral health services and reducing stigma. It will play a vital role in providing returning citizens a path to reintegrate into society, enhancing their overall well-being, and creating safer communities.
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Tenemos Voz Network expanding behavioral health resources and services for the Latino re-entry population
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Asset Metadata
Creator
Chavez-Mancillas, Ana Luisa
(author)
Core Title
Tenemos Voz Network expanding behavioral health resources and services for the Latino re-entry population
School
Suzanne Dworak-Peck School of Social Work
Degree
Doctor of Social Work
Degree Program
Social Work
Degree Conferral Date
2024-08
Publication Date
09/02/2024
Defense Date
07/30/2024
Publisher
Los Angeles, California
(original),
University of Southern California
(original),
University of Southern California. Libraries
(digital)
Tag
behavioral health services,formerly incarcerated,Latino returning citizens,reentry network.,reentry resources
Format
theses
(aat)
Language
English
Contributor
Electronically uploaded by the author
(provenance)
Advisor
Smith-Maddox, Renee (
committee chair
), Hernandez, Haner (
committee member
), Hernandez, Robert (
committee member
)
Creator Email
achavezm@usc.edu,achavezmancillas@gmail.com
Unique identifier
UC11399A6H9
Identifier
etd-ChavezManc-13468.pdf (filename)
Legacy Identifier
etd-ChavezManc-13468
Document Type
Capstone project
Format
theses (aat)
Rights
Chavez-Mancillas, Ana Luisa
Internet Media Type
application/pdf
Type
texts
Source
20240903-usctheses-batch-1206
(batch),
University of Southern California
(contributing entity),
University of Southern California Dissertations and Theses
(collection)
Access Conditions
The author retains rights to his/her dissertation, thesis or other graduate work according to U.S. copyright law. Electronic access is being provided by the USC Libraries in agreement with the author, as the original true and official version of the work, but does not grant the reader permission to use the work if the desired use is covered by copyright. It is the author, as rights holder, who must provide use permission if such use is covered by copyright.
Repository Name
University of Southern California Digital Library
Repository Location
USC Digital Library, University of Southern California, University Park Campus MC 2810, 3434 South Grand Avenue, 2nd Floor, Los Angeles, California 90089-2810, USA
Repository Email
cisadmin@lib.usc.edu
Tags
behavioral health services
formerly incarcerated
Latino returning citizens
reentry network.
reentry resources