Victor Armstrong
speaker
68 appearances
1 recordings
1 series
first heard Nov 2020
last heard Nov 2020
Victor Armstrong’s voice in public audio — every appearance, attributed to the second.
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Appearances
that we did not necessarily have a provider network that was equipped to speak to a lot of the needs of some of the historically marginalized communities and historically marginalized populations.
What we've seen historically is a couple of things.
I think in large part because we have not focused on these historically marginalized communities and putting resources in those communities yet statistically, we access behavioral health services at about half the rate of white people.
And we are less likely to initiate services.
We're more likely to terminate services prematurely.
And I think there are things that we can look at to address those things.
One of the issues being, where are the outpatient services located?
Where are the resources located?
If we don't have resources and programs in the communities where people can access them, they are less likely to engage in services in their communities and they're more likely to
have the introduction into the behavioral health system being in the back of a police car or in an acute care emergency department, neither of which are going to be conducive to good outcomes and neither of which are going to build good relationships with mental health.
I'd also say that I think one of the things that we can do programmatically also is looking at the use of advanced medical homes.
I think advanced medical homes can play a critical role in ensuring that children and families are screened and treated for behavioral, physical health and for social determinants of health.
So I think there are things that we can do with that, particularly building those resources into prepaid health plans.
And I think also there are things that we need to do differently around kids with complex needs.
I think, again, if we're looking at health disparity and if we're looking at
equal access for all, one of the things that troubles me is that when we look at youth in this country, African American kids make up about 17% of the youth in this country, but about 40% of the kids in the juvenile justice system and about 45% of the kids in the foster care system.
So we need to build in ways of reaching those kids earlier before they get pushed into the system.
If I had to point to a couple of things that we can do and some things that we're looking at in North Carolina, one of them is we've been doing what we call a fostering health initiative.
And it's a partnership between primary care, Department of Social Services, and behavioral health, where kids
um who are entering the foster care system are assigned the health home and requires doing a series of health screenings uh within the first 30 days mental health first aid is something that we know works um and there are kits for how we can bring that into the school system so that's another thing we're looking at and then finally some of the consultation services that we're providing for our pediatricians to be able to have psychologists and psychiatrists that can consult with them and then also some of the work we're doing around our behavioral health
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