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American Psychological Association

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AGUILASAlliant International University

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1) to disseminate the current state of behavioral health care for Latin@s;

2) to examine innovative strategies to address the needs of Latin@s in behavioral health and integrated health care;

3) To provide a Forum for the workforce in service and research to exchange information and innovations designed and targeted for Latin@s.

Objectives of the ForumObjectives of the ForumObjectives of the ForumObjectives of the Forum

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Eduardo Morales, Ph.D.Distinguished ProfessorAssociate Director of the PhD Clinical ProgramDirector of Workforce DevelopmentCalifornia School of Professional Psychology- San FranciscoAlliant International University

Presentation at: Innovations in Latin@ Behavioral Health Forum May 29, 2015

Overview of Population Trends Overview of Population Trends Based on U.S. Census DataBased on U.S. Census Data

Overview of Population Trends Overview of Population Trends Based on U.S. Census DataBased on U.S. Census Data

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Do we know the Changing Demographics?


• Latin@s = Latinos y Latinas

• Hispanics is a term used by the Federal Government for Latin@s

• Non-Hispanic whites as used by U.S. Census are considered “Eurocaucasians”

• Blacks is the term used by U.S. Census as a race and can includes all people of African decent. “Black” Latin@s are included in Hispanic data.


*The U.S. has been undergoing a rapid change in the ethnicity and race of its population

*The most populous states will transform from the majority being White/Euro-Caucasian to mostly people of color, Latin@ and African American

*How do we deal with the changing population and the need for a changing workforce?


*Using U.S. Census Data Projects the follow are data for Asian/PI, Blacks, American Indian/Eskimo, and Latin@s/Hispanics

*These projections are from 2005 to 2025

*Reported are U.S. states with changes that are an increase of 2% or more for each group between 2005 and 2025


*Through 2025 all U.S. States project increases among Asian/PI, Blacks, American Indian/Eskimo, and Latin@s/Hispanics

*Mississippi is the only state where the projection of whites does not decline but stays the same.

*Mississippi = 23% whites, non-Hispanics for 2005, 2015, and 2025.


*U.S. Census Data for population projections of Asian/PI through 2025, % Change from 2005 to 2025

* U.S. States 2005 2010 2025 % Change

Alaska 10.0% 16.0% 22.0% 12.00%

California 14.3% 16.0% 18.0% 3.70%

Hawaii 61.7% 63.0% 65.0% 3.30%

Massachusetts 4.7% 6.0% 8.0% 3.30%

New Jersey 6.7% 8.5% 10.1% 3.40%

New York 6.3% 7.7% 9.0% 2.70%

Rhode Island 3.4% 4.5% 5.3% 1.90%

Washington 6.8% 7.9% 9.1% 2.30%


* Using U.S. Census Data the following are the population projections for Asian/PI 2005 to 2025


* U.S. Census Data for population projections of Blacks through 2025, % Change from 2005 to 2025

* U.S. States 2005 2010 2025 % Change

Delaware 20.0% 22.0% 23.0% 3.00%

Georgia 30.0% 32.0% 34.0% 4.00%

Louisiana 33.0% 35.0% 36.0% 3.00%

Maryland 29.2% 31.1% 32.7% 3.50%

Massachusetts 7.2% 8.3% 9.2% 2.00%

New Jersey 15.5% 16.6% 17.4% 1.90%

Ohio 12.1% 13.1% 14.1% 2.00%

Rhode Island 5.8% 6.8% 7.7% 1.90%


* Using U.S. Census Data the following are the population projections for Blacks through 2025


U.S. Census Data for population projections of Am Indian/Eskimo through 2025, % Change from 2005 to 2025

U.S. States 2005 2010 2025 % Change

North Dakota 5.5% 6.7% 8.1% 2.60%

South Dakota 8.2% 9.3% 10.3% 2.10%


*U.S. Census Data for population projections of Am Indian/Eskimo through 2025, % Change from 2005 to 2025


*U.S. Census Data for population projections of Latin@s/Hispanics through 2025, % Change from 2005 to 2025


Alaska 5.0% 6.0% 7.0% 2.00%

Arizona 24.0% 28.0% 31.0% 7.00%

California 35.0% 39.0% 42.0% 7.00%

Colorado 15.0% 18.0% 20.0% 5.00%

Connecticut 10.0% 13.0% 15.0% 5.00%

Delaware 4.0% 3.0% 6.0% 2.00%

D.C. 9.0% 10.0% 12.0% 3.00%

Florida 17.0% 20.0% 23.0% 6.00%

Idaho 8.0% 10.0% 12.0% 4.00%

Illinois 12.0% 14.0% 17.0% 5.00%

Kansas 6.0% 7.0% 9.0% 3.00%

Maryland 4.7% 6.0% 7.0% 2.30%


*U.S. Census Data for population projections of Latin@s/Hispanics through 2025, % Change from 2005 to 2025

Massachusetts 8.2% 11.0% 13.0% 4.80%Nevada 16.7% 20.8% 24.7% 8.00%New Jersey 13.9% 16.5% 18.8% 4.90%New Mexico 39.9% 42.8% 46.0% 6.10%New York 16.1% 18.5% 20.6% 4.50%Oklahoma 4.1% 5.1% 6.0% 1.90%Oregon 6.5% 8.0% 9.8% 3.30%Rhode Island 8.9% 12.1% 14.9% 6.00%Texas 30.4% 33.5% 36.8% 6.40%Utah 6.8% 7.8% 9.1% 2.36%Virgina 4.4% 5.4% 6.3% 1.90%Washington 6.9% 8.5% 10.1% 3.20%Wyoming 7.3% 8.8% 10.5% 3.20%



Projections show the fastest growing among these groups are Latin@s


*Among Latin@s in the U.S.:

*Over 50% drop out of high school

*According to U.S. 2000 Census Only 10% of the undergraduates, graduate from universities, are Latin@s/as

*Less than 2% of the doctoral members of the American Psychological Association are Latin@s (n=1,660 compared to total membership of about 85,000 doctoral members)


Among Latin@s in the U.S.:

*In 2012, 69% of Latino High School graduates enrolled in college compared to 67% white counterparts*.

*According to U.S. 2011 Census 13% of the undergraduates, graduate from universities, are Latin@s/as*

*In 2011, 14% of Latinos/as 16 to 24 years old dropout of high school compared to 28% in 2000*.*http://www.pewhispanic.org/2013/05/09/hispanic-high-school-graduates-pass-whites-in-rate-of-college-enrollment/


*By 2015, this year over 50% of the residents New Mexico are Latin@s

*By 2028 over 50% of the residents of Texas will be Latin@s

*By 2042 over 50% of the residents of California will be Latin@s


Lets Examine California and Texas as Examples


*1. Mexico 98.9 million*2. United States 44.5 million**3. Colombia 42.3 million*4. Spain 40.4 million*5. Argentina 37.0 million*6. Peru 25.9 million*7. Venezuela 24.2 million*8. Chile 15.2 million*9. Equador 12.6 million*10 Guatemala 11.4 million**includes Puerto Rico


*Latin@s are increasing in record numbers in the western part of the U.S.

*However policies affecting Latin@s are based on the east coast where the growth rate is the smallest

*This sets up a situation where policy makers do not sense the change in the U.S. unless they travel to the west

*Given the travel restriction of U.S. government workers, this can be a barrier for policy makers.


*In a short period of time, 15 years for Texas and New Mexico, the majority of the residents will be Latin@s but the business industry is not ready for this workforce change.

*Given the limited educational outcomes, there is a limited pipeline for Latin@s to climb the career path


*The only way to rectify the problem and maintain the status quo is:

*Aggressive recruitment from Latin America

*Opening visa and work opportunities from professionals in Latin America


*Recruiting from Latin America creates a Brain drain in Latin American countries

*This will cause a workforce and leadership crisis in Latin America.

*Puerto Rico is already experiencing a serious problem of retention of its work force and are losing its more talented to the main land.

*As immigration restrictions were lifted for high tech industries in the U.S., the same will occur for Latin American counties.


Provisions for non-English or limited-English speakers

What must State and local agencies do to ensure that non-English or limited-English speaking persons are aware of their rights and responsibilities in the program?

If a significant proportion of the population in an area is comprised of non-English or limited-English speaking persons with a common language, the State agency must ensure that local agencies inform such persons of their rights and responsibilities in the program, as listed under § 247.12, in an appropriate language. State and local agencies must ensure that bilingual staff members or interpreters are available to serve these persons.


Provisions for non-English or limited-English speakers

(b) What must State and local agencies do to ensure that non-English or limited-English speaking persons are aware of other program information?

If a significant proportion of the population in an area is comprised of non-English or limited-English speaking persons with a common language, the State agency must ensure that local agencies provide other program information, except application forms, to such persons in their appropriate language.*http://federal.eregulations.us/cfr/section/11/1/2011/title7/vol4/chpii/part247/sec247.13.html/


Training Programs for Latino Cultural and Linguistic Competency for Behavioral Health Professionals

*Massachusetts School of Professional Psychology (12 students per year)

*Chicago School of Professional Psychology-Chicago Campus (Latino Track)

*Carlos Albizu School of Professional Psychology – San Juan, Puerto Rico

*Our Lady of the Lake, San Antonio TX

• Doctoral and Masters Program in Psychology

• The Communicative and Cultural Competency Program (CCC-MHP) program, for training for mental health providers who have basic conversational skills in Spanish but lack the training needed to utilize their education and professional skills, which were obtained in English, to work with Spanish-dominant clients.


Training Programs for Latino Cultural and Linguistic Competency for Behavioral Health

Professionals -Continued

New Emerging Programs

*Pepperdine University – Latino Mental Health Program

*Montclair State University – Masters Program



Professionals -Continued

In California

*San Jose State University – Social Work Program

• Certificate Program in Spanish Language Counseling is available to students who, through course work or examination, show evidence of competency to conduct counseling/therapy in Spanish.

*CSPP-SF – Latino Psychology Course taught bilingually



Professionals –Continued

Alliant International University - Mexico City Campus

* Summer Immersion Program – 5 Weeks

* Latin American Family Therapy Certificate Program

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