ANDROMEDA TRANSCULTURAL HEALTH RICARDO GALBIS, M.D. Executive Director MAY 20, 2008 1400 Decatur Street NW Washington, DC 20011

ANDROMEDA TRANSCULTURAL HEALTH

RICARDO GALBIS, M.D.Executive Director

MAY 20, 2008

1400 Decatur Street NWWashington, DC 20011

HIV in the District

12,428 persons living with HIV/AIDS DC has the highest rate of new reports of

AIDS nationally DC has ten times the mortality rate than

the national rate 0.2% of those infected are Hispanic

ANDROMEDA TRANSCULTURAL HEALTHExecutive Director Ricardo Galbis M.D.

HIV Active Patients by Ward

Ward 8 3

1.66%

Ward 74

2.21%

Ward 110

5.52%

Ward 616

8.84%

Ward 56

3.31%

Ward 473

40.33%

Ward 32

1.10%

Ward 220

11.05%

Homeless47

25.97%

Ward 1

Ward 2

Ward 3

Ward 4

Ward 5

Ward 6

Ward 7

Ward 8

Homeless

As of 05-15-08Total Client 181


HIV Active Patients by Ethnicity

Hispanic79

43.65%

Other5

2.76%

Caucasian 11

6.08%

African American86

47.51%

African American

Hispanic

Other

Caucasian

As of 05-15-08Total Clients 181


HIV Active Patients by Age

00 to 29 16

8.84%

30 to 65158

87.29%

65+ 7

3.87%

00 to 29

30 to 65

65+



HIV Active Patients by Country of Origin As of 05-15-08Total Clients 181

Argentina, 2

Bolivia, 1

Colombia, 2

Cuba, 10

Domin Repub., 1

El Salvador, 31

Ethiopia, 1

Guatemala, 2

Haiti, 3

Honduruas, 1

Italy, 1

Mexico, 4

Nicaragua, 1

Peru, 4

Puerto Rico, 4

US, 112

Venezula, 1

0 20 40 60 80 100 120

Challenges with HIV Patients

Co-morbidities Mental Illness Substance Abuse Diabetes Hepatitis C

Adherence Medication resistance Non-compliance

Risky Behavior Unprotected sex Drug use

Stigmas towards illness

Challenges to delivery of evidence based care to patients in DC

Uninsured, underinsured, barriers to access to careCompliance and Adherence to treatmentAbility of community based organizations to effectively operate without funding or donations, e.g. children’s mental healthNot all Insurance plans cover mental health services or psychiatric medications

Andromeda Transcultural HealthDecatur Center

1400 Decatur Street NWWashington, D.C. 20011

202-291-4707

Active Patients by Program

Children19615%

Mental Health95271%

HIV 18114%

HIV

Mental Health

Children


Ryan White Part B, $545,223.00, 24%

OLA Grants, $110,000.00, 5%

APRA, $500,000.00, 22%

Third Party Medical Reinbursment, $128,725.00, 6%

Ryan White Part A, $961,893.00, 43%

ANDROMEDA TRANSCULTURAL HEALTHExecutive Director Ricardo Galbis M.D. Funding Sources

Andromeda Transcultural HealthDecatur Center

1400 Decatur Street NWWashington, D.C. 20011

202-291-4707

Active Patients by Ethnicity

African American320

24.15%

Caucasian 72

5.43%

Other38

2.87%

Hispanic895

67.55%

African American

Hispanic

Other

Caucasian

as of 05-15-08Total Client 1329

ANDROMEDA TRANSCULTURAL HEALTHExecutive Director Ricardo Galbis M.DMedicaid Active Patients by Ethnicity

Hispanic220

56.12%

Other7

1.79%

Caucasian 8

2.04%

African American157

40.05%

African American

Hispanic

Other

Caucasian

DECATUR CENTER 1400 Decatur Street NW ,Washington DC 20010-1318202-291-4707 Fx 202-723-4560


ANDROMEDA TRANSCULTURAL HEALTHExecutive Director Ricardo Galbis M.D

Medicaid Active Patients by Ward

Ward 8 9

2.37%

Ward 711

2.89%

Ward 127

7.11%Ward 6

359.21%

Ward 510

2.63%

Ward 4241

63.42%

Ward 35

1.32%

Ward 242

11.05%

Ward 1

Ward 2

Ward 3

Ward 4

Ward 5

Ward 6

Ward 7

Ward 8


As of 05-15-08Clients 381

Demographics of Latinos in the Nation and the District

Approximately 35.3 million Latinos in the US

Expected increase to 97 million by 2050

DC Total Population: 572,059 DC Hispanic/Latino: 44,953 (7.9%) This does not include undocumented

persons

Need for mental health services

Latino youths experience more anxiety related issues, depression and drug use than non-Hispanic white youth

Older Latinos experience more depression related to physical health issues and environmental changeLanguage barriers Immigration

Need for mental health services

Latino adolescents report more suicidal ideations compared to non-Hispanic white adolescents

Recombined families Higher incidence of alcoholism Higher incidence of anomie Precursors to gang activity e.g. non peer group

acceptance and desire to belong Nonfunctional families Latchkey children

Access Mental Health Care 39% of Hispanics have no health insurance

Only 41% of those who are health insured have coverage for mental health treatment, compared to 65% of whites, and 63% of African-Americans

According to surveys22% of Hispanics are open to seeking

professional mental health care compared to 15% of the general population.

Hispanic PR wire: National Survey Reveals Hispanics Engage In Healthy Behaviors to Manage Stress More Than General Population

Concern about Family Health Leading Source of Stress Women as Family Health Managers More Stressed than M

Barriers to Mental Health Care Lack of funding

Educational Disparity

Mental illness stigmas

Insufficient Cultural Competency

Breaking the barriers

Educational Disparity Addressing the language barrier Cultural competency Health Education

Decreasing stigmas Access to Care Reaching out to Patients in their

community

Antares and participant


Childrens Program Active Patients By Ethnicity

Hispanic133

68.91%

Other5

2.59%

African American55

28.50% African American

Hispanic

Other




Childrens Program Active Patients by Country of Origin As of 05-15-08Total Clients 193

Columbia, 3

Domin Repub., 2

El Salvador, 21

Guatemala, 1

Haiti, 1

Jamaica, 1

Mexico, 2

Paraguay, 1

Puerto Rico, 2

US, 158

Vietnam, 1

0 20 40 60 80 100 120 140 160 180

Documents

ANDROMEDA TRANSCULTURAL HEALTH RICARDO GALBIS, M.D. Executive Director MAY 20, 2008 1400 Decatur Street NW Washington, DC 20011