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On Our Minds is the name of KERA's mental health news initiative. The station began focusing on the issue in 2013, after the mass shooting in Newtown, Connecticut. Coverage is funded in part by the Donna Wilhelm Family Fund and Cigna.

$10 Million Will Fund New Effort To Take On Depression In Texas

According to MMHPI fewer than one in 15 of the 1.5 million Texans suffering from depression each year receive sufficient care to recover.

The Meadows Mental Health Policy Institute will use a recent $10 million dollar award to focus on mental health and depression. CEO Andy Keller talked with KERA's Justin Martin about their plans.

The Dallas-based Meadows Mental Health Policy Institute was recently awarded $10 million dollars as part of the Lone Star Prize, a competition aimed at improving the lives of Texans.

The money will help the institute implement what's known as The Lone StarDepressionChallenge, which focuses on early detection and treatment of depression in primary care.

Interview highlights were lightly edited for clarity.


On How The Award Will Be Used:

We've partnered for the last several years with the University of Texas Southwestern Medical Center for Depression Research and Clinical Care.

The CDRC is our main partner on this. And we've been working through a project called Cloudbreak with health systems in North Texas to help them implement screening and detection so that they find people who have depression sooner.

So if we can begin to treat depression within months of its emergence, as opposed to right now waiting eight to 10 years, then it's going to be much easier to treat folks and help folks.

On The Reasons Behind Poor Mental Health Care In Texas:

Right now only about 6% of people with depression get adequate care. One of the roadblocks is that we don't detect, we don't ask people. So, people go into their primary care doctor, less than 50% of them are found to have depression when they have depression when they go into their primary care doctor.

First we have to get the detection in place and that takes some effort. I mean, you have to rework the electronic health record, the workflows, the protocols. It's actually not hard at all to do the detection. We can detect it with 90% accuracy. The issue is just reworking the workflow.

The second thing is that we lose another 50% of people when we expect them to go to a second appointment, to go find a specialist. First of all, it's very hard to find a specialist. A lot of times the specialists in our networks actually aren't in our networks. There's these ghost networks that a lot of us have where we have to call 10, 12 psychologists, therapists, before we find somebody.

So the second barrier is put the clinician in the office. Most depression can be treated in a primary care office with the right supports. I mean the primary care doc doesn't have time, but if you put someone else in there to help them, then you're going to get those outcomes.

On People Of Color Receiving Adequate Care:

Well, fortunately, the research-based approach we're using — collaborative care — has been highly researched by people of color. And what we've found is it's more effective than other means for Black participants, as well as Latino participants, as well as older adults.

One of the big reasons for that, there's several reasons. One is a lot of people of color, particularly the Latino community, the Asian community; we see a much of a preference for integrated care.

There's a belief that mental health is holistic — it's part of the rest of your health. So the idea going to see some separate person for the therapy, for the mental health part, actually is an attitudinal barrier because folks believe they should have it treated at the regular doctor, if you will.

Stigma also gets in the way of folks. Also, we know that many people of color are at higher risk for being in poverty.

And if you're in poverty, or if you have a job where you don't have great benefits, and you can't take time off work, it is super hard to get to the doctor. And if you get there once, we better do as much for you as we can, because to get you get there a second time or a third time, it's going to be pretty difficult.

So, this collaborative care model where we put the care right there in the primary care office has really been shown to work really well for Black and Latino participants, as well as white participants.

I think the second thing is, we can't do only that because we know that there's health care deserts. We know that there's mistrust of health systems for good reasons that communities have experienced. And so we need to put community health workers in place who represent, who are from the communities we're trying to reach out to and who can help build trust. We've done that with veterans. We've done that with first responders. We've done that with communities of color.

So we just need to scale those interventions up and empower those folks with the tools they need to help people access care.

Got a tip? Email Justin Martin at You can follow Justin on Twitter @MisterJMart.

KERA News is made possible through the generosity of our members. If you find this reporting valuable, consider making a tax-deductible gifttoday. Thank you.

Justin Martin is KERA’s local host of All Things Considered, anchoring afternoon newscasts for KERA 90.1. Justin grew up in Mannheim, Germany, and avidly listened to the Voice of America and National Public Radio whenever stateside. He graduated from the American Broadcasting School, and further polished his skills with radio veteran Kris Anderson of the Mighty 690 fame, a 50,000 watt border-blaster operating out of Tijuana, Mexico. Justin has worked as holiday anchor for the USA Radio Network, serving the U.S. Armed Forces Network. He’s also hosted, produced, and engineered several shows, including the Southern Gospel Jubilee on 660 KSKY.