Our work is unique. Every day, we deliver care that is rooted in dignity, trust, creativity, cultural humility, and mutual respect. We see healthcare from a lens that understands the histories of inequalities, oppressions, and structural forces that affect our community. We also see the strengths of our community members, as well as the cultural richness that exists around us. It is with this historical analysis and appreciation for the power within our community that we build towards collective wellness and liberation! Your support will allow us to grow the broad range of work we do in primary care, acute care, integrative care with acupuncture, massage, reiki, healing circles, harm reduction and addictions treatment, health coaching, medical debt navigation, case management, training of health apprentices (the future healthcare leaders of New Mexico and beyond), and community organizing for systems change work to address structural determinants of health.“Being able to open up and have an open ear, not only to hear me but having the chance to help others who are going through similar situations helps me to feel not so alone.” - Joshua Moya, a patient and community leader in our Strong Roots/Raices Fuertes opioid addictions treatment and recovery program
All year long, the Casa de Salud team works hard to support our community's healthcare and healing. We are a nonprofit organization, we work effectively and are lean with our resources. We are not a federally funded health center, so our resources come from our community as well as from foundations and county and state contracts. Your donation will greatly support our continued vital work. The name of our nonprofit organization is Justice, Access, Support and Solutions for Health. Please show your support here. Please share this page -- the link's easy to remember -- www.gofundme.com/casadesalud
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With gratitude from our health apprentices, staff, clinicians & board of directors (photo above is of of most our staff and clinicians),
Anjali Taneja MD MPH
Casa de Salud
Please see below for much more on our work. Pull up a chair, grab a cup of coffee or tea!REIMAGINING HEALTHCARE AND HEALING
In 2018, Casa served our community and patients with over 12,000 visits for low-cost primary care, acute care, counseling/therapy, acupuncture, massage, reiki, curanderismo, and Indigenous-based healing circles. In 2018, 80% of our visits were for patients without health insurance. We provide care that is accessible, low-cost, transparently priced, holistic, thorough, and, above all, grounded in love. At a time of great fear in the community around healthcare and public services, Casa is a safe space for those who are most marginalized in our country. Casa works to center and uplift marginalized communities — those who either have been traditionally othered by the healthcare system (immigrants, monolingual Spanish speaking patients, LGBT/queer community members, and community members struggling with addictions). There are few models of truly integrative care such as ours — with western/conventional American medicine working hand in hand with Eastern medicine and traditional healing medicine, and behavioral health clinicians, for community members who otherwise would not have access to these modalities. Recognizing that emotions and trauma are stored in our bodies, we intentional treat our patients as whole beings and use a mind/body/soul approach to ensure that we provide healthcare that heals.
In 2018 we also invested in a new and powerful open source electronic medical record that will grow with the organization, will serve as a powerful resource for team-based care and will be internally supported, giving us the flexibility to provide the best care and dynamically iterate and improve our work. What we learn from this work will be shared worldwide with the international open source community, to support others building internal electronic medical systems.
Photo Copyright William Widmer. Used with permission from the Robert Wood Johnson Foundation.
Photo Copyright William Widmer. Used with permission from the Robert Wood Johnson Foundation.
Photo Copyright William Widmer. Used with permission from the Robert Wood Johnson Foundation.
TRAINING THE FUTURE HEALTHCARE WORKFORCE OF NEW MEXICO
Casa de Salud has a robust health apprenticeship program, with 32 current apprentices. Casa’s health apprentice program trains the future healthcare workforce of New Mexico and beyond. Bilingual (English/Spanish) high school and college students from the surrounding community serve for 8 hours a week for a year or more. Apprentices commit 500+ volunteer or work-study hours in a year and many continue for two or three years, as senior health apprentices.
Health apprentices learn and perform medical assistant skills such as drawing blood and performing EKGs, at the same time that they learn about soft skills and cultural humility in working with our community of patients. They develop confidence and leadership, and receive mentoring and support. Health Apprentices also learn about the community and structural factors contributing to health and illness, and are deeply committed to serving their community in the future. 80% of our apprentices are young people of color and 80% are women — and many come from immigrant families or families without great privilege or access to resources.
Health Apprentices also learn about the community and structural factors contributing to health and illness, and are deeply committed to serving their community in the future. As part of our effort to educate and mentor Health Apprentices, 20 members of the health apprentice team experienced and participated in the international Social Medicine Consortium in Gallup, New Mexico.
Our 200 health apprentice alumni are community leaders and clinicians and are transforming healthcare. Apprentices who go on to medical school and other schooling generally stay in New Mexico — a state with a critical shortage of primary care clinicians — and serve underserved communities. This program is truly transformative, as students see what is possible in an integrative community setting before entering institutions of medical training. And those of us in healthcare have a responsibility to shift privilege and access in our professions.
Health apprentices at the international Social Medicine Consortium in Gallup, NM, April 2018. In total, 28 clinicians, staff, and health apprentices participated in this inspiring consortium.
Social Medicine Consortium screenprinting opportunity with Dr Chip Thomas (@jetsonorama), artist and physician with the Indian Health Service in Arizona. Health apprentices hold up t-shirts they made, saying "No to Racism"
GROWING OUR TEAM, OUR CULTURE, and LEADERSHIP
Casa de Salud is a woman of color led organization, with an all female board of directors, and an all female executive team. Fully 1/3rd of our staff identify as LGBT/Queer. 50% of our staff are people of color. 80% of our health apprentices are women, and 80% are young people of color. 90% of our staff are bilingual (English/Spanish) and 100% of our health apprentices are bilingual.
2018 has been a year of growth and culture building for Casa de Salud -- to respond to the increased desire for our services and to multiply and amplify the effectiveness of our work. We invest in our dedicated staff, in terms of leadership development and financial/benefits support. We know we can do this important work in the community and support our team. From weekly all team meetings, to space for integrative healing discussions and processing among transdisciplinary clinicians, to a cultural humility that each staff member brings to our organization, we know we can grow together and know our work can be achieved better together.
We have also grown our staff by 33% this year. This year we brought on two new clinicians (one from another state, who was excited about Casa’s model of care!), two volunteer specialist physicians, and have also increased our capacity of clinicians able to provide gender affirming hormone therapy for transgender patients, and buprenorphine (suboxone) medication for opioid addiction treatment. We currently have two physicians, two nurse practitioners, two physician assistants, two massage therapists, an acupuncturist, a reiki master, and a curandera on staff as clinicians. We were able to provide bilingual counseling/therapy with a clinical social worker for most of 2018 (she just had beautiful twins and we will be looking for another amazing counselor/therapist!). We hired on a Health Coach for our Strong Roots opioid addiction treatment team, a Health Apprentice Program Developer, and tripled our case management team. In addition, several of our staff members are former health apprentices. We continue to work with the Jesuit Volunteer Corps program and have a full time JVC serving a critical leadership role at Casa de Salud. And we further developed our creative and committed clinical operations team, and our former Operations Manager, Elizabeth Boyce, took on the new role of Director of Operations. Lastly, we were able to expand days and hours at Casa de Salud, and are open for patient care five days a week and two evenings a week. We aim to open Saturdays and more weekday evenings in 2019.
We are grateful to the clinicians and staff who transitioned out of Casa de Salud this year, for educational and other pursuits. Each staff member who has touched this organization has brought so much lasting improvement to it.Below are a sampling of the leadership work of our staff team:
Our nurse and clinical manager, Alejandra Casarrubias, who was also a health apprentice at Casa almost 10 years ago before attending nursing school, was featured in the Albuquerque Journal
for her work with as a Sexual Assault Nurse Examiner (outside of her full-time work at Casa!)
Our patient and community leader Joshua Moya and our Executive Director Anjali Taneja spoke at a public event held outside Casa de Salud, supporting the 53rd anniversary of Medicaid and Medicaid and calling for strengthening these programs
. They spoke alongside now Congresswoman Deb Haaland, American Medical Association President Dr Barbara McAneny, and Chief Medical Officer of True Health, Dr Mark Epstein.
Our family nurse practitioner and curandera Lorraine Cordova (and a co-founder of Casa de Salud) was selected for the esteemed Jeanne Gauna Social Justice Spirit Award
, for her lifetime of incredible service and commitment to healing our community. She joins two other clinicians from Casa de Salud in receiving this award in the last four years.
Four of our clinicians at Casa de Salud -- Dominic Villanueva DOM (our acupuncturist), Katherine Porterfield PA, Lorraine Cordova FNP, and Anjali Taneja MD MPH -- are 2016-2019 Robert Wood Johnson Foundation Clinical Scholars leaders
along with Bill Wagner PhD LCSW from Centro Savila in representing Albuquerque and our innovative work in addictions treatment and recovery. We spoke about Casa de Salud's model of care and our vision, as well as our Strong Roots opioid addiction treatment and recovery program, to 30+ Robert Wood Johnson Foundation Health Policy Scholars from around the country. We were also honored to hold a Clinical Scholars information reception, with over 40 attendees from around the county and national program staff from the RWJF Clinical Scholars program, at Casa de Salud.
Our acupuncturist Dominic Villanueva serves on the Bernalillo County Community Health Council (BCCHC) Prevention Strategy Group, and our director Dr AnjalI Taneja serves on the Bernalillo County Addiction Treatment Advisory Board.
Casa de Salud hosted two workshops at the New Mexico Public Health Association conference
this year! Our health apprentice leadership staff presented about "Improving Health Provider Workforce Diversity through Health Apprentice Model"
[Myra Murillo, Public Ally Fellow; Miquela Wiegel, Clinic Flow Coordinator; Joe McDonald, Clinic Flow Coordinator/Special Projects; Alejandra Casarrubias, Nurse and Clinical Manager]. And our Strong Roots/Raices Fuertes team presented about "Raices Fuertes- Building Strong Roots to Address Opiate Pain Pill and Heroin Addiction in Bernalillo County"
[Lorraine Cordova, Nurse Practitioner and Curandera, Joshua Moya, community leader and patient; Anjali Taneja, Executive Director; and from Centro Savila, Executive Director Bill Wagner and Counselor Irini Georgas].
Staff and clinicians (and a patient/community leader!) from Casa de Salud, and Dr Bill Wagner from Centro Savila, pictured after presenting two workshops at the 2018 New Mexico Public Health Association conferenceEvent on the 53rd anniversary of Medicaid and Medicare
, held outside Casa de Salud. Left to right: Joshua Moya, a community leader and patient; American Medical Association President Dr Barbara McAneny; Congresswoman Deb Haaland, DPNM Chair Marg Elliston, Chief Medical Officer of True Health, Dr Mark Epstein, and speaking - Dr Anjali Taneja, Casa de Salud.
REDUCING HARM, RESPONDING TO GENERATIONAL TRAUMA AND ADDICTIONS
We fiercely stand with our community. We believe that addictions and at-risk drug use are complex issues that are rooted in structural inequalities, generational poverty and trauma, and lack of social capital – and are further complicated by a lack of access to holistic and evidence-based treatment.
We work to meet people where they’re at -- embodying the concept of “harm reduction” in drug use and treatment. Our harm reduction approach means we’ve run a busy syringe exchange, and have provided access to effective, integrative treatment for opioid/heroin addictions, since 2005. We see addictions as a structural issue, not an individual problem, and our response involves providing shame-free humanized treatment as well as engaging our community in leadership/civic engagement opportunities to decrease social isolation and increase connectedness. We also work actively to shift policy and practice at the local and county level.
In 2018, we exchanged over 1 million syringes (to folks who brought in used syringes) with dignity and respect, so that community members can use more safely, reduce the spread of HIV and Hepatitis C, train others on the same, and if ready, they can transition to treatment for addictions with us or others. We also provided training for the life-saving antidote to opioid overdoses, narcan, to hundreds of individuals. Many have shared with us that the narcan they received from Casa de Salud helped save their life or the life of a loved one.
For 6 hours a week, we provide free drop-in ear acudetox (five acupuncture needles at key points around the ear) and relaxation opportunities for community members struggling from cravings, withdrawals, sleep problems, anxiety, stress, and more. We are grateful to the New Mexico Department of Health for the resources to provide these critical services in a community setting.
And for those who seek treatment for heroin and opioid pain pill addictions, we provide rapid access to integrate evidence based medication treatment with suboxone, with integrative healing of acupuncture, reiki, massage, and indigenous based healing circles, as well as health coaching and peer support, and therapy/counseling. Patients are also supported in their strengths, and we pursue creative approaches to civic engagement and collective healing -- the focus in this program is personalized but the approach is a community one.
This work is nationally recognized and we are currently supported by a Robert Wood Johnson Foundation Clinical Scholars three year funding and leadership opportunity to strengthen this work and to work in partnership with nearby Centro Savila, a community based behavioral health organization. See our work here
Joe McDonald, Clinic Flow Coordinator & Special Projects; and Maranda Perez, senior health apprentice, arranging syringes and other materials for the syringe exchange at Casa de Salud. Photo Copyright William Widmer. Used with permission from the Robert Wood Johnson Foundation.
STRUCTURAL CHANGE AND COMMUNITY COLLABORATION
We know we must build power with our community, and for the last almost 15 years, Casa de Salud has been supporting and leading efforts to address structural barriers to our community’s best health. In 2018 our VIDA team now encompasses direct services to address structural determinants of health, as well as health coaching and advocacy support to make change on a larger level. We continue to provide medical debt navigation (for uninsured patients with overwhelming hospital and emergency room bills), and are actively supporting efforts to shift attitudes and expand treatment opportunities for addictions in our county and state. We are also a member of the campaign to develop a Medicaid buy-in option for those in our state with private insurance or without health insurance.
We work in partnership with the Santa Fe Dreamers project, who provide a free drop-in legal clinic for DACA applicants and for others dealing with immigration issues. This service has been incredibly important for many of our community members, and we are grateful to SFDP for this ongoing partnership.
We work hand in hand with ACCESS NM and Centro Savila, two organizations in walking distance of Casa de Salud, as part of the EleValle South Valley Healthy Communities Collaborative -- doing work together that none of us can do alone. As EleValle, we are building tools for peer to peer education around important structural issues that affect our health. We build together on advocacy and service. We speak at community events, most recently to 80 home care providers, about recognizing and reframing addictions in the community, an event hosted by the South Valley Early Childhood Group. We also work in partnership with the Rio Grande Community Development Corporation, in supporting this work.
Our clinicians Kate Porterfield and Dominic Villanueva led efforts to collaborate with the Wellness Referral Center as an important wellness resource for our patients, and Kate Porterfield and health apprentices led our partnership with La Cosecha Community Supported Agriculture (for very low-cost fresh produce for our patients).
We held a voter registration drive at Casa de Salud this year, and were able to provide information to many patients including our immigrant families and returning citizens (recently released from jail or prison) about their voting rights and process. Several of our apprentices signed up to vote too!
And we collaborate with the UNM Community Engagement Center, South Valley Academy, and other organizations in matching excellent health apprentice candidates with Casa de Salud.
We are grateful for collaborations with several foundations and with Bernalillo County, the City of Albuquerque, and the NM State Department of Health.
INVEST IN OUR WORK FOR AND WITH OUR COMMUNITY!
We currently do all of this work, and employ more than 20 employees and work with more than 30 health apprentices, while caring for those most in need -- with an operating budget of less than $1 million. We invite you to invest in us, support us, as we aim to meet the healthcare and healing needs of our community and build power with our community. Please share this crowdfunding page with friends, family, and others interested in innovative community-rooted and creative models of care. Please share this on social media, pass it on by email, and please give, no matter now small or large a donation. Thank you! Casa love!
2018 Health Apprentices (most of them) and several members of our Clinic Flow/Health Apprentice staff and supervision team.