Savila Collaborative

Case Management Services: Centro Svila provides systems navigation and case management services at no cost to clients that have difficulty accessing resources to meet their basic needs. Case Management services are available to assist child and adult clients with accessing services and community support systems such as housing and supported living, educational services, vocational services, welfare, food stamps, nutritional resources, and medical services. Case management/navigation services, include providing information about immigration, criminal justice, and health and social services benefit enrollment processes, referral to services, supports and resources, as well as assistance in applying for benefits and services, interpreter services, intervention with other agencies and institutions on behalf of clients. Case Managers assist clients through advocacy, educational activities, and coordination of services. Centro Svilas culturally and linguistically sensitive case management services are provided by certified Community Health Workers (CHWs), Certified Peer Support Workers (CPSWs), Family Peer Support Workers (FPSWs), and Pathways Navigators. Additionally, bilingual health insurance outreach, education and enrollment specialists facilitate uninsured and newly insured in finding a healthcare home and other social supports and, social work interns who coordinate and provide services and resources necessary to promote recovery, rehabilitation, and resiliency to program participants and their family. Case managers identify and address the barriers that impede the development of skills necessary for independent functioning and increased quality of life. Their work consists of a variety of interventions, with at a minimum 60 percent face-to-face and in-person that can include accompaniment and advocacy with clients in home, school and work environments as they navigate complicated systems. Case Managers, Community Health Workers, Peer Case Managers, Pathways Navigators/Promotoras and student interns assist Centro Svila's clients in the development and coordination of a treatment plan that may include a recovery or resiliency management plan, a crisis management plan or a treatment plan for Comprehensive Community Support Services. When requested, our team may provide advocacy and accompaniment to ensure access to basic needs including behavioral health care, support and intervention in crisis situations and planning that incorporates the use of natural supports and alternatives to the utilization of emergency departments and inpatient services. Our case management team served over 753 unduplicated clients; held 4,016 separate appointments and; provided 6,873 service hours. The majority of individuals and families served at Centro Savila are low-income and uninsured or are from newcomer immigrant and refugee families. Despite historically low levels of unemployment nationwide, Centro Svilas clients are disproportionately unemployed and underemployed. Given the high rates of economic inflation and increasing rents, many of our clients experienced loss of housing or were faced with the threat of eviction. Although government programs aimed at curbing the health and economic welfare impacts of the pandemic existed, many of Centro Savilas clients did not know how to or possessed the capacity to apply for these programs. Our case management staff responded to the immediate needs of our clients for basic resources to sustain their families including food and protection from eviction. We accessed funds for Emergency Rental Assistance Program (ERAP) to support families needing rent/housing assistance and advocated with clients to prevent eviction. During FY 24 Centro Savila provided over 900 hours of public benefits enrollment services including 713 separate appointments to assist clients with public benefits and to address questions and concerns of community members regarding Public Charge which can impact the immigration applications of newcomer families. Centro Savila partnered with the Protecting Immigrant Families national coalitions to address outreach and education about public charge to community members.

Collaboration, Education and Professional Capacity Building:Centro Svila participates in efforts with community allies and partners to improve services, strengthen referral networks and to build collective impact that will address systems-level improvement of public health. Centro Svila staff and administration collaborate with community, government and institutional efforts aligned with our vision of a healthy, engaged and equitable community. This year in our internal restructuring, we formalized this value by designating regular time in staff schedules to participate in strategic partnerships and collaborations. During FY24, Centro Svila staff collaborated/participated in multiple efforts including (but not limited to): The Pathways to a Healthy Bernalillo County Immigrant and Refugee Collaborative with other 4 other non-profits in Albuquerque to address systems change and structural barriers for our clients; The University of New Mexicos Transdisciplinary Research, Equity and Engagement Center for Advancing Behavioral Health and other community partners in the Immigrant Wellbeing Project; The Community Partnership for Health Equity (CPHE) program, a national network of public health groups, that focus on upstream healthcare prevention, community engagement, and integration of healthcare and social services; The South Valley and Westgate Intimate Partner Violence (IPV) Providers Group (UNIDOS) to build collective impact around preventing IPV; The Anne E. Casey Foundation supported Justice 4 Youth initiative to address juvenile justice reform and alternative interventions; The Albuquerque Justice for Youth (AJ4Y) Collaboration, to develop alternatives to detention including treatment; The City of Albuquerque Office of Immigrant and Refugee Affairs (OIRA) provider collaborative, to strengthen networks of support for immigrants and refugees; the NMCAN Community Connections Meeting, to strengthen partnerships and support for children aging out of foster care; The Bernalillo County Behavioral Health Initiative Adverse Childhood Experiences, Peer Support Worker and Suicide Prevention Collaboratives, to strengthen partnerships with organizations working to build behavioral health equity in Bernalillo County and; The New Mexico Behavioral Health Providers Association to address systemic changes to improve Behavioral Health Service Delivery in New Mexico; and The Protecting Immigrant Families (PIF) New Mexico Public Charge Coalition to provide outreach, education and advocacy throughout New Mexico on Public Charge concerns for immigrant families. Behavioral Health Professional Career Development ProgramCentro Svila is committed to building health equity in New Mexico by training and hiring the next generation of bilingual/bicultural behavioral health providers. During FY 24, Centro Svila expanded our Bilingual/Bicultural Behavioral Health Professional Internship Development Program work. In addition to our Pathways Navigators, and Peer Support Workers, Centro Savila supervises Masters in Social Work and Masters in Counseling interns from New Mexico Highlands University, New Mexico State University and New Mexico Highlands University in Albuquerque. Centro Svila provided work experience and training to student volunteers and interns from clinical programs on case management services and the social determinants of health. Centro Svila continued to integrate CHW training into our health insurance education, outreach and enrollment efforts to facilitate uninsured and newly insured in finding a healthcare home and other social supports. During FY 2024 Centro Savila added a Compliance Director position to our administration to improve our ability to run reports on our services and continue to use data to drive improvements in our services. This and other additions to our administrative team allows our career development program to expand to administrative roles that will ultimately benefit New Mexicos non-profit sector that directs services to minority and underserved communities.