Octavio N. Martinez Jr., MD, MPH, MBA, FAPA

Octavio N. Martinez Jr., MD, MPH, MBA, FAPA

2001-2002

Executive Director, Hogg Foundation For Mental Health; Associate Vice President, Division of Diversity and Community Engagement; Clinical Professor of Social Work, The University of Texas at Austin, Austin, TX

A native Texan and licensed psychiatrist, Dr. Martinez is the fifth executive director and the first Hispanic to lead the Hogg Foundation for Mental Health since its creation in 1940. The foundation’s grants and programs support mental health services, research, policy analysis and public education projects in Texas.  As chief executive officer, he oversees the vision, mission, goals, strategic planning and day-to-day operations of the foundation.  The Hogg Foundation is part of the Division of Diversity and Community Engagement at The University of Texas at Austin.  Dr. Martinez holds an appointment of Associate Vice-President within the division.  He is also a clinical professor with an appointment in the university’s School of Social Work; and holds an adjunct professor appointment at The University of Texas Health Science Center at San Antonio School of Medicine’s Department of Psychiatry.  His academic interests include minority health, health disparities, and workforce issues.

In addition to his administrative and academic duties, he currently serves on the Institute of Medicine’s Committee on the Governance and Financing of Graduate Medical Education.  He formerly served on the IOM’s Committee on the Mental Health Workforce for Geriatric Populations.  He is on the board of the National Hispanic Council on Aging.  He is a commissioner on the Supreme Court of Texas Permanent Judicial Commission for Children, Youth and Families and a member of the University of Texas – University Charter School Advisory Board.  Dr. Martinez is a Fellow of the American Psychiatric Association and a member of the American College of Mental Health Administration, the National Hispanic Medical Association, the American Public Health Association, and the Texas Society for Psychiatric Physicians.  From 2002 to 2006 he served as a Special Emphasis Panel Member for the National Institutes of Health, National Center on Minority Health and Health Disparities.

He was awarded a Shining Lights Award for Excellence in Hispanic Mental Health Advocacy and Leadership in 2012 by the National Resource Center for Hispanic Mental Health and he is a recipient of the 2008 Adolph Meyer, M.D. Research Award in recognition of contributions in minority health and efforts to improve the mental health of all citizens regardless of socioeconomic status by The Center for Health Care Services.  Dr. Martinez is licensed to practice medicine in Texas and North Carolina and is a diplomate of the American Board of Psychiatry and Neurology.

2012

2008

Infectious Disease, Surveillance and Response along the United States-Mexico Border: Adequate or Inadequate?

Abstract:

The September 11, 2001, terrorist attack has energized the United States to expand and upgrade its ability to detect and respond to the threat of bioterrorism.  Improving the nation’s public health infrastructure is integral to achieving this goal; as well as ensuring the public’s health, regardless if the threat is natural or intentionally induced.  The four states (California, Arizona, New Mexico, and Texas) along the United States-Mexico border are part of this bioterrorism initiative.  This region is particularly unique when compared to the rest of the country.

For instance, the United States-Mexico border is one of the busiest borders in the world.  Over 400 million legal northbound border crossings occur yearly along this 2000-mile frontier.  A total of 78 million people live in the ten border states (four states in the U.S. and six states in Mexico).  This juxtaposition between the U.S. and Mexico has created incredible economic, cultural, and social opportunities; and with this opportunity has come tremendous growth.  Unfortunately, the public health infrastructure has not kept pace.  On the U.S. side alone more than 30% of families live at or below the poverty level; and over 3 million residents are uninsured.  The majority of these are Hispanic or Native American.

These U.S. border communities are exposed to environmental hazards; lack access to health care; have unincorporated settlements, known as Colonias, that are without running water, sewers, storm drainage, electricity, and paved roads; and have rates of communicable diseases that are several fold the national averages.  Preventing, monitoring, and treating infectious diseases are severely hampered by the frequent movement between the two countries.  This environment will challenge the effectiveness of the surveillance and communication systems currently in development. For this reason, the United States-Mexico Border Health Commission (USMBHC) is in the process of reviewing these systems.  And, as part of this effort, an evaluation to determine where weaknesses exist was initiated.

Methods:

Multiple data bases were researched and an extensive literature review was accomplished.  Telephone and on-site visit interviews were conducted.  In addition, a comparative analysis of the United States-Mexico border region to state and national averages was performed.

Conclusions:

At this point in time, the United States does not have an operational nationwide surveillance or alert system.  The current focus is mostly concentrated on enhancing network technology.  But, how effective will these system changes be, once they are operational, if we do not have adequate number of health providers and sufficient hospital capacity.  The United States-Mexico border region is significantly below the national average on these parameters.

Therefore, it is recommended that the USMBHC collaborate with the U.S. Department of Health and Human Services to strategically place community health centers along the U.S.-Mexico border region; partner and develop criteria with the National Health Service Corps to increase health providers along the U.S.-Mexico border region; ensure that the surveillance and communication network technology being developed is equitably applied within the U.S.-Mexico border region; and cooperate with Mexico’s initiatives as they relate to the Mexico-United States border area.

Preceptor:

Russell, E. Bennett, Executive Director, U.S. Section, United States-Mexico Border Health Commission, El Paso, TX

The Commonwealth Fund/Harvard University Fellowship in Minority Health Policy is truly a unique experience. It embodies the true meaning of fellowship, not only from an academic perspective, but even more so from a humanistic perspective. You are among a company of equals and are provided with the skills and tools to rise above the din and take your "seat at the table." The academic program is invigorating and challenging. The exposure to public, private, and government leaders at the national, state, and community level is outstanding. A lifetime of networking is consolidated into twelve months. This in and of itself makes the Fellowship priceless. The interdisciplinary approach taken by the Fellowship is a valuable model well suited to address the challenging public health issues facing minorities, disadvantaged populations, and all communities in general. This approach is especially pertinent to the unique mental health issues facing our communities. This model nicely complements the biopsychosocial model learned by mental health professionals during their formal training. Both models promote a comprehensive understanding of relevant problems. Together, these two models provide a strong foundation from which a mental health professional can build a career dedicated to improving mental health policy. The Fellowship encourages and challenges one to absorb, integrate, and formulate solutions to major issues. These issues are formidable, but the Fellowship teaches one that they are not insurmountable.

The knowledge acquired, the skills learned, and the confidence instilled has provided me with exciting opportunities to give back to the community and enhance my career. In the first twelve months since I completed the Fellowship, I have had the privilege of serving on several grant review committees for the NIH, conduct peer reviews for academic journals, participate in strategic planning to improve the mental health clinic of a local federally funded community health center, establish an alliance with a regional public mental health foundation, enhance the health disparities curriculum for the medical school of which I am a faculty member, and have been asked to join hospital policy committees usually reserved for more senior staff.

I feel these opportunities came to fruition because of the knowledge, skills, and confidence imparted by my education and fellowship experience. Therefore, I encourage all mental health professionals, who want to make a contribution to humanity, who want to further enlighten their fellow man, and who want to experience personal growth, to apply to the Fellowship. It can be the beginning of a wondrous journey.

The combination of the Fellowship and the Health Policy and Management Department of the Harvard School of Public Health showed me the value of and gave me the tools to pursue a future molding America's health policy. They exposed me to the importance of networking with and learning from experts already established in high places. They made me understand what leadership entails and that there is a leader in me. This experience will remain invaluable throughout my life.

"Knowing is not enough; we must apply. Willing is not enough: we must do." (Quote from Goethe printed in the 2002 Institute of Medicine's report Unequal Treatment: Confronting Racial and Ethnic Disparities in Healthcare.)