Stacie Bables, 1967-2015

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stacie bablesby Octavio N. Martinez, Jr.

Our friend and colleague Stacie Bables passed away on Sunday, April 5th, after a long fight with ovarian cancer. Stacie, who joined the foundation in 2006 as assistant director of finance and operations, always called us her “Hogg family,” and the feeling was entirely mutual.

She was a loving, intelligent, funny, forceful, phenomenal woman, and it was a gift for us to have the time with her that we did. We’ll miss her.

Funeral services will be held at Mount Sinai Missionary Baptist Church in Austin, at 11 a.m. on Saturday, April 11. There will also be a reception with food after the service. Here’s a link to directions: Dr. Lynda Frost, director of planning and programs, will say a few words on behalf of the Hogg Foundation.

Along with her work for Hogg, her family, friendships, and faith were important to her. She served on the advisory council of Mount Sinai Christian Academy, along with numerous other volunteer and community service activities.

Here is her obituary in the Waco Tribune. Here’s a 2010 staff profile that gives an idea of what made her special. We were delighted that she was able to grace us with her presence one more time, at her birthday celebration on March 27. It was like old times.

For those who would like to do something on a personal level, Stacie’s family is requesting that donations be made in memory of Stacie to the Mount Sinai Christian Academy ( or to the American Cancer Society (

We’ll miss you, Stacie.

Hogg Foundation Commended in Senate Resolution

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Dr. Martinez and Sen. Zaffirini

We are incredibly excited to announce that on Mar. 17, 2015, the Hogg Foundation was officially commended in a Texas Senate resolution (SR 267) commemorating our 75th anniversary and recognizing the foundation’s contributions to Texas mental health since its inception 75 years ago. The measure was sponsored by Sen. Judith Zaffirini, a longtime friend of the foundation whose work on behavioral health issues (see here and here for examples of her legislative record) has advanced the cause of creating a more effective and person-centered mental health care system for the great state of Texas.

Video of the great moment can be found on this page. Scroll to about the 10:20 mark to see Sen. Zaffirini announce the resolution, followed by a brief shot of Hogg Foundation staff members basking in the warm recognition in the Senate gallery. The full text of the resolution can be found here.

We would like to express our gratitude to Sen. Zaffirini for this tremendous honor!

The Health Cost of Aging in America

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1/2 youthful face and 1/2 elderly face, juxtaposedby Rick Ybarra

There is much attention given to older Americans and health care, and countless sources of information on the topic. A foundation colleague recently sent me this infograph published by the Milken Institute School of Public Health at George Washington University. It is one of the best illustrations I have seen to date on the financial impact of America’s aging demographic. Definitely worth a look.

There’s an expression, “The Silver Tsunami is coming!” I beg to differ: it is here! Are we prepared to address the current and future health care needs of our aging community?

Engagement Report 2014

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engagement report cover

The Hogg Foundation’s Engagement Report 2014 is now hot off the presses! The Engagement Report is our biannual update on some of the most noteworthy developments in the recent life of the foundation, our grant activities, strategic priorities, and recent milestones and achievements. The current edition is quite a stylistic departure, featuring gorgeous photographs by veteran Texas photographer Wyatt McSpadden, an essay on the history of the foundation by William S. Bush, and a pair of essays by our communications director, Daniel J. Oppenheimer, that tell the story of the foundation’s recent strategic turn toward consumer- and recovery-oriented grantmaking. With this mixture of information, visuals, and storytelling elements, this edition of the Engagement Report has something for everyone.

The full Engagement Report can be downloaded here.

The following is a reproduction of the introductory essay by Dr. Octavio N. Martinez, Jr., executive director of the Hogg Foundation.


by Octavio N. Martinez, Jr.

Dear Friends and Colleagues,

75 years ago, when Ima Hogg devoted her brother Will’s legacy to establishing the Hogg Foundation for Mental Health, she had a simple but profound vision of the kind of future she hoped the foundation would help bring into existence.

It was a future in which people with mental health challenges would be treated with respect and dignity, and mental health would be seen as indivisible from all other aspects of a flourishing and healthy life.

Over the decades, Texas has come some distance toward realizing that vision, in no small part thanks to the work the Hogg Foundation and its allies have done.

There’s still a long way to go, however, and it’s a testament to the farsightedness of Miss Ima’s vision that the future we’re hoping to achieve, from our vantage point in the second decade of the 21st century, looks very much like the one she envisioned at our founding.

At the heart of our vision, as we see it now, is a person, family, and community-centered mental health care system in which:

  • Voices of consumers and their families are at the center of the conversation.
  • Recovery and wellness are the goal for everyone.
  • Physical and mental health are treated as indivisible aspects of the whole person.
  • Health equity, and cultural and linguistic competency, are the rule rather than the exception.

These aren’t the words Miss Ima would have used in 1940. Nor should they be, if we aspire to be as innovative and far-seeing in our time as Miss Ima was in hers. Yet they remain in the spirit of what she lived, believed and worked toward. And our commitment, to serving the people of Texas, remains inspired by her lifetime of dedication.

In this engagement report, we’re exploring that tension—between our origins, our evolution, and our future—in two ways.

One is through the lens of our 75th anniversary, and its theme of Past, Present, and Future. The past is represented by an essay from historian William S. Bush, on the founding vision of the Hogg Foundation.

The present is alive in the extraordinary portraits of our grantees shot by photographer Wyatt McSpadden, who has been documenting the soul of Texas for more than three decades.

And we peer into the future with current and former members of our National Advisory Council, who give us their take on the future of mental health in America.

Our other approach in this report is to take a deeper look at one particular facet of how the Hogg Foundation has evolved over the past few years, in rather unexpected ways. We do this through a feature on how the hiring of our two consumer and family liaisons, Tammy Heinz and Stephany Bryan, has helped locate the consumer voice, and the principles of recovery, right at the heart of everything the foundation does.

As you read through the report, I hope you’ll get a better sense of who we are, what we’re doing, and why it’s been such a privilege and honor for me personally to serve as executive director of the Hogg Foundation for the past six years.

I also hope you’ll be inspired to become an ally of ours, if you’re not one already, in the ongoing effort to bring into being the Texas that Miss Ima envisioned all those years ago.

Best regards,


Dr. Octavio N. Martinez, Jr.,
Executive Director
Hogg Foundation for Mental Health

Dr. Martinez On Solitary Confinement

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Dr. Martinez
Dr. Octavio N. Martinez

In recent days, there have been a number of news stories on the use of solitary confinement in the criminal justice system. The brunt of the news coverage strongly suggests that policymakers are beginning to reconsider the widespread use of this psychologically debilitating punitive practice. Now, our own Dr. Octavio N. Martinez, Jr., executive director of the Hogg Foundation, has weighed in with an important op-ed in the Houston Chronicle that we hope gets wider attention. A highlight:

Prisoners with mental illness are especially ill-served by solitary confinement. As a psychiatrist, and the executive director of a mental health foundation, I find it hard to imagine a worse prescription for those with mental illness than to put them in the most haunting and psychologically oppressive spaces in the already destabilizing context of incarceration. It’s a recipe for further trauma and psychological disintegration.

With the 84th Texas Legislature now in session, we can think of no better time to try to influence the public discussion around this important issue. Give the op-ed a look, and let us know what you think!

The Cost of Care: Your Money or Your Life!

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bar graph illustration of climbing costs

by Rick Ybarra


Now that I have your attention!

The Dallas Morning News article included in the Feb. 2, 2015 Mental Health Daily titled, “Cost of Care: The U.S. health care system is bleeding green” is an excellent read! Two compelling graphs (continuous rise in health care costs 1999 to 2014; 2013 per capita health care spending in developed countries) illustrate that the current financing model used to pay for health care in the U.S. (news flash!) is not only expensive but simply unsustainable.

We collectively spent just under $3 trillion for health care in 2013, translating to a cost of $9,255 per person. It is estimated that health care spending accounts for 17.4 percent of the nation’s economy.

Why? Well, there are lots of factors in play, but one of the main reasons is that our prices are so much higher — hospital costs, overhead, doctor’s visits, medications, medical devices, and salaries of health care professionals, particularly specialty providers. The other key factor is that we are in worse shape than previous generations. Our diets contribute to chronic health conditions such as obesity, diabetes and hypertension. Smoking and excessive use of alcohol also play a role. Place matters. People are living longer, with worse health. And let’s not forget the Social Determinants of Health!

How did it all start? The article takes us through a brief history of how and where it all started, from the beginning of hospital insurance to health insurance to the 2010 Patient Protection and Affordable Care Act (ACA). Interesting history to familiarize yourself with.

The ACA intends to provide a health insurance safety net for the uninsured and underinsured, many of whom have multiple chronic health conditions. We often hear, “they just need to pick themselves up by their own bootstraps (Texas talk).” That can work – provided you have boots, much less boots with straps!

We have been paying (yes, all of us) all along for persons with chronic health conditions to access health care who have no means to pay for it. It contributes to the rise of health care premiums for those of us fortunate enough to have health plans, access to a network of providers, and the financial ability to manage the co-pay. The saying,”If we don’t pay (invest) now, we’ll pay later,” never rang so true.

The article accurately points out that most of what we pay health care providers relies on a business model known as fee-for-service. Each provider or practitioner is paid on the basis of services rendered. It’s a system that has been called into question most recently because it creates an incentive to provide more care and often unnecessary care. Think about it: which provider stands to earn more, the one who sees you three times a year for a health condition, or the one who sees you three times a month (36 visits a year) for the same health condition? Which one costs more?

Policy implications are highlighted in the article. Many folks, due to high deductibles or inability to make the co-pay, are putting off until tomorrow what should be checked today. Could this mean higher expenses down the road? Of course, if you’re lucky enough to survive it.

In the months ahead, the “Cost of Care” authors will examine more closely the factors driving the cost of care and the exciting financing experiments and innovations happening around the country in an effort to contain and control health care costs. I’ll be on the lookout for the next article. I hope you will too.

Hogg Hosting Public Forum on Violence Prevention

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Hogg Luncheon e-viteThe Hogg Foundation is excited to announce that, on February 5, 2015, we are hosting a public forum: “How the Public Mental Health System Can Help Prevent Violent Tragedies.” The featured speaker is Dr. Joel Dvoskin, a forensic and clinical psychologist and a nationally known expert on the relationship between mental illness and violence. He is also the lead editor of Using Social Science to Reduce Violent Offending, which recently won the American Psychology-Law Society’s 2013 Book Award. Dr. Dvoskin is a strong advocate for taking a public health approach to violence prevention, one that addresses the root causes of the problem without needlessly stigmatizing persons with mental illness.

Here’s information about the event:

“How the Public Mental Health System Can Help Prevent Violent Tragedies”
Thursday, February 5, 2015
2:30 – 4 p.m.
Texas Capitol • 1100 Congress Avenue • Austin, Texas 78701
Legislative Conference Center, Room E 2.002

We will also be live streaming the event on our YouTube page. To view the live stream go to: The live stream starts at 2:30 p.m., Central Time.

The forum is free and open to the public, but due to limited space, registration is required. Please RSVP to
Light refreshments will be served. For more information, contact Colleen Horton at
(512) 471-2988 or

Hope to see you there!