New Human Services Approach Focuses on 10 Critical Services; 50% of New Mexico Participants Report Trouble Accessing Programs

The 100% New Mexico Initiative is a community-led, data-driven collective impact approach to ensure that all New Mexicans have access to 10 vital services needed to survive and thrive. Supported by the New Mexico legislature since 2019, the model was developed by the Anna, Age Eight Institute at New Mexico State University and operates in 17 of New Mexico’s counties. Local communities are guided by a seven-step process to survey community members, assess results, and target evidence-informed solutions to resolve barriers to all community members accessing vital services. The model was designed to alleviate adverse childhood experiences by targeting root causes by ensuring that all people have equitable access to services. 100% New Mexico is designed to develop leaders who have the skills and resources necessary to advocate with decision makers about the fundamental rights of children and families. This research brief series describes the collective impact approach, a method to evaluating progress, and results from the first set of counties who surveyed 5,573 local community members about barriers to accessing vital services.  

What We Did

The evaluation supported development of common performance indicators of the data-driven collective impact model. These performance indicators will be used as both feedback for Continuous Quality Improvement, and as indicators of model fidelity that will later be linked with child, family, and community outcomes. The Quarterly Update Tool was developed with local communities and informed by critical components of collective impact.  

We analyzed data from the 100% Community Survey at a statewide level to describe community members’ experiences needing and having difficulty accessing the 10 vital services for surviving and thriving. Chapin Hall will continue to support the Anna, Age Eight Institute by conducting evaluation of the model and its impact using a community-engaged mixed methods design.  

What We Found

  • Robust Implementation Support: Communities are being provided a robust set of resources using a variety of mechanisms to support local implementation of 100% New Mexico. Offerings by the Anna, Age Eight Institute center on building skills for 100% Community Coalition development; conducting the 100% Community Survey; building keystone projects such as the 100% Family Center by providing pilot resources; choosing evidence-based solutions; and technical assistance for developing a services directory.  
  • Community-Driven Roll-Out: An initiative to disrupt long-standing health disparity patterns by trusting the voices of community is necessarily developmental and collaborative, incorporating community innovations to supplement established implementation infrastructure. For example, while not originally envisioned, book clubs and mural projects are now core model elements alongside critical components of collective impact.  
  • Significant Barriers to Vital Services:  Measures of social determinants of health (SDOH) available in the U.S. are predominantly indices of existing community-level metrics such as the number of licensed child care centers in a community. The 100% Community Survey fills a gap by engaging the community to assess and design solutions specific to local barriers, while also strengthening local initiative members’ relationships with decision makers who can act at a broader scale. The first round of 100% Community Surveys revealed that nearly 50% or more of surveyed community members experienced difficulty accessing affordable housing, public transportation, behavioral health care, school-based mental health services, and job training services.  

What It Means

The Anna, Age Eight Institute is well on its way to establishing evidence that the resources developed and provided to implement 100% New Mexico contribute to measurable differences in the structure and capacity of local services. Outputs from the model so far indicate new or updated community service directories and new services or ways of collaborating across sectors. Communities have already or will be re-administering the 100% Community Survey as an indicator of change in service access at the individual level. Communities also develop and implement evaluation plans as part of 100% New Mexico. Approaching its fourth implementation year, our research points to 100% New Mexico’s accomplishments as creating substantial state and local infrastructure and rolling out multiple specific tools and trainings to support county coalition partners. 

Brief 1: Why Assess Social Determinants of Health?
Brief 2: Roll-out of Local Collective Impact
Brief 3: Assessing Magnitude of Adverse Social Determinants of Health