California Reducing Disparities Project API Strategic Planning Workgroup (CRDP API-SPW) Updates: In Our Own Words CRDP Conference February 1, 2012 (Los Angeles, CA) CRDP API-SPW
Presented to you by the CRDP API-SPW Steering Committee Pacific Clinics: C. Rocco Cheng HHC (Central Valley): Susan Vang SAAC (Sacramento): Laura Leonelli NAAPIMHA (Facilitator): D.J. Ida UPAC (SD/OC): Dixie Galapon CHAA (Bay Area): Beatrice Lee APFC (Los Angeles): Terry Gock CRDP API-SPW
CRDP API-SPW STRUCTURE Susan Vang Regional Lead for Central Valley Collaborative Coordinator Hmong Health Collaborative (HHC) CRDP API-SPW
CRDP-API SPW Structure Consulting and Advisory Group (Statewide Facilitator + other experts) Administrative Technical Team Steering Committee Support (Project Director, (Project Director, Statewide Project Manager, Team Facilitator, and 5 Regional Program Leads Assistant) Sacramento Bay Area : Central Los San Diego / Valley : Angeles : Orange County : SAAC + 8 CHAA + 14 HHC + 6 APFC + 14 UPAC + 7 agency rep. agency rep. agency rep. agency rep. agency rep. CRDP API-SPW
Membership Composition Grass-root approach Utilizing and empowering existing local network Relatively small group size to enhance deeper discussion Discussion of regional issues Discussion of statewide implication Expanding existing network Statewide meetings to review issues Membership recruitment: Invite community experts with history of working in the community CRDP API-SPW
Membership Recruitment Principles Diversity & balance in region(s) Geography: 5 regions (north to far south; metro, suburb, rural) Age group: TAY to OA Ethnicity/cultural: Representation for the traditionally under-represented: Hmong, Pacific Islander, South Asian, LGBT, consumer organization Type of service provided: Mental health, physical health, social service, tutoring, interpreting service, faith based organization Size of agency: 3 to 250 (1,200) Local to national impact National networks: NNED, NAAPIMHA, NAPAFASA etc. CRDP API-SPW
Ground Rules to Enhance Communication Strength-Based Positive Agreed ground rules for effective communication H.E.C.T.E.R.R. Principle Gradients of Agreement CRDP API-SPW
H.E.C.T.E.R.R. Principle H onor traditional value & life style E veryone has a voice C ollaborative T ransparency E mpowerment R espect proper boundaries R ecognize existing strengths CRDP API-SPW
Gradients of Agreement Can’t go Endorse Endorse Agree Abstain Stand Disagree Disagree with minor with but will and want aside forward point of reservations support the out from contention majority implemen- tation I don’t like I won’t stop I like it Basically I I can live with I have no I want my We have to like it it opinion this, but I disagreemen anyone else, continue the won’t hold up but I don’t t recorded, conversation but I’ll the group want to make support the this happen decision CRDP API-SPW
PROJECT MILESTONES Laura Leonelli, M.A. Regional Lead for Sacramento Executive Director Southeast Asian Assistance Center (SAAC) CRDP API-SPW . 10
Milestones (1) Summer, 2009 PD visiting agencies and soliciting collaboration Fall, 2009 Notice of award December, 2009 First Steering Committee retreat for planning March, 2010 Contract executed March to May, 2010: regional meetings May, 2010: 1 st statewide meeting in Pasadena Team, consensus building Review of disparities CRDP API-SPW 11
Milestones (2) Summer, 2010 Focus group facilitator training (n=7) 23 focus group in five regions Fall, 2010 Review of focus group findings Winter, 2010 Discussion of core competency Spring, 2011 Discussion of promising program selection criteria Summer, 2011 Promising programs/strategies submission & review Fall, 2011 56 promising programs and strategies Winter, 2011 Integration of project findings CRDP API-SPW 12
Milestones (3) Summer, 2011 Promising programs/strategies submission & review Development of submission criteria Development of review criteria Recruitment of reviewers: 23 + 3 Fall, 2011 56 promising programs Winter, 2011 Integration of project findings CRDP API-SPW 13
DISPARITIES IN THE AANHPI COMMUNITIES D.J. Ida, Ph.D. API-SPW Statewide Facilitator Executive Director National Asian American Pacific Islander Mental Health Association (NAAPIMHA) CRDP API-SPW
Disparities in the API Community Lack of access to care and support for access to care Lack of availability of culturally appropriate services Lack of quality of care Language barrier Lack of data and outcome evaluation Stigma and lack of awareness and education on mental health issues Workforce shortage CRDP API-SPW
FOCUS GROUP FINDINGS Dixie Galapon, Ph.D. Regional Lead for San Diego/Orange County Director of Mental Health Services Union of Pan Asian Communities (UPAC) CRDP API-SPW 16
Focus Groups at a Glance: Total: 22+1 groups, 195+3 Participants Group Size: 5 to 12; Average Size: 9/group Female: 115 +3 Male: 80 Under 18: 13 19-25: 27 26-59: 118 60+: 40 CRDP API-SPW
What Does “Being Well” Mean? CRDP API-SPW
Reasons For Not Feeling Well CRDP API-SPW
Signs of Not Being Well CRDP API-SPW
What Do You Do when Not Feeling Well? CRDP API-SPW
Places to Go When Not Well CRDP API-SPW
Barriers in Seeking Help CRDP API-SPW
What Services Do You Wish to Receive? CRDP API-SPW
CORE COMPETENCE WORKING WITH AANHPIs Beatrice Lee, MPA Regional Lead for Bay Area Executive Director Community Health for Asian Americans (CHAA) CRDP API-SPW 25
Core Competency – 3 Levels System Agency Provider CRDP API-SPW
Core Competency 8 Categories: Professional skills Linguistic capacity Culture-specific considerations Community relations and advocacy Flexibility in program design and service delivery Data collection and research Use of media Capacity building CRDP API-SPW
SELECTION CRITERIA FOR PROMISING PROGRAMS AND STRATEGIES Terry S. Gock, Ph.D., MPA Regional Lead for Los Angeles Divisional Director Asian Pacific Family Center (APFC) CRDP API-SPW 28
Selection Criteria (1): Program Design Goals/Objectives PEI specific Focus on addressing API community defined needs Addressing culture/population specific issue Community outreach and engagement CRDP API-SPW 29
Selection Criteria (2): Program Design and Evaluation Program model Replicability Advocacy Capacity building Sustainability Accessibility Program evaluation/outcomes CRDP API-SPW
Selection Criteria (3): Agency Capacity Staffing Staff training and development Organizational capacity CRDP API-SPW
Promising Program Selection 56 submissions 26 reviewers Each submission is reviewed by at least 3 reviewers Provide feedbacks Re-submission CRDP API-SPW 32
Initial Statistics of the Promising Programs 4 categories Existing program with promising results Existing program w/ established effectiveness Innovative strategies/programs Recognized programs by other groups CRDP API-SPW
Program/Strategy Submissions CRDP API-SPW
Program/Strategy Submissions: Vietnamese 14 Irani 2 Tongan Indian 2 1 Tibetan Hmong 11 1 Ethnicities Served Thai Filipino 2 6 Samoan Chinese 19 2 Punjabi Chamorro 2 1 CRDP API-SPW Native Hawaiian Cambodian 1 7 Nepali Burmese 2 1 Mongolian Bhutanese 1 2 Lao Afghani 4 3 Korean South Asian 8 4 Japanese Southeast Asian 2 3 Iu-Mien Pacific Islander 4 9 Iraqi 13 Pan Asian 1
Program/Strategy Submissions: Ethnicities Served CRDP API-SPW
Program/Strategy Submissions: Age Groups Served YOUTH YOUNG ADULT ADULT OLDER ADULT (0-17) (18-25) (26-55) (56+) 25 31 39 38 CRDP API-SPW
16 Consultation Program/Strategy Submissions: Training 3 26 Support Services AOD Prevention 5 Program Types Family 7 13 Youth CRDP API-SPW Parent 5 Seniors 6 Suicide Prevention 3 Violence Prevention 8 Integrated Care 4 Faith-Based 5 Gender 1 Problem Gambling 3
Program/Strategy Submissions: Program Types CRDP API-SPW
Examples of Promising Strategies IMPACT: youth leadership SITIF: parenting Sisterhood: gender spec. outreach Saving Earth & Healing Hearts: faith based Fu Yau: 0-5 school consultation From Killing Fields to Growing Gardens: community gardening CRDP API-SPW
RECOMMENDATIONS C. Rocco Cheng, Ph.D. Project Director CRDP API-SPW CRDP API-SPW 41
Preliminary Findings Culturally/linguistically responsive strategies are critical in reaching out & serving AANHPI communities Important to integrate community resources and strengths Consideration of traditional healing and spiritual frame work Great disparities experienced by the AANHPI communities Need as much disaggregated data as possible On going training / TA for providers (API or not) The need to build capacity in the community, including infrastructural support Need to continue to validate some of these promising programs CRDP API-SPW
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