(CRDP API-SPW) Updates: In Our Own Words CRDP Conference February - - PowerPoint PPT Presentation

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

Steering Committee

(Project Director, Statewide Facilitator, and 5 Regional Leads

Sacramento SAAC + 8 agency rep. Bay Area: CHAA + 14 agency rep. Central Valley: HHC + 6 agency rep. Los Angeles: APFC + 14 agency rep. San Diego / Orange County: UPAC + 7 agency rep.

Administrative Team (Project Director, Project Manager, Program Assistant)

Technical Support Team

Consulting and Advisory Group (Statewide Facilitator + other experts)

CRDP-API SPW Structure

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

• f working in the community

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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

• rganization

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.

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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

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H.E.C.T.E.R.R. Principle

Honor traditional value & life style Everyone has a voice Collaborative Transparency Empowerment Respect proper boundaries Recognize existing strengths

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Gradients of Agreement

Endorse Endorse

with minor point of contention

Agree

with reservations

Abstain Stand aside Disagree

but will support the majority

Disagree

and want

• ut from

implemen- tation

Can’t go forward

I like it Basically I like it I can live with it I have no

• pinion

I don’t like this, but I won’t hold up the group I want my disagreemen t recorded, but I’ll support the decision I won’t stop anyone else, but I don’t want to make this happen We have to continue the conversation CRDP API-SPW

PROJECT MILESTONES Laura Leonelli, M.A.

Regional Lead for Sacramento Executive Director Southeast Asian Assistance Center (SAAC)

10 . CRDP API-SPW

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: 1st statewide meeting in Pasadena

Team, consensus building Review of disparities

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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

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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

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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)

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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

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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)

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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

Focus Groups at a Glance:

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What Does “Being Well” Mean?

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Reasons For Not Feeling Well

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Signs of Not Being Well

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What Do You Do when Not Feeling Well?

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Places to Go When Not Well

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Barriers in Seeking Help

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What Services Do You Wish to Receive?

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CORE COMPETENCE WORKING WITH AANHPIs

Beatrice Lee, MPA

Regional Lead for Bay Area Executive Director Community Health for Asian Americans (CHAA)

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Core Competency – 3 Levels

System Agency Provider

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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

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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)

28

CRDP API-SPW

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

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Selection Criteria (2): Program Design and Evaluation

Program model Replicability Advocacy Capacity building Sustainability Accessibility Program evaluation/outcomes

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Selection Criteria (3): Agency Capacity

Staffing Staff training and development Organizational capacity

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Promising Program Selection

56 submissions 26 reviewers Each submission is reviewed by at least 3 reviewers Provide feedbacks Re-submission

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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

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Program/Strategy Submissions

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Program/Strategy Submissions:

Ethnicities Served

Iraqi Iu-Mien Japanese Korean Lao Mongolian Nepali Native Hawaiian Punjabi Samoan Thai Tibetan Tongan Vietnamese 1 4 2 8 4 1 2 1 2 2 2 1 2 14 Pan Asian Pacific Islander Southeast Asian South Asian Afghani Bhutanese Burmese Cambodian Chamorro Chinese Filipino Hmong Indian Irani 13 9 3 4 3 2 1 7 1 19 6 11 1 2

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Program/Strategy Submissions:

Ethnicities Served

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Program/Strategy Submissions: Age Groups Served

YOUTH (0-17) YOUNG ADULT (18-25) ADULT (26-55) OLDER ADULT (56+)

25 31 39 38

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Program/Strategy Submissions: Program Types

Problem Gambling Gender Faith-Based Integrated Care Violence Prevention Suicide Prevention Seniors Parent Youth Family AOD Prevention Support Services Training Consultation

3 1 5 4 8 3 6 5 13 7 5 26 3 16

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Program/Strategy Submissions: Program Types

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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

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RECOMMENDATIONS

• C. Rocco Cheng, Ph.D.

Project Director CRDP API-SPW

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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

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The Work Continues…

Coordination with CMMC & CRDP Writer On-going dialogue w/ESMs & Gov. rep.

How will the findings & recommendations be passed down to county level or translated into service programs

Bring the issue up to national level Set up an infrastructure to support the efforts in reducing disparities in AANHPI communities Phase 2 funding & program selection

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Comments and Dialogue

What did you see that you like? What do you think is missing? Constructive suggestions

CRDP API-SPW