Disparities & Cultural Competency (DACC) Advisory Committee

LEARNING SERIES: African American PopulationDate: Wednesday, February 11 2015Time: 9:00 a.m. – 12:15 p.m.

DISPARITIES AND CULTURAL COMPETENCY (DACC) ADVISORY COMMITTEE

LEARNING SERIES: African American Population

Craig Comedy OCPS-IIExecutive DirectorUrban Minority Alcoholism and Drug Abuse Outreach Programs of Franklin County Inc.(UMADAOPFC)

Gloria Walker PresidentNAMI-Urban Greater Cincinnati Network of Mental Illness

Robbie Brandon Founder and Executive Director of Sunlight Village

Raphael Weston

Upon attending the Learning Series, participants will be able to:

• Understand services being delivered in Ohio• Discuss existing service gaps and emerging access

barriers• Identify Best and Promising Practices improving

health equity

DISPARITIES AND CULTURAL COMPETENCY (DACC) ADVISORY COMMITTEE

LEARNING SERIES: African American Population

ODMHADS Mental Illness/Behavior Disorders

Learning Series 02/11/2015

ADDRESSING THE NEEDS AND CONCERNS OF THE AFRICAN

AMERICAN POPULATIONGloria Walker

NAMI Urban Greater Cincinnati Network on Mental Illness

PO Box 317792Cincinnati, OH 45231

ODMHADS MENTAL ILLNESS/BEHAVIOR DISORDERS LEARNING SERIES

• Objectives :– 1. understand services being delivered in Ohio.

• history and need for cultural sensitivity

– 2. existing service gaps and emerging access barriers• improved communication and community outreach

– 3. best/promising practices improving health equity• local agencies/Board

Scientific Racism

• Benjamin Rush, MD (1746- 1813),

• In1851, Dr. Samuel Cartwright – Drapetomia, or the disease

causing Negroes to run away, – Dysaethesia AethiopicaIn1895

• Dr. T. O. Powell, Superintendent of the Georgia Lunatic Asylum.

ODMHADS MENTAL ILLNESS/BEHAVIOR DISORDERS LEARNING SERIES

The Colored Hospital

• African-Americans were frequently housed in public places such as the poorhouse, jail or the insane asylum.

• One of the first patients admitted to the South Carolina Lunatic Asylum in1829 was a fourteen-year-old slave named Jefferson.

• In March1875, the North Carolina General Assembly appropriated $10, 000 to build the Eastern Asylum for the Colored Insane.

• Opened in1880 with accommodations for four hundred and twenty patients. – In1925, Junius Wilson, a seventeen-

year-old, deaf and mute black man was accused of rape, castrated and remanded for incarceration at Goldsboro by a" lunacy jury.

excerpted from: Vanessa Jackson, "In Our Own Voices: African American Stories of Oppression, Survival and Recovery in the Mental Health System", pp. 1-36, p. 4-8 http://www.mindfreedom.org/mindfreedom/jackson.shtm l(Last visited: March 20, 2002)(citations omitted)/-http:www. http://www.academic.udayton.edu/health/01status/mental01.htm

NAMI Urban Greater Cincinnati Network on Mental Illness

• I became an advocate, because when he first became symptomatic we had no access to information, education, resources or understanding of mental illnesses or the system of care.

• NAMI UGCNoMI came about because there was an unfilled need in the community.

• Background• I am Gloria Walker, Executive

Director and Co Founder of NAMI Urban Greater Cincinnati Network on Mental Illness (NAMI UGCNoMI.)

• I currently sit on NAMI and NAMI Ohio Boards

• I have been an advocate for years and credit my involvement for the success of my loved one living in their recovery with mental illness

NAMI Urban Greater Cincinnati Network on Mental Illness

NAMI UGCNoMI an affiliate of NAMI Ohio and of NAMI • Monthly meetings• Family 2 Family (evidenced based practice)• Sharing Hope (African American churches)• Partnerships (AKA, Red Cross, ReelAbilities Film Festival)• Community Outreach (events)

– Networking– Support

Agencies currently implementing services addressing the needs of the African American population are:• Central Community Health Board• Greater Cincinnati Behavior Health Services• Talbert House• Hamilton County Mental Health and Recovery Services Board• Summit Behavioral Health

Cultural Sensitivity

• Be Respectful• Listen• Be Understanding• Empathetic• Value the person

Access• Information

– Mental illness & behavior disorders

– options

• More evidenced based services

• Community outreach

Thank You

Providing Culturally Specific Services

Working in High-Risk African American communities:

Prepared for DACC Learning Series: African American Communities

Craig Comedy

UMADAOPFC

Using Prevention to Assess RiskIndividual:Risk: i.e. Negative self-concept, engaging in harmful behavior, drug/alcohol experimentation, poor school performance

Community:Risk: i.e. Economic and social deprivation, community not organized to combat drug abuse, high crime, high drug use, high access to alcohol and illegal drugs

Family:Risk: Unemployed/underemployed, drug use, low levels of monitoring, unclear expectations, low school involvement

School:Risk: High rate of academic failure, unhealthy school climate, low teacher expectations, teachers not culturally competent

Peer:Gang/criminal involvement, use drugs, poor school performance, violence, main source for advice and guidance

Society:Pro-use messages for specific groups, discrimination, negative imagery of group in the media,

Using Prevention to assess Protective Factors

Individual:Protective: i.e. Positive self concept, critical thinking skills, positive coping skills, involvement in healthy drug free activities

Community:Protective Factors: Support for youth, healthy drug free activities for youth, strong social networks, Church or organizational involvement

Family:Protective Factors: i.e. Spend quality time with children, High expectations for children, parents role modeling healthy behavior, value and encourage education,Involved in school

School:Caring teachers, counselors, and administratorsExpress high expectationsSupport parental involvement

Peer:Program member friendshipsPeer engagement in healthy activities, Peer success in education

Society:Societal support for members of the same cultural groupcommunity, city, and national role models

Developing a Plan with existing Resources:Inputs:

Culturally Specific Data and ResearchCulturally Competent StaffCulturally Specific programmingFundingPartners Serving communities

Outputs:

What we do:

Conduct:Life Skills classesParenting classesProvide:TutoringMentoring ServicesCase ManagementWrap Around Services

Who we reach:Youth (Criteria)Parents (of the Youth)

Outcomes:

Increased Protective Factors:

IndividualPeerFamilyCommunity

Building a relationship with the community is important!

Attend Community Meetings

Attend Community events

Build a relationship with providers serving the community

Build a relationship with community Leaders

Know where the risk and protective factors are located

Advocacy For Underserved PopulationsResearch and Data:

Underserved communities need population specific data

Underserved Communities need population specific research and curriculums

Legislation:

Underserved communities need legislative advocacy

Underserved communities need support from state agencies

Underserved communities need support from advocacy groups

Funding/ Funder Support

Funding needs to ensure it meets the needs of the diverse communities it is designed to serve

Funders need to have culturally competent staff who ensure funding requirements meet the needs of diverse populations

To create a viable and stable community serviceorganization within Montgomery County focused

on improving the mental health status ofour youth and young adults, while positively

impacting our community as a whole.

MISSION: To provide comprehensive youth and family-focused mental health services that promote healthy communities.

To soar as a kite, which is lifted by initiatives

that enhance wellness and empower youth and families.

We value & believe in…*Fostering excellence through quality service

delivery*The power of family, extended family and

community.

*Mental Health, wellness, recovery and dignity

*Faith, Hope and Trust

*Diversity and multicultural competency

*The well-being of our Youth and their Future!

VISION:

Who we are…Sunlight Village, Inc. is comprised of dedicated

mentaland physical health professionals, leaders,

educators andcommunity advocates who have been providing

serviceswithin Montgomery County since 2008.

We proudly opened our doors atThe Job Center Mall on April 29, 2013providing therapeutic and referral services to youth, young adults and their families.No youth or young adult is turned away

based on economic or social status!

Why we are here…Target Population: Transitional Age Youth / Adolescents beginning at age 14 onto early adult hood up to age 25.

According to the World Health Organization (WHO), mental health problems such as depression account for nearly half of all disability among young people between the ages of 10 and 24.

Mental illness is a common thread that binds youth and young adults to poor educational outcomes, increase incarcerations, violence, poverty & unemployment, poor health and poor outlooks on life.

More than 70% of youth in our juvenile justice System suffer with a mental, emotional and/or behavioral disorder.

Lack of Education and Awareness. › Future and current providers &

educators › Parents, guardians and caregivers › Youth and young adults › Churches and youth serving

organizations

Not enough organizations working together collectively to close gaps in services for youth and young adults.

To few programs addressing prevention and overall wellness.

Too few conversations with our African American youth and young adults and lack of data reflecting their needs & barriers.

What’s holding us back…

Where do we go from here…Comprehensive Programs and Services

Multi Generational Strategies

Economic Development for program sustainability and employment opportunities for our youth and young adults.

Data collection and maintenance

Community Collaboration

We must never lose sight of our Purpose!

Hope!

Conclusion…These plans will improve access and services for our transitional age youth, young adults and their families while helping us establish ourselves as true community partners.

We want to complement our communities existing services, providing positive options while connecting our participants to available resources in order to support constructive behaviors and optimistic life styles.

We want to make a footprint inour community that our youth will want to step into!

Our Children