California Reducing Disparities Project API Strategic Planning Workgroup

(CRDP API-SPW)

Updates: In Our Own Words

CRDP ConferenceFebruary 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 approachUtilizing and empowering existing local network

Relatively small group size to enhance deeper discussionDiscussion of regional issuesDiscussion of statewide implication

Expanding existing networkStatewide 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 OAEthnicity/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-BasedPositive

Agreed ground rules for effective communication

H.E.C.T.E.R.R. PrincipleGradients of Agreement

CRDP API-SPW

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

Honor traditional value & life styleEveryone has a voiceCollaborativeTransparencyEmpowermentRespect proper boundariesRecognize existing strengths

CRDP API-SPW

Gradients of Agreement

Endorse Endorsewith minor

point of

contention

Agree with

reservations

Abstain Stand

aside

Disagreebut will

support the

majority

Disagreeand want

out from

implemen-

tation

Can’t go

forward

I like it Basically I

like it

I can live with

it

I have no

opinion

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 SacramentoExecutive Director

Southeast Asian Assistance Center(SAAC)

10.CRDP API-SPW

Milestones (1)Summer, 2009

PD visiting agencies and soliciting collaboration

Fall, 2009Notice of award

December, 2009First Steering Committee retreat for planning

March, 2010Contract executed

March to May, 2010: regional meetingsMay, 2010: 1st statewide meeting in Pasadena

Team, consensus buildingReview of disparities

11CRDP API-SPW

Milestones (2)Summer, 2010

Focus group facilitator training (n=7)23 focus group in five regions

Fall, 2010Review of focus group findings

Winter, 2010Discussion of core competency

Spring, 2011Discussion of promising program selection criteria

Summer, 2011Promising programs/strategies submission & review

Fall, 201156 promising programs and strategies

Winter, 2011Integration of project findings

12CRDP API-SPW

Milestones (3)

Summer, 2011Promising programs/strategies submission & reviewDevelopment of submission criteriaDevelopment of review criteriaRecruitment of reviewers: 23 + 3

Fall, 201156 promising programs

Winter, 2011Integration of project findings

13CRDP API-SPW

DISPARITIES IN THE AANHPI COMMUNITIES

D.J. Ida, Ph.D.

API-SPW Statewide FacilitatorExecutive 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 careLack of availability of culturally appropriate servicesLack of quality of careLanguage barrierLack of data and outcome evaluationStigma and lack of awareness and education on mental health issuesWorkforce 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)

16CRDP API-SPW

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:

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 AreaExecutive Director

Community Health for Asian Americans (CHAA)

25

CRDP API-SPW

Core Competency – 3 Levels

System

Agency

Provider

CRDP API-SPW

Core Competency8 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 buildingCRDP 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)

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

29CRDP API-SPW

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

32

CRDP API-SPW

Initial Statistics of the Promising Programs

4 categoriesExisting 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:Ethnicities Served

Iraqi

Iu-M

ien

Japan

ese

Ko

rean

Lao

Mo

ngo

lian

Ne

pali

Native

Haw

aiian

Pu

njab

i

Samo

an

Thai

Tibetan

Ton

gan

Vietn

ame

se

1 4 2 8 4 1 2 1 2 2 2 1 2 14

Pan

Asian

Pacific Islan

de

r

Sou

the

ast Asian

Sou

th A

sian

Afgh

ani

Bh

utan

ese

Bu

rme

se

Cam

bo

dian

Ch

amo

rro

Ch

ine

se

Filipin

o

Hm

on

g

Ind

ian

Irani

13 9 3 4 3 2 1 7 1 19 6 11 1 2

CRDP API-SPW

Program/Strategy Submissions:Ethnicities Served

CRDP API-SPW

Program/Strategy Submissions:Age Groups Served

YOUTH

(0-17)

YOUNG ADULT

(18-25)

ADULT

(26-55)

OLDER ADULT

(56+)

25 31 39 38

CRDP API-SPW

Program/Strategy Submissions:Program Types

Pro

ble

m G

amb

ling

Ge

nd

er

Faith-B

ased

Inte

grated

Care

Vio

len

ce P

reven

tion

Suicid

e P

reven

tion

Sen

iors

Pare

nt

You

th

Family

AO

D P

reven

tion

Sup

po

rt Service

s

Trainin

g

Co

nsu

ltation

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

CRDP API-SPW

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

41

CRDP API-SPW

Preliminary FindingsCulturally/linguistically responsive strategies are critical in reaching out & serving AANHPI communitiesImportant 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 possibleOn 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

The Work Continues…

Coordination with CMMC & CRDP WriterOn-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 levelSet up an infrastructure to support the efforts in reducing disparities in AANHPI communitiesPhase 2 funding & program selection

CRDP API-SPW

Comments and Dialogue

What did you see that you like?

What do you think is missing?

Constructive suggestions

CRDP API-SPW