sisters mentally mobilized is project of the california

Sage Sistahs Mentally Mobilized: A Culturally-Responsive Community-Defined Evidence Based Practice for Promoting Mental Well-Being Amongst Older and Aging Black Women - Carlene A. Davis, MPA

Sisters Mentally Mobilized is project of the California Black Women’s Health Project

WELCOME TO OUR STORY

1

Our Beginnings | Our Legacy

u 1983 - National Conference on Black Women’s Health Issues

u 1994 – California Black Women’s Health Project became a local affiliate of theNational Black Women’s Health Project

WHO WE ARE

“We want women to speak to us, so they can speak

through us”

EQUITY

EMPOWERMENT

BLACK-WOMEN CENTERED

CHANGE

COLLABORATION

2

Serving Black Women: Our Approach

Training &CapacityBuilding

Outreach, Awareness&Community Education

Advocacy Collaboration

3

Sistahs Aging with Grace & Elegance

FinancialSecurity

Physical Health& Wellness

Mental Health &Wellness

Housing Security/Aging in Place

Community Support

Our Collaboration Model

4

Priority Areas of Service

Mental Health

Black Women's

Maternaland Reproductive

Health

Physical Health and

Wellness

Community, Domestic,and Interpersonal

ViolenceAging

Serving California’s1.2 million

Black Women &Girls

u Los Angeles Countyu Alameda County/Bay

Areau InlandEmpireu SacramentoCountyu Central Valley (on the

horizon)

5

California Reducing Disparities Project - PhaseII

• Office of Health Equity

• Prop. 63-funded initiative to identify promising practices, facilitate systems change, and put forwardrecommendations to address persistent disparities in historically underserved populations

• Priority Populations• African American; Asian and

Pacific Islander; Latino; Lesbian, Gay, Bisexual, Transgender, Queer, and Questioning; and Native American communities

CRDP Guiding Principles

6

ONTRACKProgram Resources

Statewide Evaluator: Psychology Appl ied Research Center @Loyola Marymount University

CDPH California Reducing Disparities Project Phase II Organizational Chart

Special Servicefor Groups (SSG)

UCD Centerfor Reducing Health

Disparities

Center for Applied ResearchSolutions

(CARS)

Pacific Institutefor Research and

Evaluation (PIRE)

AfricanAmerican

Imple

men

tatio

nPilo

tPro

jects

(IPPs

)

Asian and PacificIslander Latino LGBTQ Native American

TA P

rovid

ers (

TAP)

SWE

19

California Reducing Disparities Project Phase II Promising Practices Pilot

7

MH Issues Impacting Black Women

Ongoing stress & abuse

Shame &Fear Inordinate reliance on faith

Intergenerational Trauma

8

Psycho-social Stressors

uTHE “ISM” IMPACT:

Racism, Classism & Sexism

uVIOLENCE & TRAUMA:

Partner, Family & Community Violence

Ongoing Traumatic Stress

Adverse Childhood Experiences (ACES) – Impact of childhood abuse & neglect

Mental Health ResourceGaps

Lack of culturally competent licensed clinical practitioners& programs to support “good mental health” of Black women

Lack of properly trained community individuals

Severe lack of “good mental healthcare” based on cultural and spiritual beliefs

Absence of safe, caring, culturally responsive places to go for help (“safe spaces”)

Sisters Mentally Mobilized

9

Black-women centered, mental health PEI

initiative to reduce MH stigma, isolation, and

anxiety

Training 100 Blackwomen in 4 regions

(IE, Oakland/Bay Area, Sac, LA) as MH advocates,

and launch MHfocused Sister Circles

Vision: statewide network of circles connected to

CABWHP

Culturally Grounded

Activism Community Healing

PEI Component I:SMM - Advocate Training Program

10

SMM- ATP Program Design• Cohort Model (25 maximum)

• 8 – 10 Weeks

• Weekly/Bi-Weekly Sessions

• Facilitated by Community Healers, Community Advocates, Community Mental Health Specialists and Licensed Mental Health Professionals

• Culturally-Informed and Specific Mental Health Awareness and Advocacy Curriculum

SMM- ATP Curriculum Topics• Mental Health ”101”

• Social Determinants and Root Causes

• Family, Community, and Societal Triggers

• Link Between Mental and Physical health (hormones, role of nutrition)

• The Role & Impact of Spirituality and Religiosity

• Mind, Body, and Soul Connections

• Strategies for Stigma Identification and Reduction

• Mental Health Advocacy and Community Engagement

ATP – More Than Training

11

Sacramento ATP

Graduates

Inland Empire ATP

Graduates

PEI Component II:Sisters Mentally Mobilized – Sister Circles

Sisters Mentally Mobilized

Sisters Mentally Mobilized is a project of the California Black Women’s Health Project

12

PEI Component II: SMM Sister Circles

Safe Spaces

Pre-Cursor to traditional therapy

Platform for mobilization

“Sister circles are support groupsthat build upon existing friendships, fictive kin networks, and the sense of

community found among African-American females. Originally embedded in the Black club movement (Giddings 1984), sister circles have been a vital part of Black female life for the last 150 years…”

Neal-Barnett, et al. Sister Circles as a Culturally Relevant Intervention for Anxious African-American Women. Clinical

Psychology (New York). 2011 September; 18(3) 266-273

Evaluation Overview

13

State Wide Evaluator

Dr. Cheryl Grills, Director

Psychology Applied

Research Center (PARC)

The Culture CUBE

14

Capturing Our Stories

Authentic Evaluation: A Delicate Balance

Evaluation Methodologies

u Quantitative

uQualitative

15

Evaluation Framework

What Are We Trying to Capture?

Question #1

16

Question #2

Question #3

Question #4

17

Question #5

Cohort 1 Evaluation Results Inland Empire

Sisters Mentally Mobilized Inland Empire

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What Did We Measure? Knowledge

Stigma

Confidence

SatisfactionConnection

KNOWLEDGE

15-Item Pre-and-Post Questionnaire

19

RESULTS

On average, IE Sisters showed a 22% increase in knowledge

100%90%80%70%60%50%40%30%20%10%0%

% Correct Pre % Correct Post

STIGMA

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Measurement Tool

Measurement Tool

• Perceptions of what the public believes

• Personal Self-Perceptions

Personal Self-Perception Scenario

• Jackie, your neighbor, is a 35-year old single

woman with schizophrenia. Sometimes she

hears voices and becomes upset. She lives

alone in her apartment and works as a clerk at

a large law firm. She has been hospitalized six

times because of her mental illness.

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RESULTS

On average, IE Sisters showed a 15%

decrease in stigma in personal perceptions

Higher Score= Less Stigma

Pre-Score Post-Score Reductionin Stigma

Jackie will get better after treatment 6.9 8.2 19%Reduction

Jackie will benefit frommedication 7.8 8.2 6%Reduction

Jackie will benefit fromcounseling or psychotherapy 8.4 8.8 6%Reduction

Jackie will benefit fromliving independently 6.6 7.5 14%Reduction

Jackieshouldpursuebecominga homeowner 5.8 7.5 30%Reduction

Jackieshouldpursuea full-time job 7.3 8.1 10%Reduction

Jackiewill benefit frommaintaininga romanticrelationship 6.1 7.3 19%Reduction

Jackie would be acompetent parent 6.1 7.5 22%Reduction

Jackie will benefit fromtraveling 6.7 7.7 15%Reduction

Jackieshouldbeable to use firearms 3.6 5.0 40%Reduction

Jackiehas the capability to get a Bachelor’sdegree 8.1 9.1 13%Reduction

Jackiehas the capability to becomea lawyer 7.8 8.7 11%Reduction

Jackiehas the capability to becomean ordainedminister 7.8 8.7 10%Reduction

Jackie would benefit fromgetting/staying out of the hospital 6.5 8.0 23%Reduction

CONFIDENCE

22

How confident do you feel talking about mental illness to the following groups?

u Friendsu Family Membersu Neighborsu Colleagues at Worku Church Membersu Community

Membersu Strangersu Elected Officials

RESULTS

On average, IE Sisters showed a 21% increase in confidence to speak on mental health issues

On a Scale of 1-10, how confident do you feel talking about mental illness to the following groups?

10=Very Confident 1=Not At All Confident

Group

Avg.Confidence

Rating (Pre)

Avg.Confidence

Rating (Post)

% Change

Friends 8.15 9.77 21% increaseFamily

Members 7.75 9.77 26.1%increase

Neighbors 7.31 9.00 23.2%increaseWork

Colleagues 8.23 9.42 14% increase

Church Members 7.69 9.42 22.4%increase

Community Members 7.69 9.00 17% increase

Strangers 7.08 9.17 29.5%increaseElected Officials 7.54 9.08 20.4 %increase

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SATISFACTION:ATP Program Evaluation Summary

Participating in Sisters Mentally Mobilized (ATP) was worth the time I invested.

100%

Strongl y Agree Agree Somewhat Agree Disag ree Strongl y Di sag ree

Sisters Mentally Mobilized was a culturally affirming experience for me as a Blackwoman.

100%


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92%

As a result of participating in Sisters Mentally Mobilized, I have a greater understanding of the mental health risk factors and

symptoms affecting Black women and communities

8%


92%

As a result of participating in Sisters Mentally Mobilized, Ifeel more at ease to seek professional help for any mental health

concerns I may have ordevelop.

8%


92%

Because of Sisters Mentally Mobilized, I feel more empowered to address mental health stigma, anxiety,and

isolation in my family andcommunity.

8%


25

The Sisters Mentally Mobilized program staff, presenters, and facilitators were friendly,

welcoming, well-prepared and knowledgeable.

100%


The mental health topics and materials fromSisters Mentally Mobilized were presented in a way that was engaging and

relevant to me and/or the communities I careabout.

100%


92%

Through Sisters Mentally Mobilized, I was able to meet and make meaningful connections with other Black women.

8%


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Based on my experience participating in Sisters Mentally Mobilized, I will stay connected and involved by joining or

forming a Sisters Mentally Mobilized Sister Circle in my community.

100%


Image: www.sistercirclenoire.com

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http://www.sistercirclenoire.com/

Measurement Tool:TORI Group Self-Diagnosis Scale

Measurement Indicators

u Trustu Opennessu Realizationu Interdependence

Source: Angela Hsieh onPrezi

28

TORI Group Self-Diagnosis Tool 96-Item Questionnaire

Self Group

TORI RESULTS

Overall Scores in Each Dimension of the TORI Gibbs Self-Diagnostic

2.7

2.632.6

2.532.5

2.412.4

2.312.3

2.2

2.1

Trust Openness Realization InterdepenceNote: Scores range from 0-3 for each indicator and question. A higher score represents a higher level of trust in that dimension.

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2.55

2.32

2.44

2.632.6

2.55

2.5

2.45

2.4

2.35

2.3

2.25

2.2

2.15

2.7

2.65


Score of Self in Each Dimension of the TORI Gibbs Self-Diagnostic

2.3

2.39

2.2

2.3

2.4

2.1


Score of Group in Each Dimension of the TORI Gibbs Self-Diagnostic

2.72.63

2.6

2.512.5

Self vs. Groupin Each Dimension

2.63

2.55

2.32

2.63

2.39

2.302. 30

2. 20

2. 10

2.40

2.512. 50

2.44

2.60

2.70

Inte

rdep

ende

nce

Trust

Rea

lizat

ion

Ope

nnes

s

Inte

rdep

ende

nce

Trust

Rea

lizat

ion

Ope

nnes

s

Self Group

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Thank you!Carlene A. Davis, Evaluator [email protected]

Sonya Young Aadam,CEO [email protected]

31

mailto:[email protected]

mailto:[email protected]

sisters mentally mobilized is project of the california

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