Champions for HealthChampions for HealthGalveston CountyGalveston County

David Mitchell, Director of Program & Services (Jesse Tree)Johnnie Moses, Chairman of Champions for Health

www.jessetree.net

P.O. Box 575Galveston, Texas 77553

409-762-2233dmitchel@jessetree.net

"A shoot will come up from the stem of Jesse; from his roots a branch will bear fruit." Isaiah (11:1)

This Time… This Time… It’s about You!It’s about You!

Champions for HealthChampions for HealthGalveston CountyGalveston County

Men’s HealthMen’s Health

Prostate Cancer Death Rates by Race/Ethnicity in Men Aged 45 and Above

Making an Informed Making an Informed DecisionDecision

The Screening DilemmaThe Screening Dilemma

Do I know the potential benefits?

Do I know the potential harms?

Do I know the likelihood of

various outcomes?

Do I know the potential

consequences of my decisions?

Steps that lead to an Steps that lead to an “Informed Decision”“Informed Decision”

Get the facts – balanced information Get the facts – balanced information (pros and cons)(pros and cons)

Talk with your doctorTalk with your doctor Ask questionsAsk questions Discuss with family and othersDiscuss with family and others Make an informed decisionMake an informed decision

Champions for HealthChampions for Health

MissionMissionTo promote prostate cancer awareness, To promote prostate cancer awareness, informed decision making and men's informed decision making and men's health issues in Galveston County. health issues in Galveston County.

Began in August 2007Began in August 2007 Over 500 men and women have Over 500 men and women have

received information, services and received information, services and referralsreferrals

Areas in Need of Areas in Need of Prostate Cancer ScreeningProstate Cancer Screening

*Map provided by the National Cancer Institute

Champions for Health - Champions for Health - PartnersPartners

Galveston communityGalveston community The Jesse TreeThe Jesse Tree Texas AgriLife Extension ServiceTexas AgriLife Extension Service National Cancer Institute's Cancer National Cancer Institute's Cancer

Information ServiceInformation Service American Heart AssociationAmerican Heart Association St. Vincent's HouseSt. Vincent's House College of the MainlandCollege of the Mainland Us Too!Us Too! BarbersBarbers OthersOthers

Champions for Health - Champions for Health - ActivitiesActivities

Trained approx. 22 “Champions”Trained approx. 22 “Champions” Prostate cancer presentation developedProstate cancer presentation developed Educational flyer createdEducational flyer created ““This Time…It’s about You!” campaignThis Time…It’s about You!” campaign Presentations at community events and churchesPresentations at community events and churches Prostate Cancer event at the College of the MainlandProstate Cancer event at the College of the Mainland Prostate cancer screenings (150+ men) – Feb 2008Prostate cancer screenings (150+ men) – Feb 2008 Hosting a satellite teleconference on Men's Health Hosting a satellite teleconference on Men's Health

Disparities (UNC) – June 2008Disparities (UNC) – June 2008 Initiating Statewide Network for groups involved in Initiating Statewide Network for groups involved in

prostate cancer awareness and education – June 2008prostate cancer awareness and education – June 2008

Champions for Health - Champions for Health - ResourcesResources

Socio-ecological ModelSocio-ecological Model

Chapter 6: Wisewoman in a Broader Context – North Carolina

Champions for Health – Champions for Health – Individual LevelIndividual Level

Informed Decision MakingInformed Decision Making Understanding the nature and risks of prostate cancerUnderstanding the nature and risks of prostate cancer Understanding risks, benefits, and alternatives to Understanding risks, benefits, and alternatives to

screening screening Participating in decision making at desired levelParticipating in decision making at desired level Making decisions consistent with preferences and Making decisions consistent with preferences and

values values Or, deferring the decision to a later time Or, deferring the decision to a later time

Champions for Health – Champions for Health – Interpersonal LevelInterpersonal Level

““Champions” or advocates – educate Champions” or advocates – educate community in group or one-on-one community in group or one-on-one settingssettings

Educate women in the community - Educate women in the community - facilitators of health decisions or “cues to facilitators of health decisions or “cues to action” for menaction” for men

Champions for Health – Champions for Health – Community LevelCommunity Level

CoalitionCoalition developed developed Initiated statewide Prostate Cancer Education Initiated statewide Prostate Cancer Education

Network (2008)Network (2008) Developed “This Time…It’s About You” Developed “This Time…It’s About You”

campaign – flyers and PSAcampaign – flyers and PSA

Champions for Health – Champions for Health – Organizational LevelOrganizational Level

The Jesse Tree – provides case The Jesse Tree – provides case management services to connect people to management services to connect people to a medical homea medical home Barbershop – system to educate men on Barbershop – system to educate men on health issueshealth issues

Champions for Health – Champions for Health – Policy LevelPolicy Level

Follow-up and treatment (system of care) Follow-up and treatment (system of care) has to be in place has to be in place prior prior to any education to any education or promotion of screening opportunitiesor promotion of screening opportunities

Referral system built into screening Referral system built into screening opportunityopportunity

Things to considerThings to consider

Putting referral systems in place (screening Putting referral systems in place (screening services, follow-up and treatment) prior to services, follow-up and treatment) prior to education and campaignseducation and campaigns

Identify existing materials firstIdentify existing materials first Consistent messagesConsistent messages Short, concise messagesShort, concise messages Prostate Cancer presented as a Prostate Cancer presented as a partpart of the of the

larger Men’s Health conceptlarger Men’s Health concept Training your partners, speakers and other Training your partners, speakers and other

team membersteam members

“Never doubt that a small group of people can change the world. Indeed, it is the only thing that ever has.”

~Margaret Mead

“Yes we can!”

~Barack Obama

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Questions?Questions?

www.jessetree.net

There is also a video concerning There is also a video concerning Champions for Health on our Champions for Health on our

website under Program & Services.website under Program & Services.

www.jessetree.net

Lineberger Comprehensive Cancer Center. University of North Carolina Lineberger Comprehensive Cancer Center. University of North Carolina at Chapel Hill School of Public Health.at Chapel Hill School of Public Health. North Carolina Cancer North Carolina Cancer Understanding Today Study (NC CUTS). Understanding Today Study (NC CUTS). Presentation.Presentation.

McCormack, et al.McCormack, et al. Promoting Informed Decision Making About Prostate Promoting Informed Decision Making About Prostate Cancer Screening. Cancer Screening. Presentation. CDC funded project.Presentation. CDC funded project.

Prostate Cancer Screening: A Decision Guide for African Americans Prostate Cancer Screening: A Decision Guide for African Americans (CDC)(CDC)

River, Brian (2006). River, Brian (2006). Addressing Prostate Cancer among African Addressing Prostate Cancer among African Americans: Time for a New Approach. Americans: Time for a New Approach. Presentation.Presentation.

Rivers, Brian (2008).Rivers, Brian (2008). Understanding Your Risk for Prostate Cancer. Understanding Your Risk for Prostate Cancer. Presentation.Presentation.

Treatment Choices for Men with Early-Stage Prostate Cancer (NCI)Treatment Choices for Men with Early-Stage Prostate Cancer (NCI) Understanding Prostate Changes: A Health Guide for Men (NCI)Understanding Prostate Changes: A Health Guide for Men (NCI) What You Need to Know About Prostate Cancer (NCI)What You Need to Know About Prostate Cancer (NCI)

ReferencesReferences

www.jessetree.net