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
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 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: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: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
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
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
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