AFRICAN AMERICAN AND LATIN AMERICAN WOMEN: A HOLISTIC PARADIGM FOR HEALING THROUGHOUT THE LIFE-CYCLE

Size: px
Start display at page:

Download "AFRICAN AMERICAN AND LATIN AMERICAN WOMEN: A HOLISTIC PARADIGM FOR HEALING THROUGHOUT THE LIFE-CYCLE"

Transcription

1 ARISIKA RAZAK RN, BSN, CNM, MPH CALIFORNIA INSTITUTE OF INTEGRAL STUDIES PROGRAM DIRECTOR, INTEGRATIVE HEALTH STUDIES ASSOCIATE PROFESSOR, WOMEN S SPIRITUALITY AFRICAN AMERICAN AND LATIN AMERICAN WOMEN: A HOLISTIC PARADIGM FOR HEALING THROUGHOUT THE LIFE-CYCLE OUTLINE: US Diversity Selected Health Disparities of African American and Latino Populations Selected Health Interventions Cultural Competence: Challenges and Barriers Common Core Cultural Values This presentation addresses some of the issues raised by changing demographics in the United States of America (U.S. Census 2000). We are not a melting pot, whose members enjoy a common identity with equally distributed rights and privileges (Wah 1994, Smedley, Stith, et al, Eds. 2003, Roberts, 1999). Instead we are a nation of diverse cultural and linguistic groups, ethnic, religious and spiritual identities, sexual preferences, ages, abilities and disabilities. Many of us are immigrants moving between patterns of assimilation, traditionalism and bi-culturalism (Randall-David 1989). And, as members of the twenty-first century global village more and more of us claim bi-cultural, bi-racial or multiracial identities (U.S. Census 2000) African Americans or members of the African Diaspora who came/were taken to the New World are one of the first ethnic groups to reach North and South America after its settlement by indigenous inhabitants (1000 BCE 300

2 CE; CE; CE Loewen 1995, Bynum 1999). In spite of our long sojourn on these shores, negative health outcomes for African Americans have consistently been greater than that of all subsequent immigrant groups. Rates of premature death, disability, disease, and injury due to preventable causes for African Americans in the U.S. are among the highest of all ethnic groups. Contemporary measurements of African American health in the US exhibit some of the highest discrepancies when compared to those of Euro- Americans. The African American infant mortality rate, for example, is currently 2.5 times greater than the rates for whites (Smedley, Stith et al, Eds. 2003). Latinos, as a group, experience more challenges to obtaining health insurance than any other ethnic group in America, even though most uninsured Latinos live in families where one or two family members work (Smedley, Stith et al, Eds. 2003). In their study of health disparities among various racial and ethnic groups, Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care, Smedley, Stith and Nelson (Eds.) noted that in some studies, poor birth outcomes were greater among U.S. born Latinos, than among their foreign born peers, suggesting that Latino health outcomes actually worsened with immigration to the U.S. Findings from multiple studies demonstrate that African Americans, Hispanics and Native Americans have a rate of mortality and morbidity from diabetes that may reach twice what it is for Euro-Americans (Smedley, Stith et al Eds.) Unfortunately for these patients, these studies also demonstrated that the disease was less well managed by the medical system when the patient was of

3 African-American or Hispanic origin, and in some cases these treatment disparities held steady even when controlled for age, gender and educational factors. (This was demonstrated by differing rates of lipid testing, ophthalmologic visits, influenza vaccines, insulin administration to non-insulin dependent diabetics, hours spent in patient education, etc.) In reviewing disparate treatments, morbidity and mortality rates for heart disease, cancer, asthma, renal disease, and maternal and child health, Smedley, Stith et al concluded that health disparities in treatment, health access, and environmental living conditions, were independent contributors to the poor health of minority communities. For the thirty years that I have been in clinical practice, the health profession has attempted to address the glaring disparities between the health and well being of the United States Euro-American population and its populations of color (Three Rivers 1991). We focused on patient risk factors, such as race, education, and low socio-economic status and we implemented educational strategies for changing high risk and at-risk health behaviors. We recognized the importance of better communication and we introduced translators, peer educators, and community health workers into the clinical setting. We created ever more sophisticated technological interventions. Thirty years later, we still haven t changed our patients health status. The disparities are continuing, and in some cases they are worsening. In this new era of shrinking budgets, and less and less time with patients, I would like to suggest that each of us take a radical step forward. We must improve our patient

4 communication. We must improve our cultural competence. We must lobby for and support the training and inclusion of underrepresented groups in the healing professions. We must seek to end the personal, social and institutionalized mistreatment of, and misinformation about, people of color and other marginalized and stigmatized groups within our society. If the social environment that supports racism and ethnocentrism in the US does not change, our efforts to improve health care for these groups will not be successful. Finally, we must enlarge our world view so that the spiritual, kinetic and relational values of our clients are seen not as obstacles but as points of entry into successful patientprovider relationships. Some of the disparities in health care treatment that were outlined above are being applied to our patients by well-meaning well-educated harassed clinicians. We don t have time, or we don t have translators. We re trying to make do in situations that don t support our intelligence, our training, our compassion or our ethics. We stereotype the poor, the teen-ager, the non-english speaking immigrant, and the ethnic or racial other. Often we don t have the knowledge. We are profoundly unaware of cultural norms that are not our own and we don t know how to navigate when the patient s cultural beliefs are counter to our medical knowledge (Fadiman, 1997). If we are to truly function in the global village that has been created by contemporary waves of immigration, and population growth among populations of color in the U.S., we must apply a holistic paradigm that takes account of our patient s social, economic, and cultural needs. However, in an increasingly

5 pluralistic and diverse world, cultural competence is a complex and complicated variable. One class on the other does not make us cultural experts. Tervalon and Garcia (1998) discuss the importance of cultural humility as they discuss the case of a nurse who used her education in a cross-cultural nursing class to justify rejection of a Latino colleague s observation that a moaning patient needed analgesia. Her class had informed her that Latino patients exaggerate their pain and instead of acknowledging her colleague s potential cultural expertise this nurse used her education in cultural competence to reject the anecdotal knowledge possessed by a member of the group in question. Many authors working with the concept of diversity have attempted to delineate a worldview that is shared by diverse populations of color (Holmes 2002, Ani 1994, Nichols Deloria 1992, Avila 1999, Wheeler, Ampadu et al 2002). Common elements identified by these authors include: respect, relationship, reciprocity, and spirituality. These values sometimes have relevance for all members of society who may include the living, the dead, the non-human and the inanimate. Application of these elements may vary from culture to culture sanctioning the formation of family-based or fictitious kin networks, or guiding individual behavior in formal or informal settings. Inclusion of these elements in our clinical practice is frequently opposed by many of the dominant Euro-American professional cultural values distance, objectivity, individualism, secularism, legality, personal and professional hierarchies, and rationality. Our work today will explore respectful ways to include

6 some of the core values of our clients in our clinical practice, in safe, effective and practical ways. While African Diasporan cultural beliefs are not identical to Latin-American ones, some of these cultures share common cultural roots, and many individuals identified as African-American or Latino share common ancestries. Today s experience will be grounded in the notion of bi-cultural social experience. It will include body based learning, interfaith spiritual exercises, and cultural practices that support the development of a relational and holistic paradigm for the treatment of African Diasporan and Latino women. BIBLIOGRAPHY Ani, Marimba. (1994) Trenton NJ: Africa World Press Avila, Elena RN MSN (1999) Woman Who Glows in the Dark: A Curandera Reveals Traditional Aztec Secrets of Physical and Spiritual Health. New York NY: Jeremy P Tarcher Bynum, Edward Bruce. (1999) The African Unconscious: Roots of Ancient Mysticism and Modern Psychology. New York NY: Teachers College Press Deloria, Vine Jr. (1992) God is Red: A Native View of Religion. Golden CO: Fulcrum Publishing Fadiman, Dorothy. (1997) The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures. New York NY: Farrar, Straus and Giroux Holmes, Barbara. (2002) Race and the Cosmos: An Invitation to View the World Differently. Harrisburg PA: Trinity Press International Loewen, James. (1995) Lies My Teacher Told Me. New York NY: A Touchstone Book Nichols, Edwin, quoted in Gregg, Sandra. What s Your Axiology? getting behind those stereotypes Smedley, Brian D., Adrienne Y. Stith and Alan R. Nelson, Eds. (2003) Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. Washington D.C.: The National Academies Press Specter, Rachel. (2000) Cultural Diversity in Health and Illness. NJ: Prentice-Hall Health

7 Randall-David Elizabeth, PhD. (1999) Strategies for Working with Culturally Diverse Communities and Clients. Washington D.C.: Association for the Care of Children s Health Roberts, Dorothy. (1997) Killing the Black Body: Race, Reproduction and the Meaning of Liberty. New York NY: Vintage books (A division of Random House) Tervalon, Melanie MD, MPH and Jann Murray-Garcia MD, MPH. (1998) Cultural Humility versus Cultural Competence: A Critical Distinction in Defining Physician Training Outcomes in Multicultural Education in Journal of Health Car for the Poor and Underserved. 9 (2); Three Rivers, Amoja. (1991) Cultural Etiquette: A Guide for the Well-Intentioned. Amherst VA: Market Wimmin Wah, Lee Mun (1994) The Color of Fear (Videotape) Berkeley CA: Stir Fry Productions Wheeler, Evangeline A., Lena M Ampadu and Esther Wangari (2002) Lifespan Development Revisited: African Centered Spirituality Throughout the Life-Cycle in Journal of Adult Development 2 (1) 71-77

Prepared by: Michael R. Cousineau, Dr.PH Gregory D. Stevens. Ph.D. With assistance from Jessica Van Gurt. USC Division of Community Health

Prepared by: Michael R. Cousineau, Dr.PH Gregory D. Stevens. Ph.D. With assistance from Jessica Van Gurt. USC Division of Community Health Disparities in Health in the United States A conceptual framework for a multi-disciplinary approach to understanding health disparities and proposing policy solutions towards their elimination First Draft

More information

DISPARITIES IN HEALTHCARE QUALITY AMONG RACIAL AND ETHNIC GROUPS

DISPARITIES IN HEALTHCARE QUALITY AMONG RACIAL AND ETHNIC GROUPS DISPARITIES IN HEALTHCARE QUALITY AMONG RACIAL AND ETHNIC GROUPS Selected Findings From the 2011 National Healthcare Quality and Disparities Reports Introduction Each year since 2003, the Agency for Healthcare

More information

By: Latarsha Chisholm, MSW, Ph.D. Department of Health Management & Informatics University of Central Florida

By: Latarsha Chisholm, MSW, Ph.D. Department of Health Management & Informatics University of Central Florida By: Latarsha Chisholm, MSW, Ph.D. Department of Health Management & Informatics University of Central Florida Health Disparities Health disparities refers to population-specific differences in the presence

More information

Peony Fhagen-Smith, Ph.D.

Peony Fhagen-Smith, Ph.D. Department of Psychology African, African American, Diaspora Studies Program 26 East Main Street Norton, MA 02766 Phone: 508-286-3692 Fax: 508-286-3640 fhagen-smith_peony@wheatoncollege.edu Education Ph.D.,

More information

Knowledge, Skills, and Abilities Essential to Cultural Competence

Knowledge, Skills, and Abilities Essential to Cultural Competence Knowledge, Skills, and Abilities Essential to Cultural Competence Knowledge of the: culture, history, traditions, values, and family systems of culturally diverse customers. impact of culture on the behaviors,

More information

Establishing a Culturally Competent Master s and Doctorally Prepared Nursing Workforce November, 2009

Establishing a Culturally Competent Master s and Doctorally Prepared Nursing Workforce November, 2009 Establishing a Culturally Competent Master s and Doctorally Prepared Nursing Workforce November, 2009 Background and Rationale The U.S. population in the 21 st century reflects unprecedented ethnic and

More information

PRINCIPLES OF MULTICULTURAL PSYCHIATRIC REHABILITATION SERVICES Executive Summary

PRINCIPLES OF MULTICULTURAL PSYCHIATRIC REHABILITATION SERVICES Executive Summary PRINCIPLES OF MULTICULTURAL PSYCHIATRIC REHABILITATION SERVICES Executive Summary PRA recognizes the striking disparities in mental health care found for cultural, racial and ethnic minorities in the USA,

More information

Limited English Proficient Enrollee Access to Health Plan Grievance Systems

Limited English Proficient Enrollee Access to Health Plan Grievance Systems P O L I C Y B R I E F December 2004 Limited English Proficient Enrollee Access to Health Plan Grievance Systems An Assessment of Health Plan Compliance with DMHC Regulations Title 28 Section 1300.68 (b)(3)

More information

Racial Disparities in US Healthcare

Racial Disparities in US Healthcare Racial Disparities in US Healthcare Paul H. Johnson, Jr. Ph.D. Candidate University of Wisconsin Madison School of Business Research partially funded by the National Institute of Mental Health: Ruth L.

More information

Debbie Robson, RN, MBA, ACHE Executive Director Hospice Care of the West

Debbie Robson, RN, MBA, ACHE Executive Director Hospice Care of the West Debbie Robson, RN, MBA, ACHE Executive Director Hospice Care of the West An integrated pattern of human behavior including thought, communication, ways of interacting, roles & relationships, and expected

More information

Mental Health: Culture, Race and Ethnicity

Mental Health: Culture, Race and Ethnicity Mental Health: Culture, Race and Ethnicity 1) The largest disability study conducted in the US found that of disabled adults living in the community reported having a mental disorder contributing to their

More information

Contra Costa County Fetal Infant Mortality Review Program

Contra Costa County Fetal Infant Mortality Review Program Contra Costa County Fetal Infant Mortality Review Program Suzzette C. Johnson, MSW MPA Sylvia V. Taqi-Eddin, MA-CP Family, Maternal and Child Health Programs Contra Costa Health Services National NFIMR

More information

Health Care Access to Vulnerable Populations

Health Care Access to Vulnerable Populations Health Care Access to Vulnerable Populations Closing the Gap: Reducing Racial and Ethnic Disparities in Florida Rosebud L. Foster, ED.D. Access to Health Care The timely use of personal health services

More information

HHRP ISSUES A SERIES OF POLICY OPTIONS

HHRP ISSUES A SERIES OF POLICY OPTIONS P o l I C y B R I E F # 5 J A N U A R y 2 0 0 9 HHRP ISSUES A SERIES OF POLICY OPTIONS SUSTAINING THE WORKFORCE BY EMBRACING DIVERSITY According to a 2002 study by the Canadian Nurses Association, Canada

More information

Review of definition and concept of cultural competence and cultural humility Defining the practice of cultural humility and its application to

Review of definition and concept of cultural competence and cultural humility Defining the practice of cultural humility and its application to Review of definition and concept of cultural competence and cultural humility Defining the practice of cultural humility and its application to social work practice Exploring the pros and cons of both

More information

University of Rhode Island Department of Psychology. Multicultural Psychology Definition

University of Rhode Island Department of Psychology. Multicultural Psychology Definition 2015 University of Rhode Island Department of Psychology Multicultural Psychology Definition The following document represents an effort by the Department of Psychology at the University of Rhode Island

More information

Addressing Racial and Ethnic Health Disparities:

Addressing Racial and Ethnic Health Disparities: Addressing Racial and Ethnic Health Disparities: Getting Started and Things to Consider in the Workplace This document was prepared by the data subcommittee members of the Racial and Ethnic Health Disparities

More information

Racial and Ethnic Disparities in Women s Health Coverage and Access To Care Findings from the 2001 Kaiser Women s Health Survey

Racial and Ethnic Disparities in Women s Health Coverage and Access To Care Findings from the 2001 Kaiser Women s Health Survey March 2004 Racial and Ethnic Disparities in Women s Health Coverage and Access To Care Findings from the 2001 Kaiser Women s Health Survey Attention to racial and ethnic differences in health status and

More information

SCHOOL CLIMATE AND EQUITY

SCHOOL CLIMATE AND EQUITY NATIONAL SCHOOL CLIMATE CENTER (NSCC) Educating minds and hearts, because the Three Rs are not enough www.schoolclimate.org SCHOOL CLIMATE AND EQUITY Schools can create more equitable communities through

More information

Granite State Health Plan s New Hampshire Healthy Families (NHHF) 2015 Cultural Competency Plan

Granite State Health Plan s New Hampshire Healthy Families (NHHF) 2015 Cultural Competency Plan Granite State Health Plan s New Hampshire Healthy Families (NHHF) 2015 Cultural Competency Plan INTRODUCTION New Hampshire Healthy Families (NHHF) is committed to establishing multicultural principles

More information

CeltiCare Health Plan of Massachusetts, Inc. (CeltiCare Health) 2015 Cultural Competency Plan

CeltiCare Health Plan of Massachusetts, Inc. (CeltiCare Health) 2015 Cultural Competency Plan CeltiCare Health Plan of Massachusetts, Inc. (CeltiCare Health) 2015 Cultural Competency Plan INTRODUCTION CeltiCare Health is committed to establishing multicultural principles and practices throughout

More information

Section I The Multiple Dimensions of Multicultural Counseling and Therapy

Section I The Multiple Dimensions of Multicultural Counseling and Therapy Derald Wing Sue, David Sue Counseling the culturally diverse : theory and practice Preface xix Section I The Multiple Dimensions of Multicultural Counseling and Therapy Part I The Affective and Conceptual

More information

University Hospital Community Health Needs Assessment FY 2014

University Hospital Community Health Needs Assessment FY 2014 FY 2014 Prepared by Kathy Opromollo Executive Director of Ambulatory Care Services Newark New Jersey is the State s largest city. In striving to identify and address Newark s most pressing health care

More information

VANGUARD UNIVERSITY SCHOOL FOR PROFESSIONAL STUDIES BACHELOR OF SCIENCE IN NURSING DEGREE PROGRAM NURS 415: SOCIOCULTURAL CONTEXTS OF DIVERSITY

VANGUARD UNIVERSITY SCHOOL FOR PROFESSIONAL STUDIES BACHELOR OF SCIENCE IN NURSING DEGREE PROGRAM NURS 415: SOCIOCULTURAL CONTEXTS OF DIVERSITY VANGUARD UNIVERSITY SCHOOL FOR PROFESSIONAL STUDIES BACHELOR OF SCIENCE IN NURSING DEGREE PROGRAM NURS 415: SOCIOCULTURAL CONTEXTS OF DIVERSITY (4 UNITS-8 WEEKS) Created: 01/08 Revised: 04/30/12 Posted:

More information

Cultural Competency and Older Adults

Cultural Competency and Older Adults Cultural Competency and Older Adults The extent to which health care providers can treat patients/clients in a culturally competent manner will have a lasting impact on the care given to individuals and

More information

UWT Nursing Faculty Research and Scholarly Interests

UWT Nursing Faculty Research and Scholarly Interests UWT Nursing Faculty Research and Scholarly Interests All Master of Nursing (MN) students engage in systematic inquiry by completing a thesis or scholarly project. Regardless of which option is selected,

More information

Cultural Competence: Essential Ingredient for Successful Transitions of Care

Cultural Competence: Essential Ingredient for Successful Transitions of Care Cultural Competence: Essential Ingredient for Successful Transitions of Care Health care professionals increasingly recognize the crucial role that culture plays in the healthcare of a client or patient

More information

Oregon Education Investment Board: Equity Lens

Oregon Education Investment Board: Equity Lens Oregon Education Investment Board: Equity Lens OEIB Vision Statement To advise and support the building, implementation and investment in a unified public education system in Oregon that meets the diverse

More information

Access & Equity in Higher Education: Issues and Complexities

Access & Equity in Higher Education: Issues and Complexities Access & Equity in Higher Education: Issues and Complexities Liz Reisberg UNICAMP April 2010 Issues The imperative Defining the problem Dilemmas Strategies Access or Attainment The Imperative: Where is

More information

The Impact of Health Insurance Coverage on Health Disparities in the United States

The Impact of Health Insurance Coverage on Health Disparities in the United States Human Development Report Office OCCASIONAL PAPER The Impact of Health Insurance Coverage on Health Disparities in the United States Rowland, Diane and Catherine Hoffman. 2005. 2005/34 Inequality and health

More information

Policy Forum. Racial and Ethnic Health Disparities in Illinois: Are There Any Solutions?

Policy Forum. Racial and Ethnic Health Disparities in Illinois: Are There Any Solutions? Policy Forum I N S T I T U T E O F G O V E R N M E N T&P U B L I C A F F A I R S I N S T I T U T E O F G O V E R N M E N T&P U B L I C A F F A I R S Racial and Ethnic Health Disparities in Illinois: Are

More information

Medical Care Costs for Diabetes Associated with Health Disparities Among Adults Enrolled in Medicaid in North Carolina

Medical Care Costs for Diabetes Associated with Health Disparities Among Adults Enrolled in Medicaid in North Carolina No. 160 August 2009 Among Adults Enrolled in Medicaid in North Carolina by Paul A. Buescher, Ph.D. J. Timothy Whitmire, Ph.D. Barbara Pullen-Smith, M.P.H. A Joint Report from the and the Office of Minority

More information

Community Engagement and Partnerships Improve Access to Medical Homes

Community Engagement and Partnerships Improve Access to Medical Homes NatioNal CeNter for Cultural CompeteNCe GEORGETOWN UNIVERSITY CENTER FOR CHILD AND HUMAN DEVELOPMENT P R O M I S I N G P R A C T I C E S Community Engagement and Partnerships Improve Access to Medical

More information

Understanding Health Disparities: The Hispanic Experience

Understanding Health Disparities: The Hispanic Experience Understanding Health Disparities: The Hispanic Experience Mary Lou de Leon Siantz PhD, FAAN Assistant Dean Diversity & Cultural Affairs Robert Wood Johnson Nurse Executive Fellow Director Migration Health

More information

Sexual and Reproductive Justice: New York City s Approach

Sexual and Reproductive Justice: New York City s Approach Sexual and Reproductive Justice: New York City s Approach George L. Askew, MD Deputy Commissioner of Health Division of Family and Child Health New York City Department of Health and Mental Hygiene Title

More information

What Will Open the Doors for Children and Youth With Special Health Care Needs From Traditionally Underserved Communities?

What Will Open the Doors for Children and Youth With Special Health Care Needs From Traditionally Underserved Communities? What Will Open the Doors for Children and Youth With Special Health Care Needs From Traditionally Underserved Communities? The articles in this supplement to Pediatrics raise serious questions about the

More information

PROVIDING A CULTURALLY COMPETENT DIABETES EDUCATION PROGRAM. Sheila A. Gittens, RD, MS, CDE, CDN

PROVIDING A CULTURALLY COMPETENT DIABETES EDUCATION PROGRAM. Sheila A. Gittens, RD, MS, CDE, CDN PROVIDING A CULTURALLY COMPETENT DIABETES EDUCATION PROGRAM Sheila A. Gittens, RD, MS, CDE, CDN CHCANYS: Diabetes Research and Demonstration Project Coordinator Today s Discussion Diabetes as a Cultural

More information

The Health Resources and Services Administration Diversity Data Collection

The Health Resources and Services Administration Diversity Data Collection Nursing in 3D: Diversity, Disparities, and Social Determinants The Health Resources and Services Administration Diversity Data Collection Kathleen M. White, PhD, RN, NEA-BC, FAAN a,b,c,d George Zangaro,

More information

An Overview of Abortion in the United States. Guttmacher Institute January 2014

An Overview of Abortion in the United States. Guttmacher Institute January 2014 An Overview of Abortion in the United States Guttmacher Institute January 2014 Objectives Provide an overview of unintended pregnancy and abortion in the United States. Review the incidence of pregnancy

More information

Holistic Review in Dentistry ADEA Annual Session & Exhibition

Holistic Review in Dentistry ADEA Annual Session & Exhibition Holistic Review in Dentistry ADEA Annual Session & Exhibition Greer Glazer RN, CNP, PhD, FAAN Karen Bankston, RN, PhD Angela Clark, RN, MSN, PhD-c Jun Ying, PhD, Biostatistician Session Overview About

More information

Requirements and descriptions outlined in catalog

Requirements and descriptions outlined in catalog Course Descriptions: General Education Requirements Requirements and descriptions outlined in catalog 50 credit hours Public Health Program-Core Classes (53 credit hours) Courses already developed and

More information

Diversity in California s Mental Health Workforce and Education Pipeline

Diversity in California s Mental Health Workforce and Education Pipeline Non-White Students Make up the Majority of Californians Pursuing Healthcare Education Diversity in California s Mental Health Workforce and Education Pipeline Tim Bates, MPP; Lisel Blash, MPA; Susan Chapman,

More information

CITY OF EAST PALO ALTO A COMMUNITY HEALTH PROFILE

CITY OF EAST PALO ALTO A COMMUNITY HEALTH PROFILE CITY OF EAST PALO ALTO A COMMUNITY HEALTH PROFILE www.gethealthysmc.org Contact us: 650-573-2398 hpp@smcgov.org HEALTH BEGINS WHERE PEOPLE LIVE Over the last century, there have been dramatic increases

More information

DELTA AHEC HELENA, AK August, 2004

DELTA AHEC HELENA, AK August, 2004 DELTA AHEC HELENA, AK August, 2004 Executive Summary: The Delta Area Health Education Center (Delta AHEC) is a seven-county health education outreach program of the University of Arkansas for Medical Sciences.

More information

Jeff Schiff MD MBA Medical Director Minnesota Health Care Programs, DHS 23 April 2015

Jeff Schiff MD MBA Medical Director Minnesota Health Care Programs, DHS 23 April 2015 Jeff Schiff MD MBA Medical Director Minnesota Health Care Programs, DHS 23 April 2015 DHS Mission The MN Dept of Human Services, working with many others, helps people meet their basic needs so they can

More information

«AddressBlock», PhD, NCSP

«AddressBlock», PhD, NCSP , PhD, NCSP Education Ph.D. 2009 M.A. 2005 B.A. 2003 Michigan State University East Lansing, Concentration: School Psychology (APA, NASP accredited) Dissertation Topic: The Minority Report: White Students

More information

Indiana Content Standards for Educators

Indiana Content Standards for Educators Indiana Content Standards for Educators SOCIAL STUDIES SOCIOLOGY Sociology teachers are expected to have a broad understanding of the knowledge and skills needed for this educator license, and to use that

More information

Access to Care / Care Utilization for Nebraska s Women

Access to Care / Care Utilization for Nebraska s Women Access to Care / Care Utilization for Nebraska s Women According to the Current Population Survey (CPS), in 2013, 84.6% of Nebraska women ages 18-44 had health insurance coverage, however only 58.2% of

More information

Counselors Role in a Changing, Diverse Society. Victoria Merrill-Washington. University of Phoenix. October 27, 2007

Counselors Role in a Changing, Diverse Society. Victoria Merrill-Washington. University of Phoenix. October 27, 2007 Counselors Role in 1 Running head: Counselors Role in a Changing, Diverse Society Counselors Role in a Changing, Diverse Society by Victoria Merrill-Washington University of Phoenix October 27, 2007 Counselors

More information

Health Disparities in New Orleans

Health Disparities in New Orleans Health Disparities in New Orleans New Orleans is a city facing significant health challenges. New Orleans' health-related challenges include a high rate of obesity, a high rate of people without health

More information

Depression often coexists with other chronic conditions

Depression often coexists with other chronic conditions Depression A treatable disease PROPORTION OF PATIENTS WHO ARE DEPRESSED, BY CHRONIC CONDITION Diabetes 33% Parkinson s Disease % Recent Stroke % Hospitalized with Cancer 42% Recent Heart Attack 45% SOURCE:

More information

A Primer on Using NursingCAS as Part of the Holistic Admissions Process

A Primer on Using NursingCAS as Part of the Holistic Admissions Process A Primer on Using NursingCAS as Part of the Holistic Admissions Process Lisa Rosenberg, PhD, RN Associate Dean for Students Rush University College of Nursing What type of student are we looking for? Academically

More information

State Health Assessment Health Priority Status Report Update. June 29, 2015 Presented by UIC SPH and IDPH

State Health Assessment Health Priority Status Report Update. June 29, 2015 Presented by UIC SPH and IDPH State Health Assessment Health Priority Status Report Update June 29, 2015 Presented by UIC SPH and IDPH 1 Health Priority Presentation Objectives 1. Explain context of how this discussion fits into our

More information

Reducing Health Disparities Faster:

Reducing Health Disparities Faster: Reducing Health Disparities Faster: Addressing Social Determinants of Health A Disparities Foresight Briefing and Monthly Minority Health Briefing in conjunction ct o with the Congressional Hispanic Caucus

More information

Like Audrey, many school counselors may feel inadequate in their work with

Like Audrey, many school counselors may feel inadequate in their work with Knowledge of Multicultural School Counseling 2 At my school about half the population is ELL students. I feel inadequate when it comes to working with ELL students due to language barriers. My school is

More information

Awareness of Self as a Cultural Being

Awareness of Self as a Cultural Being Awareness of Self as a Cultural Being Valerie A. Batts, PhD VISIONS, Inc. Enhancing Cultural Competence In Clinical Care Settings (4C) Training February 12th, 2016 Central California Children s Institute,

More information

CURRICULUM VITAE BARBARA M. BUZZI

CURRICULUM VITAE BARBARA M. BUZZI CURRICULUM VITAE of BARBARA M. BUZZI Department of Social Sciences and Counseling St. Thomas University 16401 N.W. 37th Avenue Miami, FL 33054 (305) 628-6584 EDUCATION Barry University St. Thomas University

More information

The Role of Insurance in Providing Access to Cardiac Care in Maryland. Samuel L. Brown, Ph.D. University of Baltimore College of Public Affairs

The Role of Insurance in Providing Access to Cardiac Care in Maryland. Samuel L. Brown, Ph.D. University of Baltimore College of Public Affairs The Role of Insurance in Providing Access to Cardiac Care in Maryland Samuel L. Brown, Ph.D. University of Baltimore College of Public Affairs Heart Disease Heart Disease is the leading cause of death

More information

Testimony. Submitted to the. U.S. Senate Subcommittee on Public Health. Hispanic Health Improvement Act of 2002

Testimony. Submitted to the. U.S. Senate Subcommittee on Public Health. Hispanic Health Improvement Act of 2002 Testimony Submitted to the U.S. Senate Subcommittee on Public Health Hispanic Health Improvement Act of 2002 by Elena Rios, M.D., M.S.P.H. President & CEO National Hispanic Medical Association CEO, Hispanic-Serving

More information

CURRICULUM VITAE. 1990 AAS Northern Virginia Community College, Alexandria, Virginia General Studies Specialization in Emergency Medicine Technology

CURRICULUM VITAE. 1990 AAS Northern Virginia Community College, Alexandria, Virginia General Studies Specialization in Emergency Medicine Technology CURRICULUM VITAE LAURA ANN LOGIE, PHD University of Maryland Consortium on Race, Gender and Ethnicity www.crge.umd.edu 1208 Cole Student Activities Building College Park, MD 20742 (301) 405-1651 (301)

More information

C A LIFORNIA HEALTHCARE FOUNDATION. s n a p s h o t Haves and Have-Nots: A Look at Children s Use of Dental Care in California

C A LIFORNIA HEALTHCARE FOUNDATION. s n a p s h o t Haves and Have-Nots: A Look at Children s Use of Dental Care in California C A LIFORNIA HEALTHCARE FOUNDATION s n a p s h o t Haves and Have-Nots: A Look at Children s Use of Dental Care in California 2008 Introduction Public health efforts to promote community water fluoridation

More information

Chapter III Health Care Service Use and Health Insurance

Chapter III Health Care Service Use and Health Insurance Chapter III Health Care Service Use and Health Insurance Where social services are concerned, the United States is split mainly along ethnic and racial lines. Unequal access to health care services in

More information

General Membership Handbook

General Membership Handbook General Membership Handbook Revised: December 22, 2010 Table of Contents 1. Membership as a Research Scientist A. Membership Requirements B. Eligibility C. Application Process D. Fees E. Renewal Process

More information

A Study of Health Insurance Coverage and Quality of Life in the Sacramento Region

A Study of Health Insurance Coverage and Quality of Life in the Sacramento Region A Study of Health Insurance Coverage and Quality of Life in the Sacramento Region The Institute for Social Research California State University, Sacramento College of Social Sciences and Interdisciplinary

More information

September 17, 2010. Dear Secretary Sebelius:

September 17, 2010. Dear Secretary Sebelius: September 17, 2010 Secretary Kathleen Sebelius Department of Health and Human Services Hubert H. Humphrey Building 200 Independence Avenue, SW Washington, DC 20201 RE: Comments on OCIIO- 9992- IFC, Interim

More information

STRATEGIC PLAN 2006 2009 CAROLINAS ASSOCIATION FOR COMMUNITY HEALTH EQUITY (CACHE) BOARD OF DIRECTORS 2005 06

STRATEGIC PLAN 2006 2009 CAROLINAS ASSOCIATION FOR COMMUNITY HEALTH EQUITY (CACHE) BOARD OF DIRECTORS 2005 06 STRATEGIC PLAN 2006 2009 CAROLINAS ASSOCIATION FOR COMMUNITY HEALTH EQUITY (CACHE) BOARD OF DIRECTORS 2005 06 Patricia A. Lambright Chair Linda Gallehugh 1 st Vice Chair Cheryl S. Emanuel 2 nd Vice Chair

More information

MARK SIEMON, RN, APHN-BC, MPH, MSN, CPH 1628 W. REINHART DR. BOISE, ID 83706 (208) 426-3911 (Office & voice mail) marksiemon@boisestate.

MARK SIEMON, RN, APHN-BC, MPH, MSN, CPH 1628 W. REINHART DR. BOISE, ID 83706 (208) 426-3911 (Office & voice mail) marksiemon@boisestate. Mark Siemon, Ph.D., RN, APHN-BC, CPH 1 MARK SIEMON, RN, APHN-BC, MPH, MSN, CPH 1628 W. REINHART DR. BOISE, ID 83706 (208) 426-3911 (Office & voice mail) marksiemon@boisestate.edu EDUCATION 2014 Doctorate

More information

Healthcare Workforce Diversity & Health Equity

Healthcare Workforce Diversity & Health Equity Healthcare Workforce Diversity & Health Equity CBC Health Braintrust/NMQF Leadership Summit on Health Disparities LaQuandra Nesbitt, MD, MPH Assistant Professor Department of Family & Community Medicine

More information

COMMUNITY AND CULTURE. Colorado Court Improvement Project

COMMUNITY AND CULTURE. Colorado Court Improvement Project COMMUNITY AND CULTURE Colorado Court Improvement Project A Little Friendly Competition PERSPECTIVES CARD GAME TAKEAWAYS A reminder that we have power as Spiderman s Uncle Ben says, With great power comes

More information

Letter from the President

Letter from the President Letter from the President To Our Communities... In January 1974, Delano Regional Medical Center (DRMC) opened its doors with 10 patients, 50 employees, 5 physicians and 110 volunteers! Celebrating our

More information

Connecticut Diabetes Statistics

Connecticut Diabetes Statistics Connecticut Diabetes Statistics What is Diabetes? State Public Health Actions (1305, SHAPE) Grant March 2015 Page 1 of 16 Diabetes is a disease in which blood glucose levels are above normal. Blood glucose

More information

Borgess Health Implementation Strategy

Borgess Health Implementation Strategy Borgess Health Implementation Strategy Implementation Strategy Narrative Overview Borgess Medical Center is a 422-bed tertiary care hospital and the flagship of Borgess Health with a continuum of health

More information

What You Say Matters: Becoming a Vaccine Advocate

What You Say Matters: Becoming a Vaccine Advocate What You Say Matters: Becoming a Vaccine Advocate 2010 Missouri Immunization Conference Immunization Victories and Challenges November 17 19, 2010 Thad Wilson, PhD, RN, FAAN Objectives What does the research

More information

NURSING 3580 TRANSCULTURAL COMMUNICATION. Elaine Hummel, MSN, RN, APRN,BC, FNP Office Phone: (706) 864-1938 E-mail: ehummel@northgeorgia.

NURSING 3580 TRANSCULTURAL COMMUNICATION. Elaine Hummel, MSN, RN, APRN,BC, FNP Office Phone: (706) 864-1938 E-mail: ehummel@northgeorgia. NURSING 3580 TRANSCULTURAL COMMUNICATION Elaine Hummel, MSN, RN, APRN,BC, FNP Office Phone: (706) 864-1938 E-mail: ehummel@northgeorgia.edu Revised June 2012 Department of Nursing BSN Nursing Program Course

More information

Assessment and Treatment of African Nova Scotians: Implications of Cultural Difference, Racial Identity, Cultural Pain and Other Factors

Assessment and Treatment of African Nova Scotians: Implications of Cultural Difference, Racial Identity, Cultural Pain and Other Factors Assessment and Treatment of African Nova Scotians: Implications of Cultural Difference, Racial Identity, Cultural Pain and Other Factors Robert S. Wright, MSW, RSW Executive Director, Child and Youth Strategy

More information

Core Competencies for Non-Clinically Licensed Patient Navigators. from. The George Washington University (GW) Cancer Institute

Core Competencies for Non-Clinically Licensed Patient Navigators. from. The George Washington University (GW) Cancer Institute Core Competencies for Non-Clinically Licensed Patient Navigators from The George Washington University (GW) Cancer Institute Recommended Citation: Pratt-Chapman ML, Willis LA, Masselink L. Core Competencies

More information

Testimony of Anne Davis, MD, MPH. Medical Director. September 12, 2008

Testimony of Anne Davis, MD, MPH. Medical Director. September 12, 2008 Testimony of Anne Davis, MD, MPH Medical Director Physicians for Reproductive Choice and Health Before the President s Council on Bioethics September 12, 2008 My name is Dr. Anne Davis, and I am an Associate

More information

Louisiana Report 2013

Louisiana Report 2013 Louisiana Report 2013 Prepared by Louisiana State University s Public Policy Research Lab For the Department of Health and Hospitals State of Louisiana December 2015 Introduction The Behavioral Risk Factor

More information

Bryant T. Aldridge Rehabilitation Center Unit Specific Inclusive Diversity Analysis: CULTURAL COMPETENCY AND DIVERSITY PLAN February 2015

Bryant T. Aldridge Rehabilitation Center Unit Specific Inclusive Diversity Analysis: CULTURAL COMPETENCY AND DIVERSITY PLAN February 2015 Bryant T. Aldridge Rehabilitation Center Unit Specific Inclusive Diversity Analysis: CULTURAL COMPETENCY AND DIVERSITY PLAN February 2015 Prepared by Brian Agan A Cultural Competency and Inclusive Diversity

More information

Cultural Competency in Osteopathic Medicine. Prof. Reza Nassiri Director, Institute of International Health Michigan State University

Cultural Competency in Osteopathic Medicine. Prof. Reza Nassiri Director, Institute of International Health Michigan State University Cultural Competency in Osteopathic Medicine Prof. Reza Nassiri Director, Institute of International Health Michigan State University Cultural Competency in Medicine Presentation goal: To promote an active

More information

Transition. Cultural and Linguistic Competence Checklist for Medical Home Teams

Transition. Cultural and Linguistic Competence Checklist for Medical Home Teams National Center for Cultural Competence Georgetown University Center for Child and Human Development Transition Cultural and Linguistic Competence Checklist for Medical Home Teams Overview and Purpose

More information

Instructors: Jo Hittner, Ph.D., Counselor Education Department, Winona State University (jhittner@winona.edu)

Instructors: Jo Hittner, Ph.D., Counselor Education Department, Winona State University (jhittner@winona.edu) WINONA STATE UNIVERSITY COLLEGE OF EDUCATION COUNSELOR EDUCATION DEPARTMENT Summer 2012 Guatemala: Contemporary Mental Health, Social and Cultural Issues Instructors: Jo Hittner, Ph.D., Counselor Education

More information

center for diversity and cultural competence

center for diversity and cultural competence BJH Diversity Ann Rpt 2008-New Size:Layout 1 4/4/08 4:45 PM Page 2 BARNES-JEWISH HOSPITAL center for diversity and cultural competence annual report 2007 BJH Diversity Ann Rpt 2008-New Size:Layout 1 4/4/08

More information

Racial and Ethnic Disparities in Maternal Mortality in the United States

Racial and Ethnic Disparities in Maternal Mortality in the United States Racial and Ethnic Disparities in Maternal Mortality in the United States KYRIAKOS S. MARKIDES, PHD UNIVERSITY OF TEXAS MEDICAL BRANCH GALVESTON, TEXAS PRESENTED AT THE HOWARD TAYLOR INTERNATIONAL SYMPOSIUM

More information

Linguistics (Interpreter) Services

Linguistics (Interpreter) Services Linguistics (Interpreter) Services Pg Service Category Definition State Services 1 Medical Interpreters Bridge Important Gap, Services becoming more Crucial in Houston Area Houston Chronicle, March 2014

More information

UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM DEPARTMENT OF PSYCHIATRY GRAND ROUNDS 2012-2013 SCHEDULE

UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM DEPARTMENT OF PSYCHIATRY GRAND ROUNDS 2012-2013 SCHEDULE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM DEPARTMENT OF PSYCHIATRY GRAND ROUNDS 2012-2013 SCHEDULE September 27, 2012 Ranga R. Krishnan, M.B. Ch.B. - STRECKER AWARD LECTURE AND RECEPTION Professor & Behavioural

More information

Men of Color in California s Health Professions Education Programs

Men of Color in California s Health Professions Education Programs Men of Color in California s Health Professions Education Programs by Tim Bates, MPP; Susan Chapman, PhD, RN; Catherine Dower, JD Center for the Health Professions at UCSF ABSTRACT It has long been known

More information

Dealing with prejudice and bias in work with newcomers

Dealing with prejudice and bias in work with newcomers Company LOGO Dealing with prejudice and bias in work with newcomers Jewish Family Services of Ottawa Agenda Why Do We Need this Training? Helping Newcomers Canadian Values Racism, Bias, Prejudice, Stereotypes

More information

I N S T I T U T E O F M E D I C I N E

I N S T I T U T E O F M E D I C I N E March 2002 I N S T I T U T E O F M E D I C I N E Shaping the Future for Health UNEQUAL TREATMENT: WHAT HEALTH CARE SYSTEM ADMINISTRATORS NEED TO KNOW ABOUT RACIAL AND ETHNIC DISPARITIES IN HEALTHCARE I

More information

The population with diabetes is less healthy than the population without it.

The population with diabetes is less healthy than the population without it. Diabetes A drain on U.S. resources Some people with diabetes are able to control their condition and lead an active life. On the whole, however, people with diabetes are faced with many challenges. The

More information

Diabetes Brief. Pre diabetes occurs when glucose levels are elevated in the blood, but are not as high as someone who has diabetes.

Diabetes Brief. Pre diabetes occurs when glucose levels are elevated in the blood, but are not as high as someone who has diabetes. Diabetes Brief What is Diabetes? Diabetes mellitus is a disease of abnormal carbohydrate metabolism in which the level of blood glucose, or blood sugar, is above normal. The disease occurs when the body

More information

New York State s Racial, Ethnic, and Underserved Populations. Demographic Indicators

New York State s Racial, Ethnic, and Underserved Populations. Demographic Indicators New York State s Racial, Ethnic, and Underserved Populations While much progress has been made to improve the health of racial and ethnic populations, and increase access to care, many still experience

More information

Virginia Commonwealth University Health System Postdoctoral Training Program in Clinical Health Psychology. Program Synopsis

Virginia Commonwealth University Health System Postdoctoral Training Program in Clinical Health Psychology. Program Synopsis Virginia Commonwealth University Health System Postdoctoral Training Program in Clinical Health Psychology Program Synopsis Definition: Clinical Health Psychology is the specialty that applies scientific

More information

Siri Suh 2800 Girard Ave S, #107, Minneapolis, MN 55408 Phone: (917) 232-2835*Email: jssuh@umn.edu

Siri Suh 2800 Girard Ave S, #107, Minneapolis, MN 55408 Phone: (917) 232-2835*Email: jssuh@umn.edu Siri Suh 2800 Girard Ave S, #107, Minneapolis, MN 55408 Phone: (917) 232-2835*Email: jssuh@umn.edu EDUCATION Columbia University, Graduate School of Arts and Sciences, New York, NY Ph.D. in Sociomedical

More information

Diabetes. African Americans were disproportionately impacted by diabetes. Table 1 Diabetes deaths by race/ethnicity CHRONIC DISEASES

Diabetes. African Americans were disproportionately impacted by diabetes. Table 1 Diabetes deaths by race/ethnicity CHRONIC DISEASES Diabetes African Americans were disproportionately impacted by diabetes. African Americans were most likely to die of diabetes. People living in San Pablo, Pittsburg, Antioch and Richmond were more likely

More information

A Great Organization Begins with its People. OHSU Healthcare Diversity and Inclusion Annual Report 2011

A Great Organization Begins with its People. OHSU Healthcare Diversity and Inclusion Annual Report 2011 A Great Organization Begins with its People OHSU Healthcare Diversity and Inclusion Annual Report 2011 2 OHSU s commitment to diversity and inclusion Oregon Health & Science University (OHSU) is the state

More information

Florida Nursing Education at a Glance, Fall 2014

Florida Nursing Education at a Glance, Fall 2014 Education is not a static process. It evolves with newly discovered best-practices, technology, and innovation in the classroom. As our nation s healthcare system transforms and more services are provided

More information

Ohio Public Health Association

Ohio Public Health Association Ohio Public Health Association Dental Care Access: A Public Health Issue April 17 th, 2014 Presented by: Audia Ellis, MSN, RN, FNP BC audiaellis@yahoo.com Objectives Evaluate the current state of dental

More information

The Bridging Approach: Effective Strategies for Teaching Ethnically Diverse Nursing Students. MARIAN K. YODER, EdD, RN San Jose State University

The Bridging Approach: Effective Strategies for Teaching Ethnically Diverse Nursing Students. MARIAN K. YODER, EdD, RN San Jose State University JOURNAL Yoder / EFFECTIVE OF TRANSCULTURAL TEACHING STRATEGIES NURSING / October 2001 The Bridging Approach: Effective Strategies for Teaching Ethnically Diverse Nursing Students MARIAN K. YODER, EdD,

More information