Crossing the Line: An Interdisciplinary Conversation Reede Scholars Officers 2014-2016 on Immigrant Children Co-Sponsor :



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SYMPOSIUM SPONSORS Reede Scholars Officers 2014-2016 President -Mary E. Fleming, MD, MPH Secretary Ashaunta Anderson, MD, MPH Treasurer Kavitha Prakash, MD, MPH The Reede Scholars, Inc. Annual Health Equity Symposium Crossing the Line: An Interdisciplinary Conversation on Immigrant Children Thursday May 7, 2015 3:30 pm 6:30 pm Joseph B. Martin Conference Center Harvard Medical School Co-Sponsor : Office for Diversity Inclusion and Community Partnership The Reede Scholars, Inc. Health Equity Symposium Planning Committee: Mary Fleming, M D, MPH, Robert Marlin, MD, PhD, M PH, Ashaunta Anderson, MD, MPH, Kavitha Prakash, MD, MPH, Monica Le, MD, MPH, Tamarah Duperval-Brownlee, MD, MPH, Jay Bhatt, MD, MPH, Maria Portela, MD, MPH, Alexy Arauz Boudreau, MD, MPH 12 1

THE REEDE SCHOLARS SYMPOSIUM NOTES The Reede Scholars ar e a gr oup of health car e pr ofessionals including physicians, psychiatrists, psychologists and dentists who have completed a health policy fellowship program at Harvard University funded by the Commonwealth Fund, California Endowment, and the Joseph L. Henry Oral Health Program. Scholars hold positions in key areas of health care services throughout the nation. The objective of the Reede Scholars Annual Health Equity Symposium is to host a multidisciplinary forum to enlist diverse perspectives for creating strategies that promote health equity. Communicating health policy to communities that are frequently without a voice and often misinformed is a challenge. This year, our theme is Crossing the Line: An Interdisciplinary Conversation on Immigrant Children. Our organization is committed to recognizing the needs of vulnerable populations. Children as a group have a unique set of challenges, and those are amplified when they immigrate to this country without the infrastructure to provide adequate access to education, healthcare and mental health services. Our speakers inform and enlighten us to strategies to support these youth. Please join us for a lively discussion at this year s Health Equity Symposium. Program: 2015 Health Equity Symposium 3:30-4:05 Reception 4:05-4:10 Welcome Mary E. Fleming, MD, MPH 4:10-4:25 Introductory Remarks Robert P. Marlin, MD, PhD, MPH 4:25-5:10 Panelist Presentations 5:10-5:20 Commentary Maria Portela Martinez, MD, MPH 5:20-6:10 Discussion 6:10-6:15 Closing Remarks 2 11

REEDE SCHOLARS, INC. MODERATOR History and Mission The Reede Scholars Health Equity Symposium was established to honor Joan Y. Reede, a mentor, inspirational leader, and tireless advocate for vulnerable populations. The Reede Scholars, Inc. is the alumni organization of the Mongan Commonwealth Fund Fellowship Program in Minority Health Policy, California Endowment Scholars in Health Policy, and Joseph L. Henry Oral Health Fellowship programs at Harvard Medical School. MISSION The mission of the organization is to transform health policy through education, research, policy and practice to improve human health and well being. GOALS Our growing network of scholars seeks to achieve the following goals. Ensure high quality health care and public health services for all populations. Enhance measurement an surveillance of targeted public health and health care goals in disadvantaged/vulnerable populations. Develop, implement, and evaluate health policies that address social determinants of health and leading causes of morbidity and death. Engage communities we serve through dialogue, education, and civic participation to advocate for improved health, community empowerment, and health equity. Support endeavors to educate future Reede Scholars. Robert P. Marlin, MD, PhD, MPH Robert P. Marlin, MD, PhD, MPH is the Director of Coordinated Care Program for Political Violence Survivors, Director of the Refugee Health Assessment Program, and staff physician in the Department of Medicine at the Cambridge Health Alliance (CHA). He is a primary care internal medicine physician at CHA s East Cambridge Health Center in Cambridge, MA, where he also previously served as interim Medical Director. Dr. Marlin is an Instructor in Medicine at Harvard Medical School. At CHA he also serves as a member of the Diversity Council and directs the Seminar on Global Health and Human Rights. Dr. Marlin received his medical degree from the State University of New York at Stony Brook School of Medicine, his Ph.D. in anthropology from Rutgers, The State University of New Jersey, and his M.P.H. in healthy policy from the Harvard School of Public Health. His training includes an internal medicine residency at the Cambridge Health Alliance and the Mongan Commonwealth Fund Fellowship in Minority Health Policy at Harvard Medical School, where he focused on the intersection of U.S. health and immigration policy. Dr. Marlin s current work focuses on the integration of care for vulnerable patients, the use of information technology to improve the care of limited English proficient patients, and the development of community-based interventions to advance the health and wellbeing of vulnerable populations. ***The Commonwealth Fund renamed the Fellowship as The Mongan Commonwealth Fund Fellowship in Minority Health Policy in honor of Dr. James J. Mongan, an innovative leader in health care delivery system transformation with a strong commitment to improving health care for vulnerable populations. 10 3

PANELIST COMMENTATOR Laurie Carafone, JD Laurie Carafone is the Supervising Attorney for Pro Bono Programs for the Boston office of Kids in Need of Defense (KIND), where she trains and mentors pro bono attorneys representing unaccompanied immigrant children. Prior to KIND, Laurie represented asylum seekers at Community Legal Services and Counseling Center in Cambridge, Massachusetts. In 2008, Laurie was selected as a fellow in the Boston Bar Association Public Interest Leadership Program, and in 2009 she received the Women of Justice award from the Women's Bar Association. Laurie was named by Boston Magazine as the Rising Star in the Non- Profit sector in 2010 and 2013, and as a Top Women Attorney Rising Star in 2014. Laurie earned her law degree, cum laude, from the University of Michigan Law School, where she was chosen as a Ford Outstanding Woman Law Scholar and a Bergstrom Child Welfare Fellow. She earned her B.A. in literature, cum laude, from Dartmouth College and a master's degree in theological studies from Harvard Divinity School. Maria Portela Martinez, MD, MPH Maria Portela is a Family Medicine Physician and a former 2013 Mongan Commonwealth Fund Fellow. Currently, she works at Health Resources Services Administration where she serves as the Branch Chief of Medical Training and Geriatrics at the Division of Medicine and Dentistry within the Bureau of Health Workforce. Previously, Maria worked as a full time clinician and was a Harvard Medical School Appointee for the Office of Diversity Inclusion and Community Partnership. Maria is passionate about reaching vulnerable populations and has led community outreach programs that serve the underserved and immigrant populations such as the former Migrant Health Educational Program and the Healthy Avondale Partnership. In 2012, Maria worked on a picture-audio documentary called En Sus Zapatos that raised awareness by highlighting the challenges that Hispanic immigrants face when accessing the health care system. Later in 2014, Maria presented during her fellowship year her practicum project to America s Essential Hospitals entitled: Immigrants: Waiting for Health and Immigration Reform. Maria is passionate about increasing health equity and volunteers in boards and committees belonging to the Reede Scholars Alumni, the National Hispanic Medical Association, and Building the Next Generation of Academic Physicians. Her most recent publication consisted of a comparative assessment of insurance and access to care in Puerto Rico and the United States. 4 9

PANELIST PANELIST Rebecca Lowenhaupt, PhD Dr. Rebecca Lowenhaupt, PhD is an Assistant Professor of Educational Leadership in the Lynch School of Education at Boston College. She holds a bachelor s and master s degree from Harvard University and a PhD in educational leadership and policy analysis from the University of Wisconsin-Madison. She completed a postdoctoral fellowship at Northwestern University. Drawing on multiple methods of empirical research, including survey methods, social network analysis, and qualitative analysis, her work investigates educational leadership and policy in the context of immigration, with a focus on new immigrant destinations. Her scholarship has appeared in several academic journals, including the A merican Education Research Journal, Education & Urban Society and the Journal of Educational Administration. She has received funding for her research from the Spencer Foundation and the National Science Foundation. A former middle-school teacher, she remains committed to helping schools design meaningful, equitable educational opportunities for immigrant youth. Rebecca Lambert, MD Rebecca Lambert, MD is a primary care pediatrician at the MGH Chelsea Healthcare Center and Instructor in Pediatrics at Harvard Medical School. A large proportion of her patients are recent immigrants from Guatemala, Honduras and El Salvador. Dr. Lambert serves as the school physician for the Chelsea Public Schools. From 2008-2009 she worked in the New York City Department of Health and Mental Hygiene s District Public Health Office in East Harlem, where her projects focused on school health, asthma and obesity initiatives. Dr. Lambert received her medical degree from Weill Cornell Medical College in 2010 and completed her pediatrics residency at Massachusetts General Hospital in 2013. 8 5

PANELIST PANELIST Lisa Fortuna, MD, MPH Dr. Lisa Fortuna, MD, MPH, is a child and adolescent psychiatrist and a mental health services researcher. Her work includes the development of community and school based prevention and mental health interventions for youth at risk of gang or juvenile detention involvement, the development of therapies for addressing trauma and addictions in adolescents and the creation of mental health services for immigrant refugee youth and their families including the Refugee Immigrant Assistance Center Community Counseling Program in Boston. She is currently a co-investigator on a National Institute on Drug Abuse supported international study on Latino immigrant mental health and substance use disorders with the Center for Multicultural Mental Health Services Research at Cambridge Health Alliance. She is the incoming medical director of Child and Adolescent Psychiatry at Boston Medical Center. Kiara Alvarez, PhD Kiara Alvarez, PhD, is a researcher and clinician focused on improving adolescent behavioral health outcomes, with a particular emphasis on Latino/a and immigrant youth and their families. She is an NIMH-funded postdoctoral fellow at the Center for Multicultural Mental Health Research at Cambridge Health Alliance, where she studies the social and cultural context of depression and suicidality. She has extensive bilingual clinical experience providing evidence-based interventions to children, adolescents, and caregivers, including interventions for trauma, substance use, and coping with chronic medical conditions. Her experience spans outpatient, inpatient, primary care, school, and community settings. She has a particular interest in the design of collaborative mental health interventions delivered by multidisciplinary teams. Dr. Alvarez completed her psychology internship training at Boston Children s Hospital/Harvard Medical School and received her doctorate from the APA-accredited School Psychology program at the University of Texas at Austin. She is a fellow of the American Psychological Association s Minority Fellowship Program in Mental Health and Substance Abuse Services. She also holds an Ed.M. in Human Development and Psychology from the Harvard Graduate School of Education and a B.A. in Literature from Harvard University. 6 7