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Community Engagement for Health

Community outreach organizations working in the North Aurora. CO neighborhoods.

Michele Doucette

on 11 November 2012

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Transcript of Community Engagement for Health

Discrimination in Health Care (Qualitative research)
MSA project - seven 2nd year medical students Community Engagement Training
part of CCTSI PACT council program
Medical resident program with AF Williams clinic Community Engagement for Health getting to know your North Aurora projects & initiatives Past, Present & Future Original Aurora Rich Mclean Aurora Health Access Noelle Melchizedek be well NW Aurora
Project Manager Maisha Pollard, MS, RN
Executive Director Fields Wolfe Memorial Fund City of Aurora Moorhead
Recreation Center Substantial Loss of Population in OA
City GREW by 17.6% for the decade
OA saw a 11.3% DECLINE for decade

Conclusions: Not the result of an undercount
Demolition of 237 dwellings doesn’t account for loss
Drop in persons/household accounts for some, not all
Significant increase in vacancy rates...
Slow economy, changes in labor laws, increased investor involvement in area, impact of Fitz/Stapleton developments
20 - 29 year olds leaving area & white flight
OA may be in a pre-gentrification stage as investors pick up residential properties in anticipation of rising property values over time Unexpected Changes… Additional Challenges Facing OA Lower Educational Attainment Additional Challenges
Facing OA As many as 52 languages
spoken in OA schools School
Demographics in OA September 1994 - Lowry Air Force Base Closes

February 1995 - Stapleton Airport Closes

July 1995 - Fitzsimons Army Base Closure Announced

1999 - Fitzsimons Army Base Closure Completed
(4,000 jobs eliminated) Changes & Crisis in the Mid-90s A Tale of One Neighborhood Map of Original Aurora Reducing Poverty through Education & Employment

Helping Refugees & Immigrants Transition

Engaging & Empowering Residents, Businesses & Stakeholders

Building Youth Resiliency Challenges to Address… Higher
Rate Additional Challenges Facing OA 73% Hispanic
16% Black
9% White
2% Asian School Demographics in OA Seismic
Residential & retail vacancy rates

Rental prices

Influx of immigrants Effects on the Neighborhood
OAR is a city program
within the Neighborhood Services Department

that serves a specific geographical area called Original Aurora (OA) Original Aurora Renewal (OAR)
Who We Are… Population
44,472 (-11%)
Median Age
29.6 (+1.7 yrs)
Single Race Classification
51.4% White (-3.6%)
14.3% Black (-.8%)
4.0% Asian (+1.4%)
30.3% Other (+3.0%)
Self-Reported Hispanic
54.9% (+6.5%)
Median HH Income
$32,231 (-$537)
Individuals/Families below poverty
30.1% (+9.6%) 2010 Census Facts Population
Median Age
Single Race Classification
55.0% White
15.1% Black
2.6% Asian
27.3% Other
Self-Reported Hispanic
Median HH Income
Individuals/Families below poverty
Changes Within Past 10 Years… Through
Programs Like… How We Do It… OAR assists neighborhoods & residents
in Northwest Aurora help themselves... What We Do… ...to improve the quality of life in the community
& to promote community health,
safety & resilience. OAR works with stakeholders to
develop & implement comprehensive
strategies that: Revitalize our
community Prevent crime
Develop strong, healthy & vibrant neighborhoods Alleyway Lighting Project Information & Referral Resident & Business Outreach Volunteer Opportunities Educational Forums Tool Lending Program Community Gardens Joy Drive FallFest Aurora's Gang Reduction Impact Program (A-GRIP) Power Up a family-focused intervention program
providing free in-home Functional
Family Therapy & youth mentoring 6.5 square miles Home to over
915 businesses primarily a
of retired
military families
until 1995... Original Aurora Profile... 1990 2000 2010 26,114 50,067 44,472 +59% -11% Demographic Shifts 2005 2010 63% 55% 1990 7% +953% -8% Original Aurora's Population Hispanic population change Demographic
35% foreign-born in 2000
(795% increase over 1990) Shifts in OA Demographic in OA Shifts
Of the 2000 foreign-born population, 81%
were from Mexico 88% of O.A.’s Hispanic residents in 2000
did not speak English at home ...24% did not speak English at all OA is currently one of
the youngest & most
diverse neighborhoods in
metro-Denver area... 63% of students speak Spanish as their primary language 35% speak English as primary language Only 2% of students speak one of the remaining languages Slightly more than one in five (20.5%)
OA families lived in poverty
according to 2005 estimates
In 2010, nearly one in three
(30.1%) lived in poverty 20.9% of OA residents over 25 years of age had less than a 9th grade education
An additional 20.3% had some high school education but no high school diploma
For a total of 41.2% with less than high school diploma High Level of Transiency
According to 2000 Census data, 68% of OA residents over five years old lived in a different location in 1995 Higher Crime Rate
The crime rate—particularly along the Colfax Corridor—is twice to six times as high as the citywide rate 44,472 2000 Census Facts Dawn Barrett Original Aurora Renewal According to 2005 estimates: Our community advisors are FULL PARTNERS in every project Community Advisor's Role 2040 Partners for Health Role How do we work together? Discrimination in Health Care 2040 Health Summit (Feb 23rd, 2013) What We Do How We Work Together

You are invited to participate!
Great project opportunities A great way to learn about community The Student Perspective Planning and organization Student Role CBPR Projects What We Do: Areas of Work Improve community health in areas of community priority
What We Do: 2040 Goals Our Neighborhoods in NE Denver
Discrimination in health care Community-University SAVE THE DATE Provide a long term infrastructure for community health improvement (data, funding, evaluation, etc.) Achieve measurable results in community health over the long term Gain long term partnerships to support improved community health Reduce health disparities Research and data collection
Community partnerships
Program testing and implementation
Evaluation, etc. Community Engagement Convening (Health Summit)
Partnership development
Building connections
Community Advisory Groups HANDDS projects (Shopping Matters, Hands-only CPR) Kid’s obesity study and pilot program Asthma project in development Mental Health project in development Current Program Examples PROJECT EXAMPLE Who is Involved?
Seven 3rd year and three 2nd year medical students (MSA project), one MPH student
An amazing community advisory group
2040 Partners for Health
University mentors (T. Farley, A. Melillo, T. Walker) this is a partnership with shared power and control
Roles? Students
2040 Partners for Health
Community Advisors
Mentors CBPR training Other required training (e.g. how to run focus groups, overall project management ) Community advisory group development and support Facilities- meeting space etc. Budget and project management Grant writing support (as needed) Training, feedback, support with community process Dissemination support (2040 Health Summit etc.) COMIRB (if needed) Project support (from assisting with grants to getting food donated for meetings) Presentations (with community/2040) Research Communications and meetings (with advisors etc.) Etc…as project requires! All decisions about the project are made with the community advisors as 50/50 partners (what to do, how to do it, funding/budgets, data analysis) Regular meetings are held involving all students, 2040, and the community advisors Commitment to valuing all project members is key! See the effects of your research/work Flexibility and accommodation of interest Continuous cycling of students Support from the 2040 organization! Incredible chance to engage with community members Opportunity to learn about Community Based Participatory Research 2040 Health Summit Saturday February 23rd, 8:30-1:30
(at Denver School of the Arts, Montview and Quebec) Project Healthy Eating Active Living: Asset-Based Community Development Heart Health: screenings, referrals to services
Health Policy & Advocacy: ‘Share Fairs’
Youth Council
be well Centers
Coming Soon: be well Businesses
be well Northwest Aurora be well Long-Term Investment be well Northwest Aurora a project of The Stapleton Foundation
for sustainable urban communities Janet Meredith, MBA Executive Director Noelle Melchizedek be well NW Aurora
Project Manager Health & Wellness Initiative be well Northwest Aurora Data & Resident Driven Projects, Programs & Policies Framework for Understanding & Measuring Health Inequities Bay Area Regional Health Inequities Initiative Projects, Programs, & Policies Programs Policy Walking School Bus
be well Produce of the Month Coordinated School Health Team
Focus on Recreation Bike Rodeo be well Northwest Aurora a project of The Stapleton Foundation
for sustainable urban communities Noelle Melchizedek be well NW Aurora
Project Manager Set Baselines and Expectations in Categories Aurora Learning Circle Rubric Find and Mobilize Assets of the Community
Associations and Congregations
Business, non-profits, government
Local economy
Physical World Transforms any meeting into a Circle by willingness of participants to use
thoughtful speaking
and deep listening Calling a Circle Meeting... Allows small groups an informal controlled setting to interact Neighborhood
Circles Ruben Medina | Senior Recreation Specialist Parks, Recreation, and Open Space Department (PROs) Neighborhood Circles

Calling Circle Meetings

Asset-Based Community Development Aurora

Learning Circle Rubric

Successful Connection Tools Successful Connection Tools This format can be recreated
in any setting! Has set parameters/guidelines Allows for discussion by all involved Forms bonds and allows participants to approach their important issues in the community together Creates understanding of each other within the group and of community Creates a space where all are equal and nothing interrupts or is used as a barrier to the conversations Leadership rotates Reliance is on wholeness
Speak with intention
Listen with attention
Tend the well-being of the circle
Everyone’s voice is important Responsibility is shared What do we need to do? What do we have to do it with?
Find/connect with assets How do we get them to do it?
Relationships / Discover interests (self and common) How are we doing?
Evaluation/Celebration Resident-Lead Services Demand Driven
Reciprocal inclusion
Learning Organization
Organizational culture
Assets of Organization
Local Economy
Engaging who is missing
Partnerships with community All are open to the public and can be applied in several different platforms or entities Together Colorado Aurora Health Access Together Colorado Through community engagement and research, formulate solutions for a health care system in Aurora that meets the needs of all residents. Mission Adult Access and Care Coordination Pediatric Access and Care Coordination Community Health Integration Coverage Community Education and Mobilization Adult Access and Care Coordination This group identifies gaps and opportunities in Aurora’s landscape around adult access to care and care coordination, with a particular emphasis on the Aurora Behavioral Health and the CMS-funded "Hot Spotter" projects Ongoing work... Continue work with partners to implement and design the “Hot Spotters” project in North Aurora as well as the Aurora Behavioral Health Project
Strategically engage the UC and Aurora hospital communities
Continue to monitor & coordinate new access points in Aurora
Identify physician champions to bring in to AHA’s work Pediatric Access and Care Coordination Developing partnerships between Aurora Health Access, Colorado Children’s Healthcare Access Program (CCHAP), Colorado School of Public Health, Children’s Hospital Colorado, and Colorado Access to convene potential stakeholder organizations... Community Health Integration Develop AHA’s Community Health Worker and Patient Navigator project that is in its beginning implementation phase.

The biggest opportunity is to create a model that can be replicated and that bridges the cultural and ethnic gaps that exist in our current work. Identified next steps & strategies for this group include: Strive to always have diversity present in the work AHA does and try as much as possible to reach out and serve all of Aurora

Continue to develop and implement the Community Health Worker and Patient Navigator project Coverage Address the health coverage
gaps at every level: People who are insured
People who can’t afford health insurance
Low Income people who may be eligible for Medicaid or CHP+
The indigent
Documented immigrants and refugees Undocumented residents Identified next steps & strategies... Advocating for change in the way Health Insurance is financed, single payer system, co-ops
Communication with organizations that might fill the coverage gaps with specific groups
Advocacy for specific legislation
Public education, flyers, enrollment at schools, enrollment fairs/informational events in the community such as when kids or families are signing up for sports teams
Establish more PEAK application sites
Assess care gaps Community Education & Mobilization Aurora Health Access’ Health and Wellness Workgroup will continue to meet, but broaden their focus to identifying and promoting health information, resources, and events in Aurora. Educate the community to reduce health misinformation, or lack of information, and encourage action from AHA participants when collaboration is called for. Focus Goal Multi-racial, multi-faith community organization unlocking the power of people to transform their communities through community organizing. We are building an alternative moral and democratic voice in Colorado.

We train and equip faith leaders and volunteer community leaders to join together locally and statewide to resolve community issues on their own behalf. Founded in 1978 60 congregations, schools and youth committees Pueblo to Fort Collins... Expanding network of over 300 faith leaders Focusing on education, health care, public safety, immigration and economic justice Seeking to unify people to reduce poverty and increase economic and racial equality Joseph Johnson, MD, Internal Medicine Resident, Denver Health and Hospitals

Venetia Marshall, JD, VP Corporate Compliance Kaiser Permanente (Vice Chair)

Vernal Pope, English Teacher, Cherry Creek High School (Secretary)

Pamela Hanes, PhD, Adjunct Associate Professor, School of Public Health, Anschutz Health Sciences Campus, University of Colorado Denver (Treasurer)

Peter Taffe, Pastor, Life By Design Ministries Fields Foundation Board of Directors To close the gap in health and well-being that is based on income, educational attainment, access to resources and zip code.

To provide the youth of North Aurora with tools and opportunities to make healthy life choices as an alternative to dropping out of high school, early pregnancies in lieu of high school graduation and engaging in interpersonal violence. Goals of Our Place, Our Future Our Place, Our Future is dedicated to advancing the health and well-being of Aurora families.

To bring about changes and improvements, we partner with organizations that address physical and mental health as well as family, community and social supports to help families live healthy and productive lives. Social and civic responsibility
Investment in prevention
Environmental justice
Access to healthcare & quality education
Philanthropy at every level
Collaboration and cooperation
Leadership development & intergenerational mentorship Our Values - Total Population: 51,074

- Child Population: 15,534

- Racial/Ethnic Composition:
52% Hispanic
23% white
16% black

- Students qualifying for free/reduced lunch: 83% Moving the Needle Rhonda Fields, Founding Director, Fields Foundation

Maisha Pollard, BSN, MSN, Executive Director, Fields Foundation

Joseph Johnson, MD, Fields Foundation
jdjohnson18@gmail.com Contact Information Mitigation/elimination of the barriers to health-enhancing choices that are available to youth and young families in Old Aurora The End of the Rainbow… Collaborations and Community Connections Healthy Community Conceptual Model Not on My Street Investment in quality education as early as possible!

Investment in the prevention of violence and hopelessness… keeping kids safe, healthy and engaged

Prevention-oriented health promotion interventions

Eliminating barriers to healthy communities

Economic development that begins with youth

Community engagement

Collective responsibility for community investments Creating Change through …
Early childhood education that is coupled with preventive health interventions

After school activities for Aurora’s at-risk youth

Healthy living through access to healthy foods and opportunities for physical activity

Safe places to live, work, play and learn

Full and seamless integration of immigrants into the life of the community

Community Health Navigation Investing in Families OUR PLACE, OUR FUTURE
Overview FIELDS FOUNDATION To ensure the availability of quality early childhood education coupled with health promotion and early intervention services

To promote positive character development through the Our Place Our Future Community Center

To make available to the at-risk youth of Old Aurora realistic and achievable health-promoting lifestyle choices Objectives www.fieldswolfememorialfund.org 7 Months of Hotel Living =
7 Months of Bed Bug bites www.fieldswolfememoriafundl.org Why don’t YOU
LIVE, PLAY and Work in Aurora ? Mission: To ensure every child has a healthy start, a fair and safe head start in life towards a successful passage to adulthood.

Vision: To empower children, youth and families by providing access to health care, quality education, and positive character development.
Mission & Vision Statement
Fields Wolfe Memorial Fund
January 2012 Advancing the Well-being of Aurora Families Our Place, Our Future * Data Sources: U.S. Census Bureau, 2010; Denver
Public Schools and Aurora Public Schools, 2010 Our Place, Our Future Community Center Moorhead
Recreation Center I’m tired where is the Clean and affordable housing?
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