Facilitating Health Communication with Immigrant, Refugee, and Migrant Populations Through the Use of Health Literacy and Community Engagement Strategies Proceedings of a Workshop (2017) / Chapter Skim
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4 Health Literacy Considerations for Outreach
4 Health Literacy Considerations for Outreach
Pages 35-52
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From page 35... ...
Rishi Sood, director of policy and immigration initiatives at the New York City Department of Health and Mental Hygiene, described outreach efforts to uninsured foreign-born populations in New York City. Mimi Kiser, program director for the interfaith health program at the Rollins School of Public Health at Emory University, gave the final presentation on strategies for identifying and working with trusted advisors and decision makers.
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From page 36... ...
"Imagine that dynamic in a clinical encounter," said Santos. One thing that happened in this conversation is that the two women eventually started interspersing Spanish into the conversation, a phenomenon that linguists 1 This section is based on the presentation by Maricel Santos, associate professor of English at San Francisco State University, and the statements are not endorsed or verified by the National Academies of Sciences, Engineering, and Medicine.
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From page 37... ...
"If you look at what is going on in classrooms where people are developing this competence, you do not see it demonstrated in English only," said Santos. "This has an important implication for how we assess the development of health literacy and its outcomes if we are only able to do it largely in English." She then recounted a story about when she first met the late Archie Willard, a leading figure in adult literacy who founded VALUEUSA, a national adult learner leadership organization.
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From page 38... ...
As a final thought, she called on those in attendance to identify at least three or four adult education programs that they would call to start making the connection between adult ESL instruction and health literacy. MESSAGING FOR DISASTERS AND EMERGENCY PREPAREDNESS2 Every day in San Diego approximately 75,000 northbound crossings occur, said Kozo, and roughly 32 percent of the city's population is Latino.
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From page 39... ...
This meeting featured a keynote speaker from ECHO, an organization based in Minnesota that focuses on health communication, and eight focus groups, each professionally facilitated with simultaneous interpretation in all eight languages. The focus groups were asked the specific questions: • During an emergency, where do you get your information?
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From page 40... ...
The Korean and Karen communities reported very high levels of literacy, while the Somali and Latino communities reported lower levels. Also in some languages there are multiple dialects within communities.
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From page 41... ...
What the program offers in return is updated, vetted, trusted, and timely information during emergencies, as well as regular communication on pertinent health topics and trainings three times per year on important public health and emergency information. The program also provides a direct phone line and email address that allows the partner relay liaison to contact the county's emergency operations center.
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From page 42... ...
"Everyone does it slightly differently, but through months of conversation we documented what was done around the country and determined it was time for New York City to launch what we call a direct access health care program," said Sood. This program, ActionHealthNYC, builds on the city's robust public hospital system, which includes 11 public hospitals and dozens of other facilities, and dozens of community health centers, many of which are federally qualified health centers, he explained.
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From page 43... ...
PARTNERSHIPS IN BUILDING TRUSTED COMMUNITY NETWORKS4 In 2009, Kiser and her colleagues at Emory University began a project to build and mobilize capacity within networks of faith-based and com 4 This section is based on the presentation by Mimi Kiser, program director for the inter faith health program at the Rollins School of Public Health at Emory University, and the statements are not endorsed or verified by the National Academies of Sciences, Engineering, and Medicine.
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From page 44... ...
Five are large faith-based health systems that, because of their faith-based mission, have a strong commitment in their community outreach programs to build strong institutional relationships with the faith-based community in their catchment areas. Kiser noted that the partners in this project included the Arkansas Department of Health; a small faith-based organization that conducts large-scale health promotions and disease prevention activities in underserved communities in Detroit; the Buddhist Tzu Chi Foundation in Los Angeles; a federally qualified health center in Lowell, Massachusetts, that works with refugee and immigrant communities; a small nonprofit organization in Pennsylvania that serves a rural community; and large faith-based health systems in Chicago, Memphis, Minnesota, and New York City.
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From page 45... ...
Supporting the core drivers and five processes are five enduring infrastructure capacities: leadership that anchors the work, volunteers on the ground, a circle of core partners, network connections, and multisectoral collaborations. Kiser and her collaborators partnered with the Association of State and Territorial Health Officials to build a toolkit based on this framework.5 One model Kiser highlighted was that of the Buddhist Tzu Chi Medical Foundation, which she characterized as being light on bureaucracy and able to respond rapidly in a way that her public health partners were often not able to do.
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From page 46... ...
Community Health Center, a federally qualified health center with a long history of responding to the needs of immigrant communities, particularly the Cambodian refugee community and most recently African immigrants. To deliver services to the Cambodian community, the Lowell center partnered with a local Buddhist center and built a mediation room in the health center itself.
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From page 47... ...
SOURCE: Emory Interfaith Health Program as presented by Mimi Kiser at Facilitating Health Communication with Immigrant, Refugee, and Migrant Populations Through the Use of Health Literate Approaches: A Workshop on March 15, 2017. of Greater Chicago to develop a flu prevention method framed by the commitments and theological perspectives of the Islamic faith tradition.
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From page 48... ...
Santos replied that she does not work directly with libraries in her work, but she said adult education has a strong hold in libraries. She also said that librarians tend to be ahead of the curve on media literacy and the tools that are available, and that expertise could play an important role in mapping networks.
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From page 49... ...
As an example, she cited a recently published paper by the Open Door Collective which spotlights four different health literacy projects and all have some funding from the Workforce Investment Act or from a health insurance foundation that decided to invest in adult literacy professional development.7 These projects were able to integrate the health component into a program that would meet the learning needs of their learner community and the needs of their funders. Bernard Rosof asked Sood about his experience working with the large not-for-profit health systems in New York City that have an obligation under the ACA to be involved in the type of work described during this session.
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From page 50... ...
It also suggests to her that the adult education system needs to be a partner of the health care system so that the classroom rather than the 11-minute clinical encounter becomes a place for working on health literacy. Willis asked Sood if ActionHealthNYC was incorporating mental and oral health in its agenda, and Sood replied that that the seven federally qualified health centers and two public hospitals in its pilot program do offer mental health services and New York City's ThriveNYC program aims to improve mental health for all New Yorkers.
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From page 51... ...
She also responded to a question from Ackley about how a large health care organization such as hers can partner with adult education programs by noting that most adult education programs are registered with an organization called the Outreach and Technical Assistance Program for Adult Educators.8 This organization has an online directory that can be searched by zip code, which is typically how she finds programs with which to work. However, she added, it helps to have a faculty member to be a community partner, so she suggested going to a nearby university and finding its office of civic and community engagement.
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