What Creates Health?Using Multicultural Storytelling for Community Engagement in Minneapolis Thursday, March 31, 2011 3:00 – 4:30 pm (EASTERN) Presenters: City of Minneapolis, MN, Department of Health and Family Support: * Gretchen Musicant, MPH, Commissioner of Health * Emily L. Wang, MPH, Health Policy & Program Coordinator * Victoria Amaris, Consultant
Learning Objectives – By the end of this workshop, participants will be able to: Understand the components of a local initiative which engaged multicultural communities to describe factors that create health Learn about tools that have been developed to help them replicate this process in their communities Identify at least two resources from local health departments to address the MCH-related issue discussed during the presentation
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What Creates Health?LISTEN: Using Multicultural Storytelling forCommunity Engagement in MinneapolisGretchen Musicant, CommissionerMinneapolis Department of Health & Family SupportEmily Wang, Health Policy & Program CoordinatorMinneapolis Department of Health & Family SupportVictoria Amaris, Community Partner/Cultural Advisor NACCHO and CityMatCHEmerging Issues in Maternal & Child Health Webinar Series March 31, 2011
Minneapolis Population By Race, 2010 Minneapolis Population by Race/Ethnicity 2 or more races, 4% Other, 0% Asian/PI, 6% American Indian, 2% Black, 20% White, 68% White Black/African American American Indian Asian/PI Other 2 or more races
% of Population that is Foreign Born byRace in Minneapolis, 2007-2009 66.2% Asian 23.9% Black 7.5% White Latino 56.6%0.0% 20.0% 40.0% 60.0% 80.0%
Our Health Department’sVision & MissionVision Health, equity, and well-being for all people in their communitiesMission To promote health equity in Minneapolis and meet the unique needs of our urban population by providing leadership and fostering partnerships.
The Way We Work We build on our urban community‟s cultural diversity, wisdom, strengths, and resilience. We support individual health within the context of families and communities across the lifespan. To achieve health equity, we invest in the social and physical environments of our residents. We bring people and resources together to achieve our common health goals. Sound research and promising strategies inform our activities and decisions. We promote health as the interconnection of physical, mental, social, and spiritual well-being.
How we began Convened Community leaders from 6 cultural communities Proposed an initial plan Established a climate of humility, learning and mutual ownership Identified storytelling as a universal way of communicating
Elaine SalinasAmerican Indian Community Partner/Cultural Advisor “When we want people to know what we‟re thinking, what we‟re feeling, what our experiences are, we often do it by sharing our stories… people from other communities began saying, „Well yes, storytelling is a big part of what we do in our community as well…‟”
Developing a great question Tell us about a time when your family or community was healthy
What made this effort unique? Community driven Co-developed and co-owned Community members analyzed the meaning of the stories Story telling events had intrinsic value to participants Events were culturally and linguistically tailored Events were led by members of the community
What made this effort unique? Strength based City leadership was involved It was intergenerational Honoring & respecting community Show product of their effort Describe changes underway in Department operations Demonstrate that they were heard
Findings 27 themes were identified 6 themes crossed all groups Extended kinship networks & social interaction promotes health Racial & cultural pride & maintaining cultural traditions & ties to a cultural community are important to health People can be extremely resilient despite great hardships
Findings (cont.) Health is viewed holistically with physical, mental, social & spiritual aspects Access to and engagement in physical activity is important to health Culturally competent & language- specific services are essential
Clarence JonesAfrican American Community Partner/Cultural Advisor“I‟ve grown a lot as a result of having to interface with the other communities…and while there are some differences, we have a lot of things that are similar and as a result of that, I think we can work together to make our community healthier.”
Process outcomes Evidence of learning across communities Affirmed the findings Honored the participants and their wisdom Demonstrated usefulness of information to others
Resources developed DVD 6 predominant health themes Target audience: policy makers, health decision makers & funders Multi-lingual: Spanish, Hmong, Vietnamese & Somali Speakers Bureau Community Partners/Cultural Advisors
Resources developed (cont.) Multicultural Storytelling Toolkit, w/ DVD 3 Teaching modules Viewing Guide Pre- & Post-storytelling event checklists Post-training event survey Feedback form
Toolkit Trainings Conducted University of Minnesota School of Public Health Culture & Health Literacy On-line Training Module MCH Summer Institute on Health Disparities New Student Orientation City of Minneapolis Inter-departmental Brownbag (Multicultural Services, Community Engagement, Police, 311, Fire, Regulatory Services, Public Works, Community Planning & Economic Development, Human Resources, City Coordinator, City Council Member)
Upcoming Toolkit Trainings University of Minnesota School of Public Health Early Childhood Mental Health Symposium http://mch2011symposium.eventbrite.com/ Public Health Institute www.sph.umn.edu/ce/institute
Storytelling Process (10 steps)1.Setting the Stage- Articulating Benefits Community Member Benefits Professional/Institutional Benefits2.Identify Committed & Engaged Institutional Leader
Storytelling Process (cont.)3.Form Advisory Committee of Representatives (Community Partners)4.Define the Right Strength-Based Question
Storytelling Process (cont.)5.Community Partners Conduct Storytelling Process6.Work with Community Partners to Interpret Meaning & Develop Themes
Sample Stories “A couple years back my auntie took me & my sister out into the woods & I didn‟t pay attention, but my sister paid attention & now my sister is…strong & she knows what medicines to use when she has a headache, or backache, or any kind of aches in her body…sometimes I wish I would have paid attention. I feel like proud of her all the time, because she‟s able to learn all these traditions & keep them alive.” American Indian youth
Sample Stories (cont.) “Some of the values our ancestors had, they knew how to eat vegetables, they knew a little bit about herbs…the body is so miraculous, God is so merciful, that it‟s always healing itself if we would just work with it. So, if we would see our kitchen as a healing laboratory, we either take our health away or give ourselves health…So really, your hospital is your kitchen, you‟re the first physician.” African American woman
Storytelling Process (cont.)7.Synthesize Cross-Cultural Themes8.Use Stories to Inform Policy and Practice
Storytelling Process (cont.)9.Come Full Circle. Share Results w/ Storytellers, Participants, & Community (Honoring Community)10.Sustain Community Engagement by Building Trustworthy Long- term Relationships
Honoring Community Honoring Community Thank You Event Celebration & validation of stories Multicultural foods Multilingual w/ interpreters & headsets
Perspectives of a CommunityPartner/Cultural Advisor Key elements of success A uniquely rewarding experience Inclusion & engagement went deeper and broader An unswerving commitment to a strength-based approach Not scarcity approach looking for “needs” and deficiencies Synchronicity of vision
Perspectives of a CommunityPartner/Cultural Advisor o Focused on wisdom of communities; cultural practices that keep us strong & healthy o Led by respective cultural communities/process honoring cultural traditions *Latino example o In partnership with Minneapolis Health Dept. leadership
Perspectives of a CommunityPartner/Cultural Advisoro Advisory/facilitators saw beyond their own communities Mutual learning across cultures occurred as a result o Inclusiveness: not only people of color but Caucasian communities o The presence, authentic engagement of the City Health Dept. leadership led to strong lasting relationships
Impact of the effort Opened doors for cross cultural learning Showcased how diverse communities define health Informed other community engagement efforts
Impact of the effort (cont.) Influenced department grant RFP process Informed program design and grant seeking Strong interest in the methodology among public health and academia
Gretchen Musicant,City Health Department Commissioner “The Health Department has a responsibility to act on what you have shared with us. How are we supporting families? How are we asking people who get our money to be true to culture or represent culture as they help people? That is one concrete way that we have begun, but we have a lot more to learn about how to do that with integrity.”
For more information Toolkit http://www.ci.minneapolis.mn.us/dhfs/ Other questions? Emily L. Wang email@example.com
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