Rachana Sikka Capstone Presentation


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  • Rachana Sikka Capstone Presentation

    1. 1. Evolution of capstone <ul><li>In the beginning. . . </li></ul>
    2. 2. Evolution of Capstone <ul><li>Mental health and health disparities </li></ul><ul><li>Hmong refugees and mental health issues </li></ul><ul><ul><li>Tracked issue for one year (media reports, educational workshops, forums) </li></ul></ul><ul><ul><li>Compiled academic, government and agency research </li></ul></ul><ul><ul><li>Conducted interviews and wrote preliminary articles for class assignments </li></ul></ul>
    3. 3. Evolution of Capstone: Version 1 <ul><li>Mental health screening efforts of new Hmong refugees </li></ul><ul><ul><li>Screening tool/instrument </li></ul></ul><ul><ul><li>Observation of actual screening </li></ul></ul><ul><li>Mental health programs and services for refugees (MN and Thailand) </li></ul><ul><li>Mental health and Hmong culture </li></ul><ul><li>Profiles of refugee families </li></ul>
    4. 4. Evolution of capstone <ul><li>Council of Asian and Pacific Minnesotans legislative update (2/14/2005) </li></ul><ul><li>Advanced Reporting Methods-spring 2005 </li></ul><ul><ul><li>Class project about gambling </li></ul></ul><ul><ul><li>Finished overview article mid-March </li></ul></ul>
    5. 5. Evolution of Capstone: Version 2 <ul><li>Mental Health of new Hmong refugees </li></ul><ul><li>Casino Gambling Addiction in the Twin Cities Asian community </li></ul><ul><li>Overview policy article about mental health and Asians </li></ul>
    6. 6. May 2005
    7. 7. Casino Gambling Addiction in the Twin Cities Asian Community Rachana Sikka July 25, 2005
    8. 8. Agenda <ul><li>Background information </li></ul><ul><li>Rationale for focus on gambling </li></ul><ul><li>Background research, interview, writing and follow-up processes </li></ul><ul><li>Components of article series </li></ul><ul><li>Challenges and ethical issues </li></ul><ul><li>Strengths and weaknesses </li></ul><ul><li>Publication Outlets </li></ul><ul><li>Conclusions </li></ul>
    9. 9. Gambling and Minnesota Source : www.mpr.org
    10. 10. Gambling and Minnesota “ Pawlenty, tribal leaders unveil casino proposal” MPR 3/4/2005 “ Two Indian tribes encouraged by gambling discussion with Gov. Pawlenty ” MPR 10/28/2004 “ Gambling Bills Pass Committee Test” MPR 3/19/2005 NATIONAL DESK | March 31, 2005  As Gambling Grows, States Depend On Their Cut to Bolster Revenues New York Times     “ Work & Life: Jobs are casino plans’ silver lining” StarTribune” 3/10/2005 “ Pawlenty and northern tribes say gambling talks were productive ” MPR 1/7/2005
    11. 11. Gambling <ul><li>Definition: placing something of value at risk in the hopes of gaining something of greater value </li></ul><ul><li>Wagering in casinos and on lotteries, horse and dog racing, card games, and sporting events </li></ul>
    12. 12. Epidemiology of gambling <ul><li>Epidemiology (National Council on Problem Gambling, 2003) </li></ul><ul><ul><li>Over 80 percent of U.S. adults have reported gambling at least once in the past year and done so responsibly </li></ul></ul><ul><ul><li>About one percent of adults (2 million people) meet the criteria of a pathological gambler </li></ul></ul><ul><ul><li>Two to three percent have less serious, but significant problems with gambling </li></ul></ul>
    13. 13. Gambling as a (public) health issue <ul><li>Pathological gambling </li></ul><ul><ul><li>Impulse control disorder </li></ul></ul><ul><li>High rates of comorbidity between substance use and gambling disorders </li></ul><ul><li>Increased rates of mental health disorders have been reported in problem and pathological gamblers </li></ul><ul><li>Higher suicide rates have been associated with gambling </li></ul>Sources : Cunningham-Williams RM, Cottler LB, 1998; Compton III WM, Spitznagel EL, 1998; Cunningham-Williams RM, Cottler LB, 2001; Crockford DN, el-Guebaly N, 1998; Shaffer & Korn 2002
    14. 14. Gambling as a (public) health issue <ul><li>Public health model for communicable disease can be applied to gambling (Shaffer & Korn, 2002) </li></ul>Person who chooses to gamble Specific gambling activity Money, credit or something else of value Microenvironment: gambling venue, family, local community Macroenvironment: socioeconomic, cultural, social policy and political context (Gordis, 2000)
    15. 15. Gambling and Asians <ul><li>Asian groups in the U.S. show higher rates of gambling disorders compared with other groups (Handbook of Asian American Psychology, 1998) </li></ul><ul><li>Prevalence surveys of Chinese immigrants to Western countries </li></ul><ul><ul><li>Montreal: 5% problem gamblers, 2% pathological gamblers (Lesieur HR, Blume SB, 1987) </li></ul></ul><ul><ul><li>Calgary: 8% problem gamblers (Lo J, 1996) </li></ul></ul><ul><ul><li>Sydney: 10% pathological gamblers (Blaszczynski A, Huynh S, Dumlao VJ et al, 1998) </li></ul></ul><ul><li>Lifetime prevalence of pathological gambling in a sample of Southeast Asian refugees: 59 percent (Petry NM, Armentano C, Kuoch T, Norinth T, Smith L, 2003) </li></ul>
    16. 16. Gambling and Asians in Minnesota <ul><li>A report on the effects of problem gambling on Southeast Asian families and their adjustment to life in Minnesota (1996) </li></ul><ul><ul><li>Exploratory field study by the CAPM </li></ul></ul>
    17. 17. Gambling and Asians in Minnesota <ul><li>“Gambling among Southeast Asians living in Minnesota has led to considerable financial and emotional problems resulting in increased debt, family stress, loss of homes, incidents of divorce, neglect of children and even deaths.” (CAPM, 1996) </li></ul>
    18. 18. Focus on gambling and Asians <ul><li>Timely </li></ul><ul><ul><li>Effective “hook” </li></ul></ul><ul><li>Fresh angle </li></ul><ul><li>Localized </li></ul><ul><li>Multi-dimensional issue </li></ul><ul><ul><li>Medical/psychological, political, social, economic and cultural aspects </li></ul></ul>
    19. 19. Background Research <ul><li>Literature search </li></ul><ul><ul><li>PubMed/Medline, PsychInfo, Current Contents (keywords=gambling and Asians) </li></ul></ul><ul><li>Outside publications/reports </li></ul><ul><ul><li>Governor’s Report on Compulsive Gambling: A Report to the Minnesota Legislature (2004) </li></ul></ul><ul><ul><li>A report on the effects of problem gambling on Southeast Asian families and their adjustment to life in Minnesota (1996) </li></ul></ul>
    20. 20. Background Research <ul><li>Websites </li></ul><ul><ul><li>Minnesota Department of Human Services </li></ul></ul><ul><ul><li>Minnesota Institute of Public Health </li></ul></ul><ul><ul><li>Minnesota Public Radio </li></ul></ul><ul><ul><li>Star Tribune </li></ul></ul><ul><ul><li>Minnesota State Lottery </li></ul></ul><ul><ul><li>Casino websites </li></ul></ul>
    21. 21. Initial Contacts <ul><li>CAPM: Legislative liaison/research analyst </li></ul><ul><li>Gambling treatment provider lists </li></ul><ul><ul><li>State-approved gambling treatment providers from MDHS </li></ul></ul><ul><ul><li>State and non-state approved providers from MN State Lottery </li></ul></ul><ul><li>Southeast Asian Gambling Treatment Consortium: Program manager </li></ul><ul><li>Lao Assistance Center: Executive Director </li></ul>
    22. 22. Initial Contacts <ul><li>Asked members of Council and Consortium, as well as gambling counselors about people who were dealing with gambling addiction </li></ul><ul><li>Marketing/Public Relations representatives of casinos (Mystic Lake, Grand Casinos, Treasure Island) </li></ul><ul><li>Mystic Lake Hotel Casino employee </li></ul>
    23. 23. Table of Contacts Angry and concerned about potential casino gambling expansion in Minnesota; thinks the creation of more casinos will have a more traumatic effect on Asian communities Cultural anthropology Phone: 651-296- 0538 Research Analyst and Legislative Liaison, Council of Asian and Pacific Minnesotans David Zander Remarks Expertise Contact Info Job Position Name
    24. 24. Interview Process <ul><li>CAPM (phone interview) </li></ul><ul><li>Southeast Asian Gambling Consortium/Lao Assistance Center (face-to-face interviews) </li></ul><ul><li>Gambling counselors </li></ul><ul><ul><li>Tried to interview gambling counselors who represented different segments of the Asian community (phone interviews) </li></ul></ul><ul><li>Marketing/PR departments of Mystic Lake and Treasure Island casinos did not return phone messages </li></ul>
    25. 25. Interview Process <ul><li>PR person at Grand Casino-Hinckley referred me to Goff & Howard </li></ul><ul><ul><li>Spoke with chairman in mid-March by phone </li></ul></ul><ul><li>Visit to Mystic Lake: Employees not willing to talk </li></ul><ul><li>Mystic Lake Hotel Casino employee interview through a personal contact </li></ul><ul><ul><li>Phone interview </li></ul></ul><ul><li>Was not able to interview someone of Asian descent who had a gambling problem </li></ul><ul><ul><li>Located woman in the personal profile through program manager of Southeast Asian Gambling Consortium in mid-May </li></ul></ul><ul><ul><ul><li>Face-to-face interview </li></ul></ul></ul>
    26. 26. Writing <ul><li>Overview article </li></ul><ul><ul><li>Highlight issue, raise awareness of problem </li></ul></ul><ul><ul><li>Bolster with academic/outside research and interviews with program managers and treatment providers </li></ul></ul><ul><ul><li>Discuss programmatic and legislative efforts </li></ul></ul><ul><ul><li>Narrative introduction to grab reader’s attention </li></ul></ul><ul><li>Personal encounter at Mystic Lake </li></ul><ul><li>Personal profile sidebar </li></ul>
    27. 27. Follow-up & Fact Checking <ul><li>Overview article </li></ul><ul><ul><li>Called back all sources at least once with follow-up questions, to double check facts and go over quotes </li></ul></ul><ul><ul><li>Especially important with sources representing casino perspectives </li></ul></ul><ul><li>Personal Profile </li></ul><ul><ul><li>Followed up with source 2-3 times to fact check and go over quotes </li></ul></ul>
    28. 28. Overview Article <ul><li>“ Casino Gambling Addiction in the Asian Community” </li></ul><ul><li>3,610 words </li></ul><ul><li>Personal observation </li></ul><ul><li>Research studies </li></ul><ul><ul><li>Local (Lao Assistance Center) </li></ul></ul><ul><ul><li>Academic (Retry et al 2003) </li></ul></ul><ul><li>Anecdotal/observational reports </li></ul><ul><ul><li>Council of Asian and Pacific Minnesotans (CAPM) </li></ul></ul>
    29. 29. Overview Article <ul><li>Interviews </li></ul><ul><ul><li>CAPM </li></ul></ul><ul><ul><li>Gambling counselors (Lao, Korean, Vietnamese, Chinese) </li></ul></ul><ul><ul><li>Blackjack dealer/floor supervisor (Mystic Lake Hotel Casino) </li></ul></ul><ul><ul><li>Chairman of Howard & Goff: public relations/public affairs firm for Mille Lacs Band of Ojibwe </li></ul></ul><ul><li>Programmatic/Legislative efforts </li></ul><ul><ul><li>Southeast Asian Gambling Consortium </li></ul></ul>
    30. 30. Overview Article: Main findings <ul><li>Higher than average incidence of problem gambling among Southeast Asian men and women </li></ul><ul><ul><li>Also surfacing in Chinese and Korean communities </li></ul></ul><ul><li>Limited education and language skills, low income, immigrant status, boredom and loneliness seem to factor into gambling </li></ul><ul><li>Difficult for counselors to do outreach </li></ul><ul><li>Sophisticated marketing efforts by casinos </li></ul><ul><li>Lack of entertainment options for people with limited English proficiency </li></ul>
    31. 31. Personal Profile <ul><li>Untitled </li></ul><ul><li>1,023 words </li></ul><ul><li>Local woman of Laotian descent </li></ul><ul><ul><li>Stepmother, biological mother and husband with gambling addiction </li></ul></ul><ul><li>To protect privacy, real names not used </li></ul>
    32. 32. Narrative Piece <ul><li>“Over the Buffet and through the Slot Machines” </li></ul><ul><li>1,432 words </li></ul><ul><li>Based on personal observation/encounter at Mystic Lake Hotel Casino </li></ul><ul><ul><li>Conversation with woman of Taiwanese descent </li></ul></ul>
    33. 33. Challenges <ul><li>Sensitive, emotionally charged issue </li></ul><ul><ul><li>Cultural lens magnifies pre-existing stigma </li></ul></ul><ul><li>Language barriers </li></ul><ul><li>Difficulty finding personal stories </li></ul><ul><li>Little published research and few “experts” </li></ul><ul><li>Achieving balance and objectivity </li></ul><ul><ul><li>Easy to get swayed by emotions </li></ul></ul><ul><ul><li>Casino employees unwilling to talk </li></ul></ul><ul><li>Programs vs. people </li></ul>
    34. 34. Ethical issues <ul><li>Privacy/confidentiality </li></ul><ul><ul><li>Mystic Lake Hotel Casino employee </li></ul></ul><ul><ul><li>People with gambling addiction and their families </li></ul></ul><ul><li>Evoking sensitive/traumatic issues for sources </li></ul><ul><ul><li>Personal account of Laotian woman </li></ul></ul><ul><li>Equity </li></ul><ul><ul><li>Giving equal voice to sources with limited English proficiency </li></ul></ul>
    35. 35. Limitations <ul><li>Lack of connection to broader mental health and/or policy issues </li></ul><ul><ul><li>Version 2 of capstone project </li></ul></ul><ul><li>Did not profile someone with gambling addiction </li></ul><ul><ul><li>Family member as proxy </li></ul></ul><ul><li>Slightly skewed toward an advocacy tone? </li></ul>
    36. 36. Strengths <ul><li>Focused </li></ul><ul><li>Timely </li></ul><ul><li>Novel </li></ul><ul><ul><li>An emerging issue </li></ul></ul><ul><li>Respected the privacy of sources while still telling their stories </li></ul><ul><li>Captured issues and voices of minority populations </li></ul>
    37. 37. Publication Outlets <ul><li>Ummm. . . </li></ul><ul><li>City Pages </li></ul><ul><li>Local specialty newspaper and/or magazine </li></ul><ul><ul><li>Asian Pages? </li></ul></ul><ul><ul><li>Asian-American Press? </li></ul></ul><ul><ul><li>Pulse of the Twin Cities? </li></ul></ul><ul><ul><li>Minnesota Monthly? </li></ul></ul>
    38. 38. Conclusions <ul><li>Sensitive topics + minority and/or immigrant populations = time for trust to develop between journalist and source </li></ul><ul><ul><li>Difficult to achieve under real-world deadline constraints </li></ul></ul><ul><li>Media can be an effective ally and intervention tool for health/human service professionals </li></ul><ul><ul><li>Can ease the transition to more intense intervention and/or policy development </li></ul></ul>
    39. 39. Conclusions <ul><li>Public health knowledge helped to understand and interpret research, but sometimes hindered interview and writing processes </li></ul><ul><ul><li>Knowledge of survey construction/research made interview preparation a headache </li></ul></ul><ul><ul><li>Hard-wired to write in an academic fashion </li></ul></ul><ul><li>Need to publish articles before issue becomes obsolete </li></ul>
    40. 40. My final two cents <ul><li>Honing my journalistic skills will be a lifelong process </li></ul><ul><li>Journalism should be renamed “Journeyism” </li></ul>
    41. 41. Thanks a bunch!!! <ul><li>Brian Southwell, Gary Schwitzer, Paul MacEnroe, John Finnegan </li></ul><ul><li>All named and unnamed sources, especially David Zander, Rick Devich, Sunny Chanthanouvong and Noriko Ishihara </li></ul><ul><li>Health journalism classmates </li></ul><ul><li>Parents and friends </li></ul>
    42. 42. Deal me any questions or comments