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who are our clients


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Looking at the social determinants of health allow service providers to view the health disparities that exist for poor people and people of color as a symptom of a larger societal problem that can be …

Looking at the social determinants of health allow service providers to view the health disparities that exist for poor people and people of color as a symptom of a larger societal problem that can be addressed by changing how we organize society in a way that promotes equity and social justice

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  • 1. Who Are Our Clients? Macheo Payne Lincoln Child Center 2011 New Hire Orientation
  • 2. Introductions Who Are You? 1. Your name and any nickname? 2. The best and worse neighborhood you ever lived in? 3. Who supported you the most growing up? 4. Favorite part of Oakland? New Hire Orientation
  • 3.
    • Training Goals
    • Frame the context in which our students live.
    • Present key factors that impact our students lives.
    • Generate questions, comments, reflections
    New Hire Orientation
  • 4. New Hire Orientation
    • Client Demographics
    • Primarily African American & Latino
    • Primarily Alameda County residents
    • Primarily from low income households (under $22,000 for a family of 4)
  • 5. New Hire Orientation Social Determinants of Health The social determinants of health are the conditions in which people are born, grow, live, work and age. -The World Health Organization
  • 6. New Hire Orientation Social Determinants of Health These circumstances are shaped by the distribution of money , POWER and resources at global, national and local levels, which are influenced by policy decisions (made by less than 1% of the population daily going back over hundreds of years). -The World Health Organization
  • 7. New Hire Orientation
    • The Opportunity Gaps
    • The Achievement Gap (test scores, dropout rates)
    • The Discipline Gap (suspension and expulsion)
    • The Wealth Gap (net worth, income, rates of poverty)
    • The Health Gap (life expectancy, excess death)
    • The Prison Gap (incarceration rates, sentencing, profiling)
    • The Perception Gap ( stereotype threat, post race rhetoric, reverse racism )
  • 8. Equal Opportunity? Let’s pretend that the playing field is level… Decent Life Privileged Class Middle Class -------------------------------------- Poverty Class Pretend starting line Actual starting line
  • 9. The American Race
    • Step Forward if…
    • a. If your parents graduated from college
    • b. If your parents own their home
    • c. If you had teachers of the same race
    Step Back if… a. Grew up in poverty b. Experienced trauma c. Drug or alcohol addiction d. Incarceration e. Suspended from school f. Violence
  • 10. Risk vs. Protective Factors
    • Risk Factors
    • Environment
    • SES (income, class, social status)
    • Race, gender, SO, label
    • Poverty
    • Community violence
    • Trauma
    • Neglect
    • Poor schools
    • Lack of nutrition
    • Broken family structure
    • Protective Factors
    • Class status
    • Supportive relationships with caring adults
    • Positive engagement
    • Skills
    • Education
    • Environment
    • Access
    • Exposure
  • 11. What We All Need What do you need right now? Maslow’s Heirarchy of Needs
  • 12. Environment and Stress Prolonged exposure to multiple negative stressors and the absence of resources to effectively control, counteract, or cope with externally and ultimately internally.
    • Social & political conditions
    • Economic conditions
    • Environmental conditions
    • Biological (chemical) conditions
    Does Inequality Make Us Sick?
  • 13. Environment and Stress When Do YOU Relax? When Do They Relax???
  • 14. Media Clips: Unnatural Causes Trailer Paired reflections Inequality in environment: Paired reflections Wealth equals health: Paired reflections “ This is not normal.” – Ras Baraka Environment and Stress
  • 15. Strength- Based “ The strength of someone who has endured the greatest hardship is best equipped for creating great social change.” Harriet Tubman suffered narcoleptic seisures and severe headaches and recurring blackouts. She risked her personal freedom and freed over 300 slaves.
  • 16. Strength- Based Client Reflection Think of a difficult client and describe their behaviors. Write down things they would do, and say to peers and adults. Think about how these behaviors could develop into pro-social strengths.
  • 17. Strength- Based “ All behavior reflects a strength or a hidden strength”
    • Name some of the hidden strengths that the students exhibit:
      • Manipulative < Creative & innovative
      • Persistent < Resilient
      • Bold < Courageous
      • Outspoken < Honest & transparent
      • Social < Social capital, teamwork
  • 18. Transformative Capacity Cultural Capital = Social Capital Cultural Resiliency competencies = 21 st century skill set Acculturation = Critical Analysis Navigation of borders = Adaptability and Agility Cultural Capital (game) = Social Capital Mouthpiece (spit, gab, game) = Teamwork/Networking Inter/Intra cultural communication = Multi/Bilingual Creative self expression = Innovation and Imagination
  • 19. Who Are You? What is your Story? 1. How were you raised? 2. What do people tell you your strengths are? What do they say your are good at? 3. What are you proud of? 4. What have you overcome to be here?
  • 20. What Do I do With All This? 1. BE INFORMED: Remember there are multiple causes for behavior. Always keep a professional frame when working with clients. 2. BE RESPONSIVE: Center your work around the clients needs from the clients perspective. They have to live with the result. 3. BE STRENGTH BASED: Our Clients are not victims. They are not diagnoses. They are resilient & transformative.
  • 21. Empathy Activity
    • You should not present yourself to students everyday unless you can do the following.
    • Imagine the following:
    • Your mother or father going to jail for 20 years.
    • Your sibling being raped or molested by another member of your family- maybe your father or uncle or older brother.
    • Your cousin or closest friend being shot and killed at point blank range.
    • Yourself, having dropped out of school after the 8 th grade.
    • Having to sell drugs or your body to buy food and clothes for yourself and siblings.
    • Being told by someone you look up to and respect that you ain’t shit and you ain’t never going to be shit.
    • Closer to home:
    • Losing your job today
    • Getting broken into and losing all your valuables
    • Losing the closest person in your life
    • .
  • 22. Thank You
    • Questions?
    • Comments?
    • Reflections?
    • Feedback?