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Healthy Living for All:
How Sixby'15 Campaign Works
to Include People with
Disabilities in Public Health
http://sixbyfifteen.org/
www.aucd.org
Adriane K. Griffen, MPH, MCHES
Director of Public Health
Association of University Centers on Disabilities (AUCD)
http://sixbyfifteen.org/
#6by15
@AUCDNews
@adrianegriffen
6 Goals to Achieve by ‘15
http://sixbyfifteen.org/
Healthy Living Goal
• At least six states commit to including people with
disabilities as an explicit target population in all state
public health programs
• Based on New York State Department of Health
efforts
• Collaboration with partners: National Association of
County and City Heath Officials, Special Olympics
Healthy Living Goal
Collaboration with National Partners
National Association of County and City Heath Officials
Program Goal:
Promote the successful inclusion and engagement of people with
disabilities in all health department programs, products and
services.
Program Activities:
-Fellowship Program
-Technical Assistance Program
-Disability Workgroup
-Fact Sheets/Success Stories
-Assessment of inclusive practices
Current Projects:
Facilitating discussions between state and local health departments
1100 17th St NW
Washington, DC 20036
Healthy Living Goal
Collaboration with State Partners
Michigan
Rhode Island
Delaware
Ohio
Personal Action Toward Health (PATH)
• PATH is Michigan’s name for Stanford’s Chronic Disease
Self-Management Program, an evidence-based six week
health promotion workshop.
• PATH focuses on managing your health,
not on a particular diagnosis; it can be
used to manage living with a disability, a
chronic condition, a mental illness, or a
combination of these – the content is
already inclusive.
Why did we choose PATH?
• A statewide implementation network for PATH already
existed – we knew we could reach many people with
disabilities (PWD) if the workshops were fully accessible.
• While the content cannot be changed, there is plenty of
room for access and accommodation in the way the
workshop is implemented. We don’t change the content –
we accommodate the people.
• We want people with disabilities to have equal access to a
program we know works.
Our strategies for inclusion
• Expect accessibility from leaders, and give them the tools
to make it happen (like training and checklists). It’s
important for leaders to feel they know what to do.
• Talk about access frequently, not just once. It’s a learning
process.
• Hold workshops where the people are – drop-in centers,
CILs, etc.
• Encourage PWD to take the workshops in their own
communities. We developed targeted marketing materials
so people know “this is for me too!”
• Increase the numbers of PATH leaders who are PWD.
The results?
Roughly half of PATH participants in Michigan
are people with disabilities.
• We have created a manual for inclusion that is in it’s final
draft stages, to help leaders ensure accessibility. A
webcast for inclusions can also be found at:
http://breeze.mdch.train.org/accessandinclusion/.
• A checklist for accessibility was created with help from
Angela Weaver in Oregon, and can be found at:
http://midisabilityhealth.org/documents/Brief-Checklist-
for-Accessible-Health-Promotion-Workshops.pdf
Health Promotion
Rhode Island’s Disability & Health Program has made
Healthy Lifestyles workshops available to young
adults with disabilities ages 14-26 since fall 2012.
Highlights:
• Trained nearly 100 young adults in evidence-based
• Cross-walked curriculum with the Common Core
Standards in order to be eligible for high school
health credits
Policy Initiative
In January 2015, the Center for
Disabilities Studies and the
Department of Health and Social
Services released the Plan to
Achieve Health Equity for
Delawareans with Disabilities.
www.gohdwd.org/doc
uments/healthequitypl
an0215.pdf
“With the release of this plan, I want to
establish health equity for people with
disabilities as a department-level
priority.”
- Secretary Rita Landgraf
In July 2015, Sec.
Landgraf
announced Policy
Memo #70 – the
Inclusion Policy.
New policy will address:
• Contracts
• Advisory Boards and
Committees
• DHSS Program Access
• Data Collection and
Reporting
• Protection of Health
Information
• Training
Disability Inclusion – Ohio
• Disability Health Policy Specialist housed at Ohio
Department of Health’s Office of Health Policy and
Performance Improvement
– Strategic move to increase disability capacity at ODH
• ODH’s Tobacco Quit Line Campaign
– Aimed at the disability community
– 2 Posters, 1 Brochure
– Media Campaign from April 2015 – June 2015 in
Columbus, Cleveland, Cincinnati, Dayton, & Toledo
(5 major urban cities)
Disability Inclusion – Ohio
• Emergency Preparedness
– Two online disability trainings for first responders and
emergency planners
– Personal preparedness training for PWD/Caregivers
• Mammography Facilities Assessment
– Conducted ADA-based mammography facilities assessments at
mammography facilities across the state
– Provided multiple mammography technicians trainings on
working with women with disabilities across the state
• Healthy Lifestyles
– Implemented evidence-based health promotion program tailored
for people with disabilities throughout the state in different
settings
Healthy Living Goal
• At least six states commit to including people with
disabilities as an explicit target population in all state
public health programs
– How did we do?
• Our next steps: Shift to focus on including
people with disabilities as a health equity issue
Your Next Steps
1. Start using…
Public Health is for Everyone:
An inclusive planning toolkit for public
health professionals
19
www.phetoolkit.org
2. Give feedback…
Including People with Disabilities-
Public Health Workforce Competencies
www.aucd.org/competencies
#publichealth #4all
@AUCDNews
@adrianegriffen
3. Stay in touch
Adriane K. Griffen, DrPH (c), MPH, MCHES
Director of Public Health
Association of University Centers on Disabilities (AUCD)
1100 Wayne Avenue, Suite 1000, Silver Spring, MD 20910
Phone: 240-821-9374
Email: agriffen@aucd.org
Web: www.aucd.org

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APHA healthy living for all 11.15

  • 1. Healthy Living for All: How Sixby'15 Campaign Works to Include People with Disabilities in Public Health http://sixbyfifteen.org/ www.aucd.org Adriane K. Griffen, MPH, MCHES Director of Public Health Association of University Centers on Disabilities (AUCD)
  • 3. 6 Goals to Achieve by ‘15 http://sixbyfifteen.org/
  • 4. Healthy Living Goal • At least six states commit to including people with disabilities as an explicit target population in all state public health programs • Based on New York State Department of Health efforts • Collaboration with partners: National Association of County and City Heath Officials, Special Olympics
  • 5. Healthy Living Goal Collaboration with National Partners National Association of County and City Heath Officials
  • 6. Program Goal: Promote the successful inclusion and engagement of people with disabilities in all health department programs, products and services. Program Activities: -Fellowship Program -Technical Assistance Program -Disability Workgroup -Fact Sheets/Success Stories -Assessment of inclusive practices Current Projects: Facilitating discussions between state and local health departments 1100 17th St NW Washington, DC 20036
  • 7. Healthy Living Goal Collaboration with State Partners Michigan Rhode Island Delaware Ohio
  • 8. Personal Action Toward Health (PATH) • PATH is Michigan’s name for Stanford’s Chronic Disease Self-Management Program, an evidence-based six week health promotion workshop. • PATH focuses on managing your health, not on a particular diagnosis; it can be used to manage living with a disability, a chronic condition, a mental illness, or a combination of these – the content is already inclusive.
  • 9. Why did we choose PATH? • A statewide implementation network for PATH already existed – we knew we could reach many people with disabilities (PWD) if the workshops were fully accessible. • While the content cannot be changed, there is plenty of room for access and accommodation in the way the workshop is implemented. We don’t change the content – we accommodate the people. • We want people with disabilities to have equal access to a program we know works.
  • 10. Our strategies for inclusion • Expect accessibility from leaders, and give them the tools to make it happen (like training and checklists). It’s important for leaders to feel they know what to do. • Talk about access frequently, not just once. It’s a learning process. • Hold workshops where the people are – drop-in centers, CILs, etc. • Encourage PWD to take the workshops in their own communities. We developed targeted marketing materials so people know “this is for me too!” • Increase the numbers of PATH leaders who are PWD.
  • 11. The results? Roughly half of PATH participants in Michigan are people with disabilities. • We have created a manual for inclusion that is in it’s final draft stages, to help leaders ensure accessibility. A webcast for inclusions can also be found at: http://breeze.mdch.train.org/accessandinclusion/. • A checklist for accessibility was created with help from Angela Weaver in Oregon, and can be found at: http://midisabilityhealth.org/documents/Brief-Checklist- for-Accessible-Health-Promotion-Workshops.pdf
  • 12. Health Promotion Rhode Island’s Disability & Health Program has made Healthy Lifestyles workshops available to young adults with disabilities ages 14-26 since fall 2012. Highlights: • Trained nearly 100 young adults in evidence-based • Cross-walked curriculum with the Common Core Standards in order to be eligible for high school health credits
  • 14. In January 2015, the Center for Disabilities Studies and the Department of Health and Social Services released the Plan to Achieve Health Equity for Delawareans with Disabilities. www.gohdwd.org/doc uments/healthequitypl an0215.pdf “With the release of this plan, I want to establish health equity for people with disabilities as a department-level priority.” - Secretary Rita Landgraf
  • 15. In July 2015, Sec. Landgraf announced Policy Memo #70 – the Inclusion Policy. New policy will address: • Contracts • Advisory Boards and Committees • DHSS Program Access • Data Collection and Reporting • Protection of Health Information • Training
  • 16. Disability Inclusion – Ohio • Disability Health Policy Specialist housed at Ohio Department of Health’s Office of Health Policy and Performance Improvement – Strategic move to increase disability capacity at ODH • ODH’s Tobacco Quit Line Campaign – Aimed at the disability community – 2 Posters, 1 Brochure – Media Campaign from April 2015 – June 2015 in Columbus, Cleveland, Cincinnati, Dayton, & Toledo (5 major urban cities)
  • 17. Disability Inclusion – Ohio • Emergency Preparedness – Two online disability trainings for first responders and emergency planners – Personal preparedness training for PWD/Caregivers • Mammography Facilities Assessment – Conducted ADA-based mammography facilities assessments at mammography facilities across the state – Provided multiple mammography technicians trainings on working with women with disabilities across the state • Healthy Lifestyles – Implemented evidence-based health promotion program tailored for people with disabilities throughout the state in different settings
  • 18. Healthy Living Goal • At least six states commit to including people with disabilities as an explicit target population in all state public health programs – How did we do? • Our next steps: Shift to focus on including people with disabilities as a health equity issue
  • 19. Your Next Steps 1. Start using… Public Health is for Everyone: An inclusive planning toolkit for public health professionals 19 www.phetoolkit.org 2. Give feedback… Including People with Disabilities- Public Health Workforce Competencies www.aucd.org/competencies
  • 20. #publichealth #4all @AUCDNews @adrianegriffen 3. Stay in touch Adriane K. Griffen, DrPH (c), MPH, MCHES Director of Public Health Association of University Centers on Disabilities (AUCD) 1100 Wayne Avenue, Suite 1000, Silver Spring, MD 20910 Phone: 240-821-9374 Email: agriffen@aucd.org Web: www.aucd.org

Editor's Notes

  1. NACCHO’s Health and Disability Program has been working to promote the inclusion and engagement of people with disabilities for close to 10 years. Currently, NACCHO is funded by the CDC to implement a workforce development fellowship program where each year 2-3 graduate students or recent graduates receive training about including people with disabilities in health department activities. As part of the fellowship program, NACCHO’s Health and Disability Program activities include: providing technical assistance to local health departments, developing resources such as fact sheets and success stories, conducting assessments and maintaining a health and disability workgroup. Fellows are involved in all aspects of NACCHO’s Health and Disability work. Currently, NACCHO is partnering with states to facilitate discussions between state and local health departments, in order to better understand the ways that state and local health departments can work together to promote the inclusion of people with disabilities within the state. By the end of this project year, NACCHO will develop an e-learning module that health departments can use to better understand inclusive public health practices.
  2. Rhode Island’s Disability & Health Program has made Healthy Lifestyles workshops available to young adults with disabilities ages 14-26 since fall 2012.  The DHP has trained eleven youth presenters, successfully provided ninety-four young adults with the sixteen hour workshop, and made over ten Healthy Lifestyles outreach informational presentations.   As RI’s education leadership has adopted the common core, Healthy Lifestyles was cross-walked with the Common Core Standards through the RI Department of Education in order to be eligible for high school health credits.  The DHP worked with the several high schools to offer health credits for participation in Healthy Lifestyles. 
  3. Policy Highlight Rhode Island Department of Health Director and Disability & Health PI (Deborah Garneau) signed and distributed a correspondence to seventy-six licensed healthcare facilities in RI to remind them of their legal responsibilities to provide Accessible Health Care under Section 504 of the Rehabilitation Act of 1973, the Americans with Disabilities Act, RIGL Civil Rights of People with Disabilities, RIGL HIV/AIDS Discrimination Act, and RIGL Hotels and Public Places Discrimination Practices Prohibited. The letter provided local and national accessibility resources including Department of Justice, New England ADA Center, disability.gov, RI’s Governor’s Commission on Disabilities, RI Commission on the Deaf and Hard of Hearing, and Accessible Healthcare Rhode Island. (resources provided attached)
  4. Mention Illinois efforts around public health programs; Massachusetts
  5. Public Health is for Everyone is new, one-stop resource to increase the capacity of public health professionals to create programs that benefit entire communities, including people who have a disability. Users can search and browse disability and health related resources by their interests and professional needs. Resource topics include: Nutrition, Health care access, Physical activity, Emergency preparedness, Obesity, Accessibility, Tobacco, and general inclusion issues. Practical, hands-on resources such as field guides, factsheets, checklists, brochures and other tools are featured. To check out the new Public Health is for Everyone toolkit, please visit www.phetoolkit.org. Do you have a practical free resource to share? Submit a resource to further develop Public Health is for Everyone.   Public Health is for Everyone is maintained by the Association of University Centers on Disabilities (AUCD) with support from CDC’s Office for State, Tribal, Local and Territorial Support and the National Center on Birth Defects and Developmental Disabilities. (Open to partnership ideas - Need new dollars to support)