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
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
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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
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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
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11. What We All Need What do you need right now? Maslow’s Heirarchy of Needs
14. Media Clips: Unnatural Causes Trailer http://www.youtube.com/watch?v=uE7v5cHlHDQ Paired reflections Inequality in environment: http://www.youtube.com/watch?v=pzafgHG7EFE&feature=related Paired reflections Wealth equals health: http://www.youtube.com/watch?v=NqzsMW8B0u4&feature=related Paired reflections “ This is not normal.” – Ras Baraka http://www.youtube.com/watch?v=esO4zrBER2U 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.
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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.
