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ASSEMBLY SELECT COMMITTEE
ON THE STATUS OF BOYS &
MEN OF COLOR IN CALIFORNIA
Karen L. Smith, MD, MPH - Director & State Health Officer
Wm. Jahmal Miller, MHA – Deputy Director
California Department of Public Health | Office of Health Equity
Monday, August 24, 2015
“What is also true is that the legacy of
slavery, Jim Crow, discrimination, in almost
every institution of our lives, that casts a
long shadow, and that’s still part of our DNA
that’s passed on. We’re not cured of it.”
President Barack Obama’s podcast interview on WTF with Marc Maron
June 22, 2015
Health is Shaped by Where We
Live, Learn, Work, and Play
Strengthening Families & Communities
• At the California Department of Public Health,
we are committed to deploying our people,
programs and expertise to help strengthen
families and communities.
• Consequently, we must prioritize and optimize
the health, mental health and well-being of our
boys and men of color.
CA Health and Safety Code 131019.5
• The Office of Health Equity (OHE) was established in 2012 to align state
resources, decision making, and programs to accomplish all of the following:
• Achieve the highest level of health and mental health for all people, with
special attention focused on those who have experienced socioeconomic
disadvantage and historical injustice
• Work collaboratively with the Health in All Policies (HiAP) Task Force
• Advise and assist other state departments in their mission to increase
access to, and the quality of, culturally and linguistically competent health
and mental health care and services
• Improve the health status of all populations and places, with a priority on
eliminating health and mental health disparities and inequities
“Health equity” means efforts to ensure that
all people have full and equal access to
opportunities that enable them to lead
healthy lives.
Source: California Health and Safety Code Section 131019.5
Office of Health Equity Statewide Strategic Plan to
Achieve Health & Mental Health Equity
Will the CDPH - Office of Health Equity Apply
the Gender Lens?
• Stage 1 and Stage 2 Goals
embedded in Portrait of
Promise:
• Promote the use of a gender
lens is used as appropriate
when assessing the promotion
of health and mental health
equity models, to increase the
likelihood of improving the
often-distinct health needs of
women and girls and men and
boys, particularly those of
color and/or low income
California Reducing Disparities Project
• Prop. 63-funded $60m initiative to identify promising practices and
systems change recommendations to address persistent disparities
in underserved populations.
• Target Populations:
• African American; Asian and Pacific Islander; Latino; Lesbian, Gay, Bisexual, Transgender,
Queer, and Questioning; and Native American communities
• Services defined by multicultural communities, for multicultural
communities
• Solicitations being released August 2015
California Health in All Policies Task Force
• Promote health, equity, and
sustainability
• Support inter-sectoral collaboration
• Benefit and engage with multiple
partners and stakeholders
• Create structural or procedural
change
• What role can the State & HiAP
Task Force play moving forward?
• Violence Prevention & Community
Safety
• Access to healthy food
• Community greening
• Health equity learning series for State
employees
Sexual & Behavioral Health
• Ensuring equity remains constant
value in CDPH Center for
Infectious Disease efforts
• Among males ages 15-19, the African
American gonorrhea rate(797.3) in
2010 was 32 times greater than the
White rate(24.9)
• Recently participated in the White
House’s Office of National AIDS
Policy announcement on updated
2020 National HIV/AIDS Strategy
Childhood, Youth & Adolescent Development
• Partnering w/ California and U.S. Departments of Justice
on the Defending Childhood State Policy Initiative
• Addressing child trauma and exposure to violence
• California Essentials for Childhood Cooperative
Agreement
• Funded by the CDC to leverage and support sustainable, multi-
sectorial collaborative efforts that promote safe, stable nurturing
relationships and environments
• Center for Youth Wellness ACES Policy Working Group
• Promote a trauma-informed workforce, systems change and
increase awareness about the impacts of childhood adversity
Partnership with Board of State & Community
Corrections – AB 1837
• Serving on the Executive Steering
Committee for the $5m Social Innovation
Financing Program focused on recidivism
reduction efforts
Multi-sectoral Approach on All Levels:
Strong Roots, Strong Boys & Men of Color
Executive, Legislative & Judicial Branches
CHHS Agency | Office of Health Equity | CDPH
National, State & Local Communities & Stakeholders
CA Adverse
Childhood
Experiences Working
Group
CA Reducing
Disparities Project
OHE 25-Member
Advisory Committee
Healthy
Communities
Data & Indicator
Project
Climate Action Team
Social Innovation
Fund Executive
Steering Committee
(AB1837)Health In All
Policies Task
Force
Examples of Partnership & Collaboration
that support our boys & men of color
Defending
Childhood
State Policy
Initiative
CA Essentials
for Childhood
Initiative
Assembly Select
Committee on
the Status of
BMoC in CA
Boys & Men of
Color Task Force
(AB80)
My Brother’s
Keeper Initiative
Public Health
Alliance of
Southern CA
Racial and Ethnic
Mental Health
Disparities Coalition
Bay Area
Regional Health
Inequities
Initiative
Federal Offices of
Minority Health
CA Conference
of Local Health
Officers
Alliance
for BMoC
California Center
for Research on
Women and
Families
CA Pan-Ethnic
Health Network
Sierra Health
Foundation
PolicyLink
The
California
Endowment
CDPH Open
Portal
Let’s Get Healthy
California
CA Wellness Plan
CA Black
Health
Network
Greenlining
Institute
Kaiser
Permanente
Dr. Smith's BMoC August 2015 Hearing CDPH-OHE Update.FINAL

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Dr. Smith's BMoC August 2015 Hearing CDPH-OHE Update.FINAL

  • 1. ASSEMBLY SELECT COMMITTEE ON THE STATUS OF BOYS & MEN OF COLOR IN CALIFORNIA Karen L. Smith, MD, MPH - Director & State Health Officer Wm. Jahmal Miller, MHA – Deputy Director California Department of Public Health | Office of Health Equity Monday, August 24, 2015
  • 2. “What is also true is that the legacy of slavery, Jim Crow, discrimination, in almost every institution of our lives, that casts a long shadow, and that’s still part of our DNA that’s passed on. We’re not cured of it.” President Barack Obama’s podcast interview on WTF with Marc Maron June 22, 2015
  • 3. Health is Shaped by Where We Live, Learn, Work, and Play
  • 4. Strengthening Families & Communities • At the California Department of Public Health, we are committed to deploying our people, programs and expertise to help strengthen families and communities. • Consequently, we must prioritize and optimize the health, mental health and well-being of our boys and men of color.
  • 5. CA Health and Safety Code 131019.5 • The Office of Health Equity (OHE) was established in 2012 to align state resources, decision making, and programs to accomplish all of the following: • Achieve the highest level of health and mental health for all people, with special attention focused on those who have experienced socioeconomic disadvantage and historical injustice • Work collaboratively with the Health in All Policies (HiAP) Task Force • Advise and assist other state departments in their mission to increase access to, and the quality of, culturally and linguistically competent health and mental health care and services • Improve the health status of all populations and places, with a priority on eliminating health and mental health disparities and inequities
  • 6. “Health equity” means efforts to ensure that all people have full and equal access to opportunities that enable them to lead healthy lives. Source: California Health and Safety Code Section 131019.5
  • 7. Office of Health Equity Statewide Strategic Plan to Achieve Health & Mental Health Equity
  • 8. Will the CDPH - Office of Health Equity Apply the Gender Lens? • Stage 1 and Stage 2 Goals embedded in Portrait of Promise: • Promote the use of a gender lens is used as appropriate when assessing the promotion of health and mental health equity models, to increase the likelihood of improving the often-distinct health needs of women and girls and men and boys, particularly those of color and/or low income
  • 9. California Reducing Disparities Project • Prop. 63-funded $60m initiative to identify promising practices and systems change recommendations to address persistent disparities in underserved populations. • Target Populations: • African American; Asian and Pacific Islander; Latino; Lesbian, Gay, Bisexual, Transgender, Queer, and Questioning; and Native American communities • Services defined by multicultural communities, for multicultural communities • Solicitations being released August 2015
  • 10. California Health in All Policies Task Force • Promote health, equity, and sustainability • Support inter-sectoral collaboration • Benefit and engage with multiple partners and stakeholders • Create structural or procedural change • What role can the State & HiAP Task Force play moving forward? • Violence Prevention & Community Safety • Access to healthy food • Community greening • Health equity learning series for State employees
  • 11. Sexual & Behavioral Health • Ensuring equity remains constant value in CDPH Center for Infectious Disease efforts • Among males ages 15-19, the African American gonorrhea rate(797.3) in 2010 was 32 times greater than the White rate(24.9) • Recently participated in the White House’s Office of National AIDS Policy announcement on updated 2020 National HIV/AIDS Strategy
  • 12. Childhood, Youth & Adolescent Development • Partnering w/ California and U.S. Departments of Justice on the Defending Childhood State Policy Initiative • Addressing child trauma and exposure to violence • California Essentials for Childhood Cooperative Agreement • Funded by the CDC to leverage and support sustainable, multi- sectorial collaborative efforts that promote safe, stable nurturing relationships and environments • Center for Youth Wellness ACES Policy Working Group • Promote a trauma-informed workforce, systems change and increase awareness about the impacts of childhood adversity
  • 13. Partnership with Board of State & Community Corrections – AB 1837 • Serving on the Executive Steering Committee for the $5m Social Innovation Financing Program focused on recidivism reduction efforts
  • 14. Multi-sectoral Approach on All Levels: Strong Roots, Strong Boys & Men of Color Executive, Legislative & Judicial Branches CHHS Agency | Office of Health Equity | CDPH National, State & Local Communities & Stakeholders CA Adverse Childhood Experiences Working Group CA Reducing Disparities Project OHE 25-Member Advisory Committee Healthy Communities Data & Indicator Project Climate Action Team Social Innovation Fund Executive Steering Committee (AB1837)Health In All Policies Task Force Examples of Partnership & Collaboration that support our boys & men of color Defending Childhood State Policy Initiative CA Essentials for Childhood Initiative Assembly Select Committee on the Status of BMoC in CA Boys & Men of Color Task Force (AB80) My Brother’s Keeper Initiative Public Health Alliance of Southern CA Racial and Ethnic Mental Health Disparities Coalition Bay Area Regional Health Inequities Initiative Federal Offices of Minority Health CA Conference of Local Health Officers Alliance for BMoC California Center for Research on Women and Families CA Pan-Ethnic Health Network Sierra Health Foundation PolicyLink The California Endowment CDPH Open Portal Let’s Get Healthy California CA Wellness Plan CA Black Health Network Greenlining Institute Kaiser Permanente

Editor's Notes

  1. We are tasked with improving the health status of all populations including, but not limited to, vulnerable communities and culturally, linguistically, and geographically isolated communities. There is good reason why this office was developed as the Office of Health Equity, rather than an office of minority health, like many peer organizations in other states. In our mandate, we are directed to improve the health status of all populations. This affords us the flexibility to focus on traditional issues of race/ethnicity, while expanding our reach to often ignored, or underserved communities due to their sexual orientation, gender or gender identity, income or educational attainment, age, incarceration or immigrant status, geographic location and a wide variety of others factors.
  2. Designed to improve access and quality of care; and increase positive outcomes for racial, ethnic, LGBTQ, and cultural communities in the public mental health system. Phase 1: Develop strategic plan to reduce mental health disparities in 5 populations (African American, Asian Pacific Islander, Native American, Latino, Lesbian, Gay, Bisexual, Transgender, Queer, and Questioning) Fund 5 Strategic Planning Workgroups to engage communities Identify promising programs and practices Identify strategies to reduce disparities Prepare population report Recommendations for use of Phase 2 funds Phase 2: Implement strategic plan Focus on validating promising practices / community-defined evidence programs
  3. The California Health in All Policies (HiAP) Task Force was created by Executive Order S-04-10 in 2010 because the health and well-being of Californians is im-pacted by the policies and practices of many agencies and departments, not just health services and public health. The HiAP Task Force is housed under the Strategic Growth Council (SGC), and brings together 22 state agencies, departments, and offices, with a common goal of working together to support a healthier and more sustainable California. Health in All Policies is a cutting-edge approach to shaping effective public and private policies for the promotion of health and health equity. The American Public Health Association describes Health in All Policies as “a collaborative approach to improving the health of all people by incorporating health considerations into decision making across sectors and policy areas.” Health in All Policies builds on public health’s long and successful tradition of collaboration among government sectors, as demonstrated in such initiatives as implementing fluoridated tap water policies, reducing occupational and residential lead exposure, restricting tobacco use in workplaces and public spaces, improving sanitation, and requiring use of seatbelts and child car seats. Health in All Policies takes the idea of cross-sector collaboration further by formalizing ways to systematically incorporate a health, equity, and sustainability lens across the entire government apparatus.