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Project TAM-AN (Inner Peace). San Jose, CA. SAMHSA’ Strategic Prevention Framework. Assessment Capacity Planning Implementation Evaluation. I. TAM-AN assessment. Identify community leaders, professionals and groups (youth, faith-based, schools) - PowerPoint PPT Presentation
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04/19/2304/19/23 11
Project TAM-AN (Inner Peace)
San Jose, CA
22
SAMHSA’ Strategic Prevention Framework
I. Assessment
II. Capacity
III. Planning
IV. Implementation
V. Evaluation
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I. TAM-AN assessment
Identify community leaders, professionals and groups (youth, faith-based, schools)
Community needs assessment through focus group, interviews and surveys in 2005
Develop a framework of change: multi-faceted Multiple target audience Interdisciplinary strategies Broad-based partnerships
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Vulnerable refugee/immigrant population Vietnamese in San Jose
Waves of refugee immigration- San Jose, city with largest VN population
War trauma, forced dislocation, military families Linguistic and cultural barriers Highest rate of uninsured medical coverage Low utilization of existing mental health services based on equity
analysis (MHSA); 90 percent of Vietnamese immigrants in the San Francisco Bay area used indigenous health practices
Acculturation and Intergenerational conflict (MHSA, VN Report) Intergenerational PTSD, Domestic violence; physical Child
abuse Substance abuse underdetected
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II. TAM-AN Capacity
Build partnership and community leadership
Enhance cultural competence – all partners are from within ethnic community
Improve organizational capacity and resources through debrief sessions and internal evaluation
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The partnership
Immigrant Resettlement and Cultural Center
Nam PhamDeputy Director
Berryessay Union School District
Marc LiebermanSuperintendent
Ron FairchildPrincipal, Morrill Middle School
Viet-American Mental Health Network
Minh-Tuan Nguyen, MSWVice President
Lien H Cao, MFTProject Director
Tram NguyenProject Coordinator
Brandon NguyenClinical Supervisor
Patricia FujiiCounselor
Phoenix HoCounselor/Media specialist
Asian Americans for Community Involvement
Jorge Wong, Ph.DDirector of Behavioral Health SErvices
International Children’s Assistance Network
Quyen VuongExecutive Director
Asian American Recovery Services
Partner Organizations
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Organizational Partners Berryessa School District – Superintendent
Ensure school participation, provide sites and coordinate survey administration
Morrill Middle School – School Principal Refer students. Mental health cultural sensitivity weaved in school
activities. Teacher participation. Viet Mental Health Network – Vice President
Provides professional consultation and cultural competence Family empowerment forum
Asian Americans for Community Involvement Provide services to referred clients
88
Organizational Partners (cont’d)
Immigrant Resettlement Cultural Center – Deputy Director
Multi media: newspaper and radio, TV Outreach to parents and community
International Children’s Assistance Network Family empowerment forum
San Jose State University – Professor Han Community Readiness
University of Texas – Professor Wong Evaluation – Intervention effectiveness
99
III. Tam-An: PlanningStrategic and Action plans
Two Initiatives
School initiative Morrill Middle School Students: outreach with
campus, classrooms, teachers; discovery groups
Parents: automated VN phone message to VN parents; VN newsletter; monthly parent groups
Existing AARS services: Friday pro-socials; mentoring
Community Initiative Family Engagement Forum
Child development Strength- based,
developmental assets Family communication Intergenerational issues
Media: Local VN newspapers articles; radio shows; internet; e-newsletter
Special outreach to faith-based groups
1010
3 Project Goals – Goal 1
Goal 1. To increase the awareness of adolescent mental health and substance abuse issues, including professional treatment, within the Vietnamese community
Objectives
1. Reach 3000 Vietnamese families through multiple media approaches.
2. Generate more favorable attitudes towards participation in mental health and substance abuse treatment
1111
Goal 2. To improve access to mental health and substance abuse services among Vietnamese adolescents
Objectives:
1.Enhance referral process from school partners
2.Increase Vietnamese adolescent client caseload at AARS
Goal 3. To improve overall mental health and social functioning among Vietnamese adolescents
Objectives:
1.Reduce substance abuse among project participants by 25%
2.Reduce DSM IV (Axis I) symptoms by 20%, as measured by pre post assessments; enhance referral process from school partners
1212
IV. Tam-An Implementation Grant writing, funding from RWJF in 2007
All interventions launched: School events (Red Ribbon, back to school) Parents Support groups Media strategy document Media bibliography and products Community Forum booklet Forum evaluation
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Family Empowerment Forum
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Community Engagement Forum June 2; 9am—4pm Organizing partners: AARS and ICAN
Collaboration between 20+ organizations; intergenerational effort 12000 flyers at churches, temples, doctors offices, Asian
supermarkets, schools, agencies serving VN population Radio announcements, interviews, newspaper announcements
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Forum programming Programming:
9 workshops Opening ceremony with
lion dancing Popular Theater
Closing celebration with raffle prizes
Free child care Lunch and breakfast
catered
1616
Workshop content School readiness Theater piece
discussion Healthy marriage Positive parenting Youth inner voice Domestic violence Nutrition Family Dialogue Community mental
health
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Forum evaluation
1818
Participant Evaluation Comments
“Need more time in order to address more issues.”
“I didn’t know people were willing to share their stories.”
“We must let our children speak up.”
“I learned that teenagers often disagree with their parents. The parents know that something’s wrong, but they can’t change how they feel.”
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Community Education and Outreach
Radio: Dan Sinh, Saturday mornings Newspaper: Thoi Bao, Saturday edition Internet: www.irccsanjose.com
First month focus on Vietnamese youth identity outside of the family
Calendar content covers: Depression, anxiety, suicide amongst Vietnamese youth, gender roles, dating, academic pressure, career and life goals
2020
V. Tam-An Evaluation 1 Community Readiness: the capacity of a community to
implement programs, policies an other changes that are designed to reduce the likelihood of substance use
Community readiness assessment (Tri-Ethnic Center for Prevention Research):
Conduct key respondent interviews Score interviews to determine level of readiness Develop strategies based on level of readiness
Professor Han’s hypothesis: VN community moved from stage 3 “vague awareness” to stage 6 “initiation”
2121
Tam-An Evaluation 2 Professor Wong (University of Texas) impressed by culturally
competent intervention design: Intergenerational Fishbowl No direct communication Avoid stigma, taboo and shame – save face Respect family role Communication patterns: by gender groups Different levels of acculturation, English and Vietnamese
Evaluate intervention effectiveness – survey and focus group Translation back and forth Statistical analysis and findings by professor Wong Articles to be published
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Tam-An
Multidisciplinary strategies Grassroots know-how; staff and organizing
agencies come from ethnic population Aggressive evaluation for continual
improvement and effectiveness