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THE OHIO DEPARTMENT OF MENTAL HEALTH & ADDICTION SERVICES
Michael Byun, MPAExecutive Director [email protected] ext. 223
About ASIA• Established in 1995• Multi-service agency serving new Americans• Annually serves over 10,000• Mission is to empower and advocate for Asian
Americans and Pacific Islanders; and to provide AAPIs access to linguistic/culturally appropriate information and services
Program Areas• Self-Sufficiency Services
• Employment and training• Public benefits access assistance• Citizenship/ESOL classes• Emergency food/housing assistance
• Children/Youth/Family• Mentoring (ATOD initiative)• Domestic violence/sexual assault – women’s leadership program• Case management• Gambling prevention• Hmong women’s weaving group
• Aging and Adult• Congregate meal and socialization• Public benefits access assistance
• Community Health Promotions• Education, outreach and screening (childhood lead, HIV, diabetes, BCCP, etc.)• International Community Health Center
• Cultural Outreach• Interpreting and translation services• Cultural competency training and consulting
Demographics• Statewide: 248,292 Asian Americans and Pacific Islanders
(2010 Census)• 2% of the total state population, 49% growth from 2000-2010• More than 4,000 Asian refugees resettled in Ohio between 2001
and 2011• Fastest growing in NE Ohio• Roughly one-third of AAPIs live in NE Ohio• Indian, Chinese, Filipino, and Korean Americans comprise 74%
of the region's API population
Issue Areas and Current Efforts• ATOD (Alcohol, Tobacco and Other Drugs)• Suicide• Obesity• Gambling addiction• Trauma (associated with sexual or physical violence)
ATOD• Data disaggregation shows ATOD use differences (highest
among SE Asians and Pacific Islander youth) (Wong, et. al.)• A youth survey in the Bay Area showed 40.8% underage Asian
youth used alcohol which was significantly higher than the national norm (Lee, Omori, Yoshikawa)
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ATOD after-school/summer mentoring program (ASIA’s longest running)• Two sites working with Summit and Cuyahoga County Board• Cradle to career initiative in Summit County• Parenting and young women’s groups
Suicide• November 2013 – 57 year old Nepali man • Five total in the region and two additional attempted• Primarily Nepali population• Suicide a viable option• Major theme: self-sufficiency/hopelessness-------------------------------------------------------------------------------County Boards (Summit and Cuyahoga Counties) are exploring
initiatives:• Strengthen referral linkages• RHS 15• Provider and community assessments
Suicide: issues with self-sufficiency and challenges for the “donut population”• Young adults – highly adaptable segment• Adults – doing well to fill vacancy in light manufacturing,
service work, hospitality, and other entry level positions• Older workers who are not eligible for Medicare and/or SSI• Language and skills acquisition are more difficult• More women and then men• Difficult to place into the workforce
Obesity• High risk for type 2 diabetes and related chronic diseases with co-
morbidity for depression• Initial spike then trend based on socio-economic factors• Access to Western foods • 70% of participants surveyed were at high risk based on BMI and
A1c (funded by OCMH)-----------------------------------------------------------------------------International Community Health Center – first FQHC in Ohio focused
on Asian health (November 2013)
Project RAISE (Reaching Asian Pacific Islanders through Innovative and Supportive Engagement)• Multi-sector policy, system, and environmental change project working with
ethnic/voluntary organizations, refugee resettlement groups, public health, community foundations, and cultural/language schools
Gambling Addiction• American Psychiatric Association reported from a study that
20% of the Chinese American population are problem gamblers• Another APA study showed that 59 percent of SE Asian are
pathological gamblers• “We have this saying in Chinese: if you don’t gamble, you don’t
know how lucky you are.” —Anonymous Chinese gambler-----------------------------------------------------------------------------ASIA’s partnership with Recovery Resources to pilot gambling
prevention education and outreach• Multi-year effort with year 1 focus on culturally/linguistically specific
awareness campaign with educational presentation. Future plans for additionally certified trained bilingual or culturally relevant prevention/treatment providers.
Trauma From War and/or Domestic Violence• An estimated 4,972 APIs have been sexually assaulted. Yet of the
more than 60,000 victims of domestic violence reported in Ohio in 2012, only 552 identified as Asian (UWGC)
• A national study showed that 42% of Korean women experience sexual or physical assault; 40.8% of South Asian women faced physical or sexual violence during their lifetime (Shimtuh; Raj Silverman)
-----------------------------------------------------------------------------Hmong Women’s Weaving Support Group
• Intergenerational weaving group for refugees from Laos
Northeast Ohio Asian Women’s Leadership Initiative (NALI)• 8 Asian ethnic women’s groups to build leadership in DV/SA support services
Thank you!
JHUMA ACHARYA & SARAH MILLER
COMMUNITY REFUGEE AND IMMIGRATION SERVICES (CRIS)
JANUARY 14, 2015
Health and Wellness in Columbus’ Bhutanese Nepali
community
Bhutanese Nepali Refugees in Columbus
• Resettlement began 2009
• Estimated 12,000-15,000 living in Columbus area
• Continued secondary migration
• Nepali primary language, Hindu primary religion
Trauma factors: Pre-resettlement
Hopelessness of future due to long camp stays Non-cooperative relationship with citizens and law
enforcement of host country Lack of rights in host country, inability to work Limited access to quality education and intellectual
opportunities in camp Pollution and unhygienic environment in camps, lack of
access to medical care
Trauma factors: Post-resettlement
Limited English language skills
Lack of employable skills
Difficulty with transportation and getting car/license
Fear and confusion of bills and utilities
Misunderstandings and fear about benefits and how long they will last
Health concerns
Chronic conditions (hypertension, diabetes)
Lack of access to preventative and high quality care
Alcohol use
Depression and suicide CDC report 2011
Confusion about specialists, insurance, referral processes
CRIS’ Response
Mental health screening using the RHS-15 Strengths-based case management Community adjustment support groups Wellness activities: yoga, dance, music Youth activities: LeaderSpark!, dance Health courses: chronic disease management, nutrition Suicide prevention training with OSU REACH
To Learn More
http://www.culturalorientation.net/learning/populations/bhutanese
http://www.peianc.com/sitefiles/File/resources/cultural_profiles/Bhutanese-Refugees-in-Nepal.pdf
http://www.brycs.org/documents/upload/bhutanese-cultural-backgrounder.pdf
http://www.cdc.gov/immigrantrefugeehealth/pdf/bhutanese-health-profile.pdf
Webinar on working clinically with traumatized refugee children and families: http://gulfcoastjewishfamilyandcommunityservices.org/refugee/2013/04/15/kate-porterfields-webinar-working-clinically-with-traumatized-refugee-children-and-families/
Questions?
Feel free to contact us!
Jhuma Acharya Case Manager for Nepali speakers
Sarah MillerRefugee Wellness Program Manager
[email protected] 614-987-1674
OhioMHAS Disparities and Cultural Competency Learning Series
Bounthanh Phommasathit, B.S.W.,MS.Secretary
Ohio Asian American Pacific Islander Advisory CouncilColumbus, Ohio
Ohio Asian American Pacific Islander Advisory Council
A REPORT ON THE STATE OF ASIAN AMERICANS AND PACIFIC ISLANDERS IN OHIO
December 2014
77 S. High Street, 18th FloorColumbus, Ohio 43215Yung-Chen Lu, PhD, Chair614-805-4283
The Composition of US Society Is Changing Rapidly
0
10
20
30
40
50
60
70
80
1990 2000 2010 2020 2030 2040 2050
Asian
Black
Hispanic
Non-Hispanic white
Day JC. 1996:13.
Po
pu
lati
on
(%
)
Projected Distribution of the US Population by Race/Ethnic Group, 1990 to 2050
Reach out to Ohio AAPIs on the Ohio Policy/Decision Making bodies
Improve Access to State Prog/Services
Encourage Culturally Relevant (education, faith and art)
Increase awareness of MBE and EDGE
Develop community health education screenings on chronic diseases and provide available treatment plans
Increase awareness on Asian Heritage Month
Summary of Ohio Asian Americans
Executive Order Objectives
Arts, Culture and EducationCivil Rights & Immigration Impact
Economic Worforce Development
Health Issues and Health Care System
4 STANDING COMMITTEES
ARTS AND CULTURE/EDU
• Asian Festival events in Columbus, Cleveland, Cincinnati, and Dayton Ohio
• Funding: The Ohio Art Council
• In Ohio, there are only 7 immersion schools. The newest school is Global Ambassadors Language Academy (GALA), a tuition-free, K-8, public charter school scheduled to open in August 2015 in the city of Cleveland. GALA is a language immersion school that will offer both Mandarin Chinese and Spanish immersion options and the International Baccalaureate Primary Years Program.
CIVIL RIGHTS & IMMIG. IMPACT
•Members of the Council served on the planning committee and help promote the Protecting Civil Rights Town Hall: Know Your Rights and Responsibilities, held on April 15, 2014. •Topics included Hate Crimes, Law Enforcement and Community Relations, and Deferred Action for Childhood Arrivals. •Deferred Action for Childhood Arrivals (DACA) panel, consisting of a diverse group of students, discussed problems in accessing services for which they are now eligible, such as in-state tuition and driver’s licenses
ECONOMIC WORKFORCE DEV.• The OAAPIAC has promoted education about the Minority Business
Enterprise (MBE)/Encouraging Diversity, Growth and Equity (EDGE) Unit’s role in the State of Ohio's minority business set-aside program
• Announced opportunities for below-market interest loans from the Community Development Financial Institution (CDFI) and for public/private partnerships to promote international trade to Asian and Asian American business leaders and entrepre neurs throughout Ohio.
• Initiated plans for a statewide Economic Development conference/summit to include Ambassadors repre senting Asian countries. The goal will be to enhance opportunities for foreign trade and economic development in Ohio
The OAAPIAC have been working to promote access to the following Ohio’s health programs and services:
Mental Health & Addiction through ADAMH BoardAsian Free Clinic supports by OSUHealth screenings at Asian festivals annuallyHepatitis B Program funded by CDCSenior Meals program through LifeCare AllianceParticipated in the National Network to Eliminate
Disparities in Behavior Health’s NNEDLearn Program.
HEALTH ISSUES & HEALTH CARE SYSTEM
Fund OAAPIACIncrease funding to
community and faith based organizations
Train CHAs to assist Ohio AAPIs for the above 4 charges
OAAPIAC RECOMMENDATIONS
Arts & Culture/
Education
Civil Rights &ImmigrationImpact
Economic
Health
THANK YOU and Please Help!!!!
