CBPR Institute6/24/13
HEALTH EQUITY FOR HOPE SF
A CASE STUDY
• Uzuri Pease-Greene, Rebuild Potrero, BRIDGE Housing
• Anne Griffi th, Enterprise Community Partners, Inc.
• Emily Weinstein, Rebuild Potrero, BRIDGE Housing
• Jessica Wolin, San Francisco State University
• Sarah Wongking, San Francisco State University
WHO WE ARE
HOPE SF
SF’s Public Housing Transformation Initiative
to :
• transform 4 developments in near future into
thriving mixed-income communities
• improve the lives of existing residents without
displacing them.
Launched in 2007. Ultimately, will transform 8
sites
• Rebuild 2,500 public housing units on 8 distressed
sites
• Create 1,000 new affordable units
• Create 2,500 new market rate units
HOPE SF
HOPE SF GOALS
Transform fi ve developments into thriving mixed-income communities that are woven into their neighborhoods
Build quality housing and infrastructure toward environmentally sustainable, accessible communities
Improve the lives of existing residents without displacing them
WESTSIDE COURTS
POTRERO TERRACE/
ANNEXHUNTERS
VIEW
ALICE GRIFFITH
SUNNYDALE
ENVIRONMENTAL ISSUES
Social and geographic isolation from surrounding communities, retail, healthy food, safe parks
Run-down housing with hazards (peeling paint and plaster, water leaks, broken concrete, exposed wiring and plumbing, graffiti, trash and boarded-up windows)
Foundation made of serpentine rock -- naturally-occurring asbestos when agitated
Sites close-by that contain toxic waste and contaminated land scheduled for mitigation
COMMUNITY CONCERNS
60% of families engaged in child welfare, juvenile probation, mental health programs
50%+ children under 18 (citywide average is 14%), and six-times the citywide rates of child and family poverty. 16% graduation rate.
5 times more unemployment than citywide rates and an average annual income less than $13,000
Violence, mental health, lack of employment are all significant community concerns and more
COMMUNITY STRENGTHS
Sense of community and commitment to revitalization
Existing community improvement efforts and social support
Community based organizations and city services
Residents
CAMPAIGN FOR HOPE
Public/private partnership to raise $25 million to invest in human services over next 5 years for improvements in:
• Workforce Development
• Education
• Health
HEALTH VISION
HOPE SF will help create communities and homes in which individuals and families reach and
maintain health and wellness.
Began in Nov 2011
Key Partners • HOPE SF • SF Department of Public Health • MPH program, Dept. of Health Education,
SFSU • Health Equity Institute, SFSU
Goal: Support the development and implementation of health strategies at all of the HOPE SF sites honoring the uniqueness of each community and ensuring a coordinated and thoughtful approach.
HEALTH EQUITY FOR HOPE SF COLLABORATION
1) Peer Leadership in HOPE SF CommunitiesAssessment (completed 8/12)Expanding Support for Peer Leadership
(current)
2) HOPE SF Children and Families Affected by Mental Health IssuesAssessment (current)Enhancing Strategies for Supporting Mental
Health and Well-being on Children and Families (future)
COLLABORATION PROJECTS
Advisory Group
Literature Review (February – March)
Interviews (April – July)Residents Program Staff Key
Stakeholders
Peer Leadership: 20 students conducted 47 interviewsMental Health: 18 students conducted 70 interviews
ASSESSMENTS
LESSONS LEARNED: CHALLENGES
Depth, extent and intractability of health issues facing HOPE SF communities
Community vs. Academic vs. City vs. Funder priorities and needs (i.e. timing, standards, IRB)
Complexity of public systems; layers of leadership and accountability; and, “silo-ed” programs and strategies
Lack of resources considering the level of need
Who “owns” this work and who is in charge?
Effort required to ensure continued focus and strategy
It’s a marathon not a sprint
LESSONS LEARNED: POSITIVE OUTCOMES & STRENGTHS
Collection of meaningful data
Development of community programs for HOPE SF residents
Building capacity of all partners
Student learning and “real world” experience
Long-term, sustained partnership between SFSU, HOPE SF & SFDPH
Presentations & proposals
PARTNERSHIP
What does it take to create and sustain
an effective partnership?