Upload
macheop
View
383
Download
1
Tags:
Embed Size (px)
DESCRIPTION
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
Citation preview
Who Are Our
Clients?Macheo Payne
Lincoln Child Center
2011
New Hire Orientation
New Hire Orientation
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?
Training Goals•Frame the context in which our students live.•Present key factors that impact our students lives.•Generate questions, comments, reflections
New Hire Orientation
New Hire Orientation
Client Demographics•Primarily African American & Latino•Primarily Alameda County residents•Primarily from low income households (under $22,000 for a family of 4)
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
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
New Hire Orientation
The Opportunity Gaps•The Achievement Gap (test scores, dropout rates)
•The Discipline Gap (suspension and expulsion)
•The Wealth Gap (net worth, income, rates of poverty)
•The Health Gap (life expectancy, excess death)
•The Prison Gap (incarceration rates, sentencing, profiling)
•The Perception Gap (stereotype threat, post race rhetoric, reverse racism)
Equal Opportunity?
Let’s pretend that the playing field is level… Decent Life
Privileged Class
Middle Class
-------------------------------------- Poverty Class
Pretend starting line
Actual
starti
ng line
The American Race
Step Forward if…
a. If your parents graduated from college
b. If your parents own their home
c. If you had teachers of the same race
Step Back if…a. Grew up in
povertyb. Experienced
traumac. Drug or alcohol
addiction d. Incarceratione. Suspended from
schoolf. Violence
Risk vs. Protective Factors
Risk Factors
1.Environment2.SES (income, class,
social status)3.Race, gender, SO, label4.Poverty5.Community violence6.Trauma7.Neglect8.Poor schools9.Lack of nutrition10.Broken family
structure
Protective Factors
1.Class status2.Supportive relationships
with caring adults3.Positive engagement4.Skills5.Education6.Environment7.Access8.Exposure
What We All Need
What do you need right
now?
Maslow’s Heirarchy of Needs
Environment and Stress
Prolonged exposure to multiple negative stressors and the absence of resources to effectively control, counteract, or cope with externally and ultimately internally.
1. Social & political conditions2. Economic conditions3. Environmental conditions4. Biological (chemical)
conditions
Does Inequality Make Us Sick?
Environment and Stress
When Do YOU Relax?
When Do They Relax???
Media Clips:Unnatural Causes Trailerhttp://www.youtube.com/watch?v=uE7v5cHlHDQPaired 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 Barakahttp://www.youtube.com/watch?v=esO4zrBER2U
Environment and Stress
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.
Strength- Based
Client ReflectionThink 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.
Strength- Based“All behavior
reflects a strength or a hidden strength”Name some of the hidden strengths that the
students exhibit:Manipulative < Creative & innovativePersistent < ResilientBold < CourageousOutspoken < Honest & transparentSocial < Social capital, teamwork
Transformative Capacity
Cultural Capital = Social Capital
Cultural Resiliency competencies = 21st 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
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?
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.
Empathy ActivityYou should not present yourself to students everyday unless you can do the
following.
Imagine the following:
1. Your mother or father going to jail for 20 years.
2. Your sibling being raped or molested by another member of your family- maybe your father or uncle or older brother.
3. Your cousin or closest friend being shot and killed at point blank range.
4. Yourself, having dropped out of school after the 8th grade.
5. Having to sell drugs or your body to buy food and clothes for yourself and siblings.
6. Being told by someone you look up to and respect that you ain’t shit and you ain’t never going to be shit.
Closer to home:
1. Losing your job today
2. Getting broken into and losing all your valuables
3. Losing the closest person in your life
.
Thank You
• Questions?
• Comments?
• Reflections?
• Feedback?