Los Cien : Latinos’ Access to Healthcare and Wellbeing

1. Los Cien: Latinos’ Access to Healthcare and Wellbeing St. Joseph Health Community Well Being January 24, 2019

2. Our Mission: Our Mission As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

3. Our Vision: Health for a Better World

4. Organizational Tithing to Support Community Benefit

5. Community Health Needs Assessment (CHNA) Priority Needs for St. Joseph Health 2018-2020 • Access to Health Resources • Behavioral Health 3. Housing Concerns & Homelessness

6. Sonoma County: Health and Demographic Trends for Latinos • Latinos made up 26.3% of Sonoma County’s population in 2015; projected to be more than 51% by 2050. • 33% of Latino population in Sonoma County is under the age of 18 (compared to 14% for whites) • 29.4% of Latinos lack health insurance compared to 9.4% of whites • 10% of Latino population in Sonoma County has at least a bachelor’s degree (compared to 35% for whites) • Latinos outlive Sonoma County whites by 5 years Sources: Sonoma County Economic Development Board & Sonoma County Department of Health Services

7. Sonoma County: Health and Demographic Trends for Undocumented Immigrants • Only 14% of adults but almost all children (94%) had health insurance • 72% of surveyed adults and 98% of children reported having a usual source of care • 62% of adults who self-identified as feeling that they may need to see a professional because of problems with mental health did not seek help (cost 91%, stigma 40%) Source: Sonoma County Department of Health Services

8. Barriers to Healthcare Access for Latino Population • Restricted amounts of care, particularly culturally competent and linguistically appropriate • Long waits for appointments • Insurance coverage isn’t enough • Transportation • Cultural barriers • Need for increased prevention awareness • Fears regarding Immigration status

9. St. Joseph Health Responses • Safety Net Services • Proactive Prevention & Intervention • Systems Change and Transitions • Investing in our Future Healthcare

10. Safety Net Services

11. St. Joseph Health Responses: Safety Net Mobile Health Clinic • Sites: homeless shelters, Palms Inn, Boyes Hot Springs, Windsor • 3,271 patient encounters in 2018 • 54% Spanish is primary language

12. St. Joseph Health Responses: Safety Net Mobile Dental Clinic & Roseland Fixed-Site Dental Clinic In 2018: • Over 10,000 patient encounters in 2018 • 78% Spanish is primary language

13. St. Joseph Health Responses: Safety Net Partnerships with County, other hospitals, and social service nonprofits • Crisis Stabilization Unit (CSU) • Psychiatric Health Facility (PHF) • Project Nightingale • Caritas Village Project Nightingale

14. Proactive Prevention & Intervention

15. St. Joseph Health Responses: Proactive Prevention & Intervention Promotoras de Salud Health Promotion Program collaborations: • Binational Health Week • Center for Well-Being • Hearts of Sonoma • Burbank Housing • Graton and Healdsburg Day Labor Centers • Community Club of Roseland In 2018, our Health Promotion Program: • Participated in 51 community health events • Screened 1,110 individuals • 50% linked to a provider for follow up appointment

16. St. Joseph Health Responses: Proactive Prevention & Intervention Promotoras de Salud Empowerment focus: • Roseland Mom’s Fitness Group becoming the Community Club of Roseland

17. St. Joseph Health Responses: Proactive Prevention & Intervention Healthy For Life 27,808 encounters in 2018

18. St. Joseph Health Responses: Proactive Prevention & Intervention Latino Health Forum sponsorship

19. Systems Change and Interventions

20. St. Joseph Health Responses: Systems Change and Transitions • Open Access to Community Care • Covered Sonoma • Regional Behavioral Health Integration Project

21. Investing in our Future

22. St. Joseph Health Responses: Investing in our future healthcare

23. Thank you to our partner schools!

24. Thank you to our Partners!