A Public & Environmental Health Community Partnership January 14, 2008

1. A Public & Environmental Health Community Partnership January 14, 2008 University of Maryland School of Nursing

2. What is H3? A Public Health Nursing Center Helping build bridges to a healthy community Vision: Safe, healthy, vibrant, & sustainable Pigtown Mission: To provide public health nursing interventions that strengthen the health of people, places, and spaces in Pigtown Objectives: • Healthy People • Healthy Homes • Healthy Community

3. Bridging Public & Environmental Health Social Embeddedness Social-Ecological Theory Community Collaboration Service Learning Model Unbound Clinical/Practicum Experiences Key H3 Strategies

4. Bridging Public & Environmental Health Helping faculty, students, and the community understand the relationship among: • health status • health behavior • social and physical environment assets • social and environmental hazards

5. Social Embeddedness • Refers to how closely a university is connected with the community that surrounds it. • H3 is trying to build community connections as two-way relationships • It seeks mutually beneficial partnerships so that the university and the community are equal stakeholders and beneficiaries in any collaborative project.

6. Examines the multiple effects and interrelatedness of social elements in an environment. Allows for engaging in multi-level, multi-sector partnerships and activities that are more likely to sustain promotion & prevention efforts over time than any single intervention.  Socio-Ecological Theory a continuum of activities that address multiple

7. Community Collaboration Collaboration is a mutually beneficial and well-defined relationship entered into by two or more organizations to achieve common goals. The relationship includes: • a commitment to: a definition of mutual relationships and goal; • a jointly developed structure and shared responsibility; • mutual authority and accountability for success; and • sharing of resources and rewards.

8. Service Learning • A structured learning experience that combines community service with preparation and reflection. • Students engaged in service-learning provide community service in response to community-identified concerns & learn about the context in which service is provided, the connection between their service and their academic coursework, and their roles as citizens.

9. Unbound Clinicals • Clinical experiences that do not confine student experiences to one site • Focuses on a population (geographic &/or phenomenologically • Rather than structured “lock step” approaches, encourages students to identify and follow pathways to solutions beyond boundaries • Encourages students to work with a wide array of key informants, organizations and agencies

10. Pigtown/Washington Village

11. Washington Village/Pigtown

13. Property Residential Property: Majority are rental; increasing numbers of evictions; high rates of vacant properties; large portions of income spent on rent; some new upper income development occurring Commercial Property: Long history of industrial use and soil contamination; many vacant/few being rehabilitated; stadiums are here; slots are coming

15. Who lives in Pigtown? • Population – 5,700 residents • Racially diverse- a community equally comprised of African Americans and Caucasians. • Poor- Household incomes far below Baltimore City, Maryland and the nation. • Unemployed- Rates higher than Baltimore City and Maryland. • Undereducated- Lower rates of high school graduates and GEDs; higher dropout rates.

16. How is their health? • Teen birth rate doubled between 2000 and 2004. • LBW, pre-term births, lack of prenatal care rates are high • High rates of drug addiction. • Student performance significantly declines in middle and high school (high absentee and dropout rates) • Elementary school children not receiving equitable quality education • High rates of youth involvement in criminal justice system • High rates of domestic violence

18. Assets • Pride in neighborhood history and sense of community • Diversity: racially, economically, socially • Plethora of non-profit community service organizations • Inter-agency collaboration • Neighborhood associations • Carroll Park • Early childhood education, elementary and middle schools, community schools

22. People's CHC @ Open Gates Sister's Academy Paul's Place Diggs-Johnson Middle School H3 Initiative Health St. Jerome's Head Start George Washington Elementary School Powerhouse Church WPNPC Friends of Carroll Park U of Maryland School of Social Work Community Partners

25. System Partners • Baltimore City Health Department • Baltimore City Sanitation Department • Baltimore Recreation and Parks Department • Maryland Department of the Environment • Others

26. H3 Financial Support for Initiatives

27. Environmental Justice Grant from EPA with WPNPC Clean It Like You Mean It Campaign Green It Like You Mean It Campaign Redeem It Like You Mean It Campaign Earth Day Celebration Workshop (Baltimore City, Md Dept of Environment & WPNPC) Pigtown Pocket Parks (WPNPC, PP, GWES) Pigtown Power Kids Health Screening (GWES, PP, Head Start, Sisters Academy) Green Thumb Project (George Washington Elem School) Sampling of Initiatives

28. And a few more Nurses Wednesday Clinic at Paul’s Place Outreach Center Evening Harm Reduction Clinic (Power House Church) Pigtown Festival Screening and First Aid (Citizens of Pigtown) National Night Out Violence Prevention Event (WPNPC) Sisters Academy Life Skills Classes Head Start Annual Classroom Environmental Assessments (St. Jerome’s HS) In the Planning Stages • EH PACE (BCHD Office of Healthy Homes & WPNPC) • Walkability Map • Community Schools Health Festival & B&O RR Museum