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Working on the Community Level

Working on the Community Level. Marjorie Vestal, MPH Rutherford Polk McDowell Health District & Centro Unido Latino Americano. Outcomes and Objectives. Healthy Carolinians CHA Substance Abuse Prevention Strategic Prevention Framework State Incentive Grant (SPF SIG)

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Working on the Community Level

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  1. Working on the Community Level Marjorie Vestal, MPH Rutherford Polk McDowell Health District & Centro Unido Latino Americano

  2. Outcomes and Objectives • Healthy Carolinians CHA • Substance Abuse Prevention • Strategic Prevention Framework State Incentive Grant (SPF SIG) • Reduce number of alcohol-related crashes and fatalities among young Hispanic males in McDowell County • Evidence based strategies • Cultural competency • Sustainability

  3. A Public Health Approach

  4. Community Oriented PreventionStep 1 Build Relationships My intended population are mostly first generation undocumented Mexican immigrants Very little primary or secondary data available • Rates of DWI are highest among Hispanic Males 21-26 • Listen to Community leaders’ perceptions • Plan Community Assessment

  5. Timeline Steps 2 & 3 2. Conduct Community Assessment 3. Plan and Implement Evidence Based Strategies • Key informant interviews • Focus groups • Surveys - on line and off • Use incentives if possible • Patronize local businesses • Data informs strategies • Environmental change - media • Educate about laws and Consequences • Shift social norms & policies • Involve the whole community • Offer alternative activities

  6. Step 4 - Evaluation • Design post test before implementing intervention • Offer incentives • Use community volunteers • Show up at fun events • Low literacy/bilingual • Repeat: • Assess, plan, implement, evaluate

  7. Community Based Strategies AKA Grassroots • Hire bilingual staff • Understand Title VI and Limited English Proficiency (LEP) • Avoid the use of tokens and reps • Use community volunteers $$$ • Use simultaneous interpretation • Engage youth $$$ • Centers for Participatory Change www.wncpc.org • Coalition of Latin Americans www.colawnc.org

  8. Support local people • Buy food locally • Buy prizes locally • Use local printers • Eat lunch at locally owned restaurants • Buy promotional items locally • Build relationships with local media • Walmart is not locally owned and operated

  9. Environmental Change1. New Hispanic Community Center2. New partnerships with schools and churches

  10. Policy Changes Interpersonal – Friends don’t let friends drive drunk • Acceptance of female drivers Organizational – No alcohol allowed at job site/agricultural fields after work Community – Community volunteers work with law enforcement to bridge language barriers • School system relies on Hispanic community to promote programs for families • Hispanic Outreach Coordinator sits on Truancy Court Board

  11. 16 New Alliances Created in one glorious day! Build Partnerships

  12. Partnerships & Coalitions McDowell County Health Department Centro Unido Latino Americano

  13. Make it fun….out of the box, out of the chairs……………. find creative trainers

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