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Moderator Karen Daley, PhD, MFP, RN, FAAN ANA President Silver Spring, MD

Reducing Substance Abuse & Mental Health Disparities Through Culturally Competent Leadership, Health Policy, & Practice: An Approach at the American Nurses Association. The Minority Fellowship Program is Supported by the Substance Abuse and Mental Health Services Administration.

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Moderator Karen Daley, PhD, MFP, RN, FAAN ANA President Silver Spring, MD

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  1. Reducing Substance Abuse & Mental Health Disparities Through Culturally Competent Leadership, Health Policy, & Practice: An Approach at the American Nurses Association The Minority Fellowship Program is Supported by the Substance Abuse and Mental Health Services Administration Presenters Faye Gary, EdD, MS, RN, FAAN Janet Jackson, BS Hossein Yarandi, PhD Moderator Karen Daley, PhD, MFP, RN, FAAN ANA President Silver Spring, MD International Council of Nurses, 25th Quadrennial Congress, Melbourne, Australia, 2013

  2. Objectives • Articulate the “nuts and bolts” of a partnership between the American Nurses Association and the Minority Fellowship Program across a forty year life course • Highlight the components of interdisciplinary research, policy and practice in cultural context • Describe intellectual networking and social capital development among Fellows • Present a “Portrait of the Future” for the Minority Fellowship Program

  3. Mission Develop ethnic minority nurses who are recognized for excellence and leadership in creating, transmitting and utilizing knowledge and skills to improve the health and well-being of people in local and global communities. • The Four Cornerstones of the MFP at ANA • Culturally Competent Clinical Practice • Education • Research • Health Policy

  4. Context and Caution • Race as biology is fiction Bussing & Gary, 2012; Smedley, A & Smedley, B., 2005. Graphic adapted from USDHHS, 2010.

  5. Nuts, Bolts, & Partnerships • National Identity, Prominence, & Visibility • Stable Home & Leadership for 40 Years • Integrated into the Culture of the ANA • Prominence in the Organizational Structure • Collaboration with State Associations, Specialty • Groups, & the ANA Credentialing Center • Access to a National Network Systems of Nurses • & Stakeholders

  6. Beyond Organizational Structures Nuts, Bolts, & Partnerships Partnerships are Sustained through Respect, Mutual Goals, & Shared Vision • Auditing • Budgeting • Coordinating • Evaluating • Fiscal Management • Planning • Visioning

  7. Partnership in Perspective

  8. Understanding Health Disparities • Determinants of Health: • Genetic vulnerabilities • Social environment • Health beliefs and behaviors • Stress exposure WHO, 2012.

  9. Understanding Health Disparities • Disparities to access and quality: • Among the poor • In rural locations • In disadvantaged communities • Urban neighborhoods • Immigrants and Refugees Cellular and molecular levels help explain genetic variation and metabolic processes—Interactions with behavioral, nutritional, and environmental variables in people.

  10. Unraveling & Understanding Disability & Disease Disadvantaged groups have higher stress levels; mechanisms by which social disadvantage gets under the skin. NIH, 2006.

  11. SES Neighborhood or Community Hazards and Supports Social Conditions (e.g., Discrimination) That Are Correlated With SES Other Aspects of SES That Affect Health (e.g., Access to Medical Care, Nutrition, Role Models) STRESS • Behaviors That Impair or Support Good Health • Tobacco Use • Exercise • Changes in Illness-Related Behavior • Prevention • Early detection • Biological Changes in Systems • Immune System • Endocrine System Baum, 1999. Health Outcomes

  12. Social and Economic Policies Life course Institutions Neighborhood/Communities Living Conditions Social Relationships Individual Risk Genetic/Constitutional Factors Pathophysiological pathways Environment Kaplan, 1999. Individual/ Population Health

  13. Nuts, Bolts, & Partnerships Fellows Apply Knowledge & Skills Across the Life Course, in a Variety of Settings, and with Diverse Populations.

  14. Interdisciplinary Education, Policy, Practice, & Research by Partnership Janet Jackson, Presiding

  15. Interdisciplinary Science & Scholarly Requirements • Education • Policy • Practice • Practice Fellows at the American Nurses Association Convention Minneapolis, MI

  16. Scholarly Requirements Year One Participate in 2 presentations (poster or podium) at local and state conferences; Submit academic performance record to MFP

  17. Scholarly Requirements Year Two Participate in 3 presentations (poster or podium) at regional and national conferences Successfully complete academic work Revise Plan of Study as Needed

  18. Scholarly Requirements Participate in 2 presentations (poster or podium) at regional and national conferences Year Three Publish 2 manuscripts on mental health/substance abuse Evidence of participation in Minority Community

  19. Scholarly Requirements Complete all academic requirements of program; submit abstract for dissertation research Year Four Participate in presentations, 2 national conferences and one international Publish 2 papers as first author/1 co-author Participate in local/state initiatives to advance awareness in MH/SA

  20. Scholarly Requirements Year Five Publish 1 refereed paper as first author Complete dissertation and submit copy to MFP office at ANA for approval Provide evidence of involvement in an ethnic minority community of choice Present 2 refereed podium presentations, one national and one international conference Develop trajectory for career pathways and continuing development; submit application for post doctoral study

  21. Alaska Native Pre-Nursing Students University of Alaska, Anchorage

  22. Asian American Pacific Islander Nurses Association

  23. Texas Health Science Center at Houston Hossein Yarandi Intensive Winter Institute, 2013 An Interdisciplinary Seminar

  24. Portrait of the Future • Simulation Technology • Interactive and Internet-Based Instructions • Webinars • Video Streaming • Teleconferencing • Instant Messaging • Competency Assessments

  25. Portrait of the Future • Collaboration with Five SAMHSA Minority Fellowship Programs • Central Website Site • Transdisciplinary Teaching and Learning • Clinical and Cultural Competence Enhancements • Collaborative Research and Policy Development • Unraveling Health Disparities

  26. Nuts, Bolts & Partnerships A Diverse Workforce Is Essential In Health Systems Graduation, 2013

  27. Recruitment • Retention • Graduation • Entry into Workforce A Virtual Comprehensive University Encompassing Virtual University

  28. MFP Virtual University Peer Support Conveners & Rapporteurs Podium/ Poster Presentations Career Counseling Research & Statistics Study Groups Intensive Winter Institute Nocturnal Incubator Intensive Summer Institute Individualized Tutorials Micro/Mini Seminars Virtual Library Core Knowledge & Skills Acquisition Strategies Dissertation Coaching Research/Practice Focus Groups MFP Writer’s Society Telastatistical Support

  29. SAMHSA Minority Fellowship Program

  30. Safe Journey Home

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