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Getting Started with Information Outreach in Minority Communities . Siobhan Champ-Blackwell National Network of Libraries of Medicine siobhan@creighton.edu. Who are you? . What country were you born in? What language did you first learn? What languages do you speak now?
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Getting Started with Information Outreach in Minority Communities Siobhan Champ-Blackwell National Network of Libraries of Medicine siobhan@creighton.edu
Who are you? • What country were you born in? • What language did you first learn? • What languages do you speak now? • Tell us one home remedy your family used when you were growing up
Learning Objectives • Define cultural competence • Apply principles of cultural competence in outreach programs • Examine ways to learn about local communities • Learn about strategic collaboration • Outline the steps in developing an outreach plan
Let’s get started with cultural competency • What is cultural competency and why is it important? • What are the legal and health care guidelines? • How do I find community demographics? • Where are you in your cultural competency?
Cultural Competence A set of behaviors, attitudes, and policies that come together in a system, agency or among professionals and enable that system, agency or those professionals to work effectively in cross-cultural situations From: Cross T, Bazron B, Dennis K, and Isaacs M (1989) Towards a Culturally Competent System of Care Volume I. See the Purnell Model for Cultural Competence http://www.tcns.org/society/PurnellModel2.pdf
Rationale for Cultural Competency • Perception of illness and disease varies by culture • Diverse belief systems exist related to health, mental health, healing, wellness • Individual preferences affect approaches to health care • Individuals must overcome personal experiences of bias
Linguistic Competence • The capacity of an organization and its personnel to communicate effectively, and convey information in a manner that is easily understood by diverse audiences including persons of limited English proficiency, those who have low literacy skills or are not literate, and individuals with disabilities. From: The National Center for Cultural Competence, Georgetown University Center for Child and Human Development
Title VI of the Civil Rights Act- 1964 • No person in the United States shall, on the ground of race, color, or national origin, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any program or activity receiving Federal financial assistance. <http://www.usdoj.gov/crt/cor/coord/titlevistat.htm>
The Joint Commission • Hospitals Language and Culture: A Snapshot of the Nation http://www.jointcommission.org/PatientSafety/HLC/ The delivery of health care services in a manner that is respectful and appropriate to an individual’s language and culture is more than simply a patient’s right, but is, in fact, a key factor in the safety and quality of patient care (Schyve, 2002).
JCAHO Chapter Six • Community Engagement Outreach activities that may increase diverse populations’ use of hospital services through education and tailoring of services to meet specific population needs is another important element.
Finding Demographic Information • American Fact Finder http://factfinder.census.gov/ • US Census Bureau Minority Links http://www.census.gov/pubinfo/www/hotlinks.html • Census Bureau State Data Centers http://www.census.gov/sdc/www/ • The Modern Language Association Language Map http://www.mla.org/resources/census_main • ZipSkinnyhttp://www.zipskinny.com/
For More! • http://nnlm.gov/mcr/resources/community/competency.html
What is Outreach? “In community-based health information outreach, organizations work together to improve peoples’ abilities to find and use health information.” Getting Started With Community-Based Outreachhttp://nnlm.gov/evaluation/guides.html#A2
The Four R’s:All You Really Need to Know • Relationships • Respect • Relevance • Repetition
Learning About the Community • Build the demographic picture • What local agencies and resources are in your community? • What gaps are there in health status? • Is there a role for health information? • See the Urban Libraries Council “Welcome Stranger” Toolkit http://urbanlibraries.org/associations/9851/files/ws_toolkit.pdf
Learn More • Where do people congregate? • Where are the social activities? • Where are the educational activities? • Where do people shop and take care of business? • Where to people get their information?
Finding Partners Within the Community • Network • Be consistent • Demonstrate your commitment • Work with or join, already existing organizations • Attend health fairs, conferences and other events in your community • Don’t forget your public library!
Selecting Partners • Seek intermediaries • Community leaders • Early adopters • Trusted community members • Work with people of like passion
Methods for Strategic Collaboration • Café to Go • Appreciative Inquiry • Open Space Technology (the Unconference) http://www.triunemilagro.com/methods_for_strategic_collaboration
Identifying Health Information Needs With your partners: • Listen • Abandon preconceived ideas • Think about language, ethnicities, country of origin • Consider other needs – transportation, childcare, medical care • Identify potential barriers • Café to Go!
Café to Go “Hosting conversations about questions that matter”
Creating the Environment • Set the theme • Who’s invited • What questions are asked? • Café setting • Food • Tables with toys • Table host • Wrap up • Tying it all together to the theme • What happens next?
Café to Go Design Principles http://www.theworldcafe.com/principles.htm
Café Etiquette • Focus on what matters • Contribute your thinking • Speak your mind and your heart • Listen to understand • Link and connect ideas • Listen together for insights and deeper questions • Play, Doodle Draw!
Library Examples • Plowing Through Pandemonium: Creating Partners in Health Information • Wyoming, July 19, 2009 • Creating Partners in Health Information • Kansas, July 28, 2009 • CHIPS Symposium • Wyoming, October 11, 2005
Open Space Technology • Facilitated • Participant-driven • Around a Theme • Also know as • Library Camp • The Unconference
Principles and Laws • Whoever comes is the right people • Whenever it starts is the right time • Whatever happens is the only thing that could have happened • When its over, its over • The Law of Two Feet
Examples • Science, Technology and Engineering Library Leaders in Action! • http://denver-stella.pbworks.com/ • Health Camp NYC: Using Collective Knowledge to Improve health Literacy and Community Health • http://healthcampnyc.wetpaint.com/
Appreciative Inquiry • An approach to change that focuses on finding the positive elements in people and places and using those aspects of an organization to build change on. • “AI is intentional inquiry and directed conversation and story-telling that leads to a place of possibility.” (Steinbach, John. Contribution to the AI Listserve, July 2005) • http://appreciativeinquiry.case.edu/
4D Cycle • Discovery – What is • Dream – What might be • Design – What Should be • Destiny – What will be • http://www.nickheap.co.uk/articles.asp?ART_ID=211
Uses • Mission or Vision Building Exercise • Strategic Planning • Learning Strengths In Partners • ???
Activity • Get together in small groups and select a scenario from the handout • Which “method” would you use to set up a meeting to respond to the scenario? • Report back to the larger group in 20 minutes
Appreciative Inquiry Exercise • http://www.nickheap.co.uk/articles.asp?ART_ID=206
Team Charters: tie it up! • The American Health Association Team Charterhttp://www.americanheart.org/presenter.jhtml?identifier=3022610 • North Carolina Department of Transportationhttp://www.ncdot.gov/programs/cpi/download/team_charter.pdf
More Information • Find your local NN/LM • http://nnlm.gov • 800-338-7657 • NN/LM Outreach Evaluation Resource Center http://nnlm.gov/evaluation • CE courses • Workshops through the NN/LM • National Online Training Center and Clearinghouse • MLANET CORE – Center of Research and Education • Funded by the National Library of Medicine under a Contract No. NO1-LM-6-3504 with the University of Utah Spencer S. Eccles Health Sciences Library