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Health Equity For HOPE SF. CBPR Institute 6 /24/13. A CASE STUDY. WhO We ARe. Uzuri Pease-Greene, Rebuild Potrero, BRIDGE Housing Anne Griffith, Enterprise Community Partners, Inc. Emily Weinstein, Rebuild Potrero , BRIDGE Housing Jessica Wolin , San Francisco State University
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Health Equity For HOPE SF CBPR Institute 6/24/13 A CASE STUDY
WhO We ARe • Uzuri Pease-Greene, Rebuild Potrero, BRIDGE Housing • Anne Griffith, Enterprise Community Partners, Inc. • Emily Weinstein, Rebuild Potrero, BRIDGE Housing • Jessica Wolin, San Francisco State University • Sarah Wongking, San Francisco State University
HOPE SF • SF’s Public Housing Transformation Initiative to : • transform 4 developments in near future into thriving mixed-income communities • improve the lives of existing residents without displacing them. • Launched in 2007. Ultimately, will transform 8 sites • Rebuild 2,500 public housing units on 8 distressed sites • Create 1,000 new affordable units • Create 2,500 new market rate units
HOPE SF Goals • Transform five developments into thriving mixed-income communities that are woven into their neighborhoods • Build quality housing and infrastructure toward environmentally sustainable, accessible communities • Improve the lives of existing residents without displacing them WESTSIDE COURTS POTRERO TERRACE/ANNEX HUNTERS VIEW ALICE GRIFFITH SUNNYDALE
Environmental Issues • Social and geographic isolation from surrounding communities, retail, healthy food, safe parks • Run-down housing with hazards (peeling paint and plaster, water leaks, broken concrete, exposed wiring and plumbing, graffiti, trash and boarded-up windows) • Foundation made of serpentine rock -- naturally-occurring asbestos when agitated • Sites close-by that contain toxic waste and contaminated land scheduled for mitigation
Community concerns • 60% of families engaged in child welfare, juvenile probation, mental health programs • 50%+ children under 18 (citywide average is 14%), and six-times the citywide rates of child and family poverty. 16% graduation rate. • 5 times more unemployment than citywide rates and an average annual income less than $13,000 • Violence, mental health, lack of employment are all significant community concerns and more
Community strengths • Sense of community and commitment to revitalization • Existing community improvement efforts and social support • Community based organizations and city services • Residents
Campaign for hope Public/private partnership to raise $25 million to invest in human services over next 5 years for improvements in: • Workforce Development • Education • Health
Health vision HOPE SF will help create communities and homes in which individuals and families reach and maintain health and wellness.
Health equity for hope sf collaboration • Began in Nov 2011 • Key Partners • HOPE SF • SF Department of Public Health • MPH program, Dept. of Health Education, SFSU • Health Equity Institute, SFSU • Goal: Support the development and implementation of health strategies at all of the HOPE SF sites honoring the uniqueness of each community and ensuring a coordinated and thoughtful approach.
Collaboration Projects 1) Peer Leadership in HOPE SF Communities • Assessment (completed 8/12) • Expanding Support for Peer Leadership (current) 2) HOPE SF Children and Families Affected by Mental Health Issues • Assessment (current) • Enhancing Strategies for Supporting Mental Health and Well-being on Children and Families (future)
assessmentS • Advisory Group • Literature Review (February – March) • Interviews (April – July) Residents Program Staff Key Stakeholders Peer Leadership: 20 students conducted 47 interviews Mental Health: 18 students conducted 70 interviews
Lessons Learned: Challenges • Depth, extent and intractability of health issues facing HOPE SF communities • Community vs. Academic vs. City vs. Funder priorities and needs (i.e. timing, standards, IRB) • Complexity of public systems; layers of leadership and accountability; and, “silo-ed” programs and strategies • Lack of resources considering the level of need • Who “owns” this work and who is in charge? • Effort required to ensure continued focus and strategy • It’s a marathon not a sprint
Lessons Learned: Positive Outcomes & Strengths • Collection of meaningful data • Development of community programs for HOPE SF residents • Building capacity of all partners • Student learning and “real world” experience • Long-term, sustained partnership between SFSU, HOPE SF & SFDPH • Presentations & proposals
PartnersHIP What does it take to create and sustain an effective partnership?