Monday, September 27, 2010

Program Development and Best Practices for Meeting Audience Needs

We are encouraging program specialists to offer sequential programming to all audiences for greater impact, but we are hearing/experiencing that minority audiences/limited resource audiences are less likely to attend multiple sessions.....what are other best practices for meeting their needs?  Are there suggestions for increasing these groups participation?

Here are some suggestions: 
1. Programming (sequential or otherwise) that involves the intended audience/beneficiaries in the design and implementation has a higher degree of success. One of the principles of cultural competence is to avoid 'one size fits all' strategies and approaches.

2.  It is unclear which population groups fall under the broad umbrella of "minority audiences/with limited resources".   The term minority is not always useful as it provides little descriptive information about the audience or population group. What may work for individuals/families  living in rural areas that are predominantly White, Non-Hispanic may not work for individuals/families residing in urban environments who are new immigrants, who speak languages other than English, who have had negative experiences with those who are "there to help". It would be important to determine what are the barriers to participation.  Are barriers based solely on limited resources or just having "minority status"?  Probably not.  There are numerous community-based efforts that successfully involve culturally and linguistically diverse communities across all socio-economic levels.  Consider the following.  Are the barriers the result of:

    * accessibility - place and time of the program
    * acceptability - content, materials, format are developed specifically for the cultural contexts of communities served/intended audience; programming provided in languages other than English; presenters, trainers, facilitators reflect the racial, ethnic, cultural, and linguistic backgrounds of the intended audience - are knowledgeable of the issues experienced with the community
    * competing priorities - work several jobs, child or elder care, have to choose between other family obligations and participation in the programming
    * credible voices - others in the community may have participated and not found the programming relevant; others in the community can not vouch for the programming - there are no credible voices to motivate participation
    * reciprocity - no one in the community has been hired to deliver the programming; jobs go to other people outside of the community; the programming does not acknowledge and respect the "expertise" within the community
    * trust - perception that outsiders are always entering communities and do not have a connection; when the programming was planned, time was not built into for community engagement, specifically establishing trust, identifying key community informants, and collaborating with cultural brokers
    * organizational capacity for community engagement - staff do not have knowledge and skill sets necessary to engage diverse communities effectively

3.  There are several resources available on the National Center for Cultural Competence website, that are not necessarily developed for programs for children, youth and families at risk, yet have relevance to the question posed.  Please review the definition and framework for cultural competence.  See link below.

*Conceptual Frameworks

Reflect on the fact that cultural competence requires organizational capacity.  With this said, consider whether or not your organization has clearly defined values and principles for community engagement and providing services and supports to diverse communities.  How are these values/principles realized in the day to day work of the organization?
Are they supported by organizational policy, procedures, and practices?   Refer to the values listed below and consider how they impact the "programming" offered by your organization.

*

*Organizational*

    * Systems and organizations must sanction, and in some cases mandate the incorporation of cultural knowledge into policy making, infrastructure and practice.
    * Cultural competence embraces the principles of equal access and non-discriminatory practices in service delivery.

*Practice & Service Design*

    * Cultural competence is achieved by identifying and understanding the needs and help-seeking behaviors of individuals and families.
    * Culturally competent organizations design and implement services that are tailored or matched to the unique needs of individuals, children, families, organizations and communities served.
    * Practice is driven in service delivery systems by client preferred choices, not by culturally blind or culturally free interventions.
    * Culturally competent organizations have a service delivery model that recognizes mental health as an integral and inseparable aspect of primary health care.

*Community Engagement*

    * Cultural competence extends the concept of self-determination to the community.
    * Cultural competence involves working in conjunction with natural, informal support and helping networks within culturally diverse communities (e.g. neighborhood, civic and advocacy associations; local/neighborhood merchants and alliance groups; ethnic, social, and religious organizations; and spiritual leaders and healers).
    * Communities determine their own needs.
    * Community members are full partners in decision making.
    * Communities should economically benefit from collaboration.
    * Community engagement should result in the reciprocal transfer of knowledge and skills among all collaborators and partners.

*Family & Consumers*

    * Family is defined differently by different cultures.
    * Family as defined by each culture is usually the primary system of support and preferred intervention.
    * Family/consumers are the ultimate decision makers for services and supports for their children and/or themselves.

*Guiding Values and Principles for Language Access*

    * Services and supports are delivered in the preferred language and/or mode of delivery of the population served.
    * Written materials are translated, adapted, and/or provided in alternative formats based on the needs and preferences of the populations served.
    * Interpretation and translation services comply with all relevant Federal, state, and local mandates governing language access.
    * Consumers are engaged in evaluation of language access and other communication services to ensure for quality and satisfaction.

* Adapted from Cross, T. et al, 1989
** "Other Guiding Values and Principles for Community Engagement" and "Family & Consumers" are excerpts from the work of Taylor, T., & Brown, M., 1997, Georgetown University Child Development Center, (GUCDC) University Affiliated Program, and
*** "Promoting Cultural Diversity and Cultural Competency- Self Assessment Checklist for Personnel Providing Services and Supports to Children with Disabilities & Special Health Care Needs Goode, T., 2002, NCCC, GUCDC.

Click on Resources and Tools for checklists that reflect these values and principles in policy and practice.

Additionally, the following resources, adapted to the constituents that you serve, may also be useful.
*A Guide to Choosing and Adapting Culturally and Linguistically Competent Health Promotion <../documents/Materials_Guide.pdf>*Materials
<../documents/Materials_Guide.pdf>

*Policy Brief 4: Culturally Competent Strategies for Engaging Diverse Communities <../documents/ncccpolicy4.pdf>* http://www11.georgetown.edu/research/gucchd/nccc/documents/ncccpolicy4.pdf

*Latino Network:  a Natural Fit in a Community-Driven Model.
Westchester County Community Network <../documents/Westchester.pdf>* http://www11.georgetown.edu/research/gucchd/nccc/documents/Westchester.pdf

*Cultural Brokering*

Wednesday, September 22, 2010

Best Practices for Communities of Color and Limited Resource Audiences

We are encouraging program specialists to offer sequential programming to all audiences for greater impact, but we are hearing/experiencing that minority audiences/limited resource audiences are less likely to attend multiple sessions.....what are other best practices for meeting their needs?  Are there suggestions for increasing these groups participation?


Ken Martinez says:
There are many reasons why communities of color do not continue attending sequential programming, much like they may not continue to attend psychotherapy sessions after the first or second session.  They include:  lack of match between the programming and their needs; language preference and comfort (both with the language itself and literacy level of material presented); instructor (culture, values, class, etc.); content of material presented; historical experience with system(s) sponsoring the programming; location; transportation; child care needs; and other similar issues.  Program developers need to take into consideration all of these domains: values, contextual, transactional and historical issues when planning, designing, developing and implementing programs. 

It helps to think outside the box.  When planning programming, consider the message, the messenger and the medium within the contexts of the domains mentioned above.  An example would be that on-site instruction or programming may not be the most effective medium especially if it is conducted by someone (messenger) who is not familiar with the community, its history, values, context, language, etc. and the content (message) is not relevant or presented in a manner that is not responsive to the real life needs of the community as determined by the community itself.  Your best use of resources initially maybe the services of a "cultural broker" or "community gate-keeper" who knows the community, because they come from the community and can relate to the community's needs and can recommend the medium, message and messenger for the programming. They themselves may be involved in communicating the message because of the credibility they have.  The medium might not be on-site programming but may be short radio spots or radio call in shows where confidentiality and family privacy is maintained especially when sensitive subjects are discussed.  The preferred medium may be community fairs, church related events, or community celebrations where culturally relevant messages and programming can take place in familiar territory with familiar faces.  One size does not fit all so researching the preferred modes of communication and sharing in any given community is worth the effort. 

Thursday, September 16, 2010

Intimate Partner Violence (IPV)

Why do you use the term IPV rather than domestic violence? Just curious if there is an underlying implication of the term.

Are you suggesting that the most effective intervention to decrease IPV is to focus on the victim? (In this case, to increase the economic opportunities of women.) Is it a good or bad idea to include the both partners (or other family members) in a program to work on IPV issues?

What about the neighborhood impacts the rate of IPV? What are the community influences? Are there types of violence? For example, is situational violence (someone getting angry and reacting) different from violence stemming from issues of control or power (systemic or prolonged violence)? Are middle class individuals more likely to hide IPV?

How does this relate to youth? Is there a relationship between a history of IPV and youth violence?

Drugs and Poverty

To what extent do drugs contribute to the issue of poverty in the US? I think drugs definitely contribute to poverty, but I see poverty as more of "a way of life" for entirely too many families.

What Works to Succeed?

Some argue that people should just pick themselves up by their boot straps, yet others suggest it takes a village for a child to succeed. What influences do you think helped you be so successful?

Presenter Publications

I'm very interested in the research and writings of the presenters. Where has their research been published? I would love to read it! 

On the  Summit Speakers web page several online publications or presentations are listed with the URL for each presenter.  Also, on each of the issue pages (Growing Up Poor, Economic Stress for Youth and FamiliesCultural Competence and Inclusive Programming and Evidence-based Practices and Strategies) is a list of readings and resources for that issue, which includes presenter publications.

Also, check the presentation transcript (pdf) of each speaker for more resources. Several  presenters included a slide or list of additional resources on the programs and studied they referenced, as well as their presentations.

References recommended by participants include:
  • "A Framework for Understanding Poverty," by Ruby Payne, also a follow up book, "Building Bridges Out of Poverty"

Youth Build - Workshops for Parents, Terminology, and Other Issues

Has the Youth Build Project of Philadelphia created workshops for parents of students? If not, are there any resources that you've reviewed to that end that you can share.

Can you explain the three powers that you noted as outcomes for this program?

I'm with Youthbuild in Michigan and we are careful with the language we use. I noticed Dr. Horvat’s use of the term "Community Service", while we adopted the term "Civic Service". Use of the term “Civic” helps to encourage community involvement based upon their interests, rather than (interpreting it as) a judge-mandated consequence. Others use the term "civic engagement". Or civic practice.

Community does hold different meanings:  physical space, group, association. The term community has somehow been tied to safety in some circles: But what about the term community says “mandated consequences”?  Is there a necessary association of  "community service" with some punitive action and so there is a move away from it?  It can be a court or judge-mandated sentence or remediation, as a result of breaking a law or rule. Not sure but that's logical given that safety is a concept that is very different in the criminal justice system.

Schools have utilized community service as a means of recognition or approval for meeting requirements for maintaining 'honor' status and such, which is a positive connotation. But this use excludes certain populations - so a move away from the term might be beneficial. 

Also with YouthBuild Northwest, we avoid from the term "Goal Setting" and refer to this as "Desired Outcomes". Asking trainees about goals may remind them of their failed academic past, or assumes they can know where they will be in 20 years. Desires are more personal and relevant to trainees.