Author: region2

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Collective Impact Part II: Mutually Reinforcing Activities, Continuous Communication, and Backbone Support
Hands Drawing Graph on Chalkboard

Course Objective

  • Identify some ways a community organization could provide assists to a Collective Impact project.
  • Describe a key practice for the Continuous Communication condition.
  • List the elements of Backbone Support for a Collective Impact project.
  • Describe how technology-based tools can affect Collective Impact efforts.

Date: August 31, 2018

Presenter:
Bill Barberg
President
Insightformation, Inc.


This module is part two of a two-part introductory series to the Collective Impact framework. In this module, participants build upon the lessons of part one by learning about the last three conditions of the Collective Impact framework – mutually reinforcing activities, continuous communication, and backbone support. Participants will explore best practices of each of these conditions in order to advance public health initiatives.

Auditing as a Tool for Managing Environmental Improvement
Person Looking at Graph

Course Objective

  • Identify key components of an environmental compliance auditing regimen
  • Understand the impact of compliance auditing on environmental quality

Date: September 28, 2017

Presenter:
Howard N. Apsan, Ph.D.
University Director
Environmental, Health, Safety, and Risk Management, City University of New York


CUNY entered into a five-year audit and disclosure agreement with the U.S. Environmental Protection Agency. This forced CUNY to adjust to the rigors of an intensive compliance auditing regimen, but it also helped make environmental quality an integral part of the CUNY culture. Today, long after the original commitments were fulfilled, CUNY continues to conduct audits—now including health and safety and environmental management system components, as well—and uses the audit process as a fundamental tool for continual improvement.

Socio-structural factors, health disparities, and the uptake of biomedical HIV prevention for Black Men who have Sex with Men (MSM)
Two Black Men

Course Objective

  • Describe how factors not directly related to biomedical HIV prevention (e.g., the labor market, law enforcement, gendered expectations) influence how Black MSM approach HIV prevention and pre-exposure prophylaxis
  • Give examples of how factors across multiple levels (e.g., structural, community, interpersonal) impact how Black MSM engage with biomedical HIV prevention
  • Describe what types of multi-level approaches might facilitate Black MSM’s uptake of PrEP. Describe how can we balance the development of more proximate interventions (e.g., education campaigns) with large scale interventions (e.g., expanding insurance access) that might have a larger impact

Date: September 11, 2017

Presenter:
Morgan Philbin, PhD, MHS
Assistant Professor
Columbia University University Mailman School of Public Health


Black men who have sex with men (MSM) are at significantly higher risk of HIV. This is due to a complex interplay between socio-structural factors and their own intersectional identities. In this webinar, Dr Philbin describes her ethnographic study examining how factors at all levels of the social-ecological model shape healthcare behavior for black MSM and how they access PreP, as well as her sub-study about structural barriers to access. Some of these barriers included misunderstanding about PreP’s effectiveness and side-effects, concerns that it would decrease others’ condom use, distrust in the pharmaceutical industry and healthcare providers, precarious housing, the structure of the labor market, gendered healthcare systems, institutional and normative gender rules, and stigma. Dr Philbin highlights the importance of reducing barriers at all levels, particularly at the structural level in areas of stigma, employment, and housing. The implications include the need to eliminate the relationship between employment and access to healthcare, enacting policies that regulate shift work (scheduling and pay), creating clinical spaces that welcome all types of men, and expanding the PreP Assistance Program.

Moving Beyond ‘Socioeconomic Status’ to Social Class Processes in Public Health
Scale with Illustrated People on Both Sides

Course Objective

  • To distinguish between socioeconomic status and class
  • To describe stratificationist, Weberian, and Marxian theoretical approaches to social inequality
  • To describe what it means to apply a class perspective to psychiatric epidemiology research
  • To explain the impact of social inequality on mental health from multiple theoretical perspectives

Date: September 5, 2017

Presenter:
Seth Prins, PhD, MPH
Postdoctoral Research Fellow
Department of Sociomedical Sciences and Department of Social Work, Columbia University


It is well known that there is a “social gradient of health,” or an inverse relationship between socioeconomic status and physical and mental health. However, most public health professionals conceptualize socioeconomic status using a stratificationist theoretical approach, but this neglects critical factors. In this webinar, Dr. Seth Prins discusses two other relational theoretical approaches to conceptualizing socioeconomic status: Weberian and Marxian. He discusses how these approaches impact our understanding of socioeconomic status and class on mental health, including depression and anxiety, and some of their mechanisms and causal pathways. Dr. Prins also describes epidemiological research into mental health and and how these social determinants of health manifest in the modern workforce.

Engaging Across Sectors and Disciplines to Build Community and Capacity for Health Equity
Illustration of Diverse Occupations

Course Objective

  • Define community
  • Engage in multi-sectoral partnerships and interventions for health equity
  • Implement strategies within your organization to advance health equity

Date: September 5, 2017

Presenter:
Dr. Renata Schiavo, PhD, MA, CCL
Founder and President
Health Equity Initiative


Disparities in health and healthcare are connected to population health and affect the delivery, access and quality of care, especially for vulnerable populations. There are social determinants (i.e. housing, built environment, age) that can negatively affect health outcomes. Dr. Renata Schiavo, Founding President of the Health Equity Initiative (HEI), discusses how professionals across sectors and disciplines can collaborate to build healthier communities. The term health equity is defined and framed as a human rights and social justice issue that will provide individuals with the same opportunities to stay healthy and cope with crises, regardless of socioeconomic factors and other social determinants. Regardless of status, Dr. Schiavo views health equity as a priority for all and uses case studies to exemplify how multi-sector partnerships can effectively mobilize communities to reduce health disparities and healthcare costs. By working with communities and using community engagement approaches, these multi-sector partnerships can foster community ownership and sustainability of health innovations. Dr. Schiavo also provides methods and strategies to bring multidisciplinary stakeholders together in order to develop sustainable, equitable solutions.

Caring for Vulnerable Populations in School Health
Diverse Group of Toddlers

Course Objective

  • Describe how vulnerable populations are identified in the school setting.
  • Give examples of the issues (medical, mental, social) commonly faced by students in vulnerable populations.
  • List methods to increase community and school involvement in the care of students in vulnerable populations.

Date: September 5, 2017

Presenter:
Natalie Mathurin, MD, MPH
Medical Director at Student Health Services
School District of Philadelphia

Cheryl Lawrence, MD
Medical Director at the Office of School Health-Family and Child Health
New York Department of Health and Mental Hygiene


Dr. Mathurin and Dr. Lawrence describe the purpose and goals of programs developed to aid children that belong to vulnerable populations using the New York City Department of Health as a case study. The beginning of the presentation considers data about vulnerable populations in New York City and why it is important to address health of children in these populations. The presenters then present the mission, objectives, frameworks, and activities of programs to care for students in vulnerable populations.

Strategies to Advance Health Equity: How Health Departments Can Grow a Healthy Public Food Sector
Black Women and young Girl in Produce Section Smiling

Course Objective

  • Explain and define the scope of the public, the private (market) and the non-profit (civil society) sectors in making healthy food more available and affordable.
  • Identify the various functions that the public sector plays in making healthy food available and affordable including: procurement, institutional food, taxation, enforcing food safety standards, regulating retail food outlets and restaurants , and providing food benefits(e.g., SNAP,WIC and school food).
  • Distinguish roles of local, state and federal governments in public sector food and identify food-related responsibilities of various government sectors including health, education, agriculture, environmental protection, economic development, zoning and land use, and consumer protection.
  • Describe innovative practices, policies and programs of state and local health departments in supporting public sector initiatives to increase access to healthy affordable food and reduce racial/ethnic, socioeconomic and other inequalities in diet-related diseases.
  • Describe governance mechanisms for engaging citizens, social movements, advocacy groups and others in using the public sector to shape healthier food environments.
  • Assess the scope and strengths and weaknesses of their own health department’s food portfolio and identify ways their department could use existing resources and mandates to strengthen the public sector’s role in making healthy food more affordable and accessible.

Date: August 17, 2017

Presenter:
Nicholas Freudenberg
Distinguished Professor of Public Health
City University of New York School of Public Health

Emily Franzosa
Senior Researcher
City University of New York School of Public Health

Fen Yee Teh
MPH Candidate
City University of New York School of Public Health


This self-paced, interactive module prepares public health professionals working in state and local health departments to develop or support food policy changes in their communities to encourage healthy food systems. The session begins with a discussion of why the public sector should be involved in developing policies around food and how local health agencies can lead the charge. Next, learners will learn about food system goals that can promote health and how to achieve those goals. Finally, learners will explore case studies that demonstrate how public health agencies have planned and implemented changes to their food systems.

Strategies to Advance Health Equity: How Health Departments Can Protect the Health of Immigrants
Father with Son on Shoulders

Course Objective

  • Describe evidence documenting major health challenges facing immigrants in the United States
  • Explain the pathways by which immigration policy can influence the health of immigrant populations
  • Identify specific strategies that state and local health agencies can adopt to improve health for immigrant populations
  • Describe at least three specific local or state initiatives designed to improve the health of immigrant populations that could be adapted to the participant’s community
  • Explain how LHDs can leverage “upstream” strategies, including partnering with other agencies, social movements and community organizations, to design implement these initiative

Date: August 4, 2017

Presenter:
Nicholas Freudenberg
Distinguished Professor of Public Health
City University of New York School of Public Health

Emily Franzosa
Senior Researcher
City University of New York School of Public Health

Eleni Murphy
MPH Candidate
City University of New York School of Public Health


This self-paced, interactive module prepares public health professionals working in state and local health departments to develop or support health care, social services, and public health programs to protect the health of immigrants. This session begins with an introduction to immigration policy and its relationship to health as well as local strategies to protect immigrant health. Next, learns will explore three case studies that highlight real policy changes governments have implemented to create more immigrant inclusive communities. During these case studies, learners will have time to reflect on ways their organization can partner with government agencies to support immigration health.

Understanding Depression Differences through a Dynamic Framework of Gender
Therapy Session

Course Objective

  • To define the “gender gap” in depression
  • To identify the hypothesized biological reasons for the “gender gap” in depression
  • To identify the hypothesized social and environmental reasons for the “gender gap” in depression
  • To explain the differences in how depression manifests in males vs. females
  • To describe the research that refutes common objections to the “gender gap” in depression
  • To describe the dynamic perspectives of gender

Date: July 11, 2017

Presenter:
Jonathan Platt, MPH, MPhil
Psychiatric Epidemiology Fellow
Columbia University Department of Epidemiology


Currently, the literature indicates that women are much more likely than men to be diagnosed with depression. While there have been some who try to attribute this difference to various research flaws, there is good evidence to refute these rebuttals and there do in fact appear to be gender differences in mental health. In this webinar, Jonathan Platt, MPH, MPhil, discusses the epidemiology of depression and the various hypotheses that have been proposed to explain the “gender gap.” These include issues of genes and hormones, social stress, epigenetics, and others. He describes the dynamic perspectives of gender and the importance of intersectionality in research design and program planning.

Region 2 Public Health Training Center