Category: Diversity and Inclusion

Strategic Skill Area

Addressing Unconscious Bias in our Language
Two Thought Bubbles on Blue Background

Course Objective

  • Evaluate your thoughts or behaviors for unconscious bias
  • Explain ways that language use can intentionally or unintentionally contribute to health disparities
  • Describe ways that your organization can work to examine, expand, and alter language regarding patients and clients to provide more equitable care and services

Date: April 3, 2018

Anne Marie Liebel, EdD
Founder and President
Health Communication Partners LLC

As health professionals, it is critical that we reflect and address unconscious bias in our language, especially when working with patient populations. Dr. Anne Marie Liebel discusses how uttering subtle microaggressions can have a cumulative negative effect on health and wellness. Dr. Liebel presents research on the linkages between microaggressions and health disparities. In particular, microaggressions from healthcare providers can negatively impact patient health related behaviors and utilization of health services. Thus, as we recognize our own microaggressions, Dr. Liebel provides individual and organizational strategies to examine, expand, and alter language to provide more equitable care and services.

#NYCHealthEquity – Advancing Racial and Social Justice
New York City

Course Objective

  • Describe the roles institutions have played in fostering, exacerbating and perpetuating racism and other forms of oppression
  • List the ways institutions can work with neighborhoods and communities to amplify their inherent power to heal together
  • Describe the role public health practitioners have in leveraging their power and privilege to embolden larger movements and coalitions seeking to name injustice and liberate oppressed groups

Date: February 20, 2018

Aletha Maybank, MD, MPH
Deputy Commissioner and Founding Director
Center for Health Equity at the New York City Department of Health and Mental Hygiene (DOHMH)

For one to have a true commitment to health equity, it is critical to engage with the political, social, and historical context of structural racism within our society. The history of slavery and segregation is deeply embedded within public policies which has fostered neighborhood underdevelopment, increased incarceration rates, and health disparities among minority and ethnic populations. Dr. Aletha Maybank, Deputy Commissioner and Founding Director of the Center for Health Equity at the New York City Department of Health and Mental Hygiene (DOHMH) discusses the work of the Center for Health Equity to decrease health disparities and create an equitable and thriving city for all. The DOHMH and Center for Health Equity use a racial justice lense to build organizational capacity to advance racial equity through data visualization, community engagement, neighborhood investment, and public policy. Dr. Maybank discusses a neighborhood place-based approach which leverages past public health practices by implementing evidence-based interventions to provide coordinated health promotion services, clinical services, and community resources to increase community access to goods and services and close coverage gaps. Dr. Maybank discusses the importance of working with sister agencies to advance the health equity agenda and emphasizes the importance of multi-sectoral partnerships to promote community change.

Hair as a Social Determinant of Health Among Black Adolescent Girls
African American Woman

Course Objective

  • School nurses will be able to identify and explain the cultural beliefs surrounding cultural hair practices.
  • Public Health Professionals will acquire the cultural competency to proactively deter childhood obesity among black girls.
  • Local Health Departments will understand the need to direct funding toward interventions and programs addressing the socio-cultural barrier of hair to physical activity of overweight and obese adolescents.

Date: November 28, 2017

Patricia O’Brien-Richardson, PhD, MS Ed
Assistant Professor
Rutgers University School of Public Health

Hair is perceived as a socio-cultural barrier to physical activity among a group that is disproportionately affected by obesity, overweight, diabetes, high blood pressure, and cardiovascular disease. Culturally relevant research and subsequent interventions and programs are needed to prevent urban black adolescent girls from becoming inactive, obese adults. In this webinar we will explore hair as a social determinant of health among black adolescent girls. Hair holds special meaning to women and girls of all racial and ethnic backgrounds, and has significant value to many women of African descent, and is often influenced by historical, social, and cultural factors.

Engaging Communities in the Research Process to Enhance Outcomes and Sustainability: Practical Strategies for Researchers and Public Health Practitioners
Illustration of Group of People Moving

Course Objective

  • Name the different levels of community engagement that researchers can participate in.
  • Describe the importance of understanding and involving the communities you are researching.
  • Define cultural humility.

Date: November 7, 2017

Carly Hutchinson, PhD, MA
Researcher and Lecturer, Sociomedical Sciences
Columbia University Mailman School of Public Health

Community-based participatory research (CBPR) is a research method that equitably involves all community and academic partners in every step of designing and conducting research. CBPR allows community members to research a topic that is important to them and improves their health. This course provides practical strategies to help people engage in a more successful way with communities using CBPR. CBPR is successful because of the relevancy of a co-developed research project and greater community buy-in, both of which lead to better outcomes and sustainability.

Dr. Hutchinson describes the Community Engagement Continuum for the various ways in which researchers can involve communities in their research, and provides two case studies for how this has been done. She gives further tips on how to get started trying CBPR and makes a strong case for its value.

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

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.

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

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.

A Community-Based Organization’s Approach to Addressing LGBT Health Disparities
Colorful Balloons in Shape of a Rainbow

Course Objective

  • Identify the social and medical barriers that impact health outcomes for these various communities
  • Cite examples of culturally sensitive and inclusive programing for LGBTQ communities

Date: February 28, 2017

Gary Paul Wright
Founder and Executive Director
African American Office of Gay Concerns

This session will describe how the African American Office of Gay Concerns (AAOGC), a non-profit agency in Newark, NJ, has made great impacts in the health of the LGBT communities, with a particular emphasis on addressing health disparities in the LGBT community. The session focuses on the social and medical barriers regularly faced by members of the LGBT community.

Structural Factors and Sexual Orientation Health Disparities in Adolescent Substance Use: A Multi-level Analysis
Male Passing Female Drugs

Course Objective

  • Explain why it is important to understand structural causes of health disparities among sexual minority youth.
  • Describe why substance use disparities might be a large and persistent cause of disparate morbidity among sexual minority youth.
  • List potential outcomes to expect for sexual orientation substance use disparities among youth given the changing political landscape.

Date: December 6, 2016

M. Somjen Frazer
PhD Student, ABD in Sociomedical Sciences
Columbia University Mailman School of Public Health

In this webinar, Ms. Frazer discusses the substance use disparities among sexual minority youth, specifically in the realms of tobacco, alcohol, and marijuana and other drugs. She discusses why these disparities exist, and explores what the structural determinants of these disparities are, including structural stigma and policy environments.

Critical Consciousness-based Health Promotion Interventions for Racial and Sexual Minority Populations
Two Black Men Laughing

Course Objective

  • Define Critical Consciousness
  • Describe the Mobilizing our Voices for Empowerment (MOVE) intervention for young Black gay/bisexual men living with HIV
  • Discuss current and future critical consciousness intervention research

Date: November 1, 2016

Patrick Wilson, PhD
Associate Professor Sociomedical Sciences
Columbia University Mailman School of Public Health

Critical Consciousness involves becoming aware of the broader social, political, and cultural forces that perpetuate oppression and inequality. Helping to raise individuals’ awareness and recognition of such forces in their daily lives can fuel empowerment, self-esteem, and other precursors to positive health behavior change. In this webinar, Dr. Patrick Wilson will discuss how critical consciousness can be used to support behavior change interventions for marginalized groups, such as black MSM youth.

Safety and Respect for All: Providing a Supportive Environment for LGBT Individuals and Families During a Disaster
Family in Therapy Session

Course Objective

  • Distinguish between sexual orientation and gender identity / expressions and identity terminology currently being used
  • Identify and promote protective factors for sexual minorities
  • List knowledge, attitudes and skills needed to create a safe and inclusive environment

Date: September 21, 2016

Phil McCabe, CSW, CAS
Rutgers School of Public Health and Rutgers School of Nursing

Public health emergency response activities, including disaster response such as sheltering, are a core function of local and state governmental public health. It is important that public health professionals recognize the unique needs of the many community groups they serve. With an emphasis on cultural competency, this session addresses the unique needs of the LGBTQ community, and suggests ways in which public health can work to provide a safe environment for members of that community during disasters.

Region 2 Public Health Training Center