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6 Where Do We Go from Here?
Pages 61-70

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From page 61...
... The panelists were Anthony Iton, senior vice president for healthy communities at The California Endowment; Clifford Coleman, assistant professor of family medicine at the Oregon Health & Science University; Iyanrick John, senior policy strategist at the Asian and Pacific Islander American Health Forum; and Hugo Morales, executive director and co-founder of Radio Bilingüe. Bakken began the discussion by asking the panelists for their ideas on the key things that health practitioners need to know about communicating with immigrants, refugees, and migrants.
From page 62...
... Iton responded by first explaining that The California Endowment is in the midst of a 10-year, $1 billion initiative, called Building Healthy Communities, to address health disparities in 14 low-income California communities populated disproportionately by recent immigrants, refugees, and first- and second-generation residents of the United States. The initiative's one caveat is that it is not spending any money on health care itself.
From page 63...
... Capacity building, he added, should include creating a positive culture within the immigrant community that includes a positive culture on health drawn from the positive elements of traditional immigrant cultures. In his opinion, capacity building should support traditional arts, immigrant native languages, and multilingualism, all of which are important for the mental health of individuals, families, and communities.
From page 64...
... A major project his organization undertook was to create the Action for Health Justice Network, which Jeffrey Caballero discussed in his presentation, to assist those with limited English proficiency to enroll in Patient Protection and Affordable Care Act (ACA) coverage.
From page 65...
... In his experience, "the status quo is the product of a power dynamic that needs to be disrupted," he said. "The way you disrupt that is to develop meaningful incentives and meaningful accountability measures." The California Endowment, he said, supports community health by helping communities develop the power to challenge institutions and hold them accountable.
From page 66...
... DISCUSSION Alicia Fernandez began the open discussion period by noting that even in San Francisco, a sanctuary city where both the mayor and city council have issued statements supporting immigrants and undocumented individu
From page 67...
... Iton said that The California Endowment is a health foundation that gives money to support building healthy communities. In this current climate, however, The California Endowment decided to provide funds to defend the rights of people to remain in the United States.
From page 68...
... Changing the subject, Jennifer Dillaha said that she and Michael Villaire held a webinar for the California Immunization Coalition on health literacy and cultural competency. In preparing for this webinar, she reviewed the literature on immunizations and cultural competency and was struck by one study showing that the highest rates of immunization correlated with whether staff in the health department demonstrated cultural humility.
From page 69...
... This validated, online tool measures differences in response times to differences in pictures, and it gets quickly to what a person has learned over time and where they have opinions that may not be willing or able to recognize explicitly, he said. Lindsey Robinson, 13th District Trustee for the American Dental Association, commented on the efforts going on around the country to integrate oral health into overall health and she asked the panelists is they knew of community-level efforts along those lines.
From page 70...
... health profession educational environment feels to him right now is that it will take the rest of his career, if not forever, to move institutions to change the way they train professionals on how to talk and listen to their patients. In his opinion, the way to create the demand to make change happen more quickly is to influence organizing bodies and accrediting agencies, and he said he believes that the roundtable, if anybody, has the potential to exert that type of influence.


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