Outreach to Diverse Communities

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Outreach to Diverse Communities Technical
Assistance Summit April 11th 2005 Mono and
Inyo Counties
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Summit Agenda
Focus on Mono and Inyo

• Opening Remarks and Introductions
• Framing the Discussion Environmental Scan
• Community Diversity
• Community Assets
• Common Needs Mono and Inyo counties
• Message Development
• Key concepts where to start
• Effective Messaging
• Customized Messaging
• Socially Isolated Families
• Latinos
• Native Americans
• Message Delivery
• Key Concepts- what works/what doesnt
• Linking messages to needs
• Next steps practical planning within scope

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Opening Remarks
Company Profile

• Molina Healthcare Inc. is a multi-state managed
  care firm
• Molina Healthcare is an innovative health care
  leader providing quality care and accessible
  services in an efficient and caring manner
• Approximately 800,000 members in 6 states
• Diverse membership 17 languages
• In business for 25 years
• Molina Healthcare, Inc., is among the most
  experienced managed healthcare companies serving
  patients who have traditionally faced barriers to
  quality healthcareincluding individuals covered
  under Medicaid, the Healthy Families Program, the
  State Childrens Health Insurance Program (SCHIP)
  and other government-sponsored health insurance
  programs. We serve members in rural, suburban,
  and urban settings

• Molinas success is based on the fact that it has
  focused primarily on the Medicaid and low-income
  population, and is committed to case management,
  member outreach and low-literacy programs.

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Opening Remarks
Collaboration and Shared Resources

• The real strength of community linkages
• Challenges of community linkages

• Purpose of Todays Technical Assistance Summit
• The Northeast Region has determined that a top
  priority for technical assistance is to learn
  practical strategies for engaging families of
  diverse backgrounds in important early childhood
  development issues, focusing specifically on
  engaging Latino, Native American and
  socially-isolated families. In particular,
  strategies are needed that are proven to be
  effective in rural areas where staffing levels
  and budgets for children and family services are
  limited and yet the relatively small population
  numbers make it feasible to reach a very high
  percentage of families.

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Opening Remarks
Expectations
What you should leave with today

• A better understanding of effective messaging in
  outreach to Latino, Native American and
  Socially-Isolated families
• Concrete Steps to take to engage these families
  in early childhood development issues
• Specific message development tailored to Latinos,
  Native Americans or Socially-Isolated families
• Identification of local expertise and resources
  in your area of focus

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Framing the Discussion
Population Challenges
Access

• Direct
• Indirect
• Filtered
• Vicarious
• False Access

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Framing the Discussion
Demographics

• The total population of Mono County is
  approximately 12,853 people
• Demographic Spread
• Under age 18 23.0
• Age 18-24 10.3
• Age 25-44 33.40
• Age 45-64 25.60
• Age 65 or older 7.60
• Income
• The median household income is 44,992
• Poverty
• 11.5 of the population and 6.30 of families are
  below the poverty line.
• Out of the total population, 12.20 of those
  under the age of 18 and 1.90 of those 65 and
  older are living below the poverty line.

The total population of Mono County is
approximately 17,945 people Demographic
Spread Under age 18 24.4 Age 18-24 5.80 Age
25-44 23.40 Age 45-64 27.30 Age 65 or older
19.10 Income The median household income is
35,006 Poverty 12.6 of the population and
9.30 of families are below the poverty line.
Out of the total population, 16.0 of those
under the age of 18 and 8.3 of those 65 and
older are living below the poverty line.
Information from the US Census 2000
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Mono County
Framing the Discussion
Diversity
Latino Growth Compared to Total Population Growth
2000-2050
Inyo County
In Mono between 2000 and 2050 the total
population increases by BLANK percent. The Latino
population increases by BLANK percent. By 2050
Monos Latino Population will be BLANK percentage
of the total population. By 2050 Inyos Latino
Population will be Blank percentage of the total
population.
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Mono County
Framing the Discussion
Diversity
Projected Latino Growth 2000-2050
Inyo County
In Mono between 2000 and 2050 the Latino
population increases by BLANK percent. In Inyo
the increase is BLANK percent
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Total Population in Mono County 2050 Estimates
Framing the Discussion-MONO
Diversity
Total Population in Mono County 2000 Estimates
Total Population 12,939
Total Population 18,862
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Total Population in Inyo County 2050 Estimates
Framing the Discussion-INYO
Diversity
Total Population in Inyo County 2000 Estimates
Total Population 12,939
Total Population 18,862
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Minority Population in Mono County 2050 Estimates
Framing the Discussion-MONO
Diversity
Minority Population in Mono County 2000 Estimates
Total Population 12,939
Total Population 18,862
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Minority Population in Inyo County 2050 Estimates
Framing the Discussion-INYO
Diversity
Minority Population in Inyo County 2000 Estimates
Total Population 12,939
Total Population 18,862
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Framing the Discussion
Diversity
Latinos by Ethnicity
Inyo
Mono
Statistics from the US Census 2000
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Framing the Discussion
Diversity
Mono County births by ethnicity 2000-2003
AVSS Birth Certificate Data

• Latino births increased by 12.1 percent in three
  years.
• Latino

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Environmental Scan
Identifying Special Community Needs
Needs Assessment Findings
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Environmental Scan
Community Assets

• How do the community based organizations, public
  agencies, public service agencies, schools and
  libraries, and local private businesses
  communicate and relate to each other in your
  community?
• Connected open communication
• Fragmented too far apart
• Fragmented too busy, heavy workload
• Communication vehicle in place
  newsletters/papers
• Communication vehicle lacking or not adequate
• Serve the same populations
• Serve different populations
• Common needs and interests
• Different needs and interests

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Environmental Scan
Identifying Special Community Assets
Identifying Common Ground

• Community gathering places for Socially
  Isolated Families
• Community events gathering places for Latinos
• Community events gathering places for Native
  Americans

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Message Delivery
Next Steps
Local examples of Success
TOPIC

• Panel Discussion

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Environmental Scan
Identifying Special Community Needs
Identifying Common Needs
Primary Issues of Interest to the Community

• Access falling through the cracks
• Including the working poor
• Transportation and housing
• School readiness
• Oral health
• Immunizations
• Child development issues (behavioral, mental
  health)
• Child care choices
• Others not previously identified
  _______________________

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Environmental Scan
Identifying Community Needs
School Readiness
Primary Issues of Interest to the Community

• School Preparedness
• Socialization

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Environmental Scan
Foreign Concepts
Mechanisms to Transmit Information
Active Steps to take
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Environmental Scan
Identifying Community Needs
Foreign Concepts
Primary Issues of Interest to the Community
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Message Development
Key Concepts-Where to Start

• One-size-fits-all
• only fits when it is your size.

Customize, customize, customize.
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Message Development
Effective Messaging

• Early program messages should aim toward a small,
  incremental first step. This creates trust and
  paves the way for later messages that call for
  more significant behavior change.
• Give feedback on messages received recognition
  is reinforcement
• Tier your messages with the program or goals they
  address
• Behavior change is difficult, but the ultimate
  goal of all messaging if the desired behavior
  existed, you would not need the message.
• Different goals and messages for different
  populations needs

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Message Development
Customized Messaging
Cautions and point of view

• The special populations you are trying to reach
  are heterogeneous, not homogeneous. Be cautious
  about commonly held beliefs, preconceptions.
• Place yourself in the shoes of the target
  population. Listen to how they define their
  needs, challenges, and interests, not how you or
  others may have defined them.
• We all see the world through lenses know your
  personal bias
• Know who your closet experts are who will
  your target seek to validate the information or
  message you provide? Consider how to reach them,
  too.
• Think of ways a message can be misinterpreted
  through cultural lenses

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Message Development
Customized Messaging

• Why are they socially isolated?
• What challenges do they face?
• Accessibility of services what has been their
  experience? How might it change if they listen
  to the message? How do you want to see it change
  what behavior do you want to see?
• Transportation, access realities scheduling and
  regular hours
• What works? Appropriate packaging
• When and where do they care for basic life needs
  and activities?

Molina Experience
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Message Development
Customized Messaging

• Language Barriers
• Cultural Barriers
• Trusted individuals in the community doctor,
  teacher, priest, others?
• When to translate materials and what to translate
• Empowerment and self-motivation dependent
  gender roles

Molina Experience
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Message Development
Customized Messaging

• Which health or cultural issues will remain
  within the realm of the tribe? Message tribal
  leaders, not population themselves.
• Provide tools, toolkits or train-the-trainer
  models of teaching those within the tribe that
  can disseminate the message you desire.
• Language barriers
• Cultural barriers
• Traditions

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Message Delivery
Key Concepts-What works and what doesnt

• Make it easy to get the message how to get
  their attention
• Suttons Law adapted go to the target
  population
• Deliver messages in a format they accept
• Easy-to-read, low literacy, alternative formats
• Select a trusted messenger
• Co-message with accepted and trusted messages
• Creative message delivery

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Message Delivery
Next Steps
Practice Message Development
TOPIC
Collaborative Approach

• Small group break-outs based upon population of
  interest and message of interest
• Message development case example
• Message delivery case example
• Reconvene and share messages

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Message Delivery
Next Steps
Practical Planning to meet real goals

• Collaborated resources for reaching diverse
  populations
• Developed ways to share expertise and expenses to
  carry out the outreach strategies learned during
  the TA event
• Produced specific action steps that show what
  participants plan to do after the event to
  implement learned strategies.
• Identified additional technical assistance needs
  that can be addressed through further Technical
  Assistance Summits to local service providers.

Where to go from here Group Ideas
? ? ? ? ?
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CONTACT INFORMATION
Project Team Martha Bernadett, M.D., M.B.A.
Executive Vice President
Dennis Evans
Strategic Planner
Sonia Alvarado
Gordon, M.S., N.P., C.D.E
Health care Specialist
Juan José Orellana, M.B.A
Business Analyst
Sonia Labrado

Community Outreach Specialist Natasha
Bernadett-Shapiro Research
Analyst Carmel
Vitale
Executive Assistant
Molina Healthcare, Inc.One Golden ShoreLong
Beach, CA 90802
Main Number (562)-435-3666 www.molinahealthcare.
com
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