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Refugee Health Summit. Goal: Examine barriers and explore solutions to culturally engaged health care provision for refugees in Buffalo Objectives: – PowerPoint PPT presentation

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Title: Culturally%20Engaged%20Health%20Care%20in%20Buffalo,%20NY


1
Culturally Engaged Health Care in Buffalo, NY
  • Kim Rook, Outreach Coordinator, MPH Coordinator
  • Pavani Ram, Director, Office of Global Health
    Initiatives, Associate Professor
  • Jessica Scates, Coordinator, Office of Global
    Health Initiatives
  • Paul Wietig, Vice President, Interprofessional
    Education
  • University at Buffalo School of Public Health and
    Health Professions
  • June 19, 2014

2
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3
Arrivals by State for the Reporting Period of
1-October-2013 through 30-April-2014Data
Texas 3888
California 3237
New York 2256
Data extracted from the Worldwide Refugee
Admissions Processing System (WRAPS)
4
Refugees resettled in New York State
Total 3829
Federal Fiscal Year 2013 New York State Bureau
of Refugee and Immigrant Assistance
5
Sites of Refugee Resettlement in NY
Erie County welcomes 36 of refugees in New York
State!
Federal Fiscal Year 2013 New York State Bureau
of Refugee and Immigrant Assistance
6
Background and Objectives
  • Refugee health in Buffalo
  • UB/Community engagement
  • Refugee Health Summit

7
State department of health
University
Medicaid
County department of health
Resettlement agency
Funding organizations
Refugee
Insurers
Medical specialists
Refugee leaders
Primary care providers
State bureau of refugee and immigrant assistance
Community organizations
8
Health Needs Gaps
Health needs to address
Lead poisoning Trauma and torture STIs/STDs Tuberc
ulosis
Diabetes Cancer Mental illness
depression Suicide Other chronic conditions
9
Planning Committee Members
Buffalo Public Schools Burmese Community Support
Center Catholic Charities of Buffalo Community
Health Center of Buffalo H.E.A.L.
International International Institute of
Buffalo Jericho Road Community Health
Center Jewish Family Service of Buffalo Erie
County Journeys End Refugee Services,
Inc. Neighborhood Health Center New York State
Department of Health
University at Buffalo Global Health Initiative
GSA Office of Global Health Initiatives Office
of Interprofessional Education Office of Public
Health Practice School of Dental
Medicine School of Management School of
Medicine Biomedical Sciences School of
Nursing School of Pharmacy and Pharmaceutical
Sciences School of Public Health Health
Professions School of Social Work
10
Planning Committee Members
Education Buffalo Public Schools Refugee
Community Support Burmese Community Support
Center H.E.A.L. International Resettlement
Agencies Catholic Charities of Buffalo Jewish
Family Service of Buffalo Erie
County Journeys End Refugee Services,
Inc. International Institute of Buffalo Primary
Care Provision and Health Assessments Community
Health Center of Buffalo Jericho Road Community
Health Center Neighborhood Health Center
Health Department New York State Department of
Health University at Buffalo Global Health
Initiative GSA Office of Global Health
Initiatives Office of Interprofessional
Education Office of Public Health
Practice School of Dental Medicine School of
Management School of Medicine Biomedical
Sciences School of Nursing School of Pharmacy
and Pharmaceutical Sciences School of Public
Health Health Professions School of Social
Work
11
Refugee Health Summit
  • Goal
  • Examine barriers and explore solutions to
    culturally engaged health care provision for
    refugees in Buffalo
  •  
  • Objectives
  • Describe existing barriers of culturally engaged
    health care provision for stakeholder groups in
    WNY
  • Learn about successful models to providing
    engaged health care for refugees in Buffalo and
    beyond
  • Identify potential linkages and spark
    collaborations to adapt and implement solutions
    to expand culturally engaged health care for
    refugees in Buffalo

12
Summit Program
1230-100 Introduction 100-200 Panel 200-30
0 Share Fair 300-400 Informational
talks 400-430 Next steps 445-500 Dinner
530-630 Breakout groups 630-715 Large
group reporting and discussion 715-730 Closing
13
Panelists
Refugees Resettlement agencies Providers State
  • Bishnu Adhikari
  • Employment Specialist,
  • Journeys End Refugee Services, Inc.
  • Denise Phillips Beehag
  • Director of Refugee and Employment Services,
    International Institute of Buffalo
  • Cheryl Brown
  • Refugee Health Program, Public Health
    Representative II, New York State Department of
    Health, Western Region
  • Oma Chapagain
  • Bhutanese Nepali Community Member
  • Dianne M. Loomis
  • Associate Clinical Professor, School of Nursing,
    Department of Family Medicine, University at
    Buffalo
  • Chan Myae Thu
  • Client Services Coordinator, Burmese Community
    Support Center

14
Culture
Trust
Language
Religion Gender Definitions of good and poor
health Health as a priority Preventive health
vs. curative
Interpretation Accessing personal health
information Accessing preventive care Accessing
knowledge about prevention Translating medical
terms Non-verbal language
Mental health History of trauma The doctor and
other authority figures Power within the family
Many other issues as well
15
Barriers to Healthcare
  • Access to medical care (primary care)
  • Cultural unfamiliarity among providers
  • Grouping refugees into one generalizable group
  • Health insurance
  • Language
  • Mental health and screening

16
Informational Talks
  • Dr. Myron Glick Dr. Kim Griswold
    Jim Sutton, RPA-C

17
Models for Community Engagement Care
  • Rochester Model
  • RSMI Remote Simultaneous Medical Interpreting
  • Empowered oversight committee
  • Coordinated providers and care
  • Jericho Road Community Health Care Model
  • Hire a diverse staff, encourage diversity
  • Invest in community relationships
  • Built walk-ins into the system

18
Models for Community Engagement Care
  • Mental Health Provision
  • Train bi-lingual / bi-cultural mental health care
    providers
  • Adjust screening methods
  • Increase mental health value among refugees
  • Ethnic community support groups
  • Burmese Community Support Center
  • Others
  • Bhutanese
  • Iraqi

19
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20
Breakouts to Address Barriers
  • Coordination of stakeholders
  • Mentorship of providers
  • Mobilizing human capital / leadership among
    refugee community
  • Interpretation
  • Improving linkages of care, addressing gaps in
    care

21
Solutions to Barriers
  • Coordination of stakeholders
  • Day-to-day agency partnerships through agreements
  • Community-based steering committee or council
  • Annual summit to reassess
  • Culturally engaged healthcare assessment
    available online
  • Provider mentorship, education
  • Referral / map app and web based resources
  • Hiring of bilingual health providers and front
    office staff
  • Relocate specialists to primary care locations
  • Culturally engaged health care grand rounds

22
Solutions to Barriers
  • Refugee mentorship, education, leadership
  • Platform for ethnic community-based support
    organizations
  • Identify leaders in the community for continued
    education training
  • Interpreter services
  • RSMI (UN-like headsets)
  • Interpretation phone apps
  • Hire local community members and bi-lingual
    employees
  • Web-based portal with language resources
  • Educate providers in second languages

23
Solutions to Barriers
  • Improving linkages of care, addressing gaps
  • Health-e-Link health assessment
  • Mental health providers in community health
    centers
  • Mapping system addressing transportation issues
  • Referral / map app
  • Agency partnerships
  • Health education preventive care

24
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25
Takeaways
  • 110 registrants, 130 participants
  • 30 agencies and University Schools
  • Collaborations among agencies and refugee
    maximizes resources
  • Meaningful interagency relationships
  • Task forces and action plans created
  • UB will be leader in steering committee,
    exploration of interpretation models, among other
    areas

26
Takeaways
  • Improving Linkages of Care (10)
  • Mentorship of Providers (15)
  • Coordination of Stakeholders (7)
  • Mobilizing of Human Capital (4)
  • Interpretation (5)

27
Next Steps
  • Dissemination of Refugee Health Summit Report
  • Exploratory meeting with Refugee Advocates (June)
  • Task force development
  • Health for Refugee Populations Course

28
Next Steps
  • Solidify University at Buffalos role moving
    forward
  • School of Pharmacy continuing education
  • School of Social Work build capacity and linkages
  • School of Public Health provide field placement
  • IT involvement
  • Recruitment of talent from the refugee community
  • Best practice research and assessments

29
Acknowledgements Office of Global Health
Initiatives Dr. Pavani Ram Jessica Scates Dr.
Arthur Goshin School of Public Health and Health
Professions UB Office of Interprofessional
Education Dr. Paul Wietig Community Agencies
  • Thank You
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