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Centering Ourselves In The Work
Share one thing that made you smile really wide or say,
“Wow” recently
Using the chat window …(Include Your Location)
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Applying the Racial Equity Lens to A Whole
Family Approach
October 30, 2019
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Born and raised in rural NC
About Me…
CAA Services Recipient to Leading National CAA Network Transformation
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The Promise of Community Action
Community Action changes people’s lives, embodies the spirit of hope, improves communities,
and makes America a better place to live. We care about the entire
community and we are dedicated to helping people help themselves
and each other.
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The nation is finally seeing poverty rates return
to levels comparable with those before the
great recession. This is improvement; however,
more needs to be done to ensure a thriving
economic future for EVERYONE
State of Poverty
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Why Are We Here Today?
Community Action believes in the promise that every family
should have access to the opportunity for success
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What is Equity?
A condition whereby ALL PEOPLE have access to a
thriving reality and belonging regardless of race, culture, gender, religion, economic
status or social location.
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Equity Vs. Equality
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• Basic Needs for Health & Safety• Life Long Learning• Meaningful Work & Wealth• Humane Housing• Reliable Transportation• A Healthy Environment• Belonging & Civic Muscle
Well Being Legacy
Vital Conditions For Health + Well Being (EQUITY)
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“Othering is a set of processes, structures, and dynamics that engender marginality
and persistent inequality across any of the full range of human differences. Othering
and marginality can occur on a group basis or at the individual level.”
Othering
--The Haas Institute For A Fair and Equitable Society
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What is Racial Equity?
A condition whereby ALL PEOPLE have access to a
thriving reality and belonging regardless of race or culture.
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Why Are We Starting With Race?
We are all ONE Human Family.
We are all connected through shared ancestry.
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Why Are We Starting With Race?
Racism (attitudes and belief systems) and
Structural Racism (systems and policies) are deeply imbedded in
American Society
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“The intersection of poverty and racism is one of the greatest threats to stability in
modern day society…”
Poverty and Race
--john a. powell
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Why Are We Starting With Race?
Child poverty rates for Black, Hispanic, and American Indian children are much higher than for White or Asian children. They are also much higher for children
living in single-parent families that those two-parent families and for children in families with no workers than those in families with part-or full-time workers.
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“Growing up in poverty undermines healthy child development and can perpetuate negative impacts for a
lifespan.”
Race and Poverty
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Our Future
The future social and economic security for all of us is at stake…
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Research reveals that these inequities cost our nation almost $2 trillion annually in
lost purchasing power, reduced job opportunities, and diminished productivity
for college graduates of color.
The Cost
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“While projected to be the majority by 2043, children of color are
disproportionately impacted by poverty, resulting in the lack of access to the
opportunities, resources, and support they need to thrive…”
Race and Poverty
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Basic Facts about Low-Income Children: Children under 18 Years, 2016Heather Koball | Yang Jiang, NCCP Fact Sheet, January 2018
Percentage of Children in Low Income Families by Race/Ethnicity,
2016
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Our Children Are Our Future
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What Direction Are We Facing?Systemic Racism
62%65%
Hispanic Families
African American Families
That were unable to move out of poverty. Years that it will take for families of
color to match 2016 white wealth.
228
84 Latinx
African American
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What Is A Whole Family Approach?
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• Research indicates children growing up in
poverty fare much worse than other children
• Children living in deep poverty have the worst
outcomes among all children on important
health and development indicators
Child Poverty
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Child Poverty
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A Whole Family ApproachMeets the Needs of Children and
Parents Together
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When services are integrated to meet the needs of parents and children together,
efficiency is improved and outcomes are enhanced for parents, children, and families
A Whole Family Approach Defined
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Whole Family Approach Characteristics
• Family goals shared across programs
• Goals include outcomes for children, parents and the family as a whole
• Alignment of a suite of services for families that respond to their unique needs across a number of domains
• Easier access to services
• High quality, intensive, intentional parent and child services at the same time
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Whole Family Approach Building Blocks
Securing Funding and
Other Resources
Building and Using
LeadershipAttending to
Organizational Culture and
Systems
Engaging Family Voices
Aligning High Quality,
Intentional, Intensive
Services to Parents & Children Parent and
Child Service Integration
Understanding System, and
Policy Change That Supports Parents and
Children Designing and Implementing
with an Equity Lens
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Designing with an Equity Lens
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Designing and Implementing with an Equity Lens Inside the CAA
• Recognize Institutional, Systemic and Structural Barriers that Perpetuate Inequity
• Co-Creation and Co-Ownership of Solutions• Exploration of Environmental Changes that
Promote Family Success• Staff Reflect the Diversity of the Communities
Being Served• Seek to Design and Deliver Strategies that Bridge
and Build Knowing, Relationships, and Mitigate Structural Bias Problems
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Incorporating an Equity Lens
Annie E. Casey Foundation REI guiding principles:• We believe in engaging families based on their strengths• We believe in the primacy of parent, family and community
voice• We believe in and foster co-creation and co-ownership of
solutions• We acknowledge that there are institutional, systemic and
structural barriers that perpetuate inequity• We commit to transparency and to sharing accountability for
the results we seek*Source: National Equity Project. 2016. Integrating Race, Equity & Inclusion Principles Across the Annie E. Casey Foundation Two Generation Strategy & Investment Approach to Strengthen Families
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Resources:Collective Forum Equity Resources: https://collectiveimpactforum.org/sites/default/files/Equity%20Resources_August_2016.pdfRace, Equity and Inclusion Action Guide: http://www.aecf.org/resources/race-equity-and-inclusion-action-guide/Racial Equity Resource Guide: http://www.racialequityresourceguide.org/
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Building A Racial Equity Culturewww.equityinthecenter.orgProInspire
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Moving Beyond Conversation!
START WITH YOUR OWN BELIEF SYSTEMS
• In your heart of hearts what will you do
• Be honest about implicit bias and move beyond them
• Start a movement internal and external to the agency wo are interested in advancing equity
• You don’t have to be an expert; however, you do have to have open hearts and minds
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Moving Beyond Conversation!
Hire for Racial Equity Sensitivity
• Strengths Based approach to building team
• Consider candidates that understand systemic racism, and strategies to achieve racial equity
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Moving Beyond Conversation!
Building A Racial Equity Team and Culture• Demonstrated Racial Equity skills, Initiatives
are preferred for promotions or management roles (ask HR how to word this!!)
• Evaluations reflect Racial Equity impact• Racial Equity is part of the organizational
STORY• Design positions and programs that are OPT
OUT rather than OPT IN for Racial Equity• Bake Equity into everyday practice
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Moving Beyond Conversation!
Organizational Racial Equity Values
• Be transparent with availability of vendor contracts and other organizational opportunities
• Do such contracts fairly represent your business community? If not, WHY?
• Does your management team reflect your community?
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Data and the Question “Why”
Disaggregate the data and ask the question “Why” every step of the way
• Evaluating how specific groups are doing
• Considering participants perspectives & program delivery methods
• Reveals patterns
• Identifies needs so resources can be directed towards them
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Brilliant Baby at the BCHO Claremont Pediatric Clinic
https://www.youtube.com/watch?v=M7ap2gbF5J039
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Cumulative impact: 14 year difference in life expectancy
INFANT2 times more likely to be born low birth weight
12 times less likely to have a mother who graduated from college
ADULT
5 times more likelyto be unemployed
3 times more likely to die of stroke
CHILD
13 times more likely to live in poverty
4 times less likely to read at grade level
Compared to a white child in the affluent Oakland Hills, a black child born in the flatlands is…
Source: Alameda County Vital Statistics files, 2010-2012
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Health Equity Challenge
Unmet basic needs or exposure to trauma leads to poor health in children
Stable family and caregiver relationships buffer adversity for children
Parents’ behaviors and expectations for their child impact the socio-emotional, cognitive and physical development of babies
Concerned about mental health of primary caregiver
45%
Concerned about running out of food before they have money to buy food
57%
2
Patients on MediCaid
98%
Families of color
90%
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Grounded in Evidence
What we know:
• Stress of relentless poverty undermines physical and mental health, and reduces executive functioning in adults and children.
• Parenting behaviors and expectations for their child impact the socio-emotional, cognitive and physical development of babies.
• Having a college savings account (CSA) from birth, improves the social-emotional development children need to succeed academically. Effects are strongest among families with household incomes under 200% of poverty. (Huang, Sherraden, Kim & Clancy 2014)
• CSAs have also been found to reduce maternal depression, thereby influencing interactions with children. (Huang, Sherraden, Kim & Clancy 2014)
Financial coaching and the experience of taking practical steps in pursuit of concrete goals results in both tangible improvements in financial indicators as well as improved confidence and optimism about the future. (Consumer Financial Protection Bureau 2016)
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Oakland Promise Brilliant Baby
3
3-Year Demonstration Pilot
Serve 1,500 Babies/Families
Available to all 2,200 Medi-Cal eligible babies under the age of one born in Alameda County and living in Oakland each year when fully scaled
Early Head Start Home Visiting
ProgramsInfant Home
Visiting ProgramsClaremont Clinic
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1. Improve the physical, developmental and socio-emotional health of babies born into poverty
2. Address social determinants of health by connecting economically marginalized families to a broad range of resources to address unmet health needs
3. Improve parents’ knowledge and skills related to child development and engagement in parenting practices that promote optimal health and socio-emotional development for their babies
Brilliant Baby ProgramGoals
4
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To increase parental focus on baby’s development and reduce parental stress by:
A. Establishing a $500 college savings account
B. Connecting to health services through FIND Desk
C. Providing financial coaching and savings match for parents
Brilliant Baby ProgramStrategies
5
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Implementing Partners
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How Does it Work?
UESP 529 College Savings Account for each baby with $500 (and the option for family to open their own 529 for baby)
Financial Coaching focused on setting &
pursuing goals; parent-driven
(with participation incentives)
Personal savings incentives (1:1
match on $150; $50 for six months of
saving)
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Demonstration – Study – Scale
48
Three year Demonstration with
1500 Babies
. Followed for 25 years.
At Scale: All 2200 babies born to MediCaleligible families in Oakland each year.
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Role of Partners
49
Non-EvalPartnersDesignate BB Program Lead at Organization
Recruit and enroll clients in the program
Host coaches and refer clients to coaches
Participate in Program Planning and Admin
Eval Partner: CHO
All responsibilities of non-evaluation partners plus:
Employ selection methodology
Enroll treatment and control groups in study
(obtaining consent)
Collect and share data on client outcomes
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Evaluation Model
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Evaluation: What we hope to prove
The combination of a CSA & Financial Coaching will have a powerful impact on:
● Parent/Family Well-Being: ○ Improved Financial Well-Being and Reduced Financial Stress○ Increased College Expectations for Babies○ Improved Sense of Control and Confidence○ Increase in Hope and Optimism about the Future○ Improved Parental Attitudes, Skills, and Behaviors (regarding parenting)
● Early Childhood Development○ Improved Child Health ○ Improved Child Development○ Improved Kindergarten Readiness
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BRILLIANT BABY & PRIMARY CARE CLINICOBJECTIVES & PERFORMANCE MEASURES
EFFORT IMPACT
600Medi-Cal babies and families shall be assessed and referred to health service needs
360 Families shall access health resources
180Families shall be enrolled in Brilliant Baby
50% Families who used referred services shall report improvement on health concern
85%Families in Brilliant Baby who access services shall report program is meaningful contributor to child’s health and development
Babies in Brilliant Baby shall receive age-appropriate developmental screening
100%
Babies determined to need supplemental services shall be referred to appropriate services
100%
50%Families in Brilliant Baby shall show an increase in parenting knowledge and skills
Families in Brilliant Baby shall report a satisfactory or very satisfactory experience with enrollment process
75%
7
QUALITY
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• As CAA LEADERS, we have long history of moving individuals and communities forward
• Still we can and we must do more
• We must dismantle, forces that are pulling our communities apart along social and economic lines
• We have an opportunity to empower more low-income persons to thrive and become active members of their communities
Uprooting Poverty
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Community Action believes in the promise that EVERYONE should have
access to opportunity
A Promise
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If we are truly going to cultivate a new reality for our families and communities where everybody
thrives and has access to opportunity, we must name othering in all its
forms, and begin the work of dismantling its impact on attitudes
and systems in our society
A New Reality
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WHERE ARE WE?
• We are committed to Racial Equity
• This is urgent for us; However, we are not going to hurry this work
• We are intentionally leading with race –“race explicitly, but not exclusively”
• We are “Baking Racial Equity” into our work and policy/procedures going forward
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We believe all people should be treated with dignity and respect and recognize that structural race, gender, and other inequities remain barriers that must be addressed.
We believe that this nation has the capacity and moral obligation to ensure that no one is forced to endure the hardships of poverty.
We believe that with hope, adequate resources and opportunities, everyone can reach their fullest potential, and we are committed to achieving that vision.
We pledge ourselves to creating an environment that pursues innovation and excellence through multi-sector partnership and collaboration.
Value Statements
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Resources You Can Use
Rising Out of Hatred Stamped from the Beginning
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2019 Othering and Belonging Conference by the Haas Institute for A
Fair and Inclusive Society at UC Berkeley
April 8-10
Oakland, CA
RESOURCES
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2019 Othering and Belonging Conference by the Haas Institute for A
Fair and Inclusive Society at UC Berkeley
April 8-10
Oakland, CA
RESOURCES
http://conference.otheringandbelonging.org/
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Design Plan• Support for
completing components necessary to design a whole family approach
• Establish clear vision and results
• Identify internal and external partners
• Plan and implement activities to engage customer voice
• Develop information for theory of change and logic model
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Resources You Can Use
ADDRESSING IMPLICITBIAS, RACIAL ANXIETY, ANDSTEREOTYPE THREAT INEDUCATION AND HEALTH CARE
https://perception.org/wp-content/uploads/2014/11/Science-of-Equality.pdf
POVERTY AND RACE THROUGHA BELONGINGNESS LENShttps://www.law.berkeley.edu/files/PolicyMatters_powell_V4.pdf
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Resources You Can Use
National Equity Atlas Racial Equity Resource Guide for Community Action
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Cost of Segregation--Metropolitan Planning Council and the Urban Institute project trends of the Chicago region’s racial and economic segregation by 2030 without interventions
Equity, Growth and Community
Resources You Can Use
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Truth Racial Healing and Transformation Implementation Guide
The Ever-Growing Gap: Without Change, African-American and Latino Families Won't Match White Wealth for Centuries
Resources You Can Use
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Inclusiveness Index 2018: Measuring Global Inclusion and Marginality
Under Our Skin
Resources You Can Use
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America Divided
Resources You Can Use
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Other Racial Equity Resources
• Racial Equity Resource Guide (W.K. Kellogg Foundation):
• Racial Equity Toolkit: An Opportunity to Operationalize Equity
• Engaging Parents, Developing Leaders (Annie E. Casey Foundation)
• Race Matters: Organizational Self-Assessment (Annie E. Casey Foundation)
• Family-Centered Coaching: Assessing Organizational Readiness & Creating Partnerships
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Comments and Discussion
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https://communityactionpartnership.com/events/category/webinars/
Fall2019
November 20th: Funding a Whole Family ApproachDecember 4th: Analysis Whole Family Pilots: 2Gen Evaluation Report from Metropolitan Action CommitteeDecember 18th: Intersecting Health and Anti-Poverty: Food as Medicine
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Community Action Academy
On-demand courses, videos & resources
Peer Engagement & Virtual Networking
Virtual space for Learning Community Groups
Moodle is an online learning platform designed to provide trainers and learners with a single robust, secure, and integrated system to create personalized learning
environments. https://moodle.communityactionpartnership.com
Free & Accessible to the entire Community
Action Network!
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NEW! Mobile App for Community Action Academy
1) Search your App Store (Apple) or Google Play(Andriod) for the official moodle app (can simply type "moodle").
2) Once the app is downloaded to device, enter URL: moodle.communityactionpartnership.com
3) Login on the Moodle app using your same credentials for Community Action Academy on the computer.
For more information, you can visit this link.
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Save the Date2020 Management & Leadership Training Conference
January 8-10, 2019San Juan, Puerto Rico
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For more information or questions contact The Learning Communities Resource Center Team:• Tiffney Marley, Director of Practice Transformation
• Kevin Kelly, Director of Community Economic Development
• Hyacinth McKinley, Senior Associate for Learning & Dissemination
• Lindley Dupree, Senior Associate for Research
• Courtney Kohler, Senior Associate for Training & Technical Assistance
• Aimee Roberge, Program Associate for Learning Communities Resource Center
This presentation was created by the National Association of Community Action Agencies –Community Action Partnership, in the performance of the U.S. Department of Health and Human Services, Administration for Children and Families, Office of Community Services Grant Number, 90ET0466. Any opinion, findings, and
conclusions, or recommendations expressed in this material are those of the author(s) and do not necessarily reflect the views of the U.S. Department of Health and
Human Services, Administration for Children and Families.
For More Info