HealthEmergencyLifelineProgram

HELP,1726HowardStreet,DetroitMI48216313.832.3300

VISIONINGCORKTOWNHEALTHCENTERKeyPrioritiesforMichigan’sFirstLGBTHealthCenter

Copyright©June2016HealthEmergencyLifelineProgram(HELP).

AuthoredbyWorldShareconsultantsLeselieyRoseWelch,MPH,MBA,PrincipalConsultant,

andChelseaHarmell,MPH,Consultant.

The mission of World Share is to build the capacity of individuals and organizations to

transform themselvesand theworld for thebetterbyprovidinghighquality,high impact

consulting,marketinganddesignservices.

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VisioningCorktownHealthCenterKey Priorities for Michigan's First LGBT Health Clinic

EXECUTIVESUMMARY

WhileSoutheastMichiganboastsseveralaward-winning,state-of-the-arthealthsystems,nonecurrentlyhavethecapacitytoprovidetrulypatient-centeredcaretomeetlesbian,gay,bisexual,andtransgender(LGBT)clients’mostbasichealthcareneeds,includingprimarycare,pediatrics,internalmedicine,andobstetricsandgynecology.RecognizingthattheprimaryhealthcareneedsoftheLGBTpopulationhavebeenlargelyunmetinMichigan,HealthEmergencyLifelineProgram(HELP)planstoexpanditsexistingoperationsbylaunchingMichigan’sfirstLGBThealthcenter,CorktownHealthCenter,infall2016.HELPrecognizestheneedforCorktownHealthCentertobedevelopednotmerelyfortheLGBTcommunity,butbythecommunityaswell.ToensurethatCorktownHealthCenterisshapedbyinputfromthecommunityitplanstoserve,HELPhostedaseriesoffourinteractivecommunityconversationsabouttheemergingcenter,inwhichover40communitymembersparticipated.HELP’sfourcommunityconversationsoccurredbetweenOctober2015andMarch2016withatotalof44attendees.WorldShare,athird-partyconsultingfirmwithlong-standingtiestotheLGBTcommunity,facilitatedallfourconversations.ThegoalsoftheOctoberandNovember2015conversationswereto:(1)invite,facilitateandcapturecommunityinputintoenvisioningandcreatingamodelLGBThealthclinicinDetroit;(2)understandthecommunity’shopesforaLGBThealthcenterinDetroit;(3)identifypriorityLGBThealthcareneedsfromcommunitymembers’perspectives;and(4)respondtoquestionsandconcerns.Springcommunityconversationssoughtto:(1)shareupdatesonhealthcenterplanningandfallcommunityconversationcontributionstocentervision,values,andpriorities;(2)engagecommunityparticipantsindiscussionofstrengths,weaknesses,opportunitiesandchallengestothecenter’svision;(3)mapassetstosupportvision;and(4)identifyquestionsyettobeexplored.TheconversationfromthefinalmeetingelicitedsomeofthemostemotionalandfrankdiscussionsaboutCorktownHealthCenter,asparticipantssharedpersonalstoriesandcollectiveconcerns.Theneedforquality(notonlynon-discriminatoryandnon-judgmentalbut)affirmingcaredominatedbothconversations.Overwhelmingly,communitymemberswantthehealthservicesthatareavailableelsewherecoupledwithaqualityofcarethatisnotcurrentlyavailableanywhere.Conversationresultsinclude:anaspirationalvisionforthecenter,recommendedcorevalues,careprioritiesandapproaches,andfutureconsiderations.

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CONVERSATIONOVERVIEW

HELP’sfourcommunityconversationsoccurredbetweenOctober2015andMarch2016withatotalof44attendees.WorldShare,athird-partyconsultingfirmwithlong-standingtiestotheLGBTcommunity,facilitatedallfourconversations.Meetingswerehostedinfourwell-knownlocationsaroundtheDetroitMetroAreaduringweekdayeveningsandweekendmorningstoallowforpeoplewithdifferentscheduleslivingindifferentpartsoftheregiontoattend.ThesemeetingswerepublicizedbyHELP’sexistingnetwork,onsocialmedia,andbythelocalLGBTnewsmagazinePrideSource.Meetingswereheldinavarietyofspaces,includingalocalLGBTcommunitycenter,anonprofit,anacademiccenter,andanLGBTownedsmallbusiness.Eachmeetinglastedapproximatelytwohours,includingalightmeal.TwoofthefourcommunityconversationswererecordedonfilmtodocumentsalientthemesandprovideanopportunityforinterestedparticipantstorecordtheirthoughtsandfeelingsaboutSoutheastMichigan’snewLGBThealthclinic.

FALL2015CONVERSATION

ThegoalsoftheOctoberandNovember2016conversationswereto:(1)invite,facilitateandcapturecommunityinputintoenvisioningandcreatingamodelLGBThealthclinicinDetroit;(2)understandthecommunity’shopesforaLGBThealthcenterinDetroit;(3)identifypriorityLGBThealthcareneedsfromcommunitymembers’perspectives;and(4)respondtoquestionsandconcerns.WhileclinicalandpublichealthprofessionalswithexistingspecialtyorinterestinservingLGBTfolkscomprisedthemajorityofparticipantsinthefirstfallconversation,membersfromtheLGBTcommunityatlargepredominantlyattendedthesecondfallconversation.Participantsbrainstormedindividually,insmallgroups,andasalargergrouptosharetheirthoughtsaboutthedevelopmentofthecenter’svision,values,andpriorities.Specifically,participantsconsideredthefollowingquestions:

§ Vision:WhatkindofLGBThealthcenterdoyouwanttoseeinDetroit?o Whatwillpatientsexperience,think,feel,andsay?o Whatwillprovidersandstaffexperience,think,feel,andsay?o Whatwillthecommunityexperience,think,feel,andsay?

§ Values:Whatvalueswouldyouliketoseethecenterreflect?Howwillthesevalues“showup?”§ Priorities:Whatarethe2-3mostimportanthealthissues(personalandcommunity)you

wouldliketoseethehealthcenteraddress?

SPRING2016CONVERSATIONS

Thespringcommunityconversationssoughtto:(1)shareupdatesonhealthcenterplanningandfallcommunityconversationcontributionstocentervision,values,andpriorities;(2)engagecommunityparticipantsindiscussionofstrengths,weaknesses,opportunitiesandchallengestothecenter’svision;(3)mapassetstosupportvision;and(4)identifyquestionsyettobeexplored.Onceagain,thetwospringcommunityconversationsdifferedintheirattendance,withhealthcare,pharmacy,andpublichealthproviderscomprisingthemajorityofattendeesforthethirdmeetingandcommunitymembersandalliescomprisingthemajorityofattendeesforthefourth.ThethirdmeetingfocusedonrefinementofthevisioningprocessforthecenterfollowedbysmallgroupworktoconductaStrength-Weakness-Opportunities-Challenges(SWOC)analysisandbegincommunitycommunicationsassetmapping.

ThefourthandfinalmeetingwasheldataprominentLGBTcommunitycenterandprovidedanopportunityforparticipantstosynthesizeallofthepreviouscommunityconversationthemes.Duringthisconversation,participantsconsideredthefollowingquestions:

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§ Patient:Whoisthepatient?§ Services:Howdoweprioritizeservices?§ Values:Whatvaluesdowewanttoliftupanddefine?§ Connecting:HowdowebestgetthewordoutaboutCorktownHealthClinic?§ Other:Whatquestionsandconsiderationsmuststillbeexploredand/orresolved?

TheconversationfromthefinalmeetingelicitedsomeofthemostemotionalandfrankdiscussionsaboutCorktownHealthCenter,asparticipantssharedpersonalstoriesandcollectiveconcerns.Duringthismeeting,participantsalsoprovidedspecificexamplesofthecharacteristicsandchallengestheybelievedmanyofthecenter’sclientswouldembody.ConcernsexpressedandquestionsraisedinthefinalconversationarelargelyreflectedintheFutureConsiderationssection.

CONVERSATIONRESULTS

ASPIRATIONALVISION

FallcommunityconversationsledtothefollowingaspirationalvisionfortheLGBThealthcenter:“I feel comfortableandsafecomingbackand tellingothers,” “Iwouldcomehere formy own healthcare and my family’s healthcare,” “It’s about time” – SoutheastMichigan’s diverse LGBT community, service providers, and Corktown residents areravingaboutthenewLGBTHealthCenterinCorktown.

The firstof itskind inMichigan, theCorktownHealthCenterwascreatedbyand forSoutheastMichigan’sLGBTcommunityandtheproviderswhoservethem.Thecenterhasextendedhours, flexible scheduling,andweekendappointments toaccommodateworkingpatients. Itprides itselfon itswarm,welcoming,engaging, friendly,vibrant,comfortable, safe, and professional environment. Pictures and artwork reflect thecommunity. All brochures, magazines, signs, sign-in sheets, and assessments aresensitive to racial, gender, and sexual orientation or identity – and are available inmultiplelanguages.Clinicoperationsareefficientandwaittimesareshort.Restroomsaregenderneutral.Facilitiesaremodern,clean,withstateof theartequipmentandtechnology.Thereisevenaplay-areaforchildren.

Thepeoplewhodotheworkareevenmoreamazingthantheclinic’sphysicalspace.Theclinicattractstoptalentwithcompetitivesalaryandbenefitpackages.Clinicteammembersarepolite,pleasant,knowledgable,andrespectfulofallwhoenter.Theyarecareful not to make assumptions about race, gender, orientation or pronounpreferences.Servicesarealsopoly-friendly.AsignificantnumberofstaffmembersareLGBT-identified and reflect the diversity of the community. In addition to clinicians,there are case managers, health educators, and outreach workers employed by theclinic. Providerswork collaborativelywith clinic teammembers, specialty and otheroutsideproviders.Inthewordsofonephysician,“weseepatientsasourteachers…Wevalue their lived experiences and knowledge of their unique needs.” Providers careabouttheirpatients,enjoytheirwork,andfeelconfidentthattheyaretrulymakingadifference.

The clinic is a one-stop shop for services for LGBT community members and theirfamilies across the lifespan and regardless of ability to pay. Clinic services includeprimary care, urgent care, a 24-hour crisis line, mental health care, reproductivehealth, hormone therapy,HIV/AIDS care, PrEP, screenings, peer education, domesticviolence support, palliative care and grief services and referrals. Supportive servicesforchildrenandfamilies,bisexuals,andtransgenderindividualsareavailable.Patients

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can have anyone they like join them in the exam room and for their appointments.Thereisanonsitepharmacy.Transportationisprovidedtoandfromappointmentsifneeded.

Overwhelmingly,patientsfeelseen,valued,welcome,respected,andhopeful.CorktownHealth Center is a place where LGBT people feel safe, included, belonging, and arehealed.Patient satisfaction surveycomments include statements like: “I feelequal toand not less than the person who treated me;” and “this is the best care I havereceived.”

Inshort,theCorktownHealthCenterisalong-awaitedcommunityasset.Itfillsavoidfor the community and for providers. It provides quality healthcare to SoutheastMichigan’s LGBT community and much needed education and cultural humilitycapacitybuildingforhealthcareprovidersintheregion.Amodelclinic,theCorktownHealth Center will most certainly prove to be a valuable contribution and positiveforceinhealthcaretransformationforSoutheastMichigan.

COREVALUES

Inclusivitywasadominantandrecurringthemeinallfourconversations.Participantsemphasizedthatthecentershouldaimtomakepeopleofalldifferentbackgroundsfeelwelcome.Participantswantedclientstofeelaffirmed,lovedandhonored,nomattertheirbackgroundoridentities.RecognizingthatdiversityexistswithintheLGBTcommunity,communityconversationparticipantswantedtofeelconfidentintheculturalhumilityofprovidersandstaff.Evenifaproviderdoesnotshareaclient’sbackground,theproviderwouldgoaboveandbeyondtoembracetheclient’sidentity,asknonjudgmentalquestions,andtocentertheclientastheexpertontheirownexperiences.Similarly,participantsstressedthatinordertoensureempowermentanddignityofclients,thecentermustbepatient-centeredandflexibletotheirneeds.Finally,participantsemphasizedtheneedfordevelopingasystemofaccountabilitytothecenter’svisionandcollaborationwithabroadrangeofcommunityadvocates.

PRIORITYSERVICESANDAPPROACHESThecommunityconversationshighlightedserviceareasandapproachestocarethatparticipantsdesiredandfeltshouldbethetopprioritiesforthecenter’sfirstyearsofoperation.Firstandforemost,participantswantedtoseehigh-qualityprimarycareservices,broadlydefinedandadaptabletopatients’expansiveneeds.Allgroupsagreedthatmentalhealthshouldbeevaluatedandaddressedintandemwithphysicalhealth.ThegroupsvoicedthatwithintheLGBTpopulation,transgenderfolksaregenerallythemostvulnerableandunderservedgroup,andthatbuildingacareteamwithexpertiseintransgenderhealthandwellnessshouldbeatoppriority.SecondtothepressingneedfortransgenderhealthcarewashealthcareforLGBTseniors.ParticipantsnotedthatthehealthandsocialsupportneedsoftheagingLGBTpopulationareoftensubsumedandinvisibleinothercaresettings.Lastly,theimportanceof

CORE VALUES

Inclusive – We welcome people of all ethnicities, races, genders, sexual orientations, income-levels and backgrounds.

Affirming – We respect every person who comes to our clinic as an expert on their own bodies and lived experiences.

Accountable – We embrace community responsibility as we work together toward improved health and wellbeing.

Care Priorities

Primary Care Mental Health

Transgender Care Senior Care

Approaches

Integrated

Trauma-Informed Harm Reduction Holistic Healing

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addressingLGBTyouthhealthwasdiscussed;participantsnotedthatapartneragencyisembarkingonworktoaddresslocalLGBTyouthhealthneeds.

Oncethegroupsdeterminedpriorityserviceareas,theyfocusedonhowtheyhopethecenterwilldelivertheseservices.Primarily,participantswantedtoseeservicesintegratedasmuchaspossibletoprovidecomprehensive“wholeperson”care.Thegroupsalsomentionedtheimportanceofdeliveringcarethroughaharmreductionlensthatconsidersclienttreatmentandbehaviorchangegoalsinthecontextofpersonalandstructurallimitations.Empoweringclientsinpatient-providercommunicationsbypromotingagencyinandownershipofcenterexperienceandcareplanswasequallyimportant.Additionally,astheLGBTcommunityexperiencesdisproportionatelyhighlevelsofmental,physical,andemotionalabuseaswellassystemicviolence,thegrouphighlightedtheimportanceofprovidingtrauma-informedcare.Finally,participantsadvocatedfortheavailabilityofcomplementarycareandholistichealingoptions.

STRENGTHS,WEAKNESSES,OPPORTUNITIES,ANDCHALLENGES(SWOC)

AppendixA:Strengths,Weaknesses,Opportunities,andChallenges(SWOC)summarizesparticipantfeedbackoninternalstrengthsandweaknessesoftheaspirationalvisionandHELP’scapacitytorealizethevision,aswellasexternalopportunitiestoadvancethevisionandchallengestoachievingthevision.StrengthscenteredonHELP’shistoryofprovidingkeyservicestotheLGBTcommunityandpreexistingclientbase.HELP’scurrentprovisionofmentalhealthandsupportiveserviceswereseenasstrengths,providingastrongfoundationforthenewclinic.HELPandthecenter’sabilitytoservediversepopulations,includinglow-incomeindividualsandthosewhomayneedassistanceaccessinghealthinsurancewasseenasanotherstrength.Weaknessesincludedconcernsaboutproviderburnoutinthefield,theavailabilityofspecialistson-site,andthefactthatthecentermayhavelimitedcontrolovertheservicesprovidedbyspecialistsitwillreferpatientstosee.Additionally,thecurrentlackofLGBTculturalcompetencyinthehealthcare,socialservice,andcriminaljusticesystemswasviewedasasignificantchallengefortheregion.WhileHELP’sabilitytoservelow-incomepatientswaslistedasastrength,arelatedweaknessisthatmanyclientsmaynotbeabletopayforservices,potentiallythreateningthefinancialsustainabilityofthecenter.

Manyoftheopportunitiesfocusedonthecenter’s“feel”,withchildplayareas,breastfeedingstations,andcomplementarymedicinefeatureslikearomatherapylistedaspotentialwaysthecentercouldbeinclusiveandfeelinvitingtoclients.Inaddition,participantsstressedtheopportunitiesinherenttothefirstLGBThealthcenterintheregion,withthecreationoftrainingopportunities,medicalpartnerships,andinternshipsforcurrentorprospectivehealthprovidersandspecialiststhroughoutthearea.Alonglistofopportunitieswascoupledwithseveralrelatedchallengesthecentermayneedtoaddresstoensureitssuccess.Whilerespondentsnotedanopportunitytodevelopeffectivesecurityprotocolsforthecenter,thethreatofsurroundingphysicalviolenceorharassmentbeyondthecenter’spropertyisaloomingchallengethatmayneedtobeaddressedthroughproactiveengagementwiththelocallawenforcement.Assumingthecenterissubjecttothesamephysiciancapacityandtimeconstraintsotherhealthclinicsface,thehighqualityofcarethecenteraspirestoprovideislikelytobemetwiththechallengesofbeingdeliveredwithinarelativelyshorttimeframebyalimitednumberofproviderstoensureallpatientsareseen.

STAKEHOLDERANDASSETMAPPING

AnothergoalofthecommunityconversationswastohighlightexistingcommunityassetsandkeystakeholderstoengageinthedevelopmentandimplementationofCorktownHealthCenter.Themappingprocessinvolvedtheidentificationofspecificcommunityresources,institutions,people,

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andmodesofcommunicationthatmightsupportthedevelopment,implementation,andoutreachofthecenter’sactivities.AppendixB:StakeholderandAssetMappingsummarizesthisactivity.

FUTURECONSIDERATIONS

Muchofthepassionatefinalconversationcenteredaroundquestionsyettobeansweredandissuesstillbeconsidered.Questionsanddominantthemesthatwarrantfurtherconsiderationareoutlinedanddescribedbelow.

1. HowwillCorktownHealthCenterutilizecommunityconversationfeedbackincenterdevelopment,planningandoperations?

2. Inwhatwayscanthecommunityexpecttobeengagedmovingforward?

3. HowwillCorktownHealthCenterhonordiversityandoperationalizetrueinclusivity?

4. WhatstrategiescanCorktownHealthCenteremploytorecruitandhiretalentreflectiveofthediversecommunityitserves?

5. HowwillCorktownHealthCentermitigatetheincreasingconcernsaroundareagentrificationandensuretargetpopulationconnectstothecenterasaspacebyandforthem?

6. HowwillCorktownHealthCenterensuretheaccess,safety,andaffirmationofitsbroadanddiversepatientpopulation?

PatientCommunity.ThegroupnotedthatCorktownHealthCenterwouldneedtomeaningfullyengagewiththediversityinherenttotheLGBTcommunity,withmindfulnesstothebroadracial/ethnicidentities,socioeconomicstatuses,andlifeexperiencesthatcommunitymemberspatronizingtheCorktownHealthCenterwilllikelypossess.FurtherthegroupnotedthatCorktownHealthCenterwouldneedtoensurethatCorktown’sincreasinggentrificationdoesnotimpactthecenter’sabilitytoprovidecaretoallpeopleregardlessofincome.

Accountability.Someofthemostprominentissueshighlightedbyparticipantsconnectedtothethemeofaccountability,adesiredcentercorevalue.ParticipantaccountabilityconcernsincludedCorktownHealthCetneraccountabilitytopatientsandtolocalLGBTcommunities.

Participantswouldliketoseethecenterbewelcomingandaffirmingwhilehonoringthediversityanddignityofpatientsaswellasstaff.Thoughtsaboutculturalhumilitywereechoedmorethanonce,andparticipantsstressedhowimportantitisforthecentertoemploystaffandhealthcareprovidersfromwithintheLGBTcommunitywhereverpossible.

ParticipantsalsodrovehometheexpectationthatCorktownHealthCenterwillbeintentionalaboutensuringLGBTpatientsareaffirmedandrespectedbythecenter’sprovidersaswellasitsreferralnetwork.Attendeesrecommendedavettingprocessbedevelopedforbothclinicprovidersandstaff,andforexternalspecialistsorproviderstowhomCorktownHealthCenterwouldreferpatients.SuchaprocesswouldensurethateverylevelofpatientexperienceismetwiththesameaffirmingandcompetentcareexpectedatCorktownHealthCenter.

Finally,itwasunderstoodthatparticipantswouldbeeagerlyawaitingasummaryofthecommunityconversations.BeyondreflectionbackofwhatHELPandconsultantsheardfromthecommunity,participantsareoptimisticallywatchingtoseeifHELPplanstocontinuetoengagethecommunityinmeaningfulwaysasCorktownHealthCenterplansevolve.Manyexpressedhowimportantitis

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forthecommunitytohaveinputintoareasofcenterdevelopmentbeyondvalues,prioritiesandservices,inareaslikemarketingandbrandingandphysicalspacedesign.SeveralparticipantssigneduptoexpresstheirinterestinaCorktownHealthCenterCommunityAdvisoryBoard.

Itishighlyrecommendedthat,inadditiontoitsbusinessplanning,HELPdevelopastrongcommunityengagementplantonurturecontinuedgoodwillamongandtruecommunityconnectiontotheCorktownHealthCenter.

CONCLUSION

LGBTindividualsandfamilieshavethesamebasichealthneedsaseveryoneelse.Yet,theirheightenedriskofexposuretomicro-andmacro-leveldiscriminationbypeoplerangingfromclosefamilymemberstotheirhealthcareteamsunderscoresexistinggapsinhealthcareaswellastheneedforahealthcenterthatprovidessafe,affirming,high-qualitycare.Additionally,LGBTindividualsareunderrepresentedinthemedicalfield,creatingahealthcareenvironmentinwhichtheLGBTpatientsoftenbecometheteachersfortheveryproviderswhoshouldalreadybetheirhealthcareexperts.TheCorktownHealthCenterwillbeMichigan’sfirstclinicdedicatedtonotonlyaffirmingLGBTpatientexperienceandprovidinghigh-levelcare,buttotraininganewgenerationofSoutheasternMichiganproviderswhocandothesame.IfCorktownHealthCenterachievesitsgoalandrisestothehighbarsetbycommunityconversationparticipants,itwillundoubtedlytransformthewayhealthcareisdeliveredandexperiencedinSoutheastMichiganandhaveapositiveimpactonLGBTcommunityhealth.

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APPENDIXA:Strengths,Weaknesses,Opportunities,andChallenges(SWOC)Analysis

STRENGTHS

§ LocationinCorktown§ HistoryofHELP§ Establishedclientbase§ Clinichours§ Gender-neutralrestrooms§ Insurancenavigationassistance§ Capacitytoaddressinsurancebarriers§ Capacitytoservelow-incomeindividuals§ Psychiatristformentalhealthandsubstance

use§ Clinicwillbeindependentandself-

sustaining§ Supportiveservicesalreadyinplace§ Multipleprogramofferings§ Comfortforpatients§ Unique,different

WEAKNESSES

§ Staffavailability§ Availabilityofdiversetalentpoolforstaff

recruiting§ Providerburnout§ Long-termconsistencyofcareproviders§ Capacitytohavespecialistsavailableon-site§ Initialloworexcessclientcapacity§ Outsidereferralstonon-HELPproviders§ Financing§ Inabilityofclientstopay§ Lackofdiversityatcommunitymeetings

OPPORTUNITIES

§ Opportunitiestolearn§ Internshipsandexternships§ Localmedicalpartnerships§ Volunteerscantradetimeforservices§ Endocrinologistforhormoneservices§ Agingspecialist§ Substanceabuseprograms§ Pharmacistconsultingarea§ Raiseawareness§ Engagemorepatients/clientsatfuture

meetings§ Vettingprocessforstaffandproviders§ Partnershipwithgroups/clinics/officesfor

outsidemeetings§ Breastfeedingarea§ Childcareordaycareresources§ Includewaterfeatureandaromatherapyfor

comfort§ Holisticandintegrativemedicine§ Securityprotocols§ Increaseavailablemedicalservicesbeyond

regularhealthchecks§ Improveadherencewithsupportiveservices§ Sustainability

CHALLENGES

§ Deliveringthevisionfromdayone§ Execution§ Qualityofspecialtycare§ Screeningofstaff§ Ensuringservicecommitmentfrompeople

(e.g.AmeriCorps)§ Responseofcommunity§ PerceptionthatclinicisonlyLGBTorHIV§ Misunderstanding§ Transportation§ Maintainingflexibleschedules§ Weekendhours§ Shortwaittimes§ Scheduling§ Burnout§ Crisisintervention§ Securityissues§ Gettingthewordouttothecommunity§ Growingastrongvolunteerbase§ Medicationcompliance§ Maintainingadherence§ Pharmacychoice§ Sustainedfinancialsupport§ Lackofculturalcompetencyeducationin

health,socialservice,andcriminaljusticeorganizations

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APPENDIXB:StakeholderandAssetMappingActivityHighlights

HIGHLIGHTS FROM THE STAKEHOLDER MAPPING ACTIVITY

Community Resources • Libraries • Theaters • Bars • Recreational Centers and Gyms • AIDS Service Organizations • Faith-Based Organizations • Youth Centers (e.g. Ruth Ellis Center) • LGBT Advocacy Organizations (e.g. Equality Michigan, Transgender Michigan)

People • Clinicians • Social Workers • LGBT Community Members and Allies • Elected Officials • Local Celebrities • Faith Leaders

Institutions • Medical and Nursing Schools • Hospitals • Michigan Department of Health and Human Services • Local Health Departments • Justice System

Communication • Local News and Media Outlets • Social Media • LGBT Newsletters and Magazines • Radio (Public Radio) • Word-of-Mouth/Referrals • Flyers • Community Meetings

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APPENDIXC:EvaluationSummary

ThefeedbackfromtheHELPCommunityConversationsprogramevaluations(n=44)wasoverwhelminglypositive:

• 43outof44(98%)evaluationrespondentseitherstronglyagreedoragreedthatthecommunityconversationachieveditsgoal.

• 42outof44respondents(95%)eitherstronglyagreedoragreedthattheywereabletoshareideas,feltheardandunderstoodattheconversations.

• 40outof44respondents(91%)eitherstronglyagreedoragreedthatasaresultoftheconversationstheywantedtobemoreinvolvedintheCorktownHealthCenter.

Theevaluationrespondentsidentifiedthemselvesascommunitymembers,allies,andLGBTprovidersincludingphysicians,pharmacists,andsocialserviceproviders.SeveralrespondentsprovidedcontactinformationandindicatedaninterestinservingontheCorktownHealthCenter’sforthcomingCommunityAdvisoryBoard.ManyrespondentsreportedlearningmoreaboutlocalLGBTchallengesandresourcesfromtheconversations,andfeelinglikeboththeconversationsandclinicgoalswereimportantforthecommunity.TheyalsoreportedabetterunderstandingofwhyHELPwascreatingCorktownHealthCenter.ManyofthefallrespondentsreportedwantingtoseefuturecommunityconversationsoccurinspacesthatservetheLGBTcommunityalready,andHELPaccommodatedthisrequestbyholdingoneofthespringconversationsatAffirmations,anonprofitservingtheLGBTcommunity.

Aboveall,mostrespondentswereappreciativethatHELPchosetohostthecommunityconversations.Onerespondentremarked,“HELPwantstogivethecommunity[members]whattheyneed,notwhatHELPthinkstheywant.”Severalrespondentsstressedthatinthefuturetheyhopedtoseecontinuedanddeepercommunityengagement,withmoreopportunitiestoexpresstheiropinionsaboutprogramsthatwoulddirectlyimpacttheLGBTcommunity.Respondentswerealsoanxioustosee“theendproduct”oftheclinicandhowtheir“ideas[wouldbe]implemented.”Onerespondentwantedtoseefutureclinicdevelopmentincludeprovideroutreachandtraining,whileanothercommentedthat“itwouldbeawesome[to]identifyaproviderwholookslikeus.”

Notablenextstepsinevaluationcommentaryincludedtheneedtodevelopoutreach,mediacoverage,andliteratureaboutCorktownHealthCenterforthosewhodidnotattendthecommunityconversations.

“HELPwantstogivethecommunity[members]whattheyneed,notwhatHELPthinkstheywant.”

-ConversationParticipant