Transcript Slide 1

Center for Elimination of
Disproportionality and Disparities
Joyce James
Associate Deputy Executive Commissioner
Sheila Sturgis Craig
Disproportionality and Disparities Project Manager
Mission
To partner with Health and
Human Service Commission
agencies and external
stakeholders to identify and
eliminate disproportionality and
disparities
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What is Disproportionality
and Disparity?
• Disproportionality is the overrepresentation of particular group or
race in a system compared to their representation in the general
population.
• Disparity is the unequal or different treatment or services provided to
one group as compared to another group. It is how one is treated or
the types, quantity , quality, of services made available.
• Health disparities are often referred to as the disproportionate
burden of disease, illness and mortality associated with personal
characteristics, such as race, ethnicity, age and gender. Other
characteristics that are also associated with adverse health
conditions and contribute to health disparities may include financial
circumstances or place of residence, functional or developmental
status, and sexual orientation.
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Activity
Dot Exercise
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History, Foundation, and
Expansion of the Work
Project Hope:
Began in May 2002
Community Vision, Mission and Goals
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Community focused, data-driven
Maximizing and improving existing services
Identifying gaps
Current Status
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Legislation 2005
• In January 2005, the 79th Texas Legislature passed
Senate Bill 6. The bill ordered a thorough investigation
of disproportionality in child welfare.
• Texas Health & Human Services Commission, along with the
Department of Family & Protective Services, released data confirming
the existence of disproportionality.
• A second report evaluated the policies of CPS and described plans to
address disparities found in the system.
• A State Leadership planning meeting was held, followed
by Regional Planning Meetings in the 5 sites with the
highest rates of disproportionality, including Houston as
the first region! Those meetings resulted in the formation
of Regional Advisory Committees comprised of local
community leaders, other child and family serving
systems, and Texas State Strategy members.
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Legislation 2007
Statewide Expansion
• In September 2007 the 80th Texas Legislature
passed Senate Bill 758 Allowed for expansion of
Disproportionality Work in Texas Statewide.
• Disproportionality advisory committees are
currently located in all 11 Texas Regions and 13
Disproportionality Specialists have been hired
for each region with a State Manager and
Specialist at the state office level reporting to
CPS Assistant Commissioner.
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Establishment of CEDD
• This work has laid the foundation for expansion and
continued system improvement within HHSC and other
systems serving vulnerable citizens.
• The creation of the new Center by Executive
Commissioner Tom Suehs exemplifies the Health and
Human Services Commission’s commitment of
leadership at the highest level of HHSC –
unprecedented across other states and jurisdictions,
elevating Texas as the national leader in addressing
disproportionality and disparities.
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Legislation 2011
Further Statewide Expansion
• Senate Bill 501 Establishes in Law an Interagency Council (IC) lead
by Joyce James in the Center. The IC will identify and examine
disproportionality in Child Welfare, Education and Juvenile Justice,
review and analyze statistics, research findings, service delivery
methodologies, best practices and provider training curricula. It will
also issue reports on their findings, monitor agencies progress in
eliminating health and health access disparities, provide information
on unmet service needs and help develop resources for eliminating
disparities.
• requires all HHS agencies and TEA, Juvenile Justice, Criminal
Justice, health and mental health,
• The bill amends the Health and Safety Code to remove references
in provisions of law relating to an office for the elimination of health
disparities within HHSC to refer instead to the center for elimination
of disproportionality and disparities.
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SB501 Partners
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HHSC, CEDD, DADS, DARS, DSHS, DFPS
Juvenile Justice
Texas Education Association (TEA)
Office of Court Administration (OCA)
Texas Judicial System
Office of Attorney General (OAG)
Permanent Judicial Commission for Children, Youth and
Families
Community Based Rep
Faith-Based Rep
Foster Care Youth Alumni
Medical Community Reps
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Texas Child Welfare Data 2010
African
American
Anglo
Hispanic
Other
Native
American
Population
12.2%
36.9%
47.2%
3.5%
0.2%
Alleged Victims
21.2%
31.4%
43.0%
4.1%
0.2%
Confirmed Victims
21.1%
31.5%
43.7%
3.5%
0.2%
Children Removed
27.9%
31.4%
37.5%
2.8%
0.3%
Children Awaiting Adoption at the End of the
Year
35.3%
25.2%
37.6%
1.7%
0.2%
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Texas Cross Systems Data
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Texas Deaths by Race/Ethnicity
Chart 2a: Deaths by race/ethnicity for top ten leading causes for Texas, 2005
Dise ase s of the He art
Malignant Ne oplasms (Cance r)
Cause of Death
Ce re brovascular Dise ase (Stroke )
Chronic Lowe r Re spiratory
Dise ase s
Accide nts (Injurie s)
Alz he ime r's Dise ase
Diabe te s Me llitus
Influe nz a and Pne umonia
Ne phritis, Ne phrotic Syndrome ,
Ne phrosis Kidne y dise ase )
Se ptice mia
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30
55
80
105
130
155
180
205
230
255
280
305
Age-adjusted death rates per 100,000 population
White *
African Am
Hispanic
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Texas Preterm birth rates by
mother's race, 2005
Rates per 1000 births
Premature births are important contributing factors
to low birth weight and infant mortality.
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180
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130
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100
90
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187.8
137.5
134.0
129.3
116.6
White
African Am
Hispanic
Mother's race/ethnicity
Other
Total
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HIV Data for Youth 11-17 year old
Rates per 100,000 population
Chart 10a: 2007 HIV infection rates for Texas adolescents (11-17)
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7.1
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2
1
1.4
1.9
0.8
0
White
African Am
Hispanic
Total
Race/ethnicity
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Activity
Why Are People Poor?
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The Texas Model
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Data Driven Strategies
Leadership Development
Cultural Competent Workforce
Community Engagement
Cross Systems Collaborations
Training Defined by Anti-Racist Principles
An Understanding of the History of Institutional
Racism and the Impact on Poor Communities
and Communities of Color
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History of Institutionalized Racism
• Impact on Poor Communities
• An Analysis of Power
• Race: The Power of an IllusionEpisode Three
“The House We Live In”
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Internalized Racial
Oppression
Internalized Racial
Inferiority
•Denial
•Mimicking
•Distancing
•Colorism
•Protectionism
•Exaggerated Visibility
•Ethnocentrism
Internalized Racial
Superiority
•Individualism
•Distancing
•Right to Comfort
•Paternalism
•Minimalize
•Denial
•Arrogance
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Video
“A Girl Like Me”
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Partners
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Casey Family Programs
State Taskforce on Disproportionality
Health Disparities Taskforce
Universities
Supreme Court Judicial Commission
Court Appointed Special Advocates (CASA)
Texas Juvenile Probation Commission (TJPC)
Texas Center for the Judiciary
Regional Disproportionality Advisory
Committees
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Center for Elimination of
Disproportionality and Disparities
Success is dependent on mutual
accountability at every level across
every system, so that the end result
is elimination of disproportionality
and disparities.
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Contact Information
Joyce James
Associate Deputy Executive Commissioner,
Center for Elimination of Disproportionality and Disparities
[email protected]
(512) 487-3396
Sheila Sturgis Craig
Disproportionality and Disparities Project Manager,
Center for Elimination of Disproportionality and Disparities
[email protected]
(512) 487-3359
Linda Wright
Community Activist
Fort Worth, Texas
[email protected]
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