Reflecting on LGBTQ Pride Month (June) and Anticipating National Minority Mental Health Awareness Month (July)

According to my research via the internet, the Lesbian, Gay, Bisexual, Transgender and Questioning Pride Month (LGBTQ Pride Month) is celebrated this month (June) to honor the 1969 Stonewall riots in Manhattan. The Stonewall riots refer to what happened when the New York City police force raided a popular Greenwich Village gay bar, the Stonewall Inn on Friday evening, June 27, 1969.  Though raids were not unusual in 1969, that night the patrons in the bar resisted arrest, fought back, and continued protesting for several nights now known as the Stonewall Riots.

My understanding is that prior to that summer in 1969, there was little information known of the lives and experiences of gays and lesbians. The riots marked the beginning of the gay liberation movement which continues to nip at the heels of the conservative social mores of US mainstream communities. The movement engages the community-at-large to fully face the oppression of gay and lesbian individuals and to take action to support LGBTQ  pride and action.

Today, PRIDE month encompass a month-long series of events. Today, celebrations include pride parades, celebratory events like picnics, parties, and concerts, and academic activities such as workshops and symposia.  LGBT Pride Month is now celebrated throughout the world, attracting millions of participants. Most importantly, during this month memorials are held for community members who have been lost to hate crimes or HIV/AIDS. The intent behind this PRIDE month is to recognize the impact that lesbian, gay, bisexual, transgender and questioning individuals in society on the local, national and international stage.

July is the National Minority Mental Health Awareness Month (NMMHAM) and during this month organizations will create mental health awareness opportunities in diverse communities. The US House of Representatives proclaimed July as this special month in 2008, aiming to improve access to mental health treatment and services through increased public awareness.  Since 2008, many organizations have hosted a variety of events and activities in communities across the country each year. The National Network to Eliminate Disparities (a SAMHSA-supported initiative) hosts a Facebook page that provides information and resources for NMMHAM each July.

America’s entire mental health system needs transformation, including services to marginalized communities. We need to learn more about how we can get involved with the events connected to Minority Mental Health Awareness Month. If you are planning events to celebrate Minority Health Awareness, share your event, it’s purpose, and whom you hope to reach so that we can share broadly with other interested organizations.

Contributed by: Suganya Sockalingam
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Supporting Equitable Communities Through Technical Assistance

What is an “equitable community?” What role do social determinants of health, and inequalities or disparities in health, housing, education, justice, access to services, or in affordability, appropriateness, safety and stability play in building and maintaining an equitable community? Where does equitable and timely access to information fit in? And how does Change Matrix (CM) respectfully inspire sustainable community growth and change, build on expertise in the community, and keep power in the community?

“Go to the people. Live with them. Learn from them. Love them. Start with what they know. Build with what they have. But with the best leaders, when the work is done, the task accomplished, the people will say ‘We have done this ourselves.”         -Lao Tzu

Since the 1979 publication of “Healthy People: The Surgeon General’s Report on Health Promotion and Disease Prevention,” the US Department of Health and Human Services (USDHHS) has focused on the reduction of health disparities. Nearly 40 years later, many of the same health disparities mentioned in that report persist. In fact, the National Academies of Sciences, Engineering and Medicine’s Committee on Community-based Solutions to Promote Health Equity in the United States, recently noted that, “racial and ethnic disparities are arguably the most obstinate inequities in health over time, despite the many strides that have been made to improve health in the United States.”

(NOTE: We are broadly defining “community” – for example, a geographic community, an organization or institution, a diverse population, or a population that shares the same culture.)

Contributing to some of the observed health disparities is a racial divide in the US, where non-white populations – particularly African American communities – bear the brunt of individual, community and institutional biases, discrimination and racism. In such an environment it is unlikely that disparities will be eliminated. Rather, research demonstrates that toxic stress, such as that experienced when people encounter racism and implicit or overt bias, can lead to poor health outcomes and exacerbate disparities.

Knowing health and other disparities exist at disproportionate rates for some communities in our country, what are we doing about it? One thing (CM) offers is technical assistance (TA) to communities and programs – many of which have experienced and/or work to address the disparities described above.

For those who have limited interactions with the federal government, the term TA may not resonate. We have been asked if our work in TA is related to information technology (IT) services, or some other high-tech field. Actually, our work is grounded in local, state, tribal and territory communities and exists to support their goals and anticipated outcomes. We make an effort to meet people where they are at. We go to them, we listen and learn from them and we help them grow, while often sharing in that growth experience.

The way TA is delivered and the way it is received can and does look different for each individual program or community. For example, one program may require assistance locating information/resources on evidence-based, best practices in their field. For this type of request, the TA delivered is straightforward and relatively quick to deliver. Another program may require assistance developing a sustainability plan for their work. This type of request is much more involved and requires the TA provider to learn about the program’s current structure, staffing and services and their vision for the future. It also requires an understanding of the social, political and fiscal environments, project scope, key stakeholders, community buy-in/involvement, etc. – all of which can have an impact on sustainability and any related planning.

TA depends not only on a community’s needs, but also on its culture, as well as on a consideration of how the community itself wants and best receives information and support. Regardless of the need, request, or delivery, the most successful TA is received voluntarily, where a community or program truly asks for and wants it, and is willing and able to invest time and resources.

Consistent with CM’s core values and guiding philosophy, we believe that to be effective and sustainable, TA needs to be respectful, honest, responsive, and provided in partnership with the recipient. To work in partnership with a community or program, TA needs to be approached with humility, equality, and transparency. Humility that enables everyone to learn from each other; equality in power and expertise that values the community or organization as the experts about themselves, their context, their experiences, and that values the TA provider for their experience and skills; and transparency with information and expectations, and a fundamental principle of transparency is unfiltered honesty. TA needs to be bidirectional: not only can the community benefit from what TA has to offer, but TA providers can learn and grow deeply from the expertise and magic within a community.

Any other approach to providing TA, any other perspective about the necessary transparency involved in providing TA truly disempowers the community/recipient. It assumes that the community isn’t on equal footing, can’t “handle” certain information, or doesn’t deserve to or isn’t capable of making an informed decision about what is best for them. In fact, it is culturally destructive. Any lack of transparency in sharing information about or related to the community in a timely fashion serves to perpetuate and control a power differential. There is a saying, “how you do anything (or one thing) is how you do everything.” At CM we try not to make a distinction between our professional and personal philosophy — that philosophy is based on humility, equality, and transparency, and we aim to practice this philosophy in all we do, including TA.

Related Resources:

Contributed by: London Losey, Naomi Ortega Tein, Rachele Espiritu
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Engaging Fathers in Home Visiting for Long-Term, Culturally-Aware, Family Involvement

The Partner Parent Network provides an example of how parents can fit into the governance structure of a Home Visiting program.

The Commonwealth of Northern Marianna Islands (CNMI) Data Analyst, Jodina Attao, was asked the following question – “Why do you think parent involvement is important, particularly father involvement, in the home visiting program, and from a cultural perspective what it is that you need to address to engage them?”

Jodina Attao’s response: “In my opinion, parent involvement is an essential element in any child’s success in life. I truly believe that if our ultimate goal is to empower parents to develop positive beliefs about their role as a parent we need to work WITH them and not FOR them; just as they need to shift their paradigm to working WITH their children, not just FOR them. In our culture, however, this has always been deemed a challenge. Although we try to approach the family as a whole, it always seems like later down the line of services, engaging fathers becomes a bit more difficult. This is because we have always practiced matriarchal dominance in the CNMI. Fathers tend to lean toward being the sole breadwinner, and their beliefs have been set that their only parenting role is to provide FOR their family. Mothers, on the other hand, have to work WITH everyone in the household to ensure their success, and address the lack thereof. Fathers are usually seen as the disciplinarian, compared to mothers being the more nurturing parent; which has eventually encompassed a set of beliefs that parenting a child needs to be done separately instead of building the family as a whole.”

Other factors that come to mind according to Ms. Attao when thinking of father involvement are things like: insecurities that a parent may have, both the mother and father’s viewpoints; many fathers not be used to giving and receiving the type of attention (and compliments, for that matter) a child/mother usually gets.” Another factor is the native language; Ms. Attao feels that it always appears to come with negative connotation, due to the way the sound emerges – very firm, harsh, and “brush it off” kind of tone – which leads to the perceived attitudes and behaviors of fathers.

Quotes from Fathers

“I have always wanted a family of my own, now that I have them, I never take them for granted and I always make sure I make time to spend quality time with them.”

– Jose Reyes, Program Participant, Tinian site

“A father’s engagement in their children’s lives is important for their social and emotional well being. Teaching them to be responsible and able to make the right decisions and choices also helps us to build relationships with our children from the day they are born, into their teenage years, and when they become adults. The 5 foundations in our home for communication are: Love, Trust, Honesty, Respect, and Understanding.”

– Nestor Catbagan, Program Participant, Rota site

“Being an active father and having a strong bond with my son is important to me because mothers will always be too fragile with their children. It isn’t bad, they just need a father who will allow them to explore more, so they can be strong and learn to do things on their own instead of always seeking help.”

– Brandkief Castro, Program Participant, Saipan site

“I appreciate our home visitor for supporting us in our daughter’s cognitive and language development. Without the program, I wouldn’t have known how to go about raising my child. It’s important for me to learn so that I am able to teach my own child. I want other father’s to know that we are responsible to teach our children responsibility and respect. The way I was brought up I never had emotional support from my father, so I want my daughter to grow and feel that I have supported her in every way. I believe that fathers who interact with their babies they will grow up to be very humble and compassionate. To all fathers out there, I encourage you to embrace your children, read to them, play with them, be with them, so they are able to make better choices because all they really need is you.”

-Kevin Taitano Kapileo, Program Participant, Saipan site

“I think it is important because being engaged in their life makes the child have a bond with their father, and being engaged will benefit the child in many ways. Being there for your children should be your number one priority. This shows your child/children that they can count on you and that they have your full support.”

– Willis Kani, Program Participant, Rota site

Contributed by: Suganya Sockalingam
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