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THE OHIO DEPARTMENT OF MENTAL HEALTH & ADDICTION SERVICES Michael Byun, MPA Executive Director 330-535-3263 ext. 223.

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Presentation on theme: "THE OHIO DEPARTMENT OF MENTAL HEALTH & ADDICTION SERVICES Michael Byun, MPA Executive Director 330-535-3263 ext. 223."— Presentation transcript:

1 THE OHIO DEPARTMENT OF MENTAL HEALTH & ADDICTION SERVICES Michael Byun, MPA Executive Director 330-535-3263 ext. 223

2 About ASIA Established in 1995 Multi-service agency serving new Americans Annually serves over 10,000 Mission is to empower and advocate for Asian Americans and Pacific Islanders; and to provide AAPIs access to linguistic/culturally appropriate information and services

3 Program Areas Self-Sufficiency Services Employment and training Public benefits access assistance Citizenship/ESOL classes Emergency food/housing assistance Children/Youth/Family Mentoring (ATOD initiative) Domestic violence/sexual assault – women’s leadership program Case management Gambling prevention Hmong women’s weaving group Aging and Adult Congregate meal and socialization Public benefits access assistance Community Health Promotions Education, outreach and screening (childhood lead, HIV, diabetes, BCCP, etc.) International Community Health Center Cultural Outreach Interpreting and translation services Cultural competency training and consulting

4 Demographics Statewide: 248,292 Asian Americans and Pacific Islanders (2010 Census) 2% of the total state population, 49% growth from 2000-2010 More than 4,000 Asian refugees resettled in Ohio between 2001 and 2011 Fastest growing in NE Ohio Roughly one-third of AAPIs live in NE Ohio Indian, Chinese, Filipino, and Korean Americans comprise 74% of the region's API population

5 Issue Areas and Current Efforts ATOD (Alcohol, Tobacco and Other Drugs) Suicide Obesity Gambling addiction Trauma (associated with sexual or physical violence)

6 ATOD Data disaggregation shows ATOD use differences (highest among SE Asians and Pacific Islander youth) (Wong, et. al.) A youth survey in the Bay Area showed 40.8% underage Asian youth used alcohol which was significantly higher than the national norm (Lee, Omori, Yoshikawa) ------------------------------------------------------------------------------- ATOD after-school/summer mentoring program (ASIA’s longest running) Two sites working with Summit and Cuyahoga County Board Cradle to career initiative in Summit County Parenting and young women’s groups

7 Suicide November 2013 – 57 year old Nepali man Five total in the region and two additional attempted Primarily Nepali population Suicide a viable option Major theme: self-sufficiency/hopelessness ------------------------------------------------------------------------------- County Boards (Summit and Cuyahoga Counties) are exploring initiatives: Strengthen referral linkages RHS 15 Provider and community assessments

8 Suicide: issues with self-sufficiency and challenges for the “donut population” Young adults – highly adaptable segment Adults – doing well to fill vacancy in light manufacturing, service work, hospitality, and other entry level positions Older workers who are not eligible for Medicare and/or SSI Language and skills acquisition are more difficult More women and then men Difficult to place into the workforce

9 Obesity High risk for type 2 diabetes and related chronic diseases with co-morbidity for depression Initial spike then trend based on socio-economic factors Access to Western foods 70% of participants surveyed were at high risk based on BMI and A1c (funded by OCMH) ----------------------------------------------------------------------------- International Community Health Center – first FQHC in Ohio focused on Asian health (November 2013) Project RAISE (Reaching Asian Pacific Islanders through Innovative and Supportive Engagement) Multi-sector policy, system, and environmental change project working with ethnic/voluntary organizations, refugee resettlement groups, public health, community foundations, and cultural/language schools


11 Gambling Addiction American Psychiatric Association reported from a study that 20% of the Chinese American population are problem gamblers Another APA study showed that 59 percent of SE Asian are pathological gamblers “We have this saying in Chinese: if you don’t gamble, you don’t know how lucky you are.” —Anonymous Chinese gambler ----------------------------------------------------------------------------- ASIA’s partnership with Recovery Resources to pilot gambling prevention education and outreach Multi-year effort with year 1 focus on culturally/linguistically specific awareness campaign with educational presentation. Future plans for additionally certified trained bilingual or culturally relevant prevention/treatment providers.

12 Trauma From War and/or Domestic Violence An estimated 4,972 APIs have been sexually assaulted. Yet of the more than 60,000 victims of domestic violence reported in Ohio in 2012, only 552 identified as Asian (UWGC) A national study showed that 42% of Korean women experience sexual or physical assault; 40.8% of South Asian women faced physical or sexual violence during their lifetime (Shimtuh; Raj Silverman) ----------------------------------------------------------------------------- Hmong Women’s Weaving Support Group Intergenerational weaving group for refugees from Laos Northeast Ohio Asian Women’s Leadership Initiative (NALI) 8 Asian ethnic women’s groups to build leadership in DV/SA support services

13 Thank you!

14 JHUMA ACHARYA & SARAH MILLER COMMUNITY REFUGEE AND IMMIGRATION SERVICES (CRIS) JANUARY 14, 2015 Health and Wellness in Columbus’ Bhutanese Nepali community

15 Bhutanese Nepali Refugees in Columbus Resettlement began 2009 Estimated 12,000-15,000 living in Columbus area Continued secondary migration Nepali primary language, Hindu primary religion

16 Trauma factors: Pre-resettlement Hopelessness of future due to long camp stays Non-cooperative relationship with citizens and law enforcement of host country Lack of rights in host country, inability to work Limited access to quality education and intellectual opportunities in camp Pollution and unhygienic environment in camps, lack of access to medical care

17 Trauma factors: Post-resettlement Limited English language skills Lack of employable skills Difficulty with transportation and getting car/license Fear and confusion of bills and utilities Misunderstandings and fear about benefits and how long they will last

18 Health concerns Chronic conditions (hypertension, diabetes) Lack of access to preventative and high quality care Alcohol use Depression and suicide  CDC report 2011 Confusion about specialists, insurance, referral processes

19 CRIS’ Response Mental health screening using the RHS-15 Strengths-based case management Community adjustment support groups Wellness activities: yoga, dance, music Youth activities: LeaderSpark!, dance Health courses: chronic disease management, nutrition Suicide prevention training with OSU REACH

20 To Learn More tanese-Refugees-in-Nepal.pdf tanese-Refugees-in-Nepal.pdf backgrounder.pdf backgrounder.pdf profile.pdf profile.pdf Webinar on working clinically with traumatized refugee children and families: 04/15/kate-porterfields-webinar-working-clinically-with-traumatized- refugee-children-and-families/

21 Questions? Feel free to contact us! Jhuma Acharya Case Manager for Nepali speakers 614-987-1673 Sarah Miller Refugee Wellness Program Manager 614-987-1674

22 OhioMHAS Disparities and Cultural Competency Learning Series Bounthanh Phommasathit, B.S.W.,MS. Secretary Ohio Asian American Pacific Islander Advisory Council Columbus, Ohio

23 Ohio Asian American Pacific Islander Advisory Council December 2014 77 S. High Street, 18 th Floor Columbus, Ohio 43215 Yung-Chen Lu, PhD, Chair 614-805-4283

24 The Composition of US Society Is Changing Rapidly Day JC. 1996:13. Population (%) Projected Distribution of the US Population by Race/Ethnic Group, 1990 to 2050

25 Reach out to Ohio AAPIs on the Ohio Policy/Decision Making bodies Improve Access to State Prog/Services Encourage Culturally Relevant (education, faith and art) Increase awareness of MBE and EDGE Develop community health education screenings on chronic diseases and provide available treatment plans Increase awareness on Asian Heritage Month

26 Arts, Culture and Education Civil Rights & Immigration Impact Economic Worforce Development Health Issues and Health Care System 4 STANDING COMMITTEES

27 ARTS AND CULTURE/EDU Asian Festival events in Columbus, Cleveland, Cincinnati, and Dayton Ohio Funding: The Ohio Art Council In Ohio, there are only 7 immersion schools. The newest school is Global Ambassadors Language Academy (GALA), a tuition-free, K-8, public charter school scheduled to open in August 2015 in the city of Cleveland. GALA is a language immersion school that will offer both Mandarin Chinese and Spanish immersion options and the International Baccalaureate Primary Years Program.

28 CIVIL RIGHTS & IMMIG. IMPACT Members of the Council served on the planning committee and help promote the Protecting Civil Rights Town Hall: Know Your Rights and Responsibilities, held on April 15, 2014. Topics included Hate Crimes, Law Enforcement and Community Relations, and Deferred Action for Childhood Arrivals. Deferred Action for Childhood Arrivals (DACA) panel, consisting of a diverse group of students, discussed problems in accessing services for which they are now eligible, such as in-state tuition and driver’s licenses

29 ECONOMIC WORKFORCE DEV. The OAAPIAC has promoted education about the Minority Business Enterprise (MBE)/Encouraging Diversity, Growth and Equity (EDGE) Unit’s role in the State of Ohio's minority business set-aside program Announced opportunities for below-market interest loans from the Community Development Financial Institution (CDFI) and for public/private partnerships to promote international trade to Asian and Asian American business leaders and entrepre­neurs throughout Ohio.­ Initiated plans for a statewide Economic Development conference/summit to include Ambassadors repre­senting Asian countries. The goal will be to enhance opportunities for foreign trade and economic development in Ohio

30 The OAAPIAC have been working to promote access to the following Ohio’s health programs and services: Mental Health & Addiction through ADAMH Board Asian Free Clinic supports by OSU Health screenings at Asian festivals annually Hepatitis B Program funded by CDC Senior Meals program through LifeCare Alliance Participated in the National Network to Eliminate Disparities in Behavior Health’s NNEDLearn Program. HEALTH ISSUES & HEALTH CARE SYSTEM

31 Fund OAAPIAC Increase funding to community and faith based organizations Train CHAs to assist Ohio AAPIs for the above 4 charges OAAPIAC RECOMMENDATIONS Arts & Culture/ Education Civil Rights & Immigration Impact Economic Health

32 THANK YOU and Please Help!!!!

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