1. Committee on Health Equity and Policy (CHEP) AMHPAC Committee September 11, 2014 Presented by Greta Coe, AMH On behalf of CHEP

2. 2 What is CHEP? AMH committee formed with the mission to engage and align diverse community voices and AMH to assure the elimination of avoidable health gaps and promote optimal health in Oregon. Composed of AMH staff representing the different populations of this office (adult and children’s mental health, addictions, prevention and operations) The strategies CHEP will use to increase awareness, skill and knowledge about how cultural and linguistic diversity affects the delivery of health and human services includes: –Policy development, –Training and consultation, and –Community and organizational capacity building.

3. 3 Why are we here today? We can’t keep doing business a usual. Policy options packages, OHA hiring and recruitment, federal grants, legislative analysis will/or are mandating an analysis regarding how this will address disparities and a case of “why not” if not addressed. Building a new delivery system infrastructure and the ability to serve the greater population (non-white, traditional) This will not be a sprint, it will be a marathon.

4. 4 AMH CHEP Priority Areas The AMH Committee on Health Equity and Policy (CHEP) aspires to move AMH forward with the goal to eliminate health disparities among required and specialty populations through: 1.Integration and the use of diversity development best practices in recruitment, hiring, retention, performance management, contracting and procurement, and through leadership and employee development within AMH, 2.Fostering of dynamic, strength-based, and authentic relationships among Oregon's diverse behavioral health communities, 3.Assuring and sustaining an organizational structure (AMH) and comprehensive system of care that relentlessly pursues health equity and organizational diversity, 4.Supporting statewide and regional coalitions and committees/councils to mobilize and advocate for health equity within behavioral health systems, and 5.Supporting workforce development among culturally specific behavioral health providers.

5. 5 How do we accomplish priorities? 1.Start at home. –Conduct an Intercultural Development Inventory (assessment) of AMH staff and follow-up training plan. –Tool assesses intercultural competence—the capability to shift cultural perspective and appropriately adapt behavior to cultural differences and commonalities. –50-item questionnaire, available online and in a paper-and- pencil format that can be completed in 15–20 minutes –Confidential individual and group results provided, along with debrief on how to interpret. –Results will provide a baseline of where AMH staff is regarding cultural comfort and what types of further training is needed in order for AMH (as a whole) to move CHEP project plan forward.

6. 6 Other Activities of CHEP Determining gaps in service delivery system through partnership of 3 rd Annual African American Summit and existing Latino specific events and committees. Creating referral process that matches clients to culturally specific BH services and providers through resource directory Perform assessment of gaps in culturally specific services (existing/approved versus non-approved or new). Assisting with the promotion of equitable hiring and contracting policies and practices Partnering with existing AMH groups/committees to ensure program development and policies promote health equity, such as through block grant writing/reviewing, AMHPAC strategic planning, etc. Hosting training and dialogue discussion with staff regarding cultural awareness and health equity (“Unnatural Causes” video series)

7. 7 Funding Request for FY2014-15 Provides opportunity to identify service delivery gaps and drives investments to new and innovative approaches $20,000 for Intercultural Development Inventory and training $10,000 for 3 rd Annual African American Summit (already committed by Pam) $10,000 for Hispanic/Latino Project (previously Hispanic Summit) (already committed by Pam) $10,000 for stipends for consultants that will assist with development and review of policy and organizational priorities. Total: $50,000

8. 8 Finish Line Commitment to finding centers/programs that do things differently and that work. The future AMH will use culturally specific language within contracts, processes, procedures, and policies that eliminates health disparities through greater understanding of candidates/recipients specific needs. Allocate $5 million general fund dollars to support culturally- competent and culturally-specific community-based care providers that have a proven track record for achieving outcomes. Infrastructure development and financial sustainability

9. 9 For more information, contact Greta Coe at greta.l.coe@state.or.us greta.l.coe@state.or.us

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