1. CBPR Institute 6/24/13 HEALTH EQUITY FOR HOPE SF A CASE STUDY

2. Uzuri Pease-Greene, Rebuild Potrero, BRIDGE Housing Anne Griffith, Enterprise Community Partners, Inc. Emily Weinstein, Rebuild Potrero, BRIDGE Housing Jessica Wolin, San Francisco State University Sarah Wongking, San Francisco State University WHO WE ARE

3. HOPE SF

4.  SF’s Public Housing Transformation Initiative to : transform 4 developments in near future into thriving mixed-income communities improve the lives of existing residents without displacing them.  Launched in 2007. Ultimately, will transform 8 sites Rebuild 2,500 public housing units on 8 distressed sites Create 1,000 new affordable units Create 2,500 new market rate units HOPE SF

5. HOPE SF GOALS Transform five developments into thriving mixed- income communities that are woven into their neighborhoods Build quality housing and infrastructure toward environmentally sustainable, accessible communities Improve the lives of existing residents without displacing them WESTSIDE COURTS POTRERO TERRACE/ ANNEX HUNTERS VIEW ALICE GRIFFITH SUNNYDALE

6. ENVIRONMENTAL ISSUES  Social and geographic isolation from surrounding communities, retail, healthy food, safe parks  Run-down housing with hazards (peeling paint and plaster, water leaks, broken concrete, exposed wiring and plumbing, graffiti, trash and boarded-up windows)  Foundation made of serpentine rock -- naturally- occurring asbestos when agitated  Sites close-by that contain toxic waste and contaminated land scheduled for mitigation

7. COMMUNITY CONCERNS  60% of families engaged in child welfare, juvenile probation, mental health programs  50%+ children under 18 (citywide average is 14%), and six-times the citywide rates of child and family poverty. 16% graduation rate.  5 times more unemployment than citywide rates and an average annual income less than $13,000  Violence, mental health, lack of employment are all significant community concerns and more

8. COMMUNITY STRENGTHS  Sense of community and commitment to revitalization  Existing community improvement efforts and social support  Community based organizations and city services  Residents

9. CAMPAIGN FOR HOPE Public/private partnership to raise $25 million to invest in human services over next 5 years for improvements in: Workforce Development Education Health

10. HEALTH VISION HOPE SF will help create communities and homes in which individuals and families reach and maintain health and wellness.

11.  Began in Nov 2011  Key Partners HOPE SF SF Department of Public Health MPH program, Dept. of Health Education, SFSU Health Equity Institute, SFSU  Goal: Support the development and implementation of health strategies at all of the HOPE SF sites honoring the uniqueness of each community and ensuring a coordinated and thoughtful approach. HEALTH EQUITY FOR HOPE SF COLLABORATION

12. 1) Peer Leadership in HOPE SF Communities  Assessment (completed 8/12)  Expanding Support for Peer Leadership (current) 2) HOPE SF Children and Families Affected by Mental Health Issues  Assessment (current)  Enhancing Strategies for Supporting Mental Health and Well-being on Children and Families (future) COLLABORATION PROJECTS

13.  Advisory Group  Literature Review (February – March)  Interviews (April – July) Residents Program Staff Key Stakeholders Peer Leadership: 20 students conducted 47 interviews Mental Health: 18 students conducted 70 interviews ASSESSMENTS

14. LESSONS LEARNED: CHALLENGES  Depth, extent and intractability of health issues facing HOPE SF communities  Community vs. Academic vs. City vs. Funder priorities and needs (i.e. timing, standards, IRB)  Complexity of public systems; layers of leadership and accountability; and, “silo-ed” programs and strategies  Lack of resources considering the level of need  Who “owns” this work and who is in charge?  Effort required to ensure continued focus and strategy  It’s a marathon not a sprint

15. LESSONS LEARNED: POSITIVE OUTCOMES & STRENGTHS  Collection of meaningful data  Development of community programs for HOPE SF residents  Building capacity of all partners  Student learning and “real world” experience  Long-term, sustained partnership between SFSU, HOPE SF & SFDPH  Presentations & proposals

16. PARTNERSHIP What does it take to create and sustain an effective partnership?