Center for Elimination of Disproportionality and Disparities Joyce James Associate Deputy Executive Commissioner Sheila Sturgis Craig Disproportionality Project Manager

Mission To partner with Health and Human Service Commission agencies and external stakeholders to identify and eliminate disproportionality and disparities

DMC – Disproportionate minority contact Many terms are used to describe racial inequity in outcomes across systems Term Definition Most commonly used in: Disproportionality The comparison of persons of a certain race or ethnicity in a target population (e.g., African American children) to persons in a reference (or base) population (e.g., Anglo children).1 Child welfare Health Disparity A particular type of health difference that is closely linked with social or economic disadvantage. Health disparities adversely affect groups of people who have experienced greater social or economic obstacles to health based on their racial or ethnic group, religion, socioeconomic status, gender, mental health, cognitive, sensory, or physical disability, sexual orientation, geography, or other characteristics historically linked to discrimination or exclusion. 3 Health DMC – Disproportionate minority contact The disproportionate number of minority youth that come into contact with the juvenile justice system Juvenile justice Achievement gap The observed disparity on a number of educational measures between the performance of groups of students Education Description: This table shows language commonly used in to describe racial inequity in different systems In a presentation say: what are some of the terms we use to describe racial or ethnic inequity? Key Take-away: The racial inequity in different systems are often studied separately and language we have language to describe them separately. However, the pervasiveness of racial inequity across systems suggests we should consider all of the pieces together and look for the underlying cause. Details: Disparities, achievement gaps, etc. do exists along other lines (i.e. gender, sexual orientation, age, ethnicity, etc.) The depth and breadth (across systems, across geography, across history, and across other social categories) racial inequality. Health Disparity as defined by former TX OEHD: “An unequal burden of disease, illness, mortality associated with race, ethnicity, age, and gender” Source: 1. Myers, 2010 (See Don Baumann for complete citation). 2. Ibid. 3. ojjdp.gov/dmc; NEA, “Disproportionality: Inappropriate identification of Culturally and Linguistically Diverse Children,” 3

Activity Dot Exercise ● ● Mia ● ● ● ● ● ● ●

Texas Cross Systems Data Shondra

Infant Mortality Rate by Race/Ethnicity - Texas, 2009 Shondra The infant mortality rate is the number of deaths to infants less than one year of age per 1,000 live births. The infant mortality rate has historically been used as an important indicator of the overall health of the community and serves as a proxy indicator of the quality of, and access to, medical care for pregnant women and infants. The leading causes of infant mortality in the U.S. and Texas are birth defects, disorders related to preterm birth and low birth weight, and sudden infant death syndrome (SIDS).1 Risk factors for infant mortality include no prenatal care, maternal smoking and/or alcohol use, and inadequate weight gain during pregnancy. In 2009, the infant mortality rate of 11.3 deaths per 1,000 live births among Blacks was higher than the total Texas rate and other race/ethnic groups. Whites had the lowest infant mortality rate of 5.1 deaths per 1,000 live births, which was also similar to the rate among Hispanics. 6

HIV Data for Youth 11-17 year old

Texas Deaths by Race/Ethnicity

Legislation History of Work and H.O.P.E. In January 2005, the 79th Texas Legislature passed Senate Bill 6. In September 2007 the 80th Texas Legislature passed Senate Bill 758. In September 2010 the creation of the new Center by Executive Commissioner Tom Suehs. In May 2011 Senate Bill 501 established in Law an Interagency Council (IC) led by Joyce James and establishes the Center as the state of Texas Office of Minority Health. Sheila

SB501 Partners HHSC, CEDD, DADS, DARS, DSHS, DFPS Texas Juvenile Justice Department (TJJD) Texas Education Association (TEA) Office of Court Administration (OCA) Office of Attorney General (OAG) Supreme Court Permanent Judicial Commission for Children, Youth and Families Community Based Representative Faith-Based Representative Foster Care Youth Alumni Two Medical Community Representatives Sheila

The Texas Model 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 Institutionalized Racism and the Impact on Poor Communities and Communities of Color Sheila

Activity Why Are People Poor? Mia & Shondra

History of Institutionalized Racism An Analysis of Power Impact on Poor Communities

Video “A Girl Like Me”

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.

Contact Information Center for Elimination of Disproportionality and Disparities Joyce James Associate Deputy Executive Commissioner, Disparities Joyce.james@hhsc.state.tx.us (512) 487-3396 Sheila Sturgis Craig Disproportionality and Disparities Project Manager, Sheila.craig@hhsc.state.tx.us (512) 487-3359