1. Health Commons Model Sahra Noor, RN, MS Fartun Diriye Partnership between University of Minnesota Medical Center, Augsburg College and East Africa Health Project © Health Commons

2. Objectives Describe the Health Commons Model of Care and how its implemented in Cedar Riverside Discuss Role of Bilingual Community Liaisons Discuss Impact of the Model on community and bilingual community liaisons © Health Commons

3. Cedar Riverside Health Commons is located in Cedar Riverside, a diverse, vibrant neighborhood in South Minneapolis Serves as a port of entry for immigrants since the late 19th century. Over 10,000 residents live in low income high rise complex 60% of the residents are Somali. Median income is less than $18,000 Source: 2010 US Census Data Home to Fairview, Augsburg College and U of M, West Bank campus © Health Commons.

4. Health Needs Obesity and chronic conditions leading to heart disease Access to fresh fruits and vegetables Exercise facilities Mental Health (Depression/PTSD/Substance Abuse) Stigma Isolation and reduced social connectedness Infant Mortality/pre-term labor Source: 2012 Fairview Community Health Needs Assessment © Health Commons.

5. History of Health Commons in Cedar Riverside Community Based Participatory Research to assess health disparities facing Somali Community Funded by NIH Community Input Meetings Community space Health Commons opened September 21, 2011 © Health Commons

6. Health Common’s Vision Healing the Mind, Body & Spirit © Health Commons

7. Health Commons Model © Augsburg College, Nursing Department © Health Commons

8. © Augsburg College, Nursing Department © Health Commons

9. © Augsburg College Nursing Department © Health Commons

10. © Augsburg College Nursing Department © Health Commons

11. © Augsburg College Nursing Department © Health Commons

12. Role of Community Liaisons Actively participate in daily operations of the Health Commons. Collaborate to ensure participants receive adequate information about health and community resources. Conduct outreach to the community to educate them about the Commons Co-facilitate workshops, fitness classes Advocate and ensure participants have the needed connections to social services, health services and community resources.

13. Health Commons: Sample Program Health Commons ActivityTime Place Monday Health Consultation & Exercise: Yoga 11-1 pm 11:30 – 12:30pm Chase Building “C” building Tuesday Health Consultation & Exercise: Strengthening & Massage 11 – 1 pm 11:15 to 12:00pm 12:00 to 2:00pm Chase Building “C” building” Wednesday Health Consultation & Exercise: Movement 11 - 1 pm 12:30 - 1:15pm Chase Building “C” building Thursday Health Consultation & Nutrition: Good Eating 11- 1 pm 11 – 1 pm Chase Building “C” building Friday Health Consultation & Nutrition: Cooking & Healing Touch / Massage Women Swimming 2 – 4 pm 10:30 – 12:30 2 – 4 pm 4:30 – 6:30pm Rotating locations Brian Coyle Center Rotating locations U of M Aquatic Ctr © Health Commons

14. Impact Assessment Over 2,000 participants served since September 21, 2011 To assess the effectiveness of Health Commons and obtain feedback from community Hired an outside consultant- a Somali woman Interviewed random sample of 30 women How did you find out about Health Commons? Bilingual Liaisons Darul Quba Mosque Friends who participate in other Health Commons activities © Health Commons

15. Reasons for Visiting Health Commons What are some of the reasons you come to Health Commons? Massage Learn about healthy habits Monitor BP Learn about nutrition Learn about how to raise kids in US (parenting class) © Health Commons

16. Health Improvements How has the Health Commons improved your health? Feel better after starting exercise class Learned how to prepare healthy meals I read nutrition labels before buying food I feel more relaxed after massage I drink more water I sleep better I overall feel better © Health Commons

17. New Programs Desired New activities or programs you would like us to create? More activities relating to meal preparation More massage chairs and therapists A weight monitor service – gym – treadmills Start sewing classes again Swimming closer to home Expand programs to men © Health Commons

18. Sustainability Mentoring Bilingual Community Liaisons Capacity building efforts for women Monthly Trainings Train-the-trainer approach Co-facilitation opportunities © Health Commons

19. Long Term Plan Community to claim ownership of the Health Commons. This goal is slowly being accomplished by: Continually involving residents, community liaisons, local leaders, students and participants in decision-making processes Developing initiatives focused on training community members to take leadership in this work. Aniga/Adiga Initiative Growing Up Healthy in Cedar Riverside Cognitive Behavioral Therapy © Health Commons

20. Fartun’s story © Health Commons

21. Discussion/Q& A Thank you! Contacts: Sahra Noor: snoor1@fairview.org snoor1@fairview.org © Health Commons