1. Champions for Health Galveston County David Mitchell, Director of Program & Services (Jesse Tree) Johnnie Moses, Chairman of Champions for Health www.jessetree.net P.O. Box 575 Galveston, Texas 77553 409-762-2233 dmitchel@jessetree.net "A shoot will come up from the stem of Jesse; from his roots a branch will bear fruit." Isaiah (11:1)

2. This Time… It’s about You! Champions for Health Galveston County

3. Men’s Health

4. Prostate Cancer Death Rates by Race/Ethnicity in Men Aged 45 and Above

5. Making an Informed Decision

6. The Screening Dilemma Do I know the potential benefits? Do I know the potential harms? Do I know the likelihood of various outcomes? Do I know the potential consequences of my decisions?

7. Steps that lead to an “Informed Decision”  Get the facts – balanced information (pros and cons)  Talk with your doctor  Ask questions  Discuss with family and others  Make an informed decision

8. Champions for Health  Mission To promote prostate cancer awareness, informed decision making and men's health issues in Galveston County.  Began in August 2007  Over 500 men and women have received information, services and referrals

9. Areas in Need of Prostate Cancer Screening *Map provided by the National Cancer Institute

10. Champions for Health - Partners  Galveston community  The Jesse Tree  Texas AgriLife Extension Service  National Cancer Institute's Cancer Information Service  American Heart Association  St. Vincent's House  College of the Mainland  Us Too!  Barbers  Others

11. Champions for Health - Activities  Trained approx. 22 “Champions”  Prostate cancer presentation developed  Educational flyer created  “This Time…It’s about You!” campaign  Presentations at community events and churches  Prostate Cancer event at the College of the Mainland  Prostate cancer screenings (150+ men) – Feb 2008  Hosting a satellite teleconference on Men's Health Disparities (UNC) – June 2008  Initiating Statewide Network for groups involved in prostate cancer awareness and education – June 2008

12. Champions for Health - Resources

13. Socio-ecological Model Chapter 6: Wisewoman in a Broader Context – North Carolina

14. Champions for Health – Individual Level  Informed Decision Making  Understanding the nature and risks of prostate cancer  Understanding risks, benefits, and alternatives to screening  Participating in decision making at desired level  Making decisions consistent with preferences and values  Or, deferring the decision to a later time

15. Champions for Health – Interpersonal Level  “Champions” or advocates – educate community in group or one-on-one settings  Educate women in the community - facilitators of health decisions or “cues to action” for men

16. Champions for Health – Community Level  Coalition developed  Initiated statewide Prostate Cancer Education Network (2008)  Developed “This Time…It’s About You” campaign – flyers and PSA

17. Champions for Health – Organizational Level  The Jesse Tree – provides case management services to connect people to management services to connect people to a medical home a medical home  Barbershop – system to educate men on health issues health issues

18. Champions for Health – Policy Level  Follow-up and treatment (system of care) has to be in place prior to any education or promotion of screening opportunities  Referral system built into screening opportunity

19. Things to consider  Putting referral systems in place (screening services, follow-up and treatment) prior to education and campaigns  Identify existing materials first  Consistent messages  Short, concise messages  Prostate Cancer presented as a part of the larger Men’s Health concept  Training your partners, speakers and other team members

20. “Never doubt that a small group of people can change the world. Indeed, it is the only thing that ever has.” ~Margaret Mead

21. “Yes we can!” ~Barack Obama www.jessetree.net

22. Questions?

23. There is also a video concerning Champions for Health on our website under Program & Services. www.jessetree.net

24.  Lineberger Comprehensive Cancer Center. University of North Carolina at Chapel Hill School of Public Health. North Carolina Cancer Understanding Today Study (NC CUTS). Presentation.  McCormack, et al. Promoting Informed Decision Making About Prostate Cancer Screening. Presentation. CDC funded project.  Prostate Cancer Screening: A Decision Guide for African Americans (CDC)  River, Brian (2006). Addressing Prostate Cancer among African Americans: Time for a New Approach. Presentation.  Rivers, Brian (2008). Understanding Your Risk for Prostate Cancer. Presentation.  Treatment Choices for Men with Early-Stage Prostate Cancer (NCI)  Understanding Prostate Changes: A Health Guide for Men (NCI)  What You Need to Know About Prostate Cancer (NCI) References www.jessetree.net