1. National Network of Libraries of Medicine MidContinental Region Getting Started with Information Outreach in Minority Communities Siobhan Champ-Blackwell National Network of Libraries of Medicine siobhan@creighton.edu

2. National Network of Libraries of Medicine MidContinental Region Board Member Center for Human Diversity Presbyterian Outreach Inc

3. National Network of Libraries of Medicine MidContinental Region Who are you? What country were you born in? What language did you first learn? What languages do you speak now? Tell us one home remedy your family used when you were growing up

4. National Network of Libraries of Medicine MidContinental Region Why are you here?

5. National Network of Libraries of Medicine MidContinental Region Learning Objectives Define cultural competence Apply principles of cultural competence in outreach programs Examine ways to learn about local communities Learn about strategic collaboration Outline the steps in developing an outreach plan

6. National Network of Libraries of Medicine MidContinental Region Let’s get started with cultural competency What is cultural competency and why is it important? What are the legal and health care guidelines? How do I find community demographics? Where are you in your cultural competency?

7. National Network of Libraries of Medicine MidContinental Region Cultural Competence A set of behaviors, attitudes, and policies that come together in a system, agency or among professionals and enable that system, agency or those professionals to work effectively in cross-cultural situations From: Cross T, Bazron B, Dennis K, and Isaacs M (1989) Towards a Culturally Competent System of Care Volume I. See the Purnell Model for Cultural Competence http://www.tcns.org/society/PurnellModel2.pdf

8. National Network of Libraries of Medicine MidContinental Region Rationale for Cultural Competency Perception of illness and disease varies by culture Diverse belief systems exist related to health, mental health, healing, wellness Individual preferences affect approaches to health care Individuals must overcome personal experiences of bias

9. National Network of Libraries of Medicine MidContinental Region Linguistic Competence The capacity of an organization and its personnel to communicate effectively, and convey information in a manner that is easily understood by diverse audiences including persons of limited English proficiency, those who have low literacy skills or are not literate, and individuals with disabilities. From: The National Center for Cultural Competence, Georgetown University Center for Child and Human Development

10. National Network of Libraries of Medicine MidContinental Region Title VI of the Civil Rights Act- 1964 No person in the United States shall, on the ground of race, color, or national origin, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any program or activity receiving Federal financial assistance.

11. National Network of Libraries of Medicine MidContinental Region The Joint Commission Hospitals Language and Culture: A Snapshot of the Nation http://www.jointcommission.org/PatientSafety/HLC/ http://www.jointcommission.org/PatientSafety/HLC/ The delivery of health care services in a manner that is respectful and appropriate to an individual’s language and culture is more than simply a patient’s right, but is, in fact, a key factor in the safety and quality of patient care (Schyve, 2002).

12. National Network of Libraries of Medicine MidContinental Region JCAHO Chapter Six Community Engagement Outreach activities that may increase diverse populations’ use of hospital services through education and tailoring of services to meet specific population needs is another important element.

13. National Network of Libraries of Medicine MidContinental Region Finding Demographic Information American Fact Finder http://factfinder.census.gov/http://factfinder.census.gov/ US Census Bureau Minority Links http://www.census.gov/pubinfo/www/hotlinks.html http://www.census.gov/pubinfo/www/hotlinks.html Census Bureau State Data Centers http://www.census.gov/sdc/www/ http://www.census.gov/sdc/www/ The Modern Language Association Language Map http://www.mla.org/resources/census_main http://www.mla.org/resources/census_main ZipSkinny http://www.zipskinny.com/http://www.zipskinny.com/

14. National Network of Libraries of Medicine MidContinental Region Barnga!

15. National Network of Libraries of Medicine MidContinental Region What is Outreach? “In community-based health information outreach, organizations work together to improve peoples’ abilities to find and use health information.” Getting Started With Community-Based Outreach http://nnlm.gov/evaluation/guides.html#A2 http://nnlm.gov/evaluation/guides.html#A2

16. National Network of Libraries of Medicine MidContinental Region The Four R’s: All You Really Need to Know Relationships Respect Relevance Repetition

17. National Network of Libraries of Medicine MidContinental Region Learning About the Community Build the demographic picture What local agencies and resources are in your community? What gaps are there in health status? Is there a role for health information?

18. National Network of Libraries of Medicine MidContinental Region Learn More Where do people congregate? Where are the social activities? Where are the educational activities? Where do people shop and take care of business? Where to people get their information?

19. National Network of Libraries of Medicine MidContinental Region Finding Partners Within the Community Network Be consistent Demonstrate your commitment Work with or join, already existing organizations Attend health fairs, conferences and other events in your community Don’t forget your public library!

20. National Network of Libraries of Medicine MidContinental Region Selecting Partners Seek intermediaries Community leaders Early adopters Trusted community members Work with people of like passion

21. National Network of Libraries of Medicine MidContinental Region Working Together

22. National Network of Libraries of Medicine MidContinental Region Methods for Strategic Collaboration Café to Go Appreciative Inquiry Open Space Technology http://www.triunemilagro.com/methods_for_strategic_collaboration

23. National Network of Libraries of Medicine MidContinental Region Identifying Health Information Needs With your partners: Listen Abandon preconceived ideas Think about language, ethnicities, country of origin Consider other needs – transportation, childcare, medical care Identify potential barriers Café to Go!

24. National Network of Libraries of Medicine MidContinental Region Café to Go!

25. National Network of Libraries of Medicine MidContinental Region Assess Community Assets Level of connectivity Training centers/locations Libraries Educational institutions This can be considered part of community environmental scan

26. National Network of Libraries of Medicine MidContinental Region Assess Group Assets What does the combined partnership bring to the table Appreciative Inquiry!

27. National Network of Libraries of Medicine MidContinental Region Team Charters The American Health Association Team Charter The American Health Association Team Charter North Carolina Department of Transportation North Carolina Department of Transportation

28. National Network of Libraries of Medicine MidContinental Region Make a Plan! Understand your level of cultural competence Begin networking in diverse communities Assess community needs Find like minded community partners Identify needs to collaborate on Assess the groups joint assets Put it all together!

29. National Network of Libraries of Medicine MidContinental Region What Kinds of Activities Might You Do?

30. National Network of Libraries of Medicine MidContinental Region Outreach can take you places you never expected to go!

31. National Network of Libraries of Medicine MidContinental Region More Information Find your local NN/LM http://nnlm.gov 800-338-7657 NN/LM Outreach Evaluation Resource Center http://nnlm.gov/evaluation http://nnlm.gov/evaluation CE courses Workshops through the NN/LM National Online Training Center and Clearinghouse MLANET CORE – Center of Research and Education Funded by the National Library of Medicine under a Contract No. NO1-LM-6-3504 with the University of Utah Spencer S. Eccles Health Sciences Library

32. National Network of Libraries of Medicine MidContinental Region Resources