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Center for Elimination of Disproportionality and Disparities
Joyce James
Associate Deputy Executive Commissioner
Sheila Sturgis Craig
Disproportionality Project Manager
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Mission
To partner with Health and Human Service Commission agencies and external stakeholders to identify and eliminate disproportionality and disparities
3Source: 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,”
Term DefinitionMost commonly used in:
DisproportionalityThe 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 gapThe observed disparity on a number of educational measures between
the performance of groups of students Education
Many terms are used to describe racial inequity in outcomes across systems
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Activity
Dot Exercise
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Texas Cross Systems Data
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Infant Mortality Rate by Race/Ethnicity - Texas, 2009
HIV Data for Youth 11-17 year old
Chart 10a: 2007 HIV infection rates for Texas adolescents (11-17)
0.8
7.1
1.41.9
0
1
2
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5
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White African Am Hispanic Total
Race/ethnicity
Rat
es p
er 1
00,0
00 p
opul
atio
n
Texas Deaths by Race/Ethnicity
2008 Texas: Years of Potential Life Lost Before Age 65 by Cause of Death and Race/Ethnicity
0 2 4 6 8 10 12 14
Accidents [Injuries]
Malignant Neoplasms [Cancer]
Diseases of the Heart
Conditions Arising in Perinatal Period
Intentional Self-Harm [Suicide]
Assault [Homicide]
Congenital Malformations
Chronic Liver Disease and Cirrhosis
Cerebrovascular Disease [Stroke]
Diabetes Mellitus
Cau
se o
f D
eath
Years of Potential Life Lost
WHITE** BLACK HISPANIC
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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.
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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
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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
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Activity
Why Are People Poor?
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History of Institutionalized Racism
• An Analysis of Power
• Impact on Poor Communities
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Video
“A Girl Like Me”
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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.
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Contact Information Center for Elimination of
Disproportionality and Disparities
Joyce JamesAssociate Deputy Executive Commissioner,[email protected](512) 487-3396
Sheila Sturgis CraigDisproportionality and Disparities Project Manager, [email protected](512) 487-3359
