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Who Are Our Clients? Macheo Payne Lincoln Child Center New Hire Orientation

who are our clients

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Looking at the social determinants of health allow service providers to view the health disparities that exist for poor people and people of color as a symptom of a larger societal problem that can be addressed by changing how we organize society in a way that promotes equity and social justice

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Page 1: who are our clients

Who Are Our

Clients?Macheo Payne

Lincoln Child Center

2011

New Hire Orientation

Page 2: who are our clients

New Hire Orientation

Introductions Who Are You?

1. Your name and any nickname?2. The best and worse neighborhood

you ever lived in?3. Who supported you the most

growing up?4. Favorite part of Oakland?

Page 3: who are our clients

Training Goals•Frame the context in which our students live.•Present key factors that impact our students lives.•Generate questions, comments, reflections

New Hire Orientation

Page 4: who are our clients

New Hire Orientation

Client Demographics•Primarily African American & Latino•Primarily Alameda County residents•Primarily from low income households (under $22,000 for a family of 4)

Page 5: who are our clients

New Hire Orientation

Social Determinants of Health The social

determinants of health are the conditions in which people are born, grow, live, work and age.

-The World Health Organization

Page 6: who are our clients

New Hire Orientation

Social Determinants of Health These circumstances are

shaped by the distribution of money, POWER and resources at global, national and local levels, which are influenced by policy decisions (made by less than 1% of the population daily going back over hundreds of years).

-The World Health Organization

Page 7: who are our clients

New Hire Orientation

The Opportunity Gaps•The Achievement Gap (test scores, dropout rates)

•The Discipline Gap (suspension and expulsion)

•The Wealth Gap (net worth, income, rates of poverty)

•The Health Gap (life expectancy, excess death)

•The Prison Gap (incarceration rates, sentencing, profiling)

•The Perception Gap (stereotype threat, post race rhetoric, reverse racism)

Page 8: who are our clients

Equal Opportunity?

Let’s pretend that the playing field is level… Decent Life

Privileged Class

Middle Class

-------------------------------------- Poverty Class

Pretend starting line

Actual

starti

ng line

Page 9: who are our clients

The American Race

Step Forward if…

a. If your parents graduated from college

b. If your parents own their home

c. If you had teachers of the same race

Step Back if…a. Grew up in

povertyb. Experienced

traumac. Drug or alcohol

addiction d. Incarceratione. Suspended from

schoolf. Violence

Page 10: who are our clients

Risk vs. Protective Factors

Risk Factors

1.Environment2.SES (income, class,

social status)3.Race, gender, SO, label4.Poverty5.Community violence6.Trauma7.Neglect8.Poor schools9.Lack of nutrition10.Broken family

structure

Protective Factors

1.Class status2.Supportive relationships

with caring adults3.Positive engagement4.Skills5.Education6.Environment7.Access8.Exposure

Page 11: who are our clients

What We All Need

What do you need right

now?

Maslow’s Heirarchy of Needs

Page 12: who are our clients

Environment and Stress

Prolonged exposure to multiple negative stressors and the absence of resources to effectively control, counteract, or cope with externally and ultimately internally.

1. Social & political conditions2. Economic conditions3. Environmental conditions4. Biological (chemical)

conditions

Does Inequality Make Us Sick?

Page 13: who are our clients

Environment and Stress

When Do YOU Relax?

When Do They Relax???

Page 14: who are our clients

Media Clips:Unnatural Causes Trailerhttp://www.youtube.com/watch?v=uE7v5cHlHDQPaired reflections

Inequality in environment:http://www.youtube.com/watch?v=pzafgHG7EFE&feature=related Paired reflections

Wealth equals health:http://www.youtube.com/watch?v=NqzsMW8B0u4&feature=related Paired reflections

“This is not normal.” – Ras Barakahttp://www.youtube.com/watch?v=esO4zrBER2U

Environment and Stress

Page 15: who are our clients

Strength- Based

“The strength of someone who has endured the greatest hardship is best equipped for creating great social change.”

Harriet Tubman suffered narcoleptic seisures and severe headaches and recurring blackouts.

She risked her personal freedom and freed over 300 slaves.

Page 16: who are our clients

Strength- Based

Client ReflectionThink of a difficult client and describe their behaviors. Write down things they would do, and say to peers and adults.

Think about how these behaviors could develop into pro-social strengths.

Page 17: who are our clients

Strength- Based“All behavior

reflects a strength or a hidden strength”Name some of the hidden strengths that the

students exhibit:Manipulative < Creative & innovativePersistent < ResilientBold < CourageousOutspoken < Honest & transparentSocial < Social capital, teamwork

Page 18: who are our clients

Transformative Capacity

Cultural Capital = Social Capital

Cultural Resiliency competencies = 21st century skill set

Acculturation = Critical Analysis

Navigation of borders = Adaptability and Agility

Cultural Capital (game) = Social Capital

Mouthpiece (spit, gab, game) =Teamwork/Networking

Inter/Intra cultural communication =Multi/Bilingual

Creative self expression = Innovation and Imagination

Page 19: who are our clients

Who Are You?

What is your Story?

1. How were you raised? 2. What do people tell you your strengths are? What do they say your are good at?3. What are you proud of?4. What have you overcome to be here?

Page 20: who are our clients

What Do I do With All This?

1. BE INFORMED: Remember there are multiple causes for behavior. Always

keep a professional frame when working with clients.

2. BE RESPONSIVE: Center your work around the clients needs from the clients

perspective. They have to live with the result.

3. BE STRENGTH BASED: Our Clients are not victims. They are not diagnoses. They are

resilient & transformative.

Page 21: who are our clients

Empathy ActivityYou should not present yourself to students everyday unless you can do the

following.

Imagine the following:

1. Your mother or father going to jail for 20 years.

2. Your sibling being raped or molested by another member of your family- maybe your father or uncle or older brother.

3. Your cousin or closest friend being shot and killed at point blank range.

4. Yourself, having dropped out of school after the 8th grade.

5. Having to sell drugs or your body to buy food and clothes for yourself and siblings.

6. Being told by someone you look up to and respect that you ain’t shit and you ain’t never going to be shit.

Closer to home:

1. Losing your job today

2. Getting broken into and losing all your valuables

3. Losing the closest person in your life

.

Page 22: who are our clients

Thank You

• Questions?

• Comments?

• Reflections?

• Feedback?