All African American men between the ages of 14 and 24 are safe and healthy.
Focus Area Leads:
Tim Nation (Peace Learning Center)
Roderick Wheeler (USA Funds)
Partners: (List coming in 2016)
STRATEGY #1: Deliver consistent wellness and educational messages across all health partners that are tailored to reach young Black men
Strategy Co-Chairs: Kaliah Ligon (Indiana University Health)
Emory Edwards (Upscale Marketing Inc.)
STRATEGY #2: Implement community-wide violence prevention campaigns with a public health approach that accesses the full capacity of local and national organizations
Strategy Co-Chairs: Byron Johnson (Marion County Health Department)
James Dix (Marion County Health Department)
STRATEGY #3: Expand use of individualized, culturally-competent physical health, mental health and addiction services by young Black men
Strategy Co-Chairs: Joel D. Gomez Bossio (Eskenazi Health)
Addressing These FIVE BIG OUTCOMES
- Increased high school graduation rate among African American boys at all Marion County schools
- Decreased death by homicide among young African American men ages 15-24 in Marion County
- Number of messaging campaigns targeted toward Black men ages 14-24
- Number of Black men ages 14-24 engaged in formal health and wellness activities
- Number of nontraditional partners engaged as communicators of messages
- Social Media and Web-based utilization analytics
- Increased self-identified behavior change (targeted areas, on-ground surveys, not city-wide)
- Number of Plan 2020 health partners disaggregating data for this population in their Plan 2020 action
- Number of healthcare providers who receive training in trauma- informed care
- Number of primary care providers who engage in violence prevention activities
- Number of Black high school boys who complete a violence prevention program
- Number of Black boys ages 14-17 returning to juvenile court for violence-related reasons
- Number of nontraditional healthcare/health education sites established
- Number of organizations already serving this population newly trained in healthcare enrollment
- Number of Black men ages 14-24 enrolled in healthcare through new sites
- Number of Black men ages 14-24 receiving primary care (among partners only)
- Number of Black men ages 14-24 receiving at least one contact for mental health or addiction services (to start)
- Number of open Alcoholics Anonymous meetings available in targeted areas
- 6-month Job retention rates among Black men receiving mental health/addictions services, ages 16-24
- Number of Black men ages 16-24 who receive formal mental health or addiction support and complete an industry certification program within two years of starting formal mental health support
- Number of formerly incarcerated Black men ages 16-24 who receive formal mental health or addiction support and complete an industry certification within 1 year of release
- Number of Black men ages 14-24 who receive formal mental health or addiction support and report being in a weekly, positive mentoring relationship with a caring adult (formal or informal)
- Number of young Black men who participate in foster after care support and report being in a weekly, positive mentoring relationship with a caring adult (formal or informal)
- Number of Faith and Community Leaders Signing on to Become Health and Wellness Champions
- Number of Symposium Attendees and Overall Rating of Satisfaction of Event
- Number of young African American men accessing Health Care Services at Community Wellness Center pilot sites
- Improvement on key health indicators as reported by program participants at faith-based locations
KEY RELEVANT BASELINE DATA: Physical and mental health
- Young Black men are disproportionately victims of homicide.
- From 2008-2012, 77% of all homicides among 15-24 year old men in Marion County were African American.
- In 2008, that rate was 79%. In 2010, 69%, but in 2012, it was 83%.
- Violence (all forms) has become the nation’s most endemic and epidemic public health and health care crises. The Black community is at a significantly higher risk than any other racial or ethnic group.
- Since the 1980s, the issue of youth violence has been reframed from a juvenile justice issue to a pervasive public health problem affecting all Americans.
THE STATE OF KNOWING THE “HEALTH” OF LOCAL, YOUNG BLACK MEN
- Our task force health subcommittee surveyed local health providers about their services to young Black men ages 14-24.
- Troubling, only 5 of the 7 Federally Qualified Health Centers (FQHC) surveyed were able to provide disaggregated demographic data.
- All FQHCs are required by the federal government, as a condition of their grants, to electronically track and report data (working, ethnicity, age, gender, financial status, etc.).
- Many local agencies, organizations, and direct health care providers do not routinely gather and report disaggregated demographic data unless required by a funder. To assess and address public health threats, planners are unable to do so meaningfully and effectively without meaningful, routinely collected data that connects health and related factors with populations and geography.
PHYSICAL AND MENTAL HEALTHCARE
- Research tells us that families living with extended years of poverty and/or who have been affected by violence in some way have a disproportionately higher rate of mental health challenges or PTSD.
- Our task force health subcommittee surveyed 49 Indianapolis public health organizations, with 22 (45%) responding. Only seven (7) provided program data. Even among the seven, the data is compelling.
- Of all youth ages 11-24 served by these seven local health programs, 36,249 were African American (plus some portion of “biracial.”)
- Of that 36,249 receiving health services, only 18% (6455) were Black boys and young men.
- Most troubling, only 3% (978) of Black youth receiving health services were young Black men ages 19-24.
- Among the seven health providers that could provide data on the 45,318 youth ages 11-24 they served
- 36% of youth had an incarcerated or ex-offender parent (25%), were involved with juvenile justice or were involved with the Department of Children Services.
- 7% of those youth were themselves involved with juvenile justice or were currently in jail (3,087 youth.)
- Only 72 receive mental health services. (The subcommittee was unclear if this was a stark reality or if agency data systems were inadequately catching. Regardless, given the chronic stress and well-documented prevalence of mental health struggles attached to persistent poverty and violence, this is a troubling number.)
- Some local youth have growing access to school-based mental health services. For example, Gallahue Mental Health (Community Health Network) serves students in over 50 sites at IPS and MSD Lawrence, Warren, Washington and Wayne. (We do not have disaggregated data.)
- While numbers, sites and providers change year to year, Indianapolis area schools have over 40 school-based clinics across at least 7 of the 11 districts. (We do not have information on charters nor disaggregated data.)
- In Indianapolis, 26% of new HIV infections are in the youth population, 57% are Black youth
- Seventy-five percent of new infections are now male-to-male, primarily ages 20-24
- The rate of transmission among young Black men is substantially higher than the rest of the population
- The rapid growth of the “synthetic” drug industry (not only exceedingly cheap, but hard to detect and easily accessible), causes significant behavior change and can be deadly. (We do not have disaggregated data.)
- A “medical home” model (like those found in FQHCs) intends to reduce health disparities among low-income families, minorities and other underserved populations. It uses quality improvement practices and places an emphasis on coordinated and comprehensive care, the ability to manage patients with multiple health needs and the use of health information technology. Typically, two-thirds of FQHC patients are people of color, over 90% are low-income and 40% have no health insurance.
- Plan2020 (through GIPC) addresses important factors that should increase participation in prevention and wellness practices. (Learn more and interact with this plan at www.gipc.org)
OPEN DATA SOURCES (coming soon — contact us with easily accessible web sources for local data on health and young Black men.
PROMISING PRACTICES/National News of Interest
Eskenazi Health Center Mobile Clinic
Vehicle visits low-income communities and urban schools to provide basic primary care to all ages
While dated, still relevant – details four key strategies for preventing youth violence: Parent and family-based strategies, home visitation programs, social and conflict resolution skills, and mentoring.
Inspired by a program in San Francisco, one of only 26 programs in the country registered with the National Network of Hospital-Based Violence Intervention Programs. Open to victims and families of victims, in the first three years, the hospital saw the number of patients returning with violent injuries fall from 30.8% to 4.6%.
Rooted in urban Chicago and founded by a public health physician who specialized in epidemics, this model is now international
One of several excellent national clearinghouses of best practices in community efforts