1 Joyce James, LMSW-AP Associate Deputy Executive Commissioner Overview of the Texas Model for Eliminating Disproportionality and Disparities Center for.
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Joyce James, LMSW-APAssociate Deputy Executive Commissioner
Overview of the Texas Model for Eliminating Disproportionality and Disparities
Center for Elimination of Disproportionality and Disparities
Texas State Office of Minority Health
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Mission
• The mission of the Center is to partner with health and human services agencies, external stakeholders, as well as other systems and communities to identify and eliminate disproportionality and disparities affecting children, families, and vulnerable populations.
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Term Definition Most 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
DisparityThe comparison of persons of a certain race or ethnicity experiencing an event to the representation of persons of another race or ethnic group experiencing the same event.2
Health
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
Source: 1. Myers, 2010. 2. Ibid. 3. http://www.hhsc.state.tx.us/hhsc_projects/cedd/ojjdp.gov/dmc; NEA, “Disproportionality: Inappropriate identification of Culturally and Linguistically Diverse Children,”
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Disparities and disproportionality are linked
Source: Disproportionality in Child Protective Services: The Preliminary Results of Statewide Reform Efforts in Texas; www.diabetes.org; minorityhealth.hhs.gov; Harris, Jackson, O’brien, and Pecora, “Disproportionality in education and employment outcomes of adult foster care alumni”; nces.ed.gov
Edu-cation
CPS
Juvenile Justice
Criminal Justice
Disparity in actions (eg. treatment,
services)
Disproportionality in systems or
statuses
Disparity in action(eg. treatment,
services)
Disparity / Disproportionality in
outcomes
More likely to receive a discretionary disciplinary
referral
Disproportionality in college classrooms
African Americans more likely to drop out
African Americans less likely to have bachelors
degree
African Americans more likely to be removed by
CPS
Disproportionality in number of children in
substitute care
African Americans less likely to exit care
African American youth more likely to age out of
care
African American youth more likely to be arrested
Disproportionality in # of juvenile court cases
African Americans more likely committed
to corrections
Disproportionality in juvenile detention centers
African Americans more likely to be arrested for
criminal charges
Disproportionality in # of criminal cases
Africans Americans more likely sentenced
to prison
African Americans more likely to be in prison
African Americans less likely to undergo diabetes
screening
Disproportionality in type 2 diabetes
diagnoses
African Americans less likely to receive
adequate treatment
African Americans twice as likely to die from
diabetesHealth
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History• 1996 – beginning of work at regional level
• 2004 – statewide expansion
• 2005 - Senate Bill 6
• 2007 - Senate Bill 758
• 2010 - creation of the Center by Executive Commissioner Tom Suehs
• 2011 - Senate Bill 501
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The Texas ModelData-driven Strategies
Regularly collect, research, analyze, and evaluate data in line with C.E.D.D. approach
Leadership DevelopmentGrow both systems and community leaders that are courageous and grounded in C.E.D.D. approach
Culturally Competent WorkforceDevelop workforce that reviews and examines its work through an anti-racist and humanistic lens
Community EngagementRecognize strengths of grass roots community, hear its ideas, and include it throughout process
Cross Systems CollaborationShare data, training, and dialogue with systems, institutions, and agencies that serve same populations
Training Defined by Anti-Racist PrinciplesTrain ourselves and partners in principles that ensure we work at cultural and institutional levels
An Understanding of the History of Institutional Racism and the Impact on Poor Communities and Communities of ColorDevelop common analysis of racism and history that led to current outcomes
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The Texas Model closely resembles existing models designed to address health disparities
Comparison of missions of major health disparities initiatives and the Texas Model
Sources: www.healthypeople.gov; http://minorityhealth.hhs.gov/npa/, ‘overview of OEHD.pdf’
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Questions?
Thank you
Center for Elimination of Disproportionailty and Disparities
Texas State Office of Minority Health
4900 North Lamar Boulevard, Suite 1100, MC 1479
Austin, Texas 78751
512-424-6509
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