the ohio department of mental health & addiction services michael byun, mpa executive director...

THE OHIO DEPARTMENT OF MENTAL HEALTH & ADDICTION SERVICES

Michael Byun, MPAExecutive Director mbyun@asiaohio.org330-535-3263 ext. 223

About ASIA• Established in 1995• Multi-service agency serving new Americans• Annually serves over 10,000• Mission is to empower and advocate for Asian

Americans and Pacific Islanders; and to provide AAPIs access to linguistic/culturally appropriate information and services

Program Areas• Self-Sufficiency Services

• Employment and training• Public benefits access assistance• Citizenship/ESOL classes• Emergency food/housing assistance

• Children/Youth/Family• Mentoring (ATOD initiative)• Domestic violence/sexual assault – women’s leadership program• Case management• Gambling prevention• Hmong women’s weaving group

• Aging and Adult• Congregate meal and socialization• Public benefits access assistance

• Community Health Promotions• Education, outreach and screening (childhood lead, HIV, diabetes, BCCP, etc.)• International Community Health Center

• Cultural Outreach• Interpreting and translation services• Cultural competency training and consulting

Demographics• Statewide: 248,292 Asian Americans and Pacific Islanders

(2010 Census)• 2% of the total state population, 49% growth from 2000-2010• More than 4,000 Asian refugees resettled in Ohio between 2001

and 2011• Fastest growing in NE Ohio• Roughly one-third of AAPIs live in NE Ohio• Indian, Chinese, Filipino, and Korean Americans comprise 74%

of the region's API population

Issue Areas and Current Efforts• ATOD (Alcohol, Tobacco and Other Drugs)• Suicide• Obesity• Gambling addiction• Trauma (associated with sexual or physical violence)

ATOD• Data disaggregation shows ATOD use differences (highest

among SE Asians and Pacific Islander youth) (Wong, et. al.)• A youth survey in the Bay Area showed 40.8% underage Asian

youth used alcohol which was significantly higher than the national norm (Lee, Omori, Yoshikawa)

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ATOD after-school/summer mentoring program (ASIA’s longest running)• Two sites working with Summit and Cuyahoga County Board• Cradle to career initiative in Summit County• Parenting and young women’s groups

Suicide• November 2013 – 57 year old Nepali man • Five total in the region and two additional attempted• Primarily Nepali population• Suicide a viable option• Major theme: self-sufficiency/hopelessness-------------------------------------------------------------------------------County Boards (Summit and Cuyahoga Counties) are exploring

initiatives:• Strengthen referral linkages• RHS 15• Provider and community assessments

Suicide: issues with self-sufficiency and challenges for the “donut population”• Young adults – highly adaptable segment• Adults – doing well to fill vacancy in light manufacturing,

service work, hospitality, and other entry level positions• Older workers who are not eligible for Medicare and/or SSI• Language and skills acquisition are more difficult• More women and then men• Difficult to place into the workforce

Obesity• High risk for type 2 diabetes and related chronic diseases with co-

morbidity for depression• Initial spike then trend based on socio-economic factors• Access to Western foods • 70% of participants surveyed were at high risk based on BMI and

A1c (funded by OCMH)-----------------------------------------------------------------------------International Community Health Center – first FQHC in Ohio focused

on Asian health (November 2013)

Project RAISE (Reaching Asian Pacific Islanders through Innovative and Supportive Engagement)• Multi-sector policy, system, and environmental change project working with

ethnic/voluntary organizations, refugee resettlement groups, public health, community foundations, and cultural/language schools

Gambling Addiction• American Psychiatric Association reported from a study that

20% of the Chinese American population are problem gamblers• Another APA study showed that 59 percent of SE Asian are

pathological gamblers• “We have this saying in Chinese: if you don’t gamble, you don’t

know how lucky you are.” —Anonymous Chinese gambler-----------------------------------------------------------------------------ASIA’s partnership with Recovery Resources to pilot gambling

prevention education and outreach• Multi-year effort with year 1 focus on culturally/linguistically specific

awareness campaign with educational presentation. Future plans for additionally certified trained bilingual or culturally relevant prevention/treatment providers.

Trauma From War and/or Domestic Violence• An estimated 4,972 APIs have been sexually assaulted. Yet of the

more than 60,000 victims of domestic violence reported in Ohio in 2012, only 552 identified as Asian (UWGC)

• A national study showed that 42% of Korean women experience sexual or physical assault; 40.8% of South Asian women faced physical or sexual violence during their lifetime (Shimtuh; Raj Silverman)

-----------------------------------------------------------------------------Hmong Women’s Weaving Support Group

• Intergenerational weaving group for refugees from Laos

Northeast Ohio Asian Women’s Leadership Initiative (NALI)• 8 Asian ethnic women’s groups to build leadership in DV/SA support services

Thank you!

JHUMA ACHARYA & SARAH MILLER

COMMUNITY REFUGEE AND IMMIGRATION SERVICES (CRIS)

JANUARY 14, 2015

Health and Wellness in Columbus’ Bhutanese Nepali

community

Bhutanese Nepali Refugees in Columbus

• Resettlement began 2009

• Estimated 12,000-15,000 living in Columbus area

• Continued secondary migration

• Nepali primary language, Hindu primary religion

Trauma factors: Pre-resettlement

Hopelessness of future due to long camp stays Non-cooperative relationship with citizens and law

enforcement of host country Lack of rights in host country, inability to work Limited access to quality education and intellectual

opportunities in camp Pollution and unhygienic environment in camps, lack of

access to medical care

Trauma factors: Post-resettlement

Limited English language skills

Lack of employable skills

Difficulty with transportation and getting car/license

Fear and confusion of bills and utilities

Misunderstandings and fear about benefits and how long they will last

Health concerns

Chronic conditions (hypertension, diabetes)

Lack of access to preventative and high quality care

Alcohol use

Depression and suicide CDC report 2011

Confusion about specialists, insurance, referral processes

CRIS’ Response

Mental health screening using the RHS-15 Strengths-based case management Community adjustment support groups Wellness activities: yoga, dance, music Youth activities: LeaderSpark!, dance Health courses: chronic disease management, nutrition Suicide prevention training with OSU REACH

To Learn More

http://www.culturalorientation.net/learning/populations/bhutanese

http://www.peianc.com/sitefiles/File/resources/cultural_profiles/Bhutanese-Refugees-in-Nepal.pdf

http://www.brycs.org/documents/upload/bhutanese-cultural-backgrounder.pdf

http://www.cdc.gov/immigrantrefugeehealth/pdf/bhutanese-health-profile.pdf

Webinar on working clinically with traumatized refugee children and families: http://gulfcoastjewishfamilyandcommunityservices.org/refugee/2013/04/15/kate-porterfields-webinar-working-clinically-with-traumatized-refugee-children-and-families/

Questions?

Feel free to contact us!

Jhuma Acharya Case Manager for Nepali speakers

jacharya@cris-ohio.org614-987-1673

Sarah MillerRefugee Wellness Program Manager

smiller@cris-ohio.org 614-987-1674

OhioMHAS Disparities and Cultural Competency Learning Series

Bounthanh Phommasathit, B.S.W.,MS.Secretary

Ohio Asian American Pacific Islander Advisory CouncilColumbus, Ohio

Ohio Asian American Pacific Islander Advisory Council

A REPORT ON THE STATE OF ASIAN AMERICANS AND PACIFIC ISLANDERS IN OHIO

December 2014

77 S. High Street, 18th FloorColumbus, Ohio 43215Yung-Chen Lu, PhD, Chair614-805-4283

The Composition of US Society Is Changing Rapidly

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1990 2000 2010 2020 2030 2040 2050

Asian

Black

Hispanic

Non-Hispanic white

Day JC. 1996:13.

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Projected Distribution of the US Population by Race/Ethnic Group, 1990 to 2050

Reach out to Ohio AAPIs on the Ohio Policy/Decision Making bodies

Improve Access to State Prog/Services

Encourage Culturally Relevant (education, faith and art)

Increase awareness of MBE and EDGE

Develop community health education screenings on chronic diseases and provide available treatment plans

Increase awareness on Asian Heritage Month

Summary of Ohio Asian Americans

Executive Order Objectives

Arts, Culture and EducationCivil Rights & Immigration Impact

Economic Worforce Development

Health Issues and Health Care System

4 STANDING COMMITTEES

ARTS AND CULTURE/EDU

• Asian Festival events in Columbus, Cleveland, Cincinnati, and Dayton Ohio

• Funding: The Ohio Art Council

• In Ohio, there are only 7 immersion schools. The newest school is Global Ambassadors Language Academy (GALA), a tuition-free, K-8, public charter school scheduled to open in August 2015 in the city of Cleveland. GALA is a language immersion school that will offer both Mandarin Chinese and Spanish immersion options and the International Baccalaureate Primary Years Program.

CIVIL RIGHTS & IMMIG. IMPACT

•Members of the Council served on the planning committee and help promote the Protecting Civil Rights Town Hall: Know Your Rights and Responsibilities, held on April 15, 2014. •Topics included Hate Crimes, Law Enforcement and Community Relations, and Deferred Action for Childhood Arrivals. •Deferred Action for Childhood Arrivals (DACA) panel, consisting of a diverse group of students, discussed problems in accessing services for which they are now eligible, such as in-state tuition and driver’s licenses

ECONOMIC WORKFORCE DEV.• The OAAPIAC has promoted education about the Minority Business

Enterprise (MBE)/Encouraging Diversity, Growth and Equity (EDGE) Unit’s role in the State of Ohio's minority business set-aside program

• Announced opportunities for below-market interest loans from the Community Development Financial Institution (CDFI) and for public/private partnerships to promote international trade to Asian and Asian American business leaders and entrepre neurs throughout Ohio.

• Initiated plans for a statewide Economic Development conference/summit to include Ambassadors repre senting Asian countries. The goal will be to enhance opportunities for foreign trade and economic development in Ohio

The OAAPIAC have been working to promote access to the following Ohio’s health programs and services:

Mental Health & Addiction through ADAMH BoardAsian Free Clinic supports by OSUHealth screenings at Asian festivals annuallyHepatitis B Program funded by CDCSenior Meals program through LifeCare AllianceParticipated in the National Network to Eliminate

Disparities in Behavior Health’s NNEDLearn Program.

HEALTH ISSUES & HEALTH CARE SYSTEM

Fund OAAPIACIncrease funding to

community and faith based organizations

Train CHAs to assist Ohio AAPIs for the above 4 charges

OAAPIAC RECOMMENDATIONS

Arts & Culture/

Education

Civil Rights &ImmigrationImpact

Economic

Health

THANK YOU and Please Help!!!!