HEALTH ISSUES IN THE AFRICAN AMERICAN COMMUNITY

Rutgers University Department of Africana Studies 014:347

Instructor: Dr. Kamal Khan ([email protected]) Website: http://www.rci.rutgers.edu/~kkhan/ Office Hours: (1) hour before class and by appointment at Beck Hall, Room 010, Livingston Campus Phone: (732) 445-6878 Required Text: Braithwaite, Ronald & Taylor, Sandra & Treadwell, Henrie: Health Issues In the Black Community: 3rd Edition

Course Description: Community Health is defined as the combination of sciences, skills, and beliefs that are directed to the maintenance and improvement of the health of an entire population. This course will examine health issues of the African American Community. In addition, it will present the basic knowledge needed to comprehend and interact with the information that continues to be published in this field. The course will expose the student to the interaction between the citizen, the problems as related to healthcare and the solution. A discussion of practical solutions will also be an integral part of the process.

Objectives: By the end of this course, each student will be able to do the following:

1. Appreciate and discuss the basis of health status in general and specifically as it relates to African Americans. 2. Begin to develop the tools in problem solving and team building necessary to address the issues presented in this course. 3. Appreciate and discuss contemporary issues in health care delivery in the U.S. as it relates to the African American community.

Course Requirements: All students are expected to attend all classes on time and be prepared to participate. Class participation is a critical component of this course and all are expected to share their ideas, opinions and analysis.

Grade Breakdown: Average of 4 Quizzes Average of 2 Exams

CLASS ATTENDANCE: IF YOU MISS ONE CLASS, YOU WILL HAVE AN UNEXCUSED ABSENCE AND YOUR GRADE WILL CONSEQUENTLY BE LOWERED ONE FULL LETTER GRADE. IN ORDER TO EXCUSE YOUR ABSENCE, YOU MUST BRING IN A NOTE (i.e. doctor or hospital note) AND SUBMIT 3 LETTERS FROM 3 DEANS IN WHICH THEY ACKNOWLEDGE YOUR ABSENCE AND PROVIDE A WRITTEN JUSTIFICATION.

*Absence from exams: Makeup exams will be allowed only on the day following the regularly scheduled exam and only for the following reasons 1. Illness verified by a doctor’s note 2. Religious holiday recognized by RU 3. Death of an immediate family member

CHEATING WILL NOT BE TOLERATED. Students who violate the Rutgers policy on academic integrity will be reported to their Dean and expelled.

1 Readings: Students will receive copies of articles, and other reading materials relevant to current health issues in the African American Community. It will be your responsibility to keep current with these materials. You are responsible for reading material from the textbook. You must read the following from the textbook: Chapter 19 pg. 399 – 412; Chapter 23 pg. 491 – 504; Chapter 28 pg. 581 – 595.

Course Topic Outline:

Introduction to Community Health African American Health

General Principles of Epidemiology Bacteria vs. Viruses "Invasions of Micro-organisms"

Health and Society Is there a Health Care Crisis in the Black Community? *Health Care Financing *Health Policies and the Black Community

Tuberculosis

Health Care Services Managed Care Making Choices for Health Care

Critical Health Topics *AIDS/HIV *Cancer *Diabetes *Cardiovascular disease

Substance Abuse Should addiction to drugs and alcohol be considered a disease rather than a behavioral problem?

Lead Poisoning

Adolescent Pregnancy in the African American Community

Sickle Cell Anemia

Health Promotion and Disease Prevention Strategies for African Americans The health of the Black community in the 21st century

2 Special Topics--CESEP Course Description: The course you are enrolled in Health Issues in the African American Community, is affiliated with the Rutgers Civic Engagement and Service Education Partnerships (CESEP) program. By combining academic study with community service, the CESEP program offers you the opportunity to get real world work experience and earn course credit at the same time. Please make sure that you register for the one-credit course as well as the three credits. HEALTH ADVOCACY CYCLE:A Learning Community 2. Students come to class 1. Students participate 1. and educate their classmates in CESEP and are exposed about the most recent to health problems and developments in diseases learn the most current and conditions such as information on risks, diabetes, heart disease, symptoms and treatments. stroke, cancer, etc. through interactive presentations and class. .discussions

3.3 Students go home and educate their families; mom, . dad,siblings, cousins, aunts, uncles, grandparents, neighbors,work colleagues, etc.

Course Materials: Bound Journal Book Text

Journal Criteria: Journal entries should address the following aspects of your particular CESEP study.

Doctor Aspect: Shadowing Find a physician or another health care provider in which to “shadow,” which entails observing the doctor on a weekly basis and keeping a journal of the day’s thoughts, events, and questions. You focus on a variety of topics including, but not limited to: (1) the responsibilities of the doctor within the facility, (2) the doctor’s interactions with overall environment, i.e. relationships with other doctors, co-workers, patients, (3) how the doctor is perceived by others, (4) treatment of patients by physician – including both positive and negative aspects, i.e. racial factors, economic factors and, (5) ethical/ moral decision making process.

Patient Aspect CESE Focus on a collective group of patients and observe them, paying close attention to: (1) approximate percentage of different types of patients based on ethnic background (Hispanic, African American, Asian, etc.), (2) type of disease(s) that these patients have and the treatment that is being received, (3) patients’ opinions of treatments and medical staff, (4) patients’ concerns, fears, apprehensions, (5) patients’ mental and physical condition. Journal entries should focus on these topics and other intriguing observations, thoughts, interviews, and conclusions.

Final Paper:

3 3 typed pages, double spaced on your CESEP study experience. Include: CESEP site background information, notes, facts, statistics, and your personal revelations:  How did this experience affect your decision to work in the medical field?  Did this experience make you want to continue to pursue this type of career?  What are some of the new perceptions of the medical field and how has it changed your view? Suggested CESEP Sites: 1. New Jersey Women and AIDS Network children, and adolescents in the greater Central New Jersey area. NJWAN is a leader in identifying issues facing One Robert Wood Johnson Place women with HIV/AIDS, educating service New Brunswick, NJ 08903-0019 providers, advocating for appropriate policies CONTACT: Margaretanne Murray Reina, and building a multicultural woman and Management Assistant HIV/AIDS movement. As the only female Phone 732-235-8028 specific AIDS service organization in the state, OR for 17 years NJWAN has provided HIV *Rosanne Malone* prevention, education, treatment adherence, Phone 732-235-7383 and advocacy programs to women infected with Fax 732-235-7419 or affected by HIV/AIDS. Website http://www2.umdnj.edu 103 Bayard Street, 3rd Floor New Brunswick, NJ 08901 5. Eric B. Chandler Health Center CONTACT: Aleia Moore, Program Coordinator The Eric B. Chandler Health Center (EBCHC) Phone 732-846-4462 strives toward excellence in clinical and Email [email protected] support service delivery, using a community- Website http://www.njwan.org/index.html oriented approach to family medicine which incorporates the goals of comprehensive managed care practice, ensuring access to 2. Robert Wood Johnson Hospital vital primary, preventive, and acute care RWJH is an academic medical center providing services. The Center is committed to providing care across a full range of health care services, patients with services appropriate to each life including heart transplantation, cancer care, cycle in a comprehensive, coordinated, and emergency medicine, pediatrics and maternal- continuous manner. fetal medicine. 277 George Street One Robert Wood Johnson Place New Brunswick, NJ 08901 New Brunswick, NJ 08903 Phone 732-235-6700 CONTACT: Volunteer Services Email [email protected] Phone 732-397-8507 Website http://www2.umdnj.edu/chandweb/ Website http://www.rwjuh.edu/support/volunteer. index.htm Html

6. PhotoVoice New Brunswick: 3. Saint Peters University Hospital The Chai Project Student Shadow Program: College students Has enabled habitual users of illicit substances who are approved Saint Peter’s volunteers and in New Brunswick, NJ, to create a photographic, who are pursuing a major leading to a medical oral and written archive of themselves and their career may be offered an opportunity to community. The project documents their areas accompany doctors as they treat our patients, of concern, including their individual and assisting in minor tasks and learning about community health as well as drug use and drug various medical specialties. policy. The photographs are a means for 254 Easton Avenue individual reflection on the meaning of New Brunswick, NJ 08901 community, race, class and health. They foster CONTACT: Volunteer Services dialogue through group discussion, and they Phone 732-745-8573 provide a way to communicate with policy- Website http://www.saintpetersuh.com/Services/ makers and the public on drug-related health VolSer/volser.html issues. CONTACT: Jay Petillo, Executive Director New Brunswick, NJ 08903 4. Robert Wood Johnson Medical School Phone 732-247-7014 x10 AIDS Program Email [email protected] The Division provides subspecialty care in allergy, Website http://www.harmreduction.org/pubs/ immunology and infectious diseases for neonates, news/winter03/index.html 4 their families. Their purpose is to provide innovative residential, employment and 7. Broadway House for Continuing Care advocacy programs for individuals with As NJ’s only specialized HIV/AIDS nursing care disabilities based on their choices and needs. facility designed to meet the post-acute needs of 1262 Whitehorse--Hamilton Square Rd. people living with AIDS, the mission of BHCC is to Building A, Suite 101 provide first class residential health care and Hamilton, NJ 08690 rehabilitative services to people living with CONTACT: Linda Barton, Community Connector HIV/AIDS. Their primary objective is to assure Phone (609) 689-0136, ext. 142 that every resident realizes his/her greatest Email [email protected] potential in an environment that fosters dignity Website http://www.alliesnj.org/ and respect. **TRAVEL REIMBURSEMENT** Phone 732-246-4696 298 Broadway Fax 732-246-0527 Newark, NJ 07104 CONTACT: Stacey Norris 11. The Children’s Center Phone 973-268-9797, ext. 1034 39 Morris Street Fax 973-268-1314 New Brunswick, NJ 08901 Website Phone 732-246-4696 http://www.broadwayhouse.org/ services/ volunteers.htm 12. Middlesex Interfaith Partners with the 8. The Interfaith Network of Care Homeless This is a network of volunteers from various MIPH increases local services and resources for congregations, agencies, and the community- homeless persons. Initially, MIPH consisted of at-large, trained to respond personally to the all volunteers who were represented by local everyday needs of people who are homebound advocates and clergy from the Middlesex and their caregivers. The mission of INC is to County area. MIPH's guiding principal is that give personal and social support to people their activities be a true and vital partnership coping with chronic conditions, disabilities, with homeless people. They assure homeless isolation, and other age related disabilities and people of having their voice be heard in the to help those responsible for their day-to-day formulation of MIPH projects and policies, well being. including their substantial representation on CONTACT: Sue Dowling, Executive Director their governing bodies. nd Phone 732-247-1655 100 Bayard Street, 2 Floor Email [email protected] New Brunswick, NJ 089012d08901 Website http://www.interfaithnetworkofcare. CONTACT: Randeu Alston, Assistant Director org/ ndex.html Phone 732-729-7770, ext. 106 Email [email protected] Website http://www.miph.net/ 9. University of Medicine and Dentistry of NJ Central New Jersey The Volunteer Department at UMDNJ is 13. Cancer Institute of New Jersey committed to promoting a service-oriented, Division of Pediatric Hematology/Oncology caring environment, our main goal is to help 195 Little Albany Street the patients and staff in a variety of fun and New Brunswick, NJ 08903-0019 interesting ways. Phone #: (732) 235-7898 The Department of Volunteer Services Fax #: (732) 235-6462 150 Bergen Street C-Level – Room C437 14. Saint Peter's University Hospital Newark, New Jersey Division of Pediatric Hematology/Oncology CONTACT: Ms. Deirdre Watley, Manager 254 Easton Avenue Phone 973-972-4064 P.O. Box 591 Email [email protected] New Brunswick, NJ 08903-0591 Website http://www.theuniversityhospital. Phone #: (732) 745-6674 com/volunteer/html/join.htm Fax #: (732) 828-2354

15. Jersey Shore Medical Center 10. Allies Inc. Pediatric Hematology/Oncology Allies Inc. is an independent non-profit 1945 Corlies Avenue organization helping individuals with disabilities Neptune, NJ 07753-4896 to lead fulfilling lives in the community. Allies Phone: (732) 776-4860 serves the needs of people with disabilities and Fax: (732) 776-4867 5 Southern New Jersey 16. Children's Hospital of Philadelphia New Jersey Section of Hematology/Oncology Specialty Care Center 1012 Laurel Oak Road Voorhees, NJ 08043 Phone: (856) 435-7502 Fax: (856) 627-2183 (office) (856) 784-3609 (clinical care area)

17. The Francis E. Parker Memorial Home Has been partnering with CESEP since 1998. They are a long-term care unit and in the near future we will be opening an assisted living. They also have two long-term care Homes located on River Road in Piscataway and the other on Easton Ave in New Brunswick. CONTACT: Barbara Golias, Volunteer Coordinator Phone 732-545-8330 Email [email protected]

18. Spanish Community Center They do a lot of health-related programming. CONTACT: Arlene Munoz, Executive Director 303 Sumner St., P.O. Box 61 Landisville, NJ 08326 Phone 856-697-2967

19. **NEW SITE** The Martin and Edith Stein Hospice 380 DeMott Lane Somerset, New Jersey 08873 CONTACT: Sara Culang Phone 732-568-9150 Email [email protected]

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