Liberty City Community Collaborative for Change: A BUILD Health Challenge January 26, 2016 Meeting Notes Desired Meeting Results: Understanding of membership commitment and expectations. Selected headline indicators. Developed a preliminary story behind the safety data in Liberty City. Understanding of strategies that have been demonstrated to work at turning the curve. Made individual Commitment to Action. The following stakeholders were present for the meeting (1/25/2016): Participant Organization Steven Marcus Health Foundation of South Florida, President and CEO Elena Napolez Juvenile Assessment Counselor (JSD) Elaine Black Liberty City Community Revitalization Trust Chief Delma Noel-Pratt Miami Dade Police Department - North Operations Division Anthony Williams Belafonte TACOLCY Center Wil Ayala Early Learning Coalition Gina Ford Carrfour Supportive Housing Cecilia Gutierrez Miami Children’s Initiative, President and CEO Captain Eric Garcia Miami Dade Police Department-Northside District Annie Neasman Jessie Trice Community Health Center, Inc., President and CEO Commander Debbie Mills Miami Police Department-Model City Police Net Service Area Michael Rivers City of Miami NET Model City Renita Holmes Women’s Association and Alliance against Injustice and Violence (WAAIVE) Cindy Magnole Jackson Health System-Injury Prevention Coordinator Jessica Vallejos-Landestoy Juvenile Services Department Christina Wright Planned Parenthood Ruban Roberts NAACP Vivilora Perkins-Smith Urban Partnership Drug-Free Community Coalition-Gang Alternative Jeff Hurst Florida Department of Children and Families Izegbe Onyango Miami Children’s Initiative Tyra Tate MDCPS-Campus Shield Michele Wyatt Sweeting New Horizons Community Mental Health Center, Inc. Emily D’Agostino Miami-Dade Parks Department Caitlin Alfonso Miami-Dade Parks Department Project Staff Deitre Epps, Co-Facilitator Results-Based Leadership Roderick King, Co-Facilitator and Florida Institute for Health Innovation Project Director Laurie Fucini-Joy, Project Manager Florida Institute for Health Innovation Deltavier Frye, Project Coordinator Florida Department of Health-Miami Dade County POPULATION ACCOUNTABILITY Result Statement(s): A Safe and Healthy Liberty City Indicator List: Indicators= measures that help to quantify the achievement of the result. (Rated as high (H), medium (M), or low (L) Candidate Safety Indicators Communication Proxy Power Data Power Notes Power Firearm Injury Emergency H H H Recommended by Department Rates BUILD team; Participants specifically request Juvenile Firearm Injury Rates Juvenile Violent Charges H H H Recommended by BUILD team Number of Juvenile Arrests Not rated H H Recommended by BUILD team Juvenile Drug and Alcohol Not rated H H Recommended by Related Charges BUILD team Number of Investigations Not rated M L/M Received-Adult and Child (Rates of Abuse/Neglect) Crime Rates Not rated H M/H Number of abandoned houses Not rated M M/H Number of designated safe Not rated L L spaces in the community Amount of participation of Not rated Not rated Not rated individuals in safe spaces Number of pedestrian Not rated M H/M injuries/fatalities Number of abandoned vehicles Not rated Not rated Not rated Pounds of trash collected Not rated Not rated Not rated Abandoned lots Not rated M L/M Number of sexual offenders Not rated M M Candidate Health Indicators Communication Proxy Power Data Power Notes Power Adult Asthma Emergency H H H Recommended by Department Rates BUILD team Child Asthma Emergency H H H Recommended by Department Rates BUILD team Diabetes Emergency Not rated H H Recommended by Department Rates-Adult BUILD team Diabetes Hospitalization Rates- Not rated H H Recommended by Adult BUILD team Obesity Rate H H M Review availability of BMI data as a proxy. Participants felt strongly about this indicator. Sale of Alcohol Not rated M M Teen Pregnancy Rate Not rated M M/H Number of Grocery Stores Not rated L M Number of Drug Houses Not rated L L/M Tree Canopy Not rated M L/M Number of Crisis Interventions Not rated M M Number of Arrests of People Not rated M L/M with Mental Illness Suicide Rate Not rated H M/H Communication Power: Does this indicator communicate to a broad range of audiences? Would those who pay attention to your work know what this measure means? Proxy Power: Does this indicator say something of central importance about the result? Is it a good proxy for other indicators? Data tend to run in a “herd”-in the same direction. Pick an indicator that will tend to run with the herd of all the other indicators that could be used. Data Power: Is there quality data for this indicator on a timely basis? To be credible, the data must be consistent and reliable. Timeliness is necessary to track progress. Selected Headline Indicators: Indicators=measures that help to quantify the achievement of the result (Rated as high (H), medium (M), or low (L) Result: A Safe and Healthy Liberty City Candidate Communication Proxy Power Data Power Notes Headline Power Indicators Juvenile Violent H H H To be decided Charges Juvenile Firearm H H H To be decided Injury Rate Adult Asthma ED H H H To be decided Rates Child Asthma ED H H H To be decided Rates Obesity/BMI Rate H H M To be decided Turn the Curve Report as contributed on January 25th, 2016 (POPULATION) Result A Safe and Healthy Liberty City. Safety Indicator: Total number of violent charges commitment by juveniles occurring 2010-2014 in Liberty City zip codes. Data Source: Our indicator data was provided by Miami-Dade County Juvenile Services Department. Data was retrieved between the years 2010-2014 for specific zip codes: 33127, 33142, 33147, 33150. Violent charges include aggravated assault and/or battery, weapon or firearm offenses, armed robbery, assault and/or battery (not aggravated), obstruction of justice with violence. Juveniles refer to individuals under the age of 18. Story behind the data Contributed on January 25, 2016: What is hindering progress? (Restricting factors) There is an increase in drug and alcohol use Gang activity Guns Low intelligence level (educational challenges) Absenteeism Unhealthy environment Lack of parental involvement Little faith-based involvement What causes the data to improve? (Contributing factors) Decrease in juvenile violence More positive community programs Mentorship Stakeholder involvement Parental involvement Partnership with law enforcement Who are some partners that can help you to address this data? Government/politicians Parents and youth Teachers and special interest groups Clergy Business owners Community and Civic Organizations Schools (Universities and colleges) Drug-Free Coalition What works to turn the curve (known solutions)? Change social norms (e.g. billboards) Media PSA We ourselves (individual change) Community involvement Local and State government Positive Outlets/outreach Programs (Parks, headstart, etc.) What do we propose to do to turn the curve? On January 25, 2016 the group identified the following strategies: Family Resource Center Health Education (incl. mental health awareness) Job Referrals and Job Training Programs for 0-17 year olds (e.g. Belafonte TACOLCY Center) Early Education Adult Services Safety Indicator #2: Firearm injury emergency department rates occurring 2009-2013 in Liberty City zip codes. Data Source: Our indicator data was provided by the Florida Department of Health-Miami Dade County Injury Epidemiologist. Data was retrieved between the years 2009-2013 for specific zip codes: 33127, 33142, 33147, and 33150. Firearm injury ED rates refer to nonfatal injuries. Story behind the data Contributed on January 25, 2016: How are we doing? Trending in the wrong direction Need more current data Need to separate juvenile data from adult data What is the story behind the curve? Home: Home is where it starts! Young parents Parents have limited education and parenting skills Lack of positive role models Lack of positive community involvement Lack of father involvement Generational enabling Lack of structure, discipline, consequences and consistency School: Lack of parent/teachers cohesiveness Lack of parent participation Lack of aftercare/school activities Lack of tutoring and mentoring Social/Economic: Depression/Mental Illness Lack of hope Lack of education Lack of resources Lack of information Lack of trust Who are some partners that can help you to address this data (Stakeholders)? Parents Churches/faith-based organizations Teachers Community leaders Funders Youth What works to turn the curve (known solutions)? Long-term family investment Setting obtainable goals Coordinated services/wrap-around Remove “red tape”-collaboration What do we propose to do to turn the curve? On January 25, 2016 the group identified the following strategies: Track history of family disturbances Health Indicator: Youth and adult asthma emergency department rates occurring 2009-2013 in Liberty City zip codes. Data Source: Our indicator data was provided by the Florida Department of Health-Miami Dade County Epidemiology Department. It was taken from the Emergency Dept. Data, Florida Agency for Health Care Administration. Data was retrieved between the years 2009-2013 for specific zip codes: 33127, 33142, 33147, and 33150. Story behind the data Contributed on January 25, 2016: What is the “end”? Decrease in number of ED visits due to asthma What is hindering progress (Restricting factors)? Drastic change 2009-2010 increase in children ED rates due to asthma Lack of repairs