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ALLY Campaign

ALLY Campaign. Learning Module. Health Equity Office Sinai Health System Adapted from Sinai Health System’s E-learning module: “Are you an ALLY?”. OBJECTIVES. Learn. about stereotypes, prejudice, discrimination, privilege & the barriers marginalized groups face in healthcare. Reflect.

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ALLY Campaign

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  1. ALLY Campaign Learning Module Health Equity Office Sinai Health System Adapted from Sinai Health System’s E-learning module: “Are you an ALLY?”.

  2. OBJECTIVES • Learn • about stereotypes, prejudice, discrimination, privilege & the barriers marginalized groups face in healthcare • Reflect • on discrimination, marginalization, privilege, and health equity • Practice • how to unlearn your own biases, respond to/effectively interrupt stereotyping, discrimination & harassment

  3. KEY TERMS

  4. KEY TERMS

  5. KEY TERMS

  6. KEY TERMS

  7. WHO IS AN ALLY? • Anyone who: • Wants to contribute to a safe and healthy environment • Supports the rights of our marginalized people • Acts when individuals or groups face discrimination • Aims to provide the best quality of care to their patients/clients

  8. WHAT DOES AN ALLY DO? • Acknowledges and understands that people’s health is affected by their social identities • Supports the rights of marginalized people • Speaks out against hurtful/inappropriate comments or behaviours • Acts when individuals face discrimination • Strives to reduce health disparities

  9. TRIANGLE MODEL Powerful, negative ideas and assumptions Ideas Assumptions Impact on Hospital / CHCs Staff and Patient/Clients Systems or how things usually work Individual Behaviour Based on a graphic from “Dancing on Embers – Challenging Racism in Organizations” by T. Lopes & B. Thomas, Between the Lines 2005.

  10. SINAI HEALTH SYSTEM’S ALLY CAMPAIGN PILLARS • At Sinai Health System we currently focus on 4 groups of people who experience marginalization and discrimination. We recognize discrimination is also based on many other characteristics such as accent, age, nationality, religion, sex, size and more. • People with mental health issues • People with physical disabilities • People who are LGBTQI2S+ • People who are racialized

  11. MENTAL HEALTH Please click the link below to hear the first-hand experiences of individuals with mental health issues who face discrimination in many areas of life, including employment and the provision of health care services. https://youtu.be/g76dvJrzGXY

  12. MENTAL HEALTH Please take a moment to reflect on the following questions. What are some examples of discrimination described in the video? What are some of the healthcare barriers faced by people with mental health issues? What are some of the consequences (emotional, financial, physical etc.) of the discrimination experienced by people with mental health issues? What did you learn from this video about how to be an ALLY to people with mental health issues?

  13. PHYSICAL DISABILITIES Please click the link below to hear the first-hand experiences of individuals with physical disabilities who identify the different barriers they’ve faced and the long-lasting impact made by people who interrupt and challenge instances of discrimination. https://youtu.be/74DoU0Gv9-8

  14. PHYSICAL DISABILITIES Please take a moment to reflect on the following questions. Some speakers described the negative assumptions others make about the quality of their lives and abilities. What are some of these assumptions? What impact can these assumptions have in healthcare organizations and work environments? What are some ways in which an healthcare environment can be more accessible for individuals with physical disabilities? What did you learn from this video about how to be an ALLY to people with physical disabilities?

  15. LESBIAN, GAY, AND BISEXUAL PEOPLE Please click the link below to hear individuals’ everyday experiences of discrimination and the real impact that homophobia can have on one’s health and employment. https://youtu.be/H5MLIKaSm5o

  16. LESBIAN, GAY, AND BISEXUAL PEOPLE Please take a moment to reflect on the following questions. What are some of the health consequences of excluding or discriminating against people who are lesbian, gay, or bisexual? What did you learn from this video about how to be an ALLY to people who are lesbian, gay, or bisexual?

  17. TRANS, INTERSEX, AND TWO SPIRIT PEOPLE Please click the link below to hear people with lived experiences as they talk about the impact of not using preferred names and proper pronouns, and the seemingly minor actions of ALLIES that can have a significant impacts. https://youtu.be/quCFuVGTxLs

  18. TRANS, INTERSEX, AND TWO SPIRIT PEOPLE • Please take a moment to reflect on the following questions. • What are some examples of discrimination described in this video? • What are the identified impacts of not using preferred names and proper pronouns in healthcare environments? • What did you learn from this video about how to be an ALLY to people who are trans, intersex or two-spirit?

  19. RACIALIZED PEOPLE Please click the link below to learn how a lack of racial diversity in the workplace can lead to inequitable access to health care services. https://youtu.be/WpEs2GK3V4A

  20. RACIALIZED PEOPLE Please take a moment to reflect on the following questions. What are some of the health impacts of racial discrimination described by Dr. Kwame McKenzie? What are some of the healthcare barriers faced by people who are racialized? What did you learn from this video about how to be an ALLY to people who are racialized?

  21. RECOGNIZING PRIVILEGE • Understanding social identity, power, and privilege is important to becoming an ALLY. By acknowledging our privilege, we are better able to see the discrimination faced by others. • If we recognize other people’s lack of privilege, we can ensure we don’t engage in oppressive, discriminatory, or harassing behaviour. We can also better recognize when others do, and be well equipped to take steps to address it.

  22. THE POWER FLOWER • The Power Flower activity is intended to provoke thinking about dominant groups in society and our individual places of privilege. • Each petal on the flower signifies a different aspect of your social location such as:

  23. Female Latin American White Heterosexual English Ethnicity Transgender Non-Christian Gender Immigration Status Nuclear Immigrant Income Able-Bodied Low Income Early Twenties The Diversity Flower has been adopted from the Power Flower (Source: Arnold, R., Burke, B., James, C. & Martin, D. (1991) Educating for a Change, Toronto, ON: Between The Lines) Marginalization Secondary Privilege

  24. THE POWER FLOWER • Now is your opportunity to complete your own ‘flower’. • Once you are done, take a moment to reflect on your flower and respond to the following questions: • How does your social location and privileges affect your daily life? • Do any of your flower petals have an effect on your health outcomes? • Can you think of ways that individuals in healthcare settings can be your ALLY?

  25. Ethnicity Gender Immigration Status Income The Diversity Flower has been adopted from the Power Flower (Source: Arnold, R., Burke, B., James, C. & Martin, D. (1991) Educating for a Change, Toronto, ON: Between The Lines) Marginalization Privilege

  26. WHAT CAN YOU DO? • Regardless of how a patient/client is perceived, do not assume a person’s gender, sexual orientation, relationship status, family history and any other personal identifiers. • Incorporate 'cultural sensitivity' rather than 'cultural competency' in care delivery. • As cultures are diverse and complex, patients/clients' cultures are not something that can be learned or assumed. • Allies learn how to provide feedback and practice doing so at every opportunity • Acknowledge patients'/clients' needs and feelings.

  27. WHAT CAN YOU DO? • When you recognize privilege or witness discrimination, or harassing language or behavior, you can: • Be clear, concise, and empathetic • Speak gently and avoid making accusations • Assume good intent and explain impact • Be direct • Use “I” statements • Use non-verbal signals

  28. WHAT CAN YOU SAY AS AN ALLY? “I think I hear you saying that all _____ are _______, is that what you mean?” “I don’t know if you know how that sounded, but the way it sounded to me is that you think …” “I think it’s wrong to stereotype people.” “I used to think the same thing, then I started to question why I felt that way.”

  29. WHAT CAN YOU SAY AS AN ALLY? “Is there anything I can do to support you?” “How do you think other people who are in the same situation would have felt?” “I felt the earlier comment they were making about …was hurtful, and wanted to check in with you”.

  30. HOW TO RESPOND AS AN ALLY? “Thank you. I had no idea how that came out. What you said has helped me understand.” “Thank you for speaking up. I didn’t intend to sound like that. I’ll be more careful in future.” “I did not realize what I said was discriminatory or offensive. Thank you for letting me know.”

  31. WHAT CAN YOUR ORGANIZATION DO? • Ensure excellent patient/client experiences by emphasizing quality care • Provide a safe, welcoming, and harassment-free workplace for employees • Develop and implement policies that are equitable and effective in addressing the social determinants of health • Ensure all staff are provided with health equity training and/or resources • Staff are aware and using existing policies to accommodate needs of our patients. • Ensure office materials/resources are written in inclusive language and use inclusive images.

  32. WHAT CAN YOUR ORGANIZATION DO? • Make available resources that inform patients of their rights and available services. • Ensure the diversity of the staff reflect the communities healthcare organization serves. • Include social determinants of health in all assessments. • Collect and use demographic data to understand what areas or services are contributing to health disparities. • For a more detailed checklist on what your organization can do visit: http://torontohealthequity.ca/training/

  33. ACTIVITY In pairs, read the scenario provided. Practice responding as an ALLY Take turns so everyone has a chance When finished, share one thing that worked really well with your group As a group discuss as organization what you can do to respond to the scenario

  34. ACTIVITY SCENARIO You are working at the reception desk and are handing out registration forms to clients. A client in the waiting room is reading the form, becomes agitated and yells out derogatory comments about LGBTQI2S+ people. What would you do to be an ALLY?

  35. OUTCOMES OF BEING AN ALLY

  36. FINAL THOUGHTS There are many times in life when we may need an ALLY, be an ALLY, or have an ALLY. With the completion of this learning module, we hope that you are better equipped to address inequities, and foster an inclusive and equitable healthcare environment.

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