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Project TAM-AN (Inner Peace)

Project TAM-AN (Inner Peace). San Jose, CA. SAMHSA’ Strategic Prevention Framework. Assessment Capacity Planning Implementation Evaluation. I. TAM-AN assessment. Identify community leaders, professionals and groups (youth, faith-based, schools)

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Project TAM-AN (Inner Peace)

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  1. Project TAM-AN (Inner Peace) San Jose, CA

  2. SAMHSA’ Strategic Prevention Framework • Assessment • Capacity • Planning • Implementation • Evaluation

  3. I. TAM-AN assessment • Identify community leaders, professionals and groups (youth, faith-based, schools) • Community needs assessment through focus group, interviews and surveys in 2005 • Develop a framework of change: multi-faceted • Multiple target audience • Interdisciplinary strategies • Broad-based partnerships

  4. Vulnerable refugee/immigrant population Vietnamese in San Jose • Waves of refugee immigration- San Jose, city with largest VN population • War trauma, forced dislocation, military families • Linguistic and cultural barriers • Highest rate of uninsured medical coverage • Low utilization of existing mental health services based on equity analysis (MHSA); 90 percent of Vietnamese immigrants in the San Francisco Bay area used indigenous health practices • Acculturation and Intergenerational conflict (MHSA, VN Report) • Intergenerational PTSD, Domestic violence; physical Child abuse • Substance abuse underdetected

  5. II. TAM-AN Capacity • Build partnership and community leadership • Enhance cultural competence – all partners are from within ethnic community • Improve organizational capacity and resources through debrief sessions and internal evaluation

  6. The partnership Asian American Recovery Services Partner Organizations

  7. Organizational Partners • Berryessa School District – Superintendent • Ensure school participation, provide sites and coordinate survey administration • Morrill Middle School – School Principal • Refer students. Mental health cultural sensitivity weaved in school activities. Teacher participation. • Viet Mental Health Network – Vice President • Provides professional consultation and cultural competence • Family empowerment forum • Asian Americans for Community Involvement • Provide services to referred clients

  8. Organizational Partners (cont’d) • Immigrant Resettlement Cultural Center – Deputy Director • Multi media: newspaper and radio, TV • Outreach to parents and community • International Children’s Assistance Network • Family empowerment forum • San Jose State University – Professor Han • Community Readiness • University of Texas – Professor Wong • Evaluation – Intervention effectiveness

  9. School initiative Morrill Middle School Students: outreach with campus, classrooms, teachers; discovery groups Parents: automated VN phone message to VN parents; VN newsletter; monthly parent groups Existing AARS services: Friday pro-socials; mentoring Community Initiative Family Engagement Forum Child development Strength- based, developmental assets Family communication Intergenerational issues Media: Local VN newspapers articles; radio shows; internet; e-newsletter Special outreach to faith-based groups III. Tam-An: PlanningStrategic and Action plansTwo Initiatives

  10. 3 Project Goals – Goal 1 Goal 1. To increase the awareness of adolescent mental health and substance abuse issues, including professional treatment, within the Vietnamese community • Objectives 1. Reach 3000 Vietnamese families through multiple media approaches. 2. Generate more favorable attitudes towards participation in mental health and substance abuse treatment

  11. Goal 2. To improve access to mental health and substance abuse services among Vietnamese adolescents • Objectives: • Enhance referral process from school partners • Increase Vietnamese adolescent client caseload at AARS Goal 3. To improve overall mental health and social functioning among Vietnamese adolescents • Objectives: • Reduce substance abuse among project participants by 25% • Reduce DSM IV (Axis I) symptoms by 20%, as measured by pre­post assessments; enhance referral process from school partners

  12. IV. Tam-An Implementation • Grant writing, funding from RWJF in 2007 • All interventions launched: • School events (Red Ribbon, back to school) • Parents Support groups • Media strategy document • Media bibliography and products • Community Forum booklet • Forum evaluation

  13. Family Empowerment Forum

  14. Community Engagement Forum • June 2; 9am—4pm • Organizing partners: AARS and ICAN • Collaboration between 20+ organizations; intergenerational effort • 12000 flyers at churches, temples, doctors offices, Asian supermarkets, schools, agencies serving VN population • Radio announcements, interviews, newspaper announcements

  15. Forum programming • Closing celebration with raffle prizes • Free child care • Lunch and breakfast catered Programming: • 9 workshops • Opening ceremony with lion dancing • Popular Theater

  16. Workshop content • School readiness • Theater piece discussion • Healthy marriage • Positive parenting • Youth inner voice • Domestic violence • Nutrition • Family Dialogue • Community mental health

  17. Forum evaluation

  18. Participant Evaluation Comments • “Need more time in order to address more issues.” • “I didn’t know people were willing to share their stories.” • “We must let our children speak up.” • “I learned that teenagers often disagree with their parents. The parents know that something’s wrong, but they can’t change how they feel.”

  19. Community Education and Outreach • Radio: Dan Sinh, Saturday mornings • Newspaper: Thoi Bao, Saturday edition • Internet: www.irccsanjose.com • First month focus on Vietnamese youth identity outside of the family • Calendar content covers: Depression, anxiety, suicide amongst Vietnamese youth, gender roles, dating, academic pressure, career and life goals

  20. V. Tam-An Evaluation 1 • Community Readiness: the capacity of a community to implement programs, policies an other changes that are designed to reduce the likelihood of substance use • Community readiness assessment (Tri-Ethnic Center for Prevention Research): • Conduct key respondent interviews • Score interviews to determine level of readiness • Develop strategies based on level of readiness • Professor Han’s hypothesis: VN community moved from stage 3 “vague awareness” to stage 6 “initiation”

  21. Tam-An Evaluation 2 • Professor Wong (University of Texas) impressed by culturally competent intervention design: Intergenerational Fishbowl • No direct communication • Avoid stigma, taboo and shame – save face • Respect family role • Communication patterns: by gender groups • Different levels of acculturation, English and Vietnamese • Evaluate intervention effectiveness – survey and focus group • Translation back and forth • Statistical analysis and findings by professor Wong • Articles to be published

  22. Tam-An • Multidisciplinary strategies • Grassroots know-how; staff and organizing agencies come from ethnic population • Aggressive evaluation for continual improvement and effectiveness

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