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Padmini Parthasarathy, MPH Family, Maternal and Child Health Programs Contra Costa Health Services

Building Economic Security Today (BEST): A Life Course Perspective-based Pilot Project Addressing the Health-Wealth Connection. Padmini Parthasarathy, MPH Family, Maternal and Child Health Programs Contra Costa Health Services Health-Wealth Connection Symposium June 23, 2010.

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Padmini Parthasarathy, MPH Family, Maternal and Child Health Programs Contra Costa Health Services

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  1. Building Economic Security Today (BEST): A Life Course Perspective-based Pilot Project Addressing the Health-Wealth Connection Padmini Parthasarathy, MPH Family, Maternal and Child Health Programs Contra Costa Health Services Health-Wealth Connection Symposium June 23, 2010

  2. Acknowledgements • Life Course Planning Team: • Cheri Pies, Director, FMCH Programs • Chuck McKetney, Epidemiologist • Debbie Casanova, Evaluator • Dawn Dailey, Program Manager

  3. The Life Course Initiative • A 15-year initiative • Launched in 2005 • The Life Course Perspective (Lu and Halfon) • A 12-Point Plan to Close the Black-White Gap in Birth Outcomes (Lu, Kotelchuck, et al.)

  4. Life Course Initiative Goals • Reduce health disparities and health inequities • Optimize reproductive potential • Create a paradigm shiftin MCH work

  5. Life Course Initiative Goals • To change the health of a generation

  6. Focusing on Financial Stability Unnatural Causes Wealth = Health/Social Gradient of Health 12 Point Plan Reduce Poverty Support Working Mothers and Families Input from staff and community residents

  7. Building Economic Security Today (BEST) Reduce disparities and inequities in health outcomes by improving financial security and stability

  8. Staff trainings Partnerships Developing interventions Evaluation Project Activities

  9. Developing Interventions • Meetings with program managers and staff • CFR consultation • WIC client and staff focus groups (report on website) • Review of financial education curricula • Asset Development Resource Guide

  10. Home Visiting Intervention One-on-one: • Assessment • Information • Referrals • Follow-up

  11. WIC Intervention Groups: • Introductory financial education classes • Optional series of in-depth classes • Referrals

  12. BEST Partners • Community Financial Resources • Contra Costa Family Economic Security Partnership (FESP) • Health-Wealth Connection Collaborative (HWCC) • Spark Point Center Collaboratives

  13. Intermediate Outcomes • Increased knowledge and skills of staff and clients • New practices for staff • Increased confidence and readiness of clients to adopt at least one asset development strategy • System changes

  14. Long-Term Outcomes Family income for daily living maximized Preservation of and increase in financial assets Increased financial security and stability, and improved financial status Increased access to care, improved housing, better neighborhoods, increased food security, decreased violence, etc. Improved health outcomes and financial status for future generations

  15. Lessons Learned • Start with staff where they are • Acknowledge what staff are already doing and build on this • Recognize that change takes time • Have a long view • Seize opportunities to collaborate with new partners • Develop evaluation plan while developing program interventions

  16. For More Information Padmini Parthasarathy, MPH Life Course Initiative Coordinator Family, Maternal and Child Health Programs 925-313-6178 padmini.parthasarathy@hsd.cccounty.us www.cchealth.org/groups/lifecourse/

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