Behavioral Health Needsof Women and Girls of

Colorin San Francisco

Behavioral Health Needsof Women and Girls of

Colorin San Francisco

By Maru SalazarFor San Francisco Mental Health BoardJuly 8, 2011

By Maru SalazarFor San Francisco Mental Health BoardJuly 8, 2011

IntroductionIntroduction

SF MHB

GABHS for Gals

Needs Assessments

SF MHB

GABHS for Gals

Needs Assessments

Participating Agencies & Programs

Participating Agencies & Programs

African American / Southeast Sector African American Community Health Equity Council Balboa Teen Health Center Bayview Adult Mental Health Center Bayview HunterÕs Point Foundation for Community Improvement Bayview Hunter's Point YMCA Boys and Girls Club SF Family Mosaic Project Family Restoration House Florence Crittenton Services Healing Circle Hunter's Point Family: Girls 2000 Joshua Marie Cameron Academy Lazarus House Polly's Support Center Potrero Hill Neighborhood House Samoan Community Development Center Sojourner Truth Foster Care Southeast Career Link Southeast Child and Family Therapy Center South East Mission Geriatric Services Visitation Valley Community Development Corporation 3rd Street Youth Center and Clinic

Participating Agencies & Programs

Participating Agencies & Programs

API / Citywide Asian American Recovery Services, Inc.: Project ADAPT Lee Woodward Counseling Center Chinatown Child Development Center Chinatown / North Beach Mental Health Services Chinatown Youth Center Filipino Community Center Japanese Community Youth Council Š Asian Youth Prevention Services Richmond Area Multi-Services: Children, Youth, and Family Services Š Wellness Center Adult Outpatient and Prevention Services San Francisco General Hospital Psychiatric Inpatient 7B Sunset Mental Health Service Outpatient Vietnamese Youth Development Center

Latina / Mission District Horizons Unlimited, Inc.: Prevention Education Programs Inhalant Prevention Program Substance Abuse Outpatient Program Young Women Arise Project Females Against Violence MayorÕs Youth Education and Employment Program Š New Directions Program Instituto Familiar de la Raza, Inc. Jelani, Inc. Mission Family Center Mission Multicultural Assertive Community Team Progress Foundation: La Posada Senior Program Caroll House Cortland House San Francisco Homeless Outreach Team Stimulant Treatment Outpatient Program The Family Acceptance Project University of California, San Francisco-San Francisco General Hospital: Department Child and Adolescent Services Emergency Department Case Management University of San Francisco: Infant-Parent Program/Daycare Consultants

Participating Agencies & Programs

Participating Agencies & Programs

Needs AssessmentsNeeds Assessments

Whom does your program serve?

How are you funded?

What are your best practices in working with women and girls?

What are the needs of the women and girls you serve?

How do you address safety issues? And in particular, client-to-client sexual harassment policy?

Whom does your program serve?

How are you funded?

What are your best practices in working with women and girls?

What are the needs of the women and girls you serve?

How do you address safety issues? And in particular, client-to-client sexual harassment policy?

San Francisco PopulationSan Francisco PopulationSan Francisco Total Population: 815,358

Three Populations of Focus

San Francisco Total Population: 815,358

Three Populations of Focus

Racial / Ethnic Group

Total Population

Percentage

Asian and Pacific Islander (API)

260,099 31.9%

Latina / Hispanic 117,412 14.4%

African American 54,629 6.7%

Source, U.S. Census, 2009.

Women in San FranciscoWomen in San FranciscoTotal Population of Women: 392,184 or 49.2%

Largest Age Groups of Women

Total Population of Women: 392,184 or 49.2%

Largest Age Groups of Women

Age group Total Population

Percentage

Under 18 55,690 14.2%

25 to 29 42,748 10.9%

30 to 34 42,356 10.8%

35 to 39 33,336 8.5%

Source: U.S. Census, 2009

Women and girls of colorWomen and girls of color

3 populations of focus African American Latina Asian and Pacific Islander

Demographics Women Girls

3 populations of focus African American Latina Asian and Pacific Islander

Demographics Women Girls

Common ThemesCommon Themes

Shame and stigma

High incidence of trauma

Relationship issues

Shame and stigma

High incidence of trauma

Relationship issues

Common ThemesCommon Themes

Treatment barriers

System issues

Treatment barriers

System issues

What makes a difference?What makes a difference?

Safe environment

Listening to her story

Empathy

Work on multiple levels

Continuing care

Safe environment

Listening to her story

Empathy

Work on multiple levels

Continuing care

Highlights of SF ProgramsHighlights of SF Programs

Hunter’s Point Family: Girls 2000

Instituto Familiar de la Raza, Inc.

The Family Acceptance Project

Horizons Unlimited: YWAP, FAV

Filipino Community Center

Community Youth Center: YAWAV,

Asian American Recovery Services, Inc.,: LWCC

Hunter’s Point Family: Girls 2000

Instituto Familiar de la Raza, Inc.

The Family Acceptance Project

Horizons Unlimited: YWAP, FAV

Filipino Community Center

Community Youth Center: YAWAV,

Asian American Recovery Services, Inc.,: LWCC

Evolving Treatment Approaches

Evolving Treatment Approaches

QuickTime™ and a decompressor

are needed to see this picture.

Gender-responsive Services

Gender-responsive Services

“creating an environment through site selection, staff selection, program development, content and material that reflects an understanding of the realities of women's lives, and that addresses and responds to their strengths and challenges” .

Source: Covington and Bloom, 2004

“creating an environment through site selection, staff selection, program development, content and material that reflects an understanding of the realities of women's lives, and that addresses and responds to their strengths and challenges” .

Source: Covington and Bloom, 2004

Best Practices in the FieldBest Practices in the Field

Outreach and Engagement

Gender-responsive Trauma-informed Culturally competent Recovery-oriented

Outreach and Engagement

Gender-responsive Trauma-informed Culturally competent Recovery-oriented

RecommendationsRecommendations Improving quality of service

delivery

Increase outreach and engagement strategies that are culturally relevant.

Incorporate recovery-oriented systems of care in continuum of care.

develop minimum standards of practice for programs.

Improving quality of service delivery

Increase outreach and engagement strategies that are culturally relevant.

Incorporate recovery-oriented systems of care in continuum of care.

develop minimum standards of practice for programs.

RecommendationsRecommendations

Increasing system capacity

Dedication of gender-specific funding streams.

Increase capacity of support service programs.

System-wide education and training.

Increasing system capacity

Dedication of gender-specific funding streams.

Increase capacity of support service programs.

System-wide education and training.

What can we do now?What can we do now?

What actions can be implemented or integrated into existing programs, agencies now?

How can we encourage programs, agencies and CBHS to take action based on these recommendations?

What actions can be implemented or integrated into existing programs, agencies now?

How can we encourage programs, agencies and CBHS to take action based on these recommendations?

Behavioral Health Needsof Women and Girls of

Colorin San Francisco

Behavioral Health Needsof Women and Girls of

Colorin San Francisco

By Maru SalazarFor San Francisco Mental Health BoardJuly 8, 2011

By Maru SalazarFor San Francisco Mental Health BoardJuly 8, 2011