CBPR Institute6/24/13

HEALTH EQUITY FOR HOPE SF

A CASE STUDY

• Uzuri Pease-Greene, Rebuild Potrero, BRIDGE Housing

• Anne Griffi th, Enterprise Community Partners, Inc.

• Emily Weinstein, Rebuild Potrero, BRIDGE Housing

• Jessica Wolin, San Francisco State University

• Sarah Wongking, San Francisco State University

WHO WE ARE

HOPE SF

SF’s Public Housing Transformation Initiative

to :

• transform 4 developments in near future into

thriving mixed-income communities

• improve the lives of existing residents without

displacing them.

Launched in 2007. Ultimately, will transform 8

sites

• Rebuild 2,500 public housing units on 8 distressed

sites

• Create 1,000 new affordable units

• Create 2,500 new market rate units

HOPE SF

HOPE SF GOALS

Transform fi ve developments into thriving mixed-income communities that are woven into their neighborhoods

Build quality housing and infrastructure toward environmentally sustainable, accessible communities

Improve the lives of existing residents without displacing them

WESTSIDE COURTS

POTRERO TERRACE/

ANNEXHUNTERS

VIEW

ALICE GRIFFITH

SUNNYDALE

ENVIRONMENTAL ISSUES

Social and geographic isolation from surrounding communities, retail, healthy food, safe parks

Run-down housing with hazards (peeling paint and plaster, water leaks, broken concrete, exposed wiring and plumbing, graffiti, trash and boarded-up windows)

Foundation made of serpentine rock -- naturally-occurring asbestos when agitated

Sites close-by that contain toxic waste and contaminated land scheduled for mitigation

COMMUNITY CONCERNS

60% of families engaged in child welfare, juvenile probation, mental health programs

50%+ children under 18 (citywide average is 14%), and six-times the citywide rates of child and family poverty. 16% graduation rate.

5 times more unemployment than citywide rates and an average annual income less than $13,000

Violence, mental health, lack of employment are all significant community concerns and more

COMMUNITY STRENGTHS

Sense of community and commitment to revitalization

Existing community improvement efforts and social support

Community based organizations and city services

Residents

CAMPAIGN FOR HOPE

Public/private partnership to raise $25 million to invest in human services over next 5 years for improvements in:

• Workforce Development

• Education

• Health

HEALTH VISION

HOPE SF will help create communities and homes in which individuals and families reach and

maintain health and wellness.

Began in Nov 2011

Key Partners • HOPE SF • SF Department of Public Health • MPH program, Dept. of Health Education,

SFSU • Health Equity Institute, SFSU

Goal: Support the development and implementation of health strategies at all of the HOPE SF sites honoring the uniqueness of each community and ensuring a coordinated and thoughtful approach.

HEALTH EQUITY FOR HOPE SF COLLABORATION

1) Peer Leadership in HOPE SF CommunitiesAssessment (completed 8/12)Expanding Support for Peer Leadership

(current)

2) HOPE SF Children and Families Affected by Mental Health IssuesAssessment (current)Enhancing Strategies for Supporting Mental

Health and Well-being on Children and Families (future)

COLLABORATION PROJECTS

Advisory Group

Literature Review (February – March) 

Interviews (April – July)Residents Program Staff Key

Stakeholders

Peer Leadership: 20 students conducted 47 interviewsMental Health: 18 students conducted 70 interviews

ASSESSMENTS

LESSONS LEARNED: CHALLENGES

Depth, extent and intractability of health issues facing HOPE SF communities

Community vs. Academic vs. City vs. Funder priorities and needs (i.e. timing, standards, IRB)

Complexity of public systems; layers of leadership and accountability; and, “silo-ed” programs and strategies

Lack of resources considering the level of need

Who “owns” this work and who is in charge?

Effort required to ensure continued focus and strategy

It’s a marathon not a sprint

LESSONS LEARNED: POSITIVE OUTCOMES & STRENGTHS

Collection of meaningful data

Development of community programs for HOPE SF residents

Building capacity of all partners

Student learning and “real world” experience

Long-term, sustained partnership between SFSU, HOPE SF & SFDPH

Presentations & proposals

PARTNERSHIP

What does it take to create and sustain

an effective partnership?