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Project TAM-AN (Inner Peace)

San Jose, CA

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SAMHSA’ Strategic Prevention Framework

I. Assessment

II. Capacity

III. Planning

IV. Implementation

V. Evaluation

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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

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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

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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

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The partnership

Immigrant Resettlement and Cultural Center

Nam PhamDeputy Director

Berryessay Union School District

Marc LiebermanSuperintendent

Ron FairchildPrincipal, Morrill Middle School

Viet-American Mental Health Network

Minh-Tuan Nguyen, MSWVice President

Lien H Cao, MFTProject Director

Tram NguyenProject Coordinator

Brandon NguyenClinical Supervisor

Patricia FujiiCounselor

Phoenix HoCounselor/Media specialist

Asian Americans for Community Involvement

Jorge Wong, Ph.DDirector of Behavioral Health SErvices

International Children’s Assistance Network

Quyen VuongExecutive Director

Asian American Recovery Services

Partner Organizations

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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

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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

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III. Tam-An: PlanningStrategic and Action plans

Two Initiatives

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

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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

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Goal 2. To improve access to mental health and substance abuse services among Vietnamese adolescents

Objectives:

1.Enhance referral process from school partners

2.Increase Vietnamese adolescent client caseload at AARS

Goal 3. To improve overall mental health and social functioning among Vietnamese adolescents

Objectives:

1.Reduce substance abuse among project participants by 25%

2.Reduce DSM IV (Axis I) symptoms by 20%, as measured by pre post assessments; enhance referral process from school partners

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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

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Family Empowerment Forum

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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

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Forum programming Programming:

9 workshops Opening ceremony with

lion dancing Popular Theater

Closing celebration with raffle prizes

Free child care Lunch and breakfast

catered

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Workshop content School readiness Theater piece

discussion Healthy marriage Positive parenting Youth inner voice Domestic violence Nutrition Family Dialogue Community mental

health

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Forum evaluation

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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.”

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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

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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”

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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

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Tam-An

Multidisciplinary strategies Grassroots know-how; staff and organizing

agencies come from ethnic population Aggressive evaluation for continual

improvement and effectiveness