Diversity, Equity, Inclusion, and Access
December 12, 2020ID5999
To CiteDCA Citation Guide
- 00:00Well thanks everyone for
- 00:02joining us for our third.
- 00:04This is our third session and
- 00:07we're just delighted that to have
- 00:09you come back and be with us.
- 00:12Today we're going to be talking about
- 00:14diversity, equity and inclusion.
- 00:16And that ties across the week we began
- 00:20the week we're talking about trauma
- 00:22and stress and the impact that the
- 00:26pandemic has certainly accelerated the
- 00:29impact of chronic stress and trauma
- 00:31and adversity on children and families,
- 00:34and especially for for
- 00:36underrepresented minorities.
- 00:37For black and Brown children and families,
- 00:39for those who are more vulnerable.
- 00:42And then we moved yesterday to the
- 00:45education and our work in schools.
- 00:47And again,
- 00:48how we're trying to reach families
- 00:50and children in those settings and
- 00:53the digital divide that has showed
- 00:55up impacting so many children.
- 00:57Faye Brown reminded us yesterday for example,
- 01:00that that many children they
- 01:02were given Chromebooks by.
- 01:04Their schools aren't able and don't login,
- 01:07so vulnerabilities in that way.
- 01:09And today we want to explicitly highlight.
- 01:12The Child Study Center and the medical
- 01:15schools efforts an our efforts in
- 01:17the community around diversity,
- 01:19equity and inclusion in our.
- 01:22Hoping to very intentionally take on this
- 01:25what we might call the second pandemic.
- 01:29The anti ran the effort stored antiracism and
- 01:33addressing all of the social unrest and the.
- 01:37Tremendous subdivides that we
- 01:38find ourselves in in our country,
- 01:40in our communities,
- 01:41in the impact,
- 01:42again on children and families.
- 01:44I don't want to take up a lot of
- 01:46time because you've now heard
- 01:48there a lot about the Child Study
- 01:51Center's response in these areas.
- 01:53So I really want to turn it to our speakers
- 01:56and hope that we have a very rich discussion.
- 01:59Today we'll first hear from Doctor Megan
- 02:01Smith about her work in the Moms partnership.
- 02:04Then we will go on to hear from Terra Davila,
- 02:07our inaugural Chief Diversity Officer,
- 02:09that we're just so pleased
- 02:11is in this position.
- 02:12And then from Dean Darren Lattimore,
- 02:14who heads the the Medical Schools Office
- 02:17of Diversity and Equity and Inclusion,
- 02:19and for him to talk about the strategic
- 02:21efforts at the medical school and how
- 02:24the Child Study Center links to that,
- 02:26and vice versa.
- 02:28So let me first turn it to Doctor
- 02:30Smith and just a couple of
- 02:32housekeeping things before I do.
- 02:34If everyone could mute.
- 02:35If you're not speaking,
- 02:36if you could mute and then the
- 02:38second is if you have questions,
- 02:40put them in the chat.
- 02:41I'll be moderating the chat,
- 02:42but if you have a question that
- 02:44you don't want to put in the chat,
- 02:47but rather we just speak it out,
- 02:49that will be fine too.
- 02:51We will actually do questions at the
- 02:52very end of the three presentations,
- 02:54unless you signal in the chat that
- 02:57you would like to have an answer
- 02:59to that question right at the end
- 03:01of a given presentation.
- 03:03So Megan,
- 03:03may I turn the May I turn the
- 03:06virtual podium over to you?
- 03:08Great thank you.
- 03:08Doctor me is wonderful to see so many of
- 03:11you on zoom this afternoon and just an
- 03:13honor to to present with my colleagues
- 03:16Tara and Dean Lattimore as well.
- 03:18So I wanted to share with you.
- 03:20We've been able to have very minimal
- 03:22slides and I promise I only have 3.
- 03:25One is a figure, one is a quote with a
- 03:27couple of pictures in the last is a poem,
- 03:30but I wanted to really use the time
- 03:33to tell you about our experiences.
- 03:35The experiences of our team in light
- 03:37of the pandemic and for those of you
- 03:40who don't know and associate professor
- 03:42here in the Child Study Center,
- 03:45very focused on really two key forces
- 03:47that impact child mental health.
- 03:49One being the mental health of
- 03:51mothers very specifically around
- 03:53maternal depression and anxiety
- 03:54and stress and the other being.
- 03:56Poverty and scarcity.
- 03:57And so thinking a lot about,
- 04:00you know we've had.
- 04:01We've heard in the public
- 04:03discourse with the pandemic.
- 04:05The impact of the pandemic on caregivers,
- 04:08the impact and the really
- 04:09disproportionate burden that low income
- 04:11women of color who are caregivers.
- 04:13Both the children and to other adults,
- 04:16have experienced in terms
- 04:17of depression and anxiety.
- 04:19So parents are now not only being
- 04:21parents but but their friends,
- 04:23and they need to be teachers as well.
- 04:26And so this work that we do as a
- 04:29team here at the Child Study Center.
- 04:33Really focuses on these key forces
- 04:35of maternal mental health and poverty
- 04:38and how we bring them together.
- 04:40So I just wanted to share my screen
- 04:43with you with the first slide.
- 04:45And will hope this helps.
- 04:53Sorry. I hope everyone can see
- 04:57that but but just as a reminder to
- 05:00those of you who may be the first
- 05:03time you're hearing about my work,
- 05:05can elevate and the moms partnership.
- 05:07Last year in 2019,
- 05:09we launched Elevata Policy Lab here at
- 05:11the Child Study Center and you know,
- 05:14we're not a laboratory in the sense
- 05:16of we're working with beakers,
- 05:18or we're not brain imagers,
- 05:19but we're really incubating policies
- 05:21and programs that are focused on mental
- 05:24health of low income mothers specifically,
- 05:26and improving the mental health of families.
- 05:29App. Oops, I'm sorry if everyone is muted,
- 05:33you know as a way to improve ultimately
- 05:35economic and social mobility for families
- 05:37and communities and so elevates work is
- 05:40really in partnership with government
- 05:42partners where we are implementing the
- 05:44work of the Moms Partnership we're
- 05:46scaling that were can I just before I
- 05:49tell you about the experiences with covid,
- 05:51I just wanted to give you a brief
- 05:54overview of the moms partnership,
- 05:56particularly as it relates to an
- 05:58equities and mental health care.
- 06:00We know particularly for maternal depression,
- 06:03that mothers who are identified
- 06:05and detected to have depression,
- 06:06that there's often this large gap
- 06:09between who can access services.
- 06:11And then I'm just going to share
- 06:13my screen here a second.
- 06:15But who can access services?
- 06:17And also then once people access services,
- 06:20the quality of care that's received
- 06:22so to make it really concrete,
- 06:24what we know is that particularly
- 06:26for low income,
- 06:27women of color that there is
- 06:30a large gap in access,
- 06:32so.
- 06:32Services aren't accessed for fear of
- 06:34child welfare for fear of deportation
- 06:37around stigma and discrimination.
- 06:39But there's also this problem once
- 06:41services are accessed of receiving
- 06:43high quality services and so the
- 06:45moms partnership was really created
- 06:48to address those inequities.
- 06:49Using three main mechanisms.
- 06:51The first was to think about
- 06:53placing mental health services for
- 06:55mothers and community settings,
- 06:57so really trying to alleviate
- 06:59some of that access barriers.
- 07:01So by delivering services for mothers
- 07:03in locations like in New Haven in
- 07:05Vermont and supermarkets for example.
- 07:07Second,
- 07:08by using a position that we call a
- 07:10community mental health ambassador
- 07:12amother from the community,
- 07:14I see we have Kim Streeter.
- 07:16Actually one of our Community health
- 07:18ambassadors on on with us today.
- 07:20Hi Kim,
- 07:21but Community Health ambassadors
- 07:23are really the connectors between.
- 07:25Community, Ann and clinical services.
- 07:27So Community mental health Masters
- 07:29are mothers with similar cultural
- 07:31backgrounds as mothers that we're
- 07:33serving and really help to not
- 07:35only recruit and engage mothers,
- 07:37but also provide clinical services for
- 07:39mothers making the interventions that
- 07:41we're delivering culturally equivalent,
- 07:43culturally relevant and tailored.
- 07:45So in addition to placing
- 07:47services and community settings
- 07:48using Community Health Masters,
- 07:50the third feature is really around quality,
- 07:53so delivering high quality interventions
- 07:55with Fidelity and Community settings.
- 07:57So we are stress management.
- 07:59Intervention utilizes
- 08:00cognitive behavioral therapy,
- 08:018 weeks,
- 08:0290 minute sessions a week in a group format,
- 08:05so about 68 women in a group.
- 08:08Really promoting social connections,
- 08:10social network, social capital.
- 08:11So this is all the work that we were
- 08:14doing in Kentucky and DC in Vermont
- 08:17and we were beginning this work
- 08:19in Bridgeport in New York City in
- 08:22conjunction with the cash assistance,
- 08:24the welfare program with the
- 08:26Car Soul system in Kentucky.
- 08:28With the Department of Homeless
- 08:30Services in New York City,
- 08:31we were doing all this work and
- 08:33then the pandemic hit and then
- 08:35the murder of George Floyd.
- 08:36And I think this is really a story about
- 08:39I'm going to share my screen again.
- 08:41A few. Well bear with me.
- 08:45Really, a story that I want to tell about.
- 08:48You know the resilience in
- 08:50this process of resilience.
- 08:52So number one,
- 08:53I can't say enough about the
- 08:55tremendous work of our team here.
- 08:57The Child Study Center and Elevate,
- 09:00directed by our Executive
- 09:01director Hilary Hahn,
- 09:02and the staff who are passionate
- 09:05experts and researchers,
- 09:06community ambassadors, statisticians,
- 09:07program specialist trainees who do this work.
- 09:09So I think pivot is off and maybe
- 09:12an overutilized word with covid
- 09:14so I'll use the word transformed.
- 09:17You know our staff at Elevate
- 09:19really transformed the services
- 09:20that were being delivered.
- 09:22Our clinical research from an in
- 09:24person group model to a virtual
- 09:26platform using zoom using Webex.
- 09:28So it meant redesigning all our manuals,
- 09:30redesigning all of our research
- 09:32systems with the help of Pam Hoffman
- 09:34here in the Child Study Center.
- 09:36This shift was made in a couple of weeks.
- 09:40This this is also really a story
- 09:42of the mothers that we're serving
- 09:44and that are involved in a research
- 09:47studies in the staff of the Moms
- 09:49partnership around in these
- 09:50different sites around the country.
- 09:52So I want you to meet Sabrina Tate,
- 09:55our Community master and DC
- 09:56Moms and Ashley White,
- 09:58a clinician in DC moms.
- 10:00Sabrina and Ashley and the rest
- 10:02of the DC Moms team worked with
- 10:04our elevate staff to continue to
- 10:06deliver services in person to
- 10:08mothers to continue their research.
- 10:10This is a picture in the middle of at
- 10:13the end of every moms intervention,
- 10:15so the end of the eight weeks
- 10:17there is a graduation ceremony and
- 10:19at the graduation ceremony it's a
- 10:21time for celebration of completion
- 10:23of the moms intervention.
- 10:25Usually time of gathering and fudan
- 10:27like so many school administrators.
- 10:29You know,
- 10:30Ashley and Sabrina were really tasks.
- 10:32So how do you do a virtual graduation?
- 10:35So one example was the theme
- 10:37that came up with a theme for
- 10:39graduation cloaked in confidence,
- 10:41which was really speaking to
- 10:43mother's persistence in the spite.
- 10:45Really,
- 10:45in the face of adversity and
- 10:47uncertainty persisting through the
- 10:49Moms partnership work persisting
- 10:50for their children and making their
- 10:52children proud and their families proud.
- 10:54So this seemed of cloaked in confidence
- 10:57was just a great example of what
- 11:00happened in this virtual environment.
- 11:02Other themes in the virtual setting were
- 11:05moxie moms was one theme for graduation.
- 11:09Maintaining safety, creating harmony,
- 11:11and experiencing growth.
- 11:13And then also the theme of sisterly love,
- 11:16and in each of those themes
- 11:18had a color attached to them.
- 11:20And so you know, this work continued
- 11:22in other sites and it presented really
- 11:25an interesting naturalistic experiment
- 11:27of we had data from our in person
- 11:29services an now we had data from our
- 11:32virtual services and actually in the
- 11:34literature there wasn't a lot around
- 11:36the delivery of Telemental health in a
- 11:39group format to mothers and using this
- 11:41position of the Community mental health.
- 11:43Pasador, and so.
- 11:44So what we were really interested
- 11:46in thinking about is, you know,
- 11:49how acceptable is this delivery
- 11:50in a in a virtual platform.
- 11:53And you know very preliminary results.
- 11:55So we have small numbers.
- 11:57We haven't done all of the analysis that
- 12:00we get need to to control for variables,
- 12:03But when we compared nine D1 mothers
- 12:05in person in DC who received our in
- 12:08person services to 51 mothers who
- 12:10received the services virtually,
- 12:12we did not see statistically
- 12:14significant differences in.
- 12:15And the reduction in depression.
- 12:17So we saw you know that we reduce
- 12:20depressive symptoms in both groups.
- 12:21We also saw almost equivalent attendance in
- 12:24both the virtual in the in person format,
- 12:26and importantly,
- 12:27we also saw satisfaction.
- 12:28There were no differences in
- 12:30participant satisfaction in the
- 12:31virtual and the in person delivery.
- 12:33So all of those you know,
- 12:35very preliminary data suggests to us
- 12:37that there is a real opportunity here.
- 12:39Moms is a very scalable approach.
- 12:41It's 8 weeks 90 minutes and we
- 12:43see differences in maternal
- 12:45depression reductions in stress.
- 12:46Increases in social support,
- 12:48so we're heartened to see about,
- 12:50you know the feasibility and acceptability
- 12:53of our virtual delivery, so that's done.
- 12:57Wonderful to see.
- 12:58We've also had a couple other learnings.
- 13:01Number one.
- 13:01The real importance of the Community
- 13:03Mental health ambassador role.
- 13:05So how important that connector
- 13:06is in the use of virtual services?
- 13:09So we've created an engagement session
- 13:12where the community Embassador clinician
- 13:14is working one on one with mothers
- 13:16before they engage in the group setting.
- 13:18And that's been really critical to.
- 13:20We think the success of this platform.
- 13:23Additionally,
- 13:23you know what we're doing some work
- 13:25on is incorporating anti racism.
- 13:27Work into our training program.
- 13:30Kim's been working on that with
- 13:32our team and others and really
- 13:34working with the mom staff around
- 13:36the country to get their feedback.
- 13:38Doctor Ketra Thompson,
- 13:39who is a postdoc working with us,
- 13:42is doing a number of qualitative
- 13:44interviews to really understand the
- 13:46impact of covid on the service delivery.
- 13:48So I just wanted to end.
- 13:50There's obviously a lot more
- 13:52to say about this,
- 13:53but I one of the things we did in
- 13:55the Child study Center under Doctor
- 13:58Mays leadership and colleagues
- 14:00Andres Martin and Heather how?
- 14:02Was a compassionate care grand rounds and
- 14:04I read this poem at that grand rounds,
- 14:07but I wanted to just end with
- 14:09it today because I think it does
- 14:11not only speak to resilience in
- 14:13a time of darkness, you know a time of
- 14:16really collective trauma and isolation,
- 14:18but it really speaks to the
- 14:20importance of building the capacity
- 14:22of parents and caregivers as a way
- 14:24to usher children through this.
- 14:26So this is Lucille Clifton's poem,
- 14:28the blessing of the boats.
- 14:30May the tie that is entering even now
- 14:33the lip of our understanding carry
- 14:35you out beyond the face of fear.
- 14:38May you kiss the wind and then turn from
- 14:41it certain that it will love your back?
- 14:44May you open your eyes to water.
- 14:46What are waving forever and may you
- 14:48and your innocence sail through this.
- 14:50To that I think those last two lines
- 14:53are one of the pieces we want to
- 14:55foster in the Moms partnership work
- 14:57of helping parents help children
- 14:59sail through this to that and really
- 15:02be a stable a stable for.
- 15:04So we thank you all for your
- 15:06partnership in our work and were.
- 15:08Very much looking for opportunities
- 15:10to expand the moms partnership
- 15:13and see this opportunity to do so.
- 15:15For communities that are really
- 15:17disproportionately affected by covid.
- 15:19So I'll stop there and Terra
- 15:21I will turn it over to
- 15:23you. Thank you mega Terra.
- 15:26Hey, and thank
- 15:27you Megan would have beautiful
- 15:29image you left with that poem.
- 15:31I really appreciate that.
- 15:33So I'm so glad to be here
- 15:35with all of you today.
- 15:37My name is Terra dabula.
- 15:40And I am a licensed clinical social
- 15:42worker and assistant clinical professor
- 15:43of social work in the clinical
- 15:45coordinator for the outpatient services,
- 15:47where I've been for the last nine
- 15:49years nationally certified provider of
- 15:51trauma focused cognitive behavioral therapy,
- 15:53and a state trainer for the modular
- 15:55approach to treating children with anxiety,
- 15:57depression, trauma and conduct problems,
- 15:58which is also known as match.
- 16:01While providing clinical services and
- 16:03Spanish and English is a privilege
- 16:05that I hold very dear alarge part of
- 16:07my role at the center includes teaching,
- 16:09training and providing supervision.
- 16:11You can ask anyone,
- 16:12'cause I say it often.
- 16:13I love the work that I do.
- 16:16The people that I do it with
- 16:18and those that I do it for.
- 16:21Through these roles and
- 16:22responsibilities that I hold,
- 16:24I've worked hard to encourage
- 16:25and support approaches to the
- 16:27work that are culturally humble.
- 16:29Seek to notice our own biases,
- 16:31and consistently think about social
- 16:33justice and racial equity in every
- 16:35aspect of our clinic operations.
- 16:36These are values that have been my Northstar.
- 16:39They've led me to become a social worker,
- 16:42an have altered my trajectory
- 16:44at the Child Study Center.
- 16:45As I've also very recently added
- 16:47the role of the inaugural Chief
- 16:49Diversity Officer for the Center.
- 16:51To my efforts and before I share more
- 16:54with you about my vision for than
- 16:56you for this new portion of my work.
- 16:59I think it's important,
- 17:00first,
- 17:00to reflect a little bit on some of the
- 17:04events from earlier in this very odd year.
- 17:08In March we were all impacted by
- 17:10this global pandemic that we're all
- 17:12still in during so many months later,
- 17:15as schools closed in hospital beds filled,
- 17:17we were enveloped in anxiety and fear,
- 17:20uncertain of what to expect as
- 17:22individuals and as a community.
- 17:24And yet we remain determined to figure
- 17:26out how to completely transform the
- 17:28provision of many of our clinical
- 17:31services to Tele Health Center.
- 17:32Leadership began meeting at least
- 17:34daily to ensure that we can be safe
- 17:37and continue to provide services
- 17:39to the youth and families we serve.
- 17:42The work was great and many of our
- 17:45providers and staff just rolled
- 17:47up their sleeves and adapted to
- 17:49doing our work virtually.
- 17:51In the time of Covid,
- 17:52which has a trademark of
- 17:54uncertainty and despair,
- 17:55we were able to provide some
- 17:57continuity and support to many
- 17:59of the families that we serve.
- 18:01I'm still amazed by what we
- 18:03have accomplished while living
- 18:05through this pandemic.
- 18:07Successes,
- 18:07however,
- 18:07were also accompanied by new challenges.
- 18:10Existing inequities became more
- 18:11pronounced each day,
- 18:12although we figured out how to
- 18:14continue to provide services,
- 18:16many of our families could not access
- 18:19them because they didn't have a
- 18:21device or consistent and reliable
- 18:23access to the Internet which are
- 18:26required to engage in Tele health.
- 18:28Many of our families had to
- 18:30abruptly end treatment or engaged
- 18:32frantically due to these barriers.
- 18:34Some youth had parents were forced to
- 18:36risk infection in service jobs to be able
- 18:39to provide their for their families,
- 18:41many with access to little or no PP.
- 18:45The demand on food pantries and
- 18:48other providers of basic needs was
- 18:51immense and many families became ill.
- 18:54The trends we were seeing were
- 18:56occurring across the country.
- 18:58As we lived with the novel coronavirus,
- 19:01we became increasingly aware of the
- 19:03disproportionate effects of COVID-19
- 19:05on black and Brown communities
- 19:07across the country.
- 19:08People of color have been dying at
- 19:10rates higher than their proportion
- 19:12to the population.
- 19:14To quote, Doctor Marcella Nunez Smith,
- 19:16the director of the Equity Research and
- 19:19Innovation Center at the School of Medicine,
- 19:21we know that these racial and ethnic
- 19:24disparities in COVID-19 are the
- 19:26result of pre pandemic realities.
- 19:28It's a legacy of structural discrimination
- 19:31that has limited access to health
- 19:33and wealth for people of color.
- 19:37Covid and the resulting disparities were not
- 19:39all that was plaguing communities of color.
- 19:42There was also the conditions of
- 19:44structural and systemic racism taking a
- 19:47particularly egregious toll on black bodies.
- 19:49COVID-19 was ravaging communities of color.
- 19:52People were paying attention and
- 19:54being impacted by the ongoing violence
- 19:56being perpetrated on black people,
- 19:58and they were agreed.
- 20:01While we knew of the murders of Ahmad,
- 20:04Aubrey and Brianna Taylor that had
- 20:06occurred earlier in the pandemic and
- 20:08countless others that have occurred
- 20:10throughout our nation's history.
- 20:11It was the highly publicized in
- 20:14dehumanizing murder of George Floyd
- 20:16against the backdrop of the increasing,
- 20:19disproportionate and devastating effects
- 20:21of COVID-19 on communities of color that
- 20:24brought outrage to the Child study center,
- 20:27the nation and the world.
- 20:31I cannot talk about being appointed
- 20:33the inaugural Chief Diversity Officer
- 20:34of the Child Study Center without
- 20:36painting the picture of the conditions
- 20:38that made George Floyd's murder a
- 20:40catalyst for a global movement.
- 20:43Perhaps the shared experience of
- 20:45being in a global pandemic created
- 20:47a broader sense of community and as
- 20:50postulated by Haifa Staiti, Simon,
- 20:52Baron Cohen,
- 20:52an Monica Douglas in their empathy
- 20:54for Peace Conversation series.
- 20:56Perhaps it increased our sense of empathy
- 20:59by expanding our sense of connection
- 21:02through this common denominator.
- 21:04Perhaps it was this increased
- 21:06sense of empathy that propelled
- 21:07our center into action.
- 21:09Our community was paying attention
- 21:11and our black and Brown child study
- 21:13center community members bravely
- 21:15spoke out about their experiences of
- 21:18structural and institutional racism
- 21:20throughout their lives and at Yale,
- 21:22we not only heard these stories,
- 21:25but they were received with empathic
- 21:28hearts and guided by justice.
- 21:30And the plans to create the chief
- 21:32diversity Officer position at the
- 21:34Child Study Center was accelerated
- 21:35as part of the interview process.
- 21:37I was honored to be a part of a
- 21:40talented cohort of women of color who
- 21:42presented our visions for the role,
- 21:45and I'm pleased to share mine with you today.
- 21:49The vision I hold for diversity equity
- 21:52inclusion at the Department is a heavy
- 21:54lift made lighter by many hands.
- 21:56This is work that we all must do together
- 21:59and I see my role is the inaugural
- 22:02Chief Diversity Officer as a catalyst.
- 22:04Who can galvanized and
- 22:06support a collective effort.
- 22:07I intend to create trusting spaces
- 22:10where there's room for all at the
- 22:13table to support the beautiful and
- 22:15often messy work of dismantling
- 22:17racism at the House Study Center.
- 22:19To engage in this important work
- 22:21effectively and sustainably are first,
- 22:22so we focused on the internal work
- 22:25that is foundational in Paramount to
- 22:27the goals that we strive to achieve.
- 22:29I believe that leadership must be
- 22:31invested and committed to making
- 22:32these changes.
- 22:33I've had many conversations with
- 22:35Doctor Mays about my role and with
- 22:38each conversation I can honestly
- 22:39say that I leave with a new sense of
- 22:42excitement as it is clear to me that Linda,
- 22:45another leadership in the Child Study Center,
- 22:47are committed to supporting policies
- 22:49and practices that will not
- 22:51only increase diversity,
- 22:52equity and inclusion,
- 22:53but are also anti racist.
- 22:55We are aligned in efforts to
- 22:56center race while not ignoring the
- 22:59varying expressions of diversity
- 23:00and how they all intersect.
- 23:02I also am grateful for the mentorship
- 23:04and guidance from Dean Lattimore.
- 23:06Another diversity champions
- 23:07at the School of Medicine.
- 23:08He and I are working closely together
- 23:11and you'll hear more from him
- 23:12soon to ensure that our diversity,
- 23:14equity and inclusion efforts
- 23:15are aligned with his vision
- 23:17for the School of Medicine.
- 23:21I think that one of the most powerful
- 23:23statements that we can make in addition
- 23:26to the commitment that leadership has
- 23:28made by supporting this role is to
- 23:30expand our mission and values with
- 23:32language that reflects our pledge
- 23:34to increase diversity in all of its
- 23:36forms in our organization and develop
- 23:39practices that are equitable, inclusive.
- 23:40And then how racist.
- 23:42This will make a strong statement to
- 23:44current and potential stakeholders about
- 23:46our commitment to these values in perpetuity.
- 23:50This will be an important step to
- 23:52the culture shift that we seek and
- 23:54will have impact on recruitment.
- 23:56And retention efforts.
- 23:58To ensure that the varied voices
- 24:01across the center are reflected,
- 24:03I'm setting out on a mission to listen
- 24:05to understand I'll be conducting a
- 24:07listening tour to meet with all the
- 24:10constituencies who make up the education,
- 24:13research and clinical groups at
- 24:14the Child Study Center.
- 24:16I'm deeply committed to creating
- 24:18safe and inclusive spaces that
- 24:20will encourage our staff,
- 24:21faculty and students to speak
- 24:23openly about their priorities.
- 24:24Ideas about diversity,
- 24:26equity, inclusion,
- 24:26and their experiences at
- 24:28the Child Study Center.
- 24:30The positive and supportive,
- 24:31as well as the damaging and demoralizing.
- 24:35I'm beginning to rain small gatherings,
- 24:37individual meetings and anonymous platforms,
- 24:39which I hope will buoy our members
- 24:41to share in a way that feels safe and
- 24:45helps to advance our collective efforts.
- 24:48These conversations will help us
- 24:50determine center wide trainings and
- 24:52convenings with skilled and expert
- 24:54facilitators will support us in the
- 24:56internal work that each of us must embark on.
- 24:59It's only once we are more attuned
- 25:01with our own biases and willing to
- 25:04understand and accept her racist and
- 25:06exclusionary practices impact us and
- 25:08how we contribute to them that will
- 25:11be able to transform our system.
- 25:14Each of us must participate,
- 25:16and each of us must be held responsible
- 25:19to contribute to achieving a truly
- 25:21diverse and inclusive child.
- 25:23Study Center and education,
- 25:25research and clinical services.
- 25:27In the spirit of inclusion,
- 25:29and to gain a holistic perspective,
- 25:31I believe that we need to ensure that
- 25:33we are not only creating opportunities
- 25:35to hear from all parts of the center,
- 25:37including those we serve,
- 25:39but that what we learn from the unique
- 25:41experiences and perspectives of our child.
- 25:43Study center community members
- 25:44is used to inform our policies,
- 25:46practices and procedures.
- 25:47Our previous Diversity Committee
- 25:48engaged our community in climate
- 25:50studies over the summer.
- 25:51We gathered with the audacity to
- 25:53dream and generate some areas of
- 25:56focus for my new role.
- 25:57We also have important demographic
- 25:59data to sift through and I will review
- 26:01and analyze the information that we
- 26:03have to gain a better understanding
- 26:05of representation and diversity
- 26:06as it stands across the center and
- 26:09to help set our course.
- 26:12Just as we looked within for
- 26:14candidates for this position will
- 26:15look within to assess evaluation and
- 26:18promotion protocols and standards.
- 26:19Note where our thoughts about
- 26:21professionalism and merit,
- 26:23or colonized exclusive,
- 26:24an inequitable and worked to broaden our
- 26:26views and develop equitable practices.
- 26:28Our conversations around the center have
- 26:31highlighted that many of our colleagues of
- 26:33color and members of other marginalized
- 26:36groups feel that they have been passed
- 26:38up because the measure is narrow,
- 26:41privileged and inequitable.
- 26:42Examining this will be an important
- 26:44step to making changes to our promotion
- 26:47practices and to increase diverse
- 26:49representation and retention of talent.
- 26:52I believe that this process will also
- 26:55inform our recruitment practices and
- 26:57help inform the changes and efforts
- 26:59required to diversify our pools of
- 27:02candidates for any given position.
- 27:03There are many facets of recruitment and
- 27:06retention that factor into this work.
- 27:07Compensation,
- 27:08mentorship and support for higher
- 27:10education are just some of the areas
- 27:13that we can consider and try to address.
- 27:16We must hold ourselves accountable
- 27:18to use the ideas and information
- 27:20collected to help chart our course
- 27:22tored the change that we all envision.
- 27:24Taken together,
- 27:25these activities will help fine
- 27:27tune the work ahead of us.
- 27:29They'll help us determine
- 27:30training opportunities.
- 27:31The development and focus of our diversity,
- 27:34equity and Inclusion
- 27:35Committee to center race,
- 27:36while not ignoring or excluding other
- 27:38underrepresented groups and guide the
- 27:40creation of a multiyear diversity,
- 27:42equity and inclusion plan that
- 27:43meets our needs and is in alignment
- 27:46with Dean Lattimore strategy.
- 27:48For the School of Medicine.
- 27:50The work ahead of us is not mine alone,
- 27:53but his hours to embrace in shape
- 27:55as a center to create a culture
- 27:57that is so welcoming,
- 27:59inclusive,
- 27:59supportive and diverse that rivals
- 28:00our reputation of academic excellence.
- 28:02Our patients for this work will need
- 28:04to match our passion and commitment,
- 28:06and I firmly believe that together
- 28:08we will affect important change that
- 28:11will have lasting and significant
- 28:12impact on each of us in the Community.
- 28:15We seek to serve.
- 28:18Alright, thank you so much.
- 28:20Well, I think everyone listening can
- 28:22see why you are chief diversity Officer
- 28:25and we're just very very great before.
- 28:28So from terraville to demand more.
- 28:34So leave it to the Dean to break the rules.
- 28:38Unfortunately, I'm going to
- 28:39show a PowerPoint presentation,
- 28:41so let's see if we can get that.
- 28:45Let us know if you need help, Darren.
- 28:55Are you guys seeing my slides?
- 28:58So my name is Darrell Adam,
- 29:00where I'm the deputy Dean for
- 29:02diversity equity inclusion.
- 29:04I'm also an associate professor
- 29:05in general internal medicine.
- 29:07I became part of the yells family
- 29:09in 2017 after leaving the rest of
- 29:12California Davis at the beginning of
- 29:15this year with our new Dean Nancy Brown.
- 29:18One of her major goals for me was
- 29:20to develop a road map on how we were
- 29:23going to be better in diversity,
- 29:26equity and inclusion.
- 29:27And So what I'm going to show you today is,
- 29:30at least with, the draft is now,
- 29:32so I'll be very clear this is
- 29:34not been finalized.
- 29:35This is still a work in progress.
- 29:39Diversity is a fact.
- 29:41The numbers are the numbers.
- 29:44Equity is a choice,
- 29:46a choice we make on a daily basis.
- 29:50Inclusion is an active action
- 29:53and belonging is the outcome.
- 29:57The strategic plan is broken
- 29:59into these three.
- 30:00Sections recruitment,
- 30:01retention, an inclusion.
- 30:02I am going to walk us through
- 30:05what my goals are.
- 30:07Our goals are for each section
- 30:09and what the strategies are.
- 30:11I am not going to get down
- 30:13to the action item level.
- 30:16There are approximately 75 of
- 30:17those an for each action item,
- 30:20there is at least one metric
- 30:23by which to measure it.
- 30:25Recruitment.
- 30:26As my colleague just before me talked about,
- 30:31the goal is to make yellow School
- 30:34of Medicine a destination home
- 30:37for academics and to really truly
- 30:40make it very clear diversity is
- 30:43inextricably linked to excellence.
- 30:46Be outcome.
- 30:49When looking at the recruitment as a bucket,
- 30:52we have four areas that we're
- 30:55looking at immediate pipeline.
- 30:56Think of our post docs are
- 30:59residents are fellows.
- 31:00Think of the people whom we trade.
- 31:03If one was to be really think about it,
- 31:07the easiest way to diversify your
- 31:10faculty is to retain the diversity
- 31:12of your training needs and also
- 31:15quite frankly much cheapest
- 31:17way to turn your faculty.
- 31:19Is to retain your Chinese,
- 31:21and so this is very low hanging
- 31:23fruit that would just a few
- 31:26strategies implemented and creating
- 31:28a climate of which are trainees.
- 31:30Hilda thriving.
- 31:31We could easily and quickly
- 31:34begin to diversify our faculty.
- 31:36The second bucket is around the
- 31:39traditional thinking about diversifying
- 31:40faculty Ann really honestly,
- 31:42one of the things which Ontario
- 31:44talked about is just standardizing
- 31:46the recruitment process.
- 31:48This sounds so simple,
- 31:49but data really suggest if you
- 31:51have a true structure process to
- 31:54actually bring in new talent,
- 31:56you most likely will increase
- 31:59the diversity of that talent.
- 32:01The next one the University already has
- 32:04a faculty excellence and diversity fund.
- 32:06My goal is to reimagine how
- 32:08we're using that to be more
- 32:11strategic in how we're using it
- 32:13to actually accomplish our goals.
- 32:16And then Lastly,
- 32:17we bring extraordinary talent
- 32:19onto campus on a daily basis.
- 32:22Being a grand rounds,
- 32:24being a invited lecture series,
- 32:26I will tell you my experience
- 32:29when I go to other campuses,
- 32:32which is often at least 50%
- 32:35of the time.
- 32:36At some point during that visit,
- 32:39a conversation such as.
- 32:41Are you happy at year?
- 32:44Have you ever thought about leaving Yale?
- 32:47Are you moveable? At least 50% of
- 32:52my engagements on other campuses.
- 32:55I'm almost never privileged to
- 32:57us having similar conversations
- 32:59with extraordinary talents,
- 33:01we bring onto our campus.
- 33:03We need to start thinking about
- 33:06opportunities to start soft
- 33:08recruitment in much more diverse ways.
- 33:11Including anytime we bring
- 33:14talent onto our campus.
- 33:16Moving to retention.
- 33:19Our goal with retention is you
- 33:22create inclusive environment that
- 33:24provides sponsorship and the
- 33:26resources needed so that every
- 33:29member of our community thrives.
- 33:34The outcome that we're looking for.
- 33:38As you can see I have many more strategies
- 33:41here and this is quite intentional.
- 33:44Most institutions spend a lot of
- 33:47time thinking about recruitment,
- 33:48bringing in new talent, and doing almost
- 33:52nothing to retain what they have.
- 33:55I have to be honest with you on my arrival,
- 33:59one of the first analysis idea
- 34:01was the turnover of our faculty.
- 34:03I won't give specific numbers,
- 34:05but I will say it left a
- 34:08great deal to be desired.
- 34:11We cannot recruit our way out of our problem
- 34:15if we do not somehow stop the losses.
- 34:19I also want to bomb points out in this slide.
- 34:23You see the word equity in equitable alot.
- 34:26I would be very clear Darren Lattimore
- 34:29is not trying to give women upper
- 34:33hand over men to give minorities
- 34:35in upper hand over majority to
- 34:38give the LGBTQ I community upper
- 34:41hand over head on normative people.
- 34:43That is not the goal.
- 34:46The goal is to actually give
- 34:48those minoritized, marginalized,
- 34:50and stigmatized communities
- 34:51equal access to sponsorship,
- 34:53equal access to resources so they haven't.
- 34:56Equitable Chance of actually
- 34:58accomplishing goals that they
- 34:59set out when coming to Yale.
- 35:07Having the last group is around inclusion.
- 35:14To create an environment
- 35:15where diversity I'm using,
- 35:17this very broadly thrives and
- 35:19there is a genuine commitment to
- 35:22continuously improve inclusion,
- 35:24and every member of the Yale
- 35:27School of Medicine Community
- 35:29feels a sense of belonging.
- 35:33Again, the outcome.
- 35:37Here I want to focus just predominately
- 35:39on the kind of green bar in saying that
- 35:42the goal here is about allowed education.
- 35:45Tar spoke to this and I have.
- 35:49Have harder with the Child study
- 35:52center are multiple educational
- 35:54opportunities since George Ford's murder.
- 35:58Our goal is to have a menu of
- 36:01opportunities realizing that each
- 36:02member of our community is in a
- 36:05different place for some of us,
- 36:07we still need to understand the
- 36:09implicit biases for some of us
- 36:11are moved onto microaggression
- 36:13bystander training for some of us,
- 36:15we need to figure out what
- 36:17that crucial conversation is,
- 36:18and for others of us we are ready
- 36:21to have a Frank conversation about
- 36:24racism in America and in healthcare.
- 36:27And so my office is really trying
- 36:29to stand up a menu of educational
- 36:32opportunities and the goal here is
- 36:35very simple for us to actually get
- 36:38to learn and understand each other.
- 36:42For each of us to see the humanity
- 36:45in one another.
- 36:46And hopefully to respect with each and
- 36:50everyone of us brings to the table.
- 36:53Then,
- 36:54and only then do I believe each member
- 36:57of our community can feel like they belong.
- 37:04My last slide that I have is to
- 37:08acknowledge and remind myself every
- 37:11time you heard Dean Lattimore say I.
- 37:15Please, please search the truth that
- 37:17with we this is my incredible team.
- 37:19Each and every person is extraordinary
- 37:21in their own right and we would not
- 37:24have accomplished or I wouldn't have
- 37:26accomplished all that this office
- 37:28has accomplished without the support
- 37:30and extremely hard work of each
- 37:32and everyone of these individuals.
- 37:34So in their absence, I say thank you.
- 37:38And with that I will stop sharing and
- 37:41hopefully we can have a robust conversation.
- 37:46So Megan, Terra and there are many,
- 37:49Many thanks. There's two
- 37:51questions already in the chat.
- 37:54So one eyes, both from Lynn
- 37:56Red Leaf on one is Megan.
- 37:58I believe it's about moms.
- 38:00Any plans to expand the geographic
- 38:01reach given the virtual platform.
- 38:06Absolutely thanks, Lynn Lynn. You absolutely.
- 38:08I think the virtual platform does
- 38:11open up tremendous potential for
- 38:13us to think about that expansion.
- 38:15You know, with elevator work is really
- 38:18with government partners and systems
- 38:20because we see philanthropic dollars as an
- 38:23opportunity to catalyze some of the work.
- 38:26And but we really need government
- 38:28systems and structures to sustain
- 38:30it and to institutionalized it.
- 38:32So we very much think that
- 38:35virtual landscape now.
- 38:36And hopefully as we continue
- 38:37to get additional data on the
- 38:39effectiveness of the virtual platform,
- 38:41we can certainly look to expansion some
- 38:43of our work that we're beginning in New
- 38:46York City because we're working with, you.
- 38:48Know, for example,
- 38:49populations that are involved
- 38:50in the carceral system.
- 38:51We may even do some of that work.
- 38:54Virtually.
- 38:54We're just we're still waiting to speak,
- 38:56but please do get in touch with me
- 38:58if people have ideas for additional
- 39:00expansion of the virtual work.
- 39:03And then Terrell, the next one would
- 39:05be for you is also from Lynn and
- 39:08it's about, as Lynn points out,
- 39:10she is from Minneapolis on
- 39:12the home of George Floyd and.
- 39:15How could we maybe think about
- 39:17how we could help in Minneapolis?
- 39:19So replicate what you're starting
- 39:20to do in Minneapolis just to
- 39:22open up that conversation.
- 39:26Well, I think one of the most important
- 39:30things to recognize is that we have a
- 39:34number of what Dean Lattimore refers.
- 39:37His diversity champions across
- 39:39the University an and in all the
- 39:42institutions of higher education with
- 39:45this highly televised and publicized.
- 39:48Event of George Floyd's murder.
- 39:50There has been a number of efforts
- 39:53here at the Child Study Center,
- 39:56but across the nation to
- 39:59increase the support for.
- 40:00Money and efforts to support a
- 40:02change to make these changes
- 40:03to really focus on diversity,
- 40:05equity and inclusion.
- 40:06So I think that there's a number of
- 40:08different opportunities to partner.
- 40:09I think that as we learn more and
- 40:12learn about how what we need here
- 40:14and what some of the changes aren't,
- 40:16what some of the successes look like,
- 40:18we'll be able to work with others,
- 40:20as we often do to replicate outcomes,
- 40:22and so I don't know if that get
- 40:24to the whole answer.
- 40:26And I'm sure perhaps seeing Lattimore
- 40:28has some other things to add,
- 40:29or Megan, but.
- 40:30Certainly I think about the very
- 40:33many opportunities to collaborate
- 40:35and share information.
- 40:37Then Darren.
- 40:39To your specific question,
- 40:41but I will say that in the plan
- 40:45and actually starting information
- 40:47already is to really start to think
- 40:50about how to yield as a resource,
- 40:53relatively speaking,
- 40:54wealthy institution how we could be
- 40:56much more helpful to institutions,
- 40:59neighborhoods,
- 40:59communities that are not as resourced,
- 41:02and we've already started working,
- 41:04reaching out to historically
- 41:06black universities and
- 41:08colleges to start doing those.
- 41:10Partnerships the University of Puerto Rico
- 41:12system to start some of those partnerships.
- 41:15So again, it's not specifically to the
- 41:17neighborhood that you're talking about.
- 41:19With that concept of how can we
- 41:21help utilize our resources to make
- 41:24this an entire world better place?
- 41:26I think it's extraordinarily good question.
- 41:30Thank you Darren.
- 41:31Thank you Tara so Debbie,
- 41:33from Debbie Hillebrand.
- 41:34Biden has recruited a faculty member
- 41:36from Yale who is a background
- 41:38in racial equity in medicine.
- 41:39What role will ethnicity play in the
- 41:42distribution of vaccines and discuss
- 41:43equity with covid medical care?
- 41:45And I would just say before I turn
- 41:47to anyone to Darren or Terror or
- 41:50Megan that we're incredibly proud of.
- 41:52Marcella and the fact that she
- 41:54is a part of the Biden team,
- 41:56but maybe let me turn it to
- 41:58my three colleagues.
- 42:05There, and so
- 42:06Darren is purely postulating
- 42:08'cause Darren is not on the team.
- 42:11But I will say this can
- 42:14play out in multiple ways.
- 42:16In all honesty,
- 42:18one could be unfortunately our
- 42:20historical and healthcare in America
- 42:23is minorities and other poor folks
- 42:26actually having access lasts quite frankly.
- 42:30Um, so that would be the historical,
- 42:33but it also could play out as African
- 42:36Americans and other Brown people
- 42:38have been used as our experiments.
- 42:41Quite frankly,
- 42:42throughout history and fear by so many
- 42:45people in the community that the vaccine
- 42:48has been rushed and therefore I'm not
- 42:51gonna be the first one to sign up.
- 42:54So even if it is dispensed equitably
- 42:56without some serious work in the Community,
- 43:00actually communities most affected
- 43:01may not be the first ones to sign
- 43:04up because they don't want to be
- 43:07part of another ski experiment or
- 43:09A and there's a whole long list
- 43:11of these experiments that have
- 43:13happened in this country that have
- 43:16given black and Brown people pause
- 43:18to be the first ones in line.
- 43:20So again, this is gearlds.
- 43:22Hypothesising is not based
- 43:24on being part of the.
- 43:25Decision making.
- 43:28And then I I was going to, just,
- 43:31you know, amplified Elon Mars Point
- 43:32there about the necessity for Community
- 43:35partner community based approaches.
- 43:36There were just beginning some work
- 43:38with Elevate and the Tobin Center for
- 43:41Economic Policy through a grant from
- 43:43the Rockefeller Foundation to work on
- 43:45the contact tracing efforts and thinking
- 43:48about equity with contact tracing.
- 43:49And really, how you know the contact
- 43:52tracers similar to Community health
- 43:54workers a bit similar to our role is
- 43:56Community mental health ambassadors.
- 43:59How contact tracers can really be
- 44:01utilized to participate in some of
- 44:03those community approaches so you know,
- 44:05I think those are some promising strategies
- 44:08that we do have in that community.
- 44:11Partner approach Terra.
- 44:12Another part of that question was to discuss
- 44:15equity with Koben medical care in New Haven.
- 44:18We are a sanctuary city and so we have
- 44:21a number of undocumented families who
- 44:23don't have health insurance and so
- 44:26just by the virtue of that they're not.
- 44:29Able to access care and they end up suffering
- 44:32longer and making it to the hospital.
- 44:35And it has progressed rather far so
- 44:37we don't have an equitable way for
- 44:40that for folks to receive treatment.
- 44:42Who are undocumented?
- 44:43I think another element to build off of
- 44:46what Dean Lattimore was talking about
- 44:48in terms of the fear that black and
- 44:51Brown people tend to feel with relation
- 44:54to medical procedures is that there's
- 44:56a number of studies that indicate that.
- 45:00Folks of color an women their
- 45:02experiences of pain that are dismissed
- 45:04and sort of downplayed.
- 45:05And they're not paid attention to in
- 45:08in the hospitals to the same levels,
- 45:10and so I would imagine again,
- 45:12like Dean Lattimore.
- 45:13I don't this is my area of study,
- 45:16but I would imagine that that would
- 45:19influence somebody's decision to
- 45:20go and receive care.
- 45:23Thank you a follow up as a file question
- 45:25about the state of Connecticut.
- 45:27This conversation has been, uh, uh,
- 45:29a forefront conversation since the
- 45:31beginning in the state of Connecticut,
- 45:33Yale, New Haven Hospital and I can
- 45:35say at least in our system with those,
- 45:37and I will be very clear who
- 45:40actually make it into our system.
- 45:42We are actually not seeing just proportional
- 45:44outcomes based on race and ethnicity,
- 45:46but again, those are the ones who
- 45:48actually make it into the system.
- 45:52Tara, would it be appropriate to
- 45:54comment on what we've experienced
- 45:56in the outpatient clinic in terms
- 45:58of families coming for care?
- 46:00Not necessarily specifically related
- 46:01to Covid, but you mentioned New
- 46:03Haven is a sanctuary city and.
- 46:07I store. I mean, I am incredibly
- 46:10proud that the outpatient clinic has
- 46:12that we will see who needs our help
- 46:16regardless of their citizenship.
- 46:19And we have worked to create processes
- 46:22and policies to make that a discreet
- 46:25and welcoming process for folks.
- 46:28And so we're very fortunate that in the
- 46:31outpatient clinic we have a number of
- 46:35bilingual Spanish speaking folks, many of.
- 46:37Our people are are the folks that we serve
- 46:40in the community are Spanish speaking,
- 46:43but we also through the hospital
- 46:45have access to interpreter services,
- 46:47so we're also able to serve the
- 46:50population from the Middle East
- 46:52that we have here as well.
- 46:54And we've been able to provide
- 46:56those services as I said,
- 46:58without regard to citizenship or,
- 46:59and we can provide them without
- 47:02consideration for their ability to pay.
- 47:04So people who need services can get them,
- 47:07and that's that's really important.
- 47:08And that's an important point of access.
- 47:11And so it's it's.
- 47:12It's a really lovely feeling to not
- 47:15have to turn people away because we
- 47:17can't because they can't pay your
- 47:19because we don't speak their language.
- 47:21So we're very,
- 47:22very fortunate.
- 47:23And that is a service that is very
- 47:25unique to our child study Center an
- 47:28our services through the hospital.
- 47:30I think some of the other points of
- 47:33access that we've seen an that's been
- 47:35talked about a little before is that
- 47:38there's the divide of resources and
- 47:40so many of our families as I said.
- 47:43Earlier didn't have access to devices
- 47:45to be able or they had one device
- 47:48among the whole family and the idea
- 47:51of dedicating that device weekly
- 47:54for 45 minutes was either challenge
- 47:56or impossible for some families,
- 47:58and so we did have some families
- 48:01that weren't able to participate
- 48:03right after how the pandemic struck.
- 48:06However,
- 48:06when the schools receive money to
- 48:08be able to disseminate more devices,
- 48:11we saw and.
- 48:13An increase in intakes at that time
- 48:15and so that is another way I think
- 48:18we've learned a lot from Tele Health.
- 48:21We've been able to serve folks
- 48:23with wonderful outcomes.
- 48:24There are some populations in some
- 48:27situations that are tricky to do at
- 48:30where in person makes a lot of sense,
- 48:32and I know also throughout this
- 48:34pandemic we've been able now that
- 48:37we have the appropriate PPE,
- 48:38we've been able to put policies and
- 48:41procedures in place that ensure the
- 48:43safety of our faculty and our staff.
- 48:46And our our.
- 48:49Clients are patients,
- 48:50and so we've been able to safely provide
- 48:53some in person services for those
- 48:55who have struggled with the Tele Health.
- 48:57So I think we've we've seen we've
- 49:00learned a lot about the what the
- 49:02some of the barriers to access
- 49:04our an we've learned more about
- 49:06how we can overcome them,
- 49:08and so that I think that makes for a nice,
- 49:11exciting future moving forward.
- 49:14Thank you. So let's see a question
- 49:18from Doctor Landero's and let me let
- 49:21me try to rephrase the question.
- 49:24So Angie, I believe that you're asking
- 49:26a very important question of how do
- 49:29we provide mentorship to all of our
- 49:31colleagues who were taking on these
- 49:34tasks without overburdening them?
- 49:36And especially our black and Brown
- 49:38colleagues who are helping us move
- 49:41forward without overburdening?
- 49:42Is that your question, Angie?
- 49:48Our let's let's assume that's
- 49:50the phrasing and who would like
- 49:52to who would like to go with it?
- 49:53I'll start, you know. This can jump in I,
- 49:56I think about this a lot.
- 49:59As I'm terribly.
- 50:00Is actually mentioning earlier
- 50:02that we recogn diversity champions,
- 50:04so I'm actually hoping that there is
- 50:07a person identified in each Department.
- 50:09We've already come together how
- 50:12we had two meetings as far,
- 50:14but we're planning to have monthly
- 50:17meetings to support one another to have
- 50:20formal training in how to do DEI work,
- 50:23and more importantly,
- 50:24also to be a resource to one another.
- 50:28What I think is equally important
- 50:30this question ears if we feel
- 50:33that this is a important.
- 50:34If we feel that somebody will need to
- 50:37dedicate part of their career to this.
- 50:40Are we standing this up
- 50:42in our promotions process?
- 50:43Are we standing this up and we're
- 50:46looking at who future leaders are, etc.
- 50:49So I think it's a very good question and
- 50:52we need to be very intentional about it.
- 50:55Or quite frankly we will be
- 50:57burning burning this the people
- 50:59who have been traumatized.
- 51:01And hurting their careers.
- 51:02If we are not very intentional about
- 51:05this work and what it will mean in
- 51:07their advancement moving forward.
- 51:09So thank you for the question.
- 51:13Terra, Megan. Any additional comments?
- 51:22So let me open again the virtual
- 51:25floor to anyone in the audience
- 51:28with additional questions or.
- 51:30But you'd like to hear
- 51:32our R33 speakers address.
- 51:36After all, one out,
- 51:37I mean I was in the middle of typing it,
- 51:40but it's much easier to talk than to
- 51:43type the same time I and this goes back
- 51:45to a comment that you made in Lattimore,
- 51:48which I think is crucial,
- 51:49which is in need to increase understanding of
- 51:52the lived experiences of a diverse community.
- 51:54An I think that while we have so many
- 51:56ideas about the solutions of helping
- 51:58with the health and well being clearly,
- 52:00the people who are living these lives
- 52:02have a lot of really great solutions.
- 52:05And you had mentioned doing
- 52:06workshops and training.
- 52:07And I was hoping you could
- 52:09speak more about that.
- 52:10Anan also asked whether there might
- 52:12be other opportunities to expand
- 52:14on the space for that discourse.
- 52:20So I want to be very honest.
- 52:22This part is early because we
- 52:24have not hired the individuals
- 52:26who are going to help expand this.
- 52:29So currently is myself and Roshel
- 52:31Smith on the team doing most of
- 52:34this educational workshops we
- 52:35trying and actually figure out the
- 52:38needs of that local environment.
- 52:40So like when we worked with
- 52:42the Child Study Center,
- 52:43we have multiple conversations
- 52:45with your leadership about what you
- 52:47actually needed and created the
- 52:49conversations around those needs.
- 52:51So that's our approach is just
- 52:53coming in with.
- 52:54This is our little cookie cutter
- 52:56blah blah blah and we're going
- 52:58to just give it to you,
- 53:00whether that's what you need or not.
- 53:02But the expansion to be truthful,
- 53:05I need another one body who's
- 53:06who actually the job description.
- 53:08This will be the job is literally
- 53:11helping departments move forward in
- 53:12their understanding in these areas.
- 53:15This is something like creating a
- 53:17board of advisors from the community to serve
- 53:20the Child Study Center.
- 53:21Is that something that
- 53:22might be of interest?
- 53:24I know that in talking with some of
- 53:26the Community folks that I work with
- 53:29there, they would be very interested
- 53:30in serving in some type of role like that.
- 53:33I will let Tara speak specifically
- 53:35to the Child study Center.
- 53:37I have toyed with but have not figure
- 53:39out exactly what it should look like.
- 53:42Having won a community
- 53:43Advisory Board to my office,
- 53:44which would give more larger picture?
- 53:47Then just a Sinner, but I'll let
- 53:49Tara talk specifically about the center
- 53:52Terra through work.
- 53:53I know within the center one of the
- 53:56responsibilities or one of the tasks
- 53:59that they would like me to help take on
- 54:02is creating and an having a board here.
- 54:05A committee really to think about that work?
- 54:08And I think I've thought
- 54:10about it in two ways.
- 54:12I thought about it in terms of.
- 54:16Getting the information from all of us
- 54:18within the center who are working so
- 54:20that we can make sure that we're not
- 54:23only considering the experiences of all
- 54:25the different folks that come to us.
- 54:27All the different disciplines and
- 54:28sort of that we're pulling from
- 54:30research that we're pulling from
- 54:32clinical work that we're pulling from
- 54:34education to inform and really know
- 54:36the direction that we're going to go.
- 54:38But that would be informed by this
- 54:40listening tour that I was talking bout
- 54:42to really understand where the need
- 54:44is and to look at the information.
- 54:46That was has already been gathered.
- 54:49That's kind of around the center so we
- 54:52can understand that and understand the need.
- 54:55I also have,
- 54:56and this is well before taking on
- 54:59this role as the diversity officer.
- 55:02But I've always thought that having
- 55:05some kind of community committee
- 55:07or panel that calls the families
- 55:09that we serve on one level to talk
- 55:13and to understand their experience.
- 55:15I I struggle a lot with deciding
- 55:18for communities what they need.
- 55:20A man really think it's important that
- 55:22we invite the community to help us
- 55:25understand their lived experiences.
- 55:26As Darren had said earlier,
- 55:28but also to be able to truly inform
- 55:31the directions that we have to take
- 55:33so that what we're doing is actually
- 55:36meeting the need and not our own
- 55:38sort of desire to feel useful,
- 55:40and so that is yet another level.
- 55:42And I would imagine that there
- 55:44is opportunity or there will be
- 55:46opportunity to think about how we
- 55:48collaborate with other providers
- 55:50and other Community resources.
- 55:52To think about the ways that we can
- 55:54partner to think about the ways
- 55:55that we can strengthen our approach
- 55:57within our community.
- 56:01Megan, do you want to comment it too?
- 56:04I was just thinking that you
- 56:06know it's just going under.
- 56:08They think TB you last time to really
- 56:11resonates in terms of thinking about,
- 56:13you know absolutely the patients
- 56:15and their families that we serve.
- 56:17I think that's critical and also
- 56:19adding another layer of providers
- 56:21that are providing not only health
- 56:23care but basic needs services.
- 56:25You know, we know that that
- 56:27layer is just so essential.
- 56:29So providers are providing
- 56:31food and housing and diapers.
- 56:33Really need to be at the table as well.
- 56:35I think in this kind of board,
- 56:37so that would be,
- 56:37you know if we're thinking about really
- 56:39addressing the social determinants,
- 56:40I think that would be really important.
- 56:44We have a couple more minutes.
- 56:46Are there other questions
- 56:47from from the audience? Have
- 56:49a question for Dean Lattimore?
- 56:52Certainly. Then you
- 56:54said that once folks get into the system.
- 56:59But big provider, but once they
- 57:02get into the system the results
- 57:04are equitable and I'm wondering
- 57:07if you can provide more context to
- 57:10that. To what do you
- 57:12attribute that? How recent and
- 57:15how unusual? And more weather,
- 57:17if unusual experience. Actually
- 57:19what I meant to say if is that
- 57:22unfortunately currently when
- 57:24people get into the system,
- 57:25results are not equitable.
- 57:27That is the goal of the retention
- 57:30part of the strategic plan.
- 57:32If we is that more in line with?
- 57:38Andy, were you asking about the health
- 57:40care outcomes that the matter was
- 57:42asking about the health care outcomes? Oh,
- 57:44I'm sorry, the code, and I'm so the
- 57:46and I don't have them in front of me,
- 57:49but actually the data that I've sent
- 57:51through from the Yale New Haven
- 57:53health system that actually in once
- 57:55in the system we did not seeing more
- 57:58mortality or morbidity amongst people
- 57:59of color for the same level of disease.
- 58:02I don't have it right in front of me.
- 58:05I apologize, but at least that
- 58:07is what they have.
- 58:08Published again,
- 58:09I'm gonna be very clear that is
- 58:11for the few people not to feed
- 58:14with the people who make
- 58:15it into the system, right? And that's
- 58:18an important proviso, but do you
- 58:20think even even with that
- 58:22limitation, that Yale New Haven
- 58:23is unusual in that respect?
- 58:25And if so, from a national perspective,
- 58:28yes, other data from other places would
- 58:30suggest even within the system you see
- 58:33desperate outcomes by race, ethnicity.
- 58:34And sorry for this and any ideas as to
- 58:38why. You Haven is doing better then
- 58:40also too. I do not have
- 58:42that conversation in gaps.
- 58:48And thank you for the question,
- 58:50though we can certainly,
- 58:51we can certainly have that
- 58:53conversation with our colleagues.
- 58:55There and would you agree absolutely.
- 58:57Yep. Other questions.
- 59:03Linda, I wanted to quickly circle back
- 59:06to the question that was raised about.
- 59:11Being thoughtful and careful not
- 59:13to overburden mentors. Yes please.
- 59:15And this is attention that I think
- 59:17has existed for quite some time.
- 59:19That there are folks would
- 59:21like to engage in mentor ship.
- 59:23There are folks were very interested in
- 59:25mentor ship with want to support mentorship.
- 59:28And there's a tension between finding
- 59:30the time to do that and some of some
- 59:33of the things that I think we need to
- 59:36think creatively about or how to be able
- 59:39to alleviate some of the expectation.
- 59:41Of some of their core job description or
- 59:44their productivity to be able to make time
- 59:47and protected time and space for that.
- 59:50And I think that's a conundrum that
- 59:52we we find ourselves up against often,
- 59:55but it is something that worthy of
- 59:57consideration and creative thinking
- 59:59so that we can do.
- 01:00:00That if this is a value that we
- 01:00:03want to uphold,
- 01:00:04mentorship has been mentioned
- 01:00:05across the board.
- 01:00:06I think in each of our presentations,
- 01:00:08so clearly something that we feel
- 01:00:10is important to have as part of
- 01:00:13our center and we would need to
- 01:00:14think creatively to find ways to
- 01:00:16alleviate some of that tension.
- 01:00:18An allow folks the space to do it.
- 01:00:22Couldn't agree more. Actually,
- 01:00:23on an I would look to all of you to comment,
- 01:00:27but it's in part almost like.
- 01:00:31I think this is not a perfect analogy,
- 01:00:34but it's like in a research
- 01:00:37teaching University.
- 01:00:38Oftentimes, teaching is even
- 01:00:39though its University is rewarded
- 01:00:42less than research productivity.
- 01:00:44Or scholarship.
- 01:00:45Whereas in some universities
- 01:00:46teaching is at the top,
- 01:00:48teaching is how people are
- 01:00:50promoted and rewarded.
- 01:00:52So how do you in a mini wise
- 01:00:54change that structure?
- 01:00:56That value structure and put all of
- 01:00:59those activities on an equal par
- 01:01:02mentorships scholarship clinical work?
- 01:01:04With any of you,
- 01:01:05add to that.
- 01:01:11I mean, just want I think that's
- 01:01:13the crux of it is really how
- 01:01:15to figure out how to do that
- 01:01:17and reward that right right
- 01:01:19will end on a very talkative.
- 01:01:22I'm sorry there is going to be provocative,
- 01:01:26least Aaron. It's our system.
- 01:01:28There is no higher being that has touched,
- 01:01:31Yellen said academic crowd is somehow
- 01:01:34worth more than mentorship versus clinical.
- 01:01:37So the question is when are we?
- 01:01:40The color now I'm still waiting to come to
- 01:01:43the conclusion that it's time for change.
- 01:01:46Absolutely no. I couldn't
- 01:01:47agree with you more there,
- 01:01:49and I couldn't agree more.
- 01:01:50Absolutely, I don't think
- 01:01:51it's that provocative.
- 01:01:55But appropriate. Other
- 01:01:58questions from the audience.
- 01:02:02We were again as in the other two sessions.
- 01:02:05We want to be respectful of everyone's
- 01:02:07time and you're taking the time to join us.
- 01:02:09And I'm just so grateful to Megan and
- 01:02:11Tara and Erin for helping us kick off
- 01:02:14this session and such a good discussion.
- 01:02:16So thanks everyone tomorrow afternoon.
- 01:02:18Join us for the data blitz and then for
- 01:02:20our panel discussion will have a full
- 01:02:23afternoon starting at 3:00 o'clock tomorrow.
- 01:02:25And don't forget the poster sessions
- 01:02:28if you haven't clicked on.
- 01:02:30But thanks everybody. Thanks.