Community-Driven Responses To Meet Urgent Basic Needs

Transcript

• 00:00Thank you very much. I would like to introduce our next speaker.
• 00:05The next speaker is Doctor Marcella Nunez Smith.
• 00:08Dr Nunez Smith earned her Andy from Jefferson Medical College in 2001 and her Masters of Health Science from Yale University in 2006.
• 00:18She is an associate professor at both the Yale School of Medicine and the Yale School of Public Health.
• 00:26She is also director of equity research and Innovation Center and director of cancer of the cancer for Research Engagement.
• 00:35She's core faculty in the national clinicians college program and deputy director at the Yale Center for clinical investigation doctor Nunez Smith.
• 00:44Thank you very much for being here.
• 00:54Good afternoon everyone and many things to Dean Brown and the workshop organizers for this invitation to join with the other presenters this afternoon.
• 01:03I walk in this opportunity to share some of the initiatives that exemplify the benefits of longstanding collaborations between Yale schools of Medicine and public health and the broader New
• 01:14Haven community. As we respond to the recent surge in urgent basic needs.
• 01:21Today I will highlight 5 examples of our colleagues quickly building up on their establish relationships with New Haven Community Partners,
• 01:30responding to their direct requests to work together to address specific and urgent needs.
• 01:36And I want to take a moment to acknowledge all of the critical work so many of you are doing to be of help in New Haven at this time.
• 01:46Beyond what will be highlighted today.
• 01:51So far today we will discuss efforts to address the growing local rates of food and housing insecurity.
• 01:57And In addition, we've heard from community partners with the need to also help with mobilizing volunteer networks,
• 02:05opening additional lines for communication and information sharing,
• 02:09and quick deployment of physical resources to community based organizations on the frontline.
• 02:16But first I want to step back and further frame the partner work that is underway.
• 02:22People are united anew in a shared mission to intervene and narrow racial,
• 02:28ethnic and socioeconomic disparities. Or witnessing alarming disparities in COVID-19 clinical outcomes.
• 02:37Across the entire country, communities and patients of color up your hardest hits,
• 02:42but staggering and disproportionate mortality burden.
• 02:47In Louisiana, 70% of patients who died as a result of Corbin 19th were African American.
• 02:53Compared with 32% of the general population.
• 02:57And in the city of Chicago,
• 02:58black residents are dying at nearly six times the rate of white presidents.
• 03:04Even as we push to improve the quality of data and include other demographic factors,
• 03:09we see New England is not spared from this national trend.
• 03:14In neighboring Boston, 40% of known positive kovit cases were among African Americans compared with the population representation around 25%.
• 03:25Locally, we are similarly concerned about communities that are at higher risk for infection and poor clinical outcomes.
• 03:35As we work hard to improve demographic data accuracy here,
• 03:38there are worrisome trends in Connecticut and New Haven.
• 03:43Hustle azatian rates for African Americans and Latin next patients already surpassed population representation of the state and local level.
• 03:51And within our health system,
• 03:53we know patients require ICU care have been disproportionately patients of color.
• 03:58And the local media and community leaders are certainly sounding the alarm.
• 04:06It's important to note that the contributions of COVID-19 disparities are multi factorial.
• 04:12We recognize several social realities that predate the pandemic.
• 04:17And also increase risk for patients of color.
• 04:20Such as their potential inability to socially distance because of low wage,
• 04:25essential work, and living in densely populated areas.
• 04:29The spread of misinformation action in combination with institutional distrust represent additional challenges.
• 04:38And In addition, limited access to health care and higher rates of coexisting conditions can worsen clinical severity once infected.
• 04:50So we know that many New Haven residents.
• 04:53Have high levels of social risk.
• 04:55The population of New Haven hovers around 130,000 residents.
• 05:00With a median household income of $39,000.
• 05:04Almost 1/3 of our residents self identifies black or African American.
• 05:09An almost 1/3 self identifies Latin next.
• 05:14The high rates of income inequality,
• 05:16food insecurity, and housing instability in New Haven that predate the pandemic have only been worsened by the company economic consequences.
• 05:27And from left to right you'll see that prior to COVID-19,
• 05:30the highest earning 5% of New Haven residents.
• 05:34May 10 times more money than the lowest 20%
• 05:37of earners. The burden of food insecurity was already alarming with rates ranging.
• 05:44From one quarter to half of all residents across our neighborhoods.
• 05:51And the rates of housing instability for adults and children in New Haven were also high,
• 05:56with notable disparities by race and ethnicity.
• 06:02With this background, I'll spotlight some of the yield community collaborative responses to each of these basic needs in turn,
• 06:09and will turn first to the pressing issue of food insecurity.
• 06:15The New Haven coordinated food assistance assistance network or see fan was previously organized to coordinate food programs in the city to better serve residents experiencing food insecurity with support
• 06:26from the Community, Alliance for research and engagement or care.
• 06:31Care which is Co located at the Yale School of Public Health and at Southern Connecticut State University School of Health and Human Services,
• 06:40has worked since its inception to identify chronic disease solutions through community based research and projects focused on social,
• 06:48environmental, and behavioral risk factors.
• 06:51Leaning on the established scifan infrastructure and care partnership.
• 06:56There were quickly pivoted to respond to the crisis and increasing demands on the local emergency food system.
• 07:06Together, see fan and care have successfully scaled food delivery to are homebound residents.
• 07:12With essential contributions from Alicia Santilli and Kathleen O'Connor,
• 07:16Destiny in under three weeks,
• 07:18the volunteer network rapidly expanded and over 450 home deliveries.
• 07:24Were made. Uniquely positioned, this collaboration was just awarded $150,000 grant from the yield community for New Haven fund to scale this home food delivery program to 1000 households.
• 07:40In addition, this team created a database to provide a real time update on open and available food resources.
• 07:50They work quickly to develop new food distribution protocols and integrate with tech platforms to optimize efficiencies,
• 07:57and they continue to work on the frontline to add value during this difficult time.
• 08:04And if you're interested in getting involved with their work,
• 08:07I will provide contact information and links for you to volunteer or donate at the end of the talk.
• 08:14And turning next to housing instability and very much,
• 08:17especially the specific needs of our homeless residents.
• 08:21This emerged early on as a basic need priority in New Haven.
• 08:29The city of New Haven's community services administration has long partnered with the National Commission Scholars Program or NCSP,
• 08:36to conduct research to improve the health and well being of New Haven's residence.
• 08:42The NCSP itself is a junior Interprofessional Fellowship program that is designed to prepare future clinician leaders to improve health and health care in the United States through scholarship in
• 08:54action. And several weeks ago,
• 08:57Machuda Hall himself a former yield CF,
• 09:00CSP, grad, and New Haven's current community services administrator,
• 09:04reached out to the NCSP with an urgent need.
• 09:09To provide safe respite for patients who test positive for kovid.
• 09:14And are also experiencing homelessness.
• 09:20The NTSB fellows and program leadership quickly formed a team,
• 09:24including several other yield experts in the care of homeless stations such as doctor David Rosenthal,
• 09:30a PRN, Sarah Lipkin, Doctor Emolo and Allison Cunningham.
• 09:35All to work together on a clinical protocol for the new shelter,
• 09:39one initiative. How is it a local New Haven high school shelter?
• 09:43One is a direct response to the cities urgent need.
• 09:48I will clinical pathways and protocols in place shelter.
• 09:51One can now temporarily house patients who test positive.
• 09:55Dave, but do not require hospitalization or who are clinically appropriate for hospital discharge but need to remain quarantined.
• 10:05As they iterate on this work,
• 10:07the Yale team in the city of New Haven plan to disseminate this model across their national networks for implementation of other cities.
• 10:15Again, I'll provide you with contact information at the end if you would like to get involved with the work at shelter one or offer donations of your time or
• 10:24PPY. So community based organizations on their frontline in New Haven almost from day one have been desperate for additional volunteers as the need rapidly expanded.
• 10:40And their employees had to deal with home schooling their own illness or potentially caring for other relatives.
• 10:49They also needed help to coordinate the volunteer response so as to not avoid using their limited resources to field and manage request.
• 11:01At a meeting of an established group of academic and community partners already working together to improve experiential learning in New Haven.
• 11:10The group pivoted their work to meet this need.
• 11:13Already is standing member of the group United Way of Greater New Haven became the host of the new web based portal for volunteerism which went live in two days.
• 11:26Mr Ng Comedian Community engaged.
• 11:28Scholarship was founded in 2005 and includes over 30 members.
• 11:32Mix of New Haven leaders and I could emissions from across several academic and health institutions in the city.
• 11:40A strong committee meets monthly and facilitates equitable research partnerships and has supported or lead over 40 projects,
• 11:48many in conjunction with NCSP,
• 11:50follows. And he'll faculty. And it has been my distinct pleasure to service culture of this group along with Miss Natasha Ray,
• 11:59who is the director of New Haven.
• 12:01Healthy start. This group subcommittee on experiential learning,
• 12:06which is Co led by Susan Nappy at the Yale School of public health and terrorism at Yale School,
• 12:14medison, along with academic and community based organization numbers,
• 12:17continue to work together to steer volunteers to the new United Way Portal.
• 12:25Organizations are able to post their urgent volunteer needs.
• 12:29Their volunteers can commit in real-time,
• 12:32streamlining the logistics of voluntarism.
• 12:34And with multiple yield schools,
• 12:37Quinnipiac University, southern Connecticut State University and the University of New Haven and a standing committee members,
• 12:44this resource was quickly disseminated.
• 12:47And I thank you, all of them,
• 12:49many students and faculty members who have volunteered through this portal and continued to give generously of your time.
• 13:01Thinking now about information sharing as a basic urgent need,
• 13:06very early on, community members requested an interactive platform where they could engage in dialogue and trustworthy exchange of information with your faculty.
• 13:18The yell cultural ambassadors raised this need as misinformation began to spread across New Haven and many residents were confused by conflicting messages or messages not tailored for their reality.
• 13:33The Yale cultural ambassadors includes leaders from Hunter for progressive action and the African Methodist Episcopal Zion Church.
• 13:43This group has worked closely with the L Center for clinical investigation or why CCI for over 10 years to support clinical research and increased diverse participation in clinical trials.
• 13:57And in response to this request for timely at accurate COVID-19 information contributors from why CCI Yale,
• 14:04New Haven health heal medison any old School of Madison have helped launch weekly virtual informational town halls.
• 14:13Our most recent call this week reached over 300 New Haven residents,
• 14:18including over 100 participants on the call and others joining through Congregational life streaming.
• 14:26These are some few examples of pre posted questionnaires.
• 14:30Sorry questions that were addressed during the town Hall and raised by participants.
• 14:37The yellow cultural ambassadors and other community leaders are invested in learning more about COVID-19 racial ethnic disparities.
• 14:46Learning more about emerging treatments and opportunities to participate in clinical research,
• 14:51such as vaccine development and practical information,
• 14:54to share their within their own networks.
• 14:57These town halls are open to all community members.
• 15:01And please consider being available to share your expertise with this group in the future.
• 15:08And of course, the need to rapidly deploy physical resources to sustain organizations on the frontline is para log.
• 15:17We are fortunate in New Haven to have many assets.
• 15:21The community based organizations themselves,
• 15:24strong academic institutions are neighborhoods and also generous philanthropy.
• 15:31And in that spirit, the Community Foundation for greater New Haven.
• 15:37And United Way for greater New Haven joined forces to launch the Greater New Haven COVID-19 Community Fund with unprecedented speed.
• 15:49I'm honored to serve as a member of the board of directors of the Community Foundation and as a member of this new funds advisory group.
• 15:58Thanks to the work of the staff and leadership at both organizations.
• 16:03This process was very streamlined yet thorough.
• 16:07We were able to disperse our first grand,
• 16:10a first round of grant funding 2 weeks ago,
• 16:13pushing over $600,000 out in rapid response grants.
• 16:18We were able to support over 25 agencies in their work addressing urgent food,
• 16:26housing, health, social services and utilities needs.
• 16:31The United Way for greater New Haven is also raising funds to provide direct financial assistance to Alice families.
• 16:39The acronym Alice refers to families who are asset limited,
• 16:44income constrained. Yet employed. Yell University also announced the Yale community for New Haven Fund,
• 16:53which aims to raise $5,000,000 and will match donations from anyone Yale affiliated.
• 17:00It has already begun dispersing funds as well,
• 17:04including the $150,000 to support home food delivery.
• 17:10It's fun, will also include a focus on New Haven small businesses.
• 17:14And it has been of great benefit to have close an active collaboration between these two funds.
• 17:24There are very many efforts underway to address urgent basic needs in New Haven,
• 17:28and I'm grateful to have the chance to share some of them with you today.
• 17:35Please do consider reaching out to your colleagues with words of support offers to be of assistance.
• 17:43For shelter one, please contact doctor David Rosenthal or Katie Nash.
• 17:49Regarding opportunities for urgent short-term needs,
• 17:52feel free to contact Susan Nappy or terrorism or visit the United Way Portal.
• 18:01To learn more about the coordinated food assistance network.
• 18:05To learn more about the food pantries that are open.
• 18:09Or to make a donation,
• 18:11you can follow these links.
• 18:13Or contact Kathleen O'Connor, Defini or Alicia Santilli.
• 18:20To learn more about the community town halls,
• 18:23Tiesha, Johnson or doctor Yana Jordan are available as Contacts.
• 18:29For the New Haven COVID-19 fun and happy to field questions.
• 18:33You may also make donations at the links provided directly to the Community Foundation for greater New Haven.
• 18:40And to the United Way,
• 18:41for greater New Haven. The link for the Yale New Haven fun is also included.
• 18:46Downtown evening soup, kitchen and new reach are but two of many organizations.
• 18:52That are on their frontline and their information is also provided.
• 18:55We will be sure to disseminate this information to you.
• 19:02So as we look ahead to a hopeful and bright future in New Haven,
• 19:07I wanted thank you. Thank you everyone who is working urgently to address basic needs to deliver world class clinical care.
• 19:16To ensure educational excellence. The advocate for the very best in policy and practice and to innovate in research.
• 19:25And thank you again for joining us today.
• 19:31Thank you very much. Doctor Nunez Smith.