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Partnering with Minority/Underserved Community Groups MIPPA Training August, 2016 Debbie Bisswurm and Jane Mahoney MIPPA State Coordinators Greater Wisconsin Agency on Aging Resources
Minority Group • The term minority group is often used to describe racial, ethnic and underserved populations or communities. • Many areas of the state have populations that may be considered “underserved.” The group may be considered underserved not only because of the attributes of the individuals in the group (such as gender, age, race, ethnicity, etc.), but also because of circumstances which may cause certain groups to experience greater challenges.
The most effective way to reach these groups is through Partnerships!
6 Steps to Building Partnership • Identify Minority/Underserved Community Groups • Connect with key leaders in the group • Educate about MIPPA (and how MIPPA programs can help their community) • Share appropriate materials • Offer presentation or office hours on site • Maintain the relationship
1. Identify Minority/Underserved Communities Ethnic/Racial Minority Communities: • African American • Asian American • Hispanic/Latino • Native American Other Minority or Underserved Communities Include: • People with Disabilities • Lesbian, Gay, Bisexual, Transgender (LGBT) • People in rural areas*
Determine where and how you can connect with them • Do these groups congregate? • Do they have a community center? • A community church? • An advocacy center?
Examples of Community Centers or other Agencies serving Minority/Underserved Groups • Churches & other Faith-Based Centers • Disability Rights Wisconsin • Health clinic located in area that includes minority or underserved groups • Hispanic Resource Center • Hmong Community Center • Indian Council for the Elderly (Milwaukee area) • All Nations Senior and Cultural Center (Milwaukee area)
2. Connect with Key Leaders • Who are the “trusted” leaders in this group/agency? • Senior group leader • Trusted nurse or pastor • Prominent or influential members of the group (even if they are not an “official leader”) • Set up a meeting to discuss MIPPA and how your agency can help their community • Pay attention to concerns they may have specific to their community
Common Issues for the Specific Group Community Leader may help you identify: • Cultural Issues • Family relationships • Decision-making factors
Cultural Awareness Cultural awareness does not mean stereotyping. Individuals within a particular minority or underserved community group may not share the same traits or cultural norms. Lack of attention to these issues may lead to: • Reduced participation in programs • Non-compliance with recommendations • Decreased satisfaction with assistance
African AmericanIssues for consideration • Information in the following slides provided by Andrea Garr, Milwaukee County Department on Aging, based on her work to provide effective outreach in the African American community.
African Americans in Wisconsin • The African American population increased 9.7 percent since the 2000 Census. Milwaukee County is home to 240,203 African Americans, comprising 69.4 percent of Wisconsin's African American population. This group is the largest racial minority group in Wisconsin. *Feb 24, 2016 (Wisconsin Dept. Health Services) • For Demographics of Aging in WI, including racial/ethnic data by county: https://www.dhs.wisconsin.gov/aging/demographics.htm
Best Practices When WorkingWith African American Families “Do’s and Don’ts”
Asian American Communities Issues for consideration Common traits may include: • Strong family values • Emphasis on group over individual • “Family” includes relatives and friends • Independent behavior that disrupts family harmony is discouraged • Barriers may include: • Limited English proficiency • Immigration issues • Lack of in-language information • Lack of transportation
Asian American CommunitiesIssues for Consideration Further information about Asian American communities can be accessed through: • SHIP TA Center webinar on this topic located in the resource library at: www.shiptacenter.org/login • Additional resources available through the National Asian Pacific Center on Aging at: www.napca.org
Hispanic/Latino CommunityIssues for consideration* • Family Relationships • Language barrier • Trust—Immigration concerns
Native American CommunitiesIssues for consideration • Eleven Tribes in Wisconsin • Respect Tribal sovereignty • Every Tribe has an Aging Office and Benefit Specialist • https://www.dhs.wisconsin.gov/benefit-specialists/tribes.htm • Issues for consideration may include: • Transportation needs • Health literacy • Trust—concerns about western medicine, medical systems, other
Considerations for Reaching People with Disabilities Ginger Rogers, Disability Rights Wisconsin • Typically do not congregate • Transportation needs • Most likely to use social media
3. Educate Leaders about MIPPA Programs • May be helpful to use Brief Program Descriptions—see Addendum • LIS • MSP • SeniorCare • Part D assistance • Medicare Prevention & Wellness
How can these programs help their community? • Improve financial situation • Connect with resources for benefits and services • Improve overall health Give Specific Examples!
4. Share Appropriate Materials(All can be modified) • MIPPA Posters— • do they represent this community group? • available with various photos • MIPPA Fact Sheets* • MIPPA Brochure/Inserts • Agency Brochures • Articles for their Community Newsletters • MIPPA article available in Spanish & Hmong
5. Offer Presentation or On-Site Office Hours • Issues to be aware of? Language barrier? • Have “trusted leader” introduce you to group • Be prepared for issues that may be significant to this group • Immigration issues may prevent some from seeking assistance • Directory of Immigration Services in Wisconsin: • http://www.immigrationadvocates.org/nonprofit/legaldirectory/search?state=WI • Uninsured?—Have info about free clinics in area
6. Maintain the Relationship • Follow up for feedback on response from within the community • Check in with your contact on a regular basis • Replenish and update their MIPPA resources • Offer additional presentations, etc. • Offer additional articles for their community newsletters
Small Steps • Initial response may be reserved • Do not be discouraged! • Helping a few in the community will begin to establish trust—then encourage those folks to spread the word. A “ripple effect”
Sharing Experiences/Discussion • Barron/Rusk/Washburn County • Disability Rights Wisconsin • Waukesha County—Outreach to Hispanic Community • Others?
Resources & Contacts • Disability Rights Wisconsin: www.disabilityrightswi.org • Center for Medicare Advocacy information for Younger Medicare Beneficiaries with Disabilities: http://www.medicareadvocacy.org/under-65-project/ • Hispanic & Hmong Contact List accessed on GWAAR’s MIPPA Webpage: http://gwaar.org/for-professionals/medicare-information.html?id=46:mippa-resources&catid=1 • National Hispanic Council on Aging (NHCOA): http://www.nhcoa.org/ • Spanish language version of the Medicare website is https://es.medicare.gov/ • Medicare publications available in alternative languages: https://www.medicare.gov/about-us/other-languages/information-in-other-languages.html • Social Security publications available in alternative languages: https://www.ssa.gov/multilanguage/ • Minority Health Resources: https://www.dhs.wisconsin.gov/minority-health/resources/other.htm
Resources & Contacts (continued) • Tribal benefit specialists (this only includes EBSs and DBSs): https://www.dhs.wisconsin.gov/benefit-specialists/tribes.htm • Judicare’s Indian Law Office: http://www.judicare.org • Judicare’s tribal benefit specialist listings: http://www.judicare.org/Content/Tribal_Benefit_Specialist.cfm • Wisconsin State Tribal Relations Initiative: http://witribes.wi.gov/ • SHIP TA Center at: www.shiptacenter.org/login • SAGE (Services and Advocacy for Gay, Lesbian, Bisexual and Transgender Elders: http://www.sageusa.org/ • Wisconsin Immigration Services Directory: http://www.immigrationadvocates.org/nonprofit/legaldirectory/search?state=WI
AddendumMIPPA Brief Program Descriptions Medicare Savings Programs: Help seniors with limited incomes and assets pay for some or all of Medicare’s premiums, deductibles, and co-payments. If qualified, at a minimum you would save over $100 per month! Extra Help/Low Income Subsidy: Assist people with limited incomes and assets pay their Medicare Part D premiums, deductibles, and co-payments Senior Care: Wisconsin’s prescription drug program for people age 65 and older. There is no monthly premium and the deductible amount is based on the person’s income. Assets are not counted. People with lower incomes often find Senior Care to be more affordable than other Medicare drug plans.
MIPPA Brief Program Descriptions(continued) Medicare Preventive Services: Starting in 2011 Medicare began covering more preventive services and screenings including an annual wellness visit, vaccinations and more than 15 other tests/screenings – all at low or no cost. Preventive health care focuses on preventing disease and maintaining proper health which will allow you to live a longer, healthier life. Take advantage of these new preventive services. Health Promotion Classes: Educational programs designed for older people which have been researched and proven effective to help individuals manage their own health and improve their quality of life. Topics include fall prevention, managing chronic health conditions, living with diabetes and other wellness topics.
Thank you for participating!If you have more questions please contact: Debbie Bisswurm Debbie.Bisswurm@gwaar.org 608-228-8098 Jane Mahoney Jane.Mahoney@gwaar.org 608-228-8096 Phoebe Hefko Phoebe.Hefko@dhs.wisconsin.gov (608) 267-3201