 It's 10 o'clock at my computer. So welcome everyone who's able to attend today and those of you who are Attending in the future via the recording. That's one thing. I want to mention is that all of our Encompass lives are recorded. So whatever you say over the airwaves will be recorded for posterity but don't let that scare you if you have a question and you want to Want me to unmute your microphone just type in the questions section I have a microphone. Please unmute me and I will let Christian know that somebody wants to speak and I'll unmute you So you can ask your question yourself Otherwise you can type your question into the question section and I will be watching that and Try to kindly interrupt Christian at a good time and mention here's a question from one of the people who are listening today The Encompass live is is live every Wednesday at 10 a.m. Central time And then as I just said we record them so you can always look at the archives of all the recordings to view something at a later date Today, I am very happy to let you know that we have Christian mentor the community engagement and helpful to receive librarian of Magukan library of medicine at the University of Nebraska Medical Center Can you tell I read that off of the blurb? So I'm going to now make Christian a presenter and Thank you so much for being here Thank you Let me show my slide All right Can everyone see my Can you all see my slides Robin, can you see her slides? Yes Thank you. Thanks. All right. Thank you for having me I am a community engagement health literacy librarian at UNMC And before my current role I used to work for the National Network of Libraries of Medicine Promoting health information resources from the National Library of Medicine and other trustworthy organizations And so today we're going to be talking about responding to diverse health information needs Nebraska has a small but growing Minority and multilingual Population and so by the end of this session. I want you to be able to Explain the role of language and culture in health literacy Be able to identify changing trends in the cultures and languages represented in Nebraska And then be able to list at least three resources that you can use in your library to provide Multilingual and multicultural health information I'm going to talk about more than three resources But I hope that you lead to being able to remember at least three of them or identify at least three that are relevant to your community And I also want to acknowledge my collaborator and that party party Moss We worked on this presentation together and originally presented at the next Nebraska Library Association conference last year As a first let's talk about health literacy as it relates to language and culture I like the definition provided by the Affordable Care Act which defines health literacy as a degree to which an individual has the capacity to obtain Communicate process and understand basic health information and services to make appropriate health decisions So health literacy covers every aspect of how a patient or caregiver might use health information It goes far beyond just the ability to read or write although this is important It includes a combination of reading listening numeracy skills decision-making Communication and the ability to apply all of that to a health situation And so when we talk about obtaining we want to make sure that people are able to easily get to the health information They need they know where to find it. They know who to talk to you to help them find it When they process it, they're using all those reading math and logic skills to make sense of the information To when they communicate they're able to describe their health issue and ask questions So that could be the questions they're asking of their health provider It could be questions that they're asking when they come to librarians with help for finding health information and when they understand it they know what all the health information means and What they're able to apply it to make appropriate health decisions so using it in their everyday life to Stay healthy or to feel better when they're not healthy And it's important to remember that health literacy skills are not static So even if you have good health literacy today, if you're facing a new health crisis That you're not used to experiencing The stress of that situation can cause you to have low health literacy So sometimes we try to think of people with lower education Lower socioeconomic status and think of those people as low health literacy But anyone you can be rich you can be highly educated and it's just a matter of how you're interacting with each new situation So just remember that when you're encountering Patrons who are asking for health information Don't assume that they are that they high have high health literacy Just because they may look a certain way and on flipside don't assume they have low health literacy Just because how they look or how they talk So there's an approach called universal precautions Which is where health professionals or anyone providing information related to health It's encouraged to treat everyone as if they will struggle with health information at some time in their life Because it's true. So you want to make sure everyone has that easy access to information. They can understand health literacy is Is used for so many different things as part of the health process or navigating the health care system so it can be for You know filling out patient forms Knowing when a parent should take their child to get their annual physical Following a treatment plan. So once they receive a diagnosis being able to follow through on the treatment that's been recommended Interpreting different handouts or brochures Figuring out how to take medication properly Understanding screening guidelines or vaccine guidelines Knowing where to go for appropriate care. So how to find a doctor how to ask for a Second opinion if needed and being able to participate in health care decision-making Patients are now required expected to be a partner in the health care So it's not just a doctor or nurse telling them what to do They have a voice in the process and so they need to be empowered To make that decision for themselves and there is a cost of low health literacy There's a cost physical cost and there's also a financial cost When their low health literacy is very detrimental to the health of the individual Over one-third of adults in the US have been identified as having basic or below basic health literacy level And they tend to have poor health status Because they are not They're less likely to use preventive care. So they don't have their regular dental checkups and doctor checkups And so because they're skipping the preventive care They're more likely to enter the health care system through an emergency room or through a hospital visit where their health care systems are much more serious And that leads to higher health care costs just across the board because we're now the health hospitals and clinics are paying for Or I should say insurance companies are now have to come up, you know pay more versus those preventive Visits would would not cost as much And there's also there are illnesses that can be prevented for example colon cancer is One of the leading causes of cancer death for both men and women, but it's highly treatable if they're caught early So it's been estimated that over 80% of deaths related to colon cancer could have been prevented if You know individuals had gone and gotten their recommended cancer screening much earlier So that's the type of things that we're trying to as librarians. We have a role in helping to prevent by providing access to quality health information Health literacy is Influenced by language so limited English proficiency or LEP It's when a person does not speak English as their first language and has a limited ability to read speak Write or understand English the LEP It acts the barrier to health care because the default language for health care in the United States is English So for both oral and written information is first provided in English and for those that do have translation services Then there are interpreters available and sometimes health information and it can be provided in other languages Health literacy requires the ability to as I said earlier Obtain communicate process and understand information So if a patient is isolated from health information, there's harder for them to make those good decisions And in addition to a limited English proficiency There are other language issues that could include differences in dialects or accents so there can be confusion and communication between Family and the provider if one or the other has an accent or a specific dialect of speaking that's different And they're not used to it or their communication disorders related to the physical difficulty of speaking or hearing Research has shown that Latinos and Asians make up the largest LEP population in the United States at this time I mean Asian Americans for whom English is a second language are expected to have a greater presence in the health care system What's interesting is that most of the health literacy research that has been done Has primarily focused on English and Spanish Because there are so many Asian languages They're just they have not been able to address it yet So we have validated health literacy screening tools and a medical system First people who could speak English or speak Spanish, but we don't have any screening tools for health literacy that address other languages and also most of this health literacy research has focused on people's ability to understand English health information and So we need more research for other LEP population besides Spanish and studies that are able to evaluate Patient's ability to understand health information in their own language and not just when we translate it Or their ability to understand in English language Culture also plays a part in how people respond to health information Or how they navigate the health care system So the Centers for Disease Control and Prevention states that culture can be defined by a group by group membership such as racial ethnic linguistic or geographical groups or the collection of beliefs values custom ways of thinking communicating or behaving So culture contributes to how someone defines health illness or healing how they respond to a health message How they choose to use health care Whether or not they follow treatment whether or not certain treatments align with their values or beliefs How they understand language and images and icons There are a lot of icons that we use in health information brochures and handouts that we Maybe used to in the American culture or using American English, but if someone's coming from a different culture They those icons don't mean the same thing or they might not mean anything at all And also culture affects how people choose to describe the symptoms that they're experiencing And whether or not they trust a mistrust medical culture in the United States Unfortunately, we have a history of certain minority groups that have been discriminated against in health care have been Treated poorly and so even though some of those situations may not happen as much Or happen anymore the generational mistrust of the health care system continues So that's something else to continue to think about when providing health information or helping others navigate the health care system in the US Yeah, this is Sally and I just want to say that I am icon challenged I really try to read icons, but they don't make a whole lot of sense to me a lot of the time and So I appreciate the fact that you're mentioning that as it relates to culture as well because that makes perfect sense. I Just right and Yeah, thank you for sharing and I think we you know when we think of culture sometimes here in the United States We think of us versus Culture from another country, but I kind of don't even mean the same thing for us. Like you said who live in the US And I think that's something we think about if we're creating new materials or partnering with other community or community organization creating information materials Health care professionals are encouraged to really think about What is the meaning behind the images and icons they use and making sure that what they think it means? You know means the same thing for the patients who will be reading it That makes good sense. Thank you You're welcome So just briefly looking at health literacy as it relates to language and culture What does that mean for us as librarians? First just remembering that effective communication is not just the words we say But it also incorporates the literacy skills of our patrons Their preferred language and the culture diverse the cultural diversity. So what cultural? What cultural background do they come from and how does that influence how they view health and healing? Never assumed that a patron uses a Western or American context for information You know that can be included as part of a reference interview asking You know what their preferences or if they have any cultural preferences for the information that they want to receive And then there's no one size that's all for multicultural health information even with languages There are multiple dialects and that's something you want to check with if you're providing Information and another language you want to see if it matches the dialect that they speak so even with Spanish or other languages There can be differences depending on what part of the world they come from And then just remember that cultural awareness is a lifelong pursuit. So definitely there's no reason to feel bad if you don't feel as comfortable Interacting with other cultures or you don't feel like you know as much there is this typically the phrase cultural competence is used when used when talking about Increasing our knowledge or skill with interacting with other cultures. I prefer the the term Cultural awareness or cultural sensitivity because sometimes I think when we use the term cultural competence It's like a checklist where we think okay. I know XYZ about these other groups of people and I'm good I'm I'm competent now But it's something that continues as long as we live as long as we work and as long as we're interacting with our neighbors and our Patrons you're always learning something new and you can always grow And change so definitely look at it more as a lifelong pursuit than a goal to be achieved in a certain time frame Are there any questions related to health literacy or health literacy and culture and language before I move on to the next section of the presentation This is Sally and I'm looking at the questions form and there are no Questions there at this time. So I guess we can go forward. Thanks. Alright, so next we'll talk about population trends in Nebraska And I know there may be some of you who may be listening from outside of Nebraska And at the end of the section I will touch on some resources that You may be able to use a fine similar data for your state So the Nebraska Department of Health and Human Services Puts out a health disparities report and the last report that we were able to find for 2015 I'm not sure how often they update it But in that report they showed that the minority population was the fastest growing population in Nebraska They have been increasing more rapidly than than white populations between 2000 and 2010 the total population of Nebraska increased by about six point seven percent and Racial ethnic minority populations grew by fifty point seven percent And On the chart you can see in blue the population size within each group in 2000 and then orange shows that increase in 2010 as Specifically the Hispanic Latino population grew the most in that ten-year time frame With a seventy seven point three percent increase followed by native Hawaiian and Pacific Islander And Asian population increased by forty seven percent and followed by American Indian at twenty-three percent And this data come from as I said Nebraska Department of Health and Human Services as well as the census Bureau This is a chart Looking at 2014 data. So about four years ago looking at the breakdown of minority population and We see that Among minorities a Hispanic or Latino who are leading at ten percent of the population and followed by African-American at four point six percent and Asian at two point one percent America Indian point eight percent and native Hawaiian Pacific and Islander point one percent Sorry, hold on one moment. My phone is ringing. I apologize for that So the brass with population so the previous chart was looking at that ten-year increase and then going you know a few years beyond that The brass population has slightly more minorities Than it did in 2010 So it's estimated that at that time his banks accounted for about ten percent and I looked They they don't update these charts, you know as often is usually like maybe every five years every Ten years or so so there hasn't been a more updated chart yet from the Department of Health and Human Services but I did look at The quick facts of the census Bureau and it's about the same there's a little bit of increase I think his banks are now about 11% of the state population There's a slight increase within each group, but it's it's pretty close to what the chart put out in 2014 This is a breakdown of minority population by county so This chart was based on 2010 census data And you can see the darker the color of the county the higher the percentage of minority living in that that county so at that time The minority majority County at Thurston was the only minority majority County And it's possibly by now Colfax, Dalson and Dakota may also Be pretty close as well um most of this population is Hispanic or Latino and Lancaster County I'm sorry Douglas County Racial and ethnic minority population the largest percentage was Hispanic or Latino and Lancaster County saw the next largest Hispanic population Other counties have smaller Hispanic populations overall But compared to their total minority population the Hispanic population was quite large So this is just a good breakdown just to see the changes that are happening across across the state and which counties may have a higher need for Multicultural health information so this chart pulls data from Department of Health and Human Services and also the American Immigration Council and it looks at the number of foreign born or immigrant population in Nebraska and there was a so the chart originally was looking at This ban between 1990 to 2010 And I found some additional data from 2015 that I've I added to the chart as well So as of 2015 About 7% of the brass cop population are immigrants. They're born outside of the United States and the top countries of origin are Mexico India China Guatemala and El Salvador as of 2015 And more than the two-thirds of immigrants reported speaking English well or very well And according to Pew Research Center as of 2016 the Brassica led the country in number of refugees Resettled per capita. So we looked at the total number of Refugees who resettle here and compared to the number of people in that area. We were leading to leading the country in that resettlement effort So you can see that there's been a big jump Parity in 1990. We had a little over 28,000 and that has continued to increase You know over 74,000 in 2000 Over 112,000 in 2010 and as of the last day that I could find 2015 We had a little over 128,000 and continues to grow so There are I was able to find a list from the Centers for Medicare and Medicaid of the top 15 non-English languages spoken in Nebraska and I am curious to see how many you can list so you can go to the chat box and You know, even if you can't think of the what you know the total 15 Maybe see if you can think of at least five that you think five languages that you think would be in that top 15 And go ahead and type them in. I have my eye on both the chat box and the questions Okay, here comes one answer Mandarin Okay, I'm keeping my thoughts to myself for right Yeah See what responses would give and then I'll I'll I'll show the next slide. Oh, yeah, another answer is Chinese Okay. Yep. That's on there. All right. Any other guesses before I move on? Here's some more. Oh, yeah, they're coming create like fast. No good. There's one person who said Karen or Karen far see Spanish and Vietnamese Okay, they're person answered Spanish Sudanese Vietnamese Karen K. R. K. A. R. I am Chinese and then we have a person who said far see and another Answer is Hindi and now Japanese popped up. Okay. So that's some good Good possibilities. Good answers. All right So here according to the Centers for Medicare and Medicaid, they put out this list in 2017 This is their list of the top 15 non English languages in Nebraska So you see we have a Spanish note. No surprises that we have the most people in the state who speak Spanish But we also have Vietnamese Chinese Arabic Karen French Kushite German Korean Nepali Russian Leo Loushian Kurdish Persian and Japanese And there were some other good. I think it far see Hindi as some other Options there that were listed that these were the top 15 that you see listed on the screen That we had the most people speaking this language Thank you all. All right. So looking back at We spoke a few moments ago about limited English proficiency. So these are people who speak English as their second language But they may not be able to read write or understand it very well And so this is a breakdown of counties in Nebraska. They have the highest limited English proficiency population So you see in bold the top five call fax County Dakota County Dawson County Hall County and Staling County Have the highest percentage The have the total County the size percentage of the population Who's who have been identified as low limited English proficiency? Um, so this is additionally good information. So it's good to know What languages are being spoken in your community? So, you know what type of health information to provide? And other languages beside English, but it's also good to know, you know, those who who may have some English skills To know what percentage of your community also Maybe need some help in the English Information that they do receive so maybe there may be certain languages And when we touch on health information resources in a little bit Not all languages are covered by all these resources So there may be opportunities where you still have to provide something in English And for that you'll want to look for what's called easy to read resources Which are maybe resources are written more in the third to eighth grade level That are much the English the terms are much simpler as much easier for someone who's as not as comfortable with English to Read it and understand it. So for those of you who live outside Nebraska or If you want to find more information you're in Nebraska, but you want to find more local information You can check with your school districts. They usually keep track of What languages are being spoken by the students in the district? You can check with state and local public health departments community health needs assessments Most hospitals in the different counties have to create a community health needs assessment like every five to ten years They usually include information on the languages that are being spoken in their community Then the United States Census Bureau Also, you can get information from the census and the American Community Survey Now any questions about population trends? Okay, so next we're going to look at some specific information resources And I wanted to highlight this poster Libraries transform campaign has some really great posters that you can use in social media and put up in your library But I like this one because quality information helps you make better health decisions And I kind of guess right to the point of why it's important that we provide information in a way that fits the needs of our patrons When they have information, then they are informed it can make good decisions So the first resource I want to talk about which most of you may have Maybe familiar with already that line plus That line plus is provided by the National Library of Medicine. I like to call this the medical Google It has over a thousand different health topics and also information on drugs and supplements lab tests different videos and tools for people to learn more about their health Medical psychopedia to look up terms and not familiar with and They also provide links to trusted organizations, so federal agencies non-profits Educational organization and there are staff that actually select Yeah, they evaluate and select each resource that is added to this website The website comes in both English and Spanish, so you'll see at the top right hand There's a link for us, but you'll you click on that and then the whole site shifts to Spanish and in addition to the other resources within the website that line plus also has a Magazine so they have one in English and they also have one in Spanish and so your library can subscribe Anyone can go to the website and read it online for free, but you can also Scribe to have a bulk subscription Sent to your library. So if you want, you know, 25 50 copies, you can sign up for that as well All right, so down at the bottom There's a link as I mentioned earlier easy to read materials These are resources that are specifically written in a third to eighth grade level Everything on my line plus is You know much easier to read than what you would find like in a medical journal But the easy to read resources or materials are written specifically Specifically geared towards an even lower reading level as well So not every health topic is covered under easy to read But once you click on easy to read you'll be able to see what topics they have covered And then also there's a link for health information in multiple languages that gives you a list of Every you know every topic that's covered in a language other than English on that line plus So here's a look at the easy to read page and It has Information for those who are writing materials. So if you're creating a brand new Handout or brochure. They have some guidelines to help you So this is something that you can use within the library or you can share with a community partner That's creating materials that you want to use And then there's a to the list of all the different health topics that are covered at that Fifth day is great reading level And then you'll also see that they include a link to Spanish So any and it looks like most of the resources also have a Spanish version This is the health information in multiple languages So when you go to the page a default list is showing you a link of the different languages That are covered and if you want to browse by health topic you would click on that link at the top and Then I'll take you to a to z list of The health topics as well. And then once you click on the topic, you'll be able to see which languages cover that topic So the next resource I want to talk about is called health reach this one is also created by the National Library of Medicine and It's specifically Created to provide information in multiple languages. So it has patient materials information for providers and the patient materials are To help with finding culturally relevant information Then multiple languages and multiple formats. So they have print video audio And you can also search by a specific health condition Or you can search by a particular language or format For providers The goal is by information for them to learn about different cultures. So they have information to provide a cultural background information on different types of clinical tools or information about a specific immigrant or refugee population The it's a collection of kind of cross-cultural health resources that helps health care providers or help educators that are working with Different groups different multi-cultural groups. So for provider information, you can search by a specific country or a certain population Or you can search by a format whether looking for a print or audio video or browse by keyword and what I like about Health reach and that they give you some information about Not only the type of information, but whether or not the resource has been reviewed by a medical professional What which languages are covered and the dialects and then also what method of translation So some of them are translated by a company and some are translated by a community group And so if that matters to you, you'll be able to see that data about the resource before you decide whether or not To give it out to your patrons Anything included in health reach has been Reviewed for quality and accuracy And it's also they take a look at the transit quality of the translation as well And they include a date for the most recent medical review. They do encourage others to Contribute So a lot of this is not information that that National Library of Medicine is creating themselves But they're kind of curating quality resources that have been developed by other groups And this is an example. This is a look at the a to z index page That you can search like I said by by a to z browse by a to z And they also have special collections. So you'll see they have a collection of refugee health information weather emergencies women's health and family planning and so these are topics where they have More robust collection of information And so they like to highlight those special collections within the website This resource is provided by the National Institute on Minority Health and Health Disparities It's the information portal for health information resources and other languages so it by the priority focuses on resources that have been developed by The National other National Institutes, so they focus on mostly federal agencies and They select the languages For each condition based on their research So though they've identified certain health conditions that have higher health disparities among minority groups And so those are the health conditions that they focus on on this website and then based on Which populations tend to have higher disparities than they'll select the the languages that that Relate to those populations The goal the website is to help Provide health information that's relevant to populations experiencing a health disparity And making those resources available to other in languages other than English And they do link to so their portal and in of itself they focus on These nine health conditions And the languages they provide includes Spanish Hindi Korean Chinese Tagalog Vietnamese and Japanese Like I said before they selected these Specific diseases because they have identified major health disparities in non-English speaking populations And they want to select specific languages that that align with those disparities So you won't find so some of these Topics cover all the languages that have listed and some only Cover some of the languages, but what I like about this resource is that on each topic page they include a couple of paragraphs explaining the research about the health disparities and and why They're targeting the certain populations or certain languages And they also link to so they link to Medline Plus on this website And then they also link to other federal agencies that have multi-lingual resources Ethnomed is Managed by the Harborview Medical Center, which is in Seattle, Washington this website contains medical and cultural information on Immigrant and refugee groups is specific to watch just a skewer towards groups that are They have higher population in the Seattle area But most of the information is still relevant to other parts of the country And the goal of this project is to make information about culture language and health easily accessible to Healthcare providers So more of the information and get to us providers But it's a good resource for librarians health educators anyone in the community who is working with multicultural groups And to learn more about the background And different health conditions that are common But they also have a section on patient education with a selection of handouts in multiple languages as well as Spiral is the selected patient information resources in Asian languages and this is created as a joint project between the South Cove Community Health Center and Tufts University Hirsh Health Sciences Library And the goal is to increase access to Asian language health information for both patients as well as health care providers So they have documents print documents that are in multiple Asian languages They also provide some brochures and flyers So if you want to promote this resource to the community or to health care providers in your community You can print out their brochures and flyers and share them with others The Tufts University continues to maintain this resource And they're funded by the National Network of Libraries in Medicine So the American Indian and Alaska Native Health portal is created by the National Library of Medicine And the goal of this resource is to share information about health and well-being specifically about Native American and Alaska Native Community so all their information is free they focus they have a section on health and wellness which talks about health and wellness in the context of Native American and Alaska Native culture and tradition It focuses on health conditions that are specific I should say health conditions where there are higher disparities within Native American and Alaska Native community the people and traditions talks about It shares the some stories personal stories about health and healing and then programs and services provides links to relevant services to support Native American health and research and data provides some data Some of the current data and research about Native American health So that serves both as a purpose to Help help educate the community about their own health But also help support those who are working with Native American Communities or are doing research on Native American health the centers for disease control and prevention creates resources On a lot of different health topics, but here I've highlighted some of their resources that are focused on multicultural communities So these are not necessarily Multilingual I think most of them are in English to maybe some in Spanish but what I like is that they Create a resources that are modified for African American Native American Asian American and Latino communities So they have modified information. They're talking about the same health topics diabetes high blood pressure Smoking or tobacco related health conditions But they have created a variety of different handouts or brochures that Meet the the needs of each community and so they reflected in the photos and then you know in how they Have created the handout and so they want to make sure that it meets the cultural needs of each community group And then this last resource I want to highlight is from the National Library of Medicine The National Library of Medicine specialized information services division which creates a lot of resources for community outreach They have created very comprehensive lists of resources Covering 12 different categories related to multicultural health information So you can find anything from health literacy to law and policy to data to interpreting and translating information And so this is definitely a go-to website with a list of links and relevant resources You know from it. Yeah, if you want to learn about cultural competencies competency or funding opportunities This provides a very comprehensive list of resources So some of the previous websites I highlighted may be included on the list, but it also adds a lot more So I would say there's more a list for librarians or for those who are working in the community Then for the patients themselves Any questions about the health information the websites before I move on I Don't see any questions yet. I'll let you know if they pop up, but I just want to say that is quite a comprehensive list of Sources for people to to go to and and I'd heard of medline plus was feeling pretty good But the rest of them are are all new to me. So thank you very much you're welcome and You know that's kind of like the tip of that there are others so what I you know I want to like about medline plus and some of the other websites as they link to other agencies and organizations so you can continue to explore and find even more That may be relevant for your community Good point And then the last oh, sorry, I was just gonna say I don't see any questions on the questions tab, so And then the last thing I want to touch on today is partners and programs and so Public you know all libraries I feel like all libraries have a role in Health information and providing health information to the community But we didn't shouldn't have to feel like we do this by ourselves and I know some of you come from smaller Libraries where you don't have as many staff for programming Or or community outreach, so I just want to highlight some resources you can use and some ideas for potential partners to help Increase the your reach or your impact on the community And so the first resource I want to highlight is called increasing relevance relationships and results principles and practices for effective multicultural communication and this Handbook was created by the metropolitan group in collaboration with the American Library Association It goes over eight principles for effective multicultural communication And they modified so they create a handbook on Multicultural communication, but then they modified it and create a addition specific for libraries And explains how explains the different principles and they provide case studies Examples from libraries or environments that relate to libraries So I really think this is a great resource To re-throw when you're thinking about how to do community Outreach especially when you're interacting with cultures that may be different from your own And I'm not going to touch on all these different principles But it starts with just checking your assumptions at the door so before you begin working with any group identify, you know, what are your preconceived ideas about that group and What stereotypes do you have and kind of look at The work the others are doing and getting feedback from the communities or those who are familiar with the community Before you start working And then it just you know, the all the other principles build on that, you know, understanding the context Being invested so not just Going in there and doing something and leaving it but just making sure you're continuing to build those relationships that you have and how to Create change as well This is a recorded webinar on the web junction websites So it was originally recording in january 2016, but the recording and the materials are still available And in this webinar staff from the seattle public library Explore how to provide inclusive outreach To engage members of your local community so how to identify the needs how to Effective approaches for community engagement and how to develop an action plan for cultivating partnerships So definitely a good resource to check out So for those of you who are already doing community outreach Who are your current partners or what are some ideas that you have for potential community partners? These could be any type of organization agency individuals that you think would be a good partner to work with in providing Multicultural multilingual health information So i'm going to ask you to go ahead and type some ideas into the chat box And then I have my own list on the next slide that I will show in just a moment I'm just waiting to see what might come up We have a question that relates to the resources that i'll ask you later at the end of the Thing, but i'm waiting for oh here we go Asian and mexican-american cultures cultural centers Okay reply to Community partners. That's a good answer. All right anyone else? Not yet All right. Well that was a good one Here are some of my ideas So the community action of nebraska business nebraska minority resource center in Western side of the state. I believe it's near Closer to shadron area The heartland alliance refugee health programs your local public health districts and departments Area health education centers. There are several of those throughout the state tribal health officials and services such as the indian center incorporated community health centers community and senior centers Here in Omaha, we have community care councils and there may be similar types of groups in other cities around the state public schools faith-based groups ESOL programs so Anyone who's doing any type of outreach? To multicultural groups are a potential partner Oh, yes. I'm looking. I'm sorry. Look at my notes. The Nebraska minority resource center is in gordon nebraska Uh and the community action of the brasska has local regional agencies So for example, there's a community action partnership of western nebraska And they also have some in other parts of other state We have a question. Oh, sorry. Yeah, we have a question about esol. What does that stand for? some of us don't know Yes, it used to be English in the second language, but they changed it English Oh, I'm gonna have to look that up and sorry for that put that in my notes, but it's the programs that work with People who are who english is not their first language and so they're learning how to speak english Um, but they changed the name of what it used to be and I can't remember what the o stands for So I apologize, but those are the the programs in your community That are teaching others who don't speak english how to speak english So that could be a good way. You could either, you know, host those programs and some of you I'm sure are already hosting those types of programs in your library Or that could be a potential partnership where you can use health information as a way to Implement that in the process as I'm learning how to how to speak or read english Any other questions? All right. So programming ideas had a few that I wanted to highlight Um March is national nutrition month And that's a great way to highlight foods from different cultures or different parts of the world So you can feature a healthy foods from the cultures represented within your community So this can be a cooking demonstration meal planning snack prep Because nutrition is very a very important issue. Um, but one one way to make it culturally relevant is to Highlight the healthy foods from within the cultures that you know, they're already familiar with So there's a link on the slide for heart healthy cookbooks from the national heart lung and blood institute They have healthy recipes from african-american asian-american neighbor american and latino cultures If you have other cultures represented in your community, then you can You know collaborate with with others who are more familiar with the culture And and develop some programming to highlight how to eat healthy using foods that they're they're used to this, you know, it's sometimes there's a struggle with emphasizing american foods As the healthy way to eat whereas there's a lot of healthy foods within different cultures and healthy ways of preparing foods They're not just what we're familiar with here in the united states Um, and also there's the fact that food has cultural significance There's you know, it's not just about eating to live But there's just there are a lot of cultural norms and cultural traditions surrounding food And so that's another way to to get to know Different cultures and traditions of other other people groups Um multilingual story times is another option This provides opportunities for families to hear their language spoken in a public community event Children who learn more than one language show an enhanced brain development and enhanced communication skills And you can incorporate health information through stories and songs The links that I have listed on the slide lists articles that Provide some guidance on how to provide a bilingual story time So even if you know, English is your only language and you're not fluent in another language There's still ways for you to incorporate other languages in your story time and so the first one Beyond bilingual is a article about making story time inviting to all those who are learning english And then the third one bilingual story time reaching through the language barrier Provide some guidance on how to create story times Even if you're not as fluent In other languages And there are also opportunities for community events and activities So all of our communities have health fairs blood drives health screenings You may have Native American powwows Different street and cultural festivals town celebrations your state fair county fair These are opportunities for you to get a table or a booth And share information information about what your library is doing related to health information or you know shares specific health information resources Um, and if you don't have something This may be an opportunity for you to partner with other local groups and start something brand new So if you have any other ideas for additional activities, maybe something you've already done the past and you want others to know about Or an idea you've been thinking about but you haven't had yet yet been able to put it into action Feel free to share that In the chat box And then if you have any other questions These are links to data sources Where we found information about population trends This is my contact information. I'm happy to take any other questions that you have One of the questions that we had from the resources section is If we search for these resources in google will they come up? If like I I jotted down a few of the names because I thought you were going to ask what are some of the resources And I was going to be a real smart I have a whole list here But like if I if I search for ethnomad In google that Pop up right away. It will come up. Yes, and I can make my slides available If if the brassica library commission wants to post them on the encompass live site And I'll make sure that the URLs for all the resources aren't there That would be terrific because we love to have the slides with the We recorded the presentation. So the slides are in the presentation, but Having the slides separately would be great too. So people could just zoom to them when they wanted and right, right? Yeah, yeah, but yes If you you know if if you want to start looking at them before the slides are posted if you do a google search You should be able to find them Thank you Any other questions or comments? Oh A person says I would love access to the slides. So We'll get them up on our webpage so that you can click on them because She's from texas. I believe when I was looking at her name Okay Texas state library. So yeah yay We have mostly in-state attendees today, but a couple of people from other places. So that's always exciting And if we don't have any other questions I'd like to thank you christian for attending and presenting such a vast Amount of information to us this morning. That was wonderful And I know I'm going to have questions later. So I can find out what your email is If I come up with some Yeah, definitely, I'm you know anyone to have any questions My email will be on the slides as well and you're happy to to reach out And I'm you know if anyone has any Once to bounce ideas off a community, you know different types of community outreach or just needs guidance on How to find health information? I do one. I forgot to put this in the slides But here at university of brasska medical center We have a service called the community So I consume our health information resource service or cheers That we've been operating in for over 30 years or anyone in the state of Nebraska Can send us their health information questions So it can be you know someone from the public or a librarian asking on behalf of someone So if you receive a question related to health information that you feel like it's not something you're able to Respond to We're here to be a resource for you as well and that can include guidance with finding Multilingual information That's terrific. Thank you so much Thank you everyone who attended today and those who are going to view this in the future I know you've got a lot of good information. Thank you again christian and appreciate your time Thank you