2013 Annual Health Disparities Conference Proceedings

2013 Annual Conference Proceedings

Center for Health Equity and Wellness Aൽඏൾඇඍංඌඍ H ൾ ൺ අඍ ඁ C ൺ උ ൾ

SUMMER 2014

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Authored and Designed by Staff at the Center for Health Equity & Wellness at Adventist HealthCare Tiffany Capeles, MBA Consultant Talya Frelick, MPH Project Manager Marilyn Lynk, PhD Program Manager Eme Martin, MPH Project Manager Gina Maxham, BS Research Assistant Chelsea Perry Research Intern Marcos Pesquera, RPh, MPH Executive Director Deidre Washington, PhD Research Associate

To download additional copies of the proceedings or learn about the activities of the Center for Health Equity & Wellness, visit the Center’s web site at: http://www.adventisthealthcare.com/health/equity-and-wellness/

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TABLE OF CONTENTS

Acknowledgments .................................................................................................4 Overview ................................................................................................................6 Agenda....................................................................................................................9 Welcome & Opening Remarks ..............................................................................10 Keynote Speaker: Dr. David Satcher, MD, PhD ....................................................12 Morning Panel: Spirituality and Behavioral Health Fireside Chat.........................14 Voices of Courage: Cindy Harding.........................................................................18 Plenary Address ......................................................................................................19 Blue Ribbon Award ................................................................................................21 Afternoon Panel: Best Practices: Resources & Research in Behavioral Health ....22 Voices of Courage: Jackie Pettis.............................................................................25 Closing Address ......................................................................................................26 Conference Evaluation ...........................................................................................28 Conference Attendee List .......................................................................................30

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ACKNOWLEDGEMENTS

Adventist HealthCare and the Center for Health Equity and Wellness (formerly, the Center on Health Disparities) would like to thank all of the 2013 Health Disparities Conference participants, speakers, panelists, and sponsors for their continued support of the Center’s activities. We are grateful to Montgomery County Health and Human Services and the Primary Care Coalition of Montgomery County for providing financial support for the conference, and to the exhibitors as well who shared their materials and services with the conference participants. Our thanks go out to the conference planning committee, and Center staff and interns for their contributions, support, and efforts throughout the year to plan this event. We were honored to have Dr. David Satcher provide the keynote address and accept the 2013 Blue Ribbon Award for his continued passion and dedication to the elimination of health disparities.

In addition, we were pleased to welcome our speakers and panelists: David Satcher, MD, PhD, Former Surgeon General of the United States; Dr. Alfiee Breland-Noble, Georgetown University, SpeakOut Program; Niru Jani, MD, Jani Physicians, LLC; Imam Abdullahi, Muslim Community Clinic; Rabbi Dr. Gary Fink, Montgomery Hospice; Cindy Harding, SpeakOut Participant; Larke Huang, PhD, Director, Office of Behavioral Health Equity, SAMHSA; Jimmy Venza, PhD, Director, Therapeutic Nursery Program, Lourie Center for Infants and Toddlers; Raymond Crowel, PsyD, Chief, Montgomery County, Behavioral Health Services; Gayle Jordan-Randolph , MD, Maryland Department of Health and Mental Hygiene; Charlene LeFauve, PhD, Deputy Director for Special Populations, National Institute for Mental Health; Mark Covall, President and CEO, National Association of Psychiatric Health Systems; Jackie Pettis, Manager, Wellness and Recovery, Value Options; and Paolo del Vecchio, MSW, Director for Mental Health Services, SAMHSA. Their invaluable contributions are what helped make this conference a success.

2013 Annual Health Disparities Conference Proceedings The Adventist HealthCare Center for Health Equity and Wellness’ 7th Annual Health Disparities Conference was held on December 3, 2013. The 2013 Conference Proceedings summarize the day’s events. The program agenda included presentations, panel sessions, the 2013 Blue Ribbon Award presentation, and short stories from community members. A list of attendees is included as well to facilitate networking and communication with colleagues dedicated to improving behavioral health care and services in Maryland.

NOTE: The opinions and thoughts expressed here are those of the speakers and do not necessarily reflect the positions of the Center for Health Equity and Wellness or Adventist HealthCare, Inc.

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SPONSORS & EXHIBITORS

Sponsors

Montgomery County Department of Health and Human Services African American Health Program Asian American Health Initiative Latino Health Initiative Primary Care Coalition Shady Grove Adventist Hospital Washington Adventist Hospital Adventist Behavioral Health

Exhibitors Energy Federal Credit Union

BlueCross BlueShield

American Foundation for Suicide Prevention

AdAstra

Office of Minority Health Resource Center

Maryland Relay

Maryland Insurance Administration

Walden University

Washington Adventist Hospital

Hunter Cleaning Services

Adventist Behavioral Health

Montgomery County

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Partnering Toward a Healthier Future

OVERVIEW In 2013, the Center on Health Disparities (recently renamed the Center for Health Equity and Wellness) hosted its seventh annual conference with a focus on disparities in behavioral health. The conference, titled “Partnering Toward a Healthier Future: Addressing Disparities in Behavioral Health,” was held on Tuesday, December 3, 2013, at the Marriott Inn and Conference Center in Hyattsville, Maryland. The purpose of the conference was to: (1) educate the healthcare community about behavioral health; (2) define disparities related to behavioral health; and (3) provide healthcare leaders with community, state, and nationwide best practices to reduce disparities in behavioral health and promote recovery. In light of recent national and local media attention focused on behavioral health services, the topic and timing of the Center’s annual meeting provided an opportune venue for a public health dialogue. The conference opened with keynote remarks from Dr. David Satcher, Director of the Satcher Health Leadership Institute and 16th U.S. Surgeon General, regarding his personal passion for addressing behavioral health disparities throughout his career. Following Dr. Satcher’s remarks, a panel of spiritual leaders representing four religions shared the stage for a “fireside chat” on the intersection of spirituality and behavioral health. After a brief presentation of basic tenets by each leader, including views of behavioral health, the conversation opened up to the audience for a lively discussion of questions and commentary.

Before lunch, Dr. Larke Huang from the Substance Abuse and Mental Health Services Administration (SAMHSA) presented a national perspective on the impact that the Affordable Care Act will have on reducing behavioral health disparities.

At the conclusion of the lunch break, the Center presented the 2013 Blue Ribbon Award to Dr. David Satcher for his lifelong commitment to reducing behavioral health disparities.

The afternoon portion of the conference began with a panel of experts representing national, state, and local perspectives on best practices in addressing disparities in behavioral health. To conclude the conference day, Mr. Paolo del Vecchio, SAMHSA’s Director of Mental Health Services, shared his personal and professional insights on improving behavioral health outcomes. Of additional note, the program day featured two local residents sharing their stories of behavioral health and wellness during the morning and afternoon portions of the conference.

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SPECIAL THANKS

CONFERENCE PLANNING COMMITTEE

Amber Larson, RN, BSN, MSeD

Kevin Young, MHA

Betty Lam, MA

Marcos Pesquera, RPh, MPH

Clarencia Stephen

Marilyn Lynk, PhD

Danielle Lewald

Michele McBride, RN, BSN, CDE

Deidre Washington, PhD

Perry Chan, MS, CHES

Dina Madrid, DrPH, MPH, RN,

Sierra Jue-Leong, MPH

CRRN Ed Tolessa, PhD Emeobong Martin, MPH Heather Ross, MHS Jackie Pettis, RN, MSN

Talya Frelick, MPH, CHES Teresa Witt, CFRE Vivian Abadom, PhD Wilma Townsend, MSW

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AGENDA AT A GLANCE Welcome Marcos Pesquera Executive Director, Center for Health Equity & Wellness at Adventist HealthCare, Inc. Kevin Young Opening Remarks President, Adventist Behavioral Health KEYNOTE ADDRESS David Satcher, MD, PhD Former Surgeon General of the United States “An Overview of Disparities in Behavioral Health” Spirituality & Behavioral Health Fireside Chat Panel Presentation with Diverse Religious Leaders: • Christianity: Drs. Alfiee Breland-Noble, Georgetown University, SpeakOut Program; and Shelvan Arunan, Shady Grove Adventist Hospital • Hinduism: Niru Jani, MD, Jani Physicians, LLC • Islam: Imam Abdullahi, Muslim Community Clinic • Judaism: Rabbi Dr. Gary Fink, Montgomery Hospice Moderator: Kevin Young, President, Adventist Behavioral Health Voices of Courage: BREAK Plenary Address

Personal Story from Cindy Harding, SpeakOut Participant Networking and Vendor Visitation Larke Huang, PhD, Director Office of Behavioral Health Equity, SAMHSA “Addressing Behavioral Health in Healthcare Reform & the Social Determinants of Health”

LUNCH with Personal Stories of Wellness and Recovery Blue Ribbon Award

“Snapshots of Wellness” DVD

Presented to: Dr. David Satcher, Satcher Health Leadership Institute

Panel Presentation of Resources and Research in Behavioral Health • Youth Perspective: Jimmy Venza, PhD, Director, Therapeutic Nursery Program Lourie Center for Infants and Toddlers • Local Perspective: Raymond Crowel, PsyD, Chief, Montgomery County, Behavioral Health Services • State Perspective: Gayle Jordan-Randolph , MD, Maryland Department of Health and Mental Hygiene • National Perspective: Charlene LeFauve, PhD Deputy Director for Special Populations, National Institute for Mental Health Moderator: Mark Covall, President & CEO, National Association of Psychiatric Health Systems Voices of Courage:

Personal Story from Jackie Pettis Manager, Wellness & Recovery, Value Options

BREAK Closing Address Concluding Remarks

Paolo del Vecchio, MSW Director for Mental Health Services, SAMHSA Marcos Pesquera

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WELCOME & OPENING REMARKS

Marcos Pesquera, Executive Director of the Center for Health Equity and Wellness, introduced himself and welcomed participants to the conference. He reflected on the early stages of developing the conference theme and reflected on the Planning Committee’s decision to discuss behavioral health issues because of a perceived need in the community. He also thanked the sponsors and vendors for their support of the conference and commitment to addressing the needs of their communities. Sponsors included Montgomery County Health and Human Services, African American Health Program, Asian American Health Initiative, and Latino Health Initiative; the Primary Care Coalition of Montgomery County; and Adventist Behavioral Health, Washington Adventist Hospital and Shady Grove Adventist Hospital. Mr. Pesquera also thanked members of the planning committee for their support and dedication to the Center’s efforts before introducing Mr. Kevin Young, President of Adventist Behavioral Health.

OPENING REMARKS To frame the discussion, Mr. Kevin Young posed the question “What factors influence individuals to seek behavioral health care?” According to Mr. Young, challenges in lack of access to qualified health care providers, language barriers, societal and cultural stigma about mental illness, cost of care, lack of provider awareness about the role of spirituality, and religion play in the perception of care may influence one’s decision to seek care. He continued: “We can’t help someone if they can’t access services.”

Kevin Young, MHA, FACHE President, Adventist Behavioral Health

Following Kevin Young’s opening remarks, Mr. Pesquera returned to the stage to provide an overview of Adventist HealthCare’s (AHC) 2013 Health Equity Report.

The 2013 report featured data not only from AHC’s two acute care hospitals, but for the first time included data from specialty care entities Adventist Behavioral Health, Adventist Rehabilitation Hospital of Maryland, and Adventist Home Care Services. For each entity, demographic, clinical, and quality data from the 2012 patient population were provided. In addition, this report included

Marcos Pesquera, RPh, MPH, Executive Director, Center for Health Equity & Wellness

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WELCOME & OPENING REMARKS a spotlight on mental health as well as an overview of efforts across AHC to reduce 30-day hospital readmissions.

Next, Mr. Pesquera provided an update on the progress made in response to the recommendations included in the 2012 Health Equity Report. In order to improve patient data collection and transparency, in the summer of 2013, the Center partnered with the Institute for Patient and Family Centered Care, the Maryland Hospital Association (MHA), and the Health Services Cost Review Commission (HSCRC) to provide race/ethnicity and language data collection training to hospitals across Maryland. In response to the recommendation to implement data-driven interventions to improve healthcare quality and outcomes, Washington Adventist Hospital began conducting patient experience surveys with limited English-proficient patients in order to better serve the growing proportion of Hispanic patients. In addition, collaborative population based initiatives such as the Community Coalition to Improve Care Transitions, patient and family engagement, and patient safety programs, have been successful in improving outcomes and reducing preventable hospital readmissions.

Returning to the 2013 report, Mr. Pesquera reviewed next steps, which included leadership and staff collaboration for the implementation of interventions aligned with community needs, assessment of organizational cultural competence, and collection and utilization of patient sociodemographic factors beyond race and ethnicity.

Exhibitor: Margaret Korto, Sr. Program Analyst, Black Communities, Office of Minority Health Resource Center

Exhibitor: Quiana Holmes, Physician Relations Coordinator, Washington Adventist Hospital

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KEYNOTE ADDRESS

Keynote Address “Passion and Purpose for Addressing Disparities in Behavioral Health”

DR. DAVID SATCHER Dr. David Satcher, former U.S. Surgeon General and Director of the Satcher Health Leadership Institute at the Morehouse School of Medicine, delivered the keynote address at this year’s Health Disparities Conference. During his tenure as Surgeon General, the first Surgeon General’s Report on Mental Health was released, followed by three supplements on children; mental illness; and culture, race, and ethnicity. Dr. Satcher began his address by reminding us that health equity is a global initiative and that we have a responsibility to make sure that everyone has the opportunity to lead a healthy lifestyle.

In his role as Director, Dr. Satcher described the leadership development programs currently offered by the Satcher Health Leadership Institute. Quoting a 1988 IOM report, he expressed the belief of the institute that “today, the need for leaders is too great to leave their emergence to chance alone,” whether those leaders are health professionals, community leaders, or parents.

Dr. Satcher went on to discuss the development of Surgeon General Reports including the first ever report on smoking released 50 years ago. Commending the successful efforts to reduce smoking in the U.S., Dr. Satcher called to attention several important lessons learned that can be applied to mental health including public education to the point of common knowledge, addressing the problem from a young age, continued research, and the development of policies based on that research. Dr. Satcher went on to express his belief that mental health binds us all because everyone experiences challenges to their mental health at some time during their life. Just as easily as things can go wrong with the heart, lungs, or kidneys, they can go wrong with our brains. Yet as a society, we continue to look down on people with mental disorders.

The Surgeon General’s report on mental health illuminated that mental disorders are not only real, but are common and disabling. While prevalence rates appear to be similar, disparities do exist in the burden of illness as well as in access to care. Dr. Satcher further explained that stigma, and culture of both patients and providers, continue to have an impact

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KEYNOTE ADDRESS on problem acknowledgment, treatment seeking, and treatment planning.

Dr. Satcher closed with a call to action for continued improvement around mental health. New attitudes, leadership, and policy are needed to fix the health system and how it addresses mental health.

For more details on the status of mental health in the U.S. today including statistics on mental illness and minorities, social determinants at play, and policy, please refer to Dr. Satcher’s slides which can be accessed here: http://www. adventisthealthcare.com/app/files/public/3269/AHCCHD-PPT-2013-Satcher.pdf Dr. David Satcher delivering the Keynote Address.

A special thank you to our Fall 2013 Interns. Left to Right: Akash Syngal, Khaleah Gordon, Dr. David Satcher, Guofan Li, Michele Troutman

KEY MESSAGES 



Mental disorders are

disabling.

as disabling as Mental disorders are in terms of se ea dis cancer or heart d lost productivity. Life premature death an . less than population rs yea 25 expectancy-

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MORNING PANEL

Morning

Panel “Spirituality and Behavioral Health Fireside Chat”

Dr. Alfiee Breland-Knoble Dr. Niru Jani

Above: Rabbi Dr. Gary Fink Iman Mohamed

The morning panel discussion, Abdullahi moderated by Kevin Young, President of Adventist Behavioral Health, led way to an engaging dialogue on the role of faith and faith communities in addressing behavioral health. Following brief introductions, the five panelists representing perspectives from Christianity, Hinduism, Islam, and Judaism, were invited to the stage.

Dr. Shelvan Arunan

To open the discussion, each panelist was asked to share how their community perceives and addresses issues around behavioral health and access to services. Several common themes emerged including the need for clinicians to adapt their approach based on an individual’s faith orientation which may vary even within religions, the important role that faith communities can play in providing support, and the persistence of stigmas even within faith communities.

The first panelist, Dr. Alfiee Breland-Knoble, shared that in her experience in predominantly African American Christian faith communities, the relationship between mental health and faith can be a double edged sword, but most of that edge points toward faith and church

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MORNING PANEL being a source of help and support. She explained that mental health is sometimes seen as something that people should rally around and provide support. As an example, she cited the “Speak Out” program which uses faith as a tool to normalize and give a face to mental illness. She went on to say that on the opposite side of the coin, she has also observed people’s discomfort to share their mental illness due to stigma and fear of being spoken about in a negative light.

Dr. Niru Jani spoke next about the Hindu faith and the role it plays in behavioral health.

As both a practicing neurologist and a Hindu, Dr. Jani shared that a challenge often arises in integrating faith and scientific principles in a manner that allows him to reach patients who have a faith belief system that interferes with receiving care. He stressed that when reaching out to a practicing Hindu with a behavioral health condition, it is important to address attachment. Attachment is believed to be the root cause of suffering and therefore moving away from attachment is a key route to helping Hindus.

The next speaker, Imam Mohamed Abdullahi, began by stating that in the Islam faith, mental illness is viewed as a disease like any other sickness, which can affect anyone. In the Islam faith, there is a strong respect for health and wellness; for this reason, actions that may negatively affect health such as smoking, drinking, and drugs, are prohibited. He went on to say that as an Imam, when someone comes to him with difficulties or behavioral health struggles, he first has them go back to the Lord to repent, and if the situation is not improving, he refers the individual for professional behavioral health care. He concluded with the message that the combination of spirituality and science is essential in the Islamic faith.

The next speaker, Rabbi Dr. Gary Fink, shared several principles to describe the relationship between behavioral health and Judaism. First, he stressed the importance of having clinicians focus on a person’s spiritual orientation because some people believe that God’s role completely determines one’s wellness, while others believe it is not influential. He explained that historically, Judaism has encouraged people to seek medical care while still believing in the importance of prayer. Rabbi Fink went on to say that while seeking health

Morning Panelists engaged in a dynamic discussion about spirituality and behavioral health.

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MORNING PANEL care is encouraged, it is not without obstacles. Stigma does persist in the Jewish community and is bolstered by stereotypes of high achievement and a perceived need for self-sufficiency due to historical hardships. He concluded with a simple message, “we have a lot of work left to do.”

The final panelist, Dr. Shelvan Arunan, provided the perspective of the Seventh Day Adventist faith. He shared that an integral part of the mission of the church has always been a duty to care for the sick and suffering. Included in this is the belief that it is necessary to care for the whole person—both mind and body—in order to achieve wellness. This belief is reflected in the integration of behavioral health care in Adventist health care systems.

Following the opening remarks from each panelist, the moderator opened the floor for questions from the audience.

Question 1: How do you educate your congregates about mental health and define it in a way that they can understand?

Dr. Breland-Knoble led off by stating the importance of reaching people in a language that they will understand. She cited an example of a minister reaching elderly congregates by providing examples of mental and behavioral health conditions directly from the scripture and putting them into the context of today’s clinical labels. Rabbi Fink and Imam Abdullahi made similar points noting the need for trained faith- and lay-based leaders who are able to recognize a problem, provide support, and refer individuals for additional care. Dr. Jani concluded by reiterating the importance of taking culture into account by factoring in people’s belief systems that may hinder them from receiving the care they need. As an example he cited Muslims that may stop taking their medication on fasting days.

Question 2: Dr. Jani, can you please clarify your earlier statement that attachment is the root cause of suffering in Hinduism?

Dr. Jani elaborated by first explaining that in Hinduism, the body and mind are believed to simply be transport systems allowing us to do what we are supposed to do. Everything we do has an attachment to it, and if you are attached to thoughts that are pervasive, distasteful, or materialistic, it affects your wellbeing and adds to your suffering. In Hinduism, it is

Moderator, Kevin Young opened the floor to questions and comments from the audience.

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MORNING PANEL taught that it is important to liberate yourself by detaching from emotional and materialistic value systems. An example of when this concept might be applied to behavioral health would be addictive personalities and substance abuse.

Question 3: While I appreciate the ideal of having communities and families as the first line of defense for behavioral health, in reality, I am not sure how well it actually works having seen a lot of fear and judgment. I am wondering if we can also discuss other community resources for behavioral health and the need to integrate services.

Each of the panelists addressed this question by echoing a similar theme that can be summed up well by an Albert Schweitzer quote provided by Dr. Jani, “there is no higher religion than human service.� Across all religions, there is a respect and compassion for individuals and a fundamental desire to help those in need. Dr. Breeland-Knoble concluded by noting that while it may be difficult and not without its challenges, the literature has shown that it is possible to have successful integration of faith and behavioral health.

Question 4: This question is directed to Dr. Breeland-Knoble. As a nursing student I have been learning about the importance of therapeutic communication, can you tell us about how you use therapeutic communication in the faith-based setting?

Dr. Breeland-Knoble began by saying that as a counseling psychologist, it is key to understand where a person has come from, the experiences they have had, and how that shapes the person they are. She went on to say that when working with individuals, her greatest tools are empathy and active listening. These tools are the reason she believes that many individuals feel comfortable reaching out to their religious leaders. They are often able to speak with someone who listens, cares, and understands without judgment.

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VOICES OF COURAGE

Cindy Harding Following the morning panel presentation, Cindy Harding, a participant of the SpeakOut Program that was mentioned by Dr. Alfiee Breland-Knoble, bravely shared her story with the conference attendees.

Ms. Harding began her story by sharing that she has been suffering from depression for as long as she can remember. Growing up with constant disparagement from her mother, she began drinking at the age of eleven to numb the pain. She “mulled through� life as best as she could until reaching a particularly low point in her late 20’s. Laying on her couch wishing for death, she described the numbness from the depression as the only thing that got her through. A neighbor who happened to stop by found her and Cindy Harding sharing called for help. her personal story.

After spending three weeks in a psychiatric ward, she learned the importance of sharing her story and letting others know what was going on in her life. As the years passed, a friend convinced her to go to church and slowly her faith began to help her to turn things around.

About a year ago, when the Health and Wellness ministry at her church reached out asking if anyone would be willing to share their mental health story, Ms. Harding decided it was time for her to share her story. She saw the SpeakOut Program as an opportunity to help break down the misconception that because you are in church you have no reason to be sad or suffer from mental illness.

Ms. Harding described her involvement with the SpeakOut program as a wonderful experience that brought together the faith community as well as the community at large.

She went on to say that it has helped people to learn about resources available to them in the community, let them know that they are not alone, and that there are others who understand and are going through similar experiences.

Ms. Harding ended her story on a note of hope. Now, she is taking classes in early childhood education, with the goal of becoming a counselor to ensure that no child has to suffer through what she did.

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PLENARY ADDRESS

Plenary Address

DR. LARKE HUANG

“Addressing Behavioral Health Disparities: an Urgent Issue” Dr. Larke Huang, Director of the Substance Abuse and Mental Health Services Administration’s (SAMHSA) Office of Behavioral Health Equity, presented on the status of behavioral health disparities in the nation and the opportunities presented by the Affordable Care Act (ACA) to reduce them. Dr. Huang opened her address by emphasizing that behavioral health is a critical component of an individual’s overall health. “If you are not attending to the behavioral health issues, your health outcomes may not be what you want them to be.”

To frame her discussion, Dr. Huang posed three questions: (1) what do we mean by behavioral health disparities, (2) are we making progress in reducing disparities, and (3) what opportunities are presented by the ACA to reduce disparities. Addressing the first question, Dr. Huang provided both a legal and SAMHSA definition of health disparities, and went on to say that social determinants account for a large amount of the variance seen across populations in health outcomes.

Continuing on to her second question, Dr. Huang highlighted several examples of behavioral health disparities across race/ethnicity and age for both the nation and the state of Maryland.

Taking a closer look at suicide, she shared that completion rates among American Indian/ Alaskan Natives are generally high at all ages, rates for non-Hispanic white men gradually increase when approaching middle age, and for Latina adolescents their completion rates are low but their risk behaviors are very high. In addition to prevalence rates, disparities can also be found for receipt of care. Dr. Huang went on to explain that while the overall healthcare need for mental health is not being met for the population as a whole, the rates are even worse among minority groups. Among black and Latino youth in particular, treatment rates are as low as 4–5 percent, compared to 10 percent for white youth. When examining national rates of disparities in quality of care and access to care for 2012, it is clear that disparities are worsening rather than improving, with the largest gaps seen based on income status.

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PLENARY ADDRESS Moving on to the third question posed, Dr. Huang discussed several opportunities the ACA is creating to address behavioral health disparities. As a result of the ACA, millions of previously uninsured individuals with behavioral health conditions will now have greater access to insurance coverage, will receive expanded benefits and no risk of denial due to pre-existing conditions, and have access to improved care delivery with a greater integration of primary care and the availability of home health. The ACA has also allocated more resources for health disparities to be addressed on a national scale through the creation of six offices of minority health within the U.S. Department of Health and Human Services (HHS). SAMHSA has used this opportunity to create a national network connecting nearly 700 organizations working in behavioral health and substance abuse to collaborate and share best practices.

For more details on behavioral health disparities, the impact of the ACA, and outreach for diverse populations, please refer to Dr. Huang’s slides which can be found here: http://www. adventisthealthcare.com/app/files/public/3267/AHC-CHD-PPT-2013-Huang.pdf

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BLUE RIBBON AWARD

Blue Ribbon Award

Dr. David Satcher receiving the 2014 Blue Ribbon Award, presented by Ulder Tillman.

Each year, the Center for Health Equity and Wellness presents a Blue Ribbon Award to a person or organization that has demonstrated extraordinary commitment and dedication toward the elimination of health disparities and the achievement of health equity. The recipient’s body of work should exemplify innovation, impact and outcomes, collaboration, and cultural and linguistic appropriateness. The 2013 Blue Ribbon Award was presented to Dr. David Satcher, current Director of the Satcher Health Leadership Institute and former U.S. Surgeon General for his continued passion and dedication to the elimination of health disparities throughout his ongoing career. Some of his many great achievements in the field include:  Released the first ever Surgeon General’s report on Mental Health calling attention to the fact that mental illness is an “urgent health concern” that this country must address. This report also provided an opportunity to dispel many of the myths and stigmas that surround mental illness by presenting scientific, fact-based information and research.  Released a supplemental Surgeon General’s report on Mental Health examining cultural, racial, and ethnic disparities in mental health.  Led national efforts to eliminate racial and ethnic disparities in health, including the incorporation of the “elimination of disparities” as one of the two major goals of Healthy People 2010.  Established the Satcher Health Leadership Institute to allow for the growth, development, and support of leaders engaged in health policy, equity, and the elimination of health disparities.

This year’s award was presented by Dr. Ulder Tillman, Montgomery County Health Officer and Chief, Public Health Services. Dr. Satcher graciously accepted the award.

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AFTERNOON PANEL

Afternoon Panel Best Practices: Resources and Research in Behavioral Health

The afternoon panel was moderated by Mark Covall, President and CEO of the National Association of Psychiatric Health Systems. He introduced the purpose of the panel as being to provide an overview of what is being done to improve access to, and quality of, behavioral health services from a federal, state, and local perspective. Mr. Covall introduced each panelist in turn, inviting them to the podium for their presentation.

Mark Covall, President and CEO of the

National Association of Psychiatric Health Systems

CHARLENE LEFAUVE, PHD – INVESTING IN RESEARCH TO REDUCE MENTAL HEALTH DISPARITIES

The first panelist, Dr. LeFauve from the National Institute of Mental Health (NIMH), provided a federal perspective. During her presentation she stressed the ongoing need for mental health disparities research.

Echoing earlier speakers, she noted that sufficient progress was not being made in narrowing the gap in usage of mental health services for ethnic and racial minority groups as well as for rural populations.

In order to address these disparities, the NIMH has funded several initiatives to not only identify mechanisms, but also test innovative strategies for implementation and dissemination strategies. Dr. LeFauve concluded with a sample listing of funded projects and partnerships that are available on her slides: http://www.adventisthealthcare.com/ app/files/public/3276/AHC-CHD-PPT-2013-LeFauve.pdf

Charlene LeFauve, PhD, Deputy Director for Special Populations, National Institute for Mental Health

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AFTERNOON PANEL

GAYLE JORDAN-RANDOLPH, MD – PARTNERING TOWARD A HEALTHIER FUTURE: ADDRESSING DISPARITIES IN BEHAVIORAL HEALTH Dr. Gayle Jordan-Randolph from the Maryland Department of Health and Mental Hygiene provided a state perspective. Putting her presentation into context, she explained that at the Department there are separate divisions of mental hygiene, alcohol and drug abuse, and Medicaid. Consequently in 2012, the Department was charged with developing an integrated health service delivery and financing system for behavioral health. Utilizing a single Administrative Services Gayle JordanOrganization, the goal was to promote information exchange at the state Randolph , MD, Maryland Department and local level, establish multidisciplinary care coordination teams, of Health and and develop competent provider networks. Dr. Jordan-Randolph also Mental Hygiene briefly described the state’s Community-Integrated Medical Home initiative funded through the State Innovation Model grant from the Center for Medicare and Medicaid Services (CMS). Additional details on state level efforts to address health equity can be seen in Dr. Jordan-Randolph’s slides: http://www. adventisthealthcare.com/app/files/public/3268/AHC-CHD-PPT-2013-Randolph.pdf

RAYMOND CROWEL, PSYD – ADOPTING AN EQUITY FRAMEWORK AND PROCESS Dr. Crowel provided an overview of the efforts taking place at the county level to ensure health equity. He began by describing the Minority Health Initiatives Program (MHIP) at Montgomery County Health and Human Services (HHS) which consists of three programs, one each focused on African Americans, Asian Americans, and Latinos. In 2011, these three programs convened to develop a more comprehensive approach and expanded effort to support and promote HHS-wide efforts to address disparities and equity. It also led to the creation of The Leadership Institute for Equity and Elimination of Disparities (LIEED), which among Raymond Crowel, PsyD, its many purposes serves as a liaison in effective community Chief, Montgomery engagement. Among the implications of these changes has been a County, Behavioral recognition that equity does not mean equality. Different population Health Services groups vary in their needs and therefore require different approaches and solutions. Additional details on the county’s shift to a health equity framework can be found in Dr. Crowel’s slides: http://www.adventisthealthcare.com/app/files/public/3265/ AHC-CHD-PPT-2013-Crowel.pdf

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AFTERNOON PANEL

JIMMY VENZA, PHD – THE RETURN OF LOURIE CENTER RESEARCH: INTEGRATING THEORYPRACTICE-RESEARCH-TRAINING Dr. Jimmy Venza of the Reginald Lourie Center for Infants and Young Children provided a youth perspective on efforts to address health disparities. Dr. Venza shared that the Lourie Center is currently involved in several research efforts that strive to improve the quality of the parent-child relationship. The first study he discussed aimed to alter parental perceptions of their children in order to catalyze behavioral changes in both the parents and children. The study was successful in improving parental insightfulness and emotional availability. Dr. Venza also briefly described two additional studies; one examining how early Head Start can be used as a buffer against toxic stress and the other evaluating their special education elementary school. Additional details on these studies can be found in Dr. Venza’s slides: http:// www.adventisthealthcare.com/app/files/public/3270/AHCCHD-PPT-2013-Venza.pdf

Jimmy Venza, PhD, Director, Therapeutic Nursery Program Lourie Center for Infants and Toddlers for Mental Health

At the conclusion of the panelist presentations, as there were no questions from the audience, Mr. Covall recalled a question posed by Dr. Jordan-Randolph during her presentation: what does parity mean and does it equal access?

Dr. Jordan-Randolph addressed this question by explaining that parity arose from the need to address the identified inequity of reimbursement and support for behavioral health versus medical care services. Parity will provide access to similar benefit packages for behavioral health that are currently available for primary care. However, is this what is really best, she asked. Medical service delivery systems currently exist in silos, she explained, and don’t have open access; therefore parity for behavioral health will not necessarily equate to open access.

Afternoon panelists and moderator intently listening to their fellow colleague Dr. Charlene LeFauve (not shown).

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VOICES OF COURAGE

Jackie Pettis Ms. Pettis shared a personal story of childhood trauma, mental illness, and her journey to treatment.

She remembers knowing she was sad, but did not have a name for what she was feeling. Ultimately, a physical illness prompted her to seek treatment.

She summarized the “do’s and don’ts” in the field of mental health care at the close of this five minute segment.

She emphasized the importance of providers treating people and not labels; not blaming patients when medicines don’t work; avoiding deeming those whose medicines don’t work as non-compliant; and not focusing solely on symptoms when providing care. She also cited the importance of avoiding over-medicating to eliminate normal emotions and Jackie Pettis sharing her personal story. feelings of sadness and grief or using medications as a magic fix. She concluded by reminding clinicians to recognize that they don’t have the power to heal anyone; the strength to get well comes from within and with family and peer support.

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CLOSING ADDRESS

Closing Address

PAOLO DEL VECCHIO

In the interest of time Mr. Paolo del Vecchio opted to “get to the heart of” his remarks about recovery. In addition to his role as SAMHSA’s Director of the Center for Mental Health Services, he leads the agency’s efforts in recovery support. He mentioned that this past June (for the second time in the nation’s history), the White House convened a conference on mental health. President Obama attested that “recovery is possible” (first time ever that a U.S. President has made such a comment).

Mr. del Vecchio personalized his closing remarks by professing to be a self-identified person in recovery. He grew up in a family that was no stranger to mental health issues.

His mother was a poet and scholar and his father was a Korean War veteran and child psychologist; however, this did not exclude him from the mental health issues many in our county face. At an early age, he experienced trauma in the form of domestic violence in his home. Mr. del Vecchio’s first experience receiving mental health services was in the third grade when a teacher noticed he was socially isolated and withdrawn and sent him to see the school psychologist. This experience with social exclusion pushed him away from receiving services in his adult life. As a high school student, Mr. del Vecchio turned to drugs and alcohol to “dull the pain” and at one point felt his life was not worth living. He found himself at a subway platform ready to take a step in front of a train when he thought of his mother. He used this personal anecdote to emphasize the importance of familial support for those battling mental illness.

From that point forward, he went to a counseling center at his university where he was told to come back in a month for the next available appointment. A turning point in his life occurred when at the counseling center, he saw an ad for a work study position at a local mental health program staffing the information referral line. This position helped him to realize that he wasn’t alone in what he was feeling and experiencing and that by helping others he was also helping himself. Thereafter, Mr. del Vecchio dedicated his life to working in the mental health field. He went back to school to earn a Masters of Social Work (graduating summa cum laude) and went back to work at the mental health program where he started as a work study intern. At the time, this program was working to close a state hospital in Philadelphia that was notorious for its abuse and neglect. After his internship, Mr. del Vecchio went to

2013 Annual Conference Proceedings Page 27

CLOSING ADDRESS work for the City of Philadelphia Office of Mental Health and Systems Policy Planning which was working to help move people out of hospitals.

According to Mr. del Vecchio, health reform prompted SAMHSA to develop a new definition of ‘recovery’. This definition describes recovery as a journey or process for people to do three things: 1) promote and improve their health and wellbeing, 2) live a self-directed life, and 3) reach their full potential. Mr. del Vecchio also identified four key dimensions that support recovery: health, home, purpose, and community. People must also have access to affordable, quality, and effective health and behavioral health care. According to Mr. del Vecchio, those suffering from mental health disorders have an average life expectancy of 53 years (life expectancy hasn’t been that low for the general population since the 1920s).

Additionally, unemployment rates among those with serious mental illness are 70–90 percent. Mr. del Vecchio explained that relationships and community/peer support are at the crux of recovery.

At the end of his closing remarks, Mr. del Vecchio emphasized that although huge strides have been made in the field over the last 50 years, there is still a long way to go.

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CONFERENCE EVALUATION

Conference Evaluation This year, 205 participants attended the 2013 annual health disparities conference; 87 individuals (42%) completed an electronic evaluation. The majority of conference attendees were healthcare professionals. Among those who completed the post-conference evaluation, 75 percent were not employees of Adventist HealthCare. Most survey respondents (96%) strongly agreed or agreed that the conference was relevant to their work and delivered in an effective manner. Similarly, most survey participants felt that the three learning objectives for the conference (to discuss behavioral health in general, behavioral health disparities, and best practices for addressing behavioral health disparities at the national, state, and local levels) were met through the speaker and panel presentations. All respondents either strongly agreed or agreed that the conference keynote speaker, Dr. David Satcher, delivered a dynamic address that was in harmony with the conference theme, “Partnering Toward a Healthier Future: Addressing Disparities in Behavioral Health”.

In the qualitative feedback provided, many respondents commented on the importance of highlighting behavioral health in the general healthcare dialogue, with one participant noting that “much work is still needed to educate the [healthcare] field on mental health needs”.

Several respondents also expressed appreciation for drawing attention to the “intersection between behavioral health and spiritual health” at the conference. One respondent noted “the importance of individual story telling” as it related to the “Five Minute Face Time” portions of the agenda that featured individuals who shared personal stories about their lived experiences as consumers of behavioral health services.

Conference participants were also invited to provide feedback on the 2013 Health Equity Report that features quality data and analysis from Adventist HealthCare’s hospitals from a health equity framework to identify and address health disparities in healthcare. Among respondents, 92 percent stated that the 2013 Health Equity Report was relevant to their work and 85 percent noted that they would use the report to assist them in their professional activities. Of additional note, 91 percent of evaluation participants indicated that they would likely share the 2013 Health Equity Report with colleagues and leadership within their healthcare organizations.

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ATTENDEE LIST

Conference Attendee List On behalf of the Center for Health Equity and Wellness, Montgomery County Department of Health and Human Services, and Primary Care Coalition, we would like to thank all who attended and supported our conference. The conference was a success not only because it offered opportunities to learn and share best practices with one another, but also because a great number of individuals from health care and non-health sectors alike participated actively in the event.

In the pages to follow, we have provided a list of all the conference attendees, their respective organizations, and their contact email addresses. We encourage continued knowledgesharing and partnering among individuals and across organizations from both within the health sector and across non-health sectors to reduce the impact of health disparities.

Join us as we Partner Toward a Healthier Future!

2013 Annual Conference Proceedings Page 31

ATTENDEE LIST

Abdullahi Addo Aguenbaum Aguilar

First Name Mohamed Felicia Esther Yeny

Muslim Community Clinic Adventist HealthCare Montgomery College Primary Care Coalition

Aguirre

Luis

Latino Health Initiative

Ahluwalia

Uma

Akpandak

Ini

Montgomery County Government Adventist HealthCare

Albright

Denise

Maryland Dept. of Health

Al-Sheikhly

Melody

Adventist HealthCare

Alston Alvarado

Elma Elena

Arunan

Shelvan

Awkard

Kathy

ValueOptions Montgomery County , MD DHHS Shady Grove Adventist Hospital Montgomery College

Baker Benavides

Bruce Nilsa

CHEER Primary Care Coalition

Benzel

Laura

Bloom

Joan

Breland-Noble

Alfiee

Brooks-Little

Yvonne

Calderon

Luz

Disparities National Coordinating Center University of California,Berkeley Georgetown University Medical Center Dept. of Psyc Bethel World Outreach Church Mary’s Center

Last Name

Organization

Email faddo@adventisthealthcare.com esti.aguenbaum@gmail.com yeny_aguilar@ primarycarecoalition.org luis.aguirre@ montgomerycountymd.gov uma.ahluwalia@ montgomerycountymd.gov Iakpanda@ adventisthealthcare.com denise.albright@maryland.gov

msheikhl@ adventisthealthcare.com ebalston@ymail.com elena.alvarado@ montgomerycountymd.gov sarunan@ahm.com kathy.awkard@ montgomerycollege.edu bruce@communitycheer.org nilsa_benavides@ primarycarecoalition.org benzell@dfmc.org jbloom@berkeley.edu

ybrookslittle@gmail.com lcalderon@maryscenter.org

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ATTENDEE LIST

Campbell Campbell

First Name Kanika Georgina

Carpenter Carter Castro

Lisa Lawrence June

Cavanaugh Chan

Tarsha Perry

Charles Clifford Cochran

Martine Melanie Dan

Colby Coleman

Tralisa Tannyka

Coleman

Kathleen

Cook Covall

Laura Mark

Crowel

Raymond

Dark Davis DeFrancesco

Okianer Christian James Susan

del Vecchio

Paolo

Dixon

Denise

Edwards Ellis

Z. Colette Adrienne

Last Name

Organization Maryland Dept. of Health Adventist HealthCare Kaiser Permanente Maryland Dept of Health MedStar St. Mary’s Hospital DHHS/HRSA Asian American Health Initiative Inova Health System Family Services, Inc. Shady Grove Adventist Hospital Adventist HealthCare African American Health Program Adventist HealthCare Adventist HealthCare National Association of Psychiatric Health Systems Montgomery County Government Howard University School of Law Riverside Health Institute for Public Health Innovation Mental Health Services, SAMHSA African American Health Program Insight MD Mental Health Association of Maryland

Email kanika.campbell@maryland.gov gcampbel@adventisthealthcare. com lisa.k.carpenter@kp.org lawrence.carter@maryland.gov june_castro@smhwecare.com tcavanaugh@hrsa.gov perry.chan@ montgomerycountymd.gov martine.charles@inova.org melanie.clifford@fs-inc.org dcochran@ adventisthealthcare.com tcolby@adventisthealthcare.com tannyka.coleman@ montgomerycountymd.gov kcoleman@ adventisthealthcare.com lcook@adventisthealthcare.com

ann.pupjak@ montgomerycountymd.gov odark@law.howard.edu jdavis@myriversidehealth.com sdefrancesco@institutephi.org

denise.dixon@ montgomerycountymd.gov colette@accessinsightmd.com aellis@mhamd.org

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ATTENDEE LIST

Escalante

First Name Monica

Evans Felipe

Sara Rose

Last Name

Organization Montgomery Hospice

Fleischmann Flores

Montgomery College National Council for Behavioral Health Allison Riverside Health Rabbi Gary Montgomery Hospice Dianne Montgomery County Government Susan Mary’s Center Nancy Adventist HealthCare

Flowers

Jacki

Flowers

Willie

Frazell

Sarah

Frelick Fulton

Talya Sandra

Gabriel

Renita

Garcia

Katherine

Garvey Glazer

Carol Emily

Glover Gordon

Susan Khaleah

Granados Grant

Roxana Pat

Grant

S. Orlene

Fields Fink Fisher

Office of Minority Health Resource Center Park Heights Community Health Alliance Primary Care Coalition Adventist HealthCare Adventist Behavioral Health Breakthroughs Psychological Services, LLC Herschel S. Horowitz Center for Health Literacy Garvey Associates, Inc. Health Education Consultants Adventist HealthCare Adventist HealthCare Montgomery College African American Health Program Executive Committe The Grant Group, LLC

Email mescalante@ montgomeryhospice.org sve3187@gmail.com rose.a.felipe@gmail.com afields@myriversidehealth.com dianne.fisher@ montgomerycountymd.gov sfleischman@maryscenter.org nflores2@ adventisthealthcare.com jflowers@minorityhealth.hhs.gov wflowers@phcha.org sarah_frazell@ primarycarecoalition.org tfrelick@adventisthealthcare.com sfulton@adventisthealthcare.com nspired00@gmail.com

kgarcia@umd.edu cgarvey@garveyassociates.com emglazer@gmail.com sglover@ahm.com kgordan2@ adventisthealthcare.com r.granados0107@gmail.com patsygrn@yahoo.com

sogrant@thegrantgroup-llc.com

2013 Annual Conference Proceedings Page 34

ATTENDEE LIST

Harvey

First Name Ana

Latino Health Initiative

Heitmuller

Sue

Adventist HealthCare

Herron

Diane

Hicks

Charlene

Hochron

Jean

Hollingsworth

Michelle

Holmes

Quiana

Hoops HoustonCrockett Huang

Ivy Dianne

African American Health Program Montgomery County Government Montgomery County , MD DHHS University of Integrative and Health Sciences Washington Adventist Hospital Adventist HealthCare Amerigroup

Hussein

Carlessia

Idowu

Abimbola

Illig Jackson

Debra Saundra

Jackson

Maia

Jacksteit James-Taylor Jani Jess-Huff

Mary Terrie Niru Zereana

Jeter Jones JordanRandolph

Eboni Jennifer Gayle

Last Name

Larke

Organization

Office of Behavioral Health Equity, SAMHSA DHMH Minority Health and Health Disparities African American Health Program Adventist HealthCare African American Health Program Kaiser Permanente/ MAPMG CHEER Montgomery Hospice Jani Physicians, LLC ValueOptions Maryland Montgomery College Montgomery College Behavioral Health and Disabilities, MDHMH

Email ana.harvey@ montgomerycountymd.gov sheitmul@ adventisthealthcare.com diane.herron@ montgomerycountymd.gov stella.sharif-chikiar@ montgomerycountymd.gov jean.hochron@ montgomerycountymd.gov mhollingsworth@tia.edu qholmes@ adventisthealthcare.com Ihoops@adventisthealthcare.com dianne.houston-crockett@ amerigroup.com

diane.walker@maryland.gov abimbola.idowu@ montgomerycountymd.gov dillig@ahm.com saundra.jackson@ montgomerycountymd.gov maia.jackson@kp.org mary.jacksteit@gmail.com ttaylor@montgomeryhospice.org zereana.jess-huff@ valueoptions.com eboni.jeter@gmail.com jenlynnjones@gmail.com

2013 Annual Conference Proceedings Page 35

ATTENDEE LIST

Jue-Leong

First Name Sierra

Kelly

Evelyn

Kemble

Lori

Kenez Kessel Kick

Dennis Woodie Sandy

King Kohut

Teresa Mary Kay

Koshute

Lisa

Kronz Lam

Leslie Betty

Lamichhane

Aseeka

Inova Health System Montgomery County , MD DHHS Adventist HealthCare

Lann Lazo LeBlanc

Helen Reina Madona

ValueOptions Adventist HealthCare Montgomery College

LeFauve LeggettJohnson Lesesne

Charlene Susan

Lesser

Rachel

ORDGMH, NIMH Mid-Atlantic Permanente Medical Group, P.C. Montgomery County , MD DHHS Montgomery College

Lettlow

Helen

Levy-Stutsky Li

Judy Guofan

Last Name

Evette

Organization Asian American Health Initiative Institute for Public Health Innovation Sheppard Pratt Health System Self Koop Institute Maryland Women’s Coalition for Health Care Reform NFFCMH Delmarva Foundation for Medical Care Adventist HealthCare

Montgomery County Government Adventist HealthCare Adventist HealthCare

Email sierra.jue-leong@ montgomerycountymd.gov ekelly@institutephi.org lkemble@sheppardpratt.org dennis.kenez@gmail.com wkessel@gmail.com sandy@mdchcr.org

tking819@verizon.net kohutm@dfmc.org lkoshute@adventisthealthcare. com leslie.kronz@inova.org betty.lam@ montgomerycountymd.gov alamichh@ adventisthealthcare.com helen.lann@valueoptions.com rlazo@adventisthealthcare.com mleblan9@ montgomerycollege.edu tawana.m.jackson@kp.org evette.lesesne@ montgomerycountymd.gov rlesser2@ montgomerycollege.edu stella.sharif-chikiar@ montgomerycountymd.gov jlevy-st@adventisthealthcare.com gli@adventisthealthcare.com

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ATTENDEE LIST

Lopez

First Name Vivian

Lotfi Louis-Charles

Maryam Myriam

Lowet Lynk Malloy MaloneyKrichmar Manan

Peter Marilyn Wilbur Diane

Medstart St. Mary’s Hospital Adventist HealthCare Montgomery County , MD DHHS MobileMed Adventist HealthCare Dept of Defense Sinai Hospital of Baltimore

Mary

Adventist HealthCare

Margot

Skip

Marquez Marter

Juana H

Martinez

Luis

Shady Grove Adventist Hospital Mary’s Center Washington Adventist Hospital MoCo DHHS

Massey

Julinda

Adventist HealthCare

Maxham

Gina

Adventist HealthCare

Last Name

Mendez-Munoz Andres

Organization

Monforte

Nadine

Mid-Atlantic Permanente Medical Group Adventist HealthCare

Mora

Sonia

Latino Health Initiative

Mosby

LaJoy

Muwwakkil

Bettye

Myers

Susan

Nelson Nixon

Gayle Audra

Office of Minority Health Resource Center Access to Wholistic and Productive Living Institut Delmarva Foundation for Medical Care The Hilltop Institute Walter Reed National Military Medical Center

Email vivian_Lopez@smhwecare.com mlotfi@adventisthealthcare.com myriam.louis-charles@ montgomerycountymd.gov plowet@mobilemedicalcare.org mlynk@adventisthealthcare.com wilbur.malloy@tatrc.org dkrichma@lifebridgehealth.org emartin2@ adventisthealthcare.com smargot@ adventisthealthcare.com jmarquez@maryscenter.org nlmarter@msn.com luis.martinez@ montgomerycountymd.gov jmassey@ adventisthealthcare.com gmaxham@adventisthealthcare. com andres.r.mendez@kp.org nmonfort@ adventisthealthcare.com sonia.mora@ montgomerycountymd.gov lmosby@minorityhealth.hhs.gov bettye@awpli.org steelet@dfmc.org gnelson@hilltop.umbc.edu nixonaudra@yahoo.com

2013 Annual Conference Proceedings Page 37

ATTENDEE LIST

Nolan

First Name Odessa

O’Connor

Mary

Ogbolu Oh

Yolanda Eunhae

Okafor Ortiz

MariaTheresa Viviana

Owens

Steven

Pangilinan

Caterina

Pauk

Jennifer

Directors of Health Promotion & Education Adventist Behavioral Health Primary Care Coalition

Pavlin Pesquera

Richard Marcos

N/A Adventist HealthCare

Last Name

Petros Kristen Petrova-Toolsie Lena Phoenix Janet Pineda

Rocio

Powell

Anita

Preston

Leni

Preval Quader Randolph

Nova Zaynah Suzanne

Reeves

Iris

Rehr

Rebecca

Organization Montgomery County Government Governor’s Workforce Investment Board University of Maryland Disparities National Coordinating Center University of Maryland, Baltimore County Latino Health Initiative

Mary’s Center Ad Astra Inc George Washington University Shady Grove Adventist Hospital National Center for Health Statistics Maryland Women’s Coalition for Health Care Reform Montgomery College Adventist HealthCare The MayaTech Corporation MD State Mental Hygiene Administration ASPPH/EPA

Email obattlenolan121@yahoo.com moconnor@gwib.state.md.us ogbolu@son.umaryland.edu ohe@dfmc.org mokafor1@umbc.edu viviana.ortiz@ montgomerycountymd.gov sowens@dhpe.org cpangili@ adventisthealthcare.com jennifer_pauk@ primarycarecoalition.org pav9@verizon.net mpesquer@ adventisthealthcare.com kpetros@maryscenter.org lena@ad-astrainc.com jphoenix@gwu.edu rpineda@adventisthealthcare.com alp3@cdc.gov leni@mdchcr.org

nova.lollis@gmail.com zquader@adventistealthcare.com srandolph@mayatech.com iris.reeves@maryland.gov rcrehr@gmail.com

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ATTENDEE LIST

Rice

First Name Saundra

Rice Rios-Phelps Robertson Robinson

Morrisa Claudia William Marcellus

Rosas Ross

Ana Heather

Rubio Ruiz

Roberto Cristy

Sackett

John

Saenz

Carmen

Sandoval Satcher

Claudia David

Semidey

Adrienne

Shea Shim

Madeleine Eunmee

Siddiqui

Sheena

Simmons

Carol

Simpson

Donald

Skraban

Bozena

Smith Smothers

Herbert Kevin

Last Name

Organization Pacific Institute for Research and Evaluation DHHS/HRSA Family Services, Inc. Adventist HealthCare Allegheny East Conference Mary’s Center African American Health Program Adventist HealthCare Adventist HealthCare Shady Grove Adventist Hospital Latino Health Initiative Mary’s Center The Satcher Health Leadership Institute Pacific Institute for Research and Evaluation Delmarva Foundation Shady Grove Adventist Hospital Maryland Hospital Association Adventist Behavioral Health Bon Secours Richmond Health System Adventist HealthCare The Grant Group- LLC Shady Grove Adventist Hospital

Email srice@pire.org mrice@hrsa.gov phelpsc@fs-inc.org wroberts@ahm.com mrobinson@ myalleghenyeast.com arosas@maryscenter.org heather.ross@ montgomerycountymd.gov rrubio@adventisthealthcare.com cristy.ruiz@ adventisthealthcare.com leden@adventisthealthcare.com carmen.saenz@ montgomerycountymd.gov csandoval@maryscenter.org

asemidey@pire.org sheam@dfmc.org eshim@adventisthealthcare.com ssiddiqui@mhaonline.org csimmon2@ahm.com donald_simpson@bshsi.org bskraban@ adventisthealthcare.com hsmith@thegrantgroup-llc.com ksmother@ahm.com

2013 Annual Conference Proceedings Page 39

ATTENDEE LIST Last Name Spence

First Name Weymouth Melanie

Organization Washington Adventist University Adventist HealthCare

SurisRodriguez Swann Swanson

Wayne Christy

Sweeney

Tom

Syngal

Akash

Commission on Health Washington Adventist Hospital Washington Adventist Hospital Adventist HealthCare

Tabb

Sharon

Montgomery College

Talavera

Melina

Adventist HealthCare

Taper

Darlene

Tate

KiChe

Tillman

Ulder

Triantis

Maria

Troutman

Michele

Montgomery County , MD DHHS Pacific Institute for Research and Evaluation Montgomery County Government Disparities National Coordinating Center Adventist HealthCare

Vaflor

Rhodora

Venza

Jimmy

Vethencourt Vinh

Maria Jasmine

Vo

Anh

Wadley Walsh

Fredia Carol

Shady Grove Adventist Hospital TNP, The Reginald S. Lourie Center Mary’s Center MCDHHS, Asian American Health Initiative Montgomery County Government QHS Montgomery County Collaboration Council

Email mriley@wau.edu mrodrig2@ adventisthealthcare.com wswann@earthlink.net cswanso2@ahm.com tsweeney@ahm.com asyngal@ adventisthealthcare.com sharon.tabb@ montgomerycollege.edu mtalaver@ adventisthealthcare.com darlene.taper@ montgomerycountymd.gov ktate@pire.org stella.sharif-chikiar@ montgomerycountymd.gov triantism@dfmc.org mtroutma@ adventisthealthcare.com rvaflor@ahm.com jvenza@louriecenter.org mvethencourt@maryscenter.org jasmine.vinh@ montgomerycountymd.gov anh.vo@ montgomerycountymd.gov wadleyf@qhs-inc.org carol.walsh@ collaborationcouincil.org

2013 Annual Conference Proceedings Page 40

ATTENDEE LIST

Washington

First Name Deidre

Westcoat

Kathleen

Whitaker

Shanta

Widerlite

Paula

Williams

Nia

Willis-Fillinger

Deborah

Wilson

Cheri

Woolf Yee Yoon Young Young

Gail Tiffany Hanna Pamela Kevin

Yu

Yang

Zeidman Zuckerman

Beth David

Last Name

Organization Adventist HealthCare HealthCare Access Maryland Disparities National Coordinating Center Adventist HealthCare African American Health Program Health Resources and Services Administration Hopkins Center for Health Disparities Solutions MCPS Family Services, Inc. Georgetown University LifeBridge Health Adventist Behavioral Health Montgomery County Government Consulting The Democracy Collaborative

Email dwashin2@ adventisthealthcare.com jhowells@hcamaryland.org whitakers@dfmc.org pwiderli@ adventisthealthcare.com nia.williams@ montgomerycountymd.gov dwillis-fillinger@hrsa.gov chwilson@jhsph.edu gail_s_woolf@mcpsmd.org yeet@fs-inc.org hyoon83@gmail.com pamelapyoung@comcast.net

ann.pupjak@ montgomerycountymd.gov bzeidman2@verizon.net dave@ democracycollaborative.org

“I’VE LEARNED THAT PEOPLE WILL FORGET WHAT YOU SAID, PEOPLE WILL FORGET WHAT YOU DID, BUT PEOPLE WILL NEVER FORGET HOW YOU MADE THEM FEEL.”

MAYA ANGELOU

820 West Diamond Avenue • Suite 400 • Gaithersburg, MD 20878 Phone: 301.315.3140 • Fax: 301.315.3118