Arthur Ashe Institute for Urban Health 25th Anniversary: Reflections 2017

25th Anniversary Celebration

SUNY Downstate Brooklyn Friday December 1, 2017 1992-2017

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ANNIVERSARY

GAME CHANGERS : CHAMPIONING EQUITY IN URBAN HEALTH & WELLNESS

This program is conducted in collaboration with the SUNY Downstate John Conley Division of Medical Ethics & Humanities

FROM WHAT WE GET, WE CAN MAKE A LIVING. WHAT WE GIVE, HOWEVER, MAKES A LIFE. ARTHUR ASHE 1992

From Brett Wright & Marilyn Fraser, MD Dear Friends, It’s been almost 25 years since Arthur Ashe founded the Arthur Ashe Institute for Urban Health at SUNY Downstate Medical Center. In 1968, at the age of 25, Arthur Ashe changed the game of tennis by becoming the first African American male to win the US Open.

Like Arthur, we are called to be game changers and to live with humane purpose

As an Institute, we have stayed true to Arthur’s vision to improve health outcomes, through our work within various communities, as we partner with community leaders in settings such as barbershops, beauty salons, housing developments, salons and houses of worship.

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Like Arthur, we are called to be game changers and to live with humane purpose, and to take action in our communities that are disproportionately affected by preventable diseases, violence, stress and underrepresentation of people of color in the health professions. Changing the game requires persistence, tenacity, and a call to action. We can be game changers whether we work with others to advocate for better health care, whether we march, or support those who are on the frontlines advocating for better health outcomes, or are in the trenches, informing and changing policies to improve health outcomes.

ARTHUR ASHE INSTITUTE FOR URBAN HEALTH

In addition to forever changing the game of tennis, Arthur did what many athletes had not done. He was a humanitarian and activist, who believed, as he stated “I could never forgive myself if I elected to live without humane purpose, without trying to help the poor and unfortunate, without recognizing that perhaps the purest joy in life comes with trying to help others.”

As we forge new paths for the Institute, we can also take the opportunity to reflect and are grateful to those Institute trailblazers, including staff and board members, who have laid a solid foundation upon which we can build. We look to the future with great optimism and thank you all for partnering with us along this journey.

Brett Wright h CHAIR

Marilyn Fraser, MD CEO Facing page above: Health Science Academy students are “Surgeons for a Day”.

Facing page below: Salon owners teach clients about monitoring blood pressure.

“Arthur and I used to speak on almost a daily basis—on the state of the world, our community, everything from healthcare to politics. He inspired me and I like to think that my experience as a doctor helped hone his perspective.

“While his career was full of spectacular firsts, Arthur Ashe once said, “true heroism is rather undramatic.” He founded the Institute at Downstate to combat health disparities knowing that social determinants of health extend beyond the clinical realm, and include the intractable day-to-day barriers that poverty and racism impose. The Institute’s inclusive strategic partnerships apply research and evidence-based practices to the complexity of these day-to-day challenges. Continual cultivation and stewardship of the Institute’s academic, community and government partnerships create viable, replicable models that respond to a rapidly changing environment. I am very proud of what the Institute has accomplished in its first twenty-five years. Under new leadership, I feel confident that the Institute will carry Arthur’s vision into the next twenty-five years, continuing to assess where we are, use what we have and do what we can.”

- Ruth C. Browne, SD, Former CEO 1992-2016

• Arthur Ashe establishes AAIUH at SUNY Downstate Medical Center with co-founders Rev. Dr. Paul Smith and Dr. Donald Scherl to address health equity as a basic human right

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Ashe dies of HIV/AIDS contracted through a contaminated blood transfusion during surgery

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Ashe’s widow Jeanne Moutoussamy-Ashe asks close friend Dr. Edgar Mandeville to succeed Ashe as Chairman of AAIUH Board

1994

ARTHUR ASHE INSTITUTE FOR URBAN HEALTH HISTORICAL TIMELINE

1993

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Research shows again and again that people get better when someone who speaks their language, understands and represents their culture and ethnicity provides their healthcare. Choosing the right messenger is as important as crafting the message and I am very proud of the cadre of salon and barbershop owners who continue to work with the Institute to empower our community and the staff and student body of the Health Science Academy. Arthur believed that if you want to save the world, ensuring a more positive future for kids has to be your first priority. I think he would be very proud to see how we are thriving at 25.” - Edward Mandeville, MD, Chair Emeritus

1992

ARTHUR ASHE INSTITUTE FOR URBAN HEALTH

We believe that people cannot fully accept responsibility for their health without an expanded range of options. From personal care establishments, like beauty salons and barber shops, to under-resourced middle and high schools, the Institute supports potential community leaders as messengers and advocates committed to improving community health, cutting across class, age and educational level. Our work connects worlds that do not usually trust, or even talk to each other much: the institutional universe of academic medicine and day-to-day life on the block in Brooklyn’s multi-ethnic neighborhoods, those experiencing the most shocking health disparities.

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AAIUH receives $50k challenge grant from American Express Foundation leveraging grants from NY Community Trust and Trinity Church, supporting an HIV education program for clergy leadership and parish nurses in African American and Afro-Caribbean churches

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First cohort of students from James Madison High School participates in the Health Science Academy with funding from the Stella and Charles Guttman Foundation

“Founding the organization at Downstate meant that it would be a real thing, a physical place. The Institute was designed to help people, find new ways to have people get check-ups, take better care of their own health, and to practice preventative measures in their day-to-day lives, rather than after-the-fact heroic medical care. Arthur told me that of all the things he’d done, the Institute was his most important legacy.

I knew Arthur for forty years, and hired him at HBO as a broadcaster before he died.

I leave how the programs work to the Institute’s professional staff, and use my connections and experience to promote the Institute, to sell Arthur’s vision. People on the board who knew Arthur are committed to see this through. Greatness is a rare commodity, if I can help someone like Arthur remain great, it’s very compelling.”

- Seth G. Abraham, General Vice Chairperson “Arthur glanced at me at a meeting with the President at Downstate about a month before he died. It was just a moment, but it was profound. I think he was saying ‘Go for it!’

AAIUH establishes independent 501c3 status and formalizes partnership with SUNY Downstate

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AAIUH launches health promotion programs in personal care establishments (beauty salons, barbershops, tattoo parlors, laundromats) with programs such as Black Pearls, Fades, First Impressions, and A Clean Bill of Health

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AAIUH hosts the first Sports Ball: A Black Tie and Sneakers Gala at the Pierre Hotel, hosted by American Express CEO Kenneth I. Chenault and raising $250k

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AAIUH co-sponsors a landmark conference on The Health of the Haitian Community (Sante Pou Kominote Ayisyen An) with the Haitian Physicians Association and leads a major networking and discussion meeting to further the engagement of churches in meeting the health needs of minority communities

1997

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1996

1995

If I could return Arthur’s glance now, I know he would smile. We need to push much harder with fundraising. I’m happy to see young people joining the board. ” - JoAnn Bradley, EdD, Board Secretary

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The Health Science Academy graduates its first cohort of students

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Looking at the survey of Academy students 25 years later, we see that many were successful. I’d like to congratulate the staff on the students’ accelerated completion rate 4.3 years for undergraduate degrees instead of the six it now takes all students nationally. I am extremely proud of the students, but would still encourage them to ‘reach out and help another.’ I’d like to see a more broad-based effort to recruit students across Brooklyn. I’m also extremely proud of the salon/barbershop initiatives.

ARTHUR ASHE INSTITUTE FOR URBAN HEALTH

I used to be asked to speak at high schools, and I would always notice the students sitting in the back, talking among themselves. I could see in the way they held themselves that they needed something more than they were getting. I said to myself, they should be learning the sciences. I went to Dr. Browne and said, “Why don’t we start an Academy?”

I went with the students to NIH in Washington, and on college trips. HSA did a great job of making them aware of opportunities such as scholarships and internships. They learned about different cultures and the program really opened their eyes to the world beyond Brooklyn, including Ivy League schools. They think they can’t reach for it, but they can. I always told them though “be sure you tell them that you are a product of public school education!”

When we first started, it seemed like the HSA curriculum was mostly lecture, but it became much more hands-on. The focus on disparities gave students awareness of social issues, and exposed them to the application of what they were learning. If there is any direction I’d like to see the Academy continue, it is broadening that awareness. There are many current issues that relate to health science.” - Michelle Murray, First HSA Liaison, James Madison High School

• AAIUH receives two capacity-building grants from Altus One Fund ($250k) and Independence Bank ($100k)

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AAIUH invites beauty and barbershop proprietors, media representatives and local health agencies to join the Health and Beauty Council

2000

ARTHUR ASHE INSTITUTE FOR URBAN HEALTH HISTORICAL TIMELINE

1999

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“James Madison is a large high school, and being a liaison helped me get to know my students one on one. We were like a small family. HSA students got to know each other better too. They’d stayed in touch with me and with each other when they went away to college. The students were naturally self-motivated but I always encouraged them to “pay it forward,” and often they came back to the Academy to volunteer.

1998

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“When I asked how many students wanted to be doctors at the College Day I organized with the Sophie Davis School of Biomedical Science, all the HSA students raised their hands.

The important thing about the Health Science Academy is that by being at Downstate, you get to see a range of professionals working in healthcare, and come to understand that there are many ways to serve. I remember the Academy module on the cardiovascular system where we dissected a cow’s heart, while learning about the disparities in stroke and heart attack rates in our neighborhoods. Arthur Ashe Institute introduced me to the concept of health disparities, and that made clear the path I wanted to follow. During my clinical training, I saw the faces behind those numbers. As a physician, I want to work with people who are underserved.”

- Keisha Barry, MD, SUNY Downstate, HSA ‘09

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AAIUH receives first NIH NCI research grant ($1.2m) advancing its community-based action research agenda in behavioral health intervention by evaluating A Soul Sense of Beauty

“The Health Science Academy’s model of preparing minority youth to enter and succeed in health science careers across disciplines is even more critical as we look forward to the Institute’s future, and the nation’s changing demographics.

What excites me most is the completion of the data analysis we are currently disseminating in journal articles and presentations, foreshadowing what is possible with sufficient funding, even within an environment of budget cuts and increased competition.

A survey of outcomes for over 500 HSA participants from the Academy’s founding in 1994 to the present shows that our participants complete their undergraduate degrees 1.5 years before the “new norm” of 6 years across all US students. Our graduates enter and complete medical school, but over the last 25 years, the Academy’s scope has expanded to include clinical research and a variety of allied health career paths.

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The Institute celebrates its first decade of service

2003

AAIUH and SUNY Downstate launch seminar series for senior level health leadership on Health Disparities in Brooklyn in response to the Institute of Medicine’s report Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care.

2002

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2001

“I was in the Health Science Academy as a high school student. I’m grateful for the training I received to provide the best care for my patients. I wanted to be a doctor since I was about six years old. I knew I wanted to help people. As I got older, I realized that I could use science and service as social justice to help the disenfranchised and forgotten. Approximate 3% of physicians in the US are African American, though African Americans make up 13% of the US population. Additionally, African Americans historically have been denied the best health care. I work in an underserved community and I’m grateful for the opportunity to serve. AAIUH’s work to increase the numbers of minority health care professionals ultimately works to serve the underrepresented communities throughout the nation. I hope the Institute and its partners will continue Arthur Ashe’s legacy by investing in our children, our future and our health” - Joshua McHugh, MD, SUNY Downstate Medical Center, HSA ‘02 “

ARTHUR ASHE INSTITUTE FOR URBAN HEALTH

An inverted triangle represents how many more students of color must enter programming earlier to make the healthcare work force significantly more representative, and the challenges of funding and a shifting political environment are daunting.

Yet we can seek opportunity within the current crisis in both healthcare and education by thinking more broadly about how we prepare more minority students, serving new populations and continuing to deepen the partnership with SUNY Downstate, local schools and a wider variety of funders to explore new career tracks within health science.”

- Mary Valmont, PhD, Associate Executive Director, Health Science Academy

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The New York State Department of Heath provides support to develop the Central Brooklyn Minority Asthma Partnership led by the Institute

“I’ve been working with the Institute for 20 years. Our first project was on prostate cancer. Back then, we’d have Saturday workshops and Institute staff would bring my customers gift bags.

I’ve had some of my clients for 20-30 years, some of them are now “older men” and I can direct them towards certain doctors, and give them names of insurance companies they can call. They might see prostate cancer as a death sentence, something they should keep to themselves. I can say “no it is not!” and they trust that I know what I am talking about.

ARTHUR ASHE INSTITUTE FOR URBAN HEALTH

I love that the Institute has given me the knowledge to communicate with my clients. In “Barbershop Talk”, the current barbershop project, we are talking about difficult things, but we can guide them toward resources and build on the trust we have. I feel confident and proud of that. I wish more people knew what they could have access to. In this business, there is a lot of competition, barbers look at other barbers and say, “To hell with them!” but I am grateful to the Institute for helping us build something with other shops. We’re not having Thanksgiving dinner with each other, but I am cool with them. The Institute has helped us connect and support each other around things that really matter to the community. I don’t ever want the Institute to go away.”

- Nelson Urraca, Nelson’s Barber Shop, Institute partner 20 yrs “I like being able to talk to my clients about their health, to give them advice that helps them address health issues. Clients tell us things they won’t tell their doctors.

I am on the Institute’s Health and Beauty Council and I want to get more salons involved to raise awareness. I see a lot of health problems in my clients and in our community.

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We started with breast cancer awareness over twenty years ago. The Institute provided training, literature and videos for people to watch while they waited. One client went to the doctor for a check-up and found that she had cancer. She would not have even known, or gotten the check-up or treatment, except for the program in the salon. We have a lot of influence, as hairdressers, we can get clients to do things for themselves they might not otherwise. Going forward, I would like to see the Institute make more use of technology in the salons and social media. You can never have too much information.”

- Hermione Fraser, Hermie’s Salon, Institute Member over 20 yrs

AAIUH testifies to the Sullivan Commission on Diversity in the Healthcare Workforce and co-founds the Community Coalition to Increase Diversity in the Health Professions with 40 member organizations to create community groundswell response to the Commission’s seminal report, Missing Persons: Minorities in the Health Professions

• AAIUH co-founds Brooklyn Health Disparities Center a partnership with SUNY Downstate and the Brooklyn Borough President’s Office, funded as one of the NIH NCMHD Project EXPORT Centers of Excellence

• Institute staff publish their first peer-review article followed by eight more articles documenting AAIUH’s work as best practice models in urban health •

AAIUH receives W.K. Kellogg Foundation grant to create Be the Cure, a documentary on increasing minority representation in medicine that served as the basis for our Middle School Career Exploration program, extending the healthcare workforce education pipeline back to sixth grade

2006

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2005

2004

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AAIUH replicates its beauty salonbased health promotion programs Black Pearls and Nuestra Belleza for Black and Latina women in 18 salons in West and North Philadelphia with funding from GlaxoSmithKline sponsors ($250k).

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Altus One grant establishes Healthy Families Brooklyn, a partnership between AAIUH and Long Island College Hospital, under leadership of Rev. Dr. Paul Smith

“Individuals who are stigmatized and not well informed cannot maintain their own health. We open doors to people who do not always have access.

Even with all his experience, education and fame, Arthur experienced inequities in the healthcare system. By investing in health literacy, and using trusted venues to share information, we help people understand their conditions and their options and navigate the system for better outcomes. Given the legacy of the Tuskegee experiments, our role is also to rebuild community trust, helping underserved people understand the relevance of clinical research, where they fit and academia’s responsibility toward them.

HSA students share an environment with people who look like them, doing jobs they aspire to. The Academy’s wraparound services provide a nurturing culture that helps students see themselves as professionals, connect the relevance of their learning to their lives. You can see it at the white coat ceremony – even their parents see them differently.

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AAIUH celebrates the tenth cohort graduating from the Health Science Academy with over 800 participants in the three-year after school program, with 99% accepted to college

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The Health Science Academy three-year comprehensive evaluation funded by WellPoint Foundation ($300k) finds that 60% of AAIUH academy graduates study science as undergraduates, ten times the national rate for minority students

2009

AAIUH advocates for standardization of culturally competent and linguistically relevant health services as the National Standards on Culturally and Linguistically Appropriate Services (CLAS)is established

2008

2007

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AAIUH launches Project Access to increase availability of health care for formerly incarcerated men in Bedford-Stuyvesant with support from the Langloth Foundation ($299k)and guidance from an advisory committee of leading community-based organizations addressing mass incarceration

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“I live and work in East Flatbush, so I get to see the effect we have in our community.

The Institute is at an all time high of people going out to salons and barbershops, giving neighborhood people health information and the tools and resources they need, people calling in asking about our programs. Working here for 14 years, I love it because I get a first-hand look before everything starts, while program are implemented and the outcomes. I’ve seen the Academy expand into a real pipeline program to help high school students. More kids and parents want to know about it. We’re just putting it out there, delivering the message and because I live here, I can see the awareness in the community growing.”.- Deborah Neal, Administrative Assistant 14 yrs

ARTHUR ASHE INSTITUTE FOR URBAN HEALTH

Our long-term work with social determinants of health led to our being selected to serve as the lead organization of the New York State funded consortium, as part of the Delivery System Reform Incentive Payment (DSRIP) initiative, to transform healthcare.. This new role will build our capacity by enhancing partnerships and bring more visibility to our models of best practices. We are implementing Arthur’s dream in the 21st century, positioning the Institute in the middle of the discussion of health as a human right.”- Humberto R. Brown, Director Health Disparities Initiatives

BOARD & STAFF BOARD OF DIRECTORS Founding Chairperson Arthur Ashe

ARTHUR ASHE INSTITUTE FOR URBAN HEALTH

Chairperson Brett Wright Founder/CEO Uptown Media Ventures

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Catherine Herrera Communications Director

Wayne J. Riley, MD SUNY Downstate Medical Center

LeeAnn Hicks Executive Manager, Corporate Affairs and Special Events

Blair C. Smith Promethean AB Strategies, LLC

Chairperson Emeritus Edgar Mandeville, MD

Hassan Tetteh, MD Uniformed Services University of the Health Sciences

First Vice Chairperson Michael A. Stocker, MD

Anne C. Vladeck Vladeck, Raskin & Clark

Second Vice Chairperson Kristen Williams AstraZeneca

Jeff Williams Tennis Magazine

General Vice Chairpersons Seth G. Abraham Starship SA LLP

CHIEF EXECUTIVE OFFICER Marilyn Fraser, MD

Kenneth I. Chenault American Express Company

STAFF

Cicely Johnson, PhD Associate Exeutive Director Research and Training Vanessa Lewis, MAT Manager, Health Science Academy Leidi Luna Patient Navigator Shawn Mitchell, MPH Program Coordinator, Community Outreach Deborah Neal Administrative Assistant Peradeba Raventhirarajah Program Coordinator, Health Science Academy

Estefania Amparo, MBA Program Manager, Community Outreach

Secretary JoAnn Bradley, EdD SUNY Downstate Medical Center

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Douglas Melancon, MD Advent Capitol Management

Faven Araya, MPH Community Outreach Coordinator

Treasurer Robin Rosenblum

Humberto Brown Director, Health Disparities Initiatives

MEMBERS Daisey Holmes BNY Mellon

Brignel Camilien Senior Program Coordinator, Community Outreach

Heidi Khan Leeds Korn Ferry

Brian Hagan Development Associate

Mary Valmont, PhD Associate Executive Director, Health Science Academy

National Health Care Reform Act is established, providing federal infrastructure for increasing minority representation in the healthcare workforce and behavioral health interventions outside of clinical settings, such as those AAIUH develops

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AAIUH partners with the Brooklyn Health Disparities Center to design and implement a two-year summer internship program training high school students in research methodology to complete research projects with local community-based organizations and present their findings to legislators through the NIH-funded National Stakeholder Strategy for Achieving Health Equity

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AAIUH develops a pilot of the internship program in partnership with the University of the West Indies, Faculty of Medical Sciences, St. Augustine, Trinidad and Tobago, the Trinidad and Tobago Ministry of Education and ten local nongovernmental organizations seeded by Fulbright Nexus Regional Scholars Program for replication throughout the Caribbean

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NIMHD provides five years of funding ($2m) to support a community-engaged intervention research, policy, and training agenda for the AAIUH, SUNY Downstate and the Brooklyn Borough President’s Office partnership through the Brooklyn Health Disparities Center

2013

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2011-2012

2010

ARTHUR ASHE INSTITUTE FOR URBAN HEALTH HISTORICAL TIMELINE •

First cohort of the Doris Duke program graduates; AAIUH welcomes 20th cohort of Academy students; Fulbright Research Specialist Award to Dr. Marilyn A. Fraser results in summer internship program in Trinidad & Tobago focused on Climate Change & Public Health

DONORS We thank the following donors for their extraordinary generosity and commitment to the Institute’s work during our twenty-five year history.

Altman Foundation*

GlaxoSmithKline*

Novartis Pharmaceuticals

Altus One Foundation*

Health Careers Opportunity Program (HCOP)*

Omnicom NY* PepsiCo*

HBO Sports*

Pfizer Pharmaceuticals*

American Express* American Honda/American Honda Foundation*

Jacob and Valeria Langeloth Foundation*

Ronald McDonald Children’s Charities

Assurant Foundation

George Link, Jr. Foundation Macy’s*

Rose M. Badgeley Residuary Charitable Trust

Madison Square Garden*

United Hospital Fund*

Morgan Stanley*

United States Tennis Association*

BMW of North America

National Institutes of Health*

BNY Mellon*

New York City Council Black, Latino and Asian Caucus

WellPoint/Empire Blue Cross and Blue Shield*

Brooklyn Community Foundation Centers for Disease Control & Prevention* Coca-Cola Company*

New York City Department of Health and Mental Hygiene New York City Department of Youth and Community Development

Coventry Health Care Doral Arrowwood* The Doris Duke Charitable Foundation*

New York State Department of Health*

Summer internship programs conducted in the US and Trinidad & Tobago; Brett Wright named new Chair of the Board after Dr. Edgar Mandeville resigns as Board Chair

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Graduation of the 20th cohort of HSA students; Institute’s first CEO, Dr. Ruth C. Browne resigns; Dr. Marilyn A. Fraser named new CEO of the Institute

2017

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2016

2014-2015

*Denotes cumulative grants and in-kind support of $100,000 or more.

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Summer internship programs conducted in the US and Trinidad & Tobago AAIUH awarded $2.5M grant from NY State Department of Health to lead the Communities Together for Health Equity (CTHE) consortium

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Forest City Ratner Companies*

New York Community Trust*

It is also with gratitude that the Institute acknowledges those individuals who participate in Sportsball, State Employees Federated Appeal (SEFA), USTA US Open event, and the Institute’s annual fundraising campaign.

ARTHUR ASHE INSTITUTE FOR URBAN HEALTH

AstraZeneca*

State University of New York Downstate Medical Center*

Our Community Partners HIGH SCHOOLS Benjamin Banneker Bishop Loughlin Brooklyn College Academy Brooklyn Generation Clara Barton Democracy & Leadership Public Service James Madison Medgar Evers Nazareth Regional Young Women’s Leadership SALONS & BARBERSHOPS 3 G’s Barbershop A Cut Above the Rest Barbershop Afrigenix Natural Hair Spa AJ’s Salon Akwa Grooming Al’s Barbershop Al’s House of Style Alex’s Barbershop Andy Deronette Barbershop Annette’s World of Beauty Asase Hair Salon At Level One Beauty Salon Audrey’s Hair Concept Barber Boyz 11 Hair Studio Bedford barbershop Benoit Barbershop Bibi Beauty Salon Big Boyz Barbershop Black Success Black Success Barbershop Black Success II Brooklyn Finest Barbershop Brooklyn’s Finest Hair Cutters Inc. Celebrity Hair Studios Changez Charmane Hair-Care Specialist Cherry’s Unisex Chico’s Unisex Salon Christopher’s Salon Claire’s Beauty Salon Classic Barber & Beauty Classic Barber Salon Classic Kuttz Unisex Salon Confidence Beauty Salon Continential Barbershop Country Barber & Beauty

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