1 00:00:05,230 --> 00:00:06,364 >> GOOD MORNING. 2 00:00:06,364 --> 00:00:09,667 I'M KATHY ETZ, DIRECTOR OF 3 00:00:09,667 --> 00:00:10,201 NATIVE AMERICAN PROGRAMS, 4 00:00:10,201 --> 00:00:10,768 NATIONAL INSTITUTE ON DRUG 5 00:00:10,768 --> 00:00:10,969 ABUSE. 6 00:00:10,969 --> 00:00:14,672 I WANT TO BEGIN BY THANKING THE 7 00:00:14,672 --> 00:00:15,940 SPEAKERS, MODERATORS, ATTENDEES, 8 00:00:15,940 --> 00:00:17,175 PLANNING COMMITTEE, CONTRACTORS 9 00:00:17,175 --> 00:00:18,943 FOR MAKING THIS MEETING HAPPEN, 10 00:00:18,943 --> 00:00:20,678 AND FOR JOINING YESTERDAY AND 11 00:00:20,678 --> 00:00:23,781 BEING WITH US TODAY. 12 00:00:23,781 --> 00:00:26,918 DR. FARHAT DID A BEAUTIFUL JOB 13 00:00:26,918 --> 00:00:28,820 RECAPPING ALL THAT WE HEARD 14 00:00:28,820 --> 00:00:30,321 YESTERDAY, TOPICS RANGED FROM 15 00:00:30,321 --> 00:00:31,356 ESTABLISHING IMPACT OF 16 00:00:31,356 --> 00:00:34,626 STRUCTURAL RACISM ON HEALTH 17 00:00:34,626 --> 00:00:36,127 OUTCOMES, NUANCES AND CHALLENGES 18 00:00:36,127 --> 00:00:38,129 OF DEFINITIONS, MEASUREMENT, 19 00:00:38,129 --> 00:00:41,933 DATA IN THIS AREA; 20 00:00:41,933 --> 00:00:44,769 MULTI-DISCIPLINARY AND 21 00:00:44,769 --> 00:00:45,236 MULTI-SECTORIAL AND 22 00:00:45,236 --> 00:00:45,870 MULTI-INSTITUTIONAL APPROACHES; 23 00:00:45,870 --> 00:00:48,306 THE ECOLOGY OF RACISM FROM 24 00:00:48,306 --> 00:00:50,241 INDIVIDUAL THROUGH MICRO, MESO, 25 00:00:50,241 --> 00:00:56,381 MACRO LEVELS, EXTENDING TO 26 00:00:56,381 --> 00:00:57,048 POLITICAL CONTEXT; 27 00:00:57,048 --> 00:00:58,349 CONTEXTUALIZING, LEARNING FROM 28 00:00:58,349 --> 00:00:59,083 HISTORY, CONSIDERING 29 00:00:59,083 --> 00:01:01,185 DIFFERENTIAL IMPACT ACROSS THE 30 00:01:01,185 --> 00:01:02,720 LIFE COURSE; SUPPORTING THE 31 00:01:02,720 --> 00:01:04,689 RESEARCH ENTERPRISE BY ENSURING 32 00:01:04,689 --> 00:01:05,657 WORKFORCE DIVERSITY AND 33 00:01:05,657 --> 00:01:07,659 UPLIFTING THE VOICES OF THOSE 34 00:01:07,659 --> 00:01:09,060 WITH LIVED EXPERIENCE AND I 35 00:01:09,060 --> 00:01:10,728 WOULD JUST LIKE TO POINT OUT 36 00:01:10,728 --> 00:01:13,131 MANY SCHOLARS ALSO HAVE RELEVANT 37 00:01:13,131 --> 00:01:15,300 LIVED EXPERIENCE BECAUSE WE 38 00:01:15,300 --> 00:01:17,268 OFTEN TALK ABOUT THE COMMUNITY 39 00:01:17,268 --> 00:01:18,703 AND ACADEMICIANS AS SEPARATE AND 40 00:01:18,703 --> 00:01:20,905 THAT'S NOT ALWAYS THE CASE. 41 00:01:20,905 --> 00:01:22,206 ONE OF THE THINGS WE HEARD 42 00:01:22,206 --> 00:01:26,010 YESTERDAY WAS ABOUT THE 43 00:01:26,010 --> 00:01:27,345 IMPORTANCE EVER CENTERING 44 00:01:27,345 --> 00:01:29,981 COMMUNITY VOICES AND RESEARCH TO 45 00:01:29,981 --> 00:01:30,548 ADDRESS STRUCTURAL RACISM. 46 00:01:30,548 --> 00:01:32,283 I'D LIKE TO TAKE MY TIME TODAY 47 00:01:32,283 --> 00:01:35,653 TO EMPHASIZE THE IMPORTANCE OF 48 00:01:35,653 --> 00:01:38,289 THAT. 49 00:01:38,289 --> 00:01:39,691 A.J. ADKINS-JACKSON SAID 50 00:01:39,691 --> 00:01:41,025 YESTERDAY -- 51 00:01:41,025 --> 00:01:51,269 [ NO AUDIO ] 52 00:02:28,139 --> 00:02:31,275 I WANT TO HIGHLIGHT NIH EFFORTS 53 00:02:31,275 --> 00:02:33,344 IN THIS AREA THAT ARE UPLIFTING 54 00:02:33,344 --> 00:02:34,412 COMMUNITY SCIENCE. 55 00:02:34,412 --> 00:02:42,420 SO THE NIH COMMUNITY ENGAGEMENT 56 00:02:42,420 --> 00:02:43,721 ALLIANCE, CEAL PROGRAM, 57 00:02:43,721 --> 00:02:45,490 IDENTIFIES ENGAGEMENT AND 58 00:02:45,490 --> 00:02:51,729 OUTREACH PRACTICES FOR 59 00:02:51,729 --> 00:02:58,836 COMMUNICATING TRUSTWORTHY 60 00:02:58,836 --> 00:02:59,804 SCIENCE-BASED INFORMATION. 61 00:02:59,804 --> 00:03:00,471 CARE FOR HEALTH IS BEING 62 00:03:00,471 --> 00:03:01,873 LAUNCHED FROM THE OFFICE OF THE 63 00:03:01,873 --> 00:03:07,045 DIRECTOR OF THE NIH, SEEKS TO 64 00:03:07,045 --> 00:03:08,579 IMPROVE CLINICAL RESEARCH ACCESS 65 00:03:08,579 --> 00:03:15,153 TO INFORM MEDICAL CARE AND 66 00:03:15,153 --> 00:03:17,789 EXPAND NIH-FUNDED STUDIES. 67 00:03:17,789 --> 00:03:22,794 FINALLY THE NATIVE COLLECTIVIVE 68 00:03:22,794 --> 00:03:24,996 RESEARCH COLLECTIVE FINDS TRIBES 69 00:03:24,996 --> 00:03:26,330 AND NATIVE AMERICANS SERVING IN 70 00:03:26,330 --> 00:03:28,966 ORGANIZATIONS TO ADDRESS OPIOID 71 00:03:28,966 --> 00:03:30,168 AND DRUG OVERDOSE CRISIS 72 00:03:30,168 --> 00:03:32,470 BUILDING RESEARCH CAPACITY AND 73 00:03:32,470 --> 00:03:33,237 INFRASTRUCTURE, SUPPORTING 74 00:03:33,237 --> 00:03:35,206 COMMUNITY PRIORITIZED RESEARCH 75 00:03:35,206 --> 00:03:37,809 AND DATA IMPROVEMENTS, ELEVATING 76 00:03:37,809 --> 00:03:39,577 AND INTEGRATING INDIGENOUS 77 00:03:39,577 --> 00:03:40,912 KNOWLEDGE AND CULTURE. 78 00:03:40,912 --> 00:03:42,413 HEARING DIRECTLY FROM THOSE 79 00:03:42,413 --> 00:03:43,748 EXPERIENCING STRUCTURAL RACISM 80 00:03:43,748 --> 00:03:47,118 IS CRITICAL TO ADVANCING 81 00:03:47,118 --> 00:03:53,157 RESEARCH IN THIS FIELD. 82 00:03:53,157 --> 00:03:54,792 AND AS WE CONSIDER 83 00:03:54,792 --> 00:03:55,660 INTERDISCIPLINARY APPROACHES WE 84 00:03:55,660 --> 00:03:57,762 MUST EXPAND BEYOND ACADEMIC 85 00:03:57,762 --> 00:04:00,364 DISCIPLINES TO ALSO INTEGRATE 86 00:04:00,364 --> 00:04:01,466 LIVED EXPERIENCE AND COMMUNITY 87 00:04:01,466 --> 00:04:02,533 KNOWLEDGE INCLUDING AT LEAST IN 88 00:04:02,533 --> 00:04:04,869 THE FIELD I WORK IN, INDIGENOUS 89 00:04:04,869 --> 00:04:05,136 KNOWLEDGE. 90 00:04:05,136 --> 00:04:07,138 SO WE HAVE AN EXCITING DAY 91 00:04:07,138 --> 00:04:09,340 PLANNED TODAY. 92 00:04:09,340 --> 00:04:10,208 WE'LL CONSIDER ANTI-RACIST 93 00:04:10,208 --> 00:04:12,376 APPROACHES TO DATA AND 94 00:04:12,376 --> 00:04:14,679 MEASUREMENT FOR HEALTH EQUITY, 95 00:04:14,679 --> 00:04:17,115 CULTIVATING CHANGE, RESEARCH 96 00:04:17,115 --> 00:04:17,648 RELATIONSHIPS AMONG 97 00:04:17,648 --> 00:04:18,316 INTERDISCIPLINARY PRACTITIONERS, 98 00:04:18,316 --> 00:04:19,517 AND ALL THOSE PEOPLE WHO NEED TO 99 00:04:19,517 --> 00:04:23,121 BE AT THE TABLE TO ADVANCE THE 100 00:04:23,121 --> 00:04:26,190 SCIENCE, BEST PRACTICES GAPS AND 101 00:04:26,190 --> 00:04:27,024 OPPORTUNITIES IN INTERVENTION 102 00:04:27,024 --> 00:04:28,693 RESEARCH, WE'LL END TODAY WITH A 103 00:04:28,693 --> 00:04:30,561 BREAKOUT SESSION FOR EVERYONE TO 104 00:04:30,561 --> 00:04:31,863 SHARE THEIR PERSPECTIVES AND 105 00:04:31,863 --> 00:04:35,800 RECOMMEND SEDATIONS, AND I -- 106 00:04:35,800 --> 00:04:36,701 RECOMMENDATIONS AND I HOPE MANY 107 00:04:36,701 --> 00:04:38,336 OF YOU WILL JOIN. 108 00:04:38,336 --> 00:04:39,670 THANK UPPING FOR ATTENDING THIS 109 00:04:39,670 --> 00:04:45,376 DISCUSSION AND STRIVING TO MAKE 110 00:04:45,376 --> 00:04:51,916 CHANGE THROUGH RESEARCH TO 111 00:04:51,916 --> 00:04:55,586 INFORM POLICY AND PRACTICES. 112 00:04:55,586 --> 00:04:56,187 THANK YOU. 113 00:04:56,187 --> 00:04:57,722 >> THANK YOU FOR JOINING US FOR 114 00:04:57,722 --> 00:04:59,023 DAY 269 WORKSHOP. 115 00:04:59,023 --> 00:05:00,458 WE HAVE ANOTHER GREAT AGENDA 116 00:05:00,458 --> 00:05:01,759 PLANNED FOR TODAY, I HOPE YOU'LL 117 00:05:01,759 --> 00:05:04,295 BE ABLE TO STICK AROUND FOR AS 118 00:05:04,295 --> 00:05:05,830 MUCH AS POSSIBLE. 119 00:05:05,830 --> 00:05:08,232 I'M TIFFANY WALLACE, I WORK AT 120 00:05:08,232 --> 00:05:09,267 THE NATIONAL CANCER INSTITUTE 121 00:05:09,267 --> 00:05:10,768 WITHIN THE CENTER FOR CANCER 122 00:05:10,768 --> 00:05:11,936 HEALTH EQUITY. 123 00:05:11,936 --> 00:05:14,772 I HAVE THE DISTINCT HONOR TODAY 124 00:05:14,772 --> 00:05:19,610 OF INTRODUCING OUR KEYNOTE 125 00:05:19,610 --> 00:05:20,845 SPEAKER, DR. RACHEL HARDEMAN, A 126 00:05:20,845 --> 00:05:22,547 PROFESSOR IN THE DIVISION OF 127 00:05:22,547 --> 00:05:24,615 HEALTH POLICY AND MANAGEMENT AT 128 00:05:24,615 --> 00:05:26,584 THE UNIVERSITY OF MINNESOTA 129 00:05:26,584 --> 00:05:28,252 SCHOOL OF PUBLIC HEALTH, BLUE 130 00:05:28,252 --> 00:05:30,121 CROSS ENDOWED PROFESSOR IN 131 00:05:30,121 --> 00:05:32,356 HEALTH AND RACIAL EQUITY, AND 132 00:05:32,356 --> 00:05:34,458 FOUNDING DIRECTOR OF THE CENTER 133 00:05:34,458 --> 00:05:35,459 OF ANTI-RACISM RESEARCH FOR 134 00:05:35,459 --> 00:05:36,460 HEALTH EQUITY. 135 00:05:36,460 --> 00:05:38,763 DUE TO TIME WE CAN'T GO THROUGH 136 00:05:38,763 --> 00:05:41,032 A FULL INTRODUCTION BUT I DO 137 00:05:41,032 --> 00:05:42,567 ENCOURAGE YOU TO GO TO THE BIOS 138 00:05:42,567 --> 00:05:47,171 FOR ALL OF OUR SPEAKERS, TO HEAR 139 00:05:47,171 --> 00:05:48,206 THEIR AMAZING ACCOMPLISHMENTS. 140 00:05:48,206 --> 00:05:50,007 BEFORE I TURN IT OVER TO DR. 141 00:05:50,007 --> 00:05:52,410 HARDEMAN I WANTED TO REMIND 142 00:05:52,410 --> 00:05:56,380 EVERYONE WE'RE ENGAGING WITH THE 143 00:05:56,380 --> 00:05:57,415 AUDIENCE ON ZOOM, ON VIDEOCAST 144 00:05:57,415 --> 00:05:57,915 THROUGH SLIDO. 145 00:05:57,915 --> 00:05:59,550 IF YOU WEREN'T HERE YESTERDAY OR 146 00:05:59,550 --> 00:06:01,719 FORGOT, YOU CAN SCAN THAT QR 147 00:06:01,719 --> 00:06:06,424 CODE ON THE SCREEN RIGHT NOW, 148 00:06:06,424 --> 00:06:08,492 IT'S ALSO IN THE DESCRIPTION 149 00:06:08,492 --> 00:06:10,061 UNDER THE VIDEOCAST. 150 00:06:10,061 --> 00:06:12,363 WE ENCOURAGE YOU TO SHARE YOUR 151 00:06:12,363 --> 00:06:14,699 QUESTIONS, COMMENTS. 152 00:06:14,699 --> 00:06:16,434 WE PROBABLY WON'T GET TO ALL. 153 00:06:16,434 --> 00:06:20,271 YESTERDAY WE HAD GREAT QUESTIOS 154 00:06:20,271 --> 00:06:21,639 SO THUMBS UP THE QUESTIONS YOU 155 00:06:21,639 --> 00:06:22,707 MOST WANT TO HEAR BECAUSE WE'LL 156 00:06:22,707 --> 00:06:24,141 TRY TO GO IN THAT ORDER. 157 00:06:24,141 --> 00:06:25,776 I'LL TURN IT OVER TO DR. 158 00:06:25,776 --> 00:06:26,277 HARDEMAN. 159 00:06:26,277 --> 00:06:34,752 THANK YOU FOR YOUR PARTICIPATION 160 00:06:34,752 --> 00:06:35,286 TODAY. 161 00:06:35,286 --> 00:06:37,655 >> THANK YOU, TIFFANY, FOR THE 162 00:06:37,655 --> 00:06:38,356 WARM INTRODUCTION, AND TO THE 163 00:06:38,356 --> 00:06:44,395 NIH YOU UNITE TEAM TO THE INVIN 164 00:06:44,395 --> 00:06:47,365 AND SHARE MY THOUGHTS AROUND 165 00:06:47,365 --> 00:06:48,366 STRUCTURAL RACISM, PARTICULARLY 166 00:06:48,366 --> 00:06:51,969 HOW WE LIFT UP THE VOICES OF THE 167 00:06:51,969 --> 00:06:52,970 LIVED EXPERIENCES IN THOSE 168 00:06:52,970 --> 00:06:54,372 CLOSEST TO THE PAIN OF 169 00:06:54,372 --> 00:06:58,109 STRUCTURAL RACISM IN OUR WORK. 170 00:06:58,109 --> 00:06:59,410 SO, I'M AGAIN HONORED TO SHARE 171 00:06:59,410 --> 00:07:03,447 THIS VIRTUAL SPACE WITH YOU ALL 172 00:07:03,447 --> 00:07:04,015 TODAY. 173 00:07:04,015 --> 00:07:05,650 I HAD THE CHANCE TO LISTEN TO A 174 00:07:05,650 --> 00:07:07,385 LOT OF THE PRESENTATIONS 175 00:07:07,385 --> 00:07:11,989 YESTERDAY, AND WAS LEFT 176 00:07:11,989 --> 00:07:12,757 INCREDIBLY EXCITED. 177 00:07:12,757 --> 00:07:17,795 THERE WAS A TIME IN MY CAREER 178 00:07:17,795 --> 00:07:20,298 PARTICULARLY AS A YOUNG DOCTORAL 179 00:07:20,298 --> 00:07:21,832 STUDENT I NEVER COULD HAVE 180 00:07:21,832 --> 00:07:22,400 DREAMED THESE CONVERSATIONS 181 00:07:22,400 --> 00:07:23,701 WOULD BE HAPPENING AT THIS 182 00:07:23,701 --> 00:07:24,402 LEVEL. 183 00:07:24,402 --> 00:07:27,538 TO SEE ALL THE INCREDIBLE 184 00:07:27,538 --> 00:07:28,439 INNOVATIVE WORK THAT'S BEING 185 00:07:28,439 --> 00:07:30,808 DONE AND THE SCHOLARS ENGAGING 186 00:07:30,808 --> 00:07:34,845 IN IT IS REALLY EXCITING. 187 00:07:34,845 --> 00:07:35,346 FOR ME. 188 00:07:35,346 --> 00:07:38,749 A LOT OF THE COMMENTS THAT I HAD 189 00:07:38,749 --> 00:07:40,017 PREVIOUSLY PREPARED FOR THIS 190 00:07:40,017 --> 00:07:41,452 MORNING, MANY WERE SHARED IN 191 00:07:41,452 --> 00:07:42,653 SOME WAY, SHAPE, OR FORM 192 00:07:42,653 --> 00:07:44,555 YESTERDAY, WHICH IS ALSO A 193 00:07:44,555 --> 00:07:47,391 REALLY GOOD THING BECAUSE IT 194 00:07:47,391 --> 00:07:50,127 MEANS AS A FIELD, AN 195 00:07:50,127 --> 00:07:51,329 INTERDISCIPLINARY FIELD, WE'RE 196 00:07:51,329 --> 00:07:51,929 COALESCING AROUND IMPORTANT 197 00:07:51,929 --> 00:07:53,197 IDEAS, AND USING THE DATA WE 198 00:07:53,197 --> 00:07:56,233 HAVE AVAILABLE TO MOVE THIS WORK 199 00:07:56,233 --> 00:07:56,667 FORWARD. 200 00:07:56,667 --> 00:08:00,404 IT ALSO MEANS THAT FOR ME, MY 201 00:08:00,404 --> 00:08:03,474 WHAT I CALL ACADEMIC ANCESTORS 202 00:08:03,474 --> 00:08:06,010 LAID THE GROUND WORK AND SLOWLY 203 00:08:06,010 --> 00:08:08,179 BUT SURELY IT'S COMING TO 204 00:08:08,179 --> 00:08:08,612 FRUITION. 205 00:08:08,612 --> 00:08:10,281 I THINK IT'S IMPORTANT TO A 206 00:08:10,281 --> 00:08:11,816 LITTLE WE'RE HERE, I'M HERE, 207 00:08:11,816 --> 00:08:14,752 ABLE TO TALK ABOUT THIS WORK AND 208 00:08:14,752 --> 00:08:15,653 TO SAY THE WORDS STRUCTURAL 209 00:08:15,653 --> 00:08:19,357 RACISM IN A FORUM LIKE THIS 210 00:08:19,357 --> 00:08:21,659 BECAUSE OF MANY SCHOLARS WHO 211 00:08:21,659 --> 00:08:24,295 HAVE PAVED THE WAY TO CREATE THE 212 00:08:24,295 --> 00:08:27,465 SPACE FOR THIS TO HAPPEN. 213 00:08:27,465 --> 00:08:29,767 SO, THE INNOVATIVE WORK OF 214 00:08:29,767 --> 00:08:30,668 MEASURING STRUCTURAL RACISM 215 00:08:30,668 --> 00:08:32,536 ACHIEVED SORT OF A GROUNDSWELL 216 00:08:32,536 --> 00:08:34,071 IN SO MANY WAYS. 217 00:08:34,071 --> 00:08:36,140 AND I AM GOING TO SHARE A LITTLE 218 00:08:36,140 --> 00:08:38,109 BIT ABOUT SOME OF THE WORK THAT 219 00:08:38,109 --> 00:08:40,745 MY COLLEAGUES AND I ARE DOING AT 220 00:08:40,745 --> 00:08:41,946 THE CENTER FOR ANTI-RACISM 221 00:08:41,946 --> 00:08:43,247 RESEARCH FOR HEALTH EQUITY AT 222 00:08:43,247 --> 00:08:45,015 THE UNIVERSITY OF MINNESOTA, BUT 223 00:08:45,015 --> 00:08:46,450 I'M GOING TO START BY KIND OF 224 00:08:46,450 --> 00:08:48,185 SHARING A LITTLE BIT ABOUT 225 00:08:48,185 --> 00:08:49,720 HOW -- THE BEGINNINGS OF THAT 226 00:08:49,720 --> 00:08:51,589 WORK, FOR ME, WHAT THAT LOOKED 227 00:08:51,589 --> 00:08:53,858 LIKE AS SOMEONE TRAINED AS A 228 00:08:53,858 --> 00:08:59,130 HEALTH SERVICES RESEARCHER AND A 229 00:08:59,130 --> 00:09:00,431 POPULATION STUDIES SCHOLAR. 230 00:09:00,431 --> 00:09:02,867 AND SO I'M BRINGING THOSE 231 00:09:02,867 --> 00:09:03,868 DISCIPLINARY LENSES TO THIS 232 00:09:03,868 --> 00:09:04,502 WORK. 233 00:09:04,502 --> 00:09:06,036 I ALSO BRING THE LIVED 234 00:09:06,036 --> 00:09:08,539 EXPERIENCE OF BEING A BLACK 235 00:09:08,539 --> 00:09:10,207 FEMALE IDENTIFYING SCHOLAR, 236 00:09:10,207 --> 00:09:13,377 WORKING IN PREDOMINANTLY WHITE 237 00:09:13,377 --> 00:09:13,611 SPACES. 238 00:09:13,611 --> 00:09:15,012 I BRING THE LIVED EXPERIENCE OF 239 00:09:15,012 --> 00:09:16,881 BEING A MEMBER OF A BLACK FAMILY 240 00:09:16,881 --> 00:09:20,384 WHERE MY MOTHER AT THE AGE OF 69 241 00:09:20,384 --> 00:09:23,354 IS THE MATRIARCH OF OUR FAMILY 242 00:09:23,354 --> 00:09:24,755 BECAUSE MY GRANDMOTHER AND GREAT 243 00:09:24,755 --> 00:09:27,158 AUNTS ALL DIED FROM PREVENTIBLE 244 00:09:27,158 --> 00:09:28,926 CAUSES RANGING FROM DIABETES TO 245 00:09:28,926 --> 00:09:30,594 DOMESTIC VIOLENCE, WELL BEFORE 246 00:09:30,594 --> 00:09:31,996 THE AGE OF 65. 247 00:09:31,996 --> 00:09:35,699 AND I CARRY THIS REALITY WITH 248 00:09:35,699 --> 00:09:36,400 ME. 249 00:09:36,400 --> 00:09:37,268 AND THE UNRELENTING DESIRE, 250 00:09:37,268 --> 00:09:39,770 REALLY, TO WANT MORE FOR MYSELF 251 00:09:39,770 --> 00:09:41,405 AND FOR MY DAUGHTER, YOU KNOW, 252 00:09:41,405 --> 00:09:44,074 AND THAT'S THE CHANCE TO AGE AND 253 00:09:44,074 --> 00:09:47,111 TO GROW OLD AND TO NOT WORRY 254 00:09:47,111 --> 00:09:48,946 ABOUT THE PREVENTIBLE DEATHS 255 00:09:48,946 --> 00:09:51,248 THAT HAVE PLAGUED SO MANY BLACK 256 00:09:51,248 --> 00:09:53,784 AND INDIGENOUS MEMBERS OF OUR 257 00:09:53,784 --> 00:09:54,418 COMMUNITIES. 258 00:09:54,418 --> 00:09:56,353 THE TITLE OF MY PRESENTATION IS 259 00:09:56,353 --> 00:10:02,092 "WE HAVE RUN OUT OF TIME." 260 00:10:02,092 --> 00:10:05,262 AND THAT TITLE AND THAT PHRASE 261 00:10:05,262 --> 00:10:06,497 COMES FROM THE LATE GREAT 262 00:10:06,497 --> 00:10:08,999 AFRICAN AMERICAN WRITER AND 263 00:10:08,999 --> 00:10:09,500 ACTIVIST JAMES BALDWIN. 264 00:10:09,500 --> 00:10:12,837 OF COURSE ONE OF THE MOST 265 00:10:12,837 --> 00:10:16,707 NOTABLE CIVIL RIGHTS VOICES OF 266 00:10:16,707 --> 00:10:18,309 THE MID-CENTURY, IN NORTH 267 00:10:18,309 --> 00:10:18,609 AMERICA. 268 00:10:18,609 --> 00:10:22,780 AND OVER 30 YEARS AGO JAMES 269 00:10:22,780 --> 00:10:23,547 BALDWIN REFLECTED ON 270 00:10:23,547 --> 00:10:24,582 FRUSTRATIONS WITH LACK OF 271 00:10:24,582 --> 00:10:25,749 PROGRESS ADDRESSING RACISM IN 272 00:10:25,749 --> 00:10:26,817 THE UNITED STATES STATING WHAT 273 00:10:26,817 --> 00:10:32,423 IS IT YOU WANT ME TO RECONCILE 274 00:10:32,423 --> 00:10:32,623 TO? 275 00:10:32,623 --> 00:10:35,059 IT'S TAKEN MY FATHER'S TIME, MY 276 00:10:35,059 --> 00:10:35,960 MOTHER'S TIME, MY UNCLE'S TIME, 277 00:10:35,960 --> 00:10:41,432 MY BROTHERS AND MY SISTERS, 278 00:10:41,432 --> 00:10:42,233 NIECES AND NEPHEWS, HOW MUCH 279 00:10:42,233 --> 00:10:45,369 TIME DO YOU WANT FOR YOUR 280 00:10:45,369 --> 00:10:48,439 PROGRESS? 281 00:10:48,439 --> 00:10:50,474 SO, I REFLECT ON BALDWIN'S 282 00:10:50,474 --> 00:10:52,276 QUESTION, HOW MUCH TIME DO YOU 283 00:10:52,276 --> 00:10:53,611 WANT FOR YOUR PROGRESS. 284 00:10:53,611 --> 00:10:57,014 AS I LOOK AT MY DAUGHTER, YOU 285 00:10:57,014 --> 00:10:57,882 KNOW, GROW TALLER EACH YEAR 286 00:10:57,882 --> 00:11:01,485 KNOWING SHE WILL BE PRESUMED TO 287 00:11:01,485 --> 00:11:04,555 BE OLDER, LESS INNOCENT, AND 288 00:11:04,555 --> 00:11:06,190 LESS IN NEED OF PROTECTION THAN 289 00:11:06,190 --> 00:11:07,358 HER WHITE COUNTERPARTS AS EARLY 290 00:11:07,358 --> 00:11:11,562 AS 5 YEARS OLD. 291 00:11:11,562 --> 00:11:12,863 REFLECT ON BALDWIN'S QUESTION 292 00:11:12,863 --> 00:11:15,065 BECAUSE AS A BLACK PARENT I KNOW 293 00:11:15,065 --> 00:11:17,034 THE RISKS CHILDREN FACE WHEN HE 294 00:11:17,034 --> 00:11:19,770 THEY LEAVE OUR SIDES IS 295 00:11:19,770 --> 00:11:20,538 HEIGHTENED IN SIGNIFICANCE. 296 00:11:20,538 --> 00:11:24,375 I THINK HAS A MOTHER, WE HIDE 297 00:11:24,375 --> 00:11:25,209 THAT DEVASTAION, SILENT 298 00:11:25,209 --> 00:11:26,977 DEVASTATION, AS WE PREPARE OUR 299 00:11:26,977 --> 00:11:29,914 CHILDREN TO GO OUT INTO THE 300 00:11:29,914 --> 00:11:33,584 WORLD KNOWING THAT THERE ARE 301 00:11:33,584 --> 00:11:39,490 RISKS AS BLACKS IN BLACK BODIES. 302 00:11:39,490 --> 00:11:40,925 I BELIEVE WE'VE RUN OUT OF TIME. 303 00:11:40,925 --> 00:11:43,060 THE WORK WE HEARD ABOUT 304 00:11:43,060 --> 00:11:45,829 YESTERDAY AND THE WORK HAPPENING 305 00:11:45,829 --> 00:11:50,000 ACROSS THE COUNTRY IN THIS SPACE 306 00:11:50,000 --> 00:11:51,435 IS INCREDIBLY URGENT AND 307 00:11:51,435 --> 00:11:54,171 IMPORTANT FOR IMPROVING HEALTH 308 00:11:54,171 --> 00:11:55,239 AND WELL-BEING AND SAFETY FOR 309 00:11:55,239 --> 00:11:56,140 OUR COMMUNITIES. 310 00:11:56,140 --> 00:11:59,510 THIS IMAGE MIGHT LOOK FAMILIAR. 311 00:11:59,510 --> 00:12:02,580 I THINK DR. BROWN SHARED 312 00:12:02,580 --> 00:12:04,114 SOMETHING SIMILAR YESTERDAY. 313 00:12:04,114 --> 00:12:06,083 I USE THIS TO WALK US THROUGH, 314 00:12:06,083 --> 00:12:08,352 HELP US THINK ABOUT WHERE WE'VE 315 00:12:08,352 --> 00:12:09,587 BEEN BECAUSE SOMETIMES IT'S EASY 316 00:12:09,587 --> 00:12:11,555 TO THINK WE HAVEN'T MADE THAT 317 00:12:11,555 --> 00:12:15,092 PROGRESS, BUT WHEN I WAS A 318 00:12:15,092 --> 00:12:16,393 DOCTORAL STUDENT, MASTER'S 319 00:12:16,393 --> 00:12:18,128 STUDENT, JUST DIGGING INTO THE 320 00:12:18,128 --> 00:12:19,897 FIELD OF RACIAL HEALTH EQUITY, 321 00:12:19,897 --> 00:12:23,834 WE WERE IN THE SPACE OF 322 00:12:23,834 --> 00:12:25,369 DOCUMENTING RACIAL DISPARITIES. 323 00:12:25,369 --> 00:12:27,905 THEN WE LEARNED FROM STEPHEN 324 00:12:27,905 --> 00:12:28,906 THOMAS WHO YOU'LL HEAR FROM 325 00:12:28,906 --> 00:12:30,641 LATER TODAY ABOUT THE FOURTH 326 00:12:30,641 --> 00:12:32,509 GENERATION OF RACIAL DISPARITY 327 00:12:32,509 --> 00:12:35,779 RESEARCH, TAKING ACTION IN THAT 328 00:12:35,779 --> 00:12:35,980 SPACE. 329 00:12:35,980 --> 00:12:37,648 WE MOVED INTO UNDERSTANDING 330 00:12:37,648 --> 00:12:40,384 RACISM AS A FUNDAMENTAL CAUSE OF 331 00:12:40,384 --> 00:12:41,485 HEALTH INEQUITIES. 332 00:12:41,485 --> 00:12:44,221 AND NOW IN THE SPACE WE HAVE 333 00:12:44,221 --> 00:12:46,090 OPPORTUNITY TO DIG INTO THE 334 00:12:46,090 --> 00:12:48,125 MEASUREMENT OF RACISM AND NOT 335 00:12:48,125 --> 00:12:49,226 RACE, SO NO LONGER REALLY 336 00:12:49,226 --> 00:12:50,661 CONTROLLING FOR RACE IN OUR 337 00:12:50,661 --> 00:12:52,529 MODELS AND NOT TALKING ABOUT 338 00:12:52,529 --> 00:12:54,832 RACISM AND HOW IT IS IMPACTING 339 00:12:54,832 --> 00:12:56,767 HEALTH AND WELL-BEING, AND I 340 00:12:56,767 --> 00:12:58,669 BELIEVE THAT BY FOCUSING OUR 341 00:12:58,669 --> 00:13:01,972 EFFORTS, OUR TIME, OUR ENERGY, 342 00:13:01,972 --> 00:13:03,707 OUR BRILLIANCE, OUR EXPERTISE 343 00:13:03,707 --> 00:13:04,742 AND OUR MONEY, THIS MEASUREMENT 344 00:13:04,742 --> 00:13:09,079 PIECE, WE'RE GOING TO BE ONE 345 00:13:09,079 --> 00:13:11,148 STEP CLOSER TO WHAT I SEE AS THE 346 00:13:11,148 --> 00:13:12,583 ULTIMATE GOAL OF DISMANTLING 347 00:13:12,583 --> 00:13:14,752 RACISM SO EVERYONE LIVES A FREE, 348 00:13:14,752 --> 00:13:15,853 LIBERATED, HEALTHY EXISTENCE IN 349 00:13:15,853 --> 00:13:22,126 THE UNITED STATES AND BEYOND. 350 00:13:22,126 --> 00:13:24,294 SO I THINK A FEW SCHOLARS MAY 351 00:13:24,294 --> 00:13:25,529 HAVE SHOWN SIMILAR TIMELINE FOR 352 00:13:25,529 --> 00:13:28,699 THIS ONE AS WELL, BUT I ALWAYS 353 00:13:28,699 --> 00:13:30,234 MAKE SURE THAT WHEN WE'RE 354 00:13:30,234 --> 00:13:32,169 TALKING ABOUT RACISM AND TALKING 355 00:13:32,169 --> 00:13:34,138 ABOUT HEALTH INEQUITY THAT WE'RE 356 00:13:34,138 --> 00:13:35,439 GROUNDING OURSELVES IN THE 357 00:13:35,439 --> 00:13:38,742 HISTORY OF RACISM BECAUSE IT'S 358 00:13:38,742 --> 00:13:41,178 IMPORTANT TO UNDERSTAND THAT TO 359 00:13:41,178 --> 00:13:42,613 MOVE THE WORK FORWARD. 360 00:13:42,613 --> 00:13:44,148 I DON'T HAVE TIME TODAY TO GO 361 00:13:44,148 --> 00:13:48,952 THROUGH THAT HISTORY IN DETAIL, 362 00:13:48,952 --> 00:13:52,456 IT'S IMPORTANT TO UNDERSTAND OUR 363 00:13:52,456 --> 00:13:54,858 HISTORY OF RACISM AND WHITE 364 00:13:54,858 --> 00:13:58,595 SUPREMACY IN THE UNITED STATES 365 00:13:58,595 --> 00:13:59,897 AS SHAPED WHO WE ARE. 366 00:13:59,897 --> 00:14:02,399 I THINK IT'S IMPORTANT TO ALSO 367 00:14:02,399 --> 00:14:04,268 NOTE OR HAVE THAT IN MIND AS WE 368 00:14:04,268 --> 00:14:07,004 THINK ABOUT THE DATA WE'RE USING 369 00:14:07,004 --> 00:14:08,305 TO MEASURE STRUCTURAL RACISM OR 370 00:14:08,305 --> 00:14:10,407 OTHER FORMS OF RACISM. 371 00:14:10,407 --> 00:14:13,010 SO EVEN THOUGH WE'RE USING THOSE 372 00:14:13,010 --> 00:14:15,212 DATA AND THOSE TOOLS TO 373 00:14:15,212 --> 00:14:18,048 ULTIMATELY DISMANTLE RACISM, WE 374 00:14:18,048 --> 00:14:19,817 HAVE TO BE THINKING ABOUT HOW 375 00:14:19,817 --> 00:14:22,319 AND WHY THEY WERE CREATED AND 376 00:14:22,319 --> 00:14:25,823 WHAT THEY ACTUALLY ARE TELLING 377 00:14:25,823 --> 00:14:26,223 US. 378 00:14:26,223 --> 00:14:29,993 OOPS. 379 00:14:29,993 --> 00:14:32,730 AS WE THINK ABOUT THE TIMELINE 380 00:14:32,730 --> 00:14:34,765 OF RACISM AND HEALTH RESEARCH, 381 00:14:34,765 --> 00:14:36,133 HEALTH SERVICES RESEARCH, I 382 00:14:36,133 --> 00:14:40,738 ALWAYS ENCOURAGE US TO REVISIT 383 00:14:40,738 --> 00:14:44,007 THIS PAPER PUBLISHED IN 2002 BY 384 00:14:44,007 --> 00:14:45,976 DR. CAMARA PHYLLIS JONES, I'VE 385 00:14:45,976 --> 00:14:49,079 BECOME CONVINCED THAT IT IS ONLY 386 00:14:49,079 --> 00:14:50,481 BY NAMING RACISM, ASKING THE 387 00:14:50,481 --> 00:14:53,217 QUESTION HOW IS RACISM OPERATING 388 00:14:53,217 --> 00:14:58,255 HERE, AND THEN MOBILIZINGS WITH 389 00:14:58,255 --> 00:15:00,224 OTHERS TO CONFRONT AND DISMANTLE 390 00:15:00,224 --> 00:15:09,500 THE LASTING IMPACTS ON THE 391 00:15:09,500 --> 00:15:13,237 PERVASIVE RACISM FOR CENTURIES. 392 00:15:13,237 --> 00:15:16,306 IN 2016, 14 YEARS AFTER DR. 393 00:15:16,306 --> 00:15:18,609 JONES' PUBLICATION WHERE SHE 394 00:15:18,609 --> 00:15:20,344 ASKED THAT WE ASK THE QUESTION 395 00:15:20,344 --> 00:15:22,212 HOW IS RACISM OPERATING HERE, I 396 00:15:22,212 --> 00:15:24,715 HAD THE PLEASURE OF WORKING WITH 397 00:15:24,715 --> 00:15:28,085 INCREDIBLE COLLEAGUES AT THE 398 00:15:28,085 --> 00:15:29,553 UNIVERSITY OF MINNESOTA TO LOOK 399 00:15:29,553 --> 00:15:32,389 AT THE PUBLIC HEALTH LITERATURE 400 00:15:32,389 --> 00:15:33,957 TO UNDERSTAND IF HER CLARION 401 00:15:33,957 --> 00:15:34,892 CALL HAD BEEN HEARD. 402 00:15:34,892 --> 00:15:37,094 WHAT WE FOUND IS AFTER LOOKING 403 00:15:37,094 --> 00:15:39,429 AT THE 50 HIGHEST IMPACT PUBLIC 404 00:15:39,429 --> 00:15:42,432 HEALTH JOURNALS, WE FOUND ONLY 405 00:15:42,432 --> 00:15:44,101 25 ARTICLES NAMED STRUCTURAL 406 00:15:44,101 --> 00:15:46,069 RACISM OR SYSTEMIC OR 407 00:15:46,069 --> 00:15:47,070 INSTITUTIONAL RACISM, A SIMILAR 408 00:15:47,070 --> 00:15:51,375 TERM, IN THE TITLE OR ABSTRACT, 409 00:15:51,375 --> 00:15:55,045 BETWEEN 2002 WHEN DR. JONES MADE 410 00:15:55,045 --> 00:15:57,014 THAT INITIAL STATEMENT TO 2015. 411 00:15:57,014 --> 00:15:58,882 WE ALSO FOUND THAT STRUCTURAL 412 00:15:58,882 --> 00:16:01,718 RACISM WAS ONLY REALLY A CORE 413 00:16:01,718 --> 00:16:05,422 CONCEPT IN ABOUT HALF, LESS THAN 414 00:16:05,422 --> 00:16:10,627 HALF OF THOSE 25 ARTICLES THAT 415 00:16:10,627 --> 00:16:14,097 WE EXAMINED. 416 00:16:14,097 --> 00:16:20,704 SO THEN WE FOLLOWED THAT WITH 417 00:16:20,704 --> 00:16:22,339 WORK LED BY DR. MAYA BRUCE AND 418 00:16:22,339 --> 00:16:23,407 COLLEAGUES AT TULANE TO 419 00:16:23,407 --> 00:16:25,976 UNDERSTAND SO WE KNOW ONLY 25 420 00:16:25,976 --> 00:16:27,144 ARTICLES ARE NAMING STRUCTURAL 421 00:16:27,144 --> 00:16:30,180 RACISM, SOME OTHER FORM OF 422 00:16:30,180 --> 00:16:33,050 RACISM, WHAT'S HAPPENING AROUND 423 00:16:33,050 --> 00:16:33,717 THE MEASUREMENT OF STRUCTURAL 424 00:16:33,717 --> 00:16:35,786 RACISM OR OTHER FORMS OF RACISM 425 00:16:35,786 --> 00:16:38,856 IN THE PUBLIC HEALTH LITERATURE. 426 00:16:38,856 --> 00:16:43,327 AND WHAT WE FOUND THERE IS THAT 427 00:16:43,327 --> 00:16:44,628 20 ARTICLES INCORPORATED ACTUAL 428 00:16:44,628 --> 00:16:45,996 MEASURES OF STRUCTURAL RACISM 429 00:16:45,996 --> 00:16:47,698 AND THOSE DOMAINS ARE MANY OF 430 00:16:47,698 --> 00:16:49,366 THE ONES WE HEARD DISCUSSED 431 00:16:49,366 --> 00:16:50,334 YESTERDAY. 432 00:16:50,334 --> 00:16:52,336 SO RESIDENTIAL NEIGHBORHOOD 433 00:16:52,336 --> 00:16:55,072 HOUSING, PERCEIVED RAISESSISM, 434 00:16:55,072 --> 00:16:58,342 SOCIAL INSTITUTIONS, IMMIGRATION 435 00:16:58,342 --> 00:17:00,210 AND BORDER ENFORCEMENT, 436 00:17:00,210 --> 00:17:00,744 POLITICAL PARTICIPATION, 437 00:17:00,744 --> 00:17:02,179 SOCIOECONOMIC STATUS, CRIMINAL 438 00:17:02,179 --> 00:17:02,946 JUSTICE, WORKPLACE ENVIRONMENT. 439 00:17:02,946 --> 00:17:05,349 WHAT WE ALSO NOTED IN THIS 440 00:17:05,349 --> 00:17:07,751 REVIEW MANY MEASURES WERE CHOSEN 441 00:17:07,751 --> 00:17:11,788 BY THE RESEARCHERS DUE TO 442 00:17:11,788 --> 00:17:13,557 AVAILABILITY OF PUBLIC DATA, 443 00:17:13,557 --> 00:17:15,859 WHICH WAS THEN ANALYZED IN THE 444 00:17:15,859 --> 00:17:18,562 CONTEXT OF DIFFERENT EXPERIENCES 445 00:17:18,562 --> 00:17:20,330 ATTRIBUTED TO STRUCTURAL RACISM. 446 00:17:20,330 --> 00:17:21,865 SO, AND WHAT WE ALSO FOUND IS 447 00:17:21,865 --> 00:17:24,601 THAT STRUCTURAL RACISM WAS MOST 448 00:17:24,601 --> 00:17:25,936 COMMONLY SORT OF EVALUATED 449 00:17:25,936 --> 00:17:28,872 WITHIN THE RESIDENTIAL HOUSING 450 00:17:28,872 --> 00:17:31,842 PATTERNS INCLUDING INDICES OF 451 00:17:31,842 --> 00:17:32,910 RACIAL RESIDENTIAL SEGREGATION, 452 00:17:32,910 --> 00:17:34,778 REDLINING OF COURSE, AND I THINK 453 00:17:34,778 --> 00:17:35,979 AS WE DISCUSSED AND LEARNED OVER 454 00:17:35,979 --> 00:17:38,849 THE PAST DAY IN THIS WORKSHOP, 455 00:17:38,849 --> 00:17:44,755 YOU KNOW, MEASURES OF 456 00:17:44,755 --> 00:17:45,622 SEGREGATION DON'T ALWAYS OFFER 457 00:17:45,622 --> 00:17:46,423 THE FULL STORY. 458 00:17:46,423 --> 00:17:50,460 I THINK WE TOOK AWAY FROM THAT 459 00:17:50,460 --> 00:17:51,662 PUBLICATION REALLY THE 460 00:17:51,662 --> 00:17:53,096 OPPORTUNITY AND LEARNING FOR 461 00:17:53,096 --> 00:17:54,431 MORE INNOVATION WITHIN THE 462 00:17:54,431 --> 00:17:56,366 MEASUREMENT SPACE, WHICH I WAS 463 00:17:56,366 --> 00:17:57,501 SO EXCITED TO HEAR ABOUT 464 00:17:57,501 --> 00:18:01,772 YESTERDAY WITH A LOT OF THE WORK 465 00:18:01,772 --> 00:18:03,307 THAT WAS SHARED. 466 00:18:03,307 --> 00:18:07,911 FINALLY, WE DID ONE LAST REVIEW 467 00:18:07,911 --> 00:18:10,280 OF THE LITERATURE, THIS PAPER IS 468 00:18:10,280 --> 00:18:12,249 HOT OFF THE PRESS FROM FEBRUARY 469 00:18:12,249 --> 00:18:14,151 2024, WHERE WE DID A SCOPING 470 00:18:14,151 --> 00:18:16,553 REVIEW AND THIS WORK WAS LED BY 471 00:18:16,553 --> 00:18:17,754 INCREDIBLE COLLEAGUE AT THE 472 00:18:17,754 --> 00:18:19,723 CENTER FOR ANTI-RACISM RESEARCH 473 00:18:19,723 --> 00:18:23,560 FOR HEALTH EQUITY, DR. ANNA 474 00:18:23,560 --> 00:18:23,760 HING. 475 00:18:23,760 --> 00:18:26,630 AND WE WANTED TO SEE IF THE 476 00:18:26,630 --> 00:18:27,931 LANDSCAPE AS MORE ATTENTION WAS 477 00:18:27,931 --> 00:18:31,001 COMING TO THESE ISSUES AROUND 478 00:18:31,001 --> 00:18:32,669 MEASUREMENT OF STRUCTURAL RACISM 479 00:18:32,669 --> 00:18:34,771 AND ITS LINK TO HEALTH OUTCOMES 480 00:18:34,771 --> 00:18:36,473 AND HEALTH EQUITY IF THE 481 00:18:36,473 --> 00:18:38,375 LANDSCAPE HAD SHIFTED AT ALL, AS 482 00:18:38,375 --> 00:18:39,876 MORE ATTENTION AND AWARENESS WAS 483 00:18:39,876 --> 00:18:42,512 COMING TO THESE ISSUES. 484 00:18:42,512 --> 00:18:44,715 WHAT DR. HING AND THE REST OF 485 00:18:44,715 --> 00:18:46,249 THE TEAM IDENTIFIED WERE SEVERAL 486 00:18:46,249 --> 00:18:50,387 THEMES FROM THE RECENT 487 00:18:50,387 --> 00:18:51,488 LITERATURE, CURRENT PREDOMINANT 488 00:18:51,488 --> 00:18:55,425 FOCUS ON MEASURING ANTI-BLACK 489 00:18:55,425 --> 00:18:56,193 RACISM USING RESIDENTIAL 490 00:18:56,193 --> 00:18:59,463 SEGREGATION CONTINUES, AS WELL 491 00:18:59,463 --> 00:19:02,099 AS OTHER SEGREGATION DRIVEN 492 00:19:02,099 --> 00:19:03,066 MEASURES OF AS PROXIES OF 493 00:19:03,066 --> 00:19:03,734 STRUCTURAL RACISM. 494 00:19:03,734 --> 00:19:05,369 LOTS OF WORK IS BEGINNING AROUND 495 00:19:05,369 --> 00:19:06,703 STRUCTURAL RACISM AS A SPATIAL 496 00:19:06,703 --> 00:19:07,904 EXPOSURE, WHICH I'LL TALK ABOUT 497 00:19:07,904 --> 00:19:09,639 A LITTLE BIT MORE. 498 00:19:09,639 --> 00:19:11,608 WE ALSO NOTED AN INCREASING CALL 499 00:19:11,608 --> 00:19:13,910 BY EPIDEMIOLOGISTS AND OTHER 500 00:19:13,910 --> 00:19:14,811 HEALTH RESEARCHERS TO MEASURE 501 00:19:14,811 --> 00:19:18,415 STRUCTURAL RACISM AS A 502 00:19:18,415 --> 00:19:19,282 MULTI-DIMENSIONAL OR MULTI-LEVEL 503 00:19:19,282 --> 00:19:20,517 DETERMINANT OF HEALTH, WHICH WE 504 00:19:20,517 --> 00:19:24,755 ALSO LEARNED A LITTLE BIT ABOUT 505 00:19:24,755 --> 00:19:27,357 YESTERDAY, FROM DR. TYSON-BROWN 506 00:19:27,357 --> 00:19:28,592 AND OTHERS. 507 00:19:28,592 --> 00:19:31,528 AND I THINK WHAT THIS PIECE HAS 508 00:19:31,528 --> 00:19:33,497 DONE, WHAT THIS PARTICULAR STUDY 509 00:19:33,497 --> 00:19:35,032 HAS DONE, IS REALLY LAID OUT 510 00:19:35,032 --> 00:19:37,334 SOME OF THE EXCITING AND 511 00:19:37,334 --> 00:19:42,606 IMPORTANT OPPORTUNITIES FOR MORE 512 00:19:42,606 --> 00:19:48,945 WORK BEING DEVELOPED IN THIS 513 00:19:48,945 --> 00:19:49,146 FIELD. 514 00:19:49,146 --> 00:19:51,348 SORRY ABOUT THAT I THINK THIS IS 515 00:19:51,348 --> 00:19:55,419 THE LAST PAPER, BUT AS THIS 516 00:19:55,419 --> 00:19:58,021 PAPER WRITTEN BY MYSELF, DR. 517 00:19:58,021 --> 00:20:04,394 TYSON BROWN, DR. PATRICIA HOMAN, 518 00:20:04,394 --> 00:20:06,563 DR. CHANTARAT AND DR. DAVIS, WE 519 00:20:06,563 --> 00:20:07,197 CALLED FOR RESEARCH ON STUDIES 520 00:20:07,197 --> 00:20:09,866 ON THE LINKS BETWEEN RACISM AND 521 00:20:09,866 --> 00:20:12,035 HEALTH BY OUTLINING OUR THOUGHTS 522 00:20:12,035 --> 00:20:14,204 AND OFFERING OUR THOUGHTS AROUND 523 00:20:14,204 --> 00:20:15,305 METHODOLOGICAL APPROACHES THAT 524 00:20:15,305 --> 00:20:17,507 WILL MOVE THE FIELD FORWARD. 525 00:20:17,507 --> 00:20:22,079 I'M GOING TO SHARE SOME OF OUR 526 00:20:22,079 --> 00:20:24,047 THOUGHTS FROM THIS PAPER, BUT 527 00:20:24,047 --> 00:20:25,615 MORE SO AS OPPORTUNITIES I THINK 528 00:20:25,615 --> 00:20:30,320 FOR FUTURE WORK AND INNOVATION, 529 00:20:30,320 --> 00:20:31,288 FOR RESEARCHERS AND ACADEMICS. 530 00:20:31,288 --> 00:20:33,256 I THINK THERE'S AN OPPORTUNITY 531 00:20:33,256 --> 00:20:35,358 TO REALLY THINK ALSO, FOR 532 00:20:35,358 --> 00:20:36,393 FUNDERS, RIGHT, WHAT ARE THE 533 00:20:36,393 --> 00:20:37,427 DIRECTIONS WE SHOULD BE HEADING 534 00:20:37,427 --> 00:20:40,630 WITH THIS WORK AND HOW DO WE 535 00:20:40,630 --> 00:20:42,132 KNOW IT'S TRULY AUTHENTIC, YOU 536 00:20:42,132 --> 00:20:44,401 KNOW, AND COMING FROM AND 537 00:20:44,401 --> 00:20:48,605 REPRESENTING THE PEOPLE WHO ARE 538 00:20:48,605 --> 00:20:55,378 MOST MARGINALIZED AND HARMED BY 539 00:20:55,378 --> 00:20:57,147 RACISM IN OUR SOCIETY. 540 00:20:57,147 --> 00:20:59,549 SO, IN THIS PAPER WE TALK, WE 541 00:20:59,549 --> 00:21:00,750 FIRST HIGHLIGHT HOW THE HISTORY 542 00:21:00,750 --> 00:21:04,254 OF RACISM IN THE U.S. AFFECTS 543 00:21:04,254 --> 00:21:06,123 THE WAYS THAT WE SHOULD BE 544 00:21:06,123 --> 00:21:07,124 APPROACHING THE MEASUREMENT OF 545 00:21:07,124 --> 00:21:08,091 STRUCTURAL RACISM AND ITS 546 00:21:08,091 --> 00:21:09,860 EFFECTS ON HEALTH. 547 00:21:09,860 --> 00:21:13,897 WE HEARD SOME OF THAT FROM DR. 548 00:21:13,897 --> 00:21:15,198 PARIS JACKSON YESTERDAY WHEN SHE 549 00:21:15,198 --> 00:21:18,502 TALKED ABOUT HER WORK IN 550 00:21:18,502 --> 00:21:19,469 UNDERSTANDING HISTORICKIC 551 00:21:19,469 --> 00:21:20,804 LUNCHING AND ITS IMPACT ON 552 00:21:20,804 --> 00:21:22,139 HEALTH OUTCOMES AND OTHER WORK 553 00:21:22,139 --> 00:21:24,207 AS YOU CAN SEE ON THE SLIDE THAT 554 00:21:24,207 --> 00:21:32,749 HAS ALSO SPOKEN TO THAT 555 00:21:32,749 --> 00:21:34,151 HISTORICAL CONTEXT. 556 00:21:34,151 --> 00:21:35,085 THERE'S IMPORTANT OPPORTUNITIES 557 00:21:35,085 --> 00:21:36,019 TO CONTINUE UNDERSTANDING 558 00:21:36,019 --> 00:21:37,888 HISTORY OF RACISM IN THE UNITED 559 00:21:37,888 --> 00:21:38,989 STATES AND THE LONG-TERM IMPACT 560 00:21:38,989 --> 00:21:45,362 THAT IT'S HAD AND GENERATIONAL 561 00:21:45,362 --> 00:21:47,631 IMPACT ON HEALTH AND WELL-BEING 562 00:21:47,631 --> 00:21:50,066 FOR BLACK COMMUNITIES IN 563 00:21:50,066 --> 00:21:51,801 PARTICULAR, FROM FORCED 564 00:21:51,801 --> 00:21:52,302 STERILIZATION TO UNEQUAL 565 00:21:52,302 --> 00:21:55,005 TREATMENT IN THE CRIMINAL LEGAL 566 00:21:55,005 --> 00:21:56,006 SYSTEM, AND BEYOND. 567 00:21:56,006 --> 00:21:59,042 AND SO THINKING ABOUT WHAT 568 00:21:59,042 --> 00:22:02,179 STUDIES ARE ACCURATELY AND 569 00:22:02,179 --> 00:22:06,416 AUTHENTICALLY GETTING AT SOME OF 570 00:22:06,416 --> 00:22:11,121 THOSE HISTORIC REALITIES IS 571 00:22:11,121 --> 00:22:12,289 INCREDIBLY IMPORTANT FOR MOVING 572 00:22:12,289 --> 00:22:13,089 THIS WORK FORWARD. 573 00:22:13,089 --> 00:22:15,692 AND THEN OF COURSE WE HAVE THE 574 00:22:15,692 --> 00:22:16,960 GEOGRAPHY CONUNDRUM. 575 00:22:16,960 --> 00:22:18,862 WE KNOW THAT STRUCTURAL RACISM 576 00:22:18,862 --> 00:22:23,266 MANIFESTS ITSELF IN DIFFERENT 577 00:22:23,266 --> 00:22:24,034 WAYS ACROSS GEOGRAPHIC CONTEXTS, 578 00:22:24,034 --> 00:22:26,102 MEANING WE HAVE TO DETERMINE HOW 579 00:22:26,102 --> 00:22:28,171 SPACE AND PLACE, ADMINISTRATIVE 580 00:22:28,171 --> 00:22:29,940 AND CULTURE AND CIVIC BOUNDARIES 581 00:22:29,940 --> 00:22:31,141 OPERATE AND INTERACT TO PRODUCE 582 00:22:31,141 --> 00:22:33,343 AND MAINTAIN THE STRUCTURES OF 583 00:22:33,343 --> 00:22:34,110 INEQUITY AND STRUCTURES OF 584 00:22:34,110 --> 00:22:35,178 RACISM. 585 00:22:35,178 --> 00:22:36,813 THIS IS SOMETHING THAT OUR TEAM 586 00:22:36,813 --> 00:22:38,148 AT THE CENTER HAS BEEN GRAPPLING 587 00:22:38,148 --> 00:22:41,418 WITH AND THINKING ABOUT QUITE A 588 00:22:41,418 --> 00:22:41,585 LOT. 589 00:22:41,585 --> 00:22:45,055 THERE ARE NO EASY ANSWERS OTHER 590 00:22:45,055 --> 00:22:47,557 THAN TO SAY WE HAVE TO ENSURE 591 00:22:47,557 --> 00:22:50,193 THE GEOGRAPHIC UNITS THAT WE'RE 592 00:22:50,193 --> 00:22:52,896 STUDYING ARE ALIGNED WITH THE 593 00:22:52,896 --> 00:22:55,198 APPROPRIATE THEORY AND RESEARCH 594 00:22:55,198 --> 00:22:57,300 QUESTIONS THAT WE'RE USING TO 595 00:22:57,300 --> 00:22:57,968 MEASURE STRUCTURAL RACISM. 596 00:22:57,968 --> 00:22:59,803 AND, YOU KNOW, I THINK I WOULD 597 00:22:59,803 --> 00:23:01,004 ENCOURAGE THE FUNDERS WHO ARE 598 00:23:01,004 --> 00:23:09,679 JOINING US TODAY AS YOU'RE 599 00:23:09,679 --> 00:23:10,747 REVIEWING PROPOSALS AND 600 00:23:10,747 --> 00:23:12,182 APPLICATIONS ASKING IS THIS 601 00:23:12,182 --> 00:23:13,583 GEOGRAPHIC UNIT OF MEASUREMENT 602 00:23:13,583 --> 00:23:17,320 BEING PROPOSED ALIGNED WITH THE 603 00:23:17,320 --> 00:23:18,755 THEORY, THE COMMUNITY, THE 604 00:23:18,755 --> 00:23:20,423 RESEARCH QUESTIONS BEING 605 00:23:20,423 --> 00:23:21,391 PROPOSED. 606 00:23:21,391 --> 00:23:24,227 ALSO IN THIS PAPER DR. BURDETTE 607 00:23:24,227 --> 00:23:27,197 DAVIS WRITES ABOUT THE MEASURING 608 00:23:27,197 --> 00:23:29,366 OF STRUCTURAL RACISM AT 609 00:23:29,366 --> 00:23:31,468 DIFFERENT GEOGRAPHIC SCALES, SO 610 00:23:31,468 --> 00:23:33,770 CENSUS TRACT, COUNTY OR STATE, 611 00:23:33,770 --> 00:23:36,740 AND PARTICULARLY SHE RAISES THE 612 00:23:36,740 --> 00:23:38,041 MODIFIABLE AREA UNIT PROBLEM 613 00:23:38,041 --> 00:23:42,412 THAT CONTRIBUTES TO, AS WE KNOW, 614 00:23:42,412 --> 00:23:43,747 INCONSISTENT FINDINGS CONCERNING 615 00:23:43,747 --> 00:23:45,382 THE HEALTH IMPACTS ON STRUCTURAL 616 00:23:45,382 --> 00:23:47,117 RACISM, OR DUE TO STRUCTURAL 617 00:23:47,117 --> 00:23:47,550 RACISM. 618 00:23:47,550 --> 00:23:52,389 AND THAT PROBLEM ARISES BECAUSE 619 00:23:52,389 --> 00:23:54,791 OF THE BOUNDARIES DESIGNED TO 620 00:23:54,791 --> 00:23:58,295 GROUP POPULATIONS ARE QUITE 621 00:23:58,295 --> 00:24:02,465 ARBITRARY, APPROXIMATIONS OF 622 00:24:02,465 --> 00:24:03,767 DEMOGRAPHICS OF UNDERLYING 623 00:24:03,767 --> 00:24:05,635 POPULATION, AS BOUNDARIES CHANGE 624 00:24:05,635 --> 00:24:06,503 THE DENOMINATORS AND NUMERATORS 625 00:24:06,503 --> 00:24:10,140 THAT ARE BEING MEASURED ARE ALSO 626 00:24:10,140 --> 00:24:12,409 CHANGING, WHICH, YOU KNOW, 627 00:24:12,409 --> 00:24:13,843 CAUSES CHALLENGES IN HOW THE 628 00:24:13,843 --> 00:24:15,378 WORK IS DONE. 629 00:24:15,378 --> 00:24:17,447 AND WE OFFER THE PAPER REAL LIFE 630 00:24:17,447 --> 00:24:21,618 EXAMPLE OF THE MODIFIABLE AREA 631 00:24:21,618 --> 00:24:27,424 UNIT PROBLEM, WHICH IS ALSO 632 00:24:27,424 --> 00:24:29,726 IRONICALLY A SOURCE, 633 00:24:29,726 --> 00:24:31,061 REDISTRICTING AND GERRYMANDERING 634 00:24:31,061 --> 00:24:33,997 TO CHANGE POLITICAL LANDSCAPES 635 00:24:33,997 --> 00:24:35,498 BY CHANGING WHICH RESIDENTS ARE 636 00:24:35,498 --> 00:24:36,399 WITHIN WHICH BOUNDARIES OF A 637 00:24:36,399 --> 00:24:39,703 GIVEN COMMUNITY OR NEIGHBORHOOD. 638 00:24:39,703 --> 00:24:42,405 SO, WE'RE REALLY ENCOURAGING 639 00:24:42,405 --> 00:24:45,041 THEORY-DRIVEN APPROACHES IN 640 00:24:45,041 --> 00:24:46,109 WHICH THE APPROPRIATE GEOGRAPHIC 641 00:24:46,109 --> 00:24:48,545 UNIT IS SELECTED ON THE BASIS OF 642 00:24:48,545 --> 00:24:50,513 THE PROPOSED UNDERLYING 643 00:24:50,513 --> 00:24:53,016 MECHANISMS OF STRUCTURAL RACISM. 644 00:24:53,016 --> 00:24:55,685 AND I THINK THIS ALSO OFFERS AN 645 00:24:55,685 --> 00:24:57,520 OPPORTUNITY TO BRING IN THAT 646 00:24:57,520 --> 00:24:59,189 COMMUNITY VOICE AND THAT LIVED 647 00:24:59,189 --> 00:25:00,924 EXPERIENCE VOICE IN A VERY 648 00:25:00,924 --> 00:25:02,459 INTENTIONAL WAY TO SORT OF THINK 649 00:25:02,459 --> 00:25:05,962 ABOUT AND MAKE SURE THAT ALL OF 650 00:25:05,962 --> 00:25:07,364 THOSE PIECES ARE APPROPRIATELY 651 00:25:07,364 --> 00:25:11,968 ALIGNED. 652 00:25:11,968 --> 00:25:13,403 WE LEARNED A LOT ABOUT NOVEL 653 00:25:13,403 --> 00:25:14,938 METHODS BEING USED TO MEASURE 654 00:25:14,938 --> 00:25:17,006 RACISM OVER THE LAST DAY, AND 655 00:25:17,006 --> 00:25:19,576 I'M SEEING THAT NEW AND EXCITING 656 00:25:19,576 --> 00:25:21,578 METHODS COMING OUT ALL THE TIME 657 00:25:21,578 --> 00:25:24,447 NOW, WHICH IS, YOU KNOW, REALLY 658 00:25:24,447 --> 00:25:24,714 EXCITING. 659 00:25:24,714 --> 00:25:26,316 SO I'M NOT GOING TO SPEND A TON 660 00:25:26,316 --> 00:25:27,751 OF TIME HERE. 661 00:25:27,751 --> 00:25:29,386 I WILL SAY THAT WHAT -- YOU 662 00:25:29,386 --> 00:25:31,121 KNOW, THOSE THREE REVIEW PAPERS 663 00:25:31,121 --> 00:25:34,090 I SHARED WITH YOU A FEW MINUTES 664 00:25:34,090 --> 00:25:36,259 AGO, YOU KNOW, HAVE REALLY FOUND 665 00:25:36,259 --> 00:25:37,560 THAT WE'VE STUCK TO THE SORT OF 666 00:25:37,560 --> 00:25:40,563 LANE OF THOSE, YOU KNOW, FEW 667 00:25:40,563 --> 00:25:41,998 DOMAINS THAT WE HAVE PUBLIC 668 00:25:41,998 --> 00:25:43,633 DATA, YOU KNOW HAVE ACCESS TO AS 669 00:25:43,633 --> 00:25:46,836 SORT OF THE WAYS THAT WE'RE 670 00:25:46,836 --> 00:25:48,238 MEASURING STRUCTURAL RACISM. 671 00:25:48,238 --> 00:25:51,307 AND SO I THINK THERE ARE SO MANY 672 00:25:51,307 --> 00:25:53,176 OPPORTUNITIES TO GET CREATIVE 673 00:25:53,176 --> 00:25:57,313 WITH THE DATA THAT WE -- EVEN 674 00:25:57,313 --> 00:25:58,381 PUBLICLY AVAILABLE DATA, AND TO 675 00:25:58,381 --> 00:26:02,919 THINK ABOUT THINGS A LITTLE BIT 676 00:26:02,919 --> 00:26:05,755 DIFFERENTLY, AND SO I AM 677 00:26:05,755 --> 00:26:07,190 ENCOURAGED TO SEE WHAT'S 678 00:26:07,190 --> 00:26:08,491 HAPPENING ACROSS THE FIELD RIGHT 679 00:26:08,491 --> 00:26:09,592 NOW IN THAT SPACE. 680 00:26:09,592 --> 00:26:11,761 I THINK ONE OF THE THINGS WE'VE 681 00:26:11,761 --> 00:26:14,631 LEARNED HERE IS IN MINNESOTA IS 682 00:26:14,631 --> 00:26:16,366 IN THAT CREATIVITY -- A LOT OF 683 00:26:16,366 --> 00:26:17,567 THAT CREATIVITY AND INNOVATION 684 00:26:17,567 --> 00:26:20,103 AND SORT OF NEW FRESH IDEAS FOR 685 00:26:20,103 --> 00:26:23,706 HOW STRUCTURAL RACISM IS SHOWING 686 00:26:23,706 --> 00:26:27,010 UP IN PEOPLE'S LIVES, THEIR 687 00:26:27,010 --> 00:26:28,445 NEIGHBORHOODS, THEIR 688 00:26:28,445 --> 00:26:29,679 COMMUNITIES, REQUIRES COMMUNITY 689 00:26:29,679 --> 00:26:30,547 INPUT. 690 00:26:30,547 --> 00:26:33,483 SO, A FEW YEARS AGO HERE IN THE 691 00:26:33,483 --> 00:26:37,554 TWIN CITIES WE HOSTED COMMUNITY 692 00:26:37,554 --> 00:26:40,190 CONVERSATIONS TO TALK ABOUT 693 00:26:40,190 --> 00:26:41,591 STRUCTURAL RACISM AND HOW IT 694 00:26:41,591 --> 00:26:44,461 STARTED SHOWING UP IN DIFFERENT 695 00:26:44,461 --> 00:26:46,296 WAYS IN THE COMMUNITIES 696 00:26:46,296 --> 00:26:50,133 SURROUNDING THE UNIVERSITY OF 697 00:26:50,133 --> 00:26:50,900 MINNESOTA. 698 00:26:50,900 --> 00:26:55,505 WE LEARNED A LOT FROM THE FOLKS 699 00:26:55,505 --> 00:26:57,040 WHO PARTICIPATED IN THOSE GROUPS 700 00:26:57,040 --> 00:26:58,675 ABOUT SORT OF THE DIFFERENT 701 00:26:58,675 --> 00:26:59,742 DOMAINS OF STRUCTURAL RACISM 702 00:26:59,742 --> 00:27:03,379 THAT WE HAD NOT YET BEEN ABLE TO 703 00:27:03,379 --> 00:27:03,847 CAPTURE, YOU KNOW, 704 00:27:03,847 --> 00:27:05,114 QUANTITATIVELY BECAUSE SOME OF 705 00:27:05,114 --> 00:27:07,517 THEM ARE JUST -- FIRST THEY ARE 706 00:27:07,517 --> 00:27:10,520 DYNAMIC, CHANGING OVER TIME, AND 707 00:27:10,520 --> 00:27:13,356 ALSO, YOU KNOW, I THINK THERE'S 708 00:27:13,356 --> 00:27:15,959 NUANCES THAT ARE VERY MUCH 709 00:27:15,959 --> 00:27:17,060 COMMUNITY BASED OR NEIGHBORHOOD 710 00:27:17,060 --> 00:27:19,162 BASED THAT ARE REALLY 711 00:27:19,162 --> 00:27:20,563 CHALLENGING TO CAPTURE BUT COULD 712 00:27:20,563 --> 00:27:22,532 END UP BEING ONE -- YOU KNOW, 713 00:27:22,532 --> 00:27:25,568 SOME OF THE MOST SALIENT OR 714 00:27:25,568 --> 00:27:27,570 IMPORTANT CONCERNS FOR A GIVEN, 715 00:27:27,570 --> 00:27:28,438 YOU KNOW, COMMUNITY. 716 00:27:28,438 --> 00:27:30,206 SO I'M GOING TO SPEND THE LAST 717 00:27:30,206 --> 00:27:34,244 BIT OF MY TIME WITH YOU ALL 718 00:27:34,244 --> 00:27:40,250 SHARING A FEW EXAMPLES OF HOW WE 719 00:27:40,250 --> 00:27:43,653 ARE -- I WILL SAY IMPERFECTLY 720 00:27:43,653 --> 00:27:44,320 INCORPORATING COMMUNITY INTO THE 721 00:27:44,320 --> 00:27:45,488 WORK WE'RE DOING AROUND THE 722 00:27:45,488 --> 00:27:48,324 MEASUREMENT OF STRUCTURAL 723 00:27:48,324 --> 00:27:48,892 RACISM. 724 00:27:48,892 --> 00:27:51,628 I SAY IMPERFECTLY BECAUSE IT 725 00:27:51,628 --> 00:27:56,032 TAKES A LOT OF WORK AND 726 00:27:56,032 --> 00:27:56,966 INTENTION, TIME, RESOURCES, TO 727 00:27:56,966 --> 00:27:58,968 DO THIS IN THE RIGHT WAY. 728 00:27:58,968 --> 00:28:01,738 AND SO WE'VE HAD SOME -- I'VE 729 00:28:01,738 --> 00:28:04,007 PERSONALLY HAD A LOT OF 730 00:28:04,007 --> 00:28:08,611 LEARNINGS AND SORT OF, YEAH, 731 00:28:08,611 --> 00:28:09,612 LEARNINGS ALONG THE WAY AROUND 732 00:28:09,612 --> 00:28:13,416 SORT OF HOW TO DO THIS WELL. 733 00:28:13,416 --> 00:28:16,386 SO IT'S A WORK IN PROGRESS. 734 00:28:16,386 --> 00:28:19,255 BEFORE I START WITH THAT I HAVE 735 00:28:19,255 --> 00:28:23,293 TO -- I LOVE THIS STATEMENT BY 736 00:28:23,293 --> 00:28:24,594 DR. PARIS ADKINS JACKSON 737 00:28:24,594 --> 00:28:25,562 YESTERDAY WHERE SHE SAID AFTER 738 00:28:25,562 --> 00:28:28,031 TALKING ABOUT ALL OF THE 739 00:28:28,031 --> 00:28:28,898 INCREDIBLE QUANTITATIVE WORK SHE 740 00:28:28,898 --> 00:28:31,501 WAS DOING AROUND THE MEASUREMENT 741 00:28:31,501 --> 00:28:32,835 OF STRUCTURAL RACISM, SHE SAID 742 00:28:32,835 --> 00:28:35,672 THE BEST WAY TO MEASURE 743 00:28:35,672 --> 00:28:36,973 STRUCTURAL RACISM IS 744 00:28:36,973 --> 00:28:37,307 QUALITATIVELY. 745 00:28:37,307 --> 00:28:37,540 PERIOD. 746 00:28:37,540 --> 00:28:39,809 AND SO I HAD TO PUT THAT IN 747 00:28:39,809 --> 00:28:41,878 THERE BECAUSE I FULLY AGREE. 748 00:28:41,878 --> 00:28:44,614 I THINK BOTH ARE IMPORTANT, YOU 749 00:28:44,614 --> 00:28:46,916 KNOW, I WOULD REFER TO MYSELF AS 750 00:28:46,916 --> 00:28:49,552 A MIXED METHODS RESEARCHER, BUT 751 00:28:49,552 --> 00:28:51,421 THE QUALITATIVE, THE STORIES, 752 00:28:51,421 --> 00:28:52,589 THE PEOPLE, AND GETTING TO KNOW 753 00:28:52,589 --> 00:28:54,891 THE PEOPLE, WHAT THEY ARE 754 00:28:54,891 --> 00:28:56,025 DEALING WITH AND GRAPPLING WITH 755 00:28:56,025 --> 00:28:59,295 ON A DAY-TO-DAY BASIS IS REALLY 756 00:28:59,295 --> 00:29:02,131 CRITICAL FOR INFORMING THIS WORK 757 00:29:02,131 --> 00:29:03,466 MOVING FORWARD. 758 00:29:03,466 --> 00:29:07,704 AND SO ONE EXAMPLE OF THAT, THAT 759 00:29:07,704 --> 00:29:09,272 WE'RE DOING HERE IN MINNESOTA, 760 00:29:09,272 --> 00:29:11,107 WELL, IN A COUPLE OTHER PLACES 761 00:29:11,107 --> 00:29:13,743 AS WELL, IS THE BEARING WITNESS 762 00:29:13,743 --> 00:29:16,045 STUDY, WHICH IS A 763 00:29:16,045 --> 00:29:17,347 COMMUNITY-CENTERED RESEARCH 764 00:29:17,347 --> 00:29:20,316 STUDY WHERE WE ARE AIMING TO 765 00:29:20,316 --> 00:29:22,285 IDENTIFY HOW STRUCTURING AND 766 00:29:22,285 --> 00:29:23,152 INSTITUTIONAL RACISM AFFECT 767 00:29:23,152 --> 00:29:24,787 REPRODUCTIVE HEALTH FOR BLACK 768 00:29:24,787 --> 00:29:26,022 WOMEN AND BLACK BIRTHING PEOPLE, 769 00:29:26,022 --> 00:29:28,725 AND THE GOAL OF THE STUDY IS TO 770 00:29:28,725 --> 00:29:30,460 CENTER THE STORIES AND LIVED 771 00:29:30,460 --> 00:29:31,828 EXPERIENCES ABOUT ACCESSING 772 00:29:31,828 --> 00:29:33,663 HEALTHCARE DELIVERY SYSTEMS OVER 773 00:29:33,663 --> 00:29:37,467 THE COURSE OF PREGNANCY, 774 00:29:37,467 --> 00:29:39,235 POSTPARTUM PERIOD, BEFORE 775 00:29:39,235 --> 00:29:42,071 BLACK-BIRTHING PEOPLE AND TO 776 00:29:42,071 --> 00:29:45,141 REALLY DEVELOP AN UNDERSTANDING 777 00:29:45,141 --> 00:29:47,977 OF THE LANGUAGE OF THE 778 00:29:47,977 --> 00:29:49,312 EXPERIENCES OF RACISM THAT CAN 779 00:29:49,312 --> 00:29:52,715 BE USED TO INFORM HOW WE 780 00:29:52,715 --> 00:29:55,251 MEASURE -- HOW WE'RE 781 00:29:55,251 --> 00:29:57,053 OPERATIONALIZING AND MEASURING 782 00:29:57,053 --> 00:29:58,354 STRUCTURAL INSTITUTIONAL RACISM 783 00:29:58,354 --> 00:30:01,491 AS A FUNDAMENTAL CAUSE OF HEALTH 784 00:30:01,491 --> 00:30:06,295 INEQUITIES. 785 00:30:06,295 --> 00:30:07,597 786 00:30:07,597 --> 00:30:09,499 SO, WE'RE CURRENTLY FINISHING UP 787 00:30:09,499 --> 00:30:12,468 DATA COLLECTION ACROSS THREE 788 00:30:12,468 --> 00:30:14,237 SITES, UNIVERSITY OF PITTSBURGH 789 00:30:14,237 --> 00:30:17,640 SITE IS RUN BY DR. SARAH MENDEZ, 790 00:30:17,640 --> 00:30:28,084 THE SACRAMENTO SITE OUT OF 791 00:30:30,053 --> 00:30:33,056 UC-DAVIS IS RUN BY DR. KIMBERLY 792 00:30:33,056 --> 00:30:34,057 CHAMBERS, HOW STRUCTURAL AND 793 00:30:34,057 --> 00:30:36,559 OTHERS FORM OF RACISM ARE 794 00:30:36,559 --> 00:30:37,460 IMPACTING REPRODUCTIVE HEALTH 795 00:30:37,460 --> 00:30:39,295 OUTCOMES FOR BLACK WOMEN IN 796 00:30:39,295 --> 00:30:40,063 CALIFORNIA. 797 00:30:40,063 --> 00:30:42,165 OUR FINDINGS WILL BUILD ON THAT 798 00:30:42,165 --> 00:30:43,599 MODEL, AND WE'RE ALREADY SEEING 799 00:30:43,599 --> 00:30:45,435 SOME MORE DOMAINS AND ELEMENTS 800 00:30:45,435 --> 00:30:46,536 THAT WE'LL BE BRINGING INTO THAT 801 00:30:46,536 --> 00:30:48,304 WORK BASED ON WHAT WE'RE HEARING 802 00:30:48,304 --> 00:30:51,007 FROM THE PARTICIPANTS IN OUR 803 00:30:51,007 --> 00:30:52,108 SISTER CIRCLES. 804 00:30:52,108 --> 00:30:54,310 THE MINIMUMS DATA COLLECTION AND 805 00:30:54,310 --> 00:31:04,821 LEADERSHIP IS BEING LED BY DR. 806 00:31:05,755 --> 00:31:11,060 JE JETSON AND ROON MAKHAL AND A 807 00:31:11,060 --> 00:31:13,396 SHOUT OUT TO DR. PARIS ADKINS 808 00:31:13,396 --> 00:31:15,331 JACKSON TO DEVELOP THE IDEAS FOR 809 00:31:15,331 --> 00:31:18,634 SISTER CIRCLES IN THE INITIAL 810 00:31:18,634 --> 00:31:20,703 WORK IN THIS STUDY. 811 00:31:20,703 --> 00:31:23,306 BUT WHAT WE'RE -- OVERALL WE'RE 812 00:31:23,306 --> 00:31:26,843 SEEING REALLY INTERESTING AND 813 00:31:26,843 --> 00:31:29,479 ROBUST DIALOGUES RELATED TO HOW 814 00:31:29,479 --> 00:31:30,346 STRUCTURAL INSTITUTIONAL RACISM 815 00:31:30,346 --> 00:31:31,781 MANIFESTS IN BLACK PREGNANT AND 816 00:31:31,781 --> 00:31:33,282 BIRTHING PEOPLE'S LIVES. 817 00:31:33,282 --> 00:31:34,383 WE'RE SEEING SOME INTERESTING 818 00:31:34,383 --> 00:31:35,184 SIMILARITIES. 819 00:31:35,184 --> 00:31:38,020 WE HAVE THIS EAST COAST SITE, 820 00:31:38,020 --> 00:31:40,123 MIDWEST SITE, AND A WEST COAST 821 00:31:40,123 --> 00:31:40,490 SITE. 822 00:31:40,490 --> 00:31:43,292 WHAT WE'RE SEEING IS ABSOLUTELY 823 00:31:43,292 --> 00:31:45,361 THERE ARE SOME SIMILARITIES 824 00:31:45,361 --> 00:31:47,463 AROUND -- ACROSS ALL THOSE 825 00:31:47,463 --> 00:31:50,733 GEOGRAPHIC LOCATIONS AROUND HOW 826 00:31:50,733 --> 00:31:52,368 RACISM IS EXPERIENCED. 827 00:31:52,368 --> 00:31:54,871 YOU KNOW, SO THINGS LIKE IN THE 828 00:31:54,871 --> 00:31:58,841 SCHOOL SYSTEM, EDUCATION SYSTEM, 829 00:31:58,841 --> 00:32:00,409 PRISON AND INCARCERATION, 830 00:32:00,409 --> 00:32:01,577 WORKPLACE, MEDICAL FACILITIES, 831 00:32:01,577 --> 00:32:03,346 BUT THEN WE'RE ALSO GETTING TO 832 00:32:03,346 --> 00:32:06,382 PICK UP ON INTERESTING NUANCES 833 00:32:06,382 --> 00:32:10,987 THAT WE'LL TALK ABOUT IN FUTURE 834 00:32:10,987 --> 00:32:11,621 PUBLICATIONS ACROSS THESE 835 00:32:11,621 --> 00:32:12,655 GEOGRAPHIC REGIONS WHICH I THINK 836 00:32:12,655 --> 00:32:14,924 WILL BE IMPORTANT FOR HELPING TO 837 00:32:14,924 --> 00:32:18,094 INFORM US IN THAT SORT OF -- 838 00:32:18,094 --> 00:32:20,296 THOSE GEOGRAPHY QUESTIONS AND 839 00:32:20,296 --> 00:32:26,068 CHALLENGES THAT I PREVIOUSLY 840 00:32:26,068 --> 00:32:26,736 MENTIONED. 841 00:32:26,736 --> 00:32:28,371 ANOTHER WAY WE ARE THINKING 842 00:32:28,371 --> 00:32:31,107 ABOUT AND TRYING TO LEAD THE 843 00:32:31,107 --> 00:32:33,843 CHARGE AND THE MEASURING OF 844 00:32:33,843 --> 00:32:35,711 STRUCTURAL RACISM AND INFORMING 845 00:32:35,711 --> 00:32:38,347 AND ENSURING THAT COMMUNITY IS 846 00:32:38,347 --> 00:32:40,983 WALKING THAT PATH WITH US IS 847 00:32:40,983 --> 00:32:42,518 THROUGH THIS PROGRAM, IGNITE THE 848 00:32:42,518 --> 00:32:44,487 PARK SCHOLARS PROGRAM. 849 00:32:44,487 --> 00:32:46,155 WE JUST YESTERDAY OR THE DAY 850 00:32:46,155 --> 00:32:50,193 BEFORE MADE THE ANNOUNCEMENT OF 851 00:32:50,193 --> 00:32:51,961 THESE INCREDIBLE SIX SCHOLARS, 852 00:32:51,961 --> 00:32:53,596 JUNIOR SCHOLARS, WHO HAVE BEEN 853 00:32:53,596 --> 00:32:54,797 FUNDED THROUGH OUR PROGRAMMING. 854 00:32:54,797 --> 00:32:57,967 SO THE MISSION OF IGNITE THE 855 00:32:57,967 --> 00:33:00,369 SPARK SCHOLARS PROGRAM IS TO 856 00:33:00,369 --> 00:33:02,338 BUILD UP CAPACITY AMONG EARLY 857 00:33:02,338 --> 00:33:03,973 CAREER SCHOLARS COMMITTED TO 858 00:33:03,973 --> 00:33:06,275 DEVELOPING NOVEL MEASURES AND 859 00:33:06,275 --> 00:33:06,776 APPROACHES TO STUDYING 860 00:33:06,776 --> 00:33:10,646 STRUCTURAL RACISM AND ITS IMPACT 861 00:33:10,646 --> 00:33:11,781 ON POPULATION HEALTH. 862 00:33:11,781 --> 00:33:15,151 AND SO OUR VISION AND OUR GOAL 863 00:33:15,151 --> 00:33:17,887 HERE IS REALLY TO EXPAND THE 864 00:33:17,887 --> 00:33:19,088 FIELD KNOWLEDGE BASE ON 865 00:33:19,088 --> 00:33:22,558 STRUCTURAL RACISM, AND ITS 866 00:33:22,558 --> 00:33:25,194 IMPACT ON HEALTH, WHILE ALSO 867 00:33:25,194 --> 00:33:26,529 INCLUDING COMMUNITY PARTNERS IN 868 00:33:26,529 --> 00:33:27,196 LEADING THAT WORK. 869 00:33:27,196 --> 00:33:30,032 SO EACH OF THE SCHOLARS THAT 870 00:33:30,032 --> 00:33:31,901 WERE FUNDED AS YOU SEE ON THE 871 00:33:31,901 --> 00:33:36,606 SCREEN BRING WITH THEM A 872 00:33:36,606 --> 00:33:42,478 COMMUNITY PARTNER, SO DR. LEAH 873 00:33:42,478 --> 00:33:44,347 BELL'S COMMUNITY PARTNER IS IOWA 874 00:33:44,347 --> 00:33:45,147 BLACK DOULA COLLECTIVE HELPING 875 00:33:45,147 --> 00:33:47,149 WITH THE STUDY IN THE 876 00:33:47,149 --> 00:33:51,354 REPRODUCTIVE HEALTH SPACE. 877 00:33:51,354 --> 00:33:57,593 DR. GONZALEZ, HER COMMUNITY 878 00:33:57,593 --> 00:34:00,396 PARTNER IS COMMUNITY PARTNER. 879 00:34:00,396 --> 00:34:03,266 DR. LEBRON WILL BE WORKING WITH 880 00:34:03,266 --> 00:34:04,166 ENVIRONMENTAL -- SOME 881 00:34:04,166 --> 00:34:05,902 ENVIRONMENTAL JUSTICE GROUPS. 882 00:34:05,902 --> 00:34:10,172 AND OTHER SCHOLARS WORKING WITH 883 00:34:10,172 --> 00:34:11,007 LACTATION SUPPORT SERVICES, 884 00:34:11,007 --> 00:34:11,974 NEWARK ORGANIZATION FOR 885 00:34:11,974 --> 00:34:13,009 COMMUNITY SOLUTIONS AND SO ON. 886 00:34:13,009 --> 00:34:15,211 THIS IS A REALLY EXCITING 887 00:34:15,211 --> 00:34:17,046 OPPORTUNITY BOTH TO LEARN FROM 888 00:34:17,046 --> 00:34:19,248 AND WORK ALONGSIDE JUNIOR 889 00:34:19,248 --> 00:34:20,683 SCHOLARS WHO ARE BEING REALLY 890 00:34:20,683 --> 00:34:21,717 INNOVATIVE WITH WHAT THEY ARE 891 00:34:21,717 --> 00:34:23,085 PROPOSING AND HOW THEY ARE 892 00:34:23,085 --> 00:34:25,254 THINKING ABOUT MAKING THESE AND 893 00:34:25,254 --> 00:34:25,988 UNDERSTANDING THESE LINKS 894 00:34:25,988 --> 00:34:28,224 BETWEEN STRUCTURAL RACISM AND 895 00:34:28,224 --> 00:34:29,959 HEALTH OUTCOMES, AND ALSO THEY 896 00:34:29,959 --> 00:34:32,828 ARE COMING IN WITH A DEEP 897 00:34:32,828 --> 00:34:35,264 RELATIONSHIP WITH A COMMUNITY 898 00:34:35,264 --> 00:34:37,199 PARTNER WHO IS JUST AS INVESTED 899 00:34:37,199 --> 00:34:39,502 IN THE WORK AND WILL BE WALKING 900 00:34:39,502 --> 00:34:43,072 ALONGSIDE THEM AS THEY DEVELOP 901 00:34:43,072 --> 00:34:43,639 THEIR RESEARCH. 902 00:34:43,639 --> 00:34:47,143 SO, STAY TUNED FOR MORE AS WE -- 903 00:34:47,143 --> 00:34:49,545 YOU KNOW, AS THAT PROGRAM MOVES 904 00:34:49,545 --> 00:34:53,049 ON. 905 00:34:53,049 --> 00:34:56,886 SO THEN I WILL CLOSE WITH A 906 00:34:56,886 --> 00:34:58,087 COUPLE OF -- SORT OF LAST WAY 907 00:34:58,087 --> 00:34:59,288 WE'RE THINKING ABOUT THE 908 00:34:59,288 --> 00:35:00,823 MEASUREMENT OF RACISM AS WELL AS 909 00:35:00,823 --> 00:35:03,993 SORT OF WHAT THAT MEANS FOR OUR 910 00:35:03,993 --> 00:35:05,428 COMMUNITIES. 911 00:35:05,428 --> 00:35:07,396 I WAS GOING TO USE CLICK ON THE 912 00:35:07,396 --> 00:35:13,302 LINK BUT IT WILL BE TOO TOO MUO 913 00:35:13,302 --> 00:35:14,403 NAVIGATE TO THE VIDEO. 914 00:35:14,403 --> 00:35:17,006 I HAD THE OPPORTUNITY TO SPEAK 915 00:35:17,006 --> 00:35:19,542 AT ASPEN HEALTH AND SHARE WORK 916 00:35:19,542 --> 00:35:21,610 WE'RE DOING AT THE CENTER FOR 917 00:35:21,610 --> 00:35:23,579 ANTI-RACISM RESEARCH AND HEALTH 918 00:35:23,579 --> 00:35:24,113 INEQUITY. 919 00:35:24,113 --> 00:35:26,182 WE'VE STRUGGLED FOR A LONG TIME 920 00:35:26,182 --> 00:35:29,719 TO ANSWER DR. CAMARA JONES'S 921 00:35:29,719 --> 00:35:31,354 QUESTION, HOW IS RACISM 922 00:35:31,354 --> 00:35:33,956 OPERATING HERE, AND I 923 00:35:33,956 --> 00:35:35,491 APPRECIATED DR. TYSON BROWN'S 924 00:35:35,491 --> 00:35:36,993 CLOSING SLIDE YESTERDAY, HE 925 00:35:36,993 --> 00:35:39,762 SUGGESTED WE REALLY NEED TO BE 926 00:35:39,762 --> 00:35:41,430 MOVING FORWARD WITH SOME SORT OF 927 00:35:41,430 --> 00:35:46,102 DATA INFRASTRUCTURE TO BE ABLE 928 00:35:46,102 --> 00:35:47,203 TO EFFECTIVELY MEASURE RACISM 929 00:35:47,203 --> 00:35:49,071 AND ITS IMPACT ON HEALTH OR 930 00:35:49,071 --> 00:35:49,939 OTHER OUTCOMES. 931 00:35:49,939 --> 00:35:51,574 AND THAT'S EXACTLY WHAT WE'RE 932 00:35:51,574 --> 00:35:53,776 DOING AT THE CENTER FOR 933 00:35:53,776 --> 00:35:54,877 ANTI-RACISM RESEARCH FOR HEALTH 934 00:35:54,877 --> 00:35:55,811 EQUITY. 935 00:35:55,811 --> 00:36:00,216 WE'RE A FEW YEARS INTO THE WORK. 936 00:36:00,216 --> 00:36:04,153 IT'S INCREDIBLY CHALLENGING BUT 937 00:36:04,153 --> 00:36:06,122 WE'RE WORKING ON CREATING THE -- 938 00:36:06,122 --> 00:36:09,759 THERE WE GO -- THE MEASURING 939 00:36:09,759 --> 00:36:11,160 RACISM DATA PORTAL, WHICH HAS A 940 00:36:11,160 --> 00:36:14,463 GOAL, WE HAVE THE GOAL OF 941 00:36:14,463 --> 00:36:16,399 CREATING A DATA REPOSITORY OF 942 00:36:16,399 --> 00:36:19,935 VARIABLES THAT ARE 943 00:36:19,935 --> 00:36:22,304 OPERATIONALIZED AS WELL AS 944 00:36:22,304 --> 00:36:22,872 MEASURES, MULTI-DIMENSIONAL 945 00:36:22,872 --> 00:36:23,472 MEASURES OF STRUCTURAL RACISM 946 00:36:23,472 --> 00:36:26,909 MIGHT LIVE IN THE DATA PORTAL AS 947 00:36:26,909 --> 00:36:27,109 WELL. 948 00:36:27,109 --> 00:36:31,414 IT WILL BE A NATIONAL 949 00:36:31,414 --> 00:36:33,382 POPULATION-LEVEL GEO DATABASE OF 950 00:36:33,382 --> 00:36:34,383 QUANTIFIABLE MEASURES, OF 951 00:36:34,383 --> 00:36:37,553 VARIABLES OF STRUCTURAL RACISM 952 00:36:37,553 --> 00:36:40,389 LINKED WITH HEALTH DATA, 953 00:36:40,389 --> 00:36:41,357 CLINICAL DATA. 954 00:36:41,357 --> 00:36:43,993 AND MY COMMITMENT TO COMMUNITY 955 00:36:43,993 --> 00:36:46,295 AND OUR COMMITMENT TO COMMUNITY 956 00:36:46,295 --> 00:36:48,264 MEANS THAT THIS DATA PORTAL WILL 957 00:36:48,264 --> 00:36:51,767 NOT BE BUILT SIMPLY FOR THOSE 958 00:36:51,767 --> 00:36:53,436 WHO ARE RESEARCHERS LIKE US, BUT 959 00:36:53,436 --> 00:36:55,838 REALLY TO MAKE IT USABLE FOR 960 00:36:55,838 --> 00:36:57,373 ANYONE WHO WANTS TO ANSWER THE 961 00:36:57,373 --> 00:36:59,575 QUESTION OF HOW IS RACISM 962 00:36:59,575 --> 00:37:00,643 OPERATING HERE IN THEIR 963 00:37:00,643 --> 00:37:01,544 COMMUNITY, IN THEIR 964 00:37:01,544 --> 00:37:03,179 NEIGHBORHOOD, IN THEIR CENSUS 965 00:37:03,179 --> 00:37:05,681 TRACT, IN THEIR STATE, ACROSS 966 00:37:05,681 --> 00:37:05,981 THE COUNTRY. 967 00:37:05,981 --> 00:37:08,017 SO, YOU KNOW, JUST AS I WOULD 968 00:37:08,017 --> 00:37:09,752 IMAGINE ANY OF US, YOU KNOW, 969 00:37:09,752 --> 00:37:13,089 USING THAT DATA TO ANSWER OUR 970 00:37:13,089 --> 00:37:14,457 OWN RESEARCH QUESTIONS, YOU 971 00:37:14,457 --> 00:37:16,725 KNOW, I WOULD SEE A STAFF MEMBER 972 00:37:16,725 --> 00:37:20,463 FOR COMMUNITY ORGANIZATION IN 973 00:37:20,463 --> 00:37:23,599 MINNESOTA PERHAPS WHO WANTS TO 974 00:37:23,599 --> 00:37:26,702 UNDERSTAND HOW REDLINES AS A 975 00:37:26,702 --> 00:37:28,471 RACIST POLICY IMPACTED RACIAL 976 00:37:28,471 --> 00:37:29,271 INEQUALITIES AND PRE-TERM BIRTH 977 00:37:29,271 --> 00:37:30,840 RATES AND WOULD BE ABLE TO COME 978 00:37:30,840 --> 00:37:34,477 USE THE PORTAL TO SEARCH ON 979 00:37:34,477 --> 00:37:36,112 REDLINES, RESIDENTIAL 980 00:37:36,112 --> 00:37:36,979 SEGREGATION, HOME MORTGAGE, 981 00:37:36,979 --> 00:37:39,482 DOWNLOAD THAT DATA, OR USE DATA 982 00:37:39,482 --> 00:37:41,383 VISUALIZATION TO TELL THE STORY 983 00:37:41,383 --> 00:37:46,288 THEY NEED TO TELL FOR A GRANT 984 00:37:46,288 --> 00:37:47,289 APPLICATION, REPORT, 985 00:37:47,289 --> 00:37:48,691 PRESENTATION OF SOME SORT. 986 00:37:48,691 --> 00:37:52,428 THIS WORK IS BEING LED BY -- 987 00:37:52,428 --> 00:38:00,102 CO-LED BY MYSELF, DR. ANNA HING 988 00:38:00,102 --> 00:38:02,505 AND JULIA STAN TOZNIK, AND OUR 989 00:38:02,505 --> 00:38:04,807 PARTNERS, MANY OF WHO YOU SEE ON 990 00:38:04,807 --> 00:38:09,945 THE SLIDE, PERFECT TIMING, I'M 991 00:38:09,945 --> 00:38:10,713 GETTING THE WRAP-IT-UP CHIMES. 992 00:38:10,713 --> 00:38:12,381 NONE OF THE WORK WE DO CAN BE 993 00:38:12,381 --> 00:38:12,882 DONE ALONE. 994 00:38:12,882 --> 00:38:16,819 THIS IS A SLIDE OF OUR PARTNERS, 995 00:38:16,819 --> 00:38:19,555 OUR STAFF, OUR STUDENTS, WHO I'M 996 00:38:19,555 --> 00:38:20,990 INCREDIBLY GRATEFUL FOR, I ALSO 997 00:38:20,990 --> 00:38:23,626 NEED TO SHOUT OUT OUR FUNDERS, 998 00:38:23,626 --> 00:38:26,362 PARTICULARLY FOR THE DATA PORTAL 999 00:38:26,362 --> 00:38:28,531 WORK, BEARING CONDITIONS FUNDED 1000 00:38:28,531 --> 00:38:33,669 BY THE COMMONWEALTH FUND, WE'RE 1001 00:38:33,669 --> 00:38:34,837 GRATEFUL TO THE NATIONAL 1002 00:38:34,837 --> 00:38:38,073 INSTITUTES OF HEALTH, BLUE 1003 00:38:38,073 --> 00:38:39,508 CROSS, GOOGLE HEALTH, MASONIC 1004 00:38:39,508 --> 00:38:40,709 INSTITUTE FOR THE DEVELOPING 1005 00:38:40,709 --> 00:38:41,510 BRAIN. 1006 00:38:41,510 --> 00:38:43,479 I THINK I WILL CLOSE THERE. 1007 00:38:43,479 --> 00:38:44,980 I LOOK FORWARD TO YOUR 1008 00:38:44,980 --> 00:38:45,247 QUESTIONS. 1009 00:38:45,247 --> 00:38:51,453 THANK YOU. 1010 00:38:51,453 --> 00:38:53,656 >> THANK YOU FOR A POWERFUL AND 1011 00:38:53,656 --> 00:38:57,026 INFORMATIVE PARTICULAR. 1012 00:38:57,026 --> 00:38:57,259 TALK. 1013 00:38:57,259 --> 00:38:59,128 I'LL ENCOURAGE PEOPLE TO 1014 00:38:59,128 --> 00:39:00,396 CONTINUE TO SUBMIT QUESTIONS 1015 00:39:00,396 --> 00:39:01,330 THROUGHOUT THE Q&A. 1016 00:39:01,330 --> 00:39:03,399 I THINK WE HAVE FIVE MINUTES FOR 1017 00:39:03,399 --> 00:39:04,533 QUESTIONS, BUT I'M GOING TO GO 1018 00:39:04,533 --> 00:39:06,468 IN ORDER OF WHAT I HAVE 1019 00:39:06,468 --> 00:39:07,570 HIGHLIGHTED HERE. 1020 00:39:07,570 --> 00:39:09,505 SO THE FIRST QUESTION WE HAVE IS 1021 00:39:09,505 --> 00:39:13,242 CAN YOU SPEAK TO THE DIFFERENCE 1022 00:39:13,242 --> 00:39:15,978 IN TERMINOLOGY WHEN USING 1023 00:39:15,978 --> 00:39:17,179 INSTITUTIONAL VERSUS STRUCTURAL 1024 00:39:17,179 --> 00:39:17,813 RACISM? 1025 00:39:17,813 --> 00:39:18,080 >> SURE. 1026 00:39:18,080 --> 00:39:19,748 I'M GLAD THAT THAT QUESTION WAS 1027 00:39:19,748 --> 00:39:19,949 ASKED. 1028 00:39:19,949 --> 00:39:22,451 I THINK AS A FIELD, AS A 1029 00:39:22,451 --> 00:39:25,287 DISCIPLINE, I'M A HEALTH 1030 00:39:25,287 --> 00:39:26,155 SERVICES RESEARCHER. 1031 00:39:26,155 --> 00:39:28,591 FIELD OR DISCIPLINE I'M TALKING 1032 00:39:28,591 --> 00:39:29,558 ABOUT HEALTH RESEARCH, PUBLIC 1033 00:39:29,558 --> 00:39:30,993 HEALTH BROADLY. 1034 00:39:30,993 --> 00:39:32,528 WE'VE NOT COALESCED AROUND 1035 00:39:32,528 --> 00:39:33,295 SPECIFIC DEFINITIONS OF 1036 00:39:33,295 --> 00:39:36,165 STRUCTURAL RACISM VERSE U.S. 1037 00:39:36,165 --> 00:39:37,566 INSTITUTIONAL RACISM VERSUS 1038 00:39:37,566 --> 00:39:37,833 SYSTEMIC. 1039 00:39:37,833 --> 00:39:40,002 AND WE STRUGGLED WITH THAT IN A 1040 00:39:40,002 --> 00:39:43,606 LOT OF OUR -- IN OUR -- THE 1041 00:39:43,606 --> 00:39:45,708 THREE REVIEW PAPERS THAT I 1042 00:39:45,708 --> 00:39:47,576 SHARED AND DECIDED TO BROADEN 1043 00:39:47,576 --> 00:39:50,646 THE SCOPE OF THE USE OF THOSE 1044 00:39:50,646 --> 00:39:51,280 TERMS. 1045 00:39:51,280 --> 00:39:55,317 FOR ME PERSONALLY WHEN I THINK 1046 00:39:55,317 --> 00:39:56,719 ABOUT STRUCTURAL RACISM, I'M 1047 00:39:56,719 --> 00:40:00,923 THINKING ABOUT -- YOU KNOW, I'M 1048 00:40:00,923 --> 00:40:03,325 THINKING ABOUT DR. BAILEY'S 1049 00:40:03,325 --> 00:40:06,595 DEFINITION, TOTALITY OF WAYS 1050 00:40:06,595 --> 00:40:09,665 DIFFERENT PARTS OF THE SOCIETY 1051 00:40:09,665 --> 00:40:11,634 PERPETUATE INEQUITY WHETHER 1052 00:40:11,634 --> 00:40:13,269 THROUGH HEALTH CARE, 1053 00:40:13,269 --> 00:40:16,138 INCARCERATION, YOU KNOW, HOME 1054 00:40:16,138 --> 00:40:16,905 LENDING PROCESSES. 1055 00:40:16,905 --> 00:40:19,642 WHEN I THINK ABOUT INSTITUTIONAL 1056 00:40:19,642 --> 00:40:21,977 RACISM, I'M THINKING OR SPEAKING 1057 00:40:21,977 --> 00:40:26,415 MORE TO SORT OF THE WAYS THAT 1058 00:40:26,415 --> 00:40:29,151 VARIOUS INSTITUTIONS WHETHER 1059 00:40:29,151 --> 00:40:32,554 IT'S THE ACADEMY OR POLICING AS 1060 00:40:32,554 --> 00:40:35,824 AN INSTITUTION ARE INFORMING OR 1061 00:40:35,824 --> 00:40:43,265 PERPETUATING HARM IN THE 1062 00:40:43,265 --> 00:40:47,770 RACIALLY DIFFERENCES. 1063 00:40:47,770 --> 00:40:52,775 WE USE BOTH TERMS AND ASK IN TE 1064 00:40:52,775 --> 00:40:54,009 CIRCLES WHAT FOLKS SEE AS A 1065 00:40:54,009 --> 00:40:54,410 DIFFERENCE THERE. 1066 00:40:54,410 --> 00:40:55,344 IT'S BEEN INTERESTING. 1067 00:40:55,344 --> 00:40:57,579 I HAVEN'T LOOKED AT ALL OF THE 1068 00:40:57,579 --> 00:40:59,381 DATA YET, BUT BASED ON WHAT SOME 1069 00:40:59,381 --> 00:41:03,319 OF OUR TEAM MEMBERS ARE SHARING 1070 00:41:03,319 --> 00:41:04,920 MOST FOLKS, MOST LAYPEOPLE, 1071 00:41:04,920 --> 00:41:06,588 AREN'T MAKING THAT DISTINCTION. 1072 00:41:06,588 --> 00:41:08,357 I THINK A LOT OF YOU WILLS IN 1073 00:41:08,357 --> 00:41:10,359 THE ACADEMY AREN'T EITHER. 1074 00:41:10,359 --> 00:41:12,594 BUT FOR US WE WERE INTENTIONAL 1075 00:41:12,594 --> 00:41:16,265 IN TEASING OUT BOTH IN THAT 1076 00:41:16,265 --> 00:41:19,234 STUDY BECAUSE I WAS CURIOUS TO 1077 00:41:19,234 --> 00:41:21,103 KNOW SORT OF WHAT'S HAPPENING IN 1078 00:41:21,103 --> 00:41:23,172 THE -- YOU KNOW, AROUND THE 1079 00:41:23,172 --> 00:41:23,839 HEALTHCARE DELIVERY SPACE AS 1080 00:41:23,839 --> 00:41:26,141 WELL AS SORT OF WHAT'S HAPPENING 1081 00:41:26,141 --> 00:41:28,677 OUTSIDE OF THAT SPACE, YOU KNOW, 1082 00:41:28,677 --> 00:41:30,079 EVERYDAY LIFE, THE WORKPLACE, 1083 00:41:30,079 --> 00:41:33,816 THE NEIGHBORHOOD, YOU KNOW, THAT 1084 00:41:33,816 --> 00:41:36,485 PEOPLE -- MORE OF THE SOCIAL 1085 00:41:36,485 --> 00:41:37,920 CONTEXT AND STRUCTURAL INEQUITY 1086 00:41:37,920 --> 00:41:38,754 PIECE AS WELL. 1087 00:41:38,754 --> 00:41:39,321 >> THANK YOU. 1088 00:41:39,321 --> 00:41:41,623 I HAVE A QUICK ONE I'LL THROW AT 1089 00:41:41,623 --> 00:41:42,725 YOU. 1090 00:41:42,725 --> 00:41:45,461 WHEN WILL THE PORTAL BE READY TO 1091 00:41:45,461 --> 00:41:46,862 USE? 1092 00:41:46,862 --> 00:41:48,163 >> OH, THAT'S ACTUALLY THE 1093 00:41:48,163 --> 00:41:49,932 HARDEST QUESTION EVER. 1094 00:41:49,932 --> 00:41:51,266 I DON'T KNOW. 1095 00:41:51,266 --> 00:41:54,436 WE'RE MOVING TOWARDS A MINIMAL 1096 00:41:54,436 --> 00:41:56,171 VIABLE PRODUCT RIGHT NOW. 1097 00:41:56,171 --> 00:41:58,040 SO IT'S NOT PUBLIC YET BUT WE 1098 00:41:58,040 --> 00:42:01,310 CAN GO IN THERE AND SORT OF 1099 00:42:01,310 --> 00:42:02,945 CLICK AROUND. 1100 00:42:02,945 --> 00:42:06,782 AND WE'RE STARTING SLOWLY, AND 1101 00:42:06,782 --> 00:42:07,883 ADDING PUBLICLY AVAILABLE DATA 1102 00:42:07,883 --> 00:42:10,619 AND THEN DATA THAT'S BEING 1103 00:42:10,619 --> 00:42:12,721 SHARED IN AGREEMENT WITH 1104 00:42:12,721 --> 00:42:13,021 PARTNERS. 1105 00:42:13,021 --> 00:42:15,991 I I DON'T WANT TO SAY A TIMELINE 1106 00:42:15,991 --> 00:42:18,827 RIGHT NOW BECAUSE I DON'T WANT 1107 00:42:18,827 --> 00:42:20,696 Y'ALL TO HOLD ME TO IT. 1108 00:42:20,696 --> 00:42:25,868 >> FAIR ANSWER. 1109 00:42:25,868 --> 00:42:27,035 THAT'S FINE. 1110 00:42:27,035 --> 00:42:29,138 >> IF FOLKS HAVE IDEAS, THIS IS 1111 00:42:29,138 --> 00:42:30,439 A TEAM SPORT. 1112 00:42:30,439 --> 00:42:31,974 EVEN -- MANY SPEAKERS WHO WE 1113 00:42:31,974 --> 00:42:32,975 HEARD FROM YESTERDAY HAVE 1114 00:42:32,975 --> 00:42:35,377 SUPPORTED AND ENGAGED WITH US IN 1115 00:42:35,377 --> 00:42:36,912 THIS WORK, AND WE'LL BE PUTTING 1116 00:42:36,912 --> 00:42:40,082 OUT MORE CALLS AROUND THAT AS 1117 00:42:40,082 --> 00:42:40,315 WELL. 1118 00:42:40,315 --> 00:42:41,850 SO STAY TUNED BECAUSE THERE'S A 1119 00:42:41,850 --> 00:42:43,485 LOT OF GREAT WORK HAPPENING THAT 1120 00:42:43,485 --> 00:42:45,988 WE CAN ALL -- YOU KNOW, IDEAS, 1121 00:42:45,988 --> 00:42:47,222 IT'S FOR THE PUBLIC DOMAIN. 1122 00:42:47,222 --> 00:42:50,959 IT'S FOR ALL OF US TO BE ABLE TO 1123 00:42:50,959 --> 00:42:53,262 USE IN THE WAYS THAT WE NEED IT. 1124 00:42:53,262 --> 00:42:53,996 >> OKAY. 1125 00:42:53,996 --> 00:42:56,098 WE HAVE TIME FOR ANOTHER 1126 00:42:56,098 --> 00:42:56,532 QUESTION. 1127 00:42:56,532 --> 00:42:59,835 I'LL DOUBLE CHECK WHEN WE'RE 1128 00:42:59,835 --> 00:43:00,035 DONE. 1129 00:43:00,035 --> 00:43:02,104 CAN YOU SPEAK TO THE CHALLENGE 1130 00:43:02,104 --> 00:43:05,073 FOR EARLY CAREER SCHOLARS FOR 1131 00:43:05,073 --> 00:43:07,476 ESTABLISHING RELATIONSHIPS WITH 1132 00:43:07,476 --> 00:43:08,377 COMMUNITY ORGANIZATIONS? 1133 00:43:08,377 --> 00:43:09,545 THESE RELATIONSHIPS CAN TAKE 1134 00:43:09,545 --> 00:43:10,846 YEARS TO ESTABLISH AND SOMETIMES 1135 00:43:10,846 --> 00:43:12,915 THIS POSES A CHALLENGE FOR THOSE 1136 00:43:12,915 --> 00:43:14,783 WHO ARE EARLY CAREER AND DEVOTED 1137 00:43:14,783 --> 00:43:16,385 TO DOING THIS WORK BUT HAVE NOT 1138 00:43:16,385 --> 00:43:19,288 YET HAD THE TIME. 1139 00:43:19,288 --> 00:43:21,490 >> YEAH, I MEAN, I'M GETTING THE 1140 00:43:21,490 --> 00:43:22,591 MESSAGE WE'RE AT TIME, AND THIS 1141 00:43:22,591 --> 00:43:23,992 IS A QUESTION THAT TAKES A LOT 1142 00:43:23,992 --> 00:43:25,627 OF TIME TO ANSWER. 1143 00:43:25,627 --> 00:43:27,930 IT IS HARD. 1144 00:43:27,930 --> 00:43:29,231 AND IT'S COMPLETELY IMPERFECT. 1145 00:43:29,231 --> 00:43:31,533 AND I THINK A LOT OF OUR 1146 00:43:31,533 --> 00:43:32,401 INSTITUTIONS DON'T VALUE THE 1147 00:43:32,401 --> 00:43:34,937 TIME IT TAKES TO DO THAT WELL. 1148 00:43:34,937 --> 00:43:36,705 AND AS A RESULT, IT EITHER 1149 00:43:36,705 --> 00:43:39,875 DOESN'T HAPPEN OR DOESN'T HAPPEN 1150 00:43:39,875 --> 00:43:42,411 IN REAL AND AUTHENTIC WAYS. 1151 00:43:42,411 --> 00:43:46,248 AND I THINK FOR US, EVEN IN 1152 00:43:46,248 --> 00:43:48,450 FUNDING THE SPARC PROGRAM, SPARC 1153 00:43:48,450 --> 00:43:50,085 SCHOLARS, THAT WE CERTAINLY HAD 1154 00:43:50,085 --> 00:43:51,854 APPLICANTS WHO DIDN'T HAVE A 1155 00:43:51,854 --> 00:43:52,588 STRONG ENOUGH PARTNERSHIP 1156 00:43:52,588 --> 00:43:53,288 ALREADY, RIGHT? 1157 00:43:53,288 --> 00:43:56,225 AND WHEN YOU'RE TALKING ABOUT A 1158 00:43:56,225 --> 00:43:57,526 15-MONTH TIMELINE FOR THE WORK, 1159 00:43:57,526 --> 00:44:01,597 YOU HAVE TO COME IN WITH THAT. 1160 00:44:01,597 --> 00:44:04,199 AND IT'S REALLY, REALLY HARD TO 1161 00:44:04,199 --> 00:44:05,534 DO THAT. 1162 00:44:05,534 --> 00:44:08,270 I'M SEEING MORE DOCTORAL 1163 00:44:08,270 --> 00:44:09,037 STUDENTS ACTUALLY BEING 1164 00:44:09,037 --> 00:44:10,405 INTENTIONAL ABOUT BUILDING THOSE 1165 00:44:10,405 --> 00:44:11,106 RELATIONSHIPS SO BY THE TIME 1166 00:44:11,106 --> 00:44:13,842 THEY ARE IN THE FACULTY SPACE 1167 00:44:13,842 --> 00:44:14,843 THAT RELATIONSHIP IS STRONG. 1168 00:44:14,843 --> 00:44:17,246 BUT I THINK WE HAVE A LOT OF 1169 00:44:17,246 --> 00:44:21,817 WORK TO DO STILL, YOU KNOW, AS 1170 00:44:21,817 --> 00:44:23,785 RESEARCHERS TO CREATE THE SPACE 1171 00:44:23,785 --> 00:44:26,021 AND OPPORTUNITY AND THE TIME TO 1172 00:44:26,021 --> 00:44:26,321 BUILD THAT. 1173 00:44:26,321 --> 00:44:29,691 I WOULD LOVE TO SEE THAT BEING 1174 00:44:29,691 --> 00:44:31,460 MORE WIDELY ACCEPTED IN LIKE, 1175 00:44:31,460 --> 00:44:33,328 YOU KNOW, GRANT PROPOSALS, 1176 00:44:33,328 --> 00:44:33,529 RIGHT? 1177 00:44:33,529 --> 00:44:35,797 SO IN THAT FIRST YEAR OR TWO 1178 00:44:35,797 --> 00:44:37,032 THAT RELATIONSHIP IS, YOU KNOW, 1179 00:44:37,032 --> 00:44:39,868 BEING BUILT BECAUSE THAT TAKES 1180 00:44:39,868 --> 00:44:43,171 TIME AND THAT TAKES, YOU KNOW, 1181 00:44:43,171 --> 00:44:44,706 MONEY AND ENERGY AND ALL OF THE 1182 00:44:44,706 --> 00:44:44,940 THINGS. 1183 00:44:44,940 --> 00:44:46,775 >> THANK YOU SO MUCH. 1184 00:44:46,775 --> 00:44:47,976 WE'RE AT TIME. 1185 00:44:47,976 --> 00:44:48,977 THAT WAS REALLY GREAT. 1186 00:44:48,977 --> 00:44:51,046 >> THANK YOU SO MUCH FOR HAVING 1187 00:44:51,046 --> 00:44:51,480 ME. 1188 00:44:51,480 --> 00:44:51,880 >> ABSOLUTELY. 1189 00:44:51,880 --> 00:44:53,682 WE'RE GOING TO MOVE TO OUR NEXT 1190 00:44:53,682 --> 00:44:54,750 SESSION WHICH IS ACTUALLY A 1191 00:44:54,750 --> 00:44:55,584 PANEL DISCUSSION. 1192 00:44:55,584 --> 00:44:58,921 I'M GOING TO TURN IT OVER TO THE 1193 00:44:58,921 --> 00:45:03,058 CO-MODERATORS DR. MONICA WEBB 1194 00:45:03,058 --> 00:45:05,527 HOOPER AND I BELIEVE BARBARA 1195 00:45:05,527 --> 00:45:08,230 OUDEKERK IS HERE TO JOIN US. 1196 00:45:08,230 --> 00:45:09,898 THANK YOU SO MUCH. 1197 00:45:09,898 --> 00:45:11,967 >> THANK YOU, TIFFANY. 1198 00:45:11,967 --> 00:45:13,368 WHAT A GREAT SESSION TO START 1199 00:45:13,368 --> 00:45:15,304 DAY 2 OF THE WORKSHOP. 1200 00:45:15,304 --> 00:45:18,640 SO I AM DELIGHTED TO BE HERE 1201 00:45:18,640 --> 00:45:20,742 THIS MORNING TO CO-MODERATE THIS 1202 00:45:20,742 --> 00:45:22,578 SESSION, WHICH IS SESSION 4 ON 1203 00:45:22,578 --> 00:45:23,946 CULTIVATING CHANGE. 1204 00:45:23,946 --> 00:45:27,182 WE WILL FOCUS ON RESEARCH 1205 00:45:27,182 --> 00:45:28,183 RELATIONSHIPS AMONG 1206 00:45:28,183 --> 00:45:29,051 INTERDISCIPLINARY RESEARCHERS, 1207 00:45:29,051 --> 00:45:30,519 COMMUNITY PARTNERS, GOVERNMENT 1208 00:45:30,519 --> 00:45:32,921 AGENCIES, AND THE PRIVATE AND 1209 00:45:32,921 --> 00:45:34,056 NON-PROFIT SECTORS. 1210 00:45:34,056 --> 00:45:35,757 I'M EXCITED BECAUSE I THINK THIS 1211 00:45:35,757 --> 00:45:37,392 SESSION CAPTURES THE SPIRIT OF 1212 00:45:37,392 --> 00:45:40,362 THE WORKSHOP, WITH A PANEL WHO 1213 00:45:40,362 --> 00:45:43,398 WORK AND SERVE COMMUNITIES WITH 1214 00:45:43,398 --> 00:45:44,833 INTERDISCIPLINARY APPROACHES AND 1215 00:45:44,833 --> 00:45:46,401 HAVE HISTORIES OF ACADEMIC 1216 00:45:46,401 --> 00:45:47,669 COMMUNITY PARTNERSHIPS, AND THEN 1217 00:45:47,669 --> 00:45:50,439 WE WILL HAVE A VOICE FROM THE 1218 00:45:50,439 --> 00:45:54,876 NIH PERSPECTIVE TO ADD TO THE 1219 00:45:54,876 --> 00:45:55,444 CONVERSATION. 1220 00:45:55,444 --> 00:45:58,947 OUR PANELISTS TODAY ARE -- LET'S 1221 00:45:58,947 --> 00:45:59,915 SEE, ADAOBI ANAKWE, ASSISTANT 1222 00:45:59,915 --> 00:46:01,783 PROFESSOR OF HEALTH MANAGEMENT 1223 00:46:01,783 --> 00:46:03,652 AND POLICY AT DREXEL UNIVERSITY. 1224 00:46:03,652 --> 00:46:06,388 CHRISTIN FARMER IS FOUNDER OF 1225 00:46:06,388 --> 00:46:07,289 BIRTHING BEAUTIFUL COMMUNITIES, 1226 00:46:07,289 --> 00:46:09,691 IN CLEVELAND, OHIO. 1227 00:46:09,691 --> 00:46:10,792 WE HAVE STEPHEN THOMAS, 1228 00:46:10,792 --> 00:46:12,494 PROFESSOR OF HEALTH POLICY AND 1229 00:46:12,494 --> 00:46:14,162 MANAGEMENT AND DIRECTOR OF THE 1230 00:46:14,162 --> 00:46:15,897 CENTER FOR HEALTH EQUITY AT THE 1231 00:46:15,897 --> 00:46:16,465 UNIVERSITY OF MARYLAND IN 1232 00:46:16,465 --> 00:46:17,566 COLLEGE PARK. 1233 00:46:17,566 --> 00:46:20,636 AND WE HAVE CHERYL BOYCE, 1234 00:46:20,636 --> 00:46:22,571 ASSISTANT DIRECTOR FOR 1235 00:46:22,571 --> 00:46:23,338 REENGINEERING THE RESEARCH 1236 00:46:23,338 --> 00:46:24,473 ENTERPRISE, PART OF THE COMMON 1237 00:46:24,473 --> 00:46:26,842 FUND AT THE NATIONAL INSTITUTES 1238 00:46:26,842 --> 00:46:27,743 OF HEALTH. 1239 00:46:27,743 --> 00:46:29,478 I'LL TURN IT OVER TO MY 1240 00:46:29,478 --> 00:46:34,683 CO-MODERATOR TO MOVE US INTO THE 1241 00:46:34,683 --> 00:46:34,983 DISCUSSION. 1242 00:46:34,983 --> 00:46:37,019 >> THANK YOU, DR. WEBB HOOPER. 1243 00:46:37,019 --> 00:46:41,657 GOOD MORNING. 1244 00:46:41,657 --> 00:46:44,026 I'M BARBARA OUDEKERK, I WORK ON 1245 00:46:44,026 --> 00:46:49,631 THE NATIVE COLLECTIVE RESEARCH 1246 00:46:49,631 --> 00:46:52,034 EFFORT TO ENHANCE WELLNESS 1247 00:46:52,034 --> 00:46:52,668 PROGRAM MENTIONED THIS MORNING 1248 00:46:52,668 --> 00:46:55,337 IN THE OPENING BY DR. ETZ. 1249 00:46:55,337 --> 00:46:57,739 I'M GOING TO ASK EACH PANELIST 1250 00:46:57,739 --> 00:46:58,907 PROVIDE A FIVE-MINUTE 1251 00:46:58,907 --> 00:46:59,608 INTRODUCTION, KEEPING IT TO FIVE 1252 00:46:59,608 --> 00:47:01,777 MINUTES SO WE HAVE LOTS OF TIME, 1253 00:47:01,777 --> 00:47:02,744 AND TELL US ABOUT YOUR 1254 00:47:02,744 --> 00:47:05,914 EXPERIENCE AS IT RELATES TO 1255 00:47:05,914 --> 00:47:07,683 ENGAGING IN RESEARCH, INVOLVING 1256 00:47:07,683 --> 00:47:08,417 MULTI-DISCIPLINARY PARTNERSHIPS 1257 00:47:08,417 --> 00:47:09,751 TO PROMOTE HEALTH EQUITY AND IF 1258 00:47:09,751 --> 00:47:12,054 YOU'D LIKE, A LITTLE BIT ABOUT, 1259 00:47:12,054 --> 00:47:13,255 AGAIN, BRIEFLY, WHAT EXCITES YOU 1260 00:47:13,255 --> 00:47:16,425 ABOUT BEING ON THIS PANEL TODAY? 1261 00:47:16,425 --> 00:47:20,696 I WILL PASS IT FIRST TO 1262 00:47:20,696 --> 00:47:24,099 MS. CHRISTIN FARMER, IF THAT'S 1263 00:47:24,099 --> 00:47:24,866 OKAY. 1264 00:47:24,866 --> 00:47:25,801 >> GOOD MORNING, EVERYONE. 1265 00:47:25,801 --> 00:47:26,968 THANK YOU FOR INVITING ME TO BE 1266 00:47:26,968 --> 00:47:28,603 PART OF THIS PANEL. 1267 00:47:28,603 --> 00:47:31,807 IT IS AN HONOR AND PLEASURE. 1268 00:47:31,807 --> 00:47:34,743 I'M CHRISTIN FARMER, I'M IN 1269 00:47:34,743 --> 00:47:35,644 CLEVELAND, OHIO. 1270 00:47:35,644 --> 00:47:37,813 I'M A GRASSROOTS GIRL TO MY 1271 00:47:37,813 --> 00:47:38,346 CORE. 1272 00:47:38,346 --> 00:47:40,649 I HAVE DONE COMMUNITY WORK FOR 1273 00:47:40,649 --> 00:47:41,750 WELL OVER A DECADE. 1274 00:47:41,750 --> 00:47:46,855 I WANT TO SAY TWO DECADES, 1275 00:47:46,855 --> 00:47:47,189 REALLY. 1276 00:47:47,189 --> 00:47:51,460 AND I HAVE WORKED A GREAT DEAL 1277 00:47:51,460 --> 00:47:53,462 ALONGSIDE UNIVERSITIES, FOUNDER 1278 00:47:53,462 --> 00:47:55,430 OF A NON-PROFIT ORGANIZATION 1279 00:47:55,430 --> 00:47:57,399 THAT WORKS TO REDUCE INFANT 1280 00:47:57,399 --> 00:47:59,401 MORTALITY AND POOR BIRTH 1281 00:47:59,401 --> 00:48:01,803 OUTCOMES, PARTICULARLY IN BLACK 1282 00:48:01,803 --> 00:48:02,237 COMMUNITIES. 1283 00:48:02,237 --> 00:48:07,375 SO I AM A THREE-TIME CO-AUTHOR 1284 00:48:07,375 --> 00:48:09,478 PUBLISHED RESEARCH JOURNALS THAT 1285 00:48:09,478 --> 00:48:10,979 I'VE WORKED ON WITH 1286 00:48:10,979 --> 00:48:11,646 UNIVERSITIES. 1287 00:48:11,646 --> 00:48:13,381 AND I AM NO LONGER A BIRTH 1288 00:48:13,381 --> 00:48:15,250 WORKER, I SAY I TRANSITIONED, 1289 00:48:15,250 --> 00:48:19,087 FROM BEING A BIRTH WORKER TO A 1290 00:48:19,087 --> 00:48:20,956 LIGHT WORKER, BECAUSE AFTER 1291 00:48:20,956 --> 00:48:23,058 WORKING SO LONG IN THE 1292 00:48:23,058 --> 00:48:25,227 NON-PROFIT FIELD, PARTICULARLY 1293 00:48:25,227 --> 00:48:26,795 AROUND BIRTH, MY QUESTION WAS 1294 00:48:26,795 --> 00:48:29,531 WHY ARE BLACK BABIES DYING, AND 1295 00:48:29,531 --> 00:48:31,933 THAT QUESTION EVOLVED TO WHY DO 1296 00:48:31,933 --> 00:48:33,702 BLACK PEOPLE HAVE THE WORST 1297 00:48:33,702 --> 00:48:34,569 OUTCOMES IN EVERYTHING. 1298 00:48:34,569 --> 00:48:37,205 AND WHEN I ASKED THAT QUESTION, 1299 00:48:37,205 --> 00:48:40,075 I WENT ON A THREE-YEAR SORT OF 1300 00:48:40,075 --> 00:48:43,345 SPIRITUAL JOURNEY THAT LED ME 1301 00:48:43,345 --> 00:48:45,447 OUT OF NON-PROFITS AND BACK TO 1302 00:48:45,447 --> 00:48:48,049 GRASS ROOTS WORK ON THE GROUND, 1303 00:48:48,049 --> 00:48:49,684 HELPING PEOPLE HEAL FROM WITHIN 1304 00:48:49,684 --> 00:48:52,587 BECAUSE I FELT WE SPENT A LOT OF 1305 00:48:52,587 --> 00:48:53,622 TIME TALKING ABOUT STRUCTURAL 1306 00:48:53,622 --> 00:48:56,691 RACISM, WHICH IS FINE, BUT THEN 1307 00:48:56,691 --> 00:48:57,993 WE GIVE WAY TOO MUCH POWER TO 1308 00:48:57,993 --> 00:48:58,493 IT. 1309 00:48:58,493 --> 00:49:01,062 MY MISSION NOW IS TO HELP PEOPLE 1310 00:49:01,062 --> 00:49:03,999 CALL THEIR POWER BACK ON THE 1311 00:49:03,999 --> 00:49:05,967 INDIVIDUAL LEVEL, AND HELPING 1312 00:49:05,967 --> 00:49:07,068 COMPANIES OR ORGANIZATIONS TO 1313 00:49:07,068 --> 00:49:10,138 UNDERSTAND WHERE THE HEALING 1314 00:49:10,138 --> 00:49:12,073 ACTUALLY REALLY OCCURS, WHICH IS 1315 00:49:12,073 --> 00:49:12,374 FROM WITHIN. 1316 00:49:12,374 --> 00:49:18,046 AND HELPING PEOPLE NAVIGATE SO 1317 00:49:18,046 --> 00:49:19,347 WE AREN'T CONSTANTLY OTHERING 1318 00:49:19,347 --> 00:49:23,051 PEOPLE WHICH WE DO A LOT 1319 00:49:23,051 --> 00:49:24,152 INTENTIONALLY, AS IF THEY NEED 1320 00:49:24,152 --> 00:49:26,788 HELP AND WE DON'T, BUT WE ALL 1321 00:49:26,788 --> 00:49:28,657 NEED HELP BECAUSE WE'VE ALL BEEN 1322 00:49:28,657 --> 00:49:30,058 AFFECTED BY STRUCTURAL RACISM TO 1323 00:49:30,058 --> 00:49:31,259 SOME DEGREE, SOME LEVEL. 1324 00:49:31,259 --> 00:49:33,695 SO MY WORK LIES IN COACHING 1325 00:49:33,695 --> 00:49:35,330 PEOPLE AND HELPING PEOPLE TO 1326 00:49:35,330 --> 00:49:37,399 HEAL ON THEIR HEALING JOURNEY, 1327 00:49:37,399 --> 00:49:38,834 AGAIN CALLING BACK THEIR POWER. 1328 00:49:38,834 --> 00:49:42,637 AGAIN, THANK YOU ALL FOR 1329 00:49:42,637 --> 00:49:43,305 INVITING ME HERE, DR. MONICA 1330 00:49:43,305 --> 00:49:43,772 SPECIFICALLY. 1331 00:49:43,772 --> 00:49:45,240 THANK YOU SO MUCH FOR HAVING ME 1332 00:49:45,240 --> 00:49:50,946 HERE ON THIS PANEL. 1333 00:49:50,946 --> 00:49:52,047 >> THANK YOU, CHRISTIN. 1334 00:49:52,047 --> 00:49:54,015 I'M DELIGHTED THAT YOU ACCEPTED 1335 00:49:54,015 --> 00:49:55,750 THE INVITATION TO JOIN THIS 1336 00:49:55,750 --> 00:49:56,117 PANEL. 1337 00:49:56,117 --> 00:49:57,853 ON A PERSONAL NOTE WHEN I MET 1338 00:49:57,853 --> 00:50:01,022 CHRISTIN FARMER SOME YEARS AGO, 1339 00:50:01,022 --> 00:50:03,225 I WAS BLOWN AWAY BY ALL THE WORK 1340 00:50:03,225 --> 00:50:04,759 SHE DOES, BY THE COMMITMENT, THE 1341 00:50:04,759 --> 00:50:07,696 PASSION SHE HAS, WHICH IS 1342 00:50:07,696 --> 00:50:09,664 AUTHENTIC AND REAL, AND THE 1343 00:50:09,664 --> 00:50:11,867 AMAZING ORGANIZATION SHE STARTED 1344 00:50:11,867 --> 00:50:13,902 TO ASSIST WITH OUR CRISIS OF 1345 00:50:13,902 --> 00:50:15,036 INFANT MORTALITY IN THE U.S. AND 1346 00:50:15,036 --> 00:50:16,571 IN PARTICULAR THE AREA IN WHICH 1347 00:50:16,571 --> 00:50:17,772 SHE WAS WORKING. 1348 00:50:17,772 --> 00:50:20,075 I'M HAPPY THAT YOU ARE HERE. 1349 00:50:20,075 --> 00:50:20,842 OKAY. 1350 00:50:20,842 --> 00:50:25,981 SO WE'D LIKE TO HAVE 1351 00:50:25,981 --> 00:50:28,283 INTRODUCTORY COMMENTS FROM 1352 00:50:28,283 --> 00:50:28,516 ADAOBI. 1353 00:50:28,516 --> 00:50:29,217 >> HEY, EVERYONE. 1354 00:50:29,217 --> 00:50:30,118 THANK YOU. 1355 00:50:30,118 --> 00:50:31,219 THANK YOU, MONICA, FOR INVITING 1356 00:50:31,219 --> 00:50:32,988 ME TO THIS PANEL. 1357 00:50:32,988 --> 00:50:34,956 THANK YOU FOR JOINING, EVERYONE, 1358 00:50:34,956 --> 00:50:35,457 TODAY. 1359 00:50:35,457 --> 00:50:36,925 I TRULY FEEL HONORED AND EXCITED 1360 00:50:36,925 --> 00:50:39,661 TO BE HERE TODAY. 1361 00:50:39,661 --> 00:50:41,429 I'M LOOKING FORWARD TO AN 1362 00:50:41,429 --> 00:50:42,831 ENLIGHTENING AND ENGAGING 1363 00:50:42,831 --> 00:50:43,198 SESSION. 1364 00:50:43,198 --> 00:50:48,303 AS MONICA MENTIONED, MY NAME IS 1365 00:50:48,303 --> 00:50:50,272 ADAOBI ANAKWE, ASSISTANT 1366 00:50:50,272 --> 00:50:51,473 PROFESSOR AT DREXEL UNIVERSITY, 1367 00:50:51,473 --> 00:50:56,177 SCHOOL OF PUBLIC HEALTH, JOINED 1368 00:50:56,177 --> 00:50:58,813 AFTER COMPLETING MY DOCTORATE 1369 00:50:58,813 --> 00:50:59,414 AND POSTDOC, DOING ENGAGEMENT 1370 00:50:59,414 --> 00:51:01,449 WORK SINCE I WAS A MASTER'S 1371 00:51:01,449 --> 00:51:05,687 STUDENT, UNIVERSITY OF MISSOURI. 1372 00:51:05,687 --> 00:51:06,588 THAT WAS SINCE 2016. 1373 00:51:06,588 --> 00:51:09,457 MINE WORK FOCUSES ON HEALTH OF 1374 00:51:09,457 --> 00:51:13,461 BLACK MEN WITHIN THE CONTEXT OF 1375 00:51:13,461 --> 00:51:14,996 FATHERHOOD AND HOW STRUCK STEURL 1376 00:51:14,996 --> 00:51:16,431 DETERMINANTS OF HEALTH IMPACT 1377 00:51:16,431 --> 00:51:20,335 HEALTH AS WELL AS UNDEREXPLORED 1378 00:51:20,335 --> 00:51:23,004 IMPACT ON WOMEN'S HELD, 1379 00:51:23,004 --> 00:51:24,072 CURRENTLY EXAMINING HEALTH 1380 00:51:24,072 --> 00:51:25,740 DEVELOPMENT OF BLACK MEN DURING 1381 00:51:25,740 --> 00:51:27,575 TRANSITION TO FATHER HIDE WHERE 1382 00:51:27,575 --> 00:51:30,445 COMMUNITY PARTNERS LOCALLY AND 1383 00:51:30,445 --> 00:51:32,647 INTERNATIONALLY, THROUGH MY 1384 00:51:32,647 --> 00:51:36,151 DISSERTATION WORK, AREA 1385 00:51:36,151 --> 00:51:38,219 COMMUNITY OF ENGAGED RESEARCH 1386 00:51:38,219 --> 00:51:40,956 WHERE I LEARNED BLACK MEN WHO 1387 00:51:40,956 --> 00:51:44,693 WANT TO HAVE CHILDREN IN THE 1388 00:51:44,693 --> 00:51:45,560 FUTURE HAVE POORER 1389 00:51:45,560 --> 00:51:47,963 PRE-CONCEPTION HEALTH THAN WHITE 1390 00:51:47,963 --> 00:51:50,832 AND HISPANIC MEN, SUGGESTING 1391 00:51:50,832 --> 00:51:52,701 BLACK MEN WILL ENTER PREGNANCY 1392 00:51:52,701 --> 00:51:54,769 WITH DISPROPORTIONATELY POORER 1393 00:51:54,769 --> 00:51:57,305 HEALTH THAN WHITE COUNTERPARTS 1394 00:51:57,305 --> 00:51:58,506 WHICH CAN NEGATIVELY IMPACT 1395 00:51:58,506 --> 00:52:00,342 MATERNAL AND CHILD OUTCOMES. 1396 00:52:00,342 --> 00:52:01,576 SECOND BLACK FATHERS WISH THEY 1397 00:52:01,576 --> 00:52:05,413 UNDERSTOOD WHAT IS MEANT TO BE A 1398 00:52:05,413 --> 00:52:10,085 FATHER PRIOR TO BECOMING ONE 1399 00:52:10,085 --> 00:52:10,251 AND 1400 00:52:10,251 --> 00:52:11,319 DESIRE TO HAVE RESOURCES TO 1401 00:52:11,319 --> 00:52:14,923 EQUIP THEM FOR FATHERHOOD. 1402 00:52:14,923 --> 00:52:17,525 ED THIS STUDY CONDUCTED IN 1403 00:52:17,525 --> 00:52:18,626 ST. LOUIS HIGHLIGHTS TOO LITTLE 1404 00:52:18,626 --> 00:52:22,897 IS KNOWN ABOUT WHY AND HOW BLACK 1405 00:52:22,897 --> 00:52:24,766 MEN BECOME FATHERS, WHAT 1406 00:52:24,766 --> 00:52:26,201 IMPLICATIONS FATHERHOOD HAS FOR 1407 00:52:26,201 --> 00:52:29,771 THEM, PARTNERS AND CHILDREN, HOW 1408 00:52:29,771 --> 00:52:30,672 COMMUNITY-BASED ORGANIZATIONS 1409 00:52:30,672 --> 00:52:32,941 ALREADY WORKING WITH BLACK 1410 00:52:32,941 --> 00:52:34,476 FATHERS CAN BE BOLSTERED TO 1411 00:52:34,476 --> 00:52:36,578 CATER TO THE NEEDS EARLIER AND 1412 00:52:36,578 --> 00:52:40,415 THROUGHOUT STAGES OF FATHERHOOD. 1413 00:52:40,415 --> 00:52:42,150 THIS FINDING INFORMS MY CURRENT 1414 00:52:42,150 --> 00:52:44,886 WORK LOOKING AT TRANSITIONING TO 1415 00:52:44,886 --> 00:52:45,754 FATHERHOOD SPACE. 1416 00:52:45,754 --> 00:52:47,856 IN ORDER TO UNDERSTAND THE 1417 00:52:47,856 --> 00:52:49,624 EMERGENCE OF BLACK FATHERHOOD IN 1418 00:52:49,624 --> 00:52:52,427 AMERICAN SOCIETY, IT SHOULD BE 1419 00:52:52,427 --> 00:52:55,697 VIEWED AS AN ADAPTATION TO 1420 00:52:55,697 --> 00:52:59,968 MULTI-FACETED EXTERNAL FACTORS 1421 00:52:59,968 --> 00:53:02,270 THAT CONTINUE TO INVALIDATE AND 1422 00:53:02,270 --> 00:53:07,308 UPHOLD THE INVISIBILITY. 1423 00:53:07,308 --> 00:53:08,510 FOLLOWING THE LANDMARK STUDY, 1424 00:53:08,510 --> 00:53:10,378 1965, BLACK FATHERS WERE 1425 00:53:10,378 --> 00:53:13,782 IDENTIFIED AS THE PROBLEM OF THE 1426 00:53:13,782 --> 00:53:18,153 BLACK FAMILY, MANY LAWS AND 1427 00:53:18,153 --> 00:53:19,687 POLICIES WERE ENACTED, PROGRAMS 1428 00:53:19,687 --> 00:53:21,556 SUBSEQUENTLY DEVELOPED, THAT 1429 00:53:21,556 --> 00:53:23,658 BUILD STRUCTURES TO DISADVANTAGE 1430 00:53:23,658 --> 00:53:24,959 AND PERPETUATE NEGATIVE 1431 00:53:24,959 --> 00:53:26,694 STEREOTYPING OF THESE MEN TO THE 1432 00:53:26,694 --> 00:53:28,763 DETRIMENT OF BLACK FAMILIES AND 1433 00:53:28,763 --> 00:53:29,097 COMMUNITIES. 1434 00:53:29,097 --> 00:53:32,133 IN ORDER TO ADDRESS THE BLACK 1435 00:53:32,133 --> 00:53:32,934 MATERNAL HEALTH CRISIS, ALSO 1436 00:53:32,934 --> 00:53:37,072 IMPROVE THE HEALTH OF BLACK MEN, 1437 00:53:37,072 --> 00:53:38,306 MORE TRANSFORMATIVE UPSTREAM 1438 00:53:38,306 --> 00:53:41,042 WORK IS NECESSARY TO UNRAVEL AND 1439 00:53:41,042 --> 00:53:43,211 DISRUPT THE WAYS STRUCTURAL 1440 00:53:43,211 --> 00:53:44,746 RACISM HAS SHAPED AND CONTINUES 1441 00:53:44,746 --> 00:53:46,381 TO SHAPE THE COLLECTIVE HEALTH 1442 00:53:46,381 --> 00:53:49,217 OUTCOMES OF THE BLACK FAMILY 1443 00:53:49,217 --> 00:53:49,417 UNIT. 1444 00:53:49,417 --> 00:53:51,186 MY WORK WOULD BE IMPOSSIBLE 1445 00:53:51,186 --> 00:53:52,620 WITHOUT MAKING THE COMMUNITY AND 1446 00:53:52,620 --> 00:53:56,124 INTEGRAL PART OF THE RESEARCH 1447 00:53:56,124 --> 00:53:58,993 PROCESS, ENGAGING 1448 00:53:58,993 --> 00:53:59,861 MULTI-DISCIPLINARY TEAMS, SERVES 1449 00:53:59,861 --> 00:54:02,030 AS LINK BETWEEN THE COMMUNITY 1450 00:54:02,030 --> 00:54:04,132 AND INSTITUTION BEING ABLE TO 1451 00:54:04,132 --> 00:54:07,936 SPEAK THE ACCEPTABLE ACADEMIC 1452 00:54:07,936 --> 00:54:09,170 AND POLICY GRANT LINGO, AND 1453 00:54:09,170 --> 00:54:10,038 COMMITMENT TO SHARED OWNERSHIP 1454 00:54:10,038 --> 00:54:12,107 OF RESEARCH. 1455 00:54:12,107 --> 00:54:14,509 IN OUR STUDY WE CONDUCTED 1456 00:54:14,509 --> 00:54:16,177 RECENTLY, WE EXAMINED BLACK 1457 00:54:16,177 --> 00:54:19,347 FAMILIES' EXPERIENCES WITH THE 1458 00:54:19,347 --> 00:54:19,614 PANDEMIC. 1459 00:54:19,614 --> 00:54:22,417 WE PARTNERED WITH A FAITH-BASED 1460 00:54:22,417 --> 00:54:24,686 WELLNESS PROGRAM THAT'S 1461 00:54:24,686 --> 00:54:26,221 ADMINISTERED BY THE BOONE COUNTY 1462 00:54:26,221 --> 00:54:31,359 HEALTH DEPARTMENT IN MISSOURI, 1463 00:54:31,359 --> 00:54:33,561 I'M EXCITED TO SHARE WITH AND 1464 00:54:33,561 --> 00:54:34,662 LEARN FROM YOU, AN EXCELLENT 1465 00:54:34,662 --> 00:54:37,298 TEAM, THAT I INVESTED IN THIS 1466 00:54:37,298 --> 00:54:39,400 MODELING STRUCTURAL RACISM 1467 00:54:39,400 --> 00:54:40,702 THROUGH COMMUNITY-DRIVEN 1468 00:54:40,702 --> 00:54:41,336 APPROACHES. 1469 00:54:41,336 --> 00:54:46,407 AS DR. BAILEY SAID, THE SYSTEMS 1470 00:54:46,407 --> 00:54:48,243 THAT CURRENTLY EXIST WERE 1471 00:54:48,243 --> 00:54:58,720 CO-CREATED AND REINFORCED BY 1472 00:55:06,027 --> 00:55:06,528 MULTI-SECTORIAL APPROACHES. 1473 00:55:06,528 --> 00:55:12,734 >> WE'RE EXCITED THAT YOU'RE 1474 00:55:12,734 --> 00:55:13,067 HERE. 1475 00:55:13,067 --> 00:55:17,138 I'LL PASS TO DR. STEPHEN THOMAS. 1476 00:55:17,138 --> 00:55:20,608 >> GOOD MORNING, CAN YOU HEAR ME 1477 00:55:20,608 --> 00:55:20,842 OKAY? 1478 00:55:20,842 --> 00:55:22,143 WELL, YOU KNOW IT'S EXCITING FOR 1479 00:55:22,143 --> 00:55:24,012 ME TO BE HERE, THE CHANCE TO BE 1480 00:55:24,012 --> 00:55:25,980 IN THIS SPACE. 1481 00:55:25,980 --> 00:55:28,483 I CALL THIS A SOLUTION SPACE. 1482 00:55:28,483 --> 00:55:30,318 I WATCHED THE SHOW YESTERDAY, 1483 00:55:30,318 --> 00:55:32,420 I'M JUST GOING TO SAY WOW. 1484 00:55:32,420 --> 00:55:33,688 YOU KNOW, OUR CENTER FOR HEALTH 1485 00:55:33,688 --> 00:55:34,856 EQUITY AT THE UNIVERSITY OF 1486 00:55:34,856 --> 00:55:36,491 MARYLAND SCHOOL OF PUBLIC HEALTH 1487 00:55:36,491 --> 00:55:41,763 IN COLLEGE PARK HAS A MOTTO. 1488 00:55:41,763 --> 00:55:42,330 BUILDING BRIDGES, BUILDING 1489 00:55:42,330 --> 00:55:43,531 TRUST, BUILDING HEALTHY 1490 00:55:43,531 --> 00:55:43,965 COMMUNITIES. 1491 00:55:43,965 --> 00:55:47,669 YOU CAN'T DO THAT WITHOUT TRUE 1492 00:55:47,669 --> 00:55:48,603 AUTHENTIC PARTNERSHIP. 1493 00:55:48,603 --> 00:55:50,171 I GOT MY COMMUNITY WATCHING THIS 1494 00:55:50,171 --> 00:55:52,273 ACADEMIC SHOW, AND THEY TOLD ME, 1495 00:55:52,273 --> 00:55:53,608 DR. T, THEY GAVE ME A NICKNAME 1496 00:55:53,608 --> 00:55:57,745 BECAUSE I WORK IN THE 1497 00:55:57,745 --> 00:56:00,481 BARBERSHOPS, DR. T, TELL THE 1498 00:56:00,481 --> 00:56:01,115 TRUTH. 1499 00:56:01,115 --> 00:56:03,017 TELL OUR TRUTH TO THIS PANEL. 1500 00:56:03,017 --> 00:56:07,288 AND THAT'S WHAT I'M GOING TO DO 1501 00:56:07,288 --> 00:56:07,589 TODAY. 1502 00:56:07,589 --> 00:56:12,694 AND REMIND MYSELF OF SOMETHING 1503 00:56:12,694 --> 00:56:13,761 THAT ABIGAIL ECHO HAWK SAID AT 1504 00:56:13,761 --> 00:56:15,296 THE WHITE HOUSE SPEAKING TRUTH. 1505 00:56:15,296 --> 00:56:19,334 SHE SAID IN ORDER TO GET THE 1506 00:56:19,334 --> 00:56:22,837 TRUTH, YOU MUST FIRST WALK 1507 00:56:22,837 --> 00:56:26,641 THROUGH, IN ORDER TO GET THE 1508 00:56:26,641 --> 00:56:28,176 TRUST YOU MUST FIRST WALK THE 1509 00:56:28,176 --> 00:56:28,409 TRUTH. 1510 00:56:28,409 --> 00:56:31,312 IN ORDER TO GET TO TRUST YOU 1511 00:56:31,312 --> 00:56:32,447 MUST FIRST WALK THROUGH THE 1512 00:56:32,447 --> 00:56:32,981 TRUTH. 1513 00:56:32,981 --> 00:56:34,082 WHAT'S THE TRUTH? 1514 00:56:34,082 --> 00:56:36,818 THAT THIS MORNING'S NEWSPAPER, 1515 00:56:36,818 --> 00:56:37,685 FRONT PAGE, WASHINGTON POST, THE 1516 00:56:37,685 --> 00:56:43,057 STORY OPENS WITH THE WORDS 1517 00:56:43,057 --> 00:56:43,925 "BLACK BARBERSHOP." 1518 00:56:43,925 --> 00:56:46,127 WHO COULD IMAGINE THAT TODAY, 1519 00:56:46,127 --> 00:56:46,361 MONICA? 1520 00:56:46,361 --> 00:56:47,862 IT'S ABOUT WHAT'S HAPPENING IN 1521 00:56:47,862 --> 00:56:49,964 BLACK BARBER SHOPS THAT THE 1522 00:56:49,964 --> 00:56:51,165 CONVERSATIONS HAPPENING THERE 1523 00:56:51,165 --> 00:56:53,668 ARE GOING TO SHAPE THIS 1524 00:56:53,668 --> 00:56:54,502 POLITICAL ENVIRONMENT WE'RE IN. 1525 00:56:54,502 --> 00:56:55,970 YOU KNOW WHAT THEY ARE ASKING IN 1526 00:56:55,970 --> 00:56:57,505 THE BARBERSHOPS? 1527 00:56:57,505 --> 00:57:00,775 HOW DID THE BLACK POWER RAISED 1528 00:57:00,775 --> 00:57:03,745 FIST BECOME A WHOLE DIFFERENT 1529 00:57:03,745 --> 00:57:04,112 SYMBOL? 1530 00:57:04,112 --> 00:57:08,816 HOW DID A POOR BOY FROM OHIO 1531 00:57:08,816 --> 00:57:12,220 RAISED IN A RURAL AREA NOW A 1532 00:57:12,220 --> 00:57:13,955 VICE PRESIDENTIAL CANDIDATE, 1533 00:57:13,955 --> 00:57:17,225 INTRODUCE HIS MOM AS CLEAN AND 1534 00:57:17,225 --> 00:57:19,994 SOBER, WE'RE WITNESSING IN REAL 1535 00:57:19,994 --> 00:57:23,164 TIME THE SHIFT FROM RACE AS 1536 00:57:23,164 --> 00:57:24,232 INDIVIDUAL SKIN COLOR 1537 00:57:24,232 --> 00:57:30,371 PIGMENTATION, ET CETERA, TO 1538 00:57:30,371 --> 00:57:30,772 CLASS. 1539 00:57:30,772 --> 00:57:32,540 ISABEL WILKERSON'S BOOK WAS 1540 00:57:32,540 --> 00:57:33,541 REFERENCED YESTERDAY, THE WARMTH 1541 00:57:33,541 --> 00:57:35,610 OF OTHER SONS, STILL A RACE 1542 00:57:35,610 --> 00:57:37,712 STORY RELEVANT TODAY, STILL OUR 1543 00:57:37,712 --> 00:57:40,882 DILEMMA. 1544 00:57:40,882 --> 00:57:45,119 BUT HER SECOND BOOK WAS WHAT? 1545 00:57:45,119 --> 00:57:46,487 CLASS. 1546 00:57:46,487 --> 00:57:48,222 THE SWITCH HAS OCCURRED, RIGHT 1547 00:57:48,222 --> 00:57:50,825 BEFORE OUR VERY EYES. 1548 00:57:50,825 --> 00:57:54,762 IN AMERICA WE DON'T LIKE TO TALK 1549 00:57:54,762 --> 00:57:55,096 ABOUT CLASS. 1550 00:57:55,096 --> 00:57:57,632 IN THE OPIOID EPIDEMIC WE CAN 1551 00:57:57,632 --> 00:57:58,933 UNPACK THIS TRANSITION, I'M SO 1552 00:57:58,933 --> 00:58:01,235 OLD I REMEMBER WHEN WE TALKED 1553 00:58:01,235 --> 00:58:03,304 ABOUT CRACK BABIES. 1554 00:58:03,304 --> 00:58:05,940 WE'RE NOT TALKING ABOUT CRACK 1555 00:58:05,940 --> 00:58:07,575 BABIES NOW. 1556 00:58:07,575 --> 00:58:08,676 NOW WE'RE TREATING OPIOID 1557 00:58:08,676 --> 00:58:11,412 ADDICTION AS A PUBLIC HEALTH 1558 00:58:11,412 --> 00:58:12,280 ISSUE. 1559 00:58:12,280 --> 00:58:13,381 I'M GOING TO SALUTE THAT EVEN 1560 00:58:13,381 --> 00:58:15,983 THOUGH IN THE BLACK COMMUNITY 1561 00:58:15,983 --> 00:58:18,619 THERE'S THE IRONY, WHY WASN'T A 1562 00:58:18,619 --> 00:58:20,154 PUBLIC HEALTH ISSUE WHEN WE WERE 1563 00:58:20,154 --> 00:58:20,388 DYING? 1564 00:58:20,388 --> 00:58:22,223 WHY WASN'T IT A PUBLIC HEALTH 1565 00:58:22,223 --> 00:58:24,192 ISSUE WHEN OUR KIDS WERE DYING? 1566 00:58:24,192 --> 00:58:27,495 AND SO IT IS WHAT IT IS. 1567 00:58:27,495 --> 00:58:30,431 ONCE IT AFFECTS THE MAJORITY, 1568 00:58:30,431 --> 00:58:32,734 IT'S GOING TO BE AN ISSUE THAT 1569 00:58:32,734 --> 00:58:33,868 WILL MOVE THE NEEDLE. 1570 00:58:33,868 --> 00:58:36,704 AND THAT'S WHAT'S HAPPENING 1571 00:58:36,704 --> 00:58:37,472 RIGHT NOW. 1572 00:58:37,472 --> 00:58:38,906 I'M SO EXCITED ABOUT THE 1573 00:58:38,906 --> 00:58:40,007 CONVERSATION WE'RE GOING TO 1574 00:58:40,007 --> 00:58:40,341 HAVE. 1575 00:58:40,341 --> 00:58:41,843 I WANT TO THANK NIH FOR THE 1576 00:58:41,843 --> 00:58:44,045 SUPPORT THEY HAVE GIVEN ME OVER 1577 00:58:44,045 --> 00:58:48,983 THE YEARS TO ACTUALLY BUILD THE 1578 00:58:48,983 --> 00:58:53,354 HAIR NETWORK, HEALTH ADVOCATES 1579 00:58:53,354 --> 00:58:54,422 IN RESEARCH. 1580 00:58:54,422 --> 00:58:55,790 WE'LL TALK MORE ABOUT THAT AS WE 1581 00:58:55,790 --> 00:58:56,624 GO ALONG. 1582 00:58:56,624 --> 00:58:57,825 >> THANK YOU, DR. T. 1583 00:58:57,825 --> 00:58:59,394 ALWAYS GOOD TO HEAR WHAT YOU 1584 00:58:59,394 --> 00:59:00,428 HAVE TO SAY, BRINGING COMMUNITY 1585 00:59:00,428 --> 00:59:01,896 VOICES TO US IS WHAT WE WANT TO 1586 00:59:01,896 --> 00:59:04,532 HEAR IN THIS SESSION. 1587 00:59:04,532 --> 00:59:05,733 SO APPRECIATE THAT. 1588 00:59:05,733 --> 00:59:07,702 AND CHERYL BOYCE, WOULD YOU 1589 00:59:07,702 --> 00:59:11,839 PLEASE OPEN US WITH YOUR 1590 00:59:11,839 --> 00:59:12,373 COMMENTS. 1591 00:59:12,373 --> 00:59:14,409 >> SO, GOOD MORNING. 1592 00:59:14,409 --> 00:59:16,911 IT'S GREAT TO HEAR THE MEETING 1593 00:59:16,911 --> 00:59:18,079 FROM YESTERDAY, I'M PLEASED TO 1594 00:59:18,079 --> 00:59:19,714 BE HERE WITH MY DISTINGUISHED 1595 00:59:19,714 --> 00:59:21,048 COLLEAGUES, I WANT TO THANK YOU 1596 00:59:21,048 --> 00:59:22,150 FOR ORGANIZING THE MEETING AND 1597 00:59:22,150 --> 00:59:22,917 THIS SESSION. 1598 00:59:22,917 --> 00:59:24,786 IT'S REALLY EXCITING TO HAVE 1599 00:59:24,786 --> 00:59:25,653 THESE CONVERSATIONS TO THINK 1600 00:59:25,653 --> 00:59:27,855 ABOUT HOW WE'RE GOING TO BUILD 1601 00:59:27,855 --> 00:59:29,924 PARADIGMS IN TERMS OF NIH AND 1602 00:59:29,924 --> 00:59:32,660 THE RESEARCH, SO IT'S TRULY A 1603 00:59:32,660 --> 00:59:33,194 PLEASURE. 1604 00:59:33,194 --> 00:59:37,165 I AM CURRENTLY ASSISTANT 1605 00:59:37,165 --> 00:59:40,268 DIRECTOR IN THE COMMON FUND, I 1606 00:59:40,268 --> 00:59:48,576 DON'T KNOW HOW MANY HAVE HEARD 1607 00:59:48,576 --> 00:59:50,445 OF COMMON FUND, THINKING ACROSS 1608 00:59:50,445 --> 00:59:52,079 NIH FOR COLLABORATIVE WORK 1609 00:59:52,079 --> 00:59:53,047 ACROSS INSTITUTES AND CENTERS, A 1610 00:59:53,047 --> 00:59:55,583 ROLE I VALUE BECAUSE IT'S A WAY 1611 00:59:55,583 --> 00:59:56,684 OF BUILDING SCIENCE AND HEALTH 1612 00:59:56,684 --> 00:59:58,986 EQUITY IN WAYS WE'VE NEVER DONE 1613 00:59:58,986 --> 00:59:59,287 BEFORE. 1614 00:59:59,287 --> 01:00:01,923 IT'S BEEN MY HONOR, I WORKED AT 1615 01:00:01,923 --> 01:00:04,125 NIH FOR OVER 20 YEARS, ALL THAT 1616 01:00:04,125 --> 01:00:05,960 WORK HAS INCLUDED HEALTH EQUITY. 1617 01:00:05,960 --> 01:00:11,766 AND I'VE LED SOME RECENT KNISH 1618 01:00:11,766 --> 01:00:12,867 INITIATIVES PERTINENT TO OUR 1619 01:00:12,867 --> 01:00:13,634 CONVERSATION. 1620 01:00:13,634 --> 01:00:19,407 THE DEVELOPMENT OF THE NIH 1621 01:00:19,407 --> 01:00:21,843 COMMON FUND COMPASS PRACTICE IS 1622 01:00:21,843 --> 01:00:30,051 THE FIRST OF ITS KINDS 1623 01:00:30,051 --> 01:00:30,952 INITIATIVE FUNDING DIRECTLY, 1624 01:00:30,952 --> 01:00:32,887 THEY GET TO SEE THE KEY ISSUES, 1625 01:00:32,887 --> 01:00:39,694 AND WHILE WE HAVE A HISTORY OF 1626 01:00:39,694 --> 01:00:40,828 COURSE COMMUNITY PARTICIPATORY 1627 01:00:40,828 --> 01:00:41,896 RESEARCH, COMMUNITY ENGAGEMENT, 1628 01:00:41,896 --> 01:00:49,670 THIS HIGHLIGHTS THE IMPORTANCE 1629 01:00:49,670 --> 01:00:50,638 OF BRINGING FUNDING AND 1630 01:00:50,638 --> 01:00:52,640 INFRASTRUCTURE DIRECTLY TO THE 1631 01:00:52,640 --> 01:00:52,940 COMMUNITY. 1632 01:00:52,940 --> 01:00:58,746 WE ALSO FUNDED THE 1633 01:00:58,746 --> 01:00:59,747 TRANSFORMATIVE RESEARCH TO 1634 01:00:59,747 --> 01:01:00,615 ADDRESS HEALTH EQUITIES, IN 1635 01:01:00,615 --> 01:01:02,817 RESPONSE TO THE CALL FROM UNITE, 1636 01:01:02,817 --> 01:01:04,552 TO THINK ABOUT CREATIVE 1637 01:01:04,552 --> 01:01:06,320 RESEARCH, INTERVENTIONS THAT 1638 01:01:06,320 --> 01:01:07,622 TACKLE HEALTH DISPARITIES, 1639 01:01:07,622 --> 01:01:10,458 MAKING SURE THAT WE ARE 1640 01:01:10,458 --> 01:01:12,093 BROADENING PARTICIPATION IN 1641 01:01:12,093 --> 01:01:12,994 COMMUNITIES, IN RESEARCH, AND 1642 01:01:12,994 --> 01:01:15,396 HOW WE THINK ABOUT THESE ISSUES 1643 01:01:15,396 --> 01:01:17,465 AND HOW WE FUND OUR RESEARCH 1644 01:01:17,465 --> 01:01:18,466 PROJECTS IN THE FUTURE. 1645 01:01:18,466 --> 01:01:20,535 SO, IT'S A PLEASURE TO BRING 1646 01:01:20,535 --> 01:01:22,737 THOSE MOST RECENT INITIATIVES 1647 01:01:22,737 --> 01:01:24,672 AND HAVE THIS DIALOGUE HERE 1648 01:01:24,672 --> 01:01:25,473 TODAY WITH THESE COLLEAGUES. 1649 01:01:25,473 --> 01:01:26,340 SO THANK YOU. 1650 01:01:26,340 --> 01:01:29,710 I WILL TURN IT BACK OVER TO OUR 1651 01:01:29,710 --> 01:01:31,045 CHAIR OF THE SESSION. 1652 01:01:31,045 --> 01:01:32,113 >> THANK YOU, CHERYL. 1653 01:01:32,113 --> 01:01:34,415 I'M SO EXCITED TO HERE MORE 1654 01:01:34,415 --> 01:01:36,951 ABOUT COMPASS TODAY, AND THE 1655 01:01:36,951 --> 01:01:38,786 SPACE NIH HAS ENTERED IN TERMS 1656 01:01:38,786 --> 01:01:40,121 OF FUNDING COMMUNITY DIRECTLY. 1657 01:01:40,121 --> 01:01:43,291 WE HEARD MORE THIS MORNING 1658 01:01:43,291 --> 01:01:44,926 AROUND CREW AND CARE. 1659 01:01:44,926 --> 01:01:45,793 EXCITED TO HEAR MORE. 1660 01:01:45,793 --> 01:01:48,429 FOR THE SAKE OF TIME I'LL JUMP 1661 01:01:48,429 --> 01:01:50,164 TO SOME PREPARED DISCUSSION 1662 01:01:50,164 --> 01:01:50,498 QUESTIONS. 1663 01:01:50,498 --> 01:01:52,366 AND WE'RE HOPING TO GET THROUGH 1664 01:01:52,366 --> 01:01:53,768 A FEW OF THESE QUESTIONS. 1665 01:01:53,768 --> 01:01:55,870 AS WE SEE MORE QUESTIONS COME IN 1666 01:01:55,870 --> 01:01:57,271 FROM THE AUDIENCE, IF YOU'RE IN 1667 01:01:57,271 --> 01:01:58,573 THE AUDIENCE TODAY PLEASE 1668 01:01:58,573 --> 01:02:01,542 REMEMBER YOU CAN SUBMIT 1669 01:02:01,542 --> 01:02:02,677 QUESTIONS THROUGH SLIDO, AS 1670 01:02:02,677 --> 01:02:04,145 QUESTIONS COME IN IF YOU WOULD 1671 01:02:04,145 --> 01:02:05,580 GIVE THE THUMBS UP TO THE ONES 1672 01:02:05,580 --> 01:02:07,114 YOU'RE MOST INTERESTED IN WE'LL 1673 01:02:07,114 --> 01:02:08,449 START TO ASK THOSE QUESTIONS IN 1674 01:02:08,449 --> 01:02:13,921 A LITTLE BIT. 1675 01:02:13,921 --> 01:02:16,624 FIRST, WHAT INSPIRED YOU TO GET 1676 01:02:16,624 --> 01:02:18,192 INVOLVED IN COLLABORATIVE 1677 01:02:18,192 --> 01:02:19,594 RESEARCH WITH INTERDISCIPLINARY 1678 01:02:19,594 --> 01:02:20,161 RESEARCHERS AND COMMUNITY 1679 01:02:20,161 --> 01:02:24,532 PARTNERS, AND I WILL START WITH 1680 01:02:24,532 --> 01:02:27,902 ADAOBI, AND EVERYONE CAN JUMP IN 1681 01:02:27,902 --> 01:02:28,569 AFTER. 1682 01:02:28,569 --> 01:02:29,971 >> SO I CAME HERE, THANK YOU FOR 1683 01:02:29,971 --> 01:02:34,141 THAT QUESTION, I CAME TO THE 1684 01:02:34,141 --> 01:02:37,011 U.S., I'M INTERNATIONAL STUDENT 1685 01:02:37,011 --> 01:02:38,512 FROM NIGERIA IN 2015. 1686 01:02:38,512 --> 01:02:42,249 I HAD THE OPPORTUNITY OF WORKING 1687 01:02:42,249 --> 01:02:44,552 WITH -- SO MY BACKGROUND WAS 1688 01:02:44,552 --> 01:02:47,188 MICROBIOLOGY, AND I HAD THE 1689 01:02:47,188 --> 01:02:49,290 PRIVILEGE OF WORKING WITH A 1690 01:02:49,290 --> 01:02:53,661 MENTOR WHO DID A LOT OF 1691 01:02:53,661 --> 01:02:54,862 COMMUNITY-BASED WORK. 1692 01:02:54,862 --> 01:02:56,597 AND THAT GOT ME STARTED, YOU 1693 01:02:56,597 --> 01:03:00,968 KNOW, BOTH MY INTRODUCTION TO 1694 01:03:00,968 --> 01:03:01,335 COMMUNITY-BASED, 1695 01:03:01,335 --> 01:03:04,605 COMMUNITY-INVOLVED WORK AS WELL 1696 01:03:04,605 --> 01:03:05,573 AS QUALITATIVE RESEARCH. 1697 01:03:05,573 --> 01:03:07,441 IT WAS A STRUGGLE, TRYING TO 1698 01:03:07,441 --> 01:03:08,876 FIGURE OUT, YOU KNOW, WHAT -- 1699 01:03:08,876 --> 01:03:10,811 HOW TO DO THE QUALITATIVE WORK, 1700 01:03:10,811 --> 01:03:12,480 AND UNDERSTAND, YOU KNOW, THE 1701 01:03:12,480 --> 01:03:14,248 VOICES OF COMMUNITY. 1702 01:03:14,248 --> 01:03:16,984 HOWEVER, IN DOING THAT WORK, IN 1703 01:03:16,984 --> 01:03:20,588 LOOKING AT SOME OF THE 1704 01:03:20,588 --> 01:03:21,889 INTERVIEWS THAT WE'RE REVIEWING, 1705 01:03:21,889 --> 01:03:24,525 THAT STUDY WAS FROM SOUTH 1706 01:03:24,525 --> 01:03:27,695 AFRICA, WE HAD SOME, YOU KNOW, 1707 01:03:27,695 --> 01:03:31,866 NEW EMERGENT FINDINGS AROUND 1708 01:03:31,866 --> 01:03:33,601 FETAL ALCOHOL SPECTRUM 1709 01:03:33,601 --> 01:03:33,868 DISORDERS. 1710 01:03:33,868 --> 01:03:35,469 I HADN'T REALLY HEARD ABOUT IT 1711 01:03:35,469 --> 01:03:38,105 BEFORE BUT I WENT INTO LOOKING 1712 01:03:38,105 --> 01:03:40,508 FOR WHO WAS AN EXPERT, WHO COULD 1713 01:03:40,508 --> 01:03:43,110 I WORK WITH TO, YOU KNOW, DO 1714 01:03:43,110 --> 01:03:44,979 MORE AROUND THAT SPACE. 1715 01:03:44,979 --> 01:03:46,180 WE DID GET SOME GRANT FUNDING TO 1716 01:03:46,180 --> 01:03:50,351 DO SOME OF THAT WORK IN SOUTH 1717 01:03:50,351 --> 01:03:52,453 AFRICA. 1718 01:03:52,453 --> 01:03:55,690 FAST FORWARD TO WHEN I DID MY 1719 01:03:55,690 --> 01:03:58,192 Ph.D. AT ST. LOUIS UNIVERSITY, 1720 01:03:58,192 --> 01:04:00,294 I AGAIN HAD THE OPPORTUNITY, NOW 1721 01:04:00,294 --> 01:04:04,231 WAS TRAINED IN EPI, BUT WAS 100% 1722 01:04:04,231 --> 01:04:07,535 ADOPTED BY A MENTOR IN HEALTH 1723 01:04:07,535 --> 01:04:11,772 MANAGEMENT AND POLICY. 1724 01:04:11,772 --> 01:04:15,609 AND THAT MENTOR INGRAINED 1725 01:04:15,609 --> 01:04:17,712 COMMUNITY ENGAGEMENT WORK, 1726 01:04:17,712 --> 01:04:19,447 COMMUNITY-DRIVEN RESEARCH IN ME, 1727 01:04:19,447 --> 01:04:21,615 I STARTED THIS WORK BUT WORKING 1728 01:04:21,615 --> 01:04:26,554 WITH HER AND WORKING WITH THE 1729 01:04:26,554 --> 01:04:27,755 COMMUNITIES, PARTICULARLY BLACK 1730 01:04:27,755 --> 01:04:30,057 COMMUNITIES IN ST. LOUIS, WAS A 1731 01:04:30,057 --> 01:04:34,095 WHOLE OTHER EXPERIENCE. 1732 01:04:34,095 --> 01:04:37,698 I STARTED TO UNDERSTAND THAT FOR 1733 01:04:37,698 --> 01:04:40,334 RESEARCH TO BE MEANINGFUL OR, I 1734 01:04:40,334 --> 01:04:46,440 FOUND THIS FOR MYSELF TO BE 1735 01:04:46,440 --> 01:04:51,245 MEANINGFUL IT IT IT TO BE 1736 01:04:51,245 --> 01:04:53,047 TRANSPORTED, BOOTS ON THE GROUND 1737 01:04:53,047 --> 01:04:55,549 WITH COMMUNITY MEMBERS, THE 1738 01:04:55,549 --> 01:04:56,717 VOICES I COULD SERVE AS A LINK 1739 01:04:56,717 --> 01:04:59,253 IN A WAY TO MAKE SURE THEIR 1740 01:04:59,253 --> 01:05:04,959 VOICES ARE HEARD. 1741 01:05:04,959 --> 01:05:08,896 SO, AGAIN, THAT ONE APPROACH IS 1742 01:05:08,896 --> 01:05:10,998 NOT ENOUGH TO ACTUALLY 1743 01:05:10,998 --> 01:05:12,533 UNDERSTAND THE FULL PICTURE OF 1744 01:05:12,533 --> 01:05:13,934 WHATEVER IS THE ISSUE. 1745 01:05:13,934 --> 01:05:17,772 AND IN THIS CASE, THE FACT -- 1746 01:05:17,772 --> 01:05:20,941 THE EFFECTS OF STRUCTURAL 1747 01:05:20,941 --> 01:05:22,143 RACISM. 1748 01:05:22,143 --> 01:05:22,910 >> THANK YOU. 1749 01:05:22,910 --> 01:05:26,514 WOULD ANYONE ELSE LIKE TO ADD? 1750 01:05:26,514 --> 01:05:28,382 >> YOU KNOW, YOU GUYS ARE MAKING 1751 01:05:28,382 --> 01:05:29,250 ME FEEL OLD. 1752 01:05:29,250 --> 01:05:33,087 I'M SAYING THAT BECAUSE AS YOU 1753 01:05:33,087 --> 01:05:40,194 MENTIONED DR. BLUE, YOU 1754 01:05:40,194 --> 01:05:44,031 MENTIONED OUR COLLEAGUE DARA 1755 01:05:44,031 --> 01:05:45,099 MENDEZ, MY ACADEMIC SONS AND 1756 01:05:45,099 --> 01:05:45,432 DAUGHTERS. 1757 01:05:45,432 --> 01:05:47,234 AND THEY ARE NOW PRODUCING 1758 01:05:47,234 --> 01:05:47,568 GRANDCHILDREN. 1759 01:05:47,568 --> 01:05:49,503 I THINK THAT'S THE ONLY WAY WE 1760 01:05:49,503 --> 01:05:52,106 SHOULD THINK ABOUT THIS. 1761 01:05:52,106 --> 01:05:53,407 IT'S PROGENY, A JOURNEY. 1762 01:05:53,407 --> 01:05:55,609 FOR ME AS A BLACK MAN I GO TO 1763 01:05:55,609 --> 01:05:56,710 THE BARBERSHOP. 1764 01:05:56,710 --> 01:05:58,913 I WOULD JUST GO AS A BLACK MAN. 1765 01:05:58,913 --> 01:06:01,849 ONE DAY I WASN'T INTO THE 1766 01:06:01,849 --> 01:06:06,220 BARBERSHOP AND RECOGNIZED THAT, 1767 01:06:06,220 --> 01:06:07,888 WOW, YOU KNOW, NO SELF 1768 01:06:07,888 --> 01:06:09,290 RESPECTING BARBER WOULD SAY I'LL 1769 01:06:09,290 --> 01:06:13,794 GET YOU OUT IN TEN MINUTES, 1770 01:06:13,794 --> 01:06:15,329 DOESN'T MATTER HOW MUCH HAIR YOU 1771 01:06:15,329 --> 01:06:15,529 HAVE. 1772 01:06:15,529 --> 01:06:16,397 COME ON, SISTER, YOU'RE GOING TO 1773 01:06:16,397 --> 01:06:17,631 BE THERE ALL DAY. 1774 01:06:17,631 --> 01:06:19,266 DURING THE PANDEMIC WE REALIZED 1775 01:06:19,266 --> 01:06:20,801 WHY NOT GO WHERE PEOPLE ALREADY 1776 01:06:20,801 --> 01:06:21,669 HAVE TRUST. 1777 01:06:21,669 --> 01:06:24,705 WHY NOT GO WHERE THEY NEVER MISS 1778 01:06:24,705 --> 01:06:26,707 THEIR APPOINTMENT? 1779 01:06:26,707 --> 01:06:28,843 AND THAT WAS THE RECOGNITION IN 1780 01:06:28,843 --> 01:06:31,512 THOSE SHOPS, IN THE SACRED 1781 01:06:31,512 --> 01:06:34,348 SPACES, SOCIAL NORMS ARE BEING 1782 01:06:34,348 --> 01:06:34,582 SHAPED. 1783 01:06:34,582 --> 01:06:36,016 THAT WAS 25+ YEARS AGO, I 1784 01:06:36,016 --> 01:06:40,821 REALIZED THAT AND BEGAN WORKING 1785 01:06:40,821 --> 01:06:41,822 IN BARBERSHOPS, BEAUTY SALONS. 1786 01:06:41,822 --> 01:06:44,525 FOR THAT NOW TO BE RECOGNIZED 1787 01:06:44,525 --> 01:06:48,062 DURING THE PANDEMIC AS A WHITE 1788 01:06:48,062 --> 01:06:48,929 HOUSE INITIATIVE WITH SHOTS AT 1789 01:06:48,929 --> 01:06:51,665 THE SHOP WE TRAINED OVER A 1790 01:06:51,665 --> 01:06:52,566 THOUSAND BARBERSHOPS AND SALONS 1791 01:06:52,566 --> 01:06:53,200 ACROSS THE COUNTRY. 1792 01:06:53,200 --> 01:06:57,872 AND YOU KNOW WHAT THEY SAID TO 1793 01:06:57,872 --> 01:06:58,439 US, ADAOBI? 1794 01:06:58,439 --> 01:07:01,642 IF YOU CAN BRING A LIFE-SAVING 1795 01:07:01,642 --> 01:07:03,110 VACCINE INTO A BARBERSHOP AND 1796 01:07:03,110 --> 01:07:04,578 BEAUTY SALON, ARE YOU GOING TO 1797 01:07:04,578 --> 01:07:06,213 LEAVE US WITH THE CANCER? 1798 01:07:06,213 --> 01:07:09,083 ARE YOU GOING TO LEAVE US WITH 1799 01:07:09,083 --> 01:07:10,284 THE DIABETES? 1800 01:07:10,284 --> 01:07:11,819 ALL THOSE UNDERLYING CONDITIONS. 1801 01:07:11,819 --> 01:07:14,221 AT THAT POINT, WE MADE A 1802 01:07:14,221 --> 01:07:15,422 COMMITMENT, GRANT FUNDING OR 1803 01:07:15,422 --> 01:07:18,392 NOT, WE WERE NOT GOING TO 1804 01:07:18,392 --> 01:07:19,293 ABANDON THEM. 1805 01:07:19,293 --> 01:07:24,765 AND THEY NOW CALL THEMSELVES 1806 01:07:24,765 --> 01:07:25,399 WELLNESS WARRIORS. 1807 01:07:25,399 --> 01:07:26,834 AND THEY ARE CERTIFIED COMMUNITY 1808 01:07:26,834 --> 01:07:27,635 HEALTH WORKERS. 1809 01:07:27,635 --> 01:07:29,003 BUT WE STILL HAVEN'T FIGURED OUT 1810 01:07:29,003 --> 01:07:30,437 HOW TO GET THEM PAID. 1811 01:07:30,437 --> 01:07:32,840 I'M HERE ASKING FOR HELP. 1812 01:07:32,840 --> 01:07:34,141 WE HAVE COMMUNITY HEALTH WORKERS 1813 01:07:34,141 --> 01:07:36,677 AT THE LAST MILE THAT ARE 1814 01:07:36,677 --> 01:07:38,879 LINKING PEOPLE TO CARE, BUT THEY 1815 01:07:38,879 --> 01:07:41,615 ARE OUTSIDE OF THE REIMBURSEMENT 1816 01:07:41,615 --> 01:07:42,683 SYSTEM. 1817 01:07:42,683 --> 01:07:46,186 WE'VE GOT TO RECONNECT IN WAYS 1818 01:07:46,186 --> 01:07:47,821 THAT SUSTAIN THE RESEARCH 1819 01:07:47,821 --> 01:07:48,822 INFRASTRUCTURE AND SERVICE 1820 01:07:48,822 --> 01:07:51,225 INFRASTRUCTURE THAT IS MADE 1821 01:07:51,225 --> 01:07:53,060 POSSIBLE BY THESE PARTNERS, AND 1822 01:07:53,060 --> 01:07:54,161 NOT ABANDON THEM AS THE GRANTS 1823 01:07:54,161 --> 01:07:56,563 GO UP AND DOWN, UP AND DOWN, 1824 01:07:56,563 --> 01:07:59,767 BECAUSE HERE'S WHAT THEY ARE 1825 01:07:59,767 --> 01:08:00,434 SAYING. 1826 01:08:00,434 --> 01:08:03,370 WE HAVE ENOUGH COMMUNITY 1827 01:08:03,370 --> 01:08:05,873 ENGAGEMENT, YOU ACADEMICS. 1828 01:08:05,873 --> 01:08:06,874 WE WANT COMMITMENT. 1829 01:08:06,874 --> 01:08:08,108 BUT THAT'S ME CLEANING IT UP. 1830 01:08:08,108 --> 01:08:10,711 HERE IS HOW THEY REALLY SAY IT. 1831 01:08:10,711 --> 01:08:12,012 DO IT LIKE BEYONCE, IF YOU LIKE 1832 01:08:12,012 --> 01:08:14,782 WHAT YOU SEE, PUT A RING ON IT. 1833 01:08:14,782 --> 01:08:19,787 THEY WANT A COMMITMENT FROM US. 1834 01:08:19,787 --> 01:08:20,354 NOT EPISODIC ENGAGEMENT. 1835 01:08:20,354 --> 01:08:22,089 I THINK THAT'S THE LESSON WE'VE 1836 01:08:22,089 --> 01:08:23,857 GOT TO COME AWAY OUT OF THIS 1837 01:08:23,857 --> 01:08:26,360 CONFERENCE WITH, DOCUMENTING THE 1838 01:08:26,360 --> 01:08:28,329 SCIENCE OF RACISM, STRUCTURAL 1839 01:08:28,329 --> 01:08:31,065 INEQUALITY, THAT WE NEED 1840 01:08:31,065 --> 01:08:32,466 COMMITMENT. 1841 01:08:32,466 --> 01:08:37,304 I'M LOOKING FOR PARTNERS. 1842 01:08:37,304 --> 01:08:40,574 >> WELL, THANK YOU FOR SAYING 1843 01:08:40,574 --> 01:08:41,775 THAT, AND I'M THINKING ABOUT 1844 01:08:41,775 --> 01:08:44,945 WHAT THAT RING WOULD BE. 1845 01:08:44,945 --> 01:08:46,380 BUT LET ME MOVE TO THE NEXT 1846 01:08:46,380 --> 01:08:46,647 QUESTION. 1847 01:08:46,647 --> 01:08:48,582 I WANT TO ASK YOU ANOTHER 1848 01:08:48,582 --> 01:08:49,550 QUESTION AND BRING CHRISTIN IN 1849 01:08:49,550 --> 01:08:50,918 TO ANSWER FOR ME. 1850 01:08:50,918 --> 01:08:53,187 YOU CONDUCTED A LOT OF RESEARCH 1851 01:08:53,187 --> 01:08:54,955 IN BARBERSHOPS, YOU HAVE VIDEOS 1852 01:08:54,955 --> 01:08:57,925 DOCUMENTS THE WORK YOU'VE DONE. 1853 01:08:57,925 --> 01:08:59,126 CAN YOU TALK ABOUT SCIENTIFIC 1854 01:08:59,126 --> 01:09:00,327 AREA, YOU'VE DONE WORK IN 1855 01:09:00,327 --> 01:09:03,063 CANCER, FOR EXAMPLE, CAN YOU 1856 01:09:03,063 --> 01:09:05,899 GIVE AN EXAMPLE OF SCIENTIFIC 1857 01:09:05,899 --> 01:09:07,234 AREA, SUCCESSFUL RESEARCH 1858 01:09:07,234 --> 01:09:08,936 PROJECT THAT RESULTED FROM 1859 01:09:08,936 --> 01:09:14,208 PARTNERSHIPS AND TALK ABOUT WHAT 1860 01:09:14,208 --> 01:09:15,075 MADE IT SUCCESSFUL. 1861 01:09:15,075 --> 01:09:16,610 >> THAT QUESTION IS FOR WHO? 1862 01:09:16,610 --> 01:09:17,611 >> FOR YOU. 1863 01:09:17,611 --> 01:09:21,315 AND THEN I'M GOING TO CHRISTIN. 1864 01:09:21,315 --> 01:09:22,016 >> OH, OKAY. 1865 01:09:22,016 --> 01:09:23,183 AGAIN, I'LL COME FROM THE 1866 01:09:23,183 --> 01:09:25,252 PANDEMIC AND SAY THAT WE 1867 01:09:25,252 --> 01:09:30,190 LITERALLY CLOSED THE RACIAL 1868 01:09:30,190 --> 01:09:32,159 DISPARITY GAP IN VACCINATIONS 1869 01:09:32,159 --> 01:09:33,560 RELATED TO THE HYPERLOCAL 1870 01:09:33,560 --> 01:09:34,695 STRATEGIES WE USED AND RECENTLY 1871 01:09:34,695 --> 01:09:36,330 PUBLISHED WITH COLLEAGUES FROM 1872 01:09:36,330 --> 01:09:38,499 THE CENTERS FOR DISEASE CONTROL 1873 01:09:38,499 --> 01:09:39,466 ON HYPERLOCAL COMMUNITY 1874 01:09:39,466 --> 01:09:39,767 ENGAGEMENT. 1875 01:09:39,767 --> 01:09:41,235 WE GOT TO GET SMALLER. 1876 01:09:41,235 --> 01:09:43,971 WE GOT TO GET RIGHT DOWN INTO 1877 01:09:43,971 --> 01:09:44,505 THAT NEIGHBORHOOD. 1878 01:09:44,505 --> 01:09:46,473 AND WHEN YOU TALK TO THE BARBERS 1879 01:09:46,473 --> 01:09:49,877 AND STYLISTS THEY WILL TELL YOU 1880 01:09:49,877 --> 01:09:52,046 THEY WERE MARINATING IN MIS AND 1881 01:09:52,046 --> 01:09:54,281 DISINFORMATION AT A TIME AND 1882 01:09:54,281 --> 01:09:56,650 TOTALLY OPPOSED TO THE VACCINE. 1883 01:09:56,650 --> 01:10:00,054 AND SO HOW THEY WENT FROM 1884 01:10:00,054 --> 01:10:03,657 TOTALLY OPPOSED TO THE VACCINE 1885 01:10:03,657 --> 01:10:04,858 TO VACCINE EVANGELISTS IS A 1886 01:10:04,858 --> 01:10:06,393 LONGER STORY. 1887 01:10:06,393 --> 01:10:09,797 BUT IT COMES DIRECTLY FROM OUR 1888 01:10:09,797 --> 01:10:11,965 WILLINGNESS TO LISTEN, DR. WEBB. 1889 01:10:11,965 --> 01:10:14,701 WE DID NOT GO IN DICTATING. 1890 01:10:14,701 --> 01:10:15,803 WE WENT IN LISTENING. 1891 01:10:15,803 --> 01:10:17,438 IT ALSO HELPED THAT WE HAD A 1892 01:10:17,438 --> 01:10:18,238 RELATIONSHIP WITH THEM BEFORE 1893 01:10:18,238 --> 01:10:19,073 THE PANDEMIC. 1894 01:10:19,073 --> 01:10:20,707 THERE'S THE OTHER LESSON. 1895 01:10:20,707 --> 01:10:23,143 MAKE YOUR FRIENDS BEFORE YOU 1896 01:10:23,143 --> 01:10:23,911 NEED THEM. 1897 01:10:23,911 --> 01:10:26,180 AND WE THEN TREATED PEOPLE WITH 1898 01:10:26,180 --> 01:10:27,948 DIGNITY AND RESPECT. 1899 01:10:27,948 --> 01:10:29,383 WE IN PUBLIC HEALTH SOMETIMES 1900 01:10:29,383 --> 01:10:31,785 DON'T DO THIS, DON'T DO THAT. 1901 01:10:31,785 --> 01:10:33,520 AS ONE BARBER SAID GOING TO THE 1902 01:10:33,520 --> 01:10:35,956 DOCTOR TAKES THE SMILE OFF MY 1903 01:10:35,956 --> 01:10:36,490 FACE. 1904 01:10:36,490 --> 01:10:38,025 WE HAVE TO CHANGE THE PARADIGM. 1905 01:10:38,025 --> 01:10:40,260 AND SO IN MANY CASE THE 1906 01:10:40,260 --> 01:10:42,396 BARBERSHOP AND SALON IN THE 1907 01:10:42,396 --> 01:10:44,031 BLACK COMMUNITY IS NOT A 1908 01:10:44,031 --> 01:10:45,365 REPLACEMENT FOR HEALTH CARE. 1909 01:10:45,365 --> 01:10:48,001 IT'S JUST A NEW DOORWAY. 1910 01:10:48,001 --> 01:10:49,103 IT'S A NEW DOORWAY BECAUSE WHEN 1911 01:10:49,103 --> 01:10:51,805 THEY WALK THROUGH THE DOORWAY OF 1912 01:10:51,805 --> 01:10:52,806 THESE POLLS, THEY KNOW THEY ARE 1913 01:10:52,806 --> 01:10:54,475 GOING TO COME OUT FEELING 1914 01:10:54,475 --> 01:10:54,842 BETTER. 1915 01:10:54,842 --> 01:10:56,076 THEY DON'T ALWAYS FEEL THAT WAY 1916 01:10:56,076 --> 01:10:58,045 GOING TO A CLINIC OR HOSPITAL. 1917 01:10:58,045 --> 01:11:00,347 SO I THINK THAT THE SUCCESS WAS 1918 01:11:00,347 --> 01:11:03,183 TREATING PEOPLE WITH DIGNITY AND 1919 01:11:03,183 --> 01:11:05,052 SUCCESS, USING ZOOM TO INTRODUCE 1920 01:11:05,052 --> 01:11:06,487 THEM TO LEADERS THAT OTHERWISE 1921 01:11:06,487 --> 01:11:10,958 THEY WOULD NEVER HAVE MET. 1922 01:11:10,958 --> 01:11:12,626 AND ACTUAL FORMAL TRAINING TO 1923 01:11:12,626 --> 01:11:13,193 BECOME CERTIFIED COMMUNITY 1924 01:11:13,193 --> 01:11:14,361 HEALTH WORKERS. 1925 01:11:14,361 --> 01:11:16,997 GUESS WHAT, WE PAID THEM! 1926 01:11:16,997 --> 01:11:17,631 YES! 1927 01:11:17,631 --> 01:11:18,499 WE COMPENSATED THEM FOR THEIR 1928 01:11:18,499 --> 01:11:20,367 TIME AND DID NOT JUST USE THEIR 1929 01:11:20,367 --> 01:11:22,669 PASSION OF SAVING THEIR OWN 1930 01:11:22,669 --> 01:11:23,170 COMMUNITY. 1931 01:11:23,170 --> 01:11:24,638 AND TREAT THAT LIKE THAT WAS 1932 01:11:24,638 --> 01:11:25,305 JUST A GIVEN. 1933 01:11:25,305 --> 01:11:27,941 AND NOW THEY ARE DEMANDING THAT 1934 01:11:27,941 --> 01:11:30,677 THEIR TIME BE RESPECTED, AND 1935 01:11:30,677 --> 01:11:34,281 COMPENSATED, AND WE SHOULD DO 1936 01:11:34,281 --> 01:11:34,748 THAT. 1937 01:11:34,748 --> 01:11:37,684 SO, THERE'S EVIDENCE THAT WE 1938 01:11:37,684 --> 01:11:40,420 HAVE, WE'RE NOW IN THOSE SHOPS 1939 01:11:40,420 --> 01:11:41,655 MANAGING TYPE 2 DIABETES WITH 1940 01:11:41,655 --> 01:11:42,723 SUPPORT FROM THE CDC, AND, 1941 01:11:42,723 --> 01:11:46,660 AGAIN, WITH ALL THE WORK NIH HAS 1942 01:11:46,660 --> 01:11:48,095 DONE WE'RE USING SMARTPHONE 1943 01:11:48,095 --> 01:11:48,829 ARTIFICIAL INTELLIGENCE 1944 01:11:48,829 --> 01:11:50,063 TECHNOLOGY, EVERYBODY'S GOT A 1945 01:11:50,063 --> 01:11:50,964 CELL PHONE! 1946 01:11:50,964 --> 01:11:52,933 THEY JUST HAVEN'T UNLOCKED THE 1947 01:11:52,933 --> 01:11:53,901 MAGIC OF THIS PHONE. 1948 01:11:53,901 --> 01:11:57,938 WE'RE DOING THAT FOR THEM RIGHT 1949 01:11:57,938 --> 01:11:58,105 NOW. 1950 01:11:58,105 --> 01:12:00,274 SO WE'RE RECRUITING 240 1951 01:12:00,274 --> 01:12:03,877 DIABETICS THAT WILL HAVE BARBERS 1952 01:12:03,877 --> 01:12:07,714 AND STYLISTS A AS LIFESTYLE 1953 01:12:07,714 --> 01:12:11,418 COACHES, TRAINED AS CERTIFICATE 1954 01:12:11,418 --> 01:12:13,153 FIGHT COMMUNITY DIABETES 1955 01:12:13,153 --> 01:12:14,087 COORDINATORS, WE'RE HELP PREVENT 1956 01:12:14,087 --> 01:12:15,822 AMPUTATIONS, END STAGE RENAL 1957 01:12:15,822 --> 01:12:17,357 DISEASES, BLINDNESS, ALL THESE 1958 01:12:17,357 --> 01:12:19,426 THINGS HAPPENING TO BLACK 1959 01:12:19,426 --> 01:12:20,527 PEOPLE, PREVENTIBLE MANAGING 1960 01:12:20,527 --> 01:12:20,861 DIABETES. 1961 01:12:20,861 --> 01:12:25,465 WE'RE ON THE GROUND RIGHT NOW. 1962 01:12:25,465 --> 01:12:27,634 >> SOUNDS GREAT. 1963 01:12:27,634 --> 01:12:28,335 SOUNDS AMAZING. 1964 01:12:28,335 --> 01:12:30,170 CHRISTIN, MAY I ASK YOU TO SHARE 1965 01:12:30,170 --> 01:12:32,339 WITH US FROM YOUR EXPERIENCE 1966 01:12:32,339 --> 01:12:35,409 WORKING WITH FROM A GRASSROOTS 1967 01:12:35,409 --> 01:12:36,276 ORGANIZATION, WORKING WITH 1968 01:12:36,276 --> 01:12:37,811 RESEARCHERS AT UNIVERSITIES 1969 01:12:37,811 --> 01:12:39,012 ABOUT SOMETHING SUCCESSFUL, THAT 1970 01:12:39,012 --> 01:12:40,214 RESULTS FROM YOUR WORK WITH THEM 1971 01:12:40,214 --> 01:12:44,384 AND WHY IT WAS SUCCESSFUL? 1972 01:12:44,384 --> 01:12:44,818 >> UH-HUH. 1973 01:12:44,818 --> 01:12:47,754 WELL, I HONESTLY WOULD SAY THAT 1974 01:12:47,754 --> 01:12:48,956 IT DEPENDS WHAT OUR DEFINITION 1975 01:12:48,956 --> 01:12:50,424 OF SUCCESS IS. 1976 01:12:50,424 --> 01:12:54,661 I WOULD SAY THAT WE WERE 1977 01:12:54,661 --> 01:12:55,629 ABSOLUTELY SUCCESSFUL IN 1978 01:12:55,629 --> 01:12:59,600 TRAINING OVER 100 WOMEN TO 1979 01:12:59,600 --> 01:13:01,101 BECOME DOULAS, ABSOLUTELY 1980 01:13:01,101 --> 01:13:03,303 SUCCESSFUL IN TRAINING MY ENTIRE 1981 01:13:03,303 --> 01:13:06,373 TEAM AND THE ENTIRE, YOU KNOW, 1982 01:13:06,373 --> 01:13:08,542 OUR SCOPE, IN CUYAHOGA COUNTY, 1983 01:13:08,542 --> 01:13:10,310 MORE WOMEN TO BECOME COMMUNITY 1984 01:13:10,310 --> 01:13:11,178 HEALTH WORKERS. 1985 01:13:11,178 --> 01:13:14,248 WE'VE BEEN SUCCESSFUL IN 1986 01:13:14,248 --> 01:13:15,749 PROVIDING DOULA SERVICES TO 1987 01:13:15,749 --> 01:13:18,185 WOMEN WHO NEED THOSE DOULA 1988 01:13:18,185 --> 01:13:18,518 SERVICES. 1989 01:13:18,518 --> 01:13:21,688 SO THAT HAS BEEN SUCCESSFUL. 1990 01:13:21,688 --> 01:13:24,391 HOWEVER, WHEN I THINK ABOUT 1991 01:13:24,391 --> 01:13:26,493 SUCCESS, I THINK ABOUT HAS THERE 1992 01:13:26,493 --> 01:13:29,563 BEEN SOME PHYSICAL EVIDENCE OF 1993 01:13:29,563 --> 01:13:29,930 TRANSFORMATION. 1994 01:13:29,930 --> 01:13:31,632 AND WHEN I LOOK IN MY COMMUNITY 1995 01:13:31,632 --> 01:13:34,501 BECAUSE I LIVE IN A COMMUNITY 1996 01:13:34,501 --> 01:13:38,105 THAT I SERVE, I DON'T SEE THAT 1997 01:13:38,105 --> 01:13:38,972 SUCCESS. 1998 01:13:38,972 --> 01:13:42,476 YOU KNOW, IN THAT PERSPECTIVE. 1999 01:13:42,476 --> 01:13:44,111 SO THAT'S WHAT CAUSED ME TO GO 2000 01:13:44,111 --> 01:13:46,213 DEEPER BECAUSE I DID WHAT I CALL 2001 01:13:46,213 --> 01:13:48,515 SORT OF THE SURFACE-LEVEL WORK 2002 01:13:48,515 --> 01:13:49,816 WHERE WE PROVIDE THESE SERVICES 2003 01:13:49,816 --> 01:13:52,219 AND THAT'S GREAT BECAUSE PEOPLE 2004 01:13:52,219 --> 01:13:54,187 NEED REALTIME IMMEDIATE HELP, 2005 01:13:54,187 --> 01:13:55,589 THEY NEED SUPPORT TODAY. 2006 01:13:55,589 --> 01:13:57,124 YOU'RE A PREGNANT MOM, YOU NEED 2007 01:13:57,124 --> 01:13:59,326 A DOULA TODAY, YOU NEED AN UBER 2008 01:13:59,326 --> 01:14:03,130 TODAY, YOU NEED A RIDE TO THE 2009 01:14:03,130 --> 01:14:03,797 GROCERY STORE TODAY. 2010 01:14:03,797 --> 01:14:08,735 BUT THEN WHAT ARE WE DOING TO 2011 01:14:08,735 --> 01:14:10,370 PREVENT PEOPLE FROM NEEDING 2012 01:14:10,370 --> 01:14:11,705 CERTAIN SERVICES, NOT 2013 01:14:11,705 --> 01:14:12,572 NECESSARILY DOULAS BECAUSE 2014 01:14:12,572 --> 01:14:13,774 BABIES ARE GOING TO ALWAYS BE 2015 01:14:13,774 --> 01:14:16,209 BORN, RIGHT IN THE BUT WE ALSO 2016 01:14:16,209 --> 01:14:17,644 WORKED ON LEAD POISON AND OTHER 2017 01:14:17,644 --> 01:14:20,781 ISSUES THAT HAVE BEEN PLAGUING 2018 01:14:20,781 --> 01:14:22,983 OUR COMMUNITIES, AND ARE WE 2019 01:14:22,983 --> 01:14:27,020 REALLY DOING THE NECESSARY WORK, 2020 01:14:27,020 --> 01:14:28,221 WHAT I CALL DETAILING WORK 2021 01:14:28,221 --> 01:14:29,856 THAT'S NECESSARY TO PREVENT 2022 01:14:29,856 --> 01:14:30,857 PEOPLE FROM NEEDING IMMEDIATE 2023 01:14:30,857 --> 01:14:33,360 SERVICES IN A WAY WE NEED 2024 01:14:33,360 --> 01:14:34,127 IMMEDIATE SERVICES. 2025 01:14:34,127 --> 01:14:37,197 SO THE WORK THAT HAS BEEN PUT 2026 01:14:37,197 --> 01:14:39,166 INTO ALL THE PROPOSALS HAS BEEN 2027 01:14:39,166 --> 01:14:39,900 SUCCESSFUL. 2028 01:14:39,900 --> 01:14:41,468 YOU KNOW, WE TRAINED A NUMBER -- 2029 01:14:41,468 --> 01:14:45,505 WE HIT THOSE MARKS. 2030 01:14:45,505 --> 01:14:47,741 WE'VE HIT THOSE INDICATORS THAT 2031 01:14:47,741 --> 01:14:49,776 WE SPECIFY TO SAY, OH, THIS IS 2032 01:14:49,776 --> 01:14:53,046 WHAT WILL HELP TO DRIVE THE 2033 01:14:53,046 --> 01:14:53,647 NUMBERS DOWN. 2034 01:14:53,647 --> 01:14:56,683 BUT I'VE BEEN AT THIS WORK FOR A 2035 01:14:56,683 --> 01:14:58,952 LONG TIME, AND IT'S STILL NOT 2036 01:14:58,952 --> 01:15:00,053 HITTING EXACTLY AT THE CORE OF 2037 01:15:00,053 --> 01:15:01,688 WHAT I WOULD LIKE TO SEE WHAT 2038 01:15:01,688 --> 01:15:03,223 I'M WORKING ON NOW. 2039 01:15:03,223 --> 01:15:04,858 IN FACT WE WERE COVERED BY THE 2040 01:15:04,858 --> 01:15:06,727 NEWS YESTERDAY BECAUSE I'M 2041 01:15:06,727 --> 01:15:08,929 WORKING ON AN INITIATIVE CALLED 2042 01:15:08,929 --> 01:15:10,330 HEALED CLEVELAND, AND SOMETHING 2043 01:15:10,330 --> 01:15:12,966 I JUST MADE UP BECAUSE THERE WAS 2044 01:15:12,966 --> 01:15:15,902 A REPORT THAT CAME OUT THAT SAID 2045 01:15:15,902 --> 01:15:17,104 CLEVELAND WAS THE MOST STRESSED 2046 01:15:17,104 --> 01:15:18,605 CITY IN THE UNITED STATES. 2047 01:15:18,605 --> 01:15:20,640 FOR THE FOURTH YEAR IN A ROW. 2048 01:15:20,640 --> 01:15:23,810 SO WHEN I LOOK AT REPORTS OR 2049 01:15:23,810 --> 01:15:26,513 DATA LIKE THAT, THEN WHAT IS 2050 01:15:26,513 --> 01:15:26,880 SUCCESS, RIGHT? 2051 01:15:26,880 --> 01:15:30,384 IF WE HAVE -- IF THERE'S STILL A 2052 01:15:30,384 --> 01:15:33,787 TREND OF THIS STRESS OR THESE 2053 01:15:33,787 --> 01:15:37,290 ISSUES, WHAT CAN WE DO ON A NOTE 2054 01:15:37,290 --> 01:15:39,025 IN WHICH WE HAVE -- WHERE WE CAN 2055 01:15:39,025 --> 01:15:40,660 DO SOMETHING DIFFERENT THAN WHAT 2056 01:15:40,660 --> 01:15:42,529 WE'VE DONE BEFORE, I SAY LIKE 2057 01:15:42,529 --> 01:15:44,297 THE USUAL SORT OF SUSPECTS WHAT 2058 01:15:44,297 --> 01:15:45,832 WE'VE DONE BEFORE BUT LOOKING TO 2059 01:15:45,832 --> 01:15:48,235 DO SOMETHING DIFFERENT BECAUSE I 2060 01:15:48,235 --> 01:15:50,303 HAD ANOTHER DEFINITION OF 2061 01:15:50,303 --> 01:15:50,837 SUCCESS. 2062 01:15:50,837 --> 01:15:53,373 SUCCESS, TO ME, IS WHEN I CAN 2063 01:15:53,373 --> 01:15:55,675 WALK THROUGH MY COMMUNITY AND I 2064 01:15:55,675 --> 01:15:58,945 SEE PEOPLE WHO ARE IN POWER, WHO 2065 01:15:58,945 --> 01:15:59,946 ARE UPLIFTED, WHO ARE TAKING 2066 01:15:59,946 --> 01:16:02,015 THEIR HEALTH INTO THEIR OWN 2067 01:16:02,015 --> 01:16:03,850 HANDS, AND WHO HAVE DECIDED THAT 2068 01:16:03,850 --> 01:16:05,352 THEY WANT A BETTER LIFE FOR 2069 01:16:05,352 --> 01:16:06,586 THEMSELVES, AND THAT THEY HAVE 2070 01:16:06,586 --> 01:16:08,588 THE POWER TO CREATE THAT BETTER 2071 01:16:08,588 --> 01:16:09,890 LIFE FOR THEMSELVES. 2072 01:16:09,890 --> 01:16:12,826 YOU KNOW, AGAIN MY WORK HAS 2073 01:16:12,826 --> 01:16:15,896 REALLY TRANSITIONED AND EVOLVED 2074 01:16:15,896 --> 01:16:17,197 FROM DOING THE IMMEDIATE NEEDS, 2075 01:16:17,197 --> 01:16:18,965 I WANT TO GET -- I WANT TO DIVE 2076 01:16:18,965 --> 01:16:20,867 IN THE WATER AND PREVENT PEOPLE 2077 01:16:20,867 --> 01:16:21,902 FROM JUMPING IN IT. 2078 01:16:21,902 --> 01:16:24,771 SO WHEN I SEE THAT LEVEL OF 2079 01:16:24,771 --> 01:16:26,440 SUCCESS, THEN I WILL SAY THAT 2080 01:16:26,440 --> 01:16:30,377 WE'VE BEEN SUCCESSFUL. 2081 01:16:30,377 --> 01:16:31,378 IN OUR COMMUNITY. 2082 01:16:31,378 --> 01:16:36,183 >> CAN I ADD SOMETHING TO THAT? 2083 01:16:36,183 --> 01:16:37,017 FIRST I WANT TO THANK YOU SO 2084 01:16:37,017 --> 01:16:37,384 VERY MUCH. 2085 01:16:37,384 --> 01:16:39,019 I DON'T KNOW IF YOU'RE SEEING 2086 01:16:39,019 --> 01:16:41,988 THIS BUT I KNOW I AM. 2087 01:16:41,988 --> 01:16:44,825 AND THAT IS, TRAUMA AND 2088 01:16:44,825 --> 01:16:45,592 DISENFRANCHISED GRIEF COMING 2089 01:16:45,592 --> 01:16:48,562 INTO THE SHOPS AS PEOPLE SIT IN 2090 01:16:48,562 --> 01:16:49,229 THE CHAIR. 2091 01:16:49,229 --> 01:16:50,730 AND, AGAIN, THE MERE FACT WE'RE 2092 01:16:50,730 --> 01:16:51,965 TALKING ABOUT THAT NOW, LIFTING 2093 01:16:51,965 --> 01:16:53,400 THAT UP, I THINK THAT'S A 2094 01:16:53,400 --> 01:16:54,701 MEASURE OF SUCCESS. 2095 01:16:54,701 --> 01:16:55,902 HERE'S ANOTHER ONE. 2096 01:16:55,902 --> 01:16:58,738 HOW TO GET THE LOCAL SMALL 2097 01:16:58,738 --> 01:17:00,273 GROUPS PAID. 2098 01:17:00,273 --> 01:17:02,542 OUR UNIVERSITY SYSTEMS DON'T 2099 01:17:02,542 --> 01:17:03,210 CHANGE THEIR CONTRACTING 2100 01:17:03,210 --> 01:17:03,910 MECHANISMS. 2101 01:17:03,910 --> 01:17:07,514 IT IS NOT EASY TO DO THE W-9. 2102 01:17:07,514 --> 01:17:08,982 WE DON'T EVEN WRITE ABOUT THAT. 2103 01:17:08,982 --> 01:17:10,450 IF YOU DON'T GET THAT RIGHT YOU 2104 01:17:10,450 --> 01:17:11,351 CAN'T GET MONEY INTO THE HANDS 2105 01:17:11,351 --> 01:17:12,786 OF THE VERY PEOPLE WE NEED. 2106 01:17:12,786 --> 01:17:15,522 SO I'M GOING TO CONSIDER THAT 2107 01:17:15,522 --> 01:17:16,122 SUCCESS. 2108 01:17:16,122 --> 01:17:18,925 HELPING THEM GET PAPER READY SO 2109 01:17:18,925 --> 01:17:21,661 THEY CAN ACTUALLY RECEIVE FUNDS, 2110 01:17:21,661 --> 01:17:23,630 HAVE THEM BE USED ACCOUNTABLY, 2111 01:17:23,630 --> 01:17:25,799 AND BRING THOSE DOLLARS RIGHT 2112 01:17:25,799 --> 01:17:34,908 DOWN TO THE HYPERLOCAL LEVEL. 2113 01:17:34,908 --> 01:17:35,775 >> TOUCHING ON ECONOMICS, WHERE 2114 01:17:35,775 --> 01:17:39,045 WE HOPE TO GO NEXT, IN TERMS OF 2115 01:17:39,045 --> 01:17:41,248 YOU BROUGHT UP CHALLENGES AROUND 2116 01:17:41,248 --> 01:17:43,450 COMMUNITIES WANT COMMITMENT, NOT 2117 01:17:43,450 --> 01:17:45,018 FIVE OR TWO-YEAR GRANT PERIODS, 2118 01:17:45,018 --> 01:17:47,053 AND HOW TO PAY COMMUNITIES, HOW 2119 01:17:47,053 --> 01:17:48,455 TO BUILD CAPACITY FOR 2120 01:17:48,455 --> 01:17:50,323 COMMUNITIES, TO ACCEPT MONEY. 2121 01:17:50,323 --> 01:17:51,625 YOU BROUGHT UP OTHER CHALLENGES 2122 01:17:51,625 --> 01:17:53,260 TO. 2123 01:17:53,260 --> 01:17:55,462 I WANT TO THROW THE QUESTION 2124 01:17:55,462 --> 01:17:55,829 HEAD-ON THERE. 2125 01:17:55,829 --> 01:17:57,197 WHAT CHALLENGES ARE YOU SEEN IN 2126 01:17:57,197 --> 01:17:58,431 WORKING ON THESE PARTNERSHIPS, 2127 01:17:58,431 --> 01:17:59,699 NOT JUST THE CHALLENGE, HOW DO 2128 01:17:59,699 --> 01:18:01,601 YOU OVERCOME SOME OF THOSE 2129 01:18:01,601 --> 01:18:01,935 CHALLENGES? 2130 01:18:01,935 --> 01:18:03,603 AND I THINK WE CAN -- BECAUSE 2131 01:18:03,603 --> 01:18:05,972 YOU WERE JUST TALKING ON THIS, 2132 01:18:05,972 --> 01:18:06,840 CHRISTIN, IF YOU DON'T MIND I'LL 2133 01:18:06,840 --> 01:18:09,809 PASS IT TO YOU FIRST AND THEN 2134 01:18:09,809 --> 01:18:12,012 I'D LOVE TO HEAR FROM ADAOBI AS 2135 01:18:12,012 --> 01:18:14,581 WELL. 2136 01:18:14,581 --> 01:18:15,615 >> SURE, THANK YOU. 2137 01:18:15,615 --> 01:18:16,583 THERE'S SOME CHALLENGES 2138 01:18:16,583 --> 01:18:19,452 HIGHLIGHTED, I THINK THIS IS 2139 01:18:19,452 --> 01:18:21,354 REALLY ONE THAT STICKS WITH ME, 2140 01:18:21,354 --> 01:18:26,326 WE USE A LOT OF DISEMPOWERING 2141 01:18:26,326 --> 01:18:30,997 LANGUAGE, WE CONSISTENTLY SAY 2142 01:18:30,997 --> 01:18:31,398 UNDERREPRESENTED, 2143 01:18:31,398 --> 01:18:32,532 UNDERPRIVILEGED, MINORITY, AT 2144 01:18:32,532 --> 01:18:34,868 RISK, YOU KNOW, AND SO THOSE 2145 01:18:34,868 --> 01:18:36,403 WORDS, IT'S LIKE YOU CAN'T EVEN 2146 01:18:36,403 --> 01:18:38,572 GET FUNDING IF YOU'RE NOT USING 2147 01:18:38,572 --> 01:18:40,674 THOSE WORDS, BUT THOSE WORDS ARE 2148 01:18:40,674 --> 01:18:42,208 VERY DISEMPOWERING TO PEOPLE 2149 01:18:42,208 --> 01:18:43,643 BECAUSE PEOPLE ARE WHOLE PEOPLE. 2150 01:18:43,643 --> 01:18:45,579 I WANT TO SPEAK LIFE INTO MY 2151 01:18:45,579 --> 01:18:45,845 COMMUNITY. 2152 01:18:45,845 --> 01:18:47,414 I DON'T WANT TO CALL THEM 2153 01:18:47,414 --> 01:18:48,315 MARGINALIZED PEOPLE. 2154 01:18:48,315 --> 01:18:49,649 THEY ARE NOT HALF PEOPLE. 2155 01:18:49,649 --> 01:18:51,918 THEY ARE WHOLE PEOPLE. 2156 01:18:51,918 --> 01:18:53,420 THEY ARE NOT UNDERPRIVILEGED. 2157 01:18:53,420 --> 01:18:59,793 THEY ARE NOT UNDERREPRESENTED. 2158 01:18:59,793 --> 01:19:02,228 I GET IT FROM A COMMERCIAL 2159 01:19:02,228 --> 01:19:04,297 STANDPOINT IT MAY LOOK THAT WAY 2160 01:19:04,297 --> 01:19:06,099 BUT WE CAN CHANGE OUR LANGUAGE 2161 01:19:06,099 --> 01:19:07,701 TO REFLECT WHAT WE WANT TO SEE 2162 01:19:07,701 --> 01:19:08,902 IN OUR COMMUNITIES VERSUS WHAT 2163 01:19:08,902 --> 01:19:10,003 WE'RE CURRENTLY SEEING BECAUSE 2164 01:19:10,003 --> 01:19:12,639 THE MORE WE USE THOSE WORDS THE 2165 01:19:12,639 --> 01:19:14,407 MORE PEOPLE LEAVE THAT THAT'S 2166 01:19:14,407 --> 01:19:16,710 WHO THEY ARE, AND SO THAT'S WHO 2167 01:19:16,710 --> 01:19:21,948 THEY SHOW UP AS, AS AN 2168 01:19:21,948 --> 01:19:22,349 UNDERREPRESENTED, 2169 01:19:22,349 --> 01:19:23,116 UNDERPRIVILEGED AT-RISK 2170 01:19:23,116 --> 01:19:23,683 MINORITY, YOU KNOW. 2171 01:19:23,683 --> 01:19:25,885 SO I THINK THAT THAT'S ONE OF 2172 01:19:25,885 --> 01:19:26,987 THE BIGGEST CHALLENGES THAT I 2173 01:19:26,987 --> 01:19:32,425 FEEL LIKE I HAVE FACED IN THIS 2174 01:19:32,425 --> 01:19:32,792 SPACE. 2175 01:19:32,792 --> 01:19:34,761 AND THEN THE SECOND THING TOO 2176 01:19:34,761 --> 01:19:36,796 WHICH STILL GOES ALONG THE SAME 2177 01:19:36,796 --> 01:19:38,031 LINE IS THAT, YOU KNOW, THERE IS 2178 01:19:38,031 --> 01:19:41,735 A LOT OF MONEY THAT GOES INTO 2179 01:19:41,735 --> 01:19:42,002 RESEARCH. 2180 01:19:42,002 --> 01:19:47,540 YOU KNOW, TO DR. T'S POINT, EVEN 2181 01:19:47,540 --> 01:19:49,609 AROUND HOW DO WE PAY PEOPLE, WE 2182 01:19:49,609 --> 01:19:53,413 COULD PAY PEOPLE IF WE SWITCH 2183 01:19:53,413 --> 01:19:55,849 THE MODEL, THERE ARE MILLIONS OF 2184 01:19:55,849 --> 01:19:56,750 DOLLARS IN RESEARCH INSTITUTIONS 2185 01:19:56,750 --> 01:19:57,817 THAT NEVER MAKE IT INTO THE 2186 01:19:57,817 --> 01:19:59,052 HANDS OF THE COMMUNITY. 2187 01:19:59,052 --> 01:20:01,688 WE GET THE DATA, AND WE GET THE 2188 01:20:01,688 --> 01:20:04,391 RESEARCH, AND WE WRITE ABOUT IT. 2189 01:20:04,391 --> 01:20:05,959 MIND YOU, GENERALLY THESE 2190 01:20:05,959 --> 01:20:07,394 RESEARCH PAPERS THAT WE'RE 2191 01:20:07,394 --> 01:20:08,595 CREATING, THAT WE'RE DOING, THEY 2192 01:20:08,595 --> 01:20:09,896 ARE NOT EVEN BEING READ BY THE 2193 01:20:09,896 --> 01:20:12,732 PEOPLE THAT THEY ARE ABOUT. 2194 01:20:12,732 --> 01:20:16,369 THIS IS NOT FOR THE PEOPLE WHO 2195 01:20:16,369 --> 01:20:19,239 WE'RE EXTRACTING THE DATA FOR. 2196 01:20:19,239 --> 01:20:21,641 THIS IS FOR US WHO ARE THE 2197 01:20:21,641 --> 01:20:24,477 RESEARCHERS SO WE CAN INFORM ONE 2198 01:20:24,477 --> 01:20:28,415 ANOTHER ABOUT WHAT'S GOING ON 2199 01:20:28,415 --> 01:20:30,750 VERSUS THE FUNDING, MONEY BEING 2200 01:20:30,750 --> 01:20:32,786 REDIRECTED INTO THE COMMUNITY. 2201 01:20:32,786 --> 01:20:33,586 THERE'S ONE COMMUNITY IN 2202 01:20:33,586 --> 01:20:35,555 PARTICULAR THAT I WORKED FOR, 2203 01:20:35,555 --> 01:20:36,556 FOR YEARS, AND I KNOW THERE'S 2204 01:20:36,556 --> 01:20:38,258 BEEN A LOT OF MONEY THAT 2205 01:20:38,258 --> 01:20:40,360 RESEARCH HAS COME OUT OF. 2206 01:20:40,360 --> 01:20:42,328 AND SO BUT THAT COMMUNITY STILL 2207 01:20:42,328 --> 01:20:43,963 LOOKS THE SAME, STILL LOOKS NOT 2208 01:20:43,963 --> 01:20:44,497 SO GREAT. 2209 01:20:44,497 --> 01:20:47,367 YOU KNOW, BECAUSE NONE OF THAT 2210 01:20:47,367 --> 01:20:49,436 MONEY HAS BEEN INVESTED INTO THE 2211 01:20:49,436 --> 01:20:51,838 ACTUAL COMMUNITY OR THE ACTUAL 2212 01:20:51,838 --> 01:20:52,205 PEOPLE. 2213 01:20:52,205 --> 01:20:57,510 THAT'S ANOTHER CHALLENGE, THOSE 2214 01:20:57,510 --> 01:20:59,512 TWO THINGS, HOW FUNDING IS 2215 01:20:59,512 --> 01:21:00,046 DISTRIBUTED, WORDING AND 2216 01:21:00,046 --> 01:21:01,047 LANGUAGE TO DESCRIBE THE 2217 01:21:01,047 --> 01:21:02,716 COMMUNITIES THAT WE SAY WE WANT 2218 01:21:02,716 --> 01:21:07,821 TO UPLIFT AND CHANGE. 2219 01:21:07,821 --> 01:21:10,023 >> THANK YOU. 2220 01:21:10,023 --> 01:21:15,695 I'LL ADD ANOTHER TERM, HARD TO 2221 01:21:15,695 --> 01:21:17,430 REACH POPULATIONS. 2222 01:21:17,430 --> 01:21:17,697 TERRIBLE. 2223 01:21:17,697 --> 01:21:19,332 CHERYL, YOU HAVE COMMENTS AS 2224 01:21:19,332 --> 01:21:22,502 WELL, I'LL PASS TO YOU NEXT AND, 2225 01:21:22,502 --> 01:21:24,237 ADAOBI, I'D LIKE TO HEAR FROM 2226 01:21:24,237 --> 01:21:25,004 YOU TOO. 2227 01:21:25,004 --> 01:21:26,539 I SEE QUESTIONS COMING IN FROM 2228 01:21:26,539 --> 01:21:27,741 THE CHAT. 2229 01:21:27,741 --> 01:21:28,708 MONICA, WOULD IT MAKE SENSE TO 2230 01:21:28,708 --> 01:21:31,544 MOVE TO THAT AFTER THIS? 2231 01:21:31,544 --> 01:21:32,879 >> YES, SURE. 2232 01:21:32,879 --> 01:21:34,948 >> I JUST WANTED TO ADD IN TERMS 2233 01:21:34,948 --> 01:21:36,583 OF THINKING ABOUT SOME OF THE 2234 01:21:36,583 --> 01:21:39,552 ISSUES THAT THE PANEL JUST 2235 01:21:39,552 --> 01:21:42,055 MENTIONED WE WERE ABLE TO IN 2236 01:21:42,055 --> 01:21:43,256 SOME MORE RECENT FUNDING 2237 01:21:43,256 --> 01:21:45,358 INITIATIVES USE OTHER 2238 01:21:45,358 --> 01:21:47,227 TRANSACTION AWARDS, AND USE 2239 01:21:47,227 --> 01:21:49,729 OTHER WAYS TO TRY TO FUND 2240 01:21:49,729 --> 01:21:50,730 COMMUNITIES, THAT'S HOW WE WERE 2241 01:21:50,730 --> 01:21:53,767 ABLE TO DO THINGS MORE DIRECTLY. 2242 01:21:53,767 --> 01:21:56,069 ALSO WE THINK MORE ABOUT 2243 01:21:56,069 --> 01:21:57,504 TECHNICAL ASSISTANCE, EFFORTS 2244 01:21:57,504 --> 01:21:59,806 SUCH AS CEAL, BUILT INTO 2245 01:21:59,806 --> 01:22:01,441 COMPASS, WE HAVE HUBS. 2246 01:22:01,441 --> 01:22:04,844 AND REALLY COMING FROM A 2247 01:22:04,844 --> 01:22:05,945 STRENGTH-BASED PERSPECTIVE AS WE 2248 01:22:05,945 --> 01:22:08,348 JUST TALKED ABOUT, HOW WE CAN 2249 01:22:08,348 --> 01:22:09,816 REALLY ASSIST COMMUNITIES TO 2250 01:22:09,816 --> 01:22:12,118 ACHIEVE THE GOAL IN TERMS OF 2251 01:22:12,118 --> 01:22:14,788 HEALTH OUTCOMES AS PARTNERS AND 2252 01:22:14,788 --> 01:22:16,289 BUILDING IN THOSE TYPES OF 2253 01:22:16,289 --> 01:22:18,324 SUPPORT TO GET THROUGH THE 2254 01:22:18,324 --> 01:22:21,394 BUREAUCRACY AND TO BUILD 2255 01:22:21,394 --> 01:22:22,595 CAPACITY TO CONTINUE TO PARTNER 2256 01:22:22,595 --> 01:22:24,230 WITH COMMUNITIES IN A 2257 01:22:24,230 --> 01:22:25,532 STRENGTH-BASED FRAMEWORK. 2258 01:22:25,532 --> 01:22:29,135 I JUST WANTED TO ADD THAT. 2259 01:22:29,135 --> 01:22:33,206 2260 01:22:33,206 --> 01:22:33,840 >> THANK YOU. 2261 01:22:33,840 --> 01:22:35,475 ADAOBI, DID YOU HAVE ANYTHING TO 2262 01:22:35,475 --> 01:22:38,211 ADD TO THIS? 2263 01:22:38,211 --> 01:22:41,714 >> I WOULD SAY, YOU KNOW, I 2264 01:22:41,714 --> 01:22:44,651 WROTE WHAT DR. FARMER SAID ABOUT 2265 01:22:44,651 --> 01:22:45,585 LACK OF ACADEMIC INFRASTRUCTURE, 2266 01:22:45,585 --> 01:22:50,023 BUT BECAUSE I DO SOME WORK 2267 01:22:50,023 --> 01:22:52,425 INTERNATIONALLY AS WELL, WE HAVE 2268 01:22:52,425 --> 01:22:55,829 THE ISSUE OF BEING ABLE, AND I 2269 01:22:55,829 --> 01:22:58,464 THINK HAVE THAT ISSUE HERE AS 2270 01:22:58,464 --> 01:22:59,866 WELL, BEING ABLE TO BUILD 2271 01:22:59,866 --> 01:23:01,634 CAPACITY AT LOCAL LEVEL FOR 2272 01:23:01,634 --> 01:23:04,237 PEOPLE TO ACTUALLY DO LIKE THE 2273 01:23:04,237 --> 01:23:05,772 DATA ANALYSIS. 2274 01:23:05,772 --> 01:23:07,273 SO, THINK ABOUT WORKING IN THE 2275 01:23:07,273 --> 01:23:10,009 COMMUNITY THAT HAS A LOT OF 2276 01:23:10,009 --> 01:23:13,646 POVERTY AND NEEDS -- AND LACK OF 2277 01:23:13,646 --> 01:23:14,981 JOBS, YOU SAY, HEY, YOU HAVE 2278 01:23:14,981 --> 01:23:16,549 THIS DATA, YOU HAVE THE LOCAL 2279 01:23:16,549 --> 01:23:18,151 KNOWLEDGE, I'D LIKE TO PAY YOU, 2280 01:23:18,151 --> 01:23:21,554 I'LL TRAIN YOU. 2281 01:23:21,554 --> 01:23:23,389 YOU KNOW, THAT TWO-WAY STREET, 2282 01:23:23,389 --> 01:23:24,390 WE'LL GIVE YOU THE TRAINING 2283 01:23:24,390 --> 01:23:27,126 WHILE WE DO THE ANALYSIS, GAIN 2284 01:23:27,126 --> 01:23:29,329 THAT SKILL WHILE AT THE SAME 2285 01:23:29,329 --> 01:23:30,296 TIME BUILDING CAPACITY AT LOCAL 2286 01:23:30,296 --> 01:23:31,598 LEVEL IN THAT WAY. 2287 01:23:31,598 --> 01:23:34,334 BUT THEN YOU COME UPON, YOU 2288 01:23:34,334 --> 01:23:37,203 KNOW, THE INSTITUTIONAL 2289 01:23:37,203 --> 01:23:40,673 BARRIERS, IN BEING ABLE TO 2290 01:23:40,673 --> 01:23:42,008 PROVIDE PAYMENT BECAUSE 2291 01:23:42,008 --> 01:23:42,742 STRUCTURES DON'T NECESSARILY 2292 01:23:42,742 --> 01:23:47,347 EXIST, OR HAVEN'T BEEN THOUGHT 2293 01:23:47,347 --> 01:23:50,550 ABOUT, TO SUPPORT COMMUNITIES IN 2294 01:23:50,550 --> 01:23:51,417 THAT WAY. 2295 01:23:51,417 --> 01:23:53,253 AND MORE IN THE COMMUNITY SIDE, 2296 01:23:53,253 --> 01:23:54,587 I THINK ANOTHER CHALLENGE THAT 2297 01:23:54,587 --> 01:23:59,292 WE DON'T REALLY TALK ABOUT OFTEN 2298 01:23:59,292 --> 01:24:02,795 IS WILL WE HAVE PERHAPS TO 2299 01:24:02,795 --> 01:24:03,963 NAVIGATE CHANGES IN LEADERSHIP, 2300 01:24:03,963 --> 01:24:06,199 WHATEVER IS HAPPENING IN THE 2301 01:24:06,199 --> 01:24:08,601 COMMUNITY ORGANIZATIONS, AND HOW 2302 01:24:08,601 --> 01:24:10,670 THEIR PRIORITIES MIGHT SHIFT, 2303 01:24:10,670 --> 01:24:14,507 HOW WE NEED TO BE FLEXIBLE TO 2304 01:24:14,507 --> 01:24:18,444 WHATEVER SHIFTS THEY HAVE TO 2305 01:24:18,444 --> 01:24:18,878 NAVIGATE. 2306 01:24:18,878 --> 01:24:24,517 I DON'T KNOW THAT WE HAVE -- OR 2307 01:24:24,517 --> 01:24:27,453 WE HAVE SUPPORTED COMMUNITIES 2308 01:24:27,453 --> 01:24:29,589 WELL, TO KNOW HOW TO DO THAT, 2309 01:24:29,589 --> 01:24:32,191 WHILE AT THE SAME TIME WORKING 2310 01:24:32,191 --> 01:24:33,826 WITH INSTITUTIONS, I DON'T KNOW 2311 01:24:33,826 --> 01:24:35,161 IF THAT MAKES SENSE. 2312 01:24:35,161 --> 01:24:36,896 >> SO I WANT TO SAY IT MAKES A 2313 01:24:36,896 --> 01:24:38,331 LOT OF SENSE. 2314 01:24:38,331 --> 01:24:40,266 AND THE INFRASTRUCTURE ISSUE IS 2315 01:24:40,266 --> 01:24:40,633 HUGE. 2316 01:24:40,633 --> 01:24:43,469 EVEN ISSUE FOR ACADEMIC 2317 01:24:43,469 --> 01:24:44,871 INSTITUTIONS WHICH MAY BE LOW 2318 01:24:44,871 --> 01:24:48,041 RESOURCED AS WE CALL THEM 2319 01:24:48,041 --> 01:24:48,741 INSTITUTIONS, MINORITY-SERVING 2320 01:24:48,741 --> 01:24:51,778 INSTITUTIONS, IF YOU'RE NOT A 2321 01:24:51,778 --> 01:24:53,846 RESEARCH-1 UNIVERSITY DO YOU 2322 01:24:53,846 --> 01:24:56,382 HAVE THE INFRASTRUCTURE AND TO 2323 01:24:56,382 --> 01:24:57,150 BETWEEN COMMUNITIES AND AND 2324 01:24:57,150 --> 01:24:57,884 COMMUNITY ORGANIZATIONS WOULD 2325 01:24:57,884 --> 01:24:59,319 HAVE THE INFRASTRUCTURE BUILD 2326 01:24:59,319 --> 01:25:03,623 IN, IT'S NOT THERE, IT'S ABOUT 2327 01:25:03,623 --> 01:25:04,490 CAPACITY BUILDING. 2328 01:25:04,490 --> 01:25:11,264 COMPASS IS BUILDING OUT CAPACITY 2329 01:25:11,264 --> 01:25:15,435 BUILDING MAKING RESOURCES 2330 01:25:15,435 --> 01:25:16,502 AVAILABLE, HUBS, BUILDING 2331 01:25:16,502 --> 01:25:18,071 MATERIALS, THE COORDINATING 2332 01:25:18,071 --> 01:25:19,539 CENTER, THE DISSEMINATION IS NOT 2333 01:25:19,539 --> 01:25:22,208 ALWAYS GREAT BECAUSE WE'RE NOT A 2334 01:25:22,208 --> 01:25:22,642 MARKETING AGENCY. 2335 01:25:22,642 --> 01:25:24,711 MAKING SURE WE BUILD 2336 01:25:24,711 --> 01:25:26,479 PARTNERSHIPS, FOR INSTANCE WITH 2337 01:25:26,479 --> 01:25:27,613 OUR FELLOW AGENCIES, BUILDING 2338 01:25:27,613 --> 01:25:29,649 COMMUNITY WITH OTHER AGENCIES 2339 01:25:29,649 --> 01:25:31,417 WHO MAY NOT DO RESEARCH BUT HAVE 2340 01:25:31,417 --> 01:25:33,386 A STRONGER REACH IN COMMUNITIES 2341 01:25:33,386 --> 01:25:35,154 AND PARTNERING WITH 2342 01:25:35,154 --> 01:25:37,090 ORGANIZATIONS THAT HAVE, THAT 2343 01:25:37,090 --> 01:25:37,757 REACH INTO COMMUNITIES, IF WE 2344 01:25:37,757 --> 01:25:40,326 WANT TO MAKE SURE THAT WE HAVE 2345 01:25:40,326 --> 01:25:42,161 STRUCTURAL INTERVENTION AND 2346 01:25:42,161 --> 01:25:43,029 REALLY GET THINGS UPSTREAM WE'RE 2347 01:25:43,029 --> 01:25:45,765 GOING TO HAVE TO THINK 2348 01:25:45,765 --> 01:25:47,300 DIFFERENTLY ABOUT BUILDING 2349 01:25:47,300 --> 01:25:49,402 CAPACITY AND RECOGNIZING 2350 01:25:49,402 --> 01:25:50,803 BUILDING CAPACITY INVOLVES 2351 01:25:50,803 --> 01:25:52,338 COMMUNITY MEMBERS, COMMUNITY 2352 01:25:52,338 --> 01:25:54,540 PARTNERS, NOT JUST BUILDING 2353 01:25:54,540 --> 01:25:56,376 RESEARCHERS THAT ARE IN THE 2354 01:25:56,376 --> 01:25:57,643 TRADITIONAL SENSE OF ACADEMIA. 2355 01:25:57,643 --> 01:25:59,012 AND THERE ARE SOME PROJECTS 2356 01:25:59,012 --> 01:26:00,646 WHERE IF YOU ASK PEOPLE WORKING 2357 01:26:00,646 --> 01:26:01,948 ON THE RESEARCH, YOU SAY 2358 01:26:01,948 --> 01:26:02,949 COMMUNITY HEALTH WORKERS, WHAT 2359 01:26:02,949 --> 01:26:04,384 IS YOUR TITLE, WHAT DO YOU WANT 2360 01:26:04,384 --> 01:26:05,585 TO BE CALLED, THEY SAY 2361 01:26:05,585 --> 01:26:06,319 RESEARCHERS. 2362 01:26:06,319 --> 01:26:08,321 YOU CAN BE A RESEARCHER IN YOUR 2363 01:26:08,321 --> 01:26:10,289 COMMUNITY AND HAVE A VERY 2364 01:26:10,289 --> 01:26:12,492 DIFFERENT TYPE OF TRAINING AND 2365 01:26:12,492 --> 01:26:13,159 CAPACITY BUILDING THAN 2366 01:26:13,159 --> 01:26:14,027 TRADITIONAL ACADEMIA. 2367 01:26:14,027 --> 01:26:16,562 WE HAVE TO VALUE THAT AND GOING 2368 01:26:16,562 --> 01:26:18,398 BACK TO MY COLLEAGUE STEPHEN 2369 01:26:18,398 --> 01:26:20,500 THOMAS TALKING ABOUT MAKING SURE 2370 01:26:20,500 --> 01:26:22,435 IT'S PAID AT THAT CAPACITY AND 2371 01:26:22,435 --> 01:26:24,637 PAID AT THE LEVEL THAT IT 2372 01:26:24,637 --> 01:26:26,506 DESERVES IF YOU'RE WORKING IN 2373 01:26:26,506 --> 01:26:27,073 THE COMMUNITY. 2374 01:26:27,073 --> 01:26:32,311 >> YOU KNOW, WE COME IN WITH OUR 2375 01:26:32,311 --> 01:26:34,814 LANGUAGE, AND SO DURING THE 2376 01:26:34,814 --> 01:26:36,883 PANDEMIC THE HEALTH PROFESSIONAL 2377 01:26:36,883 --> 01:26:38,718 ARRIVED AND WERE TALKING ABOUT 2378 01:26:38,718 --> 01:26:40,353 HERD COMMUNITY. 2379 01:26:40,353 --> 01:26:41,621 THIS IS FEBRUARY, IN THE MIDST 2380 01:26:41,621 --> 01:26:43,890 OF THE PANDEMIC, HERD COMMUNITY. 2381 01:26:43,890 --> 01:26:44,357 WHAT'S FEBRUARY? 2382 01:26:44,357 --> 01:26:45,658 BLACK HISTORY MONTH. 2383 01:26:45,658 --> 01:26:46,859 WHAT'S ON TV? 2384 01:26:46,859 --> 01:26:48,194 SLAVERY TO FREEDOM. 2385 01:26:48,194 --> 01:26:50,897 YOU KNOW WHAT THE BARBER SAID TO 2386 01:26:50,897 --> 01:26:51,364 ME? 2387 01:26:51,364 --> 01:26:52,865 DR. T, HERD COMMUNITY, WE'RE NOT 2388 01:26:52,865 --> 01:26:54,167 ANIMALS, WE'RE NOT COWS. 2389 01:26:54,167 --> 01:26:56,369 I THOUGHT THAT WAS INTERESTING. 2390 01:26:56,369 --> 01:26:57,837 I BEGAN TO EXPLAIN WHAT HERD 2391 01:26:57,837 --> 01:26:58,371 IMMUNITY MEANT. 2392 01:26:58,371 --> 01:27:02,008 YOU KNOW WHAT THEY SAID BACK TO 2393 01:27:02,008 --> 01:27:03,109 ME? 2394 01:27:03,109 --> 01:27:04,944 MMM, THAT SOUNDS LIKE COMMUNITY 2395 01:27:04,944 --> 01:27:06,079 IMMUNITY. 2396 01:27:06,079 --> 01:27:07,847 THAT BECAME THE T-SHIRT. 2397 01:27:07,847 --> 01:27:09,982 SO MY POINT IS IF WE LISTEN, 2398 01:27:09,982 --> 01:27:12,385 THEY WILL GIVE US THE LANGUAGE 2399 01:27:12,385 --> 01:27:17,990 THAT WE NEED THAT DOESN'T 2400 01:27:17,990 --> 01:27:19,058 MARGINALIZE MS. FARMER, AS YOU 2401 01:27:19,058 --> 01:27:20,259 DESCRIBED, THAT LIFTS UP THEIR 2402 01:27:20,259 --> 01:27:21,260 OWN GIFTS. 2403 01:27:21,260 --> 01:27:23,463 IF I HAD IMAGES OF A STAINED 2404 01:27:23,463 --> 01:27:25,064 GLASS WINDOW INSTEAD OF BARBER 2405 01:27:25,064 --> 01:27:26,165 POLES YOU WOULD UNDERSTAND THE 2406 01:27:26,165 --> 01:27:28,034 POWER OF THE CHURCH, THE BLACK 2407 01:27:28,034 --> 01:27:30,670 CHURCH IS NOT INTEGRATED IN 2408 01:27:30,670 --> 01:27:32,638 HEALTH OUTREACH, NOBODY THINKS 2409 01:27:32,638 --> 01:27:33,272 TWICER BIT. 2410 01:27:33,272 --> 01:27:35,007 THE BARBERSHOP IS THE OTHER 2411 01:27:35,007 --> 01:27:36,242 SACRED SPACE IN THE AFRICAN 2412 01:27:36,242 --> 01:27:37,343 AMERICAN COMMUNITY, WHERE THEY 2413 01:27:37,343 --> 01:27:38,744 HAVE AGENCY. 2414 01:27:38,744 --> 01:27:41,180 THESE ARE SMALL BUSINESSES, THEY 2415 01:27:41,180 --> 01:27:42,148 ARE NOT NON-PROFITS. 2416 01:27:42,148 --> 01:27:44,217 WHY HAVEN'T WE TALKED MORE ABOUT 2417 01:27:44,217 --> 01:27:45,852 THE LOCAL CHAMBER OF COMMERCE? 2418 01:27:45,852 --> 01:27:48,621 WHY HAVEN'T WE TALKED MORE ABOUT 2419 01:27:48,621 --> 01:27:51,958 THE SMALL SMALL BUSINESS 2420 01:27:51,958 --> 01:27:52,992 ADMINISTRATION AND LOOKING AT 2421 01:27:52,992 --> 01:27:56,262 THE DISMANTLING OF THE VERY 2422 01:27:56,262 --> 01:27:58,030 EFFORTS TO ADDRESS STRUCTURAL 2423 01:27:58,030 --> 01:28:00,233 RACISM, IT'S GOING ON RIGHT NOW 2424 01:28:00,233 --> 01:28:02,201 AS WE SPEAK. 2425 01:28:02,201 --> 01:28:06,439 THE ABANDONMENT OF THE D.E.I. 2426 01:28:06,439 --> 01:28:08,374 FROM JOHN DEERE, UNDERMINING OF 2427 01:28:08,374 --> 01:28:10,409 OF MINORITY SET-ASIDES IN THE 2428 01:28:10,409 --> 01:28:11,410 SMALL BUSINESS ADMINISTRATION, 2429 01:28:11,410 --> 01:28:13,446 ALL THIS IS AFFECTING US IN 2430 01:28:13,446 --> 01:28:13,913 HEALTH. 2431 01:28:13,913 --> 01:28:15,982 SO I THINK THE COMMUNITY CAN 2432 01:28:15,982 --> 01:28:17,116 GIVE US NEW LANGUAGE. 2433 01:28:17,116 --> 01:28:18,718 AND HERE'S THE OTHER THING IN 2434 01:28:18,718 --> 01:28:21,020 ADDITION TO OUR ARTICLES AND 2435 01:28:21,020 --> 01:28:22,688 JOURNALS, WE'VE BEEN 2436 01:28:22,688 --> 01:28:24,457 COLLABORATING WITH ARTISTS AND 2437 01:28:24,457 --> 01:28:26,325 WE'VE TURNED OUR QUALITATIVE 2438 01:28:26,325 --> 01:28:29,829 RESEARCH FINDINGS INTO GRAPHIC 2439 01:28:29,829 --> 01:28:30,062 NOVELS. 2440 01:28:30,062 --> 01:28:31,364 THE BARBERSHOP STORYBOOK, AND 2441 01:28:31,364 --> 01:28:32,999 EVEN A COLORING BOOK. 2442 01:28:32,999 --> 01:28:36,202 SO WE NEED DIFFERENT FORMATS TO 2443 01:28:36,202 --> 01:28:37,403 DELIVER OUR SCIENCE BACK TO THE 2444 01:28:37,403 --> 01:28:39,272 COMMUNITY SO THEY CAN LITERALLY 2445 01:28:39,272 --> 01:28:41,774 SEE HOW THEIR VOICES WERE LIFTED 2446 01:28:41,774 --> 01:28:45,511 UP TO MAKE CHANGE. 2447 01:28:45,511 --> 01:28:49,549 >> THIS IS A REALLY FASCINATING 2448 01:28:49,549 --> 01:28:49,982 CONVERSATION. 2449 01:28:49,982 --> 01:28:52,318 ON SLIDO THERE'S LOTS OF 2450 01:28:52,318 --> 01:28:53,853 INTERACTION, PEOPLE ARE REACTING 2451 01:28:53,853 --> 01:28:54,587 TO WHAT YOU'RE SHARING. 2452 01:28:54,587 --> 01:28:56,322 IN THE INTEREST OF TIME WE'LL 2453 01:28:56,322 --> 01:28:58,424 TRANSITION OVER TO TAKE AS MANY 2454 01:28:58,424 --> 01:29:00,159 QUESTIONS AS WE CAN FROM WHAT'S 2455 01:29:00,159 --> 01:29:01,160 COME FROM THE AUDIENCE. 2456 01:29:01,160 --> 01:29:02,929 SINCE YOU WERE JUST SPEAKING, 2457 01:29:02,929 --> 01:29:04,897 DR. T, I'LL GO BACK TO YOU. 2458 01:29:04,897 --> 01:29:06,199 THERE'S A QUESTION ASKING 2459 01:29:06,199 --> 01:29:07,600 WHETHER YOU CAN ELABORATE ON 2460 01:29:07,600 --> 01:29:10,036 WHAT YOU MEAN WHEN YOU SAY THAT 2461 01:29:10,036 --> 01:29:11,904 OUR COUNTRY HAS TRANSITIONED TO 2462 01:29:11,904 --> 01:29:13,439 A FOCUS ON CLASS. 2463 01:29:13,439 --> 01:29:18,144 WOULD IT BE POSSIBLE TO PROVIDE 2464 01:29:18,144 --> 01:29:21,881 EXAMPLES HOW OR WHERE CLASS IS 2465 01:29:21,881 --> 01:29:25,785 AN EXPLICIT FOCUS? 2466 01:29:25,785 --> 01:29:29,522 >> I THINK THAT IT'S A GUT 2467 01:29:29,522 --> 01:29:32,124 RESPONSE TO WHAT I'M SEEING ON 2468 01:29:32,124 --> 01:29:32,291 TV. 2469 01:29:32,291 --> 01:29:33,359 AND IN THE POLITICAL ENVIRONMENT 2470 01:29:33,359 --> 01:29:36,929 THAT WE'RE IN RIGHT NOW. 2471 01:29:36,929 --> 01:29:38,497 THE RECOGNITION THAT, YOU KNOW, 2472 01:29:38,497 --> 01:29:40,132 WHITES ARE NOT A MONOLITH. 2473 01:29:40,132 --> 01:29:41,667 WE'VE ALWAYS HAD POOR WHITES WHO 2474 01:29:41,667 --> 01:29:43,736 SUFFERED LIKE POOR BLACK PEOPLE 2475 01:29:43,736 --> 01:29:45,171 IN GENERAL. 2476 01:29:45,171 --> 01:29:46,272 BUT THAT DISTINCTION HAS 2477 01:29:46,272 --> 01:29:48,007 SOMETIMES BEEN USED TO DIVIDE 2478 01:29:48,007 --> 01:29:48,374 US. 2479 01:29:48,374 --> 01:29:55,047 BUT TO WITNESS IT IN REAL TIME, 2480 01:29:55,047 --> 01:29:59,752 TO SEE, YOU KNOW, OUR LANGUAGE, 2481 01:29:59,752 --> 01:30:03,055 OUR SYMBOLISM, OUR KIND OF CIVIL 2482 01:30:03,055 --> 01:30:03,723 RIGHTS APPROACH DEMONSTRATING, 2483 01:30:03,723 --> 01:30:07,727 BEING USED IN A WHOLE OTHER WAY. 2484 01:30:07,727 --> 01:30:11,664 I THINK WE'LL BE BEHIND THE 2485 01:30:11,664 --> 01:30:14,734 CURVE IF WE DON'T RECOGNIZE THAT 2486 01:30:14,734 --> 01:30:16,168 CLASS MATTERS, AND ISABEL 2487 01:30:16,168 --> 01:30:18,471 WILKERSON LAID OUT A ROAD MAP 2488 01:30:18,471 --> 01:30:20,740 MOVING FORWARD. 2489 01:30:20,740 --> 01:30:22,508 NOW GENTRIFICATION AND REDLINING 2490 01:30:22,508 --> 01:30:23,276 USING TO BLACK-WHITE. 2491 01:30:23,276 --> 01:30:24,810 NOW IF YOU CAN AFFORD TO LIVE 2492 01:30:24,810 --> 01:30:26,012 OVER HERE WE DON'T CARE WHAT 2493 01:30:26,012 --> 01:30:27,546 COLOR YOU ARE. 2494 01:30:27,546 --> 01:30:30,650 NOW WE'RE INTO THE ECONOMICS OF 2495 01:30:30,650 --> 01:30:30,983 OPPORTUNITY. 2496 01:30:30,983 --> 01:30:33,286 AND SO WE MAY WELL NEED TO 2497 01:30:33,286 --> 01:30:35,354 CHANGE SOME TACTICS, TAKE A LOOK 2498 01:30:35,354 --> 01:30:35,688 AT THIS. 2499 01:30:35,688 --> 01:30:39,625 WHO COULD HAVE IMAGINED WHEN WE 2500 01:30:39,625 --> 01:30:42,261 HAVE A LAW TO BAN MENTHOL 2501 01:30:42,261 --> 01:30:43,262 CIGARETTES IN THE BLACK 2502 01:30:43,262 --> 01:30:45,264 COMMUNITY, WE ALL KNOW THE 2503 01:30:45,264 --> 01:30:46,766 DEVASTATION TOBACCO CAUSES IN 2504 01:30:46,766 --> 01:30:47,667 OUR COMMUNITY, RIGHT? 2505 01:30:47,667 --> 01:30:48,968 WHO COULD HAVE IMAGINED THERE 2506 01:30:48,968 --> 01:30:51,370 WOULD BE BLACK CIVIL RIGHTS 2507 01:30:51,370 --> 01:30:53,039 ORGANIZATIONS OPPOSED TO THE 2508 01:30:53,039 --> 01:30:53,239 BAN? 2509 01:30:53,239 --> 01:30:55,741 HOW DID THAT GET ALL TWISTED UP? 2510 01:30:55,741 --> 01:30:57,943 I THINK WE HAVE TO SPEAK TO THAT 2511 01:30:57,943 --> 01:31:00,046 IN THE NAME OF OUR PUBLIC HEALTH 2512 01:31:00,046 --> 01:31:02,581 APPROACH, BUT ALSO RECOGNIZE 2513 01:31:02,581 --> 01:31:04,617 POLITICS ON THE GROUND. 2514 01:31:04,617 --> 01:31:07,019 WE'RE PUSHING SUGAR IN OUR 2515 01:31:07,019 --> 01:31:08,120 COMMUNITIES, ANOTHER ADDICTIVE. 2516 01:31:08,120 --> 01:31:12,591 SO WE MAY WELL FIND THAT A 2517 01:31:12,591 --> 01:31:15,328 REFRAMING IS NECESSARY MOVING 2518 01:31:15,328 --> 01:31:15,661 FORWARD. 2519 01:31:15,661 --> 01:31:19,732 WHEN WE REFRAME, LET'S SAY 2520 01:31:19,732 --> 01:31:22,601 ADDICTIONS, I SEE A WHOLE LOT OF 2521 01:31:22,601 --> 01:31:24,236 WHITE FOLKS PROMISING YOUNG 2522 01:31:24,236 --> 01:31:28,274 WHITE KIDS WHO ARE NOW ADDICTED, 2523 01:31:28,274 --> 01:31:29,975 LITERALLY WALKING THE STREETS IN 2524 01:31:29,975 --> 01:31:31,777 BALTIMORE CITY, IT IS A SAD 2525 01:31:31,777 --> 01:31:37,016 SIGHT TO SEE, BUT IT'S A 2526 01:31:37,016 --> 01:31:38,451 FUNCTION OF CLASS. 2527 01:31:38,451 --> 01:31:41,287 AND HOW YOU FALL OUT OF THE 2528 01:31:41,287 --> 01:31:44,123 MIDDLE CLASS AND HOW YOU CAN END 2529 01:31:44,123 --> 01:31:46,959 UP ON THE STREET IN SPITE OF 2530 01:31:46,959 --> 01:31:48,728 ONE'S REAL OR PERCEIVES 2531 01:31:48,728 --> 01:31:49,061 PRIVILEGE. 2532 01:31:49,061 --> 01:31:52,431 IT WOULD TAKE TIME FOR THIS 2533 01:31:52,431 --> 01:31:53,532 CLASS FRAME TO RESONATE, I DON'T 2534 01:31:53,532 --> 01:31:54,633 THINK ANYONE'S PUTTING IT IN 2535 01:31:54,633 --> 01:31:55,835 THEIR GRANTS RIGHT NOW. 2536 01:31:55,835 --> 01:31:57,269 RIGHT NOW WE'RE TALKING 2537 01:31:57,269 --> 01:31:57,770 BLACK-WHITE. 2538 01:31:57,770 --> 01:31:58,337 I GET IT. 2539 01:31:58,337 --> 01:32:00,106 BUT WE NEED TO REALLY WATCH 2540 01:32:00,106 --> 01:32:05,611 WHAT'S HAPPENING IN THE CONTEXT 2541 01:32:05,611 --> 01:32:08,981 OF CLASS. 2542 01:32:08,981 --> 01:32:10,716 >> THANK YOU. 2543 01:32:10,716 --> 01:32:13,886 WE'LL GO TO THE MOST POPULAR 2544 01:32:13,886 --> 01:32:16,322 QUESTION ON SLIDO, WHAT DO WE DO 2545 01:32:16,322 --> 01:32:17,857 WHEN COMMUNITIES GET STUDIED TO 2546 01:32:17,857 --> 01:32:18,924 DEATH AND DON'T RECEIVE 2547 01:32:18,924 --> 01:32:21,260 RESOURCES TO HELP? 2548 01:32:21,260 --> 01:32:22,762 AND TO WHOEVER WANTS TO TAKE IT 2549 01:32:22,762 --> 01:32:24,964 FIRST. 2550 01:32:24,964 --> 01:32:29,568 2551 01:32:29,568 --> 01:32:30,770 >> THEY CALL THAT EXTRACTION. 2552 01:32:30,770 --> 01:32:32,738 I HAD TO LOOK IN THE MIRROR 2553 01:32:32,738 --> 01:32:33,506 MYSELF. 2554 01:32:33,506 --> 01:32:34,807 HAVE I BEEN EXTRACTING? 2555 01:32:34,807 --> 01:32:37,810 HAVE I JUST BEEN DOCUMENTING THE 2556 01:32:37,810 --> 01:32:39,211 SUFFERING, WRITING IT UP, BUT 2557 01:32:39,211 --> 01:32:40,579 NOT HAVING A SOLUTION? 2558 01:32:40,579 --> 01:32:43,249 BECAUSE I THINK THAT'S SOMEBODY 2559 01:32:43,249 --> 01:32:44,016 ELSE'S JOB? 2560 01:32:44,016 --> 01:32:45,551 AND THEN EARLY IN MY CAREER 2561 01:32:45,551 --> 01:32:48,387 THAT'S ACTUALLY HOW I WAS 2562 01:32:48,387 --> 01:32:48,888 MENTORED. 2563 01:32:48,888 --> 01:32:54,493 AND I REMEMBER EVEN SOME YOUNG 2564 01:32:54,493 --> 01:32:56,962 SCHOLARS TOLD IF YOU WORK IN THE 2565 01:32:56,962 --> 01:32:59,031 COMMUNITY YOU'LL NEVER GET 2566 01:32:59,031 --> 01:33:00,099 TENURED, IN YOU TRY SOLVE IT. 2567 01:33:00,099 --> 01:33:02,635 WE HAVE TO GET AWAY FROM THAT. 2568 01:33:02,635 --> 01:33:04,136 NIMHD HAS HELPED, ENCOURAGING 2569 01:33:04,136 --> 01:33:07,339 INVESTIGATORS TO DO REAL WORLD 2570 01:33:07,339 --> 01:33:07,873 INTERVENTIONS. 2571 01:33:07,873 --> 01:33:12,478 SO LET'S BE AWARE OF EXTRACTING 2572 01:33:12,478 --> 01:33:13,879 WITHOUT ADDING VALUE BACK, AND 2573 01:33:13,879 --> 01:33:15,448 AVOID THAT WHEN POSSIBLE. 2574 01:33:15,448 --> 01:33:17,082 AND PARTNER WITH THOSE WHO CAN 2575 01:33:17,082 --> 01:33:18,184 COME IN AND ACTUALLY ADDRESS 2576 01:33:18,184 --> 01:33:22,354 SOME OF THE SOLUTIONS. 2577 01:33:22,354 --> 01:33:24,757 >> OR MAKE IT PART OF THE MODEL, 2578 01:33:24,757 --> 01:33:26,492 RESEARCH MODEL, IN TERMS OF 2579 01:33:26,492 --> 01:33:28,794 EMPOWERING OR THINKING ABOUT 2580 01:33:28,794 --> 01:33:29,462 UPSTREAM CHANGING POLICY, MAKING 2581 01:33:29,462 --> 01:33:31,964 SURE THAT THE KIND OF RESEARCH 2582 01:33:31,964 --> 01:33:34,366 THAT'S DONE WILL REALLY INFORM 2583 01:33:34,366 --> 01:33:36,569 STRUCTURAL CHANGES, AND ADDRESS 2584 01:33:36,569 --> 01:33:37,236 STRUCTURAL RACISM. 2585 01:33:37,236 --> 01:33:39,538 IF WE BUILD IT IN THE WAY THAT 2586 01:33:39,538 --> 01:33:41,273 IT WILL DO THAT, THAT'S 2587 01:33:41,273 --> 01:33:41,607 IMPORTANT. 2588 01:33:41,607 --> 01:33:42,808 HOWEVER, LIKE YOU SAID, IF 2589 01:33:42,808 --> 01:33:44,777 YOU'RE NOT BUILDING IT THAT WAY, 2590 01:33:44,777 --> 01:33:45,878 YOU'LL GET THE RESULT YOU'RE 2591 01:33:45,878 --> 01:33:47,379 GOING TO GET. 2592 01:33:47,379 --> 01:33:48,047 I THINK THERE'S A LOT OF 2593 01:33:48,047 --> 01:33:50,182 OPPORTUNITY TO MAKE THAT PART OF 2594 01:33:50,182 --> 01:33:52,551 OUR RESEARCH MODEL, IN TERMS OF 2595 01:33:52,551 --> 01:33:55,287 THE SOLUTION, INTERVENTIONS THAT 2596 01:33:55,287 --> 01:33:57,122 WORK UPSTREAM, AND THAT IS THE 2597 01:33:57,122 --> 01:34:00,292 RESEARCH THAT HAS TO HAPPEN. 2598 01:34:00,292 --> 01:34:03,696 2599 01:34:03,696 --> 01:34:06,765 2600 01:34:06,765 --> 01:34:07,433 2601 01:34:07,433 --> 01:34:08,200 >> THAT MAKES ESSENTIAL, CHERYL. 2602 01:34:08,200 --> 01:34:09,835 THERE'S THE POWER TO MAKE THAT 2603 01:34:09,835 --> 01:34:11,804 HAPPEN, THE COMMUNITY CAN THAT 2604 01:34:11,804 --> 01:34:14,874 BE RESOURCE IF WE'RE STRUCTURING 2605 01:34:14,874 --> 01:34:16,942 THAT WAY, RIGHT, SO IMPORTANT. 2606 01:34:16,942 --> 01:34:19,011 HOW CAN WE SUPPORT AND RAISE UP 2607 01:34:19,011 --> 01:34:22,515 THE VALUE OF LIVED EXPERIENCE S 2608 01:34:22,515 --> 01:34:26,085 A RECOGNIZED FORM OF DATA? 2609 01:34:26,085 --> 01:34:28,187 >> I WANT TO GET IN ON THIS 2610 01:34:28,187 --> 01:34:29,922 BECAUSE WE DID USE LIVED 2611 01:34:29,922 --> 01:34:31,457 EXPERIENCE, AND I KNOW WE TALKED 2612 01:34:31,457 --> 01:34:33,559 ABOUT THAT BEFORE IN THIS 2613 01:34:33,559 --> 01:34:34,527 MEETING, ABOUT LIVED EXPERIENCE 2614 01:34:34,527 --> 01:34:36,495 IN TERMS OF THINKING ABOUT 2615 01:34:36,495 --> 01:34:39,899 RESEARCH. 2616 01:34:39,899 --> 01:34:44,703 I MEAN, WE KNOW IT'S OF VALUE, 2617 01:34:44,703 --> 01:34:45,571 INTEGRATED INTO LISTENING 2618 01:34:45,571 --> 01:34:47,540 SESSIONS AND REVIEW, TO 2619 01:34:47,540 --> 01:34:51,911 INTEGRATE INTO ALL PARTS OF WHAT 2620 01:34:51,911 --> 01:34:53,012 YOU'RE DOING, CHANGING THE 2621 01:34:53,012 --> 01:34:54,680 RESEARCH, THE WAY YOU FRAME THE 2622 01:34:54,680 --> 01:34:54,947 QUESTION. 2623 01:34:54,947 --> 01:34:57,182 WE HAVE TO MAKE SURE PEOPLE 2624 01:34:57,182 --> 01:34:59,351 UNDERSTAND THE DATA, WHETHER 2625 01:34:59,351 --> 01:35:00,352 QUALITATIVE, AND MAKE SURE THOSE 2626 01:35:00,352 --> 01:35:01,353 WITH LIVED EXPERIENCE ARE PART 2627 01:35:01,353 --> 01:35:02,955 OF THE ENTIRE PROCESS FROM 2628 01:35:02,955 --> 01:35:06,025 RESEARCH INITIATIVES ALL THE WAY 2629 01:35:06,025 --> 01:35:07,026 TO THINKING ABOUT IMPACTFUL 2630 01:35:07,026 --> 01:35:07,493 POLICY. 2631 01:35:07,493 --> 01:35:08,994 THAT REALLY IS THE ONLY WAY TO 2632 01:35:08,994 --> 01:35:10,863 DO THIS. 2633 01:35:10,863 --> 01:35:12,932 WE ARE MAKING SURE WE INVOLVE 2634 01:35:12,932 --> 01:35:13,732 LIVED EXPERIENCE, SOME 2635 01:35:13,732 --> 01:35:15,034 INSTITUTES HAVE THEM, PEOPLE 2636 01:35:15,034 --> 01:35:16,569 WITH LIVED EXPERIENCE ON REVIEW 2637 01:35:16,569 --> 01:35:17,870 COMMITTEE, SO THERE'S A LOT OF 2638 01:35:17,870 --> 01:35:21,140 EXAMPLES HOW WE CAN DO THIS. 2639 01:35:21,140 --> 01:35:26,512 2640 01:35:26,512 --> 01:35:28,614 >> DOES ANYONE WANT TO ADD TO 2641 01:35:28,614 --> 01:35:28,814 THAT? 2642 01:35:28,814 --> 01:35:30,115 >> YEAH, I WOULD JUST ADD I 2643 01:35:30,115 --> 01:35:32,318 THINK THE LIVED EXPERIENCE IS 2644 01:35:32,318 --> 01:35:35,387 CONNECTED TO THE PREVIOUS 2645 01:35:35,387 --> 01:35:37,356 QUESTION, AROUND I WOULD SAY 2646 01:35:37,356 --> 01:35:38,891 COMMUNITY EXHAUSTION, SO TO 2647 01:35:38,891 --> 01:35:40,092 SPEAK. 2648 01:35:40,092 --> 01:35:42,294 I THINK THAT IF INSTITUTIONS 2649 01:35:42,294 --> 01:35:43,495 DON'T CHANGE THEIR MODELS SOON 2650 01:35:43,495 --> 01:35:46,565 THAT THE COMMUNITY WILL 2651 01:35:46,565 --> 01:35:48,867 ABSOLUTELY REJECT RESEARCHERS 2652 01:35:48,867 --> 01:35:53,372 COMING INTO THE COMMUNITY, 2653 01:35:53,372 --> 01:35:54,239 BECAUSE PEOPLE ARE LITERALLY IN 2654 01:35:54,239 --> 01:35:55,574 SURVIVAL MODE BECAUSE OF THE 2655 01:35:55,574 --> 01:35:58,677 TRAUMAS THEY HAVE EXPERIENCED 2656 01:35:58,677 --> 01:36:00,312 THROUGH THEIR LIVED EXPERIENCE, 2657 01:36:00,312 --> 01:36:03,882 AND TALKING ABOUT THAT FOR THE 2658 01:36:03,882 --> 01:36:06,552 GAIN OF RESEARCH, I THINK IT 2659 01:36:06,552 --> 01:36:08,454 HELPS THE INSTITUTION AND WE 2660 01:36:08,454 --> 01:36:09,822 WANT TO BELIEVE IT WILL THEN 2661 01:36:09,822 --> 01:36:12,124 MOVE UP TO A POLICY LEVEL AND, 2662 01:36:12,124 --> 01:36:14,760 YOU KNOW, THAT WOULD BE FINE BUT 2663 01:36:14,760 --> 01:36:17,796 WE'RE DEALING WITH REAL PEOPLE 2664 01:36:17,796 --> 01:36:19,465 WHO HAVE REAL ISSUES, IN REAL 2665 01:36:19,465 --> 01:36:21,967 TIME AND REAL LIFE. 2666 01:36:21,967 --> 01:36:23,736 AGAIN, I THINK THAT WE'RE SO 2667 01:36:23,736 --> 01:36:25,704 SMART, AND I THINK SOMETIMES 2668 01:36:25,704 --> 01:36:27,773 WE'RE SO SMART WE FORGET THE 2669 01:36:27,773 --> 01:36:30,843 MOST SIMPLE THING WHICH IS THAT 2670 01:36:30,843 --> 01:36:31,710 WE'RE HUMAN, RIGHT? 2671 01:36:31,710 --> 01:36:35,080 AND SO, YOU KNOW, COMING FROM 2672 01:36:35,080 --> 01:36:36,081 THAT LENS AND THAT PERSPECTIVE 2673 01:36:36,081 --> 01:36:39,251 PEOPLE REALLY DO WANT TO GET OUT 2674 01:36:39,251 --> 01:36:41,220 OF THEIR HELLISH REALITY. 2675 01:36:41,220 --> 01:36:42,655 IF RESEARCH CAN SUPPORT THAT, 2676 01:36:42,655 --> 01:36:45,724 THEN I THINK THAT THERE SHOULD 2677 01:36:45,724 --> 01:36:48,027 BE MORE RESEARCH DONE 2678 01:36:48,027 --> 01:36:49,662 NECESSARILY, YOU KNOW, IN THAT 2679 01:36:49,662 --> 01:36:49,962 LANE. 2680 01:36:49,962 --> 01:36:51,296 AGAIN, I THINK THERE HAS TO BE A 2681 01:36:51,296 --> 01:36:53,599 SHIFT IN THE PARADIGM AND MODEL 2682 01:36:53,599 --> 01:36:56,335 SO THAT COMMUNITIES WANT TO 2683 01:36:56,335 --> 01:36:57,336 CONTINUE WORKING WITH 2684 01:36:57,336 --> 01:36:58,737 RESEARCHERS SO THEY DON'T FEEL 2685 01:36:58,737 --> 01:37:00,039 LIKE THEY ARE BEING TAKEN 2686 01:37:00,039 --> 01:37:01,607 ADVANTAGE OF AND I HAVE 2687 01:37:01,607 --> 01:37:02,341 LITERALLY HEARD THIS 2688 01:37:02,341 --> 01:37:03,575 CONVERSATION FOR THE ENTIRE TIME 2689 01:37:03,575 --> 01:37:06,278 THAT I HAVE BEEN WORKING IN 2690 01:37:06,278 --> 01:37:07,913 COMMUNITY BECAUSE I DON'T SEE 2691 01:37:07,913 --> 01:37:10,883 MYSELF APART FROM THE COMMUNITY. 2692 01:37:10,883 --> 01:37:11,950 I AM THE COMMUNITY. 2693 01:37:11,950 --> 01:37:14,053 AND I HAVE THE MOST INTERACTION 2694 01:37:14,053 --> 01:37:15,254 WITH PEOPLE WITHIN THE COMMUNITY 2695 01:37:15,254 --> 01:37:18,557 THOUGH I WALK THIS FINE LINE 2696 01:37:18,557 --> 01:37:19,758 BETWEEN INSTITUTION AND 2697 01:37:19,758 --> 01:37:20,025 COMMUNITY. 2698 01:37:20,025 --> 01:37:21,493 IT GIVES ME THAT ADVANTAGE SO 2699 01:37:21,493 --> 01:37:22,594 I'M LISTENING TO WHAT THE 2700 01:37:22,594 --> 01:37:25,230 COMMUNITY IS SAYING AND THEN I'M 2701 01:37:25,230 --> 01:37:27,366 TRANSLATING IT TO THE OTHER 2702 01:37:27,366 --> 01:37:31,336 SIDE, INSTITUTIONS, AND VICE 2703 01:37:31,336 --> 01:37:33,038 VERSA, AND PEOPLE ARE EXHAUSTED 2704 01:37:33,038 --> 01:37:34,707 BECAUSE THEY HAVEN'T SEEN ANY 2705 01:37:34,707 --> 01:37:35,074 REAL CHANGE. 2706 01:37:35,074 --> 01:37:38,343 AGAIN, THAT'S WHY I STARTED TO 2707 01:37:38,343 --> 01:37:39,878 FOCUS MY EFFORTS AND MORE TIME 2708 01:37:39,878 --> 01:37:42,047 ON, WELL, WHAT CAN YOU CHANGE, 2709 01:37:42,047 --> 01:37:43,382 WHAT'S IN YOUR POWER TO CHANGE? 2710 01:37:43,382 --> 01:37:45,984 YOU DON'T HAVE TO WAIT FOR A 2711 01:37:45,984 --> 01:37:47,653 POLICY OR RESEARCH IN ORDER TO 2712 01:37:47,653 --> 01:37:49,621 CHANGE HOW YOU FEEL ABOUT 2713 01:37:49,621 --> 01:37:51,356 YOURSELF AND TO HEAL YOUR 2714 01:37:51,356 --> 01:37:54,093 TRAUMA, AND TO EMPOWER AND 2715 01:37:54,093 --> 01:37:54,860 UPLIFT YOURSELF AND YOUR 2716 01:37:54,860 --> 01:37:56,395 COMMUNITY BECAUSE I THINK 2717 01:37:56,395 --> 01:37:58,330 SOMETIMES WE FORGET THE 2718 01:37:58,330 --> 01:37:59,665 COMMUNITY IS MADE UP OF 2719 01:37:59,665 --> 01:38:01,100 INDIVIDUAL PEOPLE, RIGHT? 2720 01:38:01,100 --> 01:38:04,036 WE SAY COMMUNITY AS A BLANKET 2721 01:38:04,036 --> 01:38:05,270 STATEMENT BUT WE ARE INDIVIDUAL 2722 01:38:05,270 --> 01:38:08,107 PEOPLE, WHO MAKE UP THAT 2723 01:38:08,107 --> 01:38:08,540 COMMUNITY. 2724 01:38:08,540 --> 01:38:10,909 AND IT'S IMPORTANT FOR US TO 2725 01:38:10,909 --> 01:38:13,145 ACKNOWLEDGE AND HONOR ALL OF US 2726 01:38:13,145 --> 01:38:15,547 AS SUCH, AS INDIVIDUALS WITH 2727 01:38:15,547 --> 01:38:17,182 THESE LIVED EXPERIENCES, AND SO 2728 01:38:17,182 --> 01:38:19,184 THAT IT WON'T FEEL LIKE 2729 01:38:19,184 --> 01:38:20,319 EXTRACTION OR THAT THE COMMUNITY 2730 01:38:20,319 --> 01:38:22,988 DOESN'T FEEL LIKE THEY ARE BEING 2731 01:38:22,988 --> 01:38:24,656 TAKEN ADVANTAGE OF, BUT I WOULD 2732 01:38:24,656 --> 01:38:26,658 SAY FROM A GENERAL CONSENSUS 2733 01:38:26,658 --> 01:38:29,661 THAT IS HOW A LOT OF COMMUNITY 2734 01:38:29,661 --> 01:38:30,963 MEMBERS FEEL. 2735 01:38:30,963 --> 01:38:32,865 >> YOU KNOW, MS. FARMER, YOU'RE 2736 01:38:32,865 --> 01:38:34,233 REMINDING ME OF SOMETHING. 2737 01:38:34,233 --> 01:38:36,235 I'M SO GLAD I MET YOU HERE. 2738 01:38:36,235 --> 01:38:38,971 WE HAVE TO LOVE THE COMMUNITY. 2739 01:38:38,971 --> 01:38:41,473 LET'S DEFINE THAT IN A DIFFERENT 2740 01:38:41,473 --> 01:38:45,210 WAY, AS MAYOR OF -- FORMER MAYOR 2741 01:38:45,210 --> 01:38:47,412 OF TUSKEGEE, ALABAMA SAID TO ME. 2742 01:38:47,412 --> 01:38:47,846 LOVE. 2743 01:38:47,846 --> 01:38:49,148 LEAVING OTHERS VERY ENCOURAGED. 2744 01:38:49,148 --> 01:38:50,482 LET'S LOVE THE COMMUNITY. 2745 01:38:50,482 --> 01:38:55,721 LET'S MAKE SURE WE LEAVE SACRED 2746 01:38:55,721 --> 01:38:56,922 SPACES OR HAVE GRACIOUS SPACE 2747 01:38:56,922 --> 01:38:59,224 EVEN IF THE STUDY WE'RE DOING IS 2748 01:38:59,224 --> 01:39:00,626 AN EXTRACTION, SOMETHING WE'RE 2749 01:39:00,626 --> 01:39:01,627 COLLECTING BIOLOGICAL MATERIALS 2750 01:39:01,627 --> 01:39:02,995 THAT WON'T BENEFIT THE 2751 01:39:02,995 --> 01:39:05,430 INDIVIDUAL BUT CONTRIBUTE TO THE 2752 01:39:05,430 --> 01:39:06,231 OVERALL SCIENCE. 2753 01:39:06,231 --> 01:39:08,300 WE CAN STILL LOVE THE COMMUNITY, 2754 01:39:08,300 --> 01:39:10,402 WE CAN STILL LEAVE THEM VERY 2755 01:39:10,402 --> 01:39:11,370 ENCOURAGED. 2756 01:39:11,370 --> 01:39:13,338 I WANT TO THANK NIDA FOR WILLING 2757 01:39:13,338 --> 01:39:18,577 TO HAVE A NEW PARADIGM WE WERE 2758 01:39:18,577 --> 01:39:20,345 ACTUALLY COLLECTING HAIR SAMPLES 2759 01:39:20,345 --> 01:39:24,650 IN THE BARBERSHOP MEASURING 2760 01:39:24,650 --> 01:39:26,018 CORTISOL, STRESS. 2761 01:39:26,018 --> 01:39:30,189 WE FRAMED IT AT STRESS, IT WAS 2762 01:39:30,189 --> 01:39:31,723 TAKING BARBERS AND STYLISTS TO 2763 01:39:31,723 --> 01:39:34,993 NIDA LABORATORIES IN BALTIMORE 2764 01:39:34,993 --> 01:39:36,328 TO SEE THE SCIENTISTS AND SEE 2765 01:39:36,328 --> 01:39:38,964 WHERE THE HAIR WAS ANALYZED. 2766 01:39:38,964 --> 01:39:43,702 THE NIDA SCIENTISTS THEN CAME O 2767 01:39:43,702 --> 01:39:46,271 THE BARBERSHOP AND DID A MASSIVE 2768 01:39:46,271 --> 01:39:48,173 HEALTH FAIR WITH A POSTCARD 2769 01:39:48,173 --> 01:39:49,107 THANKING THE PARTICIPANTS FOR 2770 01:39:49,107 --> 01:39:49,942 CONTRIBUTING TO THE SCIENCE. 2771 01:39:49,942 --> 01:39:51,543 THAT'S A NEW WAY OF DOING 2772 01:39:51,543 --> 01:39:51,810 BUSINESS. 2773 01:39:51,810 --> 01:39:53,812 WE NOW HAVE TRUST. 2774 01:39:53,812 --> 01:39:57,649 NOW WE MUST BE TRUSTWORTHY. 2775 01:39:57,649 --> 01:39:59,284 IF WE ABANDON THEM NOW WE MAY 2776 01:39:59,284 --> 01:40:00,819 NOT GET THIS DOOR OPENED AGAIN 2777 01:40:00,819 --> 01:40:02,688 BECAUSE WE DID MOVE THE NEEDLE 2778 01:40:02,688 --> 01:40:03,789 DURING THE PANDEMIC. 2779 01:40:03,789 --> 01:40:04,990 AND EVEN THE HEALTH 2780 01:40:04,990 --> 01:40:06,191 PROFESSIONALS WHO CAME TO THE 2781 01:40:06,191 --> 01:40:07,593 COMMUNITY, YOU KNOW WHAT THEY 2782 01:40:07,593 --> 01:40:07,826 SAID? 2783 01:40:07,826 --> 01:40:09,962 DR. T, WE LOVE COMING OUT TO THE 2784 01:40:09,962 --> 01:40:10,295 NEIGHBORHOODS. 2785 01:40:10,295 --> 01:40:12,364 OH BY THE WAY, THAT'S THE 2786 01:40:12,364 --> 01:40:13,999 NICKNAME THE BARBERS GAVE ME. 2787 01:40:13,999 --> 01:40:18,203 ONCE YOU GET A NICKNAME YOU KNOW 2788 01:40:18,203 --> 01:40:18,670 YOU'RE IN. 2789 01:40:18,670 --> 01:40:21,907 SO WE HAVE TO BE THERE FOR THE 2790 01:40:21,907 --> 01:40:26,044 LONG TERM COMMITMENT. 2791 01:40:26,044 --> 01:40:26,979 >> SO WE STARTED -- 2792 01:40:26,979 --> 01:40:27,579 >> SORRY. 2793 01:40:27,579 --> 01:40:30,215 >> GO AHEAD PLEASE. 2794 01:40:30,215 --> 01:40:31,316 >> VERY QUICKLY, I REALLY WANT 2795 01:40:31,316 --> 01:40:32,718 US TO START THINKING ABOUT 2796 01:40:32,718 --> 01:40:34,686 SHIFTING OUR LANGUAGE IN THE 2797 01:40:34,686 --> 01:40:37,422 SENSE THAT THE COMMUNITY IS NOT 2798 01:40:37,422 --> 01:40:38,624 SEPARATE FROM THE INSTITUTION. 2799 01:40:38,624 --> 01:40:40,259 WE ARE THE COMMUNITY. 2800 01:40:40,259 --> 01:40:42,561 AS RESEARCHERS, YOU ARE THE 2801 01:40:42,561 --> 01:40:42,828 COMMUNITY. 2802 01:40:42,828 --> 01:40:44,263 BECAUSE I THINK THAT, AGAIN, WE 2803 01:40:44,263 --> 01:40:47,132 DO A LOT OF OTHERING, AND THAT 2804 01:40:47,132 --> 01:40:48,533 IS WHAT CREATES A BARRIER 2805 01:40:48,533 --> 01:40:50,636 BECAUSE THEN WE'RE LOOKING AT 2806 01:40:50,636 --> 01:40:51,503 PEOPLE LIKE THOSE PEOPLE OVER 2807 01:40:51,503 --> 01:40:52,571 THERE, THEY ARE THE ONES THAT 2808 01:40:52,571 --> 01:40:53,171 NEED THE HELP. 2809 01:40:53,171 --> 01:40:55,974 THEY ARE THE ONES THAT NEED THE 2810 01:40:55,974 --> 01:40:56,508 SUPPORT. 2811 01:40:56,508 --> 01:40:57,843 WHEN, NO, WE ALL -- IF SOMETHING 2812 01:40:57,843 --> 01:41:01,446 HAPPENS TO ONE OF US IT HAPPENS 2813 01:41:01,446 --> 01:41:04,850 TO ALL OF US, TO ALL OF US. 2814 01:41:04,850 --> 01:41:07,019 IF WE LOOKED AT IT THAT WAY WE 2815 01:41:07,019 --> 01:41:08,353 WOULD APPROACH THE WORK 2816 01:41:08,353 --> 01:41:09,888 DIFFERENTLY, WE WOULDN'T LOOK AT 2817 01:41:09,888 --> 01:41:10,555 OURSELVES SEPARATE FROM THE 2818 01:41:10,555 --> 01:41:12,624 RESEARCH THAT NEEDS TOP HA. 2819 01:41:12,624 --> 01:41:13,959 WE WOULD BE INCLUDED IN IN A 2820 01:41:13,959 --> 01:41:16,895 RESEARCH NOT BECAUSE OF OUR SKIN 2821 01:41:16,895 --> 01:41:20,299 COLOR, NOT BECAUSE OF OUR 2822 01:41:20,299 --> 01:41:21,466 RELIGION OR GENDER BUT BECAUSE 2823 01:41:21,466 --> 01:41:24,469 WE'RE ALL ONE AND WANT TO WORK 2824 01:41:24,469 --> 01:41:27,105 TO SOLVE ISSUES HAPPENING IN OUR 2825 01:41:27,105 --> 01:41:27,606 COMMUNITY. 2826 01:41:27,606 --> 01:41:29,474 JUST REMINDER FOR US FROM MY 2827 01:41:29,474 --> 01:41:30,709 PERSPECTIVE THAT WHEN WE START 2828 01:41:30,709 --> 01:41:32,444 TO SEPARATE OURSELVES AND PUT 2829 01:41:32,444 --> 01:41:34,513 OURSELVES IN BUCKETS AND 2830 01:41:34,513 --> 01:41:36,381 CATEGORIES, THAT'S WHEN THE 2831 01:41:36,381 --> 01:41:36,915 DISCONNECT HAPPENS. 2832 01:41:36,915 --> 01:41:38,951 PEOPLE CAN FEEL THAT. 2833 01:41:38,951 --> 01:41:41,086 PEOPLE DON'T FEEL THE 2834 01:41:41,086 --> 01:41:44,690 AUTHENTICITY, SO GOING INTO 2835 01:41:44,690 --> 01:41:46,091 COMMUNITIES PEOPLE CAN SMELL 2836 01:41:46,091 --> 01:41:46,992 AUTHENTICITY BECAUSE THEY HAVE 2837 01:41:46,992 --> 01:41:50,262 BEEN AROUND THE BLOCK. 2838 01:41:50,262 --> 01:41:52,364 WE WORKED WITH INSTITUTIONS AND 2839 01:41:52,364 --> 01:41:53,865 RESEARCHERS FOR DECADES, FOR 2840 01:41:53,865 --> 01:41:54,866 YEARS. 2841 01:41:54,866 --> 01:41:56,935 THE SOONER WE CAN TAKE OFF OUR 2842 01:41:56,935 --> 01:41:58,370 HATS AND STRIP OURSELVES OF 2843 01:41:58,370 --> 01:42:01,873 TITLES, VERY IMPORTANT TO ME, I 2844 01:42:01,873 --> 01:42:02,874 REMEMBER TELLING MY STAFF I'M 2845 01:42:02,874 --> 01:42:04,509 GOING TO TAKE AWAY EVERYBODY'S 2846 01:42:04,509 --> 01:42:06,478 TITLE BECAUSE IF THAT WHAT'S IS 2847 01:42:06,478 --> 01:42:07,079 HINDERING YOU FROM DOING THE 2848 01:42:07,079 --> 01:42:09,081 WORK THAT NEEDS TO BE DONE WITH 2849 01:42:09,081 --> 01:42:11,717 PEOPLE, NO ONE IN HERE WILL HAVE 2850 01:42:11,717 --> 01:42:14,353 A TITLE BUT ME. 2851 01:42:14,353 --> 01:42:17,289 WE CAN'T ALLOW OUR TITLES TO 2852 01:42:17,289 --> 01:42:19,391 DICTATE HOW WE INTERACT WITH 2853 01:42:19,391 --> 01:42:20,492 COMMUNITY BECAUSE WE'RE HUMANS, 2854 01:42:20,492 --> 01:42:22,427 IT DOESN'T MATTER THE NUMBER OF 2855 01:42:22,427 --> 01:42:24,830 DEGREES WE HAVE, DOESN'T MATTER 2856 01:42:24,830 --> 01:42:26,164 THE WORK, THOSE THINGS DON'T 2857 01:42:26,164 --> 01:42:28,000 MATTER WHEN IT COMES TO 2858 01:42:28,000 --> 01:42:30,002 COMMUNITY BECAUSE THEY ARE JUST 2859 01:42:30,002 --> 01:42:31,703 LOOKING AT YOU AS WHO ARE YOU 2860 01:42:31,703 --> 01:42:33,271 AND WHAT DO YOU WANT FROM US. 2861 01:42:33,271 --> 01:42:34,573 >> I COULD LISTEN TO YOU TALK 2862 01:42:34,573 --> 01:42:35,440 ALL DAY. 2863 01:42:35,440 --> 01:42:37,509 WE'RE TALKING A COUPLE EXTRA 2864 01:42:37,509 --> 01:42:38,944 MINUTES BECAUSE WE STARTED A 2865 01:42:38,944 --> 01:42:41,713 LITTLE LATE, AND I DO WANT TO 2866 01:42:41,713 --> 01:42:45,317 ASK EVERYONE TO MAYBE OFFER ONE 2867 01:42:45,317 --> 01:42:47,285 MINUTE, MAX, CLOSING COMMENTS. 2868 01:42:47,285 --> 01:42:48,720 CHERYL, THERE'S SO MANY THINGS 2869 01:42:48,720 --> 01:42:50,956 IN SLIDO WE WON'T GET TO, A LOT 2870 01:42:50,956 --> 01:42:53,859 OF QUESTIONS AROUND THE PAYMENT 2871 01:42:53,859 --> 01:42:54,926 FOR COMMUNITY PARTNERS, SOMEONE 2872 01:42:54,926 --> 01:42:58,663 INDICATED THAT IN THE STATE OF 2873 01:42:58,663 --> 01:43:01,767 WASHINGTON THERE A STATUTORY 2874 01:43:01,767 --> 01:43:03,402 REQUIREMENT FOR COMPENSATION FOR 2875 01:43:03,402 --> 01:43:05,137 COMMUNITY MEMBERS WITH LIVED 2876 01:43:05,137 --> 01:43:06,371 EXPERIENCE WHO WORK AS COMMUNITY 2877 01:43:06,371 --> 01:43:06,938 HEALTH WORKERS. 2878 01:43:06,938 --> 01:43:08,874 WE WON'T BE ABLE TO COVER THAT 2879 01:43:08,874 --> 01:43:10,742 BUT WE'RE CAPTURING ALL THE 2880 01:43:10,742 --> 01:43:11,810 QUESTIONS. 2881 01:43:11,810 --> 01:43:13,245 AS YOU CLOSE, ESPECIALLY CHERYL, 2882 01:43:13,245 --> 01:43:14,679 ONE OF THE THINGS WE OFTEN HEAR 2883 01:43:14,679 --> 01:43:17,082 AND THERE'S A QUESTION ABOUT 2884 01:43:17,082 --> 01:43:19,051 THIS, ALSO PRETTY POPULAR, IS 2885 01:43:19,051 --> 01:43:21,553 ABOUT THE NIH REVIEW PROCESS, 2886 01:43:21,553 --> 01:43:24,322 AND WHETHER OR NOT THE EXTENT TO 2887 01:43:24,322 --> 01:43:30,962 WHICH THESE TYPES OF TOPICS, 2888 01:43:30,962 --> 01:43:33,265 ROLE OF NARRATIVE RESEARCH, 2889 01:43:33,265 --> 01:43:35,033 STORYING TELLING, COMMUNITY 2890 01:43:35,033 --> 01:43:35,567 RESEARCHERS, PROPER 2891 01:43:35,567 --> 01:43:36,001 COMPENSATION, WHAT 2892 01:43:36,001 --> 01:43:37,002 RECOMMENDATION ALSO ARE THERE, 2893 01:43:37,002 --> 01:43:39,271 WHAT CAN YOU SHARE ABOUT 2894 01:43:39,271 --> 01:43:41,473 ENSURING NIH REVIEWERS AND 2895 01:43:41,473 --> 01:43:42,474 PEOPLE MAKING FUNDING DECISION 2896 01:43:42,474 --> 01:43:44,443 ALSO APPRECIATE ALL OF THESE 2897 01:43:44,443 --> 01:43:45,544 THINGS AND ACTIVELY SUPPORT 2898 01:43:45,544 --> 01:43:46,178 THESE APPROACHES. 2899 01:43:46,178 --> 01:43:48,146 I'LL START WITH YOU AND ASK 2900 01:43:48,146 --> 01:43:51,550 EVERYONE TO CLOSE US OUT WITH 2901 01:43:51,550 --> 01:43:52,651 FINAL THOUGHTS. 2902 01:43:52,651 --> 01:43:55,153 >> THAT'S A REALLY GOOD 2903 01:43:55,153 --> 01:43:57,889 QUESTION, SOMETHING WE STRUGGLED 2904 01:43:57,889 --> 01:43:59,958 WITH DESIGNED COMPASS. 2905 01:43:59,958 --> 01:44:01,293 THE OTHER TRANSACTION AWARD 2906 01:44:01,293 --> 01:44:03,028 AUTHORITY DOES ALLOW FOR MORE 2907 01:44:03,028 --> 01:44:03,595 FLEXIBILITY. 2908 01:44:03,595 --> 01:44:04,996 THAT'S WHY WE CHOSE THAT WHEN IT 2909 01:44:04,996 --> 01:44:08,400 CAME TO FUNDING THE COMMUNITY 2910 01:44:08,400 --> 01:44:10,268 HEALTH, HEALTH EQUITY STRUCTURAL 2911 01:44:10,268 --> 01:44:12,003 INTERVENTION SITES, 25 OF THEM. 2912 01:44:12,003 --> 01:44:13,872 OTHER MODELS WHERE PEOPLE MAY 2913 01:44:13,872 --> 01:44:14,940 USE OTHER TRANSACTION AWARD AND 2914 01:44:14,940 --> 01:44:17,275 GIVE IT TO AN ENTITY AND THEN 2915 01:44:17,275 --> 01:44:19,344 THEY GIVE IT TO OTHER COMMUNITY. 2916 01:44:19,344 --> 01:44:22,848 CEAL SOMETIMES USE US THAT AS 2917 01:44:22,848 --> 01:44:23,048 WELL. 2918 01:44:23,048 --> 01:44:24,816 I DO THINK IT'S IMPORTANT NOT 2919 01:44:24,816 --> 01:44:26,351 ONLY TO USE FLEXIBLE MECHANISMS 2920 01:44:26,351 --> 01:44:28,653 NOW AVAILABLE TO THINK ABOUT 2921 01:44:28,653 --> 01:44:29,955 CONTRACTS, SMALL BUSINESS, THINK 2922 01:44:29,955 --> 01:44:30,489 ABOUT EVERYTHING. 2923 01:44:30,489 --> 01:44:32,924 AND HOW THAT COULD BE USED IN 2924 01:44:32,924 --> 01:44:33,325 COMMUNITIES. 2925 01:44:33,325 --> 01:44:37,295 BUT ALSO MAKE SURE THAT WHEN A 2926 01:44:37,295 --> 01:44:38,263 PROPOSAL IS SUBMITTED, THAT IN 2927 01:44:38,263 --> 01:44:39,898 TERMS OF HOW YOU LAY OUT YOUR 2928 01:44:39,898 --> 01:44:42,300 BUDGET THAT YOU DO GIVE VALUE TO 2929 01:44:42,300 --> 01:44:44,102 COMMUNITY HEALTH WORKERS OR 2930 01:44:44,102 --> 01:44:46,171 WHOEVER IS IMPORTANT IN TERMS OF 2931 01:44:46,171 --> 01:44:48,006 THE SALARY AND JUST JUSTIFY IT. 2932 01:44:48,006 --> 01:44:49,641 THERE'S A LOT OF EDUCATION, 2933 01:44:49,641 --> 01:44:51,309 WE'RE TALKING ABOUT A CULTURE 2934 01:44:51,309 --> 01:44:53,278 CHANGE HERE SO IT'S IMPORTANT IN 2935 01:44:53,278 --> 01:44:55,380 APPLICATION NO MATTER WHAT TYPE 2936 01:44:55,380 --> 01:44:57,149 OF FUNDING INSTRUMENT WE'RE 2937 01:44:57,149 --> 01:44:59,117 GOING TO USE THAT IT'S 2938 01:44:59,117 --> 01:45:00,519 JUSTIFIED, AND THAT IT'S WELL 2939 01:45:00,519 --> 01:45:02,387 JUSTIFIED, AND AS PART OF WHAT 2940 01:45:02,387 --> 01:45:05,257 WE'RE DOING, WE'RE DOING 2941 01:45:05,257 --> 01:45:07,325 EVALUATION, THE BEST WAY TO DO 2942 01:45:07,325 --> 01:45:07,526 IT. 2943 01:45:07,526 --> 01:45:09,828 THIS IS ONE MODEL. 2944 01:45:09,828 --> 01:45:11,163 THERE'S SEVERAL MODELS IN TERMS 2945 01:45:11,163 --> 01:45:12,364 OF MAKING SURE THERE'S ADEQUATE 2946 01:45:12,364 --> 01:45:14,799 COMPENSATION FOR ALL THE 2947 01:45:14,799 --> 01:45:16,434 RESEARCHERS, INCLUDING COMMUNITY 2948 01:45:16,434 --> 01:45:18,637 HEALTH WORKERS WHO ARE 2949 01:45:18,637 --> 01:45:19,404 RESEARCHERS, WELL COMPENSATED, 2950 01:45:19,404 --> 01:45:20,572 BUILT INTO THE INFRASTRUCTURE 2951 01:45:20,572 --> 01:45:23,942 AND AS WE BUILD CAPACITY. 2952 01:45:23,942 --> 01:45:27,045 2953 01:45:27,045 --> 01:45:28,780 >> YOU'LL HAVE TO PING PONG TO 2954 01:45:28,780 --> 01:45:30,415 CALL ON SOMEBODY. 2955 01:45:30,415 --> 01:45:33,919 MONICA, WHO IS NEXT? 2956 01:45:33,919 --> 01:45:35,487 >> LET'S GO TO ADAOBI. 2957 01:45:35,487 --> 01:45:37,989 >> CLOSING THOUGHTS, AM I 2958 01:45:37,989 --> 01:45:38,657 CORRECT? 2959 01:45:38,657 --> 01:45:38,924 >> YES. 2960 01:45:38,924 --> 01:45:40,725 >> I THINK I REALLY LIKED THE 2961 01:45:40,725 --> 01:45:42,160 QUESTION ABOUT, YOU KNOW, HOW DO 2962 01:45:42,160 --> 01:45:44,663 WE RAISE UP THE VALUE OF LIVED 2963 01:45:44,663 --> 01:45:48,266 EXPERIENCES BECAUSE I THINK AS 2964 01:45:48,266 --> 01:45:50,235 RESEARCHERS, ESPECIALLY WE GET 2965 01:45:50,235 --> 01:45:53,838 STUCK IN OUR HEAD A LOT, AND 2966 01:45:53,838 --> 01:45:56,241 FAIL TO UNDERSTAND THE WHY OF 2967 01:45:56,241 --> 01:45:58,109 OUR WORK AND WHO IS IT FOR, WHO 2968 01:45:58,109 --> 01:46:01,179 IS GOING TO USE IT, AND I THINK 2969 01:46:01,179 --> 01:46:02,948 VERY IMPORTANTLY WE NEED TO STEP 2970 01:46:02,948 --> 01:46:07,185 AWAY FROM WHAT WE THINK WE KNOW 2971 01:46:07,185 --> 01:46:08,853 ABOUT THE COMMUNITIES, ABOUT THE 2972 01:46:08,853 --> 01:46:11,489 PEOPLE THAT WE SERVE, FREQUENTLY 2973 01:46:11,489 --> 01:46:14,359 LOOK INWARD WITH FRESH EYES, 2974 01:46:14,359 --> 01:46:15,660 PARTICULARLY WITH CULTURAL 2975 01:46:15,660 --> 01:46:18,597 HUMILITY, AND BE OPEN TO DATA 2976 01:46:18,597 --> 01:46:21,132 AND INFORMATION FROM WHAT ARE 2977 01:46:21,132 --> 01:46:22,334 CONSIDERED NON-TRADITIONAL 2978 01:46:22,334 --> 01:46:22,667 SOURCES. 2979 01:46:22,667 --> 01:46:25,403 AND, YOU KNOW, REDUCE OUR 2980 01:46:25,403 --> 01:46:30,442 RELIANCE ON WHAT WE CONSIDER 2981 01:46:30,442 --> 01:46:31,509 RELIABLE OR STEREOTYPICAL 2982 01:46:31,509 --> 01:46:32,377 INFORMATION. 2983 01:46:32,377 --> 01:46:36,414 SO THAT'S MY TWO CENTS FOR THIS 2984 01:46:36,414 --> 01:46:38,083 SESSION. 2985 01:46:38,083 --> 01:46:41,052 >> YEAH, I THINK WE HAVE TO 2986 01:46:41,052 --> 01:46:42,687 ACKNOWLEDGE THE GIANT SHOULDERS 2987 01:46:42,687 --> 01:46:45,323 WE STAND ON, JUST YESTERDAY WAS 2988 01:46:45,323 --> 01:46:48,360 THE OBITUARY OF PETER BUXTON, 2989 01:46:48,360 --> 01:46:51,329 PUBLIC HEALTH SERVICE 2990 01:46:51,329 --> 01:46:52,864 PROFESSIONAL AT THE CDC, WHO AS 2991 01:46:52,864 --> 01:46:54,633 THE PAPER SAID BLEW THE WHISTLE 2992 01:46:54,633 --> 01:47:00,405 ON THE U.S. PUBLIC HEALTH 2993 01:47:00,405 --> 01:47:02,507 SERVICE SYPHILIS STUDY AT 2994 01:47:02,507 --> 01:47:02,807 TUSKEGEE. 2995 01:47:02,807 --> 01:47:04,909 I POSTED TO LINKED IN. 2996 01:47:04,909 --> 01:47:06,211 SOMEONE SELD DON'T FORGET BILL 2997 01:47:06,211 --> 01:47:09,714 GENERAL SINCE, THE BLACK CDC 2998 01:47:09,714 --> 01:47:12,851 PERSON, INSIDE FIGHTING TO 2999 01:47:12,851 --> 01:47:15,220 EXPOSE THE ATROCITIES OF THE 3000 01:47:15,220 --> 01:47:16,855 TUSKEGEE STUDIES, ALSO PASSED 3001 01:47:16,855 --> 01:47:17,289 AWAY. 3002 01:47:17,289 --> 01:47:18,790 WE STAND ON THEIR SHOULDERS. 3003 01:47:18,790 --> 01:47:21,893 WE MUST LOOK IN THE MIRROR, 3004 01:47:21,893 --> 01:47:26,598 BROTHERS AND SISTERS, AND 3005 01:47:26,598 --> 01:47:27,365 RECOGNIZE THERE'S BOTH DANGER 3006 01:47:27,365 --> 01:47:28,466 AND OPPORTUNITY. 3007 01:47:28,466 --> 01:47:32,537 THE DANGER TO ASSUME CHANGES IF 3008 01:47:32,537 --> 01:47:33,638 THEY VENTS HAPPENED IMMEDIATELY 3009 01:47:33,638 --> 01:47:35,473 BECAUSE THERE'S SOMETHING WRONG 3010 01:47:35,473 --> 01:47:36,908 WITH THE COMMUNITY. 3011 01:47:36,908 --> 01:47:40,612 THINKING THERE'S SOMETHING WRONG 3012 01:47:40,612 --> 01:47:44,215 WITH BEING UNDERREPRESENTED, 3013 01:47:44,215 --> 01:47:44,783 DISENFRANCHISED, SOMETHING 3014 01:47:44,783 --> 01:47:45,750 INNATELY WRONG WITH THEM. 3015 01:47:45,750 --> 01:47:46,951 WE REJECT THAT. 3016 01:47:46,951 --> 01:47:48,720 THE OPPORTUNITY IS TO STREET 3017 01:47:48,720 --> 01:47:50,488 THIS AS A DISASTER, CATASTROPHE, 3018 01:47:50,488 --> 01:47:53,558 MEET IT AS OTHER DISASTERS AND 3019 01:47:53,558 --> 01:47:55,160 CATASTROPHES ARE MET, WITH 3020 01:47:55,160 --> 01:47:56,161 ADEQUATE RESOURCES. 3021 01:47:56,161 --> 01:47:57,796 DON'T YOU REMEMBER WARP SPEED? 3022 01:47:57,796 --> 01:47:59,798 IT WAS A MIRACLE, TO GET A 3023 01:47:59,798 --> 01:48:01,199 LIFE-SAVING VACCINE IN RECORD 3024 01:48:01,199 --> 01:48:01,633 TIME. 3025 01:48:01,633 --> 01:48:02,634 WARP SPEED. 3026 01:48:02,634 --> 01:48:05,370 WE WANT QUANTUM SPEED FOR THE 3027 01:48:05,370 --> 01:48:05,737 COMMUNITY. 3028 01:48:05,737 --> 01:48:07,639 THEY REMOVED ALL THE BARRIERS 3029 01:48:07,639 --> 01:48:09,974 FOR THE COMPANIES TO GET THAT 3030 01:48:09,974 --> 01:48:10,275 VACCINE. 3031 01:48:10,275 --> 01:48:13,878 LET'S REMOVE ALL THE BARRIERS 3032 01:48:13,878 --> 01:48:16,848 AND COME TOGETHER AROUND 3033 01:48:16,848 --> 01:48:18,717 AUTHENTIC COMMUNITY ENGAGEMENT 3034 01:48:18,717 --> 01:48:20,685 THAT LEADS TO COMMITMENT AND 3035 01:48:20,685 --> 01:48:27,692 ULTIMATELY HEALTH EQUITY. 3036 01:48:27,692 --> 01:48:35,900 >> I WILL CLOSE WITH SAYING THAT 3037 01:48:35,900 --> 01:48:38,103 WE DO NEED AUTHENTIC COMMUNITY 3038 01:48:38,103 --> 01:48:39,604 PARTNERS, AS INDIVIDUALS ARE 3039 01:48:39,604 --> 01:48:39,871 AUTHENTIC. 3040 01:48:39,871 --> 01:48:41,139 THAT MEANS BEING WHO WE ARE, 3041 01:48:41,139 --> 01:48:43,108 EXACTLY WHO WE ARE, RIGHT? 3042 01:48:43,108 --> 01:48:44,409 NOT, YOU KNOW, TRYING TO PUT ON 3043 01:48:44,409 --> 01:48:47,379 A MASK BECAUSE MANY OF US SHOW 3044 01:48:47,379 --> 01:48:49,581 UP WITH MASKS, AND BECAUSE WE 3045 01:48:49,581 --> 01:48:52,384 JUST HAVE BEEN CONDITIONED TO DO 3046 01:48:52,384 --> 01:48:52,584 THAT. 3047 01:48:52,584 --> 01:48:53,852 AND BEING AUTHENTICALLY WHO YOU 3048 01:48:53,852 --> 01:48:57,222 ARE WILL AUTOMATICALLY LEAD TO 3049 01:48:57,222 --> 01:48:58,089 AUTHENTIC COMMUNITY 3050 01:48:58,089 --> 01:48:59,591 PARTNERSHIPS. 3051 01:48:59,591 --> 01:49:00,925 AND I THINK, AGAIN, THAT, YOU 3052 01:49:00,925 --> 01:49:02,827 KNOW, MY MINISTRY RIGHT NOW IS 3053 01:49:02,827 --> 01:49:04,295 JUST HEALING. 3054 01:49:04,295 --> 01:49:05,430 IT'S THE DEEP-ROOTED WORK. 3055 01:49:05,430 --> 01:49:07,966 YOU KNOW, I THINK WE HAVE A LOT 3056 01:49:07,966 --> 01:49:11,002 OF RESOURCES IN TERMS OF DEALING 3057 01:49:11,002 --> 01:49:12,771 WITH IMMEDIATE NEEDS, SURFACE 3058 01:49:12,771 --> 01:49:15,306 LEVEL NEEDS, AND I THINK THERE'S 3059 01:49:15,306 --> 01:49:16,374 NOT BEEN ENOUGH ATTENTION TO THE 3060 01:49:16,374 --> 01:49:18,243 DEEP HEALING WORK THAT NEEDS TO 3061 01:49:18,243 --> 01:49:19,644 OCCUR WITHIN EACH AND EVERY ONE 3062 01:49:19,644 --> 01:49:22,080 OF US, AND THAT'S WHY I LOVE 3063 01:49:22,080 --> 01:49:22,380 HEALING. 3064 01:49:22,380 --> 01:49:24,249 I LOVE TALKING ABOUT HEALING 3065 01:49:24,249 --> 01:49:25,383 BECAUSE IT'S THE ONE INCLUSIVE 3066 01:49:25,383 --> 01:49:28,119 THING, THE ONE THING THAT 3067 01:49:28,119 --> 01:49:29,287 EVERYONE NEEDS, NO ONE IS EXEMPT 3068 01:49:29,287 --> 01:49:29,988 FROM IT. 3069 01:49:29,988 --> 01:49:34,025 IT DOESN'T ALLOW US TO "OTHER" 3070 01:49:34,025 --> 01:49:34,259 PEOPLE. 3071 01:49:34,259 --> 01:49:36,428 IT ALLOWS US TO SAY WE'RE IN 3072 01:49:36,428 --> 01:49:36,961 THIS. 3073 01:49:36,961 --> 01:49:38,630 THESE ARE OUR ISSUES. 3074 01:49:38,630 --> 01:49:42,333 AND IN ORDER FOR US TO EFFECT 3075 01:49:42,333 --> 01:49:43,735 REAL CHANGE AND TRANSFORMATION 3076 01:49:43,735 --> 01:49:45,603 THE SUCCESS OF THAT 3077 01:49:45,603 --> 01:49:46,805 TRANSFORMATION WITHIN OUR 3078 01:49:46,805 --> 01:49:48,339 COMMUNITIES, THEN WE HAVE TO DO 3079 01:49:48,339 --> 01:49:51,409 IT ON AN INDIVIDUAL LEVEL, THAT 3080 01:49:51,409 --> 01:49:53,912 THEN WILL PROJECT ON OUT INTO 3081 01:49:53,912 --> 01:49:55,013 THE COMMUNITY AND I'LL JUST 3082 01:49:55,013 --> 01:49:56,648 LEAVE WITH THE LAST PIECE, WHEN 3083 01:49:56,648 --> 01:49:59,184 I FIRST STARTED ON THIS 3084 01:49:59,184 --> 01:50:00,185 INITIATIVE AROUND INFANT 3085 01:50:00,185 --> 01:50:01,719 MORTALITY TEN YEARS AGO, THE 3086 01:50:01,719 --> 01:50:05,690 INITIATIVE WE DECIDED TO CALL 3087 01:50:05,690 --> 01:50:07,025 IT, AND HOW ARE THE CHILDREN, 3088 01:50:07,025 --> 01:50:14,799 AND THAT CAME FROM THE TRIBE IN 3089 01:50:14,799 --> 01:50:15,700 AFRICA, THE MASASI TRIBE, 3090 01:50:15,700 --> 01:50:16,801 INSTEAD OF SAYING HELLO THEY 3091 01:50:16,801 --> 01:50:19,204 SAY, AND HOW ARE THE CHILDREN? 3092 01:50:19,204 --> 01:50:20,839 I STILL USE THAT BECAUSE IF WE 3093 01:50:20,839 --> 01:50:23,475 ASK EACH OTHER THAT ON A DAILY 3094 01:50:23,475 --> 01:50:24,809 BASIS, HOW ARE THE CHILDREN, 3095 01:50:24,809 --> 01:50:26,444 THAT WILL KEEP US HONEST. 3096 01:50:26,444 --> 01:50:28,179 BECAUSE IF YOU ASKED ME TODAY I 3097 01:50:28,179 --> 01:50:32,383 WOULD SAY THE CHILDREN ARE DOING 3098 01:50:32,383 --> 01:50:36,321 TERRIBLE, RIGHT? 3099 01:50:36,321 --> 01:50:37,088 LEAD POISONING, INFANT 3100 01:50:37,088 --> 01:50:38,389 MORTALITY, EDUCATION, AND WE 3101 01:50:38,389 --> 01:50:39,691 HAVE A PROBLEM BEING HONEST, 3102 01:50:39,691 --> 01:50:41,392 BECAUSE THAT MEANS WE HAVE TO 3103 01:50:41,392 --> 01:50:42,227 REFLECT ON OURSELVES, SOMETHING 3104 01:50:42,227 --> 01:50:43,695 WE DON'T LIKE DOING. 3105 01:50:43,695 --> 01:50:45,897 WE LIKE TO REFLECT ON OTHER 3106 01:50:45,897 --> 01:50:47,098 PEOPLE, NOT OURSELVES. 3107 01:50:47,098 --> 01:50:49,634 THAT'S A HUMAN THING, RIGHT? 3108 01:50:49,634 --> 01:50:51,636 BUT I THINK IF WE REALLY WANT TO 3109 01:50:51,636 --> 01:50:57,709 SEE A HEALTHY UNITED STATES, 3110 01:50:57,709 --> 01:50:59,811 HEALTHY PEOPLE 2030, HONESTY AND 3111 01:50:59,811 --> 01:51:00,578 AUTHENTICITY IS REQUIRED. 3112 01:51:00,578 --> 01:51:02,547 IT'S GOING TO TAKE THE NECESSARY 3113 01:51:02,547 --> 01:51:04,516 WORK ON THE DEEP LEVEL, ALSO 3114 01:51:04,516 --> 01:51:07,018 CONTINUING TO DO THE WORK ON A 3115 01:51:07,018 --> 01:51:10,121 SURFACE LEVEL FOR US TO ACHIEVE 3116 01:51:10,121 --> 01:51:13,825 THAT GOAL AND I COULD BE CRAZY 3117 01:51:13,825 --> 01:51:15,894 BUT I'M CRAZILY OPTIMISTIC, WE 3118 01:51:15,894 --> 01:51:16,761 CAN DO IT. 3119 01:51:16,761 --> 01:51:18,763 I THINK WE CAN REALLY 3120 01:51:18,763 --> 01:51:19,531 TRANSFORMED OUR COMMUNITIES, 3121 01:51:19,531 --> 01:51:21,466 THAT'S WHY I'M SO COMMITTED 3122 01:51:21,466 --> 01:51:24,202 STILL TO THIS WORK, EVEN AFTER 3123 01:51:24,202 --> 01:51:27,171 LEAVING THE NON-PROFIT SECTOR 3124 01:51:27,171 --> 01:51:28,740 BECAUSE I NEEDED TO UNDERSTAND 3125 01:51:28,740 --> 01:51:31,009 WHY THIS IS HAPPENING ARE TO OUR 3126 01:51:31,009 --> 01:51:33,177 BABIES AND TO US AS A CULTURE. 3127 01:51:33,177 --> 01:51:35,046 AND WHY THESE THINGS ARE 3128 01:51:35,046 --> 01:51:36,781 HAPPENING TO US AS A COMMUNITY. 3129 01:51:36,781 --> 01:51:41,953 SO I'M GOING TO CLOSE WITH OUR 3130 01:51:41,953 --> 01:51:43,154 NEED OF HEALING ON INDIVIDUAL 3131 01:51:43,154 --> 01:51:43,454 LEVEL. 3132 01:51:43,454 --> 01:51:45,456 WE THINK WE CAN COME TO WORK 3133 01:51:45,456 --> 01:51:46,724 WITHOUT BRINGING OUR PERSONAL 3134 01:51:46,724 --> 01:51:47,959 LIVES, BUT THAT'S NOT TRUE. 3135 01:51:47,959 --> 01:51:50,361 WE ARE WHO WE ARE WHEREVER WE 3136 01:51:50,361 --> 01:51:51,029 GO. 3137 01:51:51,029 --> 01:51:55,633 AND WE HAVE WORK TO DO. 3138 01:51:55,633 --> 01:51:56,100 3139 01:51:56,100 --> 01:51:57,602 >> WOW, MS. FARMER, WE SNAP. 3140 01:51:57,602 --> 01:52:00,104 LET'S SNAP THE COMMUNITY OUT 3141 01:52:00,104 --> 01:52:01,673 THERE, PEOPLE. 3142 01:52:01,673 --> 01:52:06,444 THE BARBERS, STYLISTS, SNAP THEM 3143 01:52:06,444 --> 01:52:06,611 UP. 3144 01:52:06,611 --> 01:52:08,980 THE TROY STANTON OF THE WORLD, 3145 01:52:08,980 --> 01:52:09,948 GROUPS HAVE SUSTAINED THEMSELVES 3146 01:52:09,948 --> 01:52:12,150 IN SPITE OF BARRIERS, WE NEED 3147 01:52:12,150 --> 01:52:13,685 CASE STUDIES OF THEIR WORK. 3148 01:52:13,685 --> 01:52:15,653 THANK YOU SO MUCH. 3149 01:52:15,653 --> 01:52:15,920 >> OKAY. 3150 01:52:15,920 --> 01:52:18,156 SO I HATE TO STOP THE 3151 01:52:18,156 --> 01:52:19,791 CONVERSATION BUT WE HAVE TO DO 3152 01:52:19,791 --> 01:52:23,661 THAT BECAUSE SUPPOSED TO TAKE A 3153 01:52:23,661 --> 01:52:28,800 BREAK AND COME BACK AT 12:10. 3154 01:52:28,800 --> 01:52:33,271 THANK YOU SO MUCH. 3155 01:52:33,271 --> 01:52:35,373 I MEAN THAT AUTHENTICALLY, FOR 3156 01:52:35,373 --> 01:52:37,008 PARTICIPATING IN THIS PANEL, 3157 01:52:37,008 --> 01:52:38,743 ENERGIZING FOR ME PERSONALLY AND 3158 01:52:38,743 --> 01:52:39,744 HOPEFULLY FOR THE AUDIENCE. 3159 01:52:39,744 --> 01:52:40,511 THANK YOU ALL. 3160 01:52:40,511 --> 01:52:46,039 WE'LL SEE YOU BACK AT 12:10. 3161 01:52:46,039 --> 01:52:48,474 >> WELCOME BACK, I'M DR. VANESSA 3162 01:52:48,474 --> 01:52:50,576 MARSHAL, A PROGRAM OFFICER AT 3163 01:52:50,576 --> 01:52:51,311 THE NATIONAL INSTITUTE OF 3164 01:52:51,311 --> 01:52:55,248 MINORITY HEALTH AND HEALTH 3165 01:52:55,248 --> 01:52:55,548 DISPARITIES. 3166 01:52:55,548 --> 01:53:00,153 I'M THE MODERATOR FOR BEST 3167 01:53:00,153 --> 01:53:01,087 PRACTICES, GAPS, OPPORTUNITIES, 3168 01:53:01,087 --> 01:53:05,091 INTERVENTION RESEARCH ADDRESSIG 3169 01:53:05,091 --> 01:53:06,025 STRUCTURAL RACISM AND HEALTH 3170 01:53:06,025 --> 01:53:07,226 DISPARITIES, HONOR TO INTRODUCE 3171 01:53:07,226 --> 01:53:08,094 THE SPEAKERS. 3172 01:53:08,094 --> 01:53:13,032 VIEW THEIR FULL BIOS ON THE 3173 01:53:13,032 --> 01:53:14,567 WORKSHOP WEBSITE AGENDA. 3174 01:53:14,567 --> 01:53:19,038 FIRST IS DR. MICHELLE MORSE, 3175 01:53:19,038 --> 01:53:20,106 CHIEF MEDICAL CENTER, EXECUTIVE 3176 01:53:20,106 --> 01:53:21,774 DEPUTY COMMISSION NEW YORK CITY 3177 01:53:21,774 --> 01:53:22,976 DEPARTMENT OF HEALTH AND MENTAL 3178 01:53:22,976 --> 01:53:25,178 EYE GENE. 3179 01:53:25,178 --> 01:53:27,213 DR. DEREK GRIFFITH, FOUNDING 3180 01:53:27,213 --> 01:53:29,115 CO-DIRECTOR OF THE RACIAL 3181 01:53:29,115 --> 01:53:30,483 JUSTICE INSTITUTE, FOUNDER AND 3182 01:53:30,483 --> 01:53:32,952 DIRECTOR OF THE CENTER FOR MEN'S 3183 01:53:32,952 --> 01:53:34,253 HEALTH EQUITY, PROFESSOR OF 3184 01:53:34,253 --> 01:53:37,757 HEALTH MANAGEMENT AND POLICY AT 3185 01:53:37,757 --> 01:53:39,292 GEORGETOWN UNIVERSITY. 3186 01:53:39,292 --> 01:53:42,061 DR. RUTH SHIM, LUKE AND GRACE 3187 01:53:42,061 --> 01:53:44,030 KIM PROFESSOR IN CULTURAL 3188 01:53:44,030 --> 01:53:46,599 PSYCHIATRY, PROFESSOR OF 3189 01:53:46,599 --> 01:53:47,400 CLINICAL PSYCHIATRY, DEPARTMENT 3190 01:53:47,400 --> 01:53:50,570 OF PSYCHIATRY AND BEHAVIORAL 3191 01:53:50,570 --> 01:53:52,105 SCIENCES, UNIVERSITY OF 3192 01:53:52,105 --> 01:53:53,439 CALIFORNIA IN DAVIS, ALSO 3193 01:53:53,439 --> 01:53:57,176 ASSOCIATE DEAN OF DIVERSE AND 3194 01:53:57,176 --> 01:53:59,479 INCLUSIVE EDUCATION AT THE 3195 01:53:59,479 --> 01:54:01,447 UNIVERSITY OF CALIFORNIA DAVIS 3196 01:54:01,447 --> 01:54:08,121 SCHOOL OF MEDICINE. 3197 01:54:08,121 --> 01:54:10,823 MS. ADDIE ROLNICK, PROFESSOR OF 3198 01:54:10,823 --> 01:54:14,627 LAW, BOYD SCHOOL OF LAW, 3199 01:54:14,627 --> 01:54:16,629 UNIVERSITY OF NEVADA, LAS VEGAS. 3200 01:54:16,629 --> 01:54:19,799 PLEASE USE THE SLIDO TO SUBMIT 3201 01:54:19,799 --> 01:54:20,166 YOUR QUESTIONS. 3202 01:54:20,166 --> 01:54:23,536 AND WE LIKE TO BEGIN WITH THE 3203 01:54:23,536 --> 01:54:28,674 FIRST SPEAKER, DR. MICHELLE 3204 01:54:28,674 --> 01:54:30,209 MORSE. 3205 01:54:30,209 --> 01:54:31,577 >> THANKS, DR. MARSHALL, FOR THE 3206 01:54:31,577 --> 01:54:33,312 KIND INTRODUCTION, HONORED TO BE 3207 01:54:33,312 --> 01:54:36,049 AMONGST A DISTINGUISHED PANEL 3208 01:54:36,049 --> 01:54:37,683 AND SPEAK ABOUT OUR ANALYSIS AND 3209 01:54:37,683 --> 01:54:39,852 WORK IN NEW YORK CITY, AS 3210 01:54:39,852 --> 01:54:42,155 RELATES TO THIS VERY, VERY BIG 3211 01:54:42,155 --> 01:54:43,923 AND OPEN QUESTION, WAS THE 3212 01:54:43,923 --> 01:54:45,758 PANDEMIC A PORTAL TO HEALTH 3213 01:54:45,758 --> 01:54:48,728 JUSTICE, PROGRESS, BACKLASH IN 3214 01:54:48,728 --> 01:54:51,330 OUR CURRENT MOMENT. 3215 01:54:51,330 --> 01:54:52,799 I'M AN INTERNAL MEDICINE DOCTOR 3216 01:54:52,799 --> 01:54:54,233 BY TRAINING, PRACTICE AT KING'S 3217 01:54:54,233 --> 01:54:55,401 COUNTY HOSPITAL, A LOT OF WHAT I 3218 01:54:55,401 --> 01:54:57,236 SPEAK ABOUT TODAY IS INFORMED BY 3219 01:54:57,236 --> 01:54:59,205 MY EXPERIENCES IN THE FRONT LINE 3220 01:54:59,205 --> 01:55:00,773 CLINICIAN WORKING IN A SAFETY 3221 01:55:00,773 --> 01:55:04,444 NET INSTITUTION IN NEW YORK 3222 01:55:04,444 --> 01:55:04,677 CITY. 3223 01:55:04,677 --> 01:55:05,678 LET'S JUMP RIGHT IN. 3224 01:55:05,678 --> 01:55:08,748 I'M GOING TO TRY MY BEST TO 3225 01:55:08,748 --> 01:55:11,150 SPEAK QUICKLY BUT ALSO CLEARLY. 3226 01:55:11,150 --> 01:55:12,819 I DO HAVE A PRETTY AMBITIOUS 3227 01:55:12,819 --> 01:55:15,621 LIST OF THINGS TO TALK ABOUT BUT 3228 01:55:15,621 --> 01:55:18,357 I ALWAYS START BY GROUNDING 3229 01:55:18,357 --> 01:55:20,126 OURSELVES IN SOMETHING FROM A 3230 01:55:20,126 --> 01:55:25,364 LONG HISTORY AND RECENT HISTORY, 3231 01:55:25,364 --> 01:55:29,735 WE DUBOISE, PUBLISHED IN 1899, 3232 01:55:29,735 --> 01:55:31,471 PHILADELPHIA NEGRO, SEEKING TO 3233 01:55:31,471 --> 01:55:33,473 REALLY EXPLAIN WHY BLACK HEALTH 3234 01:55:33,473 --> 01:55:34,574 IN PHILADELPHIA WAS WORSE THAN 3235 01:55:34,574 --> 01:55:35,875 THE HEALTH OF EVERYONE ELSE, WHY 3236 01:55:35,875 --> 01:55:39,912 IT WAS NOT A BIOLOGICAL OR 3237 01:55:39,912 --> 01:55:40,847 GENETIC INFERIORITY ISSUE BUT 3238 01:55:40,847 --> 01:55:42,315 ONE OF SOCIAL CONDITIONS. 3239 01:55:42,315 --> 01:55:43,683 HE STATED THE MOST DIFFICULT 3240 01:55:43,683 --> 01:55:45,051 SOCIAL PROBLEM IN THE MATTER OF 3241 01:55:45,051 --> 01:55:46,486 NEGRO HEALTH IS THE PECULIAR 3242 01:55:46,486 --> 01:55:47,920 ATTITUDE OF THE NATION TOWARD 3243 01:55:47,920 --> 01:55:49,322 THE WELL-BEING OF THE RACE. 3244 01:55:49,322 --> 01:55:50,823 THERE HAVE BEEN FEW OTHER CASES 3245 01:55:50,823 --> 01:55:52,792 IN THE HISTORY OF CIVILIZED 3246 01:55:52,792 --> 01:55:53,993 PEOPLE WHERE HUMAN SUFFERING HAS 3247 01:55:53,993 --> 01:55:56,863 BEEN VIEWED WITH SUCH PECULIAR 3248 01:55:56,863 --> 01:55:58,998 INDIFFERENCE, AND MORE RECENTLY 3249 01:55:58,998 --> 01:56:02,969 IN JUNE OF 2020 AFTER THE MURDER 3250 01:56:02,969 --> 01:56:05,404 OF GEORGE FLOYD KEEANGA TAYLOR 3251 01:56:05,404 --> 01:56:06,806 SAID JUSTICE IS NOT NATURAL PART 3252 01:56:06,806 --> 01:56:08,107 OF THE LIFE CYCLE OF THE UNITED 3253 01:56:08,107 --> 01:56:09,775 STATES NOR A PRODUCT OF 3254 01:56:09,775 --> 01:56:11,177 EVOLUTION; IT'S ALWAYS THE 3255 01:56:11,177 --> 01:56:13,546 OUTCOME OF STRUGGLE. 3256 01:56:13,546 --> 01:56:14,380 INCREDIBLY HELPFUL OPPORTUNITIES 3257 01:56:14,380 --> 01:56:16,215 TO LOOK BACK, TO LOOK FORWARD, 3258 01:56:16,215 --> 01:56:17,216 PARTICULARLY IN THIS MOMENT, AND 3259 01:56:17,216 --> 01:56:18,951 TO HELP US ANSWER THAT QUESTION 3260 01:56:18,951 --> 01:56:20,620 OF WHETHER OR NOT THE PANDEMIC 3261 01:56:20,620 --> 01:56:23,556 HAS BEEN A PORTAL FOR US. 3262 01:56:23,556 --> 01:56:25,958 SO, LET'S TALK ABOUT THE SOCIAL 3263 01:56:25,958 --> 01:56:27,827 STRUCTURAL CONTEXT AND SOME CASE 3264 01:56:27,827 --> 01:56:29,695 STUDIES, EXAMPLES OF RACE 3265 01:56:29,695 --> 01:56:30,897 CONSCIOUS STRATEGIES THAT I'VE 3266 01:56:30,897 --> 01:56:33,499 BEEN INVOLVED IN, I WANT TO 3267 01:56:33,499 --> 01:56:34,000 HIGHLIGHT TODAY. 3268 01:56:34,000 --> 01:56:38,004 SO, THIS IS NO LONGER REALLY 3269 01:56:38,004 --> 01:56:38,971 NEEDED, PARTICULARLY AMONGST THE 3270 01:56:38,971 --> 01:56:41,707 AUDIENCE TODAY, BUT JUST A 3271 01:56:41,707 --> 01:56:42,375 REMINDER AGAIN PARTICULARLY FOR 3272 01:56:42,375 --> 01:56:44,443 THOSE WHO ARE TRAINED AS 3273 01:56:44,443 --> 01:56:45,711 PHYSICIANS SO MUCH OF OUR 3274 01:56:45,711 --> 01:56:48,181 TRAINING IS FOCUSED ON THE 3275 01:56:48,181 --> 01:56:56,689 BIOLOGICAL AND BEHAVIORAL, SO 3276 01:56:56,689 --> 01:56:56,956 SO 3277 01:56:56,956 --> 01:56:58,724 LITTLE ON STRUCTURAL AND SOCIAL. 3278 01:56:58,724 --> 01:57:01,327 IT'S EASY TO PERPETUATE THE 3279 01:57:01,327 --> 01:57:03,930 NARRATIVE OF INDIVIDUAL BEHAVIOR 3280 01:57:03,930 --> 01:57:05,798 CHANGE AS THE SOLUTION,S OR, YOU 3281 01:57:05,798 --> 01:57:07,633 KNOW, IN SOME CASES EVEN GOING 3282 01:57:07,633 --> 01:57:09,635 AS FAR AS TO BLAME THE VICTIM 3283 01:57:09,635 --> 01:57:11,604 WITHOUT RECOGNIZING THE WAY 3284 01:57:11,604 --> 01:57:13,573 STRUCTURES AND SOCIAL DECISIONS 3285 01:57:13,573 --> 01:57:15,808 AND CULTURE ACTUALLY SHAPE THE 3286 01:57:15,808 --> 01:57:20,446 CHOICES THAT ALL OF US MAKE, AND 3287 01:57:20,446 --> 01:57:21,414 THE PATTERNS, RACIALIZED 3288 01:57:21,414 --> 01:57:22,448 PATTERNS OF CHOICES AS WELL. 3289 01:57:22,448 --> 01:57:23,849 WITH THAT IN MIND RIGHT IN FRONT 3290 01:57:23,849 --> 01:57:26,919 OF OUR FACES IS ONE OF THE MOST 3291 01:57:26,919 --> 01:57:29,755 GLARING RACIAL INEQUITIES AND 3292 01:57:29,755 --> 01:57:31,424 INJUSTICES I HEAR IN NEW YORK 3293 01:57:31,424 --> 01:57:32,058 CITY. 3294 01:57:32,058 --> 01:57:32,625 RACIAL HEALTH INEQUITIES 3295 01:57:32,625 --> 01:57:33,993 UNFORTUNATELY HAVE NOT IMPROVED 3296 01:57:33,993 --> 01:57:35,695 OVER TIME IN NEW YORK CITY. 3297 01:57:35,695 --> 01:57:37,530 WHAT YOU SEE HERE IS DEATHS 3298 01:57:37,530 --> 01:57:40,399 BEFORE THE AGE OF 65, HOW WE 3299 01:57:40,399 --> 01:57:41,167 DEFINE PREMATURE MORTALITY, IN 3300 01:57:41,167 --> 01:57:43,236 THE NEW YORK CITY HEALTH 3301 01:57:43,236 --> 01:57:43,569 DEPARTMENT. 3302 01:57:43,569 --> 01:57:46,405 LONG BEFORE THE PANDEMIC IN 3303 01:57:46,405 --> 01:57:46,639 2020. 3304 01:57:46,639 --> 01:57:48,841 THE LIFE EXPECTANCY AS WELL AS 3305 01:57:48,841 --> 01:57:50,576 PREMATURE MORTALITY RATE FOR 3306 01:57:50,576 --> 01:57:51,677 BLACK NEW YORKERS WAS 3307 01:57:51,677 --> 01:57:54,513 SIGNIFICANTLY HIGHER THAN ALL 3308 01:57:54,513 --> 01:57:56,482 OTHER RACIAL AND ETHNIC GROUPS. 3309 01:57:56,482 --> 01:57:57,083 UNFORTUNATELY THAT CONTINUED. 3310 01:57:57,083 --> 01:57:59,752 WE NEED TO BE ABLE TO UNDERSTAND 3311 01:57:59,752 --> 01:58:01,621 AND ARTICULATE WHY. 3312 01:58:01,621 --> 01:58:08,094 AGAIN, DO WHAT DEBOIS WAS TRYING 3313 01:58:08,094 --> 01:58:12,798 TO DO, THIS IS NOT ABOUT 3314 01:58:12,798 --> 01:58:14,433 GENETICS, BIOLOGY, IT'S ON 3315 01:58:14,433 --> 01:58:15,735 STRUCTURE AND SYSTEMIC RACISM. 3316 01:58:15,735 --> 01:58:18,704 CRITICAL RACE THEORY IS ONE OF 3317 01:58:18,704 --> 01:58:21,107 THE FRAMEWORKS HELPFUL IN OUR 3318 01:58:21,107 --> 01:58:22,875 ABILITY TO UNDERSTAND AND 3319 01:58:22,875 --> 01:58:24,277 EXPLAIN WHY THESE RACIALIZED 3320 01:58:24,277 --> 01:58:25,611 DIFFERENCES EXIST IN PREMATURE 3321 01:58:25,611 --> 01:58:27,980 MORTALITY AND IN SO MANY OTHER 3322 01:58:27,980 --> 01:58:28,314 AREAS. 3323 01:58:28,314 --> 01:58:30,516 I WANT TO JUST UNDERLINE SOCIAL 3324 01:58:30,516 --> 01:58:32,051 CONSTRUCTION OF RACE BEING ONE 3325 01:58:32,051 --> 01:58:33,152 OF THOSE TENETS THAT'S 3326 01:58:33,152 --> 01:58:33,919 PARTICULARLY HELPFUL FOR YOU 3327 01:58:33,919 --> 01:58:37,857 WILLS US IN THE MEDICAL SPACE, 3328 01:58:37,857 --> 01:58:45,831 WE SAY RACE IS SOCIALLY 3329 01:58:45,831 --> 01:58:46,832 CONSTRUCTED BUT ACTUALLY 3330 01:58:46,832 --> 01:58:49,235 OPERATIONALIZE THAT IN WAYS THAT 3331 01:58:49,235 --> 01:58:53,406 ARE DISJOINTED AND INCONSISTENT 3332 01:58:53,406 --> 01:58:54,807 ACROSS MEDICINE. 3333 01:58:54,807 --> 01:58:56,008 PUBLIC HEALTH CRITICAL RACE 3334 01:58:56,008 --> 01:58:58,844 PRACTICE DEVELOPEDDED BY DR. 3335 01:58:58,844 --> 01:59:01,914 FORD AND COLLINS IS ONE OF THE 3336 01:59:01,914 --> 01:59:03,115 FRAMEWORK HELPFUL HELPING US 3337 01:59:03,115 --> 01:59:05,418 UNDERSTAND WHY THESE RACIAL 3338 01:59:05,418 --> 01:59:06,085 INEQUITIES PERSIST. 3339 01:59:06,085 --> 01:59:09,055 IT ALLOWS US TO APPLY CRITICAL 3340 01:59:09,055 --> 01:59:10,556 RACE THEORY TO PUBLIC HEALTH AND 3341 01:59:10,556 --> 01:59:11,824 AGAIN ENGAGES US IN THIS 3342 01:59:11,824 --> 01:59:14,160 QUESTION OF HOW CAN WE GENERATE 3343 01:59:14,160 --> 01:59:18,230 KNOWLEDGE FROM OUTSIDE A 3344 01:59:18,230 --> 01:59:19,231 DISCIPLINE'S CORE KNOWLEDGE 3345 01:59:19,231 --> 01:59:19,532 BASE. 3346 01:59:19,532 --> 01:59:21,834 LET'S GET INTO SPECIFIC 3347 01:59:21,834 --> 01:59:22,101 EXAMPLES. 3348 01:59:22,101 --> 01:59:23,502 CHECK LISTS AND COLOR BLIND 3349 01:59:23,502 --> 01:59:24,704 APPROACHES ARE NEVER GOING TO 3350 01:59:24,704 --> 01:59:26,672 GET US TO RACIAL JUSTICE AND 3351 01:59:26,672 --> 01:59:31,043 RACIAL EQUITY IN HEALTH 3352 01:59:31,043 --> 01:59:31,711 OUTCOMES. 3353 01:59:31,711 --> 01:59:34,313 THE RECENTLY RELEASED REPORT 3354 01:59:34,313 --> 01:59:35,381 UPDATING UNEQUAL TREATMENT 3355 01:59:35,381 --> 01:59:38,250 TREATMENT DESCRIBES CLEARLY THE 3356 01:59:38,250 --> 01:59:40,119 INEQUITIES IN RACIAL HEALTH 3357 01:59:40,119 --> 01:59:43,756 OUTCOMES PERSIST DESPITE 20 3358 01:59:43,756 --> 01:59:44,857 YEARS OF US KNOWING THESE 3359 01:59:44,857 --> 01:59:45,858 INEQUITIES ARE A PROBLEM AND 3360 01:59:45,858 --> 01:59:47,793 SHOULD BE A PRIORITY. 3361 01:59:47,793 --> 01:59:49,795 AND YET AGAIN WHAT I'M PROPOSING 3362 01:59:49,795 --> 01:59:51,630 HERE AND WHAT MANY OF MY 3363 01:59:51,630 --> 01:59:52,631 COLLEAGUES HERE TODAY AND MANY 3364 01:59:52,631 --> 01:59:53,833 OTHER COLLEAGUES HAVE BEEN 3365 01:59:53,833 --> 01:59:55,267 PROPOSING FOR A LONG TIME OF 3366 01:59:55,267 --> 01:59:59,839 COURSE IS THAT RACE CONSCIOUS 3367 01:59:59,839 --> 02:00:00,639 STRATEGIES, NOT COLOR-BLIND 3368 02:00:00,639 --> 02:00:02,274 STRATEGIES, IS WHAT WE NEED TO 3369 02:00:02,274 --> 02:00:04,043 END RACIAL INEQUITIES IN HEALTH 3370 02:00:04,043 --> 02:00:04,610 OUTCOMES. 3371 02:00:04,610 --> 02:00:08,647 LET'S LOOK SPECIFICALLY FOR THE 3372 02:00:08,647 --> 02:00:09,482 PANDEMIC, MOST RECENT EMERGENCY. 3373 02:00:09,482 --> 02:00:12,351 THIS IS DATA FROM MAY OF 2020. 3374 02:00:12,351 --> 02:00:14,186 I'M SURE MANY OF YOU CAN THINK 3375 02:00:14,186 --> 02:00:15,721 BACK TO WHERE YOU WERE AND WHAT 3376 02:00:15,721 --> 02:00:17,223 YOU WERE DOING AT THAT PHASE OF 3377 02:00:17,223 --> 02:00:18,023 THE PANDEMIC. 3378 02:00:18,023 --> 02:00:19,892 IT WAS THE FIRST WAVE OF THE 3379 02:00:19,892 --> 02:00:21,861 PANDEMIC IN NEW YORK CITY 3380 02:00:21,861 --> 02:00:22,194 SPECIFICALLY. 3381 02:00:22,194 --> 02:00:23,729 AND THIS PATTERN WAS REPRODUCED 3382 02:00:23,729 --> 02:00:25,464 OVER AND OVER AGAIN BUT 3383 02:00:25,464 --> 02:00:28,200 SPECIFICALLY WHEN LOOKING AT 3384 02:00:28,200 --> 02:00:29,668 CASES, HOSPITALIZATIONS, AND 3385 02:00:29,668 --> 02:00:33,906 THEN DEATHS, IN NEW YORK CITY, 3386 02:00:33,906 --> 02:00:38,811 PARTICULARLY BLACK AND HISPANIC 3387 02:00:38,811 --> 02:00:39,912 PEOPLE SUFFERED 3388 02:00:39,912 --> 02:00:41,113 DISPROPORTIONATELY IMPACT IN 3389 02:00:41,113 --> 02:00:42,415 INFECTION, HOSPITALIZATION AND 3390 02:00:42,415 --> 02:00:42,615 DEATH. 3391 02:00:42,615 --> 02:00:44,150 THE CASE IS MANY PLACES. 3392 02:00:44,150 --> 02:00:45,684 WE DO NOT HAVE INDIGENOUS HEALTH 3393 02:00:45,684 --> 02:00:47,420 DATA AND YOU DON'T SEE THEM ON 3394 02:00:47,420 --> 02:00:49,488 THIS GROUP EVEN THOUGH NEW YORK 3395 02:00:49,488 --> 02:00:50,823 CITY HAS THE LARGEST INNER CITY 3396 02:00:50,823 --> 02:00:52,558 POPULATION OF INDIGENOUS PEOPLE 3397 02:00:52,558 --> 02:00:53,359 IN THE COUNTRY. 3398 02:00:53,359 --> 02:00:54,960 I WANT TO ACKNOWLEDGE THAT DATA 3399 02:00:54,960 --> 02:00:55,294 GAP. 3400 02:00:55,294 --> 02:00:57,062 AGAIN, THIS IS A REMINDER WHERE 3401 02:00:57,062 --> 02:01:00,433 WE WERE JUST FOUR YEARS AGO. 3402 02:01:00,433 --> 02:01:02,535 WITH THAT IN MIND OF COURSE WE 3403 02:01:02,535 --> 02:01:03,869 WERE LOOKING AT THE VACCINATION 3404 02:01:03,869 --> 02:01:05,471 INEQUITIES IN NEW YORK CITY. 3405 02:01:05,471 --> 02:01:07,106 THIS DATA IS FROM ABOUT SIX 3406 02:01:07,106 --> 02:01:08,841 MONTHS INTO THE VACCINATION 3407 02:01:08,841 --> 02:01:09,608 CAMPAIGN IN NEW YORK CITY. 3408 02:01:09,608 --> 02:01:13,012 THIS WOULD HAVE BEEN AROUND JUNE 3409 02:01:13,012 --> 02:01:14,447 OF 2021, THIS DATA IS 3410 02:01:14,447 --> 02:01:15,948 REPRESENTING, ON THE RIGHT YOU 3411 02:01:15,948 --> 02:01:16,949 SEE THE HEAT MAP VERSION. 3412 02:01:16,949 --> 02:01:19,485 ON THE LEFT YOU SEE THE RACIAL 3413 02:01:19,485 --> 02:01:20,786 AND ETHNIC BREAK DOWN OF THE 3414 02:01:20,786 --> 02:01:22,188 PEOPLE WHO HAD AT LEAST ONE DOSE 3415 02:01:22,188 --> 02:01:26,459 OF THE VACCINE AS OF JUNE 2021. 3416 02:01:26,459 --> 02:01:27,793 THIS IS EXACTLY WHY OUR HEALTH 3417 02:01:27,793 --> 02:01:28,994 STRATEGY IN THE CENTER FOR 3418 02:01:28,994 --> 02:01:30,229 HEALTH EQUITY AND COMMUNITY 3419 02:01:30,229 --> 02:01:31,297 WELLNESS IN THE NEW YORK CITY 3420 02:01:31,297 --> 02:01:33,933 HEALTH DEPARTMENT IS FOCUSED ON 3421 02:01:33,933 --> 02:01:35,468 RACE AND PLACE AS KEY DRIVERS 3422 02:01:35,468 --> 02:01:38,537 AND KEY AREAS OF FOCUS FOR 3423 02:01:38,537 --> 02:01:39,738 INTERVENTION, FOR ADVANCING 3424 02:01:39,738 --> 02:01:41,607 RACIAL EQUITY, AND FOR 3425 02:01:41,607 --> 02:01:44,009 ACKNOWLEDGING AND CHANGING THE 3426 02:01:44,009 --> 02:01:45,678 IMPACT OF STRUCTURAL RACISM. 3427 02:01:45,678 --> 02:01:47,446 WE DECIDED THAT OF COURSE OUR 3428 02:01:47,446 --> 02:01:49,415 ANALYSIS WAS THAT THE LOW BLACK 3429 02:01:49,415 --> 02:01:54,019 VACCINATION RATE WAS NOT DUE TO 3430 02:01:54,019 --> 02:01:55,421 FAILURES OR EVEN CHOICE. 3431 02:01:55,421 --> 02:01:58,491 BUT THAT A LOT OF IT WAS DUE TO 3432 02:01:58,491 --> 02:02:00,359 STRUCTURES AND HISTORY OF 3433 02:02:00,359 --> 02:02:01,560 UNTRUSTWORTHINESS OF PUBLIC 3434 02:02:01,560 --> 02:02:01,794 HEALTH. 3435 02:02:01,794 --> 02:02:03,729 WITH THAT IN MIND WE DEVELOPED 3436 02:02:03,729 --> 02:02:04,830 RACE CONSCIOUS INTERVENTION, THE 3437 02:02:04,830 --> 02:02:06,999 PUBLIC HEALTH CORPS. 3438 02:02:06,999 --> 02:02:09,969 THE IDEA WAS TO FUND AND DEPLOY 3439 02:02:09,969 --> 02:02:11,837 AND TRAIN COMMUNITY HEALTH 3440 02:02:11,837 --> 02:02:12,972 WORKERS EMBEDDED IN 3441 02:02:12,972 --> 02:02:15,007 COMMUNITY-BRACED ORGANIZATIONS 3442 02:02:15,007 --> 02:02:17,176 ALL ACROSS THE CITY, IN PRIOR 3443 02:02:17,176 --> 02:02:19,078 NEIGHBORHOODS WHERE MORE BLACK 3444 02:02:19,078 --> 02:02:21,013 AND LATINX PEOPLE LIVED AND IN 3445 02:02:21,013 --> 02:02:22,348 THE NEIGHBORHOODS YOU SAW ON THE 3446 02:02:22,348 --> 02:02:23,415 HEAT MAP WITH LOWER RATES OF 3447 02:02:23,415 --> 02:02:23,749 VACCINATION. 3448 02:02:23,749 --> 02:02:27,052 AND WE WERE ABLE TO DEMONSTRATE 3449 02:02:27,052 --> 02:02:27,920 SIGNIFICANT IMPROVEMENT IN 3450 02:02:27,920 --> 02:02:29,655 VACCINATION RATE BECAUSE OF THIS 3451 02:02:29,655 --> 02:02:30,956 INTERVENTION AS WELL AS SEVERAL 3452 02:02:30,956 --> 02:02:31,190 OTHERS. 3453 02:02:31,190 --> 02:02:33,492 AND WERE ABLE TO GET TO A POINT 3454 02:02:33,492 --> 02:02:34,527 EARLY IN THE VACCINATION 3455 02:02:34,527 --> 02:02:35,661 CAMPAIGN ABOUT A YEAR OUT FROM 3456 02:02:35,661 --> 02:02:39,565 THE START OF IT WHERE WE HAD 3457 02:02:39,565 --> 02:02:41,033 CLOSE TO EQUITY IN TERMS OF 3458 02:02:41,033 --> 02:02:42,568 VACCINATION RATES CITY WIDE AS 3459 02:02:42,568 --> 02:02:45,070 COMPARED TO THE NATIONS AGAIN 3460 02:02:45,070 --> 02:02:46,071 WITH LOWER VACCINATION RATES, 3461 02:02:46,071 --> 02:02:47,706 AND GOT THE BLACK VACCINATION 3462 02:02:47,706 --> 02:02:50,142 RATE TO BE ABOVE 80%. 3463 02:02:50,142 --> 02:02:52,645 ANOTHER EXAMPLE OF A 3464 02:02:52,645 --> 02:02:53,646 RACE-CONSCIOUS STRATEGY IS THE 3465 02:02:53,646 --> 02:02:57,049 USE OF THE BLACK RACE VARIABLE 3466 02:02:57,049 --> 02:03:01,320 IN THE KIDNEY FUNCTION 3467 02:03:01,320 --> 02:03:01,987 CALCULATOR, ESTIMATED GLOMERULAR 3468 02:03:01,987 --> 02:03:02,621 FILTRATION RATE. 3469 02:03:02,621 --> 02:03:05,891 YOU MAY BE AWARE OF THE EFFORTS 3470 02:03:05,891 --> 02:03:07,860 AROUND UNDERSTANDING WHY THE USE 3471 02:03:07,860 --> 02:03:09,261 OF BLACK RACE HAPPENED IN THE 3472 02:03:09,261 --> 02:03:10,229 FIRST PLACE IN THIS EQUATION AND 3473 02:03:10,229 --> 02:03:14,333 WHY IT NEEDED TO BE CHANGED. 3474 02:03:14,333 --> 02:03:15,534 THE ORIGINAL PUBLICATION IN 1999 3475 02:03:15,534 --> 02:03:20,873 IN THE ANNALS OF INTERNAL 3476 02:03:20,873 --> 02:03:21,507 MEDICINE INCLUDED BLACK MODIFIER 3477 02:03:21,507 --> 02:03:24,276 BECAUSE AT THE TIME THE 3478 02:03:24,276 --> 02:03:26,579 UNDERSTANDING WAS REGRESS MODEL 3479 02:03:26,579 --> 02:03:27,713 ALLOWED FOR BETTER PREDICTION 3480 02:03:27,713 --> 02:03:28,681 ESSENTIALLY OF WHAT KIDNEY 3481 02:03:28,681 --> 02:03:30,449 FUNCTION LOOKED LIKE WHEN THE 3482 02:03:30,449 --> 02:03:32,084 BLACK RACE VARIABLE WAS 3483 02:03:32,084 --> 02:03:32,351 INCLUDED. 3484 02:03:32,351 --> 02:03:34,620 HOWEVER, THE CHALLENGE OF COURSE 3485 02:03:34,620 --> 02:03:37,856 WAS THAT THERE WERE ONLY 197 3486 02:03:37,856 --> 02:03:39,425 PEOPLE WHO WERE IDENTIFIED AS 3487 02:03:39,425 --> 02:03:41,727 BLACK IN THAT ORIGINAL STUDY, 3488 02:03:41,727 --> 02:03:44,129 AND ETHNICITY WAS ASSIGNED BY 3489 02:03:44,129 --> 02:03:45,564 THE STUDY PERSONNEL, NOT 3490 02:03:45,564 --> 02:03:47,199 SELF-IDENTIFIED RACE, PART OF 3491 02:03:47,199 --> 02:03:48,300 THE WAY THEY EXPLAINED THE 3492 02:03:48,300 --> 02:03:50,369 INCLUSION OF THE BLACK RACE 3493 02:03:50,369 --> 02:03:51,670 VARIABLE IN THIS EQUATION WAS 3494 02:03:51,670 --> 02:03:53,539 THE THEORY THAT BLACK PEOPLE HAD 3495 02:03:53,539 --> 02:03:55,307 GREATER MUSCLE MASS AND THEY 3496 02:03:55,307 --> 02:03:58,010 CITED THREE STUDIES IN THAT 3497 02:03:58,010 --> 02:03:59,378 ORIGINAL PUBLICATION. 3498 02:03:59,378 --> 02:04:02,247 ALL OF WHICH WERE SMALL STUDIES, 3499 02:04:02,247 --> 02:04:03,716 SOMEWHAT POORLY CONDUCTED, OF 3500 02:04:03,716 --> 02:04:06,352 COURSE WERE NOT -- ARE NOT WHAT 3501 02:04:06,352 --> 02:04:09,254 WE CONSIDER RIGOROUS SCIENCE. 3502 02:04:09,254 --> 02:04:11,857 AND MANY STUDENTS IN PARTICULAR, 3503 02:04:11,857 --> 02:04:14,293 MEDICAL STUDENTS AND TRAINEES, 3504 02:04:14,293 --> 02:04:15,461 HAVE ADVOCATED ON A NATIONAL 3505 02:04:15,461 --> 02:04:18,864 SCALE OVER THE PAST 7 TO 8 YEARS 3506 02:04:18,864 --> 02:04:20,165 TO CHANGE THIS EQUATION. 3507 02:04:20,165 --> 02:04:22,568 AND AS WE ALREADY KNOW, THERE 3508 02:04:22,568 --> 02:04:23,235 ARE SIGNIFICANT RACIAL 3509 02:04:23,235 --> 02:04:24,870 INEQUITIES IN THE INCIDENCE AND 3510 02:04:24,870 --> 02:04:25,838 PREVALENCE OF CHRONIC KIDNEY 3511 02:04:25,838 --> 02:04:28,807 DISEASE WITH BLACK PEOPLE HAVING 3512 02:04:28,807 --> 02:04:31,310 MUCH HIGHER RATES, BUT 3513 02:04:31,310 --> 02:04:32,578 INTERESTINGLY SIMILAR RATES OF 3514 02:04:32,578 --> 02:04:34,613 PREVALENCE OF STAGE 1 AND 2 3515 02:04:34,613 --> 02:04:36,248 CHRONIC KIDNEY DISEASE BUT THEN 3516 02:04:36,248 --> 02:04:37,783 SIGNIFICANTLY HIGHER RATES OF 3517 02:04:37,783 --> 02:04:39,551 END STAGE RENAL DISEASE, PART OF 3518 02:04:39,551 --> 02:04:41,620 THAT OF COURSE IS SOCIAL AND 3519 02:04:41,620 --> 02:04:42,087 STRUCTURAL. 3520 02:04:42,087 --> 02:04:45,324 PART IS VERY LIKELY THIS BLACK 3521 02:04:45,324 --> 02:04:46,492 RACE MODIFIER WAS DELAYING 3522 02:04:46,492 --> 02:04:50,162 REFERRAL FOR EVALUATION BY A 3523 02:04:50,162 --> 02:04:51,463 KIDNEY SPECIALIST, CERTAINLY 3524 02:04:51,463 --> 02:04:55,167 DELAYING FOR KIDNEY TRANSPLANT 3525 02:04:55,167 --> 02:04:58,804 EVALUATION AND LISTING ON THE 3526 02:04:58,804 --> 02:05:00,005 KIDNEY TRANSPLANT LIST BECAUSE 3527 02:05:00,005 --> 02:05:04,710 BLACK RACE MODIFIER MADE BLACK 3528 02:05:04,710 --> 02:05:06,111 PEOPLE'S KIDNEYS LOOK HEALTHIER 3529 02:05:06,111 --> 02:05:08,414 CAN THE SAME MEASURED VALUE OF 3530 02:05:08,414 --> 02:05:09,848 CREATININE. 3531 02:05:09,848 --> 02:05:10,716 THAT CONTRIBUTED TOWARDS THOSE 3532 02:05:10,716 --> 02:05:12,051 INEQUITIES IN CHRONIC KIDNEY 3533 02:05:12,051 --> 02:05:13,686 DISEASE, END STAGE RENAL 3534 02:05:13,686 --> 02:05:14,019 DISEASE. 3535 02:05:14,019 --> 02:05:16,288 A NEW EQUATION WAS DEVELOPED, 3536 02:05:16,288 --> 02:05:17,690 AND PUBLISHED, IN THE NEW 3537 02:05:17,690 --> 02:05:20,259 ENGLAND JOURNAL IN 2022. 3538 02:05:20,259 --> 02:05:21,794 AND, EXCUSE ME, 2021, THAT 3539 02:05:21,794 --> 02:05:23,996 EQUATION DOES NOT USE THE BLACK 3540 02:05:23,996 --> 02:05:26,165 RACE MODIFIER, JUST AS ACCURATE 3541 02:05:26,165 --> 02:05:27,900 IN TERMS OF PREDICTING THE 3542 02:05:27,900 --> 02:05:30,235 ACTUAL HEALTH AND STATUS OF 3543 02:05:30,235 --> 02:05:31,870 KIDNEY FUNCTION, AND, AGAIN, IS 3544 02:05:31,870 --> 02:05:34,173 MUCH MORE ALIGNED WITH A SOCIAL 3545 02:05:34,173 --> 02:05:35,574 POLITICAL DEFINITION OF RACE, 3546 02:05:35,574 --> 02:05:37,342 RATHER THAN A BIOLOGICAL 3547 02:05:37,342 --> 02:05:38,544 DEFINITION OF RACE. 3548 02:05:38,544 --> 02:05:39,745 AND THEN WHAT WE'VE BEEN DOING 3549 02:05:39,745 --> 02:05:42,114 IN NEW YORK CITY ABOUT THIS 3550 02:05:42,114 --> 02:05:43,982 TOPIC IS TRYING TO BRIDGE THE 3551 02:05:43,982 --> 02:05:49,154 GAPS IN OUR SILOED HEALTH SYSTEM 3552 02:05:49,154 --> 02:05:53,058 INSTEAD OF ASKING FOR A WAY TO 3553 02:05:53,058 --> 02:05:57,329 CHANGE THE EQUATION IN EMR, 3554 02:05:57,329 --> 02:05:58,864 CHANGE GUIDANCE, ET CETERA, WE 3555 02:05:58,864 --> 02:06:00,065 PUT TOGETHER A COALITION AND 3556 02:06:00,065 --> 02:06:04,903 LAUNCHED IT IN THE FALL OF 2021, 3557 02:06:04,903 --> 02:06:08,273 PUBLISHED INAUGURAL REPORT IN 3558 02:06:08,273 --> 02:06:09,374 2022 WITH THESE NINE MEMBERS 3559 02:06:09,374 --> 02:06:11,009 INCLUDING THE SIX LARGEST HEALTH 3560 02:06:11,009 --> 02:06:12,878 SYSTEMS IN NEW YORK CITY, THEY 3561 02:06:12,878 --> 02:06:23,322 AGREED TO WORK TOGETHER TO 3562 02:06:25,891 --> 02:06:29,862 ACCELERATE WITH THREE 3563 02:06:29,862 --> 02:06:32,598 ALGORITHMS, INCLUDING PULMONARY 3564 02:06:32,598 --> 02:06:34,333 FUNCTION TEST SPIROMETRY THAT 3565 02:06:34,333 --> 02:06:38,270 USED BLACK, LATINX AND ASIAN 3566 02:06:38,270 --> 02:06:38,604 RACE. 3567 02:06:38,604 --> 02:06:40,873 THE FINAL EXAMPLE IS AROUND RACE 3568 02:06:40,873 --> 02:06:41,940 CONSCIOUS INTERVENTIONS IN 3569 02:06:41,940 --> 02:06:44,176 INSTITUTIONAL RACISM AND HEART 3570 02:06:44,176 --> 02:06:45,110 FAILURE CARE, BEFORE COMING TO 3571 02:06:45,110 --> 02:06:46,345 THE NEW YORK CITY HEALTH 3572 02:06:46,345 --> 02:06:48,213 DEPARTMENT I WORKED FOR ABOUT 15 3573 02:06:48,213 --> 02:06:50,082 YEARS AS FACULTY MEMBER AT 3574 02:06:50,082 --> 02:06:51,817 BRIGHAM AND WOMEN'S HOSPITAL. 3575 02:06:51,817 --> 02:06:54,019 I WAS ASKED TO CO-LEAD 3576 02:06:54,019 --> 02:06:58,524 DEPARTMENT OF MEDICINE HEALTH 3577 02:06:58,524 --> 02:07:00,259 EQUITY COMMITTEE IN 2016. 3578 02:07:00,259 --> 02:07:02,728 IN 2017 BECAUSE OF ADVOCACY OF 3579 02:07:02,728 --> 02:07:03,996 TRAINEES AND RESIDENTS TO DO 3580 02:07:03,996 --> 02:07:05,531 MORE ON ANTI-RACISM IN OUR 3581 02:07:05,531 --> 02:07:06,932 INSTITUTION WITHIN OUR WALLS WE 3582 02:07:06,932 --> 02:07:07,933 LOOKED AT HEART FAILURE CARE 3583 02:07:07,933 --> 02:07:10,235 BECAUSE IT'S THE NUMBER ONE MOST 3584 02:07:10,235 --> 02:07:11,570 COMMON ADMISSION DIAGNOSIS FOR 3585 02:07:11,570 --> 02:07:12,971 PATIENTS COMING INTO OUR 3586 02:07:12,971 --> 02:07:15,040 HOSPITAL, AND WE KNEW THERE WERE 3587 02:07:15,040 --> 02:07:16,475 DIFFERENCES IN OUTCOMES SO THE 3588 02:07:16,475 --> 02:07:18,877 PATIENTS WITH HEART FAILURE ON 3589 02:07:18,877 --> 02:07:20,512 OUR HOSPITALIST GENERAL MEDICINE 3590 02:07:20,512 --> 02:07:21,847 SERVICE WHERE I WORKED AT THE 3591 02:07:21,847 --> 02:07:23,816 TIME, AND CARDIOLOGY SERVICE, 3592 02:07:23,816 --> 02:07:26,084 WITH LOWER READMISSION RATES, 3593 02:07:26,084 --> 02:07:27,519 HIGHER CARDIOLOGY FOLLOW-UP FOR 3594 02:07:27,519 --> 02:07:30,055 THOSE ON THE CARDIOLOGY SERVICE 3595 02:07:30,055 --> 02:07:32,324 WITH CARDIOLOGY SPECIALISTS, 3596 02:07:32,324 --> 02:07:33,425 NURSE PRACTITIONERS, OUTPATIENT 3597 02:07:33,425 --> 02:07:37,062 PHARMACY SUPPORT SAND -- AND 3598 02:07:37,062 --> 02:07:38,497 FOLLOW-UP ET CETERA. 3599 02:07:38,497 --> 02:07:45,904 WHAT WE FOUND IN ANALYSIS, 2/3 3600 02:07:45,904 --> 02:07:53,879 OF WHITES SENT TO CARDIOLOGY 3601 02:07:53,879 --> 02:07:58,517 WITH HALF OF BLACK AND LATINX, 3602 02:07:58,517 --> 02:07:59,484 AN EXAMPLE OF APPROXIMATE 3603 02:07:59,484 --> 02:08:00,586 INSTITUTIONAL RACISM BECAUSE 3604 02:08:00,586 --> 02:08:01,887 IT'S AN UNFAIR DISTRIBUTION OF A 3605 02:08:01,887 --> 02:08:03,989 RESOURCE IN A PATTERN THAT IS 3606 02:08:03,989 --> 02:08:04,289 RACIALIZED. 3607 02:08:04,289 --> 02:08:06,592 SO WHAT WE SAID WAS THIS IS AN 3608 02:08:06,592 --> 02:08:07,793 EXAMPLE OF INSTITUTIONAL RACISM. 3609 02:08:07,793 --> 02:08:11,430 WE NEED TO DO SOMETHING ABOUT 3610 02:08:11,430 --> 02:08:11,730 IT. 3611 02:08:11,730 --> 02:08:13,832 MY COLLEAGUE AND I DEVELOPED A 3612 02:08:13,832 --> 02:08:16,335 FRAMEWORK BUILDING ON THE WORK 3613 02:08:16,335 --> 02:08:19,504 OF OTHERS ON REPARATIONS, THE 3614 02:08:19,504 --> 02:08:21,139 HEALING ARC, ACKNOWLEDGING 3615 02:08:21,139 --> 02:08:22,341 REDRESS AND CLOSURE, THE 3616 02:08:22,341 --> 02:08:23,876 APPROACH IS MEANT TO BE A 3617 02:08:23,876 --> 02:08:25,744 FRAMEWORK FOR ACTION. 3618 02:08:25,744 --> 02:08:27,613 WHEN AN INSTITUTIONAL RACISM 3619 02:08:27,613 --> 02:08:29,348 EXAMPLE IS UNCOVERED IN HEALTH 3620 02:08:29,348 --> 02:08:31,016 CARE, THIS FRAMEWORK GIVES YOU 3621 02:08:31,016 --> 02:08:33,185 GUIDANCE ON HOW TO ADDRESS IT, 3622 02:08:33,185 --> 02:08:35,954 FIX IT, END IT, NOT JUST STUDY 3623 02:08:35,954 --> 02:08:36,154 IT. 3624 02:08:36,154 --> 02:08:37,389 AND THAT'S WHAT WE'VE BEEN 3625 02:08:37,389 --> 02:08:39,558 PUSHING TO DO EVER SINCE. 3626 02:08:39,558 --> 02:08:41,426 THE WAY WE IMPLEMENTED THE 3627 02:08:41,426 --> 02:08:45,130 HEALING ARC APPROACH TO OUR 3628 02:08:45,130 --> 02:08:46,465 EXAMPLE OF INSTITUTIONAL RACISM 3629 02:08:46,465 --> 02:08:48,233 AT BRIGHAM AND WOMEN'S TO 3630 02:08:48,233 --> 02:08:51,603 INSTITUTE A BEST PRACTICE ALERT 3631 02:08:51,603 --> 02:08:52,504 IN MEDICAL RECORDS SYSTEM, 3632 02:08:52,504 --> 02:08:54,072 PUBLISHED IN THE NEW ENGLAND 3633 02:08:54,072 --> 02:08:55,107 JOURNAL CATALYST ABOUT THIS 3634 02:08:55,107 --> 02:08:56,775 APPROACH, A COUPLE YEARS AGO, 3635 02:08:56,775 --> 02:09:00,479 IT'S THE FIRST EXAMPLE WE'RE 3636 02:09:00,479 --> 02:09:02,547 AWARE OF, OF USING CLINICAL 3637 02:09:02,547 --> 02:09:06,718 DECISION SUPPORT TOOLS TO 3638 02:09:06,718 --> 02:09:08,453 ADVANCE RACIAL EQUITY AND HEALTH 3639 02:09:08,453 --> 02:09:08,787 JUSTICE. 3640 02:09:08,787 --> 02:09:10,022 THIS BEST PRACTICE ACLARITY 3641 02:09:10,022 --> 02:09:12,291 COMES BACK WHEN AN EMERGENCY 3642 02:09:12,291 --> 02:09:15,694 ROOM CLINICIAN IS ADMITTING A 3643 02:09:15,694 --> 02:09:18,563 PATIENT WITH HEART FAILURE, 3644 02:09:18,563 --> 02:09:20,098 BLACK OR LATINX, RETHINK, THIS 3645 02:09:20,098 --> 02:09:23,635 PATIENT IS FROM A GROUP 3646 02:09:23,635 --> 02:09:24,269 HISTORICALLY EXCLUDED, CONSIDER 3647 02:09:24,269 --> 02:09:29,174 SENDING THEM TO CARDIOLOGY. 3648 02:09:29,174 --> 02:09:34,179 WE EXPERIENCED BLACK LASH FROM 3649 02:09:34,179 --> 02:09:35,948 RIGHT WING AND WHITE SUPREMACIST 3650 02:09:35,948 --> 02:09:36,915 GROUPS SAYING IT WAS UNFAIR TO 3651 02:09:36,915 --> 02:09:39,685 WHITE PEOPLE. 3652 02:09:39,685 --> 02:09:45,157 WE HAD GROUPS LIKE EQUAL HEALTH, 3653 02:09:45,157 --> 02:09:46,158 GLOBAL CAMPAIGN AGAINST RACISM 3654 02:09:46,158 --> 02:09:47,993 THAT CAME TO OUR SIDE TO 3655 02:09:47,993 --> 02:09:51,630 ADVOCATE FOR RACE CONSCIOUS WORK 3656 02:09:51,630 --> 02:09:52,931 TO HAPPEN. 3657 02:09:52,931 --> 02:09:57,336 JUST A COUPLE FINAL REFLECTIONS, 3658 02:09:57,336 --> 02:09:59,071 WE'RE ENCOURAGESSED BY INCREASE 3659 02:09:59,071 --> 02:10:04,943 IN DECLARATION AS A PUBLIC 3660 02:10:04,943 --> 02:10:05,677 HEALTH CRISIS. 3661 02:10:05,677 --> 02:10:10,148 WE KNOW THESE WILL NOT END 3662 02:10:10,148 --> 02:10:11,717 STRUCTURAL RACISM. 3663 02:10:11,717 --> 02:10:15,420 NEW YORK CITY BOARD RESOLUTION 3664 02:10:15,420 --> 02:10:16,755 HAD POWERFUL RESOLUTIONS, 3665 02:10:16,755 --> 02:10:17,422 STATEMENTS, EIGHT ACTIONS 3666 02:10:17,422 --> 02:10:19,691 REQUIRED OF THE NEW YORK CITY 3667 02:10:19,691 --> 02:10:21,660 HEALTH DEPARTMENT TO CONTINUE TO 3668 02:10:21,660 --> 02:10:23,095 TAKE AS OUR CONTRIBUTION TOWARDS 3669 02:10:23,095 --> 02:10:24,796 ENDING THE IMPACTS OF RACISM ON 3670 02:10:24,796 --> 02:10:26,698 PUBLIC HEALTH IN NEW YORK CITY, 3671 02:10:26,698 --> 02:10:28,800 ENCOURAGE YOU TO TAKE A LOOK. 3672 02:10:28,800 --> 02:10:34,139 LAST BUT NOT LEAST, JUST FINAL 3673 02:10:34,139 --> 02:10:35,040 REFLECTION, ANTI-RAISIN TUITION 3674 02:10:35,040 --> 02:10:37,676 CHANGE IS ESSENTIAL, IF WE'RE 3675 02:10:37,676 --> 02:10:39,644 SERIOUS ABOUT ACHIEVING EQUITY 3676 02:10:39,644 --> 02:10:40,946 WE MUST ALSO PURSUE 3677 02:10:40,946 --> 02:10:42,047 INSTITUTIONAL ACTION. 3678 02:10:42,047 --> 02:10:43,882 I HOPE THAT THESE REFLECTIONS 3679 02:10:43,882 --> 02:10:45,617 WERE USEFUL, THEY DON'T FULLY 3680 02:10:45,617 --> 02:10:46,184 ANSWER THE QUESTION ABOUT 3681 02:10:46,184 --> 02:10:48,253 WHETHER OR NOT THE PANDEMIC WAS 3682 02:10:48,253 --> 02:10:49,788 A PORTAL BUT CERTAINLY HOPEFULLY 3683 02:10:49,788 --> 02:10:51,456 GIVE SOMETHING TO CHEW ON. 3684 02:10:51,456 --> 02:10:52,557 I APPRECIATE THE OPPORTUNITY TO 3685 02:10:52,557 --> 02:10:54,826 BE WITH YOU TODAY AND THANK YOU 3686 02:10:54,826 --> 02:10:56,361 FOR INVITING ME. 3687 02:10:56,361 --> 02:10:58,563 AND I WILL PASS BACK TO DR. 3688 02:10:58,563 --> 02:11:04,036 MARSHALL TO CONTINUE WITH THE 3689 02:11:04,036 --> 02:11:04,369 SESSION. 3690 02:11:04,369 --> 02:11:07,072 >> THANK YOU VERY MUCH FOR THE 3691 02:11:07,072 --> 02:11:09,074 EXCELLENT PRESENTATION, DR. 3692 02:11:09,074 --> 02:11:10,142 MORSE. 3693 02:11:10,142 --> 02:11:13,779 NEXT SPEAKER IS DR. DEREK 3694 02:11:13,779 --> 02:11:15,981 GRIFFITH. 3695 02:11:15,981 --> 02:11:21,987 3696 02:11:21,987 --> 02:11:32,030 3697 02:11:36,568 --> 02:11:37,869 >> SORRY, HAVING TROUBLE 3698 02:11:37,869 --> 02:11:38,136 UNMUTING. 3699 02:11:38,136 --> 02:11:39,304 GOOD AFTERNOON. 3700 02:11:39,304 --> 02:11:40,939 THANK YOU AGAIN FOR THIS 3701 02:11:40,939 --> 02:11:42,574 OPPORTUNITY TO SHARE SOME 3702 02:11:42,574 --> 02:11:44,876 THOUGHTS WITH YOU ABOUT THE WORK 3703 02:11:44,876 --> 02:11:45,177 WE'RE DOING. 3704 02:11:45,177 --> 02:11:50,015 I DECIDED IN MY TIME TO REALLY 3705 02:11:50,015 --> 02:11:51,216 FOCUS ON UNDERSERVED AREAS, 3706 02:11:51,216 --> 02:11:52,651 OPPORTUNITIES, AND SO FORTH THAT 3707 02:11:52,651 --> 02:11:55,720 WE COULD FOCUS ON MORE 3708 02:11:55,720 --> 02:11:56,688 EFFECTIVELY IF WE'RE SERIOUS 3709 02:11:56,688 --> 02:11:59,324 ABOUT SOME GOALS WE'RE ACTUALLY 3710 02:11:59,324 --> 02:12:02,694 TRYING TO SET AND SEEK. 3711 02:12:02,694 --> 02:12:05,697 IN MY TIME -- OOPS. 3712 02:12:05,697 --> 02:12:08,633 I WANT TO TALK ABOUT SOME OF THE 3713 02:12:08,633 --> 02:12:10,302 WAYS THAT WE'VE -- BY FOCUSING 3714 02:12:10,302 --> 02:12:12,137 ON CERTAIN AREAS THAT WE'VE 3715 02:12:12,137 --> 02:12:13,672 NEGLECTED TO REALLY ATTEND TO 3716 02:12:13,672 --> 02:12:13,905 OTHERS. 3717 02:12:13,905 --> 02:12:16,308 I'M GOING TO TALK ABOUT IT IN 3718 02:12:16,308 --> 02:12:18,944 THREE PARTICULAR CONTEXTS, STUDY 3719 02:12:18,944 --> 02:12:20,679 OF RACISM, ANTI-RACISM, AND 3720 02:12:20,679 --> 02:12:22,547 CONTEXT OF HEALTH EQUITY. 3721 02:12:22,547 --> 02:12:25,417 THE SECOND PART IS TO TALK ABOUT 3722 02:12:25,417 --> 02:12:27,586 HOW THIS BLIND SPOT OR THIS 3723 02:12:27,586 --> 02:12:30,088 FOCUS ON CERTAIN PARTS OF THE 3724 02:12:30,088 --> 02:12:31,656 WORK HAVE HINDERED OUR ABILITY 3725 02:12:31,656 --> 02:12:34,159 TO MOVE THE WORK FORWARD. 3726 02:12:34,159 --> 02:12:36,595 AND CALL ON FOCUSING ON THESE 3727 02:12:36,595 --> 02:12:37,529 UNDERSERVED AREAS. 3728 02:12:37,529 --> 02:12:40,532 I USE THE ANALOGY HERE OF A COIN 3729 02:12:40,532 --> 02:12:42,167 BECAUSE TYPICALLY WHEN YOU HAVE 3730 02:12:42,167 --> 02:12:45,437 A COIN YOU HAVE THE MOST 3731 02:12:45,437 --> 02:12:46,872 IMPORTANT THING ON THE HEAD SIDE 3732 02:12:46,872 --> 02:12:48,707 OF THE COIN. 3733 02:12:48,707 --> 02:12:50,675 TYPICALLY WE DON'T PAY THAT MUCH 3734 02:12:50,675 --> 02:12:51,309 ATTENTION TO THE TAILS, 3735 02:12:51,309 --> 02:12:52,544 CERTAINLY NOT TO THE SIDE. 3736 02:12:52,544 --> 02:12:54,746 THE SIDE IS SOMETHING WE TEND TO 3737 02:12:54,746 --> 02:12:57,916 THROW AWAY AND NOT THINK OF AS A 3738 02:12:57,916 --> 02:12:59,551 RELEVANT OR IMPORTANT POINT OR 3739 02:12:59,551 --> 02:13:03,155 COMPONENT OF THE COIN. 3740 02:13:03,155 --> 02:13:05,123 IT'S OFTEN THE GLUE, THE OTHER 3741 02:13:05,123 --> 02:13:07,092 PART TO WHAT IS THE HEAD AND 3742 02:13:07,092 --> 02:13:09,628 TAIL, THE THINGS WE SEE AS THE 3743 02:13:09,628 --> 02:13:11,596 MOST VISIBLE, AND IT'S USEFUL TO 3744 02:13:11,596 --> 02:13:14,566 THINK ABOUT THAT PARTICULAR 3745 02:13:14,566 --> 02:13:14,799 CONTEXT. 3746 02:13:14,799 --> 02:13:18,036 SO, IN THE CONTEXT OF STUDYING 3747 02:13:18,036 --> 02:13:19,271 RACISM, CLEARLY THE HEADS HAVE 3748 02:13:19,271 --> 02:13:22,440 BEEN THE FOCUS ON RACISM 3749 02:13:22,440 --> 02:13:26,244 PARTICULARLY MEASURING RACISM. 3750 02:13:26,244 --> 02:13:28,580 AS YOU'VE SEEN IN THIS, MOST 3751 02:13:28,580 --> 02:13:30,549 EVEN THE KEYNOTES HAVE BEEN ON 3752 02:13:30,549 --> 02:13:31,650 MEASURING RACISM, NOT 3753 02:13:31,650 --> 02:13:33,385 NECESSARILY ON INTERVENTIONS AND 3754 02:13:33,385 --> 02:13:35,053 SO FORTH, CLEARLY HAD PANELS, 3755 02:13:35,053 --> 02:13:36,655 LIKE THE GREAT ONE THAT JUST 3756 02:13:36,655 --> 02:13:39,758 HAPPENED, BUT MOST OF THE FOCUS 3757 02:13:39,758 --> 02:13:41,059 HAS BEEN ON MEASUREMENT, MUCH 3758 02:13:41,059 --> 02:13:42,694 MORE THAN FIGURING OUT HOW WE'RE 3759 02:13:42,694 --> 02:13:44,229 GOING TO INTERVENE AND HOW WE'RE 3760 02:13:44,229 --> 02:13:45,764 GOING TO ADDRESS IT. 3761 02:13:45,764 --> 02:13:48,934 ONE OF THE MISSING PARTS TENDS 3762 02:13:48,934 --> 02:13:52,103 TO BE ALSO WHITENESS. 3763 02:13:52,103 --> 02:13:54,606 AND RECOGNIZING JUST AS DR. 3764 02:13:54,606 --> 02:13:57,042 MORSE WAS SAYING THERE ARE 3765 02:13:57,042 --> 02:13:58,476 EFFORTS TO UNDERMINE, REDO, 3766 02:13:58,476 --> 02:13:59,344 REDEFINE WHAT WE'RE TALKING 3767 02:13:59,344 --> 02:14:02,180 ABOUT WHEN WE SAY RACISM, AND TO 3768 02:14:02,180 --> 02:14:03,915 FOCUS ON OTHER ASPECTS OF THINGS 3769 02:14:03,915 --> 02:14:07,752 THAT PEOPLE WHO ARE ADVANTAGED 3770 02:14:07,752 --> 02:14:10,055 IN THESE PARTICULAR SOCIETIES 3771 02:14:10,055 --> 02:14:12,691 CONTEXT AND AREAS THAT THEIR 3772 02:14:12,691 --> 02:14:13,658 EFFORTS ARE NOT NECESSARILY 3773 02:14:13,658 --> 02:14:16,628 BEING CONSIDERED AND THEY HAVE A 3774 02:14:16,628 --> 02:14:18,730 VESTED INTEREST AND OFTEN ARE 3775 02:14:18,730 --> 02:14:20,131 TAKEN SERIOUSLY VESTED INTEREST 3776 02:14:20,131 --> 02:14:21,700 IN NOT NECESSARILY MOVING THE 3777 02:14:21,700 --> 02:14:22,968 AGENDA FORWARD, WHERE THE MOST 3778 02:14:22,968 --> 02:14:24,402 OF US WHO ARE INTERESTED IN 3779 02:14:24,402 --> 02:14:25,470 HEALTH EQUITY, WHO ARE 3780 02:14:25,470 --> 02:14:27,572 INTERESTED IN JUSTICE, CERTAINLY 3781 02:14:27,572 --> 02:14:29,207 DON'T DEFINE THOSE TERMS, THOSE 3782 02:14:29,207 --> 02:14:30,842 CONCEPTS, IN THE SAME WAY. 3783 02:14:30,842 --> 02:14:32,143 AND SO IT'S IMPORTANT THAT WE 3784 02:14:32,143 --> 02:14:33,245 THINK THROUGH THOSE PARTS. 3785 02:14:33,245 --> 02:14:35,347 AND THEN THE THIRD SIDE IS 3786 02:14:35,347 --> 02:14:38,650 POWER, WHICH IS REALLY THE GLUE, 3787 02:14:38,650 --> 02:14:41,720 UNDERLYING FACTOR FOR RACISM AND 3788 02:14:41,720 --> 02:14:42,153 WHITENESS. 3789 02:14:42,153 --> 02:14:43,588 WE'VE HAD MULTIPLE DEFINITIONS 3790 02:14:43,588 --> 02:14:46,124 OF RACISM, SO I'M NOT GOING TO 3791 02:14:46,124 --> 02:14:48,093 SPEND REALLY ANY TIME ON THIS. 3792 02:14:48,093 --> 02:14:49,628 BUT OBVIOUSLY WE'RE TALKING 3793 02:14:49,628 --> 02:14:51,029 ABOUT STRUCTURAL RACISM AND THE 3794 02:14:51,029 --> 02:14:52,764 IMPORTANCE OF KEEPING THE FOCUS 3795 02:14:52,764 --> 02:14:54,432 ON THE STRUCTURAL ASPECTS OF 3796 02:14:54,432 --> 02:14:55,767 THIS, AND DIFFERENTIAL 3797 02:14:55,767 --> 02:14:58,036 INDICATION OF RESOURCES THAT ARE 3798 02:14:58,036 --> 02:14:59,938 UNDERLYING WHY THIS IS 3799 02:14:59,938 --> 02:15:01,339 RELATIONSHIP AND IMPLICATIONS 3800 02:15:01,339 --> 02:15:02,974 FOR HEALTH AND WELL-BEING. 3801 02:15:02,974 --> 02:15:04,342 WHITENESS IS THE OTHER SIDE OF 3802 02:15:04,342 --> 02:15:08,346 THAT COIN, IF YOU WILL. 3803 02:15:08,346 --> 02:15:10,282 IT'S A RACIALIZED SYSTEM THAT 3804 02:15:10,282 --> 02:15:12,050 OFTEN ADVANTAGES AND REWARDS TWO 3805 02:15:12,050 --> 02:15:12,951 GROUPS TYPICALLY OFFERS 3806 02:15:12,951 --> 02:15:15,887 ADVANTAGES AND REWARDS TO GROUPS 3807 02:15:15,887 --> 02:15:16,655 RACIALIZED AS WHITE. 3808 02:15:16,655 --> 02:15:20,091 IT IS THINKING ABOUT HOW DO THE 3809 02:15:20,091 --> 02:15:21,793 FACTORS PLAY OUT, WHAT ARE THE 3810 02:15:21,793 --> 02:15:26,831 ADVANTAGES, WHAT IS THE BENEFIT 3811 02:15:26,831 --> 02:15:29,701 TO FOLKS TO UNDERMINING A SYSTEM 3812 02:15:29,701 --> 02:15:31,970 THAT HAS SIGNIFICANT 3813 02:15:31,970 --> 02:15:32,837 CONSIDERABLE AND GENERATIONAL 3814 02:15:32,837 --> 02:15:33,872 INTERGENERATIONAL BENEFITS TO 3815 02:15:33,872 --> 02:15:34,205 THEM. 3816 02:15:34,205 --> 02:15:35,073 WE HAVEN'T REALLY DEALT WITH 3817 02:15:35,073 --> 02:15:37,776 THAT SIDE OF THE WORK ON RACISM, 3818 02:15:37,776 --> 02:15:41,413 TWO BENEFITS FROM THE SYSTEM WE 3819 02:15:41,413 --> 02:15:43,048 SAID UP AND WHAT IS THEIR 3820 02:15:43,048 --> 02:15:46,551 INCENTIVE TO UNDO THE SYSTEM, 3821 02:15:46,551 --> 02:15:47,752 AND IF WE'RE THINKING OF MORE 3822 02:15:47,752 --> 02:15:49,454 THAN HALF THE POPULATION THE WAY 3823 02:15:49,454 --> 02:15:51,056 WE'RE SORT OF STILL GROUPING 3824 02:15:51,056 --> 02:15:54,092 THINGS NOW, EVEN WITH THE OMB 3825 02:15:54,092 --> 02:15:55,760 CATEGORY CHANGES, WE HAVE TO 3826 02:15:55,760 --> 02:15:57,062 RECOGNIZE THERE ARE FOLKS WHO 3827 02:15:57,062 --> 02:15:58,596 BENEFIT FROM THE SYSTEM AS IS, 3828 02:15:58,596 --> 02:16:00,665 AND THAT THOSE KIND OF FACTORS 3829 02:16:00,665 --> 02:16:03,501 HAVE IMPLICATIONS FOR HOW WE 3830 02:16:03,501 --> 02:16:08,440 NEED TO THINK ABOUT THE WAYS WE 3831 02:16:08,440 --> 02:16:12,610 APPROACH EFFORTS TO ADDRESS AND 3832 02:16:12,610 --> 02:16:13,678 CONCEPTUALIZE RACISM, WHO IS 3833 02:16:13,678 --> 02:16:17,282 BENEFITING FROM THE SYSTEM THAT 3834 02:16:17,282 --> 02:16:19,150 WE NEED TO PAY ATTENTION. 3835 02:16:19,150 --> 02:16:22,020 TO HOW ARE SOMETHING BOTH RACISM 3836 02:16:22,020 --> 02:16:23,421 AND WHITENESS OPERATING WITHIN 3837 02:16:23,421 --> 02:16:25,490 THE FRAMEWORKS OF, AND IT'S 3838 02:16:25,490 --> 02:16:28,460 IMPORTANT BECAUSE IT HELPS US TO 3839 02:16:28,460 --> 02:16:30,428 EXPLAIN, UNDERSTAND, AND SEE WHY 3840 02:16:30,428 --> 02:16:32,397 SO MUCH ATTENTION IS ON 3841 02:16:32,397 --> 02:16:35,033 PARTICULAR ASPECTS OF THE WORK. 3842 02:16:35,033 --> 02:16:38,336 IF YOU THINK ABOUT THE MOST 3843 02:16:38,336 --> 02:16:41,139 OBVIOUS ASPECT, WE THINK ABOUT 3844 02:16:41,139 --> 02:16:42,407 POWER, DECISION MAKINGS. 3845 02:16:42,407 --> 02:16:44,209 WHO GETS TO MAKE A CHOICE TO 3846 02:16:44,209 --> 02:16:45,744 ACTUALLY VOTE, TO ACTUALLY GET 3847 02:16:45,744 --> 02:16:48,146 TO MAKE A DECISION AND SO FORTH. 3848 02:16:48,146 --> 02:16:53,284 WHAT IS OFTEN A LITTLE LESS 3849 02:16:53,284 --> 02:16:56,488 CLEAR WHO GETS TO PUT THE THINGS 3850 02:16:56,488 --> 02:16:58,022 ON THE BALLOT, WHO GETS TO 3851 02:16:58,022 --> 02:17:02,193 DECIDE WHAT'S ON THE AGENDA, WHO 3852 02:17:02,193 --> 02:17:05,697 GETS TO PUT THOSE THINGS OTHERS 3853 02:17:05,697 --> 02:17:05,897 VOTE? 3854 02:17:05,897 --> 02:17:07,665 THERE'S A CERTAIN POWER NEVER 3855 02:17:07,665 --> 02:17:10,935 GETTING ON THE AGENDA OR NEVER 3856 02:17:10,935 --> 02:17:11,569 BEING CONSIDERED EXPLICITLY AND 3857 02:17:11,569 --> 02:17:13,004 NOT GETTING THE CHOICE TO HAVE 3858 02:17:13,004 --> 02:17:16,741 AN 3859 02:17:16,741 --> 02:17:19,344 AN OPEN DISCUSSION OR VOTE TO 3860 02:17:19,344 --> 02:17:21,413 SEE IMPLICATION CHOICE OF OPTION 3861 02:17:21,413 --> 02:17:23,415 CHOICE OR OPPORTUNITY. 3862 02:17:23,415 --> 02:17:26,117 PICKING UP ON WHAT DR. MORSE 3863 02:17:26,117 --> 02:17:28,119 SAID, WE HAVE TO REALIZE WHY SO 3864 02:17:28,119 --> 02:17:31,723 MUCH ENERGY IS PUT INTO 3865 02:17:31,723 --> 02:17:32,824 COUNTERING NARRATIVES, 3866 02:17:32,824 --> 02:17:34,225 REDEFINING RACISM, REDEFINING OR 3867 02:17:34,225 --> 02:17:37,729 COUNTERING THESE EFFORTS TO 3868 02:17:37,729 --> 02:17:40,031 ACTUALLY UNDO THE RACIST EFFECTS 3869 02:17:40,031 --> 02:17:41,766 WE'VE SEEN FROM DIFFERENT 3870 02:17:41,766 --> 02:17:42,667 POLICIES, PRACTICES, AND NORMS 3871 02:17:42,667 --> 02:17:45,069 WE'VE SET IN SOCIETY OVER TIME 3872 02:17:45,069 --> 02:17:49,441 THAT YOU'VE SEEN MORE ATTENTION 3873 02:17:49,441 --> 02:17:50,642 TO REDEFINING, RENAMING THE 3874 02:17:50,642 --> 02:17:53,611 ISSUES AND THE ISSUE FRAMING HAS 3875 02:17:53,611 --> 02:17:54,479 BEEN CRITICAL, IS PARTICULARLY 3876 02:17:54,479 --> 02:17:56,314 CRITICAL FOR US TO BE ABLE TO 3877 02:17:56,314 --> 02:17:58,416 FOCUS ON AND ATTEND TO BECAUSE 3878 02:17:58,416 --> 02:18:00,051 IT'S SHAPING HOW PEOPLE 3879 02:18:00,051 --> 02:18:02,253 UNDERSTAND AND SHAPING CRITICAL 3880 02:18:02,253 --> 02:18:04,088 ASPECTS OF THE WAYS PEOPLE 3881 02:18:04,088 --> 02:18:05,657 UNDERSTAND THE IDEOLOGY OF 3882 02:18:05,657 --> 02:18:06,958 INFERIORITY THAT IS A KEY 3883 02:18:06,958 --> 02:18:08,159 COMPONENT OF THE DEFINITION OF 3884 02:18:08,159 --> 02:18:10,228 RACISM THAT MOST OF US USE. 3885 02:18:10,228 --> 02:18:12,096 SO IT'S IMPORTANT TO UNDERSTAND 3886 02:18:12,096 --> 02:18:15,200 WHY THAT ISSUE FRAMING IS SUCH A 3887 02:18:15,200 --> 02:18:17,168 CRITICAL PART OF BOTH 3888 02:18:17,168 --> 02:18:18,703 UNDERSTANDING WHO IS BENEFITING 3889 02:18:18,703 --> 02:18:19,404 FROM THESE PARTICULAR SYSTEMS 3890 02:18:19,404 --> 02:18:21,739 AND HARMED FROM IT AND HOW DO WE 3891 02:18:21,739 --> 02:18:22,574 EXPLAIN THAT. 3892 02:18:22,574 --> 02:18:25,243 WE ALSO HAVE TO RELATE IT TO 3893 02:18:25,243 --> 02:18:28,079 THAT, REMEMBER THAT MOST OF OUR 3894 02:18:28,079 --> 02:18:29,614 LEGAL RECOURSE FOR THESE KINDS 3895 02:18:29,614 --> 02:18:31,483 OF ISSUES, PARTICULARLY ON A 3896 02:18:31,483 --> 02:18:33,885 FEDERAL LEVEL, ARE REALLY ONLY 3897 02:18:33,885 --> 02:18:37,288 DESIGNED TO ADDRESS WHEN THERE'S 3898 02:18:37,288 --> 02:18:37,922 INTENTIONAL DISCRIMINATION 3899 02:18:37,922 --> 02:18:41,759 RACISM, OTHER THINGS THAT ARE 3900 02:18:41,759 --> 02:18:42,861 VERY EXPLICITLY NAMED AND WHERE 3901 02:18:42,861 --> 02:18:45,597 YOU CAN -- THE PERSON WHO 3902 02:18:45,597 --> 02:18:47,465 ACTUALLY MAY HAVE ENGAGED IN A 3903 02:18:47,465 --> 02:18:49,400 PARTICULAR BEHAVIOR OR DONE 3904 02:18:49,400 --> 02:18:51,169 SOMETHING IS WILLING TO 3905 02:18:51,169 --> 02:18:52,370 EXPLICITLY SAY, YES, I DID THIS 3906 02:18:52,370 --> 02:18:53,037 FOR THAT REASON. 3907 02:18:53,037 --> 02:18:55,974 BUT MOST OF THE WORK THAT WE'RE 3908 02:18:55,974 --> 02:18:57,442 DOING ON RACISM, STRUCTURAL 3909 02:18:57,442 --> 02:18:59,077 RACISM, AND SO FORTH, DOES NOT 3910 02:18:59,077 --> 02:19:00,512 HAVE SOMEBODY STANDING UP AND 3911 02:19:00,512 --> 02:19:01,779 SAYING, YES, I'M THE ONE WHO 3912 02:19:01,779 --> 02:19:02,680 WANTED TO DO THAT. 3913 02:19:02,680 --> 02:19:06,851 YES, THIS WAS MY GOAL IN 3914 02:19:06,851 --> 02:19:07,385 CREATING THESE REDLINING 3915 02:19:07,385 --> 02:19:08,686 POLICIES, MY GOAL IN STATING 3916 02:19:08,686 --> 02:19:09,921 THIS, THAT, WHATEVER. 3917 02:19:09,921 --> 02:19:14,392 IT'S NOT SOMETHING -- OUR GOALS 3918 02:19:14,392 --> 02:19:15,827 AND FOCUS ARE MISALIGNED WITH 3919 02:19:15,827 --> 02:19:17,462 THE POLICIES AND PRACTICES THAT 3920 02:19:17,462 --> 02:19:19,731 WE HAVE TO ACTUALLY INTERVENE TO 3921 02:19:19,731 --> 02:19:20,532 ADDRESS THESE ISSUES. 3922 02:19:20,532 --> 02:19:22,033 WE'VE GOT TO THINK THROUGH WHAT 3923 02:19:22,033 --> 02:19:25,570 DOES THAT MEAN FOR STRATEGIES WE 3924 02:19:25,570 --> 02:19:29,040 HAVE, EFFECTIVENESS OF THEM. 3925 02:19:29,040 --> 02:19:31,809 THE SECOND THREE SIDES THINKING 3926 02:19:31,809 --> 02:19:32,877 ABOUT ANTI-RACISM, A CRITICAL 3927 02:19:32,877 --> 02:19:34,512 PART OF HOW WE THINK ABOUT WHAT 3928 02:19:34,512 --> 02:19:36,614 TO DO TO ADDRESS THESE ISSUES. 3929 02:19:36,614 --> 02:19:40,451 MOST OF THE TIME WE THINK ABOUT 3930 02:19:40,451 --> 02:19:41,953 GETTING -- HERE THE HEADS ARE 3931 02:19:41,953 --> 02:19:44,055 OUTER WORK FOR, EXCUSE ME, 3932 02:19:44,055 --> 02:19:45,456 CREATING POLICIES AND PRACTICES 3933 02:19:45,456 --> 02:19:50,862 TO MITIGATE OR UNDO THE 3934 02:19:50,862 --> 02:19:51,095 FACTORS 3935 02:19:51,095 --> 02:19:52,497 DIFFERENTIALLY HARMING A 3936 02:19:52,497 --> 02:19:53,498 PARTICULAR GROUP, CREATING 3937 02:19:53,498 --> 02:19:54,566 CONDITIONS AND ENVIRONMENT WHERE 3938 02:19:54,566 --> 02:19:56,334 THEIR HEALTH IS BEING HARMED, 3939 02:19:56,334 --> 02:19:58,636 HEALTH AND WELL-BEING ARE HARMED 3940 02:19:58,636 --> 02:19:59,203 CONSISTENTLY. 3941 02:19:59,203 --> 02:20:01,706 AND SO MOST OF OUR WORK IS ON 3942 02:20:01,706 --> 02:20:01,906 THAT. 3943 02:20:01,906 --> 02:20:03,675 HOWEVER, WHAT WE TEND TO FOCUS 3944 02:20:03,675 --> 02:20:05,777 LESS ON IS WHAT ARE THE 3945 02:20:05,777 --> 02:20:07,412 PRACTICES, THE NORMS, THE WAYS 3946 02:20:07,412 --> 02:20:08,079 WE'VE INTERNALIZED THOSE 3947 02:20:08,079 --> 02:20:12,317 MESSAGES, THE WAYS WE FRAMED 3948 02:20:12,317 --> 02:20:13,985 THEM AS POLICYMAKERS, AS 3949 02:20:13,985 --> 02:20:15,186 RESEARCHERS, AS COMMUNITY 3950 02:20:15,186 --> 02:20:16,487 MEMBERS, AS COMMUNITY PARTNERS, 3951 02:20:16,487 --> 02:20:17,689 COMMUNITY RESEARCHERS, HOW DO WE 3952 02:20:17,689 --> 02:20:18,790 UNDERSTAND THE FACTORS AND WHAT 3953 02:20:18,790 --> 02:20:22,193 DO WE NEED TO LEARN, UNLEARN, 3954 02:20:22,193 --> 02:20:23,194 CO-LEARN, WORK WITH OUR 3955 02:20:23,194 --> 02:20:24,729 COMMUNITY PARTNERS TO LEARN HOW 3956 02:20:24,729 --> 02:20:25,897 DO WE UNDERSTAND THEIR 3957 02:20:25,897 --> 02:20:27,865 EXPERIENCE, HOW DO WE UNDERSTAND 3958 02:20:27,865 --> 02:20:31,936 WHAT THOSE LIVED EXPERIENCES 3959 02:20:31,936 --> 02:20:33,905 ARE, MECHANISMS FROM THEIR 3960 02:20:33,905 --> 02:20:34,439 STANDPOINT AFFECTING THEIR 3961 02:20:34,439 --> 02:20:36,741 HEALTH AND WELL-BEING. 3962 02:20:36,741 --> 02:20:38,042 POLITICAL WILL IS SOMETHING THAT 3963 02:20:38,042 --> 02:20:42,080 MANY HAVE TALKED ABOUT FOR MANY 3964 02:20:42,080 --> 02:20:42,313 YEARS. 3965 02:20:42,313 --> 02:20:44,382 JAMES JACKSON WAS A MENTOR. 3966 02:20:44,382 --> 02:20:47,452 I REMEMBER A TALK HE DID AT NIH 3967 02:20:47,452 --> 02:20:48,753 ALMOST TWO DECADES AGO WHERE HE 3968 02:20:48,753 --> 02:20:51,723 WAS TALKING ABOUT THE IMPORTANCE 3969 02:20:51,723 --> 02:20:52,690 OF POLITICAL WILL, WE KNOW OFTEN 3970 02:20:52,690 --> 02:20:55,226 SO MANY THINGS WE CAN DO TO 3971 02:20:55,226 --> 02:20:58,963 ADDRESS THESE ISSUES ABOUT 3972 02:20:58,963 --> 02:21:00,064 RACISM OR SOCIAL DETERMINANTS OF 3973 02:21:00,064 --> 02:21:05,370 HEALTH, YET WE CHOOSE NOT TO DO 3974 02:21:05,370 --> 02:21:06,337 THEM OR FUND THEM 3975 02:21:06,337 --> 02:21:07,538 WHAT IS THE POLITICAL WILL WE 3976 02:21:07,538 --> 02:21:09,207 HAVE TO IMPLEMENT WHAT WE KNOW, 3977 02:21:09,207 --> 02:21:10,942 TO FIGURE OUT WHAT ARE THE NEW 3978 02:21:10,942 --> 02:21:18,383 THINGS WE NEED TO KNOW? 3979 02:21:18,383 --> 02:21:24,288 AND SO WE'VE TAKEN THESE 3980 02:21:24,288 --> 02:21:26,157 PRINCIPLES OF ANTI-RACISM AND 3981 02:21:26,157 --> 02:21:27,792 APPLIED THEM IN DIFFERENT 3982 02:21:27,792 --> 02:21:29,360 CONTEXT, ONE IS IMPLEMENT 3983 02:21:29,360 --> 02:21:30,528 SCIENCE, HOW WE NEED TO HELP 3984 02:21:30,528 --> 02:21:34,599 FOCUS NOT JUST ON THE WORK, HOW 3985 02:21:34,599 --> 02:21:36,668 DOES IMPLEMENTATION SCIENCE -- 3986 02:21:36,668 --> 02:21:38,236 HOW DOES ANTI-RACISM AFFECT 3987 02:21:38,236 --> 02:21:38,970 IMPLEMENTATION SCIENCE, ALSO 3988 02:21:38,970 --> 02:21:41,272 WHAT ARE THE COMPONENTS OF THE 3989 02:21:41,272 --> 02:21:42,707 RESEARCH, WHAT IS THE RESEARCHER 3990 02:21:42,707 --> 02:21:44,108 BRINGING TO THE TABLE THAT 3991 02:21:44,108 --> 02:21:47,612 AFFECTS THE WORK WE'RE ACTUALLY 3992 02:21:47,612 --> 02:21:47,845 DOING. 3993 02:21:47,845 --> 02:21:49,747 WE USE THIS IDEA OF ANTI-RACISM 3994 02:21:49,747 --> 02:21:52,016 BEING A LENS. 3995 02:21:52,016 --> 02:21:53,785 SOME PEOPLE BALKED AT THE IDEA 3996 02:21:53,785 --> 02:21:55,219 WE CALL IT A LENS, BECAUSE A 3997 02:21:55,219 --> 02:21:56,854 LENS IS A CHOICE. 3998 02:21:56,854 --> 02:21:58,389 YOU PUT ON YOUR GLASSES OR 3999 02:21:58,389 --> 02:21:58,723 DON'T. 4000 02:21:58,723 --> 02:22:00,158 USE THE LENS TO DECIDE WHAT 4001 02:22:00,158 --> 02:22:01,025 YOU'RE GOING TO DO. 4002 02:22:01,025 --> 02:22:02,560 IT IS A CHOICE TO LOOK AT THESE 4003 02:22:02,560 --> 02:22:03,327 THINGS THROUGH THIS LENS. 4004 02:22:03,327 --> 02:22:06,931 IT IS A CHOICE TO DECIDE YOU 4005 02:22:06,931 --> 02:22:10,735 WANT TO -- YOU'RE WILLING TO BE 4006 02:22:10,735 --> 02:22:11,235 INTROSPECTIVE AND HELD 4007 02:22:11,235 --> 02:22:11,969 ACCOUNTABLE, TO DO THESE THINGS 4008 02:22:11,969 --> 02:22:13,471 IMPORTANT IN THE WORK AND NOT 4009 02:22:13,471 --> 02:22:16,107 JUST FOCUS ON WHAT OTHERS ARE 4010 02:22:16,107 --> 02:22:17,208 DOING AND SO FORTH. 4011 02:22:17,208 --> 02:22:19,077 THAT'S A CRITICAL PART OF THE 4012 02:22:19,077 --> 02:22:20,144 WORK, THAT INNER WORK IS 4013 02:22:20,144 --> 02:22:22,346 SOMETHING THAT WE'VE TENDED TO 4014 02:22:22,346 --> 02:22:24,749 IGNORE, WHAT ARE THE BIASES, 4015 02:22:24,749 --> 02:22:27,719 WHETHER IN REVIEWERS, IN 4016 02:22:27,719 --> 02:22:28,486 RESEARCHERS, POLICYMAKERS, 4017 02:22:28,486 --> 02:22:29,987 WHOEVER THEY MAY BE, INFLUENCING 4018 02:22:29,987 --> 02:22:32,290 CHOICES ABOUT WHAT TO FUND, WHAT 4019 02:22:32,290 --> 02:22:33,925 TO PASS, WHAT TO STUDY, HOW TO 4020 02:22:33,925 --> 02:22:37,428 STUDY, HOW TO FRAME IT, AND SO 4021 02:22:37,428 --> 02:22:37,662 FORTH. 4022 02:22:37,662 --> 02:22:39,731 THE OTHER BIG PART OF THIS WORK 4023 02:22:39,731 --> 02:22:42,366 IN TERMS OF ANTI-RACISM IS THAT 4024 02:22:42,366 --> 02:22:50,241 THE STRATEGY -- RACISM, 4025 02:22:50,241 --> 02:22:53,878 ANTI-RACISM, WE TRIED TO HAVE A 4026 02:22:53,878 --> 02:22:54,178 A 4027 02:22:54,178 --> 02:22:54,779 ONE-SIZE-FITS-ALL APPROACH TO 4028 02:22:54,779 --> 02:22:55,279 THE WORK. 4029 02:22:55,279 --> 02:22:56,948 WHAT I'M ARGUING HERE IS THAT 4030 02:22:56,948 --> 02:22:58,916 PERHAPS WE NEED TO THINK ABOUT 4031 02:22:58,916 --> 02:23:00,451 THIS A BIT DIFFERENTLY. 4032 02:23:00,451 --> 02:23:01,586 AS OPPOSED TO SAYING THAT WE 4033 02:23:01,586 --> 02:23:03,421 NEED TO PUT ALL OF OUR -- WE'VE 4034 02:23:03,421 --> 02:23:07,125 KIND OF IN THE COURSE OF THE TWO 4035 02:23:07,125 --> 02:23:08,893 DAYS ALLUDED TO THIS BUT 4036 02:23:08,893 --> 02:23:09,694 THINKING ABOUT, YES, MEASUREMENT 4037 02:23:09,694 --> 02:23:11,496 IS IMPORTANT BUT IT'S NOT THE 4038 02:23:11,496 --> 02:23:12,797 ONLY THING. 4039 02:23:12,797 --> 02:23:13,498 YES, COMMUNITY-BASED STRATEGIES 4040 02:23:13,498 --> 02:23:14,899 ARE IMPORTANT BUT THEY ARE NOT 4041 02:23:14,899 --> 02:23:17,201 THE ONLY THING. 4042 02:23:17,201 --> 02:23:18,603 YES, CHANGING POLICY LONG-TERM 4043 02:23:18,603 --> 02:23:20,238 POLICIES AND FEDERAL POLICIES 4044 02:23:20,238 --> 02:23:22,874 ARE CRITICAL, EVEN LOCAL AND 4045 02:23:22,874 --> 02:23:23,975 STATE POLICIES ARE CRITICAL BUT 4046 02:23:23,975 --> 02:23:25,610 NOT THE ONLY THING. 4047 02:23:25,610 --> 02:23:28,346 AND WHAT ARE CONDITIONS, OTHER 4048 02:23:28,346 --> 02:23:31,182 PART MOST OFTEN IGNORED IN THIS 4049 02:23:31,182 --> 02:23:32,283 CONTEXT, IS EVEN IF YOU ADDRESS 4050 02:23:32,283 --> 02:23:34,018 THOSE THINGS ALL THE NEGATIVE 4051 02:23:34,018 --> 02:23:36,354 THINGS, ALL THE HARMFUL THINGS 4052 02:23:36,354 --> 02:23:38,656 IN THE ENVIRONMENT THOSE ARE NOT 4053 02:23:38,656 --> 02:23:40,625 THE ONLY CONDITIONS THAT HELP 4054 02:23:40,625 --> 02:23:42,393 PEOPLE LIVE LONG HEALTHY LIVES 4055 02:23:42,393 --> 02:23:43,127 AND BE WELL. 4056 02:23:43,127 --> 02:23:45,897 SO WHAT ARE THE POSITIVES WE 4057 02:23:45,897 --> 02:23:47,298 NEED TO ACCENTUATE, BUILD, THAT 4058 02:23:47,298 --> 02:23:49,167 GIVE PEOPLE'S LIVES MEANING AND 4059 02:23:49,167 --> 02:23:49,934 PURPOSE? 4060 02:23:49,934 --> 02:23:52,904 HOW ARE WE GOING TO CREATE 4061 02:23:52,904 --> 02:23:54,539 THINGS, CONDITIONS FOR LOVE AND 4062 02:23:54,539 --> 02:23:56,507 CARING AND RELATIONSHIP, HOW DO 4063 02:23:56,507 --> 02:23:58,910 WE CREATE POSITIVES IN OUR 4064 02:23:58,910 --> 02:24:00,778 ENVIRONMENT AND BUILD ON THOSE 4065 02:24:00,778 --> 02:24:02,079 AS STRENGTHS AND ASSETS, NOT 4066 02:24:02,079 --> 02:24:02,880 JUST FOCUSING ON THE NEGATIVE 4067 02:24:02,880 --> 02:24:05,716 PARTS OF WHAT WE'RE TRYING TO 4068 02:24:05,716 --> 02:24:07,118 FIX BY ADDRESSING RACISM. 4069 02:24:07,118 --> 02:24:09,654 THE LAST PART IS IN THE CONTEXT 4070 02:24:09,654 --> 02:24:13,157 OF HEALTH EQUITY, AGAIN MOST OF 4071 02:24:13,157 --> 02:24:16,227 OUR WORK IMPLICITLY TODAY HAS 4072 02:24:16,227 --> 02:24:18,196 BEEN FOCUSED ON RACIAL -- TODAY 4073 02:24:18,196 --> 02:24:20,398 AND YESTERDAY, FOCUS LARGELY ON 4074 02:24:20,398 --> 02:24:22,700 RACIAL AND ETHNIC INEQUITIES. 4075 02:24:22,700 --> 02:24:24,969 WHAT I WOULD SAY IS THERE'S BEEN 4076 02:24:24,969 --> 02:24:31,909 SOME ATTENTION MOSTLY TO WOMEN'S 4077 02:24:31,909 --> 02:24:33,244 HEALTH, AND LGBTQ+ HEALTH, BUT 4078 02:24:33,244 --> 02:24:35,213 -- AND A SECONDARY FASHION, BUT 4079 02:24:35,213 --> 02:24:36,848 OFTEN THOSE ARE NOT NECESSARILY 4080 02:24:36,848 --> 02:24:39,684 INTEGRATED WITH THE WORKS ON 4081 02:24:39,684 --> 02:24:41,419 RACIAL AND ETHNIC EQUITY, NOT 4082 02:24:41,419 --> 02:24:45,389 CONSISTENTLY DONE SO. 4083 02:24:45,389 --> 02:24:46,924 THE SIDE MOST IGNORED IS 4084 02:24:46,924 --> 02:24:48,092 INTERSECTIONALITY AS RELATES TO 4085 02:24:48,092 --> 02:24:52,730 POLICY, AS RELATINGS TO THE WAY 4086 02:24:52,730 --> 02:24:54,732 DATA ARE PRESENTED, CRITICAL 4087 02:24:54,732 --> 02:24:57,768 BECAUSE IT DECIDE HOW OR WHAT 4088 02:24:57,768 --> 02:24:59,403 THINGS WE FOCUS ON, 4089 02:24:59,403 --> 02:25:05,743 DEMONSTRATING THIS IS WHERE 4090 02:25:05,743 --> 02:25:09,680 ATTENTION IS NEEDED MEN'S HEALTH 4091 02:25:09,680 --> 02:25:12,850 IS MOST IGNORED. 4092 02:25:12,850 --> 02:25:18,656 THESE ARE DATA FROM ABOUT 121 4093 02:25:18,656 --> 02:25:20,725 YEARS, FROM CDC DATA, NATIONAL 4094 02:25:20,725 --> 02:25:22,026 VITAL STATISTICS REPORTS, LIFE 4095 02:25:22,026 --> 02:25:25,663 EXPECTANCY BY RACE AND BIRTHS. 4096 02:25:25,663 --> 02:25:27,298 YOU'LL SEE FOR BASICALLY 4097 02:25:27,298 --> 02:25:29,500 EVERYBODY IS LIVING BETTER, 4098 02:25:29,500 --> 02:25:30,668 LIVING LONGER, EVERYBODY IS 4099 02:25:30,668 --> 02:25:33,437 THEREFORE -- THIS IS A PROXY FOR 4100 02:25:33,437 --> 02:25:33,771 HEALTH. 4101 02:25:33,771 --> 02:25:38,776 LIFE EXPECT ANCY WE TREAT AS 4102 02:25:38,776 --> 02:25:41,412 PROXY FOR HEALTH, EVERYBODY IS 4103 02:25:41,412 --> 02:25:43,614 LIVING DRAMATICALLY LONGER 4104 02:25:43,614 --> 02:25:44,715 LIVES, OR WERE, PRE-PANDEMIC. 4105 02:25:44,715 --> 02:25:47,251 WE SAW A DIP IMMEDIATELY PRIOR 4106 02:25:47,251 --> 02:25:48,886 TO THE PANDEMIC, EXACERBATED 4107 02:25:48,886 --> 02:25:50,021 FURTHER DURING THE PANDEMIC. 4108 02:25:50,021 --> 02:25:53,691 BACKUP THE POINT HERE IS THERE 4109 02:25:53,691 --> 02:25:55,993 WAS A SMALLER GAP, RACIAL 4110 02:25:55,993 --> 02:25:57,094 DIFFERENCES WE'VE ACTUALLY SEEN 4111 02:25:57,094 --> 02:25:59,630 JUST IF YOU LOOK AT THESE AND 4112 02:25:59,630 --> 02:26:03,034 EYEBALL THEM YOU'LL SEE RACIAL 4113 02:26:03,034 --> 02:26:06,504 GAPS DECREASED A LITTLE BIT. 4114 02:26:06,504 --> 02:26:09,807 YOU SEE SEX DIFFERENCES, MALES 4115 02:26:09,807 --> 02:26:11,876 AND FEMALES IN A PARTICULAR 4116 02:26:11,876 --> 02:26:16,380 GROUP HAVE INCREASED. 4117 02:26:16,380 --> 02:26:19,250 SO, WHEN WE LOOK AT SEX 4118 02:26:19,250 --> 02:26:24,121 DIFFERENCES JUST WITHIN THE U.S. 4119 02:26:24,121 --> 02:26:25,289 OVERALL WE SEE SLIGHT INCREASE 4120 02:26:25,289 --> 02:26:27,658 IN GAP BETWEEN MEN AND WOMEN, 4121 02:26:27,658 --> 02:26:29,060 LIFE EXPECTANCY, MALES AND 4122 02:26:29,060 --> 02:26:30,795 FEMALES IN LIFE EXPECTANCY. 4123 02:26:30,795 --> 02:26:31,862 WE DON'T ACTUALLY HAVE DATA ON 4124 02:26:31,862 --> 02:26:33,331 MEMBER AND WOMEN IN THE WAY 4125 02:26:33,331 --> 02:26:34,999 PEOPLE MAY IDENTIFY THEMSELVES. 4126 02:26:34,999 --> 02:26:37,301 WE STILL HAVE TO USE SEX 4127 02:26:37,301 --> 02:26:38,836 CATEGORY, YOU HEAR ME SLIPPING 4128 02:26:38,836 --> 02:26:41,339 BACK AND FORTH BETWEEN THE TWO. 4129 02:26:41,339 --> 02:26:45,076 WHAT YOU SEE IS, AGAIN, RACIAL 4130 02:26:45,076 --> 02:26:45,943 DIFFERENCE IS IMPROVED, AGAIN 4131 02:26:45,943 --> 02:26:47,478 NOT ANYWHERE NEAR WHAT WE NEED 4132 02:26:47,478 --> 02:26:52,183 TO DO BUT HALF OF WHAT IT WAS 4133 02:26:52,183 --> 02:26:53,384 121 YEARS AGO. 4134 02:26:53,384 --> 02:26:55,086 THE POINT I'M MAKING IS THAT THE 4135 02:26:55,086 --> 02:26:57,788 SEX DIFFERENCE BETWEEN MEN AND 4136 02:26:57,788 --> 02:27:00,091 WOMEN HAS GROWN DRAMATICALLY. 4137 02:27:00,091 --> 02:27:01,158 AND THE EIGHT-FOLD INCREASE 4138 02:27:01,158 --> 02:27:02,560 BETWEEN BLACK FEMALES AND BLACK 4139 02:27:02,560 --> 02:27:04,028 FEMALES IS SOMETHING WE DON'T 4140 02:27:04,028 --> 02:27:05,129 PRIORITIZE IN FUNDING. 4141 02:27:05,129 --> 02:27:06,530 WE DON'T PRIORITIZE IN HEALTH. 4142 02:27:06,530 --> 02:27:08,833 WE DON'T PRIORITIZE IN ANY OF 4143 02:27:08,833 --> 02:27:11,035 THE WORK WE'RE DOING, AND THERE 4144 02:27:11,035 --> 02:27:12,470 AREN'T MECHANISMS IN 4145 02:27:12,470 --> 02:27:16,073 INFRASTRUCTURE AROUND ADDRESSING 4146 02:27:16,073 --> 02:27:16,707 THOSE PARTICULAR ISSUES ANYWHERE 4147 02:27:16,707 --> 02:27:18,042 WITHIN THE FEDERAL GOVERNMENT. 4148 02:27:18,042 --> 02:27:23,414 AND SO THE IDEA FOCUSING ON RACE 4149 02:27:23,414 --> 02:27:24,415 OR MEN, AND PARTICULARLY THE 4150 02:27:24,415 --> 02:27:27,018 INTERSECTION OF THE TWO ARE NOT 4151 02:27:27,018 --> 02:27:28,219 THINGS WE HAVE INFRASTRUCTURE TO 4152 02:27:28,219 --> 02:27:30,755 ADDRESS WHICH IS WHY WE TEND TO 4153 02:27:30,755 --> 02:27:35,559 SEE MEN'S HEALTH CONTINUING TO 4154 02:27:35,559 --> 02:27:37,895 FALL BEHIND WOMEN AND SAME 4155 02:27:37,895 --> 02:27:39,397 RACIAL AND ETHNIC GROUPS IN THE 4156 02:27:39,397 --> 02:27:41,699 CONTEXT OF THE COUNTRY. 4157 02:27:41,699 --> 02:27:45,102 QUICKLY, WE TENDED TO FOCUS THIS 4158 02:27:45,102 --> 02:27:50,007 CONVERSATION ON RACE AND 4159 02:27:50,007 --> 02:27:50,574 ETHNICITY. 4160 02:27:50,574 --> 02:27:53,611 TAKING THE CONTEXT OF WHAT 4161 02:27:53,611 --> 02:27:54,712 KIMBERLE CRENSHAW WAS SAYING, 4162 02:27:54,712 --> 02:27:57,014 HOW SHE THOUGHT ABOUT 4163 02:27:57,014 --> 02:27:57,681 INTERSECTIONALITY, ONE KEY 4164 02:27:57,681 --> 02:28:02,720 QUESTION SHE ASKED, WHERE IS TE 4165 02:28:02,720 --> 02:28:06,257 RACISM WHEN LOOKING AT GENDER 4166 02:28:06,257 --> 02:28:08,559 FACTORS OF WOMEN'S -- EXPERIENCE 4167 02:28:08,559 --> 02:28:10,194 AND EXPOSURE OF EMPLOYMENT 4168 02:28:10,194 --> 02:28:11,862 DISCRIMINATION THAT SHE COULDN'T 4169 02:28:11,862 --> 02:28:14,365 SEE WHEN LOOKING AT SEX, WHEN 4170 02:28:14,365 --> 02:28:16,000 YOU'RE LOOKING AT RACE, YOU HAD 4171 02:28:16,000 --> 02:28:17,868 TO LOOK AT INTERSECTION OF THE 4172 02:28:17,868 --> 02:28:18,035 TWO. 4173 02:28:18,035 --> 02:28:19,603 WHAT I'M SUGGESTING WE HAVE TO 4174 02:28:19,603 --> 02:28:21,238 LOOK AT THESE ISSUES OF RACE AND 4175 02:28:21,238 --> 02:28:23,107 SAY WHERE IS THE GENDER IN THIS 4176 02:28:23,107 --> 02:28:27,478 AND FOCUS ON THE DATA THAT 4177 02:28:27,478 --> 02:28:28,379 ACTUALLY SUGGESTS USING 4178 02:28:28,379 --> 02:28:29,447 EPIDEMIOLOGY, NOT JUST OTHER 4179 02:28:29,447 --> 02:28:31,082 DATA TO ACTUALLY SAY, OKAY, IF 4180 02:28:31,082 --> 02:28:33,184 THE GROUP IS DOING WORSE HOW DO 4181 02:28:33,184 --> 02:28:38,022 WE NEED TO ADDRESS THOSE ISSUES. 4182 02:28:38,022 --> 02:28:41,125 SO JUST IN CLOSING QUICKLY WE 4183 02:28:41,125 --> 02:28:43,160 HAVE ADDRESSED SOME OF THESE 4184 02:28:43,160 --> 02:28:44,228 ISSUES, TRIED TO TALK ABOUT SOME 4185 02:28:44,228 --> 02:28:50,568 OF THESE THINGS IN THE WORKS 4186 02:28:50,568 --> 02:28:51,802 WE'RE DOING WITH CHANDA FORD, 4187 02:28:51,802 --> 02:28:55,439 SECOND EDITION WILL BE OUT IN 4188 02:28:55,439 --> 02:28:56,540 OCTOBER. 4189 02:28:56,540 --> 02:28:58,375 I LOOK FORWARD TO -- HOPEFULLY 4190 02:28:58,375 --> 02:28:59,910 THIS WILL BE VALUABLE TO YOU. 4191 02:28:59,910 --> 02:29:01,345 FIRST EDITION WAS USEFUL IN 4192 02:29:01,345 --> 02:29:02,980 THINKING ABOUT THE SCIENCE AS 4193 02:29:02,980 --> 02:29:04,949 WELL AS THE TOOLS, THAT PUBLIC 4194 02:29:04,949 --> 02:29:06,050 HEALTH PROFESSIONALS AND OTHER 4195 02:29:06,050 --> 02:29:07,351 PROFESSIONALS IN THE HEALTH 4196 02:29:07,351 --> 02:29:08,986 SCIENCES NEED TO ADDRESS THESE 4197 02:29:08,986 --> 02:29:09,220 ISSUES. 4198 02:29:09,220 --> 02:29:11,722 THANK YOU. 4199 02:29:11,722 --> 02:29:17,428 4200 02:29:17,428 --> 02:29:20,464 >> THANK YOU FOR THE EXCELLENT 4201 02:29:20,464 --> 02:29:21,665 PRESENTATION, DR. GRIFFITH. 4202 02:29:21,665 --> 02:29:25,102 NEXT UP IS DR. RUTH SHIM. 4203 02:29:25,102 --> 02:29:26,570 >> IT'S GREAT TO BE HERE WITH 4204 02:29:26,570 --> 02:29:28,139 ALL OF YOU. 4205 02:29:28,139 --> 02:29:29,373 I'M REALLY ENERGIZED BY THIS 4206 02:29:29,373 --> 02:29:30,674 PANEL AND BY ALL OF THE 4207 02:29:30,674 --> 02:29:32,409 PRESENTATIONS THAT I WAS ABLE TO 4208 02:29:32,409 --> 02:29:32,843 SEE. 4209 02:29:32,843 --> 02:29:34,612 ONE OF THE CHALLENGES OF COMING 4210 02:29:34,612 --> 02:29:37,214 AT THE END OF A REALLY ENGAGING 4211 02:29:37,214 --> 02:29:39,984 AND WONDERFUL TWO DAYS OF 4212 02:29:39,984 --> 02:29:41,152 CONFERENCE IS I'M PRETTY SURE 4213 02:29:41,152 --> 02:29:42,820 I'M NOT GOING TO SAY THAT MUCH 4214 02:29:42,820 --> 02:29:44,889 THAT HASN'T ALREADY BEEN SAID OR 4215 02:29:44,889 --> 02:29:47,925 COVERED AGAIN BUT THE REPETITION 4216 02:29:47,925 --> 02:29:48,726 IS REALLY HELPFUL. 4217 02:29:48,726 --> 02:29:53,297 SO I'M GOING TO TRY TO SPEND MY 4218 02:29:53,297 --> 02:29:56,033 BRIEF TIME HIGHLIGHTING SOME 4219 02:29:56,033 --> 02:29:59,470 THINGS THAT I FEEL ARE IMPORTANT 4220 02:29:59,470 --> 02:30:04,608 TO'D ADD AND BUILD ON WHAT'S 4221 02:30:04,608 --> 02:30:04,808 SAID. 4222 02:30:04,808 --> 02:30:09,847 DR. GRIFFITH WAS TALKING ABOUT 4223 02:30:09,847 --> 02:30:10,447 OPPORTUNITIES AND DIRECTIONS, 4224 02:30:10,447 --> 02:30:11,715 I'M HERE TO TALK ABOUT A 4225 02:30:11,715 --> 02:30:16,420 NEGATIVE GRAHAM, -- NEGATIVE 4226 02:30:16,420 --> 02:30:17,922 FRAME OF GAPS. 4227 02:30:17,922 --> 02:30:19,890 WE'LL TALK ABOUT SOME HISTORY, 4228 02:30:19,890 --> 02:30:21,892 AGAIN ALSO TALKED ABOUT IN THIS 4229 02:30:21,892 --> 02:30:24,828 CONFERENCE, A LOT, HOW HISTORY 4230 02:30:24,828 --> 02:30:27,231 IS SO IMPORTANT, A FUNDAMENTAL 4231 02:30:27,231 --> 02:30:29,099 CAUSE OF STRUCTURAL RACISM AND 4232 02:30:29,099 --> 02:30:31,835 CAUSE OF ILLNESS AND DISEASE. 4233 02:30:31,835 --> 02:30:34,338 WE'RE GOING TO TALK ABOUT SOME 4234 02:30:34,338 --> 02:30:35,539 INACCURATE PERSPECTIVES AND HOW 4235 02:30:35,539 --> 02:30:37,441 THEY HAVE IMPACTED RESEARCH ON 4236 02:30:37,441 --> 02:30:38,209 STRUCTURAL RACISM, AND WE'RE 4237 02:30:38,209 --> 02:30:41,745 GOING TO TALK ABOUT NEW 4238 02:30:41,745 --> 02:30:42,246 PERSPECTIVES. 4239 02:30:42,246 --> 02:30:43,314 SO MY FAVORITE QUOTE ABOUT 4240 02:30:43,314 --> 02:30:49,353 HISTORY COMES FROM MAY MAYA AN, 4241 02:30:49,353 --> 02:30:50,221 HISTORY DESPITE WRENCHING PAIN 4242 02:30:50,221 --> 02:30:51,889 CANNOT BE UNLIVED BUT IF FACED 4243 02:30:51,889 --> 02:30:54,158 WITH COURAGE NEED NOT BE LIVED 4244 02:30:54,158 --> 02:30:54,425 AGAIN. 4245 02:30:54,425 --> 02:30:56,260 I WAS RECENTLY IN MONTGOMERY, 4246 02:30:56,260 --> 02:30:58,529 ALABAMA, AT THE EQUAL JUSTICE 4247 02:30:58,529 --> 02:31:01,065 INITIATIVE WORK, AND THIS QUOTE 4248 02:31:01,065 --> 02:31:07,504 WAS ON THE WALL OF THE ORIGINAL 4249 02:31:07,504 --> 02:31:09,473 BUILDING OF THE EQUAL JUSTICE 4250 02:31:09,473 --> 02:31:09,907 INITIATIVE. 4251 02:31:09,907 --> 02:31:11,141 THESE PEOPLE SHOULD LOOK 4252 02:31:11,141 --> 02:31:13,644 FAMILIAR TO SOME OF US, I HOPE 4253 02:31:13,644 --> 02:31:15,512 AT LEAST DEFINITELY THE FOLKS IN 4254 02:31:15,512 --> 02:31:17,414 THE MORE RECENT HISTORY. 4255 02:31:17,414 --> 02:31:20,317 BUT THESE ARE ALL OF THE 4256 02:31:20,317 --> 02:31:22,820 DIRECTORS OF THE NIH, HEADS OF 4257 02:31:22,820 --> 02:31:25,122 THE NIH, UP UNTIL -- FROM 19515 4258 02:31:25,122 --> 02:31:26,557 TO THE PRESENT. 4259 02:31:26,557 --> 02:31:29,960 WHAT YOU SEE HERE IS A 4260 02:31:29,960 --> 02:31:31,695 SIGNIFICANT NUMBER OF MEN. 4261 02:31:31,695 --> 02:31:35,232 A FEW WOMEN DOTTED IN THERE. 4262 02:31:35,232 --> 02:31:36,867 BUT ALL OF THESE MEN, YOU KNOW, 4263 02:31:36,867 --> 02:31:39,270 IT'S REALLY HARD AS WE'VE TALKED 4264 02:31:39,270 --> 02:31:40,771 ABOUT TODAY TO IDENTIFY PEOPLE'S 4265 02:31:40,771 --> 02:31:44,608 RACE OR ETHNIC BACKGROUND BY 4266 02:31:44,608 --> 02:31:49,313 LOOKING AT THEM BUT WE CAN MAKE 4267 02:31:49,313 --> 02:31:50,581 SOME INFERENCES. 4268 02:31:50,581 --> 02:31:52,283 DR. GRIFFET WAS TALKING ABOUT 4269 02:31:52,283 --> 02:31:53,684 THE IMPORTANCE OF POWER, WE'RE 4270 02:31:53,684 --> 02:31:55,219 THINKING ABOUT HISTORY AND 4271 02:31:55,219 --> 02:31:57,321 POWER, WHO SETS AGENDAS AND 4272 02:31:57,321 --> 02:31:59,156 DECIDES WHAT RESEARCH IS 4273 02:31:59,156 --> 02:32:02,226 IMPORTANT, WHAT AREAS TO FOCUS 4274 02:32:02,226 --> 02:32:03,894 ON, WHERE THE IMPORTANT 4275 02:32:03,894 --> 02:32:08,132 DECISIONS ABOUT WHAT GETS FUNDED 4276 02:32:08,132 --> 02:32:10,000 AND WHAT MONEY GOES IN IS 4277 02:32:10,000 --> 02:32:11,001 CRITICAL TO THE CONVERSATION. 4278 02:32:11,001 --> 02:32:15,439 WE HAVE TO BRING IN A 4279 02:32:15,439 --> 02:32:16,674 CONVERSATION ABOUT OPPRESSION 4280 02:32:16,674 --> 02:32:18,509 WHEN THINKING ABOUT DECISIONS, 4281 02:32:18,509 --> 02:32:20,377 WHAT GETS FUNDED, WHAT GETS 4282 02:32:20,377 --> 02:32:22,680 ADDRESSED, AND WHAT GETS 4283 02:32:22,680 --> 02:32:23,914 ATTENTION. 4284 02:32:23,914 --> 02:32:26,283 AND SO I ALSO APPRECIATE DR. 4285 02:32:26,283 --> 02:32:29,053 MORSE BRINGING UP THE ENDING 4286 02:32:29,053 --> 02:32:31,889 UNEQUAL TREATMENT REPORT, 4287 02:32:31,889 --> 02:32:33,290 UPDATED REPORT FROM 20 YEARS AGO 4288 02:32:33,290 --> 02:32:34,291 FROM THE ORIGINAL REPORT. 4289 02:32:34,291 --> 02:32:36,460 I HAD THE GREAT HONOR TO SERVE 4290 02:32:36,460 --> 02:32:38,662 ON THAT COMMITTEE IN DEVELOPING 4291 02:32:38,662 --> 02:32:39,463 THAT UPDATED REPORT. 4292 02:32:39,463 --> 02:32:47,705 AND IN IN THAT REPORT WE TOUCHN 4293 02:32:47,705 --> 02:32:50,074 OPPRESSION, WORK BY IRIS MARIAN 4294 02:32:50,074 --> 02:32:51,942 YOUNG, THE FIVE FACES, 4295 02:32:51,942 --> 02:32:52,910 EXPLOITATION, UNEQUAL EXCHANGES 4296 02:32:52,910 --> 02:32:55,646 OF ONE GROUP'S LABOR AND 4297 02:32:55,646 --> 02:32:57,181 ENERGIES FOR ANOTHER GROUP'S 4298 02:32:57,181 --> 02:32:58,282 ADVANCEMENT. 4299 02:32:58,282 --> 02:33:03,020 SHE TALKS ABOUT POWERLESSNESS, 4300 02:33:03,020 --> 02:33:05,622 OPPRESSED GROUPS' LACK OF POWER, 4301 02:33:05,622 --> 02:33:06,657 BEING BLOCKED, MARGINALIZATION 4302 02:33:06,657 --> 02:33:08,359 WHERE WE EXPEL SPECIFIC GROUPS 4303 02:33:08,359 --> 02:33:09,660 FROM MEANINGFUL PARTICIPATION IN 4304 02:33:09,660 --> 02:33:11,095 SOCIETY, AND VIOLENCE OR THREATS 4305 02:33:11,095 --> 02:33:16,800 AND EXPERIENCES OF PHYSICAL AND 4306 02:33:16,800 --> 02:33:18,869 STRUCTURAL VIOLENCE, ALL TYPES 4307 02:33:18,869 --> 02:33:20,504 HAVE IMPORTANT BUT BECAUSE I 4308 02:33:20,504 --> 02:33:23,474 HAVE LIMITED TIME I WANT TO 4309 02:33:23,474 --> 02:33:24,541 FOCUS ON CULTURAL IMPERIALISM 4310 02:33:24,541 --> 02:33:28,746 WHICH WE CAN TALK A LITTLE BIT 4311 02:33:28,746 --> 02:33:34,418 AND REFER TO AS COLONIALISM, 4312 02:33:34,418 --> 02:33:37,187 COLONIZATION, CULTURAL 4313 02:33:37,187 --> 02:33:38,822 IMPERIALISM IS DEFINED AS 4314 02:33:38,822 --> 02:33:40,891 ESTABLISHING THE RULING CLASS 4315 02:33:40,891 --> 02:33:43,060 CULTURE AS THE NORM, OTHERING 4316 02:33:43,060 --> 02:33:44,261 ALL THE OTHER GROUPS. 4317 02:33:44,261 --> 02:33:47,998 THE PEOPLE THAT HAVE POWER, 4318 02:33:47,998 --> 02:33:52,035 PEOPLE WHO DOMINANT CULTURE, 4319 02:33:52,035 --> 02:33:55,639 THEIR IDEAS, PERSPECTIVES, THEIR 4320 02:33:55,639 --> 02:33:58,709 VALUES HAVE GREATER WEIGHT, AND 4321 02:33:58,709 --> 02:33:59,676 GREATER VALIDITY THAN THOSE 4322 02:33:59,676 --> 02:34:02,212 PEOPLE THAT ARE NOT PART OF THAT 4323 02:34:02,212 --> 02:34:03,147 DOMINANT CULTURE. 4324 02:34:03,147 --> 02:34:05,616 I WANT TO TALK AGAIN, KEEPING 4325 02:34:05,616 --> 02:34:08,118 THIS FRAME ON RESEARCH, HOW WE 4326 02:34:08,118 --> 02:34:10,554 THOUGHT ABOUT RESEARCH AND 4327 02:34:10,554 --> 02:34:11,188 RESEARCH AROUND STRUCTURAL 4328 02:34:11,188 --> 02:34:12,990 RACISM AND HOW THAT RELATES TO 4329 02:34:12,990 --> 02:34:15,159 THIS WORK. 4330 02:34:15,159 --> 02:34:17,461 I SO APPRECIATE DR. HARDEMAN'S 4331 02:34:17,461 --> 02:34:19,997 KEYNOTE THIS MORNING AND REALLY 4332 02:34:19,997 --> 02:34:22,065 THINKING THROUGH THE PROGRESS 4333 02:34:22,065 --> 02:34:25,235 THAT WE'VE MADE SAND HER 4334 02:34:25,235 --> 02:34:26,637 REFERENCES TO WHERE PEOPLE HAVE 4335 02:34:26,637 --> 02:34:27,938 COME FROM BECAUSE I THINK 4336 02:34:27,938 --> 02:34:29,840 BUILDING ON THE WORK THAT HAS 4337 02:34:29,840 --> 02:34:31,008 BEEN DONE FOR A REALLY LONG 4338 02:34:31,008 --> 02:34:34,211 PERIOD OF TIME WE CAN START TO 4339 02:34:34,211 --> 02:34:35,612 THINK ABOUT, ONE, WHAT PROGRESS 4340 02:34:35,612 --> 02:34:37,681 WE'VE MADE, BUT ALSO HOW MUCH 4341 02:34:37,681 --> 02:34:39,917 MORE WORK WE NEED TO ACCOMPLISH. 4342 02:34:39,917 --> 02:34:50,427 AND SO AS WE'RE THINKING ABOUT 4343 02:34:54,298 --> 02:34:57,100 CULTURAL, THE VALUES OF WHITE 4344 02:34:57,100 --> 02:34:58,402 SUPREMACY CULTURE THAT INFECT 4345 02:34:58,402 --> 02:35:01,038 OUR SOCIETY, SOME PARTICULAR 4346 02:35:01,038 --> 02:35:04,641 VALUES ARE MOST IMPORTANT WHEN 4347 02:35:04,641 --> 02:35:05,843 TALKING ABOUT MEDICAL RESEARCH. 4348 02:35:05,843 --> 02:35:10,981 SO, ONE OF THE THINGS SHE SAYS 4349 02:35:10,981 --> 02:35:12,950 IS -- I APOLOGIZE TYPOS, I 4350 02:35:12,950 --> 02:35:14,151 ALREADY NOTICED TWO, BUT ANYWAY, 4351 02:35:14,151 --> 02:35:16,320 SO ONE OF THE THINGS SHE SAYS, 4352 02:35:16,320 --> 02:35:19,289 WORSHIP OF THE WRITTEN WORD. 4353 02:35:19,289 --> 02:35:23,460 AND SO SHE TALKS ABOUT THIS AS 4354 02:35:23,460 --> 02:35:25,329 LIMITED ACTING OR VALUE OF OTHER 4355 02:35:25,329 --> 02:35:26,864 WAYS THAT INFORMATION GETS 4356 02:35:26,864 --> 02:35:27,731 SHARED. 4357 02:35:27,731 --> 02:35:29,333 THE BELIEF THERE'S ONLY ONE 4358 02:35:29,333 --> 02:35:30,901 RIGHT WAY TO DO THINGS. 4359 02:35:30,901 --> 02:35:33,770 I THINK AGAIN WHEN WE THINK 4360 02:35:33,770 --> 02:35:35,172 ABOUT RESEARCH, IN PARTICULAR, 4361 02:35:35,172 --> 02:35:36,673 THIS COMES THROUGH PRETTY 4362 02:35:36,673 --> 02:35:38,475 STRONGLY IN THE WAY THAT WE 4363 02:35:38,475 --> 02:35:43,046 THINK ABOUT RESEARCH AS THIS 4364 02:35:43,046 --> 02:35:44,248 GOLD STANDARD BEING RANDOMIZED 4365 02:35:44,248 --> 02:35:45,883 CLINICAL CONTROLS TRIAL AND THIS 4366 02:35:45,883 --> 02:35:47,117 IDEA IF YOU'RE TRYING TO PROVE 4367 02:35:47,117 --> 02:35:49,086 SOMETHING THE ONLY WAY YOU CAN 4368 02:35:49,086 --> 02:35:53,023 PROVE IT IS WITH A RANDOMIZEED 4369 02:35:53,023 --> 02:35:56,326 CLINICAL TRIAL, THAT HAS TO BE 4370 02:35:56,326 --> 02:35:58,061 DOCUMENTED EFFECTIVELY IN OUR 4371 02:35:58,061 --> 02:35:59,596 SCIENTIFIC PUBLICATIONS, AND 4372 02:35:59,596 --> 02:36:04,201 THAT HAS TO ABLE -- TO BE -- A 4373 02:36:04,201 --> 02:36:05,836 MENTOR TOLD ME IF YOU DIDN'T 4374 02:36:05,836 --> 02:36:07,137 PUBLISH IT, IT DIDN'T HAPPEN, 4375 02:36:07,137 --> 02:36:09,773 THIS WORSHIP OF THE WRITTEN WORD 4376 02:36:09,773 --> 02:36:12,276 IS THIS WHITE SUPREMACY CULTURE 4377 02:36:12,276 --> 02:36:14,378 BELIEF AND IT NEGATES SO MANY 4378 02:36:14,378 --> 02:36:17,414 OTHER WAYS AND OTHER CULTURAL 4379 02:36:17,414 --> 02:36:18,715 VALUES, INCLUDING THE SPOKEN 4380 02:36:18,715 --> 02:36:20,817 WORD, AND THE WAY THAT CERTAIN 4381 02:36:20,817 --> 02:36:22,452 CULTURES AND TRADITIONS HAVE 4382 02:36:22,452 --> 02:36:27,324 PASSED ON KNOWLEDGE AND HAVE 4383 02:36:27,324 --> 02:36:30,027 PASSED ON RESEARCH EXPERTISE 4384 02:36:30,027 --> 02:36:31,895 THROUGH STORIES, THROUGH VERBAL 4385 02:36:31,895 --> 02:36:32,896 ENCOUNTERS, THROUGH CULTURAL 4386 02:36:32,896 --> 02:36:34,631 LEARNING THAT IS SHARED WITHIN 4387 02:36:34,631 --> 02:36:35,732 THE COMMUNITY AND IS NOT 4388 02:36:35,732 --> 02:36:38,569 SPECIFIC TO THE WRITTEN WORD. 4389 02:36:38,569 --> 02:36:40,771 ANOTHER EXAMPLE OF WHAT HAPPENS 4390 02:36:40,771 --> 02:36:43,607 WHEN WE DON'T THINK ABOUT HOW 4391 02:36:43,607 --> 02:36:45,576 WHITE SUPREMACY CULTURE INFECTS 4392 02:36:45,576 --> 02:36:47,444 OUR RESEARCH IS PATERNALISM. 4393 02:36:47,444 --> 02:36:49,646 AND THAT IS WHEN THE DECISION 4394 02:36:49,646 --> 02:36:51,515 MAKING IS CLEAR TO THOSE WITH 4395 02:36:51,515 --> 02:36:53,483 POWER, UNCLEAR TO THOSE THAT DO 4396 02:36:53,483 --> 02:36:54,785 NOT HAVE POWER. 4397 02:36:54,785 --> 02:36:56,420 AND THAT THOSE WITH POWER THINK 4398 02:36:56,420 --> 02:36:58,422 THEY ARE CAPABLE OF MAKING 4399 02:36:58,422 --> 02:37:01,558 DECISIONS FOR AND IN THE 4400 02:37:01,558 --> 02:37:03,427 INTEREST OF THOSE WITHOUT POWER. 4401 02:37:03,427 --> 02:37:04,828 THE PREVIOUSLY PANEL HIGHLIGHTED 4402 02:37:04,828 --> 02:37:07,598 THIS IDEA OF HOW SO MANY YEARS 4403 02:37:07,598 --> 02:37:09,766 COMMUNITY HAS NOT BEEN AT THE 4404 02:37:09,766 --> 02:37:11,969 CENTER OF OUR DECISIONS, OF OUR 4405 02:37:11,969 --> 02:37:12,235 RESEARCH. 4406 02:37:12,235 --> 02:37:13,837 WE'VE NOT ENGAGED COMMUNITY. 4407 02:37:13,837 --> 02:37:15,706 WE'VE NOT SEEN OURSELVES AS PART 4408 02:37:15,706 --> 02:37:17,908 OF THE COMMUNITY. 4409 02:37:17,908 --> 02:37:19,309 THE ACADEMIC RESEARCH COMMUNITY 4410 02:37:19,309 --> 02:37:21,945 HAS BEEN SEPARATE, AND AWAY. 4411 02:37:21,945 --> 02:37:25,248 AND HAD THIS VERY PATERNALISTIC 4412 02:37:25,248 --> 02:37:26,683 VIEW THAT THOSE IN THE ACADEMIC 4413 02:37:26,683 --> 02:37:28,852 SPACES KNEW FAR BETTER ABOUT THE 4414 02:37:28,852 --> 02:37:30,821 COMMUNITY AND THE NEEDS OF THE 4415 02:37:30,821 --> 02:37:32,222 COMMUNITY THAN THOSE WITHIN THE 4416 02:37:32,222 --> 02:37:33,090 COMMUNITY. 4417 02:37:33,090 --> 02:37:35,425 SO I'M NOT PROVIDING EXPERTISE, 4418 02:37:35,425 --> 02:37:37,361 NOT RECOGNIZING THE EXPERTISE OF 4419 02:37:37,361 --> 02:37:40,864 COMMUNITY MEMBERS, NOT VALUING 4420 02:37:40,864 --> 02:37:42,299 THAT EXPERTISE BY COMPENSATING 4421 02:37:42,299 --> 02:37:43,734 PEOPLE IN RESEARCH IN THE 4422 02:37:43,734 --> 02:37:45,469 COMMUNITY, ALL OF THOSE THINGS 4423 02:37:45,469 --> 02:37:48,972 ARE EXAMPLES OF WHAT WE SEE WITH 4424 02:37:48,972 --> 02:37:49,272 PATERNALISM. 4425 02:37:49,272 --> 02:37:50,941 QUANTITY OVER QUALITY, SO ALL 4426 02:37:50,941 --> 02:37:54,511 RESOURCES OF AN ORGANIZATION ARE 4427 02:37:54,511 --> 02:37:55,646 DIRECTED TOWARDS PRODUCING 4428 02:37:55,646 --> 02:37:56,413 MEASURABLE GOALS. 4429 02:37:56,413 --> 02:37:59,016 AND THESE THINGS THAT CAN BE 4430 02:37:59,016 --> 02:38:00,550 MEASURED ARE MORE VALUED THAN 4431 02:38:00,550 --> 02:38:03,453 THINGS THAT CANNOT BE MEASURED. 4432 02:38:03,453 --> 02:38:05,355 AND THIS GETS BACK TO DR. 4433 02:38:05,355 --> 02:38:08,325 HARDEMAN TALKED ABOUT IT, AND 4434 02:38:08,325 --> 02:38:09,960 DR. ADKINS JACKSON YESTERDAY 4435 02:38:09,960 --> 02:38:12,062 MENTIONED THE IMPORTANCE OF 4436 02:38:12,062 --> 02:38:14,131 QUALITATIVE RESEARCH. 4437 02:38:14,131 --> 02:38:17,067 AGAIN, HOW WE HAVE FELT THAT WE 4438 02:38:17,067 --> 02:38:23,974 HAVE THIS VALUE THAT 4439 02:38:23,974 --> 02:38:25,409 QUANTITATIVE RESEARCH IS 4440 02:38:25,409 --> 02:38:27,244 ALL-KNOWING WHEN QUALITATIVE 4441 02:38:27,244 --> 02:38:28,645 RESEARCH HAS SIGNIFICANT VALUE 4442 02:38:28,645 --> 02:38:29,312 ESPECIALLY WHEN STUDYING 4443 02:38:29,312 --> 02:38:29,980 STRUCTURAL RACISM. 4444 02:38:29,980 --> 02:38:34,151 IF WE'RE NOT THINKING ABOUT 4445 02:38:34,151 --> 02:38:35,352 IMPORTANCE -- NOT VALUING 4446 02:38:35,352 --> 02:38:36,987 QUALITATIVE RESEARCH, PUTTING 4447 02:38:36,987 --> 02:38:38,188 FUNDING INVESTMENT IN, WE 4448 02:38:38,188 --> 02:38:41,425 MISSING A HUGE PIECE OF HOW WE 4449 02:38:41,425 --> 02:38:43,326 SHOULD BE STUDYING STRUCTURAL 4450 02:38:43,326 --> 02:38:43,794 RACISM. 4451 02:38:43,794 --> 02:38:45,862 THE IDEA THAT IT IS SO COMPLEX 4452 02:38:45,862 --> 02:38:51,334 TO THINK ABOUT ALL OF THE THINGS 4453 02:38:51,334 --> 02:38:53,170 THAT GO INTO DEVELOPMENT OF 4454 02:38:53,170 --> 02:38:54,838 STRUCTURAL RACISM, WE'VE HAD 4455 02:38:54,838 --> 02:38:56,239 EXPERTISE UNPACKING HOW THESE 4456 02:38:56,239 --> 02:38:59,976 THINGS WORK TOGETHER, IN THIS 4457 02:38:59,976 --> 02:39:02,813 COMPLICATED WAY, AND HOW TRYING 4458 02:39:02,813 --> 02:39:04,548 TO TEASE OUT THINGS WITH 4459 02:39:04,548 --> 02:39:06,616 SPECIFIC MEASURES BECOME SO 4460 02:39:06,616 --> 02:39:09,152 COMPLICATED, AND THAT RELATES TO 4461 02:39:09,152 --> 02:39:11,455 THE COMPLEXITY OF THIS WORK, HOW 4462 02:39:11,455 --> 02:39:13,857 QUALITY REALLY SHOULD BE VALUED 4463 02:39:13,857 --> 02:39:16,693 FAR MORE THAN QUANTITY. 4464 02:39:16,693 --> 02:39:18,028 AND FINALLY, THIS IS REALLY 4465 02:39:18,028 --> 02:39:19,429 IMPORTANT POINT, THIS IDEA OF 4466 02:39:19,429 --> 02:39:21,298 OBJECTIVITY, RIGHT? 4467 02:39:21,298 --> 02:39:23,266 THE BELIEF THERE'S SUCH A THING 4468 02:39:23,266 --> 02:39:27,237 AS BEING OBJECTIVE. 4469 02:39:27,237 --> 02:39:28,672 AND THAT THERE'S IMPATIENCE WITH 4470 02:39:28,672 --> 02:39:30,307 THINKING THAT DOES NOT APPEAR 4471 02:39:30,307 --> 02:39:32,909 LOGICAL TO PEOPLE WITH POWER. 4472 02:39:32,909 --> 02:39:35,645 BREAKING DOWN OBJECTIVITY PIECE 4473 02:39:35,645 --> 02:39:40,050 MORE, TALKING ABOUT FEMINIST 4474 02:39:40,050 --> 02:39:41,451 STANDPOINT THEORY THAT OPPRESSED 4475 02:39:41,451 --> 02:39:42,886 PEOPLE GENERATE KNOWLEDGE THAT 4476 02:39:42,886 --> 02:39:44,187 OFFERS INSIGHTS THAT DIFFER FROM 4477 02:39:44,187 --> 02:39:54,998 MAINSTREAM PER PERSPECTIVES, AE 4478 02:39:54,998 --> 02:39:56,500 DOMINANT CULTURE PRODUCED 4479 02:39:56,500 --> 02:39:58,368 KNOWLEDGE WITHIN HISTORICAL 4480 02:39:58,368 --> 02:39:59,536 CONTEXT THAT BOLSTERED ELITE 4481 02:39:59,536 --> 02:40:01,938 SOCIAL MONTHS AS SCIENTISTS. 4482 02:40:01,938 --> 02:40:03,507 AND THEREFORE THE OBJECTIVITY 4483 02:40:03,507 --> 02:40:05,909 THAT THESE THINKERS IN DOMINANT 4484 02:40:05,909 --> 02:40:08,078 CULTURE CLAIM TO POSSESS FAILS 4485 02:40:08,078 --> 02:40:09,846 TO SHAPE SCIENCE, CULTURE, AND 4486 02:40:09,846 --> 02:40:11,815 POLITICS IN A NEUTRAL WAY. 4487 02:40:11,815 --> 02:40:15,218 WE THINK OF THIS OBJECTIVITY AND 4488 02:40:15,218 --> 02:40:17,821 NEUTRALITY BUT IN FACT THOSE 4489 02:40:17,821 --> 02:40:18,722 FOLKS IN DOMINANT CULTURE 4490 02:40:18,722 --> 02:40:21,258 SHAPING THEIR BELIEFS ARE DOING 4491 02:40:21,258 --> 02:40:23,560 SO IN THIS INCREDIBLY BIASED 4492 02:40:23,560 --> 02:40:24,528 PROBLEMATIC WAY. 4493 02:40:24,528 --> 02:40:27,164 SO WHEN WE THINK ABOUT STRONG 4494 02:40:27,164 --> 02:40:30,534 OBJECTIVITY, WHICH IS WORK BY 4495 02:40:30,534 --> 02:40:32,402 PATRICIA HILL COLLINS, THE IDEA 4496 02:40:32,402 --> 02:40:36,339 OH PROSED GROUPS -- OPPRESSED 4497 02:40:36,339 --> 02:40:37,207 GROUPS MAY HAVE GREATER 4498 02:40:37,207 --> 02:40:38,208 OBJECTIVITY, FORCED TO 4499 02:40:38,208 --> 02:40:39,176 UNDERSTAND VIEWS AND 4500 02:40:39,176 --> 02:40:40,377 PERSPECTIVES OF THOSE PEOPLE IN 4501 02:40:40,377 --> 02:40:41,578 POSITIONS OF POWER. 4502 02:40:41,578 --> 02:40:43,780 AND THOSE PEOPLE IN POWER MAY 4503 02:40:43,780 --> 02:40:45,415 HAVE LESS OBJECTIVITY BECAUSE 4504 02:40:45,415 --> 02:40:47,050 THE REALITIES OF OPPRESSION ARE 4505 02:40:47,050 --> 02:40:49,686 OFTEN INVISIBLE TO THOSE NOT IN 4506 02:40:49,686 --> 02:40:50,921 THE DOMINANT GROUPS. 4507 02:40:50,921 --> 02:40:52,756 WE'VE TALKED ABOUT POWER. 4508 02:40:52,756 --> 02:40:56,693 THE WORLD WORLD HEALTH ORGANIZS 4509 02:40:56,693 --> 02:40:59,963 THINKING ABOUT POWER. 4510 02:40:59,963 --> 02:41:05,135 WE OPERATE IN A MODEL, A FEW 4511 02:41:05,135 --> 02:41:06,770 INDIVIDUALS HAVE POWER AND 4512 02:41:06,770 --> 02:41:07,871 COERCION OVER OTHERS. 4513 02:41:07,871 --> 02:41:09,539 WE THINK ABOUT GIVING POWER TO 4514 02:41:09,539 --> 02:41:10,807 ONE OR TWO INDIVIDUALS, BUT 4515 02:41:10,807 --> 02:41:14,444 REALLY WE NEED TO SHIFT TO 4516 02:41:14,444 --> 02:41:16,613 THINKING ABOUT POWER WITH, WITH 4517 02:41:16,613 --> 02:41:17,948 THE COLLECTIVE POWER COMMUNITY 4518 02:41:17,948 --> 02:41:19,149 AND ORGANIZATIONS, AND POWER 4519 02:41:19,149 --> 02:41:21,985 WITHIN HELPING PEOPLE WITH 4520 02:41:21,985 --> 02:41:24,187 INDIVIDUAL CAPACITY TO EXERCISE 4521 02:41:24,187 --> 02:41:25,922 POWER. 4522 02:41:25,922 --> 02:41:27,457 I WANT TO CALL ATTENTION BACK TO 4523 02:41:27,457 --> 02:41:30,193 THIS WONDERFUL STUDY THAT MANY 4524 02:41:30,193 --> 02:41:32,162 FOLKS HERE PARTICIPATED IN, 4525 02:41:32,162 --> 02:41:33,964 AROUND THE FUNDING DISPARITIES 4526 02:41:33,964 --> 02:41:35,498 THAT THE NIH HAS. 4527 02:41:35,498 --> 02:41:38,668 AND HOW IT RELATES TO THINKING 4528 02:41:38,668 --> 02:41:41,271 AND HOW IT IMPEDES INNOVATION 4529 02:41:41,271 --> 02:41:42,839 AND CREATIVITY, MUCH BECAUSE OF 4530 02:41:42,839 --> 02:41:44,908 THESE ISSUES AROUND FEMINIST 4531 02:41:44,908 --> 02:41:48,178 STANDPOINT THEORY AND STRONG 4532 02:41:48,178 --> 02:41:48,478 OBJECTIVITY. 4533 02:41:48,478 --> 02:41:51,681 SO ONE OF THE WAYS, I HAVE JUST 4534 02:41:51,681 --> 02:41:53,450 A FEW SECONDS, MINUTES LEFT, I 4535 02:41:53,450 --> 02:41:54,751 WANT TO SPEND A BRIEF PERIOD OF 4536 02:41:54,751 --> 02:41:57,921 TIME TALKING ABOUT THE 4537 02:41:57,921 --> 02:41:58,622 IMPORTANCE OF COMMUNITY-BASED 4538 02:41:58,622 --> 02:41:59,556 PARTICIPATORY RESEARCH BECAUSE 4539 02:41:59,556 --> 02:42:02,859 IT IS A WAY, A PRINCIPLE THAT I 4540 02:42:02,859 --> 02:42:05,795 KNOW THE NIH HAS BEEN REALLY 4541 02:42:05,795 --> 02:42:09,833 ACTIVELY WORKING ON TO FULLY, 4542 02:42:09,833 --> 02:42:11,134 FULLY WORK WITH COMMUNITIES AS 4543 02:42:11,134 --> 02:42:12,802 EQUAL PARTNERS IN THE WORK WE 4544 02:42:12,802 --> 02:42:14,571 DO. 4545 02:42:14,571 --> 02:42:16,840 AND THE PRINCIPLES OF 4546 02:42:16,840 --> 02:42:21,444 COMMUNITY-BASED RESEARCH 4547 02:42:21,444 --> 02:42:22,646 ACKNOWLEDGE COMMUNITIES AS 4548 02:42:22,646 --> 02:42:26,783 UNITIES OF IDENTITY, BUILDS ON 4549 02:42:26,783 --> 02:42:28,118 EXISTING STRENGTHS, FACILITATES 4550 02:42:28,118 --> 02:42:29,519 PARTNERSHIPS, ADDRESS SOCIAL 4551 02:42:29,519 --> 02:42:30,620 INEQUALITIES, COMMIT TO 4552 02:42:30,620 --> 02:42:32,589 CO-LEARNING AND CAPACITY 4553 02:42:32,589 --> 02:42:33,590 BUILDING, BALANCES KNOWLEDGE 4554 02:42:33,590 --> 02:42:36,660 GENERATION AND INTERVENTION TO 4555 02:42:36,660 --> 02:42:41,231 ENSURE MUTUAL BENEFITS FOR 4556 02:42:41,231 --> 02:42:43,867 PARTNERS, FOCUSES ON LOCAL 4557 02:42:43,867 --> 02:42:45,502 ISSUES, DELIVERS RESULTS AND 4558 02:42:45,502 --> 02:42:47,804 KNOWLEDGE TO ALL PARTNERS, AND 4559 02:42:47,804 --> 02:42:48,305 ESTABLISHES SUSTAINABLE 4560 02:42:48,305 --> 02:42:51,074 LONG-TERM PARTNERSHIP WAS 4561 02:42:51,074 --> 02:42:51,708 COMMUNITIES. 4562 02:42:51,708 --> 02:42:52,609 THAT THESE IS CRITICAL. 4563 02:42:52,609 --> 02:42:55,378 PARTNERSHIPS NEED TO BE 4564 02:42:55,378 --> 02:42:58,748 SUSTAINABLE, LONG-TERM, NOT THIS 4565 02:42:58,748 --> 02:43:00,717 LIKE EXTRACTION COMING INTO 4566 02:43:00,717 --> 02:43:02,052 SOCIETIES ALREADY DISCUSSED. 4567 02:43:02,052 --> 02:43:06,990 SO JUST TO WRAP UP, HOW DO WE 4568 02:43:06,990 --> 02:43:15,198 PROMOTE THOSE MARGINALIZED IZED 4569 02:43:15,198 --> 02:43:16,299 OPPRESSED ARE? 4570 02:43:16,299 --> 02:43:18,034 SOME AREAS TO SHIFT OUR WORK, 4571 02:43:18,034 --> 02:43:19,369 AGAIN I'M NOT SAYING ANYTHING 4572 02:43:19,369 --> 02:43:20,570 THAT HASN'T ALREADY BEEN SAID 4573 02:43:20,570 --> 02:43:23,173 BUT I THINK WE NEED TO EXPAND 4574 02:43:23,173 --> 02:43:32,082 AND BUILD ON COMMUNITY-BASED 4575 02:43:32,082 --> 02:43:33,083 PARTICIPATORY RESEARCH, 4576 02:43:33,083 --> 02:43:35,051 REEVALUATE RISKS FROM DIFFERENT 4577 02:43:35,051 --> 02:43:36,319 PERSPECTIVE THAT CONSIDERS 4578 02:43:36,319 --> 02:43:37,554 POSITIONALITY, SO I THINK A LOT 4579 02:43:37,554 --> 02:43:39,456 OF FUNDERS ARE AFRAID TO GIVE 4580 02:43:39,456 --> 02:43:40,724 MONEY TO CERTAIN GROUPS WHICH 4581 02:43:40,724 --> 02:43:42,726 THEY SAY, OH, THEY DON'T HAVE A 4582 02:43:42,726 --> 02:43:44,794 TRACK RECORD, THEY HAVEN'T 4583 02:43:44,794 --> 02:43:45,428 DEMONSTRATED THEY CONDUCT 4584 02:43:45,428 --> 02:43:46,997 RESEARCH IN THE WAYS THAT WE 4585 02:43:46,997 --> 02:43:48,531 WANT THEM TO CONDUCT RESEARCH, 4586 02:43:48,531 --> 02:43:50,266 THEY ARE TOO RISKY TO GIVE THIS 4587 02:43:50,266 --> 02:43:55,071 MONEY TO BECAUSE THEY WON'T USE 4588 02:43:55,071 --> 02:43:55,972 IT APPROPRIATELY. 4589 02:43:55,972 --> 02:43:58,141 WE HAVE TO THINK ABOUT WHERE IS 4590 02:43:58,141 --> 02:43:59,676 OUR -- LIKE WHERE IS THAT 4591 02:43:59,676 --> 02:44:00,443 PERSPECTIVE COMING FROM AND HOW 4592 02:44:00,443 --> 02:44:06,249 IS IT WRAPPED UP IN SYSTEMS OF 4593 02:44:06,249 --> 02:44:07,550 OPPRESSION AND WHITE SUPREMACY 4594 02:44:07,550 --> 02:44:08,218 CULTURE. 4595 02:44:08,218 --> 02:44:10,186 WE NEED TO RETHINK RESEARCH 4596 02:44:10,186 --> 02:44:11,721 MODELS AND GOLD STANDARDS, 4597 02:44:11,721 --> 02:44:13,156 PRIORITIZING THE WAY KNOWLEDGE 4598 02:44:13,156 --> 02:44:14,557 IS GLEANED FROM MARGINS, 4599 02:44:14,557 --> 02:44:15,558 INCLUDING QUALITATIVE RESEARCH. 4600 02:44:15,558 --> 02:44:19,396 WE NEED TO CENTER EXPERTISE OF 4601 02:44:19,396 --> 02:44:20,263 OPPRESSED PEOPLE ESPECIALLY 4602 02:44:20,263 --> 02:44:26,069 MINORITIZED PEOPLE LIVED 4603 02:44:26,069 --> 02:44:28,705 EXPERIENCE AND REDRESS THE 4604 02:44:28,705 --> 02:44:28,905 HARMS. 4605 02:44:28,905 --> 02:44:30,840 I'LL END WITH THIS QUOTE FROM 4606 02:44:30,840 --> 02:44:31,875 BELL HOOKS. 4607 02:44:31,875 --> 02:44:33,743 THIS IS AN INTERVENTION. 4608 02:44:33,743 --> 02:44:35,612 A MESSAGE FROM THAT SPACE IN THE 4609 02:44:35,612 --> 02:44:38,181 MARGIN THAT IS A SITE OF 4610 02:44:38,181 --> 02:44:38,915 CREATIVITY AND POWER, THAT 4611 02:44:38,915 --> 02:44:40,884 INCLUSIVE SPACE WHERE WE RECOVER 4612 02:44:40,884 --> 02:44:43,653 OURSELVES, WHERE WE MOVE IN 4613 02:44:43,653 --> 02:44:49,426 SOLIDARITY TO ERASE THE CATEGORY 4614 02:44:49,426 --> 02:44:49,859 COLONIZED/COLONIZER. 4615 02:44:49,859 --> 02:44:52,162 MARGIN AT AS A SITE OF 4616 02:44:52,162 --> 02:44:52,562 RESISTANCE. 4617 02:44:52,562 --> 02:44:53,129 ENTER THAT SPACE. 4618 02:44:53,129 --> 02:44:54,130 LET US MEET THERE. 4619 02:44:54,130 --> 02:44:55,432 ENTER THAT SPACE. 4620 02:44:55,432 --> 02:44:58,134 WE GREET YOU AS LIBERATORS. 4621 02:44:58,134 --> 02:45:04,974 THANK YOU. 4622 02:45:04,974 --> 02:45:07,343 >> THANK YOU, DR. SHIM, FOR YOUR 4623 02:45:07,343 --> 02:45:10,513 EXCELLENT PRESENTATION. 4624 02:45:10,513 --> 02:45:16,986 NEXT WE HAVE ADDIE ROLNICK. 4625 02:45:16,986 --> 02:45:23,026 4626 02:45:23,026 --> 02:45:25,962 4627 02:45:25,962 --> 02:45:26,129 SO. 4628 02:45:26,129 --> 02:45:26,963 GOOD MORNING/AFTERNOON, 4629 02:45:26,963 --> 02:45:27,230 EVERYONE. 4630 02:45:27,230 --> 02:45:28,164 I'M EXCITED TO BE HERE. 4631 02:45:28,164 --> 02:45:30,133 I'M NOT A HEALTH RESEARCH, I'M 4632 02:45:30,133 --> 02:45:32,001 ALSO NOT NATIVE. 4633 02:45:32,001 --> 02:45:33,837 I'M GOING TO TALK ABOUT 4634 02:45:33,837 --> 02:45:34,537 INDIGENOUS HEALTH INEQUALITY SO 4635 02:45:34,537 --> 02:45:35,939 WHAT AM I DOING HERE? 4636 02:45:35,939 --> 02:45:37,140 FIRST OF ALL, THANKS FOR 4637 02:45:37,140 --> 02:45:38,007 INCLUDING ME. 4638 02:45:38,007 --> 02:45:40,443 I'VE LEARNED A LOT FROM 4639 02:45:40,443 --> 02:45:43,413 LISTENING, I ALWAYS LEARN A LOT 4640 02:45:43,413 --> 02:45:45,815 LISTENING TO THOSE WHO FOCUS ON 4641 02:45:45,815 --> 02:45:46,583 HEALTH RESEARCH. 4642 02:45:46,583 --> 02:45:49,853 MY WORK IS JUSTICE SYSTEMS. 4643 02:45:49,853 --> 02:45:51,621 HEALTH INEQUALITIES AND JUSTICE 4644 02:45:51,621 --> 02:45:54,457 SYSTEM OUTCOMES ARE LINKED, SO 4645 02:45:54,457 --> 02:45:57,193 HEALTH INEQUALITIES CAN LEAD TO 4646 02:45:57,193 --> 02:46:00,163 LEGAL SYSTEM ENTANGLEMENT, WHICH 4647 02:46:00,163 --> 02:46:01,598 CAN LEAD TO WORSE INDIVIDUAL 4648 02:46:01,598 --> 02:46:03,032 COMMUNITY AND INDIVIDUAL HEALTH 4649 02:46:03,032 --> 02:46:03,333 OUTCOMES. 4650 02:46:03,333 --> 02:46:05,835 SO WHAT I WANT TO DO TODAY IS 4651 02:46:05,835 --> 02:46:07,604 ACTUALLY TRY TO GET SPECIFIC, 4652 02:46:07,604 --> 02:46:09,472 AND TALK ABOUT SOME OF THE 4653 02:46:09,472 --> 02:46:10,807 INNOVATIONS THAT EMERGED FROM 4654 02:46:10,807 --> 02:46:11,975 TRIBAL JUSTICE SYSTEMS AND 4655 02:46:11,975 --> 02:46:14,511 CONTEXT IN WHICH THEY EMERGED 4656 02:46:14,511 --> 02:46:16,045 FOR ADDRESSING WHAT WE THINK OF 4657 02:46:16,045 --> 02:46:18,314 AS HEALTH ISSUES AND BARRIERS, 4658 02:46:18,314 --> 02:46:19,749 PARTICULARLY IN THE JUSTICE 4659 02:46:19,749 --> 02:46:24,554 FIELD, FOR DOING THIS WORK. 4660 02:46:24,554 --> 02:46:26,890 MOST OF MY WORK HAS BEEN ON 4661 02:46:26,890 --> 02:46:29,626 NATIVE CHILDREN, BUT MANY POINTS 4662 02:46:29,626 --> 02:46:34,597 APPLY TO ADULTS AS WELL. 4663 02:46:34,597 --> 02:46:35,765 SO BRIEFLY FIRST I WANT TO 4664 02:46:35,765 --> 02:46:37,534 SKETCH OUT WHAT WE'VE BEEN 4665 02:46:37,534 --> 02:46:40,403 TALKING ABOUT, FOR MOST OF THE 4666 02:46:40,403 --> 02:46:43,206 WORKSHOPS, THIS IDEA STRUCTURAL 4667 02:46:43,206 --> 02:46:46,976 RACISM CAN FEED HEALTH 4668 02:46:46,976 --> 02:46:48,711 ENEQUITIES AND FEED INVOLVEMENT 4669 02:46:48,711 --> 02:46:49,812 IN VARIOUS STATE SYSTEMS 4670 02:46:49,812 --> 02:46:51,080 INCLUDING JUVENILE AND CRIMINAL 4671 02:46:51,080 --> 02:46:51,381 SYSTEMS. 4672 02:46:51,381 --> 02:46:53,983 AND I WANT TO MAKE THE CASE THAT 4673 02:46:53,983 --> 02:46:55,084 TRIBAL DELINQUENCY AND CRIMINAL 4674 02:46:55,084 --> 02:46:57,387 SYSTEMS AND TRIBAL JUSTICE 4675 02:46:57,387 --> 02:47:00,323 SYSTEMS MORE BROADLY ARE 4676 02:47:00,323 --> 02:47:01,858 IMPORTANT SITES FOR THE KINDS OF 4677 02:47:01,858 --> 02:47:02,759 INNOVATIONS THAT PRIORITIZE 4678 02:47:02,759 --> 02:47:03,960 HEALING AND TREATMENT THAT WE'VE 4679 02:47:03,960 --> 02:47:05,895 TALKED ABOUT HERE, AND THAT ALSO 4680 02:47:05,895 --> 02:47:07,997 IS TALKED ABOUT IN THE CONTEXT 4681 02:47:07,997 --> 02:47:09,532 OF CRIMINAL JUSTICE REFORM. 4682 02:47:09,532 --> 02:47:12,902 AND THEN THIRD, I'LL TALK ABOUT 4683 02:47:12,902 --> 02:47:14,170 THE HARD PARTS, BARRIERS AND 4684 02:47:14,170 --> 02:47:14,437 PROBLEMS. 4685 02:47:14,437 --> 02:47:15,638 WHAT ARE THE RESEARCH AND 4686 02:47:15,638 --> 02:47:17,840 FUNDING BARRIERS THAT HAVE 4687 02:47:17,840 --> 02:47:20,877 THREATENED THE DEVELOPMENT AND 4688 02:47:20,877 --> 02:47:23,213 SUSTAINABILITY OF THESE 4689 02:47:23,213 --> 02:47:23,479 PROGRAMS? 4690 02:47:23,479 --> 02:47:25,481 SOR FIRST, WHAT IS THE 4691 02:47:25,481 --> 02:47:28,651 CONNECTION HERE? 4692 02:47:28,651 --> 02:47:30,420 SO, WE TALK ABOUT SOCIAL 4693 02:47:30,420 --> 02:47:33,089 DETERMINANTS OF HEALTH, MEANING 4694 02:47:33,089 --> 02:47:35,558 THAT THERE ARE -- THE CONTEXT TO 4695 02:47:35,558 --> 02:47:37,093 WHICH INDIVIDUAL PEOPLE ARE BORN 4696 02:47:37,093 --> 02:47:39,162 CAN IMPACT HEALTH. 4697 02:47:39,162 --> 02:47:40,463 SOCIAL DETERMINANTS MIGHT 4698 02:47:40,463 --> 02:47:43,733 INCLUDE THE EXPERIENCES, ADVERSE 4699 02:47:43,733 --> 02:47:44,400 CHILDHOOD EXPERIENCES, ACEs, 4700 02:47:44,400 --> 02:47:47,136 NEGATIVE THINGS IN CHILDHOOD, 4701 02:47:47,136 --> 02:47:49,872 POVERTY, LACK OF ACCESS TO 4702 02:47:49,872 --> 02:47:51,641 RESOURCES, EDUCATIONAL 4703 02:47:51,641 --> 02:47:52,208 ATTAINMENT, PHYSICAL 4704 02:47:52,208 --> 02:47:54,811 ENVIRONMENT, AND THEN PERSONAL 4705 02:47:54,811 --> 02:47:57,780 AND COMMUNITY VIOLENCE, AND I'VE 4706 02:47:57,780 --> 02:47:58,381 ADDED HISTORICAL TRAUMA WHICH 4707 02:47:58,381 --> 02:48:01,184 I'LL MENTION IN A MINUTE. 4708 02:48:01,184 --> 02:48:03,686 ON THESE SOCIAL DETERMINANTS, 4709 02:48:03,686 --> 02:48:05,555 THE TAKEAWAY IS NATIVE PEOPLE 4710 02:48:05,555 --> 02:48:07,523 FARE AT THE BOTTOM OF ALL OF 4711 02:48:07,523 --> 02:48:08,391 THEM CONSISTENTLY. 4712 02:48:08,391 --> 02:48:10,260 SO WHY DON'T I HAVE A SLIDE 4713 02:48:10,260 --> 02:48:11,461 GIVING YOU SPECIFIC STATISTICS? 4714 02:48:11,461 --> 02:48:14,397 BECAUSE I'M TIRED OF DOING THAT, 4715 02:48:14,397 --> 02:48:16,733 TIRED OF OPENING EVERY TALK 4716 02:48:16,733 --> 02:48:18,268 ABOUT NATIVE CHILDREN TALKING 4717 02:48:18,268 --> 02:48:20,670 ABOUT HOW TERRIBLE THEIR 4718 02:48:20,670 --> 02:48:21,437 CIRCUMSTANCES ARE. 4719 02:48:21,437 --> 02:48:23,973 THERE'S A FEW LINKS IN THIS 4720 02:48:23,973 --> 02:48:25,508 SLIDE TO MORE DETAILED 4721 02:48:25,508 --> 02:48:27,043 INFORMATION BUT BASICALLY THEY 4722 02:48:27,043 --> 02:48:29,112 TEND TO BE POORER, LIVE IN 4723 02:48:29,112 --> 02:48:31,848 COMMUNITIES WITH FEWER SOCIAL 4724 02:48:31,848 --> 02:48:33,149 SAFETY NET SERVICES, GREATER 4725 02:48:33,149 --> 02:48:33,916 ENVIRONMENTAL DANGER, MORE 4726 02:48:33,916 --> 02:48:36,085 LIKELY TO DROP OUT, LESS LIKELY 4727 02:48:36,085 --> 02:48:38,521 TO GET ADVANCED DEGREE, MORE 4728 02:48:38,521 --> 02:48:41,157 LIKELY TO EXPOSED TO BOTH 4729 02:48:41,157 --> 02:48:43,226 PERSONAL ABUSE AND COMMUNITY 4730 02:48:43,226 --> 02:48:45,295 VIOLENCE, COMPARED TO -- WHEN WE 4731 02:48:45,295 --> 02:48:46,696 TALK TO DISPARITIES COMPARED TO 4732 02:48:46,696 --> 02:48:50,566 NON-HISPANIC WHITES BUT ON A LOT 4733 02:48:50,566 --> 02:48:54,170 OF MEASURES IT'S IMPORTANT TO 4734 02:48:54,170 --> 02:48:58,541 NOTE NATIVE PEOPLE ARE LEFT OUT 4735 02:48:58,541 --> 02:49:00,643 OF THE CONVERSATION, SCORING 4736 02:49:00,643 --> 02:49:02,278 WORST OR SECOND TO THE WORSE, 4737 02:49:02,278 --> 02:49:04,914 OFTEN LEFT OUT BECAUSE OF SMALL 4738 02:49:04,914 --> 02:49:06,115 NUMBERS FROM OVERALL 4739 02:49:06,115 --> 02:49:07,750 DISCUSSIONS, THESE ARE REALLY 4740 02:49:07,750 --> 02:49:09,285 NOT DOING WELL IN THESE AREAS. 4741 02:49:09,285 --> 02:49:14,557 SO OF COURSE AS WE'VE TALKED 4742 02:49:14,557 --> 02:49:16,526 ABOUT HERE, STRUCTURAL 4743 02:49:16,526 --> 02:49:19,962 DETERMINANTS INFLUENCE 4744 02:49:19,962 --> 02:49:29,238 STRUCTURES, WHAT WE CREATES BAD 4745 02:49:29,238 --> 02:49:31,107 OUTCOMES, LEGAL RULES, RACISM, 4746 02:49:31,107 --> 02:49:33,943 COLONIZATION, ALL OF THESE ARE 4747 02:49:33,943 --> 02:49:36,579 STRUCTURAL FACTORS THAT PRODUCE 4748 02:49:36,579 --> 02:49:40,183 SOCIAL DETERMINANTS. 4749 02:49:40,183 --> 02:49:43,786 SO, THIS LEADS TO HEALTH 4750 02:49:43,786 --> 02:49:44,087 INEQUITIES. 4751 02:49:44,087 --> 02:49:45,421 AGAIN, HERE ON A LOT OF MEASURES 4752 02:49:45,421 --> 02:49:47,290 WE THAT YOU CAN ABOUT WITH 4753 02:49:47,290 --> 02:49:49,058 HEALTH INEQUITIES I'VE GIVEN YOU 4754 02:49:49,058 --> 02:49:51,461 SOME HERE, NATIVE PEOPLE HAVE 4755 02:49:51,461 --> 02:49:53,529 SHORTER LIFE EXPECTANCIES THAN 4756 02:49:53,529 --> 02:49:56,165 NON-HISPANIC WHITES, HIGHER 4757 02:49:56,165 --> 02:49:57,567 RATES OF DIABETES, TUBERCULOSIS, 4758 02:49:57,567 --> 02:49:59,669 STIS, OTHER HEALTH PROBLEMS AS 4759 02:49:59,669 --> 02:50:00,002 WELL. 4760 02:50:00,002 --> 02:50:04,073 REALLY HIGH RATES OF SUICIDE, 4761 02:50:04,073 --> 02:50:05,141 INCLUDING NOTABLE YOUTH SUICIDE 4762 02:50:05,141 --> 02:50:06,042 CLUSTERS IN MANY COMMUNITIES, 4763 02:50:06,042 --> 02:50:09,645 HIGH RATES OF ALCOHOL USE, 4764 02:50:09,645 --> 02:50:11,714 SUBSTANCE USE AND ABUSE, HIGH 4765 02:50:11,714 --> 02:50:12,582 RATES OF SUICIDE, DEPRESSION, 4766 02:50:12,582 --> 02:50:15,752 OTHER MENTAL HEALTH PROBLEMS. 4767 02:50:15,752 --> 02:50:18,087 AGAIN, WE SEE CONSISTENTLY HERE 4768 02:50:18,087 --> 02:50:18,855 NATIVE CHILDREN AND NATIVE 4769 02:50:18,855 --> 02:50:21,691 PEOPLE IN GENERAL SCORING AT THE 4770 02:50:21,691 --> 02:50:23,126 BOTTOM OF HEALTH EQUITY 4771 02:50:23,126 --> 02:50:23,393 MEASURES. 4772 02:50:23,393 --> 02:50:25,495 I DO WANT TO SAY HERE THAT I 4773 02:50:25,495 --> 02:50:27,797 THINK RACE IS A REALLY IMPORTANT 4774 02:50:27,797 --> 02:50:28,865 MODEL FOR ANALYZING NATIVE 4775 02:50:28,865 --> 02:50:30,967 PEOPLE AS A COMMUNITY BUT ALSO A 4776 02:50:30,967 --> 02:50:31,834 LIMITED ONE. 4777 02:50:31,834 --> 02:50:33,369 SO THERE ARE VARYING DEFINITION 4778 02:50:33,369 --> 02:50:35,905 OFS OF HOW NATIVE PEOPLE ARE 4779 02:50:35,905 --> 02:50:37,774 DEFINED AS A GROUP, A LOT OF 4780 02:50:37,774 --> 02:50:39,509 TIMES LOOKING AT RACIAL CATEGORY 4781 02:50:39,509 --> 02:50:40,810 ON CENSUS, SOMETIMES WHAT WE'RE 4782 02:50:40,810 --> 02:50:42,678 THINKING ABOUT IS THE LEGAL 4783 02:50:42,678 --> 02:50:45,648 CATEGORY OF INDIAN PEOPLE, 4784 02:50:45,648 --> 02:50:47,483 USUALLY CALLED AMERICAN INDIAN 4785 02:50:47,483 --> 02:50:52,855 AND ALASKA NATIVE THAT DOESN'T 4786 02:50:52,855 --> 02:50:54,624 CORRESPOND TO RACIAL CATEGORY. 4787 02:50:54,624 --> 02:50:55,591 THERE'S CONFUSION. 4788 02:50:55,591 --> 02:50:58,227 ONE RESULT, EVEN THOUGH WE SEE 4789 02:50:58,227 --> 02:50:58,895 CONSISTENT STATISTICS SHOWING 4790 02:50:58,895 --> 02:51:01,697 THAT THEY ARE FARING POORLY ON 4791 02:51:01,697 --> 02:51:04,600 THESE MEASURES A LOT OF 4792 02:51:04,600 --> 02:51:05,368 STATISTICS ARE PROBABLY 4793 02:51:05,368 --> 02:51:08,104 UNRELIABLE BECAUSE MAYBE WE'RE 4794 02:51:08,104 --> 02:51:11,073 LOOKING AT A SMALL SUBSET, A 4795 02:51:11,073 --> 02:51:12,074 CONFUSING SET OF DEFINITIONS, 4796 02:51:12,074 --> 02:51:18,214 I'LL TALK ABOUT THIS FROM 4797 02:51:18,214 --> 02:51:20,950 PERSPECTIVE OF RACE BUT 4798 02:51:20,950 --> 02:51:21,551 INDIANNESS AND SELF-GOVERNMENT 4799 02:51:21,551 --> 02:51:27,056 FOR TRIBES WHICH IS UNIQUE. 4800 02:51:27,056 --> 02:51:28,357 SO THEN PERHAPS UNSURPRISINGLY 4801 02:51:28,357 --> 02:51:31,761 THESE SORTS OF HEALTH INEQUITIES 4802 02:51:31,761 --> 02:51:34,197 CAN LEAD TO AND OFTEN LEAD TO 4803 02:51:34,197 --> 02:51:35,932 INVOLVEMENT IN MULTIPLE 4804 02:51:35,932 --> 02:51:37,300 DIFFERENT GOVERNMENT SYSTEMS. 4805 02:51:37,300 --> 02:51:39,769 SO HEALTH CARE, MENTAL HEALTH, A 4806 02:51:39,769 --> 02:51:41,737 SEPARATE SYSTEM, CHILD WELFARE 4807 02:51:41,737 --> 02:51:43,406 OR FOSTER CARE, JUVENILE 4808 02:51:43,406 --> 02:51:45,141 DELINQUENCY, CRIMINAL NOTICE, I 4809 02:51:45,141 --> 02:51:48,311 COULD PUT EDUCATION ON HERE SO 4810 02:51:48,311 --> 02:51:50,947 THE POINT HERE IS THAT THERE ARE 4811 02:51:50,947 --> 02:51:52,248 MULTIPLE DIFFERENT TYPES OF 4812 02:51:52,248 --> 02:51:53,883 GOVERNMENT SYSTEMS THAT MAY BE 4813 02:51:53,883 --> 02:51:54,984 NECESSARY TO ADDRESS WHAT WE 4814 02:51:54,984 --> 02:51:59,021 THINK OF AS HEALTH INEQUITIES. 4815 02:51:59,021 --> 02:52:00,623 MOST OF THE PRESENTERS INVOLVED 4816 02:52:00,623 --> 02:52:01,624 IN THIS CONFERENCE HAVE TALKED 4817 02:52:01,624 --> 02:52:03,359 ABOUT THE HEALTH CARE AND MENTAL 4818 02:52:03,359 --> 02:52:05,561 HEALTH SYSTEMS, I'M GOING TO 4819 02:52:05,561 --> 02:52:08,097 FOCUS MOSTLY ON THE DELINQUENCY 4820 02:52:08,097 --> 02:52:09,065 AND CRIMINAL SYSTEMS, WHAT WE 4821 02:52:09,065 --> 02:52:13,870 THINK OF AS THE PLACE TO ADDRESS 4822 02:52:13,870 --> 02:52:20,676 HEALTH DISPARITIES. 4823 02:52:20,676 --> 02:52:21,978 SO, TRIBAL JUSTICE SYSTEMS, I 4824 02:52:21,978 --> 02:52:29,552 MEAN DELINQUENCY, PRIORITIZING 4825 02:52:29,552 --> 02:52:30,653 HEALING AND TREATMENT. 4826 02:52:30,653 --> 02:52:31,821 HERE WHEN I FIRST STARTED TO 4827 02:52:31,821 --> 02:52:35,358 TALK ABOUT THIS WORK AMONG 4828 02:52:35,358 --> 02:52:36,125 HEALTH RESEARCHERS I WAS ASKED 4829 02:52:36,125 --> 02:52:38,861 WHAT I THINK IS AN OBVIOUS AND 4830 02:52:38,861 --> 02:52:40,396 IMPORTANT QUESTION I FORGOT TO 4831 02:52:40,396 --> 02:52:41,631 ADDRESS, WHY ARE YOU TALKING 4832 02:52:41,631 --> 02:52:42,698 ABOUT TREATING SOMETHING THAT'S 4833 02:52:42,698 --> 02:52:44,133 A HEALTH PROBLEM THROUGH SYSTEMS 4834 02:52:44,133 --> 02:52:45,668 THAT ARE DESIGNED TO GET PEOPLE 4835 02:52:45,668 --> 02:52:46,636 IN TROUBLE? 4836 02:52:46,636 --> 02:52:48,638 SO IF AS I CONTEND WHAT IS 4837 02:52:48,638 --> 02:52:49,505 HAPPENING TO NATIVE PEOPLE WHEN 4838 02:52:49,505 --> 02:52:54,310 THEY COME INTO THE YOU'VE NIGHT 4839 02:52:54,310 --> 02:52:57,914 AND -- JUVENILE AND CRIMINAL 4840 02:52:57,914 --> 02:52:59,115 JUSTICE SYSTEM, HILT ENEQUITIES, 4841 02:52:59,115 --> 02:53:00,583 EXPERIENCE OF TRAUMA, MENTAL 4842 02:53:00,583 --> 02:53:01,884 HEALTH INEQUITIES, CONVERTING 4843 02:53:01,884 --> 02:53:04,186 INTO SOMETHING WE CRIMINALIZE 4844 02:53:04,186 --> 02:53:06,055 WHY WOULD WE TRY TO ADDRESS 4845 02:53:06,055 --> 02:53:07,590 THROUGH SYSTEMS THAT 4846 02:53:07,590 --> 02:53:07,890 CRIMINALIZE? 4847 02:53:07,890 --> 02:53:09,125 A FEW ANSWERS, IT'S IMPORTANT TO 4848 02:53:09,125 --> 02:53:10,660 EXPLAIN THE REALITY OF WHY 4849 02:53:10,660 --> 02:53:12,295 JUSTICE SYSTEMS ARE AN AREA WE 4850 02:53:12,295 --> 02:53:13,829 SHOULD BE FOCUSING ON. 4851 02:53:13,829 --> 02:53:16,132 FIRST OF ALL, CHILD WELFARE AND 4852 02:53:16,132 --> 02:53:17,900 DELINQUENCY SYSTEMS BECAUSE OF 4853 02:53:17,900 --> 02:53:19,535 FOCUS ON CHILDREN HAS ALWAYS 4854 02:53:19,535 --> 02:53:20,937 EMPHASIZED HEALING AND TREATMENT 4855 02:53:20,937 --> 02:53:22,805 AS POTENTIAL GOALS. 4856 02:53:22,805 --> 02:53:23,806 BUT INCREASINGLY IN RECENT YEARS 4857 02:53:23,806 --> 02:53:25,675 THEY HAVE DONE SO SO THERE'S A 4858 02:53:25,675 --> 02:53:28,177 LOT OF ENERGY IN CHILD WELFARE 4859 02:53:28,177 --> 02:53:29,478 AND DELINQUENCY TO FOCUS ON 4860 02:53:29,478 --> 02:53:31,013 HEALING AND TREATMENT. 4861 02:53:31,013 --> 02:53:35,618 EVEN MORE RECENTLY, REFORMS OR 4862 02:53:35,618 --> 02:53:36,619 SUGGESTED REFORMS TO ADULT 4863 02:53:36,619 --> 02:53:38,020 CRIMINAL SILLS ITEM ARE STARTING 4864 02:53:38,020 --> 02:53:40,790 TO PRIORITIZE IDEA OF HEALING OR 4865 02:53:40,790 --> 02:53:41,324 TREATMENT OVER PUNISHMENT, 4866 02:53:41,324 --> 02:53:42,525 INROADS TO TALK ABOUT HEALTH 4867 02:53:42,525 --> 02:53:45,628 PROBLEMS AND TREATMENT OF HEALTH 4868 02:53:45,628 --> 02:53:47,363 PROBLEMS THROUGH THE JUSTICE 4869 02:53:47,363 --> 02:53:47,597 SYSTEM. 4870 02:53:47,597 --> 02:53:48,464 EVEN IF THEY THOUGHT IT WAS THE 4871 02:53:48,464 --> 02:53:50,232 WRONG WAY TO DO IT, WE SHOULD 4872 02:53:50,232 --> 02:53:55,137 NOT BE IN THE SYSTEM AT ALL, THE 4873 02:53:55,137 --> 02:53:56,439 REALITY FOR ARE TRIBAL 4874 02:53:56,439 --> 02:53:57,540 GOVERNMENTS JUSTICE SYSTEM 4875 02:53:57,540 --> 02:54:00,176 FUNDING CAN BE EASIER TO SECURE 4876 02:54:00,176 --> 02:54:04,246 THAN HEALTH CARE FUNDING. 4877 02:54:04,246 --> 02:54:05,982 THERE'S 85 DETENTION FACILITIES 4878 02:54:05,982 --> 02:54:07,617 ON THE RESERVATIONS, 15 OF THEM 4879 02:54:07,617 --> 02:54:09,485 SPECIFICALLY THERE TO SERVE 4880 02:54:09,485 --> 02:54:13,122 YOUTH, AND LAST TIME I CHECKED 4881 02:54:13,122 --> 02:54:17,927 THERE WERE MAYBE FIVE MENTAL 4882 02:54:17,927 --> 02:54:19,228 HEALTH, SECURE MENTAL HEALTH 4883 02:54:19,228 --> 02:54:20,963 FACILITIES THAT SERVE YOUTH. 4884 02:54:20,963 --> 02:54:22,498 TRIBES ARE GETTING HEALTH 4885 02:54:22,498 --> 02:54:24,033 FUNDING THROUGH ONE AGENCY, 4886 02:54:24,033 --> 02:54:24,934 JUSTICE FINANCING THROUGH 4887 02:54:24,934 --> 02:54:27,236 ANOTHER AGENCY, IT'S HARDER TO 4888 02:54:27,236 --> 02:54:28,971 BUILD A HEALTH BUILDING THAN 4889 02:54:28,971 --> 02:54:30,306 SOMETIMES BUILD A JUSTICE 4890 02:54:30,306 --> 02:54:30,573 BUILDING. 4891 02:54:30,573 --> 02:54:33,809 WHAT WE SEE ARE TRIBAL JUSTICE 4892 02:54:33,809 --> 02:54:34,744 SYSTEMS HAVE INNOVATED IN A LOT 4893 02:54:34,744 --> 02:54:37,647 OF AREAS PARTLY OUT OF 4894 02:54:37,647 --> 02:54:37,913 NECESSITY. 4895 02:54:37,913 --> 02:54:39,281 SO HOW DOES THIS KIND OF 4896 02:54:39,281 --> 02:54:42,218 TREATMENT FIT INTO A JUSTICE 4897 02:54:42,218 --> 02:54:42,451 SYSTEM? 4898 02:54:42,451 --> 02:54:43,319 COURTS, SOMEONE COMES INTO A 4899 02:54:43,319 --> 02:54:44,320 COURT BECAUSE THEY GET IN 4900 02:54:44,320 --> 02:54:45,388 TROUBLE FOR SOMETHING. 4901 02:54:45,388 --> 02:54:46,722 FIRST THEY MIGHT JUST ORDER 4902 02:54:46,722 --> 02:54:48,824 TREATMENT AS A CONDITION OF 4903 02:54:48,824 --> 02:54:50,226 SUPERVISION OR PLACEMENT ON 4904 02:54:50,226 --> 02:54:50,726 PROBATION. 4905 02:54:50,726 --> 02:54:51,827 SECOND THEY WILL OFTEN DIVERT AN 4906 02:54:51,827 --> 02:54:53,295 INDIVIDUAL OUT OF THE LEGAL 4907 02:54:53,295 --> 02:54:55,164 SYSTEM AND INTO TREATMENT. 4908 02:54:55,164 --> 02:54:57,767 SO WE CALL THOSE DIVERSION 4909 02:54:57,767 --> 02:54:58,934 PROGRAMS, LET'S GET YOU OUT OF 4910 02:54:58,934 --> 02:55:00,302 THE SYSTEM AND ON THE CONDITION 4911 02:55:00,302 --> 02:55:02,371 YOU COMPLETE SOME SORT OF 4912 02:55:02,371 --> 02:55:02,772 TREATMENT. 4913 02:55:02,772 --> 02:55:04,006 AND THEY MIGHT INCORPORATE 4914 02:55:04,006 --> 02:55:05,641 TREATMENT INTO EXISTING PROGRAMS 4915 02:55:05,641 --> 02:55:06,208 OR FACILITIES. 4916 02:55:06,208 --> 02:55:07,510 SO WE STILL HAVE A LOT OF 4917 02:55:07,510 --> 02:55:10,813 QUESTIONS ABOUT WHAT SORTS OF 4918 02:55:10,813 --> 02:55:11,580 TREATMENT WORKS, INTERESTING TO 4919 02:55:11,580 --> 02:55:15,418 THINK ABOUT THE WAY IT'S 4920 02:55:15,418 --> 02:55:15,851 INCORPORATED. 4921 02:55:15,851 --> 02:55:17,720 SO HERE JUST AS BACKGROUND FOR 4922 02:55:17,720 --> 02:55:21,223 THOSE WHO DON'T WORK IN INDIAN 4923 02:55:21,223 --> 02:55:22,792 COUNTRY, IT'S A COMPLICATED 4924 02:55:22,792 --> 02:55:24,093 PLACE TO NAVIGATE. 4925 02:55:24,093 --> 02:55:26,729 FOR NATIVE PEOPLE THE GOVERNMENT 4926 02:55:26,729 --> 02:55:29,231 SYSTEMS THAT THEY HAVE TO 4927 02:55:29,231 --> 02:55:31,667 NAVIGATE AND THE WAY TO GET 4928 02:55:31,667 --> 02:55:32,768 SERVICES ARE COMPLICATED EVEN 4929 02:55:32,768 --> 02:55:34,270 MORE THAN FOR OTHER PEOPLE 4930 02:55:34,270 --> 02:55:36,706 BECAUSE OF JURISDICTIONAL RULES. 4931 02:55:36,706 --> 02:55:38,674 SO INDIAN COUNTRY WHICH INCLUDES 4932 02:55:38,674 --> 02:55:40,309 RESERVATIONS AND THAT'S WHERE 4933 02:55:40,309 --> 02:55:46,849 40% OF NATIVE PEOPLE LIVE 4934 02:55:46,849 --> 02:55:48,184 NATIONALLY, PEOPLE WHO NEED 4935 02:55:48,184 --> 02:55:49,919 ACCESS TO SERVICES LIKELY HAVE 4936 02:55:49,919 --> 02:55:52,888 TO DEAL WITH TWO OR MORE OF THE 4937 02:55:52,888 --> 02:55:54,223 GOVERNMENTS LISTED, TRIBAL 4938 02:55:54,223 --> 02:55:54,957 GOVERNMENT, STATE GOVERNMENT, 4939 02:55:54,957 --> 02:55:55,391 FEDERAL GOVERNMENT. 4940 02:55:55,391 --> 02:55:56,659 THE QUESTION OF WHO HAS 4941 02:55:56,659 --> 02:55:57,493 JURISDICTION DEPENDS ON WHAT THE 4942 02:55:57,493 --> 02:55:59,562 PROBLEM IS AND WHO THE PERSON IS 4943 02:55:59,562 --> 02:56:02,631 AND CAN BE VERY COMPLICATED. 4944 02:56:02,631 --> 02:56:03,733 AND WHETHER OR NOT THESE 4945 02:56:03,733 --> 02:56:05,568 GOVERNMENTS TALK TO EACH OTHER 4946 02:56:05,568 --> 02:56:07,770 EFFECTIVELY IS A WHOLE DIFFERENT 4947 02:56:07,770 --> 02:56:08,270 QUESTION. 4948 02:56:08,270 --> 02:56:09,972 AND THEN TO ACCESS SPECIFIC 4949 02:56:09,972 --> 02:56:11,373 SERVICES, LET'S SAY A CHILD GETS 4950 02:56:11,373 --> 02:56:15,211 IN TROUBLE AND THAT CHILD 4951 02:56:15,211 --> 02:56:17,279 CLEARLY NEEDS, SAY, TREATMENT 4952 02:56:17,279 --> 02:56:19,048 FOR AN UNDERLYING EXPERIENCE OF 4953 02:56:19,048 --> 02:56:20,449 DEPRESSION, TRYING TO FIND THOSE 4954 02:56:20,449 --> 02:56:22,451 SERVICES IS GOING TO OFTEN 4955 02:56:22,451 --> 02:56:23,652 REQUIRE NAVIGATING MAYBE ALL 4956 02:56:23,652 --> 02:56:25,387 THREE OF THOSE GOVERNMENTS, BUT 4957 02:56:25,387 --> 02:56:28,157 ALSO MAYBE LOCAL GOVERNMENTS, 4958 02:56:28,157 --> 02:56:29,558 NON-PROFITS, MULTIPLE FEDERAL 4959 02:56:29,558 --> 02:56:31,660 AGENCIES, RIGHT, SO DEPARTMENT 4960 02:56:31,660 --> 02:56:32,628 OF JUSTICE, HEALTH AND HUMAN 4961 02:56:32,628 --> 02:56:34,764 SERVICES, AND SORT OF THE TWO 4962 02:56:34,764 --> 02:56:36,899 MAJOR ONES, PERHAPS DEPARTMENT 4963 02:56:36,899 --> 02:56:38,200 OF -- BUREAU OF INDIAN EDUCATION 4964 02:56:38,200 --> 02:56:41,904 WHICH IS A SEPARATE AGENCY THAT 4965 02:56:41,904 --> 02:56:43,873 HANDLES EDUCATION AND OFTEN 4966 02:56:43,873 --> 02:56:45,341 PRIVATE PROVIDERS, SORT OF A 4967 02:56:45,341 --> 02:56:46,675 MAZE, FOR OTHER GROUPS AS WELL 4968 02:56:46,675 --> 02:56:47,810 BUT BECAUSE OF JURISDICTIONAL 4969 02:56:47,810 --> 02:56:53,349 RULES IT'S EVEN WORSE IN INDIAN 4970 02:56:53,349 --> 02:56:53,582 COUNTRY. 4971 02:56:53,582 --> 02:56:55,651 SO, IN THIS CONTEXT, TRIBAL 4972 02:56:55,651 --> 02:56:57,286 CONTROL AND INNOVATION IS 4973 02:56:57,286 --> 02:56:58,587 CRITICALLY IMPORTANT. 4974 02:56:58,587 --> 02:57:00,256 SO, FEDERAL LAW RECOGNIZES 4975 02:57:00,256 --> 02:57:05,194 IMPORTANCE OF TRIBAL SOVEREIGNTY 4976 02:57:05,194 --> 02:57:05,828 AND SELF-GOVERNANCE, 4977 02:57:05,828 --> 02:57:07,363 JURISDICTION OR POWER TO SHAPE A 4978 02:57:07,363 --> 02:57:09,231 SYSTEM AND DEFINE RULES. 4979 02:57:09,231 --> 02:57:10,966 BY SELF-GOVERNANCE I'M TALKING 4980 02:57:10,966 --> 02:57:15,805 ABOUT PROGRAM ADMINISTRATION, SO 4981 02:57:15,805 --> 02:57:16,906 ABILITY TO DECIDE BUDGETARY 4982 02:57:16,906 --> 02:57:17,873 PRIORITIES AND ADMINISTER 4983 02:57:17,873 --> 02:57:18,440 PROGRAM ALSO. 4984 02:57:18,440 --> 02:57:26,549 A NUMBER OF LAWS IMPORTANCE IS 4985 02:57:26,549 --> 02:57:27,216 REAFFIRMED, EXECUTIVE ORDERS 4986 02:57:27,216 --> 02:57:30,452 UNDER EVERY PRESIDENT SINCE 4987 02:57:30,452 --> 02:57:31,687 NIXON, ALLOWING TRIBES TO TAKE 4988 02:57:31,687 --> 02:57:41,664 OVER ONING THEIR OWN, TRIBAL ON 4989 02:57:41,664 --> 02:57:44,300 ORDER ACTS IN RECENT YEARS 4990 02:57:44,300 --> 02:57:45,034 EXPANDED TRIBAL JURISDICTION 4991 02:57:45,034 --> 02:57:47,102 OVER THINGS IN THE AREA OF 4992 02:57:47,102 --> 02:57:49,538 CRIMINAL AND JUVENILE JUSTICE. 4993 02:57:49,538 --> 02:57:51,607 SO THIS IS IMPORTANT BECAUSE THE 4994 02:57:51,607 --> 02:57:54,243 CONTEXT IS DIFFICULT, SO MANY 4995 02:57:54,243 --> 02:57:56,345 OTHER GOVERNMENTS THERE HAVING 4996 02:57:56,345 --> 02:57:59,415 TRIBES LEAD THE WAY, SOVEREIGNTY 4997 02:57:59,415 --> 02:58:00,282 AND SELF-GOVERNANCE ALLOWING 4998 02:58:00,282 --> 02:58:03,219 THAT TO HAPPEN, IT'S ALLOWED 4999 02:58:03,219 --> 02:58:05,321 TRIBES TO BE I THINK INTERESTING 5000 02:58:05,321 --> 02:58:08,457 SITES OF INNOVATION. 5001 02:58:08,457 --> 02:58:10,025 CERTAINLY ANY COMMUNITY COULD 5002 02:58:10,025 --> 02:58:12,094 EXPERIENCE THE SAME PROBLEM OF 5003 02:58:12,094 --> 02:58:14,930 WE HAVE THE LOCAL COMMUNITY, 5004 02:58:14,930 --> 02:58:16,899 WHAT'S PRODUCED BY DOMINANT 5005 02:58:16,899 --> 02:58:18,767 CULTURE ISN'T WORKING BUT 5006 02:58:18,767 --> 02:58:25,875 BECAUSE TRIBES LEGALLY HAVE THE 5007 02:58:25,875 --> 02:58:27,076 RIGHTS TO INCORPORATE TRIBAL 5008 02:58:27,076 --> 02:58:29,144 CULTURE INTO LAW AND EXERCISE 5009 02:58:29,144 --> 02:58:31,780 THAT, THEN THAT MAKES THEM 5010 02:58:31,780 --> 02:58:35,284 STRUCTURALLY AN INTERESTING SIDE 5011 02:58:35,284 --> 02:58:41,523 FOR PRODUCING INNOVATIONS, THERE 5012 02:58:41,523 --> 02:58:44,026 ARE 574 TRIBAL GOVERNMENTS SO 5013 02:58:44,026 --> 02:58:45,561 NOT ONE MODEL EMERGES. 5014 02:58:45,561 --> 02:58:50,466 SO, I WANT TO HIGHLIGHT TWO 5015 02:58:50,466 --> 02:58:52,768 DIFFERENT WHAT I THINK ARE 5016 02:58:52,768 --> 02:58:55,404 INTERESTING INNOVATIONS THAT 5017 02:58:55,404 --> 02:58:59,875 EMERGED IN CONTEXT OF TRIBAL 5018 02:58:59,875 --> 02:59:00,876 JUVENILE COURTS. 5019 02:59:00,876 --> 02:59:04,146 TRAUMA-INFORMED CARE, YOU HAVE 5020 02:59:04,146 --> 02:59:05,915 CHILDREN, SAY, FACING 5021 02:59:05,915 --> 02:59:07,883 SIGNIFICANT HEALTH, MENTAL 5022 02:59:07,883 --> 02:59:09,251 HEALTH INEQUITIES, DOCUMENTED 5023 02:59:09,251 --> 02:59:11,253 EXPERIENCES OF TRAUMA, COME INTO 5024 02:59:11,253 --> 02:59:13,656 A SYSTEM, LOTS OF DELINQUENCY 5025 02:59:13,656 --> 02:59:14,857 SYSTEMS ARE TRYING TO DO TRAUMA 5026 02:59:14,857 --> 02:59:17,293 INFORMED CARE BUT THE MODEL IS 5027 02:59:17,293 --> 02:59:20,362 NOT THE SAME MODEL, AS WHAT HAS 5028 02:59:20,362 --> 02:59:21,463 EMERGED FROM WESTERN CRITICAL 5029 02:59:21,463 --> 02:59:22,531 RESEARCH ON TRAUMA. 5030 02:59:22,531 --> 02:59:23,966 SO WHAT'S DIFFERENT ABOUT IT, 5031 02:59:23,966 --> 02:59:26,702 DEFINITION OF TRAUMA TENDS TO 5032 02:59:26,702 --> 02:59:32,641 INCLUDE HISTORICAL AND GROUP 5033 02:59:32,641 --> 02:59:34,510 TRAUMA, STRUCTURAL INEQUITY IN A 5034 02:59:34,510 --> 02:59:36,345 WAY WESTERN MODEL DOESN'T DO, 5035 02:59:36,345 --> 02:59:46,889 RECOLLECT FLIESES -- RECOGNIZES 5036 02:59:49,658 --> 02:59:50,893 GROUP KINSHIP, THESE THINGS LINK 5037 02:59:50,893 --> 02:59:54,496 INDIVIDUAL WELL-BEING TO 5038 02:59:54,496 --> 02:59:57,566 COMMUNITY WELL-BEING IN A WAY 5039 02:59:57,566 --> 03:00:02,171 WESTERN MODELS DON'T DO, 5040 03:00:02,171 --> 03:00:03,706 INCORPORATE TRADITIONAL CULTURAL 5041 03:00:03,706 --> 03:00:04,740 ACTIVITIES, ADAPT THERAPEUTIC 5042 03:00:04,740 --> 03:00:07,076 APPROACH ALSO, SO DEVELOPMENT OF 5043 03:00:07,076 --> 03:00:07,876 COMMUNITY-SPECIFIC MODELS WHICH 5044 03:00:07,876 --> 03:00:10,145 AGAIN HAS BEEN AN ISSUE THAT 5045 03:00:10,145 --> 03:00:11,146 MANY OTHER SMALLER COMMUNITIES 5046 03:00:11,146 --> 03:00:15,851 CONFRONT. 5047 03:00:15,851 --> 03:00:18,487 ONE WAY IN WHICH WE SEE THIS 5048 03:00:18,487 --> 03:00:19,989 HAPPENING, ONE AREA IS TRIBAL 5049 03:00:19,989 --> 03:00:22,291 HEALING TO WELLNESS COURTS. 5050 03:00:22,291 --> 03:00:27,663 SO THESE ARE JUST IN A WAY 5051 03:00:27,663 --> 03:00:30,933 MODELED OFF OF DIVERSIONARY DRUG 5052 03:00:30,933 --> 03:00:34,003 COURTS, BUT OVER SEVERAL DECADES 5053 03:00:34,003 --> 03:00:37,940 NATIVE RESEARCHERS AND TRIBES 5054 03:00:37,940 --> 03:00:39,041 HAVE REPRODUCED AND REFINE THE 5055 03:00:39,041 --> 03:00:42,211 MODEL TO MAKE IT SPECIFICALLY 5056 03:00:42,211 --> 03:00:43,412 SERVE NATIVE PEOPLE, IT'S BASED 5057 03:00:43,412 --> 03:00:46,548 LOOSELY ON THE DRUG COURT MODEL 5058 03:00:46,548 --> 03:00:52,121 BUT LOOKS DIFFERENT. 5059 03:00:52,121 --> 03:00:53,322 NON-ADVERSARIAL, INDIVIDUALIZED, 5060 03:00:53,322 --> 03:00:54,156 INCLUDES COMMUNITY INVOLVEMENT, 5061 03:00:54,156 --> 03:00:55,691 INTEGRATES TREATMENT INTO THE 5062 03:00:55,691 --> 03:00:57,893 CRIMINAL OR JUVENILE SYSTEM. 5063 03:00:57,893 --> 03:00:59,061 WHAT'S NOTABLE IT'S NOT JUST 5064 03:00:59,061 --> 03:01:00,162 LET'S BRING IN TREATMENT AND ASK 5065 03:01:00,162 --> 03:01:01,463 PEOPLE INVOLVED IN THE JUSTICE 5066 03:01:01,463 --> 03:01:03,332 SYSTEM TO GET SOME TREATMENT FOR 5067 03:01:03,332 --> 03:01:05,434 HEALTH ISSUES, BUT IT ACTUALLY 5068 03:01:05,434 --> 03:01:07,169 CHANGES AND REDEFINES THE 5069 03:01:07,169 --> 03:01:12,775 STRUCTURE AND APPROACH OF HOW 5070 03:01:12,775 --> 03:01:15,611 THE, SAY, DELINQUENCY OR 5071 03:01:15,611 --> 03:01:17,413 CRIMINAL SYSTEM WILL OPERATE 5072 03:01:17,413 --> 03:01:21,450 CHANGING RULES TO PRIORITIZE 5073 03:01:21,450 --> 03:01:23,852 HEALING AND HEALTH. 5074 03:01:23,852 --> 03:01:26,722 ONE LAST NOTE HERE, THIS IS 5075 03:01:26,722 --> 03:01:28,023 GREAT, RIGHT. 5076 03:01:28,023 --> 03:01:29,224 WE'VE GOT GREAT INNOVATIONS, 5077 03:01:29,224 --> 03:01:31,960 TRIBES DOING THINGS OF INTEREST 5078 03:01:31,960 --> 03:01:33,162 TO OTHER COMMUNITIES BUT WHY 5079 03:01:33,162 --> 03:01:35,697 DON'T WE TALK ABOUT THEM? 5080 03:01:35,697 --> 03:01:36,665 RESEARCH AND FUNDING BARRIERS 5081 03:01:36,665 --> 03:01:38,567 THREATEN ABILITY TO DEVELOP 5082 03:01:38,567 --> 03:01:41,370 THESE PROGRAMS AND SUSTAIN THEM. 5083 03:01:41,370 --> 03:01:44,673 SO, JUST SORT OF REFERRING BACK 5084 03:01:44,673 --> 03:01:47,810 TO WHAT DR. SHIM NOTED, THE GOAL 5085 03:01:47,810 --> 03:01:48,844 STANDARD FOR VALIDATING A 5086 03:01:48,844 --> 03:01:49,912 PROGRAM THAT WORKS, IN 5087 03:01:49,912 --> 03:01:50,879 PARTICULAR IN THE JUSTICE 5088 03:01:50,879 --> 03:01:54,716 CONTEXT, IN ORDER TO GET MONEY 5089 03:01:54,716 --> 03:01:56,151 FOR AN INTERVENTION THAT'S 5090 03:01:56,151 --> 03:01:57,352 SUPPOSED TO REDUCE INEQUALITY IN 5091 03:01:57,352 --> 03:01:59,121 THE JUSTICE SYSTEM OR HELP 5092 03:01:59,121 --> 03:02:00,456 PEOPLE IN THE JUSTICE SYSTEM, 5093 03:02:00,456 --> 03:02:02,724 YOU NEED TO HAVE AN 5094 03:02:02,724 --> 03:02:05,027 EVIDENCE-BASED PROGRAM, AND 5095 03:02:05,027 --> 03:02:06,462 THAT'S USUALLY VALIDATED BY 5096 03:02:06,462 --> 03:02:07,796 RANDOMIZED CONTROLLED TRIALS. 5097 03:02:07,796 --> 03:02:09,298 SO, GOVERNMENT AND PRIVATE 5098 03:02:09,298 --> 03:02:10,732 FUNDING STRONGLY FAVORS THOSE 5099 03:02:10,732 --> 03:02:12,367 KINDS OF PROGRAMS, IT'S USUALLY 5100 03:02:12,367 --> 03:02:18,740 MEASURED IN A PARTICULAR WAY. 5101 03:02:18,740 --> 03:02:20,876 SO RCTs RARELY INCLUDE NATIVE 5102 03:02:20,876 --> 03:02:21,944 PARTICIPANTS, BECAUSE OF THE 5103 03:02:21,944 --> 03:02:24,012 SIZE OF THE SAMPLE AND LENGTH OF 5104 03:02:24,012 --> 03:02:26,415 THE PROGRAM IN PLACE IT'S 5105 03:02:26,415 --> 03:02:28,383 DIFFICULT TO VALIDATE EXISTING 5106 03:02:28,383 --> 03:02:29,818 PROGRAMS USING STANDARD RCT 5107 03:02:29,818 --> 03:02:30,385 STUDY DESIGN. 5108 03:02:30,385 --> 03:02:32,788 WELLNESS COURTS ARE NOT A 5109 03:02:32,788 --> 03:02:34,089 VALIDATED PRIVATE FUNDING AND 5110 03:02:34,089 --> 03:02:35,824 FEDERAL FUNDING DOESN'T ACCOUNT 5111 03:02:35,824 --> 03:02:37,259 FOR INDIGENOUS RESEARCH 5112 03:02:37,259 --> 03:02:39,328 METHODOLOGIES OR REALITIES OF 5113 03:02:39,328 --> 03:02:41,296 TRIBAL COMMUNITIES SO WE ARE AT 5114 03:02:41,296 --> 03:02:44,032 THIS PLACE IT'S VERY DIFFICULT 5115 03:02:44,032 --> 03:02:46,101 TO VALIDATE PROMISING APPROACHES 5116 03:02:46,101 --> 03:02:49,938 WHICH MEANS WE CAN NEVER PUT 5117 03:02:49,938 --> 03:02:51,473 THEM IN PUBLICATION THAT 5118 03:02:51,473 --> 03:02:52,875 RECOMMENDS AN APPROACH OTHER 5119 03:02:52,875 --> 03:02:54,309 COMMUNITIES SHOULD TAKE AND CAN 5120 03:02:54,309 --> 03:02:57,146 NEVER REFINE AND DEVELOP THEM 5121 03:02:57,146 --> 03:02:58,680 EFFECTIVELY. 5122 03:02:58,680 --> 03:02:59,948 SO WHAT TO DO? 5123 03:02:59,948 --> 03:03:02,951 SO HERE I WANT TO FOCUS ON 5124 03:03:02,951 --> 03:03:04,253 IMPROVING RESEARCH AND PROGRAM 5125 03:03:04,253 --> 03:03:04,486 SUPPORT. 5126 03:03:04,486 --> 03:03:06,588 IN TERMS OF RESEARCH ON THE LEFT 5127 03:03:06,588 --> 03:03:11,560 SIDE OF THE SLIDE RECOGNIZING 5128 03:03:11,560 --> 03:03:12,361 INDIGENOUS KNOWLEDGE, A 2022 5129 03:03:12,361 --> 03:03:14,129 BIDEN ADMINISTRATION SET OF 5130 03:03:14,129 --> 03:03:15,631 GUIDANCE THAT REQUIRES THE 5131 03:03:15,631 --> 03:03:16,732 FEDERAL GOVERNMENT ACROSS 5132 03:03:16,732 --> 03:03:17,933 AGENCIES TO INCORPORATE 5133 03:03:17,933 --> 03:03:19,134 INDIGENOUS KNOWLEDGE BUT THIS IS 5134 03:03:19,134 --> 03:03:21,136 RELATED TO DR. SHIM'S POINT, 5135 03:03:21,136 --> 03:03:21,970 COMMUNITIES PRODUCE KNOWLEDGE IN 5136 03:03:21,970 --> 03:03:23,639 DIFFERENT WAYS, IT'S IMPORTANT 5137 03:03:23,639 --> 03:03:25,307 TO RECOGNIZE THOSE DIFFERENT 5138 03:03:25,307 --> 03:03:25,507 WAYS. 5139 03:03:25,507 --> 03:03:26,608 ENSURE TRIBAL GOVERNMENTS HAVE 5140 03:03:26,608 --> 03:03:29,011 FULL ACCESS TO DATA BUT ALSO 5141 03:03:29,011 --> 03:03:30,012 RESPECT TRIBAL CONTROL OVER AND 5142 03:03:30,012 --> 03:03:31,413 CONCERNS ABOUT HEALTH AND 5143 03:03:31,413 --> 03:03:33,182 JUSTICE SYSTEM DATA THAT OTHER 5144 03:03:33,182 --> 03:03:34,917 GOVERNMENTS OR OTHER RESEARCHERS 5145 03:03:34,917 --> 03:03:37,019 MIGHT HAVE ACCESS TO. 5146 03:03:37,019 --> 03:03:39,354 INCORPORATE INDIGENOUS RESEARCH 5147 03:03:39,354 --> 03:03:40,389 METHODOLOGIES AND PROTOCOLS, 5148 03:03:40,389 --> 03:03:41,490 THIS IS LIKE QUALITATIVE 5149 03:03:41,490 --> 03:03:43,792 RESEARCH IS HELPFUL HERE AND 5150 03:03:43,792 --> 03:03:44,459 COMMUNITY-BASED RESEARCH, BUT 5151 03:03:44,459 --> 03:03:46,361 ALSO BE WILLING TO ASK DIFFERENT 5152 03:03:46,361 --> 03:03:47,496 QUESTIONS, TO REDEFINE WHAT IT 5153 03:03:47,496 --> 03:03:49,698 MEANS FOR PROGRAM TO BE 5154 03:03:49,698 --> 03:03:50,933 SUCCESSFUL, BY WORKING DIRECTLY 5155 03:03:50,933 --> 03:03:52,568 WITH THE COMMUNITIES OR HAVING 5156 03:03:52,568 --> 03:03:54,303 RESEARCHERS DIRECTLY FROM THE 5157 03:03:54,303 --> 03:03:54,770 COMMUNITIES. 5158 03:03:54,770 --> 03:03:56,271 AND THEN SUPPORT INDIGENOUS 5159 03:03:56,271 --> 03:03:57,472 RESEARCHERS WHO ARE DOING THIS 5160 03:03:57,472 --> 03:03:57,806 WORK. 5161 03:03:57,806 --> 03:03:59,241 ON THE OTHER SIDE OF THE SLIDE 5162 03:03:59,241 --> 03:04:00,409 IT'S EQUALLY IMPORTANT TO THINK 5163 03:04:00,409 --> 03:04:02,211 ABOUT THIS IN TERMS OF 5164 03:04:02,211 --> 03:04:03,745 PROGRAMMING AND FUNDING FOR 5165 03:04:03,745 --> 03:04:04,279 PROGRAMS. 5166 03:04:04,279 --> 03:04:05,480 SO RECOGNIZING THE ROLE OF 5167 03:04:05,480 --> 03:04:08,550 CULTURE AND TRADITION IN HEALTH 5168 03:04:08,550 --> 03:04:11,186 INTERVENTIONS, SO WHAT TRIBES 5169 03:04:11,186 --> 03:04:12,588 HAVE FOUND IS THAT JUST 5170 03:04:12,588 --> 03:04:13,855 CONNECTING PEOPLE WITH CULTURAL 5171 03:04:13,855 --> 03:04:14,389 ACTIVITIES OR TRADITIONAL 5172 03:04:14,389 --> 03:04:15,958 ACTIVITIES CAN BE A PROTECTIVE 5173 03:04:15,958 --> 03:04:19,494 FACTOR AND CAN LEAD TO BETTER 5174 03:04:19,494 --> 03:04:20,262 HEALTH OUTCOMES, RECOGNIZING 5175 03:04:20,262 --> 03:04:22,030 THAT ALONE IS IMPORTANT. 5176 03:04:22,030 --> 03:04:24,866 AND DEVELOPING OR ADAPTING 5177 03:04:24,866 --> 03:04:26,401 TREATMENT MODELS TO SEE HOW THEY 5178 03:04:26,401 --> 03:04:28,036 CAN SERVE NATIVE PEOPLE AND WORK 5179 03:04:28,036 --> 03:04:29,571 IN THE CONTEXT OF TRIBAL 5180 03:04:29,571 --> 03:04:30,973 COMMUNITIES, AND WHAT THIS MEANS 5181 03:04:30,973 --> 03:04:36,445 IS FUNDING HAS TO BE FLEXIBLE TO 5182 03:04:36,445 --> 03:04:37,246 PERMIT CROSS-SYSTEM INNOVATION 5183 03:04:37,246 --> 03:04:38,914 IT'S REALLY HARD TO THINK ABOUT 5184 03:04:38,914 --> 03:04:40,549 ADDRESSING THE HEALTH PROBLEMS 5185 03:04:40,549 --> 03:04:42,718 THAT LEAD TO JUSTICE SYSTEM 5186 03:04:42,718 --> 03:04:43,285 INVOLVEMENT. 5187 03:04:43,285 --> 03:04:45,921 AND ENSURE CONTINUED SUSTAINABLE 5188 03:04:45,921 --> 03:04:47,756 FUNDING BECAUSE IT'S NOT 5189 03:04:47,756 --> 03:04:48,857 POSSIBLE TO EVALUATE AND REFINE 5190 03:04:48,857 --> 03:04:54,429 A PROGRAM IF IT'S ONLY FUNDED 5191 03:04:54,429 --> 03:04:56,064 FOR THREE YEARS AND IT GOES 5192 03:04:56,064 --> 03:04:56,832 AWAY. 5193 03:04:56,832 --> 03:05:02,738 I'M THE LAST PRESENTER, JUSTICE 5194 03:05:02,738 --> 03:05:04,773 SYSTEMS CAN BE CRITICAL SITES 5195 03:05:04,773 --> 03:05:05,340 FOR INTERVENTION RELATED TO 5196 03:05:05,340 --> 03:05:06,808 HEALTH DISPARITIES AND THIS IS 5197 03:05:06,808 --> 03:05:11,246 INTERESTING BECAUSE FOR CRIMINL 5198 03:05:11,246 --> 03:05:12,581 JUSTICE REFORM MADE THIS 5199 03:05:12,581 --> 03:05:12,848 POSSIBLE. 5200 03:05:12,848 --> 03:05:14,783 TRIBAL GOVERNMENTS HAVE BEEN 5201 03:05:14,783 --> 03:05:16,318 LEADERS IN COMMUNITY-SPECIFIC 5202 03:05:16,318 --> 03:05:19,054 APPROACHES FOR MANY YEARS, 5203 03:05:19,054 --> 03:05:19,821 OVERALL INVISIBILITY AND 5204 03:05:19,821 --> 03:05:20,889 DISCONNECT BETWEEN RESEARCH 5205 03:05:20,889 --> 03:05:22,691 METHODS AND FUNDING AND 5206 03:05:22,691 --> 03:05:24,760 COMMUNITY NEEDS HAMPERED ABILITY 5207 03:05:24,760 --> 03:05:28,363 TO IMPLEMENT AND REFINE THESE 5208 03:05:28,363 --> 03:05:31,333 PROGRAMS, CREATE TRANSFERABLE 5209 03:05:31,333 --> 03:05:34,036 MODELS OTHER TRIBES AND 5210 03:05:34,036 --> 03:05:36,772 NON-TRIBAL COMMUNITIES CAN USE. 5211 03:05:36,772 --> 03:05:45,981 5212 03:05:45,981 --> 03:05:46,114 5213 03:05:46,114 --> 03:05:48,483 >> THANKS YOU FOR YOUR EXCELLENT 5214 03:05:48,483 --> 03:05:48,817 PRESENTATION. 5215 03:05:48,817 --> 03:05:50,986 I'D LIKE TO WELCOME BACK 5216 03:05:50,986 --> 03:05:54,089 EVERYONE, THANKS AGAIN FOR ALL 5217 03:05:54,089 --> 03:05:55,023 ON YOUR INFORMATIVE 5218 03:05:55,023 --> 03:05:57,092 PRESENTATIONS, AND I'D LIKE TO 5219 03:05:57,092 --> 03:05:59,961 START OUR DISCUSSION Q&A, JUST 5220 03:05:59,961 --> 03:06:01,830 TO REMIND OUR AUDIENCE PLEASE 5221 03:06:01,830 --> 03:06:07,602 ADD ANY QUESTIONS TO SLIDO. 5222 03:06:07,602 --> 03:06:11,673 AND WE'LL START WITH, LET'S SEE, 5223 03:06:11,673 --> 03:06:15,811 FIRST QUESTION FOR DR. GRIFFITH. 5224 03:06:15,811 --> 03:06:17,913 CAN YOU PLEASE POINT OUT WHO 5225 03:06:17,913 --> 03:06:19,348 BENEFITS FROM RACISM? 5226 03:06:19,348 --> 03:06:22,384 ARE THERE EXAMPLES OF EFFORTS TO 5227 03:06:22,384 --> 03:06:23,919 MEASURE AND EXAMINE THE 5228 03:06:23,919 --> 03:06:25,687 RELATIONSHIP BETWEEN VARIOUS 5229 03:06:25,687 --> 03:06:27,189 ASPECTS OF STRUCTURAL RACISM AND 5230 03:06:27,189 --> 03:06:30,258 ADVANTAGE PRODUCED BY THOSE 5231 03:06:30,258 --> 03:06:30,926 ASPECTS? 5232 03:06:30,926 --> 03:06:32,561 MEASURING ADVANTAGE EXPERIENCED 5233 03:06:32,561 --> 03:06:36,064 BY PEOPLE WHO ARE WHITE. 5234 03:06:36,064 --> 03:06:38,367 >> THIS WAS FOR ME? 5235 03:06:38,367 --> 03:06:39,568 >> UH-HUH. 5236 03:06:39,568 --> 03:06:39,901 >> SURE. 5237 03:06:39,901 --> 03:06:41,203 I MEAN I THINK IT'S, AGAIN, IF 5238 03:06:41,203 --> 03:06:45,040 YOU LOOK AT THE DEFINITION OF 5239 03:06:45,040 --> 03:06:48,009 RACISM, THREE PARTS, IT TALKS 5240 03:06:48,009 --> 03:06:49,644 ABOUT THE STRUCTURAL FACTORS, 5241 03:06:49,644 --> 03:06:52,814 IDEOLOGY OF INFERIORITY, AND 5242 03:06:52,814 --> 03:06:54,850 THEN THE DIFFERENTIAL BENEFIT OR 5243 03:06:54,850 --> 03:06:57,519 DISTRIBUTION OF RESOURCES AND 5244 03:06:57,519 --> 03:06:57,986 OPPORTUNITIES. 5245 03:06:57,986 --> 03:06:59,821 SO, THE ANSWER IS IN WHO 5246 03:06:59,821 --> 03:07:01,223 BENEFITS AND WHO HAS 5247 03:07:01,223 --> 03:07:04,626 DIFFERENTIAL OPPORTUNITIES TO BE 5248 03:07:04,626 --> 03:07:06,027 HEALTHY, TO BE WELL, WHETHER 5249 03:07:06,027 --> 03:07:09,564 IT'S ACCESS TO HEALTH CARE, 5250 03:07:09,564 --> 03:07:11,199 WHETHER IT'S RETURN ON 5251 03:07:11,199 --> 03:07:14,403 EDUCATION, SO THAT THE ECONOMIC 5252 03:07:14,403 --> 03:07:15,570 DIFFERENCE BETWEEN RACIAL GROUPS 5253 03:07:15,570 --> 03:07:20,375 DOING THE SAME JOB IN THE SAME 5254 03:07:20,375 --> 03:07:21,676 LEVEL OF EDUCATION, UNEMPLOYMENT 5255 03:07:21,676 --> 03:07:24,179 STATISTICS, I MEAN, WE COULD GO 5256 03:07:24,179 --> 03:07:25,013 ON. 5257 03:07:25,013 --> 03:07:27,883 I THINK IT'S JUST, YEAH, THERE 5258 03:07:27,883 --> 03:07:30,485 ARE MANY EXAMPLES OF WHERE WHITE 5259 03:07:30,485 --> 03:07:32,821 PEOPLE BASICALLY REGARDLESS OF 5260 03:07:32,821 --> 03:07:34,990 INCOME LEVEL AND OPPORTUNITY DO 5261 03:07:34,990 --> 03:07:40,896 BENEFIT IN OUR SOCIETY. 5262 03:07:40,896 --> 03:07:45,500 YES, IT IS NOT -- THERE ARE 5263 03:07:45,500 --> 03:07:46,701 CONTEXTS POTENTIALLY WHERE IT'S 5264 03:07:46,701 --> 03:07:49,037 NOT AS OBVIOUS OR POTENTIALLY AS 5265 03:07:49,037 --> 03:07:51,106 UNIVERSAL BUT IF YOU LOOK AT A 5266 03:07:51,106 --> 03:07:54,042 POPULATION LEVEL THAT IT IS 5267 03:07:54,042 --> 03:07:56,344 SOMETHING THAT IS CRITICAL TO 5268 03:07:56,344 --> 03:07:58,013 RECOGNIZE AND CONSIDER. 5269 03:07:58,013 --> 03:08:03,251 THE EDICT STUDY THAT WAS DONE IN 5270 03:08:03,251 --> 03:08:05,487 BALTIMORE, SOUTHWEST BALTIMORE, 5271 03:08:05,487 --> 03:08:06,121 LOW INCOME, PARTICULARLY BLACK 5272 03:08:06,121 --> 03:08:11,092 AND WHITE GROUPS SOME YEARS AGO 5273 03:08:11,092 --> 03:08:14,496 NOW, DOES SHOW THAT IT'S REALLY 5274 03:08:14,496 --> 03:08:15,730 ABOUT SEGREGATION, AT A NATIONAL 5275 03:08:15,730 --> 03:08:18,099 LEVEL, MANY OF THE DIFFERENCES 5276 03:08:18,099 --> 03:08:21,470 WE SEE ARE DRIVEN BY RACE-BASED 5277 03:08:21,470 --> 03:08:22,170 RESIDENTIAL SEGREGATION. 5278 03:08:22,170 --> 03:08:26,107 WHEN YOU CONTROL FOR 5279 03:08:26,107 --> 03:08:26,641 DIFFERENTIAL ACCESS TO 5280 03:08:26,641 --> 03:08:27,943 EDUCATION, DIFFERENTIAL RATES OF 5281 03:08:27,943 --> 03:08:30,378 PEOPLE LIVING IN THE SAME 5282 03:08:30,378 --> 03:08:30,946 COMMUNITY, AND DIFFERENTIAL 5283 03:08:30,946 --> 03:08:32,247 INCOME, THAT SOME OF THE 5284 03:08:32,247 --> 03:08:34,216 DIFFERENCES DO GO AWAY BUT MANY 5285 03:08:34,216 --> 03:08:35,250 OF THEM ACTUALLY PERSIST. 5286 03:08:35,250 --> 03:08:37,619 SO IT IS NOT SOMETHING THAT WE 5287 03:08:37,619 --> 03:08:41,556 CAN JUST SAY THAT IS NOT A REAL 5288 03:08:41,556 --> 03:08:42,657 FACTOR, IT'S SOMETHING THAT'S 5289 03:08:42,657 --> 03:08:44,092 CONSISTENT THAT WE'RE SEEING 5290 03:08:44,092 --> 03:08:44,726 ACROSS TIME. 5291 03:08:44,726 --> 03:08:47,462 >> I WANT TO QUICKLY ADD TO 5292 03:08:47,462 --> 03:08:47,996 THAT. 5293 03:08:47,996 --> 03:08:49,564 AND JUST SAY I LOVE THAT 5294 03:08:49,564 --> 03:08:50,999 QUESTION ABOUT, LIKE, WHO 5295 03:08:50,999 --> 03:08:52,167 BENEFITS, RIGHT? 5296 03:08:52,167 --> 03:08:53,401 BECAUSE IT SEEMS PRETTY OBVIOUS 5297 03:08:53,401 --> 03:08:57,439 WHITE PEOPLE BENEFIT FROM 5298 03:08:57,439 --> 03:08:58,206 STRUCTURAL RACISM. 5299 03:08:58,206 --> 03:09:00,809 I ALSO WANT TO POINT OUT HEATHER 5300 03:09:00,809 --> 03:09:02,344 McGEE'S WORK WOULD SAY THAT 5301 03:09:02,344 --> 03:09:03,678 EVEN THOUGH THERE ARE SOME WHITE 5302 03:09:03,678 --> 03:09:06,214 PEOPLE THAT BENEFIT FROM RACISM, 5303 03:09:06,214 --> 03:09:07,682 THERE'S A SIGNIFICANT NUMBER OF 5304 03:09:07,682 --> 03:09:09,584 WHITE PEOPLE THAT ARE HARMED BY 5305 03:09:09,584 --> 03:09:11,353 STRUCTURAL RACISM AS WELL. 5306 03:09:11,353 --> 03:09:14,623 AND SO THIS KIND OF IDEA, THERE 5307 03:09:14,623 --> 03:09:17,259 ARE A SMALL NUMBER OF WHITE 5308 03:09:17,259 --> 03:09:18,326 PEOPLE THAT BENEFIT FROM 5309 03:09:18,326 --> 03:09:20,529 STRUCTURAL RACISM, AND THEN MOST 5310 03:09:20,529 --> 03:09:21,630 EVERYBODY ELSE INCLUDING THAT 5311 03:09:21,630 --> 03:09:24,799 SMALL NUMBER OF WHITE PEOPLE 5312 03:09:24,799 --> 03:09:28,169 THAT ARE GETTING ADVANTAGES ARE 5313 03:09:28,169 --> 03:09:29,404 STILL COLLECTIVELY AS A SOCIETY 5314 03:09:29,404 --> 03:09:32,474 ALL SUFFERING BECAUSE OF THE 5315 03:09:32,474 --> 03:09:40,749 STRUCTURAL RACISM THAT EXISTS. 5316 03:09:40,749 --> 03:09:41,182 >> OKAY. 5317 03:09:41,182 --> 03:09:42,284 LET'S SEE. 5318 03:09:42,284 --> 03:09:44,719 WE RECEIVED A LOT OF COMMENTS. 5319 03:09:44,719 --> 03:09:46,154 THANK YOU, DR. SHIM. 5320 03:09:46,154 --> 03:09:48,223 YOUR WORK IS MAKING ME 5321 03:09:48,223 --> 03:09:52,060 REEVALUATE THE HEALTH RESEARCH. 5322 03:09:52,060 --> 03:09:53,028 IMPLEMENTATION PRACTICES THAT 5323 03:09:53,028 --> 03:09:55,664 I'VE ALWAYS THOUGHT WERE UNEQUAL 5324 03:09:55,664 --> 03:09:57,198 AND BIASED BUT COULDN'T 5325 03:09:57,198 --> 03:09:59,067 ARTICULATE WHY. 5326 03:09:59,067 --> 03:09:59,834 FROM ANOTHER, GREAT COMMENT, I'D 5327 03:09:59,834 --> 03:10:04,573 LIKE TO GIVE CUE KUDOS TO THE 5328 03:10:04,573 --> 03:10:06,608 PRESENTERS TODAY, ONE OF THE 5329 03:10:06,608 --> 03:10:09,444 BEST WORKSHOPS I'VE ATTENDED. 5330 03:10:09,444 --> 03:10:13,181 5331 03:10:13,181 --> 03:10:14,149 LET'S SEE. 5332 03:10:14,149 --> 03:10:16,351 ANOTHER COMMENT, LET'S SEE. 5333 03:10:16,351 --> 03:10:18,954 IT'S IMPORTANT TO POINT OUT 5334 03:10:18,954 --> 03:10:20,088 WELL-FUNDED AND SENIOR 5335 03:10:20,088 --> 03:10:21,723 SCIENTISTS HAVE THE POWER TO SET 5336 03:10:21,723 --> 03:10:24,125 AGENDA IN RESEARCH IN U.S. 5337 03:10:24,125 --> 03:10:27,395 WE NEED TO BE LESS BIASED, AND 5338 03:10:27,395 --> 03:10:28,396 MORE JUST. 5339 03:10:28,396 --> 03:10:29,464 FUNDING DISPARITIES BETWEEN 5340 03:10:29,464 --> 03:10:32,434 NEVER FUND AND FUNDING MULTIPLE 5341 03:10:32,434 --> 03:10:33,868 TIMES, HUGE DISPARITIES. 5342 03:10:33,868 --> 03:10:39,541 ANY COMMENTS? 5343 03:10:39,541 --> 03:10:42,811 >> I HAVE A LOT OF COMMENTS. 5344 03:10:42,811 --> 03:10:47,415 I WANT TO DEFER TO OTHERS. 5345 03:10:47,415 --> 03:10:47,616 OKAY. 5346 03:10:47,616 --> 03:10:49,084 SO I HAVE A LOT OF COMMENTS BUT 5347 03:10:49,084 --> 03:10:52,153 I WILL TELL YOU, I ALWAYS HAVE A 5348 03:10:52,153 --> 03:10:54,689 FAIR AMOUNT OF IMPOSTOR SYNDROME 5349 03:10:54,689 --> 03:10:56,424 INVITED IN SPACES LIKE THIS 5350 03:10:56,424 --> 03:10:58,960 BECAUSE I'M NOT AN NIH-FUNDED 5351 03:10:58,960 --> 03:10:59,260 RESEARCHER. 5352 03:10:59,260 --> 03:11:01,930 AND ONE OF THE REASONS THAT I'M 5353 03:11:01,930 --> 03:11:03,231 NOT AN NIH-FUNDED RESEARCHER IS 5354 03:11:03,231 --> 03:11:06,368 BECAUSE EARLY IN MY ACADEMIC 5355 03:11:06,368 --> 03:11:07,636 CAREER, I ATTEMPTED OVER AND 5356 03:11:07,636 --> 03:11:09,604 OVER TO GET NIH FUNDING AND 5357 03:11:09,604 --> 03:11:11,139 THOUGHT I HAD THE SKILLS, I 5358 03:11:11,139 --> 03:11:12,874 THOUGHT I HAD THE ABILITIES, I 5359 03:11:12,874 --> 03:11:16,211 HAD ALL THE BEST MENTORS, AND 5360 03:11:16,211 --> 03:11:17,946 THESE WERE MOSTLY WHITE PEOPLE 5361 03:11:17,946 --> 03:11:19,914 THAT WERE REALLY SKILLED 5362 03:11:19,914 --> 03:11:24,285 RESEARCHERS, AND TIME AND TIME 5363 03:11:24,285 --> 03:11:29,424 AGAIN I WAS DENIED EVEN LIKE 5364 03:11:29,424 --> 03:11:31,393 READ, LIKE MY GRANT PROPOSALS 5365 03:11:31,393 --> 03:11:33,161 WERE NEVER SCORED, NOT A SINGLE 5366 03:11:33,161 --> 03:11:34,696 ONE OF MY GRANT PROPOSALS I EVER 5367 03:11:34,696 --> 03:11:37,432 PUT IN AT THE NIH WAS EVER 5368 03:11:37,432 --> 03:11:37,666 SCORED. 5369 03:11:37,666 --> 03:11:41,469 AND AFTER A WHILE I GAVE UP. 5370 03:11:41,469 --> 03:11:46,207 BECAUSE I DECIDED THAT LIKE IT 5371 03:11:46,207 --> 03:11:48,176 WASN'T WORTH THE MENTAL AND 5372 03:11:48,176 --> 03:11:49,911 PHYSICAL STRAIN THAT IT REQUIRED 5373 03:11:49,911 --> 03:11:52,881 TO TRY TO RECEIVE THAT FUNDING. 5374 03:11:52,881 --> 03:11:57,085 AND I THINK MY EXPERIENCE, 5375 03:11:57,085 --> 03:12:00,722 SOMEHOW I MANAGED TO BE 5376 03:12:00,722 --> 03:12:01,823 RELATIVELY IN ACADEMIA WITHOUT 5377 03:12:01,823 --> 03:12:04,459 NIH FUNDING, I'LL TAKE IT AS A 5378 03:12:04,459 --> 03:12:04,826 GIFT. 5379 03:12:04,826 --> 03:12:07,128 I'M SURE I'M NOT ALONE. 5380 03:12:07,128 --> 03:12:11,700 I'M QUITE SURE THERE ARE SO MANY 5381 03:12:11,700 --> 03:12:13,101 POTENTIALLY TALENTED RESEARCHERS 5382 03:12:13,101 --> 03:12:14,602 OUT THERE THAT DECIDED EARLY ON 5383 03:12:14,602 --> 03:12:17,038 IN THEIR CAREERS THIS WAS NOT 5384 03:12:17,038 --> 03:12:19,140 THE PATH FOR THEM BECAUSE OF THE 5385 03:12:19,140 --> 03:12:20,875 BIAS OF PEOPLE WORKING IN THESE 5386 03:12:20,875 --> 03:12:24,079 SPACES THAT HAVE A CERTAIN TYPE 5387 03:12:24,079 --> 03:12:27,415 OF OBJECTIVITY, THAT THEY FELT 5388 03:12:27,415 --> 03:12:30,518 WAS JUST NOT FOR THEM. 5389 03:12:30,518 --> 03:12:33,021 SO I HOPE THAT WE CAN THINK AND 5390 03:12:33,021 --> 03:12:33,688 DO BETTER. 5391 03:12:33,688 --> 03:12:35,156 THERE'S WORK HAPPENING THAT IS 5392 03:12:35,156 --> 03:12:37,292 DOING BETTER BUT THERE IS A LOT 5393 03:12:37,292 --> 03:12:40,028 MORE WORK THAT NEEDS TO BE DONE. 5394 03:12:40,028 --> 03:12:42,130 WE TALKED SO MUCH ABOUT 5395 03:12:42,130 --> 03:12:43,998 PATHWAYS, IMPROVING THE 5396 03:12:43,998 --> 03:12:46,267 PIPELINE, THERE'S SO MANY WAYS 5397 03:12:46,267 --> 03:12:47,936 PEOPLE GET SORTED OUT AND 5398 03:12:47,936 --> 03:12:49,104 EXCLUDED FROM THIS WORK. 5399 03:12:49,104 --> 03:12:57,645 I THINK WE NEED TO THINK 5400 03:12:57,645 --> 03:12:58,646 DIFFERENTLY ABOUT IT. 5401 03:12:58,646 --> 03:13:00,582 >> NOT TO PILE ON BUT JUST TO 5402 03:13:00,582 --> 03:13:02,584 BUILD ON WHAT DR. SHIM SAID, I 5403 03:13:02,584 --> 03:13:05,954 HAVEN'T HAD VERY MUCH FUNDING. 5404 03:13:05,954 --> 03:13:07,155 I'VE HAD A VERY SIMILAR 5405 03:13:07,155 --> 03:13:08,356 TRAJECTORY AND PATH. 5406 03:13:08,356 --> 03:13:10,859 I THINK IT WOULD BE INTERESTING 5407 03:13:10,859 --> 03:13:16,765 AS A THOUGHT EXERCISE TO LOOK AT 5408 03:13:16,765 --> 03:13:18,533 THE FOLKS INVITED TO SPEAK AND 5409 03:13:18,533 --> 03:13:29,010 LOOK AT FUNDING PORTFOLIOS . 5410 03:13:31,179 --> 03:13:32,680 IF THAT'S NOT A STRONG 5411 03:13:32,680 --> 03:13:33,748 CORRELATION, IF YOU WILL, WHAT 5412 03:13:33,748 --> 03:13:36,050 DOES THAT SUGGEST ABOUT WHAT 5413 03:13:36,050 --> 03:13:41,856 WE'RE DOING AND WHO WE'RE 5414 03:13:41,856 --> 03:13:43,291 FUNDING. 5415 03:13:43,291 --> 03:13:46,861 >> THANK YOU FOR YOUR COMMENTS. 5416 03:13:46,861 --> 03:13:49,964 SO I WANT TO THANK EVERYONE FOR 5417 03:13:49,964 --> 03:13:51,599 PARTICIPATING IN THIS SESSION. 5418 03:13:51,599 --> 03:13:53,368 AND OUR NEXT SESSION IS NOW THE 5419 03:13:53,368 --> 03:13:57,559 BREAKOUTS. 5420 03:13:57,559 --> 03:13:58,126 WELL, THANK YOU. 5421 03:13:58,126 --> 03:14:01,729 WELCOME BACK FROM THE BREAKOUT 5422 03:14:01,729 --> 03:14:02,397 DISCUSSIONS. 5423 03:14:02,397 --> 03:14:03,631 OUR ROOM WENT TERRIFIC. 5424 03:14:03,631 --> 03:14:08,736 I HOPE EVERYBODY HAD AN ENGAGING 5425 03:14:08,736 --> 03:14:09,471 AND INTERACTIVE DISCUSSION. 5426 03:14:09,471 --> 03:14:11,139 WE'RE INTERESTED TO HEAR THE 5427 03:14:11,139 --> 03:14:13,341 HIGHLIGHTS FROM THE ROOMS. 5428 03:14:13,341 --> 03:14:15,176 THERE WERE NINE DIFFERENT ROOMS, 5429 03:14:15,176 --> 03:14:18,146 COVERING A TOTAL OF FOUR TOPICS, 5430 03:14:18,146 --> 03:14:19,581 BUT ALL WITH SIMILAR QUESTIONS 5431 03:14:19,581 --> 03:14:21,950 IN TERMS OF WHERE ARE WE NOW, 5432 03:14:21,950 --> 03:14:23,718 WHAT ARE SOME BARRIERS, AND 5433 03:14:23,718 --> 03:14:25,954 WHERE ARE WE LOOKING INTO THE 5434 03:14:25,954 --> 03:14:27,455 FUTURE, RECOMMENDATIONS FOR 5435 03:14:27,455 --> 03:14:27,755 PROGRESS. 5436 03:14:27,755 --> 03:14:29,424 SO, I KNOW EVERYONE TOOK A 5437 03:14:29,424 --> 03:14:30,758 DIFFERENT FORMAT ON THIS, AND 5438 03:14:30,758 --> 03:14:31,726 THAT'S GREAT. 5439 03:14:31,726 --> 03:14:33,495 THIS SHOULD BE A VERY INFORMAL 5440 03:14:33,495 --> 03:14:35,029 REPORT-OUT BUT WE'RE GOING TO 5441 03:14:35,029 --> 03:14:38,066 GIVE ABOUT FIVE MINUTES TO EACH 5442 03:14:38,066 --> 03:14:39,934 VIRTUAL ROOM. 5443 03:14:39,934 --> 03:14:41,936 I BELIEVE EVERYONE HAS A 5444 03:14:41,936 --> 03:14:43,671 VOLUNTEER THAT'S GOING TO BE 5445 03:14:43,671 --> 03:14:44,439 REPORTING OUT. 5446 03:14:44,439 --> 03:14:46,207 SO YOU HAVE FIVE MINUTES, AND WE 5447 03:14:46,207 --> 03:14:48,176 WOULD LOVE TO HEAR SOME OF WHAT 5448 03:14:48,176 --> 03:14:50,245 WAS DISCUSSED IN YOUR ROOM. 5449 03:14:50,245 --> 03:14:54,182 SO, CAN I SEE WHO IS GOING TO BE 5450 03:14:54,182 --> 03:14:58,887 REPORTING OUT FOR ROOM 1? 5451 03:14:58,887 --> 03:15:01,389 I BELIEVE THE TOPIC OF ROOM 1 5452 03:15:01,389 --> 03:15:11,666 WAS ON METHODS AND METHODOLOGY. 5453 03:15:11,666 --> 03:15:13,868 >> CAN YOU HEAR ME OKAY? 5454 03:15:13,868 --> 03:15:14,202 >> YEAH. 5455 03:15:14,202 --> 03:15:17,906 >> SO WE ALSO HAD A VERY 5456 03:15:17,906 --> 03:15:19,974 INTERESTING DISCUSSION IN OUR 5457 03:15:19,974 --> 03:15:20,208 GROUP. 5458 03:15:20,208 --> 03:15:24,712 OUR TEAM CAME UP WITH THESE 5459 03:15:24,712 --> 03:15:26,147 REPORTING OUT HIGHLIGHTS. 5460 03:15:26,147 --> 03:15:29,951 FIRST, WE THOUGHT THERE WAS LACK 5461 03:15:29,951 --> 03:15:32,687 OF CONSENSUS IN HOW WE MEASURE 5462 03:15:32,687 --> 03:15:38,593 STRUCTURAL RACISM AND DIFFERENT 5463 03:15:38,593 --> 03:15:40,128 TYPES. 5464 03:15:40,128 --> 03:15:43,431 RACISM, INCLUDING INTERPERSONAL, 5465 03:15:43,431 --> 03:15:44,399 CULTURAL, INSTITUTIONAL RACISM, 5466 03:15:44,399 --> 03:15:47,001 AND THIS CAN ALSO IMPACT PEER 5467 03:15:47,001 --> 03:15:49,771 REVIEW IN GRANTS AT NIH FUNDING, 5468 03:15:49,771 --> 03:15:53,274 AND THAT THERE IS NO SINGULAR 5469 03:15:53,274 --> 03:15:55,109 MEASURE FOR STRUCTURAL RACISM, 5470 03:15:55,109 --> 03:15:57,312 AND IT REALLY DEPENDS ON THE 5471 03:15:57,312 --> 03:16:01,583 CONTEXT, THE PROBLEM, THE 5472 03:16:01,583 --> 03:16:02,984 POPULATION, AND A LOT MORE. 5473 03:16:02,984 --> 03:16:05,286 IT'S IMPORTANT TO HIGHLIGHT HOW 5474 03:16:05,286 --> 03:16:07,255 TO MEASURE COLORISM. 5475 03:16:07,255 --> 03:16:12,727 THERE WAS AN EXAMPLE FROM PUERTO 5476 03:16:12,727 --> 03:16:12,961 RICO. 5477 03:16:12,961 --> 03:16:15,697 AND THIS CAN HAVE EXPERIENCES 5478 03:16:15,697 --> 03:16:20,602 WITH STRUCTURAL RACISM AND CAN 5479 03:16:20,602 --> 03:16:21,936 IMPACT HEALTH OUTCOMES. 5480 03:16:21,936 --> 03:16:24,405 IN TERMS OF GRANTS, NIH, GRANT 5481 03:16:24,405 --> 03:16:29,244 REVIEWS, THERE'S A LOT OF 5482 03:16:29,244 --> 03:16:30,345 IMPLICIT AND EXPLICIT BIASES 5483 03:16:30,345 --> 03:16:34,182 THAT GOES INTO THE PEER REVIEW, 5484 03:16:34,182 --> 03:16:35,883 A LOT OF BARRIERS PLACED, AND 5485 03:16:35,883 --> 03:16:38,453 THE FOCUS NEEDS TO BE PLACED ON 5486 03:16:38,453 --> 03:16:42,490 NOT THE REPUTATION BUT THE 5487 03:16:42,490 --> 03:16:44,459 SCIENCE, AND THERE NEEDS TO BE 5488 03:16:44,459 --> 03:16:46,427 LESS POLICIES THAT PERPETUATE 5489 03:16:46,427 --> 03:16:48,062 THESE DISPARITIES TO FAVOR 5490 03:16:48,062 --> 03:16:50,665 CERTAIN TYPES OF APPLICANTS OVER 5491 03:16:50,665 --> 03:16:50,898 OTHERS. 5492 03:16:50,898 --> 03:16:55,536 SO, THIS REALLY NEEDS TO FOCUS 5493 03:16:55,536 --> 03:16:58,239 AGAIN ON INNOVATION, CREATIVITY, 5494 03:16:58,239 --> 03:17:01,743 AS OPPOSED TO THE MANY TYPES OF 5495 03:17:01,743 --> 03:17:04,145 FACTORS SUCH AS CANDIDATE TITLE 5496 03:17:04,145 --> 03:17:06,214 OR THE INSTITUTIONAL NAMES OR 5497 03:17:06,214 --> 03:17:08,216 MENTOR NAME OR MENTOR 5498 03:17:08,216 --> 03:17:08,650 REPUTATION. 5499 03:17:08,650 --> 03:17:09,851 THIS IS THE CAREER AWARD. 5500 03:17:09,851 --> 03:17:13,788 THERE NEEDS TO BE EFFORTS TO 5501 03:17:13,788 --> 03:17:14,656 DIVERSITY THE SCIENTIFIC 5502 03:17:14,656 --> 03:17:16,324 WORKFORCE THAT ARE TRULY 5503 03:17:16,324 --> 03:17:19,460 INTERESTED AND ARE DOING THIS 5504 03:17:19,460 --> 03:17:21,796 WORK, AT MANY TIMES WITHOUT 5505 03:17:21,796 --> 03:17:25,633 FUNDING, AND THERE NEEDS TO BE 5506 03:17:25,633 --> 03:17:27,735 WAYS THAT RESEARCHERS AND 5507 03:17:27,735 --> 03:17:31,239 SCHOLARS CAN BE INVOLVED AND 5508 03:17:31,239 --> 03:17:32,540 FUNDED, INCLUDING OUR NEXT 5509 03:17:32,540 --> 03:17:34,942 GENERATION OF RESEARCHERS, IT'S 5510 03:17:34,942 --> 03:17:36,277 UNDERGRADUATES, BRINGING THEM 5511 03:17:36,277 --> 03:17:41,516 EARLY ON IN THE PIPELINE TO 5512 03:17:41,516 --> 03:17:44,786 EDUCATE THEM ABOUT THESE 5513 03:17:44,786 --> 03:17:47,555 DIFFERENT AND COMPLEX TOPICS. 5514 03:17:47,555 --> 03:17:48,756 ARE CONCERNS ARE THERE'S ALSO, 5515 03:17:48,756 --> 03:17:53,127 BECAUSE OF OUR CHANGING 5516 03:17:53,127 --> 03:17:56,197 POLITICAL CLIMATE, THAT WE NEED 5517 03:17:56,197 --> 03:17:58,633 TO BE MINDFUL ABOUT IMPLICATIONS 5518 03:17:58,633 --> 03:18:00,702 THAT THIS CAN HAVE ON THE 5519 03:18:00,702 --> 03:18:02,437 SCHOLARS WHO ARE DOING THIS 5520 03:18:02,437 --> 03:18:03,538 WORK. 5521 03:18:03,538 --> 03:18:08,042 AND HOW WE PROTECT THEM AND IN 5522 03:18:08,042 --> 03:18:10,578 CERTAIN STATES AND INSTITUTIONS 5523 03:18:10,578 --> 03:18:12,547 DEPENDING WHERE YOU WORK THIS 5524 03:18:12,547 --> 03:18:16,484 TYPE OF TOPIC IS NOT TO BE 5525 03:18:16,484 --> 03:18:18,986 DISCUSSED IN EDUCATION 5526 03:18:18,986 --> 03:18:19,287 CURRICULUM. 5527 03:18:19,287 --> 03:18:22,523 AND SO IN TERMS OF TEACHING AND 5528 03:18:22,523 --> 03:18:26,994 RESEARCH, HOW DO WE MAKE THIS A 5529 03:18:26,994 --> 03:18:28,429 MORE SAFE CLIMATE FOR ALL DOING 5530 03:18:28,429 --> 03:18:29,731 THIS KIND OF WORK. 5531 03:18:29,731 --> 03:18:34,869 THANK YOU. 5532 03:18:34,869 --> 03:18:35,970 >> THANK YOU. 5533 03:18:35,970 --> 03:18:39,040 THAT WAS A WONDERFUL REVIEW. 5534 03:18:39,040 --> 03:18:41,676 SO, NOW WE ARE ON ROOM 2, WHICH 5535 03:18:41,676 --> 03:18:45,480 ALSO WAS ON THE SIMILAR TOPIC, I 5536 03:18:45,480 --> 03:18:46,381 BELIEVE, METHODS AND 5537 03:18:46,381 --> 03:18:48,249 METHODOLOGY, SIMILAR QUESTIONS 5538 03:18:48,249 --> 03:18:48,649 WERE DISCUSSED. 5539 03:18:48,649 --> 03:18:51,953 WHO IS GOING TO BE DOING THE 5540 03:18:51,953 --> 03:18:54,389 REPORT-OUT FOR ROOM 2? 5541 03:18:54,389 --> 03:18:55,890 IS THERE -- NOT EVERYONE WILL 5542 03:18:55,890 --> 03:18:59,961 HAVE A SLIDE I UNDERSTAND. 5543 03:18:59,961 --> 03:19:01,796 >> YEAH, I WILL BE THE REPORTER 5544 03:19:01,796 --> 03:19:02,096 FOR ROOM 2. 5545 03:19:02,096 --> 03:19:03,965 I DON'T THINK WE HAVE A SLIDE. 5546 03:19:03,965 --> 03:19:06,067 DO WE HAVE A SLIDE? 5547 03:19:06,067 --> 03:19:08,035 >> LOOKS LIKE YOU MAY. 5548 03:19:08,035 --> 03:19:09,137 THERE'S SOMETHING BEING SHARED. 5549 03:19:09,137 --> 03:19:12,407 HOWEVER YOU WANT TO DO IT. 5550 03:19:12,407 --> 03:19:13,508 WE LOOK FORWARD TO HEARING FROM 5551 03:19:13,508 --> 03:19:14,375 YOU. 5552 03:19:14,375 --> 03:19:15,676 FIVE MINUTES OR SO. 5553 03:19:15,676 --> 03:19:18,079 >> WE HAD A LOT OF GREAT 5554 03:19:18,079 --> 03:19:19,380 DISCUSSIONS BUT FOCUSED ON FOUR 5555 03:19:19,380 --> 03:19:20,615 THINGS HERE. 5556 03:19:20,615 --> 03:19:22,016 AT THE BEGINNING WE WANT TO 5557 03:19:22,016 --> 03:19:23,451 THANK THE ORGANIZERS TO HAVE 5558 03:19:23,451 --> 03:19:25,086 THIS KIND OF DISCUSSION. 5559 03:19:25,086 --> 03:19:27,822 WE FELT IT'S A VERY LONG-NEEDED 5560 03:19:27,822 --> 03:19:29,590 DISCUSSION, EVEN BY HAVING THIS 5561 03:19:29,590 --> 03:19:30,992 WORKSHOP TO GET PEOPLE TOGETHER 5562 03:19:30,992 --> 03:19:32,427 THAT'S A GREAT SUCCESS. 5563 03:19:32,427 --> 03:19:35,163 SO WE CAN COME TOGETHER TO LEARN 5564 03:19:35,163 --> 03:19:37,732 AND ALSO TO DISCUSS. 5565 03:19:37,732 --> 03:19:42,003 SO WE FOCUSED ON THE BARRIERS 5566 03:19:42,003 --> 03:19:45,740 FOR THE MEASUREMENT AND RESEARCH 5567 03:19:45,740 --> 03:19:47,442 ON THE STRUCTURAL RACISM, 5568 03:19:47,442 --> 03:19:49,510 THINKING ABOUT WHAT SOLUTIONS, 5569 03:19:49,510 --> 03:19:50,845 INTERESTINGLY, THE FIRST THING, 5570 03:19:50,845 --> 03:19:53,314 SIMILAR FOR THE GROUP 1, WE 5571 03:19:53,314 --> 03:19:56,784 DISCUSSED A LOT OF THE SYSTEMS, 5572 03:19:56,784 --> 03:20:00,888 OUR SYSTEMS AS A BARRIER 5573 03:20:00,888 --> 03:20:01,222 THEMSELVES. 5574 03:20:01,222 --> 03:20:04,091 FOR EXAMPLE, FUNDING SYSTEM 5575 03:20:04,091 --> 03:20:10,631 FOCUSES MORE ON THE QUANTITY OF 5576 03:20:10,631 --> 03:20:17,171 RESEARCH, MORE ON THE PAST 5577 03:20:17,171 --> 03:20:19,507 EXPERIENCE, AND SO THAT COULD -- 5578 03:20:19,507 --> 03:20:21,142 ALSO ACADEMIC BARRIERS, CERTAIN 5579 03:20:21,142 --> 03:20:23,044 INFORMATION WAS NOT INCLUDED 5580 03:20:23,044 --> 03:20:25,947 INTO THE CURRICULUM, AND SO, FOR 5581 03:20:25,947 --> 03:20:26,681 EXAMPLE, THE RESEARCHERS HAVE 5582 03:20:26,681 --> 03:20:30,551 CERTAIN TRAINED TO DO CERTAIN 5583 03:20:30,551 --> 03:20:35,256 TYPE OF RESEARCH, SO THOSE ARE 5584 03:20:35,256 --> 03:20:37,892 SOME BARRIERS PER PETTING 5585 03:20:37,892 --> 03:20:38,659 STRUCTURAL RACISM. 5586 03:20:38,659 --> 03:20:41,162 ONE IMPORTANT STEP FOR US IS 5587 03:20:41,162 --> 03:20:42,597 REALLY CONVINCE STAKEHOLDERS TO 5588 03:20:42,597 --> 03:20:44,165 DISCUSS THOSE ISSUES, HOW WE CAN 5589 03:20:44,165 --> 03:20:45,199 CHANGE OUR SYSTEM AND THINK OUT 5590 03:20:45,199 --> 03:20:46,534 OF THE BOX. 5591 03:20:46,534 --> 03:20:49,537 SO WE CAN SUPPORT THE RESEARCH 5592 03:20:49,537 --> 03:20:50,571 ON THE STRUCTURAL RACISM. 5593 03:20:50,571 --> 03:20:55,309 AND THE SECOND THING WE TALK 5594 03:20:55,309 --> 03:20:57,478 ABOUT IS TO SUPPORT 5595 03:20:57,478 --> 03:20:58,913 MULTI-DISCIPLINARY RESEARCH. 5596 03:20:58,913 --> 03:21:01,782 TRADITIONALLY WE TALK ABOUT 5597 03:21:01,782 --> 03:21:03,751 HEALTH-RELATED RESEARCH, WE TALK 5598 03:21:03,751 --> 03:21:05,152 ABOUT MEDICAL DOCTORS, PUBLIC 5599 03:21:05,152 --> 03:21:06,153 HEALTH, DISCIPLINES. 5600 03:21:06,153 --> 03:21:11,926 WE NEED MORE, OTHER DISCIPLINES, 5601 03:21:11,926 --> 03:21:16,030 FOR EXAMPLE SOCIOLOGISTS, 5602 03:21:16,030 --> 03:21:16,898 HISTORIANS, ANTHROPOLOGY IS, 5603 03:21:16,898 --> 03:21:19,767 PHILOSOPHERS, COMMUNITY MEMBERS 5604 03:21:19,767 --> 03:21:20,835 WITH LIVED EXPERIENCE. 5605 03:21:20,835 --> 03:21:22,803 IT'S HARD TO HAVE A REAL 5606 03:21:22,803 --> 03:21:25,006 INTERDISCIPLINARY TEAM BECAUSE 5607 03:21:25,006 --> 03:21:27,642 THEY MAY NOT SPEAK THE SAME 5608 03:21:27,642 --> 03:21:27,909 LANGUAGE. 5609 03:21:27,909 --> 03:21:30,044 MAY TAKE LONGER TIME FOR THE 5610 03:21:30,044 --> 03:21:31,045 INTERDISCIPLINARY TEAM TO GET 5611 03:21:31,045 --> 03:21:33,881 OFF THE GROUND FOR THE PROJECT 5612 03:21:33,881 --> 03:21:36,050 GOING, SO THAT SOMETIMES MAY NOT 5613 03:21:36,050 --> 03:21:40,221 ALIGN WITH THE FUNDERS' 5614 03:21:40,221 --> 03:21:40,655 TIMELINE. 5615 03:21:40,655 --> 03:21:45,259 SO THE SECOND AREA WE DISCUSSED 5616 03:21:45,259 --> 03:21:47,562 A LOT IS SUPPORTING MIXED 5617 03:21:47,562 --> 03:21:50,298 METHODS, TO SUPPORT THE 5618 03:21:50,298 --> 03:21:51,966 QUALITATIVE RESEARCH, WE TALK 5619 03:21:51,966 --> 03:21:53,568 ABOUT QUANTITATIVE RESEARCH IS 5620 03:21:53,568 --> 03:21:57,939 REALLY IMPORTANT FOR THE 5621 03:21:57,939 --> 03:22:01,242 STRUCTURAL RACISM RESEARCH, AND 5622 03:22:01,242 --> 03:22:05,379 EXPLORE WAYS FUNDERS LIKE NIH 5623 03:22:05,379 --> 03:22:06,480 COULD FUND. 5624 03:22:06,480 --> 03:22:09,784 CURRENTLY MAY NOT CALL OUT 5625 03:22:09,784 --> 03:22:11,085 EXPLICITLY FOR QUANTITATIVE 5626 03:22:11,085 --> 03:22:13,154 RESEARCH, USUALLY EMBEDDED INTO 5627 03:22:13,154 --> 03:22:15,656 THE METHODOLOGY, INTO THE MIXED 5628 03:22:15,656 --> 03:22:17,491 METHODOLOGY, SO WE ENCOURAGED BY 5629 03:22:17,491 --> 03:22:20,928 OUR LEADERS OF THE BREAKOUT 5630 03:22:20,928 --> 03:22:26,167 SESSIONS TO TALK WITH PROJECT 5631 03:22:26,167 --> 03:22:27,935 OFFICERS TO EXPLAIN MORE 5632 03:22:27,935 --> 03:22:28,603 IMPORTANCE OF THE RESEARCH, 5633 03:22:28,603 --> 03:22:30,338 WHETHER THERE ARE WAYS TO FUND 5634 03:22:30,338 --> 03:22:30,905 IT. 5635 03:22:30,905 --> 03:22:36,777 AND THE LAST ONE WE WANT TO TALK 5636 03:22:36,777 --> 03:22:39,947 ABOUT IS TO ENCOURAGE STRUCTURAL 5637 03:22:39,947 --> 03:22:43,684 RACISM IN GRADUATE AND 5638 03:22:43,684 --> 03:22:45,786 UNDERGRADUATE LEVEL COURSE, 5639 03:22:45,786 --> 03:22:48,623 SYSTEM BARRIERS, THE FIRST ONE, 5640 03:22:48,623 --> 03:22:49,323 IDENTICAL BARRIERS, SINGLE OUT 5641 03:22:49,323 --> 03:22:52,326 BECAUSE WE THINK THIS IS REALLY 5642 03:22:52,326 --> 03:22:53,761 IMPORTANT TO INCORPORATE THOSE 5643 03:22:53,761 --> 03:22:56,163 TRAINING INTO THE EDUCATION SO 5644 03:22:56,163 --> 03:22:58,899 WE CAN BUILD THE NEXT GENERATION 5645 03:22:58,899 --> 03:23:01,302 OF RESEARCHERS WHO REALLY 5646 03:23:01,302 --> 03:23:06,240 UNDERSTAND THE STRUCTURAL 5647 03:23:06,240 --> 03:23:07,341 RACISM. 5648 03:23:07,341 --> 03:23:10,711 AND LET ME KNOW IF YOU NEED TO 5649 03:23:10,711 --> 03:23:11,245 ADD ANYTHING. 5650 03:23:11,245 --> 03:23:14,015 >> I THOUGHT THAT WAS A GREAT 5651 03:23:14,015 --> 03:23:15,116 SUMMARY. 5652 03:23:15,116 --> 03:23:16,017 >> EXCELLENT. 5653 03:23:16,017 --> 03:23:16,517 THANK YOU. 5654 03:23:16,517 --> 03:23:18,819 >> THANK YOU SO MUCH. 5655 03:23:18,819 --> 03:23:21,555 SO WE'RE MOVING TO ROOM 3, AND 5656 03:23:21,555 --> 03:23:23,958 IF I'M NOT MISTAKEN IT'S THE 5657 03:23:23,958 --> 03:23:27,128 SAME TOPIC, METHODS AND 5658 03:23:27,128 --> 03:23:27,795 METHODOLOGY. 5659 03:23:27,795 --> 03:23:28,095 OKAY. 5660 03:23:28,095 --> 03:23:29,096 WHOEVER IS REPORTING OUT PLEASE 5661 03:23:29,096 --> 03:23:31,098 FEEL FREE TO GO AHEAD. 5662 03:23:31,098 --> 03:23:32,833 THANK YOU. 5663 03:23:32,833 --> 03:23:34,368 >> THANKS, TIFFANY. 5664 03:23:34,368 --> 03:23:36,537 ON BEHALF OF ROOM 3, I'M GOING 5665 03:23:36,537 --> 03:23:39,273 TO TRY AND PROVIDE A BRIEF 5666 03:23:39,273 --> 03:23:40,908 SUMMARY OF THE MAIN POINTS THAT 5667 03:23:40,908 --> 03:23:42,677 WERE BROUGHT UP. 5668 03:23:42,677 --> 03:23:44,712 SO, WE SPENT QUITE A BIT OF TIME 5669 03:23:44,712 --> 03:23:46,480 DISCUSSING SOME OF THE BARRIERS 5670 03:23:46,480 --> 03:23:49,150 TO MAKING PROGRESS IN THIS 5671 03:23:49,150 --> 03:23:49,483 CONTEXT. 5672 03:23:49,483 --> 03:23:54,021 AND ONE OF WHICH WAS THE LACK OF 5673 03:23:54,021 --> 03:23:57,258 COMMON DEFINITIONS, SO THIS IS 5674 03:23:57,258 --> 03:23:59,560 CREATING SOME HURDLES, ARRIVING 5675 03:23:59,560 --> 03:24:01,095 AT COMMON METRICS, 5676 03:24:01,095 --> 03:24:03,397 UNDERSTANDING, AND ALSO 5677 03:24:03,397 --> 03:24:07,001 CONVEYING INFORMATION TO BROADER 5678 03:24:07,001 --> 03:24:07,535 COMMUNITIES. 5679 03:24:07,535 --> 03:24:08,436 THERE WERE MULTIPLE 5680 03:24:08,436 --> 03:24:09,470 RECOMMENDATIONS THAT CAME UP 5681 03:24:09,470 --> 03:24:11,806 OVER THE COURSE OF THE 5682 03:24:11,806 --> 03:24:13,107 CONVERSATION, SOME OF WHICH 5683 03:24:13,107 --> 03:24:14,642 RELATES BACK TO PREVIOUS POINTS 5684 03:24:14,642 --> 03:24:16,277 BROUGHT UP AS WELL. 5685 03:24:16,277 --> 03:24:19,146 I THINK ONE OF THE ASPECTS KEPT 5686 03:24:19,146 --> 03:24:20,881 COMING UP REPEATEDLY WAS THE 5687 03:24:20,881 --> 03:24:24,852 NEED FOR A CENTRAL REPOSITORY 5688 03:24:24,852 --> 03:24:27,455 FOR METHODS, FOR METRICS, ALONG 5689 03:24:27,455 --> 03:24:32,059 WITH GUIDANCE ON USAGE, BEST 5690 03:24:32,059 --> 03:24:33,494 PRACTICES, ALLOWING PEOPLE FROM 5691 03:24:33,494 --> 03:24:34,261 BROADER RESEARCH COMMUNITY TO 5692 03:24:34,261 --> 03:24:39,266 BENEFIT FROM THE KNOWLEDGE OF 5693 03:24:39,266 --> 03:24:40,301 EXPERTS IN THE FIELD. 5694 03:24:40,301 --> 03:24:41,702 WHICH WOULD ALLOW FOR BROADER 5695 03:24:41,702 --> 03:24:43,771 ADOPTION OF THE METHODS AS WELL. 5696 03:24:43,771 --> 03:24:51,011 ALONG THOSE LINES THERE WAS 5697 03:24:51,011 --> 03:24:59,553 DISCUSSION ABOUT NEED FOR MORE 5698 03:24:59,553 --> 03:25:01,122 NUANCED APPROACH IN 5699 03:25:01,122 --> 03:25:01,822 CONSIDERATION OF METRICS 5700 03:25:01,822 --> 03:25:02,823 THEMSELVES, ALSO A POINT RAISED 5701 03:25:02,823 --> 03:25:08,062 ABOUT THE NEED FOR CLEAR 5702 03:25:08,062 --> 03:25:09,363 DOCUMENTATION, TRANSPARENCY, TO 5703 03:25:09,363 --> 03:25:13,400 ENSURE THAT THESE METRICS ARE, 5704 03:25:13,400 --> 03:25:15,736 AGAIN, BEING USED BROADLY, AND 5705 03:25:15,736 --> 03:25:17,705 THEIR VALUE IS MADE CLEAR AS 5706 03:25:17,705 --> 03:25:18,038 WELL. 5707 03:25:18,038 --> 03:25:21,509 THE OTHER POINT THAT CAME UP 5708 03:25:21,509 --> 03:25:22,309 REPEATEDLY, AND THE PREVIOUS 5709 03:25:22,309 --> 03:25:24,578 ROOM DESCRIBED IT AS WELL, WAS 5710 03:25:24,578 --> 03:25:27,882 THE NEED FOR SUPPORTING 5711 03:25:27,882 --> 03:25:28,649 QUALITATIVE RESEARCH AND 5712 03:25:28,649 --> 03:25:32,586 METHODOLOGIES IN SUPPORT OF 5713 03:25:32,586 --> 03:25:32,887 THAT. 5714 03:25:32,887 --> 03:25:34,455 THE LAST ASPECT BROUGHT UP HERE 5715 03:25:34,455 --> 03:25:37,291 WAS THE NEED FOR DEVELOPING 5716 03:25:37,291 --> 03:25:40,227 NATIONAL AND BROADER USE METRICS 5717 03:25:40,227 --> 03:25:42,229 AND MEASURES, TRYING TO PUT 5718 03:25:42,229 --> 03:25:47,802 THESE METRICS IN A BROADER 5719 03:25:47,802 --> 03:25:49,003 CONTEXT THAT WOULD SPEAK TO 5720 03:25:49,003 --> 03:25:49,804 COMMUNITIES IN GENERAL. 5721 03:25:49,804 --> 03:25:52,506 AND I THINK THAT TOUCHES UPON 5722 03:25:52,506 --> 03:25:59,346 ALL OF THE MAIN POINTS, BUT 5723 03:25:59,346 --> 03:26:02,049 OTHERS FROM ROOM 3 FEEL FREE TO 5724 03:26:02,049 --> 03:26:04,552 JUMP IN IF I LEFT OUT SOMETHING 5725 03:26:04,552 --> 03:26:04,952 IMPORTANT. 5726 03:26:04,952 --> 03:26:07,288 >> NO, THERE WAS A CLEAR 5727 03:26:07,288 --> 03:26:08,222 RECOMMENDATION MEASURES HAVE 5728 03:26:08,222 --> 03:26:09,590 BEEN DEVELOPED, ONE OF THE 5729 03:26:09,590 --> 03:26:11,525 ACCOMPLISHMENTS THAT ARE BEING 5730 03:26:11,525 --> 03:26:11,992 USED. 5731 03:26:11,992 --> 03:26:13,961 BUT OTHER THAN THAT I HAVE 5732 03:26:13,961 --> 03:26:18,432 NOTHING TO ADD. 5733 03:26:18,432 --> 03:26:18,933 >> THANKS, VENCE. 5734 03:26:18,933 --> 03:26:21,402 THANK YOU TO THE GROUP FOR A 5735 03:26:21,402 --> 03:26:22,937 VERY ENLIGHTENING DISCUSSION. 5736 03:26:22,937 --> 03:26:23,571 >> THANK YOU. 5737 03:26:23,571 --> 03:26:25,706 ROOM 4, I THINK WE'RE SWITCHING 5738 03:26:25,706 --> 03:26:27,842 TOPICS NOW. 5739 03:26:27,842 --> 03:26:28,709 THIS IS CONSEQUENCES OF 5740 03:26:28,709 --> 03:26:31,445 STRUCTURAL RACISM ON HEALTH. 5741 03:26:31,445 --> 03:26:36,383 >> YES, THANKS, ACTIVE TIFFANY. 5742 03:26:36,383 --> 03:26:46,861 ON BEHALF OF ROOM 4 WE HAD A 5743 03:26:47,728 --> 03:26:48,963 WONDERFUL CONVERSATION AROUND 5744 03:26:48,963 --> 03:26:49,496 STRUCTURAL HEALTH. 5745 03:26:49,496 --> 03:26:52,967 ONE KEY AREA THAT CAME UP WAS 5746 03:26:52,967 --> 03:26:54,201 THAT EVEN WITH ALL THE 5747 03:26:54,201 --> 03:26:56,136 DISCUSSION THAT WAS HAD OVER THE 5748 03:26:56,136 --> 03:26:59,240 PAST FEW DAYS, THE QUESTION 5749 03:26:59,240 --> 03:27:02,910 REMAINS HOW DO YOU MOTIVATE 5750 03:27:02,910 --> 03:27:06,013 THOSE WHO NEED TO HEAR THIS 5751 03:27:06,013 --> 03:27:09,283 INFORMATION THE MOST, PROBABLY 5752 03:27:09,283 --> 03:27:10,618 THOSE IN POWER AT INSTITUTIONS 5753 03:27:10,618 --> 03:27:12,253 OR ORGANIZATION AND AGENCIES WHO 5754 03:27:12,253 --> 03:27:13,888 CAN MAKE THESE CHANGES. 5755 03:27:13,888 --> 03:27:16,957 HOW DO YOU MOTIVATE THEM TO TAKE 5756 03:27:16,957 --> 03:27:18,726 WHAT INFORMATION HAS BEEN SHARED 5757 03:27:18,726 --> 03:27:22,963 AND TO TAKE THE NEW METHODS, THE 5758 03:27:22,963 --> 03:27:26,033 NEW DATA AND USE IT TO IMPLEMENT 5759 03:27:26,033 --> 03:27:28,135 CHANGES, ESPECIALLY IF THERE'S A 5760 03:27:28,135 --> 03:27:29,670 SENSE THAT PEOPLE IN POWER MAY 5761 03:27:29,670 --> 03:27:31,939 NOT WANT TO MAKE THESE CHANGES. 5762 03:27:31,939 --> 03:27:33,607 SO THERE WAS GREAT DISCUSSION 5763 03:27:33,607 --> 03:27:36,210 AROUND WHAT THAT COULD LOOK LIKE 5764 03:27:36,210 --> 03:27:37,878 OR A DIFFERENT QUESTION WE ASKED 5765 03:27:37,878 --> 03:27:39,179 THE BROADER GROUP TO THINK ABOUT 5766 03:27:39,179 --> 03:27:41,415 AS WE CONTINUE TO MOVE FORWARD. 5767 03:27:41,415 --> 03:27:43,918 THERE WAS A LOT OF DISCUSSION 5768 03:27:43,918 --> 03:27:46,086 AROUND THE NEED TO MAKE SURE 5769 03:27:46,086 --> 03:27:47,388 THAT WE'RE ASKING THE RIGHT 5770 03:27:47,388 --> 03:27:49,390 QUESTIONS TO GET THE RIGHT 5771 03:27:49,390 --> 03:27:51,558 ANSWERS, AND TO COLLECT THE 5772 03:27:51,558 --> 03:27:53,327 RIGHT DATA. 5773 03:27:53,327 --> 03:27:57,364 MORE ALONG THE CONCEPT OF, YOU 5774 03:27:57,364 --> 03:28:00,868 KNOW, SHIFTING AWAY FROM RACE 5775 03:28:00,868 --> 03:28:02,670 BUT TOWARDS RACISM WAS A TURNING 5776 03:28:02,670 --> 03:28:04,571 POINT, SO A LOT OF DISCUSSION 5777 03:28:04,571 --> 03:28:07,241 AROUND THE FACT A LOT OF 5778 03:28:07,241 --> 03:28:11,812 RESEARCH IN HEALTH DISPARITIES 5779 03:28:11,812 --> 03:28:15,015 USED RACE AS A DRIVER, RACE AS A 5780 03:28:15,015 --> 03:28:15,616 PRIMARY INDICATOR OF HEALTH 5781 03:28:15,616 --> 03:28:19,687 DISPARITIES, BUT BECAUSE OF THE 5782 03:28:19,687 --> 03:28:21,689 WORK OF DR. JONES AND OTHERS IN 5783 03:28:21,689 --> 03:28:23,891 THE SPACE TELLING US IT'S RACISM 5784 03:28:23,891 --> 03:28:25,759 AND NOT RACE, WE SEE THAT SHIFT. 5785 03:28:25,759 --> 03:28:27,494 SO THAT MAKES US THINK ABOUT 5786 03:28:27,494 --> 03:28:30,464 WHAT WE NEED TO DO IN TERMS OF 5787 03:28:30,464 --> 03:28:32,333 HOW WE'RE ADDRESSING THE 5788 03:28:32,333 --> 03:28:33,000 RESEARCH. 5789 03:28:33,000 --> 03:28:33,767 IS THE RESEARCH AROUND 5790 03:28:33,767 --> 03:28:36,103 STRUCTURAL RACISM AND THE 5791 03:28:36,103 --> 03:28:37,404 QUESTIONS THAT WE'RE ACTUALLY 5792 03:28:37,404 --> 03:28:40,240 ASKING REALLY GETTING US TO THE 5793 03:28:40,240 --> 03:28:41,241 RIGHT ANSWERS? 5794 03:28:41,241 --> 03:28:43,310 THERE WAS A DISCUSSION AROUND 5795 03:28:43,310 --> 03:28:44,044 SENSITIVE TOPICS. 5796 03:28:44,044 --> 03:28:46,080 YOU KNOW, WHEN WE THINK ABOUT 5797 03:28:46,080 --> 03:28:46,880 CONSEQUENCES OF STRUCTURAL 5798 03:28:46,880 --> 03:28:48,983 RACISM, IN TERMS OF HEALTH, WHEN 5799 03:28:48,983 --> 03:28:50,751 WE HAVE THESE DISCUSSIONS, WHEN 5800 03:28:50,751 --> 03:28:52,419 WE HAVE THESE WORKSHOPS, WHEN WE 5801 03:28:52,419 --> 03:28:55,556 READ THE LITERATURE, IS IT A 5802 03:28:55,556 --> 03:28:56,890 POSSIBILITY THAT THE FIELD 5803 03:28:56,890 --> 03:29:00,494 ITSELF AND THE WORK THAT'S BEING 5804 03:29:00,494 --> 03:29:03,897 DONE MAY BE SEGREGATED AND NEEDS 5805 03:29:03,897 --> 03:29:05,666 TO BE MORE INCLUSIVE, ARE WE 5806 03:29:05,666 --> 03:29:07,835 OFTEN COMPARING AND MAYBE 5807 03:29:07,835 --> 03:29:09,036 PITTING BLACK AND BROWN 5808 03:29:09,036 --> 03:29:10,471 POPULATIONS AGAINST ONE ANOTHER. 5809 03:29:10,471 --> 03:29:12,773 YOU KNOW, THAT GETS BACK TO THAT 5810 03:29:12,773 --> 03:29:17,011 THOUGHT THAT THE CONCEPT WE 5811 03:29:17,011 --> 03:29:20,414 HEARD EARLIER AROUND MODEL 5812 03:29:20,414 --> 03:29:22,516 MINORITY, AND HOW DO WE MAKE 5813 03:29:22,516 --> 03:29:24,151 SURE NOT A BARRIER AS WE MOVE 5814 03:29:24,151 --> 03:29:25,352 FORWARD TO BE MORE INCLUSIVE IN 5815 03:29:25,352 --> 03:29:28,222 THIS SPACE. 5816 03:29:28,222 --> 03:29:31,825 WHEN WE THINK ABOUT THE 5817 03:29:31,825 --> 03:29:34,328 PLATFORM, ONE BARRIER WAS THE 5818 03:29:34,328 --> 03:29:37,631 DIGITAL DIVIDE, UNEQUAL ACCESS 5819 03:29:37,631 --> 03:29:40,234 BEING ABLE TO HAVE DATA ON 5820 03:29:40,234 --> 03:29:41,769 HISTORICAL RACISM, AND 5821 03:29:41,769 --> 03:29:42,770 STRUCTURAL RACISM RACISM, BUT 5822 03:29:42,770 --> 03:29:44,405 THEN WHAT DOES THAT LOOK LIKE IN 5823 03:29:44,405 --> 03:29:46,507 THE RESEARCH, IN THE HEALTH 5824 03:29:46,507 --> 03:29:48,776 SPACE, IN TERMS OF A SOLUTION? 5825 03:29:48,776 --> 03:29:50,210 SO THINKING FORWARD, WE WOULD 5826 03:29:50,210 --> 03:29:52,513 KNOW THAT THERE WAS SOME SUCCESS 5827 03:29:52,513 --> 03:29:56,316 BEING MADE WHEN YOU DON'T HAVE 5828 03:29:56,316 --> 03:29:58,185 TO STILL SEE INEQUITIES WITH 5829 03:29:58,185 --> 03:29:59,420 REGARD TO TELEMEDICINE, HEALTH, 5830 03:29:59,420 --> 03:30:01,889 INTERNET ACCESS, THAT COULD BE 5831 03:30:01,889 --> 03:30:03,557 ALSO DRIVING DISPARITIES, ALSO 5832 03:30:03,557 --> 03:30:05,526 DRIVING DISPARITIES IN THE DATA 5833 03:30:05,526 --> 03:30:07,694 THAT'S BEING COLLECTED AND USED 5834 03:30:07,694 --> 03:30:08,896 TO ANSWER THESE QUESTIONS, IF A 5835 03:30:08,896 --> 03:30:11,632 LOT OF THE REAL HISTORICAL 5836 03:30:11,632 --> 03:30:12,966 RECORDS ARE SITTING SOMEWHERE IN 5837 03:30:12,966 --> 03:30:15,035 A CLOSET AND HAVE NOT BEEN 5838 03:30:15,035 --> 03:30:16,670 DIGITIZED AND THEREFORE NOT 5839 03:30:16,670 --> 03:30:19,239 HELPING US HAVE AN ACCURATE 5840 03:30:19,239 --> 03:30:22,042 PICTURE OF HOW STRUCTURAL RACISM 5841 03:30:22,042 --> 03:30:24,244 IS IMPACTING HEALTH. 5842 03:30:24,244 --> 03:30:26,313 WHEN THE GROUP GOT TO THE 5843 03:30:26,313 --> 03:30:27,181 BRAINSTORMING PART ABOUT, AGAIN, 5844 03:30:27,181 --> 03:30:28,849 WHAT WOULD THIS LOOK LIKE IN 5845 03:30:28,849 --> 03:30:31,452 TERMS OF SUCCESS, IF WE ACHIEVE 5846 03:30:31,452 --> 03:30:34,721 SUCCESS IN THIS SPACE, ONE POINT 5847 03:30:34,721 --> 03:30:36,156 THAT RESONATED WITH EVERYONE IT 5848 03:30:36,156 --> 03:30:37,458 SEEMED WE WILL KNOW WE'VE 5849 03:30:37,458 --> 03:30:39,660 REACHED SUCCESS IN THIS SPACE 5850 03:30:39,660 --> 03:30:43,363 WHEN WE HAVE MULTIPLE FORMS OF 5851 03:30:43,363 --> 03:30:44,665 EVIDENCE BEING CONSIDERED VALID 5852 03:30:44,665 --> 03:30:46,433 AND RIGOROUS, A LOT OF 5853 03:30:46,433 --> 03:30:47,301 TRADITIONAL RESEARCH IS LIMITED 5854 03:30:47,301 --> 03:30:53,006 IN TERMS OF WHAT'S CONSIDERED TO 5855 03:30:53,006 --> 03:30:53,540 BE -- 5856 03:30:53,540 --> 03:30:53,841 [CROSSTALK] 5857 03:30:53,841 --> 03:30:58,378 SO WE'RE KNOWING IF WE START 5858 03:30:58,378 --> 03:31:00,814 SEEING MORE STORIES, QUALITATIVE 5859 03:31:00,814 --> 03:31:04,985 DATA, INDIGENOUS KNOWLEDGE, 5860 03:31:04,985 --> 03:31:10,524 COMMUNITY KNOWLEDGE, BEING VALID 5861 03:31:10,524 --> 03:31:12,292 AND RIGOROUS WE'LL FEEL WE MADE 5862 03:31:12,292 --> 03:31:14,595 SUCCESS IN THIS SPACE. 5863 03:31:14,595 --> 03:31:17,231 THE CONVERSATION SHIFTED TO, YOU 5864 03:31:17,231 --> 03:31:18,966 KNOW, NIH MENTIONED COMPASS, 5865 03:31:18,966 --> 03:31:20,167 THEY LEARNED ABOUT WHAT COMMON 5866 03:31:20,167 --> 03:31:21,034 FUND IS DOING. 5867 03:31:21,034 --> 03:31:23,036 AND SO THEY WANTED TO KNOW IF 5868 03:31:23,036 --> 03:31:24,438 THIS HAS BEEN REPLICATED. 5869 03:31:24,438 --> 03:31:25,639 ONCE THESE MODELS HAVE BEEN 5870 03:31:25,639 --> 03:31:28,709 TAKEN UP ACROSS MANY FUNDING 5871 03:31:28,709 --> 03:31:29,276 AGENCIES, FUNDING PROGRAMS, 5872 03:31:29,276 --> 03:31:31,111 REPLICATED, THIS WILL BE A SIGN 5873 03:31:31,111 --> 03:31:32,746 OF SUCCESS, SO THE CONVERSATION 5874 03:31:32,746 --> 03:31:39,019 WAS ABLE TO MOVE TO HIGHLIGHTING 5875 03:31:39,019 --> 03:31:43,257 MANY OTHER PROGRAMS ACROSS NIH 5876 03:31:43,257 --> 03:31:44,591 USING COMMUNITY PROGRAMS, 5877 03:31:44,591 --> 03:31:45,459 COMMUNITY CENTERED INITIATIVES 5878 03:31:45,459 --> 03:31:46,894 AND INTERVENTIONS TO ADDRESS 5879 03:31:46,894 --> 03:31:47,227 THIS. 5880 03:31:47,227 --> 03:31:49,096 THEN THE LAST PIECE THAT WE 5881 03:31:49,096 --> 03:31:51,265 DISCUSSED IN OUR GROUP WAS 5882 03:31:51,265 --> 03:31:53,901 REALLY MAKING SURE THAT IF WE 5883 03:31:53,901 --> 03:31:55,469 LOOK BACK DECADES AGO WE 5884 03:31:55,469 --> 03:31:57,571 WOULDN'T BE HAVING THIS WORKSHOP 5885 03:31:57,571 --> 03:31:58,539 THAT TALKED ABOUT STRUCTURAL 5886 03:31:58,539 --> 03:32:01,175 RACISM, AND THAT'S A SUCCESS. 5887 03:32:01,175 --> 03:32:02,342 MOVING FORWARD WHAT WE WANT TO 5888 03:32:02,342 --> 03:32:03,911 SEE TO KNOW WE'RE STILL MAKING 5889 03:32:03,911 --> 03:32:06,747 SUCCESS IN THIS SPACE IS TAKING 5890 03:32:06,747 --> 03:32:07,848 ADVANTAGE OF TECHNOLOGICAL 5891 03:32:07,848 --> 03:32:09,249 ADVANCES, SPECIFICALLY MAKING 5892 03:32:09,249 --> 03:32:13,921 SURE WE'RE USING A.I. AND OTHER 5893 03:32:13,921 --> 03:32:15,155 ADVANCES TO RESEARCH STRUCTURAL 5894 03:32:15,155 --> 03:32:16,890 RACISM AND HEALTH INEQUITY AND 5895 03:32:16,890 --> 03:32:19,326 TO CALL OUT THE BIASES THAT 5896 03:32:19,326 --> 03:32:20,994 MIGHT BE EVEN EXISTING IN THE 5897 03:32:20,994 --> 03:32:23,163 HEALTHCARE SPACE, IN THE 5898 03:32:23,163 --> 03:32:24,898 TREATMENT SPACE, IN TERMS OF HOW 5899 03:32:24,898 --> 03:32:26,900 PEOPLE ARE RECEIVING THEIR 5900 03:32:26,900 --> 03:32:27,434 TREATMENTS. 5901 03:32:27,434 --> 03:32:29,536 SO WE HAD A GREAT DISCUSSION AND 5902 03:32:29,536 --> 03:32:31,471 I WELCOME KATHY OR OTHERS FROM 5903 03:32:31,471 --> 03:32:34,641 THAT GROUP TO LET ME KNOW IF I 5904 03:32:34,641 --> 03:32:36,310 MISSED ANY KEY POINTS. 5905 03:32:36,310 --> 03:32:40,581 THANK YOU. 5906 03:32:40,581 --> 03:32:40,948 >> THANK YOU. 5907 03:32:40,948 --> 03:32:42,683 THAT WAS GREAT. 5908 03:32:42,683 --> 03:32:44,885 SO I BELIEVE THAT WAS ROOM 4. 5909 03:32:44,885 --> 03:32:48,255 MOVING TO ROOM 5, SIMILAR TOPIC 5910 03:32:48,255 --> 03:32:51,558 OF CONSEQUENCES OF STRUCTURAL 5911 03:32:51,558 --> 03:32:53,093 RACISM ON HEALTH. 5912 03:32:53,093 --> 03:32:57,264 I BELIEVE IT'S BEVERLY BUT I'M 5913 03:32:57,264 --> 03:32:58,365 NOT SURE. 5914 03:32:58,365 --> 03:32:58,532 EVA. 5915 03:32:58,532 --> 03:33:05,038 THANK YOU. 5916 03:33:05,038 --> 03:33:13,013 >> IS MY AUDIT GO -- AUDIO GOO? 5917 03:33:13,013 --> 03:33:14,381 >> WE CAN HEAR YOU. 5918 03:33:14,381 --> 03:33:14,748 >> EXCELLENT. 5919 03:33:14,748 --> 03:33:16,116 WE HAD A GREAT DISCUSSION. 5920 03:33:16,116 --> 03:33:19,186 I WANTED TO PREFACE, I'M ONE OF 5921 03:33:19,186 --> 03:33:20,520 THE WHITE PEOPLE WHO IS DOING 5922 03:33:20,520 --> 03:33:21,688 THE SPEAKING BUT THESE ARE 5923 03:33:21,688 --> 03:33:24,658 POINTS MADE BY A VERY DIVERSE 5924 03:33:24,658 --> 03:33:29,263 GROUP AND VERY ACTIVE 5925 03:33:29,263 --> 03:33:32,432 CONVERSATION FROM ALL THE 5926 03:33:32,432 --> 03:33:32,766 PARTICIPANTS. 5927 03:33:32,766 --> 03:33:34,167 SO KEY FINDINGS AND THINGS WE 5928 03:33:34,167 --> 03:33:36,136 IDENTIFIED A LACK OF TRUST 5929 03:33:36,136 --> 03:33:37,104 BETWEEN UNDERREPRESENTED 5930 03:33:37,104 --> 03:33:39,773 COMMUNITIES AND MEDICAL RESEARCH 5931 03:33:39,773 --> 03:33:41,074 FIELDS, CREATING OPPORTUNITIES 5932 03:33:41,074 --> 03:33:42,075 FOR COLLABORATIVE PARTNERSHIPS 5933 03:33:42,075 --> 03:33:46,113 TO BRIDGE GAPS IN TRUST AND 5934 03:33:46,113 --> 03:33:46,647 TRANSPARENCY. 5935 03:33:46,647 --> 03:33:49,182 SO MAKING CORRECTIONS TO THAT 5936 03:33:49,182 --> 03:33:50,050 LACK OF TRUST. 5937 03:33:50,050 --> 03:33:51,685 I WON'T READ ALL THE POINTS 5938 03:33:51,685 --> 03:33:54,421 BECAUSE I THINK WE WOULD RUN OUT 5939 03:33:54,421 --> 03:33:55,722 OF TIME. 5940 03:33:55,722 --> 03:33:58,025 BUT ALSO THE LONG-TERM ASPECTS 5941 03:33:58,025 --> 03:34:00,761 OF SOCIAL SUFFERING, SOCIAL 5942 03:34:00,761 --> 03:34:01,862 TRAUMA, MAKE THOSE PRIORITIES TO 5943 03:34:01,862 --> 03:34:04,731 ADDRESS SO WE CAN HAVE 5944 03:34:04,731 --> 03:34:06,933 SUSTAINABLE SOLUTIONS FOR THOSE. 5945 03:34:06,933 --> 03:34:12,172 AND THEN GENERAL NEED TO 5946 03:34:12,172 --> 03:34:14,041 APPROACH REPRESENTATIVES WITH 5947 03:34:14,041 --> 03:34:16,243 AUTHENTICITY AND OPENNESS TO 5948 03:34:16,243 --> 03:34:17,978 PRIORITIZE BOTTOM-UP LEARNING 5949 03:34:17,978 --> 03:34:19,379 OVER TOP-DOWN ASSUMPTION OF WHAT 5950 03:34:19,379 --> 03:34:25,185 ISSUES FACING A COMMUNITY MIGHT 5951 03:34:25,185 --> 03:34:26,953 BE. 5952 03:34:26,953 --> 03:34:28,722 AND THEN BARRIERS TOWARDS MAKING 5953 03:34:28,722 --> 03:34:29,890 PROGRESS, THERE ARE A LOT OF 5954 03:34:29,890 --> 03:34:30,557 THEM. 5955 03:34:30,557 --> 03:34:32,426 I'LL HIT THE HIGHLIGHTED BULLET 5956 03:34:32,426 --> 03:34:33,360 POINTS. 5957 03:34:33,360 --> 03:34:35,262 SO ADDRESSING NEEDS OF 5958 03:34:35,262 --> 03:34:36,797 UNDERREPRESENTED DEMOGRAPHICS IN 5959 03:34:36,797 --> 03:34:38,231 RURAL COMMUNITIES FACING 5960 03:34:38,231 --> 03:34:42,069 TRANSPORTATION BARRIERS TO 5961 03:34:42,069 --> 03:34:42,769 PARTICIPATION IN RESEARCH. 5962 03:34:42,769 --> 03:34:45,339 WE WERE TALKING THERE ABOUT SOME 5963 03:34:45,339 --> 03:34:47,307 CLINICAL TRIALS AND GETTING 5964 03:34:47,307 --> 03:34:49,710 OTHER PEOPLE TO PARTICIPATE, 5965 03:34:49,710 --> 03:34:51,578 HELPING TO OVERCOME BARRIERS TO 5966 03:34:51,578 --> 03:34:54,081 ALLOW THAT TO HAPPEN. 5967 03:34:54,081 --> 03:34:55,949 HAVING CLEAR AND TRANSPARENT 5968 03:34:55,949 --> 03:34:57,818 COMMUNICATION, AND INVESTMENT 5969 03:34:57,818 --> 03:34:59,553 FROM POLICYMAKERS TOWARDS 5970 03:34:59,553 --> 03:35:00,754 ADDRESSING HEALTH DISPARITIES, 5971 03:35:00,754 --> 03:35:02,522 LIKE PROGRESS REQUIRES 5972 03:35:02,522 --> 03:35:03,824 ACKNOWLEDGING THE REALITY OF 5973 03:35:03,824 --> 03:35:10,297 STRUCTURAL RACISM IN THE UNITED 5974 03:35:10,297 --> 03:35:11,064 STATES. 5975 03:35:11,064 --> 03:35:12,165 INTERNATIONAL PERPETUATION OF 5976 03:35:12,165 --> 03:35:13,600 REDUCTIONIST APPROACHES TO 5977 03:35:13,600 --> 03:35:15,669 ADDRESSING PUBLIC HEALTH, SO THE 5978 03:35:15,669 --> 03:35:16,303 POINT WAS MADE THAT WE'RE HERE 5979 03:35:16,303 --> 03:35:17,971 IN THE UNITED STATES FOR THE 5980 03:35:17,971 --> 03:35:19,005 MOST PART TALKING ABOUT THIS BUT 5981 03:35:19,005 --> 03:35:22,109 THERE WERE PEOPLE IN THE GROUP 5982 03:35:22,109 --> 03:35:24,978 NOT FROM THERE, AND IT'S NOT 5983 03:35:24,978 --> 03:35:26,613 JUST THE UNITED STATES' PROBLEM. 5984 03:35:26,613 --> 03:35:29,249 ALSO LACK OF FUNDING FOR HEALTH 5985 03:35:29,249 --> 03:35:29,916 CARE SERVICES, VARIOUS 5986 03:35:29,916 --> 03:35:31,852 DEMOGRAPHICS ACROSS THE U.S. 5987 03:35:31,852 --> 03:35:34,054 LIKE, FOR EXAMPLE, IN PARTICULAR 5988 03:35:34,054 --> 03:35:39,092 INDIGENOUS GROUPS AND VERY RURAL 5989 03:35:39,092 --> 03:35:39,726 COMMUNITIES. 5990 03:35:39,726 --> 03:35:42,596 LACK OF OF AWARENESS AND 5991 03:35:42,596 --> 03:35:44,097 SUFFICIENT OUTREACH TO CONNECT 5992 03:35:44,097 --> 03:35:44,598 COMMUNITIES WITH HEALTH 5993 03:35:44,598 --> 03:35:45,532 RESOURCES ALREADY AVAILABLE. 5994 03:35:45,532 --> 03:35:49,269 MAYBE THERE ARE PROGRAMS THAT 5995 03:35:49,269 --> 03:35:50,570 COULD HELP PEOPLE, JUST THEY ARE 5996 03:35:50,570 --> 03:35:51,471 NOT AWARE. 5997 03:35:51,471 --> 03:35:54,608 THE MESSAGE HASN'T GOTTEN TO 5998 03:35:54,608 --> 03:35:55,041 THEM. 5999 03:35:55,041 --> 03:35:59,246 ALSO BREAKING DOWN RESEARCH 6000 03:35:59,246 --> 03:36:02,082 SILOS, AND PERSISTENT BEARERS TO 6001 03:36:02,082 --> 03:36:03,083 ADDRESSING HEALTH DISPARITIES IN 6002 03:36:03,083 --> 03:36:05,152 RESEARCH STEM FROM, ONE, LACK OF 6003 03:36:05,152 --> 03:36:06,787 EQUITABLE COMPENSATION. 6004 03:36:06,787 --> 03:36:09,089 TWO, LACK OF ACKNOWLEDGMENT AND 6005 03:36:09,089 --> 03:36:10,424 LANGUAGE ON STRUCTURAL RACISM, 6006 03:36:10,424 --> 03:36:14,027 AND THREE, A LACK OF 6007 03:36:14,027 --> 03:36:22,169 COMPREHENSIVE OUTREACH. 6008 03:36:22,169 --> 03:36:23,470 RECOMMENDATIONS FOR MAKING 6009 03:36:23,470 --> 03:36:25,672 PROGRESS IN THESE AREAS, TO 6010 03:36:25,672 --> 03:36:26,873 APPLY SIGNIFICANT FUNDING 6011 03:36:26,873 --> 03:36:28,942 TOWARDS COMMUNITY ENGAGEMENT AND 6012 03:36:28,942 --> 03:36:30,043 COMMUNITY PARTNERSHIPS. 6013 03:36:30,043 --> 03:36:32,012 AND THERE WAS A LOT OF TALK 6014 03:36:32,012 --> 03:36:34,414 ABOUT MAKING THOSE ACTUALLY 6015 03:36:34,414 --> 03:36:38,985 PARTNERSHIPS AND NOT JUST AN 6016 03:36:38,985 --> 03:36:41,188 INSTITUTE DICTATING SOMETHING IN 6017 03:36:41,188 --> 03:36:41,988 PARTICULAR. 6018 03:36:41,988 --> 03:36:43,290 AND DEVELOPING PROGRAMS THAT 6019 03:36:43,290 --> 03:36:44,925 INVITE COMMUNITY MEMBERS TO 6020 03:36:44,925 --> 03:36:46,793 ACTIVELY COLLABORATE TOWARDS 6021 03:36:46,793 --> 03:36:48,428 COMMUNITY SOLUTIONS SO GETTING 6022 03:36:48,428 --> 03:36:51,932 BUY-IN FROM A WHOLE LOT OF 6023 03:36:51,932 --> 03:36:53,767 DIFFERENT PEOPLE, DIFFERENT 6024 03:36:53,767 --> 03:36:54,100 BACKGROUNDS. 6025 03:36:54,100 --> 03:36:55,635 INCREASING DIVERSITY OF RESEARCH 6026 03:36:55,635 --> 03:37:01,875 BODIES AND NOT JUST RESEARCH 6027 03:37:01,875 --> 03:37:02,309 PARTICIPANTS. 6028 03:37:02,309 --> 03:37:04,077 COURSE CORRECTING, ONGOING 6029 03:37:04,077 --> 03:37:06,480 MONITORING OF HEALTH 6030 03:37:06,480 --> 03:37:07,280 INTERVENTIONS TO EVALUATE 6031 03:37:07,280 --> 03:37:08,782 PERFORMANCE LIKE YOU MIGHT GO 6032 03:37:08,782 --> 03:37:10,984 OUT AND ASK PEOPLE FOR THEIR 6033 03:37:10,984 --> 03:37:12,486 OPINIONS AND WHAT CAN WE DO TO 6034 03:37:12,486 --> 03:37:14,187 REACH YOU, WHAT DO YOU NEED FROM 6035 03:37:14,187 --> 03:37:14,354 US. 6036 03:37:14,354 --> 03:37:17,891 BUT THEN GO BACK THEN THE NEXT 6037 03:37:17,891 --> 03:37:19,526 YEAR, FIVE YEARS LATER, AND DID 6038 03:37:19,526 --> 03:37:21,261 IT MAKE A DIFFERENCE? 6039 03:37:21,261 --> 03:37:26,733 AND IF SO, HOW DO WE ADJUST IT 6040 03:37:26,733 --> 03:37:30,337 ACCORDINGLY. 6041 03:37:30,337 --> 03:37:31,338 ADDRESSING UNDERLYING OPPRESSIVE 6042 03:37:31,338 --> 03:37:32,539 SYSTEMS THAT RESEARCH SYSTEMS 6043 03:37:32,539 --> 03:37:34,641 FREQUENTLY ADHERE TO. 6044 03:37:34,641 --> 03:37:36,243 FOR EXAMPLE, TAILORING RESEARCH 6045 03:37:36,243 --> 03:37:37,777 PROTOCOLS FOR NEEDS AND 6046 03:37:37,777 --> 03:37:41,948 LIMITATIONS OF A PARTICULAR 6047 03:37:41,948 --> 03:37:42,482 ENVIRONMENT. 6048 03:37:42,482 --> 03:37:45,652 AND ENSURING ALSO ADEQUATE 6049 03:37:45,652 --> 03:37:46,887 COMPENSATION FOR INVOLVEMENT IN 6050 03:37:46,887 --> 03:37:47,153 RESEARCH. 6051 03:37:47,153 --> 03:37:49,723 PEOPLE ARE ASKED TO DO THINGS 6052 03:37:49,723 --> 03:37:51,992 FOR FREE. 6053 03:37:51,992 --> 03:37:52,893 AND INTEGRATING AUXILIARY BODIES 6054 03:37:52,893 --> 03:37:55,629 AS A TOOL FOR PATIENTS TO 6055 03:37:55,629 --> 03:37:57,063 NAVIGATE COMPLEX HEALTHCARE 6056 03:37:57,063 --> 03:38:05,372 SYSTEMS WITH ACCESSIBLE 6057 03:38:05,372 --> 03:38:06,706 LAYPERSON FRIENDLY LANGUAGE. 6058 03:38:06,706 --> 03:38:09,075 A LOT OF TIMES PATIENTS AREN'T 6059 03:38:09,075 --> 03:38:09,976 AWARE OR DON'T UNDERSTAND WHAT 6060 03:38:09,976 --> 03:38:11,411 THEY HAVE BEEN DIAGNOSED WITH 6061 03:38:11,411 --> 03:38:15,482 AND DON'T HAVE THE BEST OUTCOMES 6062 03:38:15,482 --> 03:38:16,650 THEY COULD, IF THAT INFORMATION 6063 03:38:16,650 --> 03:38:18,885 WERE PRESENTED IN A WAY THAT MET 6064 03:38:18,885 --> 03:38:27,227 THEM WHERE THEY ARE AND THEIR 6065 03:38:27,227 --> 03:38:28,428 UNDERSTANDING OF BIOLOGY. 6066 03:38:28,428 --> 03:38:31,031 WAS THAT THE LAST QUESTION? 6067 03:38:31,031 --> 03:38:31,231 YEAH. 6068 03:38:31,231 --> 03:38:32,999 ONE OF THE PARTICIPANTS WANTED 6069 03:38:32,999 --> 03:38:37,270 TO MAKE THE POINT ABOUT HAVING 6070 03:38:37,270 --> 03:38:41,541 ACTIONABLE PATHWAYS AND POLICIES 6071 03:38:41,541 --> 03:38:42,542 PARTICULARLY AROUND EDUCATION 6072 03:38:42,542 --> 03:38:45,612 AND DIVERSE RESEARCHERS. 6073 03:38:45,612 --> 03:38:49,349 ONE PERSON MENTIONED ONLY I 6074 03:38:49,349 --> 03:38:52,385 THINK 1% OF RESEARCHERS WERE 6075 03:38:52,385 --> 03:38:52,752 NATIVE PERSONS. 6076 03:38:52,752 --> 03:38:56,022 I THINK THAT WAS THE CORRECT 6077 03:38:56,022 --> 03:38:56,556 STATISTIC. 6078 03:38:56,556 --> 03:38:57,757 AND ALSO MULTI-DISCIPLINARY 6079 03:38:57,757 --> 03:38:59,092 APPROACH TO ADDRESSING 6080 03:38:59,092 --> 03:39:01,595 STRUCTURAL RACISM AND PUBLIC 6081 03:39:01,595 --> 03:39:05,231 HEALTH, INCORPORATING SOCIAL 6082 03:39:05,231 --> 03:39:05,999 SCIENCE, PUBLIC POLICY 6083 03:39:05,999 --> 03:39:07,400 PERSPECTIVES, SO I THINK ONE OF 6084 03:39:07,400 --> 03:39:10,036 THE POINTS ASSOCIATED WITH THIS 6085 03:39:10,036 --> 03:39:11,237 IS THAT SOCIAL WORKERS HAVEN'T 6086 03:39:11,237 --> 03:39:12,572 REALLY BEEN INVOLVED IN SOME OF 6087 03:39:12,572 --> 03:39:14,708 THESE THING, NOT IN A WAY THAT 6088 03:39:14,708 --> 03:39:16,610 MEDICAL PEOPLE HAVE, FOR 6089 03:39:16,610 --> 03:39:17,611 EXAMPLE. 6090 03:39:17,611 --> 03:39:20,714 I THINK THAT MIGHT BE THE END. 6091 03:39:20,714 --> 03:39:21,014 >> GREAT. 6092 03:39:21,014 --> 03:39:22,582 WELL, THANK YOU SO MUCH. 6093 03:39:22,582 --> 03:39:24,250 THAT WAS GREAT. 6094 03:39:24,250 --> 03:39:26,319 WE'RE HEARING SOME UNIQUE PIECES 6095 03:39:26,319 --> 03:39:28,355 FROM EVERY ROOM, ALSO THEMES 6096 03:39:28,355 --> 03:39:30,357 EMERGING, SO THAT'S GREAT. 6097 03:39:30,357 --> 03:39:32,225 NEXT ROOM IS ROOM 6. 6098 03:39:32,225 --> 03:39:33,727 SWITCHING TOPICS TO PRODUCTIVE 6099 03:39:33,727 --> 03:39:34,060 PARTNERSHIPS. 6100 03:39:34,060 --> 03:39:40,734 WHO IS DOING THE REPORT-OUT FOR 6101 03:39:40,734 --> 03:39:43,036 THAT ONE? 6102 03:39:43,036 --> 03:39:43,269 >> ME. 6103 03:39:43,269 --> 03:39:48,308 >> GREAT. 6104 03:39:48,308 --> 03:39:52,012 >> I DON'T TRUST MY BANDWIDTH, 6105 03:39:52,012 --> 03:39:54,014 I'M AWAY NOW. 6106 03:39:54,014 --> 03:39:55,315 >> WE HAD A ROBUST CONVERSATION 6107 03:39:55,315 --> 03:39:56,750 AROUND A NUMBER OF DIFFERENT 6108 03:39:56,750 --> 03:40:00,754 ISSUES THAT ARE THE UNDERBELLY. 6109 03:40:00,754 --> 03:40:03,289 AND SO JUST A FEW HIGHLIGHTS, WE 6110 03:40:03,289 --> 03:40:04,724 TALKED ABOUT CREDENTIALING AND 6111 03:40:04,724 --> 03:40:06,292 HOW CREDENTIALING CAN BE USED AS 6112 03:40:06,292 --> 03:40:10,630 A BARRIER FOR THOSE PEOPLE WHO 6113 03:40:10,630 --> 03:40:11,665 ARE PROVIDING GREAT RESOURCES 6114 03:40:11,665 --> 03:40:13,933 INTO OUR RESEARCH AND PUBLISH 6115 03:40:13,933 --> 03:40:15,468 CASES BUT AREN'T OFFERED THE PAY 6116 03:40:15,468 --> 03:40:16,936 OR TITLE OR POSITIONS ASSOCIATED 6117 03:40:16,936 --> 03:40:20,507 WITH WHAT THEY ARE OFFERING. 6118 03:40:20,507 --> 03:40:21,708 AND SO CREATING PATHWAYS TO 6119 03:40:21,708 --> 03:40:24,010 FULLY IDENTIFY PEOPLE WHO HAVE 6120 03:40:24,010 --> 03:40:29,149 THOSE TALENTS, TO BECOME -- TO 6121 03:40:29,149 --> 03:40:29,783 GET DOCTORATE, MASTER'S, 6122 03:40:29,783 --> 03:40:31,484 DOCTORATE, ET CETERA, TO BE A 6123 03:40:31,484 --> 03:40:34,287 FACULTY SO THEY CAN BE P.I.s 6124 03:40:34,287 --> 03:40:36,156 LEADING THIS WORK. 6125 03:40:36,156 --> 03:40:37,457 AND REALLY ASSESSING, ASKING 6126 03:40:37,457 --> 03:40:39,626 THOSE QUESTIONS LIKE WHY ARE WE 6127 03:40:39,626 --> 03:40:42,162 CREATING THESE BARRIERS. 6128 03:40:42,162 --> 03:40:44,497 WE TALKED A BIT -- THIS IS 6129 03:40:44,497 --> 03:40:48,535 SUMMARIZED, IF I CAN REMEMBER, 6130 03:40:48,535 --> 03:40:55,842 SO WE TALKED A BIT ABOUT LOOKING 6131 03:40:55,842 --> 03:40:58,712 AT EFFORTS THAT ARE REALLY 6132 03:40:58,712 --> 03:41:02,649 LOOKING AT -- IS THIS OUR GROUP? 6133 03:41:02,649 --> 03:41:02,882 >> NO. 6134 03:41:02,882 --> 03:41:03,817 IT'S GROUP 6. 6135 03:41:03,817 --> 03:41:07,020 THEY MUTED ME AND PUT YOU ON. 6136 03:41:07,020 --> 03:41:08,888 >> WE'RE GROUP 9, BEVERLY. 6137 03:41:08,888 --> 03:41:10,623 >> OH, OKAY. 6138 03:41:10,623 --> 03:41:17,330 SORRY ABOUT THAT. 6139 03:41:17,330 --> 03:41:17,597 >> OKAY. 6140 03:41:17,597 --> 03:41:19,833 SO LET'S REFOCUS, WHO IS DOING 6141 03:41:19,833 --> 03:41:26,106 THE REPORT-OUT FOR GROUP 6? 6142 03:41:26,106 --> 03:41:27,841 THAT IS -- 6143 03:41:27,841 --> 03:41:31,344 >> IT'S QUINCY. 6144 03:41:31,344 --> 03:41:32,979 THIS IS JUANITA, CO-MODERATOR. 6145 03:41:32,979 --> 03:41:34,981 QUINCY IS GIVING IT, HE CAN'T 6146 03:41:34,981 --> 03:41:36,149 TURN HIS VIDEO ON. 6147 03:41:36,149 --> 03:41:38,118 >> I DID HEAR YOUR VOICE. 6148 03:41:38,118 --> 03:41:45,692 ARE YOU ABLE TO SPEAK? 6149 03:41:45,692 --> 03:41:46,893 >> YES. 6150 03:41:46,893 --> 03:41:47,160 >> OKAY. 6151 03:41:47,160 --> 03:41:48,628 >> WE WERE GROUP 6. 6152 03:41:48,628 --> 03:41:53,566 I'M DOING THE REPORT-OUT. 6153 03:41:53,566 --> 03:41:55,735 ON CREDENTIALING WE TALKED ABOUT 6154 03:41:55,735 --> 03:41:56,703 LESS RELIANCE ON LETTERS BEFORE 6155 03:41:56,703 --> 03:41:57,937 AND AFTER YOUR NAME, AN 6156 03:41:57,937 --> 03:42:00,340 INDIVIDUAL DOING THIS WORK FOR 6157 03:42:00,340 --> 03:42:01,975 DECADES SHOULDN'T HAVE TO HIRE 6158 03:42:01,975 --> 03:42:03,610 ON OR SUBCONTRACT SOMEONE WITH A 6159 03:42:03,610 --> 03:42:06,913 Ph.D. JUST IN ORDER TO GET A 6160 03:42:06,913 --> 03:42:10,617 CONTRACT SO RECOGNIZING EXPERTS 6161 03:42:10,617 --> 03:42:14,888 OF COMMUNITY, CITIZEN 6162 03:42:14,888 --> 03:42:15,488 SCIENTISTS, WORK EXPERIENCE, 6163 03:42:15,488 --> 03:42:16,990 WORK AS EXPERTS TO HAVE A SEAT 6164 03:42:16,990 --> 03:42:17,957 AT THE TABLE. 6165 03:42:17,957 --> 03:42:21,127 WE ALSO HAVE TO RECOGNIZE THE 6166 03:42:21,127 --> 03:42:25,398 EMBEDDED STRUCTURAL RACISM IN 6167 03:42:25,398 --> 03:42:26,933 TESTING, AND CREDENTIALING TO 6168 03:42:26,933 --> 03:42:28,468 KNOW THE INDIVIDUAL MAY BE 6169 03:42:28,468 --> 03:42:30,203 COMPETENT BUT UNABLE TO PASS 6170 03:42:30,203 --> 03:42:34,374 SOME EXAMS TO GET ANOTHER 6171 03:42:34,374 --> 03:42:37,210 CREDENTIAL. 6172 03:42:37,210 --> 03:42:39,078 WE DISCUSSED CROSS-SECTOR 6173 03:42:39,078 --> 03:42:40,180 ENGAGEMENT, NOT JUST 6174 03:42:40,180 --> 03:42:41,481 INTERPROFESSIONAL COLLABORATION 6175 03:42:41,481 --> 03:42:42,882 BETWEEN DIFFERENT DISCIPLINES 6176 03:42:42,882 --> 03:42:44,217 BUT ALSO DIFFERENT INDUSTRIES 6177 03:42:44,217 --> 03:42:45,752 BEING AT THE TABLE, BEING ABLE 6178 03:42:45,752 --> 03:42:50,690 TO HAVE A SEAT AT THE TABLE, AND 6179 03:42:50,690 --> 03:42:51,858 HAVE SHARED DECISION-MAKING 6180 03:42:51,858 --> 03:42:52,392 AUTHORITY. 6181 03:42:52,392 --> 03:42:54,494 AND WE MOVED TO SUSTAINABILITY 6182 03:42:54,494 --> 03:42:58,231 OF EFFORTS AND RESOURCES, 6183 03:42:58,231 --> 03:42:59,966 UNDERSTANDING THE NEED TO TRAIN 6184 03:42:59,966 --> 03:43:02,468 JUNIOR P.I.s, JUNIOR 6185 03:43:02,468 --> 03:43:06,005 INVESTIGATORS, TO INCREASE THE 6186 03:43:06,005 --> 03:43:08,608 WORK PIPELINE. 6187 03:43:08,608 --> 03:43:10,343 FUNDING FOR PILOT TESTING, FOR 6188 03:43:10,343 --> 03:43:12,011 FEASIBILITY TESTING AND 6189 03:43:12,011 --> 03:43:12,779 UNDERSTANDING THAT RELATIONSHIPS 6190 03:43:12,779 --> 03:43:18,451 AND TIME TO ESTABLISH AND 6191 03:43:18,451 --> 03:43:19,652 MAINTAIN RELATIONSHIPS TAKE MORE 6192 03:43:19,652 --> 03:43:21,821 TIME THAN PEOPLE REALIZE. 6193 03:43:21,821 --> 03:43:24,891 HOW CAN INDIVIDUALS FIND RIGHT 6194 03:43:24,891 --> 03:43:26,326 INFORMATION ON FUNDING 6195 03:43:26,326 --> 03:43:26,826 OPPORTUNITIES, REALIZING 6196 03:43:26,826 --> 03:43:28,828 SOMETIMES THAT DIGITAL DIVIDE IS 6197 03:43:28,828 --> 03:43:30,029 ALSO THE INFORMATION DIVIDE AND 6198 03:43:30,029 --> 03:43:31,998 SOMETIMES INDIVIDUALS WHO ARE 6199 03:43:31,998 --> 03:43:33,233 QUALIFIED TO APPLY FOR CERTAIN 6200 03:43:33,233 --> 03:43:37,604 THINGS JUST DON'T KNOW WHERE 6201 03:43:37,604 --> 03:43:40,006 THEY ARE LOCATED. 6202 03:43:40,006 --> 03:43:41,207 IMPLEMENTING MORE 6203 03:43:41,207 --> 03:43:42,475 INTERDISCIPLINARY ACADEMIC 6204 03:43:42,475 --> 03:43:45,545 PARTNERSHIPS, PEOPLE WORKING IN 6205 03:43:45,545 --> 03:43:48,214 SILOS, BE BUT IN THE REAL WORLD 6206 03:43:48,214 --> 03:43:50,350 DISCIPLINES MUST ENGAGE TO 6207 03:43:50,350 --> 03:43:56,556 ADDRESS RACISM. 6208 03:43:56,556 --> 03:44:00,393 >> THANK YOU. 6209 03:44:00,393 --> 03:44:02,562 SO THAT WAS ROOM 6. 6210 03:44:02,562 --> 03:44:03,897 WE APPRECIATE THE REPORT-OUT. 6211 03:44:03,897 --> 03:44:06,132 I THINK WE'RE MOVING ON TO OUR 6212 03:44:06,132 --> 03:44:09,135 FINAL THREE ROOMS, THEY HAVE THE 6213 03:44:09,135 --> 03:44:11,437 SAME TOPIC OF INTERVENTION 6214 03:44:11,437 --> 03:44:12,171 RESEARCH. 6215 03:44:12,171 --> 03:44:17,443 SO, WHO IS REPORTING OUT FOR 6216 03:44:17,443 --> 03:44:18,044 ROOM 7? 6217 03:44:18,044 --> 03:44:21,214 >> I AM. 6218 03:44:21,214 --> 03:44:24,651 LANGSTON THOMAS HERE , CAN YOU 6219 03:44:24,651 --> 03:44:25,518 HEAR ME OKAY? 6220 03:44:25,518 --> 03:44:33,726 G OOD, LANGSTON, Ph.D. STUDENT 6221 03:44:33,726 --> 03:44:36,029 AT GEORGIA STATE UNIVERSITY, 6222 03:44:36,029 --> 03:44:38,998 INTERVENTIONS THAT ADDRESS ROOTS 6223 03:44:38,998 --> 03:44:41,167 OF POVERTY AND IMPROVES OUTCOMES 6224 03:44:41,167 --> 03:44:43,036 FOR VULNERABLE GROUPS. 6225 03:44:43,036 --> 03:44:45,104 OUR GROUP HAD A WONDERFUL 6226 03:44:45,104 --> 03:44:46,873 DISCUSSION, I'LL SHARE MAJOR 6227 03:44:46,873 --> 03:44:47,106 POINTS. 6228 03:44:47,106 --> 03:44:51,244 FIRST QUESTION WHERE WE ARE AND 6229 03:44:51,244 --> 03:44:52,645 WHAT ADVANCEMENTS WE'VE SEEN, 6230 03:44:52,645 --> 03:44:54,414 DESPITE A LOT OF RESEARCH DONE 6231 03:44:54,414 --> 03:44:57,684 ON STRUCTURAL RACISM AND PUBLIC 6232 03:44:57,684 --> 03:44:58,685 HEALTH, WE MENTIONED THAT WE 6233 03:44:58,685 --> 03:45:01,321 HAVEN'T REALLY SEEN A TON OF 6234 03:45:01,321 --> 03:45:03,056 INTERVENTIONS THAT ARE 6235 03:45:03,056 --> 03:45:04,590 ADEQUATELY ADDRESSING STRUCTURAL 6236 03:45:04,590 --> 03:45:06,559 RACISM, PARTICULARLY ON A MICRO 6237 03:45:06,559 --> 03:45:09,295 LEVEL, ON A MACRO LEVEL, EXCUSE 6238 03:45:09,295 --> 03:45:11,264 ME, AND CONTINUOUS OR 6239 03:45:11,264 --> 03:45:12,265 SUSTAINABLE WAY. 6240 03:45:12,265 --> 03:45:15,168 HOWEVER, WE DID DISCUSS TWO 6241 03:45:15,168 --> 03:45:16,970 EXAMPLES OF INTERVENTIONS THAT 6242 03:45:16,970 --> 03:45:18,538 ARE DOING INTERESTING WORK ON 6243 03:45:18,538 --> 03:45:23,142 THE MICRO LEVEL, ONE OF WHICH IS 6244 03:45:23,142 --> 03:45:25,578 AN INTERVENTION AT THE COMMUNITY 6245 03:45:25,578 --> 03:45:26,946 LEVEL, WITH CHURCHES AND LOCAL 6246 03:45:26,946 --> 03:45:29,482 TENANTS THAT AIMS AT IMPROVING 6247 03:45:29,482 --> 03:45:30,216 HEALTH THROUGH PROGRAMMING 6248 03:45:30,216 --> 03:45:32,285 AROUND SLEEP AND BRAIN HEALTH, 6249 03:45:32,285 --> 03:45:33,920 AS WELL AS DIFFERENT EXERCISE 6250 03:45:33,920 --> 03:45:35,788 OPTIONS TO IMPROVE HEALTH. 6251 03:45:35,788 --> 03:45:37,223 THERE WAS ANOTHER INTERVENTION 6252 03:45:37,223 --> 03:45:40,626 WE DISCUSSED, I BELIEVE AT 6253 03:45:40,626 --> 03:45:41,828 STANFORD UNIVERSITY, WHERE 6254 03:45:41,828 --> 03:45:44,664 RESEARCHERS ARE DEVELOPING THIS 6255 03:45:44,664 --> 03:45:45,231 INTERVENTION THAT LEVERAGES 6256 03:45:45,231 --> 03:45:48,067 ELECTRONIC HEALTH RECORDS TO 6257 03:45:48,067 --> 03:45:48,701 CAPTURE THE SOCIAL DETERMINANTS 6258 03:45:48,701 --> 03:45:51,771 OF HEALTH FOR A PARTICULAR 6259 03:45:51,771 --> 03:45:53,239 PATIENT SO THE MEDICAL TEAM CAN 6260 03:45:53,239 --> 03:45:56,609 HAVE A UNIQUE UNDERSTANDING OF 6261 03:45:56,609 --> 03:45:57,610 THAT PERSON'S PREDICAMENT. 6262 03:45:57,610 --> 03:45:59,145 AND IN THIS PROJECT STILL 6263 03:45:59,145 --> 03:46:02,181 WORKING ON MAKING SURE THAT THE 6264 03:46:02,181 --> 03:46:04,484 PROJECT IS COMMUNITY BASED, 6265 03:46:04,484 --> 03:46:05,051 INVOLVES STAKEHOLDERS FROM 6266 03:46:05,051 --> 03:46:06,019 DIFFERENT DISCIPLINES, AND USES 6267 03:46:06,019 --> 03:46:08,654 THE DATA THAT IT COLLECTS TO 6268 03:46:08,654 --> 03:46:10,056 PROVIDE SOLUTION ALSO THAT 6269 03:46:10,056 --> 03:46:12,392 CENTER COMMUNITY HEALTH RATHER 6270 03:46:12,392 --> 03:46:13,793 THAN JUST INDIVIDUAL HEALTH. 6271 03:46:13,793 --> 03:46:16,095 IN ADDITION TO DISCUSSING THOSE 6272 03:46:16,095 --> 03:46:17,864 TWO INTERVENTIONS WE HIGHLIGHTED 6273 03:46:17,864 --> 03:46:21,367 SOME OTHER IMPORTANT ITEMS, SUCH 6274 03:46:21,367 --> 03:46:22,769 AS DATA-INFORMED CHANGES, 6275 03:46:22,769 --> 03:46:24,537 QUALITATIVE AND QUANTITATIVE, 6276 03:46:24,537 --> 03:46:26,639 THE NEED FOR HOLISTIC AND 6277 03:46:26,639 --> 03:46:29,142 LONG-TERM INTERVENTIONS, AS WELL 6278 03:46:29,142 --> 03:46:31,210 AS USING AN INTERDISCIPLINARY 6279 03:46:31,210 --> 03:46:32,211 ANALYSIS AT DIFFERENT ELEMENTS, 6280 03:46:32,211 --> 03:46:36,149 DIFFERENT STAGES OF THE RESEARCH 6281 03:46:36,149 --> 03:46:37,683 AND EXECUTION PROCESS. 6282 03:46:37,683 --> 03:46:40,420 ON THE SECOND QUESTION, ON 6283 03:46:40,420 --> 03:46:44,190 REMAINING BARRIERS, TO EFFECTIVE 6284 03:46:44,190 --> 03:46:45,992 INTERVENTIONS ONE THING WE 6285 03:46:45,992 --> 03:46:46,959 DISCUSSED WAS COMPLEXITY OF 6286 03:46:46,959 --> 03:46:47,760 STRUCTURAL RACISM, ALL THE 6287 03:46:47,760 --> 03:46:50,930 DIFFERENT WAYS THAT IT CAN 6288 03:46:50,930 --> 03:46:52,465 MANIFEST AND DIFFERENT ACTORS 6289 03:46:52,465 --> 03:46:53,900 INVOLVED IN PERPETUATION OF 6290 03:46:53,900 --> 03:46:54,434 STRUCTURAL RACISM. 6291 03:46:54,434 --> 03:46:58,137 WE ALSO TALKED ABOUT THE NEED 6292 03:46:58,137 --> 03:47:00,973 FOR GOOD DATA, AND HOW DATA 6293 03:47:00,973 --> 03:47:02,642 ISN'T ALWAYS CONSISTENTLY 6294 03:47:02,642 --> 03:47:03,843 COLLECTED, IT'S NOT ALWAYS 6295 03:47:03,843 --> 03:47:05,912 PRODUCING METRICS THAT ARE THE 6296 03:47:05,912 --> 03:47:07,880 APPROPRIATE INDICATORS, AND IT'S 6297 03:47:07,880 --> 03:47:08,815 NOT ALWAYS PRODUCING 6298 03:47:08,815 --> 03:47:11,284 STANDARDIZED METRICS THAT WE CAN 6299 03:47:11,284 --> 03:47:13,252 USE ACROSS COMMUNITIES. 6300 03:47:13,252 --> 03:47:15,655 WE ALSO DISCUSSED THE LACK OF 6301 03:47:15,655 --> 03:47:16,956 COMMUNITY ENGAGEMENT AT EVERY 6302 03:47:16,956 --> 03:47:19,859 STEP OF THE RESEARCH PROCESS, 6303 03:47:19,859 --> 03:47:21,661 AND EXECUTION PROCESS, AND HOW 6304 03:47:21,661 --> 03:47:23,729 THAT CAN HAVE IMPLICATIONS FOR 6305 03:47:23,729 --> 03:47:24,831 OVERSIGHT AND ACCOUNTABILITY TO 6306 03:47:24,831 --> 03:47:26,165 ENSURE THAT THE INTERVENTION IS 6307 03:47:26,165 --> 03:47:29,102 ACTUALLY SERVING WHO IT NEEDS TO 6308 03:47:29,102 --> 03:47:29,302 SERVE. 6309 03:47:29,302 --> 03:47:33,372 WE ALSO TALKED ABOUT THE LACK OF 6310 03:47:33,372 --> 03:47:34,907 CONSISTENT AND SUSTAINABLE 6311 03:47:34,907 --> 03:47:37,543 FUNDING TO PROVIDE FOLKS WHO ARE 6312 03:47:37,543 --> 03:47:39,745 WORKING ON SOLUTIONS, 6313 03:47:39,745 --> 03:47:40,279 PARTICULARLY PREVENTIVE 6314 03:47:40,279 --> 03:47:43,483 SOLUTIONS, AS OPPOSED TO 6315 03:47:43,483 --> 03:47:44,150 REACTIVE SOLUTIONS, TO PURSUE 6316 03:47:44,150 --> 03:47:46,319 THEIR WORK IN A WAY THAT ALLOWS 6317 03:47:46,319 --> 03:47:48,387 THEM TO FOCUS ON WORK WITHOUT 6318 03:47:48,387 --> 03:47:51,124 FINANCIAL CONCERNS BURDENING 6319 03:47:51,124 --> 03:47:51,357 THEM. 6320 03:47:51,357 --> 03:47:53,526 THERE'S ALSO, YOU KNOW, AS WAS 6321 03:47:53,526 --> 03:47:55,728 MENTIONED, WAS I MENTIONED 6322 03:47:55,728 --> 03:47:56,596 BEFORE, LACK OF 6323 03:47:56,596 --> 03:48:00,666 INTERDISCIPLINARY TEAMS THAT 6324 03:48:00,666 --> 03:48:02,201 HAVE SHARED PRIORITIES, SHARED 6325 03:48:02,201 --> 03:48:03,302 COMMITMENTS TO IMPROVING 6326 03:48:03,302 --> 03:48:07,773 OUTCOMES FOR A PARTICULAR GROUP 6327 03:48:07,773 --> 03:48:08,975 AND SHARED POLITICAL WILL EVEN 6328 03:48:08,975 --> 03:48:11,377 BEYOND THE SCOPE OF RESEARCH. 6329 03:48:11,377 --> 03:48:15,448 THE FINAL QUESTION WE DISCUSSED, 6330 03:48:15,448 --> 03:48:17,717 RECOMMENDATIONS FOR PROGRESS. 6331 03:48:17,717 --> 03:48:19,252 AND TO FINISH QUICKLY, WE 6332 03:48:19,252 --> 03:48:21,654 DISCUSSED THE NEED FOR MORE 6333 03:48:21,654 --> 03:48:22,989 TRANSPARENCY, ABOUT THE GOOD 6334 03:48:22,989 --> 03:48:25,391 WORK THAT IS BEING DONE, AS WELL 6335 03:48:25,391 --> 03:48:28,361 AS DIFFERENT EFFORTS TO FOSTER 6336 03:48:28,361 --> 03:48:29,028 DYNAMIC COLLABORATION AMONG 6337 03:48:29,028 --> 03:48:31,864 THOSE WHO ARE DOING GOOD WORK IN 6338 03:48:31,864 --> 03:48:33,699 THE SPACE OF INTERVENTION. 6339 03:48:33,699 --> 03:48:36,669 WE ALSO DISCUSSED THE NEED TO 6340 03:48:36,669 --> 03:48:38,204 BUILD INTERDISCIPLINARY TEAMS 6341 03:48:38,204 --> 03:48:42,041 THAT ARE COMMUNITY CENTERED AND 6342 03:48:42,041 --> 03:48:43,242 ACTION ORIENTED. 6343 03:48:43,242 --> 03:48:47,079 ON THAT WE TALK ABOUT INCLUDING 6344 03:48:47,079 --> 03:48:49,916 ACTION MODEL IN OUR 6345 03:48:49,916 --> 03:48:51,017 INTERVENTION-BRACED RESEARCH. 6346 03:48:51,017 --> 03:48:55,288 YOU KNOW, MODELS THAT HAVE CLEAR 6347 03:48:55,288 --> 03:48:57,223 POLICY IMPLICATIONS, AND ACTIONS 6348 03:48:57,223 --> 03:48:58,658 FOR INDIVIDUALS, TEAMS, 6349 03:48:58,658 --> 03:49:00,092 COMMUNITY MEMBERS, OTHER 6350 03:49:00,092 --> 03:49:01,294 STAKEHOLDERS WHO ARE DIGESTING 6351 03:49:01,294 --> 03:49:03,796 THIS RESEARCH FOR THE SAKE OF, 6352 03:49:03,796 --> 03:49:06,032 AGAIN, IMPROVING OUTCOMES IN THE 6353 03:49:06,032 --> 03:49:06,599 REAL WORLD. 6354 03:49:06,599 --> 03:49:08,234 I INVITE ANYONE ELSE FROM THE 6355 03:49:08,234 --> 03:49:10,636 TEAM TO FILL ANY HOLES I LEFT, 6356 03:49:10,636 --> 03:49:11,837 BUT I APPRECIATE THE DISCUSSION 6357 03:49:11,837 --> 03:49:13,706 WE HAD AND I PLAN ON USING THAT 6358 03:49:13,706 --> 03:49:19,645 A LOT IN MY WORK, MY Ph.D. 6359 03:49:19,645 --> 03:49:21,914 WORK, AND MY COMMUNITY WORK AS 6360 03:49:21,914 --> 03:49:22,248 WELL. 6361 03:49:22,248 --> 03:49:23,482 >> THAT'S GREAT. 6362 03:49:23,482 --> 03:49:24,283 WONDERFUL REPORT-OUT. 6363 03:49:24,283 --> 03:49:26,752 AND RIGHT ON TIME, BY THE WAY. 6364 03:49:26,752 --> 03:49:29,288 RIGHT ON THE NOSE. 6365 03:49:29,288 --> 03:49:29,589 OKAY. 6366 03:49:29,589 --> 03:49:32,458 NEXT GROUP IS GROUP 8, THE GROUP 6367 03:49:32,458 --> 03:49:33,426 I WAS IN. 6368 03:49:33,426 --> 03:49:37,797 BROOKE I BELIEVE WILL BE DOING 6369 03:49:37,797 --> 03:49:39,665 THE REPORT-OUT. 6370 03:49:39,665 --> 03:49:44,437 >> MY NAME IS BROOKE MONTGOMERY, 6371 03:49:44,437 --> 03:49:45,238 ASSOCIATE PROFESSOR AT 6372 03:49:45,238 --> 03:49:46,672 UNIVERSITY OF ARKANSAS FOR 6373 03:49:46,672 --> 03:49:48,407 MEDICAL SCIENCES, HONORED TO BE 6374 03:49:48,407 --> 03:49:49,308 IN THE DESIGN INTERVENTIONS 6375 03:49:49,308 --> 03:49:49,709 GROUP THAT. 6376 03:49:49,709 --> 03:49:53,779 IS THE WORK THAT I DO. 6377 03:49:53,779 --> 03:49:55,781 FIRST QUESTION, THE NOTABLE 6378 03:49:55,781 --> 03:49:58,818 INTERVENTIONS AS THEY RELATED TO 6379 03:49:58,818 --> 03:50:00,086 STRUCTURAL RACISM, CERTAINLY 6380 03:50:00,086 --> 03:50:01,988 WANTING TO ACKNOWLEDGE THE WORK 6381 03:50:01,988 --> 03:50:08,561 THAT'S BEEN DONE IN BIOMARKERS, 6382 03:50:08,561 --> 03:50:12,064 EPIGENETICS, ALLOSTATIC LOAD, 6383 03:50:12,064 --> 03:50:13,799 AREA DEPRIVATION INDEX, MORE 6384 03:50:13,799 --> 03:50:15,334 HOLISTIC VIEWS OF STRUCTURAL 6385 03:50:15,334 --> 03:50:16,102 DISADVANTAGE. 6386 03:50:16,102 --> 03:50:18,604 THE IMPORTANCE OF TRAINING 6387 03:50:18,604 --> 03:50:21,274 PROGRAMS AS A TOOL FOR 6388 03:50:21,274 --> 03:50:25,511 ADDRESSING STRUCTURAL RACISM, 6389 03:50:25,511 --> 03:50:28,914 AND SO THE NCI IMPROVE STUDY WAS 6390 03:50:28,914 --> 03:50:29,215 HIGHLIGHTED. 6391 03:50:29,215 --> 03:50:32,285 WITHIN THAT THINKING ABOUT THE 6392 03:50:32,285 --> 03:50:34,787 NATURAL HISTORY STUDIES DONE 6393 03:50:34,787 --> 03:50:40,159 WHEN LEGISLATION OCCURS THAT 6394 03:50:40,159 --> 03:50:42,328 IMPACTS STRUCTURAL RACISM, 6395 03:50:42,328 --> 03:50:43,562 REDUCES BARRIERS TO FINANCES, 6396 03:50:43,562 --> 03:50:44,163 ECONOMIC WELL-BEING, SOCIAL 6397 03:50:44,163 --> 03:50:45,831 WELL-BEING, SO THINKING ABOUT 6398 03:50:45,831 --> 03:50:47,767 THE EARNED INCOME TAX CREDITS, 6399 03:50:47,767 --> 03:50:50,569 THOSE CHANGES RELATED TO HOUSING 6400 03:50:50,569 --> 03:50:53,406 AND EVICTIONS DURING COVID, AS 6401 03:50:53,406 --> 03:50:54,807 WELL AS THE GUARANTEED 6402 03:50:54,807 --> 03:50:55,741 SUPPLEMENTAL INCOME PROJECTS 6403 03:50:55,741 --> 03:50:59,111 BEING DONE ACROSS THE NATION 6404 03:50:59,111 --> 03:50:59,445 NOW. 6405 03:50:59,445 --> 03:51:00,846 ANOTHER INTERVENTION THAT WE 6406 03:51:00,846 --> 03:51:03,382 WANT TO HIGHLIGHT THAT WE'RE 6407 03:51:03,382 --> 03:51:05,351 REALLY MAKING ADVANCEMENTS FOR 6408 03:51:05,351 --> 03:51:09,288 THE MOBILE HEALTH UNITS TO 6409 03:51:09,288 --> 03:51:10,690 ADDRESS TRANSPORTATION BARRIERS 6410 03:51:10,690 --> 03:51:13,225 AND FOOD AND HEALTHCARE DESERTS, 6411 03:51:13,225 --> 03:51:15,227 AS WELL AS COMMUNITY-BASED 6412 03:51:15,227 --> 03:51:20,132 PARTICIPATORY RESEARCH, NOT JUST 6413 03:51:20,132 --> 03:51:22,234 BEING A METHOD IN AND OF ITSELF 6414 03:51:22,234 --> 03:51:23,536 IS AN INTERVENTION TO HELP 6415 03:51:23,536 --> 03:51:25,304 ADDRESS INEQUITY, THINKING ABOUT 6416 03:51:25,304 --> 03:51:27,606 THE USE OF COMMUNITY HEALTH 6417 03:51:27,606 --> 03:51:30,443 WORKERS AND JUST BUILDING OF 6418 03:51:30,443 --> 03:51:31,877 COMMUNITIES TO NOT ONLY 6419 03:51:31,877 --> 03:51:34,280 RECOGNIZE THE DEFICITS BUT ALSO 6420 03:51:34,280 --> 03:51:37,783 ALL THE AMAZING PROTECTIVE 6421 03:51:37,783 --> 03:51:41,053 FACTORS, INDIGENOUS KNOWLEDGE 6422 03:51:41,053 --> 03:51:41,721 AND INTERGENERATIONAL 6423 03:51:41,721 --> 03:51:43,889 SOLIDARITY, LASTLY TO THINK 6424 03:51:43,889 --> 03:51:45,791 ABOUT MULTI-PHASE OPTIMIZATION 6425 03:51:45,791 --> 03:51:46,959 STUDIES, COMMUNITY BUILDING 6426 03:51:46,959 --> 03:51:49,395 CAPACITY PROJECTS AS ONEs THAT 6427 03:51:49,395 --> 03:51:51,230 ARE ADDRESSING STRUCTURAL 6428 03:51:51,230 --> 03:51:51,897 RACISM. 6429 03:51:51,897 --> 03:51:55,167 SECOND QUESTION, THE BARRIERS 6430 03:51:55,167 --> 03:51:58,804 AND CHALLENGES TO DOING 6431 03:51:58,804 --> 03:52:00,005 INTERVENTION WORK WITHIN THAT 6432 03:52:00,005 --> 03:52:02,308 FOCUS ON STRUCTURAL RACISM, 6433 03:52:02,308 --> 03:52:03,042 CERTAINLY FUNDING AND 6434 03:52:03,042 --> 03:52:03,709 REIMBURSEMENT HAS BEEN DISCUSSED 6435 03:52:03,709 --> 03:52:07,446 BY A LOT OF SPEAKERS, JUST TO 6436 03:52:07,446 --> 03:52:08,314 HIGHLIGHT CERTAINLY COMPENSATING 6437 03:52:08,314 --> 03:52:11,083 OUR COMMUNITY PARTNERS AND 6438 03:52:11,083 --> 03:52:15,221 LEADERS, BUT ALSO THE FUNDING 6439 03:52:15,221 --> 03:52:17,189 RESTRAINTS AROUND DOING 6440 03:52:17,189 --> 03:52:18,624 SCIENTIFICALLY RIGOROUS WORK, 6441 03:52:18,624 --> 03:52:20,826 WHERE YOU CAN GET IT THROUGH THE 6442 03:52:20,826 --> 03:52:23,529 REVIEW COMMITTEES, AND ALL THAT. 6443 03:52:23,529 --> 03:52:26,832 A LOT OF TIMES FOCUSED ON 6444 03:52:26,832 --> 03:52:28,434 INTERPERSONAL DIFFERENCES BUT 6445 03:52:28,434 --> 03:52:31,537 WANTING TO GO TO MODIFIABLE 6446 03:52:31,537 --> 03:52:33,739 AERIAL UNITS WHERE IT'S BEYOND 6447 03:52:33,739 --> 03:52:35,775 ZIP CODES AND COMMUNITIES AND 6448 03:52:35,775 --> 03:52:37,643 COUNTIES, STILL BEING IN THAT 6449 03:52:37,643 --> 03:52:39,945 VERY LIMITED SPACE OF NIH 6450 03:52:39,945 --> 03:52:42,815 FUNDING AND AMOUNT THE CAP OF 6451 03:52:42,815 --> 03:52:44,216 $500,000 PER YEAR, THAT THAT IS 6452 03:52:44,216 --> 03:52:45,751 LIMITING TO GETTING THE BIG 6453 03:52:45,751 --> 03:52:51,056 CHANGE THAT WE ALL ARE TRYING O 6454 03:52:51,056 --> 03:52:52,124 ACHIEVE. 6455 03:52:52,124 --> 03:52:53,459 ANOTHER BARRIER IS LANGUAGE, 6456 03:52:53,459 --> 03:52:54,560 COMMUNITY PARTIERS USING 6457 03:52:54,560 --> 03:52:57,530 DIFFERENT LANGUAGE, EVEN IN 6458 03:52:57,530 --> 03:52:58,330 ACADEMIA WE'RE USING DIFFERENT 6459 03:52:58,330 --> 03:53:00,366 LANGUAGE, LACK OF AGREEMENT OF 6460 03:53:00,366 --> 03:53:02,868 THE DEFINITIONS OF STRUCTURAL 6461 03:53:02,868 --> 03:53:05,304 RACISM, AND HOW THAT AFFECTS 6462 03:53:05,304 --> 03:53:05,538 HEALTH. 6463 03:53:05,538 --> 03:53:06,806 IN PARTICULAR THE PEOPLE IN 6464 03:53:06,806 --> 03:53:08,908 POSITIONS OF POWER WITH RESPECT 6465 03:53:08,908 --> 03:53:10,676 TO ACTUALLY DISTRIBUTING THE 6466 03:53:10,676 --> 03:53:13,379 FUNDING MAY HAVE A DIFFERENT 6467 03:53:13,379 --> 03:53:14,914 CONCEPTUAL DEFINITION THAN THOSE 6468 03:53:14,914 --> 03:53:17,883 ACTUALLY APPLYING FOR THE 6469 03:53:17,883 --> 03:53:18,884 FUNDING. 6470 03:53:18,884 --> 03:53:22,721 WANTING TO HAVE MORE CREATIVITY 6471 03:53:22,721 --> 03:53:24,023 WITHIN THE SCIENCE FROM JUNIOR 6472 03:53:24,023 --> 03:53:26,792 INVESTIGATORS COMING INTO THIS 6473 03:53:26,792 --> 03:53:27,326 SPACE. 6474 03:53:27,326 --> 03:53:30,162 THERE'S ALSO THE ANTIQUATED LENS 6475 03:53:30,162 --> 03:53:32,998 SOME DECISION MAKERS HAVE ABOUT 6476 03:53:32,998 --> 03:53:35,401 WHAT IS RIGOROUS SCIENCE, AND 6477 03:53:35,401 --> 03:53:38,037 MAKING SURE THOSE AREAS ARE ALL 6478 03:53:38,037 --> 03:53:39,038 BEING FUNDED. 6479 03:53:39,038 --> 03:53:43,843 AND ALSO HIGHLIGHTING THE NEED 6480 03:53:43,843 --> 03:53:46,579 FOR REVIEWER TRAINING IN FOCUS 6481 03:53:46,579 --> 03:53:47,680 AREAS, REVIEWERS MAKING 6482 03:53:47,680 --> 03:53:48,714 DECISIONS ABOUT WHAT PROJECTS 6483 03:53:48,714 --> 03:53:52,818 NEED TO BE NEED NEEDLES -- NEED 6484 03:53:52,818 --> 03:53:54,687 ALSO TO BE TRAINED ABOUT THIS 6485 03:53:54,687 --> 03:53:59,091 EMERGING FIELD. 6486 03:53:59,091 --> 03:54:02,127 ANOTHER BARRIER -- YES, AND THE 6487 03:54:02,127 --> 03:54:07,700 LAST ONE WAS REALLY A GREAT 6488 03:54:07,700 --> 03:54:09,568 DISCUSSION ABOUT THE QUESTION 3, 6489 03:54:09,568 --> 03:54:12,738 BIG IDEAS, WANTING TO HIGHLIGHT 6490 03:54:12,738 --> 03:54:14,707 THOSE PHASE FUNDING CYCLES LIKE 6491 03:54:14,707 --> 03:54:16,909 THE COMPASS STUDY BEING AN 6492 03:54:16,909 --> 03:54:19,211 EXAMPLE, A FOCUS ON MORE 6493 03:54:19,211 --> 03:54:20,179 SUSTAINABLE RESEARCH, 6494 03:54:20,179 --> 03:54:22,615 SUSTAINMENT IN RESEARCH, YOU 6495 03:54:22,615 --> 03:54:23,682 FIND A SUCCESSFUL INTERVENTION, 6496 03:54:23,682 --> 03:54:25,551 A LOT MAY BE INTEGRATION OF 6497 03:54:25,551 --> 03:54:28,187 RESEARCH AND IMPLEMENTATION AS 6498 03:54:28,187 --> 03:54:31,690 WELL AS ALIGNMENT OF PUBLIC 6499 03:54:31,690 --> 03:54:32,324 HEALTH IMPACT STATEMENTS, A 6500 03:54:32,324 --> 03:54:35,394 FOCUS ON THE HEALTH OF THE 6501 03:54:35,394 --> 03:54:35,694 POPULATION. 6502 03:54:35,694 --> 03:54:38,030 ANOTHER BIG IDEA WAS 6503 03:54:38,030 --> 03:54:40,132 SUPPLEMENTAL FINDING MECHANISMS 6504 03:54:40,132 --> 03:54:41,433 THAT WERE ACROSS DISEASES, 6505 03:54:41,433 --> 03:54:47,473 ACROSS I.C.s, MORE EDUCATION 6506 03:54:47,473 --> 03:54:48,574 IN HEALTH, HEALTH EDUCATION 6507 03:54:48,574 --> 03:54:50,543 ABOUT WHAT WE'RE DOING, BUT ALSO 6508 03:54:50,543 --> 03:54:54,113 THINKING ABOUT THOSE SPACES IN 6509 03:54:54,113 --> 03:54:54,713 MORE ADVERSARIAL REGIONS, HOW 6510 03:54:54,713 --> 03:54:57,783 CAN THE NIH BE MORE SUPPORTIVE, 6511 03:54:57,783 --> 03:54:59,118 SEEN PROTECTIVE, OF THE MASS 6512 03:54:59,118 --> 03:55:00,886 EXODUS OF RESEARCHERS OF COLOR, 6513 03:55:00,886 --> 03:55:02,421 RESEARCHERS DOING THIS TYPE OF 6514 03:55:02,421 --> 03:55:04,390 WORK, FROM STATES THAT THAT IS 6515 03:55:04,390 --> 03:55:06,025 NO LONGER ACCEPTABLE, EVEN 6516 03:55:06,025 --> 03:55:10,763 AGAINST THE LAW, AND HOW THAT -- 6517 03:55:10,763 --> 03:55:13,699 WHAT CAN THE NIH DO LEVERAGING 6518 03:55:13,699 --> 03:55:14,667 INDIRECT COST AND FEES TO 6519 03:55:14,667 --> 03:55:16,535 PROMOTE THAT TYPE OF WORK AND 6520 03:55:16,535 --> 03:55:18,304 INCENTIVIZE THE RESEARCHERS WHO 6521 03:55:18,304 --> 03:55:20,039 ARE IN THESE SPACES ACTUALLY 6522 03:55:20,039 --> 03:55:23,542 DOING THE WORK AND THE 6523 03:55:23,542 --> 03:55:24,743 PARTNERSHIPS AS OPPOSED TO 6524 03:55:24,743 --> 03:55:26,378 COMING FROM LIBERAL INSTITUTIONS 6525 03:55:26,378 --> 03:55:29,114 AND THEN USING THE PARTNERSHIPS 6526 03:55:29,114 --> 03:55:30,616 HERE WE'VE BEEN FOSTERING. 6527 03:55:30,616 --> 03:55:33,619 LAST BUT NOT LEAST TO MOVE TO A 6528 03:55:33,619 --> 03:55:35,921 MORE SUFFICIENTLY POWERED STUDY 6529 03:55:35,921 --> 03:55:37,790 TO SUPPORT THE ANALYSIS OF 6530 03:55:37,790 --> 03:55:39,191 SUBGROUPS AS WE'RE MOVING 6531 03:55:39,191 --> 03:55:39,425 FORWARD. 6532 03:55:39,425 --> 03:55:42,061 THAT'S IT. 6533 03:55:42,061 --> 03:55:45,230 >> THANK YOU BROOKE. 6534 03:55:45,230 --> 03:55:47,633 GREAT JOB. 6535 03:55:47,633 --> 03:55:49,835 LAST ROOM 9, WE GOT A LITTLE BIT 6536 03:55:49,835 --> 03:55:51,570 OF A SNEAK PREVIEW OF IT. 6537 03:55:51,570 --> 03:55:53,606 SO WE'RE EXCITED TO HEAR THE 6538 03:55:53,606 --> 03:55:58,143 REST, BEVERLY. 6539 03:55:58,143 --> 03:56:04,383 THANK YOU. 6540 03:56:04,383 --> 03:56:07,119 >> FROM THE TOP, GROUP 9 HAD 6541 03:56:07,119 --> 03:56:08,988 ROBUST CONVERSATION AROUND 6542 03:56:08,988 --> 03:56:09,755 BUILDING PARTNERSHIPS, 6543 03:56:09,755 --> 03:56:11,957 RELATIONSHIPS BEFORE WE START 6544 03:56:11,957 --> 03:56:13,459 DOING THE ACTUAL RESEARCH. 6545 03:56:13,459 --> 03:56:17,329 AND MAKING SURE THAT AS WE 6546 03:56:17,329 --> 03:56:20,065 ENGAGE WITH PEOPLE THAT WE'RE 6547 03:56:20,065 --> 03:56:23,035 NOT GOING INTO MINDSETS OF ONE 6548 03:56:23,035 --> 03:56:25,004 AND DONE, ENSURING PARTICIPANTS 6549 03:56:25,004 --> 03:56:27,406 AND THOSE WHO SUPPORT THIS WORK 6550 03:56:27,406 --> 03:56:30,909 AND PARTICIPATE IN RESULTS AND 6551 03:56:30,909 --> 03:56:32,211 SOLUTIONS, SO ACTUALLY USING THE 6552 03:56:32,211 --> 03:56:33,245 RESEARCH TO PROVIDE SOLUTIONS 6553 03:56:33,245 --> 03:56:35,080 FOR THOSE SPACES THAT HAVE BEEN 6554 03:56:35,080 --> 03:56:36,815 INVOLVED IN THE WORK. 6555 03:56:36,815 --> 03:56:38,050 RECOGNIZING THE POWER OF THE 6556 03:56:38,050 --> 03:56:40,786 PEOPLE TO MAKE THOSE CHANGES AND 6557 03:56:40,786 --> 03:56:44,056 THAT THE ACADEMIC TIMELINES ARE 6558 03:56:44,056 --> 03:56:46,358 OFTEN NOT ALIGNED OR IN SOME 6559 03:56:46,358 --> 03:56:49,094 WAYS IN CONFLICT WITH THE PEOPLE 6560 03:56:49,094 --> 03:56:50,929 THAT ARE PARTICIPATING AND ONE 6561 03:56:50,929 --> 03:56:53,132 THING THAT WAS BROUGHT UP WAS 6562 03:56:53,132 --> 03:56:54,566 REIMBURSEMENT CYCLE. 6563 03:56:54,566 --> 03:56:57,636 SO THE REIMBURSEMENT CYCLE CAN 6564 03:56:57,636 --> 03:56:59,271 BE A BARRIER AND POINT OF 6565 03:56:59,271 --> 03:57:00,673 CONFLICT WHEN ENGAGING IN 6566 03:57:00,673 --> 03:57:03,542 COMMUNITY ENGAGED WORK AND 6567 03:57:03,542 --> 03:57:04,076 PARTNERSHIPS. 6568 03:57:04,076 --> 03:57:06,578 IT IS OUR RESPONSIBILITY TO WORK 6569 03:57:06,578 --> 03:57:07,913 WITHIN THOSE SYSTEMS TO CHANGE 6570 03:57:07,913 --> 03:57:13,585 HOUSE SYSTEMS ARE WORKING WITH 6571 03:57:13,585 --> 03:57:14,787 OUTSIDE OF ACADEMIA. 6572 03:57:14,787 --> 03:57:17,990 WE TALKED ABOUT THE DISCIPLINARY 6573 03:57:17,990 --> 03:57:18,190 BIAS. 6574 03:57:18,190 --> 03:57:21,026 AND THAT THERE'S A HIERARCHY OF 6575 03:57:21,026 --> 03:57:23,228 RESEARCH THAT IS VALUED AND 6576 03:57:23,228 --> 03:57:24,863 COMMUNITY ENGAGED RESEARCH CAN 6577 03:57:24,863 --> 03:57:25,931 BE DEFINED AS SERVICE, AS 6578 03:57:25,931 --> 03:57:30,469 COMPARED TO OTHER TYPES OF WORK 6579 03:57:30,469 --> 03:57:32,438 AND THAT COMPARISON MIGHT BE 6580 03:57:32,438 --> 03:57:36,375 SEEN AS NOT VALUED, ALSO A 6581 03:57:36,375 --> 03:57:38,243 BARRIER FOR PEOPLE TO TENURE AND 6582 03:57:38,243 --> 03:57:40,179 OTHER FORMS OF ADVANCEMENT. 6583 03:57:40,179 --> 03:57:43,582 WE TALKED ABOUT IN ACADEMIA A 6584 03:57:43,582 --> 03:57:44,917 VALUE OF QUANTITATIVE OVER 6585 03:57:44,917 --> 03:57:46,552 QUALITATIVE AND WE NEED TO SHIFT 6586 03:57:46,552 --> 03:57:49,822 TO RAISING THE VALUE OF THE 6587 03:57:49,822 --> 03:57:52,357 QUALITATIVE RESEARCH. 6588 03:57:52,357 --> 03:57:54,093 AND DELIVERING RESEARCH IN 6589 03:57:54,093 --> 03:57:55,861 FORMATS THAT GO BEYOND 6590 03:57:55,861 --> 03:57:57,062 PUBLICATION, AND TO THAT THE 6591 03:57:57,062 --> 03:58:00,566 COMMENT WAS MADE BY DR. THOMAS 6592 03:58:00,566 --> 03:58:05,404 THAT WE EXPAND THE STEM TO STEAM 6593 03:58:05,404 --> 03:58:06,939 SO OTHER ARTISTIC MEDIUMS TO BE 6594 03:58:06,939 --> 03:58:08,907 USED TO SHARE RESULTS BUT ALSO 6595 03:58:08,907 --> 03:58:10,008 SHARE PARTICIPANTS FROM THEIR 6596 03:58:10,008 --> 03:58:12,077 CREATIVE SPACES IN A WAY THAT'S 6597 03:58:12,077 --> 03:58:15,447 MEANINGFUL FOR THOSE PEOPLE 6598 03:58:15,447 --> 03:58:19,184 ENGAGING WITH THIS WORK. 6599 03:58:19,184 --> 03:58:20,185 ADDRESSING THOSE ROOT 6600 03:58:20,185 --> 03:58:21,053 MISUNDERSTANDINGS, IN OUR 6601 03:58:21,053 --> 03:58:22,688 TRAINING OFTEN WE START WHERE 6602 03:58:22,688 --> 03:58:24,757 OUR WORK BEGINS WITHOUT 6603 03:58:24,757 --> 03:58:25,858 PROVIDING SOME KIND OF 6604 03:58:25,858 --> 03:58:27,059 BACKGROUND TO MAKE SURE WE'RE 6605 03:58:27,059 --> 03:58:29,128 STARTING WITH THE SAME 6606 03:58:29,128 --> 03:58:30,028 UNDERSTANDING, PARTICULARLY 6607 03:58:30,028 --> 03:58:32,631 AROUND RACE, RACE NOT BEING 6608 03:58:32,631 --> 03:58:34,500 CAUSAL, RACE NOT BEING A DRIVER 6609 03:58:34,500 --> 03:58:42,574 BUT HOW WE TREAT PEOPLE BASED ON 6610 03:58:42,574 --> 03:58:43,175 RACIALIZED CATEGORIES, 6611 03:58:43,175 --> 03:58:46,211 PRESENTING A POLE US OF 6612 03:58:46,211 --> 03:58:47,279 RACE-BASED DATA. 6613 03:58:47,279 --> 03:58:49,348 A BOLUS OF RACE-BASED DATA. 6614 03:58:49,348 --> 03:58:51,550 WE NEED TO REEVALUATE TENURE SO 6615 03:58:51,550 --> 03:58:52,551 IT IS INCLUSIVE OF CONSIDERATION 6616 03:58:52,551 --> 03:58:53,852 OF THINGS THAT FACULTY ARE 6617 03:58:53,852 --> 03:58:54,520 PASSIONATE ABOUT. 6618 03:58:54,520 --> 03:58:56,688 THIS BEGINS TO LIMIT NUMBER OF 6619 03:58:56,688 --> 03:58:58,891 SCHOLARS WHO WANT TO STAY IN 6620 03:58:58,891 --> 03:58:59,658 ACADEMIA BECAUSE THEY WOULD 6621 03:58:59,658 --> 03:59:03,595 RATHER DO THE WORK SOMEWHERE 6622 03:59:03,595 --> 03:59:04,396 ELSE. 6623 03:59:04,396 --> 03:59:05,564 WE TALKED ABOUT CONNECTING 6624 03:59:05,564 --> 03:59:07,766 HEALTH AND WELLNESS, WITH REGARD 6625 03:59:07,766 --> 03:59:10,169 TO COMMUNITY SPACES, ALLOWING 6626 03:59:10,169 --> 03:59:11,603 FOR SELF-MONITORING, A GREAT 6627 03:59:11,603 --> 03:59:13,438 IDEA IF YOU'RE AT THE 6628 03:59:13,438 --> 03:59:14,773 BARBERSHOP, FROM DR. THOMAS, PUT 6629 03:59:14,773 --> 03:59:17,376 YOUR PHONE ON SOMETHING THAT 6630 03:59:17,376 --> 03:59:19,912 PROVIDES INFORMATION THAT TELLS 6631 03:59:19,912 --> 03:59:21,747 YOU HOW YOU'VE BEEN LIVING IN 6632 03:59:21,747 --> 03:59:23,849 BETWEEN YOUR HAIRCUTS THAT MIGHT 6633 03:59:23,849 --> 03:59:25,484 BE INFORMATIVE, SO INCORPORATING 6634 03:59:25,484 --> 03:59:26,952 THAT TECHNOLOGY INTO SPACES SO 6635 03:59:26,952 --> 03:59:30,622 IT'S KIND OF USER FRIENDLY IN 6636 03:59:30,622 --> 03:59:31,590 THE MOMENT. 6637 03:59:31,590 --> 03:59:34,459 ALSO WITH THAT TECHNOLOGY 6638 03:59:34,459 --> 03:59:35,961 ADDRESSING VULNERABILITY SO WE 6639 03:59:35,961 --> 03:59:38,163 PROTECT THOSE PEOPLE AND THEY 6640 03:59:38,163 --> 03:59:40,799 PROVIDE EDUCATION, HOW TO USE 6641 03:59:40,799 --> 03:59:43,969 THESE TECHNOLOGIES SAFER. 6642 03:59:43,969 --> 03:59:45,637 WE TALKED ABOUT REDUCING THE 6643 03:59:45,637 --> 03:59:49,441 TIMELINE FOR WHICH THE DATA 6644 03:59:49,441 --> 03:59:50,742 AROUND TRANSLATING SCIENCE, 6645 03:59:50,742 --> 03:59:52,744 TAKING APPROXIMATELY 14 YEARS TO 6646 03:59:52,744 --> 03:59:55,013 COMPLETE, BUT IF WE WERE USING 6647 03:59:55,013 --> 03:59:56,215 THE SCIENCE ALREADY PUBLISHED 6648 03:59:56,215 --> 03:59:58,016 PERHAPS WE COULD REDUCE THE 6649 03:59:58,016 --> 03:59:59,952 TIMELINE FOR WHICH RESEARCH 6650 03:59:59,952 --> 04:00:03,222 BECOMES USABLE. 6651 04:00:03,222 --> 04:00:05,757 ALSO, LOOKING AT PATHWAY WORK, 6652 04:00:05,757 --> 04:00:06,992 TAPPING INTO ADULT POPULATIONS, 6653 04:00:06,992 --> 04:00:08,527 WHO ARE ALREADY WORKING AT 6654 04:00:08,527 --> 04:00:12,364 UNIVERSITIES, MAYBE WORKING AT 6655 04:00:12,364 --> 04:00:13,765 SOME NON-PROFIT ORGANIZATIONS WE 6656 04:00:13,765 --> 04:00:16,401 ENGAGED WITH TO GET THOSE 6657 04:00:16,401 --> 04:00:17,803 CREDENTIALS, SO THEY CAN BECOME 6658 04:00:17,803 --> 04:00:21,106 FACULTY AND P.I.s OF THE WORK, 6659 04:00:21,106 --> 04:00:23,075 AND WE SPEND LEST TIME TEACHING 6660 04:00:23,075 --> 04:00:24,176 PEOPLE HOW TO ENGAGE IN 6661 04:00:24,176 --> 04:00:26,278 COMMUNITY IF WE HAVE PEOPLE 6662 04:00:26,278 --> 04:00:30,983 OUTSIDE OF ACADEMIA BEFORE 6663 04:00:30,983 --> 04:00:34,019 FACULTY MEMBERS AND P.I.s. 6664 04:00:34,019 --> 04:00:38,090 THERE'S WORK THAT'S HAPPENING, 6665 04:00:38,090 --> 04:00:39,191 INCREASING ABILITY TO PUBLISH 6666 04:00:39,191 --> 04:00:40,359 IT'S NOT BEING PUBLISHED BECAUSE 6667 04:00:40,359 --> 04:00:46,698 IT'S NOT A VALUE SYSTEM IN THOSE 6668 04:00:46,698 --> 04:00:47,266 SPACES, PARTNERING PEOPLE 6669 04:00:47,266 --> 04:00:48,634 ALREADY DOING WORK FOR THE 6670 04:00:48,634 --> 04:00:51,870 BENEFIT OF PUBLISHING SO THAT 6671 04:00:51,870 --> 04:00:54,573 THEN BECOMES AN AWARENESS AND 6672 04:00:54,573 --> 04:00:56,441 ALSO TEMPLATE FOR SOLUTIONS OF 6673 04:00:56,441 --> 04:00:58,343 CHANGES WITHIN THOSE 6674 04:00:58,343 --> 04:01:01,513 COMMUNITIES. 6675 04:01:01,513 --> 04:01:05,884 AS WELL AS EMPHASIZING 6676 04:01:05,884 --> 04:01:08,287 IMPLEMENTATION SCIENCE, AND 6677 04:01:08,287 --> 04:01:09,922 HAVING IMPLEMENTERS ALREADY 6678 04:01:09,922 --> 04:01:13,659 DOING THIS WORK INCORPORATED 6679 04:01:13,659 --> 04:01:14,293 IMPLEMENTATION SCIENCE SPACE. 6680 04:01:14,293 --> 04:01:17,496 THANK YOU. 6681 04:01:17,496 --> 04:01:18,463 >> THANK YOU. 6682 04:01:18,463 --> 04:01:20,465 THOSE WERE SOME WONDERFUL 6683 04:01:20,465 --> 04:01:21,099 REPORT-OUTS. 6684 04:01:21,099 --> 04:01:23,168 I HOPE EVERYBODY NOT ONLY 6685 04:01:23,168 --> 04:01:24,937 ENJOYED HEARING THE TAKEHOME 6686 04:01:24,937 --> 04:01:27,005 MESSAGES FROM SOME GROUPS BUT 6687 04:01:27,005 --> 04:01:29,408 ENJOYING BEING PART OF THE 6688 04:01:29,408 --> 04:01:29,641 GROUPS. 6689 04:01:29,641 --> 04:01:31,944 WE ENJOYED THE OPPORTUNITY TO 6690 04:01:31,944 --> 04:01:33,912 ENGAGE AND BRING TOGETHER SOME 6691 04:01:33,912 --> 04:01:36,081 VOICES ON SOME COMMON THEMES. 6692 04:01:36,081 --> 04:01:36,848 THANK YOU. 6693 04:01:36,848 --> 04:01:41,119 AT THIS POINT WE'RE MOVING TO 6694 04:01:41,119 --> 04:01:42,754 OUR FINAL SESSION, FINAL PORTION 6695 04:01:42,754 --> 04:01:44,389 OF THE WORKSHOP. 6696 04:01:44,389 --> 04:01:46,858 THANK YOU FOR THOSE WHO ARE 6697 04:01:46,858 --> 04:01:48,994 STILL WITH US AT THE END OF DAY 6698 04:01:48,994 --> 04:01:49,127 2. 6699 04:01:49,127 --> 04:01:52,164 I'M GOING TO TURN IT OVER TO DR. 6700 04:01:52,164 --> 04:01:54,800 KATHY ETZ TO LEAD US THROUGH THE 6701 04:01:54,800 --> 04:01:55,667 LAST SECTION. 6702 04:01:55,667 --> 04:01:59,037 G THANK YOU, I'M GOING TO SAY, 6703 04:01:59,037 --> 04:02:00,806 WOW, WOW, WOW. 6704 04:02:00,806 --> 04:02:02,774 THIS HAS BEEN TREMENDOUS AND I 6705 04:02:02,774 --> 04:02:05,177 THINK MANY OF US ARE BLOWN AWAY 6706 04:02:05,177 --> 04:02:06,178 BUT EVERYTHING WE'VE HEARD. 6707 04:02:06,178 --> 04:02:08,814 SO THE FIRST THING I WOULD LIKE 6708 04:02:08,814 --> 04:02:13,652 TO DO IS ACTUALLY INVITE DR. 6709 04:02:13,652 --> 04:02:15,887 CAMILLE HOVER, CO-CHAIR OF THE 6710 04:02:15,887 --> 04:02:17,122 OVERALL UNITE INITIATIVE, JUST 6711 04:02:17,122 --> 04:02:21,193 TO SHARE SOME BRIEF REFLECTIONS. 6712 04:02:21,193 --> 04:02:23,462 CAMILLE, IF YOU CAN TURN YOUR 6713 04:02:23,462 --> 04:02:24,463 CAMERA ON. 6714 04:02:24,463 --> 04:02:24,663 GREAT. 6715 04:02:24,663 --> 04:02:24,997 >> I AM. 6716 04:02:24,997 --> 04:02:25,564 THANK YOU. 6717 04:02:25,564 --> 04:02:28,400 BY THE WAY I'M NOT A DOCTOR. 6718 04:02:28,400 --> 04:02:31,236 I HAVE MY MSW, AN EXECUTIVE 6719 04:02:31,236 --> 04:02:32,704 OFFICER BUT NOT AN M.D. OR 6720 04:02:32,704 --> 04:02:34,006 Ph.D., JUST WANT TO MENTION 6721 04:02:34,006 --> 04:02:34,439 THAT. 6722 04:02:34,439 --> 04:02:35,640 THANK YOU FOR OFFERING ME THE 6723 04:02:35,640 --> 04:02:39,378 OPPORTUNITY TO BE WITH YOU ALL 6724 04:02:39,378 --> 04:02:39,945 TODAY. 6725 04:02:39,945 --> 04:02:41,380 UNITE HAS BEEN SO EXCITED TO BE 6726 04:02:41,380 --> 04:02:44,282 ABLE TO SUPPORT THIS MEETING. 6727 04:02:44,282 --> 04:02:47,719 I WANT TO THANK YOU, TO THE 6728 04:02:47,719 --> 04:02:49,054 SPEAKERS AND PARTICIPANTS FOR 6729 04:02:49,054 --> 04:02:50,689 DEVOTING TIME AND ENERGY, THE 6730 04:02:50,689 --> 04:02:51,857 WONDERFUL INSIGHTS THAT CAME 6731 04:02:51,857 --> 04:02:54,359 ABOUT OVER THE LAST TWO DAYS. 6732 04:02:54,359 --> 04:02:58,363 UNITE IS CONTINUING TO WORK AT 6733 04:02:58,363 --> 04:02:59,765 NIH TO CONSIDER HOW STRUCTURAL 6734 04:02:59,765 --> 04:03:01,733 RACISM IMPACTS ALL ASPECTS OF 6735 04:03:01,733 --> 04:03:04,803 THE NIH WORK. 6736 04:03:04,803 --> 04:03:07,539 THE NIH WORKFORCE, EXTRAMURAL 6737 04:03:07,539 --> 04:03:10,275 SCIENCE WORKFORCE, ALSO 6738 04:03:10,275 --> 04:03:11,410 HIGHLIGHTED IN THIS MEETING, 6739 04:03:11,410 --> 04:03:13,445 RESEARCH TOO THAT CAN HELP 6740 04:03:13,445 --> 04:03:15,647 ALLEVIATE THE HEALTH DISPARITIES 6741 04:03:15,647 --> 04:03:17,916 OF RACIAL AND ETHNIC MINORITIES. 6742 04:03:17,916 --> 04:03:20,552 AS NIH STAFF, WE'RE EXCITED AND 6743 04:03:20,552 --> 04:03:22,320 DEVOTED TO LEVERAGE WHAT WE'VE 6744 04:03:22,320 --> 04:03:25,490 LEARNED IN THE LAST TWO DAYS AND 6745 04:03:25,490 --> 04:03:27,426 FEEDBACK YOU'VE SHARED WITH US 6746 04:03:27,426 --> 04:03:30,395 TO IMPROVE OUR RESEARCH TO 6747 04:03:30,395 --> 04:03:31,930 ADDRESS STRUCTURAL RACISM. 6748 04:03:31,930 --> 04:03:33,932 THIS FIELD OF RESEARCH IS 6749 04:03:33,932 --> 04:03:34,966 RAPIDLY ADVANCING BUT WE HAVE 6750 04:03:34,966 --> 04:03:37,202 MUCH MORE WORK TO DO. 6751 04:03:37,202 --> 04:03:40,672 WE LOOK FORWARD TO SEEING HOW IT 6752 04:03:40,672 --> 04:03:43,642 CONTINUES TO EVOLVE, AS 6753 04:03:43,642 --> 04:03:44,643 INTERDISCIPLINARY APPROACHES, AS 6754 04:03:44,643 --> 04:03:46,511 CONSIDERED AS THIS MEETING, ARE 6755 04:03:46,511 --> 04:03:49,114 LEVERAGED TO ENSURE WE BRING ALL 6756 04:03:49,114 --> 04:03:52,184 OF OUR EXPERTISE TOGETHER TO 6757 04:03:52,184 --> 04:03:54,820 PROVIDE A SCIENTIFIC FOUNDATION 6758 04:03:54,820 --> 04:03:55,587 TO ADDRESS STRUCTURAL RACISM. 6759 04:03:55,587 --> 04:03:57,022 THANK YOU AGAIN, AND I 6760 04:03:57,022 --> 04:03:59,524 APPRECIATE YOU INVITING ME HERE. 6761 04:03:59,524 --> 04:04:01,827 I'LL TURN IT BACK TO YOU. 6762 04:04:01,827 --> 04:04:02,294 >> THANKS, CAMILLE. 6763 04:04:02,294 --> 04:04:04,229 AND ONE OF THE THINGS THAT CAME 6764 04:04:04,229 --> 04:04:05,664 OUT IN THIS MEETING WE NEED TO 6765 04:04:05,664 --> 04:04:06,731 PAY LESS ATTENTION TO THE 6766 04:04:06,731 --> 04:04:09,034 LETTERS THAT COME AFTER 6767 04:04:09,034 --> 04:04:11,136 SOMEBODY'S NAME, SO YOU'RE IN 6768 04:04:11,136 --> 04:04:12,204 GOOD COMPANY HERE. 6769 04:04:12,204 --> 04:04:13,872 I'M GOING TO SAY SUPER QUICKLY 6770 04:04:13,872 --> 04:04:15,173 IN THE INTEREST OF TIME THERE'S 6771 04:04:15,173 --> 04:04:17,342 NOT TIME TO GO OVER EVERYTHING. 6772 04:04:17,342 --> 04:04:18,877 I WANTED TO PULL OUT A COUPLE 6773 04:04:18,877 --> 04:04:19,711 THINGS. 6774 04:04:19,711 --> 04:04:21,213 ONE IN THE BREAKOUT WE HEARD 6775 04:04:21,213 --> 04:04:24,216 THERE'S A LACK OF CENTRAL 6776 04:04:24,216 --> 04:04:25,383 REPOSITORY FOR METHODS AND 6777 04:04:25,383 --> 04:04:29,354 RESOURCES, AND THAT'S SOMETHING 6778 04:04:29,354 --> 04:04:33,592 THAT THE UNITE N COMMITTEE HAS 6779 04:04:33,592 --> 04:04:35,560 NOTED AND IS WORKING ON NOW. 6780 04:04:35,560 --> 04:04:38,330 A COUPLE PHRASES THAT I LOVED IN 6781 04:04:38,330 --> 04:04:40,165 THIS MEETING, ONE FROM HEALING 6782 04:04:40,165 --> 04:04:43,435 ARC, FRAME IT, FIX IT, END IT. 6783 04:04:43,435 --> 04:04:45,203 STORIES WHERE IT'S AT, THE REAL 6784 04:04:45,203 --> 04:04:46,838 EMPHASIS ON QUALITATIVE DATA AND 6785 04:04:46,838 --> 04:04:50,142 OTHER FORMS OF EVIDENCE. 6786 04:04:50,142 --> 04:04:51,543 AND STOP OTHERING, THE NEED TO 6787 04:04:51,543 --> 04:04:53,512 SHIFT OUR LANGUAGE THAT WE'RE 6788 04:04:53,512 --> 04:04:55,814 ALL ONE AND ONE OF OF MY VERY 6789 04:04:55,814 --> 04:04:56,681 FAVORITES GREETING PEOPLE BY 6790 04:04:56,681 --> 04:04:58,016 ASKING HOW ARE THE CHILDREN. 6791 04:04:58,016 --> 04:04:59,784 SO WITH THAT I WANT TO THANK 6792 04:04:59,784 --> 04:05:01,186 EVERYBODY FOR BEING HERE. 6793 04:05:01,186 --> 04:05:02,287 I'M GOING TO TURN IT OVER TO 6794 04:05:02,287 --> 04:05:03,488 TIFFANY AND FRANK WHO WILL 6795 04:05:03,488 --> 04:05:05,357 INVITE MEMBERS OF THE PLANNING 6796 04:05:05,357 --> 04:05:10,262 COMMITTEE TO SHARE SOME FINAL 6797 04:05:10,262 --> 04:05:10,896 THOUGHTS. 6798 04:05:10,896 --> 04:05:12,030 >> THANK YOU, KATHY. 6799 04:05:12,030 --> 04:05:15,000 I WANT TO THANK THE PLANNING 6800 04:05:15,000 --> 04:05:15,800 COMMITTEE. 6801 04:05:15,800 --> 04:05:19,905 THERE'S A FEW OF THEM ON THE 6802 04:05:19,905 --> 04:05:22,340 ZOOM TODAY. 6803 04:05:22,340 --> 04:05:26,545 SO WE HAVE ARIEL GILMAN, 6804 04:05:26,545 --> 04:05:27,812 JUANITA, VANESSA, AND CALVIN, IN 6805 04:05:27,812 --> 04:05:29,814 THAT ORDER, IF YOU WOULD LIKE TO 6806 04:05:29,814 --> 04:05:32,517 GIVE ANY FINAL THOUGHTS OR 6807 04:05:32,517 --> 04:05:38,657 REMARKS, PLEASE DO SO, THANK 6808 04:05:38,657 --> 04:05:38,823 YOU. 6809 04:05:38,823 --> 04:05:42,194 >> THANKS SO MUCH FOR A GREAT 6810 04:05:42,194 --> 04:05:43,195 WORKSHOP. 6811 04:05:43,195 --> 04:05:43,828 REALLY APPRECIATE EVERYONE WHO 6812 04:05:43,828 --> 04:05:47,732 HAS SPOKEN AT THE WORKSHOP AND 6813 04:05:47,732 --> 04:05:49,534 PARTICIPATED THROUGHOUT. 6814 04:05:49,534 --> 04:05:52,370 TO MY OWN, ONE PERSONAL KEY 6815 04:05:52,370 --> 04:05:54,206 TAKEAWAY FROM THIS MEETING, 6816 04:05:54,206 --> 04:05:55,774 TODAY DR. GRIFFITH AND OTHERS 6817 04:05:55,774 --> 04:05:58,810 THROUGHOUT THE MEETING BROUGHT 6818 04:05:58,810 --> 04:05:59,711 UP IMPORTANCE OF 6819 04:05:59,711 --> 04:06:00,812 INTERSECTIONALITY, AND 6820 04:06:00,812 --> 04:06:02,647 PERSONALLY WOULD LOVE TO SEE 6821 04:06:02,647 --> 04:06:05,617 SOLID GUIDANCE FROM THE FIELD OR 6822 04:06:05,617 --> 04:06:08,119 BEST PRACTICES DEVELOPED FOR 6823 04:06:08,119 --> 04:06:11,189 MEASURING AND STUDYING 6824 04:06:11,189 --> 04:06:11,723 STRUCTURAL INTERSECTIONAL 6825 04:06:11,723 --> 04:06:12,090 DISCRIMINATION. 6826 04:06:12,090 --> 04:06:13,758 I THINK, YOU KNOW, OBVIOUSLY 6827 04:06:13,758 --> 04:06:14,993 WE'RE STILL -- THERE'S STILL A 6828 04:06:14,993 --> 04:06:18,029 LONG WAY TO GO FOR MEASURES AND 6829 04:06:18,029 --> 04:06:19,931 METHODS FOR STUDYING STRUCTURAL 6830 04:06:19,931 --> 04:06:20,799 RACISM BROADLY, BUT I THINK 6831 04:06:20,799 --> 04:06:23,768 THAT'S ONE POINT I WOULD LOVE TO 6832 04:06:23,768 --> 04:06:25,604 SEE SOME FUTURE GUIDANCE ON. 6833 04:06:25,604 --> 04:06:27,572 SO THANKS SO MUCH, AGAIN, FOR A 6834 04:06:27,572 --> 04:06:28,907 GREAT WORKSHOP AND I'LL PASS IT 6835 04:06:28,907 --> 04:06:39,351 ON TO THE NEXT COLLEAGUE. 6836 04:06:39,718 --> 04:06:42,053 >> JUANITA, ARE YOU STILL WITH 6837 04:06:42,053 --> 04:06:42,454 US? 6838 04:06:42,454 --> 04:06:42,721 >> YES. 6839 04:06:42,721 --> 04:06:46,091 I DIDN'T KNOW IF I WAS NEXT OR 6840 04:06:46,091 --> 04:06:46,258 NOT. 6841 04:06:46,258 --> 04:06:46,858 THANKS, FRANK. 6842 04:06:46,858 --> 04:06:48,493 OVER THE PAST TWO DAYS I THINK 6843 04:06:48,493 --> 04:06:51,896 THE MAIN WORD I HEARD REPEATED 6844 04:06:51,896 --> 04:06:53,865 WAS COMMUNITY. 6845 04:06:53,865 --> 04:06:56,034 AND I ALSO WANTED TO NOTE THAT 6846 04:06:56,034 --> 04:06:58,136 ONE OF THE THINGS THAT WE CAN 6847 04:06:58,136 --> 04:07:00,639 TAKE BACK IS THAT THERE IS A 6848 04:07:00,639 --> 04:07:03,708 NEED FOR STRUCTURAL CHANGE AND 6849 04:07:03,708 --> 04:07:05,877 HOW WE CONDUCT RESEARCH ON 6850 04:07:05,877 --> 04:07:07,946 STRUCTURAL RACISM AND ALSO ON 6851 04:07:07,946 --> 04:07:09,814 HEALTH DISPARITIES RESEARCH. 6852 04:07:09,814 --> 04:07:13,118 AND THINK THAT'S SOMETHING THAT 6853 04:07:13,118 --> 04:07:15,520 WE'VE BEEN THINKING ABOUT WITH 6854 04:07:15,520 --> 04:07:17,589 DEPTH AND BREADTH, WHICH HAS 6855 04:07:17,589 --> 04:07:19,691 BEEN EMPHASIS OF THIS WORKSHOP, 6856 04:07:19,691 --> 04:07:23,495 BUT I THINK THAT WE ARE HEARING 6857 04:07:23,495 --> 04:07:25,363 EVERYONE SAY THAT THERE NEEDS TO 6858 04:07:25,363 --> 04:07:28,533 BE A STRUCTURAL CHANGE IN THE 6859 04:07:28,533 --> 04:07:32,937 WAY THAT WE FUND AND CONDUCT AND 6860 04:07:32,937 --> 04:07:34,239 ENGAGE WITH BIOMEDICAL RESEARCH 6861 04:07:34,239 --> 04:07:37,309 ON STRUCTURAL RACISM, AND HEALTH 6862 04:07:37,309 --> 04:07:37,842 DISPARITIES. 6863 04:07:37,842 --> 04:07:40,278 AND I'VE BEEN OVERWHELMED BY THE 6864 04:07:40,278 --> 04:07:43,048 RESPONSE TO THIS WORKSHOP. 6865 04:07:43,048 --> 04:07:44,215 AND ENGAGEMENT THAT WE'VE ALL 6866 04:07:44,215 --> 04:07:45,750 HAD OVER THE PAST TWO DAYS. 6867 04:07:45,750 --> 04:07:47,285 SO THANK YOU FOR ALLOWING ME TO 6868 04:07:47,285 --> 04:07:52,624 BE PART OF IT. 6869 04:07:52,624 --> 04:07:52,991 >> THANK YOU. 6870 04:07:52,991 --> 04:07:54,025 VANESSA MARSHALL, ARE YOU STILL 6871 04:07:54,025 --> 04:08:00,432 WITH US? 6872 04:08:00,432 --> 04:08:01,633 >> YES, I'M HERE. 6873 04:08:01,633 --> 04:08:03,068 I SEE WORDS. 6874 04:08:03,068 --> 04:08:05,670 I WANT TO THANK EVERYONE FOR 6875 04:08:05,670 --> 04:08:06,871 ATTENDANCE AND ENGAGING IN A 6876 04:08:06,871 --> 04:08:10,942 WONDERFUL TWO DAYS OF OUR 6877 04:08:10,942 --> 04:08:11,943 WORKSHOP. 6878 04:08:11,943 --> 04:08:13,678 AND LOOKING FORWARD TO MAKING 6879 04:08:13,678 --> 04:08:15,547 SURE THAT WE CAN ADDRESS SOME OF 6880 04:08:15,547 --> 04:08:17,282 THE CONCERNS AND ISSUES THAT WE 6881 04:08:17,282 --> 04:08:18,383 DISCUSSED OVER THE LAST TWO 6882 04:08:18,383 --> 04:08:18,717 DAYS. 6883 04:08:18,717 --> 04:08:22,787 THANKS AGAIN. 6884 04:08:22,787 --> 04:08:24,456 >> THANK YOU, VANESSA. 6885 04:08:24,456 --> 04:08:27,459 CALVIN CHOI? 6886 04:08:27,459 --> 04:08:30,095 >> THIS IS KELVIN CHOI, SENIOR 6887 04:08:30,095 --> 04:08:30,729 INVESTIGATOR, NATIONAL INSTITUTE 6888 04:08:30,729 --> 04:08:32,397 ON MINORITY HEALTH AND HEALTH 6889 04:08:32,397 --> 04:08:32,697 DISPARITIES. 6890 04:08:32,697 --> 04:08:35,834 I'M ALSO ADVISER OF THE NIH 6891 04:08:35,834 --> 04:08:36,634 HEALTH DISPARITY INTEREST GROUP 6892 04:08:36,634 --> 04:08:38,870 SO IT'S GREAT TO SEE ALL OF YOU, 6893 04:08:38,870 --> 04:08:41,806 THE FACES I'VE SEEN BEFORE, 6894 04:08:41,806 --> 04:08:46,044 PARTICIPATING IN OUR LECTURES 6895 04:08:46,044 --> 04:08:46,945 AND WORKSHOPS. 6896 04:08:46,945 --> 04:08:48,613 WONDERFUL TWO-DAY WORKSHOP, THAT 6897 04:08:48,613 --> 04:08:51,816 I'VE HEARD A LOT OF GREAT AND 6898 04:08:51,816 --> 04:08:52,884 IMPORTANT IDEAS, I THINK THE 6899 04:08:52,884 --> 04:08:59,457 FIRST THING I WANT TO SAY IS 6900 04:08:59,457 --> 04:09:02,293 THAT WE HAVE TO, WE HAVE TO, 6901 04:09:02,293 --> 04:09:04,362 EMPHASIZE THAT ADDRESSING HEALTH 6902 04:09:04,362 --> 04:09:07,665 DISPARITIES IS IMPROVING THE 6903 04:09:07,665 --> 04:09:09,300 HEALTH OF THE ENTIRE POPULATION. 6904 04:09:09,300 --> 04:09:09,834 WITHOUT ADDRESSING HEALTH 6905 04:09:09,834 --> 04:09:10,668 DISPARITIES WE'RE NOT GOING TO 6906 04:09:10,668 --> 04:09:12,704 IMPROVE THE HEALTH OF THE ENTIRE 6907 04:09:12,704 --> 04:09:14,773 POPULATION. 6908 04:09:14,773 --> 04:09:15,974 THEY ARE NOT TWO SEPARATE 6909 04:09:15,974 --> 04:09:20,578 PROBLEMS, IT'S ONE PROBLEM 6910 04:09:20,578 --> 04:09:20,945 TOGETHER. 6911 04:09:20,945 --> 04:09:22,981 FOR SO LONG IT'S BEEN SOMETHING 6912 04:09:22,981 --> 04:09:24,516 SOMEBODY'S GOING TO ADDRESS, 6913 04:09:24,516 --> 04:09:25,083 OTHER PEOPLE FOCUSING ON 6914 04:09:25,083 --> 04:09:27,252 IMPROVING HEALTH OF THE ENTIRE 6915 04:09:27,252 --> 04:09:27,585 POPULATION. 6916 04:09:27,585 --> 04:09:28,686 NO, THESE TWO ARE ONE PROBLEM, 6917 04:09:28,686 --> 04:09:30,321 WE HAVE TO WORK ON THEM 6918 04:09:30,321 --> 04:09:30,655 TOGETHER. 6919 04:09:30,655 --> 04:09:33,191 I THINK IT'S IMPORTANT TO 6920 04:09:33,191 --> 04:09:34,492 REALIZE PARADIGM SHIFT THAT 6921 04:09:34,492 --> 04:09:36,995 NEEDS TO HAPPEN, THAT FOR SO 6922 04:09:36,995 --> 04:09:42,567 LONG BIOMEDICAL RESEARCH FOCUSED 6923 04:09:42,567 --> 04:09:43,668 ON PARADIGM ON QUANTITATIVE 6924 04:09:43,668 --> 04:09:45,303 METHODOLOGY, AND I THINK WE NEED 6925 04:09:45,303 --> 04:09:48,506 TO UNDERSTAND, WE NEED TO SHIFT 6926 04:09:48,506 --> 04:09:50,575 THE PARADIGM AND SHIFT PARADIGM 6927 04:09:50,575 --> 04:09:57,682 FROM HOW WE WRITE OUR RFA TO HOW 6928 04:09:57,682 --> 04:09:59,451 THEY SHOULD BE REVIEWED NOT JUST 6929 04:09:59,451 --> 04:10:02,520 AT GRANT APPLICATION PROCESS BUT 6930 04:10:02,520 --> 04:10:03,922 ALSO JOURNALS, JOURNAL ARTICLES, 6931 04:10:03,922 --> 04:10:06,057 AND THOSE ARE AREAS THAT WE'RE 6932 04:10:06,057 --> 04:10:11,496 GOING TO HAVE THE MOST 6933 04:10:11,496 --> 04:10:11,796 RESISTANCE. 6934 04:10:11,796 --> 04:10:13,097 AGENCY CAN MAKE CHANGES IN 6935 04:10:13,097 --> 04:10:14,532 PROGRAMMING AND FUNDING AT THE 6936 04:10:14,532 --> 04:10:19,170 END OF THE DAY TO PUBLISH IN 6937 04:10:19,170 --> 04:10:20,071 JOURNAL, JOURNAL EDITORS AND 6938 04:10:20,071 --> 04:10:22,574 REVIEWERS ARE THE GATE KEEPER. 6939 04:10:22,574 --> 04:10:24,442 PARADIGM SHIFT NEEDS TO HAPPEN 6940 04:10:24,442 --> 04:10:25,310 THROUGHOUT THE DISCIPLINE, NOT 6941 04:10:25,310 --> 04:10:26,945 JUST IN A FEW AREAS. 6942 04:10:26,945 --> 04:10:31,115 THE LAST THING, VERY HAPPY TO 6943 04:10:31,115 --> 04:10:31,983 HEAR DR. GRIFFITH MENTION THE 6944 04:10:31,983 --> 04:10:35,820 OTHER SIDE OF THE COIN. 6945 04:10:35,820 --> 04:10:38,323 WHITENESS ISN'T A PIECE OF THE 6946 04:10:38,323 --> 04:10:39,557 RESEARCH THAT DESERVES MORE 6947 04:10:39,557 --> 04:10:42,727 ATTENTION HOW DO WE ADDRESS 6948 04:10:42,727 --> 04:10:43,495 PERVASIVENESS OF WHITENESS, 6949 04:10:43,495 --> 04:10:44,929 CHANGE THE EFFECT OF WHITENESS, 6950 04:10:44,929 --> 04:10:49,601 HOW DO WE AT LEAST HELP PEOPLE 6951 04:10:49,601 --> 04:10:51,236 REALIZE WHITENESS IS RESISTING 6952 04:10:51,236 --> 04:10:52,770 SOME CHANGES TO PUT IN PLACE AND 6953 04:10:52,770 --> 04:10:56,941 HOW DO WE CHANGE HOW WE THINK 6954 04:10:56,941 --> 04:10:59,043 ABOUT WHAT IT MEANS, THAT'S 6955 04:10:59,043 --> 04:11:01,346 ANOTHER IMPORTANT AREA OF 6956 04:11:01,346 --> 04:11:01,613 RESEARCH. 6957 04:11:01,613 --> 04:11:05,316 WHILE WE CONTINUE TO ADDRESS THE 6958 04:11:05,316 --> 04:11:06,050 CONSEQUENCES OF STRUCTURAL 6959 04:11:06,050 --> 04:11:06,818 RACISM, TO CHANGE STRUCTURAL 6960 04:11:06,818 --> 04:11:08,486 RACISM WE NEED TO CHANGE 6961 04:11:08,486 --> 04:11:08,920 WHITENESS. 6962 04:11:08,920 --> 04:11:10,021 THANKS, ALL OF YOU, FOR YOUR 6963 04:11:10,021 --> 04:11:11,656 TIME AND ATTENTION. 6964 04:11:11,656 --> 04:11:12,423 A GREAT WORKSHOP. 6965 04:11:12,423 --> 04:11:14,392 I'VE LEARNED A LOT FROM ALL OF 6966 04:11:14,392 --> 04:11:16,294 YOU, AND LOOKING FORWARD TO 6967 04:11:16,294 --> 04:11:17,662 CONTINUING CONVERSATIONS. 6968 04:11:17,662 --> 04:11:20,198 >> THANK YOU, KELVIN. 6969 04:11:20,198 --> 04:11:24,435 I WANT TO MENTION, AND KATHY 6970 04:11:24,435 --> 04:11:27,539 MENTIONED, COMMITMENT TO 6971 04:11:27,539 --> 04:11:33,878 STRUCTURAL RACISM, AND NIMHD AND 6972 04:11:33,878 --> 04:11:36,414 OBSSR HAS A FUNDING 6973 04:11:36,414 --> 04:11:43,421 ANNOUNCEMENT, INTEGRATING CITIES 6974 04:11:43,421 --> 04:11:44,389 DISCIPLINES IN CRIMING, 6975 04:11:44,389 --> 04:11:47,792 EDUCATION, SOCIOLOGY TO WORK 6976 04:11:47,792 --> 04:11:50,094 TOGETHER AND HAVE A PUBLIC DATA 6977 04:11:50,094 --> 04:11:50,662 REPOSITORY. 6978 04:11:50,662 --> 04:11:51,629 GOOGLE NIA NETWORK ON STRUCTURAL 6979 04:11:51,629 --> 04:11:54,132 RACISM YOU'LL SEE THE FUNDING 6980 04:11:54,132 --> 04:12:01,339 ANNOUNCEMENT, OR E-MAIL ME. 6981 04:12:01,339 --> 04:12:02,140 WE'RE AT THE END, TIFFANY. 6982 04:12:02,140 --> 04:12:04,842 DO YOU HAVE ANY OTHER REMARKS? 6983 04:12:04,842 --> 04:12:05,076 >> NO. 6984 04:12:05,076 --> 04:12:07,579 EXCEPT TO SAY THAT IT WAS A 6985 04:12:07,579 --> 04:12:08,680 WONDERFUL TWO DAYS. 6986 04:12:08,680 --> 04:12:10,882 I ENJOYED ALL THE SPEAKERS AND 6987 04:12:10,882 --> 04:12:11,849 THE CONVERSATIONS. 6988 04:12:11,849 --> 04:12:13,851 I HOPE YOU ALL ENJOYED IT AS 6989 04:12:13,851 --> 04:12:14,185 WELL. 6990 04:12:14,185 --> 04:12:17,121 THANK YOU FOR YOUR ATTENTION AND 6991 04:12:17,121 --> 04:12:18,222 PARTICIPATION, EVEN THOUGH THE 6992 04:12:18,222 --> 04:12:19,524 CONVERSATION IS ENDING FOR TODAY 6993 04:12:19,524 --> 04:12:20,959 IT'S GOING TO CONTINUE HERE SO 6994 04:12:20,959 --> 04:12:23,461 THANK YOU FOR YOUR 6995 04:12:23,461 --> 04:12:23,795 CONTRIBUTIONS. 6996 04:12:23,795 --> 04:12:24,796 WE'LL BE WORKING, LOOKING AT 6997 04:12:24,796 --> 04:12:27,198 THESE IN THE DAYS AND WEEKS AND 6998 04:12:27,198 --> 04:12:27,832 YEARS TO COME. 6999 04:12:27,832 --> 04:12:37,832 THANK YOU SO MUCH.