Center for Elimination of
Disproportionality and Disparities
Joyce James
Associate Deputy Executive Commissioner
Sheila Sturgis Craig
Disproportionality Project Manager
Mission
To partner with Health and
Human Service Commission
agencies and external
stakeholders to identify and
eliminate disproportionality and
disparities
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Many terms are used to describe racial
inequity in outcomes across systems
Term
Definition
Most commonly
used in:
Disproportionality
The comparison of persons of a certain race or ethnicity in a target
population (e.g., African American children) to persons in a reference (or
base) population (e.g., Anglo children).1
Child welfare
Health Disparity
A particular type of health difference that is closely linked with social or
economic disadvantage. Health disparities adversely affect groups of
people who have experienced greater social or economic obstacles to
health based on their racial or ethnic group, religion, socioeconomic
status, gender, mental health, cognitive, sensory, or physical disability,
sexual orientation, geography, or other characteristics historically linked to
discrimination or exclusion. 3
Health
DMC –
Disproportionate
minority contact
The disproportionate number of minority youth that come into contact with
the juvenile justice system
Juvenile justice
Achievement gap
The observed disparity on a number of educational measures between
the performance of groups of students
Education
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Source: 1. Myers, 2010 (See Don Baumann for complete citation). 2. Ibid. 3.
ojjdp.gov/dmc; NEA, “Disproportionality: Inappropriate identification of Culturally and Linguistically Diverse Children,”
Activity
Dot Exercise
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Texas Cross Systems Data
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Infant Mortality Rate by
Race/Ethnicity - Texas, 2009
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HIV Data for Youth 11-17 year old
Rates per 100,000 population
Chart 10a: 2007 HIV infection rates for Texas adolescents (11-17)
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7.1
7
6
5
4
3
2
1
1.4
1.9
0.8
0
White
African Am
Hispanic
Race/ethnicity
Total
Texas Deaths by Race/Ethnicity
2008 Texas: Years of Potential Life Lost Before Age 65 by Cause of Death and Race/Ethnicity
Diabetes Mellitus
Cerebrovascular Disease [Stroke]
Chronic Liver Disease and Cirrhosis
Cause of Death
Congenital Malformations
Assault [Homicide]
Intentional Self-Harm [Suicide]
Conditions Arising in Perinatal Period
Diseases of the Heart
Malignant Neoplasms [Cancer]
Accidents [Injuries]
0
2
4
6
8
Years of Potential Life Lost
WHITE**
BLACK
HISPANIC
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Legislation
• History of Work and H.O.P.E.
• In January 2005, the 79th Texas Legislature
passed Senate Bill 6.
• In September 2007 the 80th Texas Legislature
passed Senate Bill 758.
• In September 2010 the creation of the new
Center by Executive Commissioner Tom Suehs.
• In May 2011 Senate Bill 501 established in Law
an Interagency Council (IC) led by Joyce James
and establishes the Center as the state of Texas
Office of Minority Health.
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SB501 Partners
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HHSC, CEDD, DADS, DARS, DSHS, DFPS
Texas Juvenile Justice Department (TJJD)
Texas Education Association (TEA)
Office of Court Administration (OCA)
Office of Attorney General (OAG)
Supreme Court Permanent Judicial Commission for
Children, Youth and Families
Community Based Representative
Faith-Based Representative
Foster Care Youth Alumni
Two Medical Community Representatives
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The Texas Model
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Data Driven Strategies
Leadership Development
Cultural Competent Workforce
Community Engagement
Cross Systems Collaborations
Training Defined by Anti-Racist Principles
An Understanding of the History of
Institutionalized Racism and the Impact on Poor
Communities and Communities of Color
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Activity
Why Are People Poor?
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History of Institutionalized Racism
• An Analysis of Power
• Impact on Poor Communities
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Video
“A Girl Like Me”
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Center for Elimination of
Disproportionality and Disparities
Success is dependent on mutual
accountability at every level across
every system, so that the end result
is elimination of disproportionality
and disparities.
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Contact Information
Center for Elimination of
Disproportionality and Disparities
Joyce James
Associate Deputy Executive Commissioner,
Disparities
Joyce.james@hhsc.state.tx.us
(512) 487-3396
Sheila Sturgis Craig
Disproportionality and Disparities Project Manager,
Sheila.craig@hhsc.state.tx.us
(512) 487-3359
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