Center forofElimination
of Disproportionality
Overview
the Texas Model
for Eliminating
and Disparities
Disproportionality
and Disparities
Texas State Office of Minority Health
Joyce James, LMSW-AP
Associate Deputy Executive Commissioner
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Mission
• The mission of the Center is to partner with health
and human services agencies, external stakeholders,
as well as other systems and communities to identify
and eliminate disproportionality and disparities
affecting children, families, and vulnerable
populations.
2
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
The comparison of persons of a certain race or ethnicity experiencing an event
to the representation of persons of another race or ethnic group experiencing
the same event.2
Health
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
Disparity
Source: 1. Myers, 2010. 2. Ibid. 3. http://www.hhsc.state.tx.us/hhsc_projects/cedd/
ojjdp.gov/dmc; NEA, “Disproportionality: Inappropriate identification of Culturally and Linguistically Diverse Children,”
3
Disparities and disproportionality are linked
Disparity in actions
(eg. treatment,
services)
Disproportionality
in systems or
statuses
Disparity in action
(eg. treatment,
services)
Disparity /
Disproportionality in
outcomes
Education
More likely to receive a
discretionary disciplinary
referral
Disproportionality in
college classrooms
African Americans more
likely to drop out
African Americans less
likely to have bachelors
degree
CPS
African Americans more
likely to be removed by
CPS
Disproportionality in
number of children in
substitute care
African Americans less
likely to exit care
African American youth
more likely to age out of
care
Juvenile
Justice
African American youth
more likely to be arrested
Disproportionality in # of
juvenile court cases
African Americans more
likely committed to
corrections
Disproportionality in
juvenile detention centers
Criminal
Justice
African Americans more
likely to be arrested for
criminal charges
Disproportionality in # of
criminal cases
Africans Americans
more likely sentenced
to prison
African Americans more
likely to be in prison
Health
African Americans less
likely to undergo diabetes
screening
Disproportionality in
type 2 diabetes
diagnoses
African Americans less
likely to receive
adequate treatment
African Americans twice
as likely to die from
diabetes
Source: Disproportionality in Child Protective Services: The Preliminary Results of Statewide Reform Efforts in Texas;
www.diabetes.org; minorityhealth.hhs.gov; Harris, Jackson, O’brien, and Pecora, “Disproportionality in education and employment
outcomes of adult foster care alumni”; nces.ed.gov
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History
• 1996 – beginning of work at regional level
• 2004 – statewide expansion
• 2005 - Senate Bill 6
• 2007 - Senate Bill 758
• 2010 - creation of the Center by Executive
Commissioner Tom Suehs
• 2011 - Senate Bill 501
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5
The Texas Model
Data-driven Strategies
Regularly collect, research, analyze, and evaluate data in line with C.E.D.D. approach
Leadership Development
Grow both systems and community leaders that are courageous and grounded in C.E.D.D. approach
Culturally Competent Workforce
Develop workforce that reviews and examines its work through an anti-racist and humanistic lens
Community Engagement
Recognize strengths of grass roots community, hear its ideas, and include it throughout process
Cross Systems Collaboration
Share data, training, and dialogue with systems, institutions, and agencies that serve same populations
Training Defined by Anti-Racist Principles
Train ourselves and partners in principles that ensure we work at cultural and institutional levels
An Understanding of the History of Institutional Racism and the Impact on Poor
Communities and Communities of Color
Develop common analysis of racism and history that led to current outcomes
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The Texas Model closely resembles existing
models designed to address health disparities
Community Engagement and
Anti-Racist Principles
Comparison of missions of major health disparities initiatives and the Texas Model
7
Sources: www.healthypeople.gov; http://minorityhealth.hhs.gov/npa/, ‘overview of OEHD.pdf’
Questions?
Thank you
Center for Elimination of Disproportionailty and Disparities
Texas State Office of Minority Health
4900 North Lamar Boulevard, Suite 1100, MC 1479
Austin, Texas 78751
512-424-6509
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Presentation slides – Joyce James