Health Emergency in the Cambodian Community The National Cambodian American Health Initiative (NCAHI) is a nationwide collaboration of community-based organizations and individuals committed to addressing the heath problems of survivors of war, torture, and genocide from Cambodia who are now living in the United States. Recent studies indicate that Cambodians have a high prevalence rate of depression and posttraumatic stress disorder (PTSD). In Massachusetts, Cambodians are six times more likely to die from diabetes than the general population. In California, they have a stroke rate 4 times than that of White Californians. These serious health conditions are escalating at the same time that resources for the community are decreasing. It is estimated that at least 50% of Cambodian adults need the help of medical interpreter to fully engage in a treatment program and 30% of adults are disabled with one or more conditions. Cambodians are living below the poverty level and need assistance to access care. Since 1996, more than half of all Cambodian community-based organizations have closed their doors. These escalating needs and diminishing resources have created a health emergency that threatens the life and well being of Cambodians and their families. On November 13, 2005, NCAHI declared a state of health emergency in the Cambodian Community. The declaration of a state of emergency triggered a series of responses. The first response was the National Cambodian Town Hall Meeting, which was held on April 17, 2006 to discuss the health emergency. The meeting was hosted by the Cambodian Heritage Museum and Killing Fields Memorial in Chicago, Illinois, and linked five sites from across the US using videoconferencing technology. This was the first national meeting of its kind and brought together over 400 community members and health care providers nation-wide to discuss the emergency. The second response is the drafting of a report detailing the Town Hall Meeting and information about the emergency. This report will be available early in 2007. The third response is a series of regional meetings with Cambodian community leaders to formulate a long term plan for caring for the communities. This meeting, which is graciously hosted by Brown University and Khmer Health Advocates and sponsored by the Office of Minority Health and the National Diabetes education Program, is the first of these planned meetings. We welcome you to this historic meeting and thank you for your concern for the Cambodian community. Theanvy Kuoch, Chairperson for NCAHI Registration (8:30am) Public Awareness Forum (9:00 a.m. to noon) Facilitator: Mr. Bun Hap Prak, Executive Director, Cambodian Family Health Forum Part One: 9:00-10:30 a.m. Overview on Cambodian Refugees and Perspectives on the Current Health Crisis Panelists: Ms. Theanvy Kuoch, Executive Director, Khmer Health Advocates Health Emergency: current health issues affecting Cambodian Americans Dr. Richard Miller, Medical Director, Khmer Health Advocates Back to basics: medical approaches to treating victims of genocide and torture Mr. Kompha Seth, Cambodian Association of Illinois Cambodian Concepts of Healing Ms. Margret Chang, student, Brown Medical School Integrative Case: Type 2 Diabetes in Cambodian Refugees Question and Answer Session Break (15 minutes) Part Two: 10:45-noon Solutions—Integrated Services and Community Outreach Panelists: Mr. Sonith Peou, Program Director, Metta Health Ctr/ Lowell Community Health Ctr Modeled Health Center: Integration of Eastern and Western health approaches Dr. Soneath Pond, Internist based in Cranston, RI Ms. Heang Tan, Associate Director, Khmer Health Advocates The role of community health workers in healthcare delivery Ms. Mary Scully, Clinical and Program Director, Khmer Health Advocates Telemedicine: technological approaches to providing care for Cambodian refugees Question and Answer Session Break (12:00pm to 1:00 pm) Cambodian Health Emergency Strategic Planning Meeting (1:00-4:00pm) This meeting will focus on developing long term community- based strategies to address the health problems of the Cambodian community. It is open to all Cambodian leaders involved with the health issues of their community. Participants will include members of the NCAHI steering committee and local leaders. A collaborative effort between Khmer Health Advocates and Brown Medical School with support from the US Department of Health and Human Services, Office of Minority Health Region 1, the National Diabetes Education Program (a joint program of the Center for Disease Control and Prevention and the National Institute of Health), and Brown University. Silent Trauma: Response to the Health Emergency Affecting Cambodian Refugees in the United States Directions to Brown University From Hartford, Boston, and New York City: From Interstate 95, follow signs to Interstate 195 East. Once on the I-195 ramp, move all the way over to the right lane as soon as possible and take Exit 1, Downtown Providence. Follow the exit ramp to the first light and turn right onto Dyer Street. At the third light turn right onto College Street, at the top of which is located the Brown campus. Turn left on Prospect, right on Meeting Street, and then takes the first left onto Brown Street. Smith-Buonanno Hall is located on your right. From East Providence and all points east: Follow Interstate 195 West and take Exit 2, South Main Street. Travel down South Main Street to the first light. Turn right onto College Street, at the top of which is located the Brown campus. Turn left on Prospect, right on Meeting Street, and then takes the first left onto Brown Street. SmithBuonanno Hall is located on your right. Seating for this meeting is limited to 120 people. Please register by email with your name, address, and phone number before January 8, 2007, to: htan@khmerhealthadvocates.org or fax: (860) 561-3538 A public awareness on the current health crisis in the Cambodian Community; followed by a regional strategic planning meeting with Cambodian Community Leaders Saturday, January 13, 2007 9:00am – 4:00pm Brown University Smith-Buonanno Hall, Rm. 106 Corner of Brown and Cushing Streets Providence, RI 02912