YEAR ANNIVERSARY ANNUAL REPORT 2011–12 ARTHUR ASHE INSTITUTE FOR URBAN HEALTH YEAR ANNIVERSARY ANNUAL REPORT 2011–12 YEAR ANNIVERSARY ANNUAL REPORT 2011–12 From Edgar O. Mandeville, MD & Ruth C. Browne, ScD Dear Supporters, At 20, Arthur Ashe became the first black tennis player ever selected to the US Davis Cup team. While his career was full of spectacular firsts, Arthur once said “true heroism is rather undramatic.” He founded the Institute at SUNY Downstate to combat health disparities among people of color, knowing full well that the social determinants of health extend beyond the clinical realm, and include intractable day-to-day challenges posed by poverty and racism. from what we get, we can make a living. what we give, however, makes a life. arthur ashe 1992 Arthur used his talents and celebrity to raise awareness about issues that impact us all as we try to ensure a civil society for generations to come. At 20, our two decades’ of experience in what works guides us in staying both true to our founder’s values and responsive to rapidly changing conditions. With our partners, we will carry on Arthur’s vision, continuing to assess where we are, what we have, and what we can do to address health inequity in the world that faces us now. Edgar O. Mandeville, MD CHAIR Ruth C. Browne, ScD CEO Facing page above: Health Science Academy students perform a dissection. Facing page below: Salon owners teach clients about monitoring blood pressure. Back cover: HSA students observe a simulated birth at SUNY Downstate Medical Center. 1 www. arthurasheinstitute.org Two decades’ of experience in what works guides us to stay true to Arthur’s values and respond to changing conditions. While in nonprofit years 20 is a ripe old age, in people years it is the threshold of the grown-up world. Stepping into organizational adulthood, we recognize that increasing health equity through developing effective replicable models requires a comprehensive integrated approach and partners from an array of disciplines. In this anniversary annual report, you will meet the partners we serve who also help design, guide and implement our work: Health Science Academy scholars and graduates, community-based organizations that have hosted them as interns, the neighborhood entrepreneurs who serve as lay health educators, and the academic health center that continues to serve its 150 year mission of providing healthcare to immigrant families. arthur ashe institute for urban health More than a decade since the Institute of Medicine published the seminal Sullivan report, most “race associated differences in health outcomes” remain stubbornly unchanged. How will the nation address the needs of an increasingly diverse population—many of whom are uninsured—through a healthcare system where only 6% of the workforce is African American, a number that has shifted only minutely since the first integrated medical school opened at the turn of the twentieth century? YEAR ANNIVERSARY ANNUAL REPORT 2011–12 YEAR ANNIVERSARY ANNUAL REPORT 2011–12 ARTHUR ASHE INSTITUTE FOR URBAN HEALTH RESEARCH/COMMUNITY OUTREACH PROGRAMS arthur ashe institute for urban health www. arthurasheinstitute.org CURRENT PROGRAMS ACCESS This initiative increases access to community health services for previously incarcerated individuals and their families. The program is conducted in Bedford-Stuyvesant, Brooklyn in barbershops and beauty salons. BARBERSHOP TALK WITH BROTHERS The Institute, in partnership with the SUNY Downstate Medical Center, developed an HIV/AIDS program for heterosexual African American men. The barbershop-based intervention is designed to reach men in Brooklyn with HIV/AIDS risk-reduction messages. COMMUNITY OUTREACH PROGRAMS Located in multi-ethnic Brooklyn, New York, the AAIUH collaborates with community members to design, incubate and replicate neighborhood-based interventions which address health conditions that disproportionately affect underserved communities. CONDOM DISTRIBUTION PROJECT This HIV/AIDS risk-reduction program is conducted in non-traditional settings such as barbershops and beauty salons. The program includes HIV/AIDS education events, distribution of condoms and health Recognizing the complexity of the economic and social determinants of health, we partner with literature within participating venues. HEART OF A WOMAN PROJECT The Heart of a Woman (HOW) Project is a salonbased health program designed to address health issues among women of African descent. The current initiative is to address cardiovascular disease (CVD) utilizing a culturally tailored CVD curriculum to promote heart disease risk-reduction messages to African American and Afro-Caribbean women. BROOKLYN HEALTH DISPARITIES CENTER The Brooklyn Health Disparities Center is a partnership between the AAIUH, SUNY Downstate Medical Center and the Brooklyn Borough President’s Office. The Center’s community engagement core has conducted a summer internship program in which high school students were trained on the social determinants of health, health disparities and community engagement research skills. Training sessions are conducted with community-based organizations to increase their capacity to conduct community based research. Funders: Bank of NY Mellon, CDC, Empire BlueCross BlueShield Foundation, Jacob and Valeria Langeloth Foundation, NYC-DOHMH, NIH, Pfizer Helpful Answers •Ashe’s widow Jeanne Moutoussamy-Ashe asks close friend Dr. Edgar Mandeville to succeed Ashe as Chairman of AAIUH Board •First cohort of students from James Madison High School participates in the Health Science Academy with funding from the Stella and Charles Guttman Foundation •AAIUH launches health promotion programs in personal care establishments (beauty salons, barbershops, tattoo parlors, laundromats) with programs such as Black Pearls, Fades, First Impressions, and A Clean Bill of Health •AAIUH hosts the first Sports Ball: A Black Tie and Sneakers Gala at the Pierre Hotel, hosted by American Express CEO Kenneth I. Chenault and raising $250k •AAIUH receives first NIH NCI research grant ($1.2m) advancing its community-based action research agenda in behavioral health intervention by evaluating A Soul Sense of Beauty 2001 •AAIUH invites beauty and barbershop proprietors, media representatives and local health agencies to join the Health and Beauty Council 2000 •AAIUH receives two capacity-building grants from Altus One Fund ($250k) and Independence Bank ($100k) 1999 •The Health Science Academy graduates its first cohort of students 1998 •AAIUH co-sponsors a landmark conference on The Health of the Haitian Community (Sante Pou Kominote Ayisyen An) with the Haitian Physicians Association and leads a major networking and discussion meeting to further the engagement of churches in meeting the health needs of minority communities 1997 •AAIUH establishes independent 501c3 status and formalizes partnership with SUNY Downstate 1996 •AAIUH receives $50k challenge grant from American Express Foundation leveraging grants from NY Community Trust and Trinity Church, supporting an HIV education program for clergy leadership and parish nurses in African American and AfroCaribbean churches 1995 •Ashe dies of HIV/AIDS contracted through a contaminated blood transfusion during surgery 1994 •Arthur Ashe establishes AAIUH at SUNY Downstate Medical Center with cofounders Rev. Dr. Paul Smith and Dr. Donald Scherl to address health equity as a basic human right 1993 1992 ARTHUR ASHE INSTITUTE FOR URBAN HEALTH HISTORICAL TIMELINE •AAIUH and SUNY Downstate launch seminar series for senior level health leadership on Health Disparities in Brooklyn in response to the Institute of Medicine’s report Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. 3 www. arthurasheinstitute.org Currently enrolling 181 students, the Academy’s curriculum aligns with National Science Education Standards, including: (1) providing students with clearly stated goals and expectations, (2) conducting scientific inquiry that offers students opportunities for experimentation and direct observations, (3) relating scientific inquiry to social issues and students’ everyday life, and (4) connecting science to other school subjects, including history and culture. 2 organizations to reduce health disparities and improve outcomes utilizing a model of Community Health Empowerment (CHE). The CHE model guides and unifies all of our work by connecting people to the information, tools and resources needed to make informed health decisions and to safeguard and improve the health of their families and neighborhoods. Academy activities include dissections and microscope/slide work, participation in simulation labs at Kings County Medical Center, observations of the gross anatomy lab and attending health science exhibitions. With a two-year grant from the National Institutes of Health, the Institute introduced a paid summer internship program in communitybased health disparities research for 100 students in 2010 and 2011. This program is currently being replicated in Trinidad and Tobago in partnership with the University of the West Indies. Summer programming will continue with the Federal Department of Health and Human Services HCOPPATH grant supporting 25 students and—with a three-year grant from the Doris Duke Charitable Foundation—an additional ten students each year will participate in clinical research programs under the supervision of clinical researchers at SUNY Downstate. arthur ashe institute for urban health HEALTH SCIENCE ACADEMY The Health Science Academy of the Arthur Ashe Institute for Urban Health is a three-year, collegelevel after school science enrichment program which offers students of color activities that build their commitment to careers in health, expands their vision of the diversity of health careers, fosters their understanding of the impact of health careers on their communities, and provides them with the skills and knowledge to succeed in college. The only program of its kind in the region, the Academy is offered in partnership with State University of New York Downstate Medical Center in Brooklyn. SUNY Downstate provides laboratory and classroom space as well as access to other resources, and encourages terminal degree students to serve as Academy instructors. Students are in grades 10 through 12 in eleven participating Brooklyn public and parochial high schools. YEAR ANNIVERSARY ANNUAL REPORT 2011–12 YEAR BOARD & STAFF DONORS Ruth C. Browne, ScD CEO Brignel Camilien Field Researcher Catherine Herrera HSA Program Coordinator arthur ashe institute for urban health We thank the following donors for their extraordinary generosity and commitment to the Institute’s work with cumulative grants and in-kind support of $100,000 or more during our twenty year history. Altman Foundation Downstate Medical Center Novartis Pharmaceuticals Altus One Foundation United Hospital Fund American Express United States Tennis Association Ronald McDonald Children’s Charities American Honda/American Honda Foundation WellPoint/Empire Blue Cross and Blue Shield AstraZeneca Centers for Disease Control Coca-Cola Company Doral Arrowwood WellPoint/Empire Blue Cross and Blue Shield The Institute acknowledges the following benefactors whose assistance supported our programs in 2011. FOUNDATIONS and CORPORATIONS Altus One Foundation Forest City Ratner Companies American Express GlaxoSmithKline American Honda Foundation HBO Sports Assurant Foundation Jacob and Valeria Langeloth Foundation Rose M. Badgeley Residuary Charitable Trust Macy’s BNY Mellon Madison Square Garden Brooklyn Community Foundation Morgan Stanley Coventry Health Care messages into the community. National Institutes of Health HEALTH AND BEAUTY COUNCIL Bibi Alli Bibi’s Unisex Salon John Atchison John Atchison New York Community Trust The Doris Duke Charitable Foundation Pfizer Pharmaceuticals State University of New York Centers for Disease Control National Institutes of Health New York City Council Black, Latino and Asian Caucus New York City Department of Health and Mental Hygiene New York City Department of Youth and Community Development State University of New York Downstate Medical Center It is also with gratitude that the Institute acknowledges those individuals who participate in Sports Ball, State Employees Federated Appeal, USTA US Open event, and the Institute’s annual fund campaign. Jacob and Valeria Langeloth Foundation PepsiCo GOVERNMENT Health Careers Opportunity Program The Doris Duke Charitable Foundation Omnicom NY United States Tennis Association George Link, Jr. Foundation Macy’s •AAIUH co-founds Brooklyn Health Disparities Center a partnership with SUNY Downstate and the Brooklyn Borough President’s Office, funded as one of the NIH NCMHD Project EXPORT Centers of Excellence •Altus One grant establishes Healthy Families Brooklyn, a partnership between AAIUH and Long Island College Hospital, under leadership of Rev. Dr. Paul Smith •AAIUH celebrates the tenth cohort graduating from the Health Science Academy with over 800 participants in the three-year after school program, with 99% accepted to college •AAIUH launches Project Access to increase availability of health care for formerly incarcerated men in Bedford-Stuyvesant with support from the Langloth Foundation ($299k) and guidance from an advisory committee of leading community-based organizations addressing mass incarceration 2010 •The Health Science Academy three-year comprehensive evaluation funded by WellPoint Foundation ($300k) finds that 60% of AAIUH academy graduates study science as undergraduates, ten times the national rate for minority students 2009 •AAIUH advocates for standardization of culturally competent and linguistically relevant health services as the National Standards on Culturally and Linguistically Appropriate Services (CLAS) is established •National Health Care Reform Act is established, providing federal infrastructure for increasing minority representation in the healthcare workforce and behavioral health interventions outside of clinical settings, such as those AAIUH develops •AAIUH partners with the Brooklyn Health Disparities Center to design and implement a two-year summer internship program training high school students in research methodology to complete research projects with local community-based organizations and present their findings to legislators through the NIH-funded National Stakeholder Strategy for Achieving Health Equity 2011–2012 •AAIUH receives W.K. Kellogg Foundation grant to create Be the Cure, a documentary on increasing minority representation in medicine that served as the basis for our Middle School Career Exploration program, extending the healthcare workforce education pipeline back to sixth grade •AAIUH replicates its beauty salon-based health promotion programs Black Pearls and Nuestra Belleza for Black and Latina women in 18 salons in West and North Philadelphia with funding from GlaxoSmithKline sponsors ($250k). 2008 •Institute staff publish their first peer-review article followed by eight more articles documenting AAIUH’s work as best practice models in urban health 2007 •AAIUH testifies to the Sullivan Commission on Diversity in the Healthcare Workforce and co-founds the Community Coalition to Increase Diversity in the Health Professions with 40 member organizations to create community groundswell response to the Commission’s seminal report, Missing Persons: Minorities in the Health Professions 2006 Department of Heath provides support to develop the Central Brooklyn Minority Asthma Partnership led by the Institute 2005 •The New York State 2004 •The Institute celebrates its first decade of service 2003 2002 ARTHUR ASHE INSTITUTE FOR URBAN HEALTH HISTORICAL TIMELINE •AAIUH develops a pilot of the internship program in partnership with the University of the West Indies, Faculty of Medical Sciences, St. Augustine, Trinidad and Tobago, the Trinidad and Tobago Ministry of Education and ten local nongovernmental organizations seeded by Fulbright Nexus Regional Scholars Program for replication throughout the Caribbean •NIMHD provides five years of funding ($2m) to support a community-engaged intervention research, policy, and training agenda for the AAIUH, SUNY Downstate and the Brooklyn Borough President’s Office partnership through the Brooklyn Health Disparities Center 5 www. arthurasheinstitute.org www. arthurasheinstitute.org 4 Diane Bailey Tendrils Hair Salon Marion Council Designer Braids and Trade Simone Cremona Caramel City Salon Debbie Deas Asase Salon Gerald Deas, MD SUNY Downstate Medical Center Hermione Fraser Hermione’s Salon Angela Banks Jourdain, RN Queens County Black Nurses Association Adika Roberts STAFF Playhouse Barbershop Francis Agbetor Nelson Urraca Field Researcher Nelson’s Barbershop Merrill Black Jean Ward Manager of Curriculum Breast Cancer Survivor Development Patrick Wellington Humberto Brown Wellington Hair Spa Director of Health The Institute is proud to acknowledge Bettina Willis, RN Disparities Initiatives and New the leadership of its Health and Nurse Oncologist (retired) Constituency Development Beauty Council in bringing health LeeAnn Hicks Manager of Corporate Affairs John Lewter, PhD Director of Development Lakeisha Lubin Program Coordinator Deborah Neal Administrative Assistant Ese Oghenejobo HSA Education Coordinator Angelo Pinto Program Manager Nicole Primus Education Coordinator Calpurnyia Bonyta Roberts, PhD Postdoctoral Fellow Mary Valmont, PhD Associate Director for Health Science Education Marilyn Fraser White, MD Associate Director/Research and Training arthur ashe institute for urban health BOARD OF DIRECTORS Bill Shore Edgar Mandeville, MD (Chair) GlaxoSmithKline Harlem Hospital Michael O. Stocker, MD New York City Health Rev. Paul Smith, DMin & Hospitals Corporation Minister (retired) Anne C. Vladeck Seth Abraham Vladeck Waldman Elias Starship SA, LLP & Engelhard JoAnn Bradley, EdD Jeff Williams SUNY Downstate Medical Tennis Magazine Center Kristen S. Williams Robin Rosenblum AstraZeneca Empire Blue Cross Blue Shield John Wren Walter A. Bell Omnicom Swiss Re Brett Wright Kenneth I. Chenault Vibe Magazine NuAmerica American Express Company Henry W. Foster, MD Meharry Medical Center Professor Emeritus Edward J. Goldberg Macy’s Daisey Holmes BNY Mellon John C. LaRosa, MD SUNY Downstate Medical Center Heidi Kahn Leeds Korn Ferry Patricia A. Sampson Goldman Sachs Alvin Schragis Doral Arrowwood Resort & Conference Center ANNIVERSARY ANNUAL REPORT 2011–12 YEAR ANNIVERSARY ANNUAL REPORT 2011–12 YEAR ANNIVERSARY ANNUAL REPORT 2011–12 The Journey of One the mission of us all Culturally competent care, particularly arthur ashe institute for urban health www. arthurasheinstitute.org 6 The Academy’s multiplier effect builds awareness as students communicate what they learn to their families and community and return to the Academy year after year to volunteer or consult in a variety of roles. Joshua McHugh, a 2002 graduate is now a third-year medical student at SUNY Downstate and a neurology instructor for the Academy where he gained “experience and exposure often not available to urban students and a way to inspiring the next generation Current students, too young to remember Arthur Ashe as an athlete or a humanitarian, carry his legacy nonetheless. Second-year scholar Janel Clovis was recruited by her school’s liaison because of her interest in medicine and her grades. “I liked meeting new people and the hands-on activities like the dissection. This will help me prepare for pediatrics. I want to help children in Brooklyn.” Academy senior Chiduben Nwabueze heard about the program from her medical science teacher and recognized that participation would strengthen her college application. “The Academy’s tone and environment was different than school. It was assumed that you were going to act more professionally.” Describing her growing awareness of health disparities over the last three years, Nwabueze said, “You know about racial tensions, but this shows you how it works: this system is put in place and you see how it affects different races, how it affects your own race.” The Academy’s tone and environment was different than school. It was assumed that you were going to act more professionally. hsa graduating senior Facing page: Education Coordinator, Ese Oghenejobo works with HSA students. 7 www. arthurasheinstitute.org Academy graduate Dr. Julia James remembers growing up two blocks away. “I was a science geek in high school and the Academy provided the space to explore and develop confidence in pursuing my interests.” Rhodes Scholar, Ph.D. in Public Health and Outreach Coordinator for the NYC Department of Education, Dr. James says, “I view basic science as the base of the pyramid of public health and am now seeking to leverage my scientific training with experiences and further study in the field of public health. Ultimately, I plan to work in the field of global health policy.” “The Academy provided a more in-depth review of body systems than I could get at my high school, but the focus on community service showed that there were other ways to be involved in preventative health besides being a doctor,” says 2006 graduate Shonette Cambell, who now recruits salon owners to be trained as heart health advocates for the Heart of a Woman campaign. arthur ashe institute for urban health when delivered by minority practitioners, demonstrably improves health outcomes. For the last fifteen years, the Health Science Academy’s college-level, three-year curriculum has supplemented the science offerings of Brooklyn’s under-resourced schools, building institutional capacity along with individual skill. 800 Brooklyn students have participated in the after-school science enrichment program since its launch in 1994. integrate my interest in science and service. Being an instructor allowed me to ‘give back’ by encouraging younger students, while reinforcing my learning as a medical student.” YEAR ANNIVERSARY ANNUAL REPORT 2011–12 Working with the Institute over time, we embrace our responsibility to become advocates for our customers, and our community. salon owner YEAR ANNIVERSARY ANNUAL REPORT 2011–12 Water Always Balances Itself cultivating trust, leveraging connection “Local heroes” such as salon owners and barbers are trained to weave health messages into the trusting rapport they have with their clients. Modestina Bell of Women’s Hair Care salon says, “As a stylist, we get people ready for graduations and weddings, so even though we’re not in the family, we’re part of the family. So we give information and advice… a lot of people will talk about their blood pressure being too high, then the stylist will say, ‘Maybe you should cut out so much salt.’” a community connected 9 of whom had been previously incarcerated–were able to help identify the types of services people needed and strategies for overcoming barriers. Sharing project findings with prison discharge planning professionals will assist them in preparing prisoners for re-entry. Through partnership with Healthy Families Brooklyn and faith-based CBOs, the Institute advocates in additional settings such as public housing, training community-health workers to address critical disconnects in the health care system. The train-the-trainer-model nurtures the positive “social contagion” that improves health decision-making. The Institute has worked in 300 personal care establishments in Brooklyn and replicated initiatives in Philadelphia. Participating stylists serve on the Institute’s Health and Beauty Council, “Because the community informs everything we do from an advisory board that helps develop, execute and evaluate design through implementation, we have buy-in from the community-based health behavior interventions. The United ground up,” says Institute CEO Dr. Ruth Browne.“Similarly, Way of New York City funded a curriculum to train stylists to when academic researchers want community partners, they deliver HIV/AIDS risk-reduction messages to their customers. turn to us and we leverage our network.” “It’s innovation Content was developed through surveys from stylists and with rigor,” says Tanya Taylor, researcher from the Brooklyn customers on HIV/AIDS knowledge, attitudes, perceptions Health Disparities Center. “Developing these relationships and beliefs, as well as through focus groups with council is labor intensive,” says Dr. Browne, “however, it gives members and other stylists. our model continuity and sustainability because those that When the Institute received funding from the Langeloth work with us over time embrace their responsibility to Foundation to connect formerly incarcerated people to become advocates for their customers, their families and health services, an established cadre of barbers–a number their community.” Facing page: Stylists are trained to weave health messages into the trusting rapport they have with their clients. Above: Participating barbers receive awards from the AAIUH in parternship with SUNY Downstate. www. arthurasheinstitute.org www. arthurasheinstitute.org 8 responsibility for their health without an expanded range of options. From personal care establishments to underresourced middle and high schools, the Institute supports potential community leaders as messengers and advocates committed to improving community health, cutting across class, age and educational level. arthur ashe institute for urban health arthur ashe institute for urban health People cannot fully accept YEAR ANNIVERSARY ANNUAL REPORT 2011–12 YEAR ANNIVERSARY ANNUAL REPORT 2011–12 Looking Forward reframing heroism Arthur Ashe’s favorite t-shirt read: arthur ashe institute for urban health www. arthurasheinstitute.org 10 building on success The Institute replicated Soul Sense of Beauty and Black Pearls in Philadelphia salons and barbershops. The Institute is also expanding the educational pipeline for a more diversified healthcare workforce further back into Brooklyn middle schools with support from the Honda Foundation. And, the Institute is extending the school year through a series of summer institutes including a Doris Duke Foundation-funded initiative that will pair high school students with researchers at SUNY Downstate. Arthur Ashe’s favorite t-shirt read: Arthur Ashe said, “What sets champions apart from winners is the desire to leave the game better than they found it.” In staying true to Ashe’s legacy of drive tempered by grace, our twenty years of experience helps us target new partners, new settings and new conditions to enlist in the process of change, leveraging our funders’ investment and touching lives both broadly and deeply. “I am a citizen of the world.” Facing page: Stylists can inform, encourage and monitor their customers’ progress. Map: Community outreach programs have trained more than 300 hair stylists, barbers and other individuals in Brooklyn and Philadelphia. Above: Stylists make materials available in their shops, and help customers understand the latest research. 11 www. arthurasheinstitute.org Health disparities today stem from an even more complex constellation of social determinants than those in place during Arthur Ashe’s life. By incubating, evaluating, documenting and replicating scaleable programs, the Institute identifies and partners with key stakeholders to provide robust, multi-sector models that go beyond clinical settings and can be tailored to various cultures and regions. arthur ashe institute for urban health “I am a citizen of the world.” Not content to be a worldclass athlete, Ashe used his celebrity to take on challenges abroad and at home, fighting apartheid in South Africa and health disparities in US urban settings, even as his own health deteriorated. Two years ago, NIH funded a summer internship program with the Brooklyn Health Disparities Center which provided intensive training in research methodology and health disparities for 50 high school students, who were then placed in local community-based organizations to perform research projects that were presented to local legislators and decision makers. This program is now being adapted in Trinidad and Tobago in partnership with the University of the West Indies, St. Augustine for replication throughout the Caribbean, as part of Institute CEO Dr. Ruth Browne’s Fulbright NEXUS fellowship. YEAR ANNIVERSARY ANNUAL REPORT 2011–12 YEAR ANNIVERSARY ANNUAL REPORT 2011–12 ARTHUR ASHE INSTITUTE FOR URBAN HEALTH PUBLICATIONS, CONFERENCES, COMMUNITY EDUCATION AND AWARDS PUBLICATIONS “Access Study: Addressing Health Needs among Formerly Incarcerated Individuals,” American Public Health Association annual conference, November 2009 Peer-review publications documenting the Institute’s community-based programming: “Hair Stylists as Breast Cancer Prevention Lay Health Advisors for African American and Afro-Caribbean Woman,” Journal of Health Care for the Poor and Underserved, 2008 COMMUNITY EDUCATION Community Luncheon for Brooklyn Health Disparities Center, May 2008 arthur ashe institute for urban health “Barbers as Lay Health Advocates: Developing a Prostate Cancer Curriculum,” Journal of the National Medical Association, 2009 “Community-Academic Partnerships: Lessons Learned from Replicating a Salon-based Health Education and Promotion Program,” in Progress in Community Health Partnerships: Research, Education and Action, 2009 12 www. arthurasheinstitute.org “Engaging Minority High School Students as Health Disparities Interns,” Journal of the National Medical Association, 2011 “Lessons Learned from Building an Infrastructure for Community-Based Participatory Research,” International Public Health Journal, 2011 CONFERENCES Institute staff has presented at the following local and national conferences: True heroism is remarkably sober, very undramatic. It is not the urge to surpass all others at whatever cost, but the urge to serve others at whatever cost. arthur ashe “Health Disparities: Closing the Gap,” sponsored by the New York State Assembly and AstraZeneca Pharmaceuticals, September 2008 Healthy Families Workshop for residents of Bronxville Housing, May 2009 “Non-traditional Approaches to Cancer Disparities” for Memorial Sloan-Kettering Cancer Center, New York, April 2011 “Leveraging Multidisciplinary Relationships” for Morehouse School of Medicine’s Colloquium: Triangulating on Health Equity: A Caribbean Colloquium on Best Practice, Puerto Rico, July 2011 “Utilizing Salon Hair Stylists as Lay Health Advocates to Deliver Culturally Tailored Heart Health Messages in Their Community” for American Public Health Association, Washington, DC, October 2011 “Implementing a Health Disparities Curriculum for Minority High School Students” for American Public Health Association, Washington, DC, October 2011 AWARDS and HONORS Community Organization of the Year, 2009, Public Health Association of New York City In 2010, the National Institutes of Health provided support for a two-year community-based summer research project which was the first programmatic collaboration between the Institute’s Health Science Academy and Community Empowerment Programs. With a fellowship from the Fulbright NEXUS Regional Scholars Program, the Institute’s community-based summer research project began replication in Trinidad and Tobago in partnership with the University of the West Indies, St. Augustine. “Latina Stylists as Lay Health Advocates,” National Hispanic Medical Association annual conference, March 2009 “Challenges and Solutions: Closing the Health Disparities Gap through Community Voices in Action,” Brooklyn Center for Health Disparities, May 2009 Health Award, 2011, New York State Association of Black and Puerto Rican Legislators Extraordinary Women of Downstate, 2011, SUNY Downstate Medical Center “Urban Health Initiatives,” John F. Kennedy School of Government Black Policy Conference, April 2009 Facing page: Barbers assist in crafting curriculum that effectively addresses their customers’ concerns. 13 www. arthurasheinstitute.org “Healthy Families Brooklyn: Working with Health Advocates to Develop a Health Promotion Program for Residents Living in New York City Housing Authority Developments” Journal of Community Health, 2011 Healthy Families Workshop for Arab-American Family Support Center, February 2009 arthur ashe institute for urban health “Training Community Health Workers to be Advocates for Health Promotion: Efforts Taken by a Community-based Organization to Reduce Health Disparities in Cardiovascular Disease,” Journal of Community Health, 2008 YEAR ANNIVERSARY ANNUAL REPORT 2011–12 YEAR ANNIVERSARY ANNUAL REPORT 2011–12 Financials 2010 Sports Ball $141,281 $179,788 Government $815,078 $886,090 Grants & contributions In-kind contributions $1,030,475 $630,352 $314,476 $335,925 $21,900 $21,451 Other income Net assets released from restrictions total support & revenue expenses 2011 2010 $351,266 $430,851 program services Education & training Community health $1,333,602$1,433,282 general management Administration total expenses $367,717 $318,160 $2,052,585 $2,182,293 —— $2,323,210 $2,053,606 $3,000,000 $2,500,000 $2,000,000 $1,500,000 $1000,000 $500,000 $0 2005 2006 2007 2008 2009 2010 2011 Even amid an economic downturn, our income and revenue grew from $1.5 million in 2005 to $2.3 million in 2011 thanks to the generosity of individuals, corporations, government agencies, foundations and partnering organizations. Edgar Mandeville, MD (Board Chair) condensed statement of financial position current assets Cash & cash equivalents Restricted cash Government contract(s) receivable Grants & contributions receivable Prepaid expenses & other assets Net fixed assets total assets 2011 2010 $616,886 $349,599 $56,184 $55,780 $199,494 $204,530 $6,000 $3,500 liabilities and net assets aaiuh use of funds 2011 2010 $149,872 $159,746 $19,312 $25,000 $169,184 $184,746 Unrestricted $212,848 $142,326 ■ Education and training programs Temporarily restricted $508,618 $308,515 ■ Community health progams Permanently restricted $55,000 $55,000 $776,466 $505,841 current liabilities Accounts payable & accrued expenses Deferred revenue total liabilities net assets $67,086 — $945,650 $76,210 $968 $690,587 total net assets total liabilities & net assets $945,650 $690,587 ■ Administration Our administrative costs, as a percent of revenue, have decreased to 15%, which is remarkable given our consistent, incremental growth. More revenue is directed toward programming to empower individuals to address health conditions that unequally affect multi-ethnic communities. Robin Rosenblum (Board Treasurer) 15 www. arthurasheinstitute.org www. arthurasheinstitute.org 14 2011 condensed statement of financial activities support and revenue aaiuh revenue arthur ashe institute for urban health arthur ashe institute for urban health Over the years, we have maintained a reliable revenue stream from a variety of sources, including individuals, corporations, government, foundations and in-kind donations. This mix of support has leveraged federal research grants that seed our community-engaged approach to policy advocacy, intervention and training. The partnerships this multi-year funding facilitates allow us to incubate, document and evaluate work that can be taken to a greater scale, resulting in replicable models that are inclusive, flexible and robust. Ruth C. Browne, ScD (CEO) YEAR ANNIVERSARY ANNUAL REPORT 2011–12 YEAR Now as never before our moral, intellectual and material wealth will depend on the strength, skills and productivity of our youth. The success enjoyed by the Institute is due to the commitment of others who have responded to Arthur Ashe’s vision. Trustees and donors, organizations and individuals in our communities, local businesses and churches—these partners and thousands of others have played crucial roles in growing the Institute as a national model. Starting with twenty students from a single Brooklyn high school in 1994, we have been joined by students, families and teachers from eleven schools and today, the academy enrolls 180 students. From our first modest efforts to reach out to the public to increase awareness of health needs, our community outreach programs have trained more than 300 hair stylists, barbers and other individuals in Brooklyn and Philadelphia to serve as lay health educators who weave discussions about health into their daily routines and empower nearly 3,000 individuals a year in their efforts to live healthier lives. From a staff of one, we have attracted a professional force of seventeen today. And our income and revenue have nearly doubled since 2005 thanks to the generosity of individuals, foundations, corporations, government agencies and partnering organizations. But our success is tempered by our awareness of the work that remains to be done. There are more than 80,000 students enrolled in Brooklyn’s 58 public high schools but we reach less than one quarter of 1% of these students and only 6% of the schools. Moreover, the general health of Brooklyn’s minority communities is poor, with incidences of cardiovascular disease, HIV and diabetes remaining far above city and state averages. From what we have accomplished in our first twenty years, it is clear that our future lies in continuing to inspire others to embrace Arthur’s vision. From this, multi-ethnic urban communities across the country will all benefit from the services of culturally competent health professionals and become empowered to respond to gender, race and culture-based disparities in health. h e l p u s c o n t i n u e a r t h u r a s h e’s v i s i o n Make a gift to the Institute. Your gift will support our efforts to improve the health of underserved urban communities and inspire the next generation of minority health professionals. Please visit our website to make an online donation using your credit card: www.arthurasheinstitute.org Or mail your check to: Arthur Ashe Institute for Urban Health 450 Clarkson Avenue, Box 1232 Brooklyn, NY 11203 You might also consider: Participating in your employer’s Matching Gift Program · · Including a bequest to the Institute · Making a memorial gift in honor of a loved one The Arthur Ashe Institute is a 501(c)3 non-profit organization and all gifts are tax-deductible to the extent of the law. Arthur Ashe photograph by Michael O’Neill. All other photography by Yvonne Albinowski except pages 10 and 11, with photography by Lakeisha Lubin. This annual report was created with a service grant from 17 www. arthurasheinstitute.org www. arthurasheinstitute.org 16 THE PATH AHEAD arthur ashe institute for urban health arthur ashe institute for urban health arthur ashe ANNIVERSARY ANNUAL REPORT 2011–12 We welcome donations to help us to support and celebrate Arthur Ashe’s legacy. If you would like to make a contribution please contact us at 718-222-5953 or visit us at www.arthurasheinstitute.org