245069 Cultural humility: Is it possible to have too much too soon? Lessons learned in the implementation of a culturally-specific after school program for high school aged Pacific Islander youth

Monday, October 31, 2011

Leafa Taumoepeau , Taulama for Tongans, San Mateo, CA
Edith Cabuslay, MPH , Chronic Disease and Injury Prevention, San Mateo County Health System, San Mateo, CA
Kristi Skjerdal, MPH , Chronic Disease and Injury Prevention, San Mateo County Health System, San Mateo, CA
Malissa Netane , Peninsula Conflict Resolution Center, San Mateo, CA
Michelle Vilchez , Peninsula Conflict Resolution Center, San Mateo, CA
Scott Morrow, MD, MPH , Health Officer, San Mateo County Health System, San Mateo, CA
Brian Zamora, MPH, REHS , Family Health Services, San Mateo County Health System, San Mateo, CA
Pacific Islander youth in San Mateo County are showing alarming trends for such indicators as academic achievement, high school graduation, obesity, tobacco/alcohol/other drug use, and violence. Results of community focus groups and youth surveys confirmed the trends and pointed to the need for an after-school program that would provide tutoring, mentorship, goal-setting, problem-solving, and cultural awareness. A partnership developed between the San Mateo County Health System, Taulama for Tongans, San Mateo High School, Peninsula Conflict Resolution Center, and the San Mateo Police Department to provide a culturally-appropriate program for Pacific Islander youth. The Mana Project was offered initially to Freshman and Sophomore Pacific Islander students. The program is available four days a week for three hours a day. Each day includes one hour each for homework/mentorship and problem-solving or cultural awareness, plus time for a healthy snack and physical activity. The program is coordinated by a Pacific Islander well known to and respected by students. Pacific Islander youth expressed strong interest in and support for the program. Students began to form a tight-knit community and appreciated the support they were receiving from the program partners. However, most students continued to approach their studies in a lackadaisical manner that resulted in lackluster grades. Forbearance of cultural norms around time and priorities may have led to a program that lacked adequate accountability for success. While cultural humility is an important component to the assessment and development of a program, additional considerations need to be taken to maximize outcomes for Pacific Islander youth.

Learning Areas:
Conduct evaluation related to programs, research, and other areas of practice
Diversity and culture
Implementation of health education strategies, interventions and programs
Program planning

Learning Objectives:
1) List at least two benefits from the design and implementation of a culturally-specific after school program for Pacific Islanders. 2) Discuss at least two challenges encountered by a Pacific Islander coordinator in the implementation of the Mana Project at San Mateo High School.

Keywords: Cultural Competency, Adolescent Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Peimary author was involved in the development, implementation, and evaluation of the program being presented.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.