Sierra Health Foundation Center for Health Program Management

Mat access points projectin december 2018, the Center was awarded a $40 million medication assisted treatment access points project contract by the California department of Health care services to expand medication assisted treatment start-up and/or enhancement activities in at least 200 individual access points across the state. The goal of the medication assisted treatment access point project is to create a network of organizations throughout California to address the opioid crisis by supporting prevention, education, stigma reduction, treatment and recovery services for people with opioid use disorder and substance use disorder, and by increasing access to medication assisted treatment. In 2019, the mat access points project has become a more complex and multifaceted project that focuses resources specifically on areas and communities disproportionately impacted by substance use disorder and the criminalization of substance use. Under the mat access point project, the Center funded the following projects in 2019:1) mat services for all - 118 organizations representing 164 access points throughout the state to support start-up and/or enhancement efforts for their mat programs.2) gpra supplement - 4 organizations to support their government performance and results act data collection.3) tribal mat infrastructure - 10 tribal Health organizations to support start-up and/or enhancement efforts of their mat programs.4) equitable prevention and educationa) prevention and education communities of color - 55 organizations with established and trusted community relationships to support localized outreach and prevention activities with the aim of reducing stigma and increasing community understanding of oud and sud, and acceptance of mat.b) uc davis school of nursing - support the train the trainer primary care pain Management fellowship for frontline clinicians.c) sun community outreach training - 6 sacramento-based community organizations to support them in their crisis response and community-level outreach and be a bridge between their community and the Health system.additionally, the project supported organizational capacity building, communication, and evaluation components through a localized media campaign, technical assistance webinars, and internal project evaluation and learning.

Reduction of african american child deaths in sacramento county, african american children die at twice the rate of any other ethnicity. The four leading causes of death are perinatal conditions, infant-sleep related deaths, child abuse and neglect, and third-party homicide. The black child legacy campaign is the community-driven movement established by the steering committee on reduction of african american child deaths, which is working to reduce deaths of african american children by 10% to 20% by 2020 in sacramento county. The campaign's accomplishments are interconnected to five community-driven strategies: promoting advocacy and policy transformation, equitable investment and systematic impact, coordinated systems of support, data-driven accountability and collective impact, and communication and information systems. The campaign has funded seven community-based organizations in each of the targeted neighborhoods where this disproportionality occurs: arden arcade, del paso heights/north sacramento, fruitridge/stockton blvd., north highlands/foothill farms, oak park, meadowview, and valley hi. In fy 2019, raacd's work continued to expand and enhance community safety-net social services in the following ways: coordinated multidisciplinary teams (out-stationed sacramento county social service teams representing the department of human assistance, child protective services, probation, and sacramento employment and training agency) in the seven target neighborhoods of raacd; advanced community outreach awareness through traditional and non-traditional media platforms; led cultural broker initiatives in partnership with sacramento county child protective services (trusted messengers from the community who guide families through the system); partnered with local Health systems to develop the prenatal care cultural broker framework piloted in zip code 95823. In 2018 we received a California board of state and community corrections California violence intervention and prevention grant, and the funds continued through 2019. That contract complements the funds reduction of african american child death Program through the healing the hood initiative and has helped to establish a county-wide crisis response network for violence interruption, intervention, and prevention. In 2019, the Program also included the kings and queens rise basketball Program. The league's goal is to interrupt violence by providing an opportunity for young people to engage in an intercommunity sports activity that provides a caring, productive environment through community building, sportsmanship and resources for Health and safety.

San joaquin valley Health fund in furtherance of a healthier, more equitable san joaquin valley, in 2019, the Center at Sierra Health Foundation continued to manage the san joaquin valley Health fund (sjvhf) on behalf of the funder partners. The sjvhf expanded to 23 funder partners, including Sierra Health Foundation, the California endowment, rosenberg Foundation, the California wellness Foundation, w.k. Kellogg Foundation, blue shield of California Foundation, wallace h. coulter Foundation, dignity Health, tides (broad reach fund), hellman Foundation, the james irvine Foundation, convergence partnership, cal Health & wellness/health net, the grove Foundation, werner-kohnstamm family giving fund, new venture fund, sunlight giving, heising-simons Foundation, libra Foundation, the beacon fund, ceres trust, chann-zuckerberg initiative and grantmakers concerned with immigrants and refugees/college futures fund. In 2019, the sjvhf was awarded a total of $6,381,085 from 16 funders to support work over the next one to three years to advance the sjvhf policy platform and capacity building, census outreach, immigrant rights and protections, and access to safe drinking water. In 2019, the sjvhf, through the Center, made 37 grants totaling $650,000 in its round 5 grant making supporting organizations addressing Health disparities and issues prioritized by the community: immigrant rights, Health, housing, education, environmental justice, land use planning and other drivers of Health outcomes. Additionally, the Center awarded 10 non-lobbying census grants for a total of $150,000 to promote a complete census count of hard-to-count san joaquin valley communities by addressing administrative and procedural barriers to a complete and fair census 2020. The Center also awarded 48 grants in the total amount of $1,310,000 for census outreach to hard-to-count san joaquin valley populations.

1) popup Program - the sacramento youth popup Program was developed in january 2019 as a response to youth violence during the 2018/19 christmas and new year holiday season. As youth gathered at malls and other open environments, recognition of limited activities for youth led to the development of the popup Program. In 2019, the Program included 23 partners, providing 12 youth pop up events every-other-week throughout the city of sacramento. During 2019, the providers have held over 500 pop up events and attracted 31,000 youth attendees. In october 2019, the pop up Program introduced the economic mobility Program to support employment opportunities for youth. The Program provides support for two in-school or out-of-school youth to work at each pop up site (48 youth in total) and includes weekly trainings in the areas of job readiness, life skills and youth development. This is an important step in increasing the capacity of the youth Program providers to include workforce readiness and position the youth as leaders ready for the next challenge in life.2) positive youth justice initiative - launched in 2012, the positive youth justice initiative supports communities across California in transforming juvenile justice practice and policy into a more just, effective system that is aligned with the developmental needs of young people rather than outdated punitive approached. The Center, in partnership with three other foundations, are investing in community collaborative in 11 counties who are leading policy and systems change campaigns designed around the healthy justice system framework, one that invests in youth wellbeing, reduces justice system involvement and promotes healing. A number of new policies have been adopted throughout the 11 counties that prioritize youth wellbeing, including shifting education system investments away from school based law enforcement and into social and emotional support for students of color, reducing the use of youth incarceration and detention facilities as well as the adoption of community based restorative justice practices. 3) California funders for boys and men of color - cfbmoc: California funders for boys and men of color (cfbmoc) is a network of ceos from 16 California foundations dedicated to aligning their efforts, resources and influence to improve the lives of boys and men of color in California. The overarching goal is to significantly increase the number of males of color with stable, full-time employment with earnings sufficient to support a family (above 300% federal poverty level). To reach this goal, cfbmoc utilizes the life course framework to guide investments in all 3 of its key regions, the oakland/san francisco bay area, sacramento/san joaquin valley and los angeles county. Efforts in 2019 to achieve this goal included continuing to implement place and policy strategies. In norther California, cfbmoc supported the development of a juvenile justice transformation tool kit with a $50,000 grant. This tool kit will help advocates navigate the landscape while pushing to close juvenile detention centers that impact all young people especially boys and men of color. ; in southern California an initial investment of $200,000 in eight community partner grantees to create a blueprint to shift the youth probation system into a youth development system in los angeles county that addresses youth justice and invests in young people - including young men of color - and ensures they have an opportunity to lead productive lives. A key goal is to affect policy and systems changes that result in increased investment in programs and services to reduce youth contact with the justice system in 2019 cfbmoc has leveraged that $200,000 into more than 4.5 million in committed funds for our community partners to continue the work; cfbmoc continues to support the alliance for boys and men of color (abmoc) in providing opportunities for community-based organizations working with boys and men of color across the state to engage in local and state policy shifts. Cfbmoc in 2019 supported efforts to win key policies in police reform, with an $80,000 grant to support community partner engagement in police reform and accountability throughout the state. In 2019, cfbmoc has also provided our members the opportunity to leverage their collective and individual voices to support community partners pushing for closing the department of juvenile justice. Members have developed principles statements, letters of recommendation, provided invited testimony and written op-eds in media outlets across the state.4) other Program services:mbk sacramento: the my brother's keeper (mbk) sacramento collaborative is committed to improving the educational, Health, social and economic outcomes for local boys and men of color. Mbk sacramento brings system leaders, advocates, community partners, youth-serving organizations and young people together to address Health, education, employment and justice system disparities for young men of color through policy advocacy, systems change and support for effective programs. In 2019 continued our accomplishments via the obama Foundation mbk community challenge impact grant to support the mbk sacramento collaborative in expanding mentoring and violence intervention efforts. Our 2019 efforts towards these goals consisted of hiring a full time mbk sacramento community coordinator to coordinate day to day efforts; selected ten sacramento youth-serving organizations to receive a one year $10,000 each totaling in a $100,000 investment to provide supportive adult relationships for boys and men of color by fostering collaboration and uplifting best practices for mentorship programs throughout sacramento; enhancing our integrated multi-tiered approach to improve the long-term Health, educational and career pathways, safety, and overall well-being of boys and young men of color (bymoc). In 2019, we expanded services for mbk youth fellowship participants by increasing from ten to eighteen males ranging from ages 16 to 20 with lived experiences in school push out, poverty, Health injustice or the justice system to youth leadership through mentoring and policy advocacy; funded healing the hood (hth) Program to reduce community violence serving youth ages 10-15 (pre-gang involvement), 14-25 (gang-involved), and 16-20 (justice system involved with wrap around support in the seven neighborhoods(arden arcade, north sacramento/del paso heights, fruitridge/stockton boulevard, meadowview, north highlands/foothill, oak park, and valley hi). In 2019, the Center for Health Program Management provided leadership, funding and operational support for several other programs that worked toward improving individual and community Health status and well-being in underserved communities. This included eight fiscal-sponsored programs: building healthy communities-sacramento, central valley freedom summer for Health, central valley united for power, community alliance for youth and community justice, cultiva la salud, fresno legal defense fund, sacramento places institute for indigenous peoples, and way up sacramento. The vision, mission and programmatic focus of these programs align with the Center's mission to bring people, ideas and infrastructure together to create a collective impact that reduces Health disparities and improves community Health for the underserved.