Building Healthy Communities from the Inside Out

Building Healthy Communities from the Inside Out

At Earl Boyles Elementary in Southeast Portland, the intoxicating aroma of Cindy Bahn’s chow mein is filling the school’s community room kitchen. She’s tossing out cooking tips as she stir fries heaping piles of noodles, vegetables, and shrimp.

Over the last six weeks of the school year, Community Ambassadors, or Embajadores de la Comunidad, have been cooking and sharing with one another during a “Recipes Around the World” series. Doing so has helped to strengthen the connections among the parent leaders who serve and represent the school’s diverse students and families.

Cooking workshops also meet the community’s request for more nutrition information and cooking skills. Food for the workshops primarily comes from the Earl Boyles food pantry, where many families receive food supports each week.

Earl Boyles students speak 30 different home languages and about 80 percent come from low-income households. The Community Ambassador program began in 2012 as a way to increase family engagement. Since then, it has stretched to accommodate a broader range of needs, driven by the community it serves and that its members are a part of.

It’s been an awesome opportunity to step up and show my kids that they can do whatever they want.

Josette Herrera

Community Ambassador and Community Health Worker, Earl Boyles Elementary

Cindy Bahn in the community kitchen at Earl Boyle’s Elementary

Anyone in the Earl Boyles community—not just parents—can apply to be an ambassador. Once accepted into the program, volunteer ambassadors can pursue a range of trainings that help them to assist parents and families, including how to administer developmental screenings to children, help parents navigating LGBTQ issues, aid those who may be victims of domestic violence, or help community members experiencing housing insecurity.

“It’s been an awesome opportunity to step up and show my kids that they can do whatever they want,” ambassador Josette Herrera explained, emphasizing that the benefits of the program are personal to those who volunteer.

Sharing their Knowledge on Health

Increasingly, ambassadors have found themselves at the center of an expanding focus on health.

As understanding of the connection between health and later life outcomes has grown, so has the commitment among ambassadors to support the healthy development of the children and families at Earl Boyles and beyond. The most popular training opportunity for Community Ambassadors has been a 90-hour Community Health Worker training.

In April, Josette Herrera and two other ambassadors with Community Health Worker certification—Adriana Govea and Maria Espino—made the 2.5-hour drive to rural Douglas County. The three women shared their experiences as Community Health Workers with parents at Yoncalla Elementary School. Earl Boyles and Yoncalla are both learning laboratories in Children’s Institute’s Early Works initiative.

Govea was a volunteer and resource for her community even before she took the training to become a Community Health Worker. She described how the training she went through improved her confidence in her abilities to respond to community requests for help.

 

I feel fine to go to the clinics with my clients, or to the hospital. Because I can say ‘I’m a Community Health Worker.’  I have the confidence to navigate for my clients.

Adriana Govea

Community Ambassador and Certified Community Health Worker, Earl Boyles Elementary

Community Ambassadors (in blue shirts L to R) Josette Herrera, Adriana Govea, and Maria Espino on their visit to Yoncalla.

Community members from Yoncalla’s Early Works program listened to Earl Boyles Community Ambassadors discuss their experiences as Community Health Workers. 

Parent-to-Parent Connection

While Yoncalla may seem worlds apart from the more urban setting their visitors call home, the concept of families helping other families was nothing new. Sharing a common culture, language, or life experience helps foster an environment where parents can feel comfortable seeking advice or assistance.

“It would be easier for some parents to communicate with [other parents],” about personal issues, Tracey Lancour, a grandparent in Yoncalla explained.

Attendees at the meeting were enthusiastic about the prospect of receiving training to help others in the community. They spoke about urgent community needs like supporting parents of children with disabilities, those suffering from mental health issues, or struggling with drug or alcohol addiction.

Families you deal with don’t care what you know,  until they know that you care.

Mike Grimes

Grandparent, Yoncalla Elementary School

Community Based Participatory Research

Ambassadors from Earl Boyles have also played key roles in several research projects, including a recent community-based pilot research study on preschooler eating habits conducted by OHSU-PSU School of Public Health.

Community Based Participatory Research (CBPR) seeks to empower community members as partners in health research. OHSU-PSU Associate Professor Betty Izumi thanked Earl Boyle’s ambassadors and community members who helped to design, implement, interpret, and present the results.

She noted that 89 percent of the mother-child pairs who initially signed up ended up participating in the study. “That’s tremendously high,” she said, much higher than the follow through for many clinical trials. Izumi credited the ability of community members to serve as cultural brokers between families and researchers.

CBPR approaches have also been credited for helping to create health recommendations or interventions that are more readily accepted and understood by their research communities.

Back in the community kitchen at Earl Boyles, the atmosphere is celebratory.

Group members prepare to indulge in a buffet of culinary contributions from around the world—a delicious celebration and reflection of all they have contributed to their communities this year.

Community members took an active role in a pilot study on preschooler eating habits. 

In Early Works, Data Empowers Parents to be Key Decision Makers

In Early Works, Data Empowers Parents to be Key Decision Makers

For our 23rd segment, we interviewed Dr. Marina Merrill from Children’s Institute (CI) and Dr. Beth Green from Portland State University (PSU). Dr. Merrill is the senior research and policy advisor for CI and leads the organization’s research on prenatal through third-grade issues, evaluation, data collection, and analysis. Dr. Green is a research professor and the director of early childhood and family support research at the Center for the Improvement of Child and Family Services at PSU. Our discussion focused on the Early Works initiative, a 10-year initiative working in two Oregon communities: Yoncalla Elementary in Yoncalla which is in Douglas County and Earl Boyles Elementary in Portland in Multnomah County. The project was set up to explore and demonstrate a new approach to education and healthy development for young children and began in 2010.

 

Housing Crisis Affects Earl Boyles Community

Preschool teacher Andreina Velasco knows at least several of her students at Earl Boyles Elementary are from homeless families who have moved in with friends or relatives while they struggle to find a home. Sometimes she sees the stress of unstable housing reflected in children’s restlessness and lack of focus in class.

Homelessness has grown worse over the last three years at Earl Boyles and throughout East Portland and Multnomah County as the area population grows, gentrification pushes to the metro outskirts, rents rise and available and affordable housing grows scarce.

Housing Crisis Affects Earl Boyles CommunityChildren thrive on routine and consistency, Velasco says, but it is hard for parents without stable housing to provide that. “They see their parents having a difficult time,” she says. “It definitely has an emotional impact on them.”

The scope of the housing crisis for Earl Boyles’ families became apparent last year after the Children’s Institute surveyed 83 of them and found three in four had seen a rent increase over the previous year averaging $95 a month. A third of families were relying on help, mostly from relatives and friends, to pay rent.

Children’s Institute is concerned housing disruptions can create emotional, attendance and behavioral problems for children and have a negative impact on early learning and school success. Engaged with Earl Boyles through it’s Early Works initiative, a partnership that involves more than a dozen Southeast Portland organizations, the institute this fall teamed up with additional agencies to offer a housing assistance program. Home Forward, the housing authority for Multnomah County, pledged $175,000 for each of two years to provide short term rental assistance to Earl Boyles families.

But even with that money, the severity of rent increases and scarcity of affordable housing has made it difficult to put families in permanent housing, says Rachel Langford, education and youth initiatives director for Home Forward.

“We are just not serving as many families as we hoped to be serving at this point,” she says.

As of late February, the housing program launched last fall had helped three families with short term rent assistance, helped another half-dozen families avoid eviction, and was responding to six homeless families seeking housing and to 10 referrals for other families needing help, says Langford. The program is funded to serve about 50 families per year, and its leaders believe they are not reaching many families in need.

The program is based at Earl Boyles and run by a director working through Portland’s Immigrant and Refugee Community Organization, which is on contract with Multnomah County. Those receiving housing help must live within the Earl Boyles enrollment area and have gross annual incomes below 50 percent of the area median income, $36,650 for a family of four.

A temporary fix

The programs’ short term rent assistance can help families get settled into apartments. But some families “are reluctant to sign on to short term relief with our assistance if they can’t sustain it” after the subsidy ends, Langford says.

Finding affordable housing also has become more difficult because the tight market allows landlords more options to raise rent, remodel and turn to higher-income renters. Larger families, with three or more children, are finding that landlords will not accept them for two-bedroom apartments as they may have in the past when they had higher vacancy rates, says Marina Merrill, senior research and policy advisor for Children’s Institute. Three bedroom apartments are uncommon, and even with rent assistance, largely out of reach for low-income families, she says.

Given the complexities of placing homeless families in permanent housing in this rental market, the Earl Boyles housing program has started doing more eviction prevention to help families who have housing keep it. As rents climb, many families are spending a growing share of their income on rent. The non-profit Community Alliance of Tenants (CAT) has seen renters in East Portland pay a majority of their income on housing for fear of being left homeless, says Christina Palacios, senior organizer. Residents are financially squeezed when their rents climb above 30 percent of their income, yet the Portland Housing Advisory Commission reported that 28 percent of households in Portland in 2016 were paying half or more of their income on rent, Langford says. Families overburdened by rent often rely on food banks for groceries or have their children bring home leftovers from school lunch programs, Palacios says. Some families double up and share an apartment, but that’s dangerous because it gives landlords grounds for eviction, she says.

Housing has always posed a challenge for low-income families, but it has become so rare and expensive that the City of Portland declared lack of affordable housing an emergency more than a year ago. Rents in the metro area have climbed by 63 percent over the last decade while salaries increased by only 39 percent, according to the National Low Income Housing Coalition. In East Portland, rents climbed 13 percent in 2016 alone. Available housing, the national coalition reports, falls short by 36,000 units in Multnomah County and by 63,000 for the Portland metro area for families with incomes below 50 percent of median family income.

A federal count in 2015 found about 3,800 people living on the streets, shelters or temporary shelters in Multnomah County and another 12,000 jammed into homes with other families.

Forces at work

A growing population and gentrification has been pushing low-income residents to the outskirts of the metro area for more than a decade. A decline in federal housing funding, a state ban on rent control, few regulations on no-cause evictions and unfair renting practices have all contributed to the housing crisis, say housing authorities.

“We’re seeing some landlords evict whole buildings and flip (remodel) them,” says Ruth Adkins, policy director for the Oregon Opportunity Network, a nonprofit association of 150 affordable housing and community development groups. “People in the entire building are out on the street in short order.”

CAT is providing classes for tenants to help them know their rights and lobby government officials for more protection. The agency last summer provided about 20 Earl Boyles parents with lessons on renters’ rights, fair housing, lobbying and the eviction process, Palacios says. Further, some middle class residents are beginning to feel the squeeze of rising rents and are pushing for action, says Adkins.

Tenant advocacy efforts are paying off. Portland will spend $258 million to build and preserve hundreds of affordable apartments for its poorest residents after a large majority of voters last November approved a bond levy for the initiative. In December, the Portland City Council unanimously approved an inclusionary zoning policy that requires apartment and condo developers to set aside 20 percent of their units as affordable housing for residents who earn less than 80 percent of the median family income. The policy includes tax waivers and other financial incentives in exchange for the inclusion of affordable units within new housing projects.

In February, the council approved an emergency measure that requires landlords to pay between $2,900 and $4,500 in moving costs to tenants they evict without cause or who are forced to move because of rent increases of 10 percent or more over a 12-month period. The Oregon Legislature also has pushed the housing crisis in Portland and across the state to the top of its 2017 agenda.

Housing relief cannot come too soon for low-income parents at Earl Boyles and throughout the metro area who want to see their children focus on learning rather than on where they are going to sleep at night.

Three Oregon communities named 2016 GLR Pacesetters

Three Oregon communities named 2016 GLR Pacesetters

The Campaign for Grade Level Reading announced its 5th Annual Pacesetters Honors today and recognized three communities in Oregon among 48 across the nation for working to improve school readiness, school attendance, and summer learning. Lane County The GLR Campaign recognized Lane County as a 2016 Pacesetter for making population-level measurable progress for low-income children in school readiness and summer learning. United Way of Lane County serves as the backbone support organization for the Lane Early Learning Alliance, which is focused on working together with cross sector partners to create systems of services and supports that are aligned, coordinated, and family-centered to ensure children are prepared to succeed in school and life. Through Lane County’s collaborative efforts with partners, developmental screening rates for children have increased from 28.3% in 2013 to 67% in 2015, indicating a significant improvement in school readiness for low-income children. Lane County has also implemented and scaled a successful Kids in Transition to School (KITS) program to improve summer learning and strengthen parent success. The KITS program has scaled significantly, from serving 40 children at two sites in 2011 to serving 368 children at 24 school sites in 2016. Program outcomes include a 28% drop in the number children at risk for reading failure, as well as indicators of parental confidence at supporting their children’s learning and positive behaviors. The Campaign would especially like to recognize Lane County for their exemplary work to achieve success, scale, and sustainability of GLR efforts and outcomes. Wallowa The GLR Campaign also recognized Wallowa as a 2016 Pacesetter for making population-level measurable progress for low-income children in school readiness. Wallowa is a frontier community with extreme geographic isolation, high levels of poverty, and extremely limited resources. Despite these challenges, an innovative partnership between Winding Waters Clinic and Building Healthy Families has been supporting parent success, school readiness, and holistic health through efforts such as parent education, developmental screenings, Reach Out and Read, and awareness campaigns. Through these efforts, Wallowa County has seen astounding improvements in school readiness through rates of developmental screenings, with 0% of children birth to age 5 receiving a developmental screening during well-child visits in 2012 to 100% of children birth to age 5 receiving a developmental screening in well-child visits in 2016. Winding Waters Clinic serves 90% of Wallowa County’s low-income population and is making an incredible difference in promoting healthy child development and school readiness in the community. Earl Boyles Earl Boyles Elementary in Southeast Portland was recognized as a 2016 Pacesetter for integrating efforts to support parent success and address the health determinants of early school success. Earl Boyles is in the David Douglas School District, one of the state’s highest-need districts. It is a culturally and linguistically diverse community, with more than 20 languages spoken at the school and approximately 70 district-wide.

  • Since 2012, Earl Boyles has scaled from 1 to 3 preschool classrooms for 3- and 4-year-olds with all catchment 4-year-olds being served and made significant advances in strengthening early learning. The school has:
  • Implemented a multi-pronged summer literacy strategy with community partners Passed a general obligation bond that allocated funding for an early learning wing built with a majority of public funding
  • Established a parent leadership and volunteer group Conducted a Community Health Assessment using a community-based participatory model to understand the child and family health factors impacting school readiness
  • Supported a new governance system to ensure the sustainability of partnerships and efforts The community uses a data-driven approach and has seen positive outcomes in the areas of school readiness and chronic absence.

Read the press release from The Campaign for Grade-Level Reading

Earl Boyles Builds Literacy with Multnomah County Library Partnership

Earl Boyles Builds Literacy with Multnomah County Library PartnershipAccess to books and time to read are essential for kids who want to explore, learn, and build their literacy skills. That’s why the Multnomah County Library (MCL) established a Lending Library at Earl Boyles Elementary in Southeast Portland — to provide a free resource for young readers and their families that removes barriers to books and reading.

Considered a demonstration site, the Lending Library began three years ago with a grant from The Library Foundation and 2,500 hundred books. MCL moved forward with the initiative after learning about Early Works, an initiative launched by Children’s Institute with key partners including the David Douglas School District, Mt. Hood Community College Head Start, and Multnomah Early Childhood Program. MCL recognized an opportunity to serve the community with a unique public school partnership, impact early literacy in a high-needs community, and bring books directly to students and families.

Increasing the number of books in the home is associated with improved literacy rates, and reaching 26 books or more in a household correlates with higher academic achievement in later years. Evaluations of the Earl Boyles community beginning in 2011 indicated a lack of books in the homes of kindergarteners. Today, the number of kindergarteners’ homes with more than 26 books has increased from 47 percent in 2011 to 74 percent in 2014.

While the Lending Library now offers books for students of all ages and includes some parent resources, the collection focuses on books for children ages 0-5 and is meant to get more adults reading with young learners. This activity — adults reading with children every day — increases language and literacy development, particularly during the crucial years of brain development prior to kindergarten.

Earl Boyles Builds Literacy with Multnomah County Library Partnership“This kind of effort is more than providing access to books, it’s about what can happen with access,” says Katie O’Dell, the youth services director at Multnomah County Library. “Improving knowledge about school, culture, and health, building literacy and creativity, establishing relationships with trusted teachers… these are all results of immersing kids with lots of quality books.”

MCL chose the first supply of books carefully and worked to represent the families served by Early Works and Earl Boyles. With diverse, multicultural themes, the books portray a range of cultures, languages, and stories to strengthen the connection between the school, library, and community.

Ranked as one of the top libraries in the U.S., MCL has a strong track record of supporting efforts to stimulate reading and embraces the five principles of early literacy: read, talk, sing, play, and write. These provided the framework for a family breakfast series last year hosted by Children’s Institute that explored ways for parents and families to build literacy using each of the principles.

Parents and families, in fact, are essential to the success of the Lending Library. A handful of parents from the Parents United Group at Earl Boyles maintain the library and help coordinate activities with AmeriCorps volunteers and Schools Uniting Neighborhoods (SUN) staff. Last year, they scheduled weekly story times in both English and Spanish.

Renea Arnold, Every Child initiative supervisor at MCL, says the Lending Library has increased parent involvement in the school. “Placed right in the lobby of the school, it serves as a living room, a welcoming family space. Parents can come and support their child’s learning right at school.”

Earl Boyles Builds Literacy with Multnomah County Library PartnershipStudents and families can take books home whenever they wish; no library card is needed and there is no due date. The collection is well-used and continues to grow, thanks to ongoing support from the Library Foundation and MCL’s supply of books that exit the library system.

“Kids are always taking books home,” says Youn Sun Han, the SUN coordinator for the school. “They often bring them back and take new ones. But if we see the supply dwindling we get more.”

O’Dell says reading will come to kids if they are surrounded by great materials. “We can always get more books, and we’re committed to providing a plethora of high-quality choices.”

But what makes the Lending Library special is the network of supporters working to establish a culture of literacy at the school, one that depends on deep collaboration and collective efforts to address learning gaps in the early years for a high-needs community such as Earl Boyles.

“We’re along for the ride,” says O’Dell. “We like to reinvent how MCL reaches our audiences, and this is a great example of how to surround people with books and help open doors for people to explore and learn.”