A mother by her daughter's side, who is getting a COVID-19 vaccine by a nurseThe Center for Reducing Health Disparities and UC Davis Health are partnering with the California Department of Public Health’s Office of Health Equity to improve COVID-19 testing access and vaccination rates among underserved populations in Sacramento and Yolo counties.

The California Reducing Disparities Project (CRDP) is a statewide prevention and early intervention Map of California Latino Implementation Pilot Programeffort to reduce mental health disparities in underserved communities.

Community Engagement Image of Supporting HandsThe Community Engagement program is a well-established resource linking investigators and community partners to implement the mission of building capacity and infrastructure for clinical and translational research.

Cover of Providing Quality Care with CLAS WorkbookThe UC Davis Center for Reducing Health Disparities “Providing Quality Health and Health Care with CLAS” curriculum is an innovative program designed to help leaders in the health care industry develop comprehensive strategies to meet accreditation requirements and improve their quality of culturally and linguistically appropriate services. Created in collaboration with the State of California Office of Multicultural Health and the Department of Health and Human Services, Office of Minority Health, this curriculum is an effective method for quality improvement using innovative teaching modalities. In addition, the curriculum addresses regulatory requirements at the national and local levels.

Trauma-Informed Care and Services for Immigrant Families:
A three-part symposiumUnderstanding the importance of trauma-informed care and providing these services to underserved populations, specifically immigrant families, was the topic of a three-part virtual symposium held July through September 2020.

Archived Projects

Archived Projects, listed in the tabs below, provide a history of the work CRHD supports:

2. Covered California
3. California Reducing Disparities Project Latino Strategic Planning Workgroup
4. Exploring the Effects of Parental Deportation on U.S. Citizen Children
5. Mental Health Services Act Oversight and Accountability Services Evaluation
6. A Sentinel Network to Increase Community Participation in Research 

Solano County Innovations Project

Interdisciplinary Collaboration and Cultural Transformation Model (ICCTM)

In 2016 Solano County Behavioral Health Division (SCBHD), partnered with UC Davis Center for Reducing Health Disparities (CRHD), to launch a multi-phase five-year community-initiated Mental Health Services Act Innovation project known as the Interdisciplinary Collaboration and Cultural Transformation Model (ICCTM).

The project focuses on highlighting the experiences and mental health needs of the Filipino American, Latino and LGBTQ+ (Lesbian, Gay, Bisexual, Transgender, Queer/Questioning) communities of Solano County.

Traditional approaches used to engage and serve these three communities appropriately have focused mostly on the providers’ skill sets, and community engagement to improve utilization.

This project takes a decidedly collaborative and community-oriented approach to these challenges by creating a training curriculum based on the Culturally and Linguistically Appropriate Services (CLAS) standards - a set of nationally accepted standards for cultural proficiency in service organizations and information gathered directly from the three target communities.

Covered California Project

About Covered California

Covered California is the state’s marketplace for the federal Patient Protection and Affordable Care Act. Covered California, in partnership with the California Department of Health Care Services, was charged with creating a new health insurance marketplace in which individuals and small businesses can get access to affordable health insurance plans. With coverage starting in 2014, Covered California helps individuals determine whether they are eligible for premium assistance that is available on a sliding-scale basis to reduce insurance costs or whether they are eligible for low-cost or no-cost Medi-Cal.

Consumers can then compare health insurance plans and choose the plan that works best for their health needs and budget. Small businesses can purchase competitively priced health insurance plans and offer their employees the ability to choose from an array of plans and may qualify for federal tax credits. Covered California is an independent part of the state government whose job is to make the new market work for California’s consumers. It is overseen by a five-member board appointed by the Governor and the Legislature. For more information on Covered California, please visit www.CoveredCA.com

The primary targets of Covered California’s outreach and education efforts are to reach the estimated 5.3 million Californians projected to be uninsured or eligible for tax credit subsidies in 2014. Later this fall, Covered California will offer the state’s residents access to health care through marketplaces established through the federal Patient Protection and Affordable Care Act. Coverage will be available Jan. 1, 2014.

Center for Reducing Health Disparities Role with Covered California

The Center for Reducing Health Disparities was selected as an outreach partner because of its expertise in educating diverse underserved groups about health care. With its partner El Concilio, it will reach out to Latinos eligible for affordable health insurance programs through Covered California. The Center for Reducing Health Disparities efforts will focus on Latinos who live in counties in the Central Valley (Sacramento, Yolo, El Dorado, Placer, San Joaquin, Stanislaus, Merced, Madera, Fresno and Kern).

The Centers for Reducing Health Disparities’ Community Outreach and Education Specialist will explain health-care terminology such as co-payments, premiums and how to select the health-care plan that is best fit. They will use a variety of community-engagement tools such as visiting schools, churches, community centers, and colleges. The Community Outreach and Education Specialist will reach out through social media, booths at flea markets and health fairs.

The project manager will ensure that information delivered to the targeted populations is culturally and linguistically appropriate.

California Reducing Disparities Project Latino Strategic Planning Workgroup

The California Reducing Disparities Project-Latino Focus created an advisory group called El Concilio. This group included Latino community leaders from across California who represented various stakeholders in the Latino community such as providers, professors, consumers, families, therapists, lawyers, directors, ethnic service managers, promotores/as, researchers etc. Data was collected from 13 community forums, including two specifically for the Lesbian, Gay, Transgender, Questioning (LGBTQ) community, and students who were young adults. A Reducing Disparities Latino report titled Community-Defined Solutions for Latino Mental Health Care Disparities was produced by this project. This report included an inventory of community-defined strength based promising practices, models, resources and approaches that are helpful for practitioners, program planners, and policy makers when designing and implementing effective prevention and early intervention programs to reduce, and improve services to better address mental health needs for the Latino community.

Exploring the Effects of Parental Deportation on U.S Citizen Children

The purpose of this study is to understand what happens to the psychosocial functioning of U.S. citizen-children of Mexican heritage who have left the U.S. following their parents’ deportation, or have remained in the U.S. under the care of one parent, other family member or friends. This is a bi-national collaboration between UT Austin, UC Davis and Instituto Nacional de Psiquiatría of Mexico; funded by the National Institute of Child Health and Human Development.

Mental Health Services Act Oversight and Accountability Services Evaluation

The purpose of this evaluation is to aid the Mental Health Services Oversight and Accountability Commission (MHSOAC) in its efforts to explore the impact the Mental Health Services Act (MHSA), as well as state and local policies and practices, has on disparities in access to treatment services and the quality of the outcomes of the public mental health system. The UC Davis Center for Reducing Health Disparities (CRHD) specifically plans to evaluate disparities in access by age, gender, race/ethnicity, and primary language at county, region and statewide levels. Depending on the availability of data, the CRHD also aims to investigate disparities in regards to sexual orientation/gender identity, country of origin, and relationship status (i.e., married, divorced, widowed). This evaluation is guided by a mixed-methods approach employing quantitative analyses of statewide data and qualitative Community-Based Participatory Research Methods (CBPR) with underserved and inappropriately served groups.

A Sentinel Network to Increase Community Participation in Research

According to the National Institutes of Health, although there are about 80,000 clinical trials conducted in the US annually, only about 1% of the population participates in them. By increasing the diversity of health research participants, we help the medical field to: understand health issues facing diverse populations, develop medical solutions appropriate and effective for all people's needs, and give everyone a voice to make known what kind of health information is important to them.

The Sentinel Network is a multi-center project initiated by Washington University in St. Louis and funded by the National Institutes of Health. The project signifies a developing collaboration of 6 CTSA sites (Washington University in St. Louis, University of Michigan, University of Rochester, Albert Einstein-Montefiore Medical Center, University of Florida, and UC Davis). The purpose of the Sentinel Network is to detect emerging community issues regarding participation of underrepresented populations in health research; specifically, health concerns, neighborhood concerns, and motivations and barriers to health research participation of community members in Sacramento, CA. Phase II of the Sentinel Network expanded efforts to include health, social services, and research referrals.