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Special Peer-Reviewed Issue
Fall 2005 YOUTH INVOLVEMENT IN COMMUNITY VIOLENCE PREVENTION |
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| Lyndee
Knox, Ph.D. Our feature article explores how youth promotores (community health workers), in partnership with adults and Latino Health Access staff, have applied Paulo Freire's methods of reflective action to move from learned helplessness to hope in one low-income Latino community. Background Overcrowding is a serious problem in the area with as many as three families sharing a one-bedroom apartment, and others resorting to renting garages and even closets to serve as sleeping spaces. A Rockefeller Institute study of urban hardship ranked Santa Ana as the hardest city in the nation to live in, when compared to the other 54 largest cities in the U.S. (Montiel et al., 2004). While the area comprises only 21.5 percent of the Santa Ana Police Department's south coast division, it generated more than 40 percent of all police reports in the city in 2003 and accounted for 56 percent of all juvenile crime reported in the city (Santa Ana Police Department, 2003). The area has few after-school opportunities for youth, and no childcare or community centers. Young children play unsupervised in the streets, older siblings are frequently the primary caregivers for their younger siblings, and school drop-out and teen pregnancy rates are high. A
Climate of Hope
In Freire's model, assistants--in this case the youth promotores--go into the community with the intervening organization, collect data to describe life in that area, and report back to the larger group. These reports stimulate dialogue about the reality of living situations in the area. In this stage, called "decoding," each person presents and shares his or her findings and feelings about these observations. Through a series of discussions, they arrive at themes concerning situations that limit the residents. Themes for the youth program included alcoholism and related violence, poor pedestrian safety, lack of neighborhood beauty, problems with intergenerational family communication, and lack of positive activities for youth. Themes for the youth program included alcoholism and related violence, poor pedestrian safety, lack of neighborhood beauty, problems with intergenerational family communication, and lack of positive activities for youth.Questions are posed about why these situations and conditions exist. Through this process, people deepen their reflections and generate other questions. Freire recommends the participation of a psychologist or sociologist in the process to help the group note the components of the themes as they emerge and develop skill-building and educational sessions around the themes. This process counters the view that nothing can be changed, and interjects hope. More discussion follows, during which the group identifies feasible actions, and then takes those actions, testing the residents' ability to successfully create change and giving the group the energy it needs to take yet another action. The
LHA Youth Promotor Program Recruiting and training promotores. Youth were recruited to the program through a three-phase process that began by the identification of "natural communities" within the 92701 area. Residents were asked to define their neighborhood or community--in general, the two- to three-block area around their home, or the building complex where they live. LHA selected four of these natural communities as intervention sites based on perceived need and residents' receptiveness. Next, LHA staff and adult promotores conducted initial outreach in each of the four communities. They knocked on doors in the targeted neighborhoods, introduced the program, and extended invitations to social gatherings. During this process residents and agency staff became "co-investigators" in researching their community. Once youth leaders are identified and enrolled as promotores, they receive comprehensive training in leadership, needs and resource assessment, data collection and analysis, problem solving, and communication skills. A critical part of this training is for youth to build skills in self-care and self-management (see sidebar).
Conducting community outreach and establishing youth councils. Once established, the youth promotor teams are assigned to work either in the communities where they live or in surrounding areas. The decision is based on three factors: their comfort level working in their own neighborhoods, their ages (older youth promotores are paired with younger ones), and their gender (boys are paired with girls). Initially, the youth and adult programs were separate. However, it became clear that adults were needed to help the youth do outreach. Now all major outreach and events are conducted with an adult promotor present. In fact, the pairing of youth and adult promotores was so successful that adult promotores and the youth decided to jointly plan and implement a four-week, interactive alcohol campaign, which took place in the streets of the four neighborhoods (see the sidebar "Lorena's Story" for more about the campaign). Adult and youth promotor teams are supported during regular meetings by a social worker and psychologist. Hope-energy-action. The cornerstone of the youth promotores' training, and of the intervention program itself, is the hope-energy-action project. Based on Freire's recommendations, youth promotores are taught to look and listen for "themes" in the communities they are assigned to. This occurs during casual conversations with youth and parents in the community, during home visits, at door-to-door surveys, and in community meetings. Once the youth promotores identify a theme, they first bring the theme to the other promotores for discussion and confirmation. Next, the staff train youth promotores on the basic principles of data collection. Finally, youth collect data to confirm the accuracy and importance of the community-generated theme. After collecting data, youth report their findings back to their communities. The presentations help the youth develop leadership and problem solving skills, and promote involvement by youth and adults in the larger community. In turn, this helps to build the support the youth need to carry out their hope-energy-action projects, and to both build and strengthen ties between youth and adults. Next, the youth promotores repeat the process of theme generation, data collection, and reporting back to their youth councils. Promotores and councils design and implement a "hope-energy-action" project that addresses the identified problems.
Reflection. After completing a hope-energy-action project, the youth promotores and their youth councils learn to evaluate the project impact by asking, "What happened as a result of the project?" In addition to collecting data to assess impact, the youth are guided through a series of questions designed to help them reflect on and gain a deeper understanding of the actions taken as well as the intended and unintended consequences of the actions. Using the energy generated by the (usually) successful actions, natural next steps are planned, or new themes are tackled. When Freire's process of reflection and action is successfully implemented, hope is generated, and energy to tackle new projects is high. From a Freirian perspective, and for LHA, the objective of the action does not matter. Residents might work to reduce youth violence, increase park space, prevent the approval of more liquor licenses in their neighborhoods, or improve their community in other ways. What is most important is that participants understand the process of change and how action really does make a difference. It does not matter whether residents are working to reduce youth violence, increase park space, or prevent the approval of more liquor licenses in their neighborhoods. It is important, however, that participants understand the process of change and how action really does make a difference.Evaluation
of the Youth Promotor Program
Challenges,
Lessons Learned, and Implications for Practice
Authors
Lyndee Knox, Ph.D., works at the Department of Family Medicine, University of Southern California, Keck School of Medicine. America Bracho, MPH, CDE; Jazmin Sanchez; Moises Vasques; Ginger Hahn, MPH; Priscilla Monserrate Sanders, MPH; and Cristina Jose Kampfner, Ph.D., are affiliated with Latino Health Access References
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