MayDay Parade

Wednesday, May 6, 2015

Heartbreak & Hope: Spoken Word Performance

As usual, writing this post as homework for a class I am taking at the University.

It's an unusual class and I'm glad to be in it -- been bragging about it a lot -- since my colleagues and friends are largely part of the same youth-y community. But old.  Here's a link to the instructor's web site (National Slam Poet Champion!). Not only GREAT poetry/art, GREAT information for understanding hiphop (sheesh, it's so much bigger than I though!) and resources. Go there NOW and see his piece on Consent.

Class assignment:  Attend a hip hop related event. Write a brief paper. Did that, turned it in. But wanted to take a minute and share some thoughts with my adolescent health friends.

Are we listening?
That whole "youth voice" thing that we hold up as a public health priority? Here ya go. We spend a lot of time and money trying to understand what young people think about their health through focus groups and surveys when in fact young people ARE ALREADY talking about it. Granted, their ideas don't fit in our neatly arranged boxes and surely we will be confounded by the fact that our priorities and HP2020 goals are not at the top of their list. That said, perhaps our community would be surprised. At this single event I heard young people talk about their experiences with
    • Eating disorders
    • Healthy relationships
    • Violence
    • Racism:  individual, internalized and systemic
    • Gender identity and sexual orientation
    • Teen pregnancy
    • School/education
I am not suggesting we co-opt their art/voice. I am suggesting that we 
  1. Listen, value, fund, endorse, amplify, etc existing places/opportunities where youth voices 
  2. Recognize that our own dictates/methods/expectations get in the way of hearing and including youth perspective. In short, let's fix us. (yeah, yeah, sample size, representation, bias, validated measures.)
Pain.
Young people sharing their experiences and emotions through spoken word is artistic, brave, beautiful, inspiring, musical, moving, thoughtful, intellectual, purposeful, evocative ... list continues. I was impressed by their mythological and literary references, ability to verbally paint pictures, engage all the senses, link to current events, perform!, see themselves as individuals while part of community, self reflect ... list continues. I  was stunned and awed, by their ability and willingness to share their pain. I'm not sure I could be that vulnerable in front of a crowd, frankly. And yeah, the pain was sometimes expressed as sadness or anger or sarcasm.

As the "youth-serving community" (bad label/all I've got) what do we do with that?  Do we have a box for pain on the YRBS? Is it a risk or protective factor? Do we write it off as "developmentally appropriate?" Or as the natural outgrowth of the medium? I can analyze it all day long, but hearing it reinforced my belief that WE (public health, old people, society, voters, Minnesota, whatever) are failing them. That they succeed in spite of us. That another "obesity prevention" program or teen pregnancy prevention funding stream = FAIL.

Can we listen?
I'm not sure that some of my family, friends or colleagues would have heard what I heard that night. Me, ten years ago probably wouldn't/couldn't have heard some of it either. I don't say this to judge or get a cookie. While I might hope and believe that old, white, middle class, college educated people (not ALL, to be clear) would be inspired and moved by hearing these young people, it's just as likely that they'd be freaked out and put off. On some level, that's ok -- right? Part of the process, to walk away thinking, what was that all about??? But for folks in that place, what happens next? Do they grow from it or does it reinforce what they walked in with? I'd like to think that the young people's authenticity and vulnerability would break through personal bias, but... (as I re-read, I realize how much I'm inserting my agenda onto these young people's art. Murp.)

Homework: 
I went to this because it was homework. I had concerns about fitting in: unfounded. Learned alot (ask me about audience participation AND support, sacrificial poet, technology+poetry, literary references). Was inspired and motivated.  How about you?

  • Go hear for yourself. Bring an MCHer. Talk about it. 
  • Fund this! Can't we find a way to include this kind of programming in our public health funding? PYD for sure (watch the video!!) and I'm sure some enterprising and creative adolescent health folks could align it with any/all health topics?
  • Fund these poets!  Here's a link to the org that sponsored the event I attended. #7upforSocialChange -- I dare you to donate. Do it, send me a receipt and I'll match you (up to $100, that is).

As always:  push back.  You know I like it.
 g/

BTW:  "Heartbreak and Hope" is a Gisela Konopka reference. I couldn't stop thinking about how much she would have loved this event and felt hope at knowing an organization like TruArtSpeaks was around. That if she were alive today, she'd be collaborating with them to better understand the role government, systems, schools, social workers, etc ought to play.



Friday, June 6, 2014

Framing Disparities – Public Health Institute 2014

Greetings, all! This is where students from the Public Health Institute will be posting their "homework." Check out the comments section to find a host of references, links and resources that document the intersection of place, systems/structures/environments, bias AND health.

More framing of this work to come!
 g/

Monday, May 5, 2014

Just say no.


Dear Adolescent Health Coordinators (and interested others):

What follows is an assignment for a Liberal Studies class at the University of Minnesota. As many of you know, I’m trying to add some initials to my name and taking the opportunity to learn more that I can apply to our collective challenge: doing right by young people.

In this case, the class was about Fear. Over the course of a day, the professor gave us bite-size morsels from a variety of disciplines that study fear: everything from morality/religion to psychology to addiction treatment. I saw this as an opportunity to explore the literature about sending fear messages to adolescents in public health campaigns.


Background
Hanging out with you all, I picked up the conventional wisdom (based on the literature I assume, since you all are always about the literature) that scary, gross looking images of diseases were not an effective health communication for adolescents.  During the time we’ve been working together, the shaming, blaming “your life will be ruined by teen pregnancy” ad campaigns, sensational cable TV programming about life as a teen mom and the recent public health efforts targeting obesity by fat shaming kids and blaming their parents. And then there was that meth campaign. High production values, dramatic and scary as hell (rape, murder, suicide, prostitution) story-lines. Reports I read said it worked!

Purpose
My goal for this exploration was to 
  1. See what sort of evidence supported the use or rejection of using fear-based messages in adolescent health campaigns, 
  2. Find out why and how the meth campaign worked 
  3. Find good stuff to support our work – for example, if fear messages don’t work -- what does? 
  4. And as always, I’m looking for insights, tips, concepts that what in the might improve inform the use of media campaigns and communications to promote adolescent health. (Note: this means I stray a little bit from an exclusive focus on fear campaigns.)

Limitations
Most of you already know that I have very strong feelings on this subject and that my personal experience (as an advertising exec and then a public health groupie) colors my perception and understanding of this topic.  I make no claims that this is a comprehensive review: the citations are linked here. In considering what to read, I chose some meta-analyses, tracked down the names I saw most frequently in citations and Googled my way into a drop box that contained a researcher’s bullet point summary of his meth campaign results analysis written for the Governor of Montana. I was intrigued by some recent brain research (how adolescents deal with fear) and wandered into skin cancer and sunscreen use promotion. While typing up my references I was struck by the diversity of my reading – not unlike the class session itself – I read journals from the fields of psychology, health communication, health education, public policy and marketing, medicine, sex research, community health dermatology, marketing, and prevention science.

Without further hedging, the following are my thoughts on we all should know about fear and public health messages. Here's a glimpse of what is to follow, after the jump:
  • Fear messages in public health campaigns aren’t effective.
  • Measuring behavior change (the desired outcome of fear campaigns) is mostly bogus.
  • Theoretical models of fear processing are cool!
  • The unintended consequences are SCARY.
  • Developmental Insights!
  • The meth Campaign
  • Glynis' reading of the adolescent brain research on fear
  • Citations


Wednesday, June 12, 2013

The "Right" Message?


As part of the U of M’s public health institute class on framing health disparities, we are using this blog post to inform our collective effort to send the “right” message.


Every time I read the communications research (see previous blog post) on this subject, I’m always left thinking about the recommendation that the “right” message means NOT talking explicitly about racism or even emphasizing racial differences when talking about disparities.

I get it. I believe their analysis. As an ex-advertising exec I should be all over it.

But I just can’t buy it. Not naming it renders it invisible, insignificant and enables the systemic status quo. I get that ultimately it works toward the same social justice goal, but I think there are other implications of prioritizing this frame: particularly for us folks that work in or with systems. I’ve observed and participated in too many health disparities discussions, workshops, conferences, etc where racism is never named or discussed. Doesn’t that make us complicit in perpetuating it?
“We need to illuminate racism in order to eliminate racism.
By consciously addressing racial equity, we can stop unconsciously replicating racism”
~Terry Keheler, Applied Research Center  
We can do both. I don’t have a communications report to support my assertion, but I continue to believe that by talking about/telling stories about how systems and structures impact health outcomes – and showing how structural racism contributes to those systems, structures and policies – we are sending the “right” message.

Easier said than done. We’ve got tons of data and talking points about our health problems and our efforts to impact individual behavior.

Where’s the data, research, stories, insights, talking points that can support the “right’ message?

Why, it’s right below – in the comments section!

Courtesy of the University of Minnesota’s PubH 7200, Section 114 class.

Check out our write-ups of the evidence we found to support our message.

Please use it, comment on it and if possible – add your own ideas.

UMN School of Public Health PubH 7200, Section 114

Woot! I'm teaching a class for the University's Public Health Institute.

It's an expansion and adaption of my standard training, but the U's resources (and the expectations for an MPH for-credit class) made it possible for me to do a lot more with the learning.  With benefits for us all! See next post.

Here's a list of our readings and a description of the final assignment that will be featured in the next post.

Assignment:  Making the Case
Identify a relevant (to your interests and our class focus) resource: research study, news article, case study, etc. The resource should:
  • Provide insight on the relationship between place and health
  • Illuminate the intersection with structural/systemic racism, racial disparities
Post your comment on the instructors blog
  • Include a link to the resource
  • Less than 300 word description

Reading List















Saturday, March 16, 2013

Having a Facebook page is not an effective strategy for engaging young people in your health issue or concern.

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According to danah boyd*, young people are largely using SNS (social network sites) to connect with their own circle of friends – the ones they interact with off line. SNS create another “place” for young people to hang out, gossip, flirt and do all of things young people need to do to negotiate peer relationships and work on their identity. 
The National Campaign isn't the only offender. State public
health departments wanna be here, too!
 
“Having a FaceBook page” isn’t about engaging young people. We in the public health community tend to think that by being there, we can connect, raise awareness, deliver our health messages, educate and so on. But boyd’s research shows that this is not why young people go to SNS. I'm extrapolating to say that our presence there is unimportant and largely irrelevant to them.

(Glynis noteIt may be possible that our presence – usually representing our specific health concern (or our funding, to take a more cynical view) – may play some sort of “branding” role – since young people express their identity and “coolness” by wearing or showing representations of people, products, issues that they feel reflect them. boyd does talk about this. But that’s about their choices and preferences – which isn’t something we are going to affect through a FaceBook page.)
 
While we as organizations or health topic experts may not be a point of connection, the individuals in our community that engage directly with young people off-line certainly are.


Boyd describes the successful efforts of teachers, parents and youth pastors. She attributes their success to the deeply held principles of youth work:  Adults must be trusted by young people and respect the “place” where they are engaging. For SNS, this means adults must understand the norms, conventions and even coded language created by young people. Any attempt to control, shape or constrict young people in this context breaks that trust and therefore, the connection.  


It is the rare adult who is willing to give up that control. I’d argue that only our best, most engaged youth workers (and possibly teachers) have that skill.


I’m not suggesting we take down our FaceBook pages. 


If we seriously want to use SNS to connect and engage, we’ll need to seek out and recruit adults and young people who are already parts of these networks. Then we should support them. With money. With resources. With access. And, most importantly, with voice. 


Resources aren’t the only barrier. Society – and our own discipline – creates enormous barriers to adults (other than parents and a few others) connecting with young people. 


It’s not only socially suspect, we’ve built entire systems, laws and structures to keep young people out of adult places and spaces. Boyd points out that our health efforts to educate young people about online (as well as offline) “stranger danger” have unintended consequences:

Stranger danger educational campaigns contribute towards producing public space as “naturally” or “normally” an adult space where children are at risk from ”deviant others.” (boyd,  p. 275)

We're scared of teenagers, we're scared
of what might happen to them, and
our fear dictates how they respond
and react to us and systems. It's even
disrupting what we know to be
a core developmental strategy:
connections to caring adults.
Our stranger-danger message translates to young people:

  1. On-line is an adult world and it’s not for you;
  2. Engaging with adults online is scary and risky; and
  3. Any adult that attempts to engage with is “deviant.”

Sadly, health strategies intended to “keep kids safe” are more acceptable and mainstream than our efforts to encourage and enable connections or support peer interaction. As advocates of “healthy youth development” we need to redouble our efforts here. It’s an uphill fight and seems counterintuitive – but we need to stop emphasizing safety and continue to frame health promotion as what bests supports development.

Teens are socially isolated for their safety and for the safety of adult society, child development is used to justify this policy, but little consideration is given to the costs of such restrictions and the ways in which limited access to broad social contexts curbs cognitive development. (boyd, p. 246)

It’s not really about FaceBook, after all. Our conversations about “figuring out how to use SNS  as a way to improve the health of young people” are misguided.


What we really need to be talking about is how our underlying systems, structures and policies do or don’t support development. SNS is just one part of those structures – but it is a compelling and revealing one.



For example, boyd declares that the reason young people have readily adopted SNS is because there are very few places where they can engage with their peers on their own terms, without adult intrusion and control. They’d rather be parks, they say, but between curfews, lack of transportation and parental stranger danger fears, it’s not possible. 
Youth friendly spaces!
The "obesity epidemic" is a terrible frame,
but these researchers are truly
examining the relationships between
place and health.




Does our work create or support youth-friendly spaces where young people can work on their developmental needs to connect with peers? I don’t recall these types of questions on our health surveys. I don’t see our “science based programs” considering peer interaction as core components. In fact, we’re still fighting about how important it is to include “relationships” in our sex ed curriculums. I propose that even the simple step of highlighting the presence or absence of these places should be core to our public health approach. 


I also believe that our community has a lot to learn by doing as boyd does – lurking, observing, learning and understanding. 


Are we learning from young people?  boyd describes in great detail how young people, in navigating SNS, must “create” their on-line identity and navigate relationship using adult-constructed platforms.


The simple act of creating a FaceBook page forces a level of self-reflection and analysis that the youth-serving community continually trys to re-create in youth programs. Creating a FaceBook presence requires young people to consider who they are, who they want to be and who their audience is. These steps are central to the developmental process (and extend into media literacy as well!).


Further, the strategies young people use to friend, de-friend, and rate top friends are all part of a learning process around relationships. Reflection, analysis and decision making all must occur. Young people appreciate that de-friending is harmful and an inappropriate response to low level conflict. 

  • They believe that reciprocity – in comments, friending or ranking – is an expected community norm. And these are norms they created on their own!
  • They’ve developed clever work-arounds, like listing friends or bands as top friends to avoid the complications these lists create in their own circles.
  • They’ve decided to disregard or circumvent parts of the SNS construct that cause them trouble or may potentially expose them.

Are we appreciating and validating these new skills and experiences? 
Many of our efforts attempt to get young people to thoughtfully engage in the idea of relationships - yet we do it from an adult-controlled perspective.  Young people are already doing this!  Why aren’t we incorporating these practices into our own efforts?  Where are the programs that build off of young people’s expertise, experiences and accomplishments navigating SNS? 

By facing decision about how to circumscribe their Friends lists, teens are forced to consider their relationships, the topology of their peer groups and the ways in which their decisions make affect others. (boyd, p. 220)

Following their lead in this way is a central tenant of healthy youth development.  And we can take it farther.


Our efforts are best focused on getting out of the way
and creating venues for young people to
talk about their priorities and concerns.
Instead of making our work exclusively about infusing pro-social, pro-health, developmentally supportive perspectives into young peoples’ networks, it is also our responsibility to hear and broadcast youth perspectives about these issues.


Boyd and others believe that young people have a distinct advantage in navigating and experiencing networked technologies and digital publics (over adults) because their orientation is different than ours.

Unlike adults who are re-learning how to behave in public because of networked technologies, teens are simply learning how to behave in public with networked publics in mind. (boyd, p. 295)

Concepts of privacy illuminate this difference. Boyd believes that for young people privacy has to do with context and control – not potential access. (boyd, p. 147)


This is why a young person is angry at her mom for reading her FaceBook page. And why mom doesn’t understand her anger, since her daughter’s FaceBook page was publicly accessible. Young people embrace the idea that complete privacy is impossible in a digital, networked world. What they want is some level of control over how it is interpreted and used. 


Any model of privacy that focuses on the control of information will fail. (boyd, Networked Privacy)



It isn’t surprising that boyd applies this insight to larger societal concerns about privacy in a digital age (where marketers aggregate data and target ads to consumers, where photos are posted without anyone’s approval). 


She suggests that rather than trying to dictate controls of information, we should be attending to who has the ability -­ and the right ­– to interpret what data they think they see. (boyd, Networked Privacy)  
  • Should employers be able to judge potential employees based on FaceBook page content – which they are reviewing entirely out of context? 
She asks us to consider if there are mechanisms by which people can challenge how they’ve been interpreted? (boyd, Networked Privacy) 
  •  Is there an equivalent to conversation a the teenage girl has with her parents when confronted about a link to “legalize marijunana” that is interpreted as “oh no! My daughter is smoking pot!"
Young people have perspectives and insights that we will never have. 

Not only have the next generation not given up on privacy, but they’re actually trying to find ways to achieve privacy in networked publics. (boyd, Networked Privacy)
We can not adequately provide support if we don’t understand or appreciate these perspectives.
 
As I’ve tried to show in this post, dana boyd’s work illuminates these perspectives.


But it isn’t enough. 


It remains our collective responsibility to create opportunities and places where young people can use their voice. At a minimum, we in the public health or youth serving community must be a listening audience, but whenever possible we should strive to broadcast their voices, their perspectives, their needs to larger audiences, audiences with authority and resources.


After all, it's young people who won the culture war.
Public health priorities:  making room for their voices,
creating access to audiences, learning how to
engage in a digital world.

We’ve traditionally justified and rationalized youth leadership and youth voice strategies by showing how important they are in supporting young people’s development. It’s about how we as adults support them as young people.


Dana boyd offers us another, more revolutionary rationale.


Teenagers reveal valuable techniques for interpreting and reworking publics. Their experiences provide valuable insight for understanding how publics are transformed by structural forces. (boyd, p. 303)


We, as adults and the larger community, need them

Just as they've taught their parents how to create a FaceBook page or use a RSS feed, they will teach our society how to thrive in digitally-networked world. Our dependency on them may not be obvious to the broader community -- but the examples offered by boyd and the on-going leadership of young people clearly illustrate what we have to gain. If we want to change our systems, build support for young people and create healthy communities, it's our job to illustrate, promote and champion the contributions young people can and do make.



*Unless other wise noted, all references here are for Ms. boyd’s dissertation:
 boyd, d., 2008. Taken out of Context: American Teen Sociality in Networked Publics.

For citations and brief introduction to this post, jump past the break.

Tuesday, April 24, 2012

Shadows Dancing on the Walls

Writing from historic Benson Hotel in Portland on the last night of a grand Oregon adventure.

Specifically, I just returned from Oregon's Adolescent Sexuality Conference in Seaside -- a classic "beach town" in a place one doesn't typically associate with beaches.

I am compelled to write this now because the last day of this conference was MIND BLOWING.

Today's keynote speaker was a prof from ?? Oregon State?? Ben Anderson-Nathe.  It would be impossible for me to re-create his points, but as this post title reflects he used Plato's cave allegory to talk about how we in the youth field are still essentially looking at shadows on the cave wall when it comes to our work. Caveat:  I'm writing this now largely for myself, so apologies if any random or familiar person reads this and is wondering what in the world I am ranting about.

He challenged the entire concept of "adolescence" and suggested that by continuing to wed ourselves to the term and idea, we are limiting how we approach our efforts AND continuing to "frame" young people negatively. In essence, he took the entire teenager/young people framing shift (hat tip to frenemies at the FrameWorks Institute) and NUKED it! Taking the whole "adolescence is an artificial construct" to it's natural conclusion ... and then it got really interesting.

My words, attempting to capture his sentiments:
  • We use the term "positive youth development" without ever defining what "positive" really means -- and thereby allow the dominant perception of what young people should be to dictate it. When in fact that dominant perception is pretty crappy and framed by mis-perceptions in the first place.
  • We get all caught up in the concept of "development" when again, we're pretty much stigmatizing young people as being all about that process instead of valuing their actions, the way they think or what they are outside of/in spite of a developmental context. And the kicker -- forcing a view through a developmental lens further entrenches all the negative stuff and makes it easy to continue treating them as other.
While lots of this totally aligned with my thinking and was essentially close to my own message -- where he took it had troubling(?) implications for my work.
  • Where Gisela Konopka wanted adolescence viewed as a stage or life period that should stand on it's own without attaching it to "in-betweeness" I felt like Ben was saying we should eliminate it entirely! And that perhaps the construct was entirely culturally bound and intentionally constructed to essentially "keep them in their place."
  • Our adolescent development training uses the "Zits" cartoons to highlight how adults are challenged by how development plays out with young people, he saw it as demonizing young people!
  • That the developmental "tasks" we associate with adolescence are really life-long tasks. We say children don't really develop abstract thought until age X -- yet even young children (he talked about his daughter here) ask questions about highly abstract ideas around time and love and so forth. That brain development never really stops. That identity development never really stops.
It was a GREAT but JARRING experience to be in the seat squirming as my own sacred cows were sacrificed. Tables turned! He did to me what I do to others! heh.

I am deeply committed to the idea that when adults (society, systems, etc) don't understand development they don't support young people well. I am deeply committed to our adolescent development training.

But the ground is shaking.

I'm trying not to go into either/or thinking. I'm sure there's an "and" here. Perhaps it has to do with exclusively relying on development to explain or justify ALL adolescent behavior, brilliance, contribution, challenges. Perhaps it's more about being sure that we recognize -- and here's a Gisa idea again -- the amazing-ness of young people as being about THEM not just their developmental process.

Is this a process? Adults have to transition from 'young people are "other" because they don't share our values and behave like we do' TO 'young people are "us" yet hard to see that way because they are developing in a way different than we as adults are' TO 'young people are awesome'?

I don't know.  I'm going to be thinking -- and talking -- about this for a very long time.
 g/