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Community partnerships are an integral part of the Centers for Children’s Environmental Health and Disease Prevention Research.  The academic research community has recognized the complex issues that affect children’s health, and have suggested greater community involvement in determining research priorities and interventions.  The Centers are developing innovative ways to investigate the role of environmental stressors in important childhood disorders such as asthma, autism and learning disabilities as well as finding effective strategies to reduce the risks from these exposures.  Community-based participatory research (CBPR) incorporates partnerships between academic, health services, public health, and community-based organizations. 

The Children’s Centers apply CBPR to understand and prevent children’s exposure to environmental hazards and health disparities.  Each of the Centers includes a CBPR project, and each Center has a Community Outreach and Translation Core (COTC) which works in collaboration with the investigators, other Cores in each Center and a community advisory board to translate scientific findings into information for the public, policymakers and clinical professionals that can be used to protect children’s health.

For more information, the following publication describes the major benefits of using the CBPR approach, presents the experiences of six of the Children’s Centers, and provides lessons learned and recommendations for establishing and maintaining CBPR partnerships.

Israel BA, Parker EA, Rowe Z, Salvatore A, Minkler M, Lopez J, Butz A, Mosley A, Coates L, Lambert G, Potito PA, Brenner B, Rivera M, Romero H, Thompson B, Coronado G, Halstead S.  Community-based participatory research: lessons learned from the Centers for Children's Environmental Health and Disease Prevention Research.  Environ Health Perspect. 2005 Oct;113(10):1463-71.

Columbia University

In collaboration with its Community Advisory Board, the priority for the Columbia Center for Children’s Environmental Health has been communication of study findings back to the communities in which the New York City study cohort of mothers and children reside, in ways that are meaningful and useful in daily life.  The CCCEH collaborates with community organizations advocating for increased environmental justice in poorer neighborhoods located in northern Manhattan and the South Bronx. The coalition of eight direct service and environmental health advocacy organizations ensures that results from the scientific research are delivered to these communities in ways that are meaningful and usable in improving daily environmental health at home and in the larger neighborhood.

Community organizations working with the Columbia Center include:
Alianza Dominicana Exit EPA Disclaimer
Best Beginnings Exit EPA Disclaimer
For A Better Bronx Exit EPA Disclaimer
Harlem Dowling - West Side Exit EPA Disclaimer
Heart of Harlem Exit EPA Disclaimer
New York City Department of Education Exit EPA Disclaimer
Northern Manhattan Improvement Corporation
Northern Manhattan Perinatal Partnership Exit EPA Disclaimer
Nos Quedamos/We Stay Exit EPA Disclaimer
St. Mary's Episcopal Church Exit EPA Disclaimer
West Harlem Environmental Action (WE ACT) Exit EPA Disclaimer

The community health education campaign, Healthy Home Healthy Child (HHHC) Exit EPA Disclaimer, was developed by the Columbia Children's Center to share health information and prevention methods for air pollution, cigarette smoke, drugs & alcohol, garbage management, lead poisoning, nutrition and pesticides. The HHHC campaign has served to heighten awareness in the local community regarding health risks of environmental exposures and preventive behaviors to reduce exposures in households.

The Center has produced a series of newsletters for the Mothers and Newborns Study and the HHHC campaign with important information for parents about how to prevent children from being exposed to harmful substances including mercury and some types of pesticides. These newsletters include tips on how to reduce exposure, useful resources, and other important health information.

Mothers and Newborns Study: Protecting Your Children from Mercury – What You Can Do – Winter, 2007 (PDF) (4 pp., 392K)
Mothers and Newborns Study: Protecting Your Children from Pesticides – What You Can Do – Spring, 2007 (PDF) (4 pp., 312K)

The HHHC campaign has developed other written materials ("tip sheets") on topics including:

"Healthy Home Healthy Child" (PDF) (2pp., 221K) Exit EPA Disclaimer
"Cigarette Smoke" (PDF) (2pp., 72K)Exit EPA Disclaimer
"Lead Poisoning" (PDF) (2pp., 57K) Exit EPA Disclaimer
"Pesticides" (PDF) (2pp., 145Kb) Exit EPA Disclaimer

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Duke University

The central objective of the Community Outreach and Translation Core (COTC) is to create, implement, and assess strategies to translate and apply the findings of the Southern Center on Environmentally-Driven Disparities in Birth Outcomes (SCEDDBO) into relevant information for women of childbearing age, families, community groups, policy makers, and health care professionals. The COTC will conduct environmental health outreach and education directed at low income and minority women and their children; enhance the capacity of disadvantaged communities to understand threats posed by environmental contaminants; and provide a bridge between campus research, communities and policy makers.

Partners:

Durham Congregations, Associations, and Neighborhoods (CAN) Exit EPA Disclaimer
Triangle Residential Options for Substance Abusers (TROSA) Exit EPA Disclaimer
The Durham Affordable Housing Coalition Exit EPA Disclaimer
The Partnership Effort for the Advancement of Children’s Health/Clear Corps (PEACH)
Durham People's Alliance Exit EPA Disclaimer
The Durham County Health Department
The Lincoln Community Health Center Exit EPA Disclaimer
Duke University Nursing School Exit EPA Disclaimer
Watts School of Nursing Exit EPA Disclaimer
The City of Durham Department of Neighborhood Improvement Services
The City of Durham Department of Community Development
The Children’s Environmental Health Branch of NC Department of Environment and Natural Resources
The North Carolina Asthma Alliance
East Coast Migrant Head Start Exit EPA Disclaimer
The North Carolina Community Health Center Association Exit EPA Disclaimer
The Pesticide Education Project Exit EPA Disclaimer
The North Carolina Rural Communities Assistance Project Exit EPA Disclaimer

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Harvard University

The Community Outreach and Translation Core (COTC) of the Harvard Center for Children’s Environmental Health and Disease Prevention Research is working with the investigators from each of the Projects and Cores as well as an active COTC Advisory Board to translate and apply the scientific findings of the Center into information for the public, policy makers, and clinical professionals to protect the health of children.

Harvard Community Partners
Harvard Community Partners


L.E.A.D. Agency, Vinita, OklahomaExit EPA Disclaimer

Integris Baptist Regional Medical Center, Miami, OklahomaExit EPA Disclaimer

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John Hopkins University

The Johns Hopkins Children’s Center works closely with its Community Advisory Committee, which includes community members from the Baltimore, Maryland school system, community-based research and service organizations, local churches and families of asthmatic children.

Johns Hopkins Center in Urban Environmental Health Exit EPA Disclaimer
Johns Hopkins University Urban Health Institute (UHI) Exit EPA Disclaimer

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Mount Sinai School of Medicine

Boriken Neighborhood Health Center
The Children’s Aid SocietyExit EPA Disclaimer
East Harlem Community Health Committee
Little Sisters of the Assumption Family Health Service Exit EPA Disclaimer
Mount Sinai and North General Hospital Pediatric Clinics Exit EPA Disclaimer
Mount Sinai School of Medicine Community Partnerships Exit EPA Disclaimer
Settlement Health Exit EPA Disclaimer
Union Settlement Association Exit EPA Disclaimer

The main goal of the Mount Sinai Community Outreach and Translation Core (COTC) is to develop, implement and evaluate strategies to translate scientific findings on children’s environmental health into information that can be used by the local community, policy makers and clinical professionals.

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University of California at Berkeley

Clinica de Salud del Valle de Salinas (CSVS) Exit EPA Disclaimer
Natividad Medical Center Exit EPA Disclaimer
South County Outreach Effort (SCORE)
Monterey County Health Department Exit EPA Disclaimer
California Rural Legal Assistance Program (CRLA) Exit EPA Disclaimer
Grower-Shipper Association of Central California Exit EPA Disclaimer

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University of California at Davis

Participants of the CHARGE and MARBLES studies
Families for Early Autism Treatment Exit EPA Disclaimer
Learning Disabilities Association Exit EPA Disclaimer
Parents Helping Parents Exit EPA Disclaimer
San Francisco Bay Chapter of the Autism Society of America Exit EPA Disclaimer
Alameda County Developmental Disabilities Council Exit EPA Disclaimer
Cure Autism Now Exit EPA Disclaimer
State of California health/developmental service providers (CA Departments of Developmental Services and Health Services, CA Regional Centers, and CA Office of Environmental Health Hazard Assessment)

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University of Illinois

A central aim of the community-based project is to develop intervention and education strategies that will reduce PCB and MeHg exposure in the Hmong and Lao community.  This intervention and education component (PDF) Exit EPA Disclaimer, directed by Dr. Vicky Persky, has focused on reducing the consumption of contaminated fish.

A number of educational materials have been created including a simplified fishing advisory (available in an English version and a Hmong version) which is specific to the bodies of water most frequently fished by this population and is available in Hmong and Lao. An educational video was also created to teach basic concepts about contaminants in fish, instruct viewers how to use the fishing advisory and demonstrate how to clean and prepare the fish so as to limit PCB exposure. The video is available in either Hmong or Lao with closed captioning in English. Other outreach activities include a quarterly newsletter Exit EPA Disclaimerand a yearly community open house.

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University of Iowa (1998 - 2004)

Iowa Asthma Coalition Exit EPA Disclaimer

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University of Medicine and Dentistry of New Jersey

The UMDNJ Children’s Center research team has established a bond of trust between the Center and the greater autism community throughout New Jersey and the surrounding region.

The New Jersey Center for Outreach and Services for the Autism Community (COSAC) Exit EPA Disclaimer is a non-profit agency providing information and advocacy, services, family and professional education, and consultation to New Jersey's autism community. COSAC encourages responsible basic and applied research that would lead to a lessening of the effects and potential prevention of autism. COSAC is dedicated to ensuring that all people with autism receive appropriate, effective services to maximize their growth potential and to enhancing the overall awareness of autism in the general public.

The Eden Institute of Princeton Exit EPA Disclaimer provides a comprehensive continuum of lifespan services designed to enable children and adults with autism to lead fulfilling, productive and independent lives in their communities, to the full extent of their abilities. The non-profit organization was founded in 1975 when parents and professionals joined together to develop a family-oriented, multifaceted program to provide a community-based alternative to institutionalization of children and adults with autism.

The Douglass Developmental Disabilities Center Exit EPA Disclaimer(DDDC) of Rutgers University exists to meet the needs of people with autism spectrum disorders and their families. As an “Applied Behavior Analysis” (ABA), DDDC uses these principles to organize their delivery of services. They work collaboratively with the families of the children and adults we serve, and with the agencies that fund their treatment.

Camden Community Groups – The team is establishing research ties to the New Jersey Environmental Federation located in Southern New Jersey and Camden New Jersey to study the use of biomarkers in community health.

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University of Michigan (1998 - 2005)

MCECH involved partners working in the southwest and east sides of Detroit, including:

Butzel Family Center
Community Health and Social Services Center (CHASS) Exit EPA Disclaimer
Detroit Department of Health and Wellness Promotion Exit EPA Disclaimer
Detroit Hispanic Development Corporation Exit EPA Disclaimer
Detroiters Working for Environmental Justice Exit EPA Disclaimer
Friends of Parkside
Henry Ford Health System Exit EPA Disclaimer
Kettering/Butzel Health Initiative
Latino Family Services Exit EPA Disclaimer
Michigan Department of Agriculture - Pesticide and Plant Pest Management Division
United Community Housing Coalition
Warren/Conner Development Coalition Exit EPA Disclaimer

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University of Southern California/University of California at Los Angeles

Long Beach Alliance for Children with Asthma - Long Beach, California Exit EPA Disclaimer
Center for Community Action and Environmental Justice - Riverside, California Exit EPA Disclaimer

The Community Outreach and Translation Core (COTC) of the USC/UCLA Children's Center serves as a bridge between the Center investigators and members of the local community who are concerned about the impacts of air pollution on children's respiratory health.

The COTC actively participates in the Steering Committee for the Center's CBPR Project. In addition, the COTC plays an important role in disseminating the Center's scientific research findings to the public and to policy makers. With the Center's two key community partners, the COTC director Andrea Hricko and outreach staff, along with Center investigators Rob McConnell and Ed Avol, have also nurtured teams of volunteers who attend training sessions and then conduct community assessments of environmental health problems. The teams, called Neighborhood Assessment or "A" Teams, decided to document the volume of traffic (and resultant air pollution) in certain communities frequented by trucks moving containers to and from the local marine ports. The "A" Team members were trained in advanced traffic counting techniques and in ultrafine particle counting techniques and then assessed identified problem areas in their communities. Some of the neighborhood assessment reports identifying high truck volumes as a percentage of total traffic, coupled with ultrafine particle measurements, have been presented to policy makers. The Neighborhood Assessment Team work is continuing, bolstered by a private foundation grant allowing expansion of the number of trained team members. All "A" Team members are bilingual community residents who receive stipends for their neighborhood assessment.

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University of Washington

The Center for Child Environmental Health Risks Research works with a large number of community partners. The Community-based Participatory Research project is advised by a Community Advisory Board (CAB) which consists of farmworkers, growers and representatives from the Farm Workers Union,Exit EPA Disclaimer the Growers’ AssociationExit EPA Disclaimer,the Department of Health, the Department of Agriculture, the Yakima Valley Farm Workers ClinicsExit EPA Disclaimer, the local Spanish radio station (Radio KDNA)Exit EPA Disclaimer, Washington State Department of Labor and Industries, Columbia Legal ServicesExit EPA Disclaimer, and the local office of the Environmental Protection Agency. The CBPR has also enlisted local organizations such as the Farm Workers Union Exit EPA Disclaimer, the Washington State Migrant CouncilExit EPA Disclaimer, and the Growers’ AssociationExit EPA Disclaimer to help in outreach.

wellness groups at community health fairs share information about reducing pesticide exposure The Community-based Participatory Research project joins other Yakima Valley-based health and wellness groups at  community health fairs to share information about reducing pesticide exposure. Photo: Gloria Coronado.
The Community-based Participatory Research project joins other Yakima Valley-based health and wellness groups at community health fairs to share information about reducing pesticide exposure. Photo: Gloria Coronado.

Other partnerships come through the Center’s connection to the University of Washington. One of the strongest links is with the University of Washington NIEHS Center for Ecogenetics and Environmental Health’s (CEEH) Community Outreach and Education Program (COEP) Exit EPA Disclaimer.  The Center has partnered with COEP to develop child health relevant materials. Collaboration with Counseling and Advice on Reproductive Exposures (CARE) Northwest Exit EPA Disclaimerhas identified child-relevant risk communication issues. In addition, the UW Children’s Center participated in a Town Meeting hosted by CEEH in Autumn 2000. The Town Meeting brought together community members throughout Washington State to talk about environmental health concerns such as those related to agricultural pesticide use.  The Center maintains a strong link to the NIEHS/CDC-funded Pacific Northwest Agricultural Safety and Health Center (PNASH) Exit EPA Disclaimer. Several PNASH projects have leveraged funding to focus on children’s exposure to pesticides, exposure to lead and arsenic in orchard soils, children health, and farm safety in teens.  The Center continues to coordinate and look for joint projects with PNASH, especially relating to agricultural issues.  The Center also collaborated with the Washington Kids Count Program Exit EPA Disclaimer, a project of the Human Services Policy Center in the UW Evans School of Public Affairs. WA Kids Count released the 2002 County and City Profiles of Child and Family Well-Being in December 2002.

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Centers Funded By:
EPA Home NIEHS Centers for Children's Environmental Health


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