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May 24, 2024 30 mins
May is National Mental Health Awareness Month – a good time to get a “Check Up from the Neck Up.”  I speak to Malik Gray, Program Analysis Supervisor at Department of Behavioral Health about a free online survey to check on your mental wellbeing and resources for those seeking help.  

Melanoma, an aggressive form of skin cancer that accounts for 75% of all skin-cancer-related deaths, is often detected later in people with darker skin complexions — and the consequences can be devastating. I speak to Surgical oncologist Tina J. Hieken, M.D., senior author of a  study on the risks of skin cancer for people with darker complexions and a researcher at Mayo Clinic Comprehensive Cancer Center.  

The Pennsylvania Coalition of Culturally Competent Providers, Inc. (CCCP),is  an organization dedicated to promoting culturally competent policies, practices, programs, and services for marginalized populations in the City of Philadelphia and its surrounding counties. I speak to Reginald Banks, PHD, Chair , CEO Dunbar Community Counseling Services, Board Chair member to Coalition of Culturally Competent Providers (CCCP), Asher Kemp, MSW, MBA - Executive Director, CCCP and LaJewel Harrison, President LGH Consulting LLC. CCCP is also hosting their first annual Gala on May 30th – 6 pm at the Philadephia Museum of Art. Visit the website:
Email us at: Call us at: toll free 1-800-948-8815 or 215-695-6556 

I had a chance to speak to a group of middle school young men dressed impeccably in suit and tie – as members of a mentoring group that teaches courtesy, life lessons and more. They are the Distinguished Young Gentlemen.
Distinguished Young Gentlemen
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Episode Transcript

Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Good morning. You're listening to Insightto show about empowering our community. I'm
Lorraine Ballad Morrow. I was soimpressed when I hosted a group of middle
school students who are part of amentoring group called Distinguished young Men. They
arrived sharply dressed in suit and tieand were exactly what their title implied.
These were some truly distinguished young men. We'll tell you what doctors often don't,

that being highly melanated doesn't necessarily protectyou from skin cancer. First,
because we are having these conversations,we're beginning to chip away at the stigma
associated with mental health behavioral health,but we still have a long way to
go. But understand there is helpfor you no matter who you are.
And to tell us more about theresources that are available how you can get

a checkup from the neck up,we have Malik Gray, health program analyst
for the Department of Behavioral Health andIntellectual Disability Services. He is here to
tell us what the resources are.So a check up from the neck up?
Tell us, Malik, what doesthat mean exactly? Well, Lauren,
thank you for having me, andquite simply, it's about just checking
on our mental health. We oftenwant a reference or think about what we

need to do about our physical health. But this is a reminder that we
have to take care of both.And if you think of it, even
on a larger scope, one impactsthe other, right, so it's best
to focus on both. And sothis was created a few years ago as
an opportunity for people to go onlinefree of charge and do a quick assessment
of what's the status of their mentalhealth. I should note that it is

not a clinical assessment, but itdoes give you some suggestions as far as
what should be the next steps,including saying maybe needing to talk with the
professional. So tell us how doesthis work? So you go online and
I assume you answer questions. It'skind of like a little quick interview,
all right. It's kind of likefinding like, yeah, it's like what's
your typical day look like, andyou know, how do you sleep,

what are your eating habits, anyrecent traumatic events taken place in your life,
and then from it takes that informationand it kind of just gives you
an analysis of what's the next stepsyou need to do. It may give
you suggestions about, hey, pickingup a hobby or seeking out a self
help group or as I said earliertalking with a professional. It is free

of charge and individuals can access tolet me I'm gonna say this several times
at Healthymindsphilly dot org. Healthymindsphilly dotorg. So at the end of this
checkup from the neck up, whathappens is there a suggestion made, resources
provided tell us more a little bitof both. I should start off with
saying the beauty is of One ofthe beauties of it, aside from it

being free, is you could takeit as often as you see fit.
Ideally, I would say every couplemonths, kind of check in and do
this because you know, as theysay, life be lifing, and sometimes
we miss out on certain things anddon't think about how those things affect us
in the long run. Right aswe were talking off line about you know,

individuals facing grief and things like that, sometimes we get into this thing
like, oh, I got toworry about the next day or whatever,
and we kind of put what wejust experienced to the side. The fact
that those things don't go away.It actually, again a series of you
know, very specific questions, andit takes that information and it gives just
a brief analysis of some next stepswhen we talk about gun violence or peace

on the street, we often lookat it from a criminal justice standpoint,
but in fact, making sure thatwe get the support we need for behavioral
health mental wellness can actually be acontributing factor towards making us a safer city.
Tell us more about that. Yeah, quite frankly, it's a public

health problem that we have, orcrisis for that matter. You know,
it's understanding there is there are anumber of people who are affected. Well
what I refer to when that personwhen someone's life is taken, that there's
a domino effect that person's families areaffected by. And studies have even shown
that if you have lost a lovedone to violence, you are now more

at risk of dying from gun violenceas well. And so it's important to
just kind of know that it's okayto just you're not going to be well,
right, It's okay to say,you know what this is, I'm
really mad, I'm upset, andgiving people that space in that forum to
speak about it. But in additionto that, to be able to do
this and say okay, I'm reallynot okay. Well again, if people

want to check out this check upfrom the neck up. What's that website
one more time? Yes, itcan go to Healthymindsphilly dot org. All
right, and it will walk themthrough all the steps. I should also
note that on that website there's apleasure of other resources on there, including
our resource manual called Boost Your Moodand some other things. If anyone has

in trouble, they can also emailme at malik m A l I K
dot Gray g r A y atPhila dot gov. Malie Gray, health
program analysts for the Department of BehaviorHealth and Intellectual Disabilities Services. Thank you
so much, Thank you, Loreen. Culturally competent best practices and behavioral health

policy programming and research are critical forensuring optimal mental health and addiction treatment outcomes,
especially for communities of color and othermarginalized populations. What we're going to
do right now is speak to membersof the Pennsylvania Coalition of Culturally Competent Providers,
Inc. That CCCP, an organizationdedicated to promoting culturally competent policies,

practices, programs, and services forthe marginalized populations in the city of Philadelphia
and surrounding counties. Joining us rightnow is doctor Reginald Banks, CEO of
Dunbar Community Counseling Services, board chairmember to Coalition of Culture and Competent Providers.
Asher Kemp, m SWMBA executive directorof CCCP and la Jule Harrison.

She's president of LGH Consulting LLC anda board member of this organization. So
I'm going to start with you,Asher Kimp, tell us again, why
is it so critical to have culturallycompetent practices and practitioners in the space of
mental health, behavioral health, andreally all areas of our lives. Tell

us more sure, thank you forhaving me, Lorraine. When you think
about culturally competent practicing services, youwant to meet people where they are so
that they are comfortable in receiving theservices that they need to help them better
within their lives. And so whenyou have a person that's aware of your

culture, aware of what we talkabout the social and emotional determinants of health,
that treatment moves the person along.And so those are things that are
really impactful for person and being asa form of therapist. I don't practice
anymore, but having those awareness ofthose things of that person's culture, having

awareness of their community, having awarenessmaybe their philosophical religious bases as well,
really gives you the extra support thatyou're being able to help that person.
Right, let's go to doctor ReginaldBanks, who is CEO of Dunbar Community
Counseling Services. Let's talk more aboutthe critical importance of cultural competence, because

certainly when we're talking about communities ofcolor, and in particular let's talk about
our community, there's a lot ofstigma still attached there is in general the
general population, there's still plenty ofstigma around mental health issues. However,
when we're talking about our community,we also have to overlay different aspects of
history, of culture, of religion, and I wonder if you can talk

about those aspects and how they impacton people's openness and ability to seek help
when they need it. Well,first of all, thank you for having
us today, and this is avery timely topic, especially being the month
of Mental Health Awareness. When Ithink about cultural competence for communities of color,

I don't think of it as ina vacuum, and the term cultural
competence just it can set you offinto a different a lot of different directions.
But the truth is we are peoplehere in the United States of America.
We are particular people, and weare particular people that have been under
a certain set of circumstances that continueto this day. We're surprised when we

hear about the politics around culture andsome of the things that our ancestors and
our civil rights leaders have fought formany, many decades ago. Today we're
fighting these same fits. And sothese fights are centered around getting access to
support services resources, getting access andnot only meaning full access. And when

I say meaningful meaning you know providersgetting the healthy resources that they need to
service communities. But these providers arenow not only doing mental health services or
providing mental health services to a communitythat has a historical challenge to begin with,
they're doing it many times without thefinancial support to cover many areas.

When we talk about mental health services, we're talking about looking at a dynamic
in the community. We're talking aboutlooking at schools. We're looking at families
that have been impacted by poverty.We're talking about families that are dealing with
high incarceration. We're talking about blockto block where you can have multiple traumas
due to violence and kids being exposedto really a lot of adult situations that

have really not abated since the sixtiesand seventies, and we think about the
current report. You know, thatreport has been done again and it's finding
that the same issues that they've foundin the sixties and seventies are very prevalent
today. And now you throw COVIDon top of that and high inflation.
So we're organizations that are in ourcommunity sort of you know, grassroots initially,

but we came together to form thiscoalition so that we're not fighting individual
fights, that we're fighting these fightstogether as as a unit, moving as
one to serve better serve our communityand bring awareness to mental health issues and
a variety of issues that mislige we'lltalk about in terms of our four key
areas where we focus. Yes,and I would like to speak to Lojule

Harrison. Tell us more about theorganization itself and how you are not only
raising awareness about the importance of mentalhealth and behavioral health, but certainly about
the importance of finding culturally competent practitionersand providing a resource for that. Tell
us more about that, look moreand in again and thanks for having us
on. When I hear mister Kempand doctor Banks speak, I just brings

joy to my spirit. I'm justreminded that that our leaders are doing the
work and so intentional about making surewe expand access to care right. And
so access doesn't necessarily mean plopping abuilding in a neighborhood, because access is
blocked when people aren't received, whenthey aren't welcomed, when they don't feel
welcome, and all the things thathappened there. So as a coalition,

we are intentional about making sure peoplewithin our community are welcomed, are receiving
care, that there are no barriersto access, and that's where the culturally
competent here comes in. So that'sbasically what this coalition has been. It
started out with a few of ourmajor organizations in the Philadelphia area getting together

and saying hey, by doctor Bangsaid, how can we fight this fight
together? How can we as acollective make a bigger impact. And so
it started out with mental health providersjointly creating this coalition to make sure that
everyone across the city was heard.And then we expand it to a state
wild organization that does not just opena door to mental health providers but also

educational institutions. So we want mentalhealth to be big for us, right,
certainly in the workplace, in theschool place, everywhere, and then
that way we can decrease stigma inorder to increase access. So our membership
has become quite robusted, and ourmission is very much still the same of

increasing access to care specifically and aculturally competent way. You have an event
that's coming up, and I'd liketo talk more about it as you camp.
Tell us more about this gala,your first annual gala. Tell us
more. One of the things youheard doctor Banks and the Jewel have talked
about is that our membership and ofpeople coming together. And you know,

one of the things I like tothink about, we are not an oland
individually, but collectively we are allsuccessful. And so this correalition brings a
collaboration. And so with this gaelawwhich is our first Gaye lot that we
are doing, it really continues topromote that the collaboration and partnerships with the

organizations. And then from a socialwork perspective, we talk about a systems
based approach and looking at all thesystems that our consumers within these agencies are
interacting with to bring them together aroundthis whole concept of culturally competent and so
it's an opportunity for us to breakred, but also, you know,
to develop a network and continue tobuild on our partnership, and that is

happening on May thirtieth at the PhiladelphiaArt Museum at six o'clock. How do
people find out more about this eventand also about the organization itself, The
Pennsylvania Coalition of Culturally Competent Providers,Inc. Sure they can always call us.
Some of us still like to usethe phone. Our number is two
one five six nine five six fivefive six again two one five six nine

five six five five six. Andyou know, I always look us up
on the website and we have alot of information regarding to the gala and
our website, air addresses WW dotCC providers dot com and again this ww
dot c C C Providers dot com. I guarantee if you come, you're

gonna have a great time. That'swonderful to hear, and doctor Reginald Banks,
you get the last word, anyfinal words that you'd like to share
with us before we close. Thisgala is our first gala, so we're
very proud of that, and we'reproud of our leadership and mister asher As
where as our executive of this organization, who has put a lot of work
into bringing a team together to havethis first gala. Again, it's a

fundraiser, so but it is alsoyou know, a time for us to
celebrate our first gala and meet togetherand let this be the foundation by which
we become a household name in theCity of Philadelphia. With regards to the
fact that we're in a community,we're serving our community, and we want
to connect to as many individuals aspossible to bring service and awareness as well

as, you know, to beginthe foundational building of practices that serve our
population. Well, that's very important. An organization like this helps us understand
diverse perspectives, reduce disparities, enhanceengagement and trust, address stigma, and
improve treatment outcomes. That is soimportant when it comes to culturally competent professionals,

particularly in the mental health arena,but certainly throughout all aspects of our
culture and our nation. The PennsylvaniaCoalition of Culturally Competent Providers, Inc.
An organization dedicated to promoting culturally competentpolicies, practices, programs, and services
for marginalized populations in the City ofPhiladelphia and surrounding counties. Doctor Reginald Banks,

CEO of Dunbar Community Counseling Services,board chair to the Coalition, Asher
camp SWNBA Executive director, and LejulHarrison, President of LGH Consulting, LLC
and also a board member of theCoalition of Culturally Competent Providers. Thank you
all and see you on the thirtieth. Melanoma, an aggressive form of skin

cancer, can affect people with darkerskin tones, and it's crucial for them
and us to be aware of therisks. Joining us right now is someone
who's going to tell us all aboutthat. Surgical oncologist Tina J. Heiken,
MD, senior author of a studyon this very issue and a researcher
at the Mayo Clinic Comprehensive Cancer Center. Thank you so much for joining us

here today, and let's talk aboutsome of the reasons why folks of color
don't always realize that it's important toget that check up. Tell us more.
While the majority of patients who arenewly diagnosed with melanoma are Caucasian,
there are many patients of color whoare also affected by melanoma, particularly among

those of African American ancestry. Thismay not be well known, and while
these patients may be seeking healthcare,people don't think to screen them for skin
cancer in the same way we thinkof screening patients who are more fair complected.
The impact of this on our communitiesis that patients of color tend to

be diagnosed at a much later stagethan others who are more fair complected.
Right, exactly, So, there'sdelayed detection and that is something that impacts
health disparities across the board. Butcertainly we're talking about melanoma today, and
because it's diagnosed later, the severitycan be greater as well. Yes,

exactly so, what we saw againin the most recent population based data set
with follow up is that once againor we continue to see big disparities in
stage at presentation between non Hispanic Blackpatients and white patients. Where the vast
majority of Caucasians are diagnosed with melanomaat early stages where generally simple wide local

excision is curative of their disease,a much smaller proportion of non aspanic Black
patients are diagnosed to the similar stage. When we looked at this, this
is something that has been seen overtime. We didn't see an improvement in
this gap in stage at diagnosis despitelooking at more recent data. This suggests

that we really need to get themessage out that not just fair skinned patients
are affected by skin cancer right andblack men in particular are at risk.
Certainly, we're talking about the disparitythat we referred to earlier, but then
we layer on top of that menMen just don't like to go to the
doctor. They have to be nagged, as I experience in my own husband

man to death to get them tothe doctor. But fortunately he has me.
But black men and men in generalare more reluctant to be seen for
a lot of different reasons, andcertainly with the misconception that it doesn't impact
black men melanoma, which it certainlydoes, that might be another factor that
delays individuals from getting checked out.Now, black women tend to fare a

little bit better. What's interesting iswe see these same discrepancies that are sex
based that we've seen in largely Caucasianpopulations. So what's a bit different about
our study is that we looked withinthe non Hispanic Black population and we saw
these same sex based differences in outcomes, particularly for surgically curable, but more
advanced disease that is stage three melanoma, melanoma that's gone to the lymph nodes.

There is a huge disparity in survivaloutcomes between men and women. Men
also tend to be diagnosed at anolder age, and exactly as you pointed
out, we've known for many decadesthat men who are married tend to fare
better or with all their cancer diagnosesthan men who are not. That may
reflect many different things, but againwe see these same sex based differences and

outcome that we see in the largerpopulation of melanoma patients. It's very very
interesting to think about why we mightsee these differences. There is a lot
of exciting science going on right nowlooking at differences in the response of our
immune system to the way we handlecancer and as we use immunotherapies. There's
growing body of data suggesting there maybe sex based differences in response. It

is interesting that we are seeing thesesame differences in this subset of melanoma patients
that is non Hispanic lack melanoma patients, right, And that's why it's so
important for people of color to beinvolved in clinical research. There is definitely
a lack of clinical research information ingeneral, and it's good that you're taking

up the baton to look at thisissue more closely. Now. I think
most of us think about sunscreen.They think about UV exposure as being the
major cause of melanoma and any ofthose cancer risks related to skin cancer.
But there are apparently some other factorstell us what those are. There are

certainly melanomas that can develop in nonsun exposed areas, and these tend to
be more frequently seen among patients ofAfrican American ancestry and others of color.
And that is melanomas that develop innon sun exposed areas such as palms and
souls and nail beds, and sowe need to be alert for that.
And again, as you mentioned before, just general awareness even among physicians who

care for these patients that this iseven a possibility will improve things for patients.
The other thing that we really asyou mentioned, that we really want
to focus on is encouraging a morebroad group of patients to enroll in clinical
trials, and a lot of effortsare underway by various cancer centers as well
as many organizations to try and makeit less onerous in general for everyone to

participate in clinical trials, and that'swith logistical support, travel assistants, doing
some more remote clinical trial monitoring andso forth, and just making a clinical
trial participation more accessible overall. Andfinally, I'd like you to tell us
what do you recommend for people ofcolor who may not previously considered melanoma as

something that would affect them. Whatadvice would you give them. I think
it's just important for everyone to bejust aware of our own skin, to
be aware of changes in our skin, new moles, freckles, changes under
the nails, look at our humanbodies and just note those changes and bring
them to the attention of a careprovider. And for those of color out

there, understand that most likely yourphysician may not be aware that this is
something that they need to check on. So therefore it's up to us as
patience to be proactive and to askthe right questions and to request the kinds
of screening that perhaps doctors may notconsider appropriate or even necessary. But we

know that melanoma is an aggressive formof skin cancer, it can affect people
with darker skin tones, and it'scrucial for all of us to be aware
of the risks surgical oncologist Tina JayHaiken, MD, senior author of a
study on this very issue and aresearcher at the Mayo Clinic Comprehensive Cancer Center.
Thank you so much for bringing thisto our attention today. Thank you.

I have the special privilege of hostinga group of very handsome and distinguished
young men. In fact, thisis an organization called Distinguished Young Gentleman.
And joining us in the studio arethe distinguished Young Gentleman. Tell us who
you are, what's your name andhow old are you? My name is
Sophie Sally and I'm thirteen years old, And tell us about distinguished young gentlemen.

Who are you? The Distinguished YoungGentlemen is a very special organization that
teaches young men as myself and afew of my friends to learn etiquette across
the board and how to treat peopleand learn how to sort things out without
struggling, and learn how to livewithout trying to. It helps you stay
on the right track. Yes,that's awesome, and I have to this

is radio, so obviously you can'tsee these young men, but they are
all dressed in suits and ties andthey look amazing. And I will be
sharing on social media exactly what theylook like. But what I'm going to
do is, I'm going to askeach of you to tell us your name
and how old you are, andwhat your dream? What job would you

like to have or what is yourdream? What is your goal in life?
So I'll start with you. Youalready said your name and how old
you are, So what is whatis your dream? What do you want
to First of all, you're verytall. I guess I'm not the first
person to tell you that you looka lot older than thirteen, but I'm
delighted that you're doing this at thirteen. And so where do you want to

go from here? What are yourambitions? I would like to be my
own business owner and you know,being at Champ six News, the other
you know radio station moves at.I would like to be a spokesperson.
I would like to do things likethat. Okay, very good. He's
handsome and very tellogenic, so that'svery possible. All right, So let's
move down and talk to some ofthe other folks. So who else wants
to go? You go next.My name is Shira Misdrew. I'm ten

years old. My goal is Iwant to be a firefighter because I want
to help people. I love thatthat it's beautiful. Okay, great,
thank you. Who's next. Hi? My name is Jerry Scott and I'm
eleven years old. I own acar dealership because I like cars. My
name is Logan and I would liketo be a firefighter. I'll do you.
I am ten years old. Okay, continue. I want to help

people out instead of just letting thembe alone, because one day need somebody
else to help them out out.Because you're young, I love that you're
never too young to help. What'syour name? And hell are you?
And what do My name is Brince, I'm name and I like to be
a soccer player. My name isKey IMF is Donald McCaw. I'm ten

years old. I want to bea football player or a scientist. Hi.
My name is now Brown. I'meleven years old. My goal in
life, the future life is tomake it to the NBA. Hi.
My name is Cassio Ba. I'meleven years old and I want to be
a chef. Hello. My nameis Khalifh Jamal Wilder And when I go

older, I would like to bean engineer because when you're an engineer,
you have to do a lot ofmath, and one of my favorite subjects
is math. How old are you? I'm eleven years old? Okay,
excellent? AhR. My name isHoddy ever Brooks. I would like to
be as I'm eleven years old.I would like to be scientist and an
engineer. Okay, very good.My name is Lance Epps. I'm thirteen

years old and I'm my plan hasto become mayor for Philly. Fantastic,
you heard it here first. Hello. My name is Jim Francois. I
want to be a judge so Ican say if someone is jail, it's
going to jail, so we canmake the world safe. That's great.
How old are you? Eight?Eight? Okay? Very good? Making

the world safe? I love that. Okay. Do anyone of the grown
ups want to say something. Myname is Gordon Stewart Harrison. I am
Air Board of Education on volunteer.I volunteer mister Fraser with this wonderful group
of d YG distinguished all right,and it's uh. It is a special
feeling to be able to pour intothese young men and see what mister Fraser

and I have given them, andto see it unfold in front of us
when we're out to dinner and whenwe're on trips and here at w DAS
Radio. It's fantastic. Thank youfor having us love that. If people
want more information about Distinguished Young Gentlemen, how do they find out more?
Tell us where you are. Myname is Dwayne Eric Fraser. I'm a
retired Philadelphia firefridy and I'm a schoolteacher at Lewis C. Cassidy Elementary School.

The Distinguished Young Gentleman is a nonprofitorganization. It's an after school program
where we're teaching the boys male etiquette, how to have self respect, how
to treat ladies, how to becomeproductive citizens. And that's our goal.
How long have you been around?For three years? We meet every Thursday
from two fifteen to four o'clock.My goal is that this would be placed

in every school in the city.That's the goal. We have a weekend
retreat that we take the boys out. We meet usually it's about twenty to
twenty five boys. We have aboutten to twelve male chaperones and we pour
into them for a weekend. That'scoming up August ninth. And if people
want more information about Distinguished Young Gentlemen, and if they want to volunteer or

maybe be a part of the program. How do they do that? We
all Facebook look up distinguished Young Gentlemen. Our website isn't up just yet,
but you can reach us from Facebook. Distinguished Young Gentlemen on Facebook. Fantastic.
Well, I want to thank youall for coming by. Very impressive.
You're all so handsome and so wellspoken, and clearly you are all

distinguished young gentlemen. You've done agreat job in supporting these young men to
be everything that they need to beand they want to be. So thank
you so much, Thank you forhaving us. Thank you, thank you,
thank you. You can listen toall of today's interviews by going to
our station website and typing in keywordcommunity. You can also listen on the

iHeartRadio app yey Words Philadelphia Community Podcast. Follow me on Twitter and Instagram at
Lorraine Ballard. I'm Lorraine Ballard,MARL and I stand for service to our
community and media that empowers. Whatwill you stand for? You've been listening
to Insight and thank you
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