User:Annajulia.se/sandbox

= Asian-American Healthcare in Oakland, California = Through my Global Poverty and Practice minor, I hope to investigate health disparities and how current healthcare systems cater to specific ethnic groups and their needs. Through my practice experience, I hope to answer the following questions:

Does Asian-American focused healthcare encompass all aspects of Asian-American culture, which is broad due to the multitude of countries it involves? For example, even though my focus is on Filipino-American health specifically, does Asian Health Services provide enough resources for Filipino-Americans? Does Asian Health Services make an active effort to reach out to all Asian-Americans, not just East Asians/Chinese? How does Asian Health Services provide equal resources for all types of Asian-Americans within their respective community? Do they make an active effort to engage with Asian-Americans outside of the Bay Area if the health issues they tackle are ethnicity-specific?

My Practice Experience: Asian Health Services
Asian Health Services is a 501(c)(3) not-for-profit organization based in Oakland Chinatown, California. Their mission statement is "to serve and advocate for the medically underserved, including the immigrant and refugee Asian community, and to ensure equal access to health care services regardless of income, insurance status, language, or culture". According to the Asian Health Services official website, their patient demographic consists mostly of Asian/Asian-Americants that experience language barriers in healthcare as well as qualify for Medi-Cal. More information about Asian Health Services can be found on their website here.

NOTES:

"Area" means ISSUE = Why is your PE org working here?

"Sector" means METHODS = What is your PE org doing to combat the issue?

Peer Editing
You provide critical questions that set the stage for the arguments and ideas you introduce. It gives background on your overall theme and focus of your practice experience. The background information on the organization that you plan on working with shows how you plan on taking the issues of Asian-American healthcare and how it is carried about.

Area: Filipino-American Health
See also:

Health status of Asian Americans

Mental Health of Filipino Americans

Oakland Medical Center

I am interested in investigating the factors that contribute to Asian-American (specifically Filipino-American) health disparities and how current health care systems plan to tackle this issue. Alongside looking into how location (Oakland/Bay Area) plays a role in the health of Asian-Americans, I will also be looking into how Asian-American culture may affect the community's perception of health and how to approach getting help. This article goes into the different factors that play into Filipino-American health disparities, and what health issues Filipino-Americans face in result of these factors.

** Area --> Filipino American health issues

** Sector --> How people in the United States are trying to overcome and meet the challenges of access to healthcare and healthcare education for immigrant groups

Note: Sector is the "Action Place"...what are the debates out there about actions for the people you are researching about?

Sector: Community health centers in the United States
See also:

Healthcare availability for undocumented immigrants in the United States

Immigrant health care in the United States

Refugee health in the United States

Free Clinic

To understand how Asians/Asian Americans are affected by their health disparities, I also want to understand how healthcare caters to immigrants and people of color. Asian Health Services is a community health center, so I'd like to add more to this Wikipedia article in regards to how community health centers tackle the specific issues that immigrants and people of color have.

Peer Editing
You explain what you are interested in, what you are looking for, and how you plan on using these sources to elevate and expand upon your argument. The placement of your pieces you plan on adding also seem perfectly put in.

Article Evaluation: Filipino-American Health
The Wikipedia article, Filipino-American health, was one of the many articles associated with WikiProject Tambayan Philippines, a regional notice board containing articles associated with the Philippine country. Quality Wikipedia articles will have a detailed lead section, clear structure, balanced content, neutral tone, and good sourcing-- and the Filipino-American health article seems to cover all these bases at first glance. However, many of the sections covered by the article are short and fragmented, with limited sourcing. For example, the first section of the article is "Measurement of health of the Filipino American population". Despite being the lead section of the article, there are only 4 sentences in the section, briefly explaining how health is measured. Using sentences like "Other important health indicators include leading cause of death, life expectancy, neo-natal mortality rate, and the maternal mortality ratio", the lead section of the Filipino-American health article provides very basic information regarding public health without focusing on how these methods are specific to Filipino-Americans. No example health studies or studies conducted throughout history are provided as well.

The trend of general statements without further explanation and resources continues as the author describes the health issues common to the Filipino-American community. In the first sub-section, Hypertension, the first sentence makes a statement based off of "reports" without providing more detail and examples regarding that source: "Based on reports of Filipino American communities throughout the United States, specifically in higher population areas of Filipinos, there is a history of a higher prevalence of hypertension exhibited among Filipino American men and women than in other ethnic communities within the United States second to African Americans". As the warning banner on the top of the Wikipedia article states, the Filipino-American health article has multiple issues, mostly regarding lack of citation and personal input.

The Filipino-American health article seems to have personal input in its arguments because the article shows some reflection of the original writer's emotions. There is an imbalance of information as the article progresses. The first section, "Measurement of health of the Filipino American population" is significantly shorter than the "Influence of Socio-Cultural Factors". Alongside that, there is a clear emphasis of information on the "Religion" paragraph under "Prevention and Healing practices" sub-section. As the author continues to bring up claims with no citation, he continuously makes statements that imply personal bias on the argument. The conclusion of the Religion paragraph starts with these two sentences:"It is arguable that religion is a major component of Filipino-American health behaviors. According to, it is not plausible to assume that familiarity is the sole factor that influences Filipino Americans to adopt a religious influence on health practices." Without citation to back up this claim, alongside the imbalanced information of the Religion section compared to the "Measurement of health of the Filipino American population" section, the article comes across as unreliable despite covering many topics associated with the Filipino-American health. This article can be improved with more reliable sources as well as expanding on as much information as possible on each of the individual sections regarding Filipino-American health.

Notes: Other relevant information

Health in the Philippines

Mental health care in the Philippines

Filipino-American health

Health care in the Philippines

Medical education in the Philippines

Ancient Filipino diet and health

Peer Editing
Really thorough analysis given and the notes of relevant information help support your arguments.

Area: From Pedestrian Safety to Environmental Justice: The Evolution of a Chinatown Community Campaign
Liou, J., & Hirota, S. (2005). From pedestrian safety to environmental justice: The evolution of a chinatown community campaign. AAPI Nexus, 3(1), 1-11. Retrieved from https://search-proquest-com.libproxy.berkeley.edu/docview/60022800?accountid=14496

I want to understand the area in which my practice experience operates more by researching more into Chinatown, and how they have identified issues and implemented solutions through community programs. This literary work dives into one of the campaigns ran by the organization that I am interning for, Asian Health Services, and how it has evolved into a campaign meant to tackle multiple issues related to the infrastructure of Chinatown. This campaign, known as Revive Chinatown!, brings into light public health issues that Chinatown faces, and the method in which Asian Health Services approaches these issues is analyzed through this article.

Area: Mental Health Help-Seeking Behaviors Among Asian American Community College Students: The Effect of Stigma, Cultural Barriers, and Acculturation
Han, M., & Pong, H. (2015). Mental health help-seeking behaviors among asian american community college students: The effect of stigma, cultural barriers, and acculturation. Journal of College Student Development, 56(1), 1-14. doi: http://dx.doi.org/10.1353/csd.2015.0001 Since my Practice Experience is focused on educating Asian-American youth on commonly stigmatized health issues, such as mental health, I chose this article to understand the factors that play into the Asian-American youth's higher risk of suicide and depression. This literary work addresses the fact that Asian-Americans generally underuse professional services, and cultural factors and stigma contribute to the low mental-health-seeking behaviors.

Area: Filipino American Identity and Clinical Implications
Zapata, Summer B. Filipino American Identity and Clinical Implications, Alliant International University, Ann Arbor, 2012''. ProQuest'', https://search.proquest.com/docview/902742974?accountid=14496.

“Filipino American Identity and Clinical Implications” outlines the immigration of Filipinos to the United States, as well as how Filipino-American identity development factors (e.g. traditions, culture, and values) tie in to their mentality and approach to healthcare services. The Filipino-American community is considered the “invisible Asian group”, leading to the fact that research generally glosses over Filipino-Americans despite their high rates of suicide ideations, depression, and other health issues such as HIV, drug use, and eating disorders. Despite Filipino-Americans being considered to have better access to healthcare services due to their English proficiency and acculturation levels relative to other Asian-American sub-groups, one issue that this article brings to light is that because Filipino-Americans are proficient at English and have American culture mixed in with their Filipino culture, the services they are receiving are geared more toward mainstream European Americans and are not culturally sensitive. This article really opened my eyes to the idea of Filipino-Americans not receiving culturally sensitive treatment, and helped me connect the dots in regards to Filipino-American health disparities and Filipino-American English proficiency. I had an understanding that language was a common barrier to immigrant and Asian/Asian-American healthcare utilization, but this article also brought up another prominent factor that could play into how healthcare caters to ethnic sub-groups. Overall, the “Filipino American Identity and Clinical Implications” article helped me understand more about the barriers individual sub-groups of Asian-Americans face when seeking healthcare, and will guide me through my practice experience as I observe how Asian Health Services attempt to overcome these barriers for its patients and connect these results to my research for my Wikipedia articles.

Area: Cultural values and mental health attitudes in Filipino and Japanese-Americans
Tanaka-Koyanagi, Y. (2001). Cultural values and mental health attitudes in filipino and japanese-americans (Order No. 9995019). Available from ProQuest Dissertations & Theses A&I; ProQuest Dissertations & Theses Global. (304700548). Retrieved from https://search.proquest.com/docview/304700548?accountid=14496

"Cultural values and mental health attitudes in Filipino and Japanese-Americans" demonstrates the similarities between sub-groups of the Asian ethnicity in regards to underutilization of health resources, barriers to health services, and cultural perspectives of mental illnesses. I want to use this literary work to compare and contrast how Filipino-Americans fit into the general fact that Asian-Americans are less likely to seek professional help regarding their mental health.

Area: Preventing Filipino mental health disparities: Perspectives from adolescents, caregivers, providers, and advocates
Javier, J. R., Supan, J., Lansang, A., Beyer, W., Kubicek, K., & Palinkas, L. A. (2014). Preventing filipino mental health disparities: Perspectives from adolescents, caregivers, providers, and advocates. Asian American Journal of Psychology, 5(4), 316-324. doi: http://dx.doi.org/10.1037/a0036479

=== Area: The differences in american and filipino mental health professionals' perception of the seriousness of suicidal ideation, and the predictive power of religiosity, spirituality, and diversity awareness === Vargas-Leveriza, A. (2015). The differences in american and filipino mental health professionals' perception of the seriousness of suicidal ideation, and the predictive power of religiosity, spirituality, and diversity awareness (Order No. AAI3645177). Available from PsycINFO. (1721925744; 2015-99180-439). Retrieved from https://search.proquest.com/docview/1721925744?accountid=14496

Area: Help-seeking and coping behaviors among Asian-Americans: The roles of Asian values, emotional intelligence, and optimism
Lei, N., & Pellitteri, J. (2017). Help-seeking and coping behaviors among asian americans: The roles of asian values, emotional intelligence, and optimism.Asian American Journal of Psychology, 8(3), 224-234. doi: http://dx.doi.org/10.1037/aap0000086

Area: Acculturation, enculturation, psychological distress and help-seeking preferences among Asian American college students
Ruzek, N. A., Nguyen, D. Q., & Herzog, D. C. (2011). Acculturation, enculturation, psychological distress and help-seeking preferences among asian american college students. Asian American Journal of Psychology, 2(3), 181-196. doi: http://dx.doi.org/10.1037/a0024302

Area: The effects of age cohort and Asian ethnicity on health and mental health service use
Nguyen, D. D. (2007). The effects of age cohort and asian ethnicity on health and mental health service use (Order No. 3266719). Available from ProQuest Dissertations & Theses A&I; ProQuest Dissertations & Theses Global. (304858886). Retrieved from https://search.proquest.com/docview/304858886?accountid=14496

Area: Correlates of Mental Health Service Use and Type Among Asian Americans
Ihara, E. S., Chae, D. H., Cummings, J. R., & Lee, S. (2014). Correlates of mental health service use and type among asian americans. Administration and Policy in Mental Health and Mental Health Services Research, 41(4), 543-51. doi: http://dx.doi.org/10.1007/s10488-013-0493-5

Sector: Gender in Context: Immigrant Routes to Healthcare Access
Leung, ManChui R. Gender in Context: Immigrant Routes to Healthcare Access, University of Washington, Ann Arbor, 2018. ProQuest, https://search.proquest.com/docview/2083996419?accountid=14496.

Through the scholarly article “Gender in Context: Immigrant Routes to Healthcare Access”, the differences between the immigrant men and women’s accessibility to healthcare is investigated, as it has been established by previous studies and data that immigrant men are less likely to access health care services than women. The article concludes that factors such as responsibility, strain, and support networks affect the immigrant women while US community relations, friends, and institutions affecting the immigrant men. This article emphasizes that access to healthcare is a “multidimensional concept” (127), defining this access in a multitude of ways throughout the article, while identifying socioeconomic-legal resources, institutional barriers, and social network support as the three factors that have gender and immigrant implications for healthcare accessibility. The “Gender in Context: Immigrant Routes to Healthcare Access” connects to my practice experience because of its emphasis on the various factors that play into healthcare accessibility, and how certain factors have strong associations with other factors (e.g. gender, socioeconomic status, and legal status). Some ethnicities and genders have advantages to healthcare access than others due to these multitude of factors, which is something I could look out for while studying Asian Health Services’s methods to treating their Asian-American patients as well as when I am connecting my research to what is currently presented on the “Immigrant Healthcare in the United States” and “Filipino-American Health” Wikipedia articles.

Sector: Asian American Health Nequities: An Exploration of Cultural and Language Incongruity and Discrimination in Accessing and Utilizing the Healthcare System
Weng, Suzie S,PhD., M.S.W., and Wolfe, Warren T,I.I.I., M.S.W. "Asian American Health Nequities: An Exploration of Cultural and Language Incongruity and Discrimination in Accessing and Utilizing the Healthcare System." International Public Health Journal, vol. 8, no. 2, 2016, pp. 155-167. ProQuest, https://search.proquest.com/docview/1841299764?accountid=14496.

“Asian American Health Nequities: An Exploration of Cultural and Language Incongruity and Discrimination in Accessing and Utilizing the Healthcare System” is another article that emphasizes the multiple factors that play a role in Asian-American health inequalities and utilization of healthcare services; however, this article focuses on the “multiple levels of social structures in the context of cultural and language incongruity and discrimination” (155) as a contributor to Asian-American health inequalities. The article explains that Asian-Americans are generally understudied because of the model minority myth; however, Asian-Americans still encounter cultural, governmental, informational, systemic, economic, and structural barriers in the health system, posing magnified health inequalities over time. Magnified health inequalities may also cause Asian-Americans to withdraw from formal healthcare institutions, which results in untreated and unmanaged health conditions, making their treatment more difficult once they are re-admitted. Overall, these health inequalities are preventable, with solutions such as changes in the macro level (e.g. culturally responsive services), at the systemic level (e.g. services specific to populations) and the community level (e.g. more Asian-American workers in healthcare, educational outreach). This article has been very helpful toward connecting immigrant and Asian-American health issues to solutions, which will be very helpful to me during my practice experience when I am observing how Asian Health Services is implementing their solution to stigmatized Asian-American health issues. This article will also be helpful when I use my experiences and research to add onto my Wikipedia articles, specifically in sections related to issues and solutions.

Sector: How Welfare Reform Act Affects Elderly Immigrants' Health and Healthcare Service Utilization: Comparison before and After Welfare Reform
Yeo, Younsook. How Welfare Reform Act Affects Elderly Immigrants' Health and Healthcare Service Utilization: Comparisons before and After Welfare Reform, University of South Carolina, Ann Arbor, 2013''. ProQuest'', https://search.proquest.com/docview/1368253436?accountid=14496.

The “How Welfare Reform Act Affects Elderly Immigrants’ Health and Healthcare Service Utilization: Comparisons before and After Welfare Reform” scholarly source describes the current policies in place that are meant to support one’s access to healthcare, and how elderly immigrants are still face barriers despite the fact that these policies are in place. These barriers include language barriers, accessibility to health insurance and Medicare due to lack of work history and age-based discrimination. Overall, this article shows that prior to Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (Public Law 104-193: PRWORA), only two factors (age and health status) played a role in the utilization of healthcare services; however, post-PRWORA show that many more factors, such as education, residency, citizenship played a bigger role in an elderly immigrants’ accessibility and use of healthcare services. Overall, this article relates to my practice experience because it explains the different barriers that elderly immigrants face when accessing healthcare, which can tie in to how Asian Health Services runs their own healthcare services and their community programs. This information will especially be useful in my two Wikipedia articles, “Filipino-American Health” and “Immigrant Healthcare in the United States” when I am adding more information regarding the barriers that different types of immigrants or elderly Filipinos face in accessing healthcare.

Sector: Trends In Health Care Spending For Immigrants In The United States
* Other Useful Scholarly Articles:

Area: Depressive symptoms and suicidal ideation from adolescence to young adulthood in Chinese American and Filipino American youth

Park, S. (2017). Depressive symptoms and suicidal ideation from adolescence to young adulthood in chinese american and filipino american youth. Journal of the Society for Social Work and Research, 8(4), 621-643. doi: http://dx.doi.org.libproxy.berkeley.edu/10.1086/694790

Through my practice experience, I want to understand more about healthcare systems and how Asian Health Services cater to the Asian-American community; specifically, I want to understand how they cater to the various sub-groups and their health disparities, such as Filipino-American health disparities, and what is being done about them. This literary work investigates the relationships between Chinese-American and Filipino-American youth and how mental health issues affect them. Studies showed that the two sub-groups share similarities in depressive symptoms and suicidal ideation, but differences in mental health effects appear over time.

Sector: Influence of Healthcare Utilization and Social Characteristics on Health Outcomes Among Elderly Asian Americans: A Structural Equation Analysis

Jacob Chao-Lun Huang. (2017). Influence of healthcare utilization and social characteristics on health outcomes among elderly asian americans: A structural equation analysis. Bingley: Emerald Group Publishing Limited. doi: http://dx.doi.org/10.1108/S0275-495920170000035011 This literary work tackles Asian-American health in hopes of shedding light on the under-reported ethnic group, comparing healthcare utilization to health outcomes in the Asian-American elderly. Through my practice experience, I wanted to understand the differences in health disparities and mentalities of Asian-Americans and Asians, and this literary work researches the relationship between predisposing characteristics and utilization of resources for Asian-Americans. I also wanted to learn more about the elderly Asian-Americans through my practice experience, and how common familial values typically upheld by older generations play a role in Asian-American families and youths.

Peer Editing
These sources are really well chosen. The small summary and analysis given helps explain the points you plan on making and are relevant to your practice experience and issues focused on.

Area:
Many literary works highlight the fact that Asian/Asian-Americans have a natural tendency to underuse professional services and healthcare services due to cultural barriers and stigmas, perhaps emphasizing that the root of health issues such as mental health seems to be deeply rooted in mentality backed by culture. Alongside the low-mental-health-seeking behaviors, despite similarities, Asian/Asian-Americans also experience different cultural barriers and stigmas, as well as different effects from these barriers. There are some organizations, such as Asian Health Services, that acknowledge this barrier and try to combat the issue with community programs. Asian Health Services has a history of implementing community programs for the Asian/Asian-American community in Oakland Chinatown, California, with programs such as Revive Chinatown! that targets the institutional and infrastructural issues of the community, as well as Youth Programs which tackles the cultural barriers youth face regarding mental health and sex education. Generally, most of the solutions being implemented or suggested by scholars revolves around integrating cultural sensitivity in current healthcare systems, as well as improving policies regarding accessibility for people of color and the elderly.

Sector:
Although I'm having difficulty finding the perfect Sector article that fits what I'm looking for, the current scholarly article I've found, Influence of Healthcare Utilization and Social Characteristics on Health Outcomes Among Elderly Asian Americans: A Structural Equation Analysis, highlight a distinct problem in the Asian/Asian American community: utilization of resources. Although still relatively lower than the other ethnic groups, there was a significant difference between the utilization of resources of foreign-born Asians and US-born Asians. Alongside data that showed that predisposing characteristics (age, sex, marital status, and region of residency) as well as enabling resources (education, family size, family income) had direct effects on healthcare utilization, the literary work called for more large-scale studies that investigated and understood the difference between the sub-groups within the Asian/Asian-American umbrella.

Notes after discussion:

-Ask AHS for research articles or statistics/surveys

-Look up statistics online and see what resources they use

Area: Filipino-American Health
 Help-Seeking Behaviors 

There exists many social barriers towards accessibility of healthcare. Some of these include, but are not limited to: age, marital status, English proficiency, generation status, cultural beliefs and practices, etc. These barriers can greatly affect Filipino-American understanding of the U.S. healthcare system, perspectives towards mental health, and understanding in seeking professional health services. One such barrier that is often cited as being a major obstacle in Asian American health-seeking behavior is the cultural ideation of the "private self," where Asian Americans are taught to keep their emotions out of the public and reserved for closer friends or family. As a result, seeking out mental health services is made into an option of last resort, rather than as a first option. Due to cultural barriers and differences in the understanding of mental health, treatment of Filipino [mental] health may be adversely affected, as cultural differences can affect the reception and effectiveness of mental health services.

The internalized oppression that accompanies the colonial mentality that pervades the Filipino American identity also plays a significant role in the Filipino American perception of mental health services. Due to a complicated historical relationship between the Philippines and the United States, a certain level of caution remains when approaching Western ideas, including medicine. The Filipino American perspective on health-related issues may also differ from that of the Western framework on medicine, leading to large disparities between American and Filipino health professionals. One point of contention is regarding the loose definitions of what constitutes "mental and emotional" well-being contributes to the caution that Filipino Americans have in their help-seeking behaviors.

 Effects of the "Model Minority" Myth 

In various Asian American communities, the "model minority" myth pervades. The image of the "model minority" is idealized, with the population being generally regarded as well-off and successful, implying an assumption of mental toughness and fortitude. In the Asian American youth population, specifically, there is a lower level of social support and higher levels of insurance disparities. As a result, Filipino American college students have underutilized college counseling centers, an action that would otherwise contradict the ideal of the "model minority." Despite being part of this "model minority" myth, Filipino youth have a relatively higher rates of mental health and behavioral health issues, including depression, suicide ideation, substance addiction, early pregnancy, and HIV/AIDS cases compared to Whites and other Asian subgroups. Additionally, due to the existence of the norm for Asian Americans to attend a four-year university, those individuals who attend community college may feel additional social pressures that negatively affect their mental health. These may spawn from feelings of inferiority and can also contribute to lower levels of mental health-seeking behaviors, as a result of feelings of shame.

Sector: Community Health Centers in the United States
 Immigrants and Community Health Centers 

Immigrants are some of the primary patients that community health centers serve due to the cultural and societal barriers the group experiences. From the 1970s up to the early 2000s, the effect on immigrant families has increased relative to families native to the U.S. due to factors such as parental education, parental employment, and racial/ethnic composition. However, immigrant families generally have a lower access to mental healthcare, leaving them at a greater risk to not treat their mental health issues. Part of this problem lays in the foundations of immigrant communities, as many non-Western cultures perceive a strong stigma towards mental health topics and lack a proper system of social support to address these issues. Even more common is the lack of understanding or awareness that these mental health help resources exist. Due to complexities in how insurance and healthcare works, which is compounded by language barriers, many immigrant families are unable to properly educate themselves on what services exist and how they may utilize these services. For those who are able to understand, lack of outreach may lead them to assume that they are ineligible, when, in fact, they are eligible to receive such services. The effects of this lack of understanding especially harms immigrant children, who rely on their parents' knowledge of mental healthcare, who may inadvertently deny their children of needed mental health services.

One proposed solution to this problem is through community health centers (CHC), which are able to provide a unique service experience for the population it serves. For many of these CHCs, they must adapt to the geographical space it inhabits, in addition to cultural and linguistic variations in the surrounding demographics. As a result, they are equipped to address social stigmas present in their communities, an obstacle that hinders the use of available mental health resources. Additionally, CHCs also have the capability of overcoming local institutional barriers that may make it difficult or uncomfortable for immigrant groups to seek out healthcare. By providing translator services or linguistically appropriate health materials, for example, members of the local community are more empowered to educate themselves on mental health issues and solutions, as the information is provided in a form that is easily understood.

Due to successes in some CHCs in impacting their communities, policies like the early 2000s Medicaid reform and the Bush Administration's health center initiative allowed for expansion of behavioral healthcare services in CHCs. Previously, there were large restrictions on reimbursement for these services, causing them to be very costly. However, the advent of such policies show a movement that trends towards further increases in healthcare accessibility. Policies like the Affordable Care Act (ACA) and Chapter 58 have incrementally increased accessibility to healthcare, simultaneously setting a precedent for even further expansion.

 Asian Health Services: Revive Chinatown! 

In the early 2000s, Asian Health Services envisioned a project called Revive Chinatown! that would create a safer pedestrian environment, while also transforming Chinatown's commercial district into a regional shopping destination. The key to securing the funding and support for this project was in re-defining the issue from one of public health into one of environmental justice. In doing so, Asian Health Services hoped to address the issue of pedestrian safety by simultaneously working on a long-term solution for increased quality of life. The Revive Chinatown! movement has gained traction and is cited as a success story of a CHC being able to successfully create a more public health-friendly environment, which bolsters their case and contributes to the trend towards further healthcare accessibility by means of CHCs.