HEALTH Pillar Highlight: Thrive18

One Northside Anchor, Project Destiny, engages residents where they are by helping to stabilize their lives through a direct connection to resources and support. Through Project Destiny’s Thrive18 initiative, Northside residents get help on a variety of non-medical factors called the social determinants of health including access to safe housing, transportation, food, quality childcare, employment and more.

Reverend Brenda Gregg, Founder of Project Destiny and the Thrive18 initiative is proud of the Thrive18 model and the way community health workers, “work alongside residents, and never tell residents what they need or how to do it. Instead, they work with residents to find their strengths and help make connections.”

Through the relationships Thrive18 has built with service providers, health care systems, community-based organizations and others, staff help residents navigate complex systems, and resolve issues. The Thrive18 model is unique because once a resident is connected, they remain a partner and can receive ongoing, long-term support long after their initial need has been met.  The initiative seeks to help residents thrive beyond where they are and receive the support and connections they need today and in the future. 

Those connections and support can include help getting a struggling child to school, getting utilities turned back on, accessing transportation and employment support, finding a physician, navigating Medicare or Medicaid or finding a food pantry. Whatever a resident’s need is, Thrive18 staff are available 24 hours a day, 7 days a week to help. To connect with a Thrive18 community health worker, call Project Destiny at 412-231-1258. Someone on the Thrive18 team will be back in touch within 24 to 48 hours.

Learn more by watching the video below!

Allegheny Health Network may be a nonprofit itself, but its efforts supporting people in need and organizations that serve them is extensive.

“Since 2017 we have provided more than $175 million worth of charity and uncompensated care for people coming to Allegheny Health Network facilities,” said Allie Quick, chief philanthropy officer for AHN. “That’s a big piece of what we give that people don’t realize. We are providing care to people who can’t afford to pay for it.”

But those efforts “don’t stop at the hospital door,” according to Quick. The health care and insurance provider also partners with local charities by providing money, volunteers and advisory services.

Perhaps the best example of that outreach is the support for Project Destiny Inc., a North Side-based nonprofit founded in 2004 that provides resources, support groups, cultural and educational activities for children in need and their families.

According to Rev. Brenda Gregg, founder and executive director of Project Destiny, AHN has been an invaluable partner, especially in collaboration with the Build Health Challenge, a national initiative that stands for taking a bold, upstream, integrated, local and data-driven approach to develop sustainable improvements in community health.

“AHN is the largest supporter of our Build Health Challenge,” she said. “They are also a part of the implementation team for this program, including providing us with data to help us determine what are the needs of the families on the North Side.”

Gregg said they are examining issues such as diabetes, hypertension and obesity among local residents, then working on programs that serve those needs.

Other partners in that project include The Buhl Foundation and the Allegheny County Department of Health. Medical services are provided at Allegheny General Hospital.

The approach taken by AHN supporting Project Destiny is one aspect of a much bigger outreach program, according to Quick.

“Our mission is to be a partner in improving health outcomes for the neighborhood and the region we serve,” she said. “We’re involved with a number of organizations throughout the community. Some are small. Some are large. We support the Carnegie Science Center; we’re the presenting sponsor of the Great Race; all of those large-scale events you see in the community where we can have a presence. But we’re also involved on a smaller scale with the nonprofits that are working to improve the region.”

The focus of AHN’s philanthropy, according to Quick, is determining what local residents need and then working with area nonprofits and civic groups to provide education, services and other resources that address those problems.

She said it’s not just about giving money or offering volunteers: AHN is building partnerships with nonprofits to reach shared goals.

“That can be everything from dealing with issues of food insecurity to counseling for opioid addiction to helping moms who are struggling with pregnancy and addiction,” she said. “It’s really a partnership to help folks in the region to live healthier lives.”

AHN maintains a database of employees interested in volunteer work called the Highmark Caring Corps. Participants provide services ranging from working at food banks, mentoring and working at events, to name just a few.

Originally published on October 1, 2018
SOURCE: Pittsburgh Business Times

There are 21 files in a cabinet at the back of the office inside Project Destiny’s headquarters building in California-Kirkbride — each one documenting the challenges a North Side family is facing.

Some needed help with a major health crisis, others something as small as buying a bed.

The Rev. Brenda Gregg, Project Destiny’s founder and pastor of a North Side church, said about half of those families came to the attention of the seven-year-old nonprofit because of a child’s chronic school attendance problem.

That might sound like an isolated problem easily solved: Just get the kid to school.

But after working with struggling families in the North Side’s 18 neighborhoods, Rev. Gregg said she and her staff know better than most that it’s rarely just about a child’s struggle to get to school.

“We realize there are other things leading up to that attendance issue,” she said. “Maybe it’s a deeper family issue. Maybe it’s a kid on drugs. Maybe it’s a kid who is not getting clean and they’re getting bullied at school. Maybe they’re caring for a sick parent.”

“The attendance problem just starts our work,” she said.

Their work is about to grow considerably.

Project Destiny is the focal point of an effort to improve the health of the 41,000 North Siders who could use the most help by addressing their needs holistically: Not just any illness they might have, but by also directing them to resources to help with economic problems, food, transportation, as well as educational or housing needs, and anything else that is preventing them from staying healthy.

The organization and a coalition of Pittsburgh nonprofits recently won a $250,000 grant — with $500,000 in local matching funds — from the BUILD Health Challenge that awards money nationally to groups that have bonded together to improve the health of a community. BUILD is a Bethesda, Md.-based organization funded by health foundations and companies seeking to spur innovation.

Project Destiny is working with the Buhl Foundation (which is contributing $250,000), Highmark Health (which also contributed $250,000), Allegheny General Hospital and the Allegheny County Health Department to put into action the “inclusive health” philosophy of trying to address all facets of a person’s situation.

“What makes this so different is you already have awesome things happening — with social issues, like Project Destiny, and things with health issues, like the Center for Inclusion Health at AGH — and this brings those two together,” said Diana Bucco, president of the Buhl Foundation.

Much of the money will be spent hiring two full-time managers at Project Destiny who will oversee up to eight new part-time community health workers who will be responsible for knocking on doors in North Side neighborhoods and finding those people and families who need help.

Rev. Gregg, who spent 38 years as an administrator at Children’s Hospital, said she hopes to get people who already live on the North Side for these jobs, “people who residents already feel comfortable with,” so they can get that granular information about what it is that is impacting a person or family’s health, and direct them to resources.

For the two years of the grant, those door-knockers will track down and find those residents they can help, and learn as much about them as possible. They will feed that information back into a database that will be used to help isolate what “social determinants of health” are most in demand.

Then, the coalition wants to build the Center for Lifting EveryBody Up (CLUB), a health and wellness center to be located somewhere on the North Side. Exactly what the CLUB will contain will be determined by what Project Destiny’s door-knockers find is needed.

“At the CLUB, we want to be able to show people: I know your life is hard. Here is how we can make it better,” Ms. Bucco said.

As they do the work of gathering data, the door-knockers will all be trained to do the work that Project Destiny has been doing for the last seven years: Acting as a source of knowledge about where people can get help.

“What we really want is to develop ‘warm handoffs’ from the community workers to the agencies that can help them,” said Annette Fetchko, regional manager for the Center for Inclusion Health at AGH.

Patrick Perri, medical director for the Center for Inclusion Health, who recently co-authored a paper about the benefits of an inclusion approach, said what he and others in the field have found is that the best method is to have multiple warm handoffs.

“These are complex interventions and they can require multiple avenues to solve problems with housing, education, primary care health access and other areas,” he said.

He particularly likes how Project Destiny uses community health workers to reach out.

“The community health worker model is one of the best ways to engage people who are either geographically or socially isolated,” he said. “And hopefully the BUILD grant will succeed where others have fallen short.”

Winning the BUILD grant pulled together three efforts that had been operating independently of each other until they had a reason to work in concert.

In 2013, about three years after Project Destiny began its work on the North Side with after-school programs and assistance to families, the Buhl Foundation made a decision to refocus a larger share of its annual giving to the North Side — where the foundation’s late namesake, Henry Buhl Jr., had his department store that was the source of his fortune.

That led to creation of the One Northside organization, which surveyed thousands of residents to find out what they believed they needed to improve their neighborhoods, and their lives.

The foundation then had also begun providing some funding for one of Project Destiny’s after-school programs, and pulled Rev. Gregg into the One Northside organization as chair of its early childhood initiative.

At about the same time, Karen Hacker, director of the county health department, learned about the BUILD grant. She initially worked with AGH and a different organization on the North Side, as well as groups in Homewood, to apply during the first series of grant proposals, but they were not successful.

She wanted to try again and when the second round of grants came up, she asked AGH and Buhl, which then turned to Project Destiny to work with them, and they won.

It seemed like a ready-made team.

“One Northside was already trying to improve the overall health of that community, which is more than making sure that any one person gets their diabetes checked on,” she said.

Along with Project Destiny “they were uniquely positioned to take advantage of this grant.”

If the project proves successful, she said, she hopes it can be replicated in other communities, teaming a foundation, with a neighborhood group and a hospital, to address the complex issues that can lead to poor health.

“To me, watching how this [North Side project] unfolds will be telling,” she said. “If it works, others will want to replicate it.”

Originally published on November 19, 2017
SOURCE: Pittsburgh Post-Gazette