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Development of a "Survival" Guide for Substance Users in Harlem, New York City

Center for Urban Epidemiologic Studies, New York Academy of Medicine, New York; Division of Preventive and Analytic Methods, Epidemiology Program Office, Centers for Disease Control and Prevention, Atlanta, Georgiasfactor{at}nyam.org

Sandro Galea, MD, MPH

Center for Urban Epidemiologic Studies, New York Academy of Medicine, New York; Division of Epidemiology, Columbia University Mailman School of Public Health, New York

Lucia Garcia de Duenas Geli, BPharm, MPH

Lucia Garcia de Duenas Geli, Center for Urban Epidemiologic Studies, New York Academy of Medicine, New York; and National School of Health, Health Institute Carlos III, Madrid, Spain

Megan Saynisch, BA

Megan Saynisch, Center for Urban Epidemiologic Studies, New York Academy of Medicine, New York

Suzannah Blumenthal, BA

Urban Public Health Program, Hunter College of the City of New York, New York

Eric Canales

Eric Canales, Center for Urban Epidemiologic Studies, New York Academy of Medicine, New York; Community Advisory Board, Center for Urban Epidemiologic Studies, New York Academy of Medicine, New York

Michael Poulson, MPH

Michael Poulson, Community Advisory Board, Center for Urban Epidemiologic Studies, New York Academy of Medicine, New York; ACCESS Harlem, New York

Mary Foley, EdD

Mary Foley, Community Advisory Board, Center for Urban Epidemiologic Studies, New York Academy of Medicine, New York; Department of Community Medicine, Mount Sinai School of Medicine, New York

David Vlahov, PhD

David Vlahov, Center for Urban Epidemiologic Studies, New York Academy of Medicine, New York; Division of Epidemiology, Columbia University Mailman School of Public Health, New York

The community advisory board (CAB) of the Harlem Urban Research Center, which includes community service providers, Department of Health workers, and academics, identified substance users’health as an action priority. The CAB initiated the development of a wellness guide to provide informational support for substance users to improve access to community services. Focus groups of current and former users engaged substance users in the guide development process and determined the guide’s content and "look." Focus group participants recommended calling this a "survival" guide. The guide will include three sections: (a) health information and how to navigate the system to obtain services, (b) a reference list of community services, and (c) relevant "hot-line" numbers. The design will incorporate local street art. Substance users continue to shape the guide through ongoing art workshops. Dissemination and evaluation of the guide will continue to involve substance users, community service providers, and academics.

Health Education & Behavior, Vol. 29, No. 3, 312-325 (2002)
DOI: 10.1177/109019810202900304


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