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CONTENTSEASTERN ALAMEDA COUNTY HUMAN SERVICES NEEDS ASSESSMENT <br />Table of Contents <br />I. HOW TO USE THIS DOCUMENT 2 <br />II. TERM DEFINITION 3 <br />III. STORY 5 <br />IV. BACKGROUND 6 <br />V. GUIDING THEORETICAL VALUES AND FRAMEWORKS 7 <br />Community Engagement, Power Sharing, and Capacity Building 7 <br />Additional Applied Frameworks 8 <br />The Life-Course Perspective 8 <br />Structural Considerations 9 <br />Upstream and Downstream 9 <br />Social and Structural Determinants of Health 10 <br />Root Causes 10 <br />Report Considerations 11 <br />VI. METHODS 12 <br />Foundational Steps: Gathering Input and Establishing Advisory Groups 12 <br />Landscape Scan 12 <br />Joint Commission and City Council Meetings 12 <br />Needs Assessment Website 13 <br />Advisory Groups Development 13 <br />Community Liaison 13 <br />Eastern Alameda Power and Action Committee 14 <br />Steering Committee 15 <br />Priority Populations 15 <br />Engaging Different Language Groups 16 <br />Quantitative Analysis and Qualitative Data Collection 17 <br />Quantitative Data 17 <br />Census Data 17 <br />Regional Reports 18 <br />Qualitative Data 18 <br />Demographics 19 <br />Representation and Implicit Bias 19 <br />Nonprofit Focus Groups 20 <br />Community Focus Groups 20 <br />Recruitment 20 <br />Structure 20 <br />Capacity Building through Facilitation 21 <br />Individual Interviews 21 <br />Tabling Events and Intercept Interviews 22 <br />VII. FINDINGS 22 <br />Demographic Trends in the Tri-Valley 23 <br />Population 23 <br />Age 24 <br />Race and Ethnicity 27 <br />Economic Stability 32 <br />Existing Services 36 <br />Strengths 43 <br />Page 56 of 554