Purposeful In Pink: A story of newfound hope and faith as part of Breast Cancer Awarness Month

A cancer diagnosis can feel like a life sentence, but for Sandra Moreno it has become her life’s purpose. Moreno is a Case Manager II, with Methodist Healthcare Ministries of South Texas Inc. – she is also wife, mother, and breast cancer survivor; it’s a path she does not walk alone. Before the end of 2024, more than 300,000 women will likely receive a breast cancer diagnosis. During October, stories of survival and remembrance are shared as part of Breast Cancer Awareness Month. It is also a crucial time to exchange resources and encourage mammograms. Moreno is reflecting on her battle with breast cancer—a journey that led her to discover newfound strength and faith. 

A Familiar Foe 

In 2000, Moreno’s father was diagnosed with prostate cancer; her older sister also battled a form of Non-Hodgkin lymphoma, and in 2017 stage 1 breast cancer. Given her family’s medical history, Moreno wanted to know if she could be at risk, “I had tested when my sister was diagnosed and did not meet any of the family genetics at that time.” However, Moreno said cancer “can be silent.” Towards the end of 2020, she began to feel a change in her body. Moreno decided to wait for her annual exam, which was scheduled in May 2021. That appointment led to a mammogram, and biopsy; Moreno later learned she had stage 2 breast cancer. She recalls the phone call that changed her life forever, “One of my triplet sons was with me at home when my doctor called me with the results. It was not an easy call, as he cried on the phone with me. My son held me until my husband came home. We sat and cried, and I still see us in those dark moments of uncertainty.” Although her doctors said her cancer was treatable, she was plagued with emotions and fear of “dying, leaving my family, worry, anger, feeling alone.” 

The Long Journey Ahead 

Moreno’s cancer was considered aggressive which meant her treatment would be as well. She required a port and chemotherapy, which took a toll on her body, “I was not able to work long at the office after five days of chemo—the effects were terrible. I was weak, frail, tired, not eating, nauseated and could not be far from the bathroom. Eating was the hardest. Smells made me sick so my family could not cook. I developed chemo rash in my face that was very painful, I could not be in the sun, and these were all effects I could not control.” Although her days were filled with uncertainty she found comfort in her family, neighbors, and MHM team members. Moreno eventually had a double-mastectomy and reconstruction in December of 2021, “I spent six weeks recovering and needed extensive physical therapy. I worked hard every day. My goal was to return to running, as I had been running half marathons for fun.” 

Pain to Purpose  

Her journey to remission was not easy, but she is aware not everyone is able to share their experience, “I have lost so many around me from other cancers; I cry for them.”  Moreno’s outlook on life changed, and so did her purpose. She is part of Methodist Healthcare Ministries’ Refresh Campaign, a fundraising initiative that benefits several organizations. She also leads the efforts for the American Cancer Society, “I have presented to internal departments, met privately with team members, clients, shared my books, information and the will to fight.” She remains thankful for her loved ones and the faith that carried her through, “I had the power of prayers around me. We need to lean on each other, and everyone does it their way.”  

The road to being a cancer survivor is often paved with struggle and heartache. For Moreno, those moments will be etched in her mind forever, “Not too many know of my bad days, how I was sick, how I didn’t want company, how I cried many times.” However, her journey is also filled with strength and perseverance. Moreno hopes to shine a light for others during their dark days, “It is time to show others how much one can do on the other side. They can fight and they can come out stronger.” Moreno is filled with hope, and a stronger sense of faith; she reminds others, “they are not alone.”  

Raíces de Nuestra Gente: Celebrating Hispanic Heritage Month with stories of culture, impact, and inspiration

Culture and tradition often influence beliefs and behaviors within communities.  As connections form over time, so do feelings of support and reinforcement, which can then lead to positive changes. 1 Methodist Healthcare Ministries of South Texas Inc. recognizes the importance of partnering alongside these vibrant communities. As part of Hispanic Heritage Month, Methodist Healthcare Ministries is celebrating diversity across its 74-county service area, including within its own workforce. Several team members are sharing their stories of culture and how it has inspired them to be a part of MHM’s mission in Serving Humanity to Honor God. 

A unique bond to culture and community: 

Courtesy: Cristina Ordonez

Prosperemos Juntos|Thriving Together (PJTT) is a unique program deeply engrained in parts of Bexar County, the Mid-Border region, and the Laredo area.  PJTT is a power-shifting collaborative that engages and supports coalitions to create solutions that improve the health and well-being of their respective communities.2 Cristina Ordonez, PJTT Supervisor, has been with MHM for two years said, “I support the coordinators in our departments as we deepen our work. I also support the coalitions in the communities we serve as they work on upstream efforts through the health equity strategies they identify, develop, and implement.” Ordonez describes the people in these areas as, “loving, resilient, and inspiring”; she also shares in their passion for advocacy and change. At an early age, Ordonez experienced challenges that existed in her own neighborhood, “I grew up on the West Side of San Antonio, in the 78207-zip code, one of the most economically disadvantaged areas in the city. While I witnessed a lot of inequities in our schools, justice system, and even the infrastructure of my neighborhood, I never saw a lack of community.” Ordonez forged connections with people, who inspired her to make a difference, “I was fortunate to meet incredible community organizers and advocates early on, who instilled in me the importance of giving back to my community and being a proud advocate and representative.” 

Paving a path toward inclusion and representation:

Courtesy: Cristina Ordonez

Ordonez credits her Mexican American culture for shaping her work ethic and views on community, “Growing up, I learned the importance of family, solidarity, and mutual support—values that guide how I approach collaboration and problem-solving in my work.” Her upbringing and connection to her culture is an invaluable insight that MHM defines as “lived experience”; personal knowledge about the world gained through direct, first-hand involvement in everyday events. Ordonez said her lived experience has been a source of inspiration and motivation, “My culture has taught me to honor my roots, stay connected to my heritage, and use my experiences to advocate for greater inclusivity and representation. It pushes me to ensure that Latinx voices are heard, and that the richness of our culture is reflected in the work I do, whether through creativity, storytelling, or advocacy.” Ordonez believes Latinx representation is important because it creates a clearer picture of society and the diversity that exists, “When Latinx voices, experiences, and cultures are represented in media, politics, and other spheres, it promotes understanding and breaks down stereotypes. Representation also ensures that the issues and perspectives of the Latinx community are considered in decision-making processes, ultimately contributing to a more equitable and just society for all.” 

Honoring tradition and celebrating connection:

Courtesy: Cristina Ordonez

Ordonez believes it is important to recognize the trailblazers and teachers who have broken barriers, and the impacts that have been made throughout history, “Hispanic Heritage Month is a time to celebrate and honor the rich cultures, histories, and contributions of Latinx communities. It’s an opportunity to reflect on the diverse traditions and experiences that shape the identity of millions of people.” Culture has played a significant role in Ordonez’s everyday life. She values the teachings that were instilled in her at an early age, which have helped her connect with coalitions on a deeper level. She said Hispanic Heritage Month holds a special meaning and serves as a reminder, “For me, it represents pride in cultural roots, a chance to reconnect with the heritage passed down through generations, and a moment to recognize the influence we have had in shaping society. It’s also a reminder of the importance of inclusivity, education, and ongoing efforts to ensure the stories of Latinx individuals are told and celebrated.” 

A strong connection to community and culture can lead to a bigger impact over time. Ordonez’s environment helped to shape her views and inspire her to advocate for others. MHM understands the importance of a workforce that is enriched with diversity and experience. Across its service area, there exist unique challenges and barriers. However, MHM team members like Ordonez hold a deep understanding of the resilience within these communities. Representation is crucial in creating growth, fostering relationships, and creating a stronger foundation within MHM’s workplace and across its service area.  

Raíces de Nuestra Gente: Celebrating Hispanic Heritage Month with stories of culture, impact, and inspiration

Tradition, family, and faith are held sacred within Hispanic and Latino communities. These core values are essential to one’s identity—and ripple across generations. Methodist Healthcare Ministries of South Texas Inc. recognizes the importance of these values within its workforce and across its 74-county service area. Cultural insights play a crucial part in both forging trust with communities and even influencing health behaviors.1 As part of Hispanic Heritage Month, Methodist Healthcare Ministries will feature of some its team members sharing their stories of their heritage contributes to their unique impact and inspiration.  

The Rio Grande Valley (RGV) is a place where culture is deeply rooted. The region is situated along the United States – Mexico border and is made up of several towns and pockets of communities. There are places bustling with business and commerce, while other areas are rural and isolated. Methodist Healthcare Ministries’ Wesley Nurses have an important role in the RGV; their goal is to provide care coordination for uninsured patients, including health education and promotion. As registered nurses, they address mind, body, and spirit in a holistic approach to health. 2 Omar Chavez believes Wesley Nurses go above and beyond for the communities they serve, “The truth is, no words can really paint the picture Wesley Nurses bring to life every day.” Chavez is the Wesley Nurse in McAllen, and he is a constant presence in the area, “We are inside buildings that don’t have AC, or at parks under trees. Sometimes on top of trailers carrying food, water, school supplies, or even clothes.”  

Between 2010 and 2019, the Hispanic population grew by 10.6 percent in the RGV; nearing 1.3 million.3  Due to its proximity to the border, there is also a significant number of families with mixed immigration status; children may have a U.S. citizenship, but their parents may not. Spanish is a first or second language for most; Chavez believes speaking both languages alongside cultural insight allows for deeper connections to form, “My culture has influenced my work by providing me with the knowledge of the language, food, the lingo, the festivities, and the common familial battles. It allows me to share the same jokes. It allows for mutual compassion. Mutual empathy. And often, mutual tears.” He describes people within communities as “survivalists” and “strategists”, who are dedicated to improving the lives of the next generation, “Every community has numerous characteristics in common, but the one that remains as a pillar, is sacrifice. Fathers and mothers doing everything possible to provide their children with the necessities to survive. Once they have secured the necessities to survive, then they can turn their attention to anything else.”  

Chavez has been a Wesley Nurse for over seven years and has built a strong rapport with communities. Over time he has found there are often more similarities than differences. “Some of their testimonies are like mine or if not mine, my parents, and through storytelling, I’m able to connect the dots.” He remains thankful for his upbringing, which has influenced the way he lives out Methodist Healthcare Ministries’ mission in “Serving Humanity to Honor God”. Chavez said Hispanic Heritage Month is an opportunity to raise awareness, “When the spotlight is on any specific population, it means people are paying attention. It means people are being informed of information regarding that population that may not be on the everyday agenda. It means it is a chance to showcase the importance of that population.” Chavez is steadfast in his faith, and believes he is fulfilling a greater calling, “Christ gifted me my heritage. Christ gifted me my culture. Christ gifted me life. Christ placed me here for His Purpose.” 

Hispanic Heritage Month is celebrated for a variety of reasons. While it is an opportunity to spotlight the important strides and contributions that have been made, it is also a time to reflect on the values that have influenced the work and lives of many. Chavez credits his own connection to culture and faith, which have helped in his line of work. By holding these values close, Chavez has been able to strengthen trust within the communities he serves. These bonds are crucial across of all levels of Methodist Healthcare Ministries’ service area as they lead to cultural insights that lead to a deeper understanding and create a greater impact across South Texas. 

Invisible Wounds: Suicide Prevention Month

Some wounds are invisible. Those are the words used to best describe the struggle of the 49,476 people who died by suicide in 2022. Each of those individuals were precious to their families and friends and sadly the loss of those loved ones often creates a ripple effect of trauma and sorrow in the space those lives used to fill. 

According to the Centers for Disease Control and Prevention (CDC), suicide remains to be a silent killer in the U.S. In 2022 there were over 12.3 million people who seriously considered an attempt. The rise in self-harm related deaths and attempts goes back over 20 years with a 36 percent increase in suicide-related deaths in the U.S. since 2001. 

“It’s a dark subject that individuals don’t want to talk about,” said Celina Gonzalez, a supervisor in Methodist Healthcare Ministries’ Behavioral Health Services. “How do you talk to somebody who has experienced attempts or how do you talk to somebody who has had a family member die by suicide attempt?” 

Methodist Healthcare Ministries (MHM) approaches suicide prevention in its clinical and community care settings through an integrated care model that ensures individuals seeking help are supported in all aspects of their health – physically, mentally, and spiritually.  

This means recognizing that regardless of the reason for a visit, our medical and dental care providers are also asking patients questions that gauge the need for a referral to our behavioral health team to follow up and provide mental health treatment.  

“We approach it very carefully, very kindly, and very authentically,” Gonzalez said. “We create a safe space where someone can just unload what it is they’re experiencing.”  

Our clinical team members use the Patient Health Questionnaire (PHQ-9), a self-administered test provided in primary care settings to determine if patients might need mental health services. The completion of this questionnaire alerts our providers to any needs a patient or client may have outside of their scheduled appointment, which could range from medical, dental or behavioral health. A key element of this integrated care approach is MHM’s Behavioral Health team responding to any emergency room (ER) report notifying them when a MHM patient and registered client has been brought to an ER for mental health reasons. At this point, the behavioral health counselors’ step in and work with the or patient to create a safe space where they can discuss their situation.  

“Every year, we work with our families to complete a PHQ-9,” Andrea Aguirre, Parenting Program In-Home Specialist, said. “We do this to ensure that all our families get the necessary and lifesaving assistance they need.” 

Awareness and prevention are key factors for preventing someone who is experiencing suicidal ideation from becoming another tragedy. Being able to spot the signs that someone may be experiencing suicidal ideation and supporting that individual by connecting them to resources and providing a safe place to share their struggle is an important aspect of preventing suicide. Here are some signs to look out for:  

  • Withdrawing from family and friends and self-isolating  
  • Talking about feeling trapped in unbearable pain  
  • Acting anxious and aggressive  
  • Talking about being a burden to others  
  • Sleeping too much or too little  
  • Increased use of drugs and alcohol.  

Suicide Prevention Month is an internationally recognized observance established in 2003 to address the growing number of suicide-related deaths and to impart the singular message that suicide can be prevented. Additionally, suicide remains to be a leading cause of death in the United States for individuals aged 10 to 65 with death rates growing rapidly for young and economically disadvantaged individuals who may not have access to critical mental health services. 

If you, or someone you know, is struggling with depression or thoughts of suicide call the 988 Suicide and Crisis Lifeline for free help from mental health professionals.  

For more information on our services and how to get access to care, click here to learn more.

The Bold Step Forward: MHM’s journey to advance health equity at Aspen Ideas: Health

Embarking on a new journey is a conscious decision to embrace change, new possibilities, and transformation. However, journeys are seldom easy, and the path ahead is often brimming with unexpected barriers. Novel pursuits require years of lessons and growth but also commitment, courage, and conviction. Methodist Healthcare Ministries of South Texas Inc. is embracing its current journey with a sharpened focus, greater intention, and broader mindset. To fully live out its mission in “Serving Humanity to Honor God,” Methodist Healthcare Ministries is forging a path to advance health equity and improve the wellness of the least served. Methodist Healthcare Ministries defines health equity as a framework of thought and action that strives to reduce racial and socio-economic disparities so that everyone can reach their full potential for health and life. In June, Methodist Healthcare Ministries shared its journey on a global stage.

Broadening ideas and minds

A delegation from Methodist Healthcare Ministries, St. David’s Foundation, and the Knapp Community Care Foundation travelled to Colorado for Aspen Ideas: Health. For over a decade, the event has been an international draw for various sectors of government, public health, and philanthropy. Over a thousand attendees engage in one-on-one interviews, panel discussions, live podcasts, and a plethora of other opportunities. The majestic mountains and green pastures set the scene for the one-of-a-kind experience which brings visionary minds and bold leaders together in one place.  Notable speakers this year included Vivek Murthy, U.S. Surgeon General, and Mandy Cohen, Director for U.S. Centers for Disease Control and Prevention. The 2024 program was comprised of over 60 sessions and over 150 speakers that shared innovative ideas, and solutions to challenges in modern day health, medicine, and science.  Among those speakers was President and CEO of Methodist Healthcare Ministries, Jaime Wesolowski, who has led the organization’s journey to advance health equity. “As we continue to live out our mission in ‘Serving Humanity to Honor God’ it is important we recognize opportunities to highlight our work. Aspen Ideas: Health is the perfect stage to share our story and engage with others who have been or are just beginning their health equity journey.”

The first day served as a networking opportunity for members of the South Texas delegation. Sandra Martinez, Vice-President of Strategy & Partnerships for Methodist Healthcare Ministries shared what keeps her inspired. “What brings me joy is seeing the progress we’re making on our organizational journey of learning and partnership as we advance health equity. We’re transforming from within and seeing our processes, polices, and partnership change to be more community-centered and led.”  Wesolowski met with Wendy Ellis, Director at the Institute for Racial, Ethnic and Socioeconomic Equity at George Washington University. The conversation revolved around systems thinking and systems change and the shared work in advancing social justice and health equity. 

Illuminating legacies and lessons

Reimagining Equitable Systems for Thriving People and Places was a session on the second day. Conversation focused upon strategies that challenge traditional healthcare views and ways to build lasting community-led solutions. Wesolowski was joined by Kate Bollbach, Executive Director of Partners in Health United States, and Dave Chokshi, Chair of Common Health Coalition. Somava Saha, President and CEO of Well-Being and Equity in the World, led the conversation. Wesolowski opened with a retrospect of Methodist Healthcare Ministries first 25 years of creating access to care for the uninsured. Although there had been great strides, there were deep rooted challenges that needed to be addressed. “Health outcomes were not getting better they were getting worse, and they were getting worse for the populations we serve at a greater pace. Even though the work we are doing is important, we realize we have to do something else.” This new mindset led the organization to pivot and focus upon factors that impact the Social Determinants of Health (SDoH); outlined in Methodist Healthcare Ministries 20/20 Vision: Advancing Health Equity: The Strategic Plan & Framework. Wesolowski pointed to the three strategic focus areas that have served as Methodist Healthcare Ministries’ roadmap; transform internal processes and culture; strengthen communities; and impact systemic change. In transforming internal processes, Methodist Healthcare Ministries made investments at all levels of the organization, including the creation of the Organizational Excellence department; dedicated to implementing organizational systems and developing practices that align with Methodist Healthcare Ministries’ commitment to health equity. In an effort to strengthen communities, Methodist Healthcare Ministries is supporting the region it serves through community-led coalitions that are engaged to address concerns and empowered to create their solutions. Intentional investment into crosscutting areas, such as economic mobility, digital equity, and food security continues to grow and helps the organization to impact systemic change. By focusing attention into these areas, Methodist Healthcare Ministries began to broaden its definition of health care. Wesolowski said the strategic focus areas have guided the organization’s efforts in its journey to advance health equity. “We will continue to provide direct care, and we will do it very well, and at the same time we will prioritize community by community; what biggest gaps they have and address them with the same effectiveness.” Ballbach and Chokshi shared their respective expertise with the audience as best practices were exchanged, and ideas illuminated

Courtesy: C2 Photography

Is it Really Radical? The Right Risks for Systemic Change was a roundtable discussion hosted by Methodist Healthcare Ministries, which was held on day three. Over 20 national and global leaders spoke of innovative risks that are necessary in their work to advance health equity. The objective was to enlighten guests on how industry leaders can support a resilient framework of thought and action. Wesolowski spoke of the importance of investment in communities. “Follow the money in health to find opportunities to change structural well-being challenges. When you follow the money, most people will think of hospital or doctor profit margins. But those are typically below 5%. If you follow further, you will find far higher margins for pharmaceutical companies. Wouldn’t it be radical to reimagine how to redistribute some of that wealth to invest in community-led solutions based on the Social Determinants of Health?” Rishi Manchanda, MD, MPH is the founder of and President of HealthBeings. The organization supports the improvement of the social drivers of health and equity at all levels. Manchanda spoke of his experience, “Part of continuous learning; is unlearning. As our organizations seek to grow, we must take the radical risk of intentionally identifying what we need to unlearn when it comes to the narrative, economic and societal structures that unconsciously shape our work.”  

Moving the mission forward 

Courtesy: C2 Photography

Embarking on uncharted territory requires risk, and the thought of the unknown can lead to trepidation before a journey even begins; yet journeys are an inevitable part of learning and growth. Methodist Healthcare Ministries recognizes that its journey is still unfolding, and the path to living out its mission is perpetual. Although systemic inequities have not been eradicated in communities, Methodist Healthcare Ministries remains steadfast in its commitment. Conversations and collaborations lead to new thoughts and action, which is why gatherings like Aspen Ideas: Health are crucial in moving the organization forward. By deconstructing archaic mindsets, refining its strengths, and adopting new strategies bold steps are being taken to advance health equity. Through its commitment, courage, and conviction Methodist Healthcare Ministries is embracing the next part of its journey. 

Capacity Building Series: Learning About Your Board & Growing Board Fundraising Engagement 

When it comes to getting your board engaged in fundraising, it’s important to consider who is on your board and why they’ve joined. Understanding more about your board members, such as why they are inspired to serve on your board, could indicate how they can support your organization’s fundraising strategies. Learning what inspires people, especially board members, can lead to higher engagement and enthusiasm from your board and cultivate stronger partnerships between staff and board members.

Who is in the seat? How to prepare your board to make impactful and meaningful decisions. 

First, let’s think about who is on your board. Boards are unique and have different dynamics—they vary in size, service term requirements, qualifications needed to serve on a board, communication styles, giving and receiving feedback, emotional intelligence, etc. Consider the diversity of your board when it comes to race, ethnicity, gender, age, geography, personal and professional backgrounds, etc. Does the diversity of your board reflect the community your organization serves? How can the diverse perspectives of board members be utilized to further your organizational mission? Could your board be more diverse? If so, how? These can all be helpful questions to reflect on. Diversity can bring a lot of benefit to the table through knowledge, different perspectives, lived and living experiences, connections, and more.

Every organization has different expectations of board members. For example, boards may have policies regarding minimum financial contributions (100% board giving, for example) or not have any policies at all about fundraising. Be up front about your expectations as your organization continues to recruit for new board members. When new board members join your organization’s board, prepare them for success. This could entail providing your board bylaws (if you have them), implementing a service agreement, and most importantly, providing trainings to board members about their roles and duties, fiduciary responsibilities, fundraising expectations, etc. When conducting the trainings, provide as much clarity and consistency as possible to get everyone on the same page. When it comes to fundraising, also keep in mind that board members who come from corporate backgrounds might need a general education about how nonprofits work and how they are different from for-profits. 

It can also be helpful to think about committees on your board. What are the committees, if any? Does your board have a fundraising/development committee? Having committees can help drive focus, action, and progress toward your objectives.

Why do they care? Aligning with your organization’s board 

Devote time and connect with individual board members to understand why they joined the board. Their passion for the organizational mission is what they have in common with you, your staff and other board members; lean into this shared connection. Board members are natural advocates of the organization and its mission, which organically leads them to engage in fundraising efforts. When board members are having conversations with people about something they care about (your organization), it can feel a lot less like work or a hassle, and more like speaking from the heart.

Creating the Foundation

Once you’ve connected with your board members and built strong relationships, it’s time to lay the foundation for your board’s engagement in fundraising. 

Here are some steps you can follow to build that foundation:

  1. Make sure that all members are clear on the board’s fundraising
    responsibilities. 
  2. Develop a fundraising plan for your organization with input from both board and staff. 
  3. Dispel early on any myths or concerns your board members may have about fundraising.
  4. Be clear that asking for money is not the only fundraising task that board members can be involved in. 
  5. Make the fundraising ask easy by thoroughly preparing your board members and providing them with relevant information they can communicate to prospective donors.
  6. Provide your board members with fundraising training/assistance.
  7. Set up a board development committee with orientation & training about board members’ duties, fiduciary responsibilities, fundraising, etc.
  8. Provide each board member with a concrete opportunity to contribute to the organization’s fundraising efforts.

Check out the board vs. staff responsibility checklist in this resource below from Community Change! It could help your organization gain more role clarity between board and staff members. Sources: http://www.campusactivism.org/server-new/uploads/boarvst.pdf and Community Change

You might also want to consider what your policies for board members are when it comes to board member donations/contributions. There are at least two common issues with this type of policy because it can:

  1. Exclude people with fewer financial resources, who might not be able to meet that minimum, from serving on the board.
    1. Limit the amount given by board members who are affluent and may interpret that minimum as the maximum. A board member who may have been prepared to give $10,000 might see a $1,000 minimum and only make the minimum required donation. Source: https://thecharitycfo.com/3-tips-for-successful-board-development/

Remember: your board members are fundraisers, advocates, supporters, and advisors that champion your mission. Given that there is a natural partnership that boards and nonprofit staff can maximize, fundraising is simply an extension of that partnership. Getting your board engaged in fundraising might not always be easy, but it can be as simple as starting there.

Between County Roads – A Reflection on the Health Hardships and Resilient People of South Texas Colonias

 The Rio Grande Valley is a vibrant hub of US-Mexico hospitality. The distinct foods, rich bi-national culture, and remarkable people create an inviting atmosphere where residents and travelers alike feel at home. Towering palm trees span the terrain between Raymondville to Rio Grande City; painting a picture-perfect view across the four counties that comprise the region. However, behind its tropical setting and charming communities, there is a different picture of the Rio Grande Valley some may not always see.

Resilient People, Structural Inequity

Isolated from nearby towns are rural subdivisions referred to as ‘colonias;’ found throughout unincorporated areas along the Texas-Mexico border. Colonias are home to families with mixed immigration status; children may have a United States citizenship, but their parents may not. While their homes vary in size and appearance, families who live in colonias experience similar challenges. A history of insufficient infrastructure and investment have created barriers that impact health and well-being across a variety of conditions. Deteriorating roads make transportation difficult and sometimes impossible. There is a perpetual concern over life-threatening flooding due to a lack of proper drainage systems. As night falls, most colonias are left in the dark with no streetlights to illuminate the area. The lack of adequate living conditions, medical insurance, and nearby healthcare facilities have contributed to further disparities and years of health inequities. Over the years, the number of colonias has grown, especially near border communities like the Rio Grande Valley. As these problems persist, national organizations like Grantmakers in Health are focusing their attention on the resilient people living there.

Informing National Philanthropy

For more than 40 years, the nonprofit organization has been an arm of support to health funders across the country; including Methodist Healthcare Ministries of South Texas, Inc. This partnership of philanthropy creates access to a plethora of educational resources; including a network of organizations that fund programs improving the health of all people. The Board of Directors for Grantmakers In Health (GIH), travels to different regions across the country annually to gain insight on key issues affecting communities and cultures; they also meet with different organizations and learn about available tools, resources, and share best practices. Oanh Maroney-Omitade—Vice-President for Organizational Excellence at Methodist Healthcare Ministries and GIH board member explained, “for this year’s retreat the GIH Board was interested in seeing and learning first-hand more about the unique healthcare situations and solutions along the US-Mexico Border as it has been a prime topic in news and politics”. This prompted the most recent trip to the Rio Grande Valley which included visits to colonias. 

A Captivating Culture

Some of Methodist Healthcare Ministries’ executive team joined GIH board members on their trip, which began with a stop at the Museum of South Texas History, in Edinburg. Dotted with designs of Spanish-tile and wrought-iron sculptures from local artists; the museum offers a curated picture into the past, with exhibitions and historical artifacts showcased across its campus. Francisco Guajardo, Ph.D. is the museum’s Chief Executive Officer; he welcomed the group and enlightened them with rich stories and facts emblematic of South Texas history and culture. Along with fellow partners, the Knapp Community Care Foundation and the Valley Baptist Legacy Foundation; Methodist Healthcare Ministries invited local funded partners to meet with GIH board members. The museum’s hospitality extended into the early evening as thoughts and strategies were exchanged amongst groups. Jennifer Knoulton, Vice President for Community Health & Wellness for Methodist Healthcare Ministries said about the gathering, “We need to challenge, strengthen, and learn from one another – fostering that level of relationship takes time and intention”.

Pillars of Advocacy

As the trip rippled into the next morning, the visiting representatives traveled to the town of San Juan to meet with staff members from La Unión del Pueblo Entero, otherwise known as LUPE. Murals are seen throughout the property, illustrating a journey from oppression to liberation. The organization’s roots were planted by labor rights activist, César Chávez and Dolores Huerta in 1989 with a shared vision of people working together to impact change. Since then, LUPE has grown in their mission to assist working-class and immigrant families; especially those who reside in colonias. LUPE’s Executive Director, Tania A. Chavez Camacho explained how the organization assists people through social services and English classes and extends to fighting deportation and pushing for adequate streetlights and drainage systems in colonias, but the problems remain; something the GIH group was able to witness firsthand.

Off the Paved Path

LUPE staff invited them to tour nearby colonias; the path took them off major highways and onto rural roads not often travelled. In the small town of Donna, make-shift signs point to a way of life for colonia residents. There are no nearby grocery chains or restaurants in sight; instead, a local business simply called ‘The Little Store,’ was bustling with customers getting their breakfast tacos and items for the day. As the group arrived, they were welcomed with warm smiles and curious onlookers outside the Little Store. As the crowd convened around a set of picnic tables, the staff from LUPE introduced a group of women who live within the colonia. They spoke in Spanish and opened up about their day-to-day lives and the hardships they have endured due to the poor conditions outside their doors. One woman pointed to the countless stray dogs roaming the streets and expressed concern over the growing population. Another woman shared her frustration over the lack of nearby parks or playgrounds, and the limitations it creates for children eager to play. Cracks and craters can be found around every corner of the gravel; it is a regular problem for the colonia, but residents are worried it has become a barrier for emergency vehicles. Through local testimonies the GIH group gained a deeper understanding not only of the obstacles colonia residents experience, but of their welcoming and resilient spirits. 

A Collective Hope

The next colonia was just outside the city of Alamo. A muddied road laid out the path to the next destination; a home that sat at the curb of the colonia. The gate to the chain-linked fence was open and a group of colonia residents and LUPE staff welcomed the visitors onto the property. They gathered under a small canopy and were introduced to the homeowner along with her son. She spoke of the obstacles experienced within her community; something the group had become more familiar with during their trip. Despite the living conditions, she maintained a sense of pride in her home. As any good host would, she prepared refreshments for her guests in anticipation of their arrival. The group was also introduced to a young woman and learned of her plans to pursue a college degree, and her mother, whose overwhelming joy brought her to tears. The camaraderie of the colonia was evident as they shared in each other’s hardships, happiness, and dreams for a better future. “What stands out to me is that colonia residents are not in a situation where they need or want someone to ‘save them’. There is pride of place, of homeownership, and these tax-paying community members want spaces where their voices are heard and acted on. The generosity is astounding, and focusing on their unique strengths and assets is essential in addressing the structural barriers within colonias”, said Knoulton.

A New Outlook

Following the tour, the GIH group departed to their respective areas of the country, carrying newfound knowledge and shared experiences. The insights they gained helped to shed light on different perspectives, from people living within colonias. The investment into learning about the Rio Grande Valley will serve GIH in their mission, and benefit communities faced with similar challenges. Methodist Healthcare Ministries is thankful for its valuable partners and their work toward healthier communities. The bonds created during the GIH tour will continue to strengthen as the path toward health equity is paved forward.

The Rio Grande Valley is booming in business and commerce, with no signs of slowing down. For colonia residents, they are a critical part of that economic and communal fabric of hospitality and culture that makes the RGV so unique. Yet, more work lies ahead for health care funders like GIH and community advocates to address the systemic inequities that persist. Each day, colonia residents are met with a unique set of adversities because of where they live and the scarcity of resources. The focus and support from philanthropic organizations is crucial to these communities striving for change. However, colonia residents continue to navigate through the barriers and bridge opportunities that allow them to amplify their voices. Now, it’s time for the listening to turn into deepened layers of support that allow colonia residents to flourish and thrive.

Capacity Building Series: Taking Peer Relationships One Step Further – Tips for Collaborating with Organizations

How to Approach and Build Collaborations

In our last blog, we explored collaborative peer relationships. We shared why and how nonprofits might collaborate with each other—the benefits, reasons, and methods of collaboration. We now want to dive a little deeper into what collaboration could look like for nonprofit organizations. Let’s keep in mind that the goal of collaboration is not always to write a collaborative grant, but it could be, if it’s what might be best for your organization. Sometimes it’s even more beneficial to partner with other organizations—and funders—to seek out more funding and maximize your impact on your community.

“Most funders and nonprofits value working together, and many are looking for ways to improve the quality of their collaborations. Even if some of what we try doesn’t work, deepening relationships with grantees and other stakeholders builds a strong foundation for future efforts. With the right conditioning and enabling environment, we can make progress on effectively partnering with others to achieve meaningful impact.”  Source: https://www.geofunders.org/resources/how-can-we-prepare-for-collaboration-866

 

Here are Some Tips for Collaborating with Organizations:

  1. Tie collaboration into your organization’s goals:
    • Be clear on your goals and how collaborating can help you achieve them.
  2. Determine how you fit into the landscape:
    • Learn more about the subject matter, issues being addressed by the collaboration, other collaborators, and the roles they play.
    • Ask yourself, “What role do we want to play? Where can we add value?”
  3. Lay the groundwork through relationship building:
    • Time to utilize those relationship building skills we discussed in our previous blogs (linked below)! Be intentional about developing trust by showing your flexibility, ability to compromise, and communicating openly about your community’s needs and how a collaboration can make a meaningful impact.
  4. Build a diverse and committed leadership:
    • Having a diverse staff and board that’s representative of your community helps provide a variety of perspectives and connections that can strengthen your network, and therefore your collaborative.
    • Get your staff and board on the same page in prioritizing the collaborative. Make sure they have buy-in and get them involved.
  5. Focus on communication:
    • Communication is key, right? So, communicate often and well—both within and outside of your organization—to ensure everyone is aligned on the vision of the collaborative. Carve out space and time early on for your organizations to get to know each other. Having these connections can make it easier to talk openly about challenges and hold each other accountable.
  6. Provide the resources required:
    • Be mindful of the amount of time and money needed to invest into a collaborative as well as your team’s capacity to focus on it. Remember to secure funding appropriately to help cover the associated costs of a collaborative.
  7. Ensure that collaboration remains a priority:

How to Write a Successful Collaborative Grant (Just One Way to Collaborate!)

Collaboration takes many forms. Building relationships and partnerships might be all that your organization needs. However, if you find that exploring a collaborative grant with fellow organizations might advance your organization’s mission in impacting your community, we would love to provide support. If you’ve never applied for collaborative funding, that’s okay! We’ll break it down in a few steps.

Step one: Identify Partners

You’ll want to begin by identifying other organizations that could be great partners and reach out to them now. Great partners often address the same or similar challenges of your community, have similar mission, vision, values, and goals to yours to make a broader impact. Or maybe they have an entirely different approach to addressing the challenge that compliments and aligns with your organization’s goals.

Establishing trust and getting to know each other’s expertise and available resources takes time. You can think of developing a partnership as an ongoing part of your grantseeking efforts. You can start by appointing a team leader and establishing a workplan and project schedule. You then might assign roles and responsibilities and agree on how you’ll make decisions. It might also be helpful to designate one person to do the writing and have everyone read a draft and suggest edits.

Step Two: Establish Communication and Infrastructure

Although we know that frequent communication is critical, everyone communicates differently. Be sure to discuss communication approaches and ensure a strong infrastructure with tools that all organizations can utilize. There are many types of collaboration tools available online such as:

  • Project management software
  • Document sharing tools
  • Communication tools to stay in touch remotely via messages and video calls
    • e.g. Microsoft Teams, Google Hangouts, Skype
  • Time tracking tools

Step Three: Call on Community

When you’re concerned about a community issue, act. Let the needs of the community be your driving force rather than funding opportunities. Before searching for funders, consider which other organizations you can partner with to address the issue together, leaning on your respective viewpoints, assessing data, and brainstorming possibilities.

Step Four: Talk Money

Discuss money early on. After agreeing on an approach with your collaborative partners, create a budget that details what each partner needs in the collaborative. Without a clear and comprehensive budget being established, a collaborative proposal can fail. Although, remember that a collaborative project budget does not always completely fund an initiative, program, or personnel. This means that organizations who are part of the collaborative might have to seek additional funding to make collaborative efforts monetarily whole.

Step Five: Confront Discord

Confront discord right away and ensure that all partners commit to civil, honest discussion to address the issue. If you are unable to find a solution, strive to maintain ongoing relationships even if a partner organization decides to part ways with the collaborative. However, keep in mind that collaborative relationships are often very fluid and just because a partner needs to bow out doesn’t mean the collaboration is failing. Source: https://www.tgci.com/blog/2020/11/four-more-tips-collaborative-grant-proposals

Hopefully some of these tips and suggestions will help you in your collaborative journey. We know that collaboration can look different from one organization to another based on needs, goals, connections, and resources. Your organization might be newer to collaborative efforts and eager to learn and get started. Maybe your organization is more seasoned and experienced in collaborating with other organizations, or collaborative funding, and ready to dive a little deeper. Perhaps you’re somewhere in between! We can all learn much from each other’s experiences, no matter where we are in our journeys.

So, let’s chat! Tell us below…what has your experience been with collaborating with other organizations? Have you experienced any barriers to collaborating? Would trying a new approach to collaborating help address a barrier? What experiences have you had with collaborative grants? What was that like for your organization? What lessons did you learn?

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Learn more about what Methodist Healthcare Ministries’ Capacity Building team is doing to assist organizations in improving operations and performance through its Capacity Building blog series on mhm.org. If you have any questions, please email us at claurence@mhm.org.

To read previous entries in the Capacity Building blog series, see below:

Capacity Building Series: Relationship Building with Funders (Part I)

Capacity Building Series – Part II: Why Relationships Matter

Capacity Building Series: Building Collaborative Relationships

MHM.org author pics

About the author: Chloé Laurence (she/her)

claurence@mhm.org

With a professional background working in education, mental health counseling spaces, and the nonprofit sector, Chloé serves her community through education, advocacy, and capacity building. She utilizes her love of learning and connecting with people in her work as a Capacity Building Specialist at Methodist Healthcare Ministries to support and empower our funded partners. Her mission is to strengthen our partners’ organizations so they can continue their incredible work building health equity and serving underserved individuals.

Capacity Building Series: Building Collaborative Relationships

Building Collaborative Relationships: Relationship building with peers and other nonprofit organizations

We’re back with our third blog post in this Capacity Building Series! Let’s explore the practice of building collaborative relationships with peers and nonprofit organizations. So, what is collaboration? According to the Cambridge Dictionary, collaboration is the act of working together with other people or organizations to create or achieve something. In short, to collaborate is to create, produce, or achieve together.

You might be asking yourself, why do nonprofits collaborate anyway? How might working with another nonprofit benefit my organization? You might wish to collaborate for three main reasons:

  • to boost organizational efficiency, so your organization can accomplish its work more quickly and with fewer resources. For example,­­­­­­­­­­­­­ nonprofits can work together to create a community resources directory/website. This guide of shared resources helps organizations more efficiently navigate Social Determinants of Health needs for their clients.
  • to increase organizational effectiveness, so your organization can advance its stated mission more successfully. For example, organizations working together to bring new resources to another organization to better meet their mission. This could look like collaborating with organizations that have community counselors who can work with food banks and then food banks bringing services to community mental and behavioral health clinics to care more holistically for clients.
  • to drive broader social and systems change, so when executed successfully, collaborating organizations can collectively strategize to identify solutions that address a social issue in efforts to change systems. For example, a mental health provider, law enforcement, and jail system may collaborate to meet the needs of a person’s crisis mental health needs, diverting them from jails and hospital emergency rooms who are commonly under-resourced to effectively address such needs.

How might nonprofits collaborate with each other? Each partnership between nonprofits will look different depending on the end goal. Nonprofits can work together through cooperation, coordination, and/or collaboration. Let’s look at the 3C Model below that demonstrates the distinguishment between these levels.

Subheading

Source: https://philanthropynewsdigest.org/features/the-sustainable-nonprofit/why-and-how-do-nonprofits-work-together

For a great example of a local group demonstrating collaboration principles, BUILD Health Challenge® (BUILD) 4.0 awardee, Bridges to Care San Antonio (BTCSA), is a collaborative made up of NAMI Greater San Antonio, City of San Antonio Human Services Department, H. E. Butt Foundation, and WestCare Foundation, that is working to bridge the gap in mental health issues for underserved and predominantly Black and Hispanic/Latino communities and create more welcoming, inclusive, supportive, engaged, and resilient communities by collaborating with faith and community-based organizations.

The BUILD Health Challenge® (BUILD) invests in multi-sector, community-centered partnerships and champions the national movement for health equity by moving attention, resources, and action upstream to support health and well-being across the United States. Since 2019, Methodist Healthcare Ministries has been a philanthropic partner of the BUILD Health Challenge. Learn more about Bridges to Care San Antonio (BTCSA) and their work as a BUILD Health Challenge awardee at https://buildhealthchallenge.org/communities/bridges-to-care-san-antonio/.

Check out more resources on collaboration from BUILD Health Challenge® (BUILD):

There are many types of collaboration in the nonprofit space, and it can be difficult to differentiate between them. However, it is important to identify the best type of partnership for your organization and situation, which requires reflection, dialogue, relationship building, and communication. Collaborative efforts can look different for various end goals, can ebb and flow between collaboration types, and can also incorporate multiple types of collaboration all at once.

Let’s take a look at these common types of collaboration, from least formal to most formal:

  • Networks: People connected by relationships, which can take on a variety of forms, both formal and informal.
  • Coalitions: Organizations whose members commit to an agreed-on purpose and shared decision making to influence an external institution or target, while each member organization maintains its own autonomy.
  • Movements: Collective action with a common frame and long-term vision for social change, characterized by grassroots mobilization that works to address a power imbalance.
  • Strategic Alliances: Partnership among organizations working in pursuit of a common goal while maintaining organizational independence. This could mean aligning programs or administrative functions or adopting complementary strategies.
  • Strategic CoFunding: Partnership among organizations that work in pursuit of a common goal. This could mean aligning programs or administrative functions or adopting complementary strategies.
  • PublicPrivate Partnerships: Partnerships formed between government and private sector organizations to deliver specific services or benefits.
  • Collective Impact Initiatives: Long-term commitments by a group of important actors from different sectors to a common agenda for solving a specific social problem.
Source: https://www.geofunders.org/resources/what-are-the-different-ways-to-collaborate-650

So, what has collaboration looked like in your organization (with or without a grant)? We’d love to hear about your experiences with collaboration and what you’ve gained or learned about collaborating with other organizations.

MHM.org author pics

About the author: Chloé Laurence (she/her)

claurence@mhm.org

With a professional background working in education, mental health counseling spaces, and the nonprofit sector, Chloé serves her community through education, advocacy, and capacity building. She utilizes her love of learning and connecting with people in her work as a Capacity Building Specialist at Methodist Healthcare Ministries to support and empower our funded partners. Her mission is to strengthen our partners’ organizations so they can continue their incredible work building health equity and serving underserved individuals.

The Essence of American Heart Month: A Wesley Nurse Perspective

As we close out the month of February, let’s not skip a beat when it comes to our hearts. American Heart Month is a time health workers, advocates, and organizations emphasize the importance of our cardiovascular health. Think of your heart, blood vessels, and blood circulation working together as a system; they all rely on each other.. However, challenges exist for many people across the country.

Between 2017 and 2020, the American Heart Association reported 48.6 percent of United States adults experienced a form of cardiovascular disease or CVD. The term refers to several ailments like high blood pressure, heart failure, coronary artery disease, stroke, and heart arrhythmias (irregular heartbeats). Health conditions, pertaining to obesity, diabetes and blood cholesterol levels can increase the chances of CVD; yet most of the risk comes down to our day-to-day decisions. A poor diet, tobacco use, and lack of exercise are often associated with CVD.

We can mitigate risk factors by making conscious decisions and efforts to improve our health. Put an end to tobacco use, manage your blood sugar, exercise regularly and opt for a balanced diet; think of fruits, vegetables, lean protein, and whole grains.

While it’s critical we focus on making better decisions; we should not forget our spiritual and emotional health. As a Wesley Nurse, I recognize the impact these aspects have on our hearts. The heart is not just a muscle that pumps blood; instead, it’s often considered the place of feelings and thoughts. I urge everyone to listen to their hearts in both the physical and spiritual sense. Some people seek out prayer or meditation, while other may want to talk to a counselor or enjoy time to themselves.

The journey to achieving optimal health will look different for everyone, but it begins by taking the first step. If you are having trouble; let’s talk about it. If you have a solution that could help others; I encourage you to share. American Heart Month may be ending, but it’s never too late to show others, and yourself a little more love.

References

  1. Mayo Clinic. (n.d.). Heart disease – Symptoms and causes. Retrieved from https://www.mayoclinic.org/diseases-conditions/heart-disease/symptoms-causes/syc-20353118
  2. American Heart Association. (2024). Heart and Stroke Statistics – 2024 At-A-Glance. Retrieved from https://www.heart.org/-/media/PHD-Files-2/Science-News/2/2024-Heart-and-Stroke-Stat-Update/2024-Statistics-At-A-Glance-final_2024.pdf
  3. Centers for Disease Control and Prevention. (n.d.). American Heart Month 2024 Toolkits. Retrieved from https://www.cdc.gov/heartdisease/american_heart_month.htm
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Jaime Wesoloski

President & Chief Executive Officer

Jaime Wesolowski is the President and Chief Executive Officer at Methodist Healthcare Ministries. A healthcare executive with three decades of leadership experience, Jaime is responsible for the overall governance and direction of Methodist Healthcare Ministries. Jaime earned his Master’s Degree in Healthcare Administration from Xavier University, and his Bachelor’s of Science from Indiana University in Healthcare Administration. As a cancer survivor, Jaime is a staunch supporter of the American Cancer Society. He serves as Chair of the American Cancer Society’s South Texas Area board of directors and he was appointed as Chair to the recently created South Region Advisory Cabinet, covering eight states from Arizona through Alabama. Jaime believes his personal experience as a cancer survivor has given him more defined insight and compassion to the physical, emotional, and spiritual needs of patients and their families.