training post-prison health workers online: a national partnership alma avila, mph program director,...
TRANSCRIPT
Training Post-Prison Health Workers Online:
A National Partnership
Alma Avila, MPHProgram Director, City College of San Francisco, Community Health Worker Certificate
Amie Fishman, MPHProject Director, City College of San Francisco,Transitions Clinic Network CCSF Collaborative
The project described was supported by Grant Number 1CMS331071-01-00 and 1C1CMS331300-01-00 from the Department of Health and Human Services, Centers for Medicare & Medicaid Services.
Disclaimer: The contents of this publication are solely the responsibility of the authors and have not been approved by the Department of Health and Human Services, Centers for Medicare & Medicaid Services.
Health Care Innovation Award (HCIA)3 year award: Collaboration among CCSF, UCSF,
Yale and community clinic consortium
Train and employ formerly incarcerated individuals to be Community Health Workers (CHWs) working in primary care clinics
11 clinics in 7 states and Puerto Rico
Serving recently released prisoners with chronic conditions
Evaluation to measure: Increased access to primary care Improved quality of care Lower health care cost
Why focus on re-entry?700,000 federal and state prisoners are released to
the community annually
High prevalence of chronic conditions; diagnosed for the first time while incarcerated
Isolated from the community, health and social services
Limited access to medical care and medication post prison
12 times increased risk of death in first 2 weeks after release
More likely to use emergency department for primary health care
Transitions Clinic Network Community-based intervention that provides
transitional care and a primary care medical home for recently released patients with chronic conditions and their families
Employs formerly incarcerated CHWs as part of a clinical team to outreach, enroll and support them in primary care and other social services
Partners with county health departments, academic institutions, community clinics and prisons to provide primary care to the re-entry community
Eleven clinics across the country currently in operation with approximately 5 more in development
Why Community Health WorkersMembers of the same communities as clients, which
helps to build trust and understanding
Meet the clients “where they are at” and build a bridge to primary care
Assist with patient navigation in a culturally relevant manner
Help to advocate for clients
Evidence-based model: Reduced emergency room visits = decreased health
care costs Increased access to primary care Coordinated care = improved quality of care
Post Prison Health WorkerCertificate (PPHW)Trains and prepares frontline community health
workers to work with and promote positive health outcomes for formerly incarcerated communities
20 units – 2-3 semesters for completion
Core Competencies Case management Culturally responsive outreach Client centered intake and counseling skills Community organizing and advocacy
Internship component
Developed in partnership with Transitions Clinic
Program Features
Performance-based Training Program
Reality-based Education
Internship
Partnership with Employers
Course Demonstration
Course Demonstration
Use of videos in courses As introductions to key learning points
There are over 150 videos to embed in online and in-person courses on core competencies, roles of CHWs, working with clients, and more
The following 2 videos demonstrate the following learning outcomes. See if you can identify one example for each key points as you watch the videos
Key learning points How to:
Begin the client interview Build rapport Welcoming the client Making the client feel comfortable Apply active listening skills
Course DemonstrationRole Play:
First Meeting, CHW & Client – 01 Demo
First Meeting, CHW & Client – 01 Counter
Examples?
Questions are then asked in forum or discussion boards:1. What were some of the differences between the first
and second interview in making the client feel more comfortable in the interview?
2. What were some of the skills used?3. Name 2 positive and 2 negative “non-verbal”
communications methods used.
ChallengesTechnology barriers:
Student learner literacy Faculty literacyAccess (computers, webcams, videos, external
sites)
High level of support needed for success
Practice-based learning online
Group work: Conflict resolutionGiving / receiving critical feedbackCommunity building
Employer and peer discrimination
Challenges continued“I guess not sitting in a class is still different for me. I
know the engagement of a classroom is somewhat missing.”
“I have a large amount of people who support me at the job. The only problem is time factor to do all that the job requires and getting the time to complete school work. Since I work at two locations it makes it harder.”
“It just felt as though I could not keep up this semester. I will have to assess and re-organize for the future.”
“I need a little support with understanding the newness of technology as a whole; I just came home from 27 years of incarceration. There is no internet in New York State prisons.”
Highlights and Opportunities Increased workforce opportunities in the expanding
health field for historically marginalized communities
Expansion of online certificate program provides greater access to remote areas and areas without training opportunities Opportunities to collaborate or partner with other
regional training institutions or clinics
Creation of culturally relevant videos and training resources
Development of online facilitator’s guide to accompany Foundations for Community Health Workers textbook
Resources: CHW Textbook and facilitator’s guide
Resources: PPHW certificate
Resources: Digital Stories Jermila’s story
Tracy’s story
Contact Info
Alma Avila Amie Fishman
[email protected] [email protected]
City College of San Francisco
MUB 353
50 Phelan Ave
San Francisco, CA 94112
The contents of this publication are solely the responsibility of the authors and have not been approved by the Department of Health and Human Services, Centers for Medicare & Medicaid Services.