CHW-NEC

Hawaíi Technical Assistance Workshop

Hawaíi

Helping People; Changing Lives

August 10, 2006

agenda

Historical Overview of the CHW Model in the U.S.

 –Lee Rosenthal and Ho'oipo DeCambra, Introduced by Val Starkey

CHW Certification and Credentialing

 –Carl Rush

The Development of CHW Associations in the U.S.

 –Durrell Fox

Working Groups: Meet with other CHW from your island to plan future activities

Brief Reports

Best Practices and Key Considerations for college-responsive CHW programs/curricula

August 11, 2006

agenda

Workforce Assessment and Market Development

 –Carl Rush and Lee Rosenthal

Curriculum/Program Development

 –Durrell Fox, Mark Homan and Don Proulx

Instructional Approaches

 –Sergio Matos and Mark Homan

Hawaíi Faculty Group meeting: Strategic Planning Session

Multimedia

Download materials used in the workshop (zip compression)

DVD from the workshop

The Hawaíi workshop took place over a two day period. The first portion took place on August 10, 2006 during Hawaíi Annual CHW Conference and focused on "Helping People; Changing Lives". Then the second part was held on August 11, 2006 as a CHW Faculty/Instructional Workshop and emphasized "Best Practices and Key Considerations" for college-responsive CHW programs/curricula. The Hawai'i Annual CHW Conference and the Faculty/Instructional Workshop were supported by a seven member CHW-NEC project team. There are three DVDs in this set. One covers the first conference day (August 10) and two DVDs cover the August 11th faculty workshop. Day I/Part I: Title: "Helping People; Changing Lives" Hawaii's Annual CHW Conference in Maui on August 10, 2006 Day II/Part II covers the Faculty/Instructional Workshop held at Maui Community College with focused topics relevant to Hawaíi's "Best Practices and Key Considerations" for college-responsive CHW programs/curricula.

How to order a copy of the DVD

Requests for hard copies of these DVD and accompanying hard copy of the instructional materials may be made by contacting the CHW-NEC Project at The University of Arizona, 1834 Mabel St., Tucson Arizona 85721; phone:(520) 626-4026; fax:(520) 626-4037. These materials are offered for instructional/educational uses in the "Public Domain" with the proviso that acknowledgement of their authorship must be included. There is a cost involved for shipping and handling.

Presenters

Donald E. Proulx

Director of the FIPSE Funded "National Community of Practice for College Responsive CHW Education," also known as "The Community Health Worker-National Education Collaborative (CHW-NEC)" University of Arizona Area Health Education Centers Program 1834 East Mabel St. Tucson, AZ 85721 phone:(520) 626-4026 dproulx@u.arizona.edu

With the University of Arizona, Don served as the director of the Arizona Border Health Education and Training Centers (HETCs) program. This program addressed health personnel and consumer training, with an emphasis in border public health issues. Training was included for community health workers, known as promotores. Promotores are integral to effective border health services outreach, and they are included in interdisciplinary health professions student teams. Cross-border and bi-national programs were included in the work of the HETCs to address health disparities and access to care issues unique to the border region. Mr. Proulx now serves as associate director of the Arizona Area Health Education Centers (AHEC) program, and he is the principal investigator and co-director of the Community Health Worker National Education Collaborative, funded by the Fund for the Improvement of Postsecondary Education (FIPSE) of the U.S. Dept. of Education. A higher education and microbiology graduate of the University of Arizona, the emphasis of Don's graduate work in higher education was in curriculum and instruction. Mr. Proulx has served the Arizona AHEC program since 1989 both as a founding center (AHEC) director and as the Arizona AHEC Program associate director. Don served as instructional dean and district director for all the Health Sciences Programs with Pima Community College in Tucson for 15 years (1970-85). He was field director, stationed at Pan American University in Texas, for Project HOPE's Southwest Mexican Border Health Workforce Development Program from 1985-88. This program collaborated with nine institutions of higher education all along the Mexican border region from Texas to California to develop, implement, and evaluate accredited programs in nursing and allied health disciplines, include community health workers/promotores. Project HOPE provided recruitment, retention, and placement services for border area Hispanic students indigenous to the border neighborhoods; the project improved border area Hispanic representation in the delivery of health and human services.

E. Lee Rosenthal

Co-director of the CHW-NEC Project Assistant Professor, College of Health Sciences University of Texas at El Paso 1101 N. Campbell Street El Paso, TX 79902 (915) 747-8233 Cell: (520) 909-0262 Fax: (915) 747-8315 elrosenthal@utep.edu

Lee is an Assistant Professor in Health Promotion at the University of Texas at El Paso. Her interests include community-based public health research projects and a broad array of community health worker program research and field development efforts throughout the United States. She is currently co-director of the Community Health Worker National Education Collaborative and an associate scientist to a Community Health Worker National Workforce Study; both projects are federally funded. She also serves as a co-investigator on a newly funded study entitled: "Can Promotores Change Clinical Outcomes for Chronic Disease?" This was funded in fall 2005 by the National Institute's of Health National Center on Minority Health and Health Disparities. Recent research areas have included an analysis of rural domestic violence issues facing rural Pima County immigrants at the Arizona-Mexico border as well as work exploring ways to strengthen migrant farm worker CHW/promotora programs along the U.S.-Mexico border. Among her most notable accomplishments is her work as the director/initiator of the National Community Health Advisor Study (University of Arizona, 1998) and as consultant/initiator of the Community Health Worker Evaluation Tool Kit (University of Arizona, 2000); both projects were funded by the Annie E. Casey Foundation. Lee has served on the Governing Council of the American Public Health Association (APHA) and was instrumental in the development of the Community Health Worker Special Primary Interest Group of the APHA. She served as an advisory committee member of the national Center for Sustainable Health Outreach throughout its five years of federal funding. Lee also served as a member of the National Expert Panel to the Health Resources and Services Administration's Evaluation of Community Health Workers. Currently she has joined El Paso Community College's Community Health Worker Program Advisory Council and the Health Advisory Committee of the El Paso Independent School District. Dr. Rosenthal's Ph.D. was completed with the University of Massachusetts at Boston; her dissertation is entitled "The Sustainability Dance: Lessons to Learn for an Emerging Force in Community Health-Community Health Workers." Her Master's degree in Public Health with a specialty in policy and administration is from the University of California at Berkeley.

Sergio Matos

CHW-NEC Project Expert Consultant Community Health Worker Director for CHW Training and Development Columbia University Mailman School of Public Health 917-653-9699 sergio@chwnetwork.org

Sergio Matos has been a community health worker for over 20 years. As a CHW he has worked to help communities organize around issues of environmental and social justice; worked with families in crisis intervention for suicide, hunger, disease management and housing issues and has worked to help families access health services and navigate complicated health care systems to improve their health. For the past six years, Sergio has developed various programs to advance the field of health outreach in New York City through education, advocacy and research. He is a cofounder and executive director of the Community Health Worker Network of NYC – an independent professional association of CHWs that works to organize a CHW voice on issues of policy and practice for the field. Sergio presently serves the Community Health Worker Special Primary Interest Group of the American Public Health Association – the largest association of health professionals in the world--where he is the chairperson and works to develop a national platform that promotes the integration of the CHWs more fully into the healthcare system with recognition, dignity and respect. For the past few years, Sergio has worked to develop a CHW model to improve access to healthcare for poor and newly-immigrant communities in a managed care setting in New York City. This program serves as a sustainable CHW model fully integrated within the quality of care division in a corporate setting with full funding and support. Sergio has also developed and delivered training programs in an international effort to develop CHW models in the Caribbean. This work is currently being used in the Republic of Trinidad and Tobago to train CHWs who will help develop community capacity in a national effort to address HIV/AIDS education, prevention and treatment in that country. Most recently this work has extended to include the member nations of the Organization of Eastern Caribbean States, and The Bahamas, in partnership with the Clinton Foundation and the International Training and Education Center on HIV (I-TECH).

Carl Rush

CHW-NEC Project Expert Consultant Community Resources, LLC P. O. Box 700373 San Antonio, TX 78270 (210) 745-0560 or (210) 241-3983 carl@chrllc.net

Carl Rush recently served as Director of the New Jersey Community Health Worker Institute, a project of the New Jersey Area Health Education Centers program, and continues to work with NJCHWI as a consultant He is working for the American Dental Association on training requirements for a new dental specialist CHW position. He was also recently a member of the research team for a national workforce study on CHWs for the Health Resources and Services Administration, and he serves as a consultant to The California Endowment on a statewide study of CHWs. He recently convened a national invitational conference for a group of funders to draft a national research agenda on CHWs. Before serving in New Jersey, he was coordinator (and principal instructor) of the Community Health Worker program at Northwest Vista College in San Antonio, Texas. He was CEO of the Family Health Foundation in San Antonio from 1997 to 2001, developing initiatives to apply the capabilities of Community Health Workers to problems of health care access under Medicaid and SCHIP. Carl has worked with the Health Education Training Centers Alliance of Texas on various projects, including the Border Visión Fronteriza initiative and the organization of statewide conferences and workshops for CHWs. He currently serves as Secretary of the Executive Board of the CHW Special Primary Interest Group of the American Public Health Association, and on the Policy Committee of the new American Association of CHWs and the Advisory Board of the Center of Excellence in Women's Health, University of Texas Health Science Center at San Antonio. In San Antonio, Carl was a founding member of Health Care for Every Child, the Bexar County Health Literacy Coalition, and the South Texas Asthma Coalition. Carl's earlier experience includes over 20 years in nonprofits as a grant maker, project director, researcher, and management consultant. He holds a Masters of Regional Planning degree from Cornell University.

Valerie Starkey

Member of the National Advisory Council for the CHW-NEC Project Na Pu`uwai (Native Hawai"ian Healthcare System) P.O. Box 130 Kaunakakai, Hawaii 96748 604 Maunaloa Highway, Bldg. C Phone: (808) 560-3653 val@napuuwai.com

Valerie has been a Community Health Worker for nine (9) years. Before becoming a CHW in 1997, Valerie worked in the Early Childhood Education Field for approximately seven (7) years as a Paraprofessional Aide for the Head Start Program and for the Kamehameha Schools' Traveling Preschool Program. In 1996, Valerie also worked for the State of Hawai"i Workforce Development Division for a brief period of time before she began serving as a CHW for the Native Hawaiian Health Care System known as Na Pu'uwai. For the past nine (9) years, Valerie has coordinated several programs such as Cancer, Asthma, HIV/AIDS, and Tobacco. She also serves as the outreach representative for the Native Hawaiian Cancer Network 'Imi Hale on the island of Oahu and as the Coordinator for the Tobacco and Asthma Coalitions through the State Department of Health and The Coalition for a Tobacco Free Hawaii. Currently Valerie is engaged in various community organizations and events, including Molokai Earth Day, Ka Molokai Makahiki, Senior Health Fair, Keiki Expo, to name a few. She coordinates the only cancer support group on Molokai and will soon to be attending training on Oahu for the Patient Navigator Program. Valerie is a member of the advisory council board for 'Imi Hale and The CHW National Education Collaborative Advisory Council supported by the University of Arizona.

Mark Homan

CHW-NEC Core TA Institutional Partner Pima Community College (520) 206-6958 Mark.Homan@pima.edu

Mark has been playing off Broadway for twenty-seven years at Pima Community College, and he has also taught and lectured in graduate and undergraduate programs at numerous colleges and universities in the United States and abroad. He has been the primary instructor for the Community Health Worker Education Program at Pima Community College since its inception in 1998. Mark has been active in community development work throughout his career, and he often serves as consultant to public and private groups working to strengthen communities. Mark is the author of two widely used books: Promoting Community Change: Making It Happen in the Real World (3rd ed.) and Rules of the Game: Lessons From the Field of Community Change. Mark Homan is the former Chair of the Social Services Department at Pima Community College. In addition to his duties at Pima, Mark has served as an adjunct faculty member in the Department of Sociology and Social Work at Northern Arizona University, the Graduate School of Social Work at Arizona State University, the Counseling, Deafness, and Human Services Department at the University of Tennessee, and the Human Services Program at St. Edward's University. He has also been a guest lecturer at other colleges, universities and training consortia in the United States, Russia, and Sweden. He received his MSW from Arizona State University in 1975 and is a Licensed Clinical Social Worker. Mark is a strong advocate of community empowerment. He uses his own very active involvement in the community to contribute to its improvement and to increase his own learning. For over thirty years he has worked with diverse populations in urban, rural, and reservation communities on a broad range of issues, including neighborhood stabilization and empowerment, hunger, reproductive rights, children with special health care needs, community mental health, family planning, community health work, capital punishment, public schools and community development, political campaign organizing, foster care, and adoption. In addition to his roles as organizer, lobbyist, consultant and teacher, Mark has developed and directed several human services programs. He has also been a founding member of many community organizations and agencies and has served on numerous community boards and councils. Mark's textbook, Promoting Community Change: Making it Happen in the Real World, 3rd ed., is used in colleges and universities throughout the United States and abroad, as well as by public and private groups. His book, Rules of the Game: Lessons from the Field of Community Change, which is also used both as a textbook and as a guide for community change agents, is based on his many years of experience in community organization and development work. He has also been the author of numerous articles related to community work. Mark served on the Editorial Board of two national publications: Human Service Education, the Journal of the National Organization of Human Services; and Frontline Initiative, the publication of the National Alliance for Direct Support Professionals, published by the University of Minnesota. Mark has been the keynote speaker for significant state and national conferences. He has been the recipient of the numerous awards including the Outstanding Faculty Award from Pima Community College, Outstanding Field Faculty award from Arizona State University, and the President's Award and the Lenore McNeer Award given by the National Organization for Human Service Services, and the Lifetime Achievement award from the National Association of Social Workers, Arizona, District II. At this stage of his career Mark has come to accept the fact that he will not be playing shortstop for the San Francisco Giants.

Durrel J. Fox

Co-chair of the CHW-NEC Project National Advisory Council New England HIV Education Consortium (NEHEC) and Massachusetts Association of Community Health Workers (MACHW) 23 Miner Street Boston, MA 02215 (617) 355-8421 Fax (508) 856-4850 dfoxnehec@aol.com

Durrell is a past chair and founding member of the Massachusetts Community Health Worker (MACHW) Network. He is employed by two agencies, 1) the Boston HAPPENS (HIV Adolescent Provider and Peer Education Network for Services) Program at Children's Hospital and 2) the New England HIV Education Consortium (NEHEC). For 15 years, at Children's Hospital Boston, he has worked with adolescents/young adults living with and at risk for HIV. The first two years were spent mainly at a community health center affiliated with Children's called Martha Eliot. The rest of those years (and still counting) have been with the Boston HAPPENS program where he provides direct care, counseling -testing and group facilitation. In his CHW role he also provides outreach to HIV+ and at risk adolescents, trains and supervises youth peer educators. He also worked for 10 years as a street outreach worker-CHW (evening-night shifts) for the Boston Street Youth Outreach Program and drop in center, a project of JRI Health and Children's Hospital. He has been with NEHEC, a Minority AIDS Initiative (MAI) Program, for 7 years and his duties include coordinating a regional (the six New England states) consortium of agencies that provide capacity building opportunities and HIV related training programs developed for full spectrum of HIV care and service providers of all disciplines, clinical and non-clinical. Durrell is currently a governing councilor and the immediate past chair of the Community Health Worker Special Primary Interest Group (CHW SPIG) of American Public Health Association (APHA). He was one of the original members of the Lay Health Worker/Promotores National Network Executive Committee when it was founded in 1998. He also served on the reader's panel for National Community Health Advisory Study (late 90s) and as an advisory council member for the Center for Sustainable Health Outreach (CSHO). He is also an advisory board co-chair for the CHW- National Education Collaborative (CHW-NEC). He also volunteers on many community based initiatives including as one of the founding steering committee members of Critical MASS (statewide initiative to eliminate racial and ethnic health disparities), the New England Regional Eliminating Health Disparities Planning Group and as a board member of Health Care For All of Massachusetts (HCFA). Durrell is a CHW, who has been active in the CHW movement on many levels over the last 10 years through his involvement in organizations like APHA, CSHO, Lay Health Workers/Promotores National Network, and MACHW. Over these years he has done over 100 CHW focused presentations at conferences/workshops across the country and in South Africa. He is also involved in parents committees at his children's schools (4 children ages Darnell-26; Dallas-18; Andrea-13; Daysia-9) and volunteers for several youth and community programs including the Paul Robeson Institute for Positive Self Development, a Saturday program operated by Concerned Black Men of MA.