Thank You for Being Part of Health Ministry
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1 CURRENT & FUTURE TRENDS IMPACTING HEALTH MINISTRY JILL SCHAFER BSN, RN REV. KAREN MACDONALD TOM PRUSKI, RN, MAPS HMA Annual Conference 2017 Thank You for Being Part of Health Ministry Historical & Theological Framework for Health Ministry Assorted Writings and Presentation of Thomas A. Droege The Church s Challenge in Health Promotion The Church s Challenge in the Prevention of Premature Death The Faith Factor in Health Healthy Faith New Perspectives on the Integration of Spirituality and Medicine Premises and Promises of Health and Healing: The Relationship of Health and Healing in Today s World Spirituality and Health Theological Reflections on Holistic Health Ministry: The Wesleyan Tradition Continues Today Source: Interfaith Health Program website 1
2 Contemporary Seminal Document Shaping Current & Future Health Ministry Practice Guidelines for Health Minister Role and Foundational Curriculum Elements, 2 nd Edition (HMA) Provides foundational language and concepts for health ministry Mentions several emerging issues and trends Provides core curriculum elements for formally training health ministers Qualitative & Quantative Research Used to Compile Current Health Ministry Trends Congregational Interviews (Wesley HTS, S=12) 2017 Well-Being Survey of Active United Methodist Church U.S. Clergy (United Methodist Board of Pensions, S=1,360) 2016 Joint Faith Community Nurse Survey (Westburg & HMA, S=412 ) 2017 Faith Community Health Ministry Readiness Survey (Wesley HTS, S=81) 2017 Health Minister Certificate (Wesley HTS, S=53) (Research Source, S= Sample Size) Wesley Theological Seminary Heal the Sick Program Began in 2013; part of a new Institute for Community Engagement Primary Mission Education Conducts Research Congregational Interviews Congregational Readiness Survey for Health Ministry Health Minister Certificate 2
3 Wesley Theological Seminary Wesley is one of the most diverse seminaries in the world. Enrollment about 500 students 56% are women 48% from ethnic minority 38 denominations Long history & involvement in Health Ministry Mission of Wesley Theological Seminary & Heal the Sick Equip the whole people of God for the work of ministry - for leadership in the church and the world, to advance theological scholarship, and to model a prophetic voice in the public square. Prepare leaders to advance whole person health and well-being of individuals, communities, and congregations, especially those who are underserved. Wesley Health Minister Certificate (Wesley) 22 hour curriculum, 10 modules curriculum based on HMA Health Minister Core Curriculum Elements 110 Health Ministers trained in-person over 3 years (Baltimore to Newport News, VA) +53 health ministers trained online (Jan till July 2017) Uses Pre & Post Training Evaluation Surveys to note changes in knowledge, skills, and attitude Based on surveys, most popular health minister modules Active listening Spiritual Practices Mindfulness, Theological reflection, Journal Engages with other Universities, Graduate Students (MPH), 3
4 Meta Analysis of Reviewed Research & How They Shape Current Health Ministry Trends Meta Analysis of Research Studies & How They Shape Current Health Ministry Trends Congregations Congregations minister well to EITHER their own members and/or outside their congregation walls (most), some do BOTH (rare) Common Commuter element found in congregations; people may travel (up to 2 hours) to a home church Differing Generational Views Impacting Sense of Church (Millennial, Senior congregants) Silos commonly exist among church, preventing coordination of ministries Meta Analysis of Research Studies & How They Shape Current Health Ministry Trends Varying views and acceptance on being in ministry and being ministered to Congregation Vary Greatly in Different Levels of Organization in Resources, Infrastructure to Ministries, Defining Minister Roles, Communication/Collaboration Among Ministries Self-Care is usual secondary for ministry leaders in interviews; Self-Care seen as an afterthought because of lack of time dedicated to ministry 4
5 Clergy (Source: United Methodist Board of Pensions, 2017 Well-Being Survey of Active United Methodist Church U.S. Clergy) Congregations & Health Ministry How long has a health ministry been in existence at the church? 5
6 How often does the health ministry team meet? Is clergy in regular communication with health ministry team or lead health minister? Regular reports provided by health ministry to church leadership 6
7 Does the congregation have dedicated Funds & a Budget for Health Ministry? Has a congregation asset & need survey ever been done? Who were the survey results shared with? 7
8 The Congregation, Health Ministry, & Its Relationships With Other Institutions Congregational Partnerships with Health Care Institutions (i.e. hospital, primary care provider, health dept.) Congregational Partnerships with Research/Educational Institution 8
9 Health Ministry Roles: Faith Community Nurse (FCN) & Health Ministers (HM) Health Ministry Roles Faith Community Nurse Employment 40% employed by a healthcare organization (40%) 20% of FCNs are employed by faith communities 60% of FCNs are unpaid FCN Age 65% FCNs are over 60 years of age Less than 15% of FCN s under 50 years of age Health Ministry Most UNPAID Exploring a Potential Payment Model - Community Outreach Worker role A Few States Provide Limited Reimbursement under ACA for Role Need for Cross Training in Faith & Health Both pushing for value of contributions, recognition, role sustainability Important Notes to Meta Analysis of Current Health Ministry Trends Each trend based has its own limits (sample size, bias, etc.) More research needs to done to reaffirm findings Common trends begin to emerge around: o Congregations & Its Culture o Health Ministry in Congregational Setting o Health Ministry Roles o Health Ministry & Its Relationship with General Society/Institutions 9
10 RURAL URBAN SUBURBAN HEALTH MINISTRY SAMPLES HMA Annual Conference 2017 JILL SCHAFER BSN, RN RURAL HEALTH MINISTRY MODEL HEALTH MINISTRY FISHER TITUS MEDICAL CENTER HURON COUNTY OHIO HMA Annual Conference 2017 Toledo Columbus Cleveland Huron County 1 hr from Cleveland and Toledo Population- approx. 60,000 90% Caucasian Large agricultural Hospital biggest employer 10
11 Fisher Titus Health Fisher Titus Medical Centernot for profit community hospital less than 99 beds Health Ministry Started in 2000 Health Ministry Community served Unpaid model Changes/Connecting Fisher-Titus Health Ministry Program Mission Statement To enable, encourage and support the formation of a health and wellness ministry by working collaboratively with congregations in communities served by Fisher-Titus, while respecting the uniqueness and needs of each congregation or faith community. Current Trends Blood Pressures Monthly health blurb/newsletter Feeding Programs Medical Notebook CPR/AED 11
12 Future Trends Community Health Assessment Population Health HEALTH MINISTRY IN URBAN ARIZONA- A SNAPSHOT OF ISSUES AND TRENDS REV. KAREN MACDONALD FAITH COMMUNITY HEALTH AND WELLNESS NETWORK, TUCSON, AZ HMA Annual Conference
13 Health Ministry in Southern Arizona Mission Statement: Faith Community Health and Wellness Network (FCHWN) is an intentional, spiritual presence promoting health and wellbeing in and through faith communities. Scope of Health Ministry Oldest health ministry is 20 years old; newest is 1 year old. Sample activities in congregations: Organ donation education on Sunday morning and with youth group End-of-life care planning workshops Monthly blood pressure checks Visiting those sick or in hospital Health fairs Healing services, such as during holidays A few health leaders are paid, most are unpaid Congregational Health Leader training Sampling of Current Issues Older adults Mental health Immigration Diverse populations 13
14 Emerging Challenges/Opportunities Expanding population of older adults Environmental concerns Connecting health ministry with youth End of Life Care Partnership Strengthening and expanding the capacity of FCHWN TOM PRUSKI MAPS, RN SUBURBAN HEALTH MINISTRY MODEL WESLEY THEOLOGICAL SEMINARY METROPOLITAN WASHINGTON, DC HMA Annual Conference 2017 Columbus Mt. Vernon, VA 30 min. from Washington, DC Mt. Vernon Population- approx. 12,416 (2010) DC Population- approx. 9,331,587 Diverse population in race, cultural, and faiths Numerous Hospitals and Healthcare Systems in VA 14
15 Columbus Photo from Washington Post Mt. Vernon, VA Busy four lane highway (Route 1) dominates community s main thoroughfare. Numerous big box stores and shopping centers along Route 1 Numerous faith communities are located along Route 1 INOVA- Hospital Partner of Wesley HTS INOVA: Mount Vernon, Virginia Rev. Phil Bush, Chaplain director High Poverty Rate Lack of Primary Care Practitioners Large Immigration Population Diversity of Faiths Growing aging population Advanced Care Lack of extensive transportation network Excessive alcohol, drug abuse, and domestic violence High Emergency Room Usage in community Current Issues 15
16 Current Health Ministry Environment UNPAID congregational health ministry model Volunteer Chaplains at hospital link to community congregations Wesley provides Health Ministry training; INOVA Hospital provides scholarships Ambiguous Commitment by Hospital to Support Ongoing Mt. Vernon Health Ministries Main Health Issues faced by HM s Diabetes Advanced Care Mental Health Care & Services Emerging Challenges/Opportunities Stabilize Networking anchor for congregational health ministries Bring health ministers together on regular basis Develop leadership capacity of passionate health ministries Create Mentoring Opportunities for Health Ministries Strengthening the relationship between congregations and other institutions through hospital (or other) network Context Shaping the Future of Health Ministry 16
17 Current Uncertainty of Healthcare Presents Many Challenges Research - DO people know what health ministry is on basic level? Congregation, Clergy Sustainability Issues for Health Ministry Overall Most Faith Community Nurses & Health Ministers are UNPAID Aging Faith Community Nurse population Who will Support Critical & Essential Role of Health Ministers & Faith Community Nurses in Health & Wellness? Future Health Ministry Trends Spirituality is at heart of health ministry- make it operational on a daily basis personally and communally. Educate Others about Health Ministry - Educate. Educate. Educate. in Multiple Sectors (congregation, business, faiths, education, government, etc.) Improve Communication about Health Ministry, especially with Clergy & Congregations Health Ministry has a Big Tent seek out, promote mutual respect and diversity of roles. Build Capacity of Congregations in Health Ministry by Promoting Formal Health Ministry Education, esp. at Congregational Level 17
18 Future Health Ministry Trends Health Ministries are Unique to Each Geographical Area Tell Health Ministry Story (social media, Facebook, videos, etc.) Develop and seek out relationships between faith traditions Engage in Research (in small and BIG ways) to Understand Congregational Cultural & Health Ministry Develop More Mentoring, Formal Training, Networking Capacities at all levels of ministry practice It s up to You to Shape the Future of Health Ministry 18
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