Workforce and Curriculum Development for Community Health Workers in Weinland Park PI: Howard Goldstein Dept of Human Development & Family Science The Ohio State University This work is made possible through a subgrant from ODJFS to the Ohio Colleges of Medicine Government Resource Center (GRC). Funding to support this initiative comes from the Federal Money Follows the Person (MFP) Demonstration Grant to ODJFS.
Planning Team Instructor: Tanikka Price, Moms2B and attorney Health policy expert: Jerry Friedman-Wexner OSU Medical Center Physicians: Stephanie Cook- Wexner OSU Medical Center and Pat Gabbe-Nationwide Children s Hospital & Moms2B Nursing: Thelma Patrick and Susan Voorhees-Murphy, OSU Nursing Community engagement director: Louise Seipel-IPSC Transitional job training expert: Joe DeLoss- Nobul, LLC Developmental psychologist: Howard Goldstein-OSU HDFS CHW Expert: Vivian Jackson Anderson, Ohio Department of Health
Health Care Context Need to respond to and prepare for changes in health care delivery and financing Need to bridge the gap between sick care and health care Need to reallocate and realign resources to address behavior, lifestyle, environment, and the social determinants of health Need interdisciplinary team coordinating across continuum of care Need to connect and advocate with and for people in their communities before, during, and after they are patients
Local context Weinland Park Revitalization Initiative Weinland Park Collaborative Weinland Park Civic Association The Ohio State University International Poverty Solutions Collaborative Health is perceived as the #1 barrier to employment Bridges out of Poverty (Ruby Payne) Goal to identify and secure the resources necessary for residents to elevate themselves out of poverty and to stabilize and improve the health of the community
Proposed solution Community Health Workers Paraprofessional training for mature individuals from or representative of the community Bridges Out of Poverty Framework and Grand Aides and CHAPS models OH and DOL competencies for CHW leading to certificate Entry into healthcare career lattice
Goals of the project 1. Develop a workforce development program to prepare CHWs directed at low-income residents provide social and supportive services necessary for trainees to achieve job readiness prepare for long-term success in the work force 2. Develop a curriculum consistent with the standards for training of Community Health Workers (according to OH Board of Nursing) and competencies for US DOL
Phase I: Getting Ahead January-June, 2012 Application and Selection Process High school or GED graduates Expressed interest in employment in healthcare industry Commitment to self-reflection and training process Enrollment: Ten women Getting Ahead in a Just Getting by World 20 sessions of training in 10 weeks conducted by Kathy McPherson and Louise Seipel Graduation: 10 of 10!
Phase II: Community Health training June-September, 2012 Selection and Enrollment: Applicants: 8 of 10 GA grads and 5 Moms2B grads Selected: 13 interviews, 10 selected, 9 enrolled Training: 14 weeks, 12 hours/week Stipends: $10/hour plus books, supplies, and uniforms Goal: ~100 hours of class time and ~68 hours of lab and clinical practicum
Curriculum development Syllabus and weekly lessons and assessments Student engagement in evaluating appropriateness and effectiveness Informed by competencies dictated by standards of certifying agency and apprenticeship criteria for CHWs Introductory topics: education and careers, communication skills, motivation and needs, time management, confidentiality, relationship development, diversity, conflict resolution, managing community resources, health education Guest speakers: social services; exercise; recreation; mental health issues; drug abuse; end of life care; oral health; pharmacy; blood pressure; asthma; reproductive health; heart disease; diverse populations Health Fair
Relating Introductory topics to CHW Personal development topics: Responsibility, professionalism, self-esteem, workplace etiquette Understanding the system Industry standards and practices
Workforce development Navigating hidden rules of economic class Attendance and punctuality Barrier reduction: child care, transportation, financial planning, health needs, educational gaps, literacy levels Shadowing and clinical experiences Internship transitional, supportive employment settings
Results Graduation rates: Unparalleled success: 100%! Attendance (Mean=97%, 93-100%) and punctuality (one repeat offender) Trainee evaluations of course content and curriculum Products: Syllabus, Curriculum Package, and Assessment Tools Application to OH Board of Nursing for Accredited Program Practicum site materials
Qualitative insights Inherent value to the community Lay advocacy, health literacy, and community building Coming together Conflict resolution and overcoming adversity Peer support and extended network through Mom2B Uniforms and name tags Taking ownership of one s own health Barriers and Challenges Childcare and transportation Potential mutiny over payment method and Title XX childcare subsidy eligibility Job placements
Quantitative POTENTIAL HEALTH SERVICES RESEARCH Reduce prevalence of disease Reduce infant prematurity/mortality Improve health literacy Increase access to care EMPLOYMENT overcome barriers identified % employed EDUCATIONAL ATTAINMENT
Future of program Sustainability Cloning extraordinary instructor? Educational organization and site (e.g., Columbus State, OSU, Columbus City Schools) Funding for delivering curriculum Stipends and other resources for trainees Practicum, internship, and job placements, coordination, and supervision Potential revisions Trainee selection criteria (e.g., education, criminal records, drug testing) Getting Ahead training embedded versus prerequisite component Content of curriculum Organizing shadowing and clinical practical experiences