OXFORD UNIVERSITY Provision of Health Care to People Experiencing Homelessness

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OXFORD UNIVERSITYProvision of Health Care to
People Experiencing Homelessness

• Wayne A. Centrone, NMD, MPH
• HCH Clinicians Network Steering Committee
  Meeting April 2008
• Albuquerque, New Mexico

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(No Transcript)
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Report Outline

• Introduction to Program
• Curriculum Design
• Online Program (Moodle)
• Intensive Training
• Assignments
• Facilitation and Instruction
• Impressions and Ideas
• Transferability for U.S. HCH Market
• Questions and Answers

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Introduction to Program

• Developed through professional committee and peer
  review
• Designed for Trans-disciplinary professionals
• Based at Rewley House in Davidson College
• Not a paint by numbers curriculum or program

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Curriculum Design

• Socratic Method
• Modules of Instruction
• Online (Module 1)
• Mentoring
• Tutoring
• Oxford Lecturers
• Guest Tutors
• Intensive Trainings
• Module Lectures (Modules 2 - 5)
• Topic Lectures w/in Modules
• Tutor and Small Group Driven

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Module Instruction

• Module 1
• Provision of HC to PEH
• Module 2
• Homelessness Exclusion Health and Society
• Module 3
• Health Care Needs of PEH
• Module 4
• Organizing HC Provision for PEH
• Module 5
• Working w/ HP who have Complex Multiple Needs
• Module 6
• Intensive at European HHC Conference

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Modules and Topics

• Module 1 (online instruction)
• What is homelessness?
• What are the challenges of PEH?
• What models exist to deliver HC services to PEH?
• Challenges associated with the delivery of HC
  services to PEH?
• Provider development and burnout prevention

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Modules and Topics

• Module 2 (Intensive w/ assignment)
• Homelessness exclusion from society and the
  concept of social capital
• Homelessness as exclusion from Health HC
• The ethics of resource utilization Are people
  experiencing homelessness deserving or
  undeserving?
• International aspects of homeless legislation
• Emotional Retreat How do we cope as
  professionals in our work w/ PEH

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Modules and Topics

• Module 3 (Intensive w/ assignment)
• Population vs. personalization tailored HC and
  promotion to disadvantaged groups
• Special Populations Veterans, women, families,
  older homeless, youth and GLBT
• Presentations Individual assignments
• HC needs of the hard to reach groups w/ housing
  needs refugees, asylum seekers, BME, gypsies and
  travelers
• Stigmatization and homelessness

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Modules and Topics

• Module 4 (Intensive w/ assignment)
• Health inequalities How do we define them? How
  do they apply to PEH?
• Ill health in the homeless population of Boston
  A case study in organizational management
• Looking at applying risk management and case
  management to care of PEH
• Personality attachment disorder Delivering a
  service to PEH
• Case Discussion

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Modules and Topics

• Module 5 (Intensive w/ assignment)
• Mental health problems in homeless populations
  delivering effective TX
• Competency/capability/autonomy Balancing respect
  with safety
• The role of psychological approaches
• Delivering service for people with complex needs
• Unique care considerations

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Modules and Topics

• Module 6 (Intensive w/ poster presentation)
• Multidisciplinary approaches
• Skills advancement
• Professional collaboration
• Mentoring and career enhancement
• European model of HC delivery to PEH

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Facilitation and Instruction

• English Design
• Broad Influence
• Faculty
• Guest Tutors
• Clinicians
• Academics
• U.S. Presence Dr. Jim OConnell
• Collegial
• Experts in their fields
• Evidence Based
• E.g. GLBTQ Presentation

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Oxford A Living History
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Impressions and Ideas

• Fantastic and . . .
• Well organized readings, writings and reviews
• Thoughtfully developed and structured (Dr. Angela
  Jones, et al)
• Transdisciplinary maybe need for break out
  sessions
• Great Program Outline and Framework
• Good mix b/w online and intensives
• Lends instruction for mentoring
• Has international bridging capacity
• Foundational framework for bigger programs
  Board Certification?
• Bring Program to U.S. Audience
• Partnership w/ Oxford
• Involve U.S. training/academic institution's
• Convene U.S. tutor/instructor cohort