Title: Southeastern North Carolina American Indian HIVAIDS Initiative
1Southeastern North Carolina American Indian
HIV/AIDS Initiative
Update for AI/AN HRSA SPNS Grantee
Meeting October 8-10, 2003 Rockville, Maryland
Project Coordinator Millard Lowry, Jr. Project
Outreach Robert Hunt Project Pastoral Trainer
Rev. Jo Lentz Project Evaluator Dr. Ottis
Murray Dr. Peggy
Opitz
2(No Transcript)
3Demographics
4Demographics cont.
5Demographics cont.
6SPNS Project Purpose
To develop and establish culturally appropriate
services to empower American Indians residing in,
or adjacent to, Robeson County who have, or are
at risk of having, HIV/AIDS and co-morbidities
such as other STDs, substance abuse and mental
illness
7SPNS Target Population
- American Indians in and around Robeson County who
are at risk of transmitting or acquiring HIV due
to their high-risk activities and/or lifestyle - Associates of the American Indian population
8SPNS Project Goal
To improve the health status of the American
Indian Community in and around Robeson County by
improving the capacity of those that serve
American Indians who are at high risk for
acquiring HIV/AIDS
91. Steps Taken to obtain stakeholder buy-in
- Community Leaders with long history of
caring/change agents - Vision of the Board of Directors for Healing
Lodge - Meetings and briefings
- Thanksgiving and Christmas dinners
- Separate church denominational buy-in
- UNCP American Indian started sensitive to
American Indian issues
101. Steps Taken to obtain stakeholder buy-in
(cont.)
- Agency/CBOs
- Demonstrate that we could function outside church
setting - Ability to carry out what our vision was
- That we were the organization that could effect
change - That we were the organization that could help
their efforts to reach the unreachable - TRUST
- Churches
- Challenge
- Think outside the box
- Make a difference in non church members lives
- It was their calling to help with community
health issues - Get beyond the stigma associated with our target
population - Educate about the target populations need
- TRUST
11Programs of Healing Lodge
- Sugar Care Project (2010 Healthy Carolinians)
- American Indian Lay Health Advisor Project
(American Cancer Society) - Project T.R.U.S.T. (Parish Nurse/DUKE
Endowment) - Robeson Families First Project (UMC)
- Healing Lodge Substance Abuse/HIV Prevention
Project (SA/HIVP) SAMSHA - STD Outreach (Robeson County Health Department)
- Southeastern North Carolina American Indian
HIV/AIDS Initiative (SPNS/Robeson Health Care
Corp.)
122. Staffing needs and challenges community,
programs and collaborating partner
- ???
- Community
- Message outlets
- Become the voice for our target population
- Demands of more than our program offers
- Screens
- Housing Repair
- Incentives for housing, medication
- Program
- Training
- IRB (somewhat with tools/surveys)
- Staff coordination
- Partners
- Memos and Letters of Agreement for services
- Meetings to ensure understanding of our program
- Reporting without staff input
- Continuation Grant (no input again)
133. Publicity Campaign how did we let others know
- TV and radio spots
- Presentations to churches and community meetings
(HIV/AIDS STD Task Force meetings, Consortia
meetings, State Prevention and Care Branch
activities, Federal and Regional Prevention
meetings/conferences, DSS, and UNCP) - Brochures
- Community outreach health screenings
- Articles in local newspapers
- Information booths (Lumbee Homecoming/Pow-Wow, NC
Indian Health summit, UNCP, Churches, Community
Partnership monthly meetings) - Word of mouth - Client
144. What did it take to actually get the program
going
- Developed partnerships with HIV/AIDS Task Force,
Health Department, Mental Health, Robeson Health
Care, Advisory group, DSS, HealthKeeperz,
B.A.R.T. and other community agencies - Set up the office, computers, telephone, copiers,
office supplies, desk etc. - Hire and train outreach worker behavioral health
specialist - Get qualified to do pre/post test counseling
- Get certified by State to become a non
traditional Test site - Identify substance abuse treatment programs and
develop a working relationship for placement
needs - Design the Pastor/lay training
- Referrals and recruitment
- Presenters
- Materials
- Publicity
- Rehearse
155. How did we get the data collection process up
and started Process data
Client Flowchart
165. How did we get the data collection process up
and started Formative data
- Logic Model
- Reviewed available survey tools with our
evaluators and TA center - Selected those that most suited, made necessary
changes to enable us to retrieve the data we are
interested in - Created tool for Pastor/Lay questionnaire
- Created the Spirituality survey
- Obtain the SPSS software
- TA center to provide training
- UNCP staff to provide follow-up training
- Distribute to our Evaluator
17Evaluators
- Formative and Process Data
The University of North Carolina at Pembroke Dr.
Ottis Murray, Assistant Professor, Department of
Sociology Dr. Peggy Opitz, Professor Director
of Nursing
18Spiritual Connections Pastoral/Lay Training
General Overall Training Objectives Identify
purpose of SPNS (curriculum research Healing
Lodge) Identify purpose of Spiritual Connection
Training Completion of forms/surveys
Training Topics Communication Skills Grief
Loss Self Esteem Depression Substance Abuse
Addiction HIV/AIDS STDs
Rev. Jo Lentz
19Spiritual Connections Pastoral/Lay Training
Key Points - Communication Skills Listening as a
healing activity Confidentially is
crucial Silence can be golden Its okay not to
know what to say
20Spiritual Connections Pastoral/Lay Training
Key Points - Grief Loss Grief losses are
experienced in a multitude of situations The
grieving process as unique as the
individual important for helpers to take the
initiative
21Spiritual Connections Pastoral/Lay Training
Key Points - Self-Esteem Depression
Anxiety Depression is very common Medication can
help persons with depression Christians suffer
from depression - it is not a lack of
faith Having someone willing to listen is
critical to recovery Depression does not always
show up as sadness Spiritual effect follows
depression, seldom the other way around
22Spiritual Connections Pastoral/Lay Training
Key Points - HIV/AIDS STDs Increase in new
infections Early diagnosis and treatment are
important Person cannot become infected through
casual contact Important to know your HIV
status HIV does not discriminate
23Spiritual Connections Pastoral/Lay Training
Key Points - Substance Abuse Addictions Addict
ion is a chronic problem Recovery is a lifelong
process Spirituality is important in
recovery Addiction affects everyone Persons in
recovery need a church community
24Spiritual Connections Pastoral/Lay Training
1st Year 2002-2003
Process Feedback Current Reality
Training Attendance Pastors/lay
responsibilities (e.g., preaching, Sunday school
teachers, youth leaders, hospital visits)
Pre-Test administered the 1st day of training
Training Presentations Extensive use of
outside training providers with specific
expertise
Training Schedule every other week for (16) weeks
Training Content Challenge Stereotypical views
indigenous to the service area
2 hours x 8 sessions 16 hours
Post-Test administered the last day of training
25Spiritual Connections Pastoral/Lay Training
1st Year 2002-2003
Process Feedback Programmatic Challenges
offered make-up sessions when needed
Loss of continuity due to absenteeism
Several Outside Training Providers
Training Schedule every other week for (16) weeks
Content Challenge Stereotypical views
indigenous to the service area
26Spiritual Connections Pastoral/Lay Training
Proposed 2nd Year 2002-2003
Minor Changes
Pre-Test Administered the 1st day of class
Post-Test Administered the last day of class
Timing/Schedule Classes will be held (2)
consecutive Saturdays, (8) hours per day x (2)
class meetings for a total of (16) hours of
training
continue to serve approximately (10) to (15)
participants per class
focus on religion vs. spirituality
Class-Student Structure (2) Key resource persons
will be used rather than numerous community
presenters
27Spiritual Connections Pastoral/Lay Training
Proposed 2nd Year 2002-2003
Major Change
New Feature Curriculum has been revised to
schedule time for pastors/lay participants to
develop an action plan whereby they will leave
training with a specific strategy to inform and
empower their constituents. This represents move
in-depth reflection, which impact the whole
change-process.
Six - month Follow-up Agreement
28Evaluative Focus Recommendations
Proposed 2nd Year 2002-2003
strengthen both the quantitative and qualitative
process
desire broad survey data (quantitative) and
penetrative below surface data (qualitative)
emphasis on importance of qualitative data
increased emphasis on process data via daily
entries (e.g., process logs) by program staff
training providers
strengthen quantitative data collection
increased efforts and strategies to collect
qualitative data/feedback from program
participants/clients
systematic collection of qualitative data by
program staff and service training providers
curriculum revision suicide
29Best Practices
Win-Win Philosophy
Betty David and their research staff are always
available for consultation and analysis.
Communication Process open, honest
collaborative, descriptive, constructive, well
timed
Individual and agency commitment to the long term
goal of the program
Establishing and building trusting relationship
with all the interdisciplinary team members.
Valuing the community and cultures uniqueness
and working within that context