bwdefault

1
Rusty Chambliss Vice President, Director of
Training Cornell Wrisby, MSW Director of
Community Education Projects
2
Cicatelli Associates Inc. (CAI)

• Nonprofit, tax-exempt 501(c)(3) educational
  organization providing services locally,
  nationally, and internationally
• Develop and provide training and technical
  assistance to health and social services
  agencies since 1979
• Mission is to improve the breadth and quality of
  care provided to low-income and underserved
  populations
• Particular focus on improving services provided
  to women, children, families, older adults,
  minorities, and people with disabilities.
• Ensure that services are delivered in a
  culturally sensitive manner and appropriate to
  client needs.

3
Expertise in applying adult education strategies
and providing capacity building assistance that
develops participant capacity to provide high
quality services in areas such as

• HIV/AIDS
• Evidence-based Interventions
• Older Adults
• Organizational Development
• Primary Care
• Reproductive Health
• Systems Integration
• Trauma Crisis Management
• Women's Health
• Working with Vulnerable Hard-to-Reach
  Populations

• Adolescent Development
• Behavioral Health
• Community Family Health Issues
• Complementary Alternative Health Care
• Cultural Competency
• Disease Prevention
• Distance Learning
• Early Childhood Development
• Health Policy Administration

4
Staff of expert trainers and technical assistance
specialists with backgrounds in

• Adult education
• Case management
• Clinical psychology
• Counseling
• Human resource development
• Information and data management technologies
• Medicine
• Mental Health
• Nursing
• Public administration
• Public health
• Social work
• Substance abuse treatment

5

• Long history of successfully forming partnerships
  and working with coalitions to reach local,
  regional, and national networks of providers and
  organizations
• Deliver over 1,000 training programs to over
  17,000 participants each year
• Provider of Continuing Medical Education credits,
  Nursing Education Contact Hours, and other
  Continuing Education Units for health and social
  service providers

6
HIV/AIDS

• Building capacity through training and technical
  assistance in HIV/AIDS for over 20 years
• Developing individual and agency capacity in
• Behavior Change
• Clinical Services
• Comprehensive Risk Counseling and Services
  (formerly PCM)
• Evidence-Based Interventions
• General HIV/AIDS Information
• Harm Reduction
• HIV Services Integration
• PWHA Leadership Development
• Prevention for Positives
• Team Building
• Treatment and Adherence
• Capacity building and community mobilization
  through Multidisciplinary Team development

7
CAI Approach to Training and Curriculum
Development

• Design and deliver training and capacity building
  activities firmly grounded in adult learning
  theory
• Use of interactive and experiential learning
  activities to help contextualize learning
• Training exercises that facilitate
  research-to-practice
• Effectively convey large amounts of didactic
  information through user-friendly, interactive,
  and applicable learning activities
• Work with funders, providers, clients and other
  key stakeholders to ensure services are relevant,
  culturally sensitive, and maximize impact and
  sustainability

8
Peer Advocates as Essential Members of
Multidisciplinary Teams

• Build the capacity of Peer Advocates to work
  effectively as members of HIV Health Care Teams
• Multi-dimensional approach consisting of
• Competitive Selection Process
• Focused Needs Assessment
• Curriculum Development
• Training
• Comprehensive Technical Assistance
• Evaluation and Dissemination of Best Practices
• Regional Trainings in Four Sites

New York City, NY Chicago, IL
Atlanta, GA San Diego, CA
9
KEY COMPONENTS
Activities
Outcomes
Commitment to Multidisciplinary Approach
Competitive Selection Process
Needs Assessment and Curriculum Development


Focused Curriculum Development
Training of Peer Advocates
Training of Clinic Managers/ Supervisors
Training Peer Adv Clinic Man/Sup TOGETHER
Formation of Multidisciplinary Teams



Comprehensive Spectrum of Technical Assistance
Technical Assistance Toolkit
Implementation of Multidisciplinary Teams


Dissemination of Best Practices
Evaluation and Analysis of Program Data
Presentation on Lessons Learned and Best
Practices from the Field


10
Competitive Selection Process

• All HRSA Ryan White Grantees were contacted with
  Program Information
• Interested agencies submitted applications
• Based on Screening Criteria, short list of
  agencies selected for second-round of screening,
  using Needs Assessment and Agency Profile Survey
• Final selection of 8-10 agencies selected for
  each training
• Agencies commit to participation in training,
  follow-up TA, and implementation

11
Year 1 Training

• NYC TRAINING ATTENDED BY
• Asian/Pacific Islander Coalition against HIV/AIDS
• Dartmouth-Hitchcock Family HIV Center
• Housing Works
• Hudson River Healthcare
• Jersey Medical Center
• John Hopkins University
• Regional Medical Center at Lubec
• William F. Ryan Community Health Center
• Harlem Hospital (observer)

• CHICAGO TRAINING ATTENDED BY
• Allegany General Hospital
• Alliance for Community Empowerment
• Childrens Hospital (Ohio)
• Howard Brown Health Center
• Luck Care Center
• Regional Care Association
• Ruth M. Rothstein CORE Center
• Westside Health Center of Cook County
• Kansas City Free Clinic (observer)
• St. Louis Area Chapter HIV/AIDS Education,
  American Red Cross (observer)

12
Year 2 Training

• ATLANTA TRAINING ATTENDED BY
• Catawba Care Coalition
• University of Alabama at Birmingham Family Health
  Clinic
• North Georgia Health District
• NR Peace,
• St. Lukes Roosevelt Hospital Center (NYC)
• Southeastern Health District
• Medical College of Georgia
• Center for Health Science Oklahoma State
  University
• Economic Opportunity Family Health Center
• Care Inc

• SAN DIEGO TRAINING ATTENDED BY
• Southern Illinois Healthcare Foundation
• Mother Child Adolescent HIV Clinic University of
  California at San Diego
• The Womens Lighthouse Project
• Yellowstone County Health Department
• Christies Place
• Center for Health Training (Observer)

13
Technical Assistance

• Telephone Conference Calls
• Review training information
• Assess progress and experiences with
  implementation
• Address challenges and problem-solve
• Panel of relevant experts available to address
  specific issues
• Allows participants to share information/experienc
  es across agencies
• Virtual Classrooms
• Telephone conference call Web-based, real-time
  classroom
• Visual presentations (i.e. PowerPoint)
• Sharing of materials and resources online
• Submit written questions and comments to
  Facilitator for posting
• Onsite, face-to-face
• One agency selected from each training to receive
  intensive TA
• Ongoing phone and email communication
• Technical Assistance Toolkit

14
Telephone TA Conference Calls

• Provided between four to six weeks post training
• For the NE region
• 7 agencies participated 4 weeks post training
• 7 agencies participated 4 weeks post training
• For the Midwest region
• 7 agencies participated 4 weeks post training
• 6 agencies participated 6 weeks post training
• For the Southern region
• 7 agencies participated 4 weeks post training
• 7 agencies participated 4 weeks post training
• For the Western region participated
• 3 agencies participated 4 weeks post training
• 2 agencies participated 6 weeks post training

15
Virtual Classroom TA Sessions

• Topics Addressed
• Establishing and Maintaining Boundaries for Peer
  Advocates
• The Trans Theoretical Model of Behavior Change
  Part I
• The Trans Theoretical Model of Behavior Change
  Part II
• Taking Care of Yourself, for Peer Advocates
• Motivational Interviewing Part I
• Motivational Interviewing Part II

16
Intensive Onsite Technical Assistance

• One agency selected per training region
• Selection criteria
• agency participation
• agency interest
• type of agency
• level of involvement of peers with clinic team
• Selected agency contacted by phone and plans for
  intensive TA reviewed
• Upon acceptance, an onsite visit is scheduled

17
Intensive Onsite Technical Assistance

• During the onsite visit, a needs assessment is
  completed with the entire clinic team or only
  those involved in the TA process
• Following completion of needs assessment, a work
  plan is developed.
• The work plan is reviewed by evaluator (JBA) for
  review against evaluation plan/protocols
• Conference call held with agency to discuss and
  finalize work plan.
• Final work plan is completed by CAI and sent to
  the agency.

18
Intensive Onsite Technical Assistance

• Northeast Region
• Asian-Pacific Islander Coalition against HIV/AIDS
  (New York)
• Hudson River Health Clinic (add location)
• Midwest Region
• Childrens Hospital (add location)
• Southern Region
• North Georgia Health District (add location)
• Western Region
• Yellowstone County Department of Health (add
  location)

19
Ongoing Email, Phone Communication
Discussion Board Requests

• Requests received
• How is a peer defined?
• Does a peer have to HIV? Can they be affected?
• Requests of training material for presentations,
  ie electronic jeopardy game, adherence powerpoint
  presentation
• List of mentor agencies
• Peer stipends
• Job descriptions, policy and procedures

20
Technical Assistance Toolkit

• Developed in two sections-Peers and Supervisors
  and Supervisors only
• Section I
• Enhanced Outreach Model
• Referral and navigation
• Patient Education
• Adherence Support
• Advocacy
• Confidentiality and Boundaries
• Section II
• Job descriptions
• policy and procedures
• administrative support

21
Evaluation and Best Practices

• Data Collection
• Agency Profiles and Needs Assessment
• Participant information and demographics
• Pre and post training knowledge, attitudes and
  belief assessments
• Development of Report on Best Practices
• Analysis of evaluation and data collected
• Participant feedback in TA sessions
• Data collected from onsite TA
• Ongoing documentation of implementation of
  multidisciplinary teams
• Beginning in Year 2

22
Feedback from Training Participants

• Great to have the opportunity to interact with
  peers and supervisors in a supportive and
  educational setting
• The exercises were clear and useful
• Great opportunity to voice concerns
• There is space for more peers to be trained
• Combining peers and supervisors is very helpful
• Two days of training with managers and peers
  preferred
• Getting ideas from other participants doing the
  same work

23
Quotes from TA Participants

• Thanks to all of you for the call last week. It
  was INVALUABLE to me.
• The topic was timely for new peer advocates.
• That all participants could come together without
  traveling so far.
• Eager to exchange information and a great
  opportunity to hear from others.
• Cicatelli is doing a great job providing TA to
  sites via discussion board, email, phone
  conferences.
• Keep everything the same as long as everyone can
  state their opinion.

24
(No Transcript)