Transcript Models of outreach work

Models of outreach work
Presentation 10
Models of outreach work: Indigenous
Leader Outreach Model (ILOM)
•Described by Wayne Wiebel (University of
Chicago)
•Uses leaders for establishing contacts with IDUs in
their groups
•Leader IDU – is an authority in a community, who
poses a model for imitation and who is followed by
others, whose advice is the most convincing for
other IDUs. Leader forms opinions inside a group.
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Indigenous Leader Outreach Model
(ILOM) – How it works?
•Visiting places of IDUs presence, watching on their
communication and identification of possible leaders
•Establishing a contact with leaders a) individually b) via
intermediary (friends, relatives, familiars, doctors, police
and etc.)
•Individual assessment of risky behavior of the
contacted leader
•Education and counseling of the leader
•Leader continues preventive education and delivers
services inside a group
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Models of outreach work: Network
Prevention Intervention Model
•Described by Carl Latkin (Baltimore, USA)
•Model presumes networks of IDUs
•Networks are formed by type of used drug
(heroine, cocaine, opiates, amphetamines and
etc.)
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Network Prevention Intervention Model –
How it works?
•Establishing contacts with IDUs from each network
•Learning structure and characteristics of each network
•Selection of IDUs to be peer-educators
•Training peer-educators (up to 10 thematic modules)
•Evaluation of knowledge/skills of trained peereducators
•Peer-educators do outreach prevention work among
IDUs – members of their networks
•Peer-educators invite members of network for
interview on regular basis (for knowledge and skills
evaluation)
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Models of outreach work: Peer
Education Model
•Developed by Robert Broadhead and Douglas
Heckathorn (Connecticut, USA)
•Every IDU is encouraged to participate in HIV
prevention throughout community (no matter
of type of used drug) by involving other peers
into the project
•It is implemented by coupon system – each
participant receives coupons to bring others to
educate them using model ‘mentor-peer’
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Peer Education Model – How it works?
•Establishing contacts and involving one or two IDUs
•Conducting a comprehensive sociological interview
with each participant (usually generously paid)
•Training of participants (program consists of 4 topics or
more) as mentors
•Trained IDU mentors invite other IDUs for interview
(each mentor receives 3 coupons for inviting others)
•Trained IDU mentors provide prevention work among
IDU
•Trained IDU mentors receive remuneration for each
recruited participant
•Participants are interviewed every three months
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Models of outreach work: Model
“Supervisor-Group leaders-Outreach
workers-Peer-educators”
•This model was born in 80th in Netherlands
•Self-actualized groups of IDUs started
outreach with syringes exchange
•Later on this model of work included medical
and social professionals, also – drug users in
remission as outreach workers
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Model “Supervisor-Group leadersOutreach workers-Peer-educators” – How
it works?
Training of IDUs who are harm
reduction program clients (training
cycle usually consists of 5 modules)
Selection of trained IDUs for further
introduction into outreach work.
Criteria of selection: attending,
knowledge tests, pro-activeness.
Training of outreach workers: special
knowledge and skills. Probation in
outreach work.
Outreach work in action
Supervisor coordinates whole process
from inside of it (being involved in
daily outreach activities)
Every outreach worker cultivates IDU
leaders for involving new clients and
recruiting potential outreach workers
Cycle is completed – it is possible to
start again with a new group
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Education of
IDUs
Selection
outreach
workers from
educated IDUs
Supervisor
Outreach
work
IDU leaders,
friends, familiars,
occasional IDUs
Training of
outreach
workers
Models of outreach work: Model “Outreach
worker in community”
•Described by Harvey Feldman, UK
•Main idea – entering outreach
workers into community of IDUs for
collecting information and further
planning prevention interventions
Presentation 10