Transcript Outreach Competencies - ATTC Addiction Technology Transfer

overview of
Outreach competencies
Stephen J. Gumbley, MA, ACDP II
Director, New England ATTC
Competencies
• Knowledge
• Skills
• Attitude
Competencies
Purpose of competencies
• Staff development
• Evaluation
Using Benchmarks for Learning Progress
Identify benchmarks along a continuum of counselor development.
1
Developing
2
Competent
3
4
5
Proficient
Exemplary
Adapted from
Clinical Supervision: Building Chemical Dependency Counselor Skills
Northwest Frontier ATTC
Benchmarks
• Developing Counselors - limited understanding and inconsistent
• Competent Counselors – meets necessary standards
• Proficient Counselors - apply intervention consistently and
effectively
• Exemplary Counselors - develop and implement effective
strategies for complex and difficult situations
Clinical Supervision: Building Chemical Dependency Counselor Skills
Northwest Frontier ATTC
Outreach is…
A set of strategic interventions whose goal is
to initiate or improve service delivery to a
targeted population where they resides and
work whose members:
 Have been underserved
 Do not know about services
 Believe they do not need the services
 Do not – or think they does not -- qualify
for/can afford the services.
• Why reach out?
human kiosk
TRUST
Outreach is challenging.
Effective outreach
requires expertise, skills
and sensitivity to the
[client’s] experience.
Outreach to People Experiencing Homelessness: A Curriculum for Training Health Care for the
Homeless Outreach Workers.
Effective Outreach
• Preparation
• Inner work
• Self awareness
• Competency
Outreach workers are not …
simply glorified cab drivers, babysitters, and
hand-holders. They are not advocates with a
narrow focus on the procedural rights of the
client. They are not simply case managers
linking motivated clients to needed services.
Outreach workers ARE…
change agents who use the vehicles
of service linkage, advocacy, transportation,
and babysitting to build relationships … and
to instill in [clients] the desirability and
possibility of change.
Outreach Competencies
• What are they?
Minimum standards for conducting street
outreach for hard-to-reach populations
• Who developed them?
The Center for HIV, Hepatitis and Addiction
Training and Technology (CHHATT), which
is a program of The Danya Institute, as part
of the Central East Addiction Technology
Transfer Center (CEATTC).
http://www.ceattc.org/OtherPDF/Counselor_competencies.PDF
Outreach Competencies
Competency 1: Understanding Outreach and Outreach in a
Scientific Context
Competency 2: Understanding Chemical Dependency
Competency 3: Understanding Disease and Wellness in the Context
of Drug Use
Competency 4: Engagement
Competency 5: Intervention
Competency 6: Client Support
Competency 7: Supporting Ourselves
Competency 1: Understanding Outreach and Outreach in a Scientific Context
Research Protocols
Behavioral Science Theories
Competency 2: Understanding Chemical Dependency
Substance Use vs. Substance Abuse
Substance Use Disorders
Pharmacology
Medication Assisted Recovery
Treatments
Paths to Recovery
Competency 3: Understanding Disease and Wellness in the Context of Drug Use
HIV/AIDS
Hepatitis
Tuberculosis
Confounders
 Mental illness
 Homelessness
 History of physical, emotional and/or sexual abuse
 Being an MSM or transsexual
 Racial and/or ethnic minority status
 Age
 Unemployment
Wellness
Activities that decrease
Vulnerability and Risk
Reconnection
with family and
community
Recovery•Wellness
Health
Reduction or
elimination of
symptoms
Internal wellness
Activities that increase
Resilience and
Recovery Capital
Competency 4: Engagement
Recruitment Strategies
Cultural Sensitivities
Safety and Awareness of Environment
Effective Communication
Outreach Activities
• Education: giving people information about issues
(substance abuse, HIV, domestic violence, etc.)
• Marketing: giving people in a risky population
information about services
• Engagement: contacting people known to be at risk
and encouraging the use of our services
• Education: catalogue sent
to everyone in Maine
• Marketing: catalogue sent
to everyone who went to Maine
parks last year
• Engagement: catalogue
sent to everyone who bought at
L.L. Bean last year
Engagement
• Engagement entails
– a client and outreach worker participating in an activity that involves a
positive interaction
– whereby the client is made to feel as comfortable as possible while listening
to and speaking with the outreach worker
• Engagement involves
– identifying and making contact with members of the target group in their
natural environments
– establishing rapport
– enlisting commitment to behavior change
– providing information about risk behaviors and strategies to eliminate or
reduce risk.
• Engagement means creating/enlarging
motivation with the client.
• The client does not need to be motivated in
order to “be ready.”
Competency 5: Intervention
The outreach worker actively works with the client to reduce
the harmful effects of the client’s behaviors.
Intervention Activities
• Health Information and Demonstration
• Risk Assessment
.
• Risk Reduction
• Prevention and Post-test Counseling
• Crisis Intervention
• Confidentiality and Ethics
• Laws and Regulations
Competency 6: Client Support
Client support is the process of facilitating the
client’s utilization of available support systems
and community resources to meet individual
needs.
Competency 7: Supporting Ourselves
Burnout Prevention
Relapse Prevention
Outreach -- Reach out
Creating wellness together