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Michigan’s Approach to Capacity Development

Michigan’s Approach to Capacity Development. Liisa M. Randall, PhD Michigan Department of Community Health PTC Central Quadrant Advisory Meeting March 25-26, 2008 Denver, Colorado. Context of TA/CD. 20 CBO/NGOs Targeted CTR HE/RR (inc. P4P) PI 48 LHDs

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Michigan’s Approach to Capacity Development

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  1. Michigan’s Approach to Capacity Development Liisa M. Randall, PhD Michigan Department of Community Health PTC Central Quadrant Advisory Meeting March 25-26, 2008 Denver, Colorado

  2. Context of TA/CD • 20 CBO/NGOs • Targeted CTR • HE/RR (inc. P4P) • PI • 48 LHDs • Routine testing w/ and w/o counseling • Targeted CTR • IBT • HE/RR • PI

  3. Context of TA/CD • 20 Clinical (hospitals, CHCs, correctional health) • Routine testing w/ and w/o counseling • HE/RR (inc. P4P) • Approximately: • 70,000 HIV tests annually • 55,000 HE/RR “contacts”

  4. Approach • Responsive • Program and provider needs • Program/policy priorities (e.g., health disparities; test technologies) • Resources • Comprehensive and holistic • Addresses range of activities, interventions • Addresses variety of providers, levels • Integration of STD, viral hepatitis, SA

  5. Approach • Diverse expertise, experience, resources • Staff, consultants • Peers • National partners (e.g., CDC, PTC, AETC) • Other • Diverse strategies • Formal training • Distance learning • Written materials (e.g., “tool boxes”, best practices, case studies) • Individualized • Peer-to-peer

  6. Approach • Closely linked with QA, M&E • Assessment, prioritization of needs • Rapid response • Consultative, collaborative • Planning • Delivery

  7. TA/CD Topics • Core • Basic Knowledge (“Module 1”) • Prevention Counseling (“Module 2”) • HE/RR • CORE (outreach/recruitment, skills) • Supervisors • Prison peer ed TOT • Group Facilitation • Advanced Instructional Design

  8. TA/CD Topics • HE/RR (continued) • EBIs (e.g., DEBIs, other EBIs, “homegrown”) • Planning/selection, adaptation, evaluation • Bridging Theory and Practice • Path to Intervention Adaptation • Use of fidelity tools • Applying OM • Recruitment/retention • POP ILI and GLI Certification Courses • Popular Opinion Leader • SISTA Certification Course • Partnership for Health • Healthy Relationships • Holistic Health Recovery Program • VOICES, PfH, HR TOTs • PCM

  9. TA/CD Topics • Counseling/Testing • Counselor Certification (Core + Module 3) • OraSure Certification • Counseling for HIV+ • Rapid Testing • Operator • Counselor • Laboratory Supervisor • Information-Based (LHD, ED) • Special Topics (e.g., adolescents, SA, MSM, VH) • Operationalizing Routine Testing (opt-out) • Recruitment (inc. SNS) • Supervisors • Making and Tracking Effective Referrals

  10. TA/CD Topics • PCRS • Field Investigation • Supervisors • Special Topics (e.g., recalcitrant, internet) • Referral

  11. TA/CD Topics • Clinical providers • Risk assessment/risk reduction • P4P (MI, PfH) • Adherence • Case managers • Clergy/Faith-Based Leaders • Emerging issues, hot topics • R/E disparities • VH • BGM • Youth

  12. TA/CD Topics • Organizational Effectiveness • Program planning • Needs Assessment • Community Assessment • Grant writing • Program evaluation & monitoring • Data collection, management, QA • Implementing Interventions with Fidelity: Using Process Evaluation to Improve HIV Prevention Interventions • Fidelity • Protocol/procedures • Financial, board development

  13. TA/CD Methods • Formal courses • Workshops • Distance learning (webinar, TC) • Small group • “Like” agencies/staff, issue-focused • One-to-one • Materials • Sample protocol, procedures, tools, questionnaires, MOA, etc. • Curriculum template • “Tool Kits” (Counseling DO; Laboratory QA; Referral Management) • Best practices

  14. TA/CD Providers • Staff • Intervention-specific training • Academic credentialing/expertise • Experience • Team Approach; x-Division consultation/collaboration • Local consultants • Peers • Academic • Other • Regional/national resources • CDC, PTC, AETC, NASTAD • Other states • Academic • Consultants

  15. Monitoring and Quality Assurance for Community-Based Prevention Services • Monitoring & QA Linked to TA/CD • Quality Assurance Standards for HIV Prevention • Definitions, components of interventions (general) • Goals for interventions • Requirements for local policies, procedures (e.g., confidentiality, security, supervision, record keeping, evaluation, data collection) • Training/certification requirements • Quarterly narrative reports • Work plans • Program service data • Site visits, other consultation/communication • Direct Observation

  16. For more information: Randalll@michigan.gov 517.241.5924

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