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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.
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overview of Outreach competencies Stephen J. Gumbley, MA, ACDP II Director, New England ATTC
Competencies Knowledge Skills Attitude
Purpose of competencies Staff development Evaluation
Using Benchmarks for Learning Progress Identify benchmarks along a continuum of counselor development. 1 Developing 2 3 Proficient 4 5 Exemplary Competent Adapted from Clinical Supervision: Building Chemical Dependency Counselor Skills Northwest Frontier ATTC
Benchmarks • DevelopingCounselors - limited understanding and inconsistent • Competent Counselors – meets necessary standards • ProficientCounselors - apply intervention consistently and effectively • ExemplaryCounselors - 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.
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 http://www.ceattc.org/OtherPDF/Counselor_competencies.PDF • 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).
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 Reduction or elimination of symptoms Reconnection with family and community Recovery•Wellness Health 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