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Parent to Parent

Parent to Parent. Can parent liaisons increase parental awareness, involvement & use of School-Based & School-Linked Health Centers?. Presenters. Detroit, Michigan. * Kids Count in Michigan, Data Book 2006 **US Census Bureau, 2005 American Community Survey.

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Parent to Parent

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  1. Parent to Parent Can parent liaisons increase parental awareness, involvement & use of School-Based & School-Linked Health Centers?

  2. Presenters

  3. Detroit, Michigan *Kids Count in Michigan, Data Book 2006 **US Census Bureau, 2005 American Community Survey

  4. HFHS School-Based & Community Health Program • Established in Detroit, Michigan in 1994 as the School-Based Health Initiative • Initial support from the W. K. Kellogg Foundation in partnership with the Detroit Public Schools • Current funding:  Local, state & private sources Henry Ford Health System • SBCHP provides services to medically underserved school-age children & their younger siblings and young adults • Services offered:  Primary Care Prevention Family Planning  Mental Health  Health Education Medicaid Outreach

  5. HFHS School-Based & Community Health Program • Full & part-time centers • Currently 8 programs located in elementary schools, middle schools, a high school and a community youth center • Staffing varies by center: • nurse practitioner, physician’s assistant or registered nurse • medical assistant • social worker • pediatrician

  6. Funding Requirement • Health Center Advisory Boards • Required for Michigan Department of Community Health (MDCH) funded SBHCs • Board composition • Parents (minimum of 33.3% of the board) • School staff • Community members • SBHC staff (maximum of 50% of the board) • 5 SBCHP programs are funded by MDCH

  7. Problem • Encouraging parent participation is challenging • Many things compete for parents’ time • Schools struggle to maintain their parent organizations • Health Center Advisory Board concept is not widely understood • SBCHP staff have many duties to fulfill • Establishing advisory boards takes time • SBCHP has struggled to create & maintain advisory boards

  8. Problem Solving • Do we need someone with dedicated time to establish an advisory board? • Who would be in the best position to recruit parents & community members? • What type of work would they do?

  9. Possible Solution • Parent Liaisons • Connected to the school & community • Familiar with the issues faced by parents • Aware of what would motivate parents to participate • Funding • Proposal submitted to Families and Communities Together (FACT) at Michigan State University

  10. Project Goals • Increase the clinics’ community & school outreach efforts • Establish active adult & youth advisory boards • Encourage parental involvement in the clinic • Increase the number of signed parent consent forms • Increase use of the clinics’ services by students and their siblings

  11. Pilot Clinics • Webber Health Center • Provides medical & dental services • Located in Webber School • Pre-K – 8th grade public school • YouthVille Health Center • Provides medical & mental health services • Located in YouthVille Detroit • Youth center operated by the Detroit Youth Foundation • Linked to University Preparatory Academy • Pre-K – 12th grade charter school system

  12. Project Staffing • Project Coordinator • Responsible for overseeing the project and supervising the parent liaisons • Worked 24 hours per week • Two parent liaisons (one at each clinic) • Responsible for clinic outreach & advisory board development • Worked 20 hours per week

  13. Staff Recruitment • Project Coordinator • Professional position • Posted on HFHS careers web site • Posted at the local school of social work • Parent Liaison • Para-professional position • Principals recommended suitable parents from each school

  14. Project Timeline

  15. Parent Liaison Perspective

  16. Understanding of School-Based/Link Program • Read all materials received about school-based/linked • Asked questions regarding school-based/linked • Visited the other HFHS school-based/linked health centers • Attended staff meetings • Worked closely with health center staff / F.A.C.T. Team

  17. Gain Knowledge About Parent Liaison Role • Board development training & research • Parent & youth engagement training • After-school program training

  18. Developing Advisory Board • Brainstormed about possible members • Created/distributed flyers • Attended parenting/school events • Solicited T.E.E.N., YouthVille, University Preparatory Academy parents • Asked YouthVille & University Preparatory Academy students • Invited community members

  19. Increase Consent Forms • Visited school and spoke directly to students • Offered incentive to students / staff • Prepared packets to be distributed to parents • Created frequently asked question list

  20. Raise Awareness & Use of Health Center • Informed school staff of health center services • Distributed flyers about health center • Presentations within the community • Utilized advisory board as community outreach • Attended community events

  21. Expectations • Clearer Roles • Structure & organization • Understand school-based health centers • Gain knowledge about parent liaison role

  22. Outcomes • 22 member advisory board • Increased use of health center from within the community • University Preparatory Academy consent form count went from 47 to approximately 200 • Greater knowledge of school-based and it’s mission • Attained knowledge of engaging parents & youth and creating an advisory board • Health Fair

  23. Successes • Training classes • Building relationships with students, teachers and administrators • Committed parents on the Advisory Board • Chairperson of the Advisory Board

  24. Challenges • Hours • Program start date • Time management • Getting the students to give their parents flyers for upcoming events • Getting more parents/guardians involved in the school and its activities • Sharing efforts

  25. Reflecting… • Better management of projects or events • Numerous contacts • Early recruitment for advisory boards • 40 hour work load • Incentive / expectations • Following up & following through • Early training

  26. Notes from the Field Comments from advisory board members video production by Patrick Betzold

  27. Evaluation of the Pilot Program • Outcomes • Consent forms • Services provided • Advisory board meetings • Process • Interviews • Activity logs

  28. School-Based Health Centers:Completed Consent Forms 2005 -2006 2006 - 2007

  29. School-Based Health Centers:Number of Clients by Quarter 2005 2006 2007

  30. School-Based Health Centers:Number of Client Visits by Quarter 2005 2006 2007

  31. School-Based Health Centers:Services Provided by Quarter 2005 2006 2007

  32. Advisory Board Meetings YouthAdult • Project Coordinator 4% 8% • Parent Liaison (Site A) 14% 14% • Parent Liaison (Site B) 1% 21% • Advisory boards were created at both sites • Each has met at least once in past year

  33. Time and Activity Study

  34. Training Identifying training needs Researching training options Enrolling liaisons in trainings Attending trainings School & Community Outreach Assist with outreach plans Help prepare for activities Attend school events/outreach Assist recruiting adv boards Health Center Advisory Board Assist in meeting preparation Attend SBHC advisory brd meetings Assist in summarizing notes Youth Advisory Board Meetings Assist with meeting prep Attend youth adv board meetings Assist summarizing meeting notes Incentives Identifying contributors Contacting contributors Picking-up incentives Staff Meetings/Supervision Supervision meetings Meet with Project Director Meet with health center/other staff Medicaid Assist Medicaid outreach activities Report Medicaid outreach activities Other Lunch Travel Other paperwork Activity Categories:Project Coordinator

  35. Training SBCHP meetings Youth/parent engagement Advisory board development School Outreach Meeting preparations Meetings with parents, staff Attend school events Recruit parents, students, staff Community Outreach Meeting preparations Meet: parents, community, youth Recruit parents, community, youth Incentives Identifying contributors Contacting contributors Picking-up incentives Advisory Board Meetings Preparing for meetings Conducting meetings Summarizing meetings Consent Forms Distributing consent forms Speaking with parents Follow-up on incomplete forms Staff Meetings/Supervision Meetings with Project Coordinator Meetings with Project Director Meetings with other staff Other Lunch Invoices Travel Other paperwork Activity Categories:Parent Liaisons

  36. Time and Activity Study: The Data • November 2006 through May 2007 • Only some activities from Sept-Oct • 4139 records • 1455 records from Project Coordinator logs • 1207 records from Parent Liaison at Site A • 1477 records from Parent Liaison at Site B

  37. Project Coordinator Activities

  38. Project Coordinator by Month Parent Liaison Training Activities Staff Meetings and Supervision

  39. Project Coordinator by Month School Outreach Community Outreach

  40. Project Coordinator by Month Other Activities Youth and Parent Advisory Board Recruitment

  41. Parent Liaison Activities Site A Site B

  42. Parent Liaison Activities

  43. Monthly Parent Liaison Activities: Consent Forms

  44. Monthly Parent Liaison Activities Health Center Advisory Board Student Advisory Board

  45. Monthly Parent Liaison Activities School Outreach Community Outreach

  46. Monthly Parent Liaison Activities:School Outreach

  47. Staff Interviews • Telephone interview (10-30 minutes) • 11 of 12 planned interview completed • Parent liaisons • Supervising social worker • Health center personnel • SBCHP administrative staff

  48. Lessons Learned: Staff Interviews • Importance of training in multiple skill areas • Basic skills and experience necessary • Clear expectations of supervisor • Need for a clear message about programs • Boundary issues need to be resolved

  49. Put the Cart AFTER the Horse • Know what you have, need, and want before you get started • Know what you are willing to do to make the program a success. • How much time can you devote to: • Finding the right candidate? • Orientation? • Supervision? • Helping make connections with the school?

  50. Supervision Suggestions • The provider should plan to meet with the PL for 30 minutes at least twice a week • The PL should give the provider a daily update (written or verbal) • Keeps provider aware of the direction of the project and keeps PL accountable • Provider should be readily available for questions and giving direction

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