Appendices to final report - Victorian Refugee Health...
Transcript of Appendices to final report - Victorian Refugee Health...
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Appendices to final report
Refugee Oral Health Sector Capacity Building Project
Prepared by Thuy Nguyen, Sue Casey & Stephanie Rich On behalf of the Project Advisory Group at the Victorian Refugee Health Network, Foundation House [email protected]
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List of Appendices
Appendix 1: Program logic framework ...................... 3
Appendix 2: Oral Health Factsheet 1 ......................... 8
Appendix 3: Oral Health Factsheet 2 ........................ 10
Appendix 4: Model of care:...................................... 12
Appendix 5 – Identified Resources – publicly available
............................................................................... 13
Appendix 6: TEP Curriculum ..................................... 19
Appendix 7: Call for Expression of Interest Letter ..... 20
Appendix 8: Baseline Survey .................................... 21
Appendix 9: Follow up Survey .................................. 26
Appendix 10: 3-month Follow up Survey .................. 33
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Appendix 1: Program logic framework
PURPOSE: To strengthen the Victorian public oral health service capacity to appropriately
and effectively respond to clients of refugee and asylum seeker background
Objective/Strategy/Output Project Phase Indicators Means of Verification
OBJECTIVE 1 To improve the
knowledge, attitude and practices of
dental health staff and services working with clients of refugee and asylum seeker background in Victoria.
Strategies and tasks to achieve this objective will be informed by the needs analysis.
Strategy/Activity 1.1 Conduct a
mini needs-analysis with various Victorian public dental health services servicing refugee and asylum seeker clients to determine gaps in knowledge, skills, systems, and support required.
Phase 1:
Information gathering & needs determination
A need for, or gap in information, resources, and support for public dental staff and services working with clients of refugee and asylum seeker background.
Online survey
(via Survey Monkey to collect data from refugee oral and allied health workers in the top 10 LGA regions in Victoria (including data on current or previous systems, processes, resources, evaluation, professional development and support).
Output 1.1 A report including identified needs, themes and priorities for working with clients of refugee and
asylum seeker background who are accessing public dental health services.
Strategy/Activity 1.2 Establish a
project advisory group which will assist sharing the knowledge of key stakeholders, and which will provide guidance throughout major phases of the project.
Phase 1: Information gathering & needs determination
Note: PAG will be established during this initial phase, but will provide input throughout the different phases addressing all 3 objectives
An interest for, or a need of, expertise in refugee and asylum seeker oral health – participation in PAG
Record the number of meetings held and attendance of members at advisory group meetings
Observe and record the richness and usefulness of project activities and outputs
Output 1.2 An established and ongoing project advisory group (PAG), for project direction and also a network for other complimentary work.
Strategy/Activity 1.3 Conduct a
literature review to identify oral health programs and concerns around access, barriers and facilitators of oral health care among refugee and asylum seeker clients
Phase 2: Source and review of existing resources & identification of gaps
Refugee oral health gaps identified
Existing resources located
A systematic review with search terms including,
Oral/dental health
Refugee/asylum seeker
CALD/migrant
Output 1.3 A progress report of current concerns among dental health services around access, barriers and
facilitators of oral health service with clients from refugee and asylum seeker background
Strategy/Activity 1.4 Review
existing oral health policy and oral Phase 2: Source and review of
Existing resources identified & reviewed
A desk-top review, including from sources from:
health promotion resources for working with refugees and asylum seekers (local, state, national and international).
existing resources & identification of gaps
Needs (identified in phase 1) mapped against existing resources and thus information gaps identified
EACH
Tooth Tales (look at sharing resources)
Health Translations Directory
NSW Refugee Health Service
NSW Multicultural Health Communication Service - Dental Care
Centre for Culture, Ethnicity and Health (CEH)
Output 1.4 A progress report including current programs, policies, and resources available to dental health
services who work with clients from refugee and asylum seeker background
Strategy/Activity 1.5 Communicate
and share information at a central online site: the Victorian Refugee Health Network Website (including links to the DHSV website and potentially other relevant sites)
Phase 3 & 4: Promote good practice in refugee and asylum seeker oral health; systems and service development with oral health services and oral health workers
Resources uploaded onto Victorian Refugee Health Network website
The number and quality of information and resources that will be available on the VRHN website
The number of dental staff and referrals who access/refer to resources on the VRHN website
(the reach)
Output 1.5 A central website with refugee and asylum seeker oral health information, resources and links for
referral, engagement and care.
Strategy/Activity 1.6 Conduct a
targeted education program (TEP) with public dental agencies who services clients of refugee and asylum seeker background
Note: Training will be informed by the mini-needs analysis, review of existing gaps in resources, literature review, outcomes/feedback from the oral health forum, and work of the project advisory group (see strategies 1.1 & 1.2)
Phase 3 & 4: Promotion of current approaches and best practice in refugee and asylum seeker oral health; systems and service development with oral health services and oral health workers
Learning & professional development conducted with interested oral health care staff and services located in LGA’s with high refugee settlement
The quality of TEP can be evaluated through a process evaluation after each module and group discussions.
The effectiveness of TEP will be measured by comparing responses from participating dental service staff pre, post and 3-mo post-delivery.
Record of expressions of interest for TEP participation
Output 1.6 Oral health services and staff more confident and knowledgeable around the practices of an
accessible service (evidenced by evaluation)
OBJECTIVE 1 To promote good
oral health practice among community dental agencies working with clients of refugee and asylum seeker background, including survivors of torture
Strategies and tasks to achieve this objective will be informed by the needs analysis.
Strategy/Activity/Output Project Phase Indicators Means of Verification
Strategy/Activity 2.1 Conduct a
mini needs-analysis (refer to strategy 1.1)
Phase 1: Information gathering & needs determination
A need for, or gap in info, resources, and support good practice among services working with refugee and asylum seeker clients
A literature review & survey (see strategy/activity 1.1)
Output 2.1 A progress report identifying good dental health practice, policy and standards for services working
with clients of refugees and asylum seekers, including survivors of torture.
Strategy/Activity 2.2 Develop
useful resources that facilitate the work of oral health staff and services working with clients from refugee and asylum seeker background and their communities.
Phase 3 & 4: Promotion of current approaches and best practice in refugee and asylum seeker oral health; systems and service development with oral health services
Learning & professional development resources created in collaboration with PAG and participating services that aims to address gaps identified in Activities 1.1-1.5
Feedback on resources developed from PAG and participating public dental service staff.
(impact evaluation – feed back from clients, including FGD, questionnaire) – Southern Health
Output 2.2 Tangible tools, including factsheets and model of care, and updating oral health information for the
Refugee Health Guide, to assist oral health staff and services working with clients of refugee and asylum seeker background.
Strategy/Activity 2.3 Conduct a
targeted education program (TEP) that addresses knowledge, attitude and practices of public dental agencies who services clients of refugee and asylum seeker background, including survivors of torture.
Note: Training will be informed by the mini-needs analysis, review of existing gaps in resources, literature review, outcomes/feedback from the oral health forum, and work of PAG(see strategies 1.1 & 1.2)
Phase 3 & 4: Promotion of current approaches and best practice in refugee and asylum seeker oral health; systems and service development with oral health services and oral health workers
A change in knowledge, attitude and practice among
oral health care staff and services located in LGA’s with high refugee settlement
Increased knowledge
Positive attitude
Good practice
Self-administered structured questionnaire (comparing responses from participating dental service staff pre, post and 3-mo post delivery.)
Group discussion in team meeting
Output 2.3 A tailored and effective targeted education program available for public dental agency/cies working
with clients of refugee and asylum seeker background, including survivors of torture.
OBJECTIVE 3 Increase the
capacity of oral/dental health staff and services to establish supportive systems that assist them to work more appropriately and effectively with refugee and asylum seeker clients in their local communities.
Strategies and tasks to achieve this objective will be informed by the needs analysis.
Strategy/Activity/Output Project Phase Indicators Means of Verification
Strategy/Strategy 3.1 Conduct a
mini needs-analysis of current systems in place when working with refugee and asylum seeker clients, in various oral health services (see strategy 1.1)
Phase 1: Information gathering & needs determination
A need for, or gap in supportive systems among dental and related services working with clients of refugee and asylum seeker
A literature review & survey (see strategy/activity 1.1)
background.
Output 3.1 A progress report outlining current supportive systems and frameworks and gaps that need to be
addressed for fluid dental care with clients of refugees and asylum seekers, including survivors of torture.
Strategy/Activity 3.2 Establish a
project advisory group which will assist sharing the knowledge between related stakeholders, including GP’s, dental clinicians, the Department of Health, and settlement services.
Phase 1: Information gathering & needs determination
Note: Advisory group will be established during this initial phase, but it will provide guidance/input throughout the different phases addressing all 3 objectives
An interest for, or a need of, expertise in refugee and asylum seeker oral health – participation in PAG
Record the number of meetings held and attendance of members at advisory group meetings
Observe and record the richness and usefulness of project activities and outputs
Output 3.2 An established and ongoing project advisory group (PAG), for project direction and also a network for
other complimentary work.
Strategy 3.3 To create and collate
resources that facilitates dental agencies working with clients of refugee and asylum seeker background, including survivors of torture.
Note: This will be informed by the mini-needs analysis, review of existing resources, literature review, and work of the project advisory group (see strategies 1.1 & 1.2)
Phase 3 & 4: Promotion of current approaches and best practice in refugee and asylum seeker oral health; systems and service development with dental services
New service-orientated resources developed, including resources that may address issues such as identifying refugee clients, the use of interpreters, reminder calls and block bookings, referral protocols and oral health promotion translated materials.
Feedback gathered from oral health staff and services
Feedback from PAG
Output 3.3 List of resources supporting organisational development for dental services working with their target
group, specifically, clients of refugee and asylum seeker background.
Strategy/Activity 3.4 Conduct a
targeted education program (TEP) that deconstructs the organisational structure and support of a dental service and works with that service to build a plan addressing their key priorities
Note: Training will be informed by the mini-needs analysis, review of existing gaps in resources, literature review, outcomes/feedback from the oral health forum, and work of the project advisory group (see strategies 1.1 & 1.2)
Phase 3 & 4: Promotion of current approaches and best practice in refugee and asylum seeker oral health; systems and service development with oral health services and oral health workers
A new work plan including how to appropriately and efficiently work with clients of refugee and asylum seeker background
Policies and systems in place to support staff delivering services with clients of refugee and asylum seeker background
Self-administered structured questionnaire to gather the perception of dental health staff re: how confident and supported (comparing responses from participating dental service staff pre, post and 3-mo post-delivery.)
Group discussion in team meeting (assuming it will not be biased in group setting/desire to please researcher)
Output 3.4 A TEP that addresses a whole-of-dental-service change and support for working with clients of
refugee and asylum seeker background.
Strategy/Activity 3.5 Communicate
refugee and asylum seeker oral Phase 4: Systems and
New edition of ‘Promoting Refugee
Number of GP guides distributed (assuming all
health policy to referral groups, including GP’s, RHN, CA and settlement workers.
Activity: Update and distribute information in the Promoting Refugee Health Guide (for GPs) among other refugee oral health resources
service development with oral health services and oral health workers
Health’ guide will include updated dental health information and resources.
Resource development & on central website
Increase in GP/RHN/CA/settlement worker referrals among public dental agencies
reads the oral health section)
Number ‘clicks’ and downloads around refugee oral health resources from the VRHN website
Data collection via Titanium, agency-dependent
Output 3.5 Range of resources readily available for oral health services and practitioners.
Appendix 2: Oral Health Factsheet 1
Appendix 3: Oral Health Factsheet 2
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Appendix 4: Model of care:
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Appendix 5 – Identified Resources – publicly available
1. Refugee Oral Health - Policy & Guidelines documents Source Title Hard copy/Online On VRHN
website
Vic DoH Eligibility and priority access
for public dental services
policy
March 2010
Link on VRHN Yes
Vic DoH Public dental fees policy, July 2010
Link on VRHN Yes
National Advisory Committee on Oral Health
Healthy Mouths Healthy Lives: Australia’s National Oral Health Plan 2004-2013
Online:
http://www.health.vic.gov.au/dentistry/publications/oralhealth.htm
Yes
Vic DHS Refugee health and wellbeing action plan
Link on VRHN Yes
Vic DHS State-wide oral health promotion strategic plan 2008-2012
http://www.dhsv.org.au/download/0f08d8d0/dhsv-statewide-oral-health-promotion-strategic-plan-2008-2012.pdf
No
Victorian Government
Victorian Multicultural Commission
Using Interpreting Services: Victorian Government Policy & Procedures
http://www.multicultural.vic.gov.au/images/stories/pdf/2383%20vmc%20interpreter%20manual%20web.pdf
No
Vic DoH Hume Region – Integrated Oral Health Care Plan
http://www.dhsv.org.au/about-us/reports-and-publications/regional-oral-health-plans/
No
Vic DoH Gippsland Oral Health Plan March 2009
http://www.dhsv.org.au/about-us/reports-and-publications/regional-oral-health-plans/
No
2. Resources – REFUGEE ORAL HEALTH
Source Title Hard copy/Online On VRHN site
DHSV DHSV – Translated materials:
(In Arabic, Chinese, English, Macedonian, Somali,
Turkish and Vietnamese)
Information on public dental services (PDF,
864KB)
Visitor's guide to RDHM (PDF, 375KB)
Guide to day surgery (PDF, 1.72MB)
Protecting your privacy (PDF, 311KB)
How to brush chart (PDF, 3.28MB)
http://www.dhsv.org.au/oral-health-resources/translated-materials/
Yes
Eat well tip card (PDF, 851KB)
Drink well tip card (PDF, 709KB)
Clean well tip card (PDF, 769KB)
Tooth tips: 0 - 12 months (PDF, 220KB)
Tooth tips: 12 - 18 months (PDF, 234KB)
Tooth tips: 18 months - 6 years (PDF, 192KB)
DHSV Culturally and Linguistically Diverse Communities – Resource Kit
http://www.dhsv.org.au/oral-health-resources/guides-and-resources/#Culturally
No
NSW Refugee Health Service
Dental health of Refugees – for Community workers
http://www.sswahs.nsw.gov.au/sswahs/refugee/
Yes
NSW Refugee Health Service
Oral health of Refugees – for dental professionals
http://www.sswahs.nsw.gov.au/sswahs/refugee/
Yes
NSW Multicultural Health Service
Translated oral health materials:
1. Caring for babies' teeth
(Arabic, Assyrian, Chinese Traditional, English, Farsi, Indonesian, Khmer, Korean, Punjabi, Samoan, Serbian, Spanish, Tamil, Thai, Tongan, Turkish, Vietnamese).
2. Dental care for older people
(Arabic (pdf), Chinese Traditional (pdf), Croatian (pdf), English (pdf), Greek (pdf), Italian (pdf), Macedonian (pdf), Maltese (pdf), Russian (pdf), Spanish (pdf), Turkish (pdf), Vietnamese (pdf)
3. Getting older? Why your teeth and gums are important for good health
(Arabic (pdf), Bosnian (pdf), Chinese Traditional (pdf), Croatian (pdf), English (pdf), Greek (pdf), Italian (pdf), Khmer (pdf), Korean (pdf), Lao (pdf), Macedonian (pdf), Portuguese (pdf), Russian (pdf), Serbian (pdf), Sorani (pdf), Spanish (pdf), Thai (pdf), Turkish (pdf), Vietnamese (pdf))
4. How to save money on dental bills
(Arabic (pdf), Chinese Traditional (pdf), Croatian (pdf), English (pdf), Italian (pdf), Khmer (pdf), Korean (pdf), Lao (pdf), Macedonian (pdf), Portuguese (pdf), Russian
http://www.mhcs.health.nsw.gov.au/topics/Dental_Care.html
Hardcopies are downloadable from website.
No
(pdf), Serbian (pdf), Spanish (pdf), Thai (pdf), Turkish (pdf), Vietnamese (pdf))
5. Keeping your teeth - whatever your age
(Arabic (pdf), Bosnian (pdf), Chinese Traditional (pdf), Croatian (pdf), English (pdf), Italian (pdf), Khmer (pdf), Korean (pdf), Lao (pdf), Macedonian (pdf), Portuguese (pdf), Russian (pdf), Thai (pdf), Turkish (pdf), Vietnamese (pdf))
6. Lift the lip
(Arabic (pdf), Chinese Traditional (pdf), Dinka (pdf), English (pdf), Farsi (pdf), Hindi (pdf), Japanese (pdf), Khmer (pdf), Korean (pdf), Lao (pdf), Pushto (pdf), Samoan (pdf), Somali (pdf), Thai (pdf), Turkish (pdf), Vietnamese (pdf))
7. Lift the lip – dental service poster
(Arabic (pdf), Chinese Traditional (pdf), English (pdf), Farsi (pdf), Hindi (pdf), Korean (pdf), Turkish (pdf))
Boston Center for Refugee Health and Human Rights
Caring for Refugee and Survivors of Torture – Online Course:
Overview of Medical Problems Types of Torture Torture-Related Physical Signs and Symptoms Oral Health Exam Oral Health Presentation
http://www.bcrhhr.org/pro/course/oralhealth/oral.html
Yes
Department of Health
Evidence-based oral health promotion http://docs.health.vic.gov.au/docs/doc/Evidence-based-oral-health-promotion-resource-(2011)
No
3. Resources –CULTURAL COMPETENCY
Source Title Hard copy/Online On VRHN site
Vic Foundation for survivors of Torture
Caring for Refugee Patients in General Practice
www.refugeehealthnetwork.org.au
Hardcopy may be ordered
Yes
Centre for Culture, Ethnicity & Health (CEH)
Tip Sheets on Cultural Competence:
A framework for cultural competence
Introduction to cultural competence and the framework used to measure it
http://www.ceh.org.au/culturalcompetence.aspx
No
Organisational values
How to demonstrate the value that your organisation places on cultural competence Governance
How to embed cultural competence in your advisory bodies, policies, standards and goals Planning, monitoring & evaluation
How to ensure that programmatic and operational plans address cultural competence issues, and track and assess your progress Communication
How to support the effective and culturally appropriate exchange of information between your organisation and its clients, and between staff members Staff development
How to equip staff and service providers with the attitudes, knowledge and skills needed to deliver culturally competent services Organisational infrastructure
How to identify and allocate the resources needed to plan, deliver and evaluate culturally competent services Services and interventions
How to deliver or facilitate clinical, public health or health-relayed services in a culturally competent manner
Hard copies on file
Centre for Culture, Ethnicity & Health
Communicating with clients with low English proficiency
http://www.ceh.org.au/downloads/comm_clients_low_english.pdf
No
Centre for Culture, Ethnicity & Health
Interpreter Tipsheets:
Developing a comprehensive language services
response
This tip sheet covers the key elements of planning
for language services
Assessing the need for an interpreter
This tip sheet will help you determine whether an
interpreter is needed to work with a particular client
Arranging an interpreter
This tip sheet covers the language and cultural
considerations for booking an interpreter.
Working with interpreters
This tip sheet assists you to plan and conduct a
http://www.ceh.org.au/mghp/problem_gambling_resources/mghp-using-interpreters.aspx
No
session with an interpreter.
Regional Information and Advocacy Council
(RIAC)
Language Services Toolkit http://www.riac.org.au/GVPCP/
Yes
DHS – Health Translations Directory
Find Your Language Tool
Translated Health information
http://www.healthtranslations.vic.gov.au/bhcv2/bhcht.nsf/pages/find_your_language?open
http://healthtranslations.vic.gov.au/bhcv2/bhcht.nsf
No
No
DoH Community Health Priority Tools http://www.health.vic.gov.au/communityhealth/demand/prioritytools.htm
Yes
NSW Refugee Health Service
Guidelines for working with interpreters Online:
Victorian Transcultural Psychiatry Unit (VTPU)
Working Effectively with Interpreters Kit:
- Quick Guide to working with Interpreters in Mental Health Settings
- Working with Interpreters in Mental Health Settings - guidelines
Online:
http://www.vtpu.org.au/resources/index.html
Yes
Eastern Health
CUE CARDS in community languages:
- Resource not to be used in lieu of interpreters, but as an additional aid to be used by clients to communicate simple needs, and by professional to indicate simple instructions/concepts.
http://www.easternhealth.org.au/services/cuecards/default.aspx#cuecards
Yes
NZ Waitemata District Health Board -
CALD Toolkit http://www.caldresources.org.nz/info/info/CALD-Toolkit_WDHB.pdf
No
Dental Council of NZ
Cultural Competence Statement and Indicators
http://www.mcnz.org.nz/portals/0/guidance/cultural%20com
No
petence.pdf
4. Resources –Interactive Learning
Source Title Hard copy/Online Available on VRHN site
Aboriginal Interpreter Services (AIS)?
OneTalk (Northern Territory Aboriginal Interpreter Service)
Manual available online http://www.lowitja.org.au/crcah/one-talk-240907
Or share drive: Refugee health network\oral health\ Dental Sector Capacity Building Project - Refugee Oral Health\oral health resources\RESOURCES – Innovative & Interactive
No
ECHO (Minnesota)
Healthy Teeth for Children
http://www.echominnesota.org/library/healthy-teeth-children
(available in Amharic; Arabic; English; Khmer; Karen; Oromo; Russian; Somali; Vietnamese; Lao; Spanish; Hmong)
No
5. Resources –Interactive Learning
Source Title Hard copy/Online Available on VRHN site
Doutta Galla Talking about teeth
Planned to be posted on DG website in 2012) No
McCaughy Centre & Merri Community Health Service
Teeth Tales http://www.mccaugheycentre.unimelb.edu.au/research/current/intergenerational_health/teeth_tales
No
Appendix 6: TEP Curriculum
Appendix 7: Call for Expression of Interest Letter
Seeking Expressions of Interest for participation in a targeted education program Working with people from refugee backgrounds for oral health services
Background The Victorian Refugee Health Network, auspiced by the Victorian Foundation for Survivors of Torture (Foundation House), is working in partnership with Dental Health Services Victoria (DHSV) to implement a Department of Health funded Refugee Oral Health Capacity Building Project. The Project is being overseen by an Advisory Group that includes oral health services and practitioners, researchers, settlement services, DHSV and Department of Health.
One of the key activities of this project is the development and evaluation of a targeted education program in refugee oral health. A preliminary curriculum has been developed based on a sector needs analysis undertaken in early 2011. The final curriculum will be developed in partnership with participating oral health services.
Content overview The intention with this targeted education program is to take a ‘whole-of-service’ approach that includes providing all staff with frameworks for understanding the refugee experience and skills in working cross-culturally, with additional module(s) for clinicians to develop a greater understanding and skills development in refugee health issues, the impact of torture and trauma, impact of detention and asylum seeking process and possible sequelae in oral health care and the use of reflective exercises to consider facilitators and barriers to accessing oral health care for refugee background communities. A mix of didactic, observational and experiential learning will be used.
Selection Criteria We are seeking one or two agencies to participate in this program who fit the following criteria:
1. Service is located in an area with significant refugee settlement 2. Is able to commit to whole-of-service participation (e.g. management, administration and clinicians) 3. Interested in reflecting on current practice and potential barriers and facilitators to services for refugee background communities as an outcome of participation 4. Able to commit to 4-6 x 3 hours modules (timing to be determined and dependent upon staff roles) 5. Participate in pre and post evaluation 6. Have the ability to relieve staff for the learning series for a pre-determined amount of time (preferably between March – May 2012)
Presenters and facilitators will be experts in refugee health, oral health and cross-cultural health promotion,
and torture and trauma counselling. There will be some flexibility with the content of the curriculum and time commitment depending on the needs of the participating agency. There will be no cost to participating agencies.
To apply
To express your interest to participate, please complete the form electronically through: http://www.surveymonkey.com/s/exp_of_interest
Please forward expressions of interest by Wednesday, 1st February, 2012. _______________________________________________________________________________
For additional information, please contact:
Thuy Nguyen Sue Casey
Refugee Oral Health project worker Manager, Health Sector Development
E: [email protected] E: [email protected]
T: 9389 8929 T: 9389 8911
Appendix 8: Baseline Survey
Appendix 9: Follow up Survey
Appendix 10: 3-month Follow up Survey