GREETINGS FROM THE HUMAN SERVICES TECHNOLOGY PROGRAM

DEVELOPMENTAL HISTORY OF THE COMMUNITY HEALTH WORKER IN TEXAS

Started by women working for community improvement- El Paso County Promotora

Migrant Health Acres Home (Houston)

1999 - Legislation authorized a 15 member committee to spend two years developing*

• curriculum guidelines

• review current CHW programs at that time• certification process

• develop local projects

• seek federal Medicaid waiver for CHW payment

• assess evaluation methods

• establish a nine member CHW advisory committee

*Nichols, D,. et.al. (2005) Texas community health workforce: From state health promotion policy to community level practice. Cdc.gov/pod/issues/2005/nov/05_0059.htm

CHW Advisory Committee began meeting six times yearly in 2002,

Committee composed of:

- 4 CHWs

-2 public members

-2 professionals who work with CHWs

-1 representative from Higher Education

COMMUNITY HEALTH WORKER CERTIFICATION SITES – 2010 (N=27)

  

 

Number Type LEARNENVIRONMENT

CHW CERT HOURS

CHW CEU HOURS

CHW INST. ORCEU CERT

3 COMMCOL-LEGE

CLASSROOM & HYBRID

160 5 YES

12 AGENCY CLASS ROOM & E-LEARN

160 5 YES

6 AGENCY CLASS ROOM

0 5 NO

6 4 YR+ COL-LEGE

CLASS ROOM

160 (SOME)

5 (SOME) NO

DISTRIBUTION OF CHW TRAINING PROGRAMS

DISTRIBUTION OF CHWS

CHW PROGRAM AT HOUSTON COMMUNITY COLLEGE

COURSE CONTENT AND ORGANIZATION

WECM COURSE

RELATES TO DSHS CORE COMPETENCY

NUMBER OF ACADEMIC HOURS

FIRST SEMESTER

CHLT 1401 – Introduction

to Community Health

SERVICE COORDINATION;ADVOCACY;COMMUNICATION

4

CHLT 1302 –Wellness and

Health Promotion

KNOWLEDGE; ORGANIZATION

3

SECOND SEMESTERCHLT 1342

Community Health Field

Methods

TEACHING;CAPACITY BUILDING

3

CHLT 1291 Community

Health Liaison

INTERPERSONAL RELATIONS

2

THIRD SEMESTERCHLT 1266 - PRACTICUM

FIELD PRACTICUM 2

FACULTY

•ELIZABETH KELLY, PH.D., RN., CNS-CH, BC-HSP

•MARION SCOTT, MSN, BC-HSP

BOTH ARE DSHS CERTIFIED CHW INSTRUCTORS

COURSE EDUCATIONAL FORMAT

•STUDENT CENTERED LEARNING OBJECTIVES •A HYBRID COURSE •SERVICE LEARNING•PORTFOLIO DEVELOPMENT•RESOURCE IDENTIFICATION•FINAL CLASS PRESENTATION

LEVELS OF EDUCATION

USE OF B. BLOOM’S (1956) EDUCATIONAL TAXONOMY;

WECM GUIDELINES

PRACTICUMAFFILIATION AGREEMENTS WITH HEALTH

CARE PROVIDERS, AGENCIES

PROGRAM OUTCOMES

•12-14 HOURS OF ACADEMIC CREDIT

•MSA

•EMPLOYMENT AS A CHW

•DSHS CHW CERTIFICATION

•ASSOCIATE DEGREE

•HIGHER LEVEL OF HEALTH LITERACY