Impacting the Social Determinants of Health: The Role of ...€¦ · NCDHHS, Office of Rural Health...
Transcript of Impacting the Social Determinants of Health: The Role of ...€¦ · NCDHHS, Office of Rural Health...
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NCDHHS, Office of Rural Health 1
Impacting the Social Determinants of Health:
The Role of the Community Health Worker
Public Health Leaders
ConferenceJanuary 23, 2020
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NCDHHS, Office of Rural Health 2
A “frontline public health worker who is a trusted member of and/or has an unusually close understanding of the community served. This trusting relationship enables the CHW to serve as a liaison/link/intermediary between health/social services and the community to facilitate access to services and improve the quality and cultural competence of service delivery. A CHW also builds individual and community capacity by increasing health knowledge and self-sufficiency through a range of activities such as outreach, community education, informal counseling, social support and advocacy.
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NCDHHS, Office of Rural Health 3
Job Titles
Promotoro/a de saludLay Health Advisor
Outreach Worker
Patient NavigatorFamily Support WorkerOutreach WorkerFamily Advocate
Community Advocate
Traditional Healthcare Worker
Community Health Educator
Health Advocate
Enrollment Worker
Peer Leader
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NCDHHS, Office of Rural Health 4
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NCDHHS, Office of Rural Health 5
Whole Person Health
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NCDHHS, Office of Rural Health 6
▪ Community leaders engaged in health initiatives
▪ Cross-sector collaboration
▪ Resource sharing
▪ Transportation
▪ Food
▪ Shelter
▪ Local healthcare providers committed to public health
▪ Active faith community
▪ Initiatives to combat substance abuse
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A Multi-Sector Approach to Whole Person Care
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NCDHHS, Office of Rural Health 7
• Develop, train and strengthen workforce needed to support SDoH/Trauma Informed Care
• Case Managers
• Staff of Advanced Medical Homes (Care Coordinators, Nutritionists, Health Coaches, Pharmacists, Advanced Practice Nurses, Social Workers)
• Community Health Workers
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Workforce Needs to Address Health
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NCDHHS, Office of Rural Health 8
Four Roles
Nine Competencies
Statewide Standardized Core Competency Training
Certification Processes
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NCDHHS, Office of Rural Health 9
Community Health Worker
Roles
• Cultural Liaisons
• Health Navigators
• Health & Wellness Promoters
• Advocates
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NCDHHS, Office of Rural Health 10
9 Core Competencies
Communication Skills
Interpersonal Skills
Service Coordination
Skills
Capacity Building Skills
Advocacy SkillsEducation and
Facilitation Skills
Outreach SkillsKnowledge
Base
Personal Skills and
Development
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NCDHHS, Office of Rural Health 11
NC CHW Health Issues Addressed
NC Community Health Worker Survey 2017
55%
45%47%
40%
36%
31% 31% 31%
27%26%
24%
17%
Diabetes Heart disease Mental health Obesity Cancer HIV/AIDS Substance use Maternalhealth
Injuryprevention
Oral health Tobaccocessation
Asthma0
10
20
30
40
50
60
70
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NCDHHS, Office of Rural Health 12
NC CHW Resource Connections
NC Community Health Worker Survey 2017
80%
54%
46% 46%
37%
34%
28% 27%26%
23% 22%
17%
13%11%
6%
0
20
40
60
80
100
120
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NCDHHS, Office of Rural Health 13
NC CHW Relationship to Clients
NC Community Health Worker Survey 2017
57%
51%
35%33%
26%
18%
11%
Same spoken language Same race/ethnicity Attend same church Neighbors Same health condition Other Not applicable0
10
20
30
40
50
60
70
80
90
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NCDHHS, Office of Rural Health 14
NC CHW Populations Served
NC Community Health Worker Survey 2017
52%
47% 46%
42%41%
34% 34%
30% 29%
21% 21%
11%
6%
0
10
20
30
40
50
60
70
80
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NCDHHS, Office of Rural Health 15
The Role of CHWs
The role of the CHW/What
is a CHW?
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NCDHHS, Office of Rural Health 16
Tish [email protected]
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North Carolina Department of Health and Human
Services Website
North Carolina Office of Rural Health Website