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  • NASBHC 2007 Conference, Washington D.C. June 28, 2007
  • NASBHC 2007 Conference, Washington D.C. June 28, 2007
  • NASBHC 2007 Conference, Washington D.C. June 28, 2007
  • NASBHC 2007 Conference, Washington D.C. June 28, 2007
  • NASBHC 2007 Conference, Washington D.C. June 28, 2007
  • NASBHC 2007 Conference, Washington D.C. June 28, 2007
  • Transcript

    • 1. Parent to Parent Can parent liaisons increase parental awareness, involvement & use of School-Based & School-Linked Health Centers?
    • 2. Presenters Department of Pediatrics School-Based & Community Health Program Stephanie Kendzierski, MSW, LLMSW Rachel Pearson, MSW, LMSW Stacey Ingram
      • Michigan State University
      • Office of Medical Education
      • Research & Development
        • Brian Mavis, PhD
    • 3. Detroit, Michigan * Kids Count in Michigan, Data Book 2006 **US Census Bureau, 2005 American Community Survey Economic & Health Indicators for Children * Detroit Michigan Child Population (ages 0-17) 263,709 2,513,714 Percent of total population 29.7& 24.8% Children under 18 living in poverty 45% 19% Students receiving free/reduced lunch 71.3% 37.1% State health insurance participation (ages 0-18) Healthy Kids (Medicaid) 55.3% 32.1% MI Child (SCHIP) 0.8% 1.3% Children ages 1-14 hospitalized for asthma 71.1 24.5 Birth to teens ages 15-19 (per 100,000) 71 34.4
    • 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 l ocated 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 – 8 th 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 – 12 th 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 Planned Actual
      • Spring : Hire Project Coordinator
      • Spring : Began interviewing for Project Coordinator
      • Summer : Project Coordinator develops the parent liaison training program
      • Summer : Continued interviewing Project Coordinators, interviewed Parent Liaisons
      • Sept .: Hire Parent Liaisons & implement training program
      • Sept .: Project Coordinator & Parent Liaisons started work
        • Webber liaison resigned
      • Oct .: Begin outreach & advisory board development
      • Oct .: Webber Parent Liaison Replaced. Ad Hoc training “program” implemented.
    • 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
            • Youth Adult
      • 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. Activity Categories: Project Coordinator
      • 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
    • 35. Activity Categories: Parent Liaisons
      • 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
    • 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 Student Advisory Board Health Center Advisory Board
    • 45. Monthly Parent Liaison Activities Community Outreach School 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
    • 51. Front-End Heavy Lifting
        • Give Parent Liaison a knowledge base regarding SBHCs in general and your site in particular
          • Make sure the PL has a clear message to share with the community
          • Be clear about how your clinic should be represented
        • Spend time with the Parent Liaison providing introductions to school staff and administration
          • The PL needs to be comfortable and feel empowered to have meetings without clinic staff
        • Provide training on relevant topics
    • 52. What Every PL Should Know
      • Board Development
        • Recruiting and retaining board members
        • Leading a meeting/meeting styles
        • Creating by-laws
        • Setting and keeping an agenda
        • Recording and distributing minutes
        • Decision making options
        • Electing officers
        • Attend a board meeting from another
        • organization
    • 53. What Every PL Should Know
      • Professional Development
        • Dressing professionally
        • E-mail & phone etiquette
        • Effective communication
        • Engagement skills
    • 54. What staffing is really needed?
      • If the provider or other clinic staff can dedicate time to supervise the PL, project coordinator not needed
      • Choosing the right Parent Liaison is key
    • 55. Necessary Qualifications
      • Experience
        • Some college or 2 years professional work experience
        • Interest in or experience with child & adolescent health care
        • Experience in community outreach or project management preferred
        • Prior experience with serving on a board/committee preferred
    • 56. Necessary Qualifications
      • Skills
        • Ability to work with minimal supervision
        • Basic computer knowledge
          • E-mail, Microsoft Word and Excel
        • Excellent communication skills
          • Written, verbal and interpersonal
        • Excellent organizational skills
          • Able to prioritize, multi-task and meet deadlines
        • Works well independently and collaboratively
        • Easily adapts to change
        • Creative & innovative perspective
        • Exceptional time management skills
    • 57. Things to Keep in Mind…
      • If you are serving in a impoverished area, your parents will likely have additional life stressors that will affect their work
        • Car troubles, child care issues, sick children
      • You will have to be flexible but mindful of the project timeline and goals
      • The amount of time it takes to learn and apply new skills and knowledge varies by person
    • 58. Unanswered Questions…
      • Can the PL position serve as a welfare to work model?
      • Would a stronger project coordinator with a different skill set have made a difference?
      • Why were the results at each site different?
        • School vs. community?
        • Skill set of parent liaison?
        • Other factors?
    • 59. Keys to Success
      • Success will depend on both the provider and the PL.
        • You have to find the right balance. The PL can’t be working in a vacuum, but the provider can’t be expected to micro-manage
        • The line of communication between the provider and the PL must always be open and clear
        • Boundaries about roles and responsibilities have to be very clear
    • 60. Questions, Discussion . . .