2. About the Facilitator
Dr. Shari L. Harvey-Philpot
• Director and CEO of NBHC
• Graduated ASU in 2007 with a Bachelor’s Degree in Sociology and Psychology.
• Over 10 years experience working with Developmentally Disabled Individuals.
• Licensed by the state of Georgia as a QMRP.
• Supervised a full research team and conducted research for St. James School of
Medicine. Measured and compared active mercury amounts obtained from
samples of fish in the Atlantic and Caribbean Ocean.
• Earned a PhD and MD at Saint James School of Medicine in 2010.
• Currently pursuing a Master’s Degree with NCU.
3. Our Services
We provide basic outpatient medical and
counseling services for individuals. Our fees are
based on income.
We accept most forms of insurance, but also
provide care for individuals without insurance.
We also provide outreach services such as
professional and community trainings pertaining to
all aspects of medical conditions such as HIV/AIDS,
Diabetes, Lupus, Schizophrenia, and Depression,
as well as their and treatments, and ways to cope
with the issues these conditions present.
4. Community and Client Services
Direct Community Services
• Education /Training
• Health Clinic
• The Penny Lue Blackmon Resource Library
• Philmo Productions
• Prevention Task Force
Indirect Community Services
• Lobbying
• Policies and Legislative
• Community Advocate Initiative
• G. Vinson Research Center
Direct Client Services
• Outreach
Counseling
• Therapeutic Services
• Ongoing Client Advocacy
Health
• General
Wellness
• Pathological
Disease
• Prevention
Psychological
• Counseling
Services
• Medication
Social
• Community
Integration
• Family & Peers
The Healthy
Individual
6. Our Mission
Nora Blackmon Health Center’s mission is to provide
competent and compassionate care to all individuals
we serve regardless of race, ethnicity, religious
beliefs, sexual orientation or other group identification.
Our mission is directly linked to our quest for Social Justice.
7. The Nora Blackmon Legacy
The story of our center began nearly 100 years ago in
Newton Grove, North Carolina…
My great-grandmother Nora Blackmon, being only one
generation short of slavery was a sharecropper. Her mother
taught her herbal remedies and treatments for some of the
problems that were common among slaves. Since many
slaves and newly freed persons of color could not afford
their basic necessities, healthcare usually went ignored.
Advised and trained by her mother and other matriarchs,
Nora became one of the most prominent healers in her town.
Croup, the flu, spiritual hindrances (now known as mental
disorders) and STDs were among the most common
ailments she treated. Eventually, her number of patients
surpassed the towns most prominent physicians even
though Ms. Blackmon could not read or write.
8. The Legacy Lives On…
It was a common practice of the time to show appreciation in
other ways besides a monetary payment. In this fashion,
Ms. Blackmon was sometimes paid with food, crops, or
other household goods. Nevertheless, she never hesitated
to help those who couldn’t afford to pay her anything.
Compassion, altruism, reverence, and empathy was
entwined in her touch. This was her calling and it began
ours.
Her daughter Penny “Lue” Blackmon continued this legacy
in the states of New York and Georgia. It continues in our
center today.
9. In his letter from the Birmingham Jail written April 16,
1963, Martin Luther King Jr. wrote,
“Injustice anywhere is a threat to justice everywhere”.
As healthcare providers, mental health professionals,
and social advocates, it is up to us to initiate the
change we want to see in out communities.
It is this sole factor that reiterates our continued need
to assess the following points as they relate to our
center.
10. Key Points
• Social Justice in Practice
• The Role of the Community Health Worker
• “Treating the Community" Vs. “Treating the Client"?
– Ethical implications
– What types of ethical dilemmas may be specific to the
community worker?
– Empowering the Individual
• Balancing Ethical Responsibility
11. Social Justice
Since the establishment of the our country, the
American population has continued to become
increasingly diverse. These changes have increased
the need for cultural competency across the board for
all providers of healthcare services.
Now more than ever, the need for social justice in all
aspects of health care is critical. Social justice is the
idea that healthcare workers should promote fair
treatment in order to eliminate disparities among
individuals.
12. Social Justice: Plan of Action
How can we carry out a SJ Plan of Action?
1. Education
2. Implementation
3. Evaluation
13. Education
• Social Determinants of Health Edification
• Holistic and Natural Healing
• Pathology and Disease
Assessments of Need
Social Justice Trainings
Social Justice Taskforce
14. Implementation
• Professional Skills Development
• Public Policy Augmentation and Advocacy
• Community Service
– Ongoing research and development
• Community Awareness and Action Programs
– Continuing development of community awareness of
the psychosocial and biomedical aspects of medicine.
– Public Service Announcements
– Video Production
15. Evaluation
• The other two facets of the Social Justice Plan of
Action are meant to increase
» Social Awareness
» Individual Personal Growth
Pre/Post Evaluations
Empirical Analysis of Research
Facilitated Small Group Discussions
Studies have shown that facilitated small
group discussions are a highly effective
way of exploring opinions, biases, and
ideas.
16. Roles
of the
Community Healthcare Worker
The role of an effective community healthcare worker is one that
has fluidity. At times, the healthcare worker may serve as
different entities. Although our titles may differ, we may begin our
relationship with a client as a….
PCP
Mentor
Psychologist
Social Worker
Counselor
And eventually become…
Advocate
Friend
Either way, rely on your appropriate Code of Ethics and NBHC’s
policies and practice to ensure that the appropriate relationships
are being nurtured.
Knowing your role and how to integrate that role with our mission,
is the key element in putting Social Justice into Practice.
17. Multiple / Dual Relationships
• Since NBHC focuses on being part of the community, there is the
potential for our staff to develop multiple types of relationships with out
clients.
• The development of these relationship are almost unavoidable and must
be handled with extreme care so that proper boundaries are maintained
with our clients.
• Our primary concern in these circumstances is the continuance of
treatment and its successful completion.
• If relationships outside of NBHC began to threaten the maintenance of
our goals, mission, or values, the staff involved should seek out advice
from our Community Involvement Department.
• In some events, staff may be asked to choose which relationship holds
the most value to them.
– This may be the only way to prevent boundary violations.
According to the APA Code of Ethics (2010), psychologists should do all
they can to abstain from establishing multiple relationships with clients,
especially if the situation has the potential to affect the objectivity used,
competence, or effectiveness of treatment modalities (APA, 2010).
18. Boundaries
• Boundaries between clients and staff must be
clearly demarcated.
• Loosely drawn boundaries can create areas of
ambiguity in the professional, as well as the
personal relationship between the client and the
provider.
• Know the difference between boundary crossing
and a boundary violation.
19. Empowering the Individual
• Empowering the individual can take place at many
different levels and can take place in different areas
of life at different times.
• The use boundary violation as tool of
Empowerment.
• Empowering the individual is…
20. Community Vs. Client
Treating the Client is a unique task in which individuality must play
a major role in the recovery process. It is direct in nature an
usually has less facilitators.
– Health Treatment and Recovery
• Although family and friends may play a minor role, they are
not the key components.
– Psychological Treatment and Recovery
• The role of support system is more integral to success.
Treating the Community is less of a direct task and may involve
more facilitators than independent Client Treatment.
• Both Health and Psychological Treatment and Recovery involve
not only family and close friends of the patient, but others in the
community as well. This is non-intimate and requires more
strategic planning than individual treatment.
21. Balancing Ethical Responsibility
Staff Support Groups
Meet the 2nd Tuesday Evening of Each Month
from 7 – 8:00 p.m.
Refreshments Provided
Childcare Provided
SJ Taskforce
Peer Review
Supervisory Advising
Evaluations
SJ Trainings
23. References
American Psychological Association. (2010). Ethical Principles of Psychologists and Code of Conduct [Data
File]. Retrieved from http://www.apa.org.proxy1.ncu.edu/ethics/code/index.aspx?item=4
American Sociological Association. (2012). ASA Code of Ethics and Conduct [Data File]. Retrieved from
http://http://asanet.org/about/ethics.cfm
American Medical Association. (2001). Principles of Medical Ethics [Data File]. Retrieved from
http://www.ama-assn.org/ama/pub/physician-resources/medical-ethics/code-medical-ethics/principles-
medical-ethics.page
Corey, G., Corey, M.S., Callanan, P. (2010). Issues and Ethics in the Helping Professions 8th ed.
Independence, KY Wadsworth, Cengage Learning ISBN-13: 978-0-495-81241-8.
Ivey, L. C., & Doenges, T. (2013). Resolving the dilemma of multiple relationships for primary care behavioral
health providers. Professional Psychology: Research And Practice, 44(4), 218-224. doi:10.1037/a0033149
Schiff, T., & Rieth, K. (2012). Projects in medical education: "Social Justice in Medicine" a rationale for an
elective program as part of the medical education curriculum at John A. Burns School of Medicine. Hawai'i
Journal Of Medicine & Public Health: A Journal Of Asia Pacific Medicine & Public Health, 71(4 Suppl 1), 64-
67.
Editor's Notes
Please stand up and stretch your arms as high as you can….
Hokey Pokey
While working for the state of Georgia, I found that my staff performed better when I focused on their positive contributions instead of what they were doing wrong. None of the other unit directors could figure out why my staff were always on time, had low percentages of call ins, and seemed happy even when they were cleaning up dirty diapers. I assure you it was not me, but HOW I interacted with my staff. For all of you psych majors, this is reverse psychology at its best. I call this a drop in the bucket. The more drops in the bucket we all have, the better we will perform on our day-today tasks.
Now shake the hand of the person next to you and give them a drop in the bucket. It can be anything. Compliment their hair, clothing choice, or even their smile. Go for it!!!
Remembering this drop in the bucket, add to it and say…I have great shoes and I am part of the solution! Now we will continue….
We offer both direct and indirect community and client services. The difference between the two types of service is the insertion of the client; if indirect service is enacted, there is no specific client to serve and if direct service is enacted the client is foremost and undoubtedly the number one priority.
SHOW VIDEO!!! Philmo Productions is a full scale production studio geared towards public health information. All programs are available for use by the public health sector, community educators, and for personal interest. In this 8.5 minute video the Epstein Barr Virus is discussed.
Our new topics of interest are Fetal Alcohol Syndrome, Prostate Cancer, Hernia Repair, and ADHD. See website for more information.
The care we provide spans across all social, medical, and psychological needs of the individual. We pride ourselves on being an avenue of diversity full equipped to services all of our client’s health related needs.
This is the true story of my grandmother, the daughter of a former slave and her slave owner and her mother Nora Blackmon. I shared this story with the staff so to instill the hope in which this center was established. We want to keep our mission, vision, and values in the first line of the care we provide to our clients.
What is Social Justice? (Audience Response) Cultural competency, social justice, cultural humility,
Social Justice is not easily defined, but for our purpose here today it is the quest for equality in the services we provide.
How do we show equality in our services?
What can we do to maintain equality in our services?
What can threaten our effectiveness in maintain equality in our center?
Any facility can say that they represent social justice, but in order to have an accurate view of the need and ongoing enactment of social justice we need a clear cut plan of action. Our plan of action at the NBHC is three fold.
The education phase is centered on the ongoing need to learn about the cultural entities present in our community. During the education phase we will discuss the social determinants of health edification, holistic health practice, and the pathology of disease and mental disabilities. In addition to the aspect of learning conducted during these trainings, we will also be forming a social justice taskforce. This task force will serve as our first-line of defense in preventing social injustice in our center and in the community. It will be the responsibility of the Social Justice Taskforce to assess the needs of our center and the community regarding the issues of social justice, cultural competency, and ethnic humility. We will take nominations from each department head at the end of this training. All staff will be required to vote on the positions, even if they select not to participate in the task force itself.
In many primary care settings, the aspects of physical health and disease are separated from the psychological and social aspects of disease. At NBHC it is our belief that to provide complete healthcare and effective treatment, all of these aspects of the individual must be considered as pertinent pieces to the puzzle of maintaining or restoring optimal health conditions.
In order to assess the effectiveness of our initiatives , our taskforce will use pre and post evaluating methods i.e. surveys, self reflection essays, etc.
Social Workers, Mental Health Counselors, Psychologists, Doctors – All must respect client dignity and promote client welfare.
SOCIAL JUSTICE IN ACTION!!!
Any relationship that has even the potential to rearrange the power differential within the client-provider relationship, should be avoided (APA, 2010).
Boundary crossing and violation are two arenas that should be approached by all helping professionals with care. The difference between these two entities may seem to only be theoretical, but each has its own set of distinctive probable outcomes for the patient. When a professional partakes in boundary crossing, the outcome for the patient can be positive. Boundary crossing may serve as a venue for trust building, one of the most important faucets of the relationship between the client and their professional. An example of boundary crossing could be as simple as attending a choral performance for a client, or a wedding. Psychologists must be carefully to not allow a simple occurrence of boundary crossing to contort into a case of boundary violation (Ivey, 2013).
When considering empowerment, there are several questions that we as providers of healthcare service need to ask. What is empowerment? What empowers you? How do we empower our clients? How do we empower the community our clients live in? What is the difference between motivation and empowerment?
Consider the fact that we all learn and thrive in different settings. Some patients will do well in an individual counseling session. Others will thrive in group therapy.
One of the best way of balancing ethical responsibility is to create and maintain realistic boundaries.
Alternative ways of coping with stress: meditation, yoga, exercise, increase sleep, altering eating habits, increase sexual activity, spending time with family or friends, or buy a pet!