Michigan’s Approach to Capacity Development Liisa M. Randall, PhD Michigan Department of Community Health PTC Central Quadrant Advisory Meeting March 25-26, 2008 Denver, Colorado

Context of TA/CD 20 CBO/NGOs Targeted CTR HE/RR (inc. P4P) PI 48 LHDs Routine testing w/ and w/o counseling Targeted CTR IBT HE/RR PI

Context of TA/CD 20 Clinical (hospitals, CHCs, correctional health) Routine testing w/ and w/o counseling HE/RR (inc. P4P) Approximately: 70,000 HIV tests annually 55,000 HE/RR “contacts”

Approach Responsive Program and provider needs Program/policy priorities (e.g., health disparities; test technologies) Resources Comprehensive and holistic Addresses range of activities, interventions Addresses variety of providers, levels Integration of STD, viral hepatitis, SA

Diverse expertise, experience, resources Staff, consultants Peers National partners (e.g., CDC, PTC, AETC) Other Diverse strategies Formal training Distance learning Written materials (e.g., “tool boxes”, best practices, case studies) Individualized Peer-to-peer Approach

Closely linked with QA, M&E Assessment, prioritization of needs Rapid response Consultative, collaborative Planning Delivery

TA/CD Topics Core Basic Knowledge (“Module 1”) Prevention Counseling (“Module 2”) HE/RR CORE (outreach/recruitment, skills) Supervisors Prison peer ed TOT Group Facilitation Advanced Instructional Design

TA/CD Topics HE/RR (continued) EBIs (e.g., DEBIs, other EBIs, “homegrown”) Planning/selection, adaptation, evaluation Bridging Theory and Practice Path to Intervention Adaptation Use of fidelity tools Applying OM Recruitment/retention POP ILI and GLI Certification Courses Popular Opinion Leader SISTA Certification Course Partnership for Health Healthy Relationships Holistic Health Recovery Program VOICES, PfH, HR TOTs PCM

TA/CD Topics Counseling/Testing Counselor Certification (Core + Module 3) OraSure Certification Counseling for HIV+ Rapid Testing Operator Counselor Laboratory Supervisor Information-Based (LHD, ED) Special Topics (e.g., adolescents, SA, MSM, VH) Operationalizing Routine Testing (opt-out) Recruitment (inc. SNS) Supervisors Making and Tracking Effective Referrals

TA/CD Topics PCRS Field Investigation Supervisors Special Topics (e.g., recalcitrant, internet) Referral

TA/CD Topics Clinical providers Risk assessment/risk reduction P4P (MI, PfH) Adherence Case managers Clergy/Faith-Based Leaders Emerging issues, hot topics R/E disparities VH BGM Youth

TA/CD Topics Organizational Effectiveness Program planning Needs Assessment Community Assessment Grant writing Program evaluation & monitoring Data collection, management, QA Implementing Interventions with Fidelity: Using Process Evaluation to Improve HIV Prevention Interventions Fidelity Protocol/procedures Financial, board development

TA/CD Methods Formal courses Workshops Distance learning (webinar, TC) Small group “Like” agencies/staff, issue-focused One-to-one Materials Sample protocol, procedures, tools, questionnaires, MOA, etc. Curriculum template “Tool Kits” (Counseling DO; Laboratory QA; Referral Management) Best practices

TA/CD Providers Staff Intervention-specific training Academic credentialing/expertise Experience Team Approach; x-Division consultation/collaboration Local consultants Peers Academic Other Regional/national resources CDC, PTC, AETC, NASTAD Other states Academic Consultants

Monitoring and Quality Assurance for Community-Based Prevention Services Monitoring & QA Linked to TA/CD Quality Assurance Standards for HIV Prevention Definitions, components of interventions (general) Goals for interventions Requirements for local policies, procedures (e.g., confidentiality, security, supervision, record keeping, evaluation, data collection) Training/certification requirements Quarterly narrative reports Work plans Program service data Site visits, other consultation/communication Direct Observation

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