1. overview of Outreach competencies Stephen J. Gumbley, MA, ACDP II Director, New England ATTC

2. Competencies Knowledge Skills Attitude

3. Competencies

4. Purpose of competencies Staff development Evaluation

5. Identify benchmarks along a continuum of counselor development. 1 Developing 3 Proficient 5 Exemplary 24 Using Benchmarks for Learning Progress Adapted from Clinical Supervision: Building Chemical Dependency Counselor Skills Northwest Frontier ATTC Competent

6. Benchmarks Developing Counselors - limited understanding and inconsistent Competent Counselors – meets necessary standards Proficient Counselors - apply intervention consistently and effectively Exemplary Counselors - develop and implement effective strategies for complex and difficult situations Clinical Supervision: Building Chemical Dependency Counselor Skills Northwest Frontier ATTC

7. Outreach is… A set of strategic interventions whose goal is to initiate or improve service delivery to a targeted population where they resides and work whose members:  Have been underserved  Do not know about services  Believe they do not need the services  Do not – or think they does not -- qualify for/can afford the services.

8. Why reach out?

9. human kiosk TRUST

10. Outreach is challenging. Effective outreach requires expertise, skills and sensitivity to the [client’s] experience. Outreach to People Experiencing Homelessness: A Curriculum for Training Health Care for the Homeless Outreach Workers.

11. Effective Outreach Preparation Inner work Self awareness Competency

12. simply glorified cab drivers, babysitters, and hand-holders. They are not advocates with a narrow focus on the procedural rights of the client. They are not simply case managers linking motivated clients to needed services. O utreach workers are not …

13. change agents who use the vehicles of service linkage, advocacy, transportation, and babysitting to build relationships … and to instill in [clients] the desirability and possibility of change. O utreach workers ARE…

14. What are they? Minimum standards for conducting street outreach for hard-to-reach populations Who developed them? The Center for HIV, Hepatitis and Addiction Training and Technology (CHHATT), which is a program of The Danya Institute, as part of the Central East Addiction Technology Transfer Center (CEATTC). Outreach Competencies http://www.ceattc.org/OtherPDF/Counselor_competencies.PDF

15. Outreach Competencies Competency 1: Understanding Outreach and Outreach in a Scientific Context Competency 2: Understanding Chemical Dependency Competency 3: Understanding Disease and Wellness in the Context of Drug Use Competency 4: Engagement Competency 5: Intervention Competency 6: Client Support Competency 7: Supporting Ourselves

16. Competency 1: Understanding Outreach and Outreach in a Scientific Context Research Protocols Behavioral Science Theories

17. Competency 2: Understanding Chemical Dependency Substance Use vs. Substance Abuse Substance Use Disorders Pharmacology Medication Assisted Recovery Treatments Paths to Recovery

18. Competency 3: Understanding Disease and Wellness in the Context of Drug Use HIV/AIDS Hepatitis Tuberculosis

19. Confounders  Mental illness  Homelessness  History of physical, emotional and/or sexual abuse  Being an MSM or transsexual  Racial and/or ethnic minority status  Age  Unemployment

20. Activities that decrease Vulnerability and Risk Activities that increase Resilience and Recovery Capital RecoveryWellness Health Reduction or elimination of symptoms Reconnection with family and community Internal wellness Wellness

21. Competency 4: Engagement Recruitment Strategies Cultural Sensitivities Safety and Awareness of Environment Effective Communication

22. Outreach Activities Education: giving people information about issues (substance abuse, HIV, domestic violence, etc.) Marketing: giving people in a risky population information about services Engagement: contacting people known to be at risk and encouraging the use of our services

23. Education: catalogue sent to everyone in Maine Marketing: catalogue sent to everyone who went to Maine parks last year Engagement: catalogue sent to everyone who bought at L.L. Bean last year

24. Engagement Engagement entails –a client and outreach worker participating in an activity that involves a positive interaction –whereby the client is made to feel as comfortable as possible while listening to and speaking with the outreach worker Engagement involves –identifying and making contact with members of the target group in their natural environments –establishing rapport –enlisting commitment to behavior change –providing information about risk behaviors and strategies to eliminate or reduce risk.

25. Engagement means creating/enlarging motivation with the client. The client does not need to be motivated in order to “be ready.”

26. Competency 5: Intervention The outreach worker actively works with the client to reduce the harmful effects of the client’s behaviors.

27. Intervention Activities Health Information and Demonstration Risk Assessment. Risk Reduction Prevention and Post-test Counseling Crisis Intervention Confidentiality and Ethics Laws and Regulations

28. Competency 6: Client Support Client support is the process of facilitating the client’s utilization of available support systems and community resources to meet individual needs.

29. Competency 7: Supporting Ourselves Burnout Prevention Relapse Prevention

30. Outreach -- Reach out Creating wellness together