1. Presenter Disclosure Information In compliance with the accrediting board policies, the American Diabetes Association requires the following disclosure to the participants: NAME OF PRESENTERS: Isa Covio MEd, MSSW Christina Brito-Cavarrubio Genobeva Martinez Sister Phylis Peters, MSN Otila Garcia Disclosed no conflict of interest

2. Texas Department of State Health Services April 3, 2009 Austin, TX Training and Certification of Promotores or Community Health Workers in Texas

3. Promotor(a) or Community Health Worker Training and Certification Program Programa para Capacitación y Certificación del Promotor(a) o Trabajador(a) Comunitario de Salud

4. Presenter Disclosure Information In compliance with the accrediting board policies, the American Diabetes Association requires the following disclosure to the participants: Isa Covio Disclosed no conflict of interest

5. Definition of “Promotor(a)” or Community Health Worker A lay member of the community who:  Works either for pay or as a volunteer;  Is associated with the local health care system in both urban and rural settings; and,  Shares ethnicity, language and socioeconomic status with the community members s/he serves. Source: Regional Center for Health Workforce Studies of The University of Texas Health Science Center at San Antonio

6. Key Activities of “Promotor(a)” or Community Health Worker Provide culturally appropriate health education and information Assist people in receiving the health services they need. Advocate for individual and community health needs. Build individual and community capacity in addressing health issues. Create more effective linkages between communities and the health care system.

7. Legislative Mandates 77 th Texas Legislature, May 2001  Senate Bill 1051  Senate Bill 751 Types of Certification CHWs Instructors Training Institutions

8. CHW Certification Two ways to certify Experience Training Recertification 20 CEUs

9. Competency Areas  Communication skills  Interpersonal skills  Service Coordination skills  Capacity-Building skills  Advocacy skills  Teaching skills  Organizational skills  Knowledge base on specific health issues

10. Example of Diabetes Prevention Training for a Community Health Worker Harris County Hospital District  Common types of diabetes  Risk factors for developing diabetes.  Signs and symptoms of diabetes  Diabetes prevention

11. Certified Community Health Workers by Age

12. Certified Community Health Workers by Gender Certified Community Health Workers by Gender

13. Certified Community Health Workers by Ethnicity

14. Educational Level of Certified Community Health Workers

15. Employment Status of Certified Community Health Workers

16. Certified Community Health Workers by County

17. Community Health Worker Training and Certification Program Contact Information Isa Covio, Program Administrator Beatrice Smith, Administrative Assistant 512/458-7518 CHW@dshs.state.tx.us www.dshs.state.tx.us/chpr/chw/default.shtm