1. Models of outreach work Presentation 10

2. Models of outreach work: Indigenous Leader Outreach Model (ILOM) Described by Wayne Wiebel (University of Chicago) Uses leaders for establishing contacts with IDUs in their groups Leader IDU – is an authority in a community, who poses a model for imitation and who is followed by others, whose advice is the most convincing for other IDUs. Leader forms opinions inside a group. Presentation 10

3. Indigenous Leader Outreach Model (ILOM) – How it works? Visiting places of IDUs presence, watching on their communication and identification of possible leaders Establishing a contact with leaders a) individually b) via intermediary (friends, relatives, familiars, doctors, police and etc.) Individual assessment of risky behavior of the contacted leader Education and counseling of the leader Leader continues preventive education and delivers services inside a group Presentation 10

4. Models of outreach work: Network Prevention Intervention Model Described by Carl Latkin (Baltimore, USA) Model presumes networks of IDUs Networks are formed by type of used drug (heroine, cocaine, opiates, amphetamines and etc.) Presentation 10

5. Network Prevention Intervention Model – How it works? Establishing contacts with IDUs from each network Learning structure and characteristics of each network Selection of IDUs to be peer-educators Training peer-educators (up to 10 thematic modules) Evaluation of knowledge/skills of trained peer- educators Peer-educators do outreach prevention work among IDUs – members of their networks Peer-educators invite members of network for interview on regular basis (for knowledge and skills evaluation) Presentation 10

6. Models of outreach work: Peer Education Model Developed by Robert Broadhead and Douglas Heckathorn (Connecticut, USA) Every IDU is encouraged to participate in HIV prevention throughout community (no matter of type of used drug) by involving other peers into the project It is implemented by coupon system – each participant receives coupons to bring others to educate them using model ‘mentor-peer’ Presentation 10

7. Peer Education Model – How it works? Establishing contacts and involving one or two IDUs Conducting a comprehensive sociological interview with each participant (usually generously paid) Training of participants (program consists of 4 topics or more) as mentors Trained IDU mentors invite other IDUs for interview (each mentor receives 3 coupons for inviting others) Trained IDU mentors provide prevention work among IDU Trained IDU mentors receive remuneration for each recruited participant Participants are interviewed every three months Presentation 10

8. Models of outreach work: Model “Supervisor-Group leaders-Outreach workers-Peer-educators” This model was born in 80 th in Netherlands Self-actualized groups of IDUs started outreach with syringes exchange Later on this model of work included medical and social professionals, also – drug users in remission as outreach workers Presentation 10

9. Model “Supervisor-Group leaders- Outreach workers-Peer-educators” – How it works? Training of IDU s who are harm reduction program clients (training cycle usually consists of 5 modules) Selection of trained IDUs for further introduction into outreach work. Criteria of selection: attending, knowledge tests, pro-activeness. Training of outreach workers: special knowledge and skills. Probation in outreach work. Outreach work in action Supervisor coordinates whole process from inside of it (being involved in daily outreach activities) Every outreach worker cultivates IDU leaders for involving new clients and recruiting potential outreach workers Cycle is completed – it is possible to start again with a new group Education of IDUs Selection outreach workers from educated IDUs Supervisor Outreach work Training of outreach workers IDU leaders, friends, familiars, occasional IDUs Presentation 10

10. Models of outreach work: Model “Outreach worker in community” Described by Harvey Feldman, UK Main idea – entering outreach workers into community of IDUs for collecting information and further planning prevention interventions Presentation 10