How public health social workers and schools of social work can be influential in sustaining CHWs and community alliances at a state level

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1 How public health social workers and schools of social work can be influential in sustaining CHWs and community alliances at a state level AMERICAN PUBLIC HEALTH ASSOCIATION ANNUAL MEETING November 6, 2013 Boston, Massachusetts Katherine Mitchell, MSW Edith Kieffer, MPH, PhD Nicholas Yankey Elizabeth C. Grim, BA Hannah Roberts Gloria Palmisano, BS, MA Michael Spencer, PhD MiCHWA is supported by a grant to the University of Michigan School of Social Work from the

2 Presenter Disclosures Katherine Mitchell The following personal financial relationships with commercial interests relevant to this presentation existed during the past 12 months: No relationships to disclose

3 Today s Agenda Who are CHWs, and how do they fit with social workers? CHW & Social Work History MiCHWA: CHW, Social Work & Community Collaboration Accomplishments to date & integration Why should public health social workers and schools of social work want to join CHWs in advocacy and social justice efforts?

4 Today s Agenda Who are CHWs, and how do they fit with social workers? CHW & Social Work History MiCHWA: CHW, Social Work & Community Collaboration Accomplishments to date & integration Why should public health social workers and schools of social work want to join CHWs in advocacy and social justice efforts?

5 CHW Definition A Community Health Worker (CHW) is a frontline public health worker who is a trusted member of and/or has an unusually close understanding of the community served. This trusting relationship enables the CHW to serve as a liaison/link/intermediary between health/social services and the community to facilitate access to services and improve the quality and cultural competence of service delivery. A CHW also builds individual and community capacity by increasing health knowledge and self-sufficiency through a range of activities such as outreach, community education, informal counseling, social support and advocacy. American Public Health Association, Community Health Worker Section 2009 Source: APHA CHW Section

6 Social Workers & CHWs Shared professional values Empowerment Cultural Competency Self-determination Service Human Relationships Human Rights Dignity and Worth Social Justice CHW Network Potluck Detroit, June 2013 Source: Spencer M, Gunter K, Palmisano G Community Health Workers and their value to social work Social Work;55(2):

7 Social Workers & CHWs Natural collaboration through community capacity building and empowerment Address structural inequalities Target root causes of disparities Bridge relationship between community members and other professionals Commitment to see community create its own change in pursuing social justice Community organizing, policy advocacy Source: Spencer M, Gunter K, Palmisano G Community Health Workers and their value to social work Social Work;55(2):

8 Social Workers & CHWs Complementary Roles MSW, BSW, CHW Other public health professionals As part of the health and human service delivery team Source: Spencer M, Gunter K, Palmisano G Community Health Workers and their value to social work Social Work;55(2):

9 Social Workers & CHWs Complementary Roles MSW, BSW, CHW Other public health professionals As part of the health and human service delivery team At the community level, public health social workers cannot make a community-driven, lasting impact without direct participation of the community; this can be driven by the community health worker role in partnership

10 Collaboration Public Health Teams Nurse, CHW, Social Work, Other Provider Research Policy Change Advocacy at the state and national levels Long history with Maternal and Child Health advocacy

11 Michigan Community Health Worker Alliance (MiCHWA) The Michigan Community Health Worker Alliance s mission is to promote and sustain the integration of community health workers into Michigan s health and human service systems through coordinated changes in policy and workforce development.

12 MiCHWA s Partners

13 What does MiCHWA do? 1. Strengthen and maintain the infrastructure of MiCHWA 2. Strengthen and support CHW workforce development and education in Michigan 3. Identify and develop sustainable policies and financing mechanisms for CHWs in Michigan 4. Develop and sustain effective communication mechanisms for MiCHWA and CHWs in Michigan 5. Grow and strengthen a vibrant network of diverse CHWs and CHW supporters throughout Michigan 6. Develop and implement a process, context, and outcome evaluation of MiCHWA Women s Health Leadership Institute Training Grand Rapids, July 2012

14 UM-SSW & MiCHWA UM-SSW Mission Statement: 1. Educate graduates for advanced social work practice and lifelong professional growth and development 2. Prepare graduates to serve society at the local, state, national, and international levels 3. Promote social and economic justice and empowerment, and eliminate oppressive social conditions 4. Create and disseminate, through research and knowledge building, social innovations using interdisciplinary problemsolving efforts Source: University of Michigan School of Social Work Web site.

15 UM-SSW & MiCHWA UM-SSW Mission Statement: 1. Educate graduates for advanced social work practice and lifelong professional growth and development 2. Prepare graduates to serve society at the local, state, national, and international levels 3. Promote social and economic justice and empowerment, and eliminate oppressive social conditions 4. Create and disseminate, through research and knowledge building, social innovations using interdisciplinary problemsolving efforts Source: University of Michigan School of Social Work Web site.

16 UM-SSW & MiCHWA MiCHWA is housed at the University of Michigan School of Social Work in Ann Arbor, MI : Why? Dean s commitment to eliminating health disparities through social work interventions Opportunity to engage community partners in action from public health research environments Identified need to connect with our communities and promote social justice through CHWs

17 Resources to Sustain an Alliance Admin support Access to research networks and support systems History of community engagement through longstanding academic-community partnerships Dean s commitment resulting in funding support Student assistance

18 Resources to Sustain an Alliance University Office of Foundation Relations Grant Writing Evaluation: Curtis Center Program Evaluation Group Technology

19 SW, CHWs & CBPR Community-Based Participatory Research History of CHWs and CBPR Large literature of peer-reviewed articles SSW Faculty with longstanding ties to CHW programs CBPR and MiCHWA Guiding principles CHWs & supporters pose at the MDPH Advocate Conference in the early 1990s. Photo courtesy of Rebeca Guzman.

20 Successes Stakeholder engagement & interest Partner dedication & growth Opportunities to share knowledge Recognition of work from groups statewide Expanding partner base including policymakers, health plans, and other key stakeholder groups CHW Network Potluck Grand Rapids, June 2013

21 Accomplishments Employer Survey 2012 CHW Awareness Campaign Policy Brief CHW Leadership Training Support CHW Certification, Core Competencies & Curriculum Recommendations Ongoing evaluation of MiCHWA and its activities

22 Conclusion Why should public health social workers and schools of social work want to join CHWs in advocacy and social justice efforts?

23 Conclusion Why should public health social workers and schools of social work want to join CHWs in advocacy and social justice efforts? Policy change Community Engagement Commitment to social justice Putting research into practice

24 Thank You KATHERINE MITCHELL, MSW MiCHWA Project Coordinator For more information about MiCHWA Please visit our website, MiCHWA is supported by a grant to the University of Michigan School of Social Work from the

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