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Outreach Reference Manual OUTREACH REFERENCE MANUAL OUTREACH REFERENCE MANUAL TABLE OF CONTENTS About Health Outreach Partners ____________________________________________________ iv Introduction ________________________________________________________________________ v Chapter 1: Understanding Farmworkers Farm Work & Farmworkers __________________________________________________________ 1-3 Farmworker Health Overview ________________________________________________________ 1-9 Legal Issues Affecting Farmworkers __________________________________________________ 1-12 Cultural Sensitivity ________________________________________________________________ 1-16 More Resources for Understanding Farmworkers ________________________________________ 1-24 Chapter 2: Maximizing Your Resources Getting Started with Outreach ________________________________________________________ 2-3 Understanding Roles: The 7 Hats of Outreach ____________________________________________ 2-7 Being Prepared: HOP’s Magic Trunk _________________________________________________ 2-10 Identifying Existing Resources _______________________________________________________ 2-12 Enlisting Volunteers _______________________________________________________________ 2-19 Collaboration & Technical Assistance _________________________________________________ 2-22 Chapter 3: Hiring an Outreach Team Identifying Ideal Qualities & Skills of an Outreach Team ___________________________________ 3-3 Job Description Basics ______________________________________________________________ 3-6 Advertising for Job Openings ________________________________________________________ 3-12 Interviewing Outreach Staff Candidates _______________________________________________ 3-15 Staff Orientation __________________________________________________________________ 3-21 Chapter 4: Motivating & Retaining an Outreach Team Supervision _______________________________________________________________________ 4-4 Outreach Protocols ________________________________________________________________ 4-18 Individual Staff Work Plans _________________________________________________________ 4-23 Ongoing Training & Professional Development _________________________________________ 4-47 Motivating Staff __________________________________________________________________ 4-30 Chapter 5: Conducting a Farmworker Needs Assessment Establishing Your Advisory Panel & Work Groups _______________________________________ 5-3 Planning Your Needs Assessment _____________________________________________________ 5-5 Developing Data Collection Tools ____________________________________________________ 5-18 Conducting the Assessment _________________________________________________________ 5-25 Using Your Findings ______________________________________________________________ 5-27 Chapter 6: Outreach Program Planning Preparing for the Planning Meeting ____________________________________________________ 6-3 Conducting the Planning Meeting _____________________________________________________ 6-6 Writing the Plan __________________________________________________________________ 6-11 Keeping the Plan Active! ___________________________________________________________ 6-18 Chapter 7: Evaluating an Outreach Program Planning Your Evaluation ___________________________________________________________ 7-3 Collecting & Analyzing Evaluation Data ________________________________________________ 7-9 Using Your Evaluation Findings _____________________________________________________ 7-19 Chapter 8: Health Education Fundamentals Getting Started with Health Education __________________________________________________ 8-3 Considering Logistics for Health Education ____________________________________________ 8-11 Using Popular Education Principles ___________________________________________________ 8-15 Adult versus Child Learning ________________________________________________________ 8-22 Evaluating Health Education Sessions _________________________________________________ 8-26 Chapter 9: Outreach-Centered Health Education Recipes Quick & Easy Health Education Tools _________________________________________________ 9-5 Pesticide Exposure ________________________________________________________________ 9-11 Heat Stress ______________________________________________________________________ 9-23 Diabetes & Obesity ________________________________________________________________ 9-31 Stress ___________________________________________________________________________ 9-46 Sexually Transmitted Infections ______________________________________________________ 9-56 Family Communication About Sexuality _______________________________________________ 9-64 ABOUT HEALTH OUTREACH PARTNERS Since 1970, Health Outreach Partners (HOP) has been the leading organization for the promotion, delivery, and enhancement of health outreach and enabling services to farmworkers and their families. In 2001, HOP leveraged its more than 30 years of direct-service experience and transitioned into a national training and technical assistance (T/TA) organization dedicated to helping community-based organizations improve their outreach and enabling services to farmworkers. In 2009, HOP changed its name from Farmworker Health Services, Inc., and expanded its scope to respond to the changing labor populations targeted by outreach. Health Outreach Partners’ mission is to build strong, effective, and sustainable grassroots health models by partnering with local community-based organizations across the country in order to improve the quality of life of low-income, vulnerable, and underserved populations. HOP’s vision is a country in which all people are valued and in which equal access to quality health care is available to everyone, thus enriching our collective wellbeing. Health Outreach Partners offers a wide range of customized services which help to enhance community-based organizations’ outreach delivery. Though HOP’s training, consultation, and information services, organizations can expect to build their capacity around the following six priority areas: • Health Outreach & Enabling Services • Program Planning & Development • Needs Assessment & Evaluation Data • Health Education & Promotion • Community Collaboration & Coalition Building • Cultural Competency iv INTRODUCTION Health Outreach Partners (HOP) is excited to offer a new resource to Community-Based Organizations…the Outreach Reference Manual! This manual serves as a reference to outreach programs in order to improve effectiveness and sustainability. Tackling such topics as cultural competency, health education, recruitment and retention, needs assessment, planning, and evaluation, HOP’s Outreach Reference Manual is a comprehensive and useful resource. The variety of information included is not just relevant for outreach staff, but for everyone working to improve access in the community. Outreach with underserved and vulnerable populations is necessary to increase access to care to those that need it most. Unfortunately, outreach can also be extremely difficult, frustrating, and misunderstood. HOP hopes that this manual will help to overcome many of these challenges. The Outreach Reference Manual can be used by programs targeting a variety of underserved populations, though it is specifically written to improve outreach to farmworkers living and working in the United States. This publication draws from current HOP products and services along with a number of sources commonly used in the public health field. When applicable, original sources are footnoted. HOP offers training and technical assistance on the topics addressed in this manual, as well as other topics relating to outreach and enabling services. Please visit www.outreach-partners.org for more information or to contact us. 2013 © Health Outreach Partners This publication is supported in part by a grant from the Health Resources and Services Administration (HRSA) to provide training and technical assistance to health center grantees. The content does not necessarily represent the views of HRSA or the Federal government. As stated, Health Outreach Partners developed the Outreach Reference Manual (ORM) as a resource for health centers funded by HRSA as well as Primary Care Associations. Use of the manual including reproduction and distribution of its content is intended to support the development and implementation of community-based outreach programs by the above- mentioned audience. For additional reproduction and distribution permissions, please contact Health Outreach Partners. v CHAPTER 1: UNDERSTANDING FARMWORKERS Photo courtesy of Community Health Centers of the Central Coast, Inc. In this chapter you will find… • Farm Work & Farmworkers • Farmworker Health Overview • Legal Issues Affecting Farmworkers • Cultural Sensitivity • More Resources for Understanding Farmworker INTRODUCTION Farmworker demographics vary widely within individual communities and throughout the country. Some may travel extensively to find work, while others may live in one place and work seasonally. Some may travel with their families, while others may travel alone. Some are young and new to the workforce, while others are seasoned farmworkers. Whatever the case may be in your community, your outreach program should reflect the farmworkers represented in your service area. This chapter addresses some common farmworker-specific considerations that are essential to understanding their lifestyle, work patterns, health status, legal issues, and cultural backgrounds. The topics include: Farm Work
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