Upon completion of this course, students will be able to:
1. Identify, analyze, and apply models for practicing cultural humility and conducting client
2. Explain how to build capacity as a culturally effective CHW.
3. Describe code of ethics for CHWs.
4. Identify and apply activities that will increase CHW self-awareness.
5. Differentiate the scope of practice of Community Health Works from that of other members of
the health care team.
6. Conduct client interviews.
7. Demonstrate client-centered counseling for health behavior change.
8. Identify the steps for providing care coordination services.
9. Discuss common challenges related to home visiting.
I. Defining and Practicing Cultural Responsibility
A. Why practicing cultural responsibility is so important
B. The culturally diverse context for community health work
C. Defining and understanding culture
D. Building cultural self-awareness
E. Building capacity as culturally effective CHWs
F. Understanding cultural health beliefs
G. Roles and responsibilities of culturally effective CHWs
II. Guiding Principles for Working with Individual Clients
A. Ethical guidelines for CHWs
1. Defining ethics
2. Common ethical challenges
3. Ethics and the law
i. Code of ethics for CHWs
ii. Purpose of code of ethics
iii. Establishing and maintaining professional boundaries
iv. Developing a framework for ethical decision making
1. The importance of self-awareness
3. Enhancing self-awareness
C. Scope of Practice
1. What competencies lie within the CHW scope of practice?
2. Consequences of working outside the scope of practice
3. What to do when uncertain about own scope of practice
D. Understanding Behavior Change
1. Common health behaviors people try to change
2. CHW's experience with behavior change
3. Factors that complicate behavior change
4. Common mistakes in attempting to facilitate behavior change
III. Conducting Initial Client Interviews
A. Overview of client interviewing
B. Beginning an interview
C. Middle of the interview
D. End of the interview process
E. Documenting client interviews
IV. Client-Centered Counseling for Health Behavior Change
A. Overview of client-centered counseling for behavior change
B. Overview of counseling concepts
C. Developing a behavior change plan
D. Knowledge and skills for client-centered behavior change counseling
1. Using a bubble chart
2. Harm-reduction and risk-reduction counseling
3. Motivational interviewing
4. Stages of change theory
5. Open-ended questions, Affirmations, Reflective listening and Summarizing (OARS)
E. Common challenges to client-centered counseling
F. Documenting CHW work
G. Working with supervisors
H. Self-awareness and self-assessment
I. Creating a professional development plan
V. Case Management
A. Defining case management
B. Basic case management concepts
C. Developing case management plans
D. Additional techniques for effective case management
E. Common case management challenges
F. Identifying community resources and providing referrals
G. Organizing and documenting CHW work
H. Participating in case conferences
Foundations for Community Health Workers. 2nd ed. Berthold, Timothy. Jossey-Bass Public Health. 2016