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1. Practicing Cultural Humility
A.Why practicing cultural humility 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.Defining cultural humility
G.Understanding cultural health beliefs
H.Roles and responsibilities of culturally effective CHWs
2. 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
B. Self-awareness
1. The importance of self-awareness
2. Self-evaluation
3. Enhancing self-awareness
C. Scope of Practice
1. What competencies lie within the CHW scope of practice?
2. What competencies are considered to lie outside the CHW scope of practice?
3. Why CHWs may work outside their scope of practice
4. Consequences of working outside the scope of practice
5. 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
3. 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
4. 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
5. 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
6. Home Visiting
A. Overview of home visiting
B. Preparing to conduct a home visit
C. Common courtesies and guidelines
D. Safety guidelines for home visits
E. How to conduct a home visit
F. What to do after the visit
G. Common challenges
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Foundations for Community Health Workers, Berthold, Miller, Avila-Esparza, Wiley & Sons, 1st Ed., 2009