WEBVTT

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My name is Analuz. I'm a community health worker health navigator at Benton County Health Services

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and I'm currently coordinating the community health worker training 

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and it's a pilot at Benton County Health Services. 

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My name is Harumy Concepcion. I actually graduated from Western last June

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and I just started at Benton County Health Services in September. 

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I'm currently a school navigator so I work at an elementary school. 

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I'm Cristina Hernandez. I'm a clinical health navigator at Benton County Health Services. 

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I started about two and a half years ago. 

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So I'm going to move on since I'm starting here. 

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So the health navigator program at Benton County Health Services started in 2008

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and we began with one health navigator community health worker. 

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And before I continue I would just like to make sure that everyone understands what a community health worker is

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or a health navigator. 

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Does anyone know? 

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How many of you have heard of community health workers? 

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A couple. OK. 

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So a community health worker is someone from the community

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that lives in the community or knows the community

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and works primarily within that community. 

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So for example I am a Latina

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and I understand the Latino culture

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so I work with them and I'm embedded in the community. 

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So I understand the community. 

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OK. So now we have 26 community health workers at Benton County Health Services. 

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We went from having one to having 26. 

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We have 20 that are bilingual bicultural

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so they're able to speak Spanish and English

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and they also understand the culture. That's what bicultural means. 

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And we have one bilingual bicultural Arabic speaking

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and that's pretty new recently.

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So we're hoping to hire more individuals that speak other languages as well. 

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Especially because part of the area that we serve in Corvallis 

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which is where most of us are located

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because of the university we have such a broad population.

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So we have a lot of Arabic speakers. We have a lot of Mandarin speakers. 

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And so we're really trying to focus on making sure that all of those people have access to somebody

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who can provide them services in their language. 

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And we have five monolingual English speakers. 

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And we provide a variety of services.

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You can see here we are in the primary care and self-management area.

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Healthcare services access and utilization.

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So making sure that individuals have healthcare access. 

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So having Medicaid, OHP. 

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And then also ensuring that they know how to use it. 

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So we are there to help them navigate through that. 

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Social services and resource connection. 

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So a lot of the times individuals are facing not only health problems

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but they're also lacking food or housing

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or they have immigration situations that they need help with. 

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So we ensure that we refer them to proper resources. 

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And then we have community, school, and church engagement so we do a lot of that. 

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We have the school navigators and we have other navigators that work with the faith community

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and other organizations in the community. 

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And we do a bit of advocacy, policy, and systems change. 

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And that's one of our biggest

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since a lot of times we come across services not being provided in an effective way

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or not in a very equal way. 

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So we try to make sure that is something that is discussed 

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to further improve for clients. 

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And one of our main focuses is quadruple aim

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which is improving health, having better care

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decreasing the cost of healthcare and ensuring health equity again.

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In order to do that we are group like I said of 26 and we're spread out between Benton and Linn Counties. 

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And now we are going to move on to clinical navigators. 

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So as I mentioned I'm Cristina. I'm one of the clinical health navigators at Benton County. 

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So right now we have about 10 people in that position

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so we have one clinical health navigator supervisor

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and then the rest of us are just located across different sites. 

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So at the Benton County Health Center we have about six clinics

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so two of them are in Linn County and the rest are in Benton County.

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And each of those clinics has a clinical health navigator. 

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We also have four people that are located as part of a pilot project with our local coordinated care organization. 

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We work with clinics that actually belong to Samaritan Health Services. 

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And I happen to be one of those. So I got hired on about two and a half years ago almost three years ago. 

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And we started working as part of this pilot project 

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and just being a community member present in the clinic

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who could explain to people what was going on

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and kind of walk them through everything from getting established with a primary care provider 

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to following up with services. 

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We hired and trained four people so I'm one of them. 

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We're placed at different Samaritan sites

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two of them are in Linn County and two are in Benton County. 

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And so what do we do in the clinics? We work as part of the care team. 

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So the clinic that I'm assigned to is Samaritan Family Medicine Resident Clinic. 

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We have about 10 full time attending providers

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and then we also have close to 15 or 16 residents

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that are in either their first, second, or third year of residency. 

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And so we work as part of their care team with them. 

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We also have care coordination staff in the clinics. 

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Sometimes they'll bring somebody who doesn't have any insurance 

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maybe was in the emergency room and is declining to come in for a follow up appointment 

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even though they really need to see their primary care provider

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So what they'll do is they'll loop me in. They'll say hey Cristina I have this person

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that doesn't have any insurance, maybe is diabetic

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needs insulin, can't afford it, can we do something for that? 

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Sometimes they're people who are maybe displaced or don't have any transportation. 

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Usually the first thing that I do is I'll help them get enrolled in the local Medicaid program. 

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All of us on the team I forgot to mention are certified assistants with the state.

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That means we took extra training and we're actually able to help people apply for Oregon Health Plan.

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That's our local Medicaid program. 

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We do everything. We meet with them, we help them fill out the applications, we do all the follow up for them

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so that they don't have to worry about that. 

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It's one less barrier for them to get established with care. 

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So that's usually what I do

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and the good thing about the Oregon Health Plan is that a lot of those prescriptions are covered under that. 

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And they actually provide transportation services

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so anything that's like medical, dental, mental health. They can use that transportation service for that. 

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So usually with one thing I'm able to take care of a lot of different things at once for the person. 

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We also do chronic disease self-management. 

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A lot of us the clinical staff we had extra training for certain chronic conditions

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like diabetes is the main one, hypertension.

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But we talk to people

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because sometimes it's really hard for to people to talk to the dietician 

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or to somebody who has more information that's just overwhelming to them.

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They don't really understand what's going on so we'll sit with them. 

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We have a curriculum that we'll go through with them. 

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We talk about the plate method, health eating, communicating with their providers.

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And so we do a lot of chronic disease self-management. 

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One of the things that we do is Living Well with Chronic Conditions. I don't know if anybody's ever heard of that program. 

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But it's this program that was developed by Stanford. It's a six week program. 

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It's a workshop. Two and a half hours. 

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And that has a lot of those tips that we talk about with people. 

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We give them tools so that they can better communicate with their providers

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and make better decisions about their health. 

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If they have a hard time remembering how to take their medications or remembering to take their medications 

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giving them tools on what can I do to take care of myself. 

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And then we also have the same program in Spanish so Tomando Control de Su Salud. 

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And so quite a few of us are trained to do that as well. 

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And we usually try to do a program at least twice a year in each of the counties. 

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We also help a lot with medication assistance programs.

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Sometimes maybe somebody already has private insurance but that private insurance doesn't cover all of their medications. 

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So things like inhalers that are really expensive. They're like 400 dollars for one. 

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And sometimes their insurance only covers half of it so then they're left with an extra 200 dollars that they can't afford. 

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So I try to help them get connected to resources in the community for that as well. 

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And then the main difference between the CHC, community health centers, and the Samaritan clinical navigators

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is that the clinical health navigators that work for the health department do a lot more self-management. 

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They're a little bit more hands-on with the paitent. 

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Whereas the Samaritan ones we tend to a little bit more resource navigation

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just because a lot of the Samaritan clinics don't have a social worker

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so some of the things that a social worker might do like resource connection we tend to do a lot more of that. 

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And then touch data. So you're going to hear us talk a lot about what we call touches or care steps. 

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What these touches are, they're interactions that we have with individuals or family members. 

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They're anything from a phone call with that person 

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to actually going out and meeting with that person in the community

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or text because sometimes that's the only way.

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They don't have access to a cell phone but maybe they can borrow their friend's cell phone to text.

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We'll do that with patients as well or home visits. 

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And so all of these we call them touches. 

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And so why do we need them? It's actually data that we need to turn in.

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A lot of our positions were funded initially by grants. 

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And so this is how we show our grantors hey this is the work we're doing. 

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These are the numbers of people that we're interacting with every month. This is what I'm doing with the person. 

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And so in addition to keeping track of how many people we interact with and how much or what we do with them 

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we also keep track of the time we spend with them

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and just kind of tell them maybe I only worked with 20 or 30 people this month

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but I spent a lot of time with these 20 people. 

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And other months it's closer to 100 but I didn't do as much with them. They didn't need quite as much support. 

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And my boss' favorite thing. If it's not documented it doesn't happen. 

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So if we don't keep track of all the stuff we're doing

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for all they know I could be doing nothing and just taking their money. 

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And so for all the 10 health navigators at the health department 

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for the year 2017 we had 9241 touches. 

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So that's 9000 interactions with people. 

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I split it up a little bit. The health department had a little bit less.

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But that's because they spent a lot more time with those people. 

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Things like chronic disease self-management just one appointment for that can take up to an hour and a half. 

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So that's a combination of those kinds of things. 

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It's also connections to food banks and stuff. 

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And then at Samaritan we had about 5000 for last year. 

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And then I just wanted to share a quick story

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about collaborations with other community organizations. 

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So again I work primarily with patients of the Samaritan clinic. 

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And something else that we do is we also do a lot of outreach with the community. 

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So I also used to go to the Corvallis Daytime Drop-in Center. 

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It's a center for people that are displaced or they don't have a home.

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They can go and hang out. It's usually open during the daytime hours

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and then usually there's a meal provided for them. 

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And if they need things like a tent. Maybe they're homeless maybe they have all of these other things going on. 

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They can get connected to resources there. 

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So I used to go there twice a week and help them apply for Oregon Health Plan. 

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And while I was there I met a gentlemen who had actually been an established patient at the clinic where I'm primarily at. 

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But his resident that he was assigned to, his primary care provider, had graduated

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and he never really followed up with that person anymore and just kind of fell off

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and lost contact with everybody.

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He had gone almost a year and half without any care at all. 

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He had really really bad issues with his knees

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and was constantly going to the emergency room. 

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I met him around this time last year. 

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And he had already gone to the emergency room like seven times. 

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Anybody else goes either zero times or like one time to the ER throughout the entire year. 

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And this gentlemen had already gone like seven times. 

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So I was listening to him and he was telling me about how his doctor left

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and then he said something like I haven't even met my new doctor

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but he mentioned the doctor's name that he had gotten assigned to but hadn't met yet.

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And I was like hey that guy is actually one of my residents. 

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So I grabbed him, had him fill out some paperwork, and then I told him I'm going to schedule you an appointment right now. 

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I didn't really give him an option of what he had to do. 

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And he was actually able to come back to the clinic and reconnect with our clinic with his provider. 

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And then later on in turns out, I said he had a lot of knee issues going on

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he had to have a surgery

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but because he happened to be homeless the surgeon said he wouldn't do it 

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because he couldn't trust that this person was going to be able to keep the surgical site clean

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and didn't want to have to worry about infections.

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So that was a huge barrier for him to get this surgery. 

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So I was able to connect with him and his case manager that was working with him. 

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We got him into a respite bed

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guaranteed about 10 weeks. I think it might have been eight weeks

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that he was able to stay at this place for free. 

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So he was able to get his surgery scheduled and had a place for 10 weeks to stay afterward 

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and was actually working with them to try to go into more permanent housing. 

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So that's just an example of some of the stuff that we do with our patients. 

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Hi I'm Umy. 

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I started out in September as part of the OHP resource navigators team. 

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All of us on the team start off learning how to do Oregon Health Plan. 

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Who here has heard of Oregon Health Plan? 

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A few of you. OK. Those of you who haven't you're welcome to ask us more about it later. 

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Because you probably are going to want to know. 

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That team currently has seven resource navigators

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whose primary focus is helping people get signed up for OHP so enrolling 

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helping them renew because you have to renew every year

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and helping them with general assistance

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like interpreting a letter that maybe came in a language that they don't understand

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or it's at a higher reading level than they are used to

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or helping them do income verification throughout every day. 

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Answering questions, giving a call to OHP just to find out what happened to my application. 

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That's kind of the day to day part of the resource navigators. 

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Additionally they help out with doing resource connections like Cristina was saying. 

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Such as financial assistance applications for folks who maybe can't afford certain medical procedures 

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or don't have insurance because of various barriers. 

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Like immigration status for example. 

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We also helped with Lions Club applications to get eyeglasses for many families. 

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We help with food resource connections

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food pantries, getting them signed up for a food box around the holidays

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clothing connections, housing applications, SNAP applications. 

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If somebody needs assistance filling out a form we can probably help. 

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They also do a lot of outreach work with different community groups. 

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So out in Albany for example in CHANCE in Helping Hands

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at different DHS offices, at the Philomath Food Bank we have somebody who goes out twice a week. 

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We have someone who's stationed and helps out at the parole and probation offices

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because sometimes people who have gone into the criminal justice system need assistance getting their OHP back

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because it ends once they're in the system. 

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So we are in a little bit of everywhere in the community. 

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From last year's calendar year as you can see we had over 16,000 touches

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which means individual interactions with people. 

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We processed more than 3600 OHP applications

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which had over 5000 people total in those applications. 

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It can be individuals, it can be families, it can be domestic partner couples. 

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Lots and lots and lots of different people were affected by that team. 

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Additionally we have the school navigator team which I just joined in the end of January

00:17:45.000 --> 00:17:48.000
which was really exciting. 

00:17:48.000 --> 00:17:51.000
And we currently only have three school navigators. 

00:17:51.000 --> 00:17:55.000
We are hoping within the next couple of years we might have one more stationed at the high school. 

00:17:55.000 --> 00:17:58.000
Right now I am stationed at Garfield Elementary School. 

00:17:58.000 --> 00:17:60.000
We have our lead who is stationed at Lincoln Elementary 

00:18:00.000 --> 00:18:04.000
and one more who is stationed at Linus Pauling Middle School. 

00:18:04.000 --> 00:18:08.000
All three of these schools are called the dual immersion schools in Corvallis School District 

00:18:08.000 --> 00:18:12.000
which means that the kids are taught in English and Spanish 

00:18:12.000 --> 00:18:16.000
which is a little different from most school district programs. 

00:18:16.000 --> 00:18:20.000
I knew the numbers a few weeks ago. 

00:18:20.000 --> 00:18:24.000
What is it? Like 13 schools across the country are dual immersion?

00:18:24.000 --> 00:18:27.000
It's something very very small like that. 

00:18:27.000 --> 00:18:30.000
It's a very very small number of schools so it's a pretty unique place to work. 

00:18:30.000 --> 00:18:36.000
And because the three of us school navigators are bicultural bilingual Spanish-speakers

00:18:36.000 --> 00:18:39.000
it's very useful to the parents who we primarily work with

00:18:39.000 --> 00:18:41.000
we don't work with the kids directly so much.

00:18:41.000 --> 00:18:45.000
We work with parents, families, and the community surrounding the schools

00:18:45.000 --> 00:18:49.000
to access OHP, access these others resources that I mentioned

00:18:49.000 --> 00:18:54.000
Food Stamps, financial asistance applications, clothing. 

00:18:54.000 --> 00:18:59.000
Or sometimes just having someone listen to them go through whatever struggle they're going through. 

00:18:59.000 --> 00:18:63.000
We also do referrals to the health centers. We help people set up a doctor's appointment 

00:19:03.000 --> 00:19:08.000
help them find a doctor that's either near them or that they have heard good things about

00:19:08.000 --> 00:19:12.000
helping them find out who their dentist is, setting up vision appointments. 

00:19:12.000 --> 00:19:18.000
As school navigators we have a bit of a unique position in that we work with the school district as well. 

00:19:18.000 --> 00:19:24.000
So we help doing the follow up for vision screenings and hearing screenings that the kids have every year. 

00:19:24.000 --> 00:19:28.000
We also help with planning community events 

00:19:28.000 --> 00:19:30.000
that many of the kids will go to. 

00:19:30.000 --> 00:19:35.000
Because we work in a school the school year touches are a little different than a usual calendar year.

00:19:35.000 --> 00:19:40.000
Instead of January to December they run as you guys probably know, from September to June.

00:19:40.000 --> 00:19:43.000
So last year's touches. I was not yet part of the team. 

00:19:43.000 --> 00:19:45.000
So this is some of the most current information we have. 

00:19:45.000 --> 00:19:50.000
We had 5000 touches amongst the three navigators. 

00:19:50.000 --> 00:19:53.000
And this is kind of a breakdown of those numbers

00:19:53.000 --> 00:19:57.000
of how the team touched different people in the community. 

00:19:57.000 --> 00:19:61.000
McKinney Vento is a program as it says there for students who are experiencing homelessness. 

00:20:01.000 --> 00:20:05.000
These kids as you can imagine probably need extra support. 

00:20:05.000 --> 00:20:10.000
Whether it's getting a backpack of school supplies to a power pack which is a weekend lunch bag

00:20:10.000 --> 00:20:14.000
where they are literally given a bag of supplies that they can bring home

00:20:14.000 --> 00:20:17.000
that they can probably make themselves

00:20:17.000 --> 00:20:21.000
because their parents are either not available for various reasons 

00:20:21.000 --> 00:20:25.000
work, just not at home, trying to find a job, trying to figure things out. 

00:20:25.000 --> 00:20:28.000
And these kids need that extra assistance

00:20:28.000 --> 00:20:33.000
because as many of you probably are aware if you're hungry you can't study and you can't learn.

00:20:33.000 --> 00:20:37.000
So it's a really nice program to have navigators established in the schools 

00:20:37.000 --> 00:20:41.000
to make sure that kids have what they need and their families have what they need

00:20:41.000 --> 00:20:43.000
so that they kids can succeed. 

00:20:43.000 --> 00:20:48.000
Some of the events that we help with include these three right here

00:20:48.000 --> 00:20:52.000
The Corvallis Spring Roll which is this one right up here. It's a bicycle event

00:20:52.000 --> 00:20:56.000
where kids can bring their bikes or borrow a bike from the school district if they don't have one.

00:20:56.000 --> 00:20:60.000
Tiny little tots can learn how to ride. The kids learn basic bike safety

00:21:00.000 --> 00:21:03.000
so when they're out in the streets they know the signals the turns

00:21:03.000 --> 00:21:07.000
generally what the rules are even if they don't understand what the laws are. 

00:21:07.000 --> 00:21:11.000
There's a couple of different loops that the kids can do and race. 

00:21:11.000 --> 00:21:16.000
And there's lots of different fun activities for them to get outside get more active

00:21:16.000 --> 00:21:20.000
and know that there's other kids in their neighborhood who also enjoy riding bikes with them. 

00:21:20.000 --> 00:21:24.000
There's also Get Outdoors Day. It's right over here. 

00:21:24.000 --> 00:21:31.000
Corvallis Spring Roll is coming up this Sunday. Get Outdoors Day is next Saturday. Yes. 

00:21:31.000 --> 00:21:33.000
So June 2nd. Coming up very very soon. 

00:21:33.000 --> 00:21:36.000
And the school navigators help with the planning 

00:21:36.000 --> 00:21:40.000
and various members of the health navigation team as a whole go to these events

00:21:40.000 --> 00:21:44.000
to help promote OHP or whatever other health events we are having at the time. 

00:21:44.000 --> 00:21:50.000
Like it sounds Get Outdoors Day is a day for families and kids who don't normally go out into the woods 

00:21:50.000 --> 00:21:56.000
to get out there, explore, and really understand that our natural lands belong to all of us

00:21:56.000 --> 00:21:60.000
not just to the couple of people who have the luxury of going on a Monday afternoon. 

00:22:00.000 --> 00:22:05.000
And one of the nice things about the events and having the school navigators there

00:22:05.000 --> 00:22:12.000
is that for a lot of them there is the barrier that maybe their parents don't speak the language or they don't understand 

00:22:12.000 --> 00:22:17.000
and so a lot of these events have some kind of a training or a safety fair going on

00:22:17.000 --> 00:22:23.000
and so we actually provide interpretation services during these events so that they can participate more actively.

00:22:23.000 --> 00:22:27.000
And they get to learn a lot of skills. 

00:22:27.000 --> 00:22:35.000
If I can add, I've been involved with the Corvallis Spring Roll and Get Outdoors Day for three years now

00:22:35.000 --> 00:22:41.000
and at the beginning when they started having these events and they started reaching out to us

00:22:41.000 --> 00:22:49.000
they were worried and they didn't understand why they didn't have a diverse group of individuals coming to these events. 

00:22:49.000 --> 00:22:54.000
And so then they started recruiting us to form part of the planning

00:22:54.000 --> 00:22:59.000
to start working on those barriers that were not allowing individuals to come to this event. 

00:22:59.000 --> 00:22:64.000
So one of the things that we did is we identified a huge barrier which is transportation. 

00:23:04.000 --> 00:23:09.000
And so the first year when we assisted with transportation 

00:23:09.000 --> 00:23:16.000
I worked primarily with the school district and they were able to provide a bus. 

00:23:16.000 --> 00:23:23.000
A bus that went from two of the schools

00:23:23.000 --> 00:23:28.000
Garfield Elementary and Lincoln. Those are two of the dual immersion schools. 

00:23:28.000 --> 00:23:35.000
And we were able to fill those buses to go back to this event to take families full families

00:23:35.000 --> 00:23:38.000
moms, dads, everyone, to take them to the event. 

00:23:38.000 --> 00:23:42.000
And so that was the first year that it was quite diverse. 

00:23:42.000 --> 00:23:50.000
And then we slowly started added more culturally appropriate activities for other individuals. 

00:23:50.000 --> 00:23:54.000
So we could have more diversity in there. 

00:23:54.000 --> 00:23:60.000
And one of the last things that we started working on this year is we started working with the Arabic community. 

00:24:00.000 --> 00:24:04.000
So we're trying to diversify the event. 

00:24:04.000 --> 00:24:09.000
So for example regarding the Arabic-speaking community 

00:24:09.000 --> 00:24:13.000
if any of you aren't aware it's Ramadan right now. Ramadan goes for about a month

00:24:13.000 --> 00:24:19.000
which means that folks are up late at night celebrating and don't eat during the hours of sunlight. 

00:24:19.000 --> 00:24:22.000
I don't know a lot about it. That's as far as I know. 

00:24:22.000 --> 00:24:26.000
But it does affect our helping the community get to Get Outdoors Day. 

00:24:26.000 --> 00:24:30.000
Many parents are tired. Kids are hungry. Probably don't want to go outside. 

00:24:30.000 --> 00:24:35.000
So our Arabic-speaking family liaisons that we work closely with as school navigators

00:24:35.000 --> 00:24:38.000
let us know how about we have a bus that comes in a little bit later

00:24:38.000 --> 00:24:41.000
which allows parents to sleep in allows the kids to sleep in

00:24:41.000 --> 00:24:46.000
and then leaves a little bit earlier so that they can go back home without expending too much energy. 

00:24:46.000 --> 00:24:50.000
We probably wouldn't have thought about that because that's not the culture that we're a part of. 

00:24:50.000 --> 00:24:55.000
So it's really nice being able to collaborate with different groups in the schools and in the communities

00:24:55.000 --> 00:24:60.000
to be able to get more people to these events and get them outside. Get them participating. 

00:25:00.000 --> 00:25:04.000
Do you want to talk about the CPR training? Because I haven't done that yet. 

00:25:04.000 --> 00:25:08.000
Yeah. So one of the other things that we do as community health workers

00:25:08.000 --> 00:25:14.000
is also ensure that we're building capacity among parents and students

00:25:14.000 --> 00:25:17.000
and making sure that they're developing their leadership skills. 

00:25:17.000 --> 00:25:26.000
So for the CPR training a parent reached out to one of our coworkers who works at Lincoln Elementary. 

00:25:26.000 --> 00:25:30.000
She was concerned. She was babysitting a couple kids

00:25:30.000 --> 00:25:36.000
and she was concerned that she may come across needing CPR.

00:25:36.000 --> 00:25:40.000
And she thought of maybe putting that CPR training together.

00:25:40.000 --> 00:25:45.000
She looked all over town for Spanish training and she couldn't find it. 

00:25:45.000 --> 00:25:53.000
So then that's when we came in and we assisted her in finding a CPR trainer. 

00:25:53.000 --> 00:25:55.000
Thank you. I can't think. 

00:25:55.000 --> 00:25:60.000
So we found a CPR trainer and we helped with the logistics of the training. 

00:26:00.000 --> 00:26:03.000
And she went out to her community

00:26:03.000 --> 00:26:08.000
and she encouraged other parents to come and participate in the CPR training. 

00:26:08.000 --> 00:26:13.000
So again that's developing leadership skills among the parents that we work with 

00:26:13.000 --> 00:26:16.000
and encouraging them to grow as leaders as well. 

00:26:16.000 --> 00:26:20.000
As school navigators we also have parent information nights. 

00:26:20.000 --> 00:26:22.000
So again we work primarily with parents. 

00:26:22.000 --> 00:26:28.000
And Analuz was the school navigator at Garfield Elementary where I'm at before I was there

00:26:28.000 --> 00:26:32.000
before she started leading the current training program. 

00:26:32.000 --> 00:26:35.000
So she'll talk a little bit more about some of these. 

00:26:35.000 --> 00:26:42.000
Again we are there as school navigators to not only connect parents to resources

00:26:42.000 --> 00:26:46.000
but we also work with the school staff

00:26:46.000 --> 00:26:49.000
like teachers and counselors for them to find a need

00:26:49.000 --> 00:26:53.000
and we also work identifying the need in the community

00:26:53.000 --> 00:26:56.000
besides just providing these services as well 

00:26:56.000 --> 00:26:58.000
what is the community talking about? 

00:26:58.000 --> 00:26:63.000
What kind of service do they want to know more about? Or what kind of information are they not getting?

00:27:03.000 --> 00:27:08.000
So one of the things that came up was counseling. I have no idea about counseling. 

00:27:08.000 --> 00:27:11.000
Spanish-speaking parents not knowing how to navigate that system

00:27:11.000 --> 00:27:15.000
or not able to understand why counseling is so important

00:27:15.000 --> 00:27:18.000
and beneficial to some of them and their students. 

00:27:18.000 --> 00:27:23.000
So one of our school navigators organized a parent meeting

00:27:23.000 --> 00:27:29.000
and brought presenters to talk about counseling in their language in Spanish. 

00:27:29.000 --> 00:27:33.000
So that was one of our first community nights. 

00:27:33.000 --> 00:27:36.000
And then the second one is the social media night. 

00:27:36.000 --> 00:27:41.000
Again parents identify hey I don't know what my kids are doing on social media. I would like to know more about it. 

00:27:41.000 --> 00:27:46.000
What are the dangers of it? And how can I protect them and protect myself?

00:27:46.000 --> 00:27:51.000
And so then we had a Spanish-speaker come in. He's a police officer in Woodburn. 

00:27:51.000 --> 00:27:58.000
And so because we do not have a lot of police officers who speak Spanish or actually we don't have a single one

00:27:58.000 --> 00:27:60.000
so then we had to reach out of our community. 

00:28:00.000 --> 00:28:07.000
And again while we're doing this we're building connections with other agencies and with other resources as well

00:28:07.000 --> 00:28:12.000
and I'm trying to find out what has worked in their community to apply it to our community. 

00:28:12.000 --> 00:28:14.000
And then the other one was Know Your Rights. 

00:28:14.000 --> 00:28:20.000
So a lot of issues came about after elections. People concerned about what their rights were

00:28:20.000 --> 00:28:25.000
and not knowing about what was going on with immigration and things like that. People questioning that. 

00:28:25.000 --> 00:28:32.000
So again we identified the need. Kids being concerned about it, crying about it, and parents also being concerned about it. 

00:28:32.000 --> 00:28:37.000
So we organized a group of us. We worked with other agencies in the community

00:28:37.000 --> 00:28:42.000
that we have a great relationship with because we've been working with them for a while. 

00:28:42.000 --> 00:28:44.000
And then we organized this family night. 

00:28:44.000 --> 00:28:47.000
And we brought in an immigration attorney

00:28:47.000 --> 00:28:51.000
we brought in someone from the school district, the superintendent was there

00:28:51.000 --> 00:28:57.000
and then other individuals to talk about what students' rights are around immigration

00:28:57.000 --> 00:28:60.000
and what the parents' rights are as well. 

00:29:00.000 --> 00:29:02.000
And so that was a huge success. 

00:29:02.000 --> 00:29:09.000
We had the mayor there. We had different members of the community, key leaders in the community coming in

00:29:09.000 --> 00:29:12.000
learning about what's going on in their community.

00:29:12.000 --> 00:29:16.000
And a lot of them were not aware that a lot of individuals were concerned about it.

00:29:16.000 --> 00:29:19.000
So it's again making those connections.

00:29:19.000 --> 00:29:23.000
And then our latest one has been the Mam Family Nights. 

00:29:23.000 --> 00:29:31.000
In our area we have a growing population of individuals coming from Guatemala who speak primarily Mam. 

00:29:31.000 --> 00:29:36.000
They do not speak Spanish. They speak their native language which is Mam. 

00:29:36.000 --> 00:29:40.000
They're facing a lot of barriers. They're coming to a culture that they don't know.

00:29:40.000 --> 00:29:44.000
Everyone's talking to them in Spanish and that's not their language. 

00:29:44.000 --> 00:29:48.000
They're able to understand and get by but that's not their primary language. 

00:29:48.000 --> 00:29:54.000
And so one of the first connections that they made in this community was coming to us

00:29:54.000 --> 00:29:57.000
and asking us for services. 

00:29:57.000 --> 00:29:62.000
So they have worked a lot with us and they trust us. 

00:30:02.000 --> 00:30:07.000
we felt like it was our responsibility to inform them of the laws here, their rights

00:30:07.000 --> 00:30:11.000
and for them to know what to do. 

00:30:11.000 --> 00:30:15.000
One of our first family nights we had it back in November.

00:30:15.000 --> 00:30:22.000
A few of us came from Benton County Health Services 

00:30:22.000 --> 00:30:28.000
to explain to them what kind of services we had

00:30:28.000 --> 00:30:30.000
in a very friendly way. 

00:30:30.000 --> 00:30:33.000
We used what we call popular education. 

00:30:33.000 --> 00:30:36.000
So it wasn't like we are here like me lecturing them. 

00:30:36.000 --> 00:30:41.000
We sat around with them and we talked, we broke bread together. 

00:30:41.000 --> 00:30:48.000
And it was just a conversation. It wasn't like I'm teaching you something. It was very different. 

00:30:48.000 --> 00:30:52.000
So we identified the need to do that and then we acted on it. 

00:30:52.000 --> 00:30:57.000
And so now we have since had two more Mam Family Nights. 

00:30:57.000 --> 00:30:64.000
The second one was primarily explaining about the school system. Why it's important to send your kids to school. 

00:31:04.000 --> 00:31:08.000
Services that are available in the schools for parents

00:31:08.000 --> 00:31:11.000
whether its the free reduced lunch program

00:31:11.000 --> 00:31:14.000
for students who are experiencing homelessness the McKinney Vento program. 

00:31:14.000 --> 00:31:19.000
Getting clothing, access to the food pantry, signing up with Oregon Health Plan

00:31:19.000 --> 00:31:24.000
because kids now can get Oregon Health Plan regardless of immigration status.

00:31:24.000 --> 00:31:27.000
So all of these children coming from Guatemala can get free healthcare

00:31:27.000 --> 00:31:30.000
which many of these parents were not aware of. 

00:31:30.000 --> 00:31:37.000
Other school services that are available to older students 16, 17-year-olds

00:31:37.000 --> 00:31:42.000
who still need to be in school but their culture dictates that they should be working 

00:31:42.000 --> 00:31:43.000
so trying to address those needs. 

00:31:43.000 --> 00:31:48.000
We did learn that many of the parents who came are very interested in getting their GED. 

00:31:48.000 --> 00:31:52.000
So we are currently working on getting a class set up for them. 

00:31:52.000 --> 00:31:54.000
We're aiming for sometime this fall

00:31:54.000 --> 00:31:58.000
because it does take time to organize these types of events

00:31:58.000 --> 00:31:62.000
and getting as many of them as possible enrolled to get their GED.

00:32:02.000 --> 00:32:06.000
We also identified that some of them don't have literacy skills. They can't read and write. 

00:32:06.000 --> 00:32:13.000
So what good is it for them to take a GED course if they can barely read or write their own name? 

00:32:13.000 --> 00:32:18.000
So I'm currently connecting with LBCC and I need to talk to you about that a bit more later. 

00:32:18.000 --> 00:32:24.000
Because they are working on a grant right now to get some kind of literacy class started. 

00:32:24.000 --> 00:32:31.000
And we're hoping that we can get it to get a literacy class going for some of these Mam-speaking parents and families

00:32:31.000 --> 00:32:35.000
who can't read and write in Spanish let alone in English. 

00:32:35.000 --> 00:32:41.000
And so that's one of the things that we do. Identify needs, make the connection, network. 

00:32:41.000 --> 00:32:44.000
We network a lot because that's how change gets done. 

00:32:44.000 --> 00:32:52.000
So we actually reached out to a community center in Cottage Grove in the Eugene area 

00:32:52.000 --> 00:32:58.000
and they've been working with Mam-speakers for quite a while for a number a years now. 

00:32:58.000 --> 00:32:65.000
And so we are collaborating with them to better improve how we serve these individuals

00:33:05.000 --> 00:33:10.000
and we're also helping them out in how to organize their program. 

00:33:10.000 --> 00:33:15.000
And just recently I connected with another individual in Lincoln County

00:33:15.000 --> 00:33:19.000
who is starting to work with this community and we're making that connection. 

00:33:19.000 --> 00:33:24.000
So again it's a lot about collaborating about seeing what resources already exist 

00:33:24.000 --> 00:33:27.000
so you're not reinventing the wheel. 

00:33:27.000 --> 00:33:32.000
Our boss loves to tell us don't reinvent the wheel. Connect with someone who already has it. 

00:33:32.000 --> 00:33:35.000
Other events that we do in the community is enrollment 

00:33:35.000 --> 00:33:40.000
and we also go to individuals who need our assistance. 

00:33:40.000 --> 00:33:45.000
Instead of waiting for them to come, a lot of times that's a barrier, so we go to them. 

00:33:45.000 --> 00:33:48.000
So we go to different communities and have events there. 

00:33:48.000 --> 00:33:51.000
We do health screenings. 

00:33:51.000 --> 00:33:54.000
And we don't only do the health screenings but then we also follow up. 

00:33:54.000 --> 00:33:60.000
Because it's one thing to just let them know well you have some vision issues, here you go, good luck, bye. 

00:34:00.000 --> 00:34:03.000
So no we try to connect them to resources as well. 

00:34:03.000 --> 00:34:07.000
So we're telling you what kind of health problem you have and then we're addressing that. 

00:34:07.000 --> 00:34:12.000
So if you don't have health insurance then we connect you to that and we connect you to other resources. 

00:34:12.000 --> 00:34:18.000
So one of our biggest ones which we're not doing this year for the first time 

00:34:18.000 --> 00:34:24.000
is Campeones de Salud where we reach a lot of people, hundreds. 400, 500 people in one weekend. 

00:34:24.000 --> 00:34:26.000
We've been successful in doing that.

00:34:26.000 --> 00:34:32.000
In the last couple years the event has been shifting and demographics changing 

00:34:32.000 --> 00:34:36.000
so we're refocusing our efforts in reaching out to the community. 

00:34:36.000 --> 00:34:40.000
So that's one of the reasons why we're not doing it this year. 

00:34:40.000 --> 00:34:47.000
But we're doing other events like having screenings for Mam-speakers. 

00:34:47.000 --> 00:34:51.000
And we also have a group that is just starting. 

00:34:51.000 --> 00:34:57.000
It's called Amigos de Monroe. It's a group of individuals farm workers that live in Monroe

00:34:57.000 --> 00:34:61.000
and were trying to build again that capacity for leadership 

00:35:01.000 --> 00:35:04.000
so they can become leaders within their own community. 

00:35:04.000 --> 00:35:08.000
And one that I forgot that was a huge success 

00:35:08.000 --> 00:35:12.000
back in February 

00:35:12.000 --> 00:35:15.000
it was a vaccination clinic and OHP enrollment. 

00:35:15.000 --> 00:35:20.000
So I don't know if all of you heard about everything that was going on at OSU 

00:35:20.000 --> 00:35:22.000
and individuals now needing to get the vaccine 

00:35:22.000 --> 00:35:27.000
I can never say that. Meningococcal. I can never say it. 

00:35:27.000 --> 00:35:29.000
Second language learner here. 

00:35:29.000 --> 00:35:32.000
So anyway that was a huge success. 

00:35:32.000 --> 00:35:36.000
We were there to provide information on OHP

00:35:36.000 --> 00:35:38.000
and enroll individuals or students

00:35:38.000 --> 00:35:42.000
and to our surprise a lot of students didn't know they could get the Oregon Health Plan.

00:35:42.000 --> 00:35:45.000
They thought well I don't qualify. I never qualify. 

00:35:45.000 --> 00:35:47.000
Or their biggest barrier was how much is this gonna cost me? 

00:35:47.000 --> 00:35:52.000
It's free. No cost. 

00:35:52.000 --> 00:35:56.000
So that was a great success and these are just some of the events we've done lately. 

00:35:56.000 --> 00:35:60.000
But we're quite busy especially in the summer. 

00:36:00.000 --> 00:36:05.000
The other one is Festival Latino. We participate every year. And this is in Albany. 

00:36:05.000 --> 00:36:11.000
At times we help in organizing the event and providing health screenings

00:36:11.000 --> 00:36:14.000
or other resources and information. 

00:36:14.000 --> 00:36:20.000
And then Farmer's Market Tours which we have in Albany and Corvallis. 

00:36:20.000 --> 00:36:26.000
And again that's making sure that everyone has access to all the different resources. 

00:36:26.000 --> 00:36:32.000
So we have baile folklorico. We have music in Spanish. 

00:36:32.000 --> 00:36:39.000
We have individuals giving families a tour of the farmer's market because many of them have not been there before

00:36:39.000 --> 00:36:42.000
and we inform them of how they can use their SNAP

00:36:42.000 --> 00:36:46.000
how they can double up on the benefits that they have there.

00:36:46.000 --> 00:36:49.000
So there's a lot of that going on. 

00:36:49.000 --> 00:36:52.000
And we have other navigators in our team. 

00:36:52.000 --> 00:36:56.000
We have an interpretation and translation navigator

00:36:56.000 --> 00:36:59.000
who works primarily with the clinics

00:36:59.000 --> 00:36:64.000
to make sure that we have all of our material in Spanish. 

00:37:04.000 --> 00:37:07.000
To make sure that it's bilingual and not only bilingual 

00:37:07.000 --> 00:37:11.000
but that our clients are able to understand the language. 

00:37:11.000 --> 00:37:15.000
A lot of the times when someone translates something

00:37:15.000 --> 00:37:20.000
it's not always in the literacy level that individuals need it. 

00:37:20.000 --> 00:37:26.000
Especially with healthcare or health terms it can become really overwhelming. 

00:37:26.000 --> 00:37:29.000
So we have a navigator that does that. 

00:37:29.000 --> 00:37:32.000
He provides translation and interpretation services. 

00:37:32.000 --> 00:37:37.000
And we just recently hired another one who will be working in that area as well. 

00:37:37.000 --> 00:37:41.000
And then we have an oral health navigator. 

00:37:41.000 --> 00:37:45.000
So with the expansion of the Affordable Care Act

00:37:45.000 --> 00:37:48.000
some dental benefits were added on but not enough.

00:37:48.000 --> 00:37:54.000
And so we have a navigator that works to make sure 

00:37:54.000 --> 00:37:60.000
that individuals are using their health insurance which is Medicaid.

00:38:00.000 --> 00:38:05.000
Or if they need more services if they have Medicare they don't have dental

00:38:05.000 --> 00:38:09.000
so then we try to assist them to make sure that they meet their dental needs. 

00:38:09.000 --> 00:38:14.000
And we have a social determinants of health navigator 

00:38:14.000 --> 00:38:24.000
who is currently working in identifying how to screen individuals on their social determinants of health

00:38:24.000 --> 00:38:29.000
which are those problems that affect us in our daily lives 

00:38:29.000 --> 00:38:33.000
that are typically not considered when you go to the doctor.

00:38:33.000 --> 00:38:39.000
Like the doctor's not going to ask you, do you have food insecurity? Or do you need counseling? 

00:38:39.000 --> 00:38:42.000
Or how's work going? You know those things.

00:38:42.000 --> 00:38:46.000
They're not going to be talking to you about housing. 

00:38:46.000 --> 00:38:51.000
So we're trying to figure out a way to incorporate those questions to better serve patients

00:38:51.000 --> 00:38:54.000
and to make sure that other factors are being taken care of 

00:38:54.000 --> 00:38:57.000
so their health outcomes improve. 

00:38:57.000 --> 00:38:63.000
As you can see we do serve clients in many different ways. 

00:39:03.000 --> 00:39:07.000
Almost anything that a client can think of 

00:39:07.000 --> 00:39:10.000
we either address it or we refer them somewhere else. 

00:39:10.000 --> 00:39:13.000
And this is a perfect example. 

00:39:13.000 --> 00:39:20.000
This is about a client who arrive to the US in 2014. 

00:39:20.000 --> 00:39:27.000
And she first came across me who was an Oregon Health Plan navigator.

00:39:27.000 --> 00:39:29.000
That's what I was doing then. 

00:39:29.000 --> 00:39:35.000
So we assisted them with the Oregon Health Plan

00:39:35.000 --> 00:39:42.000
which at that time she only qualified for CAWEM which is insurance only for emergencies. 

00:39:42.000 --> 00:39:49.000
And it's mostly for individuals who do not meet the immigration requirement. 

00:39:49.000 --> 00:39:53.000
So that can be individuals who are residents or not. 

00:39:53.000 --> 00:39:61.000
And then we connected her to financial assistance with the hospital because she needed a service to be covered. 

00:40:01.000 --> 00:40:05.000
We connected her to interpretation services

00:40:05.000 --> 00:40:08.000
as English was not her primary language. 

00:40:08.000 --> 00:40:11.000
We connected her to oral health services. 

00:40:11.000 --> 00:40:15.000
We connected her to one of our providers

00:40:15.000 --> 00:40:20.000
to WIC as she became pregnant and she had a baby. 

00:40:20.000 --> 00:40:26.000
And by connecting her to WIC we made sure she was able to get a carseat for her child. 

00:40:26.000 --> 00:40:29.000
And we connected her to SNAP. 

00:40:29.000 --> 00:40:36.000
And then we assisted her in finding childcare for her child so she could continue going to school. 

00:40:36.000 --> 00:40:40.000
So we worked a lot with the school as well. 

00:40:40.000 --> 00:40:43.000
We just did a lot for her. 

00:40:43.000 --> 00:40:47.000
And we continue to do that. 

00:40:47.000 --> 00:40:51.000
I like to say it is like a wrap around with the clients. 

00:40:51.000 --> 00:40:57.000
If I cannot assist the client because I live far away from the client 

00:40:57.000 --> 00:40:59.000
then the client has transportation barriers. 

00:40:59.000 --> 00:40:63.000
But she's pretty close to Garfield and I will call Umy, hey Umy

00:41:03.000 --> 00:41:07.000
we have this client who really needs assistance with OHP

00:41:07.000 --> 00:41:09.000
and they cannot make it out here.

00:41:09.000 --> 00:41:12.000
They have a baby that they have to carry. Can you help them out? 

00:41:12.000 --> 00:41:15.000
So then we work together to do that. 

00:41:15.000 --> 00:41:21.000
Or if they're needing some assistance with counseling 

00:41:21.000 --> 00:41:28.000
then we talk to one of our coworkers or we refer them to a different provider. 

00:41:31.000 --> 00:41:36.000
And currently I am working on a new pilot. 

00:41:36.000 --> 00:41:39.000
So it's only from January to December. 

00:41:39.000 --> 00:41:42.000
I'm hoping that I do a good job so we can continue having it. 

00:41:42.000 --> 00:41:46.000
And it's community health worker training. 

00:41:46.000 --> 00:41:49.000
Anyone can be a community health worker really. 

00:41:49.000 --> 00:41:54.000
But you can be certified through the state to be a community health worker. 

00:41:54.000 --> 00:41:60.000
And many agencies ask for certification but some of them don't. 

00:42:00.000 --> 00:42:04.000
And so in order to do that you have to go through an approved training

00:42:04.000 --> 00:42:07.000
from Oregon Health Authority. 

00:42:07.000 --> 00:42:13.000
So we have a lot of health navigators or community health workers in our team. 

00:42:13.000 --> 00:42:20.000
And sending all of them to Portland, in Portland there's one organization

00:42:20.000 --> 00:42:22.000
that trains community health workers

00:42:22.000 --> 00:42:24.000
it becomes really expensive. 

00:42:24.000 --> 00:42:28.000
Because it's over like 2500 dollars per person

00:42:28.000 --> 00:42:31.000
but that doesn't count the time you're spending out of the office

00:42:31.000 --> 00:42:34.000
so when I took the training it was six weeks long

00:42:34.000 --> 00:42:38.000
two days full time so I was out of my clinic for two full days.

00:42:38.000 --> 00:42:43.000
And then also just for the county to be able to pay lodging

00:42:43.000 --> 00:42:47.000
mileage reimbursement, a food stipend

00:42:47.000 --> 00:42:49.000
it got really really expensive really quick. 

00:42:49.000 --> 00:42:53.000
And for a team of 26 that wouldn't work out. 

00:42:53.000 --> 00:42:58.000
So then we decided to have the training here locally. 

00:42:58.000 --> 00:42:63.000
So individuals from other agencies from Lincoln, Linn, and Benton County and other counties

00:43:03.000 --> 00:43:07.000
can come and train here, well in Benton. 

00:43:07.000 --> 00:43:13.000
So the way I got started working in this

00:43:13.000 --> 00:43:18.000
was first I was a community health worker doing primarily the Oregon Health Plan 

00:43:18.000 --> 00:43:21.000
because that's where almost everyone starts. 

00:43:21.000 --> 00:43:28.000
And then as I gained experience I moved on to being a school health navigator 

00:43:28.000 --> 00:43:31.000
which is a lot more resources more connections with the community

00:43:31.000 --> 00:43:36.000
a lot more organizing of events and participating in different meetings and different boards

00:43:36.000 --> 00:43:39.000
and different organizations. 

00:43:39.000 --> 00:43:43.000
And then because of my experience as a community health worker

00:43:43.000 --> 00:43:47.000
and understanding of how a community health worker works

00:43:47.000 --> 00:43:52.000
then I applied for this position and I started this January. 

00:43:52.000 --> 00:43:59.000
We are going to start training individuals next month, July actually. 

00:43:59.000 --> 00:43:64.000
Our goal is to train community health workers in our agency 

00:44:04.000 --> 00:44:08.000
and then those individuals will complete their training 

00:44:08.000 --> 00:44:16.000
kind of like HIPAA and other agency-specific trainings with their agency. 

00:44:16.000 --> 00:44:20.000
OK and this is our team motto. 

00:44:20.000 --> 00:44:23.000
Even if we can't get our clients everything they need

00:44:23.000 --> 00:44:26.000
we can always leave them with three things. 

00:44:26.000 --> 00:44:29.000
Having been seen, heard, and respected. 

00:44:29.000 --> 00:44:33.000
And now we can have questions. 

00:44:33.000 --> 00:44:36.000
Do you ever need volunteers? If so, what for? 

00:44:36.000 --> 00:44:40.000
And how would we apply for that opportunity? 

00:44:40.000 --> 00:44:44.000
So yes doing our community events or health screenings 

00:44:44.000 --> 00:44:47.000
a lot of the times we do need volunteers

00:44:47.000 --> 00:44:52.000
and we do reach out to different organizations that we have worked with before.

00:44:52.000 --> 00:44:59.000
And there is a really easy application to fill out and that's it. 

00:44:59.000 --> 00:44:63.000
There's not a whole lot more to do. 

00:45:03.000 --> 00:45:07.000
One thing we can do is provide our contact information. 

00:45:07.000 --> 00:45:10.000
If you keep connected with Megan 

00:45:10.000 --> 00:45:14.000
then when we send out opportunities then maybe she can send them out to all of you. 

00:45:14.000 --> 00:45:20.000
Another one. Within the school system how do you recognize slash identify which children might need help? 

00:45:20.000 --> 00:45:22.000
That's an excellent question. 

00:45:22.000 --> 00:45:25.000
So there's a couple of different ways. 

00:45:25.000 --> 00:45:28.000
One of them is when kids initially register for school 

00:45:28.000 --> 00:45:32.000
the school gives them a survey which asks several key questions

00:45:32.000 --> 00:45:36.000
that might then identify whether this child is experiencing homelessness 

00:45:36.000 --> 00:45:39.000
if they have just recently moved into the country 

00:45:39.000 --> 00:45:42.000
if they might not have access to food. 

00:45:42.000 --> 00:45:47.000
Lots of different key points that then tell the school staff

00:45:47.000 --> 00:45:49.000
let's refer them to the school navigator. 

00:45:49.000 --> 00:45:55.000
We also as school navigators help with kinder intakes around this time of year

00:45:55.000 --> 00:45:60.000
where five-year-olds are going to be starting kindergarten in the fall

00:46:00.000 --> 00:46:03.000
go and get tested for language capabilities 

00:46:03.000 --> 00:46:05.000
if they have shown when they were first registering 

00:46:05.000 --> 00:46:12.000
that they either speak another language at home or participate in other language-heavy cultural events. 

00:46:12.000 --> 00:46:16.000
And at those kinder intake days

00:46:16.000 --> 00:46:19.000
before they're done with the language testing

00:46:19.000 --> 00:46:24.000
the school navigators speak to their parents and ask them those kind of leading questions as well.

00:46:24.000 --> 00:46:27.000
Do you have health insurance? Do your kids have health insurance?

00:46:27.000 --> 00:46:34.000
When was your last vision, hearing, well-child check, and dental exam?

00:46:34.000 --> 00:46:37.000
Do you need access to any other resources? 

00:46:37.000 --> 00:46:39.000
And then we leave it open for them. We have a couple of examples

00:46:39.000 --> 00:46:43.000
like do you want access to the parks and rec scholarship? 

00:46:43.000 --> 00:46:47.000
Do you need help with getting summer camp applications? 

00:46:47.000 --> 00:46:50.000
Do you need help with food? Do you need help with clothing? 

00:46:50.000 --> 00:46:56.000
And then we leave the conversation open to them and then we do the follow up with those families. 

00:46:56.000 --> 00:46:57.000
Great question. 

00:46:57.000 --> 00:46:61.000
This one kind of going off of that one is how do you get referrals

00:47:01.000 --> 00:47:04.000
and how long can you support a child that needs the assistance? 

00:47:04.000 --> 00:47:09.000
So I think teachers sometimes refer people over to you guys, right? 

00:47:09.000 --> 00:47:11.000
And a lot of it is word of mouth. 

00:47:11.000 --> 00:47:15.000
Like if you do a great job everyone will know you trust me. 

00:47:15.000 --> 00:47:19.000
They'll say so and so's mom told me that you helped them with this. Can you help me? 

00:47:19.000 --> 00:47:21.000
Yeah. That happens all the time. 

00:47:21.000 --> 00:47:24.000
And sometimes other community organizations too will call us up. 

00:47:24.000 --> 00:47:26.000
They'll say hey I met this person.

00:47:26.000 --> 00:47:30.000
Their child goes to school at either Garfield or their child is a patient  of so and so.

00:47:30.000 --> 00:47:33.000
Can you reach out to them? And then we'll get them that way. 

00:47:33.000 --> 00:47:35.000
And then there's a second part of that question. 

00:47:35.000 --> 00:47:40.000
How long do you support a child that needs assistance? So this is specifically to the McKinney Vento Program. 

00:47:40.000 --> 00:47:45.000
I think it kind of depends by school because different schools use their McKinney Vento programs differently. 

00:47:45.000 --> 00:47:48.000
So it's not the same across the nation. 

00:47:48.000 --> 00:47:52.000
So I know for example that one of the schools in Philomath

00:47:52.000 --> 00:47:57.000
one of the things they do is if the children are all of a sudden really far away

00:47:57.000 --> 00:47:59.000
in order to keep them at the school district

00:47:59.000 --> 00:47:62.000
they'll give the parents like 15 dollar gas cards. 

00:48:02.000 --> 00:48:07.000
But I know it just depends by school. I don't know how. 

00:48:07.000 --> 00:48:13.000
So like you said it's nationwide. It's called the McKinney Vento Act. 

00:48:13.000 --> 00:48:18.000
So every school district should have a program or a coordinator of some sort. 

00:48:18.000 --> 00:48:22.000
But a lot of times because there is not a lot of funding 

00:48:22.000 --> 00:48:24.000
that individual is doing 20 other things. 

00:48:24.000 --> 00:48:30.000
And so one of their focuses might not be working with students experiencing homelessness. 

00:48:30.000 --> 00:48:33.000
So that's where advocacy comes in our part. 

00:48:33.000 --> 00:48:37.000
Fortunately at the Corvallis School District we have a really strong team 

00:48:37.000 --> 00:48:42.000
that is very focused in serving students experiencing homelessness. 

00:48:42.000 --> 00:48:45.000
But otherwise it's different everywhere. 

00:48:45.000 --> 00:48:50.000
But if you call the school district and you ask them who's in charge of your McKinney Vento? 

00:48:50.000 --> 00:48:54.000
A lot of the times you may have to talk to several people before you get to that person. 

00:48:54.000 --> 00:48:59.000
Sometimes they don't know. Sometimes they're like oh I know I've heard about it, but they don't know. 

00:48:59.000 --> 00:48:64.000
Yeah. And sometimes it's like oh I know exactly who you're talking about. Here it goes. 

00:49:04.000 --> 00:49:06.000
So it just depends district by district. 

00:49:06.000 --> 00:49:11.000
With Corvallis School District I had the same question when I first started. How long can I help this kid? 

00:49:11.000 --> 00:49:15.000
If they were identified as McKinney Vento last school year

00:49:15.000 --> 00:49:18.000
can I still provide their family with supplies that they need? 

00:49:18.000 --> 00:49:24.000
I was told yes go ahead. If you know that their situation has not changed keep supporting them. 

00:49:24.000 --> 00:49:29.000
And for this particular child their situation had not changed so we keep supporting them. 

00:49:29.000 --> 00:49:32.000
So it is also keeping up with their cases. 

00:49:32.000 --> 00:49:37.000
But I was told that a good general rule of thumb is the whole school year. 

00:49:38.000 --> 00:49:44.000
And a lot of times even though they may come out of that situation

00:49:44.000 --> 00:49:48.000
they still need to stay out of the situation. 

00:49:48.000 --> 00:49:53.000
So we try to support as many as we can

00:49:53.000 --> 00:49:58.000
to make sure that they keep their stable housing. 

00:50:00.000 --> 00:50:03.000
So what does a day at work look like? 

00:50:03.000 --> 00:50:08.000
So for me as a community health worker coordinator 

00:50:08.000 --> 00:50:14.000
it's a lot of networking and engaging with other individuals to make this happen

00:50:14.000 --> 00:50:17.000
as we need collaboration from other agencies. 

00:50:17.000 --> 00:50:24.000
And when I moved into this position my supervisor was flexible enough 

00:50:24.000 --> 00:50:28.000
to allow me to read more on what a community health worker is

00:50:28.000 --> 00:50:34.000
and on other topics on how to better implement this program. 

00:50:34.000 --> 00:50:36.000
I don't know if you want to. 

00:50:36.000 --> 00:50:42.000
Today I spent an hour on hold with OHP while doing documentation notes. 

00:50:42.000 --> 00:50:46.000
Because as our boss loves to tell us if we don't document it, it didn't happen. 

00:50:46.000 --> 00:50:52.000
Then I spent another hour calling clients back, returning voicemails, keeping them updated. 

00:50:52.000 --> 00:50:55.000
Hey did something go through? Did you receive this letter? 

00:50:55.000 --> 00:50:58.000
Hey I scheduled this appointment for you. 

00:50:58.000 --> 00:50:63.000
Then I had an appointment who came in and we took care of her financial assistance application. 

00:51:03.000 --> 00:51:05.000
What else did I do today? 

00:51:05.000 --> 00:51:08.000
A lot got done today. 

00:51:08.000 --> 00:51:11.000
laughter 

00:51:12.000 --> 00:51:14.000
Take it away. 

00:51:14.000 --> 00:51:20.000
For me since I'm in the clinic I always have a rule that I keep my door open if I'm available

00:51:20.000 --> 00:51:24.000
unless I have somebody in there and then I'll go ahead and close the door or if I'm on the phone I'll go ahead and close it. 

00:51:24.000 --> 00:51:27.000
But usually what I do is I go through my emails in the morning.

00:51:27.000 --> 00:51:30.000
I try to return as many calls as I can. 

00:51:30.000 --> 00:51:33.000
I leave my door open so that if somebody wants to do a warm handoff 

00:51:33.000 --> 00:51:38.000
today wasn't that bad because I wasn't at the clinic this morning

00:51:38.000 --> 00:51:46.000
but yesterday I had a person who had suicidal ideation there was all these things going on.  

00:51:46.000 --> 00:51:49.000
Also the dad had recently committed suicide. 

00:51:49.000 --> 00:51:53.000
It was just this huge stressful situation that she was going through. 

00:51:53.000 --> 00:51:58.000
So the doctor had asked me about finding support groups for suicide survivors. 

00:51:58.000 --> 00:51:60.000
And I actually had a list of a couple places. 

00:52:00.000 --> 00:52:04.000
So I was able to go in there, meet with her, give her the information that she needed. 

00:52:04.000 --> 00:52:07.000
And I don't remember what else we did with her

00:52:07.000 --> 00:52:10.000
but just talking to her 

00:52:10.000 --> 00:52:15.000
because sometimes we just have to distract people and make sure that we talk to them and make sure that they're ok

00:52:15.000 --> 00:52:17.000
because we don't want them to leave if they're suicidal 

00:52:17.000 --> 00:52:22.000
or if they're in a really high stress situation we'll send them to the emergency room.

00:52:22.000 --> 00:52:26.000
And we'll talk to them until they're ok with us sending them to the emergency room. 

00:52:26.000 --> 00:52:33.000
So that and then also we have group visits. 

00:52:33.000 --> 00:52:38.000
So for people with either diabetes or chronic obstructive pulmonary disease which we had yesterday. 

00:52:38.000 --> 00:52:43.000
We helped organize a group visit. So we had about 10 patients that came in that all have COPD. 

00:52:43.000 --> 00:52:50.000
We did a little blurb about mindfulness and breathing techniques with our behaviorist. 

00:52:50.000 --> 00:52:53.000
And then they had one on one appointments with their primary care provider.

00:52:53.000 --> 00:52:57.000
And so I was just running the show making sure that everybody was staying on track. 

00:52:57.000 --> 00:52:60.000
But it just kind of varies from day to day. Sometimes I'll have a lot of people scheduled back to back. 

00:53:00.000 --> 00:53:03.000
Sometimes my schedule will be completely open that day

00:53:03.000 --> 00:53:06.000
but then I get pulled for like five different things at the same time

00:53:06.000 --> 00:53:08.000
so I'm like running around the clinic trying to do different things. 

00:53:08.000 --> 00:53:10.000
So it really varies from day to day. 

00:53:10.000 --> 00:53:15.000
Like I said some months I only interact with 50 people the entire month

00:53:15.000 --> 00:53:20.000
and some months it's upwards of 200 but it really depends. 

00:53:20.000 --> 00:53:22.000
Yeah and there was another question on this card. 

00:53:22.000 --> 00:53:25.000
What are the biggest barriers as a CHW? 

00:53:25.000 --> 00:53:32.000
So when you come into our agency you start working as a community health worker or health navigator. 

00:53:32.000 --> 00:53:34.000
You go through a lot of trainings. 

00:53:34.000 --> 00:53:39.000
Trauma-informed care, mental health first aid, CPR. 

00:53:39.000 --> 00:53:46.000
Just a lot of trainings. There's a list of trainings that we have to make sure that we take and that we keep up. 

00:53:46.000 --> 00:53:49.000
It takes like four months before you actually start working with people. 

00:53:49.000 --> 00:53:55.000
I think for all of us we start almost six months of trainings before we are out in our actual positions.

00:53:55.000 --> 00:53:59.000
I started in December of 2015

00:53:59.000 --> 00:53:65.000
and I didn't actually get to go out to my clinic until right around May or June 2016. 

00:54:05.000 --> 00:54:10.000
So I had a good chunk of time where we did a lot of that. 

00:54:10.000 --> 00:54:15.000
Sometimes it's hard because there's so much information being thrown at you at first. 

00:54:15.000 --> 00:54:17.000
Just trying to keep everything straight. 

00:54:17.000 --> 00:54:21.000
But one of the things that I really liked about our orientation process

00:54:21.000 --> 00:54:26.000
is that we actually got a list of community resources that just said something like food or housing

00:54:26.000 --> 00:54:29.000
and then we had to go out and find the agencies that provided that

00:54:29.000 --> 00:54:32.000
and actually go and introduce ourselves to the people working there

00:54:32.000 --> 00:54:37.000
get contact information from them and if they had applications pick those applications up and bring them back.

00:54:37.000 --> 00:54:44.000
So it was really nice because we got to go to the Housing Authority, to DHS, to the food banks

00:54:44.000 --> 00:54:48.000
to CARDV, COI, the shelters.

00:54:48.000 --> 00:54:55.000
A lot of times especially if people have to go to food banks they're embarrassed to go. 

00:54:55.000 --> 00:54:57.000
And so making sure that we know what the process is

00:54:57.000 --> 00:54:62.000
because this is what people tell me, I don't want to go, I don't know what I'm supposed to do

00:55:02.000 --> 00:55:04.000
I don't know who I talk to and I'm just a little embarrassed. 

00:55:04.000 --> 00:55:08.000
I'll actually go with them and so having gone that first time

00:55:08.000 --> 00:55:12.000
and I know what the process is. It makes it a little bit smoother. 

00:55:12.000 --> 00:55:16.000
So we just walk them through everything and then the next time they're able to go on their own.

00:55:16.000 --> 00:55:19.000
So I just want to make sure I answer this question.

00:55:19.000 --> 00:55:24.000
So what I was trying to get at is even though you go through all this training with mental health first aid

00:55:24.000 --> 00:55:27.000
and you learn about trauma. 

00:55:27.000 --> 00:55:33.000
A lot of times I think the hardest thing for a CHW is vicarious trauma

00:55:33.000 --> 00:55:37.000
because if you have experienced trauma in your life 

00:55:37.000 --> 00:55:41.000
and you're trying to assist a client who is experiencing similar trauma

00:55:41.000 --> 00:55:43.000
or it triggers something. That's the toughest. 

00:55:43.000 --> 00:55:47.000
Because you hear of really hard situations. 

00:55:47.000 --> 00:55:53.000
Especially when you start forming those relationships with individuals that are coming to you over and over again. 

00:55:53.000 --> 00:55:57.000
You learn a lot about them and you might be the only person that they trust. 

00:55:57.000 --> 00:55:66.000
So just knowing how to refer those individuals out to proper services is sometimes tough. 

00:56:06.000 --> 00:56:09.000
And also learning how to disengage because a lot of us also get a work cell phone 

00:56:09.000 --> 00:56:12.000
so sometimes people are calling us at like nine. 

00:56:12.000 --> 00:56:16.000
It's just really hard to let go at the beginning.

00:56:16.000 --> 00:56:19.000
Trying to figure out, OK I need to take some me time.

00:56:19.000 --> 00:56:27.000
Sometimes the providers at my clinic joke that I know the patients better than they do. 

00:56:27.000 --> 00:56:28.000
You actually do.

00:56:28.000 --> 00:56:30.000
Because I spend so much time with them. 

00:56:30.000 --> 00:56:34.000
And sometimes it's just like transportation. I have somebody that I pick up in Sweet Home and I take them to Corvallis. 

00:56:34.000 --> 00:56:36.000
That's like almost an hour drive. 

00:56:36.000 --> 00:56:39.000
And that takes up almost my entire day when I have to do that. 

00:56:39.000 --> 00:56:43.000
But he tells me a lot of stuff so it actually works out pretty well

00:56:43.000 --> 00:56:47.000
because sometimes he'll tell me things that he didn't tell his doctor

00:56:47.000 --> 00:56:50.000
so I tell the doctor hey so and so he's not taking his insulin

00:56:50.000 --> 00:56:55.000
or he's telling you that he's taking this as prescribed but he's actually taking it this way. 

00:56:55.000 --> 00:56:57.000
And it actually makes a really big difference

00:56:57.000 --> 00:56:62.000
because sometimes they're concerned because the medication that they're on isn't working 

00:57:02.000 --> 00:57:08.000
but it's not necessarily that the medication isn't working it's that the patient isn't taking it correctly or they just don't know how to take it. 

00:57:08.000 --> 00:57:11.000
So I guess this ties in pretty well with this next question

00:57:11.000 --> 00:57:16.000
which is what is the hardest or most stressful part of our position? 

00:57:16.000 --> 00:57:21.000
For me personally it's once I get past that boundary of building that relationship and building trust with someone 

00:57:21.000 --> 00:57:27.000
it's setting up those boundaries of where that relationship ends. 

00:57:27.000 --> 00:57:31.000
And that can be really difficult because sometimes people get really attached to you

00:57:31.000 --> 00:57:37.000
and they're wanting more things that we just can't do. 

00:57:37.000 --> 00:57:39.000
And that's why we get training

00:57:39.000 --> 00:57:41.000
laughter

00:57:41.000 --> 00:57:44.000
for those that don't know how to do it already. 

00:57:44.000 --> 00:57:47.000
Or if you're thinking of the more technical aspects of the job

00:57:47.000 --> 00:57:50.000
documenting when you're seeing so many people

00:57:50.000 --> 00:57:54.000
and you help them with OHP and a food bank referral 

00:57:54.000 --> 00:57:57.000
and you got them stuff out of hygiene closets at the school

00:57:57.000 --> 00:57:60.000
which have toothpaste, toothbrushes, hairbrushes, 

00:58:00.000 --> 00:58:03.000
shampoos, laundry detergent, that kind of thing. 

00:58:03.000 --> 00:58:08.000
I did actually all of that today with someone. Helped her with OHP, and the food bank, and the hygiene closet. 

00:58:08.000 --> 00:58:12.000
So now I have to do three notes for each individual in the family 

00:58:12.000 --> 00:58:15.000
because that's a touch for everybody in that family who was affected. 

00:58:15.000 --> 00:58:20.000
This one just says how did you end up in your position and where did you start? 

00:58:20.000 --> 00:58:24.000
So a lot of it was through word of mouth. I think that's how we do a lot of recruiting. 

00:58:24.000 --> 00:58:29.000
So we post recruitment stuff on our webpage

00:58:29.000 --> 00:58:35.000
but usually it's within ourselves.

00:58:35.000 --> 00:58:39.000
Our boss will send out an announcement saying we're hiring for a new position. 

00:58:39.000 --> 00:58:43.000
If you guys have any friends or family or know of anybody who would be really good for this position

00:58:43.000 --> 00:58:46.000
please send them our way. 

00:58:46.000 --> 00:58:48.000
I think that's actually how I found out about it. 

00:58:48.000 --> 00:58:51.000
But you don't need to know anyone. I didn't know anyone in this community. 

00:58:51.000 --> 00:58:53.000
I was new to Oregon. 

00:58:53.000 --> 00:58:56.000
I found out on GovernmentJobs.com. 

00:58:56.000 --> 00:58:58.000
That's a great place. There's different ways. 

00:58:58.000 --> 00:58:60.000
And what is OHP and what are some other benefits? 

00:59:00.000 --> 00:59:04.000
OHP is the Oregon Health Plan. It's the Medicaid for Oregon. 

00:59:04.000 --> 00:59:09.000
It has dental, limited vision, and medical and mental health

00:59:09.000 --> 00:59:12.000
and transportation and interpretation services. 

00:59:12.000 --> 00:59:16.000
And it is not based on current medical conditions. It is strictly income-based. 

00:59:16.000 --> 00:59:19.000
So most of you if you do not have your parents' insurance 

00:59:19.000 --> 00:59:24.000
and earn less than 1396 dollars a month

00:59:24.000 --> 00:59:27.000
you probably qualify. 

00:59:27.000 --> 00:59:31.000
Get in touch with an OHP health navigator and they will further explain other details. 

00:59:31.000 --> 00:59:34.000
If any of you have any more questions or we didn't get to your question

00:59:34.000 --> 00:59:37.000
get in touch with Megan so she can get in touch with us for you. 

00:59:37.000 --> 00:59:40.000
Thank you very much for your time. 

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